School nurses are vital advocates for student health, yet the New Mexico workforce has long faced staffing shortages and significant pay inequities. This article describes a successful policy advocacy campaign by the New Mexico School Nurses Association to achieve salary parity. By collecting and leveraging data, including statewide surveys and salary schedule audits, advocates demonstrated that school nurse compensation failed to match the state-mandated three-tiered pay scale guaranteed to teachers. This effort culminated in the passage of House Bill 195 in 2025, standardizing state-wide school nurse salary tiers and minimums. Subsequent legislation, House Bill 34 in 2026, refined licensure provisions for statewide implementation. This case study highlights the power of collective action, evidence-based arguments, and strategic partnerships with state agencies. The New Mexico experience provides a replicable model for school nurses to influence state-level policy and strengthen the school nursing workforce.
DavisD.MaughanE. D.WhiteK. A.SlotaM. (2021). School nursing for the 21st century: Assessing scope of practice in the current workforce. The Journal of School Nursing, 37(5), 374–386. https://doi.org/10.1177/1059840519880605
3.
DicksonE.CrawfordL.SparksR.CiblisA. (2023). “This has changed everything”: The impact of the COVID-19 pandemic on school nursing practice in New Mexico. The Journal of School Nursing, 41(2) 201–212, 10598405231218532. https://doi.org/10.1177/10598405231218532
MorseB. L.AndersonL.CombeL. G.DelackS.OndeckL.HommeC. (2022). U.S. School nursing job analysis. The Journal of School Nursing, 38(2), 126–137. https://doi.org/10.1177/1059840520930075
National Association of School Nurses (NASN). (2024). A contemporary framework update for today’s school nursing landscape: Introducing the school nursing practice framework. NASN School Nurse, 39(3), 140–147. https://doi.org/10.1177/1942602X241241092
8.
National Association of School Nurses (NASN). (2025). National Association of School Nurses position statement: School nurse workload—Essential staffing for safe and equitable student care. The Journal of School Nursing, 41(5), 642–645. https://doi.org/10.1177/10598405251360761
O’GradyE. T. (2020). The policy process. In MasonD.J.DicksonE.O’GradyE.T.McLemoreM.R.PerezA. (Eds.), Policy & politics in nursing and health care (8th ed.). Elsevier.
17.
OhneckM. C.DakeJ. A.MaughanE. D.TelljohannS. K.GlassmanT. (2023). A cost-benefit analysis of school nursing in one large urban school district. The Journal of School Nursing, 40(5), 514–522. https://doi.org/10.1177/10598405231197836
18.
SchroederK.YoungA.AdmanG.AshmeadeA. M.BonasE.DayS. E.KontyK. (2023). The association of school nurse workload with student health and academic outcomes: A cross-sectional study. The Journal of School Nursing, 39(4), 305–312. https://doi.org/10.1177/10598405211012957
ShillamC.Whitley RyalsS. (2020). How government works: What you need to know to influence the process. In MasonD.J.DicksonE.L.McLemoreM.R.PerezG.A. (Eds.), Policy & politics in nursing and health care (8th ed.). Elsevier.
WillgerodtM. A.TannerA.McCabeE.JamesonB.BrockD. (2024). Public school nurses in the United States: National school nurse workforce study 2.0. The Journal of School Nursing, 40(5), 468–481. https://doi.org/10.1177/10598405241253565
23.
YonkaitisC. F.ReinerK. L. (2022). School nursing: Scope and standards: What is new and important in the fourth edition?NASN School Nurse, 37(5), 277–280. https://doi.org/10.1177/1942602X221115192
