CMSA Today - Issue 2, 2012 - (Page 14)

MSL Task Force Can You Hear Us Now? What’s Happening with the Multi State Licensure Task Force BY JOSE M. SANTORO AND CAROL K. SMITH T he Multi State Licensure Task Force was created to keep CMSA members informed and engaged regarding the issue of multi-state licensure (MSL) and the vehicle for change, the Nurse Licensure Compact (NLC). Peggy Leonard, chair of the CMSA Public Policy Committee (PPC) created the MSL Task Force to move this important initiative forward, appointing Jose M. Santoro and Carol K. Smith to lead the initiative. similar to the way a driver’s license is recognized in other states. Why would a state board of nursing be hesitant to recognize nursing licenses obtained in another state? The answer lies mired in misunderstanding about the Compact, inconsistency in licensing requirements, nursing board concerns about losing money from out of state residents seeking licensure, and last but certainly not least, the arduous legislative process required to bring the NLC into a state. Why is the Compact important to nurses who provide telehealth services across state lines? Without attention to proper licensure, nurses are p putting p p , g themselves at risk should legal actions arise. To date there have been no legal decisions of record in regards to licensing practices related to providing nursing across state lines. However, somewhere there is a nurse case manager working across states lines telephonically/electronically telephonically/electronically p whose name will be linked with case law for a multi- state practice issue. Considering no For those who missed the attention given to the issue of multi-state nursing licensure, here is background information. The Telecommunications Act of 1996 called for development of standards and regulatory infrastructure for the increasingly common practice of telehealth in the US. Changes inherent in multi-state nursing practice necessitated modification of the state-based regulatory model of nursing licensure. In response to changing care delivery models, the National Council State Boards of Nursing (NCSBN) developed an inter-state compact model called the Nurse Licensure Compact (NLC), also referred to as “the Compact.” Since colonial p times, inter-state compacts have successfully regulated many industries and service providers operating across state lines in the United States. The NLC is a mutual recognition pact that allows registered nurses increased mobility while protecting their licenses. If a nurse’s primary residence is in one of the 24 states s that currently participate in the NLC, C that nurse may work in any Compact y state without seeking additional state licensure. This is CMSA TODAY malpractice carrier will cover a nurse working outside the scope of his/her license, that nurse will face personal liability if damages arise from legal action. Further, loss of license, imprisonment and fines are possible for this unfortunate nurse case manager. CMSA has long supported the protection afforded to nurses by the NLC. As far back as 2004, outreach efforts were in place to support NLC participation in all U.S. states, territories, and the District of Columbia. Once the multi-state nursing licensure issue was re-invigorated by creation of the MSL Task Force in 2009, interest and momentum has skyrocketed. Within five months of inception, the PPC MSL Task Force had 131 members from 32 states. By January 2012, the Task Force numbers over 1,200 individuals representing 41 states and the District of Columbia. The MSL Task Force has forged a strong collaborative relationship with stro Jim Puente, Associate, Nurse Licensure Co Compact Administrators (NLCA). Jim’s ded dedication to the CMSA MSL Task Force is exemplary. He has participated in e ma many Task Force teleconferences, affording opportunities for Task Force o pa participants to ask questions and gain cut cutting edge information about the gro growth of the Compact. The NLCA is ad division of NCSBN, is comprised of Executive Directors, and administers Exe the Compact for participating states. MSL Task Force teleconference calls are MS held regularly and are well attended. he CMSA PPC chair Peggy Leonard and CM President Mary Beth Newman are Pre frequent participants and strong NLC fre supporters. sup 14 ISSUE 2 • 2012 • DIGITAL

Table of Contents for the Digital Edition of CMSA Today - Issue 2, 2012

2012 Public Policy Summit, April 23-24
Aligning Professional Ethics with Innovation: Licensure Portability’s Predicament
Can You Hear Us Now? What’s Happening with the Multi State Licensure Task Force
The Evolving Role of Care Coordination in an Acute Care Environment: Confi rming the Appropriate Utilization of Necessary Services – Separating Tasks from Process (Part 2 of 3)

CMSA Today - Issue 2, 2012