Two bills die in committee in Florida that would have given NP's independent practice.

[myoglobin, ASN, BSN, MSN]

This happened despite that fact that both passed on the floor by comfortable margins. I believe they were SB 972 and HB 821. So what could be done to improve prospects next year of passing in committee where it is not doubt opposed by AMA and other interests?

[DrCOVID, DNP]

https://www.texasnp.org/page/AdvocacyIssues

I am going to investigate this as soon as I get some time. It really is a shame this is such an issue state by state. Makes no sense to us... I just think it comes down to whatever the state medical lobby wants. Why else would this vary so much by state?

[myoglobin, ASN, BSN, MSN]

There is a largely "invisible battle" waged both at the federal and in every individual state between the medical lobby (think AMA and there supporters) and the NP's (think AANP and there supporters). To block a new bill all you need to do is control a key member of the majority party in either the state house or the state senate in most cases to keep if from even coming up for a vote. This is how the game is played. In those states (such as Washington and Arizona) where NP's have IP they have managed (somehow) to play the game well enough to both acquire and maintain there IP status. In states like Florida (and California) the MD's spend so heavily that it will take truly powerful, dynamic lobbying efforts integrated with an effective public campaign to push such legislation through. The "fall back" approach from the AMA has been to (when they cannot prevent) IP practice to attach as many restrictions as possible (in terms of years experience and required physician endorsement) before NP's can actually obtain such status (look to Virginia and Pennsylvania for example for this model).