Scope of Practice

The MAFP believes that nurse practitioners and other allied health professionals are a valuable part of the health care team; however, these professionals should always function under the direction and responsible supervision of a practicing, licensed physician.

Legislation Status -- APRN Scope of Practice

The most recent major APRN scope of practice legislation under consideration in Michigan was House Bill 5400 (H-2) (Public Act 499). This bill represents the culmination of years of negotiations around the appropriate scope of practice for APRNs in Michigan. It is the comprise no one thought possible, brokered between physicians and nurses in the summer of 2016. The legislation, among other things, defines advanced practice registered nursing in the public health code and broadens some APRN authorities, including allowing APRNs to prescribe nonscheduled drugs autonomously, make calls or go on rounds without restrictions notwithstanding any law or rule to the contrary, and prescribing physical therapy, ordering physical and chemical restraints, and referring for speech pathology services. APRNs are still licensed as registered professional nurses and subject to state law regarding physician delegation.

House Bill 5400 (H-2) saw victory in the Michigan House of Representatives on November 29, 2016, passing by a vote of 102 to 5. It passed out of the Senate on December 14 by a vote of 36 to 1, and was signed into law by Governor Rick Snyder on January 5, 2017.

MAFP was selected to receive the 2017 AAFP Leadership in State Government Advocacy Award for the chapter’s work on advanced practice registered nurse (APRN) scope of practice legislation. This annual award recognizes outstanding chapter contributions to further Family Medicine through legislative accomplishments or initiatives, or the support of public policy efforts.

Additional Resources