Lori Scheidt Executive Director Missouri State Board of Nursing

Missouris Journey July 2000 Stakeholder Meeting 60 attendees (legislators, associations, schools, employers & nurses October & November 2000 Stakeholder Forums 8 areas of state

Missouri Legislation 163 State Representatives 34 State Senators Term Limits – 8 Years Per Chamber Bill Passage 18 Senate votes 82 House Votes Governors approval

Legislative History HB HB HB SB HB HB 1150 – Voted down in committee SB 664 – Died in committee 2007 & 2008 – No bills filed 2009 – 2 Senate Bills filed – Success at Last! Died in Committee

What Went Wrong? Legislation Filed without Consensus Building Committee Chair Against Compact Association Lobbied Heavily Against Sensationalized Myths

2007 – Strategic Shift No legislation filed in 2007 & 2008 Worked on relationship building Demystified Myths Employers advocated for compact

2009 – The Stars Aligned Two Senate Bills Filed On behalf of an employer, not Board of Nursing Reached agreement with association No opposition testimony in hearings Employer testimony focused on cost to do business in Missouri New legislative leadership

Tips from Missouri Break the Bill Down – keep it simple Get a powerful sponsor Get bill heard early Lobbyist Grass Roots Support Educate Early Face-to-Face Meetings are Better Build solid relationships with nursing groups (not just on the compact). Trust is key. Build relationships with lobbyists and legislators.

Thank You! Lori Scheidt Executive Director Missouri State Board of Nursing