I have a long history and commitment to legislative affairs and public policy with proven successes, as evidenced by enacted legislation such as the original NP Modernization Act in the state of New York. During my long career, I have been and continue to be passionate about what we do as NPs, and I believe that every success I have ever had is because I stand on the shoulders of those who came before me. I am looking to pay that forward. I am a team player who values a high level of communication and being responsive to the concerns of all NPs. My accomplishments in public policy have been acknowledged by my selection as a AANP Fellow. I want to continue to work to enable patients to have full and direct access to high-quality health care provided by NPs by removing all practice barriers.
CEO, Pediatric Nurse Practitioner House Calls, and Adjunct Clinical Assistant Professor, Stony Brook University.
I believe the biggest challenge facing NPs in the delivery of health care over the next decade is full practice authority. According to the National Academies of Science, Engineering and Medicine (NASEM), NPs should be able to practice to the full extent of their education and training. New York NPs are facing this challenge by working hard to make the Nurse Practitioner Modernization Act permanent. This updated legislation permanently eliminates the regulatory requirement for collaboration for NPs with 3,600 hours of practice and eliminates the regulatory requirement for the Collaborative Relationships Attestation Form. The current practice climate limits access to NPs, which limits choice for patients. Without a mandatory practice agreement, the NP cannot practice. It can be cost prohibitive to hire a collaborating physician for an NP with a private practice. AANP can address this issue and support NPs by working together with the state Nurse Practitioner Association in a campaign to inform the public that individuals are entitled to access to NPs whose mission is to provide high-quality, affordable care. The AANP can also use its voice to inform all NPs that they need to work together to ensure the passage of this vital legislation.
I have vast experience with legislative issues impacting NPs in the state of New York and have had long-standing involvement in local and statewide NP organizations. I have served as legislative issues chair for both NAPNAP and Nurse Practitioner Association of Long Island for more than 20 years. I have facilitated a vastly improved practice environment for NPs in the state of New York, where I worked as a grassroots leader to pass the first Nurse Practitioner Modernization Act (NPMA), which removed the mandatory written practice agreement for NPs with 3,600 hours of practice. I was the co-leader who contacted NPs to arrange office visits for every member of the New York State Legislature from Long Island to seek support for the NPMA. I brought legislation to remove religious exemptions to immunizations to the attention of the Nurse Practitioner Association New York State, which became one of the first health care professional organizations to support the bill. As a result, the Medical Society of the State of New York asked to work with the Nurse Practitioner Association to advance the legislation. I spearheaded the effort on Long Island to successfully lobby the New York State legislature to pass this bill, which was signed into law by the governor.
I will advance the AANP Mission and Strategic Plan by working to remove all practice barriers by continuing to work with NPs to acquaint legislators about accessing care for individuals across all regions and economic levels. I am currently working at both the grassroots and state levels to pass the Nurse Practitioner Modernization Act, which will permanently remove mandatory written practice agreements for NPs. I have also been interviewed by the press and radio about the role of NPs and as a health care expert. I have established myself as a health care expert with elected officials who call on me for advice and comments and was appointed to represent health care professionals on a local community anti-substance abuse advisory board. I have worked to increase AANP’s membership base during this extraordinary time. I set up a paradigm to visit all colleges that educate NP students in my area. I was unable to personally visit schools, so I made a voice thread using the AANP slide deck which I shared with the New York North State Representative. I emailed the voice thread to contacts at schools and asked that it be shared with their students as part of their professional development.