Kathleen A. ReamDirector, Government Affairs October 1, 2010

March 23, 2010 - Patient Protection and Affordable Care Act (PPACA), P.L. 111-148

September 23, 2010 - Patient’s Bill of Rights

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Incentives to Educate More Nurses Increases Demand for Highly-Skilled

Nurses Quality Incentives Other Practice Opportunities Boards, Commissions, Councils, and

Panels

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PPACA is an authorization bill. Many

of its provisions will require appropriated

funding.

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Expands the educational loan repayment amount from $30,000 to $35,500

Creates “Eligible Individual Student Loan Repayment” program

Increases loan repayment amounts up to $40,000 for master’s & $80,000 for doctoral

Funding priority to doctoral students to impact nurse faculty shortage

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Effective January 1, 2012 thru 2015 $200 Million for Demo Projects Medicare payments to hospitals for

clinical training costs of preparing APRNs – nursing’s equivalent to GME

Partnership created among hospitals, accredited schools of nursing, and non-hospital community-based care settings

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Eliminates 10% cap on doctoral programs for AEN grants

Allows funds to go directly to students not only to schools

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Nurse faculty now included as eligible participants

For repayment must serve as faculty at an accredited nursing school for two years

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Grant program now titled “Nurse Education and Practice Grants”

Nurse Retention gets own section Expands career ladder programs,

funding for nursing internships and residency programs in collaboration with accredited schools of nursing

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Now includes nursing faculty as eligible participants

Increases aggregate amount of student loan from $13,000 to $17,000

Increases student loan amounts from $2,500 to $3,500

Increases student loan amounts for final two years from $4,000 to $5,200

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PPACA creates a CGE Traineeship that provides funding to students for tuition, books, and stipends

No funding has yet been appropriated for FY 2011

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Provides stipends for diploma or AD nurses to enter bridge programs

Provides scholarship or stipends for accelerated degree programs, pre-entry preparation, advanced education preparation, and retention activities

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Two other types of nursing programs are now eligible for Title VIII funding:

“Accelerated” BSN or MSN programs

“Bridge” BSN or MSN programs

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Scholarship & Loan Repayment Programs for students in accredited health professions education program in exchange for 2-4 years of service in a health professional shortage area

Aimed at FNPs and CNMs

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Program will educate providers in primary care, prevention, chronic care management, mental and behavioral health, and evidence-based practice

Provision uses the IOM definition of primary care which includes nursing

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NP Residency program in federally qualified health centers or nurse managed health clinics

Awarded health centers need to have at least 3 NP residents in training program

Preference given to bi-lingual nurse practitioners

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Began FY 2010 Organized to annually graduate at

least 250 nursing students Students receive tuition and stipend

for no more than 4 years Upon degree completion, awardees

serve two years for each year they were supported

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Loan repayment program to drive clinicians to provide pediatric health care in underserved areas for 2 years

Providers include psychiatric nurses for the Child & Adolescent Behavioral Health provision

Up to $35,000 in loans/year will be repaid for a maximum of 3 years

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Creates strong expansion opportunity for Nurse-Family Partnership

$1.5 billion mandatory funding over 5 years – FY 2010 thru FY 2014

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Payment incentive and service delivery model

Utilizes physician and NP directed home-based primary care teams

$30 million mandatory funding over 6 years – FY 2010 thru FY 2015

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NPs can direct SBHCs Comprehensive primary health

services for medically underserved children & adolescents

Available for both building capacity in existing SBHCs and to create new ones

$200 Million mandatory funding over 5 years – FY 2010 thru FY 2014

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Increases payment for CNMs from 65% to 100%

Increases payments to NPs and CNSs by 10% for primary care & health professional shortage areas services

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Grant program to create health care workforce development strategies at state & local levels

Planning grants for no more than 1 year with largest award no more than $150,000

Eligible partnerships must include 2-year & 4-year public institutions of higher education

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Independent Medicare Advisory Board

National Health Care Workforce Commission

Patient Centered Outcomes Research Institute

Advisory Board on Elder Abuse, Neglect and Exploitation

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No Pre-Existing Condition Exclusions for Children Under Age 19

No Arbitrary Rescissions of Insurance Coverage

No Lifetime Limits on Coverage

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Restricted Annual Dollar Limits on Coverage

Protecting Your Choice of Doctors by removing insurance barriers

Removing Insurance Company Barriers to accessing ED Services

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NLN’S GOVERNMENT AFFAIRS HOMEPAGE

http://www.nln.org/governmentaffairs/index.htm

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