| Centers for Medicare & Medicaid Services (CMS) |
Federal |
Medicare, Medicaid, CHIP, healthcare quality, and patient safety |
Administers major federal health insurance programs, sets standards for quality and safety, and oversees healthcare provider participation in Medicare and Medicaid. |
Determines reimbursement rates for APRN services, dictates scope of practice and requirements for Medicare billing, influences quality reporting and patient safety measures. |
Impacts all APRN specialties and settings as it regulates reimbursement for services, impacting access to care and APRN's ability to practice independently. |
| Food and Drug Administration (FDA) |
Federal |
Drug approval, medical device safety, food safety, cosmetics |
Ensures the safety and efficacy of medical products, including drugs, vaccines, and medical devices used in healthcare settings. |
Determines access to medications and medical devices used in APRN practice, influences treatment options and protocols. |
Impacts all APRN specialties and settings, as it regulates the tools and medications APRNs use to provide care. |
| Health Resources and Services Administration (HRSA) |
Federal |
Primary care, rural health, mental health, maternal and child health, HIV/AIDS care |
Funds and supports healthcare providers, especially in underserved areas, focusing on primary care, mental health, and substance use disorder services. |
Influences access to care and funding opportunities for APRNs, especially in rural and underserved communities. |
Highly relevant to APRNs practicing in primary care, rural areas, and mental health settings. |
| Centers for Disease Control and Prevention (CDC) |
Federal |
Public health surveillance, disease prevention, health education |
Conducts research, provides public health guidelines and recommendations, and supports public health efforts to prevent and control infectious diseases. |
Provides essential information and guidance for APRNs on infectious disease prevention and management, including vaccination protocols and infection control practices. |
Impacts all APRN specialties and settings, as it informs best practices for infection control and patient safety. |
| State Boards of Nursing (BON) |
State |
Nursing licensure, scope of practice, professional conduct |
Govern the practice of nursing within their respective states, setting licensing requirements, defining the scope of practice for nurses, and enforcing ethical and professional standards. |
Determines the specific scope of practice for APRNs within each state, including prescriptive authority, collaborative practice agreements, and independent practice regulations. |
Highly relevant to APRN practice, as it dictates the specific legal parameters of their role and responsibilities within their state. |