January 24, 2023
Assembly Bill 890 (Wood), signed into law in September 2020, created two new classifications of nurse practitioners (NPs) – 103 and 104 NPs – who can perform certain functions without standardized procedures and protocols in California. The regulations implementing the bill became effective January 1, 2023, and the application to apply to become a 103 NP went live on January 20, 2023.
The regulations set the minimum "transition to practice" standards for NPs seeking to apply for licensure under these new classifications. NPs who are interested in transitioning to these new classifications are required to submit an application and become approved before practicing under the new classifications.
The current application process is only open for 103 NPs, as the law requires an NP to first work as a 103 NP in good standing for at least three years prior to becoming a 104 NP. Applicants will also be required to provide a physician’s attestation that the NP has the completed the “transition to practice” requirements as detailed in the regulations, which include all of the following:
- 4600 hours or three full-time equivalent years of clinical practice experience and mentorship that are:
- Completed in California
- Completed within five years prior to the date the applicant applied for certification
- Completed after certification by the Board of Registered Nursing (BRN) as a nurse practitioner
- Completed after obtaining certification as an NP by a national certification organization accredited by the National Commission for Certifying Agencies or the Accreditation Board for Specialty Nursing Certification as an NP in one of the following categories: family/individual across the lifespan; adult-gerontology, primary care or acute care; neonatal; pediatrics, primary care or acute care; women’s health/gender-related; psychiatrics-mental health across the lifespan.
- Completed in direct patient care in the role of a nurse practitioner in the category in which the applicant is seeking certification as a 103 NP
Completion of the transition to practice requirement must be attested to by one or more physicians, 103 NPs or 104 NPs who practice in the same specialty area or category in which the NP is seeking certification as a 103 NP. Physicians are currently the only licensees able to make the attestation since there are no 103 or 104 NPs yet licensed in the state.
As part of the application, the applicant will be asked to enter information about the attester and an email will then be sent to the attester for verification. BRN strongly encourages 103 NP applicants to alert attesting physicians that an email request will be sent by BRN requesting their attestation. Once the physician validates that the NP’s information is accurate, the application will be reviewed by BRN.
See the BRN website for the application link and detailed instructions on the application process.
The California Medical Association will provide more information on the attestation process as it becomes available.
CMA to host webinar on new NP classifications
CMA is hosting a webinar on Thursday, February 23, 2023, to provide an overview of the law and regulations, explain under what circumstances 103 and 104 NPs can practice and where, and show how this may impact physicians and patients.
The one-hour webinar – New NP Classifications: What Physicians Need to Know – is free to CMA members and their staff, and $99 for all other interested parties. Click here for more information or to register.