title: Federal Polices Influence Access to Primary Care and Nurse Practitioner Workforce.
abstract: Although most nurse practitioners (NPs) are aware of state-level regulations that influence practice, many are unaware of the ways that federal policies affect NP workforce supply and the delivery of primary care. In this investigation we provide an overview of federal initiatives enacted through the Patient Protection and Affordable Care Act that impact the NP workforce. We explore how the law supports NP workforce supply and settings in which NPs provide care. We then describe challenges that may prevent full utilization of the NP workforce. Examining both federal policies and state-level regulations is essential to achieving an increased NP workforce supply and improved access to care.
authors.affiliation: Center for Health Outcomes and Policy Research in the School of Nursing at University of Pennsylvania in Philadelphia.
authors.forename: J Margo Brooks
authors.initials: JM
authors.lastname: Carthon
authors.affiliation: Center for Health Outcomes and Policy Research in the School of Nursing at University of Pennsylvania in Philadelphia.
authors.forename: Hilary
authors.initials: H
authors.lastname: Barnes
authors.affiliation: Center for Health Outcomes and Policy Research in the School of Nursing at University of Pennsylvania in Philadelphia.
authors.forename: Danielle Altares
authors.initials: DA
authors.lastname: Sarik
keywords: Affordable Care Act; nurse practitioner; policy; workforce