Assembly Bill 890
(Wood, Chapter 265, Statutes of 2020)
General Information
In September 2020, Governor Gavin Newsom signed Assembly Bill (AB) 890 (Wood, Chapter 265, Statutes of 2020) into law which created two new categories of Nurse Practitioners (NP) that can function within a defined scope of practice without standardized procedures. Certain provisions of the bill were later amended by passage of SB 1451 (Ashby, Chapter 481, Statutes of 2024).
These new categories of NPs are:
- 103 NP - Works under the provisions outlined in Business and Profession Code Section 2837.103. This NP must work in a group setting with at least one physician and surgeon.
- 104 NP - Works under the provisions outlined in Business and Professions Code Section 2837.104. This NP may work independently within the population focus of their National Certification.
Application Information
To access the 103 NP application and view step by step instructions, please visit the following website: Advanced Practice and Public Health Nurse Certification and scroll down to the heading titled, Nurse Practitioner Practicing Without Standardized Procedures in a Group Setting (103 NP).
Please note, the law requires a licensee to first work as a 103 NP in good standing for at least 3 years prior to becoming a 104 NP. Consequently, the Board is only able to certify 103 NPs at this time and will not be able to certify 104 NPs until 2026.
Frequently Asked Questions
Laws and Regulations- What is AB 890?
In September 2020, Governor Gavin Newsom signed Assembly Bill (AB) 890 (Wood, Chapter 265, Statutes of 2020) into law which created two new categories of Nurse Practitioners (NPs) that could function within a defined scope of practice without standardized procedures. The bill also defined education, training, national certification, regulatory, and medical staff governance requirements for these two NP categories.
Certain provisions of the bill were later amended by passage of SB 1451 (Ashby, Chapter 481, Statutes of 2024).
- What is the difference between statute and regulations?
Statutes, also referred to as codes, are laws that are written and passed by the Legislature and signed by the Governor (or approved by the voters as a ballot measure). Regulations, also referred to as rules, are written by state agencies (e.g., Board of Registered Nursing), approved by the Office of Administrative Law and filed with the Secretary of State. Regulations are drafted to implement, interpret, or make specific the statute. Both statutes and regulations carry the force of law.
Most of the Board’s statutes are housed within the Business and Professions Code (BPC). The statutory requirements of AB 890 are listed under Division 2, Chapter 6, Article 8.5 of the BPC.
Most of the Board’s regulations are housed within Title 16 of the Code of California Regulations (CCR). The regulatory requirements of AB 890 are listed under Title 16, Division 14, Article 8 of the CCR.
- What are the two new NP categories?
The two new categories established under AB 890 are commonly referred to as 103 NPs and 104 NPs. While they do not significantly extend or alter the current NPs scope of practice, the new categories do have additional authority to work without standardized procedures.
A 103 NP will work under the provisions outlined in BPC Section 2837.103. This new category of NP can work without standardized procedures, in a group setting with at least one physician and surgeon.
A 104 NP will work under the provisions outlined in BPC Section 2837.104. This new category of NP may work without standardized procedures, outside of a group setting, within the population focus of their National Certification.
- Do I have to become a 103 NP?
No. A move to a 103 or 104 NP is not required; it is just an option. The traditional role of the NP in California remains. If they wish to, NPs can continue to work under physician supervision with the use of standardized procedures in their existing settings.
There is also no requirement for facilities to employ 103 NPs and no requirement for NPs to certify as 103 NPs to retain employment. Furthermore, the ability to work under standardized procedures remains whether or not the licensee is a 103 or 104 NP. It is up to each licensee/facility/employer as to the extent the expanded authority is utilized.
In some instances, a NP may choose to continue practicing in a traditional role under standardized procedures because their current job or business setting is not included in the list of group settings that a 103 NP is required to work within. For example, an NP that works in a nursing corporation cannot practice as a 103 NP without standardized procedures or physician oversite.
- What are the eligibility requirements to become a 103 NP?
According to BPC Section 2837.103, the following criteria must be met to become a 103 NP:
- Is certified as a NP by the California Board of Registered Nursing.
- Holds a National Certification by a national certifying body accredited by the National Commission for Certifying Agencies or the American Board of Nursing Specialties and recognized by the Board.
- Has completed a transition to practice within the category of the National Certification in California of a minimum of three full-time equivalent years of practice or 4600 hours within 5 years of the date of your application.
- Will NPs that do not meet 103 NP eligibility requirements still need a standardized procedures collaboration agreement?
Yes, a standard NP must continue to practice under standardized procedures.
- Can I obtain my national board certification during or after I complete my transition to practice hours?
Yes, the 103 NP applicant can obtain their national board certification during or after completing the transition to practice (TTP) hours as long as the applicant receives their national certification prior to submitting their 103 NP application to the Board.
- What is a transition to practice?
According to BPC Section 2837.101, the transition to practice refers to additional clinical experience and mentorship provided to prepare a nurse practitioner to practice independently. This includes, but is not limited to, managing a panel of patients, working in a complex health care setting, interpersonal communication, interpersonal collaboration and team-based care, professionalism, and business management of a practice.
- What criteria must the transition to practice experience meet?
The transition to practice requirement is defined as 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 applies for certification as a 103 NP.
- Completed after certification by the Board of Registered Nursing as a NP.
- Completed in direct patient care.
- How does the Board verify an applicant has completed their transition to practice?
As a part of the application process, the applicant will be asked to submit information of the provider(s) who can attest to the completion of the 4,600 hours of the direct patient care hours that meet the TTP requirements. The Board will then send an email to the provider(s) listed asking for an attestation.
The attestor cannot have a familiar or financial relationship with the applicant and will be attesting to the applicant’s completion of the transition to practice requirement under penalty of perjury. If a complaint about the accuracy of the reported hours or the attestors relationship to the applicant is received, it will be investigated through the Board’s established enforcement process.
- What will the 103 NP’s mentoring provider have to attest to?
The mentoring provider(s) identified by the 103 NP applicant as an attestor, will be asked to attest to the following:
- That the 103 NP applicant completed all or a specified portion of the 4600 hours.
- That they do not have a familial or financial interest with the 103 NP applicant.
- That the facts to which they are attesting are correct, under penalty of perjury.
- Is there any liability associated with providing an attestation on behalf of a 103 NP applicant?
According to BPC Section 2837.103, a licensed physician and surgeon or a 104 NP who attests to the completion of a transition to practice is not required to verify competence, clinical expertise, or any other standards related to the practice of the applicant and shall only attest to the completion of the transition to practice.
Further, a licensed physician and surgeon or a 104 NP who attests to the completion of a transition to practice shall not be subject to civil, criminal, administrative, disciplinary, employment, credentialing, professional discipline, contractual liability, or medical staff action, sanction, or penalty or other liability for providing an attestation or refusing to provide an attestation, unless the attestation was produced fraudulently.
- How does the TTP attestation occur?
Once an NP submits their 103 NP application via the BreEZe online portal and identifies their attestor(s) by license number, the BreEZe system will send a system-generated email to each identified attestor.
When the attestor(s) clicks on the link provided in the email they will be directed to an online portal where they can review the information provided by the 103 NP applicant including the number of TTP hours the applicant completed.
The attestor can then indicate whether they approve or disapprove (or partially approve) of the 103 NP applicant’s completion of those hours.
- Can a Doctor of Osteopathy (DO) attest to the completion of TTP hours?
Yes, a DO can attest to the completion of TTP hours.
- Can a 103 NP or 104 NP attest to the completion of TTP hours?
Yes, a 103 NP or 104 NP can attest to the completion of TTP hours.
- How do I apply to become a 103 NP?
A new 103 NP application is now available in BreEZe. To access the 103 NP application and view step by step instructions, please visit the following page on the Board website: Advanced Practice and Public Health Nurse Certification. Once on the page, please scroll down to the heading titled, "Nurse Practitioner Practicing Without Standardized Procedures in a Group Setting (103 NP)."
- Do I need to apply for a separate furnishing license as a 103 NP?
It depends. If you already have a furnishing license, you do not need to apply for a new one as a 103 NP. However, if you do not have a furnishing license and would like to be able to furnish without standardized procedures under your 103 NP certification, you will need to apply for one since the 103 NP certification does not automatically provide furnishing authority.
- Does the 103 NP application have a fee?
No. Currently, there is no fee to apply for certification as a 103 NP.
- How should I submit proof of my national board certification to the Board?
The Board requires proof of national board certification to be provided through primary source data. Please contact the national certifying body for information on their verification processes.
- What setting can a 103 NP practice in?
According to BPC Section 2837.103 (a)(2), a 103 NP may only practice in one of the following settings or organizations in which one or more physicians and surgeons practice with the nurse practitioner without standardized procedures:
- a) A clinic, as defined in Section 1200 of the Health and Safety Code.
- b) A health facility, as defined in Section 1250 of the Health and Safety Code, except for the following:
- a. A correctional treatment center, as defined in paragraph (1) of subdivision (j) of Section 1250 of the Health and Safety Code.
- b. A state hospital, as defined in Section 4100 of the Welfare and Institutions Code.
- c) A facility described in Chapter 2.5 (commencing with Section 1440) of Division 2 of the Health and Safety Code.
- d) A medical group practice, including a professional medical corporation, as defined in Section 2406, another form of corporation controlled by physicians and surgeons, a medical partnership, a medical foundation exempt from licensure, or another lawfully organized group of physicians and surgeons that provides health care services.
- e) A home health agency, as defined in Section 1727 of the Health and Safety Code.
- f) A hospice facility licensed pursuant to Chapter 8.5 (commencing with Section 1745) of Division 2 of the Health and Safety Code.
- How can the public verify if a licensee has been certified as 103 NP?
Once certified by the Board, an individual’s authority to practice as a 103 NP or 104 NP will be displayed along with their RN license status through DCA’s License Search. The DCA License Search is an online search tool that is available to the public and is used to verify a professional license issued by the various Boards and Bureaus under DCA.
To view this search tool, please visit: DCA License Search.
- Can a 103 NP still practice under standardized procedures?
A 103 NP is authorized to practice without standardized procedures in specified settings. However, an employer can still require a 103 NP to practice under standardized procedures.
- What are the consumer notification requirements for 103 NP and 104 NPs?
The consumer notification requirements are the same for all NPs.
Except when working in facilities under the California Department of Corrections and Rehabilitation, a NP engaged in providing healthcare services shall do all the following:
Prominently post a notice, in at least 48-point Arial font, in a conspicuous location accessible to public view on the premises where the nurse practitioner provides the healthcare services, containing the following information:
NOTICE
Nurse practitioners are licensed and regulated by the
Board of Registered Nursing
(916) 322-3350
www.rn.ca.govVerbally inform all new patients in a language understandable to the patient that a nurse practitioner is not a physician and surgeon.
- What happens if a 103 NP’s national board certification expires?
If their national board certification expires, the NP must immediately begin practicing under standardized procedures. The NP can only resume practicing as a 103 NP without standardized procedures once they have regained their national board certification.
- Should a 103 NP or 104 NP list any new initials on their academic credentials?
No, the Board chose not to create additional initials or make any title changes associated with certification as a 103 NP or 104 NP.
- How long do I have to work as a 103 NP before I can become a 104 NP?
According to 16 CCR 1482.4, a 103 NP must practice in good standing for at least three full-time equivalent years or 4600 hours in direct patient care before they can become a 104 NP. The term, “in good standing” means practice conducted under a current, active, and unrestricted license. The term “unrestricted” means the applicant was not subject to a disciplinary action by the Board, including probation, suspension, or public reproval.
If a 104 NP applicant holds a Doctor of Nursing Practice (DNP), they may apply any hours of direct patient care they provided in the course of their doctoral education toward the three-year requirement mentioned above, so long as the direct patient care experience is in the applicant’s area of National Certification and provided during the doctoral part of the applicant’s doctoral education and not credited towards the applicant’s master’s degree.
- Can I open an independent practice as a 104 NP?
Yes. A 104 NP can practice without standardized procedures outside of a group setting. However, they cannot practice beyond the scope of their clinical and professional education and training, including specific areas of concentration. A 104 NP can only practice within the limits of their knowledge and experience and national certification.
In addition, BPC Section 2837.104(c) requires a 104 NP to conduct a certain level of consultation, collaboration, and referral to other healing arts providers based on the clinical condition of the patient receiving care.
Messages from the BRN
News ReleasesAdditional Information and Resources
- AB 890 Bill Language
- SB 1451 Bill Language
- AB 890 Occupational Analysis by Department of Consumer Affairs Office of Professional Examination Services
Contact Information
For questions about the AB 890 regulations, please contact the Board’s Regulation Unit at: brn.regulations@dca.ca.gov.
For questions about the 103 NP application, please contact the Board’s Licensing Division at: brn.licensing@dca.ca.gov.
For questions about the 103 NP scope of practice, please contact the Board’s Nursing Education Consultants at: NEC.BRN@dca.ca.gov.