Texans for Healthcare Access

Allow Advanced Practice Registered Nurses to care for Texans.

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 The Issue

Advanced Practice Registered Nurses (APRNs) are masters or doctorate level health care providers who are subject to specific occupational licensing barriers which limit access to care for patients and drive up the cost of health care in Texas.

 

Texas has a critical shortage of primary care providers, with 432 Primary Care Health Professional Shortage Areas (HPSAs) in urban, suburban, and rural areas across the state.  APRNs are quality, cost-effective providers who can help address this shortage if Texas passes legislation to remove barriers standing in the way of APRNs and their patients.

The Problem

To practice in Texas, APRNs are required to enter into a contract, or what’s called a “delegation agreement,” with a physician. In many cases, the delegation is simply a physician's signature that says the APRN can practice. Some APRNs actually have to pay thousands of dollars a year for this agreement.

 

More states are opting to cut the red tape, eliminate delegation agreements, and give patients full and direct access to the quality care APRNs provide. Currently 22 states, the District of Columbia, the Department of Defense, and the U.S. Department of Veteran Affairs do not require these agreements. Meanwhile, lawmakers in New Mexico and Arizona are recruiting Texas-trained APRNs to their states, where APRNs face fewer regulatory burdens and lower practice costs.

The Solution

The Coalition for Health Care Access urges all Texas legislators to join us in supporting legislation, which will keep more APRNs in Texas and remove the requirement for unnecessary, expensive, and many times unfair pay-to-play delegation agreements between APRNs and physicians. This is zero-risk, zero-cost solution that will put patients first, and ensure that more Texans can access the vital care they need.

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Virginia Nurse Practitioner Bill Prevails

On April 4th, Governor Northam signed HB 793. The measure would allow nurse practitioners (NPs) with five years of full-time clinical experience to obtain approval to practice without maintaining burdensome, sometimes costly contracts with a physician. This legislation is a massive step towards lowering barriers to practice for NPs throughout Virginia and was passed with near-unanimous support. "I think it's a milestone for nurse practitioners here in Virginia," said Cynthia Fagan, who handles government relations as an officer with the Virginia Council of Nurse Practitioners. "I think it's a great opportunity for increasing access to care for the citizens of the commonwealth." The Virgini

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