URGENT: CAL/AAEM Advocacy Needed on Bill AB890

CALAAEM News Service calaaem.news.service at gmail.com
Sat Aug 15 08:25:26 PDT 2020

Act Today



Dear AAEM Members,

Bill AB 890 is currently being considered in committee in the California
Senate. If it becomes law, it will allow NPs to practice completely
independently of physicians in any location, in any specialty, governed only
by the Board of Nursing. AAEM welcomes NPs and PAs working alongside us in
the emergency department but believes that all emergency care should be led
by a board certified/eligible emergency medicine physician. The AAEM
position statement is found
5cvvjzm7G5gs2cqI5M4M7g~~> here for your review.

Emergency medicine is particularly vulnerable to scope of practice
infringement as more and more hospitals look to hire non-physician
practitioners to replace physicians. Accordingly, WE NEED YOU to email the
Senators on this committee to voice your opposition to this bill. You must
do this BY SATURDAY, August 15th.

If you would like to use this
5cvvjzm7G5gs2cqI5M4M7g~~> automated form created by the California Medical
Association, please fill out your contact information, personalize your
submission, and click the red SEND EMAIL box. That's it! Anecdotes of
mismanagement are always useful to include when personalizing these

If you would like to create your own message, here are some talking points
you may use:

1.	AB 890 is overly broad and would allow NPs to practice independently
in any specialty they choose. They can also switch specialties without any
further training. The public is unaware of the lack of standardized,
accredited training programs for NPs and thus patients are put at risk.
2.	This bill will allow NPs to order and interpret radiographic imaging
such as xrays, ultrasounds and mammograms. Allowing NPs who have not been
trained in image interpretation provides substandard care to patients. 
3.	Full practice authority for NPs does not increase access to
healthcare in rural areas. NPs do not go to rural areas any more than
physicians. In fact, in states with full practice authority (FPA), access to
physician care is declining as NPs displace physicians. This displacement
occurs in suburban and urban centers. Rural environments have even less
resources available to patients and these patients deserve physician-led
4.	The physician shortage is best addressed by training more
physicians. Patients prefer to have physicians leading their care.
Substituting physicians with lesser educated and minimally trained
practitioners is unsafe. We do not allow medical students with their 6,000
hours of training to graduate and treat patients unsupervised. We should not
allow Nurse Practitioners, with 600 hours of training, to do the same.


Please, act now. Your jobs and your patients depend on it.

President, AAEM

CAL/AAEM Board of Directors

AAEM EM Workforce Committee



Additional EM Workforce Advocacy Resources

5cvvjzm7G5gs2cqI5M4M7g~~> AAEM - Updated Position Statement on Advanced
Practice Providers (1/29/19)
5cvvjzm7G5gs2cqI5M4M7g~~> AAEM/RSA - Position Statement on the Independent
Practice of Non-Physicians and Trainee Oversight (8/14/2019)



5cvvjzm7G5gs2cqI5M4M7g~~>  from these messages. 



555 East Wells Street, Suite 1100, Milwaukee, WI 53202




Brian Potts MD, MBA
Managing Editor, CAL/AAEM News Service


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