Goal and Impact
State laws and federal policies are among factors that keep nurses from contributing all they can to America’s health needs and wellness. The Campaign for Action is pushing for changes that would allow nurses to practice to the full extent of their education and training. Lifting restrictions means that more Americans will have better access to high-quality, affordable health care when and where they need it, including in rural and other underserved areas of the country. Prioritizing access for all is essential to achieving health equity.
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Progress
Since the Campaign began, 10 states have increased consumers’ access to care by removing legal barriers that prevented nurse practitioners from providing care to the full extent of their education and training, and many other states have made incremental improvements. In 23 states and the District of Columbia, nurse practitioners are allowed to provide full care.
This graph is a part of the Campaign for Action Dashboard, a series of charts and graphs that show goals by which the Campaign evaluates its efforts to implement recommendations in the Institute of Medicine’s The Future of Nursing, Leading Change, Advancing Health.
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State practice environment for nurse practitioners
*Scroll to right if graphic is too large to view in full on your viewport. Note: The map below is current as of January 2021.
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State practice environment for certified nurse-midwives
*Scroll to right if graphic is too large to view in full on your viewport. Note: The map below is current as of April 2021.
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NCSBN’s Consensus Model implementation status map
*Scroll to right if graphic is too large to view in full on your viewport.
Note: The map below is current as of January 2021.
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Number of nurse-led clinics in the United States
*Scroll to right if graphic is too large to view in full on your viewport.National Nursing Centers Consortium
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Percentage of U.S. Nurse-Led Clinics in Medically Underserved Areas
*Scroll to right if graphic is too large to view in full on your viewport.National Nursing Centers Consortium; U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA)
