Political Activism by the Nurses of FNA A Sample of Outcomes from History. PRESENTED BY: Willa Fuller Compiled by Janice Hess, ARNP, DNP. Historical Political Activism Perspective: On the Shoulders of Giants.
Compiled by Janice Hess, ARNP, DNP
activism efforts-forming grassroots efforts
Strategies for Revitalizing Nursing Political Activism activist nursing giants:
1913 First legislative committee formed by FNA
First bill passed by FNA and signed into law on June 7, 1913 was a bill for State Registration of
1919 FNA went on record to support the Jones-Raker Bill giving female RNs rank in the military. ANA
lobbied for this bill.
1922 FNA lobbied for a bill classifying nurses as
professional. This was passed by the House and
1939 First nurse practice act was passed.
1950-1951 Practice act revised. LPN included and RN and
LPN practice was differentiated. LPN educational standards increased.
1954 FNA developed recommendations for employment
1955 National Bolton Bill passed providing military
service commissions for male nurses.
Note of Interest: Minimum wage was raised from
75 cents to $1.00
1956 FNA sued and the Florida Supreme Court
unanimously agreed that RN’s were not subject to
occupational license tax.
1959 FNA opposed a bill that would lower standards
for LPN Education. Bill was killed in committee
after the FNA Legislative Chair testified before
1960 FNA recommends employment practices and standards for the workplace including no
discrimination, hours of work, salaries, on call
service, vacation, termination, etc.
The Florida Board of Nursing, along with the
Florida League for Nursing and the Florida
Association of the Development of Jr. Colleges
formed a group to educate hospitals about this new
RN educational option.
1963 FNA creates minimum employment practices for
Public Health nurses on the basis of higher quality of
Supports Kerr-Mills bill which was legislation
regarding care for the elderly, but only if it includes,
home care and nursing home care services. Bill was
passed with FNA’s requests included but there were
1964 FNA, FHA and FMA met for two days to discuss
1965 ANA begins a public campaign to work on the
economic plight of professional nurses.
Note of interest: In 1955, FNA conducted a survey
that revealed Florida nurses made $500 less than
1966 FNA Legislative Committee Issues
become a citizen within 6 years.
1969 FNA filed a bill requiring an RN to be on duty each
shift at nursing homes. Bill did not make it out of
1971 Reporting of child abuse by nurses, teachers etc
Immunizations required before children enter school
Mandatory PKU testing
Comprehensive alcoholism prevention
1975 Nurse Training Act
Note of interest 1: During this time there was a bill to rescind the right of public employees to represented by collective bargaining.
Note of interest 2: FNA Lobbyist worked to get the funds appropriated to fund the administration of continuing education by the Board of Nursing.
1979 Baker Act Bill allowing NP and CNS’s in mental
health to initiate proceedings considered
1980 Nurse Day in Tallahassee- Beginnings of Political
Action Days and later FNA Lobby Days
1981 Lobbyist in Tallahassee year round
Members will be alerted to pertinent bills
Struggle to get nurses engaged continues.
Nurse Action Day in Tallahasee
ARNP Advanced Practice Committee working on
issues. FNA ARNP’s and FANA joined forces.
FNA supports ratification of the ERA
1982 Negotiation with FMA to protect NP Scope of
FN-PAC formed. Legislative Committee disbanded.
ANA- Medicaid reimbursement for CNM’s was passed.
1983 LDC Network formed with the goal of having a nurse
assigned to every legislator.
ARNP’s can apply for and receive Medicaid numbers
for reimbursement purposes.
Nurse Anesthetists included in health insurance
1984 FNA successfully lobbied for funding of the Impaired
Professionals Program ( later IPN)
Living Will Legislation passed with FNA lobbying.
Toxic Substances bill passed, protecting nurses.
Lay Midwives grandfathered in but no new training
would be allowed. This was later repealed by
Governor Chiles but more stringent standards were
applied as negotiated by FNA.
1985 First newsletter report by Barbara Lumpkin.
Irma Rochlin, RN elected to the House.
Nurse Practice Act to undergo Sunset Review. FNA
uses this to encourage nurses to get involved.
240 nurses attend Political Action Days
Continued lobbying for banning smoking in public
After two years of lobbying by ANA and the states,
President Reagan signs Nurse Training Act with
1985 Bill that would transfer approval of nursing educations
programs to DOE rather than BON. FNA thwarted this
Continue to work on 24 hour RN coverage for nursing
1986 Sunset review of Nurse Practice Act closely monitored
by FNA. Complete.
Mandatory seat belts signed into law.
FNA major funder of Florida Pay Equity Coalition.
Study showed that females and minorities are
1986 Governor Bob Graham speaks at FNA Convention.
90% of FNA endorsed candidates won elections.
Commission on the Future of Nursing formed.
Swift intervention by FNA attaches an amendment to
another bill requiring Occupational Health Nurses to
be notified of toxic substances in the workplace.
1988- Joint Committee of Board of Nursing and the Medical Examiner. FNA Recommendations
Other issues: Limit insurance companies ability to deny insurance based on HIV testing. Insurance companies must protect confidentiality.
1988 NPs allowed to prescribe all medications other than controlled substances.
1990 FNA-FMA joint task force collaborates on common
1991 Opposed healthcare workers report their HIV status.
1991 Pharmacists refusing to fill prescriptions by ARNP’s.
FNA worked with FNA attorney to address these
1992 ANA- Safe Needles Initiatives
1991-92 FNA encourages local legislative forums to engage
legislators on their home turf.
1993 QUIN Council organized
FNA invited by Gov. Chiles to speak at a press
conference regarding his Florida Health Plan.
1992 350 nurses at Political Action Days
Clinical Laboratories Bill ( ARNP’s can now order)
1993 Coalition of FNA ARNP’s, FANA and the Florida
College of Nurse Midwives formed resulting in the
ARNP Legislative Task Force.
1994 ARNP Independent Practice/DEA numbers: Failed
Support for school nurses who are asked to do more
1994 President Ann-Lynn Denker and Barbara Lumpkin met
with President Clinton at the White House re:
1976 Failed to pass: A bill supported by FNA banning
smoking in public places.
1978 FNA opposed institutional licensure for nurses.
Supported individual licensure.
1978 Florida Midwife Bill Passed: Governor Askew signed
into law a bill that required HRS to make available
services of nurse midwives who are certified as
1994 MSN required for certification as an advanced practice
nurse. ( APN’s prior to 1997 grandfathered in).
1995 Foundation Nurses in Need approved by IRS
1996 Supreme Court rules that all RN’s are supervisors and
cannot be represented by collective bargaining. NLRB
agrees with ANA/FNA that this is not true.
1996 Defeated bill that would allow only nurses employed by
home health agencies to work in Home Health.
1997 ANA testified at NIOSH about the effect of downsizing on
the work environment of nurses.
1997 JaneGale Boyd, FNA Member elected to the House.
FNA supports RN Identification on name badges
Political Action Days- Over 300 attended.
Marta Prado-FNA Member appointed to Clinton’s Health
Care Quality Commission
RN in Every School Campaign
1998 Jeb Bush visits FNA Headquarters prior to election
1999Term limits go into effect
Protect the title of Nurse to include RN’s and LPN’s only
1999 Nursing home reform
Propaganda campaign by FMA against Nurse
Practitioner controlled substance prescribing
QUACK QUACK QUACK!
Regulation of Certified Nursing Assistants
2000 Campaign -1 in 44 voters is a registered nurse
FNA and nurse attorney Cynthia Mikos go to
Tallahassee to submit a legal challenge to the direct
supervision of CRNA’s by an MD or DO.
2000 National Needlestick Prevention law signed by
2001 FNA purchases subscription to Capital Wiz so
members can have access to legislators at their
Funding for staffing study in Governor Bush’s
Note of Interest: at this point we are only one of 6
states that did not allow NP’s to prescribe
2002 Anesthesia Assistant Bill- defeated
ANA- Nursing Shortage Bill passed
NP’s can sign for for disabled Parking Permits for VA
Nursing Shortage Solutions Act
Yolly Roberson, RN and Attorney, elected to the House.
Funding for the Florida Center of Nursing
2004 CE Broker – very controversial issue
ARNP name can be on prescription bottle passed.
ARNPs/PAs can perform physicals on corrections
2005 NP can perform physicals on firefighters and security
NP can sign disabled parking permits.
Blocked two bills that would limit practice.
10 million dollars in the budget for nursing education
Dermatology Bill proposing that patient must see a
dermatologist first. FNA Opposed.
Seek $5.00 from licensure fee to fund the FCN.
Bill limiting Domestic Violence and HIV education.
(enough is enough)
2006 3 nurses re-elected to the legislature
FNA reaches out to Gov. Crist to included nurses in
the transition team.
Barbara Lumpkin retires, Anna Small is the new FNA
2007 Paula Massey retires
CNS’s defined in the practice act.
ARNP’s granted civil immunity when obtaining
Florida Center for Nursing named in honor of Barbara
2007 Safe Lift bill failed
ARNP’s signing death certificate failed
Florida Coalition of Advanced Practice Nurses
Glitch bill to fix unintended consequences of the
Barbara Lumpkin Institute Conference
2008 Florida Center for Nursing threatened but
remained in the budget
2008 Interim study ordered by the President of the Senate on
nurse practitioner prescribing of controlled substances
(for the 2nd time with a favorable conclusion)
2009 Safe Staffing Bill based on ANA Principles-opposed by
Clinical labs bill mandates labs to take ARNP orders-
Bill to add donation to the FCN to the BON renewal
Medicare fraud bill (1986) passed.
2010 Glitch bill to 1986 –passed
Funding cut for FCN- ( removed from budget this
year) Attempted the $5 licensure fee. Legislators see
this as a “tax”
Tried new strategy on prescribing with Mike Bennett
ARNP’s removed before bill moves forward.
Authority for the Board of Nursing to approve
educational programs severely compromised. Over
100 nursing programs in the state at the present time.
BON recently put 12 schools on probation
2011 Session in full swing
Reapportionment is key focus
Baker Act Bill on track to pass.
( Must be signed by Governor.)
Further fixes to the Medicare Fraud Bill. ( FNA had a
current student to testify. )
Head injury and high school athletes.
Supervision of surgical techs in the OR (FNA partnering
with AORN on this bill.)