Chair Mariann Cosby
Board LIaison Debby Rogers
Secretary Mary Gannon
Government Affairs Committee
The purpose of the GAC is to educate members about legislation that affects emergency nursing, emergency services and emergency care. Please encourage your fellow chapter members and colleagues to use this web page as a reference of emergency nursing advocacy.
Sacramento Legislative Day On The Hill
Join us March 24, 2021 for an all day virtual event with education about current State legislation followed by virtual visits with legislative leaders to advocate on behalf of emergency nurses and the patients we serve. FREE (refundable deposit) event for Cal ENA members! BRN CE pending.
Registration is required to attend and will be open in late February.
Day Off the Hill
In alignment with guidance from the Centers for Disease Control and Prevention, this year’s in-person Day on the Hill event in Washington, D.C. was canceled. However, ENA’s advocacy efforts are as vital as ever to ensuring that the voices of emergency nurses are heard loud and clear during the pandemic. During these uncertain times, advocacy organizations must be flexible in how they relay their priorities to lawmakers. Although in-person meetings are unlikely this year, Members of Congress still need to hear from emergency nurses on the front lines of this pandemic. Our virtual advocacy event – Day Off the Hill held on July 9, 2020 – highlighted effective strategies to empower ENA leaders and advocates to do just that.
Day Off the Hill Summary PowerPoint Presentation – Click Here
Committee Report to State Council
Federal bill update:
Effective Suicide Screening and Assessment in the Emergency Department Act
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
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
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
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
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
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.
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 firstname.lastname@example.org
We discussed AB1544 which is inactive at this time but already being re-written for reintroduction in January 2020. JEA Associates, a lobbying firm, was brought on to help with this bill and has been setting up meetings for Cal ENA to make sure we keep our EMS Commission seat. They were present at our meeting to learn more about our association. AB438 was signed into law which changes dispatch rules to Fire agencies being in charge as opposed to LEMSAs. We will be watching this as it has to go through regulation reviews and may possibly face lawsuits. SB227 passed which would incur higher fines for hospitals whose nurses are outside of patient ratio. We discussed the variance across waiting room “ratios”. More information is needed on this topic. AB329 was made inactive and will be reviewed by the Senate Public Safety Committee in July 2020. We conducted a workplace violence survey to create an information page to be shared with ED colleagues to help increase awareness and reporting to Cal OSHA. We reviewed other bills we had been watching in 2019. We have a meeting set with Rodriguez’ office to keep working on workplace violence and other topics. Legislative Day Flyer distributed-registration will open in January 2020.
Our committee has been busy on multiple bills and Day on the Hill since our last meeting. AB1544 would remove our seat on the EMS Commission and we have testified at the Capitol and written many letters to legislators. We have also contacted the Governor for a meeting. However, this bill will probably pass. AB329 was held in committee until next year due to low data on workplace violence for ED nurses. Please tell your colleagues to report every assault and battery! At National Day on the Hill we met with legislators about EMSC funding reauthorization and federal workplace violence bills. This was an amazing experience and we look forward to attending again next year. Contact email@example.com with any questions or legislative ideas!
The meeting was called to order by Jen Denno, co-chair. The following bills were discussed in depth: AB-329 Hospitals: assaults and batteries, written by Assembly member Rodriguez and supported by Cal ACEP and CAL ENA is currently in appropriations. AB 1544 Community paramedicine or triage to alternate destination act, Cal ENA currently opposes the movement of this bill as it includes language to remove the ENA’s authority to nominate a member of the EMS commission. Additional bill updates include AB786 and SB 567 both of these bills failed. Letters of support will be sent for AB1708. The following bills will be submitted to the board with a recommendation for support: SB 539, and AB 666. We are currently watching AB166, SB 689, and AB 521. To help make our voices heard it is recommended that Cal ENA members register for action alerts and letter writing campaigns. This can be done by going to the ENA website and clicking on the government relations tab. Scroll half way down and click the Join EN411 box and a registration form will pop up. Plans were discussed for the upcoming Day on the Hill which will take place on May 21-22, 2019. The next Cal ENA State Council meeting will be held August 9th in Anaheim.
Meeting was called to order by Jen Denno, Co-Chair.
The Cal ENA state board approved the charter that Al Duke wrote in 2018 to provide direction for the committee. Assembly member Rodriguez will be submitting a bill about violence against healthcare workers, bill number will be available soon. Cal ENA is a sponsor of the bill along with Cal ACEP. Jen met with CHA, the Cal ACEP lobbyist, and Rodriguez’ office to assist with bill writing. Other bills were discussed, there are already about 150 bills submitted for the new bill cycle in both houses. Legislation currently includes human trafficking, mental health, safety for EMS workers, and opioid abuse/misuse issues. Legislative Day will be March 6, 2019 at the Sacramento Sheraton. A Save the Date flyer was distributed, registration is now available on the website. Registration is required and the day will include breakfast, lunch, and CE. Other materials were distributed including the Washington report from National ENA from December 2018, list of new gun laws, and resources for following state legislation.
Next committee meeting will be March 7, 2019 at 0900.
In today’s meeting we discussed the bills from 2018 and their current state. We discussed how these bills that have passed in legislation will impact our Emergency Departments. There are several bills that worked through both legislative bodies that directly impact emergency nursing. The first bill that was highlighted was AB 3115. This bill would have removed the ENA’s ability to submit the nomination to the California EMS Commission. This bill was vetoed by Governor Brown. AB 2961 required the LEMSA to report offload times to the state EMSA. Finally, the group discussed SB 1152 which changes the requirements for the discharge of homeless from the hospitals including the ED. It was announced that Jen Denno will reprise the role of Chair for 2019. Jen has significant experience with the GAC and was the GAC Chair from 2015-2016. Last discussion refined and highlighted the GAC Charter. There was discussion and a motion to move the charter to the State Board for approval.
In today’s GAC committee meeting we had a lively discussion about the current state of several pieces of legislation. August 6th marked the return of legislators back to the capitol with a short timeframe to move bills to their completion. With the deadline fast approaching for legislation to make it out of their respective houses, time is of the essence. A letter of opposition to AB 2961 (Ambulance Offload Time Reporting) was sent to the author of the bill and the appropriations committee. Committee will continue to track the bills progress and the outcome. More action may be required in the future. There was an intense discussion about SB 944 and the proposed change to the language of the bill. The committee recommended that a subcommittee be formed to develop strategies and options to assist with addressing these changes. More information will be coming about SB 944 as the subcommittee makes recommendations and a formal plan is developed. The GAC Committee is looking for a Chair for the 2019-2020. Please reach out to Al and Leslie Duke, or a member of the Board if you are interested in being considered for this position.
Today’s committee meeting we discussed several existing and new bills. We reviewed the 9 assembly and 5 senate bills we have been watching this year. AB 1795, the alternate destination bill we have been supporting is in the committee on appropriation and we have sent off two more letters of support to show how broad the coalition is behind this bill. We had two robust conversations about a dialysis ballot measure and AB 2961 (emergency medical services), which is an act to add two sections to the Health and Safety code related to public health. AB 2961 would change the local definition of “nonstandard offload times” and could open the door to financial penalties for hospitals not meeting the standard. The committee and board have agreed to send a letter of opposition to the author of the bill and the appropriations committee. The dialysis ballot measure would prohibit dialysis clinics from discriminating or refusing services based on a patients payer and the centers would report specific information to the state regarding payment and cost associated with operations of the clinic. The committee and the board voted to keep a neutral stand.
The meeting was called to order with an overview of the Cal ENA Leg Day on March 21st. We had 22 participants this year who spent the day advocating for Emergency Nurses. We had several great speakers including Debby Rogers from the California Hospital Association who presented on Leadership and Public Policy, Linda Tenerowicz from Assemblymember Rodriguez’s office, and Dr. Carrieann Drenton who sits on the Board on California Association of Emergency Physician. After exciting morning of education, all 22 participants walked across the street to the state capitol to meet with legislators to discuss the needs of emergency nurses and our patient population. Due to limited time for the meeting, there was an nice discussion on AB1795 and the impact of alternate destinations. California ENA is in support of this bill. Another bill that was discussed heavily was SB 1152 which would increase the resources that hospitals would provide to homeless patients upon discharge. The discussion focused on the intent of the bill, but the burden it would place on ED’s and hospitals’ to comply with the regulations. Other bills briefly discussed include: • New Bills discussed: AB 238 AB 1753 SB 1152 AB 2156 AB 2280 AB 2983
In today’s meeting, we discussed leg day which is on March 21st. Registration will go live on Cal ENA website within the next week. The registration deadline is February 28th and will max at 40 participants. This year we are going to do the hands only CPR training and include stroke awareness for the public after leg day is over. Discussion about this year’s charter and guidance for the committee so there is a plan of action for the remainder of the year and for the new legislative cycle in 2019. National level legislation HR 304 has been signed in December by President Trump to continue the practice of Standing Orders in EMS. HR 1478 is a piece of legislation that would provide for research on gun violence. The National ENA GAC submitted a letter of support based on the outcome of General Assembly in 2017. Please keep your eye on the California ENA website for the 2018 Leg Day registration form and sign up early. If you have any questions, please feel free to email CalENAGAC@gmail.com.
The meeting was called to order today at 0915 by Al & Leslie Duke. The majority of the meeting focused on legislation working their way through both houses. There was interesting discussion on several bills and what affect each bill will have on patients, the emergency department and emergency nurses. The current watch list tops 23 bills with an additional 2 bills brought forward to the committee. The committee submitted a motion to move from a watch to support on AB 44 (Expedite workers comp in a declared disaster), AB 583 (Emergency Air Medical Transport Funding), and to oppose unless amended SB 746 (Student Health Physicals). The GAC committee referred two bills to the EMS committee for further discussion and recommendation as they pertain to Community Paramedicine. Cal ENA continues to support AB 909 (Emergency Response: Trauma Kits), which is scheduled for Assembly Appropriation Committee on May 17th. SB 20 (Seatbelt on charter bus requirement) has passed the Senate and is in the Assembly. Finally SB 799 (BRN Sunset legislation) set for hearing in the Senate Appropriations Committee on May 15th.
The California GAC Committee hosted a cocktail party for legislators to come and meet the committee. This was a well-attended meet and greet, three members of the Assembly spent a considerable time discussing issues related to emergency nursing and healthcare. On March 8th 20 ENA members attended Legislation Day and spent the day learning about California legislature functions and the bill development process. There were 2 great guest speakers in the morning Tim Madden from the firm Randlett, Nelson, & Madden and Shanna Ezzell from Assembly Member Freddie Rodriguez’s office. The afternoon was spent touring the State Capitol and meeting with legislators. The afternoon following Leg Day, the GAC hosted a sidewalk CPR event in front of the Hyatt. Over the course of an hour 30 people were instructed in hands only CPR. The GAC would like to thank Kara Davis for coordinating the sidewalk CPR event and all the volunteers who came out to help in this community outreach. All of this wouldn’t be possible without the donation of the use of manikins from Laerdal Medical. We also wanted to thank Susan Smith for coordinating all the fantastic food, hotel rooms and meeting room logistics to make the day successful for all attendees. The Committee met on Thursday to discuss the introduced legislation for the new two-year cycle. The committee reviewed 17 Assembly bills, and 12 Senate bills. Here is the breakdown of the review: Assembly Bills: 17 AB Bills: 14 WATCH 2 REMOVE 1 SUPPORT- AB 882 Pupil Health Care Service: School Nurse Senate Bills 12 SB Bills: 3 REMOVE 1 OPPOSE – 2 SUPPORT- SB 20 Vehicle:Buses:Seatbelts SB 799 Board of Registered Nursing:sunset extension 1 WATCH with possible Support- SB 554 Nurse practitioners:independent practice 5 WATCH.
The GAC committee had a great turnout. This meeting focused on the planning details for Leg Day in March 2017. Save the Dates are available; one correction to the Save the Date is the year. The month and day are correct, but the year was inadvertently recorded as 2016. Please note. This year’s Leg Day will start with a cocktail reception with Leg Aids on Tuesday March 7th from 6:00pm-8:00pm. Please come join us and meet your Leg Aid. The official Leg Day will be Wednesday March 8th from 8:00am to 4:00pm. There will be education in the morning, tour of the Capitol with legislator visits in the afternoon. Immediately following Leg Day, there will be a sidewalk CPR demonstration from 4:30pm to 5:30pm. Registration information and more details will be available next week (1/20/17) on the Californiaena.org website. If you are interested in participating in sidewalk CPR, please be sure to indicate that in the appropriate area on the form. Other topics discussed in our meeting were the newly introduced legislation for the 2017-2018 legislative cycle. Some areas of noted interest included National ENA Public Policy Agenda to be sure that we are monitoring legislation that is in line with National ENA. In addition, newly introduced legislation was included: AB 63- Provisional Drivers License, SB 20 which requires the use of seatbelts on private-chartered buses and SB 17- Notification of pricing increases for prescription medication. We discussed the California BRN strategic agenda. The BRN is searching for legislators to sponsor legislation on several regulation changes including a change to the CRNE program and the submission of malpractice settlement and arbitration reporting.
Committee Meeting Minutes
- Check: ENA’s website for information on national legislation
- Go to: ENA’s “Government Relations page for E-Mail Alerts, Policy Positions, & EMTALA information
At Cal ENA State Meetings, the GAC meets at 9:00. Chapters are encouraged to send a representative to the meeting.
You can find both the Assembly and the Senate bills on this page. You can also subscribe to a bill to get an update on when it is being heard, in what committee and any changes in the language.
How to find your California representative:
California bill tracking:
Status: When a bill goes to APPR (Appropriations Committee), –that indicates the program requires more than $150,000 in funding.
- Watch – Indicates Cal ENA doesn’t have a position and will continue to watch the bill.
- Support – Indicates Cal ENA supports the bill in its present form.
- Support if amended – – meaning CalENA is requesting changes, but would support even if no changes were made. (letters should include requested amendments)
- Oppose – means Cal ENA opposes (we include the rationale for opposition and suggestions to eliminate opposition.)
- Oppose unless amended – means CalENA would oppose the bill unless changes were made (letters should include requested amendments).
- State Concerns – Express concerns and maybe provide language to eliminate Cal ENA concern.