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AZ BUDGET REPORTS

 

Find the JLBC (Joint Legislative Budget Committee) Staff Fiscal Policy Analysis for the Arizona Legislature since FY2015 including monthly reports to the Legislature on the status of Arizona's General Fund revenue collections and other fiscal issues.

 

Archived Bills of Importance

2016 Second Session 52nd AZ Legislature

 

2015 First Session 52nd AZ Legislature

 

2013 and 2014 Sessions AZ Legislature

 

2012 Second Session, 50th Az Legislature

 

National News

ANA ISSUES AND NEWS
  • Find National Public Policy and Advocacy Tools from ANA HERE Resources include Congressional Testimony, Current Legislative News, and a “Take Action” page.



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AzNA Public Policy Hotline

June 2017


LEGISLATURE’S FIRST REGULAR SESSION ADJOURNS SINE DIE

The first session of the 53rd Legislature adjourned on May 10th , 2017.  At 122 days, it ran only 5 days longer than last year’s session but saw a considerable decrease in bills introduced; 1079 in 2017, 1247 in 2016. Three hundred and fifty-three bills and resolutions were passed, 11 vetoed and 344 signed by the Governor.  The AzNA Public Policy staff and volunteers evaluated and followed 63 “nursing issue” bills.  Thirty-three of these bills passed. Here is AzNA’s “pass rate”: Supported 23/36; Opposed 2/6; Monitored 9/21.

 

FULL PRACTICE AUTHORITY FOR APRNs DRAWS CLOSER AS AZ HITS 23

 

When the National Council of State Boards of Nursing (NCSBN) scorecard for full practice authority is next updated, Arizona’s Advanced Practice Registered Nurses (APRN) will reach 23 out of a possible 28 points. The passage of SB1133 CNM/NP and SB1336 CRNA with changes in Scope of practice for CNMs, prescription privileges restored for CRNAs, and collaboration language removed from the Nurse Practice Act, added four points to AzNA’s score. The remaining 5 points will be 1 for CNS prescribing authority and 4 for changing the title for all roles to APRN instead of four unique titles of Nurse Practitioner, Certified Nurse Midwife, Clinical Nurse Specialists and Certified Registered Nurse Anesthetists. At that point AZ will have the full 28 points and our Nurse Practice Act will be in compliance with the NCSBN criteria for the Consensus Model for APRN Regulation. AzNA will be ready to pursue legislation to join with other APRN full practice authority states in a multistate practice recognition agreement. Currently, 14 states and the Northern Mariana Islands have full practice authority for all four APRN roles. Please see a full discussion of the national “Campaign for Consensus” project HERE .

 

BE PREPARED FOR NEW LAWS BEGINNING AUGUST 9

 

Nurses should be aware of new laws which go into effect this August 9. New forms, new procedures and new benefits and/or restrictions will apply to professional and practice arenas. Here are a few of the many new laws followed by AzNA and approved by the Legislature this year.

  • HB1368 newborn screening fees: If you work with newborns, be sure that policies and procedures are updated to include a blood spot test for the identification of Severe Combined Immunodeficiency (SCID) which is funded and added to the current 28 newborn screening tests.
  • HB2208: stock inhalers for schools: Schools are allowed to stock inhalers and employees can administer the medication.  Nurse practitioners may issue a standing order for inhalers and/or spacers for each school and help write rules for annual training, procedures and reports.
  • HB2372  public benefits; fee waivers and requirements: . Good news: Temporary Assistance to Needy Families (TANF) benefits are increased to 24 months subject to certain conditions; less good news, requires that regulatory agencies waive initial licensing fees for those at 200% of Federal Poverty Level (FPL) or below. There is some evidence that the loss of those fees by the Nursing Board may require an increase in your fees.
  • HB2515 governor appointees; criminal records checks:  When you are appointed to a state regulatory board, you must be fingerprinted.
  • HB2542  health; budget reconciliation:  Nurses who make family planning referrals should be aware that ADHS is now required to apply to become a Title X grantee. Since 1983 the Arizona Family Health Partnership (AFHP) has managed and monitored the grant.  Planned Parenthood is restricted from receiving Title X funding.
  • SB1080 teenaged drivers; communication devices prohibited: drivers with only a learner’s permit or during the first six months teenagers have a regular license are banned from texting or other cellphone use.
  • SB1133 certified nurse midwives, nurse practitioners: Language changes to the Nurse Practice Act (NPA) should improve the ability for APRNs to interface with insurance companies; removes physician specific collaboration language.
  • SB1235 podiatry amputation: Podiatrists may perform amputation of toes.
  • SB1336 certified registered nurse anesthetists: CRNAs can once again order necessary supplies and medications; current practice regarding a physician who must be in the procedure suite or at the facility whenever a CRNA is administering anesthetics is codified in the NPA.
  •  SB1452 health professions regulatory boards: NPA changes: reduces the timeframe in which a board may open an investigation against a licensee from 6 years to 4 years after the event; allows all Boards to establish a confidential non-disciplinary monitoring program for substance abuse and medical or psychological issues; requires that board meeting recordings are posted to the Board’s website; applies two term limit for Board members and break before reappointment.

 

MANDATORY PAID SICK LEAVE IN AZ BEGINS JULY 1, 2017

 

Prop 206, which was approved by voters last November, does more than hike the State’s minimum wage to $10.00 an hour. The law also mandates as many as 40 hours of paid sick leave and applies to virtually all businesses and non-profits with at least one Arizona employee. The only exceptions involve people employed by Arizona's state government or the federal government, as well as sole proprietors. Read more HERE

 

ARIZONA’S 2017-2018 $9.8 BILLION BUDGET IS APPROVED

You can see where Arizona’s dollars are spent in all areas including those impacting patients and health care professionals. Read the 87 page SB1522 General Appropriations Act HERE or read the official summary/plan for the 2017-18 budget HERE or read a news article summarizing the 2017-2018 budget HERE.

 

SEE NURSES LIST OF BILLS

As another year ends, the 32-member Public Policy Committee, led by Chair Denise Link, PhD, NP, FAAN, FAANP can relax until next year. The committee and staff lobbyists Rory Hays and Kathy Busby reviewed 63 bills that had relevance to AzNA’s Public Policy Agenda. (HERE). At least 3 nurses reviewed each bill with a 3 day turn around for a report which included a discussion of the bill, it’s relevance to the AzNA agenda and a suggested position of support, oppose or monitor. The Nurses List of Bills is found HERE. You can find all of the bills AzNA has followed since 2012 archived on the Nurses List page. 

 





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