While a bill in the California Assembly has been stripped of a pathway to autonomous practice, scope of practice legislation is pending in Pennsylvania, Michigan and Massachusetts. And in New Jersey, a proposed measure includes a path to independent practice after two years of working in a collaborative agreement with another advanced practice registered nurse or doctor. States with more practice limits don't have better patient safety, and states with fewer limits have greater access to care by NPs in areas that are underserved, AANP vice president Tay Kopanos said.

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