Nursing leaders nationwide believe it is important for nurses with an associate's degree to return to school to earn their bachelor of science in nursing (BSN) within 10 years from graduating from an associate degree program to maintain licensure. The reason this bill passes is for patient safety. Nurses with Bachelor of Science in Nursing (BSN) have lower mortality rates in the surgical department, fewer incidences, and better outcomes in acute care settings which are strongly emphasized in the Affordable Care Act required for reimbursement payments (American Association of Colleges of Nursing, 2014). This bill A01977/S02533A was filed on January 27, 2012 in the state of New York. At the same time the state of New Jersey also introduced the similar law A553. This author will represent one of the registered nurses with an associate degree who will return for their BSN training to see the effectiveness of the bill on the healthcare system 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 has started recommending 80% of nurses with BSN by 2020 by the Institute of Medicine. Facility leaders recommended that new managers, nursing coordinators, educators and staff obtain their BSN within three years. To assist nurses financially, Main Line Health offers $6,000 per year in tuition reimbursement. Additionally, they offered BSN programs in the workplace. At Brigham and Women's in Massachusetts, this hospital also aimed for 80% by 2020. This facility only hires recent graduates with BSN degrees. Brigham and Women's offers $2,600 per year for tuition...halfway through the paper...if there is any. Furthermore, it is considered important to listen to the needs of residents. For example, this author administers pain medications on time when requested by the resident. When administering pain medications, it is important for this author to assess pain based on the zero to ten pain scale, location of pain, and reassess pain within 30 minutes of administering the medication. Another situation that is important for the nurse to learn is to follow laboratory draws for medications that require peak and trough levels to administer or withhold the next dose of the medication. Furthermore, some residents felt that this perpetrator was in control of the rehabilitation plan. These are some of the important reasons why this author recommends nurses go back to school for their BSN training to ensure patient and/or resident safety.