Download this proposal as a PDF.

Commenting for this proposal will be open until the close of business on Monday, June 5.

Title of Proposal:

Mid-Level Scope of Practice Reform

On behalf of:       

Virginia Academy of Family Physicians

Describe the Idea or Issue:

  • Nurse Practitioner Scope of Practice
  • Physician Assistant Scope of Practice

Desired Outcome:

Development of proactive legislation to establish appropriate education, training, testing, malpractice, formulary, case complexity, continuing education, discipline, and enforcement parameters for the autonomous practice of mid-level providers.

Legislative proposal should be based around team-based care model and should hold autonomous mid-levels to equivalent obligations as physicians.

Background/Supporting Information:

  • Recurring NP Scope of Practice autonomous practice legislation
  • Recurring PA ("Doctors of Medical Science") Scope of Practice autonomous practice legislation
  • Exhaustion of political capital defending scope expansion efforts
  • Need for physician-driven legislation to control autonomy parameters

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