After a revised version of California's Senate Bill 491 failed to gain nurse practitioner support, the legislation died without action in the Assembly Appropriations Committee.
The original version of the bill would have removed the requirement for physician supervision after 6,240 hours of NP practice, but it was strongly opposed by the California Medical Association and later revised by legislators. Its amended version would have limited the work settings where NPs could practice without supervision.
The American Association of Nurse Practitioners (AANP) quickly declared its opposition to the revised bill.
Despite the nearly $1.2 million spent by the California Medical Association to oppose independent practice by NPs, the bill's sponsor, Ed Hernandez, said he and nurse practitioners in the state will continue pushing for it.
"I will continue to push scope-of-practice bills next year," Hernandez said. "The fight is not over."