In a recent meeting of the Georgia Nursing Leadership Coalition (GNLC), representatives from the United Advanced Practice Registered Nurses of Georgia (UAPRNA) addressed critical issues facing the nursing community, particularly regarding licensing and collaborative practice agreements.

The discussion highlighted the financial contributions of nursing licenses, with annual fees generating approximately $6.3 million from around 173,000 licensed practical nurses (LPNs) and registered nurses (RNs), alongside 18,000 advanced practice registered nurses (APRNs). The smooth renewal process for licenses was noted, although a credit card processing issue was briefly mentioned.

A significant topic was the transition of APRNs to actual licenses, following a new law passed this year. This change will affect about 28,000 APRNs, including nurse practitioners and midwives, who will need to convert their current authorizations to practice by September 2025. Concerns were raised about the board of nursing's staffing levels to manage this transition effectively, as potential confusion may arise from the need for multiple licenses for those with dual certifications.

Additionally, the coalition expressed frustration over delays in obtaining collaborative practice agreements from the Georgia Board of Medicine, which currently takes 18 to 24 months. The lack of a communication database for APRNs at the Board of Medicine complicates matters, as the Board of Nursing serves as the primary conduit for information. The coalition emphasized the need for a more streamlined process, similar to practices in other states where such agreements are managed under a single board, typically the Board of Nursing.

The meeting underscored the ongoing challenges faced by Georgia's nursing professionals and the urgent need for improved communication and efficiency within the regulatory framework governing their practice.