It has been shown that granting full practice authority to the NRNPA increases access to care, particularly in rural areas and areas where physicians are lacking and require more physicians capable of providing preventive health services. The benefits of granting full practical authority to NRPA also go beyond medical outcomes. Studies have shown that the granting of APRN to the privileges and autonomy of the NRNPA results in a decrease in the rate of malpractice claims and a significant reduction in health costs at the individual, national and national levels. In her research paper “Scope-Of-Practice Laws for Nurse Practitioners Limit Cost Savings That Can In Retail Clinics” write Joanne Spetz and. al estimated that the cost of granting full practical autonomy to nurses could be as high as $810 million per year in retail centres alone (this estimate does not contain potential savings in other medical environments). In an exclusive interview with OnlineFNPPrograms.com, Joanne Spetz, PhD, Erdiebe commented on the study, which wanted to understand the impact of the magnitude of practical regulations on the cost of services in retail clinics. In California, a bill8 that would have allowed certified NPs, who had practiced at least 4,160 hours under the supervision of a physician, to independent practice, failed in 2013 after strong opposition from the California Medical Association (CMA). The CMA argued that if the legislation were passed, the legislation would mean that “nurse practitioners would no longer be required to work according to standardized protocols and procedures or a supervisory physician and would in fact give them a full license to practice medicine” (California Medical Association, 2013). Although the law has been supported by several other professional organizations and health insurance companies, it has been rejected by national and governmental medical organizations (Adashi, 2013).
The ability of nurses to work throughout their training and training is a national topic of NPs. As has been demonstrated recently in interviews with Michigan nurses and researchers, the fight for comprehensive practice authority (VPA) is essential to meet the growing demand for qualified providers (particularly in rural areas) and to keep costs low with safe and effective health care. While the VA, AARP, FTC, Institute of Medicine, Bipartisan Policy Center and many others support the granting of PFAs to PNs, many physician organizations still oppose these efforts. Dr. Denise Hershey of Michigan State University said in her 2017 interview: “The biggest challenge in this fight is to understand to physician groups that we are not competing with them; As PN, we are members of a health team, which includes our fellow physicians and other health care professionals that the patient may need. As a team, we must work together to improve the health of our patients. How are you going to define the minimum standards for consultation between the medical specialists or care practitioners, as outlined in the quality assurance standards for a collaborative practice agreement? How and what will your documentation contain? As explained in Chapter 1, the passage of the ACA and a number of changes in the health care system have created a new context that emphasizes the goal of providing value-based care to all patients and engaging in collaborative practice.