Full Practice Authority is a regulatory model where nurse practitioners serve patients under the exclusive licensure authority of the state board of nursing, to the full extent of their education and training, in compliance with the requirements of their national certification.

Currently, Pennsylvania adds an extra step. In order to practice, a nurse practitioner in PA must secure business contracts called collaborative agreements with two physicians. Researchers – including physicians and nurse practitioners alike – have proven that this mandate offers no patient health benefits. To the contrary, research shows that the mandate restricts access to care and correlates with worse patient health outcomes.

Full practice authority would end this costly, arbitrary and outdated mandate. Currently, 22 states and the District of Columbia are already using full practice authority to expand access to care, especially for underserved rural areas and patients with Medicaid insurance.

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