“…To date, there have been few systematic examinations of the legislative process involved in reforming state-level APRN SOP regulations (Gutchell, ldzik, & Lazear, 2014; Hansen-Turton, Ritter, & Valdez, 2009; Madler, Kalanek, & Rising, 2014; Schober et al, 2016). Understanding this process, however, is of importance as the nation faces a primary care shortage and access to the underserved persists (Institute of Medicine, 2011).…”