The mission of the GAPNA Health Affairs Committee is to track and promote legislation and policies that enhance APN practice and quality care for older adults.

The Nursing Community Coalition is committed to improving the health and health care of our nation by collaborating to support the education and practice of registered nurses (RNs) and advanced practice registered nurses (APRNs).

Below find letters in support or opposition of current/pending legislation.

2025

July 30, 2025 - NCC Reiterates FY 2026 Appropriations Request to Senate Appropriations Committee

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July 14, 2025 - NCC Thanks Members of Congress for Introducing the Title VIII Nursing Workforce Reauthorization Act of 2025

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June 30, 2025 - NCC Sends Letter Welcoming NINR Interim Director, Dr. Courtney Aklin

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June 23, 2025 - NCC Thanks Representatives Walberg and Courtney for Introducing Legislation that Improves Access to Workers’ Compensation for Injured Federal Workers

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June 12, 2025 - NCC Thanks Members of Congress for Introducing the Nurse Corps Tax Parity Act of 2025

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June 9, 2025 - NCC Thanks Representative Courtney and Senator Baldwin for Introducing the Workplace Violence Prevention for Health Care and Social Service Workers Act

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June 4, 2025 - NCC Submits Testimony to Senate Appropriation LHHS-ED Subcommittee

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March 5, 2025 – Group ICAN SignOn Letter Reintroduction Senate Finance 119th Final

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2024

October 2, 2024 – Home Reporting of Telehealth Practitioners

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August 1, 2024 - Health Care’s Rebuke of Reckless Reporting

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June 3, 2024 - Resources for Providers: Hospice Certifying Physician Edit Clarification to Legislative letters

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CMS-1808-P: Medicare and Medicaid Programs and the Children’s Health Insurance Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the LongTerm Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2025 Rates; Quality Programs Requirements; and Other Policy Changes

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2023

September 2023 - Transparency Section 6101 Sign-on

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July 24, 2023 - NCC Thanks Sen. Merkley for Introducing the Nurse Corps Tax Parity Act of 2023

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June 28, 2023 - NCC United States Cadet Nurse Corps Support Letter

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June 20, 2023 - NCC Letter Supporting the I CAN Act.

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June 16, 2023 - NCC Letter Supporting Workplace Violence Prevention Act

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June 12, 2023 - NCC Support for the National Nursing Workforce Center Act of 2023

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May 5, 2023 - Supporting ICAN Act Letter

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May 4, 2023 - NCC Letter Supporting Workers' Comp for Injured Federal Workers Act

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April 11, 2023 - FY24 Title VIII Nursing Workforce Programs FINAL

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March 31, 2023 - NCC_Nurses Week Resolution Thank You

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March 24, 2023 - FY24_Title VIII Nursing Workforce Development_Final with Signatures

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March 20, 2023 - NCC Response to HELP Committee's RFI

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March 6, 2023 - U.S. Citizenship and Immigration Services Fee Schedule and Changes to Certain Other Immigration Benefit Request Requirements (RIN: 1615-AC68)

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March 6, 2023 Final USCIS Comment Letter

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March 9, 2023 - NCC Waiver Request Letter

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March 3, 2023 - Sign On Letter CMS-2023-0010, 2024 Medicare Advantage and Part D Advance Notice

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March 1, 2023 - CMS-2023-0010, 2024 Medicare Advantage and Part D Advance Notice

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January 26, 2023 - Telehealth Coalition Letter

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January 26, 2023 - Sign On to Letter to CMS on Extending Telehealth Codes through CY 2024

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2022

December 12, 2022 - President Biden Sign-On Letter On CMS Amyloid PET CED

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October 11, 2022 - Transparency Section 6101 Sign-on Letter

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September 26, 2022 - NCC Fall Priority Letter

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September 15, 2022 - NCC FY 2023 Title VIII and NINR Updated Request

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August 12, 2022 - CMS-4203-NC; Medicare Program - Request for Information on Medicare Advantage

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July 8, 2022 - Public Statement on Medicare Coverage of Medically Necessary Oral and Dental Health Therapies

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June 18, 2022 - NCC Nurses Week Resolution Thank You

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June 9, 2022 - NCC Letter Supporting S.4182 Workplace Violence Prevention Act

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June 7, 2022 - NCC SC Letter Supporting H.R. 6087

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May 11, 2022 - NCC Senate FY2023

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May 11, 2022 - NCC House FY2023 Testimony

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May 6, 2022 - NCC Nursing Priorities Letter

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April 25, 2022 - NCC Waiver Request Letter Final

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April 11, 2022 - NCC FY 2023 Title VIII and NINR Request Senate

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April 11, 2022 - NCC FY 2023 Title VIII and NINR Request House

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March 18, 2022 - NCC Welcome Letter to AHRQ Director Dr. Otto Valdez

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February 24, 2022 - APRN Workgroup Letter to the Departments To January 19 Listening Sessions

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February 14, 2022 - NCC U.S. Cadet Nurse Corps Support Letter to HVAC

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January 19, 2022 - NCC FY 2022 Title VIII and NINR Requests

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January 19, 2022 - NCC BBB Act Requests

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2021

July 14, 2021 - Congressional Task Force on Alzheimer's Disease and Congressional Neuroscience Caucus

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2020

December 17, 2020 - AELTCC Letter PFS Cuts in 2021

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September 30, 2020 - NCC Letter to Support FAAN Act

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September 18, 2020 - Stakeholder Letter of Support IAH Extension

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September 11, 2020 - NCC Letter on United States Cadet Nurse Corps Service Recognition Act of 2019

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June 18, 2020 - Post COVID Telehealth Priorities

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May 21, 2020 - LEAD Coalition Letter - Leaders Engaged on Alzheimer's Disease

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May 21, 2020 - Community Statement on the Integral Role of Oral and Dental Health Care in Protecting Americans from Viral Pandemics

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May 19, 2020 - Reasonable Liability Protections

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May 15, 2020 - COVID-19 Nursing Mental Health Letter

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April 14, 2020 - Development of Medicare Quality Innovation Network - Quality Improvement Organization (QIN-QIO)

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April 16, 2020 - APRN Practice Expansion

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April 13, 2020 - Red Hand Alert Letter

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March 23, 2020 - Statement Regarding Nurse Practitioner Students and Direct Care Clinical Hours

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January 17, 2020 - CMS Feedback on Scope of Practice Letter

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2019

December 20, 2019 - Support Letter of President’s Executive Order entitled Protecting and Improving Medicare for our Nation’s Seniors (EO)

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December 13, 2019 - Repeal Letter of the Health Insurance Tax (HIT) for Medicare Advantage and Part D Beneficiaries

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August 8, 2019 - NP Roundtable Position on Post-Licensure Clinical Training

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March 21, 2019 - National Nurse Act on 2019

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February 21, 2019 - Nurse Practitioner Perspective on Education Post Graduate Training

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2018

November 26, 2018 - Regulatory Provisions on Burden Reduction Comment

GAPNA, in support of the Home Health Group, appreciates the opportunity to provide comment in response to the proposed rule to promote program efficiency, transparency and burden reduction in the Medicare and Medicaid programs (83 FR 47686)...

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November 16, 2018 - Letter in Support of Medicare and Medicaid Programs; Regulatory Provisions

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July 20, 2018 - Credit for Caring Act

Proposed legislation, called the Credit for Caring Act, would create a federal, nonrefundable tax credit of up to $3,000... AARP is urging the inclusion of this family caregiver tax credit in the final tax reform package.

June 22, 2018 - Diabetic Shoe Bill Introduced in the Senate

This bipartisan bill would authorize nurse practitioners and physician assistants to certify a Medicare beneficiary’s need for therapeutic shoes...

AANP Advocacy Center

June 22, 2018 - GAPNA Partnering with AANP and Requests Your Action Now!

We ask that you please reach out to your Representatives and urge them to support H.R. 6... Section 303...

Take Action

June 19, 2018 - Thank You Letter to Chairmen Walden & Brady

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June 19, 2018 - Letter to the Honorable Kirstjen M. Nielsen

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June 7, 2018 - Expand Access to Opioid Addiction Treatment

Legislation would permanently authorize APRNs to prescribe medication-assisted treatment like buprenorphine...

Take action

April 12, 2018 - NCC House FY 2019 Appropriations Request

Read the letter to the House | Senate

March 23, 2018 - Congratulations Letter to Secretary Azar

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March 22, 2018 - Appropriations and Gun Violence Research Act

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2017

Below find letters in support or opposition of current/pending legislation. Also included are short articles in the "Legislative Corner," regarding recent legislative information, which are marked with (*LC) after the date. Items are listed by the date they were added to the site.

December 20, 2017 - ARPN Letter to CMS on Carrier Advisory Committee

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November 21, 2017 - Health Insurance Tax Letter

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October 31, 2017 - APRN Letter on VA Telehealth Proposed Rule

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October 18, 2017 - NCC Letter to Acting HHS Secretary

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October 11, 2017 - APRN Comment Letter on CMS Physician Fee Schedule Proposed Rule

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June 1, 2017 - 2017 Statement: Commitment to America's Health

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March 10, 2017 - IAH Act Support Letter

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March 2, 2017 - NP Roundtable Letter to Senate Finance Committee

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March 2, 2017 - NP Roundtable Letter to Senate HELP Committee

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March 2, 2017 - NP Roundtable Letter to Ways and Means Committee

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February 2, 2017 - NP Roundtable Letter to Energy and Commerce Committee

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January 1, 2017 - NC VHA Comments CRNA

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2016

December 16, 2016 - Nursing Community Transition Letter to Vice President-Elect Mike Pence

On December 12, 2016, the Nursing Community sent a letter of transition to the Honorable Mike Pence, Vice President-Elect and Chair of the Presidential Transition Team.

GAPNA was among 60 national nursing organizations within the coalition to sign this letter.

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June 1 & June 13, 2016 (*LC) – The Sign-on Letter: VA Proposal to Expand Access

Review and respond to a proposal from the Veterans Health Administration (VHA) published in the Federal Register. The VA proposes allowing all APRNs to practice to the full extent of their training and education.

This would advance scope of practice in states with restricted APRN authority. GAPNA encourages all members to submit comments in support.

Download template: DOC   |   PDF

Related:

Read the Sign-on Letter

May 25, 2016 (*LC) – VA Proposal to Expand APRN Access

The VHA proposed granting Full Practice Authority to APRNs serving in VHA facilities. The 60-day comment period ended July 25, 2016.

This rule defines APRN roles, reinforces Veteran patient safety, and seeks to reduce care delays. Members were encouraged to review the proposal and submit public comment.

April 28, 2016 - Final APRN Letter to HE&C-H

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2015

May 21, 2015 - APRN Letter on the NIH National Pain Strategy

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May 5, 2015 - Letter to VA Secretary McDonald Supporting APRN Full Practice Authority

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March 24, 2015 - APRN Groups Call for Swift Passage of H.R. 2, “Medicare Access and CHIP Reauthorization Act"

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March 3, 2015 - H.R. 1247 Improving Veterans Access to Quality Care Act of 2015

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February 11, 2015 - APRN Groups Support the 21st Century Cures Discussion Document

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February 3, 2015 - NC Congratulatory Letter to Margaret C. Wilmoth on Senate Confirmation

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February 3, 2015 - NC Letter to Newly Elected Representatives of the 114th Congress

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February 3, 2015 - NC Letter to Newly Elected Senators of the 114th Congress

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February 3, 2015 - APRN Comment Letter on ACO Proposed Rule

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2014

November 5, 2014 - NC Testimony for Senate Hearing on Ebola

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October 27, 2014 - NC Statement on Ebola Virus Disease

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October 1, 2014 - Support for AHRQ Senior Advisor for Nursing Position

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August 20, 2014 - “They're Coming Home: Go Meet Them!”

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August 18, 2014 - Congratulations to Senator Merkley

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July 28, 2014 - Congratulations to Hon. Sylvia Mathews Burwell

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June 11, 2014 - Draft NC Letter Supporting Dr. Schwartz

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June 10, 2014 - Support for HHS Secretary Nominee

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June 10, 2014 - Support to Modernize the VHA Nursing Handbook

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May 28, 2014 - NC FY2015 Senate LHHS Testimony

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May 28, 2014 - DCL Thank You Letters (Merkley, Hanna, Capps, Sebelius)

Merkley Letter

Hanna Letter

Capps Letter

Sebelius Letter | Status: Draft

May 20, 2014 - 2014 NP State Practice Environment

Nurse practice laws vary by state. View AANP’s guide.

May 19, 2014 - NP Perspective on Education & Training

Read the letter | "NP Roundtable Releases Statement."

March 13, 2014 - Congressional & Senate Letters Supporting Workforce Development

Congress Letter

Senate Letter

March 4, 2014 - NC Letter to HR McDermott re: DME Ruling

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February 20, 2014 - NC Congrats to RADM Trent-Adams on CNO Appointment

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February 20, 2014 - NC Thank You to KP Nesseler for CNO Service

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February 12, 2014 - APRN Compact Comments from GAPNA President Lisa Byrd

Detailed concerns regarding Rule IV (Grandfathering) in the APRN Compact and GAPNA’s recommendation for improving licensure portability.

February 5, 2014 - NC Letter Supporting Dr. Murthy as Surgeon General

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February 5, 2014 - NC Letter on Proposed VHA Nursing Handbook Changes

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February 4, 2014 - Senate Approves Nursing Workforce Development Budget

Key funding provisions passed by Senate and House, including $223.8M for Nursing Workforce Development programs.

2013

The 2013 Year in Review

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December 11, 2013 - APRN Letter Supporting Draft Legislation Repealing SGR Cuts to Medicare Part B and Reforming Medicare Payment

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November 20, 2013 - NC Letter to S/HR Supporting Nursing Education & Research

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November 15, 2013 - NC Letter to S-HR re FY2014 Education & Research Programs

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November 1, 2013 - NC Letter to S/HR re Budget Conference Committee

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October 8, 2013 - US Rep. Knoen - Rural Therapy Services

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October 8, 2013 - US Rep. Bonamici - Primary Care Act

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October 8, 2013 - House Energy Committee - Protect Patient Access to Quality Health Professionals

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October 8, 2013 - US Sen. Moran - Rural Therapy Services

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September 30, 2013 - NC Letter to Senate Committee on Finance re: Improving Mental Health System

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August 16, 2013 - NPRt Letter to House Committee on Ways and Means re: PAC Reform

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August 16, 2013 - NPRt Letter to House Committee on Ways and Means re: Medicare Reform Comments

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August 14, 2013 - Letter Regarding Concern About National Nurse Act of 2013 (H.R. 485)

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August 14, 2013 - Letter to LHHS Subcommittee Supporting Nursing Education FY 2014

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July 31, 2013 - Letter to A. Schwartz/G. Walden Supporting Home Health Act (H.R. 2504)

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July 31, 2013 - APRN Letter to HEC Regarding SGR Repeal & Medicare Reform

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June 5, 2013 - Senators Collins and Mikulski - Letter of Support for Positive Aging Act

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May 31, 2013 - Letter to Senate LHHS Subcommittee re: FY 2014 Budget Request

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May 23, 2013 - Congratulations to Marilyn Tavenner, Administrator for CMS

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