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The National Council of State Boards of Nursing (NCSBN) Proposal

Posted 2 months ago by Katie Wall

This announcement is to inform APRNs in Arizona about a proposed change to the APRN Compact Model that will be discussed and voted on at the next National Council of State Boards of Nursing (NCSBN) House of Delegates Meeting.

I want you to know at the outset of this announcement that the Arizona Board of Nursing (BON) has already discussed this proposal at their May 2020 meeting. The BON is OPPOSED to this change and our state delegates will vote accordingly at the NCSBN meeting.

Briefly, NCSBN is proposing that states that sign on to the APRN compact will include, among other stipulations, a requirement for APRNs to log 2080 hours of post graduate practice before an APRN can be granted a multistate license.

Robin Schaeffer, Arizona Nurses Association Executive Director, alerted the Chapter 9 board to the proposal last week and invited our participation in crafting a response to NCSBN, which we provided.  The NCSBN in turn responded that the proposed practice hours do not require physician supervision, and do not apply to APRNs who seek a single state license or APRNs who are already practicing. So they don’t agree that the additional hours represent any barrier to practice  and they believe that the proposed post graduate hours will advance mobility for APRNs.  

The response does not address our other concerns including:

  1. there is no evidence to support the additional post graduate practice hours requirement.
  2. it will be a barrier to obtaining multistate privileges for new graduates who have completed their programs and met the requirements for national board certification and passed the exam with the preparation that they completed during their approved academic programs. COVID 19 has demonstrated the value and effectiveness of telehealth so that it will likely continue to exist and expand. Those multistate privileges will be essential. Practices who care for patients in more than one state may regard the lack of multistate privileges as a barrier to hiring an otherwise qualified new graduate. New grads already have challenges to overcome in finding a practice position without this additional burden.
  3. it will be a barrier to new APRNs who obtain part-time positions as it will extend the time for when they will be eligible for multistate privileges, as much as two years or more depending on how many part time hours they are in practice.
  4. it will undermine efforts in states that are advocating for full practice authority. Those opposed to full practice authority will point to this requirement as an endorsement by the NCSBN that APRN graduates of programs that have been vetted and approved by the state boards of nursing and academic program credentialing bodies do not actually meet standards for practice upon graduation and passing national board examinations. 

We remain opposed to this required post-graduate 2080 hours of practice for those reasons and wanted you to know that our state board is in agreement with our position.