Medical Societies Oppose Provision in APRN Compact That Would Alter State Scope of Practice Laws

Last Updated: May 17, 2018

pen_writingA group of 83 national specialty and state medical societies – led by the American Medical Association – have asked the National Council of State Boards of Nursing (NCSBN) to reconsider certain provisions of the Advanced Practice Registered Nurse Compact (APRN Compact) that would alter state laws related to APRN scope of practice.

The APRN Compact would allow an advanced practice registered nurse to hold one multistate license with a privilege to practice in other compact states. It will be implemented when 10 states have enacted the legislation. As of May 16, 2018, NCSBN says that three states have enacted APRN legislation.

In a May 10, 2018 letter to NCSBN, the organizations – including the Pennsylvania Medical Society (PAMED) – wrote, “Of the health professional licensure compacts in existence, the APRN Compact is the only compact that changes the health professional’s scope of practice.”

The letter asks NCSBN to remove or substantially revise the sections of the compact that grant prescriptive authority and allow APRNs to practice independent of a supervisory or collaborative relationship with a physician, notwithstanding state law to the contrary.

PAMED supports physician-led, team-based care that emphasizes increased coordination over provider autonomy. To learn more about PAMED’s advocacy initiatives, including scope of practice issues, visit

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