PA Governor Backs Nurse Practitioners’ Independence—Doctors Push Back Hard

The Pennsylvania Medical Society (PAMED) is pushing back against Governor Josh Shapiro’s support for granting nurse practitioners (NPs) the ability to practice independently without physician oversight. PAMED argues that while NPs play a vital role in health care, physician-led teams are essential to maintaining patient safety and high-quality care. 

PAMED’s Concerns About Independent Practice

PAMED emphasizes that while nurse practitioners (NPs) play a crucial role in health care, their training and clinical experience differ significantly from that of physicians. According to PAMED, the independent practice of NPs without physician oversight presents risks to patient outcomes.

“Patient safety should always be our top priority,” said PAMED President Lynn Lucas-Fehm, MD, JD. “Physicians are uniquely qualified to lead health care teams, as they bring years of comprehensive education and hands-on clinical experience to their decision-making.”

The Push for Expanded NP Practice Authority

The debate over NP independence has been ongoing in Pennsylvania and across the country. Supporters argue that granting full practice authority to NPs improves access to care, particularly in rural and underserved areas where physician shortages exist.

However, PAMED contends that independent NP practice could lead to fragmented care and potential safety risks. They advocate for a collaborative model, where NPs work alongside physicians rather than operating independently.

What’s Next?

Governor Shapiro’s position aligns with efforts to expand NP practice authority nationwide. Many states have already granted full practice authority to NPs, citing studies that show comparable patient outcomes between NPs and physicians in primary care settings.

PAMED plans to continue advocating for physician-led care and pushing for legislative measures that reinforce its stance. Meanwhile, the discussion around NP independence remains a key issue in Pennsylvania’s evolving healthcare landscape.

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