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HB2196 Certified Nursing Assistants
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HB2196 environmental education NOW Certified Nursing Assistants by striker amendment.


SPONSOR:  BOYER   Representative Paul Boyer (R 20) is a member of the health committee.


AZNA POSITION: SUPPORT. AzNA Public Policy Agenda: Maintain the Arizona State Board of Nursing as an independent, autonomous body to regulate the practice of nursing; Produce modifications in the Nurse Practice Act and the practice acts of other healthcare providers that promote and ensure public safety.


SUMMARY: HB2196 modifies the Nurse Practice act to change certified nursing assistants to licensed nursing assistants and establish a nurse aide. Read the legislative fact sheet HERE


STATUS: 2/17/15 The House Health Committee unanimously approved a striker amendment which changed the bill from one about environmental education to one about CNAs. It is awaiting review by the Rules committee and the caucuses before facing the House Committee of the Whole (COW). . Use this link to find the current status of HB2196


ACTION: AzNA supports this bill. You can help by writing to your State Senator and two Representatives expressing your support for HB2196. Find your legislative district HERE , your Senator’s e-mail HERE and your Representatives’ e-mails HERE . Mass mailings to Arizona nurses before the February 17 House Health meeting generated testimony and letters in support of the bill. More action may be needed. Alerts and guidance will be posted here and elsewhere in AzNA’s communication network.



  • The financial stability of the Arizona Board of Nursing may be at risk and licensed RNs and LPNs subject to additional burdens because of the loss of general funds for the regulation of certified nursing assistants (CNAs).
  • The Arizona Board of Nursing regulates over 115,800 individuals including over 27,000 CNAs. The Board is also responsible for approval of 62 RN/LPN programs and 130 CNA educational programs. Generally, the Board collects it operating costs through fees imposed on licensees. Federal law requires the establishment and maintenance of a registry of nursing aides (CNAs, often employed in nursing homes and long-term care facilities) but forbids the imposition of any charges on the CNAs. For registration and regulation of the CNAs the Board has had to rely on a Federal grant which has not been sufficient to cover costs. This has, therefore, been supplemented by general funds or appropriated from the RN, LPN and APRN program. If the costs of the CNA programs continue to come from the fees of the other programs licensing and disciplinary actions will be delayed for all licensees.
  • The proposed legislation would continue the feeless system required by the Federal Government that operates a basic nurse aide registry. It also will provide a licensing option to nurse aides who wish to pay a fee for a license that will expand their employment opportunities. Increasing numbers of agencies are imposing steeper requirements for employment including criminal background checks. These individuals would be called Licensed Nursing Assistants of “LNA”s.
  • The amendment is an effort to address the financial impacts on the Board of Nursing and its fee-paying licensees of the present costs of the Certified Nursing Assistant program. Without its adoption a portion of the over half a million dollars in costs associated with the regulation of CNAs will have to be shouldered by the LPNs, RNs, and APRNs whose fees pay for the nursing Boards operations. It is likely to result in a loss of resources to the Board and delays in licensing and processing of disciplinary complaints.
  • "Registry of nurse aides" means the nurse aide registry maintained by the board pursuant to the omnibus budget reconciliation act of 1987 (P.L.100‑203; 101 Stat. 1330), as amended by the Medicare catastrophic coverage act of 1988 (P.L. 100‑360; 102 Stat. 683).

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