Michigan nurse practitioners advocate for expanded practice authority to improve patient care

The Michigan Legislature convened on May 14, 2025, to discuss critical health policy issues, particularly focusing on the scope of practice for nurse practitioners (NPs). The meeting featured testimonies from various healthcare professionals advocating for legislative changes aimed at improving patient access to care.

The session began with a presentation from an advanced heart failure cardiologist who emphasized the importance of clarifying the terminology surrounding nurse practitioners' practice. He highlighted the distinction between "restricted practice" and "reduced practice," expressing concern that current legislative language could limit the autonomy and effectiveness of NPs in patient care. He provided a specific example of a nurse practitioner who successfully diagnosed a pericardial effusion, underscoring the vital role NPs play in timely and accurate patient assessments.

Following this, Jeremy Lapham, a family nurse practitioner and chief representative of the Michigan Nursing Association, spoke in support of the proposed bill. He pointed out that Michigan ranks low in access to primary care, with a significant percentage of counties designated as health professional shortage areas. Lapham argued that the bill would help eliminate outdated regulations that hinder NPs from fully utilizing their training and expertise, ultimately improving patient care across the state.

Patrick Crane, a doctorally prepared nurse practitioner and immediate past president of the Michigan Council of Nurse Practitioners, also addressed the committee. He noted that Michigan's restrictive laws prevent NPs from delivering care that aligns with their education and certification. Crane shared personal experiences illustrating how current regulations create barriers to hiring qualified NPs, which directly impacts patient access to necessary healthcare services.

Throughout the meeting, the overarching theme was the urgent need for legislative reform to enhance the role of nurse practitioners in Michigan's healthcare system. The testimonies collectively called for a reevaluation of existing laws to allow NPs to practice to the full extent of their training, thereby addressing the significant gaps in healthcare access for Michigan residents.

The committee concluded the session without immediate questions, but the discussions highlighted a clear consensus on the necessity of reforming nurse practitioners' scope of practice to better serve the state's healthcare needs. Further actions and follow-up discussions are anticipated as the legislature considers the proposed changes.