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The Effects of State Scope of Practice Laws on the Labor Supply of Advanced Practice Registered Nurses

Sara Markowitz, E. Kathleen Adams

NBER Working Paper No. 26896
Issued in March 2020
NBER Program(s):Health Care, Health Economics, Law and Economics, Labor Studies, Public Economics

This paper studies the effects of changes in states’ scope of practice laws (SOP) for advanced practice registered nurses (APRNs) on individual labor supply decisions. Restrictive SOP impose costs and other barriers to practice that may affect these decisions. Using survey data on APRNs, we analyze employment in nursing, work hours, part-time work status, multiple job holding, self-employment, wages, and migration. Results show that the level of SOP restrictions are not strong determinants of many labor market decisions, with a few exceptions. We find that hours worked and self-employment both increase when nurses practice in regulatory environments that are free from physician oversight requirements.

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Document Object Identifier (DOI): 10.3386/w26896

 
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