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Nurse practitioner scope of practice law and safety net participation: Evidence from WIC

2025/12/15 by Owen Fleming, Lilly Springer · 1 voice
Health Professions · Social Sciences · #Delphi Technique in Research #Global Health Workforce Issues #Nursing Roles and Practices

paper · doi:10.1111/coep.70019

openalex publication_date 2025/12/15 · openalex created_date 2025/12/16 · openalex updated_date 2026/07/04

Abstract

Abstract Given that nurse practitioners (NPs) are likely to practice in underserved areas, NP scope of practice reform may have spillover effects on safety net program participation. Leveraging the staggered rollout of NP full practice authority (FPA) across states, we estimate the effect of NP FPA on Women, Infants, and Children (WIC) participation. We find that starting 4–5 years after FPA, WIC participation increases by 4.1%, rising to 7.4% a decade post‐FPA. The increase is driven by the enrollment of women and children and may be attributable to the patient‐centered care delivery of NPs, which reduces the stigma and information costs associated with WIC participation.

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