Arkansas Legislature passes HB 1131 to empower advanced practice nurses

House Bill 1131, introduced in the Arkansas State Legislature on April 21, 2025, aims to expand the scope of practice for advanced practice registered nurses (APRNs) by allowing them to delegate specific nursing tasks to medical assistants and other unlicensed staff. This legislative proposal, sponsored by Representative Pilkington and Senator C. Penzo, seeks to address workforce shortages in healthcare settings and improve patient care efficiency.

The bill outlines that APRNs may delegate tasks such as administering medications and immunizations that do not require specialized judgment, as well as performing phlebotomy activities. The Arkansas State Board of Nursing will have the authority to determine which additional tasks may be delegated. This delegation is intended to enhance the operational capacity of healthcare facilities, particularly in rural areas where access to licensed nursing staff may be limited.

Debate surrounding House Bill 1131 has highlighted concerns regarding patient safety and the qualifications of unlicensed staff performing delegated tasks. Opponents argue that allowing unlicensed personnel to administer medications could pose risks to patient health, while proponents emphasize the need for flexibility in healthcare delivery to meet growing demands.

The economic implications of the bill are significant, as it could alleviate staffing pressures and reduce costs for healthcare providers. By enabling APRNs to delegate tasks, facilities may operate more efficiently, potentially leading to improved patient outcomes and satisfaction.

As the bill progresses through the legislative process, it is expected to face further scrutiny and possible amendments. If passed, House Bill 1131 could mark a pivotal shift in the role of APRNs in Arkansas, enhancing their ability to manage patient care while addressing critical workforce challenges in the healthcare system.