“I called a dozen doctors,” Pittman says, recalling their frantic feud after the deals ended. Both times, she found herself empty and had to close her practice for four days, losing about $12,000. “It devoured my budget and many patients complained that they couldn`t be seen, that they couldn`t get their refills,” said Pittman, who under the new law no longer needs to be associated with a cooperating doctor to prescribe most medications. Access to NP services in California is limited by state law. Physicians and PNs must enter into a cooperation agreement for one or more elements of NP practice. Most practices can`t survive, just perform diagnostic tests and physical tests, said Beth Partien, vice president of the Nurse & Nurse Midwives Practitioners Coalition. Some drugs like adderall, oxycodone, testosterone, ambiance and cough juice with codeine still require a cooperation agreement. Of the state`s 5,410 nurses, 1,948 have an agreement to prescribe these more restrictive drugs, according to the Kentucky Board of Nursing. The act establishes a six-member committee to establish a list of physicians willing to enter into these agreements.
If the nurse cannot find anyone on the list within 30 days, the committee must have a doctor on site. After four years, PRs no longer need an agreement to prescribe most medications. A NP may prescribe legendary drugs as part of a cooperation agreement with a physician. If a NP has met certain conditions after four years, the NP can prescribe drugs independently. If the NP wishes to impose controlled substances in List II-V, the cooperation agreement must be maintained. Ky. Rev. Stat.
§ 314.042 However, at the national level, stakeholders doubt that this approach is really an innovative compromise. . . .