“For the last seven years, we have advocated stridently – alongside our partner physician associations – against legislation that would eliminate collaborative agreements between physicians and certified registered nurse practitioners (CRNPs). Senate Bill 25, which passed the Senate earlier this year, rests in the House Professional Licensure Committee. The chair of that committee, Rep. David Hickernell (R-Lancaster), has presented us with an outline of a proposal that would establish a six-year pilot project allowing CRNPs to practice independently in federally designated physician shortage areas. I, along with the PAFP Board of Directors, will be evaluating the concepts outlined in the proposal. Our position has been steadfast: that nurse practitioners (NPs) are integral, valuable members of the health care team, held in the highest regard by family physicians. However, patients are best served when a physician-led, highly coordinated health care team provides care. We will keep you updated on this very important matter. Thank you for all you do.”