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Overview of the Session - Senate
Looks much the same as 2011Same leadership - Lt. Gov. Dewhurst19 Republicans; 12 DemocratsRepublicans 2 short of 2/3 majority of 21 6 new members – 20%3 physicians; 1 pharmacist
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Overview of the Session - House
Looks somewhat different than 2011Leadership same – Speaker Strauss40 new members – 27%66 freshman or sophomore legislators – 44%More ideologically driven95 Republicans; 55 DemocratsRepublicans 5 short of 100 needed for super majority3 RNs ; 3 physicians; 1 paramedic
Rep. Donna Howard (D-Austin)Rep. Susan King (R-Abilene)Rep. Stephanie Klick (R-Ft. Worth)
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Overview of the Session - Bill Volume
Number of bills expected to be filed2011 Session - 3865 HBs; 1931 SBs 5796 Total2009 Session - 4836 HBs; 2583 SBs 7419 Total
Deadline to file bills - 60th day (Friday, March 8)Number of bills filed as 2/8/2013 - 1146 HBs; 460 SBs Expected to be filed – 6000-7000 bills
4000 bills in next 28 days (141 bills/day including Sat & Sun)
Monitoring of Bills
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Overview of the Session - Bill Volume
Number of bills filed in previous sessions2011 Session - 3865 HBs; 1931 SBs 5796 Total2009 Session - 4836 HBs; 2583 SBs 7419 Total
Deadline to file bills (60th day ) was March 83852 HBs; 1816 SBs 5668 Total
Bills Passed (HBs & SBs)2009 Session 1459 (19.7%)2011 Session 1379 (23.8%)2013 Session ??
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Appreciating that process does affect substanceKey hurdles controlled by a very few legislatorsDelay can kill a bill
Strategy for Legislative Success
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Collaboration/compromise encouragedMust know opposition and support for billOpportunities must be exploitedLong term, multi-session presence favoredLong term, multi-session strategies needed
Strategy Implications of Process
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Letting desire for perfect prevent achieving goodReluctance to identify alternatives that might represent significant progress towards desired “perfect”
Believing that “educating” legislators will be enough
Lack of effective and efficient decision-making
Some Potential Strategy Pitfalls
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TNAGovernmental Affairs Committee
Nursing Legislative AgendaNLACContent
Nursing initiated legislationNursing supported health policy legislationOh my gosh! Did you see that bill? Nursing can’t live with that!
TNA & Nursing’s Legislative Agenda
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Nursing Initiative - WorkplacePreventing violence against nurses
Bill covers ER personnelSome mental health advocacy groups likely will oppose
Assuring publicly-employed nurses equal right to access courts to redress retaliation
Not issue of making illegal – is already illegal to retaliateIssue is should publically-employed nurses have same remedies as privately-employed nurses
Notification of parents if no school nurse
Nursing Initiative - APRN Rx Authority
First Success of 2013 Session!
Agreement with medicine to replace current site-based approach with a simpler, more flexible prescriptive authority agreement model
SB 406 by Nelson; HB 1055 by Kolkhorst
SB 406 passed on Local & Uncontested Calendar on 3/13
Will now go to House12
Nursing Initiative – Regulation of NursingNPA Amendments
Mandatory criminal background checks for studentsMaking deferred disciplinary action pilot permanentConfidentiality of BON orders referring nurses to TPAPN
Self-Directed, Semi-Independent Status (“SDSI”)TMB, TSBP, BONInitiative of coalition of professional associations
BON AppropriationsExecutive director salaryTPAPN funding
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Nursing Initiatives - Education
Maintaining Special Funding$30.0 mil – Professional Nursing Shortage Reduction Fund
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Initiatives by Others - Nursing Supports
RNs administering meds & treatments ordered by therapeutic optometrists
Loan repayment for nursing faculty
Uniform admission system
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Initiatives by Others - Nursing Opposes
Unknown but there always are some“Oh my gosh! Did you see that bill!”
Some that have been filedMandated ratio bill by CNA/NNOCAnesthesiologists assistants licensingBSN offered by community college pilot
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Initiatives by Others - Nursing Undecided
BSN offered by community college pilot
APRN Medicaid services paid at APRN rate
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Health Care Policy Coalitions
Texas Public Health CoalitionImmunizationsSmoking CessationHealthy EatingCancer Prevention & Cure
Texas Women’s Health CoalitionPreventative care for women
CHIP CoalitionMental Health Advocacy Coalition
Why Should Nursing Participate?
Whether or not nursing participates, decisions affecting nurses and their patients will still be made
But …without nursing input
Nursing has benefited from participating
Not happen otherwiseWhat if nursing had not been involved since 1907
Health care policy needs nursing’s perspective
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