1/25/02 Update: Nurse Reinvestment Act: Does anyone know...

  1. ....the best way to track the progress of the Nurse Reinvestment Act? I need to keep track of this great act of legislation for my graduate nursing course; need to enter updates on our online class community bulletin board twice weekly.
  2. Visit VickyRN profile page

    About VickyRN

    Joined: Mar '01; Posts: 12,040; Likes: 6,492
    Nurse Educator; from US
    Specialty: 16 year(s) of experience in Gerontological, cardiac, med-surg, peds


  3. by   NRSKarenRN
    the nurse reinvestment act is law.l. 107-205 from 107th congress.

    one of the benefits of ana (federal laws) and state nursing association (state laws) membership is being able to sign up for their legislative list-serve: political activity comes right to your computer!

    check out this article:

    new ojin article on nursing shortage topic 12/24/02

    the nurse reinvestment act, p.l 107-205, was signed by
    president bush in august, 2002. in the latest online
    journal of issues in nursing (ojin) article "what does the nurse reinvestment act mean to you"on the topic of the nursing shortage, the authors explain the new law and urges nurses to take advantages of its provisions.

    read the article, check the governments thomas website (link in above article) for appropriations funding, contact the coauthors of the bill and ask to be put on their healthcare e-mail list as you want info re funding this law. also email your senators and congress persons re need for funding and want to be added to their healthcare email alerts.

    many rn's are unaware this law has nurse retention as one of its major components.

    copying part of above article here:
    title ii. nurse retention
    title ii addresses the nursing shortage by emphasizing the role of the work place in retaining and enhancing the education and professional development of nurses.

    title ii addresses nurse retention. this component of the nurse reinvestment act represents a significant departure from older versions of nurse training and nursing education laws described in title 8 of the public health service act. typical legislation relied on schools of nursing to address the cyclical nursing shortages, focusing on increasing the supply of nurses, preparing nurses for specified areas of practice, and encouraging work force diversity by the recruitment of minority students. the literature on the current nursing shortage identifies retention as a factor and proclaims that nurses change jobs and careers because of issues in the workplace (aiken et al., 2001). contemporary debate often cites the culture of the hospital workplace as a factor in the shortage. mandatory overtime became the mantra to focus attention on poor working conditions. newspapers reflected the charge that acute care hospitals are not good places for nurses or patients (fackelmann, 2001). on the positive side, the reawakened interest in the work place focused new attention on the value of magnet hospitals (mcclure, poulin, sovie, & wandelt, 1983). these institutions attracted and retained nurses because of the governance style of the organizations and their ability to engage nurses in decision making.

    section 201, building career ladders and retaining quality nurses
    section 831, nurse education, practice, and retention grants:
    this section, composed of parts a, b, and c, addresses funding priorities in education, practice and retention. it applies practice and educational frameworks to retention with two categories: (a) nurse education, practice, and retention, and (b)building career ladders and retaining quality nurses.

    section 831a, education priority areas: this section provides funds to expand enrollment in baccalaureate nursing programs, to develop internships and residency programs in nursing specialties, and to encourage new educational technologies.

    section 831b. practice priority areas: this section describes the availability of grants to demonstrate new nursing practice arrangements that improve access to primary health care for underserved and high-risk populations and to develop skill in providing managed care and quality improvement in organized health systems.

    section 831b introduces new ideas as it gives the secretary authority to award demonstration grants or contracts; to establish/expand practice arrangements in non-institutional settings; to improve access to primary health care in medically underserved communities; to provide care for underserved and high-risk groups, such as the elderly, persons with hiv/aids, substance abusers, the homeless, and victims of domestic violence; to provide managed care, quality improvement, and other skills needed to practice in existing/emerging health care systems; and to develop cultural competencies among nurses

    section 831c, retention priority areas: in this section, priority is given to the development of career ladder programs and the design of systems that enhance the delivery of patient care by improving collaboration and communication within the health care team.

    section 202, comprehensive geriatric education
    this section establishes programs to educate and develop nurses and others to care for the nation's aging.

    section 203, nurse faculty loan program
    to address the shortage of faculty in schools of nursing, the federal government has created a loan forgiveness program for nurses who prepare to become faculty in the nation's nursing schools. section 846a describes the establishment of the nurse faculty loan program. this section encourages schools of nursing to partner with the federal government in establishing and administering a nurse faculty loan fund.

    graduates who teach full time in schools of nursing for four years can have eighty-five percent of their school loans canceled

    section 204, reports by the general accounting office
    the final component of p.l. 107-205 mandates that the comptroller general of the united states prepare a series of comprehensive reports to congress documenting how the educational and practice communities responded to this legislative initiative and describing the effectiveness of the nurse reinvestment act in addressing the nation's nursing shortage.

    love this quote from the authors :
    if nursing does not come forward and write grants to develop media campaigns, health insurers, managed care organizations, hospitals, and unions will shape nursing's image to suit their ends.

    section 831b challenges the nursing community to envision and create practice environments that respond to contemporary and future demands, are more supportive of patients and their families, and create healthier places for nurses to practice their profession.

    ana worked collaboratively with the authors of this bill to get nurse retention stratagies as key part of this law. think they helped craft a great piece of legislation.

    am sticking this thread in the hopes that all nurses, nursing students, educators and persons interested in healthcare will write their legislators to get this law funded. karen

    links to senators and congressmen/woman can be found in thread nurse activism primer:
    Last edit by NRSKarenRN on Jan 20, '03
  4. by   VickyRN
    Thank you so much, Karen! We all appreciate SO MUCH your tireless efforts at keeping us informed on issues that are vital to our profession.
  5. by   -jt
    An article in the American Journal of Nursing
    from the American Nurses Association:

    "What Could the Nurse Reinvestment Act Mean For You"
  6. by   NRSKarenRN
    Also check out: Nurse Education and Practice Grant Programs from HHS, Burreau of Health Professions:


    See if things get funded.
  7. by   VickyRN
    Thank you, Janet and Karen! Really appreciate your help!
  8. by   -jt
    news update!
    for immediate release

    january 24, 2003

    carol cooke, 202-651-7027
    cindy price, 202-651-7038

    nurse reinvestment act funded for $20 million in the u.s. senate
    new funds included in senate version of omnibus spending bill

    washington, dc -- the american nurses association (ana) today applauded the u.s. senate for approving $20 million in new federal funds for the nurse reinvestment act as part of the omnibus appropriations bill for fiscal year 2003. the funding package now goes to a conference committee with the u.s. house of representatives, where the final version will be hammered out.

    "we are very pleased that the senate has approved these new funds and that the amendment received bipartisan support," said ana president barbara a. blakeney, ms, aprn,bc, anp. "it is a good first step toward getting the funds we need to implement the nurse reinvestment act. however, we must ensure that the house also sees the importance of making this much-needed investment in nursing," blakeney added. "we look forward to working with sponsors in both the house and senate to make sure that the nursing shortage is addressed." the amendment appropriating the money was introduced by sen. barbara a. mikulski (d-md).

    the nurse reinvestment act was signed into law in august 2002. it authorizes scholarships and loan repayments for nursing students who agree to work in shortage areas after they graduate. the new law also authorizes public service announcements to promote nursing as a career, loan cancellations for nursing faculty, grants for geriatric nurse education, and grants to encourage nursing best-practices, such as those in the american nurses credentialing center magnet recognition program for excellence in nursing services to encourage recruitment and retention.

    "we thank senator mikulski for spear-heading this effort, as well as the other senators who supported it," blakeney said. "with predictions that we will be short more than 800,000 registered nurses by the year 2020, we need to act now."

    ana is asking all rns and student nurses to contact their congressmen urging their support in allocating the needed funding at the house of representatives

    # # #

    ana is the only full-service professional organization representing the nation's 2.7 million registered nurses through its 54 constituent associations. ana advances the nursing profession by fostering high standards of nursing practice, promoting the economic and general welfare of nurses in the workplace, projecting a positive and realistic view of nursing, and by lobbying the congress and regulatory agencies on health care issues affecting nurses and the public.
    Last edit by NRSKarenRN on Jan 26, '03