State Response to COVID-19 As of April 24, 2020 – 3:15 PM ...

[Pages:17]State Response to COVID-19 As of April 21, 2022 ? 4:00 PM (CST)

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State

Member of Nurse Licensure Compact?

Emergency Licensing Waiver?

Applicable Statutory/Administrative Provisions (ex. Nurse Practice Act, Emergency Management Statutes, etc.)

Source(s)

Alabama

Yes

The State of Emergency declared due to COVID-19 was terminated effective Oct. 31, 2021.

(1) In the event the Governor proclaims a state of emergency impacting any part of Alabama, Code of Ala. 1975 Section 34-21-6 applies for the first thirty (30) days. An individual licensed to practice nursing in another state may provide emergency assistance in Alabama for up to thirty (30) days subject to verification of licensure in the state where licensed. Any organization or individual who provides employment or volunteer opportunities for the licensed nurse providing nursing services is responsible to ensure the validity of the nursing license. (2) Should an emergency continue past thirty days, a temporary permit to practice nursing in Alabama for ninety (90) days is required. An application for an emergency temporary permit is required to be submitted to the Board electronically.

Proclamation 10.8.21

Alabama Statute referenced in Emergency Declaration

Alaska

Courtesy License Online Resources

Emergency

No

As of April 30, 2021, there is no longer a Disaster Declaration in the state and currently no emergency licensure waivers exist at this time.

The Alaska Board of Nursing adopted, as an emergency regulation, changes in 12 AAC 44.318 dealing with courtesy license.

Regulation: Emergency

Courtesy License

Executive Proclamation

American Samoa

No

None

Page 1 of 17

State Arizona Arkansas California

Colorado

Connecticut

Member of Nurse Licensure Compact?

Yes

State Response to COVID-19 As of April 21, 2022 ? 4:00 PM (CST)

Emergency Licensing Waiver?

Applicable Statutory/Administrative Provisions (ex. Nurse Practice Act, Emergency Management Statutes, etc.)

Source(s)

Governor Ducey lifted the emergency declaration waivers on March 30, 2022. However, Senate Bill 1309 was signed into law on March 25, 2022 which provides for the following; "Any temporary license that was issued by a health profession regulatory board to a health professional during the governor's declaration of emergency related to COVID-19 and that was active on March 1, 2022 does not expire until Jan. 1, 2023."

"permitting temporary waivers of certain professional licensing requirements...1) allow all qualifying individuals who would fall under the Board's jurisdiction, have licenses or certificates in good standing in another state, and who are in need of a waiver due to not holding, or being eligible for, a multistate compact license, to begin practicing in Arizona if granted Board approval"

ARS ? 36-787 Senate Bill 1309

Yes

None. State of Emergency expired on May 30, 2021.

"Any out-of-state personnel, including, but not limited to, medical

personnel, entering California to assist in preparing for, responding

No

to, mitigating the effects of, and recovering from COVID-19 shall be

permitted to provide services in the same manner as prescribed

in Government Code section 179.5, with respect to licensing and

certification."

"I direct the Executive Director of DORA, through the Director of DPO,

to promulgate and issue temporary emergency rules providing for the

temporary licensure of nurses who hold valid nursing licenses in good

Yes

standing from other states, regardless of whether the issuing state is

a participant with Colorado in a licensing compact, and the temporary

certification of nurse aides without a written examination or skills-based

examination."

The Executive Order allowing practitioners licensed in other states to

No

practice in Connecticut without a Connecticut state license expired April

15, 2022.

Executive Order 21-07

Proclamation of a State of Emergency

Executive Order D 2021 141

Executive Order D 2021 122

Department of Regulatory Agencies Guidance for Healthcare Professionals

Correspondence with the Connecticut Board of Nursing

Page 2 of 17

State Delaware

D.C. Florida

Member of Nurse Licensure Compact?

Yes

State Response to COVID-19 As of April 21, 2022 ? 4:00 PM (CST)

Emergency Licensing Waiver?

Applicable Statutory/Administrative Provisions (ex. Nurse Practice Act, Emergency Management Statutes, etc.)

Source(s)

The previous emergency licensing waiver expired July 2021. A new order issued Aug. 12, 2021, and renewed March 1, 2022, allows physicians, pharmacists, physician assistants, paramedics, emergency medical technicians, practical nurses, professional nurses, advanced practice registered nurses, nursing assistants, respiratory therapists, occupational therapists, physical therapists, speech language pathologists and licensed clinical social workers with an active license or certification in good standing in any United States jurisdiction to provide in-person healthcare services in hospitals, long-term care facilities, when administering COVID-19 vaccinations and tests, and under the direction of the Division of Public Health or the State Health Operations Center at points of dispensing, call centers, community testing or other public health events once registered with the Delaware Medical Reserve Corps.

Out of State Medical Personnel Form

Joint Practice Order 3.1.22

"Licensure, registration or certification requirements, permits and fees

shall be waived for health care practitioners appointed as temporary

No

agents of the District of Columbia. Any health care provider who is

licensed in their home jurisdiction in their field of expertise who is

providing health care to District residents shall be deemed a temporary

agent of the District of Columbia for the duration of this Order"

Administrative Order 2020-02

Yes

Emergency Order Rescinded as of May 3, 2021

Executive Order Number 21-102

Executive Order Number 21-101

Page 3 of 17

State Georgia

Member of Nurse Licensure Compact?

State Response to COVID-19 As of April 21, 2022 ? 4:00 PM (CST)

Emergency Licensing Waiver?

Applicable Statutory/Administrative Provisions (ex. Nurse Practice Act, Emergency Management Statutes, etc.)

Emergency Temporary Permits: Pursuant to the authority in O.C.G.A. T. 43, Ch. 26 and consistent with the Governor's Executive Order for a State of Emergency for Continued COVID-19 Economic Recovery, the Georgia Board of Nursing authorizes staff to review applications for temporary permits and to issue temporary permits to licensed practical nurses, registered nurses and advanced practice registered nurses who have an active, unencumbered license in any other U.S. jurisdiction who are entering into the state to respond to the declared emergency. An unencumbered license means a license that is not currently on probation, monitoring, suspension, and/or does not have any other type of limitation including current participation in an alternative to discipline program. Additionally, Georgia is a member of the Nurse Licensure Compact (NLC). Any LPN or RN with a multistate license from another NLC jurisdiction may practice in Georgia using their multistate privilege.

Source(s)

* The Governor has extended the State of Emergency to April 15, 2022. These temporary permits now have an expiration date of May 15, 2022.

Temporary Permits for New Graduates:

An applicant for licensure by examination who has graduated from a Board-

Yes

approved nursing education program since Dec. 1, 2019, may be issued temporary

permits for licensed practical nurses, registered nurses, and advanced practice

registered nurses. For detailed information on temporary permit applications,

please visit the Temporary Permits For New Nursing Graduates page

* The Governor has extended the State of Emergency to April 15, 2022. These temporary permits now have an expiration date of May 26, 2022. **After March 22, 2022, the Board will no longer issue temporary permits for recent graduates.

Temporary Permits for Nurses with a Lapsed or Inactive GA License: This temporary permit is issued in response to the Governor's declaration of a Public Health State of Emergency for the sole purpose of administering the COVID-19 vaccine to practitioners who held a license issued by the Georgia Board of Nursing that has become lapsed or inactive within the five years prior to 22 January 2021.

* The Governor has extended the State of Emergency to April 15, 2022. These temporary permits now have an expiration date of May 26, 2022. **After March 22, 2022, the Board will no longer issue temporary permits for nurses with a lapsed or inactive GA license.

Executive Order 09.20.21.02

Executive Order 3.21.22.01

Temporary Permits | Georgia Secretary of State

Page 4 of 17

State Guam Hawaii Idaho

Illinois Indiana

Member of Nurse Licensure Compact?

Awaiting

State Response to COVID-19 As of April 21, 2022 ? 4:00 PM (CST)

Emergency Licensing Waiver?

Applicable Statutory/Administrative Provisions (ex. Nurse Practice Act, Emergency Management Statutes, etc.)

Source(s)

Pursuant to the authority provided under Title 10 Guam Code Annotated Section 19608 and in an effort to provide for the health and public safety of our community, health care personnel may be appointed to serve for the duration of this public health emergency. All licensing requirements, permits or fees required by law, rule, regulation for health care providers whose services are directed toward addressing needs of the public health emergency, including, but not limited to, respiratory therapists and nurses are waived and such waiver will continue in effect until the public health emergency terminates.

Executive Order No.2022-02

Executive Order No. 2020-03

GCA Emergency Health Powers

All the licensure waivers that were issued under Governor Ige's

No

Emergency Proclamations, including extensions, expired on

March 25, 2022.

Correspondence with the Hawaii Board of Nursing

In response, the Idaho BON is currently offering temporary licensure

for: inactive licensees wishing to reactive their unencumbered

Idaho license, one-time short-term licensure for LPNs and RNs

The Public Health Disaster Emergency Declaration ended

licensed in non-compact states, expedited temporary licensure

April 15, 2022. In order to ensure continuity of care, the Division of

for APRNs licensed in another state, and New Graduate Licenses

Occupational and Profession License enforcement discretion, allowing

for Senior Nursing students. Fees and background checks have

Yes

healthcare professionals providing telehealth services in Idaho to be

been temporarily waived. Nursing students that have successfully

licensed in any U.S. state or jurisdiction, is in place until July 1, 2022.

completed a basic fundamentals nursing course and are in

Those with temporary reactivation of nursing licenses will need to

good academic standing may apply for the Nurse Apprentice

DOPL Telehealth Access Act: COVID-19 Guidance

pursue licensure in Idaho unless otherwise stated in the current rules.

program. If the Nursing Student/Nurse Apprentice has successfully

completed a pharmacology course, they may assist with medication

administration. Nursing students may count Nurse Apprentice and

New Graduate Temp hours as clinicals.

No

None

"LPNs, RNs, APRNs can receive a temporary permit valid through Sept. 30, 2020 if you have a current, active license for one of the professions above in good standing from another U.S. jurisdiction. Applicants must complete the Health Care Temporary Practice Application."

IDFPR FAQ

Suspension of the requirement that a health care provider hold an

Indiana license if he or she has an equivalent from another state.

Yes

Temporary licensing of health care workers and students who have been granted a temporary license are reminded they will be permitted

to provide health care services under his or her temporary license only

through March 31, 2022.

Executive Order 21-34

Executive Order 21-17

Governor Executive Order

Page 5 of 17

State Iowa Kansas

Kentucky

Member of Nurse Licensure Compact?

Yes

State Response to COVID-19 As of April 21, 2022 ? 4:00 PM (CST)

Emergency Licensing Waiver?

Applicable Statutory/Administrative Provisions (ex. Nurse Practice Act, Emergency Management Statutes, etc.)

Source(s)

The Public Health Disaster Emergency Proclamation expired Feb. 15, 2022, therefore, Rule 655-3.2(2) is no longer in effect.

Administrative Rule 655 Iowa Administrative Code (IAC) 3.2(2) Current Iowa licensure is not mandatory when ... c. A nurse who holds an active license in another state provides emergency services in an area in which the governor of Iowa has declared a state of emergency.

Iowa Admin Code 655

A healthcare professional licensed and in good standing in another state

may practice such profession in the state of Kansas for the purpose

of preparing for, responding to or mitigating any effect of COVID-19. A

license that has been suspended or revoked or a licensee that is subject

to pending license-related disciplinary action shall not be considered to be in good standing. Any license that is subject to limitation in another state shall be subject to the same limitation in the state of Kansas. Such

Kansas Nurse Practice Act

healthcare professional shall not be liable in any criminal prosecution, civil action or administrative proceeding arising out of such healthcare

House Bill 2477

professional's lack of licensure in the state of Kansas. Nothing in the subsection shall be construed to authorize a healthcare professional

60-3-112. Exempt license. (a) An exempt license shall be granted only to a registered professional or practical nurse who meets these

KSBN Update 2.2.22

Yes

to practice a profession that is not authorized by law in the state of Kansas. Within seven calendar days of initiating practice in Kansas, such

requirements: (1) Is not regularly engaged in nursing practice in Kansas, but volunteers nursing services or is a charitable health care

Registration Form

healthcare professional shall notify the appropriate regulatory body in Kansas that such professional is practicing in Kansas pursuant to

provider as defined by K.S.A. 75-6102 and amendments thereto; ..."

for Out-of-State Nurses without a

this subsection by submitting information on a form and in a manner prescribed by such regulatory body.

multistate license

A healthcare professional may be licensed, certified or registered or may have such license, certification or registration rein-stated within five years of lapse by the applicable licensing agency of the state of Kansas without satisfying the following conditions of licensure, certification, or registration: an examination, if such examination's administration has been cancelled, fingerprints, and continuing education.

Nurse Practice

"(a) The practice of any currently licensed nurse of another state

Act - Excepted

practicing in this state during an emergency occurring in this state

Activities

Yes. Under Executive Order 2021-913, KBN will recognize any nurse who is qualified to practice in another state as having the privilege to

or any other state declared by the President of the United States or the Governor of Kentucky. The duration and conditions of the practice

Executive Order

Yes

practice in Kentucky for the duration of the state of emergency due to the shortage of nurses.

shall be determined by the board;" "KRS 314.101(1)(a, e) and the Good Samaritan Act of 2007, KRS

2020-215

39A.350-366, authorize APRNs licensed to practice in other states to

3.31.20 Order

provide medical care to patients in Kentucky during the current state

of emergency."

Executive Order

2021-913

Page 6 of 17

State Louisiana

Maine

Maryland

Member of Nurse Licensure Compact?

Yes

State Response to COVID-19 As of April 21, 2022 ? 4:00 PM (CST)

Emergency Licensing Waiver?

Applicable Statutory/Administrative Provisions (ex. Nurse Practice Act, Emergency Management Statutes, etc.)

Source(s)

The Governor's Health Emergency Proclamation expired March 16, 2022 and was not renewed. There are currently no emergency licensure waivers in place.

first emergency rule amended LAC 46:XLVII.3329 relating to temporary permits issued to RN applicants. Under the emergency provisions, the LSBN may extend the expiration of a temporary permit or reinstate an expired permit for nursing graduates who have not taken the NCLEX-RN provided that the meets the 3 stipulations identified in the emergency rule. Any permit extended or reinstated in accordance with the public health emergency exception shall be valid for 120 days and may be extended for additional 90-day increments.

Louisiana Health Emergency Powers Act

LSBN Press Release

LSBN Temp Permit Emergency Rule

Yes

All waivers in place expired when the state of emergency expired on

June 30, 2021.

"Any person who holds a valid, unexpired license as a health care

practitioner that is issued by another state may, at a health care facility

in Maryland, engage in activities authorized under such license without

first obtaining a license or practice letter" "Any inactive practitioner

may, at a health care facility in Maryland, engage in activities that

would have been authorized under his/her inactive license without

first reinstating" "A healthcare practitioner may engage in activities

10.27.01.03 A. Registered nurses or licensed practical nurses who

Yes

that are not authorized by his/her license at a health care facility in Maryland" "Effective immediately, all licenses and certificates that are

hold a current active license in any other state or jurisdiction may render nursing care:... (3) During an emergency situation.

scheduled to expire during the state of emergency and catastrophic

health emergency are hereby extended until the 30th day after the date

by which the state of emergency is terminated and the catastrophic

health emergency is rescinded." "Notwithstanding any other provision

of law, establish or waive telehealth protocols for COVID-19, including

authorizing health care professionals licensed out-of-state to provide

telehealth to patients in the State"

Executive Order Relating to Various Health Care Matters

Board of Nursing Communication to Licensee/ Certificate Holder

Code of Maryland

Page 7 of 17

State Massachusetts

Member of Nurse Licensure Compact?

State Response to COVID-19 As of April 21, 2022 ? 4:00 PM (CST)

Emergency Licensing Waiver?

Applicable Statutory/Administrative Provisions (ex. Nurse Practice Act, Emergency Management Statutes, etc.)

Source(s)

Registered nurses, licensed practical nurses, advanced practice

registered nurses, physician assistants, respiratory therapists,

perfusionists, and emergency medical technicians who are licensed

in another State and who are not currently licensed in Massachusetts

may present to the corresponding Massachusetts licensing authority

verification that such license is in good standing in that other State

where it was issued shall forthwith be issued a corresponding

Massachusetts license that shall remain valid until June 30, 2022.

All health care providers licensed under this provision may provide

services within the scope of practice authorized by the license in such

profession, both in-person in Massachusetts and across State lines into

Massachusetts using telemedicine where appropriate.

Individuals who have within the last ten years held a license to

practice as a registered nurse, licensed practical nurse, advanced

practice registered nurse, physician assistant, respiratory therapist,

perfusionist, or emergency medical technician that was issued by a

Massachusetts licensing authority, including but not limited to a state

agency, a board of registration or division with licensing authority

COVID-19 Public

within a state agency, and whose license, registration, certification or

Health Emergency

authorization has expired, lapsed or been retired but is not revoked,

Order NO. 2021-13

suspended, surrendered or subject to any non-disciplinary restriction shall have their licenses immediately renewed or reactivated upon

The Board of Registration in Nursing adopts this policy to establish its plan to expedite the processing of reciprocal license applications

Senate Bill 2475

No

request, notwithstanding the applicant's completion of continuing

education, or reactivation requirements, and shall remain valid until

for nurses that are licensed in another jurisdiction to meet emergent needs in Massachusetts in the event of a declared public health

Board of

June 30, 2022. Any applicable renewal fee set pursuant to section 3B of

emergency.

Registration in

chapter 7, or late renewal fee shall be waived.

Nursing Licensure

Senate Bill 2475 was enacted on June 16, 2021, which provided that

Policy 10-03

student who graduated from a registered nursing or practical nursing

program approved by the board of registration in nursing established

under section 13 of chapter 13 of the General Laws or who is a senior

nursing student attending the last semester of a registered nursing or

practical nursing program approved by the board may practice nursing

and shall not be subject to the prohibitions against the unlicensed

practice of nursing under said sections 80, 80A and 80B of said chapter

112; provided, however, that: (i) the individual is employed by or

providing health care services at the direction of a licensed health care

facility or a licensed health care provider; (ii) the individual is directly

supervised while providing health care services; (iii) the health care

services are provided in response to the COVID-19 outbreak; and (iv) the

employing licensed health care facility or licensed health care provider

has verified that the individual is a graduate of a registered nursing or

practical nursing program approved by the board or that the individual

is a senior nursing student attending the last semester of a registered

nursing or practical nursing program approved by the board.

Page 8 of 17

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