Taz Profile picture
Taz
Emergency Physician/Army Vet/Patient-Physician Advocate/Opinionated Citizen/Hippie chick/MUA; opinions expressed are mine and mine alone, thank you very much.

Sep 30, 2020, 10 tweets

So AB 890 was signed into law by our CA governor, unfortunately. Some may feel as if it is a win, I do not. To clarify, nothing was preventing NPs from caring for the underserved...nothing. The lack of logic to their claims that physicians never work rural/underserved areas but

2)somehow prevented them from doing so did not register with legislators. The thing when one talks BS is you have to remember the lie. It's tough. They have been given license by our legislators to practice medicine w/o a medical license. The irony is the only nursing body to

3)oppose AB 890 was the CA BON who has now been forced to supervise what they did not want nor are equipped to supervise. So a fake-a** "advisory committee" made up of 4 NPs, 2 token physicians and one community member. No idea how members will be selected but I can guarantee you

4)it won't be objective. What bothers me most as a person with a conscience and a physician is that not one organization, legislator or person is concerned that no one has followed up quality of care in states with FPA. EVER. Seems to me when state legislators pass a law

5)asserting that care provided by NPs w/o supervision or regulations is of high standards, doesn't it make sense that perhaps someone would see fit to see if this is actually the case, instead of assuming? There is nothing that states so clearly that human beings are expendable

6)lab rats undeserving of further consideration. And our legislators in CA have jumped on that moving train, undisturbed since they have physicians to care for them. Anyway, the good news is that with the new law, NPs are not only required to advise patients they are NPs, they

7)must post in an obvious location that they are regulated by the BON, post in a conspicuous location the website where patients can go to check their licenses and if necessary, file a complaint. NPs must "have an identified referral plan specific to the practice area, that

8)includes specific referral criteria." Unfortunately, the bill cannot mandate docs accept those referrals if they do not believe them to be warranted or they don't want to increase their liability enabling an unqualified NP practicing medicine w/o a medical license. Because you

9)see, the BOM may just consider that aiding and abetting the illegal practice of medicine. Gray areas almost never work in favor of the docs. The idea of lawsuits makes docs nervous. So good luck with that Jim Wood. The NPs can call you. Because when you wrote this bill, you

10)failed to include docs at the table while expecting them to be available for the convenience of your bill. It just doesn't work like that. Docs just don't like their licenses being played with. It's how they feed their families and pay their bills.

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