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Why Membership Matters

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Why Membership Matters WHY MEMBERSHIP (AND POLITICS) MATTER(S). LAUREL HALLOCK KOPPELMAN, DNP, FNP- C, APRN OREGON STATE REPRESENTATIVE TO AANP OBJECTIVES 1) Recognize the benefits of membership to regional, state and national organizations. 2) Describe the current state of National NP practice 3) Identify strategies for contacting Oregon representatives to promote passage of legislation allowing NPs to prescribe diabetic shoes and sign for home health orders. DISCLOSURES •Both of the following positions are volunteer: –NPO Marketing Chair –AANP State Representative AANP POWERPOINT HERE… WHAT TO DO ABOUT DIABETIC SHOES AND HOME HEALTH AKA: ARE WE REALLY A FULL PRACTICE STATE IF WE CAN’T SIGN FOR THESE? A COMMON SCENARIO • You are the PCP working with a patient with diabetes in need of diabetic shoes or a patient who needs home health/hospice. – You cannot sign the paperwork. – Federal legislation requires MD signature. – Solo practice • Do you pay an MD to sign your paperwork? – Practice partner • Do you burden your practice partner to sign your paperwork? – Pitfalls: • Fraud? • Time lost waiting for signature. • Money. • More? SHORT ANSWER (FROM AANP) •We need more congressional awareness and support for the Home Health and diabetic shoe bills. LONG ANSWER (ALSO FROM AANP) • Too many issues • Not yet scored by CBO • Legislation rarely moves alone • Diabetic Shoes is a new bill • Members of Congress are not health care providers or experts WHY YOU MUST BE POLITICAL IF YOU ARE A NP.* • You may be your patient’s only advocate • If you don’t fight for your patients, who will? • Most of the change comes at the local and state level. • Federal reps must vote with their constituents (how will they know what their constituents want if we stay silent?) • Others? • *This does not mean you have to be affiliated with any particular party. FIRST STEP… •Who represents you? •Find your representatives –https://www.govtrack.us/congress/members OREGON REPRESENTATIVES •1st District: Suzanne Bonamici •2nd District: Greg Walden •3rd District: Earl Blumenauer •4th District: Peter DeFazio •5th District: Kurt Schrader OREGON SENATORS •Ron Wyden •Jeff Merkley SUMMARY: H.R.808 — 116TH CONGRESS (2019-2020) • Promoting Access to Diabetic Shoes Act • This bill allows a nurse practitioner or physician assistant to fulfill documentation requirements for coverage, under Medicare, of special shoes for diabetic individuals. Under current law, such requirements may be satisfied only by a physician. • Authored by: EARL BLUMENAUER OREGON COSPONSORS FOR THE DIABETIC SHOE BILLS: (S. 237/H.R. 808) • Only Rep. DeFazio has cosponsored the Diabetic Shoe bill • Please note that this is the first year diabetic shoes has been introduced in the Senate so it will take some time to cultivate awareness and support of the bill. OREGON COSPONSORS FOR THE HOME HEALTH BILLS: (S. 296/H.R. 2150) • Sen. Jeff Merkley (D) • Rep. Earl Blumenauer (D-3) • Rep. Peter DeFazio (D-4) • Rep. Kurt Schrader (D-5) • Sen. Wyden (D) and Reps. Bonamici (D-1) and Walden (R-2) have not yet cosponsored. It is less likely that Sen. Wyden and Rep. Walden would join as cosponsors due to their leadership positions on the Senate Finance and House Energy & Commerce Committees. Historically, leadership committee positions don’t often cosponsor bills. If they’re supportive (which they have both been in the past) they’ll help to move the legislation through the committees. It’s still important to reach out to them but don’t be discouraged if they do not immediately sign on. LEGISLATIVE POWER: • Contact your legislator, tell him or her how important these issues are to your patients. –Visit in Person –Email, snail mail, postcard (better to Oregon addresses): tell a story –Facebook, Instagram and Twitter: promote your thought to all the followers of that account. • @AANP_news • @NPsOregon • @ANANursingWorld LEGISLATIVE POWER (CONT.) • Lobby through AANP advocacy center –https://www.aanp.org/advocacy/advocacy -center •Sign thank you card to Earl Blumenauer. CONTACT INFO FOR RON WYDEN • 221 Dirksen Senate Office Building, Washington, DC 20510 • 202-224-5244; fax: 202-228-2717; Twitter: @RonWyden • Website: https://www.wyden.senate.gov Webform for email: On home page, click Contact. • Oregon offices: • Portland: 911 NE 11th Ave., Ste 630, Portland OR 97232; 503-326-7525. • Salem: 707 13th St, SE, Ste 285, Salem, OR 97301, 503-589-4555. • Eugene: 405 E 8th Ave., Ste 2020, Eugene OR 97401; 541-431-0229. • Medford: Federal Courthouse, 310 West 6th St., Rm 118, Medford OR 97501; 541-858-5122. • Bend: Jamison Bldg., 131 NW Hawthorne Ave., Ste 107, Bend, OR 97701; 541-330-9142. • La Grande: SAC Annex, 105 Fir St, Ste 201, La Grande OR 97850; 541-962-7691. CONTACT INFO FOR JEFF MERKLEY • 313 Hart Senate Office Building, Washington, DC 20510. • 202-224-3753; Fax: 202-228-3997; Twitter:@SenJeffMerkley • Website: https://www.merkley.senate.gov Webform for Email: On home page, click Connect. • Oregon offices: • Portland: 121 SW Salmon St., Ste 1400, Portland OR 97204; 503-326-3386; Fax: 503-326-2900. • Eugene: 405 East 8th Ave., Ste 2010, Eugene OR 97401; 541-465-6750. • Medford: 10 South Bartlett St., Ste 201, Medford OR 97501; 541-608-9102. • Salem: 161 High St., SE, Ste 250, Salem OR 97301; 503-362-8102. • Bend: 131 NW Hawthorne Ave., Ste 208, Bend OR 97703; 541-318-1298. • Pendleton: 310 SE Second St., Ste 105, Pendleton OR 97801; 541-278-1129. CONTACT INFO FOR SUZANNE BONAMICI • 439 Cannon House Office Building, Washington DC 20515; Phone: 202-225-0855 Fax: 202-225- 9497. • Website: https://bonamici.house.gov. • Form for email: On her website, click Contact. Twitter: @RepBonamici • Rep. Bonamici’s local Oregon office: 12725 SW Millikan Way, Ste 220, Beaverton OR 97005; 503-469-6010; Fax: 503-469-6018. CONTACT INFO FOR GREG WALDEN • 2185 Rayburn House Office Building, Washington DC 20515; 202-225-6730 Fax: 202-225-5774. • Website: https://walden.house.gov • Form for email: On his homepage, click Contact Greg, then on E-mail Greg. Twitter: @repgregwalden • Rep. Walden’s Oregon offices: • Medford: 14 N. Central Ave, Ste 112, Medford OR 97501. Phone: 541-776-4646. Fax: 541-779- 0204. • La Grande: 1211 Washington Ave. La Grande OR 97850; 541-624-2400. • Bend: 1051 NW Bond St., Ste 400, Bend OR 97701. 541-389-4408. Fax: 541-389-4452 CONTACT INFO FOR EARL BLUMENAUER • 1111 Longworth House Office Building, Washington DC 20515; 202-225-4811 Fax: 202-225-8941. • Website: https://blumenauer.house.gov • Form for email: On his homepage, click Contact. • Rep. Blumenauer's local Oregon office: 911 NE 11th Ave., Suite 200, Portland OR 97232; 503-231-2300 Fax: 503-230-5413. CONTACT INFO FOR PETER DEFAZIO • 2134 Rayburn House Office Building, Washington DC 20515; 202-225-6416. No fax. • Website: https://defazio.house.gov • Form for email: On his website, click Contact. Twitter: @RepPeterDeFazio • Rep. DeFazio's local Oregon offices: • Eugene: 405 East 8th Ave #2030, Eugene OR 97401; 541-465-6732. Fax: 541-465-6458. • Coos Bay: 125 Central Ave., Suite 350, Coos Bay OR 97420; 541-269-2609. Fax: 541-465-6458 • Roseburg: 612 SE Jackson St., Rm.9, Roseburg OR 97470; 541-465-6458. CONTACT INFO FOR KURT SCHRADER • 2431 Rayburn House Office Building, Washington DC 20515; 202-225-5711 Fax: 202- 225-5699. • Website: https://schrader.house.gov • Form for email: On his homepage, click on Voice your opinion. Twitter: @RepSchrader • Rep. Schrader’s local Oregon offices: • Salem: 530 Center St. NE, Ste 415, Salem OR 97301; 503-588-9100; Fax: 503-588- 5517. • Oregon City: 621 High St, Oregon City OR 97045; 503-557-1324. Fax: 503-557- 1981. CONTACT INFO FOR LAUREL HALLOCK KOPPELMAN • [email protected] • [email protected].
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