Sponsor says removing SCA will expand access without expanding APRN scope; committee questions 2,000‑hour threshold
Sponsors told the Senate Health Committee that Senate Bill 258 would remove the standard care arrangement (SCA) requirement for APRNs, lowering administrative costs and improving access—especially in rural areas—while leaving APRN scope unchanged; members questioned the choice of a 2,000‑hour threshold and insurance/malpractice implications.
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Senate Bill 258, the Better Access to Health Care Act, drew sponsor testimony focused on workforce and access concerns. The bill would eliminate the standard care arrangement (SCA) that requires an APRN to contract with a physician (or podiatrist) for signature and administrative oversight in order to practice. Sponsors told the committee that the change does not expand APRN clinical scope; rather, they said, it removes an outdated administrative cost that disproportionately affects independent and rural APRNs and increases costs for patients.
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