CALIFORNIA: A scope of practice fight is looming in Sacramento over the need for more primary care providers. Non-physician providers, such as nurse practitioners, physician assistants and optometrists, are pushing for legislation that would expand their scope of practice or eliminate requirements that they practice only under the supervision of physicians. Other states are less restrictive than California in this regard. Some in the medical community opined that retail health clinics – staffed by nurse practitioners – would be harmful to consumers through poor outcomes. But these clinics are now proliferating, which has led to better access and lower costs without the dire quality issues that some predicted.