VA Grants Full Practice Rights to APRNs

Posted 6:29 PM by

From the American Osteopathic Association (AOA):

The US Department of Veterans Affairs (VA) published a final rule this week that will provide certain advanced practice registered nurses (APRNs) with full practice authority within VA facilities.

The rule pre-empts state scope of practice laws regulating medical care for services provided as part of an individual’s scope of employment within the VA system. The proposed rule would have allowed full independent practice for certified registered nurse anesthetists; they were removed from the final rule and their practice will remain under physician oversight.  

The AOA supports team-based care that utilizes the complete medical education and training of a fully-licensed physician as part of a collaborative effort with other health care providers. They strongly believe that this is the only way to meet the comprehensive health care needs of each patient. The AOA also continues to support the right of states to regulate the delivery of health care within their borders. 

As such, the osteopathic profession commented in opposition to the proposal rule earlier this year, and the AOA plans to do the same during the 30-day open comment period on the final rule. Next week, the AOA will circulate a sign-on letter to the osteopathic medical profession. Please consider joining the letter, either as a signatory or by contributing comments for potential incorporation. 

If you have any questions in the meantime, please contact Nick Schilligo, the AOA's associate vice president of state government affairs, at