AMCNO Opposes VA Proposal to Give Full Practice Authority to APRNs

The U.S. Department of Veterans Affairs (VA) recently published a proposed rule which would allow the VA to grant full practice authority for advanced practice registered nurses (APRNs), regardless of state practice acts. To review the rule, click here.

The AMCNO submitted comments to the VA on its proposal to amend its medical regulations to give full practice authority to APRNs, which would include certified nurse practitioners, certified registered nurse anesthetists, clinical nurse specialists, and certified nurse-midwifes.

It is the understanding of the AMCNO that “full practice authority” means that an APRN working within the scope of VA employment would be authorized to provide services without the clinical oversight of a physician, regardless of state or local law restrictions on that authority.

The AMCNO opposes this proposed rule, as we support the use of patient-centered, team-based care. A team-based approach includes physicians and other healthcare professionals working together, sharing information and making decisions—for the patient’s well-being. Each member of the healthcare team plays a critical role. Nurses, therapists, pharmacists, and others do their part in a team led by a physician.

In our letter, we asked the VA to reconsider implementation of this proposal.



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