Legislative Issues for 2020 Legislative Session
Advance Practice Legislation
MOLN Position: Support
We are supporting legislation offered by the Advance Practice Registered Nurse Coalition. HF 1914 Edelson SF 1966 Kiffmeyer. This bill, which was originally introduced in 2019, identifies areas in the statutes where physician signatures are required and amends those to include advanced practice registered nurses where appropriate.
All the areas where these APRN signatures are amended into statute have been identified as non-controversial and have been reviewed by the appropriate state agencies. Example: In the statutes related to occupational diseases, any physician can report to the MDH if they feel someone under their care has been exposed to hazardous materials such as lead and arsenic as a result of their employment. The bill would allow advanced practice nurses to also make such reports on behalf of their patients.
Nurse Licensure Compact
MOLN Position: Support
Schomacker and Nelson introduced:
SF 3983/HF4052, 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 32 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.
All the states that surround Minnesota are part of the Interstate Nurse Licensure Compact, yet Minnesota has not yet joined the other 32 states that have approved the compact. Joining the compact will make it much easier for nurses in Minnesota to serve their patients who live in other states as well as patients who travel in retirement. MOLN is supporting Minnesota adopting the Nurse Licensure Compact which has the following benefits:
- Enabling nurses to practice in-person or provide telenursing services to patients located across the country without having to obtain additional licenses.
- Allowing nurses to quickly cross state borders and provide vital services in the event of a disaster.
- Facilitating telenursing and online nursing education.
- Making practicing across state borders affordable and convenient.
- Removing a burdensome expense for organizations that employ nurses and may share the cost of multiple licenses
Violence Prevention in Hospitals and Health Systems
Support violence prevention efforts but Oppose any bill which would add staffing ratios to violence prevention legislation or would add more regulations without further study.
Legislation on the topic of preventing violence in hospitals and health systems is likely to be introduced late in the 2020 legislative session. While we do not know at this time the details of this legislation, we do know that in the past this issue has been a vehicle for staffing ratio legislation which MOLN opposes. MOLN is encouraging nurse leaders to discuss the issue of violence in the workplace with elected officials and to provide legislators with some insight into the efforts that are currently taking place in your facilities to address violence. We know there is interest on the part of some legislators to possibly add more regulations related to violence prevention in hospitals. Before any legislation moves forward on this topic, we want them to understand what is currently happening to address this issue. We know there is a great deal of good work going on in hospitals and we want to highlight some of these activities.
Background: In October 2014 the Minnesota Department of Health conducted a gap analysis on preventing violence in healthcare. The gap analysis was done by a group of organizations working with the MDH which included Aging Services of Minnesota, Care Providers of Minnesota, Minnesota Medical Association, Minnesota Hospital Association and the Minnesota Nurses Association. The gap analysis identified best practices for prevention of violence in health care. As of today, 100% of Minnesota Hospitals have reported that they are following the best practices recommendations from this gap analysis. MOLN supports revisiting this gap analysis and conducting a new updated analysis.
Key AONL Legislative Issues
MOLN is a state affiliate of the American Organization for Nursing Leadership (AONL). AONL has identified key legislative issues on a national level.
Title VIII Reauthorization
Title VIII Nursing Workforce
programs are currently operating without authorization. In today’s tight fiscal environment, programs without a current authorization run the risk of losing funding. Its critical Congress understands nursing workforce development programs are
essential to ensuring there enough nurses to treat the patient population.
The Title VIII Nursing Workforce Reauthorization Act would reauthorize critical Nursing Workforce Development programs through
the fiscal year 2024. The nursing workforce programs that Title VIII provides are critical to strengthening the nursing field.
Home Health Care Planning Improvement Act
Advanced practice registered nurses (APRN) and physician assistants
(PA) are recognized as authorized Medicare providers and are able to certify patient eligibility for nursing home care; however, current law precludes these same practitioners from certifying patient eligibility for home health care services.
Elevate Nursing Research and Data
The work of nurses is caring for patients. Nurses rely on data driven research to improve patient outcomes, quality, safety and the delivery of cost effective care. Research shows certain kinds of information technology
can limit errors as well as improve care and efficiency.
Sustain and Grow Funding for Nursing
AONL advocates for funding Nursing Workforce Development programs authorized under Title VIII of the Public Health Service Act (42 U.S.C.
296 et seq.). These programs support the supply and distribution of qualified nurses to meet our nation’s increasing health care needs.
Promote the Value of Nursing
In the redesign of the health care delivery system towards one driven
by a team of health care providers in a patient-centered environment, it is important nurse leaders articulate the value of nursing in improved patient outcomes and care coordination.
For questions regarding the information shared, please
contact Sue Stout.