Tennessee Nurse - May 2021
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<strong>May</strong>, June, July <strong>2021</strong> <strong>Tennessee</strong> <strong>Nurse</strong> Page 7<br />
Government Affairs<br />
It’s A Wrap For <strong>2021</strong> Legislative Session<br />
Kathleen Murphy<br />
TNA Director of Government Affairs and Lobbyist<br />
The State Legislature has gone home for the first part<br />
of the two-year General Assembly. We actively supported<br />
four specific pieces of legislation: full practice authority<br />
for Advanced Practice Registered <strong>Nurse</strong>s, restoring the<br />
increased penalties for assaulting a nurse performing<br />
official duties, increasing funding for school nurses through<br />
the BEP school funding system, and allowing Advanced<br />
Practice Registered <strong>Nurse</strong>s to order home health for their<br />
patients. We also negotiated and participated in advocacy<br />
on legislation that needed to be improved, changed, or<br />
defeated in order to protect nursing practice.<br />
Kathleen Murphy<br />
HB 184 / SB 176: Increasing Access to Care for Tennesseans: This bill was<br />
introduced on behalf of TNA and the Coalition for Access to Care for Tennesseans.<br />
The legislation was heard in the Senate Commerce Committee and was rolled to the<br />
first calendar of 2022 by bill sponsor Senator Lundberg. Given the circumstances<br />
surrounding this past year and this legislative session, we believe this was the<br />
right decision and will better position our legislation for passage in 2022. Please<br />
understand that while our work is not done, we are making good progress.<br />
To help gain support of the legislation, TNA accepted an amendment to the bill<br />
that created a transition to prescribing. Other amendments issued by the health<br />
department were also added to the legislation. Having the prescription amendment<br />
added and on record is a great win, as it gives us an opportunity to continue<br />
to educate members on the issue leading into next year’s legislative session.<br />
Legislators were very clear that the bill would not advance without some transition<br />
to prescribing included. The bottom line is this: we are in a better position to<br />
continue to educate members and advocate on the importance of this legislation.<br />
SB19/HB864: No nurse should have to choose between protecting themselves or<br />
caring for their patients, and this legislation will help nurses feel more empowered<br />
to report actual or threats of assault. Last August, during the Special Session, the<br />
legislature rewrote the assault code and removed nurses from the increased<br />
penalties section. #End<strong>Nurse</strong>Abuse SB19/HB864 restored nurses into the assault<br />
code and increases the visibility that physical assault against nurses will not be<br />
tolerated.<br />
A big thank you to Jimmy Closser, RN, who testified about his firsthand<br />
experience with assault as part of the committee hearings. His willingness to share<br />
his experience has undoubtedly helped this legislation pass.<br />
SB582/HB537: Unfortunately, this legislation to increase funding for school<br />
nurses did not pass committee, nor was it funded through the Governor’s budget.<br />
We will continue to work with a coalition of other advocates to push for increased<br />
staffing levels and funding for school nurses.<br />
SB478/HB743: APRN’s Authority for Home Health Orders bill passed and<br />
modernizes TN health care services by allowing patients to choose their provider<br />
and does not force a new relationship with a physician they have never seen just to<br />
meet an administrative requirement. This will ensure greater access to home health<br />
services. By eliminating a step in the authorization process, it will speed up the time<br />
for services and allow providers to have claims submitted and approved.<br />
Our fight for legislative changes to protect and promote the registered nurse is<br />
not over just because the legislature has gone home. The time and energy you have<br />
put in to contact these legislators and emphasize the importance of our positions<br />
are greatly appreciated and essential to our mission. We cannot thank you enough<br />
for your efforts and look forward to your continued support as we approach the<br />
next session. If you would like to get more involved, please email Kathleen Murphy<br />
at kathleen.murphy@tnaonline.org.<br />
TN <strong>Nurse</strong>s PAC<br />
Want to protect and promote<br />
the nursing profession?<br />
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When I am presenting workshops on nursing political advocacy, and legislative updates,<br />
one of the top questions I receive is, “why do the doctors or hospitals have so much<br />
power?” Of course, there are a number of answers to questions like that, but when it<br />
comes down to it, it’s politics.<br />
The <strong>Tennessee</strong> <strong>Nurse</strong>s Political Action Committee not only allows nurses to have a<br />
strong collective voice during campaign season, but it also can support the legislative,<br />
lobbying, and coalition building efforts in and out of legislative session.<br />
We saw legislation passed that (HB1045/SB212) requires the board of nursing, upon<br />
learning a nurse was indicted for or convicted of certain criminal offenses, to restrict<br />
or revoke, respectively, the nurse’s ability to prescribe controlled substances and<br />
requires to suspend a nurses’ license upon finding they failed to comply with physician<br />
collaboration requirements; and requires facility administrators to report certain<br />
information. This is a serious change from our American tradition of innocent until<br />
proven guilty. We expressed our concerns to legislators on committees and leadership,<br />
but ultimately the bill passed.<br />
The Hospital Association brought legislation (HB1353/SB1267) that would authorize<br />
hospitals to hire nursing students who have graduated but had not passed their NCLEX<br />
or other licensing requirements yet. The pandemic was the main reason they cited for<br />
this legislation and the nursing shortage that has been growing for years. While we were<br />
ultimately able to get this legislation amended to where we took a neutral position on the<br />
legislation, it was a fight to get nurses voices heard. This legislation was a prime example<br />
of too many decisions being made about our profession and the care we provide, without<br />
nurses being involved and having a seat at the table.<br />
If nurses don’t get involved, other people will. The hospital CEO, administrator, doctors,<br />
or other medical professionals will gladly tell candidates and legislators that everything is<br />
perfect in the nurse’s profession or what changes they think should be made. But when<br />
nurses speak up and advocate, then nurses and patients win.<br />
These two pieces of legislation are only a few examples of what happens when<br />
legislators, other healthcare organizations, and associations do not involve nurses or<br />
consider the impact on nursing when drafting legislation and policy. Every day we read<br />
about working environments being compromised, hospital bottom lines, and nurses being<br />
pushed to the edge.<br />
Political Action is hard work and takes time, but the results are worth it. We must<br />
continue to work on developing relationships with all legislators even if they are not<br />
considered “pro-nurse.” We are in difficult times. But this is about your profession, the<br />
care you provide, your livelihoods, and your ability to protect your family and loved ones.<br />
In order to have a stronger voice at the state capitol, we need a strong political action<br />
committee that will reinforce our lobbying and advocacy efforts. To do that, WE NEED<br />
YOU. We need you to contribute to the <strong>Tennessee</strong> <strong>Nurse</strong>s Political Action Committee<br />
today.<br />
Please help us promote and protect YOUR nursing profession. Donate today: https://<br />
tna.nursingnetwork.com/page/94251-donate-to-tn-nurses-pac<br />
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