1. Legislative Update 2012 Denise G. Link, PhD, NP, FAAN AzNA Public Policy Team/AzNA 90 Legislative Chair, Az NP Council AzNA Ch. 9 NNCC Public Policy Co-Chair ACNP Policy Committee

2. Objectives The participant will be able to Discuss current major legislative proposals at the state and federal levels Use the ALIS system to locate representatives, read bills and testify Access non-partisan resources for information about candidates for public office

3. Know your representatives Federal/State Senators Federal/State House of Rep. Redistricting –http://azredistricting.org/http://azredistricting.org/ –http://ballotpedia.org/wiki/index.php/ United_States_Senate_elections_in_ Arizona,_2012http://ballotpedia.org/wiki/index.php/ United_States_Senate_elections_in_ Arizona,_2012

4. Az Legislative Information System - ALIS http://www.azleg.gov/ State legislators Maps Bills - summaries Live/archived proceedings Request to speak Tracking

5. Patient Protection & Affordable Care Act Oral arguments March 26-28 2012 Decision late June 2012 Amicus briefs being filed ANA amicus http://www.nursingworld.org/amicus-aca http://www.nursingworld.org/amicus-aca ANA chat – Friday 3/30 10AM MST –www.tweetchat.com/ #ANAChatwww.tweetchat.com/

6. ANA resources http://www.nursingworld.org/ “Policy & Advocacy” Oral arguments updates “Health Care Transformation” – provisions table

7. Other sources Politico.com List of liberal, conservative and non-partisan sites http://news.cnet.com/8301- 17939_109-10151227-2.htmlhttp://news.cnet.com/8301- 17939_109-10151227-2.html

8. Accountable Care Organizations Incentives for providers to work together across settings NPs “authorized ACO professionals” Patient assignments to ACO limited to physician patients http://www.acnpweb.org/files/publ ic/NP%20Roundtable%20commen ts%20on%20ACO.pdfhttp://www.acnpweb.org/files/publ ic/NP%20Roundtable%20commen ts%20on%20ACO.pdf

9. Home Health Care Planning Improvement Act HR2268/S227 AANP website – fact sheet http://www.aanp.org/NR/rdonlyres /1758B5C0-86F0-4E20-A665- 298B12C30F02/4985/MedicareOrd eringHomeHealthCareSH711Fact Sheet.pdfhttp://www.aanp.org/NR/rdonlyres /1758B5C0-86F0-4E20-A665- 298B12C30F02/4985/MedicareOrd eringHomeHealthCareSH711Fact Sheet.pdf

10. State Legislature Centennial year Budget surplus Preparation for ACA and insurance exchanges on hold April adjournment

11. AzNA Nurses’ List http://www.aznurse.org/displayco mmon.cfm?an=1&subarticlenbr=9http://www.aznurse.org/displayco mmon.cfm?an=1&subarticlenbr=9 AzNA Public Policy committee 146 bills reviewed 86 bills still posted

12. Bills of interest - House Gov Budget – increase in funding for SMI; 3% provider fee increase HB 2365/2367 workers comp HB 2370 death certificates HB 2383 Immunizations, college

13. Bills of Interest - Senate SB 1002 Nursing board SB 1184 Restraints, pregnancy SB 1189 Health professionals exemption SB 1362 CRNA bill SB 1365 free exercise of religion

14. Get involved Register to vote Read Vote Subscribe to SmartBrief Respond to Action Alerts AzNA Public Policy committee AzNA 90 ALIS – request to testify

15. Discussion What have I heard? What am I going to do about it? What is preventing me from being involved?

16. Voice and Power Qui tacet consentire videtur –He who is silent is taken to agree The most common way that people give up their power is by thinking they don't have any –Alice Walker

17. Thank You!