California Association for Nurse Practitioners

1. California AssociationforNurse Practitioners

2. CANP is dedicated to… • Promoting a strong nurse practitioner movement through a statewide communication system • Strengthening the image of the nurse practitioner • Supporting legislative action that encourages the development of the NP role and makes the healthcare system more responsive to the needs of the consumer

3. History • CANP was founded as the California Coalition of Nurse Practitioners (CCNP) in 1977 by a group of NPs from UC Davis • Currently a state-wide network of 21 Chapters • 2000+ members (and growing!!) • We are the only professional organization in California that represents NPs

4. CANP: Envisioning the Future PURPOSE To enable and support nurse practitioners in bridging the gaps in healthcare to meet the needs of the patient VALUES Commitment to integrity without compromise Unwavering compassion and respect Taking responsibility Never give up

5. Elected Directors: President President-elect VP, Corporate Affairs VP, Finance Immediate Past President Appointed Directors: Committee Chairs Membership Educational Affairs Health Policy Practice Public Relations Speaker Board of Directors(Volunteer Positions)

6. CANP Management(Paid Consultants) Administration Advocacy & Management Group Executive Director: Holly Macriss Platinum Advisors Lobbyist: Kristin Beard Director of Health Policy & Practice Susanne Phillips Public Relations Firm Randle Communications

7. CANP Historical Highlights • California Coalition of Nurse Practitioners (CCNP) established • October 8, 1977 in Davis, CA • 1982-1984 • Law mandating NP credentialing by BRN • 1984-1986 • Political Action Committee (PAC) formed to increase political influence on health care related issues

8. Legislative Accomplishments1986 - 1996 • NPs obtain Furnishing Authority • Direct Medi-Cal reimbursement for Pediatric and Primary Care NPs • Secured with the work of CCNP, CNMA, ANA/C • NPs are listed as PCPs in the nation’s Medicaid system

9. Legislative Accomplishments1996 NPs obtain authority to furnish Controlled Substances Scheduled III-V

10. Legislative Accomplishments1997 - 2000 • Pharmacists authorized to include NP name on prescription label • NPs defined as professional employees who may be exempt from mandatory overtime • Allows NPs to negotiate salaried positions without the required mandatory OT after 8 hours required for RNs

11. Legislative Accomplishments2001 - 2002 • NPs authorized to perform DMV physicals • NPs may supervise Medical Assistants venipuncture and injections • NPs authorized to request and receive sample medications

12. Legislative Accomplishments2003 • NPs obtain legal authority to furnish Controlled Substances Schedule II

13. Legislative Accomplishments2004 – 2005 • Requires an initial applicant for a NP certificate must possess a master’s degree in nursing or in a clinical field related to nursing. Effective January 1, 2008 • Remove physician name on prescription pad and label

14. Legislative Accomplishments2006 Effective January 1, 2007 • NPs authorized to apply for a Medi-Cal provider number and bill Medi-Cal independent of a physician • NPs authorized NPs to certify disability for the purposes of a disability placard or plate

15. Legislative Agenda - 2007 • AB 139 – Bass • Passed and effective 1/1/08 ability to sign DMV Physical exams for Bus Drivers and Farm-Labor Vehicle Drivers • SB 102 – Migden • Passed and effective 1/1/08 NPs have the ability to Consent patients for blood products • AB 1436 - Defining the NP Scope of Practice • Bill held over to 2008 • Governor Schwarzenegger’s Healthcare Reform Package / ABX1 1 - Nunez • Includes Full Utilization of Nurse Practitioners

16. Legislative Agenda 2008 • AB 1436 (Hernandez) • Scope of Practice for Nurse Practitioners • National Certification as entry into practice for all applicants after January 1, 2009 • Hearing Vote Cancelled at the request of the author to be resubmitted to the legislature in 2009 • ABX1 1 (Nunez) Healthcare Reform • DEFINING SCOPE OF PRACTICE FOR NPS • Requires Task Force to draft regulations to be promulgated by the Director of Consumer Affairs • Fails in Senate Health Committee

17. Governor’s Healthcare Reform Plan “Remove statutory and regulatory barriers to expansion of lower-cost models of health care delivery such as retail-based medical clinics by making scope of practice changes for “physician extenders” such as nurse practitioners and physician assistants.” Full copy of Governor’s Plan: http://gov.ca.gov/pdf/press/Governors_HC_Proposal.pdf

18. CANP Student Membership $125 for One-Year Student Membership What do you get for $125?

19. Benefits • Membership at both the state and chapter level • Active legislative representation in Sacramento • Professional networking • Chapters meetings • Once a month meeting & dinner program • Networking opportunities at the local level

20. Additional Benefits • Online resume posting & job postings • Quarterly newsletter: CANP Connections • Monthly Chapter Leader and Member newsletter • Professional liability insurance program • Full website access • Access to CANP Standardized Procedure Templates • Discounts on: • Annual Educational Conference • Business & Technology Conference • Membership in the American College of Nurse Practitioners • Practice Issues & Negotiations • Standardized Procedures Template

21. Upcoming Events • House of Delegates meeting • Sacramento Convention Center, Sacramento • March 10 & 11, 2009 • CANP’s Annual Educational Conference • Sacramento Convention Center, Sacramento • March 12-15, 2009 • Business & Technology Conference • September 20, 2008 • National Nurse Practitioner Week • First week of November

22. Working together toadvance the nurse practitioner profession in California

23. www.canpweb.org