In June 2017, at the American Medical Association’s (AMA’s) House of Delegates meeting, an amendment to a resolution impacting regulation of advanced practice registered nurses (APRNs) failed by a margin of 254-204, exposing not only a divide among AMA delegates, but a growing and continuing threat to the autonomy of APRNs ( Basen, 2017 Basen R. AMA does not want PA autonomy. MedPage Today. 2017, June 15http://www.healthleadersmedia.com/technology/ama-does-not-want-pa-autonomy?nopaging=1 Google Scholar ). The amendment called for placing “APRNs under state medical board and regulatory control, with AMA developing model state legislation” ( Basen, 2017 Basen R. AMA does not want PA autonomy. MedPage Today. 2017, June 15http://www.healthleadersmedia.com/technology/ama-does-not-want-pa-autonomy?nopaging=1 Google Scholar ). The underlying resolution was a measure opposing physician assistants from creating their own regulatory boards ( American Medical Association, 2017 American Medical Association House of Delegates handbook: 2017 annual meeting. Author, Chicago, IL2017https://www.ama-assn.org/sites/default/files/media-browser/public/hod/a17-handbookandaddendum-updated.pdf Google Scholar ). The amendment pertaining to APRNs stated that “AMA will adopt policy that APRNs are subject to the jurisdiction of state medical licensing and regulatory boards for the regulation and discipline of APRNs in their performance of medical acts and that AMA will develop model state legislation in support of states to accomplish this policy” ( American Association of Physician Assistants, 2017 American Association of Physician Assistants New AMA policy opposes autonomous PA boards [Press release]. https://www.aapa.org/pas-connect/2017/06/new-ama-policy-opposes-autonomous-state-pa-boards/Date: 2017, June 14 Google Scholar ). The physician assistant measure, however, was successful ( American Association of Physician Assistants, 2017 American Association of Physician Assistants New AMA policy opposes autonomous PA boards [Press release]. https://www.aapa.org/pas-connect/2017/06/new-ama-policy-opposes-autonomous-state-pa-boards/Date: 2017, June 14 Google Scholar ). The AMA House of Delegates discussion mirrors legislative efforts by medical societies across the country. Even without AMA-sanctioned model legislation, physician groups have been advocating for moving regulatory authority over APRNs to state boards of medicine (BOMs) from boards of nursing (BONs), where these professionals have long been regulated. Most of these efforts, however, have gone the way of the AMA measure, while proposals calling for the removal of physician and BOM oversight have been successful.