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Nursing's Practical Solution

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Submitted By Genetalia69
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The Affordable Care Act: Nursing’s Practical Solution
Desmond Mueller
California State University, Fullerton
School of Nursing
Concepts of Professional Nursing Practice
BSN 306, Section 05
Anne Johnston-Silverberg, MS, FNPc
September 14, 2012

The Affordable Care Act: The Role of the Nurse Practitioner The recent implementation of the Affordable Care Act (ACA) has had a significant impact on the American health care delivery systems. The passage of this bill mandates that all Americans must have health care coverage and that insurance companies cannot disqualify applicants due to preexisting conditions (National Council of State Boards of Nursing, 2014). These changes will undoubtedly lead to an increase in the number of people seeking medical care, particularly those with chronic diseases. It is estimated that this influx in the number of patients will result in a primary care provider shortage of 20% by the year 2025 (Poghosyan, Boyd & Knutson, 2014). With many new physicians choosing to pursue specialties due to the promise of a larger salary, hospitals and clinics will need to start looking to other health care providers, such as nurse practitioners, to fill this role. The purpose of this paper is to discuss the role nurse practitioners play with regards to the Affordable Care Act by examining the history and qualifications of nurse practitioners, the current practice of nurse practitioners, the basics of the Affordable Care Act legislation, and potential nursing challenges.

History of Nurse Practitioners The role of the modern day nurse practitioner emerged in the late 1960’s out of necessity for more primary care providers. When Medicare and Medicaid were enacted during this time, there was an influx of people with medical insurance but not enough healthcare providers to take care of them. Many physicians were also leaving primary care to pursue

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