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Blessings and barriers: Achieving autonomous practice in Florida.

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Florida advanced practice registered nurses (APRNs) gained autonomy in some primary care roles with House Bill 607. However, many APRNs still require collaborative agreements, indicating further legislative action is needed to remove practice barriers.

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Area of Science:

  • Healthcare Policy
  • Nursing Practice
  • Health Services Research

Background:

  • Advanced Practice Registered Nurses (APRNs) in Florida have long sought full practice authority.
  • Medical associations have historically impeded APRNs' scope of practice expansion.
  • Progress has been limited despite years of advocacy by APRNs.

Purpose of the Study:

  • To analyze the impact of recent legislation on APRN practice in Florida.
  • To identify remaining barriers to full practice authority for APRNs.
  • To advocate for further policy changes to support APRN autonomy.

Main Methods:

  • Review of Florida legislative actions, specifically House Bill 607.
  • Analysis of the scope of practice changes for nurse practitioners in primary care.
  • Examination of requirements for collaborative practice agreements for APRNs.

Main Results:

  • House Bill 607, passed in the 2020 legislative session, grants autonomous practice to nurse practitioners in specific primary care areas.
  • Despite this advancement, a significant number of APRNs in Florida are still mandated to operate under collaborative practice agreements.
  • The legislation represents a partial success, but does not fully eliminate practice barriers.

Conclusions:

  • The passage of House Bill 607 is a step towards greater APRN autonomy in Florida.
  • Collaborative practice agreements remain a significant barrier for many APRNs.
  • Further legislative efforts are necessary to achieve full practice authority for all APRNs in the state.