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|2019 Legislative Advocacy Issues|
2019 Legislative Issues
Nurse Licensure Compact
MOLN Position: Support
Schomacker and Sauke introduced:
H. F. 1249, A bill for an act relating to health occupations; creating a Nurse Licensure Compact; appropriating money; proposing coding for new law in Minnesota Statutes, chapter 148.
This bill seeks to enroll Minnesota in the Enhanced Nurse Licensure Compact. There are currently 31 states enrolled in this compact that recognizes the RN license in every state in the compact. This compact has been compared with a driver’s license which allows a driver to be issued a license in their home state which allows you to drive in other states provided you follow the driving laws in that state. This will make it easier for interstate practice to occur and for nurses who practice in telehealth settings to be able to practice without holding individual licenses in multiple states. Patient safety is safeguarded by the compact because nurses working under a compact license cannot practice in another state if there is a restriction on their license from any state.
Violence Prevention in Hospitals and Health Care Systems
MOLN Position: Oppose Bill as Introduced
Stephenson; Lesch; Halverson; Noor; Moran; Freiberg; Hornstein; Long; Bierman; Becker-Finn; Carlson, A.; Huot; Persell; Howard and Pryor introduced:
H. F. 1398, A bill for an act relating to health; establishing duties for commissioner of health and hospitals regarding violence against health care workers in hospitals; modifying civil and criminal penalties; amending Minnesota Statutes 2018, sections 144.566; 609.2231, subdivision 2.
This bill would:
1- Require the Minnesota Department of Health (MDH) to create a database and portal for hospital employees to use during work hours to submit detailed information when they have concerns about violence and document the actions taken by the hospital. MOLN is concerned about posting of patient information as well as information about employees in such a data base.
2- It would involve the commissioner of health directly in hospital decisions about security, preparedness and staffing.
3- The bill directs the commissioner of health to mandate security plan improvements, including this provision: “The Commissioner may use documentation regarding staffing requests to inform the commissioner’s determination of whether the hospital is providing adequate staffing and security to address acts of violence, and may use documentation regarding staffing requests if the commissioner imposes a penalty.” Note that this does not say security staff. The way this bill is written, the Commissioner could use these reports to intervene on regular staffing disagreements not simply staffing for security.
4- As the union attempted to do in 2015, this bill states: “A hospital shall create and implement a procedure for a health care worker to officially request of hospital supervisors or administration, that additional staffing is provided. The hospital must document all requests for additional staffing made because of a health care worker’s concern over a risk of an act of violence.” Note that this does not say security staff. This is intentional for the MNA to raise their desire for fixed nurse staffing ratios with MDH.
5- Mandates that “a hospital shall make its action plans and the information…publicly available by posting its most recent action plan and the results of its annual review conducted… on the hospital’s website.” This is akin to having the bank post its security plan such as cameras, number of security officers, where they’re posted, etc., on its website for all bank robbers to see.