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

45 Pages Posted: 30 Mar 2020 Last revised: 29 Jun 2023

See all articles by Sara Markowitz

Sara Markowitz

Emory University; National Bureau of Economic Research (NBER)

Kathleen Adams

Emory University

Date Written: March 2020

Abstract

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.

Suggested Citation

Markowitz, Sara and Adams, Kathleen, The Effects of State Scope of Practice Laws on the Labor Supply of Advanced Practice Registered Nurses (March 2020). NBER Working Paper No. w26896, Available at SSRN: https://ssrn.com/abstract=3563964

Sara Markowitz (Contact Author)

Emory University ( email )

Atlanta, GA 30322
United States

National Bureau of Economic Research (NBER)

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New York, NY 10016-4309
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(212) 817-7968 (Phone)

Kathleen Adams

Emory University ( email )

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