Request to support issue/legislation

The Kentucky Nurses Association (KNA) is preparing for the General Assembly session in Frankfort. KNA would like to be a good health care partner with other like-minded organizations on issues that improve the health of the Commonwealth. If you would like to partner with KNA on any resolutions, issues or legislation, please fill out the form below and submit to KNA.

Kentucky Nurses Association - KNA

305 Townepark Circle, Ste 100

Louisville, KY 40243

502-245-2843

ExecutiveDirector@Kentucky-Nurses.org

Organization Name

Contact Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Web Site Address

Cell Phone

Area CodePhone Number

Bill Name and Number (House or Senate bill)

Contact Person's Name for Bill

Contact Person's Cell Phone

Area CodePhone Number

Contact Person's Email Address

example@example.com

Two Sentence Description of Bill

Describe how this issue will impact nurses

Describe how this issue will impact nursing

Describe how this issue will impact patients

Talking Points of Bill

YesNo

If you have a lobbyist, please list name, cell phone and email address

Who are your legislative champions?

Who is the opposition to this bill?

Why should nurses care about this bill?

Is there a KNA Nurse or member supporting this legislation?

Deadline. What is the deadline for KNA to give your organization an answer?

Deadline. What is the deadline for KNA to take action and send information to Members?

History of bill/issue. Has it been previously filed?

Fiscal Impact. What is the fiscal impact of this bill?

If the KNA Governmental Affairs Cabinet decides to partner or share information on this bill, It is your organization's responsibility to provide the exact language to share with KNA members. Your group will need to provide the text copy, flyer, web site link to KNA.

We understand that it is our responsibility to provide KNA the exact language, flyer or web link of the information, with directions for any action you want KNA members to take.

Request to Support or Oppose an Issue or Legislation