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 • MNNP Political Update • 

About Maureen O’Connell: MNNP's Political Lobbyist
Maureen O’Connell is an attorney who started her own consulting firm O’Connell Consulting, LLC in October, 2013. She is a policy and government relations consultant on health care and economic justice issues for a variety of nonprofit organizations including AARP, American Massage Therapy Association-Minnesota Chapter-Minnesota Chapter, Mid-Minnesota Legal Assistance, Minnesota APRN Coalition and TakeAction Minnesota. She is also the co-founder of Health Access MN, a MNsure partner and navigator agency, providing health care outreach and enrollment assistance to individuals accessing health insurance coverage though Minnesota's online marketplace. She was a Legal Aid attorney for over twenty years and served as the Assistant Commissioner - Chemical and Mental Health Services Administration at the Minnesota Department of Human Services from 2010-2012.

Update 5/9/2017
  • Good news from the legislature! On Thursday the APRN signature bill SF 1844 passed the Senate floor 64-0. Our author Senator Mary Kiffmeyer did  a fantastic job shepherding  our bill through the Senate. There are two steps left before the bill becomes a law. The next step is that the bill will be sent over to the House for a vote on it. We are hopeful the House will act this week and do not anticipate any problems. After the House vote the bill is then sent to the Governor for his signature.


Update- 3/1/2017


Our own Noelle Andrychowicz went to D.C. with fellow MN nurse practitioners to lobby for APRN practice this past week.  It was a great meeting- more to come when she returns!




Update - 2/28/2017


Below is a joint statement submitted by MNNP and the APRN Coalition




Advanced Practice Registered Nurses (APRNs) have provided comprehensive healthcare to Minnesotans for decades.  Full-practice legislation, enacted in January of 2015, removed barriers to care.  Outdated policies require physician signatures on paperwork for many services APRNs already provide. These requirements lead to delays in care and services and could increase healthcare cost.   

Physician co-signatures are required for services APRNs are providing

Andrea attends her first day in middle school.  She met with her primary care nurse practitioner (NP) for her school physical and brings along all required documentation. Andrea previously had a positive tuberculosis screening test, but a recent x-ray and symptom review revealed no evidence of active TB disease. This was all noted and signed by her NP, however the school administrator sends Andrea home stating the law requires a physician signature.  

Delays in death certificate signatures increase stress and burden to grieving families

The NP caring for Mrs. Edwards for the past twenty years, managing her multiple chronic illnesses, has seen her through her final years of her life by providing care and emotional support to this patient and her extended family. When Mrs. Edwards dies, the family is forced to delay funeral planning because the NP, who is their loved-one’s primary care provider, is prohibited from signing her death certificate. This delay also impacts the family’s administration of their mother’s estate.


The Minnesota APRN Coalition and Minnesota Nurse Practitioners together are introducing legislation to update statutes to align language with current practice.

Updating signature laws to reflect current practice:

  • Promotes transparency and accountability by allowing documentation to reflect the patient/provider relationship.

  • Provides efficiency for patients as care delivery and form completion can be addressed in the same visit.

  • Promotes productive use of the health care workforce by eliminating the need for two health care providers’ involvement to sign, stamp, certify, or endorse one patient’s care forms, and plays a significant role in preventing delay and unnecessary costs on follow-up visit form completion. 

Currently, many states recognize APRNs ability to sign all state forms within their scope of practice by including them in each relevant statute or rule.  Additionally, twelve (12) states have broad-based signature recognition laws (Colorado, Georgia, Hawaii, Maine, Massachusetts, New Mexico, North Carolina, Rhode Island, Vermont, Virginia, Washington, and West Virginia). 

Removing APRN practice barriers, such as outdated signature laws, is consistent with recommendations from major policy organization such as the National Academy of Medicine (formerly the Institute of Medicine), National Governors Association, National Conference of State Legislatures, and the Federal Trade Commission.






APRN Coalition:

As a small and growing organization, MNNP relies on our partnership with the Minnesota APRN Coalition to jointly work towards full access to APRN care for all Minnesota Citizens. To that end, MNNP recommends that all nurse practitioner members also consider joining and supporting the Minnesota APRN Coalition. We will share the APRN Coalition updates and political action alerts with you through the MNNP webpage and emails.  To explore the mission and work of the Coalition, click here. 




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