No one seems to answer these, as no one ever gets back to acknowledge our replies...I am not sure what health reform you are talking about, the only one on at the moment is the federal government taking over the funding from state governments and the boundaries and how this is going to work is up for discussion.
as for NP and their scope of practice, they have advanced practice skills, they assess and can prescribe according to their speciality....thats were it has got a bit complicated, each state has laws about drugs and prescribing and victorian NP's had specific drugs according to their speciality specifically named what they could prescribe, I know from personal experience the NP's in ED at our local hospital, have and use advanced skills, and prescribe with no hassle..
As Australians we have no idea what internationally is acceptable by our national board as qualifications unless we have met someone along the way that has gone through the process, there is a list with AHPRA of what master programs have been deemed acceptable here, if we can gain a nurse practitioner candidate position, so that we can pursue this if we want.
We also do not know the scope of practice NP's have over in the states, so cannot make comment on this. Unfortunately the NP website here does not seem to have forums for outsiders to access so that you may ask from more informed people.