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Public Policy

Study finds majority of Florida’s independent nurse practitioners practicing outside their scope

By AOA Staff

02.02.26

A recent study published in “Family Practice” that examines the practice patterns of autonomous nurse practitioners (NPs) in Florida found that more than half are practicing outside of their scope of practice. Florida passed a law in 2020 to allow NPs who have completed 3,000 clinical practice hours within the past five years to register with the board of nursing to practice autonomously only in primary care, including family medicine, general pediatrics and general internal medicine, as defined by the board.

Nonetheless, according to the randomized study, more than half of the autonomous NPs reached were practicing in non-primary care settings, including:

  1. Cosmetic and non-standard medical/surgical practices such as antiaging, IV hydration, vitamin infusions, hormonal therapy and supplements
  2. Psychiatry and addiction medicine
  3. Emergency medicine and urgent care
  4. Inpatient medicine
  5. Cardiology

These findings present patient safety concerns, and undermines arguments frequently made by NPs that expanding their scope will help alleviate primary care shortages.