Problem:
In Florida, Psychiatric Mental Health Nurse Practitioners (PMHNPs) face restrictive practice regulations that require them to maintain a supervisory agreement with a physician to evaluate, diagnose, and prescribe, unlike other advanced practice registered nurses (APRNs) in the state, who were granted autonomous practice under HB 607. These limitations can lead to delays in patient care and reduce access to essential mental health services (Kleinpell et al., 2023). In contrast, North Dakota grants nurse practitioners full practice authority (FPA), which allows them to independently assess, diagnose, prescribe, and manage care under the oversight of the Board of Nursing (Dunbar-Jacob et al., 2025). Research from states with FPA, like North Dakota, indicates better outcomes for the NP workforce, including more NP-led practices, greater billing autonomy, and increased access to behavioral health services (Tracy et al., 2023; Slade et al., 2024). Advocacy efforts in Florida could use several strategies to change these regulations. Proponents can educate legislators by presenting outcome data from FPA states, building coalitions with nursing associations, and sharing patient stories that highlight the valuable contributions of PMHNPs. Evidence from NP-led and telehealth models that have successfully improved mental health access can also be used to influence policy reform (Fenton, 2024). By showcasing the success of states like North Dakota, advocates can emphasize the benefits. Need Assignment Help?