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2019 Legislative Session

Step 1- Prepare for Your Meeting

In advance of your meeting, reach out to the local agency in your area to learn more about how Nurse-Family
Partnership operates in your community. You can visit our website at to get more information about your local team. Ask for local client
success stories.

Prepare for your meeting by researching the legislator you plan to meet with by reading his/her bio online or in
your materials. Tailor your message to his/her interests or committee participation. You can go online to to learn more about your legislators or download the Texas Legislative App on your
smart phone. There may be more information available about the members through a general Google search.
It can be helpful to know more about the members’ personal interests, college or profession, and any interests
you might share to start your meeting with shared conversations.

Find a personal story to share from a mom enrolled in Nurse-Family Partnership. There are currently five
Texas stories available on our website at . Rosa,
Mirna, Tinneka, Tiesha, Mariah and Nurse Vicki are all Texas clients or graduates.

Step 2- Give a Brief Overview of Nurse-Family Partnership

Nurse-Family Partnership empowers first-time moms to transform their lives and create better futures for
themselves and their babies. Nurse-Family Partnership works by having specially trained nurses
regularly visit first-time moms-to-be, starting early in the pregnancy, and continuing through the child’s
second birthday. Nurses offer support to moms to help them set small goals from one visit to the next to
improve their pregnancy health, their children’s health, and their families’ economic self-sufficiency. In
addition to great outcomes for families, Nurse-Family Partnership is a wise investment for government.
For every $1 spent on Nurse-Family Partnership, up to $5.70 can be saved in government spending on
health, education, social services, and criminal justice.

Step 3- Tailor Your Message

Choose a few key data points to share based on what might interest the legislator. For example, if they are
interested in maternal mortality, discuss the pregnancy health outcomes. If they’re interested in crime
prevention, the messages on crime prevention might resonate.

National Data1 hypertension1

Improved Pregnancy Outcomes: • 18% fewer preterm births compared to similar
• 35% fewer cases of pregnancy-induced low-income mothers nationally2

1 Research Trials and Outcomes 2 Thorland, W., & Currie, D. (2017). Status of Birth Outcomes in Clients of the Nurse-Family
content/uploads/2017/07/NFP_Research_Outcomes_2 Partnership. Maternal and Child Health Journal, 21(5),
014.pdf 995-1001.
• 79% reduction in preterm delivery for women by child’s age 15
who smoke cigarettes1 • 59% reduction in child arrests at age 15
• 31% reduction in very closely spaced • 50% reduction in language delays of child
subsequent pregnancies3 age 21 months;
• 67% reduction in behavioral/intellectual
Improved Child Health and Development: problems at age six
• 19% more babies immunized at 6 months,
compared to similar low-income mothers Increased Economic Self-Sufficiency:
nationally2 • 82% increase in the number of months that
• 21% more mothers breastfed at 6 months, mothers are employed within the first 4
compared to similar low-income mothers years of the child’s life1
nationally2 • 20% reduction in months on welfare1
• 39% fewer injuries among children under • 68% increase in father’s presence in
age 2; household1
• 56% reduction in emergency room visits • 61% fewer arrests of the mother; 72% fewer
for accidents and poisonings for children convictions of the mother by child’s age
under age 2; 151
• 48% reduction in child abuse and neglect

Texas Data
In Texas, registered nurses have conducted 337,026 home visits with 14,964 clients since
the program began in 2008 through September 30, 2018 (A. Stoneburner, personal communication,
December 21, 2018). Some of the outcomes in Texas since the program started include4:
• 25% decrease in smoking during pregnancy
• 35% decrease in using alcohol in pregnancy
• 56% decrease in experiences of violence during pregnancy
• 10.6% babies born before 37 weeks
• 10.1% of babies born low birth weight (under 5.5 pounds)
• 90.1% of mothers initiated breastfeeding
• 95.1% of children up to date with immunizations by 24 months

Make the Ask

Ask your legislators for what you want in specific terms i.e. additional funding, clients
served, legislation, etc. It’s ok to be direct about what you want. The legislators expect you
to do so. If you are meeting with a non-appropriations committee member, please ask the member to ask
their colleagues on the committee to support it before it goes to the floor.

Nurse-Family Partnership is requesting $12 million in funding to serve 1200 more families. Will you
support our appropriations request to help an additional 1200 Texas families transform their lives?

3 Kitzman H, Olds DL, Sidora K, Henderson CR Jr, Association 2000 Apr 19;283(15):1983-9.
Hanks C, Cole R, Luckey DW, Bondy J, Cole K, Glazner
J. Enduring effects of nurse home visitation on 4Nurse-Family Partnership Quarterly Report for Texas
maternal life course: a 3-year follow-up of a NFP Data through 30JUN18
randomized trial. Journal of the American Medical