1. Lori Scheidt Executive Director Missouri State Board of Nursing

2. Missouris Journey 2000-2010 July 2000 Stakeholder Meeting 60 attendees (legislators, associations, schools, employers & nurses October & November 2000 Stakeholder Forums 8 areas of state

3. Missouri Legislation 163 State Representatives 34 State Senators Term Limits – 8 Years Per Chamber Bill Passage 18 Senate votes 82 House Votes Governors approval

4. Legislative History 2001 - HB 1017 2002 - HB 1796 2003 - HB 520 2004 - SB 1127 2005 - HB 556 2006 - HB 1150 – Voted down in committee 2006 - SB 664 – Died in committee 2007 & 2008 – No bills filed 2009 – 2 Senate Bills filed – Success at Last! Died in Committee

5. What Went Wrong? Legislation Filed without Consensus Building Committee Chair Against Compact Association Lobbied Heavily Against Sensationalized Myths

6. 2007 – Strategic Shift No legislation filed in 2007 & 2008 Worked on relationship building Demystified Myths Employers advocated for compact

7. 2009 – The Stars Aligned Two Senate Bills Filed On behalf of an employer, not Board of Nursing Reached agreement with association No opposition testimony in hearings Employer testimony focused on cost to do business in Missouri New legislative leadership

8. Tips from Missouri Break the Bill Down – keep it simple Get a powerful sponsor Get bill heard early Lobbyist Grass Roots Support Educate Early Face-to-Face Meetings are Better Build solid relationships with nursing groups (not just on the compact). Trust is key. Build relationships with lobbyists and legislators.

9. Thank You! Lori Scheidt Executive Director Missouri State Board of Nursing lori.scheidt@pr.mo.gov