Nursing Leaders Nationwide Say It's Important for Nurses with Associate's Degrees to Return to school to earn their Bachelor of Science in Nursing (BSN) degree within 10 years of graduating from an associate degree program to maintain their licensure. The reason this bill is passing is patient safety. Nurses with a Bachelor of Science in Nursing (BSN) degree have lower mortality rates in the surgical department, fewer incidences and better outcomes in acute care settings, which is strongly emphasized in the 'Affordable Care Act required for reimbursement payments (American Association of Colleges of Nursing, 2014). This bill A01977/S02533A was introduced on January 27, 2012 in the State of New York. At the same time, the State of New Jersey also introduced a similar bill, A553. This author will represent one of the registered nurses with an associate's degree who returns to pursue her BSN to see the effectiveness of the health care bill and therefore supports the bill. According to The American Nurse (2014), in the state of Philadelphia, one of their health systems, known as Main Line Health System, initiated the recommendation of 80 percent nurses with BSN by 2020 by the Institute of Medicine. Facility leaders recommended new managers, nurse coordinators, educators and staff obtain their BSN within three years. To help nurses financially, Main Line Health offers $6,000 per year in tuition reimbursement. They also offered BSN programs on the job site. At Brigham and Women's in Massachusetts, this hospital also aimed for 80% by 2020. This facility only hires new graduates with their BSN degree. Brigham and Women's offers $2,600 per year for tuition ... middle of paper ... if there is any. Additionally, listening to residents' needs is considered important. For example, this author administers pain medication on time when the resident requests it. When administering analgesics, it is important for this author to assess the pain based on a pain scale from zero to ten, the location of the pain and to reassess the pain 30 minutes after the administration of the drug. Another situation that is important for the nurse to learn is to follow laboratory draws for medications that require maximum and minimum levels in order to administer or maintain the next dose of the medication. Additionally, some residents believed that this perpetrator controlled the rehab floor. These are some of the important reasons why this author recommends nurses return to school for their BSN training to ensure patient and/or resident safety..