![]() The progressively increasing prescriptive authority of advanced practice providers has occurred mainly through changing individual state laws. Although there is a lack of literature describing the changes in PA and NP prescriptive authority, the scope of practice for both professions appears to have expanded over time and continues to evolve. The PA and NP professions have increased in recent years. Nonetheless, certain states also prohibit NPs from prescribing controlled substances. Unlike their PA counterparts, NPs have broader prescriptive privileges in some states and do not require physician supervision. These advanced practice providers were similarly designed to address a growing physician shortage. The original graduate programs for nurse practitioners (NPs) were created in the 1960s to improve public access to pediatric care. Some states also have restrictions on the medications that PAs are legally allowed to prescribe. All PAs are required to have some level of physician supervision however, the relationship varies by state law. This new category of healthcare professionals was created as a novel solution to the physician shortage. The first physician assistants (PAs) class was formed in 1965 and trained using an accelerated, two-year curriculum. ![]() This article will discuss the increasing prescriptive authority of advanced practice providers and the overlapping role of physicians. Other healthcare providers also have varying degrees of autonomy to prescribe medications but must undergo physician supervision or delegation. In addition, physicians are able to prescribe Schedule II to V medications with a valid Drug Enforcement Administration (DEA) license. MD and DO clinicians can prescribe medications, including controlled substances. Physicians of either Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) designations have the highest degree of prescriptive authority. Prescriptive authority is the ability of healthcare providers to prescribe specific medications, including controlled substances.
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