Health Policy Agenda - NAPNAP

Health Policy Agenda

The guiding principles of the National Association of Pediatric Nurse Practitioner’s 2020 health policy agenda are:

  • Commitment to promoting diversity, inclusion and equity and rejecting prejudice against race, age, ethnicity, nationality, religion, gender and sexual orientation acknowledging all children and their families are unique and deserve a safe environment where they can build resilience.
  • Children should have access to comprehensive, continuous, coordinated, compassionate, culturally responsive sensitive and family-centered health care in-person or via telehealth, including behavioral health services to ensure physical and psychosocial health and well-being.
  • We strive to remove barriers that impede access to the care provided by pediatric-focused advanced practice registered nurses (APRNs) in all practice settings.
  • Commitment to national and grassroots advocacy by our members is essential and should be supported by providing learning opportunities for members to advance their development as advocates and leaders in pediatric health policy.

The National Association of Pediatric Nurse Practitioners’ Health Policy Committee has identified the following goals for focused advocacy and strategic partnerships to support our association’s mission and respond to important health policy issues.

Goal #1

Improve child and adolescent health through support and advocacy on a wide range of health issues with emphasis on the following strategic priorities:

  • Advocate for health policy focused on emergency preparedness for national and global health care crises, including COVID-19, ensuring pediatric needs are addressed in treatment development and response.
  • Promote optimal nutrition and physical activity with a focus on encouragement of breastfeeding, addressing food insecurity and prevention of childhood obesity.
  • Advocate for increased access to comprehensive, evidence-based and integrated services to address childhood developmental, behavioral and mental health issues.
  • Support injury prevention and harm reduction activities focusing on the leading causes of childhood illness, injury, adverse childhood experiences, maltreatment and any form of violence against children , including gun violence prevention.
  • Advocate for resources and access to care for the unique physical and emotional health care needs of vulnerable populations including children in sex and labor trafficking, children impacted by the opioid epidemic, LBGTQ youth, homeless youth, children in foster care and detention centers and refugee, undocumented and unaccompanied minor children.
  • Promote awareness of the need for pediatric data disaggregation to highlight existing disparity in child health outcomes and promote targeted interventions to improve health across a diverse population of children.
  • Prioritize development of comprehensive quality health indicators focused on the care of children and families.

Goal #2

Improve access to comprehensive primary, chronic, acute and specialty care services for all children and adolescents through support and advocacy for:

  • Support comprehensive funding of the Children’s Health Insurance Program (CHIP) and Medicaid programs.
  • Address growing disparities of costs of health care, including insurance coverage, adequacy of benefits, out of pocket expenses for durable medical equipment and pharmaceuticals.
  • Recognize developmental, behavioral and mental health services for children and families as an integral part of a comprehensive health care package, including services provided in school-based health settings.
  • Eliminate policies that result in separation of immigrant children from their families and their detention in facilities that are not designed or equipped to meet their health care needs.
  • Prioritize removal of barriers that prevent families from obtaining affordable and comprehensive child health insurance coverage.
  • Prioritize removal of barriers that prevent access to qualified pediatric providers, including those practicing in telehealth and/or across state borders.
  • Prioritize removal of barriers that prevent access to pediatric home health care, hospice and other community-based services.

Goal #3

Promote children’s access to a workforce of APRNs reflecting the diversity of children across the nation through support and direct advocacy on the following issues:

  • Pediatric nurse practitioners and other APRNs who provide primary care should be recognized as primary care providers by all entities.
  • APRNs should be recognized as full partners and leaders in innovative models of care such as Accountable Care Organizations (ACOs) and health care homes.
  • Comprehensive, transparent, fiscally responsible reimbursement and measurement of quality care should be provided by government and commercial payors for services provided by APRNs.
  • Pediatric-focused APRNs should be eligible participants in any federal grant programs piloting innovative models of care, including health information technology initiatives.
  • Increased funding for and maintenance of self-contained, independent, comprehensive pediatric clinical and didactic education for nurses of all education levels.
  • Reauthorization and adequate funding for nursing workforce development programs under Title VIII of the Public Health Service Act.
  • National standardization of APRN practice across states in alignment with the APRN Consensus Model to eliminate barriers to full practice that are arbitrary, temporary or not evidence-based.
  • Access to equipment, supplies and technology to ensure high-quality care can be provided by pediatric-focused APRNs.
  • Support for increased inclusion of diversity in nursing and APRN training, education, scholarship and employment.

Goal #4

Educate and equip our members to increase awareness and engagement on federal, state and local advocacy activities, including:

  • Participate in federal advocacy activities – Congressional meetings, calls to action, etc.
  • Support ongoing training for chapter legislative chairs and SIG leaders on grassroots advocacy.
  • Provide education and call to action opportunities for members via various technology platforms and e-communications.
  • Collaborate with academic leaders to develop innovative programs of pediatric specialty and education that broaden advocacy initiatives.
  • Provide active mentorship for members interested in learning more about child health and professional practice issues.
  • Participate in partnerships and affiliations that enhance collaboration focused on pediatric health.

Goal #5

Increase external stakeholders’ awareness of our members as champions for child health and professional practice advocacy by:

  • Identify, develop and deploy a high-quality network of pediatric-focused APRN advocacy leaders to represent our association on national, regional and state child health or APRN-related health policy task forces, advisory panels and committees.
  • Facilitate collaborative efforts with other like-minded affiliates to advance child health and safety initiatives and APRN professional issues.
  • Campaign to educate policy makers and the public about the expertise of pediatric-focused APRNs.
  • Support the adoption of innovation and technology that enhances pediatric-focused APRN professional practice.
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