Expanding Access to Healthcare for All

NNCC recognizes public health nurse home visiting as a gold standard in evidenced-based, nurse-led care. Click here to learn more.

NNCC believes nurses should be empowered to practice to the full scope of their training. Click here to learn more about full practice authority.

Racial disparities in maternal health outcomes are stark and persistent: Non-Hispanic black women experience maternal deaths at a rate three to four times that of non-Hispanic white women. Maternal deaths have tragic physical, emotional and socio-economic impact on children, families, and our communities. In 2018, nine state-level maternal mortality review committees estimated that over 60% of pregnancy-related deaths are preventable. NNCC supports anti-racist programs and policies working toward reducing implicit bias and health disparities, improving maternal health, and preventing maternal deaths, including Medicaid coverage to one year post-partum.

NNCC supports the protection and expansion of the Affordable Care Act, Medicaid, and other policies and programs that cover more families with affordable, high-quality insurance. This includes improved access to innovative forms of Non-Emergent Medical Transit (NEMT). NNCC acknowledges the great public health benefits of access to insurance for all, including college students, those with pre-existing conditions, and the underinsured.

Recognizing that community health centers are on the front lines of treating underserved populations, NNCC is committed to supporting their funding and development. As a member of the Friends of HRSA, NNCC advocates for health center appropriations. NNCC’s technical assistance team ensures that community health centers have access to current, state of the art training and technical assistance to improve the efficiency and quality of the services they provide.

NNCC recognizes that nurses are at the core of the healthcare workforce. Although insurers and patients alike understand the value of nursing services, Medicaid billing models fail to recognize the contributions of nurses and APRNs fully. Healthcare starts at home and in the community - improved and expanded reimbursement models will increase access to care. NNCC supports innovative strategies that address structural determinants of health, including but not limited to IBCLCS, APRNs, and perinatal doula services.

NNCC supports policies that increase access to mental healthcare, especially in the postpartum population. Gaps in insurance coverage and low reimbursement rates for providers means that high-quality, affordable mental health services are often out of reach for low-income families. NNCC is piloting a program to provide therapy to home visiting clients at no charge, and is advocating for regulatory and legislative change that would allow for Medicaid reimbursement for in-home mental health services.