Starter Kit for Impacting Change at the Government Level: How to Work with Your State Legislators and Regulators
Resources to assist you in advocating for key issues on the state and federal level.
Table of Contents
1. Introduction – Download here
2. How to Use the Starter Kit for Impacting Change – Download here
3. Fact Sheets
- Legislative Fact Sheets
- Guide to Meeting with Congressional and State Representatives
- Guide to Developing Legislation for CNS Practice
- Other resources on legislation
- State Regulations Fact Sheets
- FAQs on Consensus Model
4. Model Legislation and Regulations for Scope of Practice and Prescriptive Authority
- Oregon Regulation for CNS
See grandfather language on page 3
- Oregon Regulation for CNS Prescriptive Authority
- Indiana Nurse Practice Act – one example of regulations that has worked in state
- Pennsylvania Legislation for CNS
See Section 8.5, however, it is best to not include national certification as a requirement, since this does not exist for all CNSs at this time.
- Pennsylvania Regulations for CNS
See Certification Requirements for language on certifying CNSs who are not eligible for national certification exam
- CNS Practice Authority
- CNS Prescriptive Authority
- CNS Practice and Prescriptive Authority Since 2010 by State
- Federal Trade Commission Letter to the Florida House of Representatives
States that APRNs practice should not be restricted through required physician supervision
- Federal Trade Commission Letter to the Texas Senate
Supports removal of physician supervision of APRNs
- IOM Report on the Future of Nursing
Supports the role of the Advanced Practice Registered Nurse and recommends that APRNs should practice to the full extent of their education and training.
- “Families USA Advocacy Tips” website
Provides resources for being an effective advocate in the legislative arena
- Davidson, S. et al (2001). Statutory and Regulatory Recognition for Clinical Nurse Specialists in Oregon. Clinical Nurse Specialist 15(6), p. 276-283.
Although old, it provides ideas for working with regulators.
- Hansen-Turton, T., Ritter, A. & Valdez, B. (2009). Developing Alliances: How Advanced Practice Nurses Became Part of the Prescription for Pennsylvania, Policy Politics Nursing Practice 10(7), p. 7-15.
- Hartigan, C. (2011). APRN Regulation: The Licensure-Certification Interface. AACN Advanced Critical Care, 22(1), p. 50-65.
History of licensure and certification
- Hudspeth, R. (2011). Changes for the Valuable Clinical Nurse Specialist. Nurse Administrator Quarterly 35(3), p. 282-284.
- Lyon, B. L. (2003). Advanced Practice Registered Nurse Compact A Call to Action With a Primer on the Regulation of CNS Practice. Clinical Nurse Specialist, 17(4), p. 185-187.
Although written in 2003 it is still relevant and a good explanation of the impact of the APRN consensus model on the CNS and what can be done.
- Ponto, J., Sabo, J., Fitzgerald, M. & Wilson, D. (2002). Operationalizing APRN Legislation, Clinical Nurse Specialist 16(5), p. 263-269.