3/22/2018 Your National NP Organization: Leaders in Federal Policy Beth Kuzma, DNP, FNP‐BC AANP State Representative for Michigan Disclosures & Objectives No industry conflicts to report. AANP wants NPs to succeed! Objectives: • Understand the difference between National and State NP organizations • Explain AANPs top priorities • Give a brief overview of some of the key federal initiatives/bills supported by AANP. Difference between state and national NP organizations State Policy Goals Federal Policy Goals • Provide patients with full and • Elimination of federal barriers direct access to NP services that remain in Medicare • Modernize state practice laws • Accountable Care Organization (ACO) participation • Promote sustainable reimbursement policies • Appropriations for federal funding for NP education • Address NP signature recognition and promote NP‐ • NP inclusive language in CMS and inclusive language in state law federal law and regulations 3 1
3/22/2018 Top AANP Priorities • Focus on public relations and marketing of nurse practitioners • Support health policy to remove barriers to full practice • Enhance clinical outcome research to support health policy and practice 4 Public Relations: Marketing NPs Promoting the image of NPs… 6 2
3/22/2018 Continuing to raise awareness… 7 NP Infographic 8 Shaping NP Excellence • National Conferences focus on clinical and professional development • Health Policy Conference provides legislative updates and opportunities for attendees to meet with congressional leadership • Continuing Education is offered through the National, Specialty and Health Policy conferences, the AANP CE Center and peer ‐ reviewed journals • AANP–Developed Toolkits keep NPs informed regarding important health issues and assist them in educating their patients • Student Resource Center provides tools developed exclusively for students • AANP’s Practice ‐ Based Research Network allows NPs to shape, develop and participate in national NP research 9 3
3/22/2018 Federal Update AANP Policy Goals Developing a sustainable, effective, healthcare delivery system that works for our patients, healthcare providers and payers. • Full & Direct Access to NPs • Leveling the Playing Field for Participation • Voice in Shaping HC Delivery Systems • Informing the Public Health Agenda Remove Barriers between NPs & Their Patients Carrying Our Message to… Agencies Administration Congress 4
3/22/2018 Makeup of 115 th Congress House of Representatives • House of Representatives 193 4 238 • 238 Republicans • 193 Democrats Democrats Vacant Republicans • 4 Vacancies (Franks, Conyers, Murphy, Tiberi) • Senate • 51 Republicans • 47 Democrats Senate • 2 Independents 2 51 47 Democrats Independents Republicans Committees of Jurisdiction ‐ House • Energy & Commerce – Chairman Greg Walden (R‐OR)** – Ranking Member Frank Pallone (D‐NJ) • Ways & Means – Chairman Kevin Brady (R‐TX) – Ranking Member Richard Neal (D‐MA)** • Education & Workforce – Chairman Virginia Foxx (R‐NC)** – Ranking Member Bobby Scott (D‐VA) • Veterans Affairs – Chairman Phil Roe (R‐TN)** – Ranking Member Tim Walz (D‐MN)** ** New position in 115 th Congress Committees of Jurisdiction ‐ Senate • Finance – Chairman Orrin Hatch (R‐UT) – Ranking Member Ron Wyden (D‐OR) • Health, Education, Labor, and Pensions (HELP) – Chairman Lamar Alexander (R‐TN) – Ranking Member Patty Murray (D‐WA) • Veterans Affairs – Chairman Johnny Isakson (R‐GA) – Ranking Member Jon Tester (D‐MT)** ** New position in 115 th Congress 5
3/22/2018 Our Goal is to Eliminate ALL Barriers to Practice for NPs • Certifying patients’ need for home health care • H.R. 1825/S. 445 ‐ Home Health Care Planning Improvement Act • Allowing nurse practitioner patients to count for Medicare ACO shared savings • H.R. 1160 – ACO Assignment Improvement Act • Ensuring patients have timely access to diabetic shoes • H.R. 1617 – Promoting Access to Diabetic Shoes Act Certifying Patients’ Need for Home Health Care • H.R. 1825/S. 445, the Home Health Care Planning Improvement Act • House: Rep. Chris Collins (NY) • 156 cosponsors (67 R – 89 D)* • Senate: Sen. Susan Collins (ME) & Ben Cardin (MD) • 41 cosponsors (11 R – 29 D – 1 I)* • Last Congress, had 52 cosponsors in the Senate and 206 cosponsors in the House • NPs can provide face to face assessments but under current law, a physician must certify the patient’s eligibility. *As of March 5, 2018 Allowing NP Patients to Count for Medicare ACO Shared Savings • HR 1160 , the ACO Assignment Improvement Act • House: Reps. Derek Kilmer (WA) & Lynn Jenkins (KS) • 20 cosponsors (7 R – 13 D)* • As changes to the Medicare system are made and payment models evolve, it is imperative that NPs are full partners in Accountable Care Organization (ACO) models. *As of March 5, 2018 6
3/22/2018 Ensuring Patients have Timely Access to Diabetic Shoes • HR 1617 , Promoting Access to Diabetic Shoes Act • House: Rep. Tom Reed (NY) & Earl Blumenauer (OR) • 20 cosponsor (8 R – 12 D)* • This legislation would allow NPs to certify their patients’ need for diabetic shoes. *As of March 5, 2018 AANP Successes During 114 th Congress • SGR repealed and replaced with MACRA ‐ using provider neutral language • Medication Assisted Treatment (MAT) bill passed and signed into law – 5 year authorization to prescribe Buprenorphine [Suboxone] to treat addiction • 21 st Century Cures signed into law, including Mental Health Reform • Legislation passed to allow NPs to certify DME orders • Home Health bills had more bipartisan support in both chambers than ever before • Legislation introduced to authorize NPs to certify patients’ need for diabetic shoes • AANP President testified twice before the Energy and Commerce Committee • Over 62,000 messages sent to policymakers in 2016 • AANP activist database now has over 169,000 contacts • Health Policy Conference attendees visited with over 213 Congressional offices • The AANP‐PAC raised more than $448,000 and contributed more than $367,500 to Members of Congress in 2015‐2016 Other Emerging Issues • Primary Care • Electronic Health Records • Addiction Treatments • Rural Health • Post Acute Care Reform • Cardiac Rehab • Tele‐Health • CHIP Reauthorization • Provider • Provider Identification – Non‐Discrimination ‐ Truth in Health Care Section 2706 of the ACA Marketing Act • MACRA Implementation • Title VII & VIII (Regulations) Reauthorization/Funding • National Health Service Corp Reauthorization 7
3/22/2018 REGISTRATION NOW OPEN: 2019 Health Policy Conference Washington, D.C. February 3 ‐ 5 Members Get MORE Join at aanp.org *If you are not currently a member of AANP and are interested in joining you can receive 10% off with the code MI16REP* governmentaffairs@aanp.org bethkuz@hotmail.com 8
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