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After decades of legislative efforts in Florida, both the House and Senate passed bills that will provide the state’s 21.5 million residents with significantly improved access to care from advanced practice registered nurses. On March 11, Gov. Ron DeSantis signed the law that creates a pathway for full practice authority for both nurse practitioners and certified nurse-midwives.

Though the law does not take effect for several months, the current health crisis with the novel coronavirus might well have been on lawmakers’ minds, as they quickly passed measures that had long been considered—but not passed—and which the governor immediately signed. As of July 1, qualified nurse practitioners will not be required to be under the supervision of a physician when providing care, a move that will allow a far greater number of highly qualified practitioners to treat more people.

House Bill 607 was championed by House Speaker Jose Oliva.

“Floridians’ access to quality health care is our top priority,” Oliva said in a news release, according to the Associated Press.  “Freeing (advanced practice registered nurses) of the red tape that has historically stopped them from working to the full extent of their education and training will immediately improve access to quality care for all.”

Others contributed to the success of the bill, including the Florida AARP office, which was part of a broad coalition of businesses, insurers and others that came together in support.

“As Florida continues to grow and our residents enjoy longer lives, it’s important that they have access to high-quality health care practitioners,” said Jeff Johnson, AARP’s Florida state director. “Enabling advanced registered nurse practitioners to help patients to the full extent of their training is an essential element of providing Floridians access to good health care.  We’re grateful that the state agrees.”

The Florida state director of Americans for Prosperity, Skylar Zander, another organization that supported the proposal, said in a statement: “Removing barriers to allow registered nurses to do what they are trained to do is good for patients, good for doctors, and good for the economy.”

The legislation says that advanced practice registered nurses with at least 3,000 hours of experience under a physician can provide care unsupervised. Nurse practitioners would have to complete minimum graduate level coursework in differential diagnosis and pharmacology.

Since the Future of Nursing: Campaign for Action began, nine states have removed statutory barriers that had restricted patients from having direct access nurse practitioners and other advanced practice registered nurses. Florida joins six additional states that have made substantial improvements to increase consumers’ access to care. CCNA runs the Campaign, also an initiative of AARP Foundation, AARP, and RWJF.

View the current activity on removing barriers to practice and care two-pager.

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State

California: Bay Area Council Economic Institute Analysis Finds Granting Full Practice Authority for Nurse Practitioners Increases Access and Controls Costs

Florida: Expanding Scope of Practice for Advanced Registered Nurses, Physician Assistants, Optometrists, and Dental Hygienists

Kentucky: Full Practice Authority for Nurse Practitioners Increases Access and Controls Cost

Massachusetts: Controlling Health Spending in Massachusetts

Minnesota: Full Practice Authority for Nurse Practitioners Increases Access and Controls Cost

New Jersey: Full Practice Authority for Nurse Practitioners Increases Access and Controls Cost

North Carolina: Economic benefits of less restrictive regulation of advanced practice nurses in North Carolina.

Ohio: The Impact of Full Practice Authority for Nurse Practitioners and Other Advanced Practice Registered Nurses in Ohio

Pennsylvania: The Value of Full Practice Authority for Pennsylvania’s Nurse Practitioners

Texas: The Economic Benefits of More Fully Utilizing Advanced Practice Registered Nurses in the Provision of Health Care in Texas: An Analysis of Local and Statewide Effects on Business Activity

National

 Medicare and Medicaid: Impact of Nurse Practitioners on Health Outcomes of Medicare and Medicaid Patients

Comparing the Cost of Care Provided to Medicare Beneficiaries Assigned to Primary Care Nurse Practitioners and Physicians

Anesthesia: Cost Effectiveness Analysis of Anesthesia Providers

Maternity care: Potential Medicaid Cost Savings from Maternity Care Based at a Freestanding Birth Center

Neonatal: Collaboration, Not Competition

Long term care: Onsite Nurse Practitioners at Skilled Nursing Facilities Prevent Avoidable Hospitalizations

Retail clinics: Scope-of-Practice Laws for nurse Practitioners Limit Cost Savings That Can Be Achieved in Retail Clinics

The post Studies That Show the Economic Benefits of Removing Barriers to Practice and Care appeared first on Campaign for Action.

• Distribution of population by race/ethnicity
• Percentage of population living in rural versus urban areas
• Distribution of population by federal poverty level
• Areas in which there is a shortage of primary health professionals

These statistics can guide your Action Coalition’s work in shaping a nursing workforce to better meet local needs and overcoming health disparities in your state. As you integrate other Culture of Health aspects into your work, consider how demographics play a role in health equity and fostering cross-sector collaboration.

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