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advanced practice registered nurses

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VA wants to expand role of advanced nurses


The Department of Veterans Affairs (VA) has formally proposed to let its advanced practice registered nurses (APRNs) work independently without physician supervision in its  healthcare network, the largest in the nation.

The VA said that expanding the APRN scope of practice in such a way would increase veterans’ access to care and shorten their notoriously long wait times for appointments.

Not surprisingly, the American Medical Association opposes the plan because it runs counter to physician-led, team-based care, which it called the best approach to improving quality.  Many physicians also worry that such change could reduce the influence and income of physicians.

Read more here.


Bill would extend Sunshine Act to PAs and NPs


A bill in the U.S. Senate  would fill a gap in the Sunshine Act —a section of the Affordable Care Act that orders drug and medical-device makers to inform the government when they give stuff to physicians. The bill would extend this reporting mandate to  cover physician assistants, nurse practitioners and other kinds of advanced practice registered nurses.

After all,  many of them can prescribe the products above and they, like physicians, may receive cash and in-kind payments from  the medical-products industry as incentives to do so.

As states give PAs and NPs more  prescribing authority and as they take over more of primary care,  it seems past time to fix that gap.



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