Prepared for the Future Regulated by the Past Tay Kopanos, DNP, FAANP VP State Government Affairs tkopanos@aanp.org @NPpolicy

Solutions for Adequate Healthcare Enhance the education pipeline Use scholarship and loan repayment to promote recruitment and boost retention Invest in telehealth infrastructure Right-size licensure law and regulation of health care providers

Solutions for Adequate Healthcare Enhance the education pipeline Use scholarship and loan repayment to promote recruitment and boost retention Invest in telehealth infrastructure Right-size licensure law and regulation of health care providers No Added Cost No Delay Time Proven & Effective Option

Nurse Practitioners Over 5 decades of improving access & quality care 270,000 licensed NPs Prescribe medications in 50 states, D.C. and US territories Over 1 Billion patient care visits in 2018

State Practice Environment

Progress Requires Culture Change

Progress Requires Understanding

Progress Requires Context Better Access Better Cost Better Value/Outcomes

Progress Requires Connection

Progress Requires Partners Chamber of Commerce Patient Advocates Rural Health Association National POLST Paradigm National Governors Assoc Federal Trade Commission Hospital Associations Mental Health America AARP.. Heritage Foundation Patient Centered Primary Care Collaborative Americans for Tax Reform National Conference of State Legislatures American Enterprise Institute Coalition for Patient Rights

Progress Requires Core Principles and Endurance Maintenance of consistent terminology and definitions across the profession Mutual stewardship of the profession Don’t Give Up and Don’t Go It Alone N

Healthcare improves when patients have . #FullAndDirectAcess @AANP_News @NPpolicy