Federal trade commission Gives Mixed Overview of South Carolina’s Nurse Supervision Proposal

Federal trade commission Gives Mixed Overview of South Carolina’s Nurse Supervision Proposal

Federal trade commission Gives Mixed Overview of South Carolina’s Nurse Supervision Proposal


The Ftc (Federal trade commission or Commission) posted written comments on November second to South Carolina’s condition legislature around the competitive impact of proposals to change the supervision needs for advanced practice rns (APRNs) within the condition. As the Federal trade commission approved of the condition bill that will allow APRNs to rehearse underneath the supervision of the licensed physician without proof of “written protocols,” the Commission cautioned the legislature to re-think an offer to want regulatory approval of the “written practice agreement” between your APRN along with a supervising physician. Several states presently require similar protocols or contracts, possibly restricting using APRN services each location.

H.3078: Removal of Approved Written Protocols

Sc House Bill 3078 (H.3078) proposes changes that will eliminate needs that every nurse specialist, certified nurse midwife, and clinical nurse specialist practicing within the condition provide proof of “approved written protocols” to rehearse underneath the supervision of the licensed physician. What one House Bill giveth, another taketh away. Or, because the Federal trade commission mentioned, “We urge legislators to think about the possibility advantages of enhanced competition that H.3078 may facilitate and H.3508 may hamper.”

H.3508: Introduction of Written Practice Contracts

House Bill 3508 would switch the “approved written protocols” with equivalent needs for any “written practice agreement” between APRNs along with a supervising physician. The important thing distinction between the suggested agreement and also the current rules would be that the new practice agreement should be posted to, and approved by, a regulatory committee just before practice underneath the agreement. The present rules require that the protocol be created within 72 hrs of request. In addition, H.3508 will need notice towards the committee and approval of the new agreement whenever the APRN changes practice settings or supervising physicians, and also to cease practice when the written agreement is ended unconditionally.

The FTC’s Review: Problems Ahead

The Federal trade commission notes four potential difficulties with the state’s proposal. First, H.3508 may limit use of APRNs, who are able to help cover the nation’s lack of doctors. Second, APRNs can provide lower-cost care than physicians, but undue regulatory and legal hurdles may raise the price of APRN services. Third, “rigid supervision” and collaboration needs may hamper growth and development of effective types of team-based care. For example, legislative language may unnecessarily limit the scope of services than an APRN can offer. 4th, the Commission found no evidence that statutory practice agreement needs are required to achieve the advantages of team-based care.

The Commission noted the condition legislature must balance these competition concerns with valid safety and health concerns reflected in regulatory oversight of medical professionals. However, the Federal trade commission pressed for adoption of H.3078 to get rid of limitations on nurses along with a reconsideration of H.3508 to reexamine whether such rules are required to safeguard patient safety and health. When the condition follows the FTC’s recommendation, APRNs should experience less regulatory limitations in Sc, possibly demonstrating a template for regulatory oversight to claims that presently require protocols or contracts for APRN practices.




  1. I love Armored Warfare because the game rocks!

Leave a Reply

Your email address will not be published. Required fields are marked *