Issue Update: Title VIII Nursing Workforce Development Programs
As the co-chair of the ANSR (Americans for Nursing Shortage Relief) Alliance, the NLN supports a budget of $313.075 million in FY 2012 (28.4% increase) for Title VIII — Nursing Workforce Development Programs, administered by the Health Resources and Services Administration (HRSA). The NLN also is requesting $20 million for the Nurse-Managed Health Clinics (NMHCs). NMHCs are defined as a nurse-practice arrangement, managed by APRNs, that provides primary care or wellness services to underserved or vulnerable populations. NMHCs are associated with a school, college, university, or department of nursing, federally qualified health center, or independent nonprofit health or social services agency.

The president's FY 2012 proposed budget funds Title VIII programs at $313.075 million and NMHCs at $20 million. These increases correlate to the health reform law directing HRSA to be a part of a national effort to increase the health care workforce supply and skill sets to improve access to care for a nation with diverse and complex needs. HRSA's Title VIII programs are funded as part of the Labor, Health and Human Services, and Education appropriations. The respective House and Senate Committees on Appropriations are preparing all 11 appropriations bills, complemented by input provided in testimony. The committees likely will begin reporting the bills in early June to their respective chambers, perhaps completing them by October 1, 2011 when the 2012 fiscal year officially begins.

Title VIII - Nursing Workforce Development Programs
(Amounts in Thousands)
Nursing Workforce
Development Programs
FY 2008
Final
FY 2009
Final
FY 2010
Final
President's Proposed
FY 2011
President's Proposed
FY 2012
Total
$156,046
$171,031
$243,872
$243,872
$313,075
Advanced Education
Nursing
$61,875
$64,438
$64,438
$64,438
$104,438
Comprehensive Geriatric Education
$3,333
$4,567
$4,567
$4,567
$5,000
Nurse Education Loan
Repayment & Nurse
Scholarships
$30,512
$37,128
$93,864
$93,864
$93,864
Nurse Education,
Practice, Quality &
Retention
Grants
$36,640
$37,291
$39,896
$39,896
$59,773
Nursing Faculty Loan
Program
$7,860
$11,500
$25,000
$25,000
$30,000
Nursing Workforce
Diversity
$15,826
$16,107
$16,107
$16,107
$20,000
 




        Volume 8, Issue 4
                May 2011

Issue Update: Title VIII Nursing Workforce Development Programs

Title VIII - Nursing Workforce Development Programs

No Surprise: No Repeal of PPACA! Surprise: New Spirit of Compromise?

This Just In

FROM THE STATES . . .



Government Affairs Action Center
No Surprise: No Repeal of PPACA! Surprise: New Spirit of Compromise?
After the 2010 election gave control of the House to the GOP, that body's vote in January to repeal the Patient Protection and Affordable Care Act (PPACA) was expected. It was never expected, however, that the Democratic-controlled Senate would follow suit, and recently one Republican leader admitted that the repeal of PPACA is, in fact, not going anywhere. At a breakfast meeting with reporters sponsored by the magazine Health Affairs, Representative Dave Camp (R-MI), chair of the House Ways and Means Committee, said, "Is the repeal dead? I don't think the Senate is going to do it, so I guess, yes." Camp added, however, that lawmakers are closely monitoring lawsuits pending in federal courts that are challenging the constitutionality of the individual mandate — PPACA's core concept requiring that all Americans have insurance — and that the House might still vote to repeal the mandate.

Camp's comments went on to cover the House Republicans' plan to diminish the law through bills targeting other provisions of PPACA. For example, on May 3, the House passed H.R. 1213, a bill that would defund grants for state health insurance exchanges; and on May 4, the House passed H.R. 1214, a bill that would defund school-based health centers.

He also commented at length about the House Republican plan to redo Medicare. The plan, as delineated in the proposal of House Budget Committee chair Paul Ryan (R-WI), would create Medicare exchanges through which Americans under 55 would receive subsidies to purchase their Medicare coverage from private payers. However, with congressional leaders entering into talks about the debt limit and budget cutting with Vice President Biden, confusion about that plan reigns. Majority leader Eric Cantor (R-VA) had indicated that a deal on the plan was unlikely and Republicans might have to look elsewhere for cuts. The next day Cantor's office specifically stated in its blog, "The House GOP position is the Ryan budget period." At the same time, House Speaker John Boehner (R-OH) said that everything is on the table for discussion except tax increases. Camp said his position is still in favor of the party's "premium support plan," but he is willing to negotiate if the Obama administration presents a plan to ensure Medicare solvency. He also mentioned — without endorsing — ideas for Medicare savings suggested by the President's Fiscal Commission, such as elimination of first-dollar coverage in Medigap policies, or combining Medicare Part A hospital services and Part B physician services.

Camp said that, while the Ryan plan has been laid down as a marker, "I'm not really interested in just laying down more markers. I'd rather have the committee working with the Senate and the president to focus on savings and reforms that can be signed into law...don't think we can afford to wait." He dodged a request for further clarification with respect to funding Medicare reform, but did answer in the affirmative when asked if there could be a new spirit of compromise at hand between the parties when it comes to entitlements and other pending issues.

That brought the discussion to the final issue on Camp's mind — the troubling issue of revamping the Medicare physician payment formula. He said it is one of his goals for the year to have a "permanent and paid-for doc fix," and he pledged that the Ways and Means Committee would address the issue.

This Just In

As we go to press, the Senate on May 25, 2011 rejected a motion to bring the House budget resolution (H. Con. Res. 34) to the chamber's floor by a vote of 40 to 57. The defeat is viewed as a rejection of the House Budget Committee chair's proposal to create a Medicare voucher program.


FROM THE STATES . . .
Florida Nurse-Led Initiatives to Improve Health Care Delivery
In Florida, two major, nurse-led initiatives aimed at improving health care delivery are under way. The first concerns the use of simulation technology to produce nurses and medical professionals who are better trained in medical procedures. Seeing the potential for such technology, to increase the capacity of nursing schools to train more students, the Florida Center for Nursing (FCN) and the Blue Cross and Blue Shield of Florida (BCBSF) Foundation launched a two-year study of the simulation resources available in the state. Preliminary results of the study were shared in January with a "think-tank" of nurse, industry, and policy leaders in Florida; a consensus of that group determined that simulation would be integrated into all health care settings and educational institutions through statewide collaboration. The BCBSF Foundation and Partners Investing in Nursing's Future, a national initiative led by the Robert Wood Johnson (RWJ) Foundation and the Northwest Health Foundation to engage philanthropists in improving health care through nursing, funded the study.

The second initiative is a call to action based on the Institute of Medicine's (IOM) recommendations in its landmark report, "The Future of Nursing: Leading Change, Advancing Health," which concluded that the United States "has the opportunity to transform its health care system, and nurses can and should play a fundamental role in this transformation." In this initiative, Florida is one of 15 states forming a regional action coalition that will bring together business executives, government officials, health industry executives, and medical professionals to transform the way Americans receive health care. Co-led by the FCN and the BCBSF Foundation, the Florida coalition was created by the RWJ and AARP Foundations, and was officially announced in February. A steering committee of a dozen Florida-based nursing organizations, health industry executives, and philanthropists is organizing the coalition to have the following goals: foster interprofessional collaboration across the health spectrum; enable all health care professionals to practice to the full extent of their education and training; strengthen nurse education and training; expand leadership ranks to ensure that nurses have a voice on management teams, in boardrooms, and during policy debates; and improve health care workforce data collection.
New York RNs Mark Nurses Week Seeking Support for Nurse Education Bill
During this year's observation of Nurses Week (May 6-13), the New York State Nurses Association (NYSNA) asked the legislature to demonstrate a commitment to improving patient outcomes and quality health care delivery by supporting the Advancement of Nursing Education bill (A 1977/S 1223). The bill would require RNs to obtain their baccalaureate in nursing within 10 years of initial licensure in order to re-register to practice in the state. NYSNA believes the measure is consistent with New York's overall policy encouraging professionals to advance their education. The association also points out the measure's importance in today's health care environment where advanced education is necessary to keep pace with increasingly complex drug therapies, rapid advances in technology, and a growing population with multiple chronic conditions.
 
 
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Phone: 703-241-3947 | Email: kream@nln.org

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