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This annual update reviews advancements in advanced practice registered nurse (APRN) scope of practice and legislative changes. It details current APRN practice authority and reimbursement across all US states and Washington, D.C.

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Area of Science:

  • Nursing Policy
  • Healthcare Law
  • Advanced Practice Nursing

Background:

  • The Nurse Practitioner journal celebrates an anniversary, coinciding with a milestone year for advanced practice nursing.
  • This marks the 37th annual review of legislative actions impacting APRNs.
  • Understanding legislative progress is crucial for the evolving APRN role.

Purpose of the Study:

  • To review the historical progress of APRN scope of practice.
  • To provide current data on APRN practice authority and reimbursement in the US.
  • To inform stakeholders about the legislative landscape affecting advanced practice registered nurses.

Main Methods:

  • Review of legislative changes and policy updates affecting APRNs.
  • Compilation of data on state-specific practice authority for APRNs.
  • Analysis of current reimbursement policies for advanced practice registered nurses.

Main Results:

  • Significant progress in APRN scope of practice has been observed over the years.
  • Detailed state-by-state analysis of current APRN practice authority is presented.
  • Updates on APRN reimbursement policies across the US are provided.

Conclusions:

  • The legislative environment continues to evolve, impacting APRN practice.
  • Consistent monitoring of state-level legislation is essential for APRNs.
  • Advancements in scope of practice and reimbursement are critical for APRN contribution to healthcare.