Centers for Medicare & Medicaid Services (CMS) |
Federal |
Medicare, Medicaid, CHIP |
Oversees national health insurance programs, sets reimbursement rates, establishes quality standards |
* Determines reimbursement for APRN services * Influences scope of practice through reimbursement rules * Establishes quality reporting requirements |
* Affects mental health services through reimbursement and quality standards * Impacts access to care for underserved populations |
Food and Drug Administration (FDA) |
Federal |
Drugs, medical devices, biologics |
Regulates the safety and efficacy of pharmaceuticals, medical devices, and other healthcare products |
* Ensures safe and effective medications for patients * Informs APRNs about drug interactions and potential adverse effects |
* Plays a vital role in the development and use of mental health medications * Ensures safety and efficacy of diagnostic tools and treatments |
Health Resources and Services Administration (HRSA) |
Federal |
Healthcare workforce, access to care |
Addresses health workforce shortages, improves access to care for underserved populations, and provides funding for community health centers |
* Supports APRN education and training * Provides funding for APRN-led health initiatives * Impacts scope of practice through funding requirements |
* Promotes mental health access through funding for community mental health programs * Supports development of specialized mental health workforce |
Centers for Disease Control and Prevention (CDC) |
Federal |
Public health, disease prevention |
Tracks and prevents disease outbreaks, develops public health recommendations, and provides resources for health professionals |
* Provides evidence-based guidelines for disease prevention and treatment * Offers continuing education opportunities for APRNs * Informs APRNs about emerging health threats |
* Promotes mental health awareness and prevention strategies * Provides data and guidance on mental health conditions |
State Boards of Nursing (BONs) |
State |
Nursing practice, licensure, discipline |
Regulates the practice of nursing within each state, issues licenses, and enforces ethical conduct and safety standards |
* Determines APRN scope of practice within each state * Sets requirements for APRN licensure and certification * Provides guidance on ethical practice and reporting |
* Influences mental health practice regulations, including prescribing authority and scope of services * Sets standards for ethical practice in mental health care |