NURS 6050 Assignment Legislation Comparison Grid and Testimony/Advocacy Statement
NURS 6050 Assignment Legislation Comparison Grid and Testimony/Advocacy Statement
NURS 6050 Assignment Legislation Comparison Grid and Testimony/Advocacy Statement
Health-related Bill
Health-related Bill Name
H.R.1346 – Medicare Buy-In and Health Care Stabilization Act of 2019 (H.R.1346, 2019)
Description
This legislation introduced to House by the New York district 26 representative Brian Higgins on February 25, 2019.
Federal or State?
It is a federal bill
Legislative Intent
The bill proposes to change the National Social Security Act’s title XVIII and require citizens between the ages of fifty and sixty-four and pay into Medicare. Besides this, the bill seeks to strengthen the competitiveness of the health insurance system in the country. Under that context, the legislation aims to address inequalities within Medicare to expand the provision of dental, eye, and hearing treatment associated patient needs. It also seeks to incorporate a buy-up provision for individuals experiencing financial difficulties up obtaining Medicare benefits and for people aged 50 and 64 years of age by having them available for enrollment.

NURS 6050 Assignment Legislation Comparison Grid and Testimony Advocacy Statement
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Target Population
Vulnerable populations
Individuals aged 50-64
Status of the bill
On February 25, 2019, the bill was presented to the house board. Subsequently, it applied to the Ways and Means Committee and the Electricity and Trade Committee (H.R.1346, 2019). It has yet to receive significant attention in the media
General Notes/Comments
NURS 6050 Assignment Legislation Comparison Grid and Testimony/Advocacy Statement
Medicare regulations found numerous differences. The disparities indicate, among other reasons, that the recipients provide benefits for speech, vision, and dental treatment resulting in large – the-pocket costs (H.R.1346, 2019). The new bill would go a long way toward addressing these problems and stabilizing the care insurance system for the country. NURS 6050 Assignment Legislation Comparison Grid and Testimony/Advocacy Statement SAMPLE
Legislation Testimony
As a healthcare professional, I endorse the 2019 H.R.1346— Medicare Buy-In and Health Care Stability Act, despite its positive impact on the closing of Medicare discrepancies that contribute to increased prices for patients and the system itself. Medicare, as it was established almost 50 years ago, did not provide measures to support the medical, vision, and hearing-related expenses. As a result, the system needed to reimburse significantly larger rates for severe diseases and injuries arising from or caused by insufficiencies in speech, vision, and dental services.
The effect of this disparity is exacerbated as one recognizes the number of individuals suffering from such conditions but not being able to access the treatment needed. In 2017, 70%, 43%, and 75% of individuals with eating problems, seeing challenges, and others needing hearing aids did not seek care for their particular issues. If passed, the proposed bill will provide these individuals with considerable relief and significantly reduce the consequential costs associated with the impact of these conditions on Medicare and the public (Willink, Schoen, & Davis, 2018).
Advocacy for the adoption of the 2019 Medicare Buy-In and Health Care Stabilization Act should also consider possible opposition to its passage. To alleviate this challenge, it is advisable to carry out educational programs on how the bill, in addition to Medicare beneficiaries, will benefit the nation. Policymakers need to recognize the real-life implications of Medicare recipients, especially older people, who have trouble receiving dental, auditory, and hearing treatment due to the unsustainable complexity of charging out of their wallets for these facilities. As it stands, persons older than 65 years are not listed in the proposed act (Burke, Christ, & Goldberg, 2019). It points to an overlook over a patient population that significantly suffers from these problems.
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Discussion Module 2: Week 3
Policy development and alteration is complex and has many variables to consider. Nurses play a role in bringing forth change because we are considered experienced knowledge workers in direct patient care. In order to alter a public health policy for the improvement

NURS 6050 Assignment Legislation Comparison Grid and Testimony Advocacy Statement
of a community, it is important to consider a cost-benefit analysis. Politicians’ main focus is re-election. They will often campaign health care policies to gain the attention of their audience and voters. The health care campaign is a great benefit to nurses with an interest in public policy and wanting to see change. For example, a registered nurse is well versed in the outcome of improper prenatal care with no prenatal vitamin intake. Low birth weight and an increase in chronic medical conditions at birth is an outcome of improper care. If legislation is passionate about access to prenatal care and reducing post-delivery complications, they may want to bring forth a policy to combat the issue. A policymaker could work with the legislation in order to make access to prenatal care and vitamins mandatory. Making resources readily accessible to young mothers because of an epidemic and spike in public interest. If the legislation agenda matches the concern of nurses, the chances of seeing change are higher. Cost-benefit analysis has to be of interest to Legislation, so it is important to establish that common ground from the beginning (Laureate Education, 2018).
A great first step is to be sure the policymaker/legislation has the power to make change happen in order to evaluate the effectiveness or hard work and research will go to waste (Laureate Education, 2018). When running for office, Legislation has to decide whether it is beneficial to continue or replace the Affordable Care Act. Supporting or opposing agendas could make a difference in election or reelection.
The Affordable Care Act, also known as Obamacare, wanted health insurance available to more people. The legislation seeks reelection by targeting those individuals with no proper access to health care or insurance. A proper cost-benefit analysis would highlight the strengths and weaknesses of Obamacare in order to shed light on whether the benefits outweigh expected costs (Fischhoff, 1981).
The Affordable Care Act also wanted to expand Medicaid programs so that individuals falling below 138% of the federal poverty level could be covered with insurance (Affordable Care Act (Aca), n.d.). An analysis of the votes’ views may cause legislative leaders to put more support in place for the Affordable Care Act or cause a revamping of the entire policy. A particular side that has the most support or will pull in the most voters will sway legislation and drive their campaign in support or opposition. If the majority of American citizens will vote against anyone in support of riding Medicaid and vice versa, legislation should want to reconsider their agenda. Sometimes it is best to not focus on controversial health care topics, so legislation could choose to not focus on either side and pitch a more beneficial idea without the need of putting down the old. It is crucial to know your representatives so that you know who has the power to make changes. Your particular topic could be of interest and aid in the success of their campaign/career. NURS 6050 Assignment Legislation Comparison Grid and Testimony/Advocacy Statement SAMPLE
References
Affordable Care Act (ACA). (n.d.). Healthcare.gov. Retrieved March 9, 2020, from https://www.healthcare.gov/glossary/affordable-care-act/
Fischhoff, B. (1981). Cost‐benefit analysis: An uncertain guide to public policy. The New York Academy of Sciences. https://nyaspubs.onlinelibrary.wiley.com/doi/pdf/10.1111/j.1749-6632.1981.tb20730.x
Laureate Education (Producer). (2018). Introduction to Health Policy and Law with Joel Teitelbaum [Video file]. Baltimore, MD: Author.
Laureate Education (Producer). (2018). Working with Legislators [Video file]. Baltimore, MD: Author.