Nurse Practice Act State Comparison Illinois vs Arizona

Nurse Practice Act State Comparison Illinois vs. Arizona NURS-610 Z 2 03/23/20

Advanced Practice Nurse Titles and abbreviations Illinois-Nurse Practice Act ● ● ● Advanced practice nurse (APN) Advanced practice registered nurse (APRN) Certified nurse midwife (CNM) Certified nurse practitioner (CNP) Certified registered nurse anesthetist (CRNA) Certified nurse specialist (CNS) Arizona-Administrative code ● ● ● Advanced practice registered nurse (APRN) Registered nurse practitioner (RNP) Certified nurse midwife (CNM) Nurse midwife Certified nurse specialist (CNS) Certified registered nurse anesthetist (CRNA) All titles and abbreviations protected 225 Illinois Compiled Statutes 65/75 -20 Arizona Administrative Code R 4 -19 -501.

Must APN Both RN and/or APN License Illinois ● APN must have a current RN licence to apply for APN licence (225 ILCS 65/65 -5) Arizona ● APN must have a current RN licence to apply for APN licence Arizona Administrative Code R 4 -19 -505.

APN Education & Certification Requirements Illinois ● ● ● Graduate degree. National certification in a clinical APRN specialty. Or post master’s certification from graduate level APRN clinical specialty. 225 ILCS 65/65 -5 Arizona ● ● ● Graduate degree with major in nursing for RNP and CNS. Graduate degree affiliated with CRNA program. Post master’s degree by accredited institution. A. R. S. § 32 -1644;

APN Oversight Authority Illinois ● Independent practice Arizona ● Independent practice under the state board of nursing ILCS 65 -43 of the Act and Section 1300. 465 of this Part. (Source: Amended at 43 Ill. Reg. 6924, effective June 14, 2019) Ariz. Admin. Code § 4 -19 -501(B)

APN Regulating Agency Illinois ● ● State board of nursing 13 members ○ Four APN’s https: //www. idfpr. com/profs/Boards/nursing. asp Arizona ● ● Arizona state board of nursing Nine members ○ Four APN’s https: //www. azbn. gov/board-members

APN Rx Authority Illinois ● ● Full authority to dispense and prescribe a 30 day supply May dispense 72 hours worth of samples. Can prescribe controlled substance after education prerequisite 102(u) of the Illinois Controlled Substances Act. Need Illinois controlled substance license and DEA number http: //www. ilga. gov/commission/jcar/admincode/068/0 68013000 D 04660 R. html Arizona ● ● ● Full authority to dispense and prescribe only in their field/focus (pediatric, adult, geriatric etc. ) May dispense samples Can prescribe controlled substance with DEA number only. Ariz. Admin. Code § 4 -19 -511 & 512

Is L. A. C. E addressed? Illinois ● ● Yes, regulatory requirements in licensure, certification and education were all addressed in the Illinois Nurse Practice Act. Accreditation not mentioned in Illinois NPA. Arizona ● Yes, regulatory requirements in licensure, accreditation, certification and education were all addressed in the Arizona Administrative Code. (Authority: A. R. S. § 32 -1606 et seq. ) 225 Illinois Compiled Statutes 65/75 -20

APN Admitting/ Discharge Privileges Illinois ● APNs have both admitting and discharge privileges. (225 ILCS 65/65 -45) Arizona ● APNs have both admitting and discharge privileges. A. R. S. §§ 32 -1601(20)

Reimbursement in Nurse Practice Act (NPA) Illinois - Not noted in NPA According to the 30 th The Annual Legislative Update, “The Illinois Department of Healthcare and Family Services administers the Illinois Medicaid program. APNs who enroll as providers in the department’s medical programs are reimbursed at 100% of the physician rate. Statutory prohibition for third-party reimbursement to APNs does not exist. APNs receive direct or indirect reimbursement from some third-party payers. ” https: //ruralprep. org/wp-content/uploads/2018/02/30 th-APRNLegislative-Update. pdf Arizona -Not noted in Arizona Administrative Code According to the 30 th The Annual Legislative Update, “RNPs and other APRNs may receive third-party reimbursement, enabled by the Department of Insurance statutes. RNP reimbursement varies depending on the health insurance plan” https: //ruralprep. org/wp-content/uploads/2018/02/30 th-APRNLegislative-Update. pdf

References National Council of State Boards of Nursing. (n. d. ). Retrieved from https: //ncsbn. org/ Arizona Legislature. (n. d. ). Retrieved from https: //www. azleg. gov/viewdocument/? doc. Name=http: //www. azleg. gov/ars/32/01636. htm General Assembly Legislation. (n. d. ). Retrieved from http: //ilga. gov/legislation Illinois Health and Hospital Association. (n. d. ). IDPH Finalizes Rules on Admitting, Observation, Sepsis and Opioid Overdose. Retrieved from https: //www. team-iha. org/advocacy-policy/regulatory-policy-issues/hospital-operations/hospital-licensingrequirements/idph-finalizes-rules-on-admitting, -observation, -se AZ Board of Nursing. TITLE 4. PROFESSIONS AND OCCUPATIONS - CHAPTER 19. BOARD OF NURSING (2019). Retrieved from https: //www. azbn. gov/ Phillips, S. J. (2018). 30 th Annual APRN Legislative Update. The Nurse Practitioner, 43(1), 27– 54. doi: 10. 1097/01. npr. 0000527569. 36428. ed