Working Paper: NBER ID: w26896
Authors: Sara Markowitz; E. Kathleen Adams
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.
Keywords: scope of practice; advanced practice registered nurses; labor supply; healthcare policy
JEL Codes: I1; J01; K0
Edges that are evidenced by causal inference methods are in orange, and the rest are in light blue.
| Cause | Effect |
|---|---|
| SOP laws (K32) | hours worked (J22) |
| SOP laws (K32) | self-employment rates (J23) |
| FPA (F53) | hours worked (J22) |
| FPA (F53) | self-employment rates (J23) |
| SOP laws (K32) | wages (J31) |
| SOP laws (K32) | employment probabilities (J68) |