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Update and Alert on Legislation

Posted 10 months ago in Legislation

This announcement has 1 attachment:

After some last minute committee assignments to make us jump more hurtles, our legislation, SB176/HB184: Increasing Access to Care for Tennesseans,
is going to the Senate Commerce committee and if it passes then it will go to the Senate health Committee.
Due to long committee calendars, we were not heard in either the House Health Subcommittee or the Senate Commerce committee this week.
Please keep emailing, calling, and requesting virtual meetings with legislators on these committees before they are voted on next week!

WHO: Emails and Phone Numbers are listed at the bottom of this email along with sample scripts to personalize.

Remember: Referring to this legislation SB176/HB184 as achieving Full Practice Authority is often misunderstood.
• This legislation would remove physician oversight of Advanced Practice Registered Nurses and keep the regulation of the profession of nursing under the Board of Nursing, thus being called full practice authority.
• Full practice would not allow APRNs to do anything they are not currently allowed to do.

You can use these talking points for SB176/HB184 but please personalize your emails!
• SB176/HB184 removes unnecessary and harmful barriers – and creates new opportunities to improve access to care across the state. APRNs are educated to evaluate, diagnose, initiate, and manage treatments, including prescribing medications. It’s time to let them do that and help Tennesseans improve their health rankings and outcomes!
• It's common sense: by removing barriers, lawmakers make it easier and more affordable for APRNs to practice. Better access to health care means better outcomes for patients. Patient health outcomes should be the yardstick for licensure rules. Multiple research studies have proven that there is no evidence that a collaborative agreement mandate has any positive impact on patient health outcomes.
• Updating the Nurse Practice Act ends a very costly and prohibitive mandate for APRNs to pay a doctor to review charts and prescriptions several weeks after the patient is cared for. Some may say this legislation is radical. What’s radical is how the state is resisting modernizing healthcare delivery by APRN practice to the benefit of all Tennesseans. APRNs are the Future of Primary Care as 72.6% of APRNs deliver primary care nationally. By 2026, the Bureau of Labor Statistics projects that the APRNs' role will grow by 36% compared to 13% for physicians. This statistic alone indicates how Tennessee is behind the curve when it comes to healthcare delivery.
• When APRNs are able to practice to the full extent of their education, they are able to serve more Tennesseans and provide more options for healthcare services.

Additional Information you might want to share with Legislators:
What this Legislation SB176/HB184 Accomplishes: Removes the need for a collaborative practice agreement with a physician. Establishes the Board of Nursing as the only licensing body overseeing APRN practice. The APRN license meets the need for a fitness to prescribe. Allows APRNs to manage their practice without extra red tape and costs.

What is a collaborative agreement? Antiquated and burdensome contract between a physician and an APRN that allows the APRN to prescribe medication. It is a costly restriction mandating that the physician review patient charts of the APRN; the cost for this collaborative agreement is on average $1500/month per a recent survey conducted in Tennessee. The physician might never see the patient, yet the patient is usually billed for this mandate. There are no health or safety benefits to a patient when their chart is looked at 30 days after receiving treatment.

Why is healthcare more expensive in Tennessee? Our laws and regulations result in higher costs for patients and taxpayers because added administrative and billing costs are passed along. Only physicians benefit from the current set up and costs of collaborative agreements. If Tennessee wants to continue to be attractive for economic and community development, it must provide world-class, affordable healthcare services that are readily available for all Tennesseans. Removing the barriers of practice for APRNs is one of the many cost-effective ways that Tennessee can move its healthcare system into the 21st century and ensure that Tennesseans are receiving the care they need.

Shouldn’t Tennesseans be able to choose who provides and cares for their families without the hidden surprise of a caregiver they have never seen billing for their services? Unfortunately, Tennessee law currently suppresses that choice by reducing the available supply of providers and restricting the range and services they can offer, thus increasing healthcare costs. Competition in health care markets benefits Tennesseans by helping to control costs, improve quality of care, promote innovative products, services and service delivery models, and expand access to healthcare services and goods.

There is a talking points handout attached to this announcement for you to attach to your email to the Legislator!

Here is a sample script you can you use:

Don't forget a best practice for emailing legislators is to personalize the email. Remember to ask for their vote and include your name, address,



Dear Representative/Senator,

My name is ________________. I am a Registered Nurse. Please vote yes on SB176/HB184 by Sen. Lundberg and Rep. Ramsey.

To improve access to care during the COVID-19 pandemic, Governor Lee waived restrictions so Tennesseans could have more access and options to health care, including access to APRNs. We need to continue to allow APRNs to practice without the burden of collaborative agreements. This legislation will cut outdated, unnecessary requirements hindering APRNs from providing care to Tennesseans patients.

Less red tape means more access and more options for millions of Tennesseans living in primary care shortage areas. Please help cut red tape and allow APRNs to provide the same high-quality advanced nursing care they provide today to more patients at less cost, resulting in more access and options for Tennesseans.

APRNs WILL NOT expand their scope of practice. Over 31 states, DC and the VA system have removed barriers to APRN care, reducing costs and providing access for patients. None of them have looked back. Removing unnecessary regulations on APRNs is a no-cost solution to improving access to care.

Will you vote yes on SB176/HB184?


(Your Name and degrees)

(Your Contact Information)

Contact Information for the Committee Members

House Health Committee Members

Rep. Hall (615) 741-1350

Rep. Hicks (615) 741-1717

Rep. Whitson (615) 741-1864

Rep. Vaughan (615) 741-1866

Rep. Williams (615) 741-1875

Rep. Helton (615) 741-1934

Rep. Sherrell (615) 741-1963

Rep. Terry (615) 741-2180 

Rep. Alexander (615) 741-2251

Rep. Smith (615) 741-2548 

Rep. Hakeem (615) 741-2702

Rep. Kumar (615) 741-2860

Rep. Ramsey (615) 741-3560

Rep. Mitchell (615) 741-4317

Rep. Clemmons (615) 741-4410

Rep. Freeman (615) 741-0709 

Rep. Marsh (615) 741-6824 

Rep. Gant (615) 741-6890

Rep. Jernigan (615) 741-6959 

Rep. Leatherwood (615) 741-7084

Rep. Boyd (615) 741-7086

Senate Commerce Committee Members

Sen. Akbari (615)741-1767

Sen. Bailey     (615) 741-3978

Sen. Johnson  (615) 741-2495

Sen. Niceley   (615) 741-2061

Sen. Reeves    (615) 741-1066

Sen. Southerland       (615) 741-3851

Sen. Swann    (615) 741-0981

Sen. Watson   (615) 741-3227

Sen. Yager      (615) 741-1449

All House Committee Emails Listed Together:;;;;;;;;;;;;;;;;;;;;;

 All Senate Commerce Committee Emails Listed Together:;;;;;;;


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