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1 Notes from the President By: Sandy McCoy TNP President REGISTRATION OPEN UNTIL TUESDAY APRIL 23! All of our responsibility toward membership... Today as I was making rounds at the hospital I had the opportunity to meet two nurse practitioners. One was visiting a relative and heard me introduce myself and the other was a new bariatrics NP from another hospital and had ask if she could spend some time with me. During our conversations I asked each of them if they were members of TNP and neither were members. I spent time talking with them and I really felt that each would join the organization. This made me begin to think that if each of us, as TNP members, would recruit our colleagues or new nurse practitioners that we meet, then we could really grow TNP and with numbers definitely comes more strength and power! TNP s membership committee has initiated a new member recruitment program with multiple rewards for recruiting new members based on the number of members that you recruit (and nice prizes as well). Besides the rewards that you could receive, I truly believe that as members of TNP, we all have a responsibility to assure our organization is strong and has a stream of new blood to keep the organization viable. When I first joined TNP we had roughly 500 members. Now we are over 2,500 but that still just represents about 28% of the states possible members. So I challenge all of you to begin recruiting new members because many of us are getting old and may eventually retire one of these days and we need someone to take our place! H REGISTER TODAY! Visit to register! TNP Member: $225 Non-Member: $395 Page 1

2 BOARD MEMBERS OFFICERS President: Sandy McCoy President-elect: Michael Hazel Vice President: Lara Boyett Secretary: Christina Estrellita Blanco Treasurer: Kevin Burkett AREA REPRESENTATIVES CENTRAL Austin: Glenda Velji Bryan/College Station: Kim Oas Temple/Waco: Marty Curbo EASTERN Galveston: Sue Minello Houston: Kevin Stump NORTHERN Abilene/San Angelo: Tracy Ann Hines Dallas/Denton: Robert L. Metzger Arlington/Ft. Worth/Wichita Falls: Jan Zdanuk NORTHEAST June Belt SOUTHERN Corpus Christi/Victoria: Amy Thornberry Rio Grande Valley: Hilda L. Solis San Antonio: Patience Cain WESTERN Amarillo/Panhandle: Timothy Bixenman El Paso: Elizabeth Andreadakis South Plains: Kay Hatton Legislative Update By: David Williams, TNP Public Affairs Director The next two weeks will be important to the success of SB 406 by Senator Nelson. The House Public Health Committee has not yet scheduled the bill for a hearing but our hope is that it will be added to the April 24th agenda. Once this bill is scheduled and passed through committee, we will be one step closer to improving APRN regulations and creating access to care for Texas patients. We are thankful for Senator Nelson s leadership in bringing together all interested parties to address APRN regulations in Texas. While this is an agreed to bill, there is still work to be done to ensure its passage. I would like to thank the TNP members that have stepped to the plate and come to Austin to lobby their representatives and senators. Initially, we had only a handful of volunteers but since my initial plea for help, more than 20 nurse practitioners have taken on the cause. We still need to do better but I am proud of the commitment these folks made to the effort. I want to thank Cyndee Malowitz for coming to Austin this past week to testify against SB 1193, which would remove all confidentiality for those who file complaints with the Texas Medical Board against physicians. What a chilling effect this bill would have on public safety if it passed. Cyndee did a fantastic job and represented you all well in front of the Senate Committee on Jurisprudence. I also want to thank the following folks for visiting legislators over the past few weeks. They are Carrie Gonzalez, Lara Boyett, Julie Kuzin, Priscilla Reid, Anna White, John Stevens, Henry Guevara, Gayle Dasher, Rick Enlow, Chris Banks, Sherrie Pierce, and Cyndee Malowitz. In the next few weeks, Peggy Francis, Laurie Hudec, Shauna McCarthy, Monica Alleman, and Kathy Roblyer will be coming to town. Go to com/cgi-bin/view.cgi?datafile=tnp2013legislativevisits to sign up to join them. See you at the Capitol! H Follow Us! LIAISON MEMBERS BON APN: Lara Boyett AANP: Jan Zdanuk CNAP: Michael Hazel TNP Foundation: Cynthia Stoughton Facebook: com/texasnp Page 2

3 Legislative visitors on April 10, 2013 Julie Kuzin & Priscilla Reid attending legislative visits. Henry Guevara, Anna White & John Stevens answered the call to make legislative visits. Lara Boyett & Sue Johnston visiting the Capitol. Carrie Gonzalez and Texas Capitol Nurse Practitioner Tim Flynn Page 3

4 SAVE THE DATE! TNP 100 Fund The TNP 100 Fund is in full swing to raise $125,000 to support legislative advocacy for all NPs in Texas. We need YOU! This is our 25th Anniversary year as your professional voice. Stand in unity with our elected TNP leadership and make your donation now. This is simple: write one check or go to the website and select a monthly, quarterly or annual recurring donation. We can t reach our goal without your sustained support. Let s make this happen for our profession! Jan Zdanuk, DNP, FNP, APRN, FAANP TNP Fundraising Chair fxñàxåuxü EL? ECDF The Woodlands Waterway Marriott Hotel & Convention Center The Woodlands, Texas Registration Opens Mid-May Are you running a 5K, 10K, half marathon, or marathon? Send us a copy of your race application form and your shirt size and we will send you a FREE Texas Nurse Practitioners dri-fit shirt to wear in the race. Shirt sizes can be viewed at cafepress.com/texasnursepractitioners Page 4

5 Thank You TNP Advocacy Campaign Donors from September 1, October 1, 2013 Visionary Contribution ($2400 or $200/month) Ola Greene Michael Hazel Jan Zdanuk Pamela Stewart Cheryl Vallie-Porter Marcia Upson Kathryn Reveles Mary Wyatt San Antonio Nurses in Advanced Practice Houston Area Nurse Practitioners Champion Contribution ($1200 or $100/month) Janet Bilyeu Kenneth Lowrance Alison Mitchell Ann O Malley Diane West June Belt Kathryn Fiandt Timothy Flynn JeEllen Wynne North Texas Nurse Practitioners Anita Dawn Barnes Christy Blanco Gina Blount Kevin Burkett Shirley Burkett Lea Carver Marge Dean Advocate Contribution ($600 or $50/month) Diane Finke Marie Hart Deborah Hughes Sheryl Innerarity Anna Jessup Catherine Jones Sandra Jones Cynthia Malowitz Robert Metzger Sandra McCoy Cheryl Michael Carole Moore Rosie Morales Gaynel Richie Sue Sivess Franks Clinton Swingle Amy Thornberry Veronica Trevino Garcia Carol Vaughan Sara Wick Deborah Sonders Shelly Seth Rhonda White Patricia Cain Fausto Cheng Ida Diamond Nancy Du Frane Elizabeth Godlove Holly Jeffreys Miranda Kelly Amy Aaron Riad Aboujamous Phyllis Adams Austin Advanced Practice Nurses Gilda Baker Monica Beisel Misty Blalock Heidemarie Boas Cendy Brister-Antley Donna Britton Marilyn Brown Shelley Bryant Karen Brykczynski Carolyn Burcham Amanda Burke Lashonda Burno Linda Byers Olivia Cameron Bilha Candelaria Irene Cawi Brandi Chadwick W. Lynne Cherry Michelle Cook Friend Contribution ($360 or $30/month) Kathryn Kremer Jodi Little Juan Llanes Pamela March Emily Merrill Becky McIntire Mary Cullinane Carol Davidson Maria Davis Christi Day James Dickens Holly Dileo Andrea Downey Paige Duran Patricia Durham Susie Enriquez Beverly Ewig Elizabeth Flynn Eleanor Forbes Sharon Fowler Peggy Francis Deborah Franks Diane Fuller Galveston Coalition of Advance Practice Nurses Natalie Garry Sandra Gawlke Amy Gillespie Lisa Ginapp Deborah Guerra Other Contributors Enrique Guevara Carol Gunnoe Linda Guy Janice Hanson Ann Harkins Sharon Hillgartner Jerri Hoehn Sandra Horwitz Laurita Hudec Joan Hughart Sr Barbara Hyzak Dorothy Jackson Christine Klopppe Julia Kuzin Laredo Advanced Practice Nurses Association Shelagh Larson Joann Lister Mei Hwa Liu Jill MacPherson Olivia Martin Valerie Martin Julee Mathena Debbie McDougall Margaret Mosley Kate O Donnell-Rose Mary Pate Benjamin Psencik Sandra Ransom Delores Rodriquez Teresa Miller Whitney Miller Crystal Milner Susan Minello Dick Mitchell Helen Monroe Sharon Moore Diane Mosqueda Roberta Nakpairat Monica Nolan Jennifer Nwaogu Kim Oas Evelyn Okunoghae Susan Osborn Sharon Patterson Lisa Perez Betsy Porter Kellie Reardon Priscila Reid Cheryl Reinhart Karen Roberts Linda Rounds Cecil Rousseau Sue Rubio-Ardila Valerie Rodriquez Susan Welch Anna White Vicki Williams Linda Waters Gail Wells Connie Ryan Barbara Schwertner Charlene Seale Yolanda Seibert Stephanie Shepherd Lynda Sherland Kelli Short Deborah Skorupp Hilda Solis Daniel Squyres Sally Stearns Cynthia Stoughton Belinda Swearingen Dian Teinert Terris Thompson Victoria Tyra Rebecca Valek Monica Vasquez Paula Vastine Glenda Velji Yvonne Wagner Lesa Walker Kelli Whitehead Phyllis Wood

6 Get to Know the Candidates The 2013 TNP Board elections will be done through electronic voting. An with instructions and an electronic ballot will be ed to all voting members by April 24. Below is information pertaining to all individuals who are seeking an officer or regional representative positions on the Texas Nurse Practitioner Board of Directors. Some positions have multiple candidates running for election, but there is only one available position for each office and region. Write-ins will be accepted on the electronic ballot. All ballots must be submitted by 11:59 p.m. on May 15. The results will be posted on the website, as soon as as the ballots are tallied. If you wish to request a paper ballot, please contact or by calling TNP at Vice President Lara Boyett DNP, ACNP, FNP Lara has been a member of TNP for 10 years and is a graduate of UTMB and Texas Tech. She currently serves as Vice President of TNP. In the past she has served as the Bryan/College Station representative as well as Secretary. In addition, she has been an active member of the Government Action, Education, Marketing and Bylaw Committees as well as serving as TNP s representative on the Board of Nursing Advanced Practice Advisory board. Lara is also a member of the American Nurses Association, the American Association of Critical Care Nurses, Emergency Nurses Association and Sigma Theta Tau. She is board certified in family practice and acute care through the American Nurse Credentialing Center. Lara says, My initial goal if elected is to continue to promote TNP s involvement in legislative endeavors. I truly feel that our only path to BON regulated practice is through the legislative channels. I will continue my personal recruitment effort to encourage membership in TNP, and assist the marketing committee in developing an attractive benefits package for all TNP members. A personal goal of mine is to assist TNP in obtaining their own CEU provider number and to develop educational offerings for our members. I will also continue to provide any leadership abilities of my own to further the mission and goals of Texas Nurse Practitioners. Laurita Old Hudec RN, WHNP-BC Laurie has been a member of TNP for 8 years and is a graduate of UT Southwestern Medical School at Dallas. She has served as TNP San Antonio area regional representative from as well as a member of the Government Action Committee. Laurie is also a member of AANP, San Antonio Nurses in Advanced Practice and Past President San Antonio Nurses in Advanced Practice. Laurie states As Vice President, I will continue to promote Nurse Practitioners and the continued contribution of NPs to a changing health care arena. I will continue the work of previous TNP Boards for advancement of our practice as a vocal advocate for our profession. JoEllen Wynne FNP-BC JoEllen has been a member of TNP for 7 years and is a graduate of the University of Texas at Arlington. JoEllen s involvement with TNP began in the 2008 shortly after she moved to Austin from Portland, OR. She joined the conference committee and worked closely with the TNP executive director (ED) on grant submissions to support the conference. This resulted in nearly $20,000 in grant funding in support of the 2008 conference in Austin. JoEllen served as Associate Director of Education for AANP, worked closely with the TNP ED each year on the accreditation of all TNP educational offerings, as well as on the grant process. Additionally, in this role, she presented content on continuing education (CE) standards at the first TNP Leadership conference in January In 2009 JoEllen joined the TNP Government Action Committee. In this role she again worked with the TNP ED to develop an educational needs survey for TNP members in This survey was used to gauge the members interest in educational sessions related to legislative action and supported the development of interactive workshops on grass roots legislative action. JoEllen has co-presented these workshops at two TNP conferences (2010; 2013). Additionally, the TNP Roadshow was initiated, offering a one-day educational program presented in San Marcos, Houston and Tyler over a one-year period. This included both clinical content and legislative workshops. She has been a member of the Education Committee for the past three years and was the conference co-chair for the 2012 TNP conference. She was appointed the Carol Cody Legislative Fellow for and served as the RN/APN Pac Representatives on the PAC Advisory Committee for Texas Nurse Practitioners, October September JoEllen has travelled extensively both nationally and internationally, presenting information on NP education and practice. Currently she is a PhD student and is working on researching surrounding NP education and the impact of education on health policy. JoEllen states she has close contacts in many of the state NP organizations and engages in outreach and networking to promote the role of TNP to both local and national NP organizations. JoEllen is also a member of American Society for Association Executives (ASAE) - conference education committee for the 2011 ASAE healthcare conference in Chicago, Il Fellow of the American Association of Nurse Practitioners (AANP) AANP Associate Director of Education While in these roles, she developed the online CE Center, updated Page 6

7 CE standards and developed NP educational programs for the Alliance for Continuing Education in Healthcare Professionals (ACEHP) - finance committee. JoEllen states The primary role of the TNP vice-president is to work closely with the conference committee. As vice-president I will work collaboratively with the TNP executive board, executive director and education committee to support the TNP mission of promoting the professional excellence of NPs specifically through education and the impact education may have on advocacy. TNP is a growing organization and there is much opportunity to meet our members educational needs creatively. I would be honored to serve the membership in this capacity. H Treasurer Dinorah Martinez-Anderson RN, MSN, FNP-C Dinorah has been a member of TNP for 3 years and is a graduate of Texas A&M University Corpus Christi. Dinorah states, My TNP participation is not one of longevity since I ve only been an NP going on 2 yrs. I have primarily been a bystander, observing and learning about TNP. The more I learn about all that it represents on my behalf, the more I feel compelled to get involved. For the last 5 yrs Dinorah has been the Director of Health Services at Southwestern University in Georgetown, TX, the state s oldest institution of higher education. During these last few years, she states that she has grown professionally and personally through many changes within the institution as well as in healthcare. Dinorah states, I believe Nurse Practitioners have revolutionized healthcare, and TNP along with the newly organized AANP, will continue to move toward educating our public and public servants to the difference we can make. I am applying for the post of Treasurer because I would like to serve in an organization I believe in. I understand my experience with budgeting at small university does not compare with that of a statewide organization, but I am willing to work and learn. I am ready to serve. Dinorah has served as a retreat organizer and treasurer for Intervarsity Nurses Fellowship of Christian Nurses. Dinorah states, When I m elected, my first goal would be to meet all the officers and work alongside them to learn more and establish a common goal for the upcoming year. I will meet specifically with the previous treasurer and learn the processes and procedures of finances along with financial statements and budget projections for the upcoming year. Robert Metzger DNP, APRN, FNP-BC Robert has been a member of TNP for 3 years and is a graduate of Texas Women s University. Robert has been an active member within the TNP organization. As the Dallas/Denton regional representative for , he has been able to notify members of the ongoing legislative issues TNP has been addressing. In addition, he actively served on the membership committee providing influence on retention and recruitment efforts for TNP. He has also made routine visits to his legislator both locally and at the state office to discuss legislative efforts. With a long history of leadership, beginning in his BSN program and continuing throughout his professional career, he has developed skills in advocating for advanced practice nursing. He has been an active member of the North Texas Nurse Practitioners since graduation from his Master s program serving as President - elect in 2008 & 2011 and President for 2009 & 2012 years. He has been a member of AANP for the past 15 years as he began his membership as a student NP. Currently, he also holds office serving as the President of the Parkland Health & Hospital System Advance Practice RN Council for He was previously the Surgical Services representative for the years at PHHS. Robert states As Treasurer, I would like to assist TNP with removing barriers to APRN practice and hopeful future independent practice. In addition, I d like to increase our membership numbers providing APRNs the voice needed among healthcare disciplines. I d like to assure we are addressing all NPs needs by providing varying educational, scholarship, and mentoring opportunities. Finally, I would maintain the fiscal stability of our organization Jan Zdanuk DNP, FNP-BC, APRN, FAANP Jan has been a member of TNP for 17 years and is a graduate of the University of Texas Arlington. She has been the Regional Representative for Arlington/Fort Worth/Wichita Falls for the past three years. In addition, she serves as Chair of the TNP Legislative Advocacy Fundraising Committee, TNP Liaison to AANP and a member of the TNP Newsletter Committee. Jan was co-author of the TNP Research Policy has served as a research abstract reviewer and was a member of the 2011 TNP Fort Worth Conference Planning Committee and the 2013 Primary Care and Pharmacology Conference. Jan served as chair of the Marketing committee for three years as well as a member of the membership and education committee. She was a presenter at the 2010 and 2011 TNP Conference. She has attended TNP conferences since 1997 and has been a Legislative Advocacy supporter as well. In addition to being a member of TNP, Jan is also a member of the American Academy of Nurse Practitioner s, Phi Kappa Phi International Honor Society, Golden Key International Honor Society and Sigma Theta Tau International Honor Society of Nursing. She is also a Fellow of the American Academy of Nurse Practitioners and the Fellow of American College of Certified Wound Specialists. Jan states her goals as TNP Treasurer are: 1) Serve on Page 7

8 Executive Board as TNP Treasurer, strengthening financial health and organization reserves. 2) Assist leadership in execution of mission, vision and values of organization representing Texas Nurse Practitioner s. 3) Continue to build upon TNP success as Premier Professional NP Organization in Texas. Abilene/San Angelo Patricia Simpson PhD, RN, ANP-BC Patricia has been a member of TNP for 14 years and is a graduate of the University of Texas-Arlington. Patricia served on the UTA committee for the TNP conference in the Dallas Fort-Worth area. Patricia is also a member of American Association of Nurse Practitioners and the National Kidney Foundation CAP. Patricia states, To increase awareness amongst area NP s in the West Texas area of policies affecting NP practice. To increase understanding, in the West Texas population, of the role of NP s, and the potential beneficial effect of full utilization of NP s within the healthcare system. Michelle Taylor-Chinn RN, MSN, FNP-BC Michelle has been a member of TNP for 1 year and is a graduate of Clarkson College in Omaha, Nebraska. Michelle is a past president of the San Angelo Coalition of Nurses in Advanced Practice. In addition she is a member of Sigma Theta Tau National Honor Society, ANCC-certifying board I-ACT-certified colon Hydro-therapist and a Board member AHA- Chair Women and Heart Disease Michelle states I will uphold the duties of the regional representative by: attending meetings and disseminating information to the local/regional members, serve on a committee and attend the National Convention. Additionally, I would hope to make lasting relationships in order to keep open lines of communication and advance the ideals of TNP. H Amarillo/Panhandle Holly Jeffreys, DNP, APRN, FNP-BC Holly has been a member of TNP for 8 years and is a graduate of West Texas A&M University. Holly is an active member in her local group as well as a member of TNP s Government Action committee. In addition, she is a member of AANP, PNPA as well as a speaker at TNP s 2012 conference. Holly is actively engaged in legislative actions that primarily focus on NP rural health. Holly states, My goals include to increase a local awareness within the NP groups, new NP students, and in our region as to the importance of TNP membership and active participation as well as financial support for the organization, particularly when legislative issues are at stake. Bryan/College Station Kim Oas APRN, FNP-BC Kim has been a member of TNP for 4 years and is a graduate of the University of Texas at Arlington. She has served on the TNP Board for the past two years. Kim states, I have attempted to listen carefully to membership in my district and to other districts, and tried to represent them at board meetings as well as contributing to the mission by legislative lobbying, committee membership, and commitment to the mission of the board. Kim has been active in planning educational programs for TNP as well as speaking at the national level and to community members. Kim states I seek to build upon this experience and commitment in contributing at this critical time to the continued efforts to improve access to quality care for all citizens in Texas. Kim is a member of Brazos county Nurse Practitioner Association, American Academy of Nurse Practitioners, Texas Neurological Society, American Headache Society (NP/PA Special Interest Group) and the Southern Headache Society. Kim states, If elected I will commit my energy and focus to continuing the support of legislative efforts in expanding practice and eliminating barriers to access for citizens in effort to fully utilize the education and expertise of the Nurse Practitioner in Texas as well as facilitating collaborative efforts with all colleagues involved in care delivery. Corpus Christi/Victoria Amy Thornberry RN, MSN, COHN, FNP-C Amy has been a member of TNP for 7 years and is a graduate of Texas A & M Corpus Christi. Amy has served as the Victoria/Corpus Christi Representative for TNP from In addition she serves as Marketing Chair, provided additional value-added membership benefits, and serves on the Nominations committee, which initiated The Dr. Perryman Award. Amy is Vice President of the Coastal Bend Advance Practice Nurses where she initiated a local Preceptor Awards Committee. She is also Chair of the Educational Conference Advancing Nursing Practice this summer with CBAPN in Corpus Christi. Amy serves as Adjunct Clinical Faculty for Texas A&M Corpus Christi Family Nurse Practitioner Graduate Program. Amy states, I will continue to work promoting the growth of TNP by enticing new and returning membership through program development and educational opportunity. I plan to mentor new members by attending meetings in my representative areas, developing more marketing strategies and by personally exhibiting enthusiasm for our organization. Page 8

9 Dallas/Denton Peggy Ostrander DNP, APRN, FNP-C Peggy has been a member of TNP for 22 years and is a graduate of the University of Texas Arlington. Peggy is a member of the TNP100 Fundraising Committee and is chairing the Corporate Affiliate Program. In addition, she is a NTNP board member, scholarship chair and Spring 2013 conference chair. In addition she has attended Legislative Day in Austin and participated in numerous visits to her area Senators and Representatives. She has made several financial contributions to Texas State candidates who support TNP issues as well as volunteering to go door-to-door neighborhood legislative campaigns for Kelly Hancock. Peggy is also a member of North Texas Nurse Practitioners, American Association of Nurse Practitioners, Texas Nurses Association, American Nurses Association, American Society of Bariatric Physicians, The Obesity Society, Obesity Action Coalition, Nutrition & Metabolism Society, Collin County Medical Reserve Corps and is a volunteer chair for the Plano Labor Day Soccer Tournament (545 teams-top 10 in U.S.). Peggy states, I represent the Dallas/Denton area interests in continuing TNP s mission in promoting and advancing NP practice through education, legislation, and advocacy. El Paso Elizabeth Andreadakis RN, FNP-C Elizabeth has been a member of TNP for 9 years and is a graduate of the University of Texas at El Paso. Elizabeth was appointed to serve an interim appointment as El Paso regional representative. She is a member of the El Paso Advanced Nurse Practitioners group member. Elizabeth states she wants to, increase awareness among El Paso advanced nurse practitioners in current Texas clinical and legislative issues concerning advanced practice in Texas and the nation. To support and assist TNP board members in various endeavors pertaining to the advancement and improvement of our profession. Kathleen Cox MS, RN, ACNP, CCNS Kathleen has been a member of TNP for 1 year and is a graduate of the University of Maryland, Baltimore. Kathleen states, I have met with our state representative and Senator to advance the agenda of getting rid of collaborative practice in Texas. I came from the state of Maryland where we nullified the collaborative agreement and increased access to care in rural MD. Not allowing NPs to make medical diagnoses is a restriction of trade. The State of Texas must revise outdated laws that restrict the pool of providers. Kathleen is a member of Texas Nurses Association, the American Nurses Association, American Association of Critical Care Nurses, American Association of Nurse Practitioners, Sigma Theta Tau, and Society of Critical Care Medicine. In addition, Kathleen is a published author, faculty in an Acute Care Nurse Practitioner program at University of Texas El Paso, and public speaker. Kathleen states, My primary goal is to revise the outdated Texas Occupational Code that restricts medical diagnosis and treatment to physicians. If the TX Occupational Code were revised, there would be no basis for collaborative practice agreements. All Nurse Practitioners must be allowed to practice at the full scope of their training and licensure to increase access to care for all Texans. Galveston Ruth Day FNP-C Ruth has been a member of TNP for 3 years and is a graduate of Texas Women s University. Ruth began as a student member and has attended several of the educational opportunities that have been offered through TNP. In addition, Ruth is a member of AAOHN membership. Ruth states she wants to, Provide a liaison between TNP and our local NP meetings and be an advocate for both parties. Jessica Peck DNP, RN, MSN, CPNP-PC, CNE, CNL Jessica has been a member of TNP for 1 year and is a graduate of UTMB. She is a recent member of TNP s Government Action Committee, National Association of Pediatric Nurse Practitioners (NAPNAP): Member, present President-Elect, Houston-Area Chapter, Current Policy Scholar & Nurse in Washington Internship, 2013 Candidate, Secretary, NAPNAP National Office, Election April 2013 Other Organizational Memberships: Sigma Theta Tau International Honor Society Phi Kappa Phi National League for Nursing Galveston Coalition of Advanced Practice Nurses Board of Directors, UTMB Alumni Association. Jessica states, I would strive to represent nurse practitioners in the Galveston area at the state level. I would work to advance the work of NPs and to serve as an information liaison between the regional and state level. I would serve as an advocate for NP causes as well a catalyst for regional advocacy. San Antonio Patience Cain, MSN, APRN, FNP-BC Patience has been a member of TNP for 4 years and is a graduate of UTHSCSA. Patience is currently the San Antonio Regional Representative and serves on TNP s Nomination Committee. Patience was a conference committee member in 2010, SANAP-Member at large/tnp Liaison and Theta Tau and TNA member. Patience states I hope to continue to serve as representative from San Page 9

10 Antonio area. TNP has many important goals for the next few years, as it to becomes Texas Nurse Practitioners Premier Resource. It is important to me to remain involved in the shaping of our professional organization as it matures. Insurance Exchanges - State and Federally Controlled By: Mark T. Phelps With President Obama s reelection a part of history, the movement to implement the Patient Protection and Affordable Care Act (ACA) has been ensured. When the ACA was heard by the Supreme Court, one case under consideration was filed by the National Federation of Independent Businesses. 1 The arguments in that case concerned the issue of whether Congress exceeded its power by requiring most Americans to buy health insurance or pay a fine. This provision was known as the individual mandate. 2 That mandate, along with four other major approaches, was the reason the ACA was drafted to attack the problem of the uninsured in our society. 3 The other approaches to combat un-insurance in the ACA were: 1) guaranteed coverage in plans provided by insurance companies; 2) the mandate to individuals to obtain health insurance; 3) state-run health insurance markets, called exchanges, where individuals and small employers workers can shop for insurance packages; and 4) expansion of the federal-state Medicaid program of care for the poor and the disabled. 4 The theory of insurance exchanges in the ACA was to offer one stop shopping for individuals and small businesses with affordable coverage. 5 It would also be the only place for Members of Congress to obtain their health insurance. 6 Insurance exchanges offer individuals and small businesses the ability to pool risk and purchasing power and therefore pay lower rates. 7 Affordable Insurance Exchanges are also modeled to provide users with the ability to determine if tax credits are applicable or if the user can enroll in programs such as the Children s Health Insurance Program (CHIP). 8 Rules were published by the Department of Health and Human Services (HHS) on March 12, 2012 regarding Affordable Health Insurance Exchanges. 9 The operational date for the Exchanges is January The rules published in March 2012 included standards for the following: The establishment and operation of an Exchange Health insurance plans that participate in an Exchange Determinations of an individual s eligibility to enroll in Exchange health plans and in insurance affordability programs Enrollment in health plans through Exchanges Employer eligibility for and participation in the Small Business Health Options Program (SHOP) 10 Those rules also specified that exchanges will perform certain functions listed below: Certifying health plans as qualified health plans to be offered in the Exchange Operating a website to facilitate comparisons among qualified health plans for consumers Operating a toll-free hotline for consumer support, providing grant funding to entities called Navigators for consumer assistance, and conducting outreach and education to consumers regarding Exchanges Determining eligibility of consumers for enrollment in qualified health plans and for insurance affordability programs (premium tax credits, Medicaid, CHIP and the Basic Health Plan) Facilitating enrollment of consumers in qualified health plans 11 Going into the Presidential election of 2012, individual states had a looming deadline of November 16, 2012 to notify the Department of Health and Human Services if they intended to set up their own insurance exchanges or enter into a state-federal partnership. 12 At the request of state governors, HHS granted an extension until December 14, 2012 to respond to this deadline. 13 HHS clarified that there would be no further extensions of deadlines regarding the implementation of Exchanges in a Memorandum of Frequently Asked Questions (Memorandum) dated December 10, This additional time gave state officials who were trying to determine whether there was enough political will, technical knowledge and time in their respective states to organize their own new health benefit marketplaces. 15 HHS further clarified in the Memorandum that if a state plans to operate the Exchange in its state in partnership with the federal government starting in 2014, the state will need to declare what partnership role they would like to have by February 15, The deadline of February 15, 2013 has come and gone. We now know that the federal government will run 26 of the state health exchanges. 17 (Maine, New Jersey, Pennsylvania, Virginia, North Carolina, South Carolina, Georgia, Florida, Alabama, Tennessee, Ohio, Indiana, Mississippi, Louisiana, Missouri, Wisconsin, Texas, Oklahoma, Kansas, Nebraska, South Dakota, North Dakota, Montana, Wyoming, Arizona, Alaska) It also will partner with seven states, where state and federal officials take joint responsibility for the marketplace. 18 (New Hampshire, Page 10

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