In September 2020, California passed AB 890, which opened the pathway for nurse practitioners (NPs) to treat patients without physician supervision. This was one of the California Future Health Workforce Commission’s priority recommendations to address the state’s shortage of health care workers. Prior to AB 890, California was one of only 22 states - and the only western state - to restrict NPs by requiring physician oversight.
As of early 2022, the Board of Registered Nursing is in the process of promulgating regulations that will heavily influence how quickly and effectively AB 890 can be implemented. The state legislature is also considering steps that could affect NP independent practice.
This collection highlights the evidence base and expert insights around NP practice, often drawing on data and best practices from other states, to inform the California policy conversation around AB 890 and its implementation.
California’s Nurse Practitioners Play a Critical Role in a Stretched Health Care System
Stephanie Bedolla, a bilingual Latina/x nurse practitioner, returned to her hometown to provide care to her community. She’s an example of how NPs can expand access to care in California, especially in areas hard hit by physician and specialist shortages.
Provider Shortage Persists While Regulators Consider Implementation of Nurse Practitioner Law
Transition to Practice for California’s Nurse Practitioners: Lessons from Other States
Nursing Leader Illuminates Strategies to Expedite Independence for Nurse Practitioners
Aligning Nurse Practitioner Statutes in California
Independent Nurse Practitioners Bridge Big Gaps in Rural Care
Sacramento Bee: 28 States Have Loosened Restrictions on NPs. Now It’s California’s Turn.
California views itself as a pioneer of progressive health care policies and for good reason, but the state is noticeably behind in one key area: the empowerment of nurse practitioners, or NPs.
KQED: Could Expanding Nurse’s Scope of Care Help Fight the Opioid Epidemic in California?
A study published in the medical journal JAMA found that when states allow nurse practitioners to practice independently, people have better access to medication-assisted treatment for opioid addiction.