The Consensus Model for APRN Regulation was developed over a multi-year period as the work of a large group of nursing professionals.

To keep abreast of the most CURRENT INFORMATION regarding 2016 Arizona Scope of Practice Legislation, please visit the Arizona Nurses Association Website.

GOAL: standardize the roles within states and across state lines (Source PDF).

FOUR AREAS identified as needing consistency for this to happen, Licensure, Accreditation, Certification, Education (LACE).


In October of 2010, the Institute of Medicine (IOM) and the Robert Wood Johnson Foundation released a report titled, The Future of Nursing. Summary of this report is available at in a downloadable PDF. First recommendation — allow nurses to practice to their full ability based on their training and education.

December 4, 2015, the IOM released a report assessing progress(PDF) toward the goals identified in the 2010 report. On page 2, it states, “Steps have been taken at both the federal and state levels, but barriers to expanding APRN scope of practice remain.” This link  connects to a site that includes a presentation about the progress report. One of the speakers noted that the future of healthcare in America will be a team model and that nurses will be vitally important on these teams.

Andrea Brassard, March 2013, The Campaign for Action: An Update, American Journal of Nursing, Vol. 113, No 3. An article in 2013 provided an update on barriers to APRN practice with identification of the continued need to work on a state-by-state basis to allow nurses to practice to their full level of education and training. The author also highlights the need for equitable third-party reimbursement.

The Future of Nursing: Campaign for Action provides information about the national effort

Arizona’s Future of Nursing Action Coalition page with information about nursing in Arizona

Removing Barriers to Practice and Care provides links to many informational resources about APRNs.

Joan Stanley, February 2009, Reaching Consensus on a Regulatory Model: What Does this Mean for APRNs? The Journal for Nurse Practitioners, Vol. 5, No. 2, 99-104. The Consensus Model was developed from work by multiple groups over a period of years. A summary of the process and model are presented.

Linda R Rounds, Jolene J. Zych, & Laura L. Mallary (2013), The consensus model for regulation of APRNs: Implications for nurse practitioners. Journal of the American Association of Nurse Practitioners, 25, 180-185. This article describes the elements of The Consensus Model as well as the intended impact on the regulation of APRNs. It illustrates that lack of uniformity in regulation across states can have the unintended consequence of restricting mobility of APRNs and access to their care. There are four main parts to this model for standardization: licensure, accreditation, certification, and education.