How you can be an Advocacy Leader in 2018

Opportunities to Lead in 2018:

Vote - In Ohio, the primary election will be on May 8th + the November Election

Write a letter/email - https://www.usa.gov/elected-officials/

Schedule a meeting

Attend a town hall meeting

Know when Congress is out for recess - holidays i.e. Easter, Memorial Day, all of August

Attend the #NLNVoices Day on the Hill June 13-14

Volunteer to support issues/ elected officials




National Patient Advocate Foundation - provides search for elected officials by zip code



The NPAF also provides lists of current State and Federal Bills that are being debated






Ohio HB 456

Ohio Nurses Association Applauds Introduction of House Bill 456 – Prohibit Requiring Nurses to Work Overtime

Bill addresses safe patient care, would make Ohio 19th state to outlaw mandatory overtime for nurses


COLUMBUS – House Bill 456, sponsored by Representative Robert Sprague (R-Findlay), aims to make Ohio the 19th state to outlaw nurse mandatory overtime – a potentially dangerous practice occurring across Ohio that can jeopardize safe patient care. The bill was introduced on December 28, 2017.

In 2011, the Joint Commission issued an alert that called for hospitals to intensify their efforts to monitor and address health care workers’ risk for fatigue caused by extended shifts. Even after this alert, it is still common place in Ohio to mandate RNs to work beyond their regularly scheduled hours. This practice is used to staff health care facilities on a regular basis and leads to nurse fatigue and burnout.

Fatigue can affect nurses’ ability to deliver optimal patient care. Research demonstrates that fatigue causes an increased risk in errors, decline in memory, reduced ability to learn, and impaired mood and communication skills. Further, scientific evidence links long working hours to many health effects, including cardiovascular disease and cancer.

House Bill 456 would give nurses the right to refuse overtime if they feel too fatigued to continue to provide safe patient care without fear of termination or licensure sanctions.

“Nurses are professionals who are ethically-bound to assess their ability to care for their patients. If a nurse is too fatigued to provide the safe care his/her patient deserves, the nurse should have the right to refuse overtime without fear of discipline,” states Brian Burger, president of the Ohio Nurses Association. “Prioritizing safe nurse staffing benefits everyone: nurses, patients and healthcare facilities. Research points to dissatisfied patients, increased errors and higher patient readmissions when nurses are not safely staffed. Furthermore, nurse burnout increases with regular extended shifts, leading to costly nurse-turnover for healthcare facilities,” continued Burger.  “The needs and safety of the patient and nurse need to be put first instead of trying to cut initial costs by using mandatory overtime to plug nurse staffing holes.”

Federal laws prohibit the amount of hours worked by pilots, train engineers and truck drivers because of the dangerous consequences of fatigue. Because there is a not a federal law protecting patients and nurses to this degree, 18 other states have passed laws prohibiting nurse mandatory overtime. Those states include Alaska, California, Connecticut, Illinois, Maine, Maryland, Massachusetts, Minnesota, Missouri, New Hampshire, New Jersey, Oregon, Pennsylvania, Rhode Island, Texas, Washington and West Virginia.


Advocacy Resources

ONS Health Policy Advocacy: https://www.ons.org/advocacy-policy

United State House of Representatives: http://www.house.gov/

United State Senate: http://www.senate.gov/

White House Cancer Moonshot Initiative: https://www.whitehouse.gov/CancerMoonshot

NCI Moonshot: http://www.cancer.gov/research/key-initiatives/moonshot-cancer-initiative

American Nurses Association: http://www.nursingworld.org/MainMenuCategories/Policy-Advocacy

Nursing Community: http://www.thenursingcommunity.org/

US House Nursing Caucus http://www.aacn.nche.edu/government-affairs/House-Nursing-Caucus-Members.pdf

US Department of Health and Human Services http://www.hhs.gov/

CMS https://www.cms.gov/

NIH https://www.nih.gov/

NINR https://www.ninr.nih.gov/

FDA http://www.fda.gov/

HRSA http://www.hrsa.gov/index.html 





NLN Capitol News

Note- this information is from the online NLN Capital Connections Newsletter:


March 6, 2018

Congress Reaches Budget Deal and Keeps Government Open Until March 23
capitol connection 1 The Senate has reached a bipartisan deal to increase the spending cap for non-defense discretionary funding (i.e. funding for programs the NLN supports) by at least $63 billion each year for two years. While this is not equal to the $90 billion in relief provided to the Department of Defense in the deal, both defense and nondefense spending caps will each be above the current spending caps. This will allow Congress to finalize 2018 funding for all federal programs and begin work on 2019 funding. Read more...

President Again Cuts Funding for Nursing
capitol connection 2 The President released his budget blueprint for fiscal year 2019 on February 12. Every year, the President is required to release a budget outlining the Administration's priorities. A presidential budget is non-binding and does not assign federal spending. Only Congress has the power to determine funding for federal programs which is why Congress usually ignores the presidential budgets.

There is good news and bad news for health programs in the President's 2019 budget. Read more...

State Election Primary Dates Start Today
capitol connection 3 If you live in Texas, you have the opportunity to vote in the state primary on March 6. Ballotpedia information on the Texas primary ballot is a great way to find out more information on the candidates running in the primary election. Ballotpedia is a nonpartisan online political encyclopedia that covers American federal, state, and local politics, elections, and public policy. This is a great resource for anyone interested in finding out who the candidates are and what is included on your election ballot. Learn more...

How to Register to Vote
capitol connection 4 There are as many reasons to vote as there are voters. Many people vote because they are for or against an issue or candidate. For others, voting is about ensuring high voter turnout in the community, which results in greater access to elected officials and more of a say in decisions affecting your community. Whatever your reason – you should register to vote if you have not already done so. Remember #NoVoteNoVoice. Learn more...