Doctor Ramirez criticizes Michigan House Bill 4399's impact on healthcare access and quality

Concerns over House Bill 4399 dominated the recent Health Policy meeting in Michigan, as medical professionals voiced strong opposition to the proposed legislation granting full practice authority to nurse practitioners. Dr. Rose Ramirez, a prominent physician and former president of the Michigan State Medical Society, highlighted critical flaws in the bill, arguing it fails to address the root causes of healthcare access issues in underserved areas.

Dr. Ramirez pointed out that similar legislative changes in states like Oregon and Minnesota have not improved access to care, as nurse practitioners often choose to practice in the same locations as physicians. She emphasized that systemic challenges—such as burdensome regulations and low reimbursement rates—cannot be resolved simply by allowing nurse practitioners to practice independently.

The bill has been criticized for lacking essential safeguards, including requirements for minimum patient contact hours and clear guidelines for when nurse practitioners should consult with other healthcare professionals. Dr. Ramirez warned that the absence of these measures could compromise patient safety and care quality.

Moreover, she raised concerns about the potential for confusion regarding the roles of nurse practitioners and physicians, arguing that the bill promotes an unrealistic view of their interchangeability. "Patients deserve access to quality care by professionals who have the necessary education, training, and experience," she stated.

As the committee deliberates on the bill, the implications for healthcare delivery in Michigan remain a pressing concern. Dr. Ramirez urged lawmakers to reconsider the legislation in its current form, emphasizing the need for a balanced approach that prioritizes patient safety and effective healthcare solutions.