APRN Advocacy

Advanced Practice Registered Nurses (APRNs, including nurse practitioners, certified nurse-midwives, certified registered nurse anesthetists, and clinical nurse specialists) are certified in one or more advanced specialties or fields. They receive rigorous training in their focused discipline and practice according to state scope of practice laws and regulations.

Nursing Community in Action

The NC sent a letter to Secretary McDonald of the U.S. Department of Veterans Affairs in support of the VHA's Proposed Rule to extend full practice authority to APRNs.

The NC sent a letter to Acting Secretary of Veterans Affairs Sloan D. Gibson reiterating unwavering support for the Veterans Administration’s work to modernize the Veterans Health Administration’s (VHA) Nursing Handbook. The letter also urged Acting Secretary Gibson to advance the approval process of this modification.

March 14, 2014

On Friday, March 14, the NC sent a letter to Representative Jim McDermott (D-WA) expressing support for H.R. 3833, which would eliminate the new provision in the Affordable Care Act [P.L. 111-148] that requires physicians to document the face to face encounters of nurse practitioners (NPs), clinical nurse specialists (CNSs), and physician assistants (PAs) when ordering certain durable medical equipment for their Medicare patients. By removing this requirement so that NPs, CNSs, and PAs can continue to document their face to face encounters without a physician’s signature, this legislation would eliminate an unnecessary, costly, and burdensome barrier facing Medicare patients who need necessary durable medical equipment to insure their safe, lifesaving, and timely care.

The Nursing Community sent a letter urging Representatives not to sign a Dear Colleague letter being circulated by Representatives Michael Grimm (R-NY) and Ann Kirkpatrick (D-AZ) that opposes the Veterans Health Administration’s Nursing Handbook modifications that would allow APRNs to serve as full practice providers.

October 8, 2013

On October 8, 2013, the Nursing Community sent a letter to the House Energy and Commerce Committee urging them to oppose the Protect Patient Access to Quality Health Professionals Act of 2013 (H.R. 2817). The bill would repeal Section 2706 of the Public Health Service Act, "Non-Discrimination in Health Care," which is designed to ensure that health plans do not discriminate against qualified licensed providers, including APRNs, and clearly respects state scope of practice laws.

​​ The Protecting Access to Primary Care Act (H.R. 2986) was introduced on August 2, 2013 by Rep. Suzanne Bonamici (D-OR). The bill would amend title XIX of the Social Security Act to extend the temporary Medicare payment rate floor for primary care services to nurse practitioners, clinical nurse specialists, physician assistants, and certified nurse-midwives. It has been referred to the House Energy and Commerce Subcommittee on Health.

The Nursing Community sent a letter to Veterans Affairs Secretary Eric Shinseki expressing support for the proposed change to the Veterans Health Administration's Nursing Handbook 1180.03 recognizing advanced practice registered nurses (including nurse practitioners, certified nurse-midwives, certified registered nurse anesthetists and clinical nurse specialists) as Licensed Independent Practitioners.

The Home Health Care Planning Improvement Act (H.R. 2504, S. 1332) would amend title XVIII of the Social Security Act to allow nurse practitioners, certified nurse - midwives, and clinical nurse specialists to certify home health services for Medicare patients. The Nursing Community sent letters thanking Representatives Greg Walden (R-OR) and Allyson Schwartz (D-PA) for introducing the Home Health Care Planning Improvement Act of 2013 in the House, as well as to Senators Susan Collins (R-ME) and Charles Schumer (D-NY) for introducing it in the Senate.

On September 4, 2012, 35 Nursing Community Members submitted comments concerning the proposed rule, Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule (77 Fed. Reg. 44721, July 30, 2012) to the Centers for Medicare & Medicaid Services.

On December 22, 2011, 41 Nursing Community Members submitted comments concerning the proposed rule, Medicare and Medicaid Programs; Reform of Hospital and Critical Access Hospital Conditions of Participation (76 Fed. Reg. 65891, October 24, 2011) to the Centers for Medicare & Medicaid Services.

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Spotlight on Resources
 

Nursing Community Issue Brief:

APRNs in the Veterans Health Administration

 

 

FTC Report March 11, 2014:

Policy Perspectives: Competition and the Regulation of Advanced Practice Nurses

 

 

Health Affairs Policy Brief May 2013:

Nurse Practitioners and Primary Care (Updated)

 

 

National Institute for Health Care Reform February 2013:

Primary Care Workforce Shortages: Nurse Practitioner Scope-of-Practice Laws and Payment Policies

 

 

National Governors Association Report December 2012:

The Role of Nurse Practitioners in Meeting Increasing Demand for Primary Care