Welfare and Institutions Code section 14111
(a)
As permitted by federal law or regulations, for health care services provided in a long-term health care facility that are reimbursed by Medicare, a physician and surgeon may delegate any of the following to a nurse practitioner:(1)
Alternating visits required by federal law and regulations with a physician and surgeon.(2)
Any duties consistent with federal law and regulations within the scope of practice of nurse practitioners, so long as all of the following conditions are met:(A)
A physician and surgeon approves, in writing, the admission of the individual to the facility.(B)
The medical care of each resident is supervised by a physician and surgeon.(C)
A physician and surgeon performs the initial visit and alternate required visits.(b)
This section does not authorize benefits not otherwise authorized by federal law or regulation.(c)
All responsibilities delegated to a nurse practitioner pursuant to this section shall be performed under the supervision of the physician and surgeon and pursuant to a standardized procedure among the physician and surgeon, nurse practitioner, and facility.(d)
No task that is required by federal law or regulation to be performed personally by a physician may be delegated to a nurse practitioner.(e)
Nothing in this section shall be construed as limiting the authority of a long-term health care facility to hire and employ nurse practitioners so long as that employment is consistent with federal law and within the scope of practice of a nurse practitioner.
Source:
Section 14111, https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=WIC§ionNum=14111. (accessed Apr. 24, 2025).