Kathleen A. Ream Director, Government Affairs

October 1, 2010

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

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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:

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“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/government affairs/index.htm

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