Indiana Senate Bill 246 mandates collaboration rules for advanced practice registered nurses

The Indiana Senate introduced Senate Bill 246 on January 9, 2025, aiming to regulate the collaborative practice agreements between physicians and advanced practice registered nurses (APRNs). This legislation seeks to enhance oversight by requiring the Indiana medical licensing board to accept and review complaints related to these agreements, thereby addressing concerns about the quality of care and professional collaboration in healthcare settings.

Key provisions of the bill stipulate that APRNs must collaborate with licensed practitioners who specialize in the same area of practice and operate within their specialty's scope. Additionally, while a physician may enter into collaborative agreements with more than four APRNs, they are restricted from collaborating with more than four APRNs simultaneously. This limitation is designed to ensure that physicians can maintain effective oversight and support for their collaborating nurses.

The introduction of Senate Bill 246 has sparked discussions among healthcare professionals and stakeholders. Proponents argue that the bill will strengthen the quality of healthcare delivery by ensuring that APRNs work closely with physicians who have relevant expertise. However, some critics express concerns that the restrictions on the number of APRNs a physician can collaborate with may limit access to care, particularly in underserved areas where healthcare providers are scarce.

The bill's implications extend beyond regulatory measures; it reflects ongoing debates about the evolving roles of APRNs in the healthcare system. As the demand for healthcare services continues to rise, the balance between physician oversight and APRN autonomy remains a critical issue. Experts suggest that the bill could lead to a reevaluation of collaborative practices, potentially influencing future legislative efforts aimed at optimizing healthcare delivery in Indiana.

Senate Bill 246 is set to take effect on July 1, 2025, pending further discussions and potential amendments as it moves through the legislative process. The bill has been referred to the Committee on Health and Provider Services for further examination, where its provisions will be scrutinized and debated in the coming months.