Removing Regulations, Removing Barriers to Nursing Practice

  

Since President Trump took office, we have seen an Administration-wide push to eliminate unnecessary regulations. Back in January, President Trump issued an Executive Order (EO), Unleashing Prosperity Through Deregulation, requiring agencies to get rid of ten existing regulations for every new regulation introduced. This builds on deregulatory efforts from President Trump’s first term, where agencies were asked to get rid of two regulations for every new regulation introduced—now at a 5x larger scale. The goal of this effort is to increase government efficiency and reduce the administrative burden for stakeholders. As part of complying with the EO, the Department of Health and Human Services (HHS) sought public feedback on which regulations to eliminate through a request for information (RFI) on a deregulatory plan to lower healthcare costs and empower healthcare providers.

ANA has long-identified persistent regulatory barriers that nurses face and welcomed the opportunity to provide comment to HHS. In ANA’s official response to the RFI, the association detailed how HHS’ deregulatory efforts can remove barriers to nursing practice and advance our policy priorities by action such as:

  • removing regulatory barriers to allow advanced practice registered nurses (APRNs) to practice at the top of their license,  
  • eliminating overly burdensome collaboration and supervision requirements,
  • removing “incident to” billing from Medicare reimbursement,
  • making COVID-19 telehealth flexibilities permanent,
  • and banning the use of non-compete agreements for nurses in Medicare and Medicaid facilities.

Notably, this RFI from HHS is not the first health-related deregulatory RFI of this Administration—in May, ANA responded to the Centers for Medicare & Medicaid Services’ (CMS’) RFI on deregulation. CMS continues to promote this RFI in its 2026 Medicare Hospital Outpatient Prospective Pay System and Physician Fee Schedule proposed rules. This signals that the deregulation efforts will remain a key priority for the Administration. ANA will continue to respond to opportunities to weigh in on deregulation efforts as we advocate for nurses and advance nursing priorities. 

Future Nurses, Present Advocates: A Nursing Student’s NSNA Convention Experience

  

I’ve always been drawn to the dual role of advocacy in nursing. On one hand, it means seeking to understand patients and standing up for their well-being at the bedside, and on the other, it involves using those firsthand experiences to influence healthcare systems and policies. That broader vision of nursing inspired me to attend the 73rd Annual National Student Nurses’ Association (NSNA) Convention in Seattle, WA. There, I had the unique opportunity to not only represent the University of Texas at Arlington as a delegate, but to also approach the four day event through the lens of a policy and ethics intern for the American Nurses Association (ANA).

The NSNA hosts a network of over 50,000 members to foster professional development opportunities for nursing students. Members automatically gain admission to the NSNA by joining their school or state chapter affiliates; for example, my membership dues for the Arlington Nursing Students’ Association included access to the Texas Student Nurses’ Association and the NSNA. At the convention, students attended focus sessions on topics ranging from climate change and public health to medical malpractice. Dozens of professional nursing organizations—including ANA—tabled at the Exhibit Hall, where students gained firsthand access to study tools, nurse advocacy groups, nursing school admissions resources, and hospital employers. Several students ran for NSNA officer positions and took advantage of the convention to platform their campaigns in time for elections.

As a first-time attendee, my favorite part of the convention was the House of Delegates business meetings, where delegates voted on resolutions to shape nursing education and practice. Resolution authors representing their state and local chapters brought their proposals to the floor, and delegates engaged in pro/con style debates to offer new perspectives on each topic. Some resolutions, such as increasing food label literacy and expanding code lavender in hospitals passed unanimously, while other topics like maintaining Diversity, Equity, Inclusion, Belonging, and Accessibility legislation and preserving fluoride in drinking water garnered longer disputes.

The sheer range of perspectives presented was fascinating to me because they proved that nurses represent an array of lived experiences. I quickly learned that these weren’t only nursing students—they were also patients, immigrants, entrepreneurs, and parents. For example, a student from Arizona proposed that school nurses ought to be pre-hospital and trauma certified to make schools safer in the event of mass casualties and natural disasters. She shared that as a mother, she created the resolution out of concern for her school-aged children, effectively bridging her roles as a parent, advocate, and future nurse.

This delegate’s resolution, among several others, informed me of issues I had never considered before stepping into the convention. We often picture “advocacy” as wielding a bullhorn at the picket line or speaking to elected officials. While these ideas can be true, there’s a quieter, lesser known side of advocacy that involves absorbing stories from the people we serve, and approaching each of their experiences with curiosity and humility. Interestingly, this practice closely mirrors what nurses are already trained to do with their patients; future nurses are building the skillsets to listen actively and compassionately, collaborate across differences, and  work toward shared solutions.

Spaces like the NSNA Convention show nursing students how far these skills can reach beyond the bedside. In a climate where less than 10 percent of nurses are estimated to be involved in professional organizations and advocacy efforts, the NSNA Convention offers future nurses the vital opportunity to remain engaged and to see the impact of their voices firsthand. Listening to each resolution made it clear how much work lies ahead of us—but it also left me inspired by the knowledge that, as a future nurse, I have the power to help advance the nursing profession and its policies.

The delegation clashed over different priorities at times, but they stood united in one idea: nurses should be heard, and they are qualified to enact change. Ryan Barrett, the newly-elected 2025-2026 NSNA President, captured this best in his acceptance speech:

“There’s an old saying in advocacy: ‘If you’re not at the table, you’re on the menu.’ But we have a bolder vision. We’re not just pulling up a chair – we’re building a bigger table. A table where every nursing student’s voice echoes through the halls and where decisions on the future of the nursing profession are made. A table where the future of healthcare is shaped by those who deliver it.”

To join the NSNA and learn about all the resources it offers to nursing students, check your school’s constituency status and review the organization’s membership brochure.

From Capitol to Clinic – Q1 Nursing Legislation Update

  

The 119th Congress kicked off with a flurry of activity on Capitol Hill. During the first quarter of 2025, the American Nurses Association worked with nursing champions in Congress to advance nursing priorities and introduce key pieces of legislation to address issues ranging from the workforce pipeline to mental health resources for healthcare workers. Learn more below:

ANA's Executive VP of Policy and Government Affairs with Reps. Jill Tokuda and Diana Harshbarger.
ANA’s Executive VP of Policy and Government Affairs with Reps. Jill Tokuda and Diana Harshbarger.

PRECEPT Nurses Act (H.R. 392/S.131)

The Providing Real-World Education and Clinical Experience by Precepting Tomorrow’s (PRECEPT) Nurses Act would set up a 7-year pilot program to provide a $2,000 tax credit for nurse preceptors. A critical bottleneck in expanding the nursing workforce is the limited availability of clinical preceptors—experienced providers who provide hands-on training to nursing students, new nurses, or advance practice nurse candidates serving health professional shortage areas. Take Action for the bill!

ICAN Act (S. 575/H.R. 1317)

The Improving Care and Access to Nurses (ICAN) Act would modernize outdated Medicare and Medicaid policies placed on advance practice registered nurses (APRNs) seeking to treat patients to the full extent of their education and training. The bill would improve access to care, particularly in rural and underserved communities where APRNs often serve as primary care providers. Take Action for the bill! 

Increasing Access to Quality Cardiac Rehabilitation Care Act (S.717)

This bill is included in the ICAN Act and would give nurse practitioners (NP), clinical nurse 
specialists (CNS), and physician associates (PA) the ability to order cardiac and pulmonary rehabilitation services. 

Promoting Access to Diabetic Shoes Act (H.R. 1616

This bill would allow a nurse practitioner or physician associate to order diabetic shoes for their patients. Current law requires a physician to certify the need for the shoes, despite the fact that many NPs and PAs act as the sole primary care providers for patients with diabetes, imposing additional costs and delays for patients.

Dr. Lorna Breen Health Care Provider Protection Reauthorization Act (H.R. 929/S. 266)

The Dr. Lorna Breen Health Care Provider Protection Act became law in 2022—establishing mental health and substance-use disorder resources and trainings for nurses and healthcare workers. Now, the bill needs to be reauthorized, or its life-saving resources will be at risk. Take Action for the bill!

Ensuring Veterans Timely Access to Anesthesia Care Act (H.R. 2234

This is a new bill that would allow nurse anesthetists to practice to the full extent of their education and clinical training within the Veterans Health Administration.