ANA-Michigan - 2020 Annual Book of Reports

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2020 ANNUAL BOOK OF REPORTS Nurse Licensure Compact Update By Evelyn Sweeney, ANA-Michigan Legislative Consultant, Muchmore Harrington Smalley & Associations (MHSA) Although many policies are of great interest to nurses, perhaps one of the most significant and impactful to the profession is legislation enacting the enhanced Nurse Licensure Compact (eNLC). As many know, the eNLC enables registered nurses and licensed practical/vocational nurses to hold one multi-state license, with the privilege to practice in his or her home state and other NLC states. There are currently 34 member states in the current NLC and, as you all know, Michigan is not one of them. On January 15, 2019, Representative Mary Whiteford, a nurse by trade, introduced House Bill 4042 which would have enabled Michigan to join the compact. The bill enjoyed wide support from a diverse set of interest groups which included the Michigan Health and Hospital Association, AARP, Leading Age Michigan, the Michigan Primary Care Association and of course, ANA-Michigan, to name just a few. Representatives from ANA-MI testified in support of the bill in February 2020 before the House Health Policy Committee. The bill was opposed by the Michigan Nurses Association as well as the Michigan Department of Licensing and Regulatory Affairs. Concerns expressed by the department largely focused on their responsibility of regulating health professionals in Michigan. The department contends they would be ceding their authority and oversight to an out-of-state compact body. Concerns regarding an inequitable “level of care” were also expressed pointing to education requirement differences between states. None the less, the bill was successfully reported from the House Health Policy Committee and out of the full House by a vote of 55-50 with four members not voting in February 2020. With COVID-19 ravaging the state during the spring and late fall, plus an increased emphasis on the need and use of telehealth services throughout the state, the Senate discharged the bill from committee and passed it on December 10, 2020 despite the same concerns from the administration. The bill was presented to the Governor on December 22, but was ultimately vetoed on December 30. In her veto letter the Governor specifically stated, “The Constitution of 1963 provides that “[t] he public health and general welfare of the people of the state are hereby declared to be matters of primary public concern. The legislature shall pass suitable laws for the protection and promotion of the public health.” Art. 4, sec. 51. While I value interstate cooperation, especially around issues that are peculiarly interstate in nature, these compacts require Michigan to cede its sovereign interest in regulating health professions to an outside body. Forfeiting our prerogative as a state to set the standard of care required of nurses practicing in our state would violate the command of section 51 of article 4. I am therefore vetoing this bill.” The administration’s opposition to all compact legislation remains an on-going concern. However, with the start of the new legislative session on January 13, 2021 there is renewed hope that through education, member engagement and persistence, we can address the Governor’s concerns. We anticipate the reintroduction of an eNLC bill soon. We also believe Representative Whiteford will sponsor the bill. She is coordinating a work group where interested stakeholders along with the administration will work closely, share ideas and attempt to forge a compromise. ANA-MI leadership will be part of these workgroups and looks forward to soliciting members for feedback as well as engaging members in discussions with their local elected officials. 28
2020 ANNUAL BOOK OF REPORTS ANA-Michigan Committee Reports ANA-Michigan Nursing and Health Policy Committee Chair: Katherine Kessler, MSN, MSA, RN Beth Ammerman, DNP, FNP-BC Kristin Castine, MSN, RN, ANP-BC Nikeyia Davis, MBA-HCM, BSN, RN, CNN Cheryl LaPlaunt, RN, MPA, BSN Barbara Medvec, DNP, RN, NEA-BC Joshua Meringa, MPA, MHA, MBA, BSN, RN-BC Linda Sarantis, MSN, RN, S.A.N.E. Nadine Wodwaski, DNP, MSN-ed, CNS, RN Committee Duties & Assignments • Develop nursing and health policy initiatives related to ANA-Michigan’s Policy Platform. • Monitor and analyze nursing and health policy issues; collaborate with other health and nursing organizations in relevant nursing and health policy. • Educate and collaborate with public policy makers, relevant private and organizational policy makers. • Monitor and address nursing and healthcare regulatory policy issues. • Recommend and refer policy issues requiring legislative action or initiative to the Legislative Committee. • Assume other responsibilities for health policy as provided for in these bylaws and in policies and procedures as established by the Board of Directors. 2020 Report • Monitored the COVID-19 pandemic. • Developed ANA-Michigan position statement on Moral Distress developed by the AACN (American Association of Critical Care Nurses) and adopted by ANA-Michigan. • Developed ANA-Michigan position statement on Reducing Violence in Healthcare Settings. • Developed ANA-Michigan position statement on Telehealth and Connected Health. • Developed ANA-Michigan position statement on Implicit Bias. • Member participation is consistent and engaged with members representing a range of geographic, rural, urban and practice areas. • Shared articles with members on nursing and health policy related topics via the ANA- Michigan newsletter. Acknowledgements On behalf of ANA-Michigan, we would like to recognize and thank the following out-going committee members for their dedication and service to members: • Kristin Castine, MSN, RN, ANP-BC • Katherine Kessler, MSN, MSA, RN • Cheryl LaPlaunt, MPA, BSN, RN • Joshua Meringa, MPA, MHA, MBA, BSN, RN-BC 29
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ANA-Michigan - 2020 Annual Book of Reports

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