For several decades various proposals have surfaced to change education and licensure for the nursing profession. The proposal by the American Nurses Association has caused widespread controversy among proponents and opponents about the future of nursing education. It sought to establish two levels of nursing: (a) professional, requiring a Bachelor of Science in Nursing, and (b) technical, requiring an Associate Degree in Nursing. This article addresses the issues, concerns, and results of this proposal during development of the Illinois Nursing Act of 1987. Implications are presented from a non-nursing perspective and an educational perspective of the impact of the Illinois Nursing Act as well as the problems associated with providing adequate, high quality health care in a cost accountability environment.



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