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Heated testimony on HB 4399: nurse practitioners seek full practice authority while medical groups warn of safety risks
Summary
Representative Preston and nurse practitioner advocates told the House Health Policy Committee HB 4399 would remove the statutory physician‑contract requirement and ease credentialing barriers; physician groups and medical‑society witnesses warned the bill lacks minimum supervision and patient‑safety safeguards.
Representative Natalie Preston introduced House Bill 4399 to the Michigan House Health Policy Committee, saying the bill “does not increase the scope of practice for nurse practitioners. It simply codifies the existing regulations around what a nurse practitioner is currently providing to their patients.” Preston said the measure would remove the statutory requirement that a physician contract delegate practice authority to nurse practitioners and instead allow the Michigan Board of Nursing to grant nurse practitioner specialty certification consistent with national accreditation and board requirements.
Supporters testified that the bill would increase access and build workforce capacity. Nyla Russell of the Michigan Council of Nurse Practitioners said Michigan has over 14,000 nurse practitioners and argued the…
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