In addition, 23 states and Washington, D.C. allow nurses to practice independently, with ongoing political battles in other states. Removing unnecessary restrictions on the scope of practice of all types of APRNs in North Carolina would save the state's health system $477 million and create 3,848 new jobs, according to a report commissioned by the North Carolina Nurses Association. This new bill would give full practice authority (FPA) to nurse practitioners in the state of California. Gaining public support for full practice authority. Such are the limitations that NPs work under in 28 states that limit practice authority for nurse practitioners. One of the added benefits to granting NPs full practice authority is that it presents them with a more stable opportunity to serve patients in underserved areas. This PR and lobbying has reaped benefits for nurse practitioners (NPs). Cost benefits of giving full practice authority to advanced practice RNs (APRNs). In 2016, nurse practitioners in West Virginia gained the right to full practice authority after three years of collaboration with a physician, and NPs worked with the legislature for years to achieve this change. Nurse practitioners in full practice states have no limitations placed on their ability to treat patients. On September 29, 2020, AB290 was signed into law by Gavin Newsom and Assembly member Jim Wood (D-Santa Rosa) finally making full practice authority a reality. The following states allow NPs to earn full practice authority after practicing with physician oversight for a set number of hours. He remarked that “nurse practitioners who receive additional appropriate education and experience can provide the quality care that Californians deserve.” NPs are able to order and interpret a variety of tests, provide diagnosis, and prescribe medications – including controlled substances – to treat their patients. The Impact of Full Practice Authority for Nurse Practitioners and Other Advanced Practice Registered Nurses in Ohio Grant R. Martsolf, David I. Auerbach, Aziza Arifkhanova Sponsored by the Ohio Association of Advanced Practice Nurses C O R P O R AT I O N Instead, NPs in those states must work with an overseeing physician. Thank you for this article [Advisor Forum, “No thanks, on full-practice authority,” March 2016].I’ve been a practicing PA for 32 years, and I totally agree with you. The Veterans Administration recently granted full practice authority to NPs, allowing veterans to receive medical care from nurses without physician supervision. California Grants Nurse Practitioner’s Full Practice Authority For the past decade there has been multiple attempts to award full practice authority to Nurse Practitioners in California. A recent press release detailed the lawmaker’s intention for this bill. Full Practice Authority. In states where nurse practitioners have full prescriptive authority, including the ability to prescribe controlled substances, this study revealed that per 1000 nurse practitioners and physicians, the average rate of malpractice claims was seven claims per 1000 nurse practitioners and 234 claims per 1000 physicians (Chandler, 2010).