SB819 went into effect January 1, 2010. This legislation allows NPs to order durable medical equipment, sign certification for state disability, order home health services and make changes in existing home health plans of care. SB819 is a large piece of legislation (90+ pages) which includes changes in many other professions as well, and can be viewed at www.leginfo.ca.gov. Make sure you add these functions to your standardized procedures before you begin to implement them in your practice. This can be done by simply listing them in an addendum. CANP will be providing more info on how to do this at the conference in Anaheim in March.