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VA RIN: 2900-AP44 Publication ID: Fall 2016 
Title: Advanced Practice Registered Nurses 
Abstract:

The Department of Veterans Affairs (VA) proposed to amend its medical regulations to permit full practice authority of all VA advanced practice registered nurses (APRNs) when they are acting within the scope of their VA employment. This rulemaking would increase veterans’ access to VA health care by expanding the pool of qualified health care professionals who are authorized to provide primary health care and other related health care services to the full extent of their education, training, and certification, without the clinical supervision of physicians. This rule would permit VA to use its health care resources more effectively and in a manner that is consistent with the role of APRNs in the non-VA health care sector, while maintaining the patient-centered, safe, high-quality health care that veterans receive from VA. 

 
Agency: Department of Veterans Affairs(VA)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: No  Unfunded Mandates: No 
EO 13771 Designation: uncollected 
CFR Citation: 38 CFR 17.415   
Legal Authority: 38 U.S.C. 7301    38 U.S.C. 7304    38 U.S.C. 7402    38 U.S.C. 7403    38 U.S.C. 501    ...   
Legal Deadline:  None

Statement of Need:

The Department of Veterans Affairs (VA) is proposing to amend its medical regulations to remove barriers to the full practice authority of all VA advanced practice registered nurses (APRNs) when they are acting within the scope of their VA employment. This rulemaking would increase veterans’ access to VA health care by expanding the pool of qualified health care professionals who are fully authorized to provide comprehensive primary health care and other related health care services to veterans. This rule would permit VA to use its health care resources more effectively and in a manner that is consistent with the non-VA health care sector, while maintaining the patient-centered, safe, high quality health care that veterans receive from VA.

Summary of the Legal Basis:

38 U.S.C. 7301, 7304, 7402 and 7403

Alternatives:

Anticipated Costs and Benefits:

Risks:

Timetable:
Action Date FR Cite
NPRM  05/25/2016  81 FR 33155   
NPRM Comment Period End  07/25/2016 
Final Action  01/00/2017 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Small Entities Affected: No  Federalism: Undetermined 
Included in the Regulatory Plan: Yes 
RIN Data Printed in the FR: No 
Agency Contact:
David J Shulkin
Under Secretary for Health
Department of Veterans Affairs
810 Vermont Avenue NW.,
Washington, DC 20420
Phone:202 461-7000