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AONE Advocacy provides important public policy information on issues relevant to nursing and health care. It informs nursing leaders on current developments in the federal arena and encourages them to take action on health and patient care issues which impact their ability to provide, safe, accessible and quality patient care services. As the country’s most trusted profession, nursing is an important voice on health care policy issues and a vehicle for positive change.

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Key Issues

As a nurse executive, you face many challenges in the daily pursuit of your job. What you may not realize is that there are a myriad of legislative challenges that could seriously impact the nursing profession as a whole. Congressional oversight dictates many of our own policies. The question is: do you want to have a seat at the table? Below are several issues that could be game-changers for our profession. We urge you to learn about each one and consider its impact on your ability to do your job.

American Health Care Act

House Republican leaders last week unveiled the American Health Care Act (AHCA) to repeal and replace parts of the Affordable Care Act (ACA). 

MACRA -Quality Payment Program

When the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) became law, it permanently repealed the sustainable growth rate formula (SGR) for physician payment. Currently, physicians participate in several overlapping Medicare reporting programs such as the electronic health records incentive program (Meaningful Use), the Physician Quality Reporting System and the value-based modifier. MACRA replaces these programs. Under MACRA there will be two pathways for physician payments.

Title VIII Reathorization

The bipartisan Title VIII Nursing Workforce Reauthorization Act includes a handful of technical changes to align Title VIII reauthorization with current nursing roles and practices. Over the last fifty years, Title VIII programs help bolster the nursing pipeline by increasing the number of nursing students, faculty and practicing nurses, including registered nurses and advanced practice registered nurses (APRNs). 

Key Proposed Changes:

  • Updating Title VIII programs to include clinical nurse specialists among the other three APRN roles

Elevate Nursing Research and Data

The work of nurses is caring for patients. Nurses rely on data driven research to improve patient outcomes, quality, safety and the delivery of cost effective care. Research shows certain kinds of information technology can limit errors as well as improve care and efficiency.

Promote the Value of Nursing

In the redesign of the health care delivery system towards one driven by a team of health care providers in a patient-centered environment, it is important nurse leaders articulate the value of nursing in improved patient outcomes, and care coordination.

Sustain and Grow Funding for Nursing

AONE advocates for funding Nursing Workforce Development programs authorized under Title VIII of the Public Health Service Act(42 U.S.C. 296 et seq.). These programs support the supply and distribution of qualified nurses to meet our nation’s increasing health care needs.

Take Action

We invite you to take a more active role in the many paths nursing will take legislatively, socially and emotionally. There are many actions you can take to protect your profession. Joining AONE is a first step, but there are many other things you can do to get involved. And, here's the best part: it's easy! Whether you're "liking" us on Facebook or Sharing Your Story with friends, your influence is key.


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