Advocacy
Advocacy Toolkit
Mission of the MSNO and
an Overview of Our Organization.
Pending Bills of Concern
Board Members, Standing Committee
& Regional Chairs
Advocacy Toolkit

Advocacy Infographics/Flyers/Letters
The following flyers provide valuable information on important advocacy topics supported by the MSNO:
Billing MassHealth for Services
Every Child Needs a School Nurse
Nurses in the Educational Setting
MA Student Support Coalition: Info
Templates for Inviting Legislators to Your School
Find Your Legislator
Mass. Legislature Bills / Committees
- Search for a Massachusetts Bill
- Massachusetts Committees of the General Court
- Find out who is on what legislative committee
- Find bills
- Find Your Legislator
- Contact Info:
- MA House of Representatives: 1-617-722-2800
- State House Senator Lobby: 1-617-722-2000
- You may ask to speak to your Representative or Senator by name or by noting the community where you live
How to Write a Letter to your Legislator
Address the letter with proper titles:
- The Governor: “Her Excellency Maura Healey.”
- The Lieutenant Governor: “The Honorable Lieutenant Governor Kim Driscoll”.
- Your state senator, state representative, U.S. Senator or U.S. Congressman: “The Honorable.”
Salutations: “Dear Governor, Senator or Representative…” Address: State House Boston, Massachusetts 02133
Helpful Hints:
- Always identify yourself as a nurse and a constituent.
- Make reference to the bill or act you want them to support.
- Include brief reasons.
- If possible give examples.
- Ask for a response.
- When signing, include your complete name, title, organizational membership, address and telephone number. Remember that it can take just a few contacts from constituents to influence a vote in the legislature.
Sample Letter
The Honorable Representative/Senator: (Name)
Room (Room #) State House
Boston, Massachusetts 02133
Dear Representative or Senator: (Name)
I am one of over 2,100 school nurses in Massachusetts who is concerned with the safety and health care of the children in Massachusetts. Children attending schools today are faced not only with the usual common infectious diseases; they face the threat of other major health problems not always well understood by teachers, parents, and the communities. Special needs children integrating into the classrooms of every town have significant health and nursing needs. The administration of medication and monitoring their effects, coupled with the needs of children from dysfunctional families, further complicate the picture of school health.
Please watch for upcoming legislation for expansion of Chapter 71, Section 3, M.G.L. or bill #. We urge you to support an act/or Bill # of providing a minimum of one school nurse for every public and non- public school building in the Commonwealth.
Thank you for your attention to this important issue.
Sincerely,
Your name, RN (other credentials)
Address and telephone number
Telephone Protocol
Senator Lobby: 1-617-722-2000
House of Representatives: 1-617-722-2800
- Hello, my name is:
- I live in (town):
- May I speak to the legislative staff person?
- I am a school nurse in (school town):
- I am urging Senator/Representative to vote for (Bill # or Act#)
How to Write for Testimony
- Name the title of Bill or Act.
- Introduce yourself.
- Use personal experience. Your expertise is valued.
- “I am a registered nurse. I have….years experience in….”
- State your purpose. Know your argument. Are you for or against?
- Support arguments with facts. Every fact should be related to the argument. Don’t go off on tangents or try to make too many separate arguments. Keep it simple. Have one central idea in mind.
- Give examples.
- Avoid quotes from someone else. They are just quotes. It does not really help to support your argument.
- Use short sentences. Avoid overly technical or “fancy” words.
- You should acknowledge the other side. Let the reader know you are aware of arguments on the other side. If you can rebut them, do so.
Testifying at the State House
Similar to written testimony and you can leave your speech.
You will have only THREE minutes to speak….be concise, make eye contact and speak slowly!
- Introduce yourself.
- Name the title of Bill or Act.
- Use personal experience. Your expertise is valued.
- “I am a registered nurse. I have….years experience in….”
- State your purpose. Know your argument. Are you for or against?
- Support arguments with facts. Every fact should be related to the argument. Don’t go off on tangents or try to make too many separate arguments. Keep it simple. Have one central idea in mind.
- Give examples. Use short sentences. Avoid overly technical or “fancy” words.
- If they ask a question, tell them you appreciate the question, if you definitely know the answer you can reply. If you don’t know, tell them you will find out and get back to them…then get back to them!
- You should acknowledge the other side. Let the committee members know you are aware of arguments on the other side. If you can rebut them, do so.
- Thank them for their attention and for keeping the students in Massachusetts safe in school.
Pending Bills of Concern

Bill Search / Find Your Legislator
MA Legislation –Creditable Service for School Nurses update - May 2023
MA Medicaid Bill Update – March 2023
MA Legislation – Postural Bill Update - March 2023
Postural Screening Bill Update March 2023
H.2211 An Act to Update Postural Screenings in Schools
Presenter: Filed on 1/17/23 by Representative Kay Khan of Newton
Status: Referred to Joint Committee on Public Health on 2/16/23 |
S.1350 An Act to Update Postural Screenings in Schools
Presenter: Filed on 1/17/23 by Senator Julian Cyr of Cape & Islands
Status: Referred to the Committee on Public Health on 2/16/23 |
If this Bill is passed, Postural Screening would only need to be performed in schools annually for one grade instead of all grades 5-9.
MSNO supports this legislation to reduce postural screening frequency in schools because:
- The U.S. Preventive Services Task Force concluded there is insufficient evidence to recommend routine postural screening,
- Critical time on learning is lost over 5 grades,
- Many parents/guardians opt-out each year (school nurses report up to 60% opting out of the screening)
- Primary Care Pediatric Providers perform postural screening as part of the physical exam,
- School Nurse time is better used for other screenings, such as the universal SBIRT substance use screening in two grades as required by the 2016 STEP Act, and
- 93-97% of MSNO members polled in December 2018 (42% of all members, 365 school nurses) support filing this postural screening legislation.
- This bill with the same language was originally filed in 2016, and again in 2018 and 2020. Each time the bill has moved further; in 2021, the bill made it to the House Ways and Means Committee.
There are only 7 states, including Massachusetts, that require Postural Screening by law. Please visit US Preventative Services Task Force for more information.
MA Legislation – Urgent - Final Push for Postural Screening Bill-December 2022
Attention School Nurses:
Please spend just a few valuable moments to help influence the direction of the postural screening bill. We need your help to make a difference! Even if you have already called or emailed, we need you to do it again!
Please email your legislators ASAP to ask them to contact the Chair of the House Ways and Means Committee, Representative Aaron Michlewitz, or the Speaker of the House, Representative Ronald Mariano, and ask them to move the postural screening bill out of the House Ways and Means Committee to Senate Ways and Means.
Emails are needed as soon as possible!
At the close of the formal legislative session on July 31st, the Postural Screening bill (H.2335 and S.1401) remained in the House Ways & Means Committee and did not go to study. It is still there and can be moved forward during this informal session. Legislators continue to meet during this time and work on some of these remaining bills.
This week we met with Representative Kay Khan, who filed the bill in the House for us, to discuss getting this bill passed. She recommended emailing your representative, identify that you are their constituent, and ask them to move the bill forward.
It is also imperative that any school nurse who is a constituent of Chair Michlewitz or Speaker Mariano reach out to them personally and ask them to move it forward as one of their constituents. Your contact will have an impact!
As this bill is in the House, we are focusing our efforts on emailing Representatives (not Senators) at this time.
Sample Email for Postural Screening Call to Action
Written Testimony regarding the Postural Screening Bill by Jenny Gormley
MA Legislation – January 2022
Update regarding the Postural Screening Bill
- The Postural Screening Bills (Senate Bill, S1401, filed by Sen. Cyr; House Bill, H2335, filed by Rep Khan; same language in each bill) have moved to the Joint Committee on Health Care Financing where it will be reviewed by legislators on this Committee.
- MSNO has sent a letter to the Co-Chairs of the Committee, Sen. Cynthia Friedman and Rep. John Lawn, Jr., to ask them to favorably review the bill.
- In January, we will reach out to you to call your legislators for their support to move the postural screenings bills through remaining committees for a legislator vote before this legislative cycle ends Dec. 2022.
Update regarding Medicaid Reimbursement Bills Coming Soon
MA Legislation – April 2021
filed by Representative Kay Khan
SB1401 An act to update postural screening in schools
filed by Senator Julian Cyr
The Massachusetts School Nurse Organization has filed 2 Bills related to Postural Screening in the MA House and Senate with the same title and language.
These are the same bills that MSNO filed in the last legislative cycle starting 2019 when 71 MA legislators signed up to co-sponsor them. Here is a summary of the postural screening bills and reasons for filing. We are asking to decrease the state requirement of postural screening to once for students in grades 6, 7, 8, or 9 from the current requirement to screen all students in grades 5
through 9 (MGL Section 57 of Chapter 71).
We support this legislation to reduce postural screening frequency in schools because:
● Routine postural screening is not recommended by the U.S. Preventive Services Task Force,*
● Critical time on learning is lost over 5 grades,
● Many parents/guardians opt-out each year,
● Most Primary Care Pediatric Providers oversee postural screening as part of the physical exam,
● School Nurse time is better used for other screenings, such as the universal SBIRT
substance use screening in two grades as required by the 2016 STEP Act, and
● 93% of MSNO members polled in December 2018 (42% of all members, 365 school
nurses) support filing this postural screening legislation.
● There are only 7 states, including Massachusetts, that require Postural Screening by
law and in 1 grade only.
For more information, please contact a member of the MSNO Advocacy Team:
Doreen Crowe, MSNO President, president@msno.org
Jenny Gormley, MSNO Immediate Past President, pastpresident@msno.org
Cathryn Hampson, MSNO President-elect, president-elect@msno.org
Carilyn Rains, NASN Director for MSNO, nasndirector@msno.org
References:
Jakubowski T, Alexy A (2014). Does School Scoliosis Screening Make the Grade? NASN School Nurse , 29(5), 258-265.
Jinn J (2018). Screening for Scoliosis in Adolescents. Journal of the American Medical Association (JAMA) , 319(2),202.
Magee J, Kenney D, Mullin E (2012). Efficacy of and Advocacy for Postural Screening in Public Schools .Orthopaedic Nursing , 31 (4), 232-235.* https://www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/adolescent-idiopathic-scoliosis-screening1
Find your legislator here: https://malegislature.gov/Search/FindMyLegislator
Sample Postural Screening Letter to Ask for Legislator Co -sponsorship
2. Call and introduce yourself: “Hi, I’m __ name_ ___, a school nurse from town or city, resident of___ town you live in, and I wish to speak with the Representative/Senator about co-sponsoring a bill.” Your legislator may not be available, and you should ask for the legislative aide, and if this person is not available,give the information to the person answering the phone.
3. Say that you are calling to request that the Senator or Representative co-sponsor the Postural Screening bills,An Act to update postural screening requirements in schools, filed by Senator Julian Cyr in the Senate
(SB#1401) and Representave Kay Khan in the House (HD #2355) on behalf of the MA School Nurse Organizaon (MSNO).
HB2335 An act to update postural screening in schools
filed by Representative Kay Khan
SB1401 An act to update postural screening in schools
filed by Senator Julian Cyr
4. Share that these bills were filed by the same legislators in 2019 with a total of 71 legislators (senators and representatives) signing on to co-sponsor the bills in the House and Senate.
5. Explain that MSNO and school nurses are asking to decrease the state requirement of postural screening to once for students in grades 6, 7, 8, or 9 from the current requirement to screen all students in grades 5 through 9 (MGL Secon 57 of Chapter 71).
6. As time allows, you can explain to the legislative aide, why you are joining MA school nurses in asking for this change in the law:
● Routine postural screening is not recommended by the U.S. Preventive Services Task Force,
● Critical time on learning is lost with screening students in 5 grades,
● Many parents/guardians opt-out each year,
● Most Primary Care Pediatric Providers oversee postural screening as part of the physical exam,
● School Nurse time is better used for other screenings, such as the universal SBIRT substance use screening in two grades as required by the 2016 STEP Act, and
● 93% of MSNO members polled in December 2018 (42% of all members, 365 school nurses) support filing this postural screening legislation.
● only 7 states, including Massachusetts, that require Postural Screening by law for 1 grade only.
7. You may offer to email the legislative aide and Senator or Representative your request for them to co-sponsor the bills.
8. Thank the aide and Senator or Representative for considering co-sponsorship. Share your contact info if they have follow-up questions.
9. After your call, please email Jenny Gormley, MSNO Immediate Past President, pastpresident@msno.org, to share who you called and what their response was to your request. We are keeping track so that we can better
advocate for reducing the legal requirement for postural screening for students in 5 grades to students in 1 grade annually.
MA Legislation – June 2020
-
Postural Screening.Senate Bill #1233, An Act to update postural screening in schools, is still under consideration by legislators in the Joint Committee on Health Care Finance, chaired by Senator Cindy Friedman and Representative Dan Cullinane. The deadline for review was extended until June 19, 2020. Please call your legislators to ask them to request this bill move favorably out of this committee. See MSNO letter [linked] sent to the Committee Chairs with talking points about why MSNO is supporting the reduced frequency of annual postural screening from 5 grades to 1 grade.
-
School-Based Medicaid Reimbursement for school nursing services.The House and Senate Bills went to study in early 2020, meaning they are no longer being considered by legislators, and MSNO can consider filing again in the next legislative session, which starts in January 2021.
MSNO request Postural Screen bill move favorably out of HCF 6.12.2020
MA Legislation – May 2019
MSNO Bills Assigned to Committees for Review
- Return school nursing billed Medicaid funds directly back to School Health Services programming, including behavioral health assessment, case management, health education, social emotional learning and health support, and other related school health services. The House and Senate version language is the same; only the title is different.
- House bill #465: An act relative to the reimbursement of school-based care
- Senate bill #676: An Act relative to MassHealth provider reimbursement
- Update the MA postural screening law to decrease the frequency of postural screening in public school from all students in grades 5-9 every year to all students in one of the following grades every year: 6, 7, 8 or 9. The House and Senate version language is the same.
- House bill #1946: An Act to update postural screening requirements in schools
- Senate bill #1233: An Act to update postural screening requirements in schools
MA Legislation – February 2019
Thank You to our MA Legislators in support of co-sponsoring our bills of concern!
For the list of legislator support please click the link:
MA Legislation – January 2019
Action Needed on 2 Bills Filed in the MA House & Senate
Medicaid bills
- Senate bill #1966, An Act relative to MassHealth provider reimbursement, filed by Sen. deMacedo
- House bill #2904, A Act Relative to the reimbursement of school-based care, filed by Rep. Garlick
Postural Screening bills
- Senate bill #1995, An Act to update postural screening requirements in schools, filed by Sen Cyr
- House bill # 2899, An Act to update postural screening requirements in schools, filed by Rep Khan
Strategic Sample Co-Sponsorship Request Letters and Script-January 2019
All letters can be copied and pasted to MS Word or Google Docs and changed for your needs
- SUMMARY OF BOTH BILLS: Postural and Medicaid Reimbursement bills
- SCRIPT OF SAMPLE CALL–Postural Screening: to representative to request that representative place a call to the Co-Chair and ask that they release the bill favorably out of committee – suggested by MSNO