S T A T E O F N E W Y O R K ________________________________________________________________________ 1223 2011-2012 Regular Sessions I N S E N A T E January 6, 2011 ___________ Introduced by Sen. STAVISKY -- read twice and ordered printed, and when printed to be committed to the Committee on Higher Education AN ACT to amend the education law, in relation to the educational prepa- ration for practice of professional nursing THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: 1 Section 1. The legislature hereby finds and declares that with the 2 increasing complexity of the American healthcare system and rapidly 3 expanding technology, the educational preparation of the registered 4 professional nurse must be expanded. The nurse of the future must be 5 prepared to partner with multiple disciplines as a collaborator and 6 manager of the complex patient care journey. Shorter lengths of stays, 7 higher patient acuity, and more sophisticated technologies and proce- 8 dures are increasing the complexity of patient care - which in turn 9 places great demands on nursing competencies. Other countries are 10 responding to these changes by requiring the baccalaureate degree as an 11 entry requirement for nursing licensure while other professions are 12 demanding master and doctoral degrees as their entry point. Several 13 recent research studies clearly demonstrate the added value of addi- 14 tional education in relation to improved patient outcomes; one study 15 demonstrates that each ten percent increase in the number of baccalau- 16 reate prepared nurses results in a five percent decrease in surgical 17 patient deaths. Therefore, the legislature finds that expanding the 18 educational requirements for the profession of nursing, while maintain- 19 ing the multiple entry points into the profession, is needed. This bill 20 affects future nurses graduating from associate degree or diploma nurs- 21 ing programs who would be required to obtain a baccalaureate in nursing 22 within ten years of initial licensure. All current nurses licensed in 23 New York and students in programs preparing for registered professional 24 nursing are to be exempt from the new requirement. This legislation is 25 mirrored after the progressive education requirement for teachers in New EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD05299-01-1 S. 1223 2 1 York state. Numerous regulatory and accrediting bodies have recommended 2 this change as a means to address sophisticated patient care needs 3 resulting from shorter lengths of stay, higher acuity and more sophisti- 4 cated interventions. This proposal is the result of a growing body of 5 research evidence that additional education results in better patient 6 outcomes. Therefore by requiring the baccalaureate degree for continued 7 registration as a registered professional nurse this bill seeks to be 8 responsive to meet the increasingly complex health care needs of the 9 residents of New York state. 10 S 2. Subdivision 2 of section 6905 of the education law, as amended by 11 chapter 994 of the laws of 1971 and such section as renumbered by chap- 12 ter 50 of the laws of 1972, is amended to read as follows: 13 (2) Education: have received an education, and a diploma or degree in 14 professional nursing, in accordance with the commissioner's regulations, 15 AND IN ORDER TO CONTINUE TO MAINTAIN REGISTRATION AS A REGISTERED 16 PROFESSIONAL NURSE IN NEW YORK STATE, HAVE ATTAINED A BACCALAUREATE 17 DEGREE IN NURSING WITHIN TEN YEARS OF INITIAL LICENSURE IN ACCORDANCE 18 WITH THE COMMISSIONER'S REGULATIONS. IN ITS DISCRETION, THE DEPARTMENT 19 MAY ISSUE A CONDITIONAL REGISTRATION TO A LICENSEE WHO FAILS TO COMPLETE 20 THE BACCALAUREATE DEGREE BUT WHO AGREES TO MEET THE ADDITIONAL REQUIRE- 21 MENT WITHIN ONE YEAR. THE FEE FOR SUCH A CONDITIONAL REGISTRATION SHALL 22 BE THE SAME AS, AND IN ADDITION TO, THE FEE FOR THE TRIENNIAL REGISTRA- 23 TION. THE DURATION OF SUCH CONDITIONAL REGISTRATION SHALL BE FOR ONE 24 YEAR AND MAY BE EXTENDED, WITH THE PAYMENT OF A FEE, FOR NO MORE THAN 25 ONE ADDITIONAL YEAR. ANY LICENSEE WHO IS NOTIFIED OF THE DENIAL OF A 26 REGISTRATION FOR FAILURE TO COMPLETE THE ADDITIONAL EDUCATIONAL REQUIRE- 27 MENTS AND WHO PRACTICES AS A REGISTERED PROFESSIONAL NURSE WITHOUT SUCH 28 REGISTRATION MAY BE SUBJECT TO DISCIPLINARY PROCEEDINGS PURSUANT TO 29 SECTION SIXTY-FIVE HUNDRED TEN OF THIS TITLE; 30 S 3. The provisions of this act shall not apply to: 31 a. any student entering a generic baccalaureate program preparing 32 registered professional nurses after the effective date of this act; 33 b. any student currently enrolled in, or having an application pending 34 in, a program preparing registered nurses as of the effective date of 35 this act; 36 c. any person already licensed as a registered professional nurse or 37 any unlicensed graduate professional nurse who is eligible to take the 38 National Council Licensure Examination as of the effective date of this 39 act. 40 S 4. This act shall take effect immediately and the commissioner of 41 education is authorized to promulgate any rule or regulation necessary 42 to implement the provisions of this act.