Death certificate; APRNs and physician assistants may sign instead of physician in certain circumstances.
HB 37 would allow Advanced Practice Registered Nurses (APRNs) and Physician Assistants (PAs) to certify the cause of death and sign a death certificate instead of a physician, but only if they were the primary caregiver for the deceased person before death. This change directly affects APRNs and PAs who provide end-of-life care, removing a current requirement for a physician's signature in specific cases. The bill, which died in committee on March 4, 2025, would have taken effect on July 1, 2025, if enacted. It represents a policy shift in death certification procedures for certain healthcare providers.
Bill status
died
3 of 5 stages cleared
Introduction
Feb 2025
Committee Review
Feb 2025
House Passage
Feb 2025
Senate Passage
Governor
Introduced Feb 6, 2025
Last action Mar 4, 2025
Maddy AI version diff · 1 comparison
What changed between versions
As Introduced
→
Current version
·
2 edits
MINOR
This bill authorizes advanced practice registered nurses and physician assistants to sign death certificates and certify causes of death when they were the primary caregivers, removing the exclusive requirement for physicians to perform this task. The change expands who can legally complete death documentation, potentially reducing delays in processing and increasing flexibility in healthcare settings.
Scope change
Expanded from physician-only authority to include advanced practice nurses and physician assistants as eligible certifiers
ELIGIBILITY
Changed eligibility for signing death certificates from physicians only to include advanced practice registered nurses and physician assistants who were primary caregivers
REQUIREMENT
Modified requirement that a physician must sign death certificates when the primary caregiver is an advanced practice nurse or physician assistant
Floor votes · House Feb 5, 2025
How they voted
119–0
Passed
Total votes 119
Feb 5, 2025
D
Democratic39
100% Yea
I
Independent2
100% Yea
R
Republican78
100% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
6
Key actions
2
Committee
3
Feb 17, 2025
Committee
Referred To Public Health and Welfare
upper
Feb 6, 2025
Introduced
Transmitted To Senate
lower
Feb 5, 2025
Lower · Passed
Passed
lower
Jan 28, 2025
Lower · Passed
Title Suff Do Pass
lower
Jan 10, 2025
Committee
Referred To Public Health and Human Services
lower
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Becky Currie
RRepublican
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