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Advanced Practice Registered Nurse Collaborative Agreement

Despite the increase in demand from suppliers and the fact that APRN has consistent positive results comparable to physician quality metrics, NRPA faces significant barriers to independent practice. Such a barrier is the requirement that an APRN have a Collaborative Practice Agreement (CPA) with a physician. These agreements generally have little or no benefit, but they are barriers to the maintenance of the NISA. CHICAGO – NCSBN conducted a survey of state-registered nurses (APRNs) to determine the economic pressures and practice constraints imposed by state laws. The survey results were published in the January 2019 issue of the Journal of Nursing Regulation. APRN`s roles include certified nurses, clinical nurses, certified nurses and certified midwives. Currently, 21 states give full practical authority to all NRNPA roles, which means that there is no need for written CPA, monitoring and practical conditions. The remaining 29 states face regulatory barriers that require a reduction in the scope of practice for at least one of the four APRN rolls. “The Economic Burden and Practice Restrictions Associated With Collaborative Practice Agreements: A National Survey of Advanced Practice Registered Nurses,” Journal of Nursing Regulation, Volume 9, Issue 4 is available at

The NCSBN was established on 15 March 1978 as an independent non-profit organisation, in order to reduce the burden on state governments and to bring together the health care authorities (NRA) to act and advise together on issues of common interest. It has become one of the leading regulatory voices worldwide. The statements and opinions expressed are those of the NCSBN and not of individual members. NCSBN members are made up of NRBs in all 50 states, the District of Columbia and four U.S. territories, American Samoa, Guam, the Northern Mariana and the Virgin Islands. There are three audit members. There are also 26 associate members who are either national AUTHORITIES or delegated regulatory authorities from other countries or territories. The study showed that NRPA patients working in rural areas and private clinics run by APRN are one and a half to six times more likely to be considered CPA fees, often more than $6,000 and up to $50,000 per year.