Government Affairs

May 2022

State Updates: We had a state legislation update from Connie Delgado, ENA lobbyist, and reviewed updates on the Bill Tracker list that were made at 5/18/22 hearings. Discussions centered on two bills in particular: AB 2242 (Santiago) Mental Health Services, to take a position of Oppose Unless Amended AB 1598 (Davies) Controlled Substance Testing, to support. These bills will be taken to the Board for approval of positions and submittal of letters to appropriate legislators. S. 864 (Fentanyl UDS capabilities in hospital settings) has moved to the Assembly. SB 2260 (Emergency response trauma kits) should go for vote in Assembly next week. Federal Updates: Day On The Hill (DOTH) 2022 was a great success this year, with California delegates meeting on Capitol Hill to advocate for: 1. Future Advancement of Academic Nursing (FAAN) Act HR 851/S 246, which creates funding for nursing students, facilities and support systems to address nursing shortages. Shortages directly impact the ED and contribute to APOT problems. 2. Workplace Violence Prevention for Health Care and Social Service Workers Act (S. 4182/HR 1195). Senator Baldwin (D-WI) introduced the bill on the Senate floor last week, after holding a press conference with ACEP and ENA representatives during our DOTH activities. Senators Feinstein and Padilla both signed as co-sponsors of this bill. 3. Effective Suicide Screening and Assessment in the Emergency Department Act (HR 1324/S 467). Passed the House on a voice vote, looking for a big push to get the Senate to do the same. Reach out to your legislators, state and federal, to make those connections. Don’t forget to vote in the CA primary coming up. Elections have consequences. Work continues to refine the proposed Fentanyl UDS Resolution to take to General Assembly.

March 2022

We met in person and virtually for CA ENA Annual Legislative Day, hearing from our lobbyist, Connie Delgado and State Council President, Debby Rogers, educating us on the legislative process and how to talk with those legislators; State lawmakers (Senator Pan, Assembly members Wood and Rodriguez) interacted with our attendees via zoom, to discuss their policy priorities, and fielded questions about CA ENA policy priorities; Dr. Lev and special guest Juli Shamash presented on fentanyl drug testing, in support of SB 864, a bill that passed 11-0 out of Senate Health Committee later that day. Additionally, it was proposed to present a Resolution regarding fentanyl drug screening. Updates will be forthcoming on this item. For those attending in person, we were able to take a tour of the State Capitol, thanks to our tour guides, Debby Rogers and Jen Denno. During State Council the following day, we discussed bills on our “watch” list, and had a group discussion providing updates on APOT, Workplace Violence, and Day On The Hill announcements. It was a fantastic 2-day event, exposing both veteran and novice attendees to the political process and effective ways to advocate for issues that remain a priority for CA ENA.

Next stop: Capitol Hill in May for National ENA advocacy “Day On The Hill”.

January 2022

We had a pre-State Council zoom meeting to discuss format for upcoming Legislative Day 2022, including potential speakers and legislative priorities for CAL ENA 2022. Attending members provided suggestions and concluded that in-person education with a virtual option, followed by virtual meetings with legislators on March 23, 2022 will be the best use of time and resources.

GAC participated in State Council, introducing our newly retained lobbyist, Connie Delgado. Connie gave a brief overview of the Legislative Calendar for 2022, and provided updates on the legislative climate. We continued the meeting by having a robust discussion on AB 1394 regarding CAL ENA opinions and recommendations for the ages of Suicide Screening. We will discuss this bill further with CHA next week and SBAR to the Board. Save The Dates were provided: March 2, 2022 for GAC Bill-reading party, and March 23, 2022 for Leg Day. Legislative priorities were discussed with proposed meetings: joint webinar (Date TBD) with CHA on Fentanyl Testing in the ED to address the Opioid Crisis; introduction meeting with members of California District Attorneys Association (CDAA) to advocate ENA’s position on Workplace Violence. Members offered resources for Human Trafficking education. Website improvements are in process, recommendations made by several GAC members.

Federal bill update:
Effective Suicide Screening and Assessment in the Emergency Department Act
H.R. 4861
S. 3006
Creates a grant program to assist EDs to develop protocols for identifying, assessing and treating individuals who are at-risk for suicide.

Currently in Senate Committee on Health, Education, Labor, and Pensions

Medical Supply Transparency and Delivery Act of 2020
H.R. 6711
S. 3627

Would require the appointment of an individual to oversee federal acquisition and deliver of critical equipment and supplies (including PPE) related to COVID-19 outbreak. This individual would also be involved in supply chains related to the expanded availability of testing, as well as the production and distribution of a vaccine, when available.
Referred to the Committee on Financial Services, and in addition to the Committees on Transportation and Infrastructure, Armed Services, and Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

COVID-19 Every Worker Protection Act of 2020
H.R. 6559
S. 3677

Compels OSHA to enact an Emergency Temporary Standard which would be followed by a permanent standard related to infection control for the novel coronavirus. This legislation would ensure employers are held accountable for protecting their workers from coronavirus and other novel pathogens.
Referred to the Committee on Education and Labor, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Federal bills: https://www.congress.gov

State update:
AB329 workplace violence, Rodriguez: Pulled by the author, Senate Public Safety Committee doesn’t see enough data to support and doesn’t want any bills creating more prisoners
AB2053 trauma kits in public buildings, Rodriguez: Failed in appropriations
SB793 Tobacco sales to minors, Hill: Signed into law
AB890 Expand nurse practitioner scope, Wood: Signed into law
State bills: https://legiscan.com

August 2020

Summary of current status in the California legislative process during COVID-19

• There has been a reduction of bill loads due to COVID-19 pandemic
• Lots of high tensions due to pandemic pressures
• Currently doing all processes by phone unless emergent or urgent

Cal ENA Targeted California Legislation
AB 1544 – Community Paramedicine Bill Update, Author: Senator Gibson

• Cal ENA opposes this bill as this bill includes language that will cause Cal ENA to lose its seat
• Author decided not to move the bill in June 2020
• Currently in “Inactive File” on the Senate floor; 3 stops from the Governor’s office
• Connie Delgado, Cal ENA’s lobbyist, and Cal ENA reps met with Senator Gibson on a call to discuss and advocate against the Cal ENA seat removal in July 2020
• Delgado has continued to advocate against the Cal ENA seat removal
• Currently awaiting next steps; Delgado is on an updated floor alert, monitoring, and prepped to respond

AB 329 – Assaults on Emergency Workers, ENA Sponsored Bill

• Currently in Senate Public Safety
• Legislatures in Senate Public Safety have interest in decreasing legislation that contributes to prison population
• Assemblymember Rodriguez asked if AB 329 could be given to another legislator, signifying that the bill was rewritten with language focused on law enforcement only
• Cal ENA approved this move per realistic restrictions posed by the pandemic situation
• Assemblymember Rodriguez voiced to Delgado that he was very sympathetic to the lack of success of the bill

AB 890 – Nurse Practitioner Scope of Practice Bill, Author: Assemblymember Wood

• Cal ENA is in support with a coalition of other individuals and organizations
• Delgado testified in support on behalf of Cal ENA
• Some physicians and BRN are opposing citing a variety of issues
• Some NPs are also testifying opposition
• Passed Business and Professions Committee

SB 793 Flavored Tobacco Bill

• Cal ENA is in support
• Delgado testified in support on behalf of Cal ENA
• Flavored tobacco industry testified against
• Next to be heard in the Appropriations Committee

Day Off the Hill

• Federal virtual advocacy day was held for national ENA

ENA Targeted Federal Legislation

HR 4861, SB 3006 Suicide Screening in the ED

• ENA is in support
• Already in place in California
• Potential issues: Slowing of patient throughput in EDs if no local mental health support resources exist for those who screen positive for suicidal tendencies

HR 6711, SB 3627 Medical Supply and Transparency Act (PPE related)

• ENA is in support
• Provide transparency to where medical supplies and PPE are going within the United States from the national level

New Legislation: HR 7255 Healthcare Wellness Act

• Written to provide mental health support to healthcare worker

New Legislation: SB 4399 Healthcare Worker Protection Act

• Written to provide mental health support to healthcare worker

New Legislation: HR 6809 Workplace Protection Act

• If hospitals are receiving federal support, nurses would not be able to be laid off even if the census drops in their elective or specialty area

March 2020
We just finished another great Legislative Day! We had many participants from around the state and were able to visit multiple Legislators and Leg aides to discuss our issues. We had great speakers during our morning education session including representatives from Cal ACEP, CHA, and the Sacramento Mayor Pro Tem. Our leave behind included the bills we are supporting: AB329, Rodriguez (D), AB2053, Rodriguez (D), SB793, Hill (D), AB890, Wood (D). We are excited to announce that we have hired a lobbyist, Connie Delgado who will be helping us increase our presence at the state Capitol and navigate the legislation process on our issues. The Government Affairs Co-Chairs and state Board will work directly with Connie for day-to-day operations and keep members updated when needed to testify or send letters to the Capitol. 10 ENA members will be heading to Washington D.C. in April for the National ENA Day on the Hill.

January 2020
The Government Affairs committee provided an update on AB1544 and AB329. AB521 passed with our support on 2019. We are getting ready for Legislative Day 2020 on March 4! The registration is open and there is a $25 fee that will be returned when the registrant shows up for Leg day (to help offset costs of people not showing up). Hotel rooms will be available at the ENA rate but paid by the registrant. We will have a bill reading party on February 23, 2020 across the state via Skype. For any questions/info contact calenagac@gmail.com