Refusing to expand nurse practitioners’ prescribing authority feels like bullying
I am deeply troubled by Gov. Kevin Stitt’s recent veto of Senate Bill 458, a bill aimed at granting nurse practitioners in Oklahoma the authority to prescribe medication without physician supervision.
As a nurse practitioner (NP) practicing in Oklahoma, I feel compelled to address the misconceptions propagated by the Oklahoma State Medical Association.
SB 458 does not seek to alter the scope of practice for nurse practitioners; rather, it acknowledges our national board certification, which delineates our scope based on specialty – be it family practice, mental health, pediatrics or emergency medicine. This certification underscores our education and proficiency in delivering high- quality care.
Additionally, nurse practitioners in Oklahoma already prescribe medications classified as schedule 3-5 with DEA registration. SB 458 merely eliminates the need for physician supervision, a requirement burdening NPs with costly paperwork – ranging from $500 to $3,000 monthly. This financial strain drives many NPs to close clinics or relocate.
The claim that NPs will forsake rural areas is baseless; many are eager to serve but struggle to find a willing physician. Removing this barrier would improve access to care statewide. Currently, Oklahoma’s policy pushes NPs out, worsening health care strain. Nurse practitioners in 27 states, including Kansas, Colorado and New Mexico, practice independently.
This issue resonates as a matter of gender equity, given the profession’s female dominance. Charging NPs for supervision feels akin to bullying – akin to taking our lunch money.
In conclusion, the status quo perpetuates inequality and hinders health care delivery. It’s time for equitable legislation empowering NPs to utilize their full training and expertise.
– Erin Lucie, Tulsa