Our mission is to secure Full Practice Authority for advanced practice nurses and other healthcare professionals, ensuring they can provide care to the full extent of their training without unnecessary regulatory burdens. This includes advocating for the elimination of mandatory supervisory and collaborative agreements that hinder patient access to high-quality care and restrict the availability of healthcare options.

Pacific Legal Foundation helps advanced practice nurses and other experienced healthcare professionals challenge unreasonable government restrictions, so they’re free to serve their communities.

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Pacific Legal Foundation helps advanced practice nurses and other experienced healthcare professionals challenge unreasonable government restrictions, so they’re free to serve their communities.

Are you an advanced practice nurse facing unreasonable regulations that hurt your ability to help patients? Submit your case to PLF and see if we can help you.

June 25, 2026 | By PLF

Kansas City Star: My victory for nurses’ rights will help change the system for every Kansan

Kansas faces a real nursing shortage, and this fight proved these systems can be changed when someone refuses to accept that they can’t.

June 22, 2026 | By DONNA MATIAS

The Washington Post: Pay $50,000 to do her job? This nurse practitioner is suing.

The law mandates that nurse practitioners have a “collaborative practice agreement” — a contract Markes must enter with a physician to provide care.

October 2, 2025

Physicians Society of Central Florida: Nurses With Doctorates Cannot Tell Patients They’re Doctors, Court Rules

California nurses with doctorates do not have the right to call themselves doctors, a federal court ruled, upholding a state law that regulates what titles health professionals can use in advertisemen…

October 1, 2025

Milwaukee Journal Sentinel: Wisconsin’s nurses just got more freedom — and patients win

Now, some Wisconsin nurses can evaluate patients, diagnose conditions, prescribe medications, and even manage chronic diseases on their own. If you’ve ever been stuck in a waiting room, staring at a…

June 26, 2026 | By ALESSANDRA CARUSO

Pregnant mothers in Nebraska fight back against restrictions on birth freedom

Nebraska mothers challenge the state’s ban on certified nurse midwives attending home births, arguing it violates their rights.

June 18, 2026 | By ALESSANDRA CARUSO

New PLF research shows state licensing laws are keeping patients from their doctors

State licensing laws block telehealth access to out-of-state specialists, harming patients and raising costs.

June 18, 2026 | By ALESSANDRA CARUSO

Court clears Kansas nurse’s record over paperwork error

Kansas court cleared veteran nurse Amy Siple’s record after a paperwork lapse, spurring reform to curb licensing board overreach.

May 07, 2026 | By ALESSANDRA CARUSO

A historic home birth in Nebraska

PLF client Hope Lindstrom makes history with Nebraska’s first legal CNM-assisted home birth.

February 12, 2026 | By RACHEL CULVER

Increased access to Certified Nurse Midwives improves maternal and prenatal health

For Hope Lindstrom, the question of where and how to give birth is deeply personal. As a devout Christian and licensed pastor, she views childbirth as a sacred experience—one that centers her as an …

November 14, 2025 | By RACHEL CULVER

‘Certificate of Need’ and occupational licensing laws restrict access to healthcare. States can do better.

Certificate of need (CON) laws and occupational licensing pose unnecessary barriers to life-saving medical care. In a recent law review article, Pacific Legal Foundation attorneys Jaimie Cavanaugh and…

September 15, 2025 | By BRITTANY HUNTER

Patients deserve better: Missouri NP takes stand against barriers to healthcare

Finding a great healthcare provider is like winning the lottery. And Nurse Practitioner (NP) Marcy Markes’ patients have hit the jackpot. Since 2003, Marcy has owned and operated the Columbia Allerg…

August 29, 2025 | By CAITLIN STYRSKY

Nurse practitioners can help fill Missouri’s provider gap

For many Missourians, access to healthcare is out of reach. Eighty percent of the state is considered a healthcare desert, with too few providers to meet the needs of local residents. Missouri ranks a…

June 06, 2025 | By CAITLIN STYRSKY

Removing collaborative practice agreements boosts healthcare access 

Nurse practitioners and certified nurse midwives are known as “advanced practice registered nurses” (APRNs). They’re an essential category of medical professionals who work on the frontlines of …

March 13, 2025 | By JAIMIE CAVANAUGH

Nurse practitioners play a critical role in healthcare. States should get out of their way.

As a nurse in rural Colorado after World War II, Loretta Ford described herself as a lone ranger. “Whatever went on in health, I was called,” she said. “I took care of it.” Ms. Ford, who died in J…