Advocating for Nurse Practitioners and their patients

1. Nurse Practitioner Students: Helping CANP Grow Advocating for Nurse Practitioners and their patients

2. History • In 1977, CANP was founded as the California Coalition of Nurse Practitioners (CCNP) by a group of Pioneering Nurse Practitioners from UC Davis • Currently a state-wide network of 22 Chapters • 2200+ members and growing!! • We are the only professional organization in California that represents Nurse Practitioners in all sub-specialties

3. CANP is Dedicated to • Promoting a strong nurse practitioner movement through a statewide communication system • Strengthening the image of the nurse practitioner • Supporting legislative action that encourages the development of the NP role and makes the healthcare system more responsive to the needs of the consumer

4. CANP Vision & Values Purpose Core Values CANP exists to advocate for nurse practitioners and their patients. • Integrity • Compassion • Respect • Accountability • Professionalism

5. Board of Directors Elected Directors Appointed Directors • President • President-elect • VP, Corporate Affairs • VP, Finance After a one year term, the President becomes Immediate Past President Committee Chairs • Membership • Educational Affairs • Health Policy & Practice • Public Relations • Practice Issues

6. President: Surani Kwan President-Elect: Beth Haney Past President: Karen Ketner VP, Finance: Karen Ayers VP, Corporate Affairs:Kristin Kopelson Practice Issues Chair: Colleen Keenan Health Policy Chair: Donna Emanuele Education Affairs: Holly Hansen and Elizabeth Radsliff Membership Chair: Sarah Miller Public Relations: Abby Weston Contact:                                                       1415 L Street, Suite 200Sacramento, California 95814                                                                                                                  P: (916) 441-1361 F: (916) 443-2004 CANP Leadership

7. CANP Organization Administration: Shaw, Yoder, Antwih, Inc. • Rob Finley, Executive Director Nielsen Merksamer/Legislative Specialist • Kristy Wiese Member Benefit Attorney • Melanie L. Balestra, NP Esq.

8. CANP Historical Highlights • California Coalition of Nurse Practitioners (CCNP) established • October 8, 1977 in Davis, CA • 1982-1984 • Law mandating NP credentialing by BRN • 1984-1986 • Political Action Committee (PAC) formed to increase political influence on health care related issues

9. Legislative Milestones 1986 - 1996 • NPs obtain Furnishing Authority • Direct Medi-Cal reimbursement for Pediatric and Primary Care NPs • Secured with the work of CCNP, CNMA, ANA/C • NPs are listed as PCPs in the nation’s Medicaid system

10. Legislative Milestones 1996 NPs obtain authority to furnish Controlled Substances Scheduled III-V

11. Legislative Milestones 1997 - 2000 • Pharmacists authorized to include NP name on prescription label • NPs defined as professional employees who may be exempt from mandatory overtime • Allows NPs to negotiate salaried positions without the required mandatory OT after 8 hours required for RNs

12. Legislative Milestones 2001 - 2002 • NPs authorized to perform DMV physicals • NPs may supervise Medical Assistants venipuncture and injections • NPs authorized to request and receive sample medications

13. Legislative Milestones 2003 NPs obtain legal authority to furnish Controlled Substances Schedule II

14. Legislative Milestones 2004 – 2005 • Requires an initial applicant for a NP certificate to possess a master’s degree in nursing or in a clinical field related to nursing. Effective January 1, 2008 • NP name on prescription label, remove physician name on prescription pad and label

15. Legislative Milestones 2006 Effective January 1, 2007 • NPs authorized to apply for a Medi-Cal provider number and bill Medi-Cal independent of a physician • NPs authorized NPs to certify disability for the purposes of a disability placard or plate

16. Legislative Agenda - 2007 • AB 139 – Bass • Passed and effective 1/1/08 ability to sign DMV Physical exams for Bus Drivers and Farm-Labor Vehicle Drivers • SB 102 – Migden • Passed and effective 1/1/08 NPs have the ability to Consent patients for blood products • AB 1436 – Defining the NP Scope of Practice • Bill held over to 2008 • Governor Schwarzenegger Healthcare Reform • Package/ ABX1 1-Nunez: Includes Full Utilization of Nurse Practitioners

17. Legislative Agenda 2008 • AB 1436 (Hernandez) • Scope of Practice for Nurse Practitioners • National Certification as entry into practice for all applicants after January 1, 2009 • Hearing Vote Cancelled at the request of the author to be resubmitted to the legislature in 2009 • ABX1 1 (Nunez) Healthcare Reform • DEFINING SCOPE OF PRACTICE FOR NPS • Requires Task Force to draft regulations to be promulgated by the Director of Consumer Affairs • Fails in Senate Health Commitee

18. Governor Schwarzenegger’s Plan “Remove statutory and regulatory barriers to expansion of lower-cost models of health care delivery such as retail-based medical clinics by making scope of practice changes for “physician extenders” such as nurse practitioners and physician assistants.” Full copy of Governor’s Plan: http://gov.ca.gov/pdf/press/Governors_HC_Proposal.pdf

19. Legislative Agenda 2009 • In September 2008, members identified practice barriers: • inability to order durable medical equipment (DME), • inability to certify disability, and • inability to approve, sign, or modify a plan of care for a patient requiring home health services. • Senate Bill (SB) 294 (Negrete McLeod), CANP’s 2009 sponsor legislation to clarify legal authorization to perform these services within your standardized procedure or protocol. • On September 11, 2009, with creative lobbying, the above language was passed under a new Bill – SB 819 (Yee) • SB 819 signed by the Governor’s signature • SB 294 was held over for 2010

20. CANP Events • House of Delegates meeting • March 16- 17, 2011 • 34th CANP Annual Educational Conference • San Francisco Hyatt Embarcadero Square • March 17 - 20, 2011 • CANP Lobby Day • The Capitol, Sacramento • TBA • Chapter Meetings • Monthly • Various Locales

21. CANP Student Membership $125 for One-Year Student Membership What do you get for $125?

22. Why Join? Student Member Benefits • Job Postings and Classifieds • Membership at both the state and chapter level • Active legislative representation in Sacramento • Educational Opportunities • Professional networking, local & state levels • Free Legal consultations with CANP Attorney • Standardized Procedures Templates • Professional Resource

23. Additional Benefits • Chapter Meeting and Networking/Dinning Events • Quarterly newsletter: CANP Connections • Monthly Chapter Leader and Member newsletter • Full website access • Opportunities for Professional Development • Practice Issues Consultations • Member Discounts on: • Annual Educational Conference • Membership in the American College of Nurse Practitioners and the American Academy of Nurse Practitioners • NP Professional Listing –”Find an NP” • And many more priceless benefits

24. canpweb.org

25. CANP 34th ANNUAL EDUCATIONAL CONFERENCE MARCH 17-20, 2011 HYATT REGENCY EMBARCADERO SQUARE SAN FRANCISCO, CA

26. CANP 34th ANNUAL EDUCATIONAL CONFERENCE MARCH 17-20, 2011 HYATT REGENCY EMBARCADERO SQUARE SAN FRANCISCO, CA

27. Working together to advance the nurse practitioner profession in CaliforniaSupport Your NP Association Thank You