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American Journal of Nursing - March, 2003 - Volume 103, Issue 3

House Nursing Caucus
The ANA applauds formation of a bipartisan Congressional group.

By Christopher Donnellan

Nurses will gain more input into key legislative health care issues, such as the smallpox vaccination program, thanks to the House Nursing Caucus, which is the first of its kind. Formed in the U.S. House of Representatives at the suggestion of the ANA, the caucus is a bipartisan working group of congressional members who seek an open forum to address issues affecting nurses.

“This caucus will serve as a clearinghouse for information and a sounding board for ideas brought forth by the nursing community,” said ANA president Barbara Blakeney, MS, APRN,BC, APN.

Currently, the Committee on House Administration recognizes more than 50 caucuses, ranging in focus from the Horse Caucus to the House Minor League Baseball Caucus. Several caucuses have been able to raise awareness and secure action on their issues by holding informal hearings, inviting cabinet members to speak, and participating in press conferences.

“The ANA was surprised to learn, with issues such as the nurse shortage and smallpox vaccinations, that a nursing caucus did not exist,” Blakeney said. “So we contacted our friends, Representatives Lois Capps and Ed Whitfield, to seek their help in forming this caucus.” Capps (D-CA) and Whitfield (R-KY) were two of the strongest congressional advocates for passage of the Nurse Reinvestment Act.

To strengthen the House Nursing Caucus, Capps and Whitfield sent letters in early January inviting House members to join.

“Before I was elected to the House of Representatives, I served the people of Santa Barbara County as a public health nurse for 20 years,” noted congresswoman Capps, who is one of three nurses in Congress. “I do know first-hand the challenges facing our hospitals and health care providers and the consequences if we fail to meet them. Nurses are the backbone of our public health system. As we struggle to prepare our nation for everyday public health emergencies, and extraordinary events like bioterrorism, we certainly cannot afford to be without enough nurses. That is why the creation of this caucus is so important.”

Whitfield, who will cochair the caucus with Capps, believes it will highlight the importance of nursing. “Nurses play a critical role and are often underappreciated in our health care system. Anyone who has spent time in any hospital knows how hard nurses work and the high quality of care that they provide,” Whitfield said. “Nurses must feel valued, and we must recruit the next generation of nurses to care for our loved ones and ourselves.”

The ANA is encouraging nurses to urge their state representatives to join this caucus.

“The House Nursing Caucus will be invaluable to the ANA’s work in Washington, DC, on behalf of nurses and their patients. To have a permanent entity in Congress that focuses solely on issues facing the nursing community will ultimately benefit every nurse in America,” Blakeney said.

The smallpox vaccination program is expected to be among the first issues discussed by the House Nursing Caucus. While the vaccination of 500,000 nurses, doctors, and other health care workers began in late January, there remain many unresolved issues, such as compensation for lost workdays due to adverse reactions to the vaccine.

“This is an issue that should be debated and discussed in an environment such as the House Nursing Caucus,” Blakeney said. “I look forward to attending and to members of the ANA participating in several of the hearings that the caucus will hold in the 108th Congress.”

Other issues the House Nursing Caucus may address this year include the use of mandatory overtime and securing full funding for the Nurse Reinvestment Act.

Christopher Donnellan is an associate director of the ANA’s Department of Government Affairs.


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