ANA has been working with State Nurses Associations through its Nationwide State Legislative Agenda to promote state legislation that would require the collection of nursing supply and demand data. Many states do not currently have the structure in place to compile and evaluate nursing workforce data. This data is vital for states to accurately assess the nursing crisis and develop comprehensive short and long range state workforce planning strategies.
In 2006, six states enacted legislation to facilitate collection of nursing workforce information. DE enacted legislation requiring government entities to provide a report on supply and demand projections of health care professionals to the Division of Professional Regulation. IL creates the Illinois Center for Nursing to address issues of supply and demand for nursing. OK legislation establishes the Health Care Workforce Resource Center for the purpose of coordinating statewide efforts to meet supply and demand needs of the OK health care workforce, while legislation passed in MD creates a Statewide Commission on the Shortage in Health Care Workforce. WA law requires a survey every two years of the health profession's work force supply and demographics. In NY 2006 legislation authorizes the Office of Rural Health to study employment incentives for attracting physicians and nurse practitioners to rural shortage areas.
In 2005, three states enacted legislation. ME legislation directs the Department of Labor to compile and post on-line a report on health care occupations. It requires that certain licensed, registered and certified health care workers receive a voluntary survey to allow the collection of data on health care occupations. It directs the Department of Health and Human Services to post on its website its recommendations based on its review of the health workforce forum's report.
Enacted NE legislation revises statutes of Nebraska to create the Nebraska center for nursing fund and authorizes the allocation of fees to the fund. TX legislation authorizes the Board of Higher Education and the State Department of Health to develop a model that will assist in determining the number of graduates of professional nursing programs, as well as increase those numbers to achieve target goals. The purpose is to achieve both short-term and long-term goals towards identifying, developing, and studying strategies for increasing the number of graduates, the number of those working in the state, and the number needed in the state. The bill also calls for studies into ways to provide the most efficient use of nurse instructors, and programs, as well as coming up with new instruction methods. The bill calls for the study to be completed by January 1, 2007.
In 2004, three states enacted legislation. CT legislation establishes a health care workforce policy board to analyze and make recommendations related to a state = s healthcare workforce. IL legislation requires the Department of Public Health to establish and administer a nursing workforce database related to nursing supply, demand and workforce concerns. Enacted WV legislation creates a West Virginia Center for Nursing to establish a statewide strategic plan to address the nursing shortage and facilitate recruitment and retention of nurses. Legislation was also introduced in MA, NM and WA .
In 2003 state legislatures approved five bills on workforce data collection. HI legislation requires the establishment of a Center for Nursing at the University of HI to conduct research on workforce issues. ME legislation requires the state = s Health Care Workforce Leadership Council to address the potential role of and need for a permanent health care workforce council or center. NJ enacted legislation increases the board members of the New Jersey Collaborating Center for Nursing (nursing workforce center established in 1996). VA approved language that directs the Advisory Council on the Future of Nursing to report recommendations on a strategic statewide plan to ensure an adequate supply of nurses. WA enacted the Workforce Training and Education Coordination Board to facilitate collaboration among stakeholders to address health care personnel shortages.
In 2002, FL put in place the Florida Center for Nursing Trust Fund to support the Center for Nursing established by legislation in 2001. Legislation was enacted in GA that requires health care licensure boards to distribute survey questions to gather data related to work force supply and demographics. The Office of the Secretary of State will submit the collected data to a recognized agency to project trends and needs for the state's health care workforce. In ID, the Board of Education and the Commission on Nursing are required to undertake a strategic plan of action to address the nursing shortage and report their findings to the legislature. IN required the Commission on Excellence in Health Care to study and make recommendations on increasing the number of nurses. KY law established a Nursing Workforce Foundation that will create a consortium for the recruitment of students and the training of RNs. MD required the Commission on the Crisis in Nursing to identify a technology driven point of care application, increase quality of patient care, facilitate nurse career advancement, improve the work environment and convene a nursing summit. ME created the Health Care Workforce Leadership Council to address the shortage of skilled health care workers. OK created the Nursing Workforce Task Force to examine the nurse shortage and identify remedial strategies. SD approved establishment of a nursing workforce center under the direction of the Board of Nursing. The center will be funded by nurses through licensure renewal fees. WV approved legislation requiring a study of health care practitioner shortages and methods to resolve them.
Legislation enacted in 2001 in MS directs the Office of Nursing Workforce to ensure an adequate supply of nurses while legislation passed in ND and TN allows the Board of Nursing to address issues of supply and demand for nurses including issues of recruitment, retention and utilization of nurses. FL and TX laws establish independent Centers for Nursing to carry out goals which include the development of a strategic statewide plan for the nursing workforce in the state. The model for this legislation is based on the North Carolina Center for Nursing established in 1991. The North Carolina Center was the first state-supported agency charged with nurse workforce planning including issues of nursing supply, demand, recruitment and retention. NH established the Office of Nursing Workforce, Research, Planning and Development to address ongoing issues of supply, education, practice and research related to nursing.