NURS 6050 Assignment Legislation Comparison Grid and Testimony/Advocacy Statement

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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.

RE: Discussion – Week 3

Collapse

Corde Buck,

I agree with in your discussion on the Affordable Care Act (ACA), that a great first step is to be sure the policy-makers/legislation has the power to make change happen in order to evaluate the effectiveness as quoted from the author Laureate Education, 2018 posted in your discussion. However, the ACA has enormous potential to bring about widespread changes in public health benefits, as in the power to make change happen, but the ACA does not and can not guarantee the right to health or insurance, it promotes important structural changes to the laws in the country that promote the attainment of the right to health. Given these twin paradoxes (as I mentioned in my discussion), and the positive potential for change in public safety arising from the ACA, the law’s public health effect appears uncertain, and several future legislative and enforcement decisions must be agreed upon.

The United States Constitution does not set forth an explicit right to health care, and the Supreme Court has never interpreted the Constitution as guaranteeing a right to health care services from the government for those who can not afford it ( KS Swendiman, 2012). The Supreme Court has, however, held that the government has an obligation to provide medical care in certain limited circumstances, such as for prisoners ( KS Swendiman, 2012).

There are many groups that weigh in on significant health policy issues. America’s expansive range of policymaking bodies and group seeking to influence policy, render it impossible to offer a systemic and comprehensive analysis of health policy formulation (Lawrence Gostin 1990). The formal development of health policy is the primary preserve of three branches of government the executive, legislature, and judiciary-at the state and federal levels (Lawrence Gostin, 1990). With that being said as stated by the author, Lawrence Gostin health policy is best formulated through rigorous and objective assessment of data, the author did note he did not support any restrictions on the right of the groups to publish their views and to appropriately lobby policymakers. A robust constitutional society that values freedom of expression and unrestricted participation in the political process should support a role for interest groups in health policy formulation (Lawrence Gostin, 1990). It should not censor or fetter the views of those who seek to participate in the process (Lawrence Gostin, 1990).). Yet the various branches should be able to rely on full, objective information and advice based upon sound evidence (Lawrence Gostin,1990).

So as you mentioned in your discussion that a first great step is to be sure the policymakers have the power to make a change in order to evaluate the effectiveness, you can see here through my response that there are a lot of factors that affect the development of health law polices. The policies themselves are rarely subjected to scientific scrutiny. Whether society seeks to reform the health care system, to restrict or to expand women’s choices to receive an abortion, or to authorize or to criminalize physician-assisted dying, it has no precise means by which to test for the “correct” approach. Health policy decisions often reflect choices between competing values, as well as assessments of available data. Interest groups, including organizations representing various health care professionals who evaluate their values and data through there own lens.

The question for me stems down to not whether one has a right to health care, or that one can afford to pay for health care, but whether the government or some other organization has the obligation to provide such care to those who can not afford it.

REFERENCES

Lawrence Gostin (1990). American Journal of Law and Medicine; 16:1-32. A decade of a maturing epidemic: an assessment and direction for future public policy.

The Formulation of Health Policy by the Three Branches of Government. Retrieved March 14, 2020, from

https://www.ncbi.nlm.nlh.gov>books

Kathleen S. Swediman (July 9,2012). Health Care: Constitutional Rights and Legislative Powers. Retrieved March 14, 2020, from

https://fas.org>sgp>crs>misc

How often, as a nurse, have you thought to yourself, “If I had any say in the matter, things would be a little different?” Nurses are increasingly realizing that they do, in fact, have a role and a voice.

Many nurses have daily experiences that motivate them to become advocates in the hopes of influencing policies, laws, or regulations affecting healthcare issues of interest. Of course, this entails venturing into the less familiar realms of policy and politics. While many nurses may not feel prepared to operate effectively in this space at first, the reward is the opportunity to shape and influence future health policy.

To Prepare: Using the congressional websites provided in the Learning Resources, choose a bill that has been proposed (rather than one that has been enacted).

The Task: (1–2 page Legislation Grid; 1 page Legislation Testimony/Advocacy Statement)
Include a title page, an introduction, a goal statement, and a conclusion. This is an APA style paper.

Part 1: The Legislative Grid

Fill out the Legislation Grid Template based on the health-related bill you chose (proposed but not enacted). Make certain to address the following:

Determine the legislative intent of the bill you’ve just read.

Determine the bill’s supporters and detractors.

Determine which populations are served by the bill.

Where is the bill currently in the process? Is it in committees or hearings?

Part 2: Advocacy Statement/Legislative Testimony

Create a 1-page Legislation Testimony/Advocacy Statement based on the health-related bill you chose, addressing the following:

Advocate for the bill you’ve chosen and write testimony in support of your position.

Describe how you would respond to your opponent’s position. Provide specifics and examples.

At least two outside resources are used, as well as 2-3 course-specific resources.

By Week 4’s Day 7,

Please submit your completed legislation grid as well as your testimony/advocacy statement.

Information on Submission and Grading

Do the following to submit your completed Assignment for review and grading:

Please save your Assignment with the name “WK4Assgn+last name+first initial.(extension)” as the extension.

To review the Grading Criteria for the Assignment, click the Week 4 Assignment Rubric.

Navigate to the Week 4 Assignment link. You will also be able to “View Rubric” for this area’s grading criteria.

Then, in the Attach File section, click the Browse My Computer button. Open the document you saved as “WK4Assgn+last name+first initial. (extension)”.

If applicable, click the checkbox next to I agree to submit my paper(s) to the Global Reference Database in the Plagiarism Tools section.

To finish your submission, click the Submit button.

Criteria for Evaluation

To access your rubric, go to:

Rubric for Week 4 Assignments

Examine the Authenticity of Your Assignment Draft

To ensure the authenticity of your Assignment draft:

Submit a draft of your Week 4 Assignment and review the originality report.

Submit your assignment by the 7th day of Week 4.

To submit your assignment, go to:

Assignment for Week 4

Name: NURS_6050_Module02_Week04_Assignment_Rubric

	Excellent	Good	Fair	Poor
Federal and State Legislation Part 1: Legislation Grid Based on the health-related bill you selected, complete the Legislation Grid Template. Be sure to address the following: • Determine the legislative intent of the bill you have reviewed. • Identify the proponents/opponents of the bill. • Identify the target populations addressed by the bill. • Where in the process is the bill currently? Is it in hearings or committees?	Points Range: 32 (32%) – 35 (35%) The response clearly and accurately summarizes in detail the legislative intent of the health-related bill. The response accurately identifies in detail the proponents and opponents of the health-related bill. The response accurately identifies in detail the populations targeted by the health-related bill. The response clearly and thoroughly describes in detail the current status of the health-related bill.	Points Range: 28 (28%) – 31 (31%) The response accurately summarizes the legislative intent of the health-related bill. The response accurately identifies the proponents and opponents of the health-related bill. The response accurately identifies the populations targeted by the health-related bill. The response accurately describes the current status of the health-related bill.	Points Range: 25 (25%) – 27 (27%) The response vaguely or inaccurately summarizes the legislative intent of the health-related bill. The response vaguely or inaccurately identifies the proponents and opponents of the health-related bill. The response vaguely or inaccurately identifies the populations targeted by the health-related bill. The response vaguely or inaccurately describes the current status of the health-related bill.	Points Range: 0 (0%) – 24 (24%) Summary of the legislative intent of the health-related bill is vague and inaccurate or is missing. Identification of the proponents and opponents of the health-related bill are vague and inaccurate or is missing. Identification of the populations targeted by the health-related bill is vague and inaccurate or is missing. The description of the current status of the health-related bill is vague and inaccurate or is missing.
Advocating for Legislation Part 2: Legislation Testimony/Advocacy Statement Based on the health-related bill you selected, develop a 1-page Legislation Testimony/Advocacy Statement that addresses the following: • Advocate a position for the bill you selected and write testimony in support of your position. • Describe how you would address the opponent to your position. Be specific and provide examples.	Points Range: 45 (45%) – 50 (50%) Testimony clearly and thoroughly provides statements that fully justifies a position for a health-related bill. Response provides a detailed, thorough, and logical explanation of how to address opponents to the position for the health-related bill and includes one or more clear and accurate supporting examples. A complete, detailed, and specific synthesis of two outside resources is provided. The response fully integrates at least 2 outside resources and 2-3 course specific resources that fully supports the responses provided.	Points Range: 40 (40%) – 44 (44%) Testimony clearly and accurately provides statements that somewhat justifies a position for a health-related bill. Response provides an accurate explanation of how to address opponents to the position for the health-related bill and may include at least one supporting example. An accurate synthesis of at least one outside resource is provided. The response integrates at least 1 outside resource and 2-3 course specific resources that may support the responses provided.	Points Range: 35 (35%) – 39 (39%) Testimony used to justify a position for a health-related bill is vague or inaccurate. Explanation of how to address the opponents to the position for the health-related bill is vague or inaccurate, lacks logic, and/or the supporting examples are vague or inaccurate. A vague or inaccurate synthesis of outside resources is provided. The response minimally integrates resources that may support the responses provided.	Points Range: 0 (0%) – 34 (34%) Testimony used to justify a position for a health-related bill is vague and inaccurate, incomplete, or is missing. Explanation of how to address the opponents to the position for the health-related bill is vague and inaccurate, or is missing. A vague and inaccurate synthesis of no outside resources is provided, or is missing. The response fails to integrate any resources to support the responses provided.
Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.	Points Range: 5 (5%) – 5 (5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.	Points Range: 4 (4%) – 4 (4%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.	Points Range: 3.5 (3.5%) – 3.5 (3.5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time. Purpose, introduction, and conclusion of the assignment is vague or off topic.	Points Range: 0 (0%) – 3 (3%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion was provided.
Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation	Points Range: 5 (5%) – 5 (5%) Uses correct grammar, spelling, and punctuation with no errors.	Points Range: 4 (4%) – 4 (4%) Contains a few (1-2) grammar, spelling, and punctuation errors.	Points Range: 3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) grammar, spelling, and punctuation errors.	Points Range: 0 (0%) – 3 (3%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.	Points Range: 5 (5%) – 5 (5%) Uses correct APA format with no errors.	Points Range: 4 (4%) – 4 (4%) Contains a few (1-2) APA format errors.	Points Range: 3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) APA format errors.	Points Range: 0 (0%) – 3 (3%) Contains many (≥ 5) APA format errors.

Total Points: 100

Name: NURS_6050_Module02_Week04_Assignment_Rubric

RE: Discussion – Week 3

COLLAPSE

American healthcare comes at a huge price. When the Affordable Care Act was put into place, it allowed more than 20 million people access to healthcare without financial ruin. Americans spend around twice as much money on healthcare than European citizens (Nix & Szostek, 2016). American legislators must address the level of healthcare available to citizens when placed into positions of power. This is where the cost-benefit analysis comes into play.

During presidential elections, the topic of healthcare is included in candidate’s campaign promises. According to a poll by POLITICO/Morning Consult, “health care was one of the top three issues for voters, and 58% of respondents said that the ACA should be repealed” (Hollingsworth et al., 2019). The Affordable Care Act appeals to people who would not have access to quality healthcare without it; however, others who don’t qualify for ACA and had to pay higher premiums for medical insurance opposed the ACA and voted for those with similar views. People often vote based on their current financial situations.

In today’s American politics, Republicans are associated with being against the Affordable Care Act, while Democrats tend to be in favor of it (Wilensky, 2016). Depending on the campaign’s focus, some people may even vote against their usual party to ensure healthcare for themselves and their loved ones. Legislators attempting to be re-elected use this knowledge to gain votes. In 2010, Democrats lost 64 seats in the House of Representatives, partly due to legislator’s anger over the ACA. Eight years later, in 2018, Republicans lost dozens of House seats, thanks in part to anger over their repeal efforts (Cohn, 2020). Public opinion had shifted, therefore legislation had to shift.

Cohn, J. (2020). The ACA, Repeal, And The Politics Of Backlash: Health Affairs Blog. Health Affairs. https://www.healthaffairs.org/do/10.1377/hblog20200305.771008/full/.

Hollingsworth, A., Soni, A., Carroll, A. E., Cawley, J., & Simon, K. (2019). Gains in health insurance coverage explain variation in Democratic vote share in the 2008-2016 presidential elections. PLOS ONE. https://doi.org/10.1371/journal.pone.0214206.

Nix, T., & Szostek, L. (2016). Evolution of Physician-Centric Business Models Under the Patient Protection and Affordable Care Act. ScholarWorks. https://doi.org/10.5590/ijamt.2016.15.1.01.

Wilensky, G. R. (2016). Health Reform in a New Presidency: The Challenge of Finding Common Ground: Journal of Law, Medicine & Ethics. Cambridge Core. https://doi.org/10.1177/1073110516684786.

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