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A4679 • 2026

Increases scope of practice for licensed practical nurses and patient care technicians under certain circumstances.

Increases scope of practice for licensed practical nurses and patient care technicians under certain circumstances.

Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Greenwald, Louis D.
Last action
2026-03-10
Official status
Introduced, Referred to Assembly Health Infrastructure Committee
Effective date
Not listed

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

Increases scope of practice for licensed practical nurses and patient care technicians under certain circumstances.

Increases scope of practice for licensed practical nurses and patient care technicians under certain circumstances.

What This Bill Does

  • Increases scope of practice for licensed practical nurses and patient care technicians under certain circumstances.
  • Topic: Health Infrastructure Fiscal note: This bill has not been certified by OLS for a fiscal note.

Limits and Unknowns

  • This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Bill History

  1. 2026-03-10 New Jersey Legislature

    Introduced, Referred to Assembly Health Infrastructure Committee

Official Summary Text

Increases scope of practice for licensed practical nurses and patient care technicians under certain circumstances.
Topic:
Health Infrastructure
Fiscal note:
This bill has not been certified by OLS for a fiscal note.

Current Bill Text

Read the full stored bill text 
A4679

ASSEMBLY, No. 4679

STATE OF NEW JERSEY

222nd LEGISLATURE

�

INTRODUCED MARCH 10, 2026

Sponsored by:

Assemblyman� LOUIS D. GREENWALD

District 6 (Burlington and Camden)

SYNOPSIS

���� Increases scope of practice for licensed practical
nurses and patient care technicians under certain circumstances.

CURRENT VERSION OF TEXT

���� As introduced.

��

An Act
expanding the scope of practice for certain staff
employed at dialysis centers and supplementing Title 26 of the Revised
Statutes.

����
Be It
Enacted
by the Senate and General Assembly of
the State of New Jersey:

���� 1.��� a. A dialysis facility
operating within the State may assign a licensed practical nurse to perform, in
addition to functions within the licensed practical nurse's scope of practice
as defined in section 1 of P.L.1947, c.262 (C.45:11-23), pre- and post-dialysis
focal assessments that do not require the judgement of, intervention from,
modification of care by, or referral from, a registered professional nurse. �Any
abnormality in the assessment shall be immediately reported to the registered
professional nurse.

���� b.��� (1) Notwithstanding any
law, rule, or regulation to the contrary, a patient care technician may
administer saline and heparin.

���� (2)�� For the purposes of this
section, a �patient care technician� means a staff member of a dialysis center
who has obtained a national certification as a patient care technician, and has
been specifically trained and demonstrates competency to provide direct patient
care, under the direct supervision of a registered professional nurse, to
individuals receiving dialysis services.

���� 2.��� The Commissioner of
Health, pursuant to the �Administrative Procedure Act,� P.L.1968, c.410
(C.52:14B-1 et seq.), shall adopt rules and regulations consistent with the
provisions of section 1 of this act.

���� 3.��� This act shall take
effect 180 days from the effective date of this act.

STATEMENT

���� This bill increases the scope
of practice for licensed practical nurses (LPNs) in certain circumstances.�
Under this bill, LPNs working at a dialysis center providing direct patient
care to those receiving dialysis would be allowed to conduct pre- and post-dialysis
focal assessments if the assessment does not require the judgement of,
intervention from, modification of care by, or referral from, a registered
professional nurse.� An abnormality must be immediately reported to the
registered professional nurse.

���� Additionally, under this bill,
patient care technicians (PCTs) would be allowed to administer saline and
heparin to dialysis patients.� Currently, N.J.A.C.8:43A-24.6(f)4 prohibits PCTs
from administering medications.� This bill allows PCTs to administer saline and
heparin and directs the Commissioner of Health to promulgate rules and
regulations consistent with the provisions of this bill.