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The American Association
of Nurse Attorneys

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Virtual Attendance

This conference will be offered live and in person, with a simultaneous live broadcast for virtual participation. All presentations will also be available on demand following the conference.

CLE & Nursing CE

This conference will provide CLE from the Alabama, Missouri, New York, Pennsylvania, Tennessee, and Texas State Bars.

This conference is approved for Nursing CE through the California Board of Nursing.

CLE Reciprocity

Your state bar may recognize CLE approvals from other states. Learn about reciprocity in all 50 states*.

(*Provided by Quimbee, a resource for CLE)

Daily Schedule

(subject to change)

Time

Central Time Zone

Thursday, Nov 5

1 - 4pm

TAANA Pre-Conference Workshop for Nurses

Protecting Your License:
Legal, Regulatory, and Technology/AI Considerations You Should Know

Moderator: 

  • Sam Helmbrecht, Nashville Healthcare Attorney

Panelists:

  • Joshua Faucett, DNP, ESQ, Assistant Dean for Clinical Affairs at Vanderbilt
  • Regina Russell, PhD, Executive Director, Evaluation and Effectiveness, Senior Consultant for AI for Nursing Education
  • Roxanne Filson, Vice President, NSO Insurance

This interdisciplinary panel will explore issues that may affect nursing licensure and professional practice. Panelists will offer perspectives on legal and regulatory considerations, risk management, nursing education, and emerging technology and artificial intelligence. The discussion will provide attendees with an opportunity to consider current challenges, ask questions, and gain general information relevant to protecting a professional license and navigating an evolving health care environment.

Separate registration fee required; Signup for the Workshop Only; or add it with your Conference Registration

5:30pm

Welcome Reception (venue tbd)

All attendees

Time

Central Time Zone

Friday, Nov 6

8 - 8:30am Breakfast
8:30 - 9am Welcome & Opening
9 - 10am

Session 1. AI Tools & Technology in Legal Practice

  • Damien Riehl, Esq

Artificial intelligence is rapidly changing how legal professionals research, draft, review information, manage matters, and deliver services. This session provides a practical overview of AI-enabled legal tools and their potential uses in legal research, document review, e-discovery, knowledge management, data analysis, and workflow automation. Participants will examine both the opportunities and the limitations of generative AI, including the importance of verifying outputs, protecting confidential information, understanding vendor practices, and maintaining professional judgment. The presentation will also address emerging legal-data standards, responsible technology adoption, and AI’s potential to improve efficiency and expand access to justice. Attendees will leave better prepared to evaluate AI tools and use them thoughtfully within ethical and professional obligations.

Learner Objectives:

  1. Identify practical legal-practice uses for AI tools, including legal research, drafting, document review, e-discovery, knowledge management, and workflow automation.
  2. Evaluate potential benefits and limitations of generative-AI tools, including the risk of inaccurate or unsupported output and the need for human review.
  3. Apply core considerations for responsible AI use, including confidentiality, data security, client protection, vendor due diligence, and professional judgment.
  4. Describe how AI-supported legal technology and interoperable legal data may improve efficiency and help expand access to legal services. Riehl’s work includes legal data standards and an AI Sandbox focused on access-to-justice applications.
10 - 10:15am Break
10:15 - 11:15am

Session 2. Managing the Risks of Sexual Abuse and Misconduct in Healthcare Settings

  • Jonathan D. Stewart, BETA Healthcare Group; JD, M.Sc., MS, RN, CPHRM, CPPS, CPHFH; Vancouver, Washington
Sexual abuse and misconduct (SAM) in healthcare settings present a persistent, high-severity risk with significant clinical, legal, and reputational implications. This presentation examines common patterns of institutional failure, including negligent supervision, credentialing gaps, and fragmented reporting processes. Using Hollnagel’s four functions of resilient systems—anticipate, monitor, respond, and learn—this session introduces a proactive, systems-based framework for managing SAM risk. The presentation highlights the heterogeneity of offenders, the vulnerability of certain patient populations, and the systemic conditions that allow misconduct to persist undetected over time. Evidence-based interventions are discussed across the continuum, including enhanced credentialing practices, robust chaperone programs, and strengthening of reporting and escalation pathways. Finally, the session addresses key medico-legal considerations, including investigation strategies, reporting, and the tension between individual accountability and organizational learning. Attendees will leave with practical, defensible strategies to identify emerging risk, mitigate liability exposure, and strengthen a culture of safety and transparency.

Learner Objectives:

  1. Describe the risks of sexual abuse and misconduct in healthcare, including common patterns of institutional failure such as negligent supervision, credentialing, and reporting. 
  2. Discuss various signals and early warning signs of potential sexual misconduct in healthcare settings. 
  3. Explain how healthcare organizations succeed or fail in managing sexual misconduct risk using Hollnagel’s four functions of resilient systems.
11:15 - 12:15pm

Session 3. The Impact of Criminal Liability on Healthcare Licensing in America

  • Joe A. Flores, JD, APRN, FNP-BC, CCRN-K; Flores Law Firm; Corpus Christi, Texas

This presentation examines how criminal allegations and convictions can affect healthcare licensure, professional practice, and institutional compliance. It will address common healthcare-related offenses, including fraud, improper prescribing, and patient-safety violations; licensing-board disclosure requirements; and potential consequences such as license denial, suspension, or revocation. The session will also explore how boards evaluate rehabilitation and other mitigating circumstances when determining an individual’s fitness to practice. Attendees will gain a clearer understanding of the legal, ethical, and public-trust considerations involved, as well as the need to balance professional accountability, patient protection, and opportunities for appropriate rehabilitation.

Learner Objectives:

  1. Differentiate between civil and criminal liability and implications for nursing licensure.
  2. Increase knowledge of adherence to ethical guidelines and how violations can lead to criminal liability.
  3. Verbalize understanding of informed consent and the legal ramification of failing to do so.
  4. Identify risk factors and behaviors that expose nurses to criminal liability, such as substance abuse or negligence.
  5. Understand documentation practices to provide legal protection.
  6. Increased knowledge regarding reporting obligations such as mandatory reporting and whistleblower protections.
12:15 - 1:30pm Lunch
1:30 - 2:30pm

Session 4. Administrative Law & Nursing Licensure: A Judicial Perspective

  • Hon. Phillip R. Hilliard, Chief Administrative Judge; Nashville, Tennessee

This session examines how contested nursing-licensure cases proceed before the Tennessee Board of Nursing and administrative law judges. Presented from an administrative law judge’s perspective, it will address disciplinary actions, licensure denials, and disputes involving unprofessional conduct, substance use, documentation, and criminal convictions. Participants will gain practical insight into key elements of administrative litigation, including evidentiary issues, burdens of proof, witness credibility, settlement considerations, and procedural due process. The presentation will also address common misconceptions and recurring challenges in the contested-case process, illustrating how decision-makers balance public protection, professional accountability, and fair treatment of nurses.

Learner Objectives:

  1. Explain the roles of licensing boards, administrative judges, attorneys, and parties in the contested case process. 
  2. Recognize the evidentiary and procedural issues that most frequently influence the outcome of professional licensure hearings, including burdens of proof, witness credibility, documentary evidence, and due process considerations.
  3. Analyze how principles of administrative law and due process guide the adjudication of nursing licensure cases in administrative hearings.
2:30 - 2:45pm Break
2:45 - 4:15pm

Session 5. Nightingale Panel

  • Marc Meyer, RN, JD; Law Offices of Marc Meyer, PLLC; Houston, Texas
  • Hahnah Williams, Esq, RN, JD; Hahnah Williams, Attorney at Law, P.C.; Atlanta, Georgia
  • Kathleen Gialanella, Esq, RN, BSN, JD, LLM (Health Law); Kathleen M. Gialanella, Esq, PC; Westfield, New Jersey

This panel examines the alleged sale and use of fraudulent nursing diplomas and transcripts, along with the resulting challenges for licensing boards, employers, and individual nurses. Participants will explore how allegations of credential fraud may lead to criminal investigations, licensure actions, and contested-case proceedings; what evidence may be relevant in proving or defending such allegations; and how decision-makers distinguish between participation in fraud, knowledge, and reliance on invalid credentials. The session will also consider the competing interests of patient safety, public confidence, professional accountability, and fair process for licensees facing potentially career-ending allegations.

Learner Objectives:

  1. Describe the alleged credential-fraud scheme investigated under Operation Nightingale and its potential effects on nursing licensure and employment.
  2. Identify the criminal, regulatory, and administrative-law issues that may arise when a nurse obtains or uses allegedly fraudulent educational credentials.
  3. Explain key due-process protections in nursing-board investigations and contested cases, including notice, evidentiary proof, and the opportunity to respond.
  4. Evaluate how boards and other decision-makers can balance patient protection, public trust, individual accountability, and fairness when addressing suspected licensure fraud.
4:15 - 5:15pm

Session 6. Licensure on the Line: Real Lessons in Risk, Response & Resilience

  • Amy R. Siple, APRN, FNP, GS-C; AmySipleNP, LLC; Sedgwick, Kansas

The draconian actions of the Kansas State Board of Nursing had been crushing the careers of nurses over de-minimis issues for decades. In 2026, Kansas nurses fought back through the legislative process and brought about reform through statute. This session will detail the playbook used to achieve reform and offer suggestions for individuals and organizations who are ready to take a stand and pursue justice. "Participants will be able to:

Learner Objectives:

  1. Recall the general mission of licensing boards.
  2. Identify two ways to resonate reform messages with legislators.
  3. Recall two strategies for media engagement. List two plans for grass roots motivation.
6 - 9pm

Group Dinner at Martins BBQ

Separate registration fee required



Time

Central Time Zone

Saturday, Nov 7

8 - 8:30am Breakfast
8:30 - 9:30am

Session 7. OIG's Exclusion & CMPL Authorities

  • Jonathan Lee Culpepper, Esq; U.S. Department of Health and Human Services; Boston, Massachusetts
  • Nancy W. Brown, Esq.; U.S. Department of Health and Human Services; Washington, DC

This session provides an overview of the U.S. Department of Health and Human Services Office of Inspector General’s (OIG) authority to exclude individuals and entities from participation in Federal health care programs. Using practical case examples involving nurses, physicians, therapists, aides, and other providers, the presentation will explain conduct that may lead to exclusion, including fraud, abuse, false claims, and certain criminal convictions. Participants will learn about OIG’s mission and organizational roles; mandatory and permissive exclusions under 42 U.S.C. § 1320a-7; and civil monetary penalties under 42 U.S.C. § 1320a-7a. The session will emphasize the professional and employment consequences of exclusion and compliance practices that help prevent violations. OIG may impose exclusions and civil monetary penalties for a broad range of prohibited conduct, and certain convictions require exclusion for at least five years.

Learner Objectives:

  1. Discuss the Office of Inspector General’s services and administrative sanctions; the main goals of OIG and understanding of its' mission; the different operating divisions within the OIG; and understand why the OIG pursues an investigation of an individual that could lead to exclusion.
  2. Identify circumstances that can lead to one’s exclusion from the Federal health care programs and understand its’ impact; a broad explanation of what exclusion is, its’ impact on an individual or entity, and an explanation of what conduct can lead an individual to be on the highest end of the risk spectrum versus the lowest risk.
  3. Differentiate between a mandatory and permissive exclusion; describe cases that resulted in lengthy exclusion terms; explain what conduct can lead to a 5-year mandatory minimum exclusion along with several case examples of nurses that were mandatorily excluded; and explain what conduct can lead to a permissive exclusion along with several case examples of nurses that were permissively excluded.
9:30 - 9:45am Break
9:45 - 10:45am

Session 8. Effective Advocacy in Healthcare-Related Litigation

  • Randy Kinnard, Esq.
This session will examine practical approaches to advocacy in healthcare-related litigation, including case development, witness preparation, use of medical and expert evidence, communication with clients, and presentation of complex healthcare issues to judges and juries. The discussion will emphasize practical strategies attorneys can use to organize the evidence, identify the strongest themes, anticipate challenges, and present healthcare cases with clarity and credibility.

Learner Objectives:

  1. Identify key considerations in developing and presenting healthcare-related litigation.
  2. Discuss strategies for working effectively with clients, healthcare witnesses, and expert testimony.
  3. Apply practical advocacy techniques to communicate complex medical and legal issues clearly and persuasively.
10:45 - 11:45pm

Session 9. Understand Your Liability Risk: Top Reasons Nurses are Sued for Malpractice

  • Roxanne Filson; Aon/Nurses Service Organization (NSO); Fort Washington, Pennsylvania

NSO & CNA released our fifth published analysis of nursing claims from the most recent 5 years. Professional liability data provides insight into the underlying causes in liability cases as it can reveal missteps, clinical errors, patterns of communication, and judgment failures that contributed to adverse events. Using case studies and claim data, nurses can examine top areas of liability through the experiences of their peers. Most importantly, this session provides you with practice recommendations that you can use to help prevent or defend against malpractice allegations, while also enhancing patient safety.

Learner Objectives:

  1. Analyze the actions and issues that prompted allegations of negligence or unprofessionalism against nurses in malpractice lawsuits and State Board of Nursing complaints.
  2. Define the average incurred expenses for nurses involved in malpractice lawsuits or licensing board matters. 
  3. Identify processes that nurses can implement into their practice to reduce their potential liability.
11:45 - 12noon Conference Closing


Presenters

Nancy W. Brown, Esq.; U.S. Department of Health and Human Services; Washington, DC

Nancy is a native of Philadelphia, Pennsylvania. She is a graduate of the University of Virginia where she earned a B.A. in Sociology. She is also a proud alum of the Howard University School of Law (HUSL) where she earned her J.D. After finishing HUSL, Ms. Brown became a member of the New York Bar and worked in private practice before becoming an Assistant General Counsel at the New York City Department of Consumer Affairs. She civilly prosecuted financial fraud cases and specialized in consumer protection and consumer fraud. Ms. Brown relocated to Washington, D.C. to work for the Federal Trade Commission (FTC). Ms. Brown left the FTC to work for the Office of Inspector General where she has been practicing health law since 2006. Ms. Brown’s work includes provider Self-Disclosures, False Claims Act cases, Civil Monetary Penalty cases, exclusion matters, and negotiates and monitors Corporate Integrity Agreements.


Jonathan Lee Culpepper, Esq; U.S. Department of Health and Human Services; Boston, Massachusetts

Jonathan is an attorney with the United States Department of Health and Human Services, Office of Inspector General (OIG) where he represents the agency in affirmative program exclusions and civil monetary penalties against health care providers. Mr. Culpepper also works on defending exclusion appeals. Prior to working for the OIG, Mr. Culpepper worked at a health care regulatory firm called Liles Parker, PLLC. He received his B.A., magna cum laude, from Howard University, and his J.D. from Northeastern University School of Law. At Northeastern, Mr. Culpepper concentrated in Health Law and Policy. He is a member of the Massachusetts and District of Columbia Bar.


Joe A Flores, JD, APRN, FNP-BC, CCRN-K; Flores Law Firm; Corpus Christi, Texas

Joe is a nurse practitioner and a trial attorney. Mr. Flores has practiced in both state and federal court on civil and criminal matters. His practice also includes representing nurses and other health care professionals in peer review and state board hearings for a decade. Mr. Flores is a nationwide lecturer and author on healthcare fraud and civil and criminal matters. He also defends nurse whistleblowers and assists has assisted governmental entities in health care fraud investigations. Mr. Flores is a trial lawyer in Texas and federal lawyer throughout the land. Mr. Flores broadcasts on television and has a podcast that can be found on YouTube - South Texas Now/Legal Minute Clinic. Mr. Flores also represents several home health and hospice companies.


Roxanne Filson, Aon Affinity Insurance Services Inc; Fort Washington, Pennsylvania

Roxanne is a Vice President in the Healthcare Division of Aon’s Affinity Insurance Services Inc. Roxanne is the business leader of NSO and HPSO and works with over 100 national, state, and specialty healthcare professional organizations. Roxanne has been part of the NSO team for 13 years and regularly presents at professional organization meetings on healthcare risk management topics. She is a licensed Property/Casualty and Life/Health insurance agent. She earned her undergraduate degree at Iona College and has her MBA from Colorado State University.


Kathleen Gialanella, Esq, RN, BSN, JD, LLM (Health Law); Kathleen M. Gialanella, Esq, PC; Westfield, New Jersey

Kathleen is an attorney who has practiced health law in New Jersey and New York since 1983. She is also a Registered Nurse and a U.S. Army Nurse Corps veteran. Her law practice is devoted to representing nurses and other healthcare providers who face legal issues in connection with their licensure, professional practice, privileges and employment. Kathleen is a graduate of the University of Maryland School of Nursing, New York Law School and Seton Hall University School of Law. She has a Master of Laws in Health Law & Policy. In addition to her legal practice, she lectures widely and has written extensively about the legal aspects of health care. She has taught health law, policy and ethics to doctoral, graduate and baccalaureate students at Teachers College/Columbia University as well as Seton Hall University School of Law and College of Nursing.


Hon. Phillip R. Hilliard, Chief Administrative Judge; Nashville, Tennessee

Phillip has served as an administrative judge for the Tennessee Secretary of State’s Administrative Procedures Division since 2016, and as Chief Administrative Judge since 2023. He began his legal career as an Assistant District Attorney and then, for a number of years, represented the Tennessee Department of Environment and Conservation, as well as other state agencies, in both state and federal courts as an Assistant Attorney General and later Senior Counsel. Judge Hilliard holds a Doctor of Jurisprudence from the University of Memphis School of Law and a Bachelor of Arts from the University of Tennessee. He has completed various training in conducting administrative proceedings and is a Rule 31 General Civil Mediator.


Randy Kinnard, Esq.

Randy has tried 105 medical malpractice jury trials. He has seen the good, the bad and the ugly. Before he became a lawyer, he served in the Army with the 173rd Airborne Brigade in Vietnam as a 2nd Lieutenant, airborne ranger. He was awarded the Vietnamese Cross of Gallantry, the Bronze Star for Valor, Purple Heart and Combat Air Medal for 28 air assaults in combat. He commanded 275 men in combat for six months, “one of the highest honors and responsibilities of my life,” he says. That combat experience has been invaluable to him in jury trials. He is a strong believer in the power of “show and tell” evidence. “Show more. Talk less.” is his mantra.


Marc Meyer, RN, JD; Law Offices of Marc Meyer, PLLC; Houston, Texas

Marc received a BS in Biology from Cornell in 1986. In 1989, Marc graduated with a MS in biochemistry from Texas A&M University. In July, 1990, Marc joined the City of Houston Fire Department as a paramedic and firefighter and he has been with the Houston Fire Department and recently retired a Captain/Paramedic with the City of Houston Fire Department after twenty years. Marc graduated with an AS in nursing from Regents College (now Excelsior College). He is licensed as a Registered Nurse and has been employed as a nurse with the St. Luke’s Episcopal Hospital and the Methodist Hospital System in the Emergency Department, Neurological ICU and Medical-Surgical floor settings. In 2009, he graduated from the South Texas College of Law and is licensed as an attorney by the State Bar of Texas. Marc is involved in the American Bar Association, Health Law Section and Young Lawyer Division; The American Association of Nurse Attorneys; the Woodlands Bar Association; the Montgomery County Bar Association and the Houston Bar Association. Marc holds leadership positions in the American Bar Association as the liaison from the Young Lawyers Division to the Health Law Section; in the Texas chapter of the American Association of Nurse Attorneys as a member of the Board of Directors.


Damien Riehl, Esq

Damien is a lawyer, technologist, writer, and legal-technology leader focused on using AI and software to make legal services more accessible, efficient, and just. His experience includes complex litigation, business counseling, cybersecurity and digital-forensics investigations, intellectual property, e-discovery, and legal-software development. He is currently a Solutions Champion at Clio and previously held leadership roles at vLex and Fastcase. Riehl chairs the Minnesota State Bar Association’s AI Committee and helps oversee its AI Sandbox, which explores responsible uses of AI to expand access to justice. He also contributes to legal-data standards through FOLIO and the SALI Alliance.


Amy R Siple, APRN, FNP, GS-C; AmySipleNP, LLC; Sedgwick, Kansas

Amy is a national speaker and author on healthcare issues that impact older adults and the empowerment of healthcare givers. She has served the primary care needs of residents in long-term care as a nurse practitioner for over 25 years. Three Kansas Governors have appointed Amy to serve on boards and task forces to represent the needs of older adults most recently as the Chair for the Kansas board for Adult Care Home Executives. Amy is a TEDx speaker and a content expert for Project Echo. Under her leadership, as President of the Kansas Advanced Practice Nurses Association, Kansas became the 26th state to pass full practice authority for APRNs in 2022. She was given the AANP state award for excellence in 2023. Amy is aJohn Maxwell leadership speaker, coach, and trainer. In 2026 she lead a team to bring about reform to the Kansas State Board of Nursing.


Jonathan D. Stewart, BETA Healthcare Group; JD, M.Sc., MS, RN, CPHRM, CPPS, CPHFH; Vancouver, Washington

Jonathan oversees the provision of consultation, education, and risk assessment services to hospitals, healthcare facilities, and medical groups in his role as Senior Director of Risk Management and Patient Safety at BETA Healthcare Group. Prior to joining BETA in 2016, Jonathan served as the Patient Safety Officer for the Veterans Health Administration’s Northwest Network and as a clinical risk manager in both inpatient and ambulatory settings, where he gained extensive experience in conducting both administrative and adverse event investigations and in facilitating root cause analyses. Jonathan received master’s degrees in nursing/health policy from the University of California at San Francisco and in human factors and system safety from Lund University in Sweden and his law degree from the University of Tulsa. He holds professional certifications in healthcare risk management, human factors in healthcare, and patient safety. Jonathan is based in Vancouver, Washington.


Hahnah Williams, Esq, RN, JD; Hahnah Williams, Attorney at Law, P.C.; Atlanta, Georgia

Hahnah is a registered nurse turned attorney with more than 25 years of combined experience in healthcare and law. She is the founder and managing attorney of Hahnah Williams, Attorney at Law, P.C., where she represents nurses, physicians, advanced practice providers, and other healthcare professionals in professional licensing, regulatory, criminal, and business matters. Attorney Williams earned her Bachelor of Science in Nursing, cum laude, from Clayton State University and her Juris Doctor from Mercer University School of Law.

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