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:
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. 

 
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