Mississippi HB 1357: Advanced practice registered nurses; revise provisions relating to the collaborative relationship requirement.

Bill Text

H. B. No. 1357 *HR26/R512* ~ OFFICIAL ~ G1/2
25/HR26/R512
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To: Public Health and Human
Services
MISSISSIPPI LEGISLATURE REGULAR SESSION 2025

By: Representative Eubanks

HOUSE BILL NO. 1357

AN ACT TO AMEND SECTION 73-15-5, MISSISSIPPI CODE OF 1972, TO 1
DELETE CERTAIN DEFINITIONS AND REVISE CERTAIN DEFINITIONS IN THE 2
NURSING PRACTICE LAW REGARDING ADVANCED NURSING PRACTICE; TO AMEND 3
SECTION 73-15-20, MISSISSIPPI CODE OF 1972, TO REVISE CERTAIN 4
PROVISIONS RELATING TO THE PRACTICE OF ADVANCED PRACTICE 5
REGISTERED NURSES; TO PROVIDE THAT THE PHYSICIAN OR DENTIST WITH 6
WHOM AN ADVANCED PRACTICE REGISTERED NURSE HAS ENTERED INTO A 7
COLLABORATIVE/CONSULTATIVE RELATIONSHIP SHALL NOT CHARGE OR 8
REQUIRE ANY PAYMENT FROM THE ADVANCED PRACTICE REGISTERED NURSE 9
FOR SERVING IN THAT CAPACITY WITH THE ADVANCED PRACTICE REGISTERED 10
NURSE; TO PROVIDE THAT AFTER AN ADVANCED PRACTICE REGISTERED 11
NURSE, EXCEPT A CERTIFIED REGISTERED NURSE ANESTHETIST, HAS 12
COMPLETED NOT LESS THAN 5,000 CLINICAL PRACTICE HOURS IN A 13
COLLABORATIVE/CONSULTATIVE RELATIONSHIP WITH A PHYSICIAN OR WITH 14
AN ADVANCED PRACTICE REGISTERED NURSE WHO HAS COMPLETED NOT LESS 15
THAN 5,000 CLINICAL PRACTICE HOURS, THE ADVANCED PRACTICE 16
REGISTERED NURSE IS EXEMPT FROM THE REQUIREMENT OF ENTERING AND 17
MAINTAINING A COLLABORATIVE/CONSULTATIVE RELATIONSHIP WITH A 18
LICENSED PHYSICIAN OR DENTIST; TO PROVIDE THAT AFTER A CERTIFIED 19
REGISTERED NURSE ANESTHETIST HAS COMPLETED NOT LESS THAN 8,000 20
CLINICAL PRACTICE HOURS IN A COLLABORATIVE/CONSULTATIVE 21
RELATIONSHIP WITH A PHYSICIAN OR WITH AN ADVANCED PRACTICE 22
REGISTERED NURSE WHO HAS COMPLETED NOT LESS THAN 5,000 CLINICAL 23
PRACTICE HOURS, THE CERTIFIED REGISTERED NURSE ANESTHETIST IS 24
EXEMPT FROM MAINTAINING A COLLABORATIVE/CONSULTATIVE RELATIONSHIP 25
WITH A LICENSED PHYSICIAN OR DENTIST; TO PROVIDE THAT ADVANCED 26
PRACTICE REGISTERED NURSES MAY APPLY HOURS WORKED BEFORE THE 27
EFFECTIVE DATE OF THIS ACT TO FULFILL THEIR RESPECTIVE CLINICAL 28
PRACTICE HOUR REQUIREMENTS; AND FOR RELATED PURPOSES. 29
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MISSISSIPPI: 30

H. B. No. 1357 *HR26/R512* ~ OFFICIAL ~
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SECTION 1. Section 73-15-5, Mississippi Code of 1972, is 31
amended as follows: 32
73-15-5. (1) "Board" means the Mississippi Board of 33
Nursing. 34
(2) The "practice of nursing" by a registered nurse means 35
the performance for compensation of services which requires 36
substantial knowledge of the biological, physical, behavioral, 37
psychological and sociological sciences and of nursing theory as 38
the basis for assessment, diagnosis, planning, intervention and 39
evaluation in the promotion and maintenance of health; management 40
of individuals' responses to illness, injury or infirmity; the 41
restoration of optimum function; or the achievement of a dignified 42
death. "Nursing practice" includes, but is not limited to, 43
administration, teaching, counseling, delegation and supervision 44
of nursing, and execution of the medical regimen, including the 45
administration of medications and treatments prescribed by any 46
licensed or legally authorized physician, advanced practice 47
registered nurse or dentist. The foregoing shall not be deemed to 48
include acts of medical diagnosis or prescriptions of medical, 49
therapeutic or corrective measures, except as may be set forth by 50
rules and regulations promulgated and implemented by the 51
Mississippi Board of Nursing. 52
* * * 53
( * * *3) "Advanced nursing practice" means, in addition to 54
the practice of professional nursing, the performance of 55

H. B. No. 1357 *HR26/R512* ~ OFFICIAL ~
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advanced-level nursing approved by the board which, by virtue of 56
graduate education and experience are appropriately performed by 57
an advanced practice registered nurse. The advanced practice 58
registered nurse may diagnose, treat and manage medical 59
conditions. This may include prescriptive authority as identified 60
by the board. Except as otherwise authorized in Section 61
73-15-20(3), advanced practice registered nurses must practice in 62
a collaborative/consultative relationship with a physician or 63
dentist with an unrestricted license to practice in the State of 64
Mississippi and advanced nursing must be performed within the 65
framework of a standing protocol or practice guidelines, as 66
appropriate. 67
( * * *4) The "practice of nursing" by a licensed practical 68
nurse means the performance for compensation of services requiring 69
basic knowledge of the biological, physical, behavioral, 70
psychological and sociological sciences and of nursing procedures 71
which do not require the substantial skill, judgment and knowledge 72
required of a registered nurse. These services are performed 73
under the direction of a registered nurse or a licensed physician 74
or licensed dentist and utilize standardized procedures in the 75
observation