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Area of Science:

  • Healthcare Policy
  • Nursing Practice
  • Health Services Research

Background:

  • The advanced practice registered nursing (APRN) profession is influenced by evolving state legislation and regulations.
  • Understanding these changes is crucial for APRN practice and patient care access.

Purpose of the Study:

  • To provide a comprehensive analysis of 2025 state-by-state legislative and regulatory changes affecting APRNs.
  • To identify progress and persistent challenges in APRN practice authority and utilization.

Main Methods:

  • Analysis of survey data from authorities in all 50 U.S. states and Washington, D.C.
  • Review of statutory and regulatory changes enacted or passed in 2025 impacting APRN practice.

Main Results:

  • Significant progress observed in 2025 towards full practice authority and prescriptive authority expansion for APRNs.
  • Key themes include administrative modernization, independent prescribing pathways, and improved reimbursement parity.
  • Challenges persist regarding transition-to-practice periods and equitable payment models.

Conclusions:

  • Accelerating momentum exists to dismantle barriers to APRN practice.
  • Increased APRN utilization is key to enhancing healthcare access, quality, and cost-effectiveness.