Senior Vice President and Director
AARP Public Policy Institute
Chief Strategist, Center to Champion Nursing in
America

Leadership
Strategic Advisory Committee
IFN Team at AARP – Providing Campaign Coordination and Technical Assistance
Education Hospitals & Health Systems
Data/Research
Scope of
Practice
Engage partners to implement recommendations that improve patient care quality, access
& value.
Inter-professional
Teams
Strategies Collaborations Communications Research Monitoring

Access and Barriers to Care
“Consumers deserve high quality, convenience, value and expanded choice in the providers who deliver their core primary care services”
(John Rother, AARP, 2010)
Strategies
Inform, engage and motivate government, payers and business in expanding practice opportunities and payment for the full range of primary care providers.
Outcomes
All states remove barriers to
APRNs practicing to full extent by
2020.
Position APRNs as a high quality choice for consumers through effective outreach and marketing.
Identify federal levers to incentivize states to modernize state scope of practice laws.
By 2020, payers establish payment policies that recognize consumer choice across the range of primary care providers.

How CCNA Operates: State-Based Work
•CCNA State Teams
Title text here
•Website
•Respond to AARP State Office requests (mostly scope of practice) such as providing background information on
•Restrictive collaboration
•Duplicative oversight of APRN practice
•Controlled substances
•Reimbursement

How CCNA Operates: Federal-Level Work
First “phase” of federal advocacy agenda created early based on need for improved federal funding for nursing education
Title text here
•Saw health reform as vehicle to win this funding - Medicare GNE
Consumer perspective - consumers such as AARP members need highly educated nurses
Next phase is to remove barriers to APRN care
• AARP Policy Book update
• AARP convened NP Roundtable
• Federal barriers to APRN care – home health care, hospice, admission physical in SNF, hospital privileges, reimbursement
Advocacy is done by AARP staff – Winifred Quinn, Senior Legislative Representative and
Peter Reinecke, consultant

Updated AARP Policy Book Language re: Scope of Practice
March 2010
Current state nurse practice acts and accompanying rules should be interpreted and/or amended where necessary to allow APRNs to fully and independently practice as defined by their education and certification.

Title text here
• Access to Care and Advanced Practice Nurses: A Review of
Southern U.S. Practice Laws
• Improving Access to Primary Care: The Growing Role of
Advanced Practice Registered Nurses
• Consumer Access and Barriers to Primary Care: Physician-
Nurse Practitioner Restrictive Collaboration Requirements by State (MAP)