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Posted By Debby Wood,
Tuesday, March 6, 2018
Updated: Friday, May 10, 2019
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March 6, 2018-
Some of you may have heard about SB1470 sunrise process; health professionals; modifications which makes substantial changes to the sunrise process. These changes are sweeping in their scope. While AzNA supports revisions to the sunrise process, in particular the criteria for review, presumptions and timing, we have several concerns:
- Some of the provisions lack clarity and may be interpreted to have unintended and unwanted consequences;
- This does not eliminate the sunrise process but compresses it into the regular legislative session which may make it more burdensome on applicants;
- One of the provisions may impact the Nursing Compact and potentially put Arizona out of compliance with the Compact.
AzNA Position: Monitor
AzNA will to work with all stakeholders in nursing, the legislature and the community to see if the concerns with the bill can be resolved.
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Posted By Debby Wood,
Monday, March 5, 2018
Updated: Friday, May 10, 2019
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AzNA tracks bills based on our Public Policy Agenda. This agenda focuses on the health of all Arizonans and the professional practice and work environment of our Arizona nurses.
March 5, 2018-
The Arizona House and Senate chambers held their first week of committee hearings on bills that had passed out of the other chamber. Calendars were light as time was spent in long meetings moving bills through the legislative process: voting out bills that had originated in each of the respective chambers, "first reading" in the receiving chamber, and assigning received bills to committees.
Last week was the second phase of our RN Advocacy Day plan. Over several days, nurses met with legislators from their home districts. The meetings were very productive and new relationships were established.
We are moving forward with our 'AzNA 90' Goal, “A Nurse Assigned to Each Legislator”, and you can take the 1st step by meeting with your legislator(s).
It’s easy to establish a relationship with your legislator by calling their office and scheduling an appointment. We make your message easy: give them a copy of our Public Policy Agenda which addresses all of the important messages related to our profession and patient safety. The AzNA staff is available to update you on bill progress or coach you on messaging.
Bill of Interest This Week
HB2197 health professionals; workforce data passed unanimously out of the House, however has now been assigned to two committees in the Senate: the Health & Human Services Committee ("Health") and the Commerce and Public Safety Committee ("Commerce"). This presents a problem as there are only 4 weeks for bills to be heard in committee of which one week has already passed and it may be difficult to persuade some Commerce Committee member of the merits of the bill. If the bill does not pass out of both committees, it will die before being heard by the Senate as a whole.
AzNA Position: Support
We will be spending a lot of energy in the next week to push this bill along. It is scheduled to be heard Wednesday in the Health Committee. Be on the lookout for a Call to Action/Letter writing campaign through our Phone2Action advocacy tool. If you haven't registered to receive text alerts, take a minute today!
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Posted By Debby Wood,
Monday, February 26, 2018
Updated: Friday, May 10, 2019
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February 26, 2018-
Another long week as the Arizona House and Senate worked through lengthy floor calendars, voting bills out and over to the other chamber. This week, committee hearings will resume with the House hearing bills that the Senate passed and the Senate hearing bills that the House passed. Fortunately, AzNA anticipates most of the bills we have been closely following and supporting will proceed forward in the legislative process.
Bills of Interest This Week
HB2197 health professionals; workforce data provides for the implementation of a workforce database. AzNA has been the primary driver behind this bill because Arizona lacks a comprehensive system to project the future of our nursing workforce. Proper data collection assures a strong and sustainable supply. It passed out of the House unanimously and we expect it to be heard in the Senate Health and Human Services Committee in the next few weeks.
AzNA Position: Support
HB2549 controlled substances; dosage limit, which allows NPs with advanced pain certification to serve as medical directors of pain clinics, passed out to the House unanimously. We anticipate it being heard in the Senate Health and Human Services Committee in the next few weeks.
AzNA Position: Support
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Posted By Debby Wood,
Monday, February 19, 2018
Updated: Friday, May 10, 2019
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AzNA tracks bills based on our Public Policy Agenda. This agenda focuses on the health of all Arizonans and the professional practice and work environment of our Arizona nurses.
February 19, 2018-
This past week was a very busy and exhausting one.
It was the last week for bills to be heard by a committee in the chamber (House or Senate) in which they originated - if they didn't receive a hearing they are likely dead. Because of this deadline, the committees had very lengthy agendas and multiple controversial bills to hear. Many committee hearings lasted 5 hours or more. AzNA was present for all of the committee hearings impacting bills we are following, both for protection of AZ nurses and the health of our Arizona communities.
This week will be just as busy. Both chambers will hold lengthy floor sessions to vote on the bills that passed through a committee. Bills that pass during this floor session are sent forward to the other chamber, while bills that do not pass are dead for this year's legislative session.
Bills of Interest This Week
Below are a few follow up bills ("trailers") to the large opioid bill that was passed in special session in January. These bills clarify some of the sections in the opioid statute.
HB2548 health professionals; continuing education; opioids passed unanimously through House Health Committee and it clarifies that all health professionals who are authorized to prescribe schedule II controlled substances must complete three hours of opioid related, substance use related or addiction related education each during each license renewal cycle. This includes NPs and CNMs. We anticipate the Board of Nursing providing more guidance on this process if the bill is passed and signed into law.
AzNA Position: AzNA is closely monitoring this bill.
HB2549 controlled substances; dosage limit passed unanimously through House Health Committee and adds two items to the opioid bill that require certain medical practices with large opioid prescribing to be licensed as pain clinics. The addition to the bill allows 60 days for medical practices that meet the requirement to file for a clinic license. Pain clinics are required to have a medical director and the amendment to this bill allowed NPs with advanced pain certification to act as a medical director.
AzNA Position: Support
HB2633 pharmacists; controlled substances passed unanimously through House Health Committee and clarifies that it is not a pharmacist's responsibility to verify that a prescription written for greater than 90 morphine equivalent milligrams complies with the requirement that a board certified pain specialist had evaluated the patient. It is up to the prescriber to follow the law and not the pharmacist to police.
AzNA Position: Support
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Posted By Debby Wood,
Monday, February 12, 2018
Updated: Friday, May 10, 2019
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AzNA tracks bills based on our Public Policy Agenda. This agenda focuses on the health of all Arizonans and the professional practice and work environment of our Arizona nurses.
February 12, 2018-
The Legislative session is moving full throttle with lengthy committee hearings as next week is the last week for bills to be heard by a committee in the house in which they were introduced (their house of origin). If they don't receive a hearing and pass out of the committee, generally they are "Dead", though on occasion are revived, which we will review in the future.
One theme this session has been a push to reduce occupational licensing requirements, including the outright elimination of licensing boards. We are closely monitoring those bills and two (1184 and 1470) are included in this week's highlights.
S1184 state compact; temporary professional licenses would require that someone who is licensed in another state receive, within 30 days of application, a temporary license to work in Arizona for 18 months with some safeguards such as background checks. AzNA testified of our concern that this could interfere with the Arizona Nursing Licensure Compact that so many nurses enjoy in Arizona. While the bill passed unanimously out of the Senate Commerce Committee, the testimony of AzNA along with the input of other groups resulted in the sponsor agreeing to an amendment that will set up the structure of the temporary license process but will only apply to professions that will be added later after input by those professions. Thus we will work to make sure the Nursing Compact is not adversely impacted.
Progress: Made it out of the Senate Commerce Committee, must pass through the Senate Rules Committee in order for it to reach the Senate floor. As of this update, the SB 1184 is not on the agenda to be heard in the rules committee.
AzNA Position: Monitor.
S1470 sunrise process; health professionals; modifications would make a number of changes to the sunrise process which allows for the expansion of scopes of practice and the creation of new licensed professional groups (see 1377 below). NOTE: AzNA used the sunrise process for our CRNA legislation. This bill would essentially eliminate the current process and put it all in the regular legislative session with new standards on how these bills are to be reviewed.
Progress: Passed out of Senate Government Committee last week. On the agenda this week for Senate Rules Committee.
AzNA Position: Monitor for now. Still collecting information and input from our members.
S1377 dental therapy; licensure; regulation would allow the licensing of dental therapists, a new type of dental provider who would be supervised by a dentist but could perform basic dental treatments. This bill has faced fierce opposition from dentists and last year did not make it out of the Sunrise process. However, this year successfully made it through that process and has now passed narrowly out of Senate Health & Human Services Committee. The fight continues.
AzNA Position: We continue to monitor this bill. When a new professional role is introduced into the legislature, it often takes years to educate and build support. It is not unlike the experience we have had on our journey for full practice authority for our APRN’s
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Posted By Debby Wood,
Monday, February 5, 2018
Updated: Friday, May 10, 2019
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February 5, 2018-
After the flurry of the previous week and the fast passage of the opioid legislation, the Arizona Legislature returned to its regular business last week. However, there was drama once again that disrupted some scheduled activities: the expulsion of Rep. Don Shooter of Yuma by the House of Representatives on a 56-3 vote. Shooter didn't go quietly into the night but the drama is over.
As for regular legislative business; some of the bills we are supporting have already passed out of their committee of origin and are moving forward. Below is a sample of two that are “on the move.”
HB2127 – Kid’s Care (Arizona’s CHIP program to provide coverage to eligible low income children who do not quality for AHCCCS) - Because the CHIP re-authorization by Congress last month provides for 100% funding through September 2019 but then drops over the next several years, this bill allowing Arizona flexibility to continue the program in the future is very important.
Progress: This bill has passed through the Health committee in the House, has also passed through the Rules committee and is waiting for a floor vote in the House. Once it passes through the House, it will follow a similar path in the Senate.
HB2087 – Family Caregiver Tax Credit - This bill was developed through the efforts of AARP and would establish a tax credit for qualifying expenses for the care and support of a qualifying family member (spouse, child, stepchildren, sibling etc) in the taxpayer’s home.
Progress: This bill has passed through the Ways and Means committee in the House, has also passed through the Rules committee and is waiting for a floor vote in the House. Once it passes through the House, it will follow a similar path in the Senate.
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