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NRS 428 Topic 4 Discussion Question Two

NRS 428 Topic 4 Discussion Question Two

The Affordable Care Act was signed into law by President Barack Obama in March 2010. Many of the provisions of the law directly affect health care providers. Review the following topic materials:

  1. “About the Affordable Care Act”
  2. “Health Care Transformation: The Affordable Care Act and More”

What are the most important elements of the Affordable Care Act in relation to community and public health? What is the role of the nurse in implementing this law?

The Affordable Care Act can be defined as a comprehensive healthcare change signed by former U.S President Barack Obama. It is usually changed rarely to enhance and improve the health care given to the patients in the U.S. The affordable care act guarantees access to proper health care for all citizens and enhances sound clinical practices to guarantee coordination and quality. It also gives health professionals more information to make them better and also provides the patients with more details to ensure that they appreciate the health services and make observations on customers, hence changing the system of paying to reward value (McCarthy, 2017). The Affordable Care Act (ACA) law has transformed the American health care system by expanding health coverage to 20 million Americans and saving thousands of lives.

The ACA codified protections for people with preexisting conditions and eliminated patient cost sharing for high-value preventive services. And the law goes beyond coverage, requiring employers to provide breastfeeding mothers with breaks at work, making calorie counts more widely available in restaurants, and creating the Prevention and Public Health Fund, which helps the Centers for Disease Control and Prevention (CDC) and state agencies detect and respond to health threats. It is imperative to note that ACA protected roughly 135 million Americans with preexisting conditions, which could face discrimination if they ever needed to turn to the individual market for health coverage (Fang & Krueger, 2021). ACA generated one of the most significant health coverage expansions in U.S. history. In 2010, 16 percent of all Americans were uninsured; by 2016, the uninsured rate hit an all-time low of 9 percent.

Nurses historically respond to changes in regulation and financing of health care with innovation and professional responsibility. Nurses are integral in sustaining the financing of healthcare concerns through integrated activities with policy makers and other stakeholders due to the need to close the gap between funding the Medicare trust, health related expenditures, and insurance plan stability (Sutton, 2020). Nurses remain uniquely involved in shaping healthcare because of their team approach, proximity to the bedside, and understanding of patient care within the hospital and the community.



Fang, H., & Krueger, D. (2021). The Affordable Care Act after a Decade: Its Impact on the Labor Market and the Macro Economy. SSRN Electronic Journal, 65(9), 8–15. https://doi.org/10.2139/ssrn.3922514

McCarthy, M. (2017). Trump signs order targeting key elements of Affordable Care Act. BMJ, 31(7), j406-412. https://doi.org/10.1136/bmj.j406

Sutton, A. (2020). The Affordable Care Act And The Individual Market. Health Affairs, 39(5), 907–907. https://doi.org/10.1377/hlthaff.2020.00347

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Clara, thanks for your descriptive post. The role of the nurse not only is to provide care and carry out orders. Nurses must educate the

NRS 428 Topic 4 Discussion Question Two

NRS 428 Topic 4 Discussion Question Two

community on the risks of not seeking proper treatment. With the ACA, congress faced many challenges as well due to mandate for citizens to obtain health insurance or pay a penalty. Many people did not like being forced to purchase insurance or pay the penalty (Nurse Journal, 2021). As nurses, we must educate the community on the importance of healthy choices and although it is one’s right to refuse medical care and insurance, they must still be seen to prevent illnesses and hospitalization.

The Affordable Care Act and nursing. NurseJournal. (2021, October 26). Retrieved September 24, 2022, from https://nursejournal.org/resources/affordable-care-act-nursing-guide/#how-nurses-can-shape-healthcare-reforms

  • Ketia Rene

replied toClara Eneh

Sep 24, 2022, 8:27 PM

Hello Clara, thank you for sharing. The IOM report indicates that, with the passage of the ACA, nurses are in prime position to now practice as fully as possible, reducing barriers to advanced practice nursing. This has meant including nurse practitioners in Medicare compensation, just as physicians already were. The report urged states to revise their Nurse Practice Acts to remove barriers to advance practice. Among the recommendations was the reduction of barriers to furthering nursing education such as expansion of scholarships, loans, and grants, as well as recommendations for an increase in baccalaureate-prepared nurses and development of nurse residency programs. The advancement of nursing leadership includes meeting the recommendation of doubling the number of nurses with a doctorate, along with the expectation of all nurses to incorporate theory, research, clinical competency, and leadership development to meet the changing needs of health care (IOM, 2011b).


Institute of Medicine. (2011b). The future of nursing: Leading change, advancing health. Washington, DC: The National Academies Press.

  • Abigail Retana

replied toClara Eneh

Sep 25, 2022, 3:29 PM

Hello Clara, I agree with you, as nurses, we have some responsibilities and one of them is to keep up with the healthcare innovations, there is so much new information we must learn and put into practice. Thanks to the resources to help us learn we can provide education to our patients, according to our eBook, “conditions of this century’s current health care demand that nurses become knowledgeable about policies affecting health and health care. Nurses, as advocates with leadership abilities, are in a position to turn health care in the United States from being 11th to Number 1 in the world” (Grand Canyon University, 2018). Which is an amazing fact we advocate for and impact our patients.


Grand Canyon University (Ed). (2018). Community & public health: The future of health care. Retrieved from https://lc.gcumedia.com/nrs427vn/community-and-public-health-the-future-of-health-care/v1.1/

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