[{"_1":2,"_112":-5,"_113":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,76,88,100],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},"mediaId",6123774,"mediaKeyId","2688433-b7faca3b3ced2da830f98b137734921c","parentId",2688433,"title","BRN advisory committee reviews SB1451 changes that expand 103 nurse practitioner practice and clarify retired certifications","audioSeconds",370,"startMs",1686000,"endMs",2056000,"viewUrl","/Search/View?dp=1&key=2688433-b7faca3b3ced2da830f98b137734921c&start=1686&end=2056","thumbnailUrl","https://assets.pipeline.soar.com/2688433-b7faca3b3ced2da830f98b137734921c/thumbnail_1686000.jpg","articleUrl","/articles/6123774/California/BRN-advisory-committee-reviews-SB1451-changes-that-expand-103-nurse-practitioner-practice-and-clarify-retired-certifications","mediaUrl","https://secure.pipeline.soar.com/6123774-7f39217da5d6bb617cbfe95d739656ef/orig.mp4?Expires=1770714449&Signature=a42ok9duuHk~1c8f5SH4ZsU5hCIdX~qh5dOMDqlIYRM8NbL90WiWDLpLYXFNMIYrp0n00f0NLqNVsvs7XMWEwhwqfC7rLwMlb7ph1mRw9Edt16EdU5VUlNZzAZ~lwAoLFYC4Qw4RXK0CbXiYUv696G2AelydOKDipDigC9xbcOp5mKtFWadrjUSgltTfithuNy2rgTpefktZk~UTbTFFcgkwAICsjwp9BUUdwArrp2iqoNliNrTTw09glCbb~Ov0Z0xyQf3oifEzP2c~SlVMK~j50WRgIsxnHMtfMazE528URTEUA6HR~4nv7JlqGIBzvnsK24pf1R52yVTEMkbQwQ__&Key-Pair-Id=KUT5TJCACFTXG","author","California Board of Registered Nursing","date","2025-03-19T13:49:37.4Z","article","The Board of Registered Nursing’s Impact Committee on Tuesday reviewed proposed regulatory changes to implement Senate Bill 1451 and AB 890 that alter how nurse practitioner (NP) classifications known as “103” and “104” will be verified and regulated.

The committee heard that SB1451 removes the previous requirement that an applicant’s national certification, the setting used for their transition-to-practice hours, and the attesting provider all be in the same clinical population or specialty. Loretta Melby, executive officer, told members the 103 application has been updated to reflect that change and that ‘‘the practice area still stands for the 104.’’

Committee members said the statutory changes could broaden the kinds of specialty work a 103 can perform. Dr. Andrea Espinosa pressed staff on public-safety protections, asking whether the change allows a nurse practitioner trained primarily in family medicine to claim independent practice in a specialty such as rheumatology or orthopedics. Melby and other staff repeatedly pointed to statutory language requiring that a 104 ‘‘shall not practice beyond the scope of their clinical and professional education and training, including specific areas of concentration’’ and that national certification be a limiting factor; Melby referenced the statutory citation read aloud in the meeting as ‘‘business and professions code 27 30 2837.104’’ (as spoken during the meeting).

Marissa Clark, BRN chief of legislation, said a regulatory change will explicitly allow retired or legacy national certifications to satisfy the national-certification requirement. Clark described a draft change to 16 CCR 14 81 that would add language making clear national certifications retired before Jan. 1, 2017, remain allowable if issued by an accrediting body specified in the regulation.

Dr. Espinosa and other committee members urged continued monitoring after the new classifications take effect. BRN staff said the first 104s will not practice until January 2026 and that the agency will track disciplinary metrics as those practitioners enter independent practice. Reza (board counsel) and staff emphasized the board must implement statute as written and that any further changes would require the formal regulatory process.

Committee Chair Samantha Gamble Sparr closed by asking members to raise any further specific regulatory language changes in subsequent agenda items; staff said proposed regulatory text is posted and that public comments will be accepted during the formal rule‑making comment period.

The committee did not take a regulatory vote on these specific statutory implementation edits at this meeting; staff said the group will review proposed language and public comments as part of the rule‑making process.","mediaType","Video","parentTitle","Nurse Practitioner Advisory Committee 1 pm.","oneSentenceSummary","The Board of Registered Nursing’s Impact Committee on Tuesday reviewed proposed regulatory changes to implement Senate Bill 1451 and AB 890 that alter how nurse practitioner (NP) classifications known as “103” and “104” will be verified and regulated.","taxTitle","California Board of Registered Nursing, Boards and Commissions, Executive, California","taxId",76752,"location","California","headline","","shortSummary",{"_33":77,"_35":36,"_37":38,"_39":78,"_41":79,"_43":80,"_45":81,"_47":82,"_49":83,"_51":84,"_53":85,"_55":56,"_57":58,"_59":86,"_61":62,"_63":64,"_65":87,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6123759,"BRN moves to ease out‑of‑state preceptor requirements; committee approves administrative motions including support for subcommittee scheduling",1530,4888000,6418000,"/Search/View?dp=1&key=2688433-b7faca3b3ced2da830f98b137734921c&start=4888&end=6418","https://assets.pipeline.soar.com/2688433-b7faca3b3ced2da830f98b137734921c/thumbnail_4888000.jpg","/articles/6123759/California/BRN-moves-to-ease-outofstate-preceptor-requirements-committee-approves-administrative-motions-including-support-for-subcommittee-scheduling","https://secure.pipeline.soar.com/6123759-011c62fdcf232324a98b6fceeef6c31a/orig.mp4?Expires=1770714449&Signature=GMkISyv5k51grWgnXYsTCfeZNuB8GntdXs6-qhHPaKtfDbd6PUCiZl40c3-GRBMzlu4asiyoCoLE6qlpis2cdrJ772Lo~qRGaYt9H0fL4~TpJaNoduWW2dtU78iEPWiHAVmrfz15Q30y3tWOCvRE4KIwVHwRWX6BEpbqjVVBTs4oPhlMAsJdpoaLA0ugbChGgj78E0p8rar5ns7KIMnvr0iuxP5nvCi~mLaYyUmRab-qKGkDUFqeux2uQxVx11DT6ljdp2qLT3Tt2usIfD9YziiBA-Kr-4EkGL~yqk0cX~UvnNYShxKYNE9oqWgPqmwhMkkEOWZw7SBMhitpnLqVvA__&Key-Pair-Id=KUT5TJCACFTXG","The Impact Committee reviewed proposed updates to the nurse practitioner program approval rules that remove a requirement forcing out‑of‑state preceptors and remote faculty to obtain California NP licensure when supervising students who do clinical work outside California.

Executive Officer Loretta Melby said implementation of the BRN’s 2019–2020 approvals work revealed a barrier: the existing language required clinical preceptors and faculty who did not step into California to still hold California NP licensure. Melby said that requirement had led at least one program to withdraw its California approval and that the proposed language would permit a preceptor and student to be licensed in the state where the clinical activity occurs rather than require a California NP license for out‑of‑state supervision.

Marissa Clark said the proposed regulatory text is posted and in a 45‑day public comment period; comments close April 28 for that package. She noted the changes are intended to maintain clinical verification while removing an undue administrative burden on academic programs and out‑of‑state supervisors.

On meeting housekeeping, the committee voted to approve the minutes from Sept. 24, 2024, and later passed a motion asking BRN staff to facilitate and schedule subcommittee meetings to make it easier for subcommittee members to convene. The motion to request BRN assistance was moved by Dr. Edward Ray and seconded by Committee Chair Samantha Gamble Sparr; the committee recorded affirmative votes from Dr. Ray, Dr. Andrea Espinosa, NP Jan Johnson Griffin, NP Kevin Maxwell, NP Sally Pham and Chair Gamble Sparr and the motion carried.

Records: members voted to approve the Sept. 24, 2024 minutes (roll‑call yes votes recorded) and the motion asking BRN staff to help schedule subcommittee meetings passed by recorded vote. The committee took no other formal regulatory votes at this meeting.","The committee reviewed proposed changes to nurse practitioner program approval rules that would allow out‑of‑state preceptors and non‑California faculty for students practicing outside California. Members approved minutes and passed a motion requesting BRN staff assistance scheduling subcommittee meetings.",{"_33":89,"_35":36,"_37":38,"_39":90,"_41":91,"_43":92,"_45":93,"_47":94,"_49":95,"_51":96,"_53":97,"_55":56,"_57":58,"_59":98,"_61":62,"_63":64,"_65":99,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6123765,"BRN posts proposed regulatory text and updates FAQs to implement SB1451; public comment period open",212,6513000,6725000,"/Search/View?dp=1&key=2688433-b7faca3b3ced2da830f98b137734921c&start=6513&end=6725","https://assets.pipeline.soar.com/2688433-b7faca3b3ced2da830f98b137734921c/thumbnail_6513000.jpg","/articles/6123765/California/BRN-posts-proposed-regulatory-text-and-updates-FAQs-to-implement-SB1451-public-comment-period-open","https://secure.pipeline.soar.com/6123765-3c19c3d4ba97cb7498f7947f2cd6530e/orig.mp4?Expires=1770714449&Signature=Ni~XhQfLtVQp2IdTy0LoW6KIsjkImngq7zKvwiIIVk~haYb7X6He~NBxRofOCSxo7ISTrqr5LscLiObyZMrK8tjECgRhMqBPTnR3sQRA2u4GV5JX8KcFpufg3Dx7G4OGwxrTztHBoiRXhwTKoY~p5QI4-ymNkAiT6xu76WRhvlHhcutUu84pSqqAYiC2rCwLZPyqGn7vl9aC0k4uky6jCvL8r~pvkfd91udC-Q~t1jq5-atchhzvhA5X-9DqQ6G-zLzMlkDt1qQE64NFre6w2TVlid3OuFX1ScJRhAAXQrOJlbM~6Db2ApKpx2yWCTOenumVSv8y0Yqi1VY7czlGwQ__&Key-Pair-Id=KUT5TJCACFTXG","BRN legislative staff presented a proposed rule‑making package intended to align California’s nurse practitioner regulations with statutory changes from SB1451. Marissa Clark, BRN chief of legislation, walked the advisory committee through the regulatory changes posted for public comment and described an additional clarifying edit to ensure retired or legacy national certifications are explicitly allowable.

Clark said the fixes are spread across several sections, including proposed changes to 16 CCR 14 81 (scope and categories), the 103 transition‑to‑practice language, and the notice‑to‑consumer provisions. She told the committee that under the draft text BRN would add language to 16 CCR 14 81(b) to allow a national certification that ‘‘was retired before 01/01/2017 by a national certifying body that is accredited by the National Commission for Certifying Agencies or the American Board of Nursing Specialties.’’

Clark noted the package had been presented to the full board and that a public commenter had correctly identified a place where the posted language could unintentionally exclude legacy certifications; staff revised the approach to amend the central cross‑referenced section instead of duplicating edits across multiple subsections.

Staff said the proposed regulatory text and the initial statement of reasons are posted on the BRN website’s proposed regulations page; the package is on a 45‑day public comment period (the meeting materials noted April 28 as the close date for one of the packages). Committee members were invited to send suggested clarifying FAQ items to Marissa Clark (marissa.clark@dca.ca.gov) or to the BRN advisory email list for regulations.

No committee vote was taken on the rule‑making text at this meeting; staff asked members to submit any requested edits through the rule‑making comment process so the board can consider them before finalizing language.","BRN legislative staff described proposed regulatory text to align BRN regulations with SB1451, including new language to accept retired/legacy national certifications and edits to attestation and transition-to-practice requirements; the rule‑making package is posted and open for public comment.",{"_33":101,"_35":36,"_37":38,"_39":102,"_41":103,"_43":104,"_45":105,"_47":106,"_49":107,"_51":108,"_53":109,"_55":56,"_57":58,"_59":110,"_61":62,"_63":64,"_65":111,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6123770,"BRN committee reviews NP discipline data; public commenter and counsel discuss National Practitioner Data Bank reporting",848,4347000,5195000,"/Search/View?dp=1&key=2688433-b7faca3b3ced2da830f98b137734921c&start=4347&end=5195","https://assets.pipeline.soar.com/2688433-b7faca3b3ced2da830f98b137734921c/thumbnail_4347000.jpg","/articles/6123770/California/BRN-committee-reviews-NP-discipline-data-public-commenter-and-counsel-discuss-National-Practitioner-Data-Bank-reporting","https://secure.pipeline.soar.com/6123770-206ca2759525f971dc6353bea50d0e28/orig.mp4?Expires=1770714449&Signature=ig819Tbrrn1cXIEz30bATpt6ZdpzcwIL~mQ1u9HJOgzrfeJVrTJtp6JaWjy6w5ydI-13SwVk4LSG4sbdDgXn-UnCQRACvLfd~bsV8P9t2tQDThjmx0Epsz5leRemldYDaoFQLSjITNfkoxTwMNgW2cATJM7oJXYm8wNaoyORDX9b7F7nXhzdws0ZHOLkDZbOz1OizN09RP1xLjWw9wI-6eltnz3ka-VMv9gA-JBCIyDz9oqs4rh-9CKzf2MO760TqkXKU8iJRA5YO5y7PfHh8m93RztmgCF0DO50zu5Rfr06hUC~nOLwpsBougs7XOms1mFR22g~1pL9UEH5wSr-zw__&Key-Pair-Id=KUT5TJCACFTXG","The Board of Registered Nursing Impact Committee reviewed disciplinary statistics for nurse practitioners and heard public comment about longer-term consequences of federal reporting to the National Practitioner Data Bank.

BRN staff displayed discipline trends for the period covering 2018–2024 and discussed how the total number of licensees has grown substantially while the absolute number of disciplinary actions has remained relatively flat. NP Sally Pham said the data made it difficult to tell whether discipline is increasing as a rate or only in absolute numbers, and she urged analysis that accounts for growth in total licensed NPs.

A public commenter identified as Angela W. urged education about disciplinary consequences, saying many licensees ‘‘are already confused’’ and warned that actions reported to the National Practitioner Data Bank can have long-term employment consequences. Angela W. read statistical detail from the dataset during public comment, saying ‘‘there's a total of 419 people’’ in the dataset and that ‘‘41 percent of these people that were disciplined either voluntarily surrendered their license, or it was revoked for them.’’

Board counsel Reza explained the NPDB is a federal reporting system under the Social Security Act and that states must report certain adverse licensure actions; he also clarified that license revocation or surrender is not necessarily a permanent bar because practitioners can petition for reinstatement under applicable rules. BRN executive staff reiterated that enforcement seeks public protection and that some reporting requirements are federal legal obligations the BRN must follow.

Staff also demonstrated DCA’s interactive data portal to show how to calculate disciplinary rates relative to the active licensed population; Melby suggested the committee could ask staff to return with percentage‑based metrics (for example, disciplinary actions per 10,000 NPs) to make trend interpretation easier.

No formal committee action was taken on this agenda item; staff will continue to publish and analyze discipline metrics and to consider whether additional explanatory FAQ material is needed to help licensees and the public understand NPDB reporting and disciplinary outcomes.","Committee examined disciplinary statistics for nurse practitioners, reviewed trends, and heard public concerns about long-term consequences of reporting to the National Practitioner Data Bank (NPDB). Counsel clarified federal NPDB reporting requirements and reinstatement pathways.","actionData","errors"]

Article not found

BRN advisory committee reviews SB1451 changes that expand 103 nurse practitioner practice and clarify retired certifications

BRN moves to ease out‑of‑state preceptor requirements; committee approves administrative motions including support for subcommittee scheduling

BRN posts proposed regulatory text and updates FAQs to implement SB1451; public comment period open

BRN committee reviews NP discipline data; public commenter and counsel discuss National Practitioner Data Bank reporting