Since 2003, PLF client Marcy Markes has owned and operated the Columbia Allergy and Asthma Specialists clinic in Columbia, Missouri—providing vital treatment to about 6,500 grateful patients a year. Yet, despite over 30 years of experience and multiple degrees, Missouri state law forbids Marcy from seeing patients unless she pays to be under the supervision of a physician—in a regulatory scheme known as “collaborative practice agreements” or CPAs.
For Marcy, this added burden amounts to over $50,000 a year for nominal oversight. Thankfully, as PLF’s Brittany Hunter explains, “Marcy is not one to stay quiet when both her patients and her fellow [nurse practitioners] deserve better.” Now, she’s partnered with PLF to challenge her state’s CPA requirement in court.
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