Maryland legislators consider bill to expand naturopathic doctors' prescribing authority

In a recent session of the Maryland General Assembly's Health and Government Operations Committee, discussions centered on a proposed bill aimed at expanding the scope of practice for licensed naturopathic doctors (NDs) in the state. The meeting highlighted the urgent need for legislative changes that would allow NDs to prescribe a broader range of medications, specifically from schedules 3 to 5, which could significantly enhance patient care and access to treatment.

The bill's proponents emphasized that while NDs have been licensed in Maryland for a decade, current laws restrict their ability to prescribe medications, limiting their effectiveness in treating patients. Advocates argued that this restriction not only undermines the training and education that NDs receive but also creates unnecessary delays in patient care. For instance, patients often face long wait times to see primary care providers or specialists for prescriptions that NDs could manage directly.

Dr. Jillian Casey, a licensed ND and vice president of the Maryland Naturopathic Doctors Association, shared her experiences of navigating the healthcare system with patients who require timely treatment. She noted that the inability to prescribe medications forces patients to seek referrals, which can lead to significant delays in receiving necessary care. Dr. Casey's testimony underscored the frustration felt by both practitioners and patients, as NDs are trained to diagnose and treat conditions but are hindered by legislative barriers.

The meeting also featured personal testimonies from patients who have faced challenges due to these restrictions. One poignant account came from Emma Warkine, who recounted her struggles with miscarriages and the lack of timely medical intervention from her OB-GYN. She expressed that had her ND been able to prescribe medication, her experience might have been different, potentially altering the outcome of her pregnancies.

Support for the bill was robust, with over 170 letters from Maryland residents, including patients and healthcare professionals, advocating for the change. The committee was informed that 24 states currently allow NDs to prescribe medications, and the safety record of these practitioners is strong, with minimal disciplinary actions reported.

The proposed legislation aims to remove outdated barriers that prevent NDs from practicing to the full extent of their training. By recognizing their qualifications and allowing them to prescribe medications, the bill seeks to improve healthcare access for Marylanders, particularly those who prefer or require naturopathic treatment options.

As the committee continues to deliberate, the outcome of this bill could have significant implications for the future of healthcare delivery in Maryland, potentially transforming the landscape for both practitioners and patients seeking holistic care. The next steps will involve further discussions and evaluations of the proposed changes, as advocates remain hopeful for a positive resolution that enhances healthcare accessibility in the state.