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Debate broadens over nurse practitioner full practice authority as committee hears both sides of HB 4399
Summary
Representative Preston and supporters told the House Health Policy Committee that House Bill 4399 would remove the statutory physician‑contract requirement for nurse practitioners while opponents warned the bill lacks required safeguards and could harm patient safety if enacted as written.
Representative Preston introduced House Bill 4399 to remove the statutory requirement that nurse practitioners enter contracts with physicians to provide care under their own license. The committee heard extensive testimony both supporting and opposing the proposal.
Supporters said the bill would not expand clinical scope but would remove an administrative barrier that restricts nurse practitioners’ ability to practice, particularly in underserved and rural areas. Representative Preston said 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.” Nyla Russell of the Michigan Council of Nurse Practitioners and dozens of nurse…
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