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NP SAVE Bill - S.1330 / H.1867
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Massachusetts' outdated regulations hinder patient access to high-quality nurse practitioner care. These unnecessary restrictions impede the Commonwealth’s efforts to ensure timely, cost-effective, and quality health care services for its citizens.


It will take an all-hands-on-deck approach to address the growing challenges Massachusetts has in meeting our state’s current and growing health care needs. Of all the proposals under consideration, the NP SAVE Bill (An Act to Support Access, Value, and Equity in Healthcare) Senate Bill 1330 and House Bill 1867 is the only option that is a no-added cost and no-delay solution that can make an immediate tangible difference.

Adopting the NP SAVE Bill  would help Massachusetts address its healthcare workforce and cost challenges while maintaining a strong commitment to high quality care.

The NP SAVE Bill will:

Bring Massachusetts into the 21st Century licensure standards that are endorsed by experts.
•   The proposed changes in Senate Bill 1330 and House Bill 1867 are consistent with recommendations from the Institute of Medicine, the Federal Trade Commission, the National Council of State Boards of Nursing and the Massachusetts Health Policy Commission.

Address Massachusetts' growing demand for primary care providers. Equipped with graduate degrees and the advanced clinical education, NPs evaluate patients; diagnose, order and interpret diagnostic tests; initiate and monitor treatments, and prescribe medications.
•   Over 80% of nurse practitioners are prepared in primary care.
•   Massachusetts has designated primary care health professional shortage areas and documented excessive wait times for health care appointments that full and direct access to NPs would help address.

Enhance access in rural and underserved communities. Current law needlessly ties the legal permission of NPs to practice their profession to physicians and this limits access to care in rural Massachusetts and underserved communities.
•   Nurse practitioners are twice as likely as physicians to serve rural communities. States with licensure like those proposed by the SAVE Act are more likely to have NPs practice in rural areas than states that have not yet modernized their NP licensure laws.

Maintain Massachusetts high standards of safety and care quality for residents of Commonwealth.
•   Over 100 studies comparing care outcomes for nurse practitioners and physicians have been conducted over the span of more than 40 years. Without exception, all studies found that nurse practitioners and physicians provide equivalent care on patient safety measures. In fact, these studies have shown NPs have the same or better patient outcomes.

Support Massachusetts’ commitment to improved access to safe, cost effective care:  Between improved outcomes and retiring costs associated with outdated bureaucracy, the SAVE Act will help meet the increased demand for quality providers associated with improved patient access to coverage.
•   Multiple studies have demonstrated the cost-effectiveness of nurse practitioner care which is associated with fewer hospitalizations and readmissions, and with improved health status and health care outcomes.
•   In 2009, the RAND corporation analyzed how Massachusetts could improve access and control costs. Adopting licensure changes like those in the SAVE Act were estimated to save the state millions of dollars without diminishing care quality.


2019 Nurse Practitioner State Practice Environment

Massachusetts is the only state in New England that hasn’t yet modernized licensure laws for Nurse Practitioners.

Maine, New Hampshire, Connecticut, Rhode Island and Vermont have all 
enacted these changes and are enjoying the resulting cost-saving, workforce development and patient access benefits.

It’s time to move Massachusetts forward by passing Senate Bill 1330 and House Bill 1867.

Help Massachusetts GO GREEN with Full Practice Authority for Nurse Practitioners!



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