The healthcare industry is undergoing transformative changes, and California’s Assembly Bill (AB) 890 represents a monumental step forward for Nurse Practitioners (NPs). Signed into law by Governor Gavin Newsom in September 2020, AB 890 opens new doors for NPs, allowing them to practice without standardized procedures within defined scopes of practice. This legislation not only strengthens the role of NPs in healthcare but also addresses critical workforce shortages. Here’s an in-depth look at the bill and its implications.
What is AB 890?
AB 890 establishes two new categories of Nurse Practitioners:
- 103 NP: These NPs practice under Business and Profession Code Section 2837.103. They must work in a group setting alongside at least one physician and surgeon, focusing on the population aligned with their National Certification.
- 104 NP: These NPs practice under Business and Profession Code Section 2837.104. They are authorized to work independently within their population focus, leveraging the expertise gained through their certification and experience.
This groundbreaking bill redefines how NPs can contribute to healthcare delivery, particularly in underserved and rural communities.
The Path to Independence
One of the key features of California AB 890 is its structured pathway for NPs to achieve greater independence:
- Step 1: Become a 103 NP
- To qualify as a 103 NP, candidates must meet the certification and experience requirements. This category requires collaboration with a physician and surgeon in a group setting.
- Step 2: Transition to a 104 NP
- After working as a 103 NP in good standing for three years, NPs can apply for 104 NP certification. This allows them to practice autonomously within their defined scope. However, the Board of Registered Nursing will not certify 104 NPs until 2026.
This phased approach ensures that NPs gain the necessary experience before fully independent practice, fostering confidence and competence.
Why AB 890 Matters
The implementation of California AB 890 addresses several pressing issues in the healthcare landscape:
- Bridging Provider Shortages: With a growing demand for healthcare services, California faces a shortage of physicians, particularly in rural areas. By enabling NPs to practice independently, the state can improve access to care for underserved populations.
- Expanding Healthcare Access: Independent NPs can set up practices in areas where healthcare options are limited. This expansion can significantly reduce disparities in health outcomes.
- Recognizing NP Expertise: NPs are highly trained professionals, often holding master’s or doctoral degrees. AB 890 acknowledges their capabilities and empowers them to utilize their skills fully.
How to Apply for 103 NP Certification
The Board of Registered Nursing has streamlined the application process for 103 NP certification. Applications can be submitted through the BreEZe online portal. Here’s a quick overview of the steps:
- Visit the Advanced Practice and Public Health Nurse Certification Website: https://www.rn.ca.gov/applicants/ad-pract.shtml.
- Navigate to the section titled, Nurse Practitioner Practicing Without Standardized Procedures in a Group Setting (103 NP).
- Follow the Step-by-Step Instructions
- The website provides detailed guidance on the application requirements and process.
- Submit Required Documentation
- Ensure all supporting documents are accurate and complete to avoid delays.
By simplifying the process, the Board encourages eligible NPs to take the first step toward greater professional autonomy.
Looking Ahead: The Future of 104 NPs
While the certification process for 104 NPs won’t begin until 2026, the groundwork laid by AB 890 promises a brighter future for healthcare delivery in California. Independent NPs will play a critical role in meeting the state’s healthcare demands, particularly in primary care, mental health, and chronic disease management.
This delayed implementation also provides time for the Board of Registered Nursing to refine guidelines and ensure a smooth transition for NPs.
Challenges and Opportunities
Despite its potential, AB 890 is not without challenges:
- Regulatory Oversight: Ensuring that independent NPs maintain high standards of care will require robust oversight and support systems.
- Public Awareness: Educating patients about the expanded roles of NPs is essential to building trust and acceptance.
- Collaboration with Physicians: While independence is a goal, fostering strong interdisciplinary collaboration remains vital for holistic patient care.
Conclusion
AB 890 is a landmark legislation that empowers Nurse Practitioners to play a more significant role in healthcare delivery. Creating pathways for independent practice addresses workforce shortages and expands access to care for underserved populations. As the implementation unfolds, the dedication of NPs and the support of regulatory bodies will be key to realizing the full potential of this transformative law.
For Nurse Practitioners eager to take the next step in their careers, AB 890 is a call to action. Begin your journey today and be part of the movement shaping California’s healthcare future.
How HealthRescue Partners Can Help:
HealthRescue Partners, a modern practice management company, is uniquely positioned to support nurse practitioners in navigating the new opportunities presented by AB 890. From credentialing with payers and establishing compliant billing systems to handling administrative tasks and marketing strategies, HealthRescue Partners ensures private practitioners can focus on patient care while their practice thrives. By providing tailored solutions for independent practices, they empower NPs to achieve autonomy confidently and efficiently.
