The success of health reform is in a big way dependent on nursing because of the contributions it makes towards the entire process. It is important, that we take into account all the suggestions that nurses give regarding the reforms. This is because they know how to expand access to health care facilities and improve quality at a lower cost. According to Needleman, & Hassmiller (2009), nursing also plays a critical part ineffective data collection that is necessary for the development of successful models. Advance practice nurses provide a solution to the primary shortage care in a cost-effective way. They are trained in giving primary care to patients while working together with physicians. With the increase in Americans about to receive health insurance, they are a plus in relieving pressure that will be added to the small number of physicians.