Revisiting outdated state practice laws, and considering Full Practice Authority (FPA) for nurse practitioners (NP), is needed for improving access to care while creating greater flexibility for development of patient-centered health care homes and other emerging models of care delivery. In states where nurse practitioners have full prescriptive authority, including the ability to prescribe controlled substances, this study revealed that per 1000 nurse practitioners and physicians, the average rate of malpractice claims was seven claims per 1000 nurse practitioners and 234 claims per 1000 physicians (Chandler, 2010). A nurse practitioner (NP) is an advanced practice registered nurse and a type of mid-level practitioner. Instead, NPs in those states must work with an overseeing physician. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe treatment plans. A. During the 1996 General Assembly, House Bill 358 was passed. Nurse practitioners are fighting in other states for more authority to treat patients at a time of rising concern over the impact of the federal health law. Gaining public support for full practice authority. Currently, 21 states and the District of Columbia have adopted FPA for NPs, with 15 more states … History of APRN Collaborative Agreements for Prescriptive Authority History of APRN Collaborative Agreements for Prescriptive Authority . Such are the limitations that NPs work under in 28 states that limit practice authority for nurse practitioners. Q. Prescriptive authority is delegated through a prescriptive authority agreement, which is filed with the Texas Medical Board. In 2016, nurse practitioners in West Virginia gained the right to full practice authority after three years of collaboration with a physician, and NPs worked with the legislature for years to achieve this change. Practice authority can be defined as nurse practitioners’ ability to practice with or without physician oversight. For more detailed information, please click on a state or territory. 1) practice authority 2) prescriptive authority 3) nurse practitioners identified as primary care providers. A. Download and complete the forms on the BON's updated website. How do I get Prescriptive Authority? The prescriptive authority information includes the current application form, pharmacology course verification form, and the Board-approved Collaborative Agreement Form (which is on pages 5 and 6). Choose a tab to explore different options. What happens if I need to make changes to my collaborative agreement?