PAMED at the Capitol for Roundtable on Nurse Practitioner Collaborative Agreements

Last Updated: Jan 24, 2018

Rep. Mark Mustio, Majority Chairman of the House Professional Licensure Committee, hosted a roundtable discussion about collaborative agreements between certified registered nurse practitioners (CRNPs) and physicians.


Mark Reuben, MD, (left) meets with Rep. Mark Mustio following the roundtable event.

The roundtable – which was held on Jan. 24, 2018 at the Capitol in Harrisburg – featured a panel of physicians and CRNPs. The focus of the discussion was to educate House Professional Licensure Committee members about the nature of collaborative agreements.

Mark Reuben, MD, a pediatrician in Wyomissing, Pa., and Pennsylvania Medical Society (PAMED) member, was one of the physicians who participated in the panel. He offered details on his experience with how these agreements are drafted.

Following the roundtable’s conclusion, many of the lawmakers in attendance expressed that they had gained a new understanding of the complexities of collaborative agreements.

Pennsylvania’s Current CRNP Legislation

Senate Bill 25 - legislation that allows CRNPs to practice independently and eliminates the requirement that they collaborate with physicians - passed the state Senate in April 2017. The bill is now in the House Professional Licensure Committee. A companion bill in the House (HB 100) is also awaiting consideration by the House Professional Licensure Committee. 

PAMED strongly opposes both Senate Bill 25 and HB 100.

Additional Resources

PAMED offers this FAQ on collaborative agreements. For more information on PAMED’s advocacy efforts concerning scope of practice and team-based care, visit us online at

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