JB 495 would get rid of the CPA or Collaborative Practice Agreement. HB 495 would get rid of the Collaborative Practice Agreement. Skip to content. NOWCAST WDSU News at 10pm.

Angela Lyttle, a certified nurse midwife and owner of Sacred Roots Midwifery, said collaborative practice agreements were removed during the COVID-19 public health emergency and it showed concerns ...

House Bill 495 would do away with the collaborative agreement. It would require nurse practitioners to practice for 6,000 to 10,000 hours with a doctor and then, they could become fully independent.