1. Introduction - Download here

2. How to Use the Starter Kit for Impacting Change - Download here

3. Fact Sheets

A. Legislative Fact Sheets

• Guide to Meeting with Congressional and State Representatives
• Guide to Developing Legislation for CNS Practice
• Other resources on legislation
• APRN Handbook for Legislators
• NCSBN's Changes in Healthcare Professions' Scope of Practice, Legislative Considerations
• FAQ for Consumers Involvement CAC
• FAQ for Consumers on Scope of Practice CAC

B. State Regulations Fact Sheets

• Guide to Writing Letters to the Editor
• Guide to Participating in the Regulatory Process
• Guide to Getting Appointed to the BON
• Guide Media Advocacy

C. FAQs on Consensus Model

• FAQ APRN Consensus Model LACE
• FAQ APRNs Consensus Model NACNS

4. Model Legislation and Regulations for Scope of Practice and Prescriptive Authority

• Oregon Regulation for CNS
  See grandfather language on page 3
• Oregon Regulation for CNS Prescriptive Authority
• Indiana Nurse Practice Act - one example of regulations that has worked in state
• Pennsylvania Legislation for CNS
  See Section 8.5, however, it is best to not include national certification as a requirement, since this does not exist for all CNSs at this time.
• Pennsylvania Regulations for CNS
  See Certification Requirements for language on certifying CNSs who are not eligible for national certification exam

5. Resources

• CNS Title Protection by State Table
• CNS Prescriptive Authority by State Table
• Federal Trade Commission Letter to the Florida House of Representatives
  States that APRNs practice should not be restricted through required physician supervision
• Federal Trade Commission Letter to the Texas Senate
  Supports removal of physician supervision of APRNs
• IOM Report on the Future of Nursing
  Supports the role of the Advanced Practice Registered Nurse and recommends that APRNs should practice to the full extent of their education and training.
• “Families USA Advocacy Tips” website
  Provides resources for being an effective advocate in the legislative arena
  http://familiesusa.org/resources/tools-for-advocates/tips/index.html

6. Articles

• Davidson, S. et al (2001). Statutory and Regulatory Recognition for Clinical Nurse Specialists in Oregon. Clinical Nurse Specialist 15(6), p. 276-283.
  Although old, it provides ideas for working with regulators.
   
• Hansen-Turton, T., Ritter, A. & Valdez, B. (2009). Developing Alliances: How Advanced Practice Nurses Became Part of the Prescription for Pennsylvania, Policy Politics Nursing Practice 10(7), p. 7-15.
  http://ppn.sagepub.com/content/10/1/7.abstract
   
• Hartigan, C. (2011). APRN Regulation: The Licensure-Certification Interface. AACN Advanced Critical Care, 22(1), p. 50-65.
  History of licensure and certification
  http://www.nursingcenter.com/library/static.asp?pageid=1130715
   
• Hudspeth, R. (2011). Changes for the Valuable Clinical Nurse Specialist. Nurse Administrator Quarterly 35(3), p. 282-284.
   http://www.nursingcenter.com/library/JournalArticle.asp?Article_ID=1181756
   
• Lyon, B. L. (2003). Advanced Practice Registered Nurse Compact A Call to Action With a Primer on the Regulation of CNS Practice. Clinical Nurse Specialist, 17(4), p. 185-187.
  Although written in 2003 it is still relevant and a good explanation of the impact of the APRN consensus model on the CNS and what can be done.
   
• Ponto, J., Sabo, J., Fitzgerald, M. & Wilson, D. (2002). Operationalizing APRN Legislation, Clinical Nurse Specialist 16(5), p. 263-269.