What do you think a CEO or AHA think about pending legislation? - page 2

Is this a possible CEO or AHA perspective on pending legislation? The nurse recruitment legislation and the legislation to abolish mandatory OT are dream come through for the American Hospital... Read More

  1. by   wildtime88
    NRSKarenRN, thank you for the invitation.

    The fact and reality is that June will be too late if this legislation is passed.

    I would rather focus my efforts and spend my time with a organization who is not set on selling out nurses and who does not feel they have to bargain nurses away. An organization that is actually focused on the needs and problems of the majority of the nurses in the U.S. and that does not pursue illogical legislation that will actually weaken their power to change things. An organization who is committed to solving our problems first rather than enacting legislation that will replace nurses who say, "enough is enough!!!".

    If the ANA is the only national organization to choose from, then I prefer to stay with the company of the other 92 -93% of nurses in the U.S. that do not support them.
    Last edit by wildtime88 on Dec 18, '01
  2. by   NRSKarenRN

    Some of the same issues will be on the table in June especially Mandatory Overtime. Hopefully, our lobbying efforts will have helped get needed Nursing legislation passed by then.

    I see the glass as 1/2 full; you see it as half empty.
    It will STILL be on the table when you need to drink from it.


    RE our lobbying efforts.

    Info can be found at the ANA Website under Government Affairs section.

    I learned a lot more about these efforts by attending ANA's "RN Lobbying Days" CEU Inservice this past June 6th. Meet several allnurses.com posters there too for the first time: JT, activist RN, Peggy Ohio etc. Missed Charles Smith...maybe next year!

    Look at the ANA's website in the spring for their next free session open to all nurses. $30.00 fee only if you want a CEU certificate and are non ANA member.

    ANA has 4 Sr. Political Action Specialists under ANA Dept. of Government affairs based on geographic area's: Northeast, South, Midwest and West. Several are nurses or have degrees in government e.g. Masters in Public Policy. They serve under two associate Directors: One who is directly responsible for developing and implementing ANA's federal legislative agenda, specializing in issues relating to Medicare and nursing education. the other director is responsible for developing and implementing ANA's federal legislative agenda with particular emphasis on health policy issues.

    Under these persons, ANA members who are part of N-STAT: Nurses Strategic Action Team (RN volunteers with an interest in legislation and public policy formation) are appointed to serve as contact persons to various Senators and Representatives

    Who better to advocate to Congress about the need for quality health care than those who are on the front lines?

    Constituent Members usually have their Executive Director representing them in lobbying efforts before state boards of Nursing and state government affairs. A few larger states may have a government affairs person/lobyist. In Pa had a full time person in the 1980's, now have a part-time position.

    In PA, nurses can volunteer to be part of PPNN: PA's Political Nursing Network to lobby state and local legislators. We also have a separate PAC committee who help raise funds (chiefly through our silent auction at our Nursing Convention) to give to candidates that the Nursing Districts recommend as friends of nursing.

    PA also has a Nursing Award "Mary Ann Arty" Legislative award given to a nurse who lobby's for healthcare within our state. It is named for an RN from my county who served tirelessly on behalf of nurses and healthcare issues. Mary Ann served on Delaware County Council, was elected to PA State House of Representatives and helping to shape healthcare policy there and educate fellow house members. I was lucky to have known her though my district meetings. We currently have two RN's serving in PA House of Rep. that we helped get elected.

    Hope this helps!
  3. by   wildtime88
    NRSKarenRN, it is really easy to see with your mention of mandatory OT that you did not read my original post on this topic. Either that or you just do not understand the implications of having this legislation pass before our problems are actually solved.

    As far as the glass being half empty or full scenario goes, it is neither.

    Actually I was seeing the glass starting to be filled and then the ANA is now putting a big hole in the bottom of it with it's lack of logic. Now the glass will never be able to be filled.

    Karen, I do not even want to sound insulting, but I have to ask. Do you ever think for your self or do you just follow and regurgitate the ANA doctrine at any price?

    Please take a moment of your time and go back and read my original post and you will see why I as so quick to decline your gracious invitation. The ANA is set on making this a hard up hill battle now instead of the easy down hill battle that it should be. This is the ANA at work.
    Last edit by wildtime88 on Dec 18, '01
  4. by   Peeps Mcarthur
    You need to tell someone that the first paragraph of "Comparison of current H-1C temporary nurse visa" has incorrect grammar usage concerning present and past tenses. "Is" should be replaced with "are", "Has" should be replaced with "Have".

    Thank you for the link. I tried to wade through all the hooey in the original about H-1C visas. Did I see something in there about "sponsoring" aliens? That concerns me.
    I was going to see what these three reps have been doing with thier time and see what thier involvement in nursing issues has been. Those that sponsor and cosponsor biils are the ones that count.
    I went to Eddie Bernice Johnson's site to see what she sponsored and cosponsored.............What a bunch of fluff! I think I need a nap now. I was trying to get a feel for her involvement or non-involvement with present and past legislation concerning H-1C and related articles, but there is too much crap that I couldn't care less about.
    Do you know how to search for such information? I never take a politicians word for it.
    Anyway, thanks.
  5. by   NRSKarenRN
    Keep losing info I've written to post late at night lately.

    Don't always agree with ANA on all issues. Just trying to respond to posts with what I've expercienced with the organization.

    Sorry, grammer police. Been trying to finish college course requirements and several family crisis occuring simultaneously. Will post more after weekend.

    Become too dependent on spell check.
  6. by   wildtime88
    Peeps Mcarthur, have you read this post https://allnurses.com/forums/showthr...threadid=12321 ??

    It is not exactly what you are looking for, but it is related?
  7. by   Peeps Mcarthur
    Thanks, but I was really searching for something, anything, that actually happend at the legislative level that the ANA facillitated.
    The argument that the ANA has no effective voice in Washington can't be used until the record of merit is shown to be ineffective.

    Example: They say they're oppossed to a certain piece of legislation.
    Where is the "Nay" vote? Where is the opposition on the floor of the House. That's where legislation goes to die, or builds support. The "smokey backrooms" are filled with lobbyists, not letters of indignation.
    I was looking for some actual handshaking P.R. type to be in the trenches facillitating communication. Whatever that person is doing is truly what is being done.
    Since Karen seemed to be a vocal member, I thought she might know.

    The post about the company that was actively recruiting alien nurses to be sponsored by the hospitals was truly disturbing.
    I've seen this firsthand in other industries.
    If this becomes standard practice, we as a profession are doomed.
  8. by   wildtime88
    Peeps Mcarthur, since you are investigating, then this might spark your interest as well. This is a very serious issue and in nursing news should fall at the top as far as importance. Surely if the facts are as mentioned, then the ANA should be all over this both at a local and national leadership level.

    Tell us what is being done in opposition to this on the ANA's part i.e. protests, rallies, etc. Also if nothing has been planned then try to find out why the ANA has chosen to stay silent. Good strong leadership would have already had everyone out in force against something like this.

    Maybe I am wrong but if you want your voice to be heard then you have to have good strong leadership. That goes for lobbying efforts as well.


    I have to ask you something; do you really believe the ANA as a whole really cares about what happens to individual nurses at the bedside? Do you have a feeling that they are more dedicated to their own organization and political future?
  9. by   NRSKarenRN
    from peeps:
    thanks, but i was really searching for something, anything, that actually happend at the legislative level that the ana facillitated.
    think needlestick legislation important enough?

    mna president uses personal story to push for needlestick legislation
    by susan trossman, rn

    as a long-standing advocate for nurses nationally and in her state, massachusetts nurses association president karen daley, mph, rn, is skilled at humanizing health care issues when speaking to the media, lawmakers and other registered nurses.

    but on april 6, daley walked into the massachusetts state house to present testimony like no other. she wanted legislators, who were gathered to consider the merits of a proposed needlestick bill, to see firsthand that behind every injury, there is a real person.

    so she gave them a close-up look into her own life now that she is hiv and hepatitis c positive -- the result of being stuck by a contaminated needle while performing her job as an emergency room nurse. she spoke of her passion for nursing and of her sorrow over no longer providing direct patient care, which she has done for more than 25 years. she also described her symptoms and the paucity of information on hepatitis c and treatment regimens for people who are co-infected.

    "i can't describe for you how that one moment -- the moment when i reached my gloved hand over a needlebox to dispose of the needle i had used to draw blood -- has drastically changed my life," daley said. "since january of this year, i have had to come to terms with the fact that i am infected with not one, but two life-threatening diseases."

    in concluding her testimony, she explained that her injury could have been prevented and urged members of the joint health care committee to support the proposed measure, which would force health care facilities to use sharps specifically engineered to prevent injuries and to demonstrate a significant reduction in needlestick injuries.

    to date, massachusetts is one of 19 states in which needlestick legislation is being considered. california, maryland and tennessee already have measures signed into law.

    at a may 20 washington, dc, press conference at which daley spoke, reps. pete stark (d-ca) and marge roukema (r-nj) announced their introduction of federal legislation called "the health care worker needlestick and sharps injury prevention act." stark and representatives from ana, labor unions and manufacturers crafted the language of this comprehensive, new needlestick bill, which would require employers to adhere to a new, more stringent osha bloodborne pathogen standard that mandates the use of safer needle systems, such as syringes with retractable needles. at press time, sen. harry reid (d-nv) was expected to introduce a companion bill in the senate.
    full story at:

    legislation (h.r. 5178) became public law on 11/6/2000.

    full needlestick info and testimony at:

    other legislation endeavors:
    feb 2001: what has ana done lately?

    april 2001:

    met with the offices of rep. maurice hinchey (d-ny) and sen. harry reid (d-nv) and secured their commitment to introduce legislation requiring health care providers to publically disclose and report the number and mix of nursing staff providing patient care on a shift-by-shift basis as a condition of participation in the medicare program. the legislation would also require information on the staffing plan used by the facility and the incidence of nursing-sensitive patient outcomes to be reported and posted. the legislation was introduced during national nurses' week.

    may 2001:
    worked with colleagues in nursing unions to secure commitments from senators john kerry (d-ma, senate finance committee member) and ted kennedy (d-ma, chairman senate health, education, labor and pensions committee) and representative pete stark (d-ca, chairman house ways and means subcommittee on health) to draft and introduce legislation banning the use of mandatory overtime through medicare. staff negotiated with the nursing unions and the members of congress to ensure that the legislation will provide licensed nurses with the ability to determine, without fear of reprisal, whether or not to accept a request for overtime.

    continued to update legislation that is part of the nationwide state staffing legislative agenda addressing such issues as nurse staffing, needlestick legislation, interstate nurse compacts, nurse practice acts, advanced practice nurses, state licensing reform initiatives, emt scope of practice, first assistants in surgery, physician collective bargaining and other workplace issues:

    prohibition of mandatory overtime
    introduced in ca, ct, hi, il, me, md, mn, nj, ny, oh, or, pa, ri, wa, wv

    whistleblower protection
    introduced in hi, il, mo, ny, or, ri passed in wv

    collection and public reporting of nursing quality indicators
    introduced in ma, ny, or

    mandatory development and implementation of valid and reliable nurse staffing systems
    introduced in il, me, ny, oh, or, pa

    collection of nursing workforce data
    introduced in ga, hi, nm, tn, tx - passed in ms, nd

    nursing workforce studies
    introduced in ct, ky, me passed in ar, pa, va, wv

    funding for nursing education
    introduced in ca, il, me, mn, nv, nj, ny, pa, tx passed in ne, va


    enough said.
  10. by   wildtime88
    Looking over the list the only true hard core issue with opposition was that of whistle blower protection that the federal government already had in place as a president to follow.

    The needle stick legislation actually made sense to everyone evolved. The employers who would have not to pay workmen's comp related issues or lawsuits related to this. The insurance company due to not having to pay out for the same. The government is some ways due to the medical waste and syringes with needles that floated ashore on the east cost a few years back.

    National legislation against mandatory OT is still to be decided, but if you read my original post, then you will actually see how it will actually benefit the American Hospital Association and their CEOs in the long run.
  11. by   NRSKarenRN
    fyi :
    any federal senate or house bill can be viewed at
    each bill's provisions are listed. i've summarized in italics parts of bills; regular printing is exact bill language. karen

    hr 3487: house version of nurse reinvestment act

    includes provisions:

    this is to ammended following current legislation .------title viii of the public health service act (42 u.s.c. 296 et seq.) is amended by adding at the end the following:

    sec. 851. public service announcements.
    a) the secretary shall develop and issue public service announcements that advertise and promote the nursing profession, highlight the advantages and rewards of nursing, and encourage individuals to enter the nursing profession.

    sec. 3. loan repayment program; scholarships.
    sec. 4. studies by general accounting office.( to be done within a two year period)
    a) hiring differences among certain private entities
    (b) nurse faculty-
    1)determination regarding shortage of faculty
    2) if the comptroller general determines pursuant to paragraph (1) that there is or will be a shortage of faculty for schools of nursing, the comptroller general shall, not later than september 30, 2002, submit to the congress a report providing the recommendations of the comptroller general for developing scholarship programs, loan repayment programs, private-public partnerships, or other programs through the department of health and human services to provide for an increase in the number of such faculty, including recommendations on appropriate incentives for nurses to become such faculty.

    passed the house of representatives december 20, 2001.


    s 1864: senate version nurse reinvestment act

    part h--national nurse service corps scholarship program

    sec. 851. national nurse service corps scholarship program.
    the secretary shall establish a national nurse service corps scholarship program (referred to in this section as the `program') that provides scholarships to individuals seeking nursing education in exchange for service by such individuals in critical nursing shortage areas or facilities. two year work committment full-time or to be extended if only able to work part-time.

    preference- in awarding scholarships under this section, the secretary shall give preference to applicants with the greatest financial need, applicants who agree to serve in health care facilities experiencing nursing shortages in medically underserved areas, applicants currently working in a health care facility who agree to serve the period of obligated service at such facility, minority nurse applicants, and applicants with an interest in a practice area of nursing that has unmet needs.

    program of study: collegiate-associate or bachelors or diploma education includes part-time and full-time attendance. scholarship will pay for tuition, all other reasonable educational expenses and support services, including fees, books, and laboratory expenses incurred by the student in such school year; and $400.00 monthly stipend.

    part i--initiatives to recruit nurses and combat the nursing shortage
    sec. 855. nurse recruitment grant program.
    (c) use of funds- an eligible entity that receives a grant under subsection (a) shall use funds received from such grant to--

    (1) support outreach programs at primary, junior, and secondary schools that inform guidance counselors and students of education opportunities regarding nursing;

    (2) carry out special projects to increase nursing education opportunities for individuals who are from disadvantaged backgrounds (including economically disadvantaged backgrounds and racial and ethnic minorities underrepresented among registered nurses) by providing student scholarships or stipends, pre-entry preparation, or retention activities;

    (3) support education programs for nursing students who require assistance with math, science, english, and medical terminology;

    (4) meet the costs of dependent care and transportation for individuals who are taking part in a nursing education program at any level; or

    (5) support community-based partnerships seeking to recruit nurses in rural communities and medically underserved urban communities, and other communities experiencing a nursing shortage.

    (c) use of funds- an eligible entity that receives a grant under subsection (a) shall use funds received from such grant to--

    (1) support outreach programs at primary, junior, and secondary schools that inform guidance counselors and students of education opportunities regarding nursing;

    (2) carry out special projects to increase nursing education opportunities for individuals who are from disadvantaged backgrounds (including economically disadvantaged backgrounds and racial and ethnic minorities underrepresented among registered nurses) by providing student scholarships or stipends, pre-entry preparation, or retention activities;

    (3) support education programs for nursing students who require assistance with math, science, english, and medical terminology;

    (4) meet the costs of dependent care and transportation for individuals who are taking part in a nursing education program at any level; or

    (5) support community-based partnerships seeking to recruit nurses in rural communities and medically underserved urban communities, and other communities experiencing a nursing shortage.

    sec. 856. public awareness and education campaign.
    $4,000,000 for fiscal year 2003 for public awareness campaign.

    part j--initiatives to strengthen the nurse workforce

    sec. 857. grants for career ladder programs.
    (1) establish student scholarships or stipends for nurse professionals, licensed practical nurses, certified nurse assistants, and home health aides who enroll in entry level nursing programs, advanced practice nursing degree programs, rn/master nursing degree programs, doctoral nursing programs, nurse administrator programs, and training programs focused on specific technology use or disease management;

    sec. 858. area health education centers program.
    program authorized- the secretary shall award grants to area health education centers to contract with schools of nursing to expand the operation of area health education centers under section 751 to work in communities to develop models of excellence for school nurses, public health nurses, perinatal outreach nurses, and other community-based nurses, or to expand any junior and senior high school mentoring programs to include a nurse mentoring program.

    sec. 859. grants for nurse training in long-term care for the elderly.

    sec. 860. grants for internship and residency programs.

    sec. 861. developing retention strategies and best practices in nursing staff management.

    funding allocation: $10,000,000 for fiscal year 2003 and may be continued.

    (1) a maximum of $200,000 for a facility with less than 100 staffed beds.
    (2) a maximum of $400,000 for a facility with less than 400 staffed beds.
    (3) a maximum of $600,000 for a facility with 400 or more staffed beds.

    (g) use of funds- an eligible entity that receives a grant under subsection (a) shall use such grant funds to do one or more of the following:

    (1) improve the quality of the health care facility work environment, including improving communication and collaboration among health care professionals.
    (2) initiate or maintain aggressive nurse retention programs, including other initiatives as deemed appropriate by the nurse retention committee at the health care facility.
    (3) reduce workplace injuries.
    (4) reduce rates of nursing sensitive patient outcomes.
    (5) provide high quality evaluations of the cost-effectiveness and patient-outcomes of best practices, to assist health care facility decision-makers in determining appropriate nurse retention strategies.
    (6) promote continuing nursing education and career development.

    sec. 862. fast-track faculty loan program.
    sec. 863. stipend and scholarship program.

    part k--national commission
    sec. 865. national commission.

    national commission on the recruitment and retention of nurses

    (1) strategies necessary to address the nursing shortage in the long term;

    (2) best practices in the recruitment and retention of nurses and the impact on patients and staff of employing participatory, collaborative, and patient-centered models of nursing care, which shall include the examination of--

    (a) reasons behind low nurse vacancy rates and turnover in the workplace;

    (b) practices that are not effective in recruiting and retaining nurses and why;

    (c) how successful recruitment and retention practices work, why they are successful and how health care facilities with lower than average retention rates can improve their working conditions to improve their retention rates, including an examination of hospitals and other health care facilities with higher than average retention rates, and the role of different stakeholders in the workplace, such as nurses, doctors, other health professionals and employees, and management at all levels;

    (d) factors that influence career satisfaction for nurses;

    (e) to what extent successful recruitment and retention practices are unique to a particular situation or applicable across the field; and

    (f) the effectiveness of best practices for recruitment and retention for different populations of nurses, such as nurses who choose nursing as a second career, nurses from various racial and ethnic groups, male and female nurses, and nurses with varying ages and experience levels;

    (3) the facilitation of career advancement within the nursing profession;

    (4) attracting middle and high school students into nursing careers; and

    (5) attracting individuals who may pursue nursing careers after they have pursued other careers.

    passed the senate december 20 (legislative day, december 18), 2001.

    don't understand why nurses wouldn't support this bill. seems like a broad based attempt for recruitment and retention of nurses with provisions to identify why hospitals have low retention rates and what needs to done to fix the problem! karen
    Last edit by NRSKarenRN on Dec 27, '01
  12. by   nightingale
    Thank you for taking the time to do this Karen.. It was very informative.

    I have sent off my application to join ANA (via website). I have faxed over my check info for automatic draft. I look forward to being on the front lines of information.

    Thank you Karen for sparking my interest months ago and planting the seed.

  13. by   wildtime88
    here are the bills as laid out. Please remember to read past the first 5 or so paragraphs.

    NRSKarenRN, I know the confusion you might have about why nurses who work at the bedside might not want to support legislation that replaces nurses and also that takes the power away from the current nursing shortage since you are a NP.

    You might have yours per say but we want to get ours too.
    Last edit by wildtime88 on Dec 26, '01