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With the Affordable Care Act expanding coverage for millions of Americans over the next several years, increasing the supply of primary care available is essential. It is difficult, however, to rapidly increase the number of primary care practitioners, especially primary care physicians and advanced practice nurses. Therefore, immediate term access and affordability challenges must be addressed through utilizing medical personnel more effectively and efficiently. The Bay Area Council Economic Institute will present its findings from a recently completed study quantifying the increase in access, quality, and cost savings that stem from granting nurse practitioners independent practice authority.