Shapiro Makes Push for Full Practice Authority in Budget Speech
- PANA
- Mar 5, 2025
- 2 min read
Budgets are about more than just numbers. They’re also about policy priorities.
On Feb. 4, Gov. Josh Shapiro unveiled his proposed spending plan for the 2025-26 fiscal year. In a 91-minute speech before a joint session of the Pennsylvania General Assembly in Harrisburg, the governor unveiled his $51 billion blueprint, an increase of approximately 8.5% over the current year.
Beyond the myriad line items, the governor also outlined several initiatives where the legislature and administration could work together to strengthen the state’s health-care network, no matter where residents live.
Among his objectives is granting full practice authority to nurse practitioners. This would allow NPs to evaluate patients; diagnose, order and interpret diagnostic tests; and initiate and manage treatments — including prescribing medications — under the exclusive licensure authority of the state board of nursing.
The effort is not too dissimilar from efforts by the Pennsylvania Association of Nurse Anesthetists to advance scope of practice legislation, which would allow certified registered nurse anesthetists to practice to the fullest extent of their education and training, thus increasing access to high-quality anesthesia care.
According to the administration, there simply aren’t enough primary care physicians to meet the needs of patients in rural, suburban, and urban communities across the commonwealth. Many residents already have experienced the effects via long wait times for appointments, difficulties finding a mental health provider accepting new patients, and having to travel long distances to neighboring counties for prenatal and maternal care.
This is especially true in rural areas, where full practice authority could really help, Shapiro said in his speech. “In rural counties, there is one primary care physician for every 522 residents,” he said.
Full practice authority for NPs has been successfully enacted in 27 other states.
Learn more about the issue HERE.
Full practice authority could improve healthcare access and reduce wait times if implemented thoughtfully. Wishing policymakers success in finding the right balance. Meanwhile, communities also benefit from reliable local businesses like Dry Cleaning Services Ajax that make everyday life more convenient.
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**Comment:**
“While expanding full practice authority for Shapiro addresses critical healthcare access gaps, especially in underserved areas, we must pair this regulatory shift with robust **behavioral finance education** for patients. Why? Because empowering professionals like nurse practitioners is only half the solution—the other half is helping patients overcome cognitive biases (e.g., hyperbolic discounting, loss aversion) that lead them to skip preventive care or choose less effective treatments. A budget that funds both clinical authority and patient financial literacy programs would truly transform outcomes.”
*Keyword used: behavioral finance education*