Similarly, the Federal Trade Commission recommended that states abolish the requirements for cooperation agreements with physicians. In fact, 21 jurisdictions at the federal level prior to the introduction of the Nurses Modernization Act allowed nurses to practice without a written practice agreement. NPNs may refer patients to their cooperating physicians if medically necessary, provided that the NNP receives nothing in return for the transfer. New York law does not require a cooperation agreement to include a payment provision. Newly certified nurses must submit the New York State Education Department`s (SED) Form 4NP-Verification of Collaborative Agreement and Practice Protocol within 90 days of starting professional practice. The NP is not required to submit additional 4PPs with the SED. A completed 4NP form does not correspond to a common practice agreement. Form 4 NP can be downloaded from the SED website by clicking here. Every nurse (NP) must enter into a written cooperation agreement with a doctor in order to practice.

Cooperation agreements include provisions that deal with cooperation agreements and practical protocols can be nursebd@nysed.gov by email or phone at 518-474-3817 ext. 120 or by fax at 518-474-3706. It is not the jurisdiction of the Office for the Interpretation of Financial Relations Laws between NPNs and cooperating physicians. A copy of the cooperation agreement must be kept within the practical parameters of NP and made available to the New York State Education Department (SED) for consultation. Here is a copy of an example of a cooperation agreement (20 KB) that you can use as a template. Nurses (PNN) are required to practice in accordance with written protocols that reflect the department (s) of the practice in which the PNP is certified. Protocols must also reflect current and recognized medical and health practices. Additional protocols in specialized areas (for example. B, hematology, orthopedics, dermatology) that are suitable for the practice of NP can be used, but should not be reflected in the cooperation agreement in practice. The Nurse Practitioners Modernization Act came into effect on January 1 in New York State, opening a new positive chapter in the history of the profession.

By law, nurses with more than 3,600 hours of work (about two years of full-time experience) no longer need a written agreement signed with a doctor to treat patients – although they still have a working relationship with a doctor. In addition, there is no longer a need to identify exercise protocols and there is no longer a need for quarterly chart revisions. A “fee split” can occur when an NP shares its income or practice expenses with a physician who is not NP`s employer.