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Access to Care for Tennessee
  • Home
  • Rural Health
  • TAKE ACTION
  • About
  • News
  • For Legislators

Access to care is a policy choice

Access to care is a policy choiceAccess to care is a policy choiceAccess to care is a policy choice

Fighting for Health Care Access

ACT Now!

Access to care is a policy choice

Access to care is a policy choiceAccess to care is a policy choiceAccess to care is a policy choice

Fighting for Health Care Access

ACT Now!

Tennessee has the providers, the evidence, and the federal investment to expand access to care

The Challenge

Leadership Moment

The Challenge

Rural Communities Are Running Out of Access

More than 80 of Tennessee’s 95 counties are designated Health Professional Shortage Areas. Patients wait weeks or months for appointments, travel long distances for basic care, or rely on emergency departments for routine needs.

This is not a future concern. It is happening now across rural Tennessee.

The Reality

Leadership Moment

The Challenge

The Workforce Already 

Exists

APRNs and PAs are already practicing across Tennessee, particularly in rural and underserved communities. They provide primary care, manage chronic disease, and sustain access in clinics and hospitals that would otherwise struggle to remain open.

The barrier to care is not training or competence.
It is outdated law.

Leadership Moment

Leadership Moment

Leadership Moment

A Moment for 

ACTion

Tennessee’s $200 million Rural Health Transformation Program award recognizes that workforce flexibility is essential to rebuilding rural health infrastructure.

Governor Bill Lee’s call to modernize scope of practice laws reflects an evidence-based approach focused on access, outcomes, and community stability.

Now is the time to align law with reality.

Rural Communities Do NOT HAVE ACCESS

The Rural Healthcare Access Crisis

Modernizing the Healthcare Workforce

Modernizing the Healthcare Workforce

Rural Tennessee faces growing access challenges driven by provider shortages, long travel distances, and overreliance on emergency departments for routine care.

These challenges are not caused by a lack of qualified clinicians. They are the result of outdated policies that limit how care can be delivered, even when providers are already serving these communities.

Modernizing the Healthcare Workforce

Modernizing the Healthcare Workforce

Modernizing the Healthcare Workforce

Modernizing scope of practice laws allows APRNs and  PAs to work to the full extent of their education and training.

Evidence from more than half of U.S. states shows this approach:
• Expands access to care
• Improves rural recruitment and retention
• Maintains patient safety and quality
• Strengthens healthcare system sustainability

Solutions Toolkit

GOVERNOR LEE's RURAL HEALTH TRANSFORMATION APPLICATION

TN RHTF Application Full Document (pdf)

Download

Third Party Support

The Federal Trade Commission

National Governor's Association

National Governor's Association

“We have not seen research suggesting that the safety or quality of primary care services declines when APRN supervision or collaborative practice requirements are lessened or eliminated.”

​

National Governor's Association

National Governor's Association

National Governor's Association

“Among the quality of care components that these studies measure are several process measures, among them patient’s satisfaction, time spent with patients, prescribing accuracy, and the provision of preventive education. In each of these categories, Nurse Practitioners provided at least equal quality of care to patients as compared to physicians.”

Institute of Medicine

National Governor's Association

American Enterprise Institute

Future of Nursing Report: 

“The contention that APRNs are less able than physicians to deliver care that is safe, effective and efficient is not supported by the decades of research that has examined this question.”

American Enterprise Institute

American Enterprise Institute

American Enterprise Institute

"We have reviewed sizable body of evidence related to whether there was any difference in quality of care when it was provided by APRNs rather than physicians. There is extensive empirical evidence that APRN practice outcomes are at least equivalent to those of physicians to which they are compared. And on some metrics, such as patient satisfaction, some studies have found APRN care is actually better."

The Cato Institute

American Enterprise Institute

The Cato Institute

“When physician groups argue to restrict the scope of practice of nurse practitioners, they argue that a broader scope of practice would threaten patient safety. Yet study after study has shown midlevel clinicians provide a level of quality equal to that of physicians performing the same services.”

Get in Touch

Access to Care for Tennessee

Nashville, TN, USA

info@accesstocaretn.com

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