Dissertation
Iowa s ARNP Preceptor Tax Credit Bill
University of Iowa
Doctor of Nursing Practice (DNP), University of Iowa
Spring 2025
Abstract
Background: Iowa faces a critical shortage of Advanced Registered Nurse Practitioner (ARNP) preceptors, with only 1,200 of approximately 9,000 licensed ARNPs serving in this role. This shortage restricts ARNP program enrollment, delaying student progression and contributing to broader issues in healthcare access. Nationally, approximately 10,000 qualified applicants are turned away from APRN programs annually due to insufficient preceptors. Purpose: This Doctor of Nursing Practice (DNP) policy project aimed to introduce legislation providing a refundable state income tax credit to incentivize ARNPs to precept students. The amount requested was $1,000 per 100 hours precepted with a max of $2,000. The goal was to expand clinical training capacity, particularly in underserved areas, and support the state s healthcare workforce development. Methods: Guided by the Iowa Legislative Services Agency s process, the initiative involved drafting a bill, securing legislative sponsors, and engaging stakeholders such as the Iowa Hospital Association, Iowa nursing education programs, and ARNP professional organizations in Iowa. Advocacy strategies included in-person meetings, email campaigns, and a grassroots outreach pilot using the American Nurses Association (ANA) Voter Voice platform. Findings: The tax credit bill was introduced in the Iowa House and Senate (HF 327 and SF 391), passing unanimously through subcommittees but remaining under consideration in the Ways and Means Committee. Stakeholder engagement yielded strong support, and outreach efforts highlighted broad interest in resolving clinical placement shortages. Discussion: While the bill s passage is pending, this initiative laid a strong foundation for future advocacy. It demonstrates a scalable model to address preceptor shortages through legislative and stakeholder collaboration. Continued efforts should focus on preceptor incentives and tracking mechanisms to measure the long-term impact.
Details
- Title: Subtitle
- Iowa s ARNP Preceptor Tax Credit Bill
- Creators
- Kelcie Gunderson - University of Iowa
- Contributors
- Amalia Gedney-Lose (Chair) - University of Iowa
- Resource Type
- Dissertation
- Project Type
- Poster
- Degree Awarded
- Doctor of Nursing Practice (DNP), University of Iowa
- Degree in
- Family Nurse Practitioner
- Date degree season
- Spring 2025
- Publisher
- University of Iowa
- Number of pages
- 1 page
- Copyright
- Copyright 2025 Kelcie Gunderson
- Language
- English
- Academic Unit
- College of Nursing; Doctor of Nursing Practice Projects
- Record Identifier
- 9984841527602771
Metrics
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