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Welcome to Connecticut Advanced Practice Registered Nurse Society website!

Schedules of Controlled Substances: Rescheduling of Hydrocodone Combination Products From Schedule III to Schedule II

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President's Message Fall 2014


Since my last address our bill, SB#36, has passed.  This was such a group effort on the part of many Advanced Practice Nurses in our wonderful state.  I would also like to personally thank Governor Malloy for his support of nursing.  I would also like to thank several legislators who have been firm supporters of Advanced Practice Nursing: Theresa Conroy and Peggy Sayers.  Both have been so instrumental and unwavering in their backing. 

While Advanced Practice Nurses have had independent practice since 1989 we no longer need a collaborative agreement with a physician to practice.  This really allows for greater access for patients.  I encourage all of you to apply for removal of your collaborative agreement when you have met criteria.  It is very easy and done all on line.  You can find the form here http://www.ct.gov/dph/cwp/view.asp?a=3121&q=389398.  This is of course up to you and removal of your collaborative agreement is a personal choice.  The Department of Public Health requires you to keep the paperwork and only submit your proof if requested.  The above link has all of the new regulations related to bill SB#36.  CTAPRNS in collaboration with CNA and Connecticut Coalition of Advanced Practice Nurses will be providing further information regarding the changes brought about by the passage of this bill. 

So what do we do as an encore?  Next we are going to tackle Global Signature.  There are over 300 regulations and statutes that state that only a Physician can sign certain documents.  To address each one of these individually would be an enormous effort and very time consuming.  So, CTAPRNS Health Policy committees, along with the Connecticut Coalition of Advanced Practice Nurses, are going to take the next year and research all those statutes and regulations.  This next step will take time and considerable research.  There are many statutes that are conflicting with our current state Practice Act and inconsistent with current accepted practice in our state.  We will find all these areas of state law and address them in one bill.  Should you have any questions about this process or specific areas you know need to be addressed please contact our Health Policy Chairperson, healthpolicy@ctaprns.org

There are also actions at the Federal level to change Advanced Nursing Practice.  Most notably for me, one near and dear to my heart, is the ability to order diabetic shoes!  I hope to see this change along with our ability to order home care services.  Please see the national AANP website for this initiative, www.aanp.org.

I also want to thank the membership for the support we have received in asking for volunteers.  Our organization is growing and more than ever we need your help.  And please continue to let us know the issues that are important to you.


Elizabeth Visone, DNP, APRN


Nurse practitioners fight

for more independence


Click here to watch the video and read the full article on USAToday.com





ALERT for APRN practice changes as of July 1, 2014

Dear APRN Colleague:

CTAPRNS , CNA and CANA are working together to be sure that ALL APRNs in Connecticut are aware of the laws governing the authority to practice in Connecticut were changed as of July 1, 2014.

Please CLICK HERE TO READ THE FULL ARTICLE as there is specific information pertaining to your ability to practice.

Public Act 14-12

Ceremonial Signing in Governor Malloy's Office

July 18, 2014

CTAPRNS, CNA, CANA, and other APRNS groups joined Governer Malloy, Representative Theresa Conroy, Representative Peggy Sayers, Representative Susan Johnson, Senator Terry Gerrantana.





2014 AANP Winners in Nashville

Vanessa Pomarico-Denino,MSN, APRN, FNP-BC, FAANP; Henry Schniederman, MD & Lynn Rapsilber,MSN, ANP-BC, APRN, FAANP.

Vanessa, past President of CTAPRNS, selected for  the AANP Nurse Practitioner Excellence Award, as well as being inducted as a new Fellow in AANP.  Henry was awarded the Connecticut APRN Advocate of the Year.  Lynn, is the Connecticut Representatie to AANP, and recently selected for  the Connecituct Nurse Practitioner of the Year Award, was inducted as a new Fellow in AANP.  Congratulations to all of them for their tireless work for CTAPRNS.

From Left to Right: Vanessa Pomarico-Denino, Past President CTAPRNS, Henry Schneiderman, Friend and Supporter of CTAPRNS, Elizabeth Visone, President of CTAPRNS, & Lynn Rapsilber, Chair of the Coalition of Advanced Practice Nurses. 





Governor’s Bill #36 has passed the House 110-35




Action Taken





In Concurrence




House Passed as Amended by Senate Amendment Schedule A




House Rejected House Amendment Schedule B 4413




House Rejected House Amendment Schedule A 3811




House Adopted Senate Amendment Schedule A


The amendment referred to stipulates 2000 hours of practice or three years (whichever is longer).


Please THANK your legislators IF they voted for the bill. You can find your legislator here: http://www.cga.ct.gov/asp/menu/CGAFindLeg.asp

You can find the vote tally (Senate is posted, House will be posted later) here: http://www.cga.ct.gov/asp/cgabillstatus/cgabillstatus.asp?selBillType=Bill&bill_num=SB00036&which_year=2014

If your legislator did not vote for the bill, please politely let your legislator know how disappointed you are in his/her lack of support.


Also, please thank Governor Malloy for supporting access to care and removing barriers to APRN practice. He still needs to sign the bill, but as it was his bill, I think we are safe! His contact info is:

TEL: (860) 566-4840

TOLL-FREE: (800) 406-1527

TDD: (860) 524-7397

FAX: (860) 524-7395

            or send an email via: http://www.governor.ct.gov/malloy/cwp/view.asp?a=3998&q=479088&malloyNav=|


Huge thank you’s go out to the CT Coalition for Advanced Practice (Lynn Rapsilber, Chair), CNA and CEO Kim Sandor (APRN!), AARP, and, last but definitely not least, State Rep. Theresa Conroy, APRN (Seymour) who championed our cause.


Finally, pat yourselves and each other on the back, and find a venue to celebrate later today.

This would never have been possible without everyone working together.

Congratulations to us all!


Laima Karosas, PhD, APRN

Chair, Health Policy

CT APRN Society



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