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SB 447

Advanced practice registered nurses.

2025 Regular Session Introduced by Michael Crider

SB 447 expands Advanced Practice Registered Nurses' scope of practice in Indiana, potentially increasing independent authority and healthcare access while raising physician oversight and patient safety concerns.

First reading: referred to Committee on Health and Provider Services
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Bill Summary · SB 447

Legislative bill overview

SB 447 would expand the scope of practice for Advanced Practice Registered Nurses (APRNs) in Indiana. The bill, authored by Senator Michael Crider, was recently introduced and referred to the Committee on Health and Provider Services for initial review.

Why is this important

APRNs (including nurse practitioners, clinical nurse specialists, and other advanced roles) currently operate under varying restrictions regarding independent practice and prescriptive authority. Changes to APRN scope of practice could affect healthcare access, particularly in rural or underserved areas, while also raising questions about supervision requirements and patient safety standards.

Potential points of contention

  • Physician oversight requirements: Disputes over whether APRNs should practice independently or require physician collaboration/supervision
  • Patient safety and liability: Concerns about whether expanded scope increases or decreases quality of care and malpractice risk
  • Economic impact on physicians: Medical associations may oppose changes they view as encroaching on physician territory or reducing referral volume
  • Specific scope details: The exact expanded authorities (prescribing, diagnosing, treating certain conditions) will determine stakeholder positions

Compiled from official sources — confirm details with the bill’s official record.

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