Volumne 12, Issue No. 1
February 4, 2014

ANA President, Karen Daley, Testifies Before House Appropriations Subcommittee

On Thursday, March 29th, ANA President, Karen Daley, testified before the House Appropriations Subcommittee on Labor, Health and Human Services, Education and Related Agencies.  President Daley’s testimony focused on Title VIII programs, and funding nurse managed health centers.

Daley urged the committee to appropriate $251 million in FY 2013 for the Nursing Workforce Development programs authorized under Title VIII of the Public Health Service Act.  Additionally, she requested $20 million for the Nurse-Managed Health Centers authorized under Title III of the Public Health Service Act.

FY 2013- Title VIII Funding

Over the last 48 years, Title VIII programs have provided the largest source of federal funding for nursing education; offering financial support for nursing education programs, individual students, and nurse educators. These programs bolster nursing education at all levels, from entry-level preparation through graduate study and in many areas including rural and medically underserved communities. They are used to direct RNs into areas with the greatest need – including community health centers, departments of public health, and disproportionate share hospitals.

Funding for Title VIII programs has only received slight increases during the last couple of appropriations cycles. During these tough economic times, there is a desire to cut government spending.  However, as of January 2011, Baby Boomers began turning 65 at the rate of 10,000 a day.  With this aging population, there will be an increase in demand for nursing care in traditional acute care settings as well as the expansion of non-hospital settings such as home care and long-term care.  Nurses will be needed to address this growing health care need.

Between FY 2005 and 2010 alone, the Title VIII programs supported over 400,000 nurses and nursing students as well as numerous academic nursing institutions, and healthcare facilities.

President Daley’s request of $251 million in FY 2013 for the Nursing Workforce Development programs would be a slight increase over the $243 million appropriated in the omnibus for FY 2012.

Nurse-Managed Health Centers

Additionally, to attain an improved health status of individuals, families and the community a health care system must value primary care and prevention.  Daley shared with the committee that ANA believes the foundation for a wellness-based health care system is built utilizing community and home-based models of care which reduces the amount of financial expenditures and human suffering.  ANA believes that Nurse Managed Health Centers (NMHCs) are an efficient, cost-effective way to deliver primary healthcare services.

With more than 200 Nurse Managed Health Centers (NMHCs) in the United States these centers provide care to over 2 million patients annually.  NMHCs are effective in disease prevention and early detection, management of chronic conditions, treatment of acute illnesses, health promotion, and more.  These clinics are also used as clinical sites for nursing education. 

ANA’s requested $20 million for the Nurse-Managed Health Centers for FY 2013 which would provide an increase of $20 million, as the NMHC weren’t funded in FY 2012.  

April Canter

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