2019 Iowa Nurses Association Annual Report

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October 24-25, 2019

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TABLE OF CONTENTS

Conference Welcome Letter. ......................................................... 3

Listing of the Board of Directors. ...................................................... 5

2019 Annual Meeting Agenda. ....................................................... 7

Election Procedures and Parliamentary Information. ........................................ 8

2018 Annual Meeting Minutes. ...................................................... 10

2019 Strategic Plan. ............................................................... 12

Iowa 2019 Legislative Priorities. ...................................................... 13

Financial Statements. .............................................................. 15

President’s Message ............................................................... 19

Executive Director’s Report .......................................................... 21

Membership Report ............................................................... 22

Legal Year in Review. .............................................................. 23

Legislative Session. ................................................................ 26

INF Report. ...................................................................... 31

Region Reports. .................................................................. 32

ANA Membership Assembly. ........................................................ 33

2019 Leadership Elections. .......................................................... 37

2019 Bylaw Amendments. .......................................................... 38

Appendix

INA Bylaws. ..................................................................... 58

Printed and published for the Iowa Nurses Foundation and the Iowa Nurses Association by:

Arthur L. Davis Publishing Agency

517 Washington St., P.O. Box 216 | Cedar Falls, Iowa 50613

(319) 277-2414

www.iowanurses.org

Published by:

Arthur L. Davis

Publishing Agency, Inc.

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Welcome to the 2019 Annual Meeting

Iowa Nurses Association/Iowa Nurses Foundation

October 24 & 25, 2019

On Behalf of the INA/INF Annual Meeting Planning Committee, we welcome you to our annual education

conference and INA Business Meeting! The theme of this year’s conference is “The Impact of Change in

Nursing.” We know that change is ever present in healthcare and that nurses must be able to continue to

lead while adapting to the changes. The speakers at this year’s conference will provide insight into nursing

practice of the future. We are excited to feature INA member and Public Policy Chair Dr. Dawn Bowker at

our networking dinner on the evening of October 24. Dr. Bowker’s presentation “Is the Lack of Cultural

Humility in Healthcare Harming our Patients?” will be informative and thought provoking.

On Friday morning we will recognize the 2019 INA award winners and INF scholarship recipients during

breakfast. We are thrilled to have two nationally known keynote speakers this year! Their presentations

will help us continue to grow in our personal professional journey. Our afternoon sessions will provide

information on medical cannabis and immunizations, both of which are current topics that are relevant

to all nurses regardless of their practice setting. Take time to renew old friendships and create new ones

during breaks. Be sure to visit with our vendors whose support helps to make this event possible.

We respectfully request that you stay for the INA annual business meeting. It is critical that your voice be

heard as we discuss proposed by-law changes that will shape the future of the organization.

Thank you!

INA/INF Annual Meeting Planning Committee

Lisa Caffery, Virginia (Ginny) Wangerin, Christina Peterson and Kate Pace

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BOARD OF DIRECTORS

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6


2019 ANNUAL MEETING AGENDA

October 25, 2019

3:45 – 4:45 p.m.

3:45 Call to Order – Jann Ricklefs, President

• Roll Call of the Board of Directors

• Roll Call of Membership by Region

Report of the Number of Proxies

• Declaration of Quorum

• Review and Approval of the Agenda

• 2018 Annual Meeting Minutes

3:50 INA Financial Road Map – Anne Cook, Treasurer

3:55 President’s Update on INA Strategic Initiatives – Jann Ricklefs, President

4:05 ACTION ITEM: 2019 Proposed New Bylaws – Lisa Caffery, Bylaws Chair

4:25 Membership Open Forum

4:30 Recognition of Outgoing Board Members – Jann Ricklefs, President

4:33 Passing of the Gavel to the Incoming President

4:35 Recognition of Outgoing President – Lisa Caffery, President

4:40 Tellers Report – Sue Whitty, Nominations Chair

4:45 Adjournment – Lisa Caffery President

THE IMPACT OF CHANGE IN NURSING

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ELECTION PROCEDURES

RULES:

1. All members in good standing may vote

2. No congregating or campaigning will be allowed near

voting area while voting is in progress.

Meeting Rules

___________________________________________________

Rule 1: Registered members must wear their name

badges during the business session.

Rule 2: In making a motion or speaking to a question,

a delegate shall move to the floor microphone,

address the Chair, await recognition of the Chair,

and give the delegate’s name and region.

Rule 3: The correct form to use in making a motion is “I

move that...”

Rule 4: All motions and amendments should be written

and signed by the maker of the motion or

amendment and then given to the Chair.

Rule 5: A member may not speak against her/his own

motion, but may vote against it.

Rule 6: No member shall speak more than once, or

longer than three minutes, on the same question

until all have spoken who wish to express and

opinion.

Rule 7: All reports and supplements to reports shall be

written and shall not be read.

Rule 8: A nominating speech of one minute will be

allowed for each nomination from the floor.

Rule 9: Only currently paid members of the Association

are entitled to vote at the polls upon verification

of their current dues being in good standing

according to the most current membership

rosters provided to the tellers. Members not in

attendance may vote by proxy per INA Articles of

Incorporation, Article IV.

Rule 10: The Association staff shall report the number

of members registered after the opening

ceremonies. Supplementary reports may be given

later as the Chair may direct.

Rule 11: A member should raise her/his hand to indicate

she/he cannot hear.

Rule 12: The member will act only on the resolves of a

resolution. Questions of clarification will be

handled according to parliamentary procedure.

Rule 13: All sessions of the Annual Business Meeting shall

be open to the public unless the Chair declares an

executive question.

Rule 14: No smoking will be allowed during the sessions

of the Annual Business Meeting.

Rule 15: Non-ANA members, with the exception of ANA

and INA staff, including consultants, must have

permission of the President to speak.

Rule 16 Items under New Business must receive a 2/3

vote of the members present in order to be

considered.

Rule 17

Revised 2007

On the election ballot, the “write-in” names

must also be marked with a check mark in order

that the tellers will count it as a vote.

Parliamentary Information

___________________________________________________

Robert’s Rules of Order, Newly Revised is the parliamentary

authority that shall govern the INA Business Meeting. The

chair, as the presiding officer, rules on all matters relative to

parliamentary law and procedures. The Parliamentarian

serves only in an advisory capacity to the presiding officer and

members.

Member participation in the business session is governed by

the standing rules.

The motions that follow are defined in terms of action a

delegate may desire to propose. Rules governing these

motions are listed in Table 1.

A main motion introduces a subject to the Business Meeting

for consideration and is stated: “I move that....”

FILLING OUT A MOTION FORM

Three part motion forms are provided by the INA

staff. They will be available at the Head Table by the

Secretary and by the Executive Director. Please fill them

out completely before bringing forward a motion for

consideration at the Business meeting for discussion.

You must sign your name and Region and get the

signature of a person to second the motion before

bringing it up.

An amendment (primary) is a motion to modify the working

of a motion. The motion to amend may be made in one of

the following forms, determined by the action desired: “I

move to amend by.....”

striking (word(s), phrase, paragraph).”

inserting (word(s), phrase, paragraph).”

adding (word(s), phrase, or paragraph at the end

of the motion).”

substituting (paragraph or entire text of a resolution or

main motion and inserting another that is

germane).

An amendment to an amendment is a motion to modify the

wording of the proposed amendment and is made as follows:

“I move to amend the amendment by....” The same forms

for making an amendment are applicable for making a

secondary amendment.

8 2019 INA CONFERENCE & ANNUAL MEETING


The motion to commit or refer is generally used to send a

pending motion (also called “the question”) to a small group

of selected persons - a committee, board, or cabinet, for

example - so that the question may be studied and put in

better condition for the assembly to consider. The motion

is stated: “I move to commit the question to..........for

further study.”

The motion to close a debate (previous question), if seconded

and approved by a two-thirds vote, stops discussion on the

pending question and is stated: “I move the previous

question.”

A division of the assembly may be called by any member if

the chair’s decision on a voice vote is in question. The member

proceeds to the microphone and states: “I call for a division

of the house.” The chair then takes a standing or roll call

vote.

A division of the question may be called when a pending

motion relates to a single subject but contains several parts,

each capable of standing as a complete proposition. The

parts can be separated and each considered and voted on as

a distinct question. The motion is stated: “I move to divide

the question........as follows....”

The motion to reconsider enables a majority of the assembly

to bring back for further consideration a motion that has

already been voted. The purpose of reconsidering a vote is

to permit correction of hasty, ill-advised, or erroneous action,

or to take into account added information or a situation that

has changed since the vote was taken. (Note exception on

the Table-Rules Governing Motions)

Parliamentary inquiry is a question directed to the presiding

officer to obtain information on parliamentary law or the

rules of the organization as relevant to the business at hand.

A member addresses the chair and states: “I rise to a (point)

of parliamentary inquiry.”

Point of information is a request, directed to the chair or

through the chair to another officer or member for information

relevant to the business and hand. The request is not related

to parliamentary procedure. The member addresses the chair

and states: “I rise to a point of information.”

The motion to appeal the decision of the chair is made at

the time the chair makes a ruling. If it is made by a member

and seconded by another member, the question is taken from

the chair and vested in the voting body for a final decision.

The motion is stated: “I move to appeal the decision of

the chair.”

Before a member can make a motion or address the assembly

on any question, it is necessary that he or she obtain the floor

through recognition by the presiding officer. The member

must:

- rise and proceed to the microphone.

- address the chair by saying, “Madam

Chairperson”

- await recognition

- give name and region

- state immediately the reason for rising.

Rules Governing Motions

___________________________________________________________________________________________________________

Interrupt Speaker Recognized by Chair Requires a Second Debated Vote

Main motion NO YES YES YES Majority

Amendment NO YES YES YES Majority

Amendment to

amendment

NO YES YES YES Majority

Refer to Committee NO YES YES YES Majority

Limit Debate NO YES YES NO Two-thirds

Close debate (previous

quest)

NO YES YES NO Two-thirds

Divide the Question NO YES YES NO Majority

Division of Assembly YES NO NO NO

Demand of single

member compels division

Reconsider NO YES YES YES Majority*

Point of parliamentary

inquiry

YES NO NO NO Chair Decides

Point of Information YES NO NO NO Chair Decides

Appeal decision of chair

Yes (at time of

decision)

NO Yes (limited ruling) YES Majority

*Majority vote except when the motion being reconsidered required a two-thirds vote for its passage; then the motion to

reconsider requires a two-thirds vote.

THE IMPACT OF CHANGE IN NURSING

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Annual Business Meeting Minutes

2018 ANNUAL BUSINESS MEETING MINUTES

October 19, 2018

Des Moines, Iowa

Jann Ricklefs, President Lisa Caffery, President Elect Anne Cook, Treasurer

Vacant, Secretary Virginia Wangerin, Resolutions Carol Chesterman, Public Policy

Christina Peterson, Staff Nurse

Linda Opheim, NW Region Rep

Kate Pace, Newly Licensed

Director

Brenda Helmuth, NE Region Rep

Vacant, SW Region Rep

Lorinda Inman, INF

Representative

Barb Gano, Central Region Rep Becky Lewis, SE Region Rep Tobi Moore, Exec. Director

Present: BOLD

1. Meeting called to order by President Ricklefs at 3:34pm with the reading of the INA Mission Statement:

To connect, advocate, and support for nurses and healthcare in Iowa.

2. Roll Call of the Board of Directors (see bolded names above for those in attendance)

3. Roll Call of Membership by region was held.

4. Roll Call of Membership revealed 57 members present and 13 proxy voters. A quorum was declared by

Lynn Boes.

5. The agenda was reviewed and approved as written.

6. Friday, October 20, 2017 Annual Meeting minutes were presented in the annual book. Motion to accept

minutes was made by Virginia Wangerin and seconded by Mary Tarbox. Motion passed unanimously.

7. Anne Cook, Treasurer couldn’t attend the annual meeting. President Ricklefs asked Executive Director

Moore to present the financial reports. The financial committee drafted new policies and procedures

for INA during their work in 2018. This fiscal year to date the association as made a net profit of

$23,790.63. Motion to accept finance report was made by Lisa Caffery and seconded by Mary Tarbox.

Motion passed unanimously.

8. Tobi Moore provided executive director message, progress on strategic plan. On March 1, 2017 the

association became a part of a membership pilot with ANA, called the “value pricing pilot.” Membership

growth... 33.8% since March 1, 2017! We ended August 2018 with 1120 members. INA is seeing a

1.6% average monthly growth in membership.

This year we launched our CE Genius smartphone application. INA partnered with Continuing Education

Genius to provide a smartphone application that quickly and easily records continuing education

credits. The application, called CE Genius, will automatically update the number of acquired credits for

10 2019 INA CONFERENCE & ANNUAL MEETING


each state license you have placed into the program, providing a visual summarization of your progress

toward completing your goals. You can enter credits from all providers and maintain individual privacy.

CE Genius has a built-in reminder for continuing education, license requirements and other events.

INA partnered with NSO to bring professional liability insurance to Iowa Nurses. For over 40 years,

Nurses Service Organization (NSO) has been helping defend RNs, nurse practitioners, LPN/LVNs, CNSs,

nursing aides and student nurses from medical malpractice lawsuits. Over 550,000 nursing professionals

safeguard their careers with professional liability insurance through NSO.

9. Lisa Caffery, Bylaws Chair reviewed the following bylaw amendments:

a. Amendment #1. Providing for the Iowa Nurses Foundation President to have a vote on the Iowa

Nurses Association Board of Directors. President Ricklefs called for motion. Vote was held, and

motion passed unanimously

b. Amendment #2 was a follow up amendment related to creating the President Elect position during

the 2019 membership meeting. President Ricklefs called for motion. Vote was held, and motion

passed unanimously.

10. There were no motions from the membership.

11. President Ricklefs recognized outgoing Board Members. Carol Chesterman, Public Policy Director

2016-2018.

12. Julie Shilling, nominations chair recognized incoming Board Members.

• Secretary, Kim Bergen Jackson

• Treasurer, Anne Cook

• Public Poly Director, Dawn Boettcher

• Resolutions Director, Virginia Wangerin

• Nominations Committee: Mary Tarbox and Candace Chihak

Iowa Nurses Foundation: Christina Peterson, Lorinda Inman and Kim Bergen Jackson

13. Motion made by Linda Opehim, seconded by Candace Chihak to adjourn the meeting. Meeting was

adjourned by President Ricklefs at 4:22.

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THE IMPACT OF CHANGE IN NURSING

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IOWA 2019 LEGISLATIVE PRIORITIES

THE IMPACT OF CHANGE IN NURSING

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Operating Revenues:

WRITTEN FINANCIAL SUMMARY

Membership Dues: Our monthly budget for membership dues is $10,416.67, with us eight (8) months

into our fiscal year, we are ahead of budget in our membership dues revenue by $6,039.19.

Miscellaneous Revenue: We received $2,080 from ANA to produce our membership promotional video.

Legislative Day: We had a net loss of $4,061.51 for the 2019 event. Registration was down and we

fell short of our planned revenue which resulted in this net loss. The 2018 lobby day had a net loss of

$1,290.66.

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FINANCIAL STATEMENTS

THE IMPACT OF CHANGE IN NURSING

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16 2019 INA CONFERENCE & ANNUAL MEETING


THE IMPACT OF CHANGE IN NURSING

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18 2019 INA CONFERENCE & ANNUAL MEETING


PRESIDENT’S MESSAGE

Dear Colleagues,

As I conclude my final year as your INA President, I reflect on the importance and

relevance that INA has to support quality patient care and nursing practice in Iowa

and beyond its borders. In the past I would have simply said Iowa, but in today’s

nursing practice, many nurses are working in other states through direct care and

telehealth under the Nurse Compact Act. The number of states participating in this

formal professional agreement continues to grow and now stands at 33.

The American Nurses Association provides valuable evidence-based tools to guide

all nursing practice. One such tool that is especially important in today’s social and

Jann Ricklefs,

PhD, RN, CNE

political environment is the Code of Ethics for Nurses (The Code). This document is published and regularly

updated by the ANA Center for Ethics and Human Rights to reflect current health care structures, provision

of health care, and fiscal responsibilities. The Code “supports nurses in providing consistently respectful,

humane, and dignified care. These values are often second nature to nurses’ caregiving but are frequently

challenged by the failings in U.S. health care and by negative social determinants of health.” The Code of

Ethics is relevant to all actions of nurses, including the mission, vision, and activities of your Iowa Nurses

Association.

Since the 2018 conference, I have continued to lead INA and its Board through various activities. Our Board

meetings include oversight of general business of the organization and continuing to search out new

ideas to ensure our organization is up-to-date and relevant. Growing and maintaining our membership

is vital; many discussions and brain-storming sessions have brought about new and innovative ideas. This

is reflected in our strategic planning, recently developed Vision Statement, and proposed Bylaw changes.

This spring and summer I again represented INA by participating on the selection committee for the 100

Great Iowa Nurses recognition and awards. Every nomination I read identified how nurses in our state

provide exceptional quality care in a diversity of healthcare settings. These nurses demonstrate outstanding

courage, commitment, and caring. I was especially proud to have some of the students I taught recognized.

Last December Tobi Lyon Moore, Lisa Caffery, and I attended the ANA Leadership Summit in Alexandria,

Virginia. This annual event brings together nursing leaders from all the state’s member organizations.

Attendees have opportunities to deliberate, strategize, and advise on professional topics and organizational

functions. It was an interesting and motivating two days of meetings.

In February I participated in the INA Lobby Day in Des Moines. Despite the weather challenges, nurses and

nursing students were able to learn about the political advocacy process and spend time advocating for

patients and nurses with state legislators.

In June, Lisa Caffery, Carol Chesterman, Tobi Lyon Moore, and I attended ANA Hill Day and Membership

Assembly in Washington D.C. We were able to meet with legislators and their representatives and discuss

Title VIII legislation that provides federal support to fund nursing legislation. Soon after we were there,

this legislation was passed. Other topics we discussed with the legislators were workplace violence, home

THE IMPACT OF CHANGE IN NURSING

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healthcare planning, and safe staffing. To emphasize and personalize the issues, we were able to share

stories that we or our colleagues back home in Iowa have experienced. This was especially appreciated by

our legislative leaders.

I am honored and privileged to have served as your President the past 3½ years and am assured that Lisa

Caffery, President-Elect, will be an outstanding leader for this organization. The staff lead by Tobi Lyon

Moore, Executive Director, have been wonderful to work with and will continue to help our organization

continue its mission, “To connect, advocate, and support for nurses and healthcare in Iowa.”

20 2019 INA CONFERENCE & ANNUAL MEETING


EXECUTIVE DIRECTOR’S REPORT

Tobi Lyon Moore, MBA, CAE, CFRE

“Never doubt that a small group of thoughtful, committed citizens can change the

world. Indeed, it is the only thing that ever has.” – Margaret Mead

2019 was a year that brought a few changes and new additions to INA.

The INA Board approved a new vision statement that better articulates our future:

“Together, we promote the growth of the profession, guide nursing practice, and

monitor current issues in nursing. Our strength is to stay engaged, by advocating for

and connecting with Iowa nurses in the diverse, dynamic health care environment.”

Tobi Lyon Moore,

MBA, CAE, CFRE

On March 1, 2017, the association launched a new membership structure with ANA.

Membership growth... is at 47.7%. Yes, 47.7% growth in just two years! We ended September 2019 with

1298 members. INA is seeing a 2.6% average monthly growth in membership in 2019. Whereas, in 2018,

we saw an average of 1.6%. We are making great progress.

New services in 2019 include launching an online Legislative Action Center. The Legislative Action Center

is a platform to allow our public policy committee and membership to track legislation and keep our

membership updated on INA positions with certain legislation. The other benefit is that we can track

when a member has clicked on an email, visited our page, or taken any action. As we advance our level

of advocacy within the Association, this service will be able very beneficial.

In addition, INA partnered with NSO to bring professional liability insurance to Iowa Nurses. For over 40

years, Nurses Service Organization (NSO) has been helping defend RNs, nurse practitioners, LPN/LVNs, CNSs,

nursing aids and student nurses from medical malpractice lawsuits. Over 550,000 nursing professionals

safeguard their careers with professional liability insurance through NSO.

INA continues to look for ways to grow membership and retain the members we have. Thank you to

all the INA members for knowing the importance of your membership, and the hard work that you put

into this organization. Most of all, thank you for your dedication to the profession. With every member

being engaged and active, INA will be able to maximize our progress and work together for success in

the profession. I encourage all members to share their views as to why you are a member and to remain

involved in INA.

THE IMPACT OF CHANGE IN NURSING

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MEMBERSHIP REPORT

22 2019 INA CONFERENCE & ANNUAL MEETING


2019 LEGAL YEAR IN REVIEW

J.R. Lynn Böes, R.N., B.S.N., J.D.

As is typical in matters dealing with the legislation and regulations, there were some

twists and turns in Legislature and the regulatory arena in 2019. Additionally, in the

area of judicial precedent, the Iowa Court of Appeals rendered a decision involving a

nurse, which reaffirmed the authority of the Board of Nursing to impose discipline and

reaffirming the standard that the courts use when reviewing such discipline.

Legislation. The Legislative session opened on January 14, 2019 and ended on April

27, 2019. During the session the following new laws were passed:

• House File 731 transferred the obligation to create the dependent adult

abuse and child abuse curriculum from the Iowa Department of Public Health

(IDPH) to the Iowa Department of Human Services (DHS). This law increases

the frequency of such training, now required every three (3) years, from the

J.R. “Lynn” Böes,

RN, BSN, JD,

INA Legal

Counsel

previous five (5) year requirement. This law also removed the ability of a licensee to have combined

dependent adult abuse and child abuse program. Instead, a nurse caring for both children and

adults will have to take two separate courses that are two (2) hours in length, and the course

content must be provided by DHS. Employers can provide additional training if they choose, but

it cannot take the place of the required DHS curriculum. The bill is located at the following link:

https://www.legis.iowa.gov/legislation/BillBook?ga=88&ba=hf731

• Senate File 210 established an Iowa Caregiver Law, which will be located at Iowa Code 144F (at the

time of preparation of this report, it was not posted on the Iowa Legislative Web Site). Numerous

attempts by the AARP over the years to get this bill passed had been unsuccessful. However, in

working with the Iowa Nurses Association this year, there was much more acceptable language.

The bill requires hospitals to provide an opportunity for an individual to designate a lay caregiver

who may be involved in the care of the patient if they return home to their own residence (not to

an assisted living program or group home or other nursing facility). If the patient declines to have

a lay caregiver designated, the declination needs to be noted in the record. If the patient elects to

have a person designated as a lay caregiver, that person will be given discharge information on how

to care for the individual upon their discharge from the hospital. See https://www.legis.iowa.gov/

legislation/BillBook?ga=88&ba=sf210

• In a rare show of bipartisan support this session, House File 758 was passed and signed by the

Governor on May 13, 2019. This bill added $50,000 for health care loan repayment for RNs,

ARNPs, PAs, nurse educators and health professionals that meet specific criteria. See https://www.

legis.iowa.gov/legislation/BillBook?ga=88&ba=hf758

• House File 690 was passed and signed by the Governor on May 1, 2019. This bill established a child’s

behavioral health system and established certain core children’s behavioral health services that must

be provided. It mandates a single statewide 24-hour mental health crisis hotline. The Governor’s

approved bill may be found at: https://www.legis.iowa.gov/legislation/BillBook?ga=88&ba=hf690

THE IMPACT OF CHANGE IN NURSING

23


• Senate File 304, which amended Iowa Code 17A.3 and § 272C4 was passed this session. That

law eliminated the ability of the healthcare licensing boards to suspend or revoke a license issued

by that Board to a licensee who is in default or delinquent on repayment or a services obligation

for certain student loans solely on the basis of their default or delinquency. This includes Federal

or State Post-Secondary Educational loans, or public or private services-conditional post-secondary

tuition assistance. See https://www.legis.iowa.gov/legislation/BillBook?ga=88&ba=SF304

• House File 288 also amended § 17A.3 and § 272C.4 requiring the Board to expedite the licensing

of an individual who is licensed as a nurse in another state and who is the spouse of an active

duty member of the military forces. The link for that bill is found at: https://www.legis.iowa.gov/

legislation/BillBook?ga=88&ba=HF288

Two other surprising twists and turns in the legislature occurred. INA spoke up on several occasions

attempting to prevent the Iowa Board of Nursing (IBON) Executive Director (along with the Executive

Directors from the Boards of Pharmacy, Medicine and Dentistry) from being moved to the oversight of the

IDPH. It appeared that provision of the bill was dead, as it did not even make it out of subcommittee. But

the proposal was amended to another bill, which passed at the end of the session. Section XV of House

File 766 (pgs. 73-74) was signed by the Governor on May 3, 2019. For the first time in my 23 years as legal

counsel for INA, we took the extraordinary step of asking the Governor to line item veto this section, but

that was unsuccessful. See https://www.legis.iowa.gov/legislation/BillBook?ga=88&ba=hf766

House File 766 also eliminated a number of committees, one of which was the Patient Centered Advisory

Committee on which INA had been privileged to serve. It also significantly curtailed the size of the voting

members of the Medical Assistance Advisory Council (MAAC), allowing only five organizations to be

voting members of the official council.

Additionally, House File 732, which recognized ARNPs and PAs as healthcare practitioners who would have

the authority to certify to the existence of a qualifying diagnosis for a patient to obtain cannabidiol (CBD)

was vetoed by the Governor. Her concern over the bill was the marked increase in the amount of THC

that a patient could have and accordingly, she vetoed the entire bill. Yet, she has voiced her willingness to

work with an evidenced-based protocol for the CBD. She understands, and has received information from

numerous individuals, about the effectiveness of CBD on treating their conditions. Look for that in the next

Legislative Session. See https://www.legis.iowa.gov/legislation/BillBook?ga=88&ba=hf732

Regulations. The Iowa Administrative Bulletin (IAB) publishes all agencies’ proposed rules and adopted

rules every two weeks. These were reviewed throughout the year. Additionally, this necessitated several

visits to the Iowa Board of Nursing to participate in various Board meetings and to provide input on behalf

of the Iowa Nurses Association.

DHS proposed to recognize ARNPs as primary care providers for the purposes of managed care organizations

(MCOs). On behalf of INA, comments were submitted supporting this. This would allow payment for their

services as they provide primary care services to enrollees in Iowa’s MCOs. More than a decade ago, the

Iowa Board of Nursing recognized ARNPs as providers of primary care.

The IBON amended its rules in Chapter 3 related to the practice of nursing. It will no longer be issuing

wallet cards, so, it removed references to that in its rules. It mandated a nurse refresher course for licensees

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who have not held an active license in any jurisdiction for the previous five years within 12 months prior

to the reactivation of their license. Since the old nurse licensure compact is no longer valid, it’s struck

references to Chapter 16 since Iowa is now a participant in the new Enhanced Nurse Licensure Compact.

The IBON also amended Chapter 7 pertaining to ARNPs, including new definitions, streamlining the

requirements and process for licensure as an ARNP and clarifying the role and expectation of an ARNP

per the consensus model and current standards of practice. The Board revised the rules to allow ARNPs

to exercise their professional judgment when performing pertinent health histories and revised the

disciplinary provision related to that. The Board clarified DEA and Controlled Substance Act registrations

are required by the Board only when it’s required by the DEA and the Iowa Board of Pharmacy. The original

definition of “collaboration” remained in the rules consistent with the Board’s fluoroscopy rules that

require collaboration as needed. The definitions for the Nursing Board removed “collaborative practice

agreement” from its rules and added a definition of “dispense” to clarify the term of art. Dispense does

not include administration. The Board rules clearly and unequivocally stated that an ARNP shall have

the authority to practice to the full extent of the ARNP’s license, education and experience in the ARNPs

respective population foci. (See 655 IAC § 7.4(4))

Due to Legislative action in 2018, Iowa law requires electronic transmission of prescriptions effective

January 1, 2020. The Pharmacy Board proposed rules to implement this law along with exemptions allowed

in the law.

Judicial President. On August 7th, the Iowa Court of Appeals rendered a decision providing further

clarity to Iowa Nursing law. (See Dawn Marie Leach vs. Iowa Board of Nursing, Iowa Court of Appeals

filed August 7, 2019). The Court reaffirmed the authority of the IBON to discipline a nurse who remotely

accessed patient census data to see if it was likely she would be off from working in the Intensive Care

Unit due to a low census day. Even though the testimony at the hearing indicated that she did not look

at patient information, which was on the census list, the Board determined that she should be disciplined

with a citation and warning, the lowest level of formal discipline the Board can give.

When the court reviews the IBON’s actions, the Court will only overturn the Board’s decision if it was

irrational, illogical or wholly unjustifiable. The Board determined that this was unethical conduct or a

practice that was detrimental to the public and was a violation of privacy. This case serves as a reminder

for all to take seriously, not only the authority of the Board, but HIPAA requirements as well. Even though

it might be seemingly innocent to access information that doesn’t pertain directly to patients you’re caring

for at the time of access, that should not be done, as it is a violation of HIPAA. Protected Health Information

is allowed only on a need to know basis. Even though she was not looking at the names, the presence

of the names on the accessed list, according to Iowa Nursing Law, was a violation of their privacy rights.

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LEGISLATIVE SESSION

Jim Obradovich, President

The Capitol Group

After a four day stretch of nearly 12-hour long days, the 2019 edition of the Iowa Legislature finally

concluded its work during the afternoon of Saturday, April 27.

The battle over how much to spend on health care programs and what, if any tax credits, would be

approved were the focus of much of the consternation and deliberations that punctuated the ending days

and hours.

Governor Reynolds has until the end of May to either veto or sign into law the bills that were passed by

both chambers.

We will keep you updated on any action taken by the Governor on bills of interest.

Education Appropriations Bill Increases Healthcare Loan Repayment Program Funds

The bipartisan team of Rep. Dave Kerr of Morning Sun and Rep, Lindsey James of Dubuque worked

together to increase the amount of funds available for an important nurse educational program.

Included in the Education Appropriations bill, House File 758, is an additional $50,000 for the Healthcare

Loan Repayment Program. This increase will allow for 5 more program participants.

The program repays the qualified student loans of registered nurses, advanced registered nurse practitioners,

mental health professionals, physician assistants, and nurse educators who practice full-time in a service

commitment area or teach in this state.

To qualify for the program, applicants must complete and return to the student aid commission an affidavit

of practice verifying that the applicant is or will be practicing full-time in a service commitment area in this

state. A service commitment area is a city in Iowa with a population of less than 26,000 that is located

more than 20 miles from a city with a population of 50,000 or more.

The annual amount of loan repayment to a program applicant is $6,000 or 20 percent of the recipient’s

total qualified student loan, whichever amount is less.

House Human Services Budget Leader Insists on Change to BON Policy

Representative Joe Fry successfully rebuffed the requests of his Senate counterpart to drop a major policy

initiative included in the Health and Human Services Appropriations bill.

Included on pages 80 to 82 of the massive 113-page House File 766, are provisions to give the power to

hire and supervise the executive directors of the boards of nursing, pharmacy, dentistry and medicine to

the Director of the Department of Public Health.

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The INA opposed this proposed policy when it was a stand alone bill and continued to oppose it as part

of a large spending bill.

Please know the INA has already sent a letter to Governor Reynolds urging her to exercise her line item

veto power to not approve this portion of the spending bill.

ARNP and PA Psychiatric Training Funds Approved

New funding will soon be available to increase the access to mental health care services through the

training of additional physician assistants and nurse practitioners.

The Health and Human Services budget included a new appropriation of $150,000 for ARNP and PA

psychiatric training at the University of Iowa Hospitals and Clinics.

New Student Mental Health Program Funding Approved

The education spending plan, House File 758, agreed to by the House and Senate contains $2.1 million

dollars for a new school mental health awareness program.

During budget negotiations, Representative Dave Kerr of Morning Sun was able to fend off Senate efforts

to not fund the program.

Of the $2.1 million dollars appropriated, $1,200,000 will be allocated to the area education agencies to

provide mental health awareness training for educators and schools.

$750,000 will be allocated to the area education agencies to be used to identify a range of approaches to

best meet the mental health needs of students and to strengthen community support for students.

Finally $150,000 be used by the area education agencies to create a clearinghouse of mental health

resources for use by schools and community providers.

Thanks to all the INA members who contacted lawmakers to make sure that school mental health

programing and community mental health programs are as integrated as possible. Without your efforts,

this would not have taken place!

Whistleblower Protections Bill Sent To The Governor

Senate File 502, a bill to add protections for school district and state employees who report suspected

illegal activities, is awaiting the signature of Governor Reynolds.

The bill prohibits adverse employment actions (i.e. firing or demotion) for disclosures of information by

an employee of the state or a political subdivision of the state. The bill specifically authorizes disclosure

of information by an employee to a person providing human resource management for the political

subdivision of the state.

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The bill provides that an aggrieved employee may recover civil damages in an amount up to three times

the employee’s annual wages and benefits at the time of the inappropriate adverse employment action.

The bill also requires each political subdivision of the state to provide information to new employees of

the authority of the office of ombudsman to investigate complaints and to provide information to all

employees of the political subdivision, including the toll-free telephone number of the ombudsman.

Other Bills Sent To The Governor

HF 732 (formerly HSB 244) - Medical Cannabidoil (F) - The bill adds ARNP’s to the persons allowed to

certify a person to receive a medical cannabis card.

Passed the House 96-3. Approved by the Senate 40-7. Awaiting Governor’s action.

HF 731 - Mandatory Reporter Training (M) - Moves the responsibility for child abuse and dependent adult

abuse curriculum from the Department of Human Services to the Department of Public Health. The bill

also changes the frequency when the curriculum must be completed from the current 5 years to 3 years.

Passed the House 96-0. Approved by the Senate 49-0. Awaiting Governor's action.

HF 690 (formerly HSB 206) - Children’s Mental Health (F) - The bill establishes a children’s behavioral health

system and a children’s behavioral health system state board, and requires certain children’s behavioral

health core services be provided. The bill also includes the establishment of a single statewide 24-hour

mental health crisis telephone hotline.

Passed the House 83-14. Passed by the Senate 46-2. Awaiting Governor’s action.

SF 609 (formerly SSB 1251) - Ag and DNR Appropriations (F) - Included in the spending bill is a new

appropriation of $130,000 for Iowa’s Center for Agricultural Safety and Health (I-CASH.) The center

focuses on rural health issues such as mental health, suicide prevention and painkiller abuse. INA was

singled out for its support of the appropriation.

Approved by the Senate 32-18. Amended and approved by the House 54-45. Amended and approved by

the Senate 33-16. Amendment approved by the House 55-44. Awaiting Governor's action.

Bill of interest

These bills remain eligible for continued consideration during the 2020 session of the Iowa Legislature.

SF 564 (formerly SF 60) - Newborn Screen Panel (M) - This bill authorizes the congenital and inherited

disorders advisory committee Iowa newborn screening panel subcommittee to evaluate and make

recommendations, annually, regarding additions to the Iowa newborn screening panel.

Passed the Senate 48-0. Referred to House Human Resources Committee

SF 535 (formerly SSB 1035) - Fireworks Expansion, etc (A) - This bill modifies provisions relating to the

regulation and sale of certain fireworks.

The bill provides that a city or county shall not adopt or enforce any zoning regulation under Code chapter

335 or 414 to regulate, restrict, or prohibit the location of permanent buildings or temporary structures

used for the sale of consumer fireworks pursuant to Code section 100.19, in any location zoned for

commercial or industrial purposes regardless of NFPA or building code requirements.

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Also the bill provides that the state fire marshal shall adopt rules to prohibit the sale of consumer fireworks

in any residential zone or district. The bill provides that the state fire marshal shall have the sole authority

to require or authorize inspections relating to consumer fireworks seller licensure. A city or county shall not

have the authority to require or authorize any such inspection.

On Senate debate calendar

SF 500 (formerly SF 125) Needle Exchange Pilot Program (F) - The bill creates a needle exchange pilot

program to be administered by DPH in cooperation with the department of public safety, the governor’s

office of drug control policy, cities, counties, and nongovernmental organizations.

On Senate debate calendar

SF 438 (formerly SSB 1190) - Student Health, School Omnibus (M) - This omnibus bill strikes current law

that requires a parent or guardian of a child enrolled in public and accredited nonpublic elementary schools

or high schools to provide evidence to the school that the child has had a dental screening, a child’s vision

screening and blood lead test. Instead the bill requires the person who performs the child’s screenings and

tests to submit the information regarding completion to the department of public health.

Passed the Senate 32-17. Amended and and Approved by House subcommittee

SF 376 (formerly SF 270) - Health Education Requirements (F) - This bill adds mental health awareness,

coping skills, and suicide prevention to the subject matter that must be included in the unit of health

education which school districts and accredited nonpublic schools must offer and teach in grades 7-12.

SF 342 - Alcohol Overdose Reporting Protection (F) - The bill provides that a person under the age of 21

shall not be charged or prosecuted for public intoxication, possession of alcohol under the legal age, use

of a driver’s license by an underage person to obtain alcohol, or possession of an open container in a

motor vehicle, if the person in good faith sought emergency assistance for the person or another person

due to an alcohol overdose or because the person or other person is a victim of assault, sexual abuse, or

human trafficking.

On Senate Debate Calendar

HF 700 (formerly HF 447) - Emergency Insulin Access (F) - Allows a pharmacist to execute professional

judgement to refill an insulin prescription without prescriber authority.

Passed the House 97-0. Amended and passed by the Senate 49-0.

HF 684 (formerly HSB 175) - Alcohol Overdose Reporting Protection (F) - The bill provides that a person

under the age of 21 shall not be charged or prosecuted for public intoxication, possession of alcohol under

the legal age, use of a driver’s license by an underage person to obtain alcohol, or possession of an open

container in a motor vehicle, if the person in good faith sought emergency assistance for the person or

another person due to an alcohol overdose or because the person or other person is a victim of assault,

sexual abuse, or human trafficking.

On House debate calendar

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HF 504 - Health Education Requirements (F) - This bill adds mental health awareness, coping skills, and

suicide prevention to the subject matter that must be included in the unit of health education which

school districts and accredited nonpublic schools must offer and teach in grades 7-12.

Subcommittee: Approved by subcommittee

HF 419 (formerly HSB 60) - Music Therapist Certification (M) - This bill requires any person claiming to be

a music therapist to hold a music therapist board-certified credential granted by the certification board

for music therapists or a professional designation in good standing listed on the national music therapy

registry.

Approved by the House 96-3.

HF 274 - School PE Stats (M) - The bill requires the department of education, beginning with the school

year starting July 1, 2019, to annually compile reports on statistics and data relating to physical education

classes and instruction offered by each school district as a whole and by attendance center in a format

determined by the department.

Approved by subcommittee

HF 98 - Center For Suicide Prevention (M) - This bill establishes the Iowa center for suicide prevention in

the department of education to provide, in a coordinated and comprehensive way, ongoing support to

Iowa’s schools relating to suicide prevention and postvention and the identification of adverse childhood

experiences and strategies to mitigate toxic stress response, in the form of information, resources, and

evidence-based training content.

Subcommittee: Mommsen, Hanusa and Mascher

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INF REPORT

Members: Lorinda Inman, Chair; Kim Bergen-Jackson, Secretary; Pamela Deichmann,

Treasurer; Christine Kessel, Christina Peterson; and Dawn Bowker. The Iowa Nurses

Foundation held three meetings commencing October, 2018, and subcommittee

meetings for investment review, marketing, scholarship review and convention

planning.

Goals for the year continued as the previous year. The goals were to focus on quality

continuing education at convention and legislative day, promote attendance at the

annual convention, explore fundraising ideas and develop goals and strategies for the

marketing and the fundraising functions of the Foundation. It continues to be critical

that INA members give to the INF on an annual basis to fund nursing scholarships.

Lorinda Inman,

RN, MSN, FRE

The Foundation is an IBON Continuing Education Provider, approved by the Iowa Board of Nursing. CEU’s

were awarded for the Iowa Nurses Association Legislative Day held on February 13, 2019. Christina

Peterson - INF, participated in convention planning, The Impact of Change in Nursing. CE programs were

developed to provide quality CEU’s at Convention and Legislative Day.

INF and INA participated with the University of Iowa, College of Nursing and several other nursing

organizations in the 15th annual 100 Great Nurses event held on May 5, 2019. This event provides

opportunity for recognition of Iowa Great nurses. Scholarships were given to DNP candidates Laura Budde

and Megan Hart-Fernandez. Nominations for 2020 may be submitted through the 100 Great Nurses

website.

INF awarded six scholarships in 2019. The recipients of the Anderson Scholarships are Macy Ludwig, Alli

Brown, and Jennifer Thomason. INF scholarship recipients are Anita Leveke, Megan Hart-Fernandez, and

Jennifer Sue Lopez.

INF continues to explore new ways to fund scholarships. Current activities include convention, memorials,

donations, CEU fees and interest-bearing accounts. INF is working to raise funds for nursing scholarships.

INF is the charitable and philanthropic arm of the INA with a mission to promote and support the professional

and educational development of the registered nurses in Iowa.

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REGION REPORTS

Central Region

Pam Deichmann

TOPIC

Meeting Schedule

Member Highlights

Other Business

DATA

• The Central Region met in early in Feb to network and develop a 2019 action

plan. The plan included a decision to host a networking event for Nurses week;

participate in the INA strategic planning session this summer and support BSN

students (from central Iowa nursing schools) to attend the fall annual meeting.

• INA Central Region hosted a wine and cheese networking reception for

members and nursing friends Monday May 6 from 6-7:30pm at the Courtyard

by Marriot in Ankeny.

• INA Central Region has been unsuccessful in recruiting new secretary position

and plans to discuss and recruit at the annual meeting in the fall.

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2019 ANA Membership Assembly

ANA’s Membership Assembly was held Friday, June 20th and Saturday June 21st in Washington, DC.

Approximately 360 nurses, observers and other leaders attended the annual two-day governance

meeting. Included in those attendees were four from Iowa: Jann Ricklefs (INA President), Lisa Caffery

(INA President-Elect), Carol Chesterman (INA Membership Assembly Representative) and Tobi Moore

(INA Executive Director).

Assembly members participated in four dialogue forums where they gained in-depth information on

the issues, as well as shared their experiences, knowledge and perspectives.

Annual reports were presented from association officers and executives with opportunity to provide

feedback by representatives. Updates on activities of ANA’s subsidiaries, American Academy of

Nursing (AAN), American Nurses Credentialing Center (ANCC), and American Nurses Foundation

(ANF), were received. Of note to Iowa nurses is ANCC’s plans to introduce outcome-based education

for CEs.

A candidate forum was held for ANA officers and Board members whose terms were up for election,

and representatives were offered opportunities to meet the candidates throughout the Assembly. On

Saturday morning voting was conducted and newly elected officials were introduced.

Ultimately, Assembly representatives took the following actions:

Increasing Access to Vaccination Compliance: ANA believes that to protect the health of the

public, all individuals should be immunized against vaccine-preventable diseases, according to the best

and most current evidence. Given the recent surge of measles cases and potentially uncontrollable

outbreaks of other vaccine-preventable illnesses, the Assembly voted to strengthen ANA’s position

statement on vaccination compliance, removing the religious exemption and requiring annual

recertification for medical exemptions. They expressed strong support for this vital policy, which is

crucial to protecting at-risk children and others who can’t be vaccinated. Representatives also called

for advocacy for increased funding for social marketing education campaigns, which in part, can help

combat vaccine hesitancy and misinformation.

DACA Recipients Eligibility to take the NCLEX: Representatives approved a recommendation

aimed at allowing nursing students who are Deferred Action for Childhood Arrivals (DACA) recipients

– often called DREAMers – to take the NCLEX in all states without facing barriers. (The DACA program

provides deportation relief for eligible immigrant individuals who came to the U.S. when they were

young children.) Only eight states allow DACA students to sit for this licensing exam. This action

would also help increase diversity in the workforce and ease nursing shortages.

Human Trafficking: To help solve the public health crisis of human trafficking, they called for ANA

and its member organizations to educate nurses on the use of effective screening tools when an

individual comes into a health care facility. Two other recommendations focused on promoting

trauma-informed care using a collaborative approach when dealing with a human trafficking victim/

survivor, as well as requesting ANA to convene a national task force on this issue.

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Visibility of Nurses in the Media: To increase the visibility of nurses in the media, Assembly

representatives approved recommendations focused on improving nurses’ and the media’s

understanding of each other, as well as positioning nurses as influencers. A hackathon was held

and Assembly participants generated strategic ideas, which included creating an Institute of Media

Ambassadors that provides intensive media training and developing a database of nurse content

experts who could quickly respond to media requests.

Representatives acted on two additional timely and compelling topics:

Medical Aid in Dying: They approved the revised ANA position statement, The Nurse’s Role When a

Patient Requests Aid in Dying. According to the revised statement, ANA supports recommendations

that nurses remain objective when discussing end-of-life options with patients who are exploring

medical aid in dying; have an ethical duty to be knowledgeable about this evolving issue; and have

the right to conscientiously object to being involved in the aid-in-dying process, among others.

ANA Presidential Election Engagement Policy: Rather than continuing to endorse a presidential

candidate, a new policy was adopted that includes reaching out to each declared candidate with

information on ANA; educating ANA members and the public on presidential candidates’ positions

on ANA’s policy agenda and priorities; and aggressive promotion of voter registration and voting

among RNs. In addition, resources will be applied at the grassroots level to engage members in

political activities.

Pictured from left to right: Tobi Moore

(INA Executive Director), Lisa Caffery (INA

President-Elect), Jann Ricklefs (INA President),

and Carol Chesterman (INA Membership

Assembly Representative).

Pictured from left to right: Jann Ricklefs (INA

President), Lisa Caffery (INA President-Elect),

and Carol Chesterman (INA Membership

Assembly Representative).

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The Power of Nursing Makes

Itself Known on Capitol Hill

ANA Hill Day, Thursday, June 20, 2019

As part of ANA’s annual Hill Day, nurses,

students and other leaders “stormed”

the Hill and met with members of

Congress and their staff to build support

for federal legislation addressing

workplace violence, funding for nurse

workforce development programs, and

APRNs’ ability to order home health care

services. Over 400 participants from

48 states shared their perspectives

and expertise with their senators and

representatives. Participating from Iowa

were Jann Ricklefs (INA President), Lisa

Caffery (INA President-Elect), Carol

Chesterman (Membership Assembly

Representative, and Tobi Lyon Moore

(INA Executive Director).

To kick off the day’s activities, participants

attended a breakfast briefing, where

they learned more about ANA-supported legislation and were welcomed by ANA President Ernest Grant,

PhD, RN, FAAN. “The broader public needs you to be advocating just as much as an individual patient

needs their nurses advocating for them at the bedside,” said Grant. He further stated, “Rest assured, the

people with whom you’re meeting are relying on nursing’s perspective, so they can better serve you and

your patients.”

Grant held ANA’s Hill Day version of a “fireside chat” with the newest nurse to join the 116th Congress,

U.S. Rep. Lauren Underwood (D-IL). “Health care was the No. 1 issue in our elections, and health care is

a human right,” stated Underwood, MSN, MPH, RN, who worked on implementing the Affordable Care

Act while serving in the Obama administration. It was her concerns about several legislative attempts to

repeal the ACA and take away protections for people with preexisting conditions that led her to run for

Congress. She continues to push for efforts to protect and ensure people’s access to affordable care.

Underwood addressed the biggest challenge she sees as the Senate’s refusal to take up bills sent from the

House for consideration. She encouraged nurses to compel Senators, both Republican and Democrat, to

support the Title VIII Nursing Workforce Reauthorization Act. Underwood recommended for all nurses to

“make it your business to find out who your Congress member is and meet with them. Talk about what

is important to you. Talk with confidence. You are the experts.” She added that the most powerful thing

nurses have is their patient stories, and all the factors that affect someone’s health.

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The three key bills that Hill Day attendees addressed were:

• The Workplace Violence Prevention for Health Care and Social Service Workers Act (R. 1309/S. 851)

• The Home Health Care Planning Improvement Act (R. 2150/ S. 296)

• The Title VIII Nursing Workforce Reauthorization Act of 2019 (R. 728/S. 1399)

Additionally, participants addressed the importance of nurse staffing as ANA continues to work with

federal policymakers on this critical nurse and patient safety issue.

The Iowa nursing delegation was fortunate to be able to meet with Senator Charles Grassley, and

Representatives Steve King and Representative Dave Loebsack. Although not able to visit with Senator

Joni Ernst and Representative Amy Finkenauer, they were able to visit with staff members.

Nursing is so much more than advocating for the patient at the bedside. Advocating for the patient and

the health of the country through legislation is a duty and an honor. Those interested in becoming more

involved with ANA/INA are encouraged to one day join us on “the Hill.” It is an experience of a lifetime!

INA Meeting

Pictured from left to right: Jann Ricklefs

(INA President), Lisa Caffery (INA President-Elect),

Carol Chesterman (INA Membership Assembly

Representative), Senator Chuck Grassley, and

Tobi Moore (INA Executive Director).

Pictured from left to right: Jann Ricklefs

(INA President), Lisa Caffery (INA President-Elect),

and Carol Chesterman (INA Membership Assembly

Representative).

Pictured from left to right: Lisa Caffery (INA President-

Elect), Carol Chesterman (INA Membership Assembly

Representative), and Congressman Dave Loebsack.

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2019 LEADERSHIP ELECTIONS

INA Members received their official electronic ballot, by email, Thursday, October 3, 2019. The email

contained instructions on how to cast your vote. Voting remained open until Thursday, October 17th.

Election results will be announced at the annual meeting on Friday, October 25th in Des Moines.

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BY-LAWS COMMITTEE REPORT

The work of the By-laws Committee this year focused on the Board’s request to revise the By-laws to reflect

current practices within INA and best practices of other ANA-Constituent-State Nurses Associations.

The proposed changes listed below were sent to members via the weekly e-newsletter on August 22,

2019.

• On June 22, 2019, the Value Pricing Model was institutionalized by ANA. INA wishes to continue to

offer the new “standard” membership previously referred to as value pricing. These new proposed bylaw

changes will adopt these membership categories as our only membership options going forward.

• The INA Board of Directors is recommending that the Board of Directors be restructured. This will

improve the size and efficiency of the Board. Directors elected from the entire membership will enhance

the ability for all members to become involved.

• The INA Board of Directors is recommending restructuring of committees to allow for more membership

engagement and participation. All committee members will be appointed by the INA Board of Directors

annually, except for the nominations committee, which will be elected.

• The INA Board of Directors is recommending that Regions be eliminated. This will remove barriers to

participations by all members. Currently more than 30% of members are not represented by a Region.

Two of the regions are not active and the remaining regions have varying degrees of participation.

Programming and attendance vary widely as does the financial support for activities. Not all regions have

full representation on the state-level board and committees. The Board, committees, and work groups

will be drawn from the membership. The streamlined governance process will allow for programming

to be established at the state level and be based on the needs and interests of members.

Two By-laws hearings will be held prior to the October 25th Annual Conference and Meeting. The meeting

will be held Tuesday, September 10, at 7:00 p.m. and Wednesday, October 16th at 7:00 p.m. via Zoom.

This new process will allow for time to address minor corrections such as grammar and spelling changes as

well as obtain feedback from members who are not able to attend the Annual Conference and Meeting.

The proposed By-laws will be presented to the Membership for voting on October 25, 2019.

A special thank-you to Ginny Wangerwin and Linda Opheim for their assistance and expertise with the

writing of the proposed By-laws.

Respectfully submitted,

Lisa Caffery, MS, BSN, RN-BC, CIC, FAPIC

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THE IMPACT OF CHANGE IN NURSING

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78 2019 INA CONFERENCE & ANNUAL MEETING


THE IMPACT OF CHANGE IN NURSING

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80 2019 INA CONFERENCE & ANNUAL MEETING


Advancing Nursing in Siouxland

and Beyond

SUPPORT IS SOMETHING

WE ALL NEED.

That’s why the Iowa Department

of Public Health created

YourLifeIowa.org. So you can

get help for alcohol, drug and

gambling problems, suicidal

thoughts, and more from experts

dedicated to the health of

Iowans. It’s where you can chat

live, get reliable information and

treatment options, and find help

near you. It’s where you can get

the support you want, 24/7.

Bachelor of Science in Nursing (BSN)

The Nylen School of Nursing at Morningside College

prepares students for a career as a registered nurse

(RN) and builds the foundation for an advanced degree

for those wishing to pursue graduate school.

Master of Science in Nursing (MSN)

This convenient option with a flexible plan of study

allows you to continue working while you earn your

degree in one of three tracks. RN-MSN options

available for RN nurses with a bachelor’s degree in a

non-nursing field.

• Clinical Nurse Leader

• Family Primary Care Nurse Practitioner

• Adult Gerontology Primary Care Nurse

Practitioner

Doctor of Nursing Practice (DNP)

Reach the pinnacle of your nursing career by earning

your Doctor of Nursing Practice. The DNP is offered 100%

online and with a flexible plan of study that is intended to

give you the time and space you need to complete your

degree. Options exist for BSN to DNP or MSN to DNP.

Choose from two tracks:

• Direct Patient Care Nurse Practitioner (for current

nurse practitioners or those who wish to be)

• Transformative Leadership

WE’RE YOUR EVERYDAY LIFE SUPPORT.

YourLifeIowa.org

1.855.581.8111

Jackie Barber, Dean of Nursing

barber@morningside.edu | morningside.edu

712-274-5297

The Morningside College experience cultivates a

passion for lifelong learning and a dedication to

ethical leadership and civic responsibility.


Celebrating 30 years of

serving our greatest generation!

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