Legislative Update, January 27, 2012

27 Jan

First Week of Session

The 2012 Legislative Session began this Tuesday, with commitments from legislative leaders that it will be a short session, with the goal of ending by April 2. The biggest issues of this session are likely to be constitutional amendments, a bonding bill, and a Vikings stadium.

Of most concern to MNA are constitutional amendments that will hurt working families. We are again dealing with a divided government, with the Senate and House in Republican control, and a Democratic governor. The legislative majorities, anticipating that Governor Dayton would veto a number of their more controversial priorities, have chosen a strategy that bypasses the Governor and asks the voters to write policy changes directly into the constitution.

  • “Right to Work” Amendment: Rather than creating jobs, this deceptively-named amendment would weaken unions, result in a pay cut for workers, gut our contracts, and worst of all, take away nurses’ ability to advocate for our patients. You can learn much more about Right to Work here. MNA is working with our allies in the labor movement and legislators from both parties to stop this amendment.
  • Budget Amendments:  Amendments have been introduced that would require a supermajority of legislators to raise taxes or use reserve funds, or would restrict lawmakers from using available resources. These amendments would make the gridlock at the Capitol even worse, increase the use of budget gimmicks and ultimately would damage Minnesota’s economy. Much more information is available from the Minnesota Budget Project.

Interstate Nurse Licensure Compact
The Interstate Nurse Licensure Compact is a way for nurses to practice in another party state (a state participating in the compact) without obtaining a nursing license in that state. While this may sound like a good idea, MNA is very concerned that the Compact will hurt patient safety, won’t increase access to health care or address the nursing shortage, and will take away Minnesota’s ability to regulate the nurses practicing here. We are also concerned that the Compact will allow health care corporations to move large numbers of nurses across state lines under the regulatory radar, in order to intimidate nurses trying to organize or bargain a contract.

We are hearing that this bill is a major priority this year for some of the biggest health care corporations in the state and it will undoubtedly be up for more public debate in the next months. Stay tuned.

Criminal Neglect of Vulnerable Adults

You may have read a recent news story about a case of neglect of a vulnerable adult. Minnesota vulnerable adult neglect laws are weaker than other states, so Senator Warren Limmer and Hennepin County Attorney Mike Freeman recently announced new legislation that would make it a felony to neglect a vulnerable adult. 

As nurses, there is nothing more important to us than ensuring our patients- especially the most vulnerable- are protected and given the best medical care and treatment possible. While we fully support increasing penalties for those neglecting a vulnerable adult, we are worried that inadequate staffing inside our hospitals, nursing homes and other care facilities will inadvertently put a nurse in a situation where she or he is unable to provide adequate care for all of their patients.  This could lead to severe penalties for nurses in a situation that they have no control over.

MNA will be meeting with Hennepin County Attorney Mike Freeman to discuss alternatives to this legislation that will encourage safer staffing models and protect the reputation of nurses who trying to serve each patient to the best of their ability.

 View a video of the Pre-Session Rally, featuring MNA President Linda Hamilton

Nurses Day on the Hill
Nurses will be bringing patient advocacy from the bedside to the Capitol on Tuesday, February 28. We’ll brief you on the issues and make appointments for you to meet your legislators with other nurses from your area.

  • Monday, February 27, 2012 – Member Education Program, 5:00 to 9:00 p.m.
  • Tuesday, February 28, 2012 – Capitol Visits and Action, Start at 8:00 a.m., Action at 12:30 p.m.

So much of patient safety and nursing practice policy is decided at the state capitol. If we don’t advocate for our patients and our profession, no one else will. You can find more information and sign up here.

Welcome MNA’s Newest Government Affairs Team Members

In the last few months, MNA has welcomed three new staff members who will be working on Government Affairs. Shannon Cunningham is our new lobbyist, and Grant Bendix and Julia Donnelly are our new Political Organizers. The full team is:

Andrea Ledger, Director of Political and Legislative Action

Carrie Mortrud, RN, Government Affairs Specialist

Shannon Cunningham, Government Affairs Specialist

Geri Katz, Metro Area Political and Community Organizer

Grant Bendix, Northern Minnesota Political and Community Organizer

Julia Donnelly, Southern Minnesota Political and Community Organizer

Eileen Gavin, Government Affairs Administrative Assistant

If you are interested in getting more involved in MNA’s policy advocacy, please contact the political organizer who works in your region.

St. Paul Public School Teachers – Standing up for Students!

26 Jan

If you have kids in St. Paul’s Public Schools and/or just want to show solidarity with some great teachers, consider showing you support online or in person this Tuesday, Jan. 31st, during their info picket. Here are the details:

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MNA President Linda Hamilton’s Response to Minnesota Adverse Events Report’s Release

26 Jan
MNA President Linda Hamilton

MNA President Linda Hamilton

Have you or a family member ever had the unfortunate experience of suffering from a pressure ulcer? In addition to being extremely unpleasant and painful, pressure ulcers can become so deep that they result in damage to your muscles, bones, tendons and joints.

And pressure ulcers – also commonly known as bedsores – are almost always preventable when proper staffing levels are adhered to.

Yet last week’s release of Minnesota’s Eighth Annual Adverse Events Report noted that incidents involving pressure ulcers spiked more than 19 percent statewide in 2011. What state hospital executives didn’t mention in spinning away that alarming statistic was that numerous national studies have shown a direct correlation between inadequate nurse staffing levels and an increase in conditions including pressure ulcers, pneumonia, upper gastrointestinal bleeding, shock/cardiac arrest, urinary tract infections and more.

The numbers don’t lie – safe staffing levels save lives and improve patient outcomes. While many will remember that the Twin Cities nurses’ strike during the summer of 2010 shined a white-hot spotlight on the issue, unsafe staffing has been a problem in Minnesota for decades.

As patients, you deserve better. You and your loved ones should never suffer without need from pressure ulcers, urinary tract infections or other conditions that can be prevented with adequate RN staffing levels.

Money is not the issue. Keep in mind that during the great recession of 2009, Twin Cities hospitals had their largest profit margins (6.5 percent) in a decade! It’s not that hospital executives can’t pay to adequately staff their hospitals. They just don’t want to.

My fellow nurses will continue to remain vocal about the needless suffering we in our patients see as a result. And data such as the recently released Adverse Events Report will continue to lend credibility and credence to our concerns.

Sincerely,

Linda Hamilton, RN
President, Minnesota Nurses Association

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Unsafe Staffing Story: A “rushed and chaotic” feeling

22 Jan

MNA Nurses fill out hundreds of Concern For Safe Staffing forms online each month. The story below is just one example of how unsafe staffing conditions inside Minnesota hospitals continue to have negative – and sometimes even deadly – consequences for patients and nurses. (Note: Due to HIPAA privacy laws for patients and concerns for potential workplace retaliation by employers against RNs, we do not identify the specific nurse and/or patient(s) involved in each story in this space.)

Today’s Story: Extremely busy, high acuity with no available  resources, nurses came from other units to help as able, but were not able to perform tasks necessary such as del, OR, scrub. No breaks taken. I felt patients received basic care … once patient was safely delivered and deemed stable enough, I had to move on to more urgent patients needs and hope for the best. I made a point of visiting today the 3 patients I had who delivered for me yesterday to apologize for the rushed and chaotic feeling of the unit and lack of any TLC.

More information:

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MNA RN on Unsafe Staffing Levels: Enough is Enough!

18 Jan

This note from a frustrated MNA RN puts words to the frustration too many Nurses are feeling:

“We are getting tired of working without the safe amount of  nurses. We have enough upper  management to sink a ship and they want to add more COs. We need Bedside  Nurses – the ones that do the work, the ones who take care of the patients, the  ones who work overtime to help out the short staff.  We need a state law telling the hospitals how many patients the nurse can safely take care of. How many RNs don’t even get a break on their whole entire shift? Do the  CNOs ever miss a meal???? Sorry for the editorial, I’m just tired of all this crap.”

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Winter Carnival Invitation from St. Paul RLF

18 Jan

From the St. Paul Regional Labor Federation: The Winter Carnival is almost here … Come march with us in the King Boreas Grande Day Parade!

We will be gathering at the Labor and Professional Centre in the Main Labor Hall at 12:30 p.m. on Saturday January 28, 2012. We will leave together to line up for the parade which begins at 2:00 p.m.

Our marching unit is co-sponsored by the Saint Paul Regional Labor Federation’s AFL-CIO Community Services program and Greater Twin Cities United Way.

If you would like to participate, please call Kelsey Eide at (651) 222-3787 ext. 20  or email keide@stpaulunions.org.

Union members and their family and friends are encouraged to participate in this fun community event. Marchers should plan to wear their local union jackets or uniforms if available and carry their local union banners.

We are looking for volunteers to carry signs that proudly proclaim, “Unions and United Way, Partners Serving our Community.” After the parade we will have our annual warm-up party at the Labor Hall. There will be good food and fun for the whole family!

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MNA Statement on vulnerable adult crime bill introduced in MN Legislature

12 Jan

In light of today’s announcement of a new bill in the Minnesota Legislature that would make neglecting a vulnerable adult a more serious crime, the Minnesota Nurses Association issued the following statement:

“As nurses, nothing is more important to us than ensuring our patients – especially the most vulnerable – are protected and given the best care and treatment possible.  We applaud the idea of protecting vulnerable adults, which is why nurses have been at the forefront of the movement to highlight the need for adequate staffing inside our hospitals, nursing homes, and other care facilities.

While every caregiver – including nurses – is and should be held accountable for the quality of his or her own care, it is important we don’t lose sight of the bigger issue here: The chronic and systemic understaffing of our hospitals, nursing homes and other facilities where care is delivered.  However, if the individual caregiver does not have the ability to increase staffing when necessary, patients will remain vulnerable.

Study after study has shown the direct connection between unsafe staffing levels and adverse events for the patients entrusted to our care. And while we expect personal responsibility and accountability for caregivers of all stripes, our lawmakers should also demand the same type of accountability from the health care facilities and their managers who have the ability to ensure safe staffing.

No patient – especially our most vulnerable adults and children – should ever be neglected and suffer without need. And while there are indeed instances of caregivers failing to do their job properly, there are also countless cases of patients suffering needlessly due to unsafe staffing levels inside our hospitals and nursing homes.

We hope that the issue of unsafe staffing levels will be addressed with the same fervor by state legislators as today’s announcement.

Formed in 1905, the Minnesota Nurses Association represents more than 20,000 nurses in Minnesota, Wisconsin and Iowa. MNA is also a founding member of National Nurses United (NNU), which represents more than 170,000 RNs across the United States. Learn more at www.mnnurses.org.”

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Press Release: New Study Shows Dramatic Revenue Potential from a Wall Street Tax

9 Jan

Media Contact: Charles Idelson, 510-273-2246 or Carl Ginsburg, 917-405-1060. For Profs. Pollin or Heintz, contact Debbie Zeidenberg, at PERI, dzeiden@peri.umass.edu or 413.577.3147

From National Nurses United:

A robust tax on Wall Street transactions would raise far more revenue – as much as 17 times as much – than more limited proposals, even accounting for the worst case scenarios of reduced trading as a result of a tax.  That’s the findings of an important new research brief from prominent University of Massachusetts Amherst economists Robert Pollin and James Heintz.

This study is the most recent serious effort to quantify current, actual costs and evaluate the impact of the trading costs on trading volume. It can be viewed online here. The data in the study come from three sets of sources:  the most recent academic and financial market research;  a 2011 survey study by the International Monetary Fund; and the most up-to-date and comprehensive data on market trading from specialized  firms that obtain these figures directly from the financial market trading businesses themselves.

One of the stories of the past year has been the growing international and U.S. movement for a financial transaction tax (FTT) on the trading of stocks, bonds, and other financial instruments.

An international coalition of labor, environmental, and non-governmental organizations have prodded the European Union to adopt a continent wide FTT, also referred to as the “Robin Hood tax.” Several European governments, including conservative leaders in France and Germany support the FTT and the EU which is predicted to adopt the tax by the end of this year.

In the U.S., a renewed push for an FTT has also mushroomed, encouraged by a campaign led by National Nurses United as a vehicle to raise badly needed revenue for healthcare, jobs, and other basic needs. NNU last year sponsored protests advocating for the FTT on Wall Street, the White House and Treasury Department, outside Congressional offices, and while participating in Occupy Wall Street protests throughout the fall.

Titled “Transaction Costs, Trading Elasticities and the Revenue Potential of Financial Transaction Taxes for the U.S,” the paper by Pollin and Heintz analyzes potential revenue from three different FTT proposals.

The three are a new bill in Congress introduced by Sen. Tom Harkin and Rep. Peter DeFazio, which would levy a miniscule .03 tax on stock and bond trades, or 3 cents on every $100 of trades, the main proposal in the EU for a .1 tax or 10 cents per $100, and a .5 tax, or 50 cents on a $100 transaction, favored by NNU and other activists.

The U.S. had a FTT from 1914 until 1966, and following a market crash in 1987, former House Speaker Jim Wright proposed reinstating a fee of .5, which was endorsed by leading Republicans as well, including top economic advisors to President George H.W. Bush.

Opponents of an FTT have claimed that any tax on Wall Street activity, which, unlike virtually all consumer sales is presently untaxed, would so discourage trading that it would substantially reduce any potential revenue – thus the reason given by proponents of the Harkin-DeFazio bill for introducing such a small tax.

However, examining existing FTTs currently in place in other countries and reviewing data on current  U.S. private transactional fees on market activity from two firms private business firms, Pollin and Heinz reach a far different conclusion. They find:

A tax of .5, such as favored by NNU and presently in place on stock trades in the U.K., would generate as much as 17 times more revenue as the .03 tax included in the Harkin-DeFazio bill.

Additionally, Pollin and Heintz cite little evidence that a FTT would substantially reduce trading activity, as claimed by its opponents.

Pollin and Heintz note the work of one researcher cited in a paper from the International Monetary Fund which found no decrease in trading with the introduction of a transaction tax in some Asian markets. “Elasticity,” the term of art referring to the responsiveness of trading to a change in the transaction costs of the, “was zero in these markets when transactional costs rose as a result of an FTT,” the authors write.

Additionally, the UK market remains the fourth largest in the world, and transactional costs of .5 have “not prevented the City of London from operating as one of the world’s leading stock markets.”

Overall, Pollin and Heintz survey a number of potential scenarios that could occur from introduction of an FTT in the U.S. Even in the worse case scenario, a highly unlikely event, a .5 percent tax would still raise more than three times as much as the minute .03 tax, they conclude.

“There is no scenario in which a 3-basis point FTT (.03) [as proposed by the Harkin/DeFazio bill] will generate more tax revenue than a 50-basis point (.5) FTT,” write Pollin and Heinz.

Focusing on stocks alone as taxable entities, Pollin and Heintz conclude the Harkin/DeFazio proposal of .03 would raise just $8.1 to $9 billion a year, compared to from $24.6 billion to $150 billion every year with a .5 tax.

NNU and many other activists favor applying the FTT to currency trades, derivatives, swaps of all kinds including credit default swaps, and other Wall Street activity, which could produce revenue as high as $350 billion a year in critically needed revenue, says NNU.

“With so many Americans struggling with lack of healthcare, high unemployment, foreclosure, and other family crises, we need a meaningful way to heal our nation,” says NNU co-president Karen Higgins. “It’s time for the Wall Street banks and investment firms to pay to rebuild the economy they did so much to run. The small tax on major trading that we propose is a critical first step.”

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Upcoming MNA Event: Building a Health Care System Based on Nursing Values, Part 2

5 Jan

Also, here’s a Video Recap of Part 1:

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MNA RNs – Building a Better Health Care System

29 Dec

Hear from MNA RNs who are learning/sharing how ALL of us can work together to improve health care in this country. So proud of the everyday MNA Members leading the way on this effort! Another great event coming up Jan. 17th here at MNA - You can sign up for the Jan 17 follow up event via the MNA Facebook Page. Everyone is welcome, even if you didn’t attend Part I.

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