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Nurse Practitioner Prescriptive Authority
Pink= States that allow NP's to Prescribe Controlled Substances
Blue= The 2 remaining states that DO NOT allow NP's to prescribe controlled substances

Put an End to Patient Suffering in Florida

Target:
Florida Legislators

Did you know that Florida is one of only two states in the country that does not allow Advanced Registered Nurse Practitioners to prescribe controlled substances?

Facts:

Advanced Registered Nurse Practitioners (also known as NPs or ARNPs) have been providing primary care in the U.S. for more than 40 years. They are graduates of masters, postmasters or Doctoral NP programs, with advanced clinical preparation to provide primary, acute, and chronic care to patients of all ages and all walks o life.

ARNPs are independent, licensed practitioners who diagnose and treat acute and chronic conditions such as diabetes, high blood pressure, infections and injuries; they order, perform, interpret and supervise diagnostic tests such as lab work and x-rays; and they prescribe medications and other treatments.

ARNPs can reduce state ER vists and associated costs

Every day it is estimated that hundreds of uninsured and Medicaid/Medicare patients must go to emergency rooms to get medications for cancer pain, anxiety, attention deficit disorder medication refills, cough medication with codeine, diarrhea medication, and pain medicine. Why? Because these patients are cared for by Advanced Registered Nurse Practitioners who are prohibited by an outdated state law from prescribing these medications.

This past year, the Florida Senate conducted a study on this issue and concluded that, like forty-eight other states, Florida should change this outdated law and grant the authority to prescribe controlled substances to ARNPs. Here is a link to that report:

 www.flsenate.gov/data/Publications/2009/Senate/reports/interim_reports/pdf/2009-117hr.pdf

Despite this recommendation, the Senate Committee on Health Regulation refused to heed their own good advice. As a result of this refusal to follow the recommendations of their own study, Florida's citizens continue to be harmed and suffer needlessly. And the state, in the midst of a financial crises, continues to pay for unnecessary emergency room visits.

 As the Senate interim report points out, many rural areas do not have adequate number of physician providers. People living in these areas must find or drive long hours to reach a physician to get certain types of care that can be provided and prescribed by the ARNPs who already live and work there, if legislative barriers were removed.

 The cost of providing this health care in emergency rooms  to the uninsured and underserved population is ultimately borne by ALL Floridians through higher health insurance premiums and higher taxes, and patients who get sicker, loose work and may even wind up in the ICU.

 Forty-eight states allow ARNPs to provide these services to their citizens. These other states are realizing tremendous savings and increased access to care for their citizens. It is time for the Florida Legislature to bring health care in this state up to national standards, increase access without increasing costs, and to stop playing politics with people's health.

Please sign the petition and let your legislators know this HAS to stop!

To learn more about Advance Practice Nurses, please visit the following websites:
http://www.fnpn.org
http://www.aanp.org

Did you know that Florida is one of only two states in the country that does not allow Advanced Registered Nurse Practitioners to prescribe controlled substances?

Facts:

Advanced Registered Nurse Practitioners (also known as NPs or ARNPs) have been providing primary care in the U.S. for more than 40 years. They are graduates of masters, postmasters or Doctoral NP programs, with advanced clinical preparation to provide primary, acute, and chronic care to patients of all ages and all walks o life.

ARNPs are independent, licensed practitioners who diagnose and treat acute and chronic conditions such as diabetes, high blood pressure, infections and injuries; they order, perform, interpret and supervise diagnostic tests such as lab work and x-rays; and they prescribe medications and other treatments.

ARNPs can reduce state ER vists and associated costs

Every day it is estimated that hundreds of uninsured and Medicaid/Medicare patients must go to emergency rooms to get medications for cancer pain, anxiety, attention deficit disorder medication refills, cough medication with codeine, diarrhea medication, and pain medicine. Why? Because these patients are cared for by Advanced Registered Nurse Practitioners who are prohibited by an outdated state law from prescribing these medications.

This past year, the Florida Senate conducted a study on this issue and concluded that, like forty-eight other states, Florida should change this outdated law and grant the authority to prescribe controlled substances to ARNPs. Here is a link to that report:

 www.flsenate.gov/data/Publications/2009/Senate/reports/interim_reports/pdf/2009-117hr.pdf

Despite this recommendation, the Senate Committee on Health Regulation refused to heed their own good advice. As a result of this refusal to follow the recommendations of their own study, Florida's citizens continue to be harmed and suffer needlessly. And the state, in the midst of a financial crises, continues to pay for unnecessary emergency room visits.

 As the Senate interim report points out, many rural areas do not have adequate number of physician providers. People living in these areas must find or drive long hours to reach a physician to get certain types of care that can be provided and prescribed by the ARNPs who already live and work there, if legislative barriers were removed.

 The cost of providing this health care in emergency rooms  to the uninsured and underserved population is ultimately borne by ALL Floridians through higher health insurance premiums and higher taxes, and patients who get sicker, loose work and may even wind up in the ICU.

 Forty-eight states allow ARNPs to provide these services to their citizens. These other states are realizing tremendous savings and increased access to care for their citizens. It is time for the Florida Legislature to bring health care in this state up to national standards, increase access without increasing costs, and to stop playing politics with people's health.

Please sign the petition and let your legislators know this HAS to stop!

To learn more about Advance Practice Nurses, please visit the following websites:
http://www.fnpn.org
http://www.aanp.org

Dear Legislator,

Floridians are suffering because of unnecessary legislative barriers to health care. Nurse Practitioners are fully educated, trained, and nationally certified to prescribe all legal medications that these patients need, but outdated laws restrict Nurse Practitioners in Florida to only prescribing legend drugs. As a result, many patients are referred to emergency rooms or forced to spend extra money on appointments with a physician just to get care. Some wait days until a physician is available to sign a prescription.  In this day of health care reform, this is a travesty. 

Nurse Practitioners in forty-eight states have authority to prescribe all legal medications, including controlled substances. The authority for Nurse Practitioners to prescribe controlled substances has never been rescinded in any of these states. Data from these states show the safety of allowing Nurse Practitioners to prescribe all legal medications.

Because of Florida state laws that prohibit Nurse Practitioners from prescribing controlled substances, patients are suffering. Those who suffer most are the poor and uninsured. Fifteen percent of Floridians report not being able to afford any care at all. Nurse Practitioners in Florida already have proven they can safely prescribe very dangerous medications and do so every day. They frequently prescribe blood thinners, cardiac medications, Blood pressure medications, and seizure medication to name a few. Florida has never rescinded that right.

The Florida Senate studied this issue in 2009 and concluded that Nurse Practitioners could increase access to care, especially in rural areas and should be allowed to prescribe controlled substances.

Patients are suffering because of these unnecessary laws. Please work to change this restriction so that Floridians can gain better access to health care.

 

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We signed the "Put an End to Patient Suffering in Florida" petition!
# 373:
5:26 pm PST, Nov 21, Jennifer Ortiz, Florida
# 372:
7:01 am PST, Nov 20, Linda Schneider, Florida
# 371:
6:04 am PST, Nov 20, Frank Cikovic, Florida
With all the knowledge that a Nurse Practitioner has, it is an injustice to a patient and the Nurse Practitioner to keep them from this important function. Why can't FL pass this law to allow better care. Only AL and FL are resisting this right to help the patient and to make the nurse practitioners job easier. Please, lets get this job done for the well being of the patient. I appreciate all that the Nurse Practitioners do for us, please make it easier for them and us patients. Thanking you for your attention to this request. Frank Cikovic
# 370:
5:48 am PST, Nov 20, Beth Ann Porr, Florida
# 369:
8:45 pm PST, Nov 19, Dana Hannah, Florida
I am a primary pediatric nurse practitioner. I have struggled with providing comprehensive care to all my families in need. The current law restricts my ability to prescribe needed medications to childrens and teenagers. I do manage several children with ADHD due ot the lack of psychiatric services for children in our area. I also have a masters in psychiatric mental health nursing, therefore I feel very comfortable prescribing ADHD medications. I had prescribed controlled substances when I work in Masachusetts for several years. When I moved to Florida I had to give up my DEA number due to the very restrictive behind the time Florida Law. My patients now need to wait long hours to have a script signed by my collaborative physician or seek a psychiatrist that will manage thier medications. It is wasting Florida residents valuable time and costing insurance companies/medicaid lots of money. Nurse Practitioners have the right to prescribe controlled substances in all other states except Flroida and Alabama. There are already too many gaps in our healthcare system. Help nurse practitioners provide high quality safe and trusted care to all Florida residents.
# 368:
1:37 pm PST, Nov 19, Tammy Deal, Florida
# 367:
9:41 am PST, Nov 19, Deborah Sibley, Florida
As a nurse practitioner in Florida I am not permitted to prescribe scheduled medications. The truth is if I was permitted to do so I would likely be more careful and give more teaching to the patient than many doctors who prescribe these medications. The impact is on the patient. My patients may not get the most appropriate treatment option under the current restrictions. This is not appropriate.
# 366:
1:57 pm PST, Nov 18, Name not displayed, Florida
# 365:
8:04 pm PST, Nov 17, Carmen Herrera, Florida
Nurse practitioners are caring professionals
# 364:
8:38 pm PST, Nov 16, Virginia Cardenas, Florida
# 363:
4:14 pm PST, Nov 16, Patricia Wahrenberger, Florida
I am a Family Nurse Practitioner who has had to tell patients that they have to go to another clinic, urgent care or ER to get a simple cough medication, basic pain meds for an acute back pain or a sleeping pill among other things. This costs them more in time AND money, and over utilizes the emergency room. It is incredible that in 48 other states and the District of Columbia that ARNP's can legally write for these medications. Florida residents are the real victims.
# 362:
12:53 pm PST, Nov 16, Michelle Conkling, Florida
I provide the best care possible and it is a slap in the face when I want a pt to take Darvocet for pain and the pharm has to call to get permission because I don't have prescriptive rights. I can diagnose, formulate a plan of care and even deliver a baby without a physician and prescribe anything from antibiotics to antidepressants but but I can't prescribe Darvocet or tylenol 3!! What are Family practice physicians so afraid of. Without nurse practioners, they would have had to give up their practices along time ago. We bring in more pts per practice because we spend more time w/ pts, are thorough, are readily available and continue to stay up on the most current tx plans. If 48 other states agree that we are professional enough to handle narcotic prescriptive rights then why is Flordia in the dark ages?? I am tired of formulating the plan of care with the pt and then having to wait for the pharm to call the office back after I have sent the rx to them in the first place, to see if its ok to fill. Its very unprofessional to us as ARNPs and it's certainly unfair to pts who have utmost trust in us as a provider and then have to wait for a doctor they never saw approve the prescription. How ridiculous is that? Please allow us to do the job in it's fullest extent for which we were trained. The patient's should come first not some physician's ego!!!
# 361:
5:44 pm PST, Nov 15, Sharon Parrish, Florida
Please help our cause. Contact your legislator today and support ARNP practice in FL.
# 360:
2:26 pm PST, Nov 15, Julie Daugherty, Florida
# 359:
2:06 pm PST, Nov 15, Eileen Danoff, Florida
# 358:
12:27 pm PST, Nov 15, Denise Elswick, Florida
# 357:
11:51 am PST, Nov 15, Shelly Taylor, Florida
My pt have to wait longer for dr sig.

Absolutly

# 356:
10:10 am PST, Nov 15, Victor Delgado ARNP, Florida
Let's contribute to the solution not the problem.
# 355:
8:41 am PST, Nov 15, Tara Darvill RN, Florida
# 354:
8:41 am PST, Nov 15, Susan Andreoni, Florida
# 353:
6:36 am PST, Nov 15, Arlene Wright, Florida
# 352:
8:46 pm PST, Nov 14, Marion Cikovic, Florida
# 351:
8:30 pm PST, Nov 14, Mai Kung, Florida
# 350:
6:40 pm PST, Nov 14, Cynthia Drew, Florida
# 349:
6:33 pm PST, Nov 14, Name not displayed, Florida
# 348:
6:03 pm PST, Nov 14, Vania Noel, Florida
this outdated law has affecrted my family by having to wait to see a doctor to get a simple prescription after we have seen our wonderful nurse practitioner who had provided us very good care.
# 347:
5:49 pm PST, Nov 14, Doreen Cassarino, Florida
# 346:
5:35 pm PST, Nov 14, Petra DeBolt,, Florida
# 345:
5:20 pm PST, Nov 14, Elisa Wolfe, Florida
# 344:
5:05 pm PST, Nov 14, Gary Hall, Florida
# 343:
5:03 pm PST, Nov 14, Joella Cauley Hall, Florida
# 342:
2:05 pm PST, Nov 14, Susan Lynch, Florida
# 341:
12:27 pm PST, Nov 14, Arturo Gonzalez ARNP, Florida
# 340:
11:41 am PST, Nov 14, Charles Buscemi, Florida
# 339:
2:19 pm PST, Nov 13, Name not displayed, Florida
# 338:
9:44 pm PST, Nov 12, Stan Whittaker, Florida
Living and practicing in a rural no MD to sign off on RX. Patient drive 60 miles to go to ER for medicines I give in three other states.
# 337:
6:29 pm PST, Nov 12, Serge Lindor, Florida
# 336:
6:19 pm PST, Nov 12, Name not displayed, Florida
# 335:
3:08 pm PST, Nov 12, Misty Bass, Florida
# 334:
9:09 am PST, Nov 12, Name not displayed, Florida
# 333:
7:26 am PST, Nov 12, Lynnette Palevoda, South Carolina
# 332:
6:52 am PST, Nov 12, Claudia Isabel Marquez, Florida
There are long waiting times about 2-3 months for a person without health insurence to be able to get an appoitment with a PCP for the common cold or something else that can be treated at the PCP office. sometimes that pt. needs a medication with a controlled subtance like a cough medicine and the practioner can prescribe it. This limits practioner autonomy and also the credibility because pts. are not likely to go to that practioner again.
# 331:
6:25 am PST, Nov 12, Rebecca Lockwood, Florida
# 330:
5:05 am PST, Nov 12, Name not displayed, Florida
# 329:
12:36 am PST, Nov 12, Panagiotis Rigopoulos, Greece
# 328:
10:11 pm PST, Nov 11, Marc Rodriguez, Florida
# 327:
5:37 pm PST, Nov 11, Eduardo Cabezas, Florida
# 326:
2:57 pm PST, Nov 11, Name not displayed, Florida
# 325:
9:54 am PST, Nov 11, Jim Young, Florida
# 324:
6:48 am PST, Nov 11, Susana Gonzalez, Florida
Hello, This is very important for the Nurse Practitioners in Florida. Please sign so we have could have the laws grant us the authority to prescribe controlled substances.
# 323:
6:38 am PST, Nov 11, Julie Sebastian, Florida
# 322:
6:27 am PST, Nov 11, Name not displayed, New York
# 321:
5:11 am PST, Nov 11, Katina Kennedy, MSN, FNP-C, Florida
# 320:
4:24 am PST, Nov 11, Amy Caress, Florida
# 319:
3:23 am PST, Nov 11, Wilma Blake, Florida
I am an ARNP student currently in clinical rotation in a family clinic and realized how this restriction is preventing the patients who are suffering from severe /chronic pain get the care they need in a timely manner. It is the patients who are suffering. Please put patients first!
# 318:
1:33 am PST, Nov 11, Terri-Ann Brown, Florida
# 317:
6:22 pm PST, Nov 10, Name not displayed, Florida
# 316:
5:48 pm PST, Nov 10, Gilda Mayeta, Florida
# 315:
5:17 pm PST, Nov 10, Dara Whalen, Florida
I am an APRN and am unable to provide adequate care to my patients due to this restriction.
# 314:
2:27 pm PST, Nov 10, Johanna Thelen, Florida
As a prior resident of a rural area, I feel it is imperative that Florida catch up with the rest of the United States in allowing these fine practitioners to prescribe controlled substances. Do not left the American Medical Association lobbyist control patients access to care in a negative manner.
# 313:
2:08 pm PST, Nov 10, Debra Smith, Florida
# 312:
12:14 pm PST, Nov 10, Manuela Dormoy, Florida
# 311:
11:43 am PST, Nov 10, Name not displayed, Florida
# 310:
10:23 am PST, Nov 10, Laurel Hirsch, Florida
# 309:
9:36 am PST, Nov 10, Name not displayed, Florida
# 308:
8:59 am PST, Nov 10, Katalin Vanegas, Florida
# 307:
7:43 am PST, Nov 10, Name not displayed, Florida
# 306:
6:55 am PST, Nov 10, Name not displayed, Florida
# 305:
6:19 am PST, Nov 10, Name not displayed, Florida
# 304:
5:01 am PST, Nov 10, Name not displayed, Florida
# 303:
6:38 pm PST, Nov 9, Name not displayed, Florida
# 302:
5:59 pm PST, Nov 9, Gale Woolley, Florida
# 301:
5:08 pm PST, Nov 9, Lissette Bedoya, Florida
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