Leveraging health care reform to accelerate nurse practitioner full practice authority.

Journal of the American Association of Nurse Practitioners
Heather M BromMargaret Clark Graham

Abstract

Since development of the nurse practitioner (NP) role, NPs have been advocating for policy allowing them to practice to the full extent of their training. The aim of this research was to determine whether passage of the Affordable Care Act (ACA) had an impact on expansion of NPs' scope of practice. This was a retrospective descriptive study of NPs' scope of practice legislation from 1994 to 2016 using regulatory theory. Data sources included annual reports on NP legislation and state-level legislative and media coverage. Eight states adopted full practice authority (FPA) from 2011 to 2016, representing a two-fold increase compared with the previous 10 years. Seven states adopted Medicaid expansion. Nursing interest groups and politicians shaped their argument in favor of FPA around the increasingly insured population because of the ACA, provider shortages, and rural health care access issues. Shaping the discourse of FPA beyond the benefits to the NP profession makes way for broader political interest and participation. Although the future of the ACA is unknown, as the 28 states without FPA continue to advocate for legislative change, they could benefit from the strategies of these newly adapted FPA states.

References

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Dec 22, 2016·The Nurse Practitioner·Susanne J Phillips

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Citations

May 20, 2020·Nursing Forum·Christopher H Stucky, Joshua A Wymer
Jul 26, 2019·Journal of General Internal Medicine·Richard RieselbachPeter Shin
Nov 14, 2018·Journal of the American Association of Nurse Practitioners
Sep 11, 2020·Policy, Politics & Nursing Practice·Catherine MooreSusan Letvak
Dec 5, 2020·Journal of the American Association of Nurse Practitioners·Adele Marie Caruso, Cheryl Schlamb

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