Understanding legislative issues for nurse practitioners
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Understanding Legislative Issues for Nurse Practitioners. An appeal to consolidate our power. Last year. Two APRN Bills introduced: Clinical Lab Bill: Passed CS Authority : Not even read. 15 YEARS. 15 years of:. Studies that show we are safe providers. False rumors by the FMA.

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Presentation Transcript

Last year
Last year

  • Two APRN Bills introduced:

  • Clinical Lab Bill: Passed

  • CS Authority : Not even read.



15 years of
15 years of:

  • Studies that show we are safe providers.

  • False rumors by the FMA.

  • Being ignored by state legislators


Are you happy
Are you Happy?

  • Are you satisfied that you are currently able to provide the most complete care to your patients?

  • Do you like having to get approval to order controlled substances?

  • Do you like your orders being refused by hospitals without co signatures on them?


  • Is it fun to not be able to order medical equipment for your patients?

  • Do you look forward to telling patients families that you cannot sign the death certificate and their loved one will need an autopsy?

  • Is it comforting to know that because you cannot Baker Act a patient they will be unable to access care?


NO! patients?

Of course not.



And the answer is
And the Answer is: patients?

POLITICS



This is not an impossible dream
This is NOT an Impossible Dream patients?

Others have fought and won hard battles





Their actions drew bad press
Their actions drew bad press patients?

Then President Wilson had a different view of things


Power is never given it is always taken pius godwin and
“Power is never given, it is always taken” patients? – Pius Godwin and ?


A dream for florida
A DREAM FOR FLORIDA patients?

  • That all people in Florida will someday have access to safe affordable health care.

  • That all Advanced Practice Registered Nurses will be able to provide the care for which they were educated.

  • That Florida’s health care will move into the 21st century.


So how do we get there
So how do we get there? patients?

Follow other states: IDAHO, ARIZONA

NEW coalition.

APRNs have taken the lead.


Aprns united
APRNs United patients?

  • Formally Organize / No one shut out

  • Unite with all State APN groups

  • Start PAC solely dedicated to APRN issues

  • Coordinated Public Relations Campaign

  • Targeted Legislative Efforts

  • Donate Time, Talent, Treasure


How an idea becomes law
How an idea becomes law patients?

  • Citizen or group suggests legislation

  • Senator or Representative agrees a law is needed

  • Bill is written

  • Bill is filed with Secretary and numbered

  • First reading senate/house president refers to committee


The committee
The Committee patients?

  • Bill is read

  • Bill is voted upon

  • If favorable is placed on calendar to be read again in another committee, and if voted upon in that committee moves to the third committee.

  • Then it moves to the house or senate where it goes through a similar process.

  • Some bills are placed on special order calendars and the process is expedited.


The governor
The Governor patients?

  • If the house or senate find it favorable, then it goes to the Governors office for signature

  • Or

  • Veto

  • Or to become law without signature


How a bill really becomes law
How a bill patients?Really becomes law

  • Welcome to the big leagues ($$)

  • We must learn to play .

  • This is the reality of POLITICS ($$)


How a bill really becomes law1
How a bill patients?REALLY becomes Law

$$ MONEY $$ makes the world go round!


  • Perception patients? is reality

  • Media attention makes a difference

  • Make the issue a Bigger stick


The game
The game: patients?

  • Donate large sums of money to a politician’s election or re-election campaign

  • Work on the election campaign

  • Give the politician awards


  • Concentrate on committee members. patients?

  • Have local constituents call and write.

  • Use PR to highlight the talking points.

  • And again: Donate, Donate, Donate (TIME, TALENT, TREASURE)


One organization s example
One organization’s example patients?

  • Statewide membership organization

  • Has developed a grass roots action committee

  • Has multiple lobbyists and PACs

  • Can get big bucks into the hands of Reps fast


  • Members who pledge 500 a year to legislative efforts (1,000 per election cycle).

  • The first $500 goes into a PAC fund for essentially a public relations campaign and donations

  • The second $500 is a check that is made out to a representative and is overnighted to a regional coordinator who then delivers the check to the Representative.

  • Who is this organization?


The FMA per election cycle).


The players
The Players per election cycle).

The main players are the Committee members

The other players are the deep pockets


Senate president and house speaker
Senate President and House Speaker per election cycle).

  • Assign committee chairs and memberships.

  • They too are heavily influenced by donation money


Political action committees
Political Action Committees per election cycle).

  • Limits on contributions received;

  • No limits if for issues - only

  • $500 per election if ANY candidate supported


Our strategy
OUR STRATEGY per election cycle).

  • Lobbyists work together

  • Coalition involves all APRNs

  • FNPN PAC media campaign.



  • Campaign focusing on per election cycle).ACCESS TO HEALTH CARE and PATIENT SUFFERING.

  • This is NOT Scope of Practice, and is NOT about physicians.


  • Letters from patients pre written per election cycle).

  • Business card campaign

  • Phone calls from patients using the business cards an citizens, especially in the districts where these legislators live


Personal strategy
Personal Strategy per election cycle).

  • We need the united effort of every single APRN in this state.

  • PAC Donations Very important

  • Join the Committee of 1,000

  • Become a Legislative Liaison or work with your groups liaison


Personal strategy1
Personal Strategy per election cycle).

  • Write out letters and put stamps on those envelops for your patients.

  • Print out business cards with the names and phone numbers of the house and senate members blocking our bills. Pass them out to patients.

  • Sign up for cap wiz alerts on FNPN web site

  • Go to lobby days, write editorials, call your legislators

  • DON’T SIT STILL.


Personal strategy2
Personal Strategy per election cycle).

I would like to get involved by:

Voting for ______ for State Representative/Senator

Hosting a reception or coffee at your home or business

Telephoning or emailing voters

Delivering/Placing Yard Signs for Election Day

Walking Door to Door

Helping on Election Day

Attending Events and handing out literature


We have a winning team
We Have a Winning Team per election cycle).


We can be victorious
We Can Be Victorious per election cycle).


If we sow the seeds of victory
If we sow the seeds of Victory per election cycle).


We will win
WE WILL WIN per election cycle).


HOME WORK per election cycle).

Find out who your representative and your senator are, then make at least one visit.

Join the Committee of 1000.

Take one action per week toward passing the CS law each week until the end of the legislative session.

Spread the word.


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