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Introduction
It is well accepted that nurse practitioners provide excellent health care, meeting quality standards and also a cost effective alternative to the traditional medical model. As a profession, we are capable of independent practice. The issue being that In New York State, as well as 34 other states, Nurse Practitioners is required to maintain a collaborative agreement with a physician. A collaborative agreement is a very loosely defined set of mandates, left opened to many different interpretations. Also, according the Patient Protection Affordable care Act (PPACA), Nurse Practitioners are recognized as providers but there patients must be assigned ...