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Virginia NP scope of practice: A legislative case study.

Shelly Smith, Holly Buchanan, Rachel Cloutier

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    |January 25, 2020
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    Summary

    Virginia enacted transitional licensing for Nurse Practitioners (NPs) with 5 years of experience. This legislative model can guide NP advocates in other states seeking expanded scope-of-practice laws.

    Area of Science:

    • Health Policy
    • Nursing Practice
    • Legislation

    Background:

    • Nurse Practitioners (NPs) play a crucial role in healthcare delivery.
    • Scope-of-practice laws significantly impact NP utilization and patient access to care.
    • Virginia's legislative session addressed NP practice authority.

    Purpose of the Study:

    • To analyze Virginia's 2018 legislation establishing a transitional licensing model for NPs.
    • To provide a case study for NP advocates in other states pursuing scope-of-practice reforms.
    • To highlight successful legislative strategies for advancing NP practice.

    Main Methods:

    • Review of Virginia's 2018 General Assembly legislative actions.
    • Analysis of the enacted transitional licensing provisions for NPs.

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  • Examination of the criteria for NP eligibility under the new model.

    • Main Results:

    • Virginia's legislation created a pathway for experienced NPs to obtain transitional licenses.
    • The law requires a minimum of 5 years of full-time work equivalence in the NP's certification area.
    • This model aims to facilitate broader NP utilization.

    Conclusions:

    • Virginia's transitional licensing model offers a precedent for other states.
    • NP advocates can leverage this case study to inform their legislative efforts.
    • Expanding NP scope-of-practice through legislative reform is achievable.