Federal, State, and Organizational Barriers Affecting Nurse Practitioner Workforce and Practice

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Executive Summary▸ The nurse practitioner (NP) workforce is expected to grow by 93% between 2013 and 2025 and constitutes the fastest growing primary care workforce.▸ However, many barriers at federal, state, and organizational levels affect the ability of this workforce to care for the American public in a safe and cost-effective manner.▸ Not only do federal and state regulatory policies restrict NP practice, but also the organizations employing NPs create barriers and prevent success of health reforms aimed at increasing access, reducing costs, and improving quality in primary care.▸ Times have never been so critical for the NP workforce to take a central role in the delivery of primary care and help millions of Americans to access highquality cost-effective primary care.

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