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Since the passing of the Congressional Balanced Budget Act in 1997,1 the scope of practice of mid-level health care providers, namely nurse practitioners and physician assistants (hereinafter “mid-level providers”), has rapidly expanded. While originally envisioned to improve access to primary care in underserved areas under the supervision of a physician, mid-level providers have expanded their scope of practice and are now able to bill independently for the procedures they perform.
Jalian HR, Avram MM. Mid-Level Practitioners in DermatologyA Need for Further Study and Oversight. JAMA Dermatol. 2014;150(11):1149–1151. doi:10.1001/jamadermatol.2014.1922