Just my two cents but the cumbersome law/rules agreed to for APRN prescriptive in authority as a "foot in the door approach" and truce between dueling medical and nursing professionals associations here in O-HI-O are more difficult to amend than initially imagined. Sometimes just "getting a foot in the door" isn't the best approach to legislation and opening the Nurse Practice Act and in hindsight maybe a "do or die" , "do it or die trying" , or "all or nothing" approach to prescriptive authority was needed here in O-HI-O.
Just compare and contrast prescriptive authority for APRNs (excluding CRNAs who of course did it the right way initially for the most part. CRNAs and their national and state prof. associations are on the ball I tell you!!!) in Ohio, Kentucky, and Indiana. Its like comparing fresh spring water and sweat tea to flat and warm Pepsi. You can drink the Pepsi if if you have to but its nothing to look forward to consuming.