NUR6050 Assignment Week 4 Legislation Comparison Grid

WALDEN NUR6050 Assignment Week 4 Legislation Comparison Grid and Testimony/Advocacy Statement

NUR6050 Assignment Week 4 Legislation Comparison Grid and Testimony/Advocacy Statement

NURS 6050 Week 4 assignment: Legislation Comparison Grid and Testimony/Advocacy Statement Example

Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement
As a nurse, how often have you thought to yourself, If I had anything to do about it, things would work a little differently? Increasingly, nurses are beginning to realize that they do, in fact, have a role and a voice.

Many nurses encounter daily experiences that motivate them to take on an advocacy role in hopes of impacting policies, laws, or regulations that impact healthcare issues of interest. Of course, doing so means entering the less familiar world of policy and politics. While many nurses do not initially feel prepared to operate in this space effectively, the reward is the opportunity to shape and influence future health policy.

To Prepare:

Select a bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources.
The Assignment: (1- to 2-page Comparison Grid; 1- to 2-page Legislation Testimony/Advocacy Statement)

Part 1: Legislation Comparison Grid

Based on the health-related bill (proposed, not enacted) you selected, complete the Legislation Comparison 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.

NURS 6050 Week 4 assignment: Legislation Comparison Grid and Testimony/Advocacy Statement Example
Identify the target populations addressed by the bill.
Where in the process is the bill currently? Is it in hearings or committees?
Is it receiving press coverage?
Part 2: Legislation Testimony/Advocacy Statement

Based on the health-related bill you selected, develop a 1- to 2-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.
Recommend at least one amendment to the bill in support of your position.

NURS 6050 Week 4 assignment: Legislation Comparison Grid and Testimony/Advocacy Statement Example 1

Part 1. Legislative comparison grid

Health-related Bill name	Autism CARES Act of 2019 (Autism collaboration, accountability, research, education, and support Act of 2019)
Description	The Bill has been presented as a legislative requirement to reauthorize the Autism CARES Act by 30^th September 2019. Its legislative history dates back to 2006 when President George W. Bush signed it into law as Combating Autism Act (P.L. 109-416). The intention of the law was to offer coordinated federal response to the dramatic increase in persons diagnosed with autism spectrum disorder in the country. It increased public investment to address the growing needs of persons diagnosed with autism spectrum of disorders, while authorizing the Interagency Autism Coordinating Committee to coordinate federal efforts targeted at the disorder. The legislation was reauthorized in 2014 as the Autism CARES Act (P.L. 113-157). It must be reauthorized by September 2019 for the Federal activities conducted under the legislation to continue (Autism Society, 2019).
Federal or State?	Federal
Legislative intent	The Bill was introduced into the House of Representatives as House Bill (H.R. 1058) by Rep. Chris Smith (R-NJ) and Rep. Mike Doyle. The Bill was introduced into Senate as Senate Bill (S. 427) by Senator Bob Menendez (D-NJ_ and Senator Mike Enzi (R-WY). Legislative discussions are still ongoing for the Bill with proposals to expand and intensify the current format of the legislation. The intention is to enhance the activities of the National Institutes of Health with a focus on the Public Health Service Act (42 U.S.C. 284g) to support research on autism spectrum disorders, and reduce care gaps (Autism Society, 2019). NURS 6050 Week 4 assignment: Legislation Comparison Grid and Testimony/Advocacy Statement Example
Target population	The target population is persons diagnosed with autism spectrum disorder. The intention is to improve their care quality and outcomes through supporting research activities that improve understanding of the disorder.
Status of the bill (is it in hearings or committees? Is it receiving press coverage?)	The Bill was introduced in the 1^st session of the 116^th Congress and discussions are currently ongoing with focus on amending the Public Health Service Act to enhance the activities of the National Institutes of Health with the intention of supporting research activities on autism spectrum disorder and enhancing health care programs. It was introduced to the Senate by Mr. Menendez and Mr. Enzi, read twice and referred to the health committee. The Bill is receiving press coverage with legislators brining public attention to its content and intentions. Rep. Mike Doyle (D-PA), Rep. Chris Smith (R-NJ), Senator Mike Enzi (R- WY), and Senator Bob Menedez (D- NJ) made press releases to drum up public support for the Bill. In April 2019, Congressman Smith wrote a letter to support full funding for the Bill. In addition, other organizations that focus on improving autism care are brining attention to the Bill. In May 2019, 35 national organizations wrote a coalition in support of the Bill. An updated letter was written later in the same month to ask for expedited consideration of the Bill (Autism Society, 2019).
General notes/comments	The Bill seeks to provide comprehensive attention to the care of persons with autism spectrum disorder. Still, there is a concern that the deadline for reauthorizing the Bill is 30^th September 2019 and yet legislative debate is still ongoing to imply that the Bill may not be reauthorized by 30^th September. Should the Bill be reauthorized in its current form, there substantive advances will be realized in the care of persons with autism spectrum disorders. It would improve infrastructure and surveillance, inform on lifespan issues, identify helpful treatments and interventions, identify risk factors, inform on the biology, and determining diagnosis and screening concerns NURS 6050 Week 4 assignment: Legislation Comparison Grid and Testimony/Advocacy Statement Example. Overall, the Bill seeks to make substantive improvements in the care of persons with autism spectrum disorders, and these benefits can only be realized if the Bill is reauthorized before the 30^th September deadline (Autism Society, 2019).

Part 2. Legislation testimony/advocacy statement

There is a need for the legislation to be reauthorized in its current form as the Autism CARES Act of 2019. That is because it seeks to increase the federal investment across the government departments concerned with addressing the increasing needs of persons with autism spectrum disorder. Should the Bill fail to be reauthorized by the 30^th September 2019 deadline, then efforts to address autism spectrum disorders are likely to hindered and past gains reversed. In fact, failing to reauthorized the Bill would deny the Interagency Autism Coordinating Committee the authority to coordinate federal efforts targeted at autism. This would increase the possibility of efforts being duplicated and resources wasted. Besides that, autism is a present concern since 1.67% of children are suffering from the disorder, a significant population and yet management efforts are hindered by a dearth of information that would be best addressed through research. NURS 6050 Week 4 assignment: Legislation Comparison Grid and Testimony/Advocacy Statement Example. Through passing the bill, significant advances would be reported in three areas. Firstly, research efforts would be coordinated through supporting research funded by the National Institute of Health. Secondly, streamlining data and surveillance through building infrastructure at CDC to monitor autism.

Finally, supporting training efforts to address the reported shortages of personnel who address screening, diagnosis and treatment efforts (Autism Society, 2019). Although the Bill seeks to improve autism management, there is a legitimate concern that it would increase federal spending on health and the federal deficit. This objection is in reference to Section 3 Part e of the Bill that amends appropriations authorization to increase funding for federal programs. This concern can be addressed through making two amendments to the Bill. The first amendment is to eliminate the part that seeks to increasing federal funding for autism management (repeal authorizations of appropriations) so that the federal deficit concerns are eliminated (Saba & McCormick, 2015). The second amendment is to mobilize funding from non-governmental and private donors who support a similar heath agenda. This would ensure that although federal funding is not used, the autism management activities identified by the Bill are not discontinued and they continue to receive funding (Feldstein, 2006). Overall, the Autism CARES Act of 2019 has much value, and could be improved to receive greater support if federal funding is reduced and alternative non-government funding is sourced. NURS 6050 Week 4 assignment: Legislation Comparison Grid and Testimony/Advocacy Statement Example.

References

Autism Society (2019). Autism CARES Act Reauthorization (2019). Retrieved from https://www.autism-society.org/public-policy/autism-cares-act-reauthorization-2019/

Feldstein, P. (2006). The politics of health legislation: an economic perspective (3^rd ed.). Chicago, IL: Health Administration Press.

Saba, V. & McCormick, K. (2015). Essentials of nursing informatics (6^th ed.). New York, NY: McGraw-Hill. NURS 6050 Week 4 assignment: Legislation Comparison Grid and Testimony/Advocacy Statement Example

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NURS 6050 Legislation Comparison Grid and Testimony/Advocacy Statement

Post an explanation for how you think the cost-benefit analysis in the statement from page 27 of Feldstein (2006) affected efforts to repeal/replace the ACA. Then, explain how analyses such as the one portrayed by the Feldstein statement may affect decisions by legislative leaders in recommending or positioning national policies (e.g., Congress’ decisions impacting Medicare or Medicaid).

Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement

As a nurse, how often have you thought to yourself, If I had anything to do about it, things would work a little differently? Increasingly, nurses are beginning to realize that they do, in fact, have a role and a voice.

Many nurses encounter daily experiences that motivate them to take on an advocacy role in hopes of impacting policies, laws, or regulations that impact healthcare issues of interest. NURS 6050 Legislation Comparison Grid and Testimony/Advocacy Statement Example Of course, doing so means entering the less familiar world of policy and politics. While many nurses do not initially feel prepared to operate in this space effectively, the reward is the opportunity to shape and influence future health policy.

The Assignment: (1- to 2-page Comparison Grid; 1- to 2-page Legislation Testimony/Advocacy Statement)

Part 1: Legislation Comparison Grid

Based on the health-related bill you selected, complete the Legislation Comparison 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?
Is it receiving press coverage?

Part 2: Legislation Testimony/Advocacy Statement

Based on the health-related bill you selected, develop a 1- to 2-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.
Recommend at least one amendment to the bill in support of your position. NURS 6050 Legislation Comparison Grid and Testimony/Advocacy Statement Example

Legislation Comparison Grid and Testimony/Advocacy Statement Example 2

Legislation Comparison Grid Template

Legislation Comparison Grid Template

Use this document to complete Part 1 of the Module 2 Assessment Legislation Comparison Grid and Testimony/Advocacy Statement

Health-related Bill Name	H.R.1390 – Mobile Health Record Act of 2019
Description	The bill was introduced in the house on 27^th February 2019 under the sponsorship of Susan Brooks the representative from Indiana and co-sponsorship of New York representative Yvette Clarke.
Federal or State?	Federal
Legislative Intent	The legislation aims to amend the Social Security Act, titles explicitly XVIII and XIX. The objective is to provide to benefit from part A or part B if the Medicare programs. This also includes individuals who have enrolled under a State program under Medicaid all of who will be empowered to access personal medical data including prescriptions, providers, diagnosis and tests through the mobile health record application of their choice. NURS 6050 Legislation Comparison Grid and Testimony/Advocacy Statement Example
Target Population	Beneficiaries of Medicaid
Status of the bill (Is it in hearings or committees? Is it receiving press coverage?)	The bill was introduced to Congress on February 27, 2019, and as later referred to the Committee on Energy and Commerce as well as the House Committee on Ways and Means. It is still at this stage of legislation. This is a relatively new bill given it was introduced less than a month ago, hence it has not received significant news coverage.
General Notes/Comments	Universal health coverage is a significant issue in the United States. Considerable efforts have been placed in enhancing access to not only quality care but also healthcare information. This bill seeks to improve such access by allowing Medicaid beneficiaries to access personal health information through the mobile platform. NURS 6050 Legislation Comparison Grid and Testimony/Advocacy Statement Example

Legislation Testimony/Advocacy Statement

Access to healthcare has been one of the fundamental goal for different administrations. However, the cost associated to delivery of healthcare to all is immeasurable. Different health insurance programs have been put in place. Healthcare insurance for all has been an essential agenda for different regimes in the United States history. Subsequent governments have attempted to improve the level of access to quality healthcare services, universal coverage, especially among the vulnerable populations, and enhanced access to care information. The H.R.1390 – Mobile Health Record Act of 2019 aims to improve access to care information at a personal level through the adoption of novice technology. In his assessment Dameff, Clay, and Longhurst (2019) argues that the mobile health records platform is yet to prove its usefulness, scalability, sustainability, and its capacity to improve health delivery and outcomes.

The main question is whether the platform through the provision of personal health information can enhance care outcomes at minimal costs while maintaining the quality of services delivered. However, it should be considered that the advent of electronic health records combined with the increased adoption of internet platforms as well as smart technologies have facilitated to flow of crucial clinical information across care organizations and providers (Dameff, Clay, &Longhurst, 2019) NURS 6050 Legislation Comparison Grid and Testimony/Advocacy Statement Example. The same, if achieved at the individual level, will improve patient inclusion in decision making and also enhance the people’s ability to make informed medical decisions with regards to their consumption of healthcare.

Opposition to this Act can result from the unproven status of such technology in enhancing access and quality of care services. Such concerns can be quelled through referencing the success achieved through Electronic Health Records which according to Bouayad, Ialynytchev, and Padmanabhan (2017), have made significant achievements in the improving quality and reducing errors. The same can be delivered through the proposed platform by enhancing how information is shared between care providers and patients.

Same with other information technologies adopted in the healthcare industry, mobile patient health information systems are susceptible to ethical concerns with regards to the safety of this information and the protection of individual rights to privacy. According to Bouri and Ravi (2014), such matters are compounded by the role played by third-party vendors who might mine or store patient information for alternative uses other than the individual’s care needs. As such, the legislators need to include amendments that clarify the accountability, rights to access, liabilities, and obligations of the parties involved in the input, storage, and transfer of patient information NURS 6050 Legislation Comparison Grid and Testimony/Advocacy Statement Example.

References

All Information (Except Text) for H.R.1390 – Mobile Health Record Act of 2019. (2019). Retrieved https://www.congress.gov/bill/116th-congress/house-bill/1390/all-info?r=1

Bouri, N., & Ravi, S. (2014). Going mobile: How mobile personal health records can improve health care during emergencies. JMIR mHealth and uHealth, 2(1), e8.

Bouayad, L., Ialynytchev, A., & Padmanabhan, B. (2017). Patient health record systems scope and functionalities: Literature review and future directions. Journal of Medical Internet Research, 19(11), e388.

Dameff, C., Clay, B., Longhurst, C. A. (2019). Personal Health Records: More Promising in the Smartphone Era? JAMA, 321(4):339–340. NURS 6050 Legislation Comparison Grid and Testimony/Advocacy Statement Example.

Legislation Comparison Grid and Testimony/Advocacy Statement Example 3

Legislation Comparison Grid Template

Legislation Comparison Grid Template

Use this document to complete Part 1 of the Module 2 Assessment Legislation Comparison Grid and Testimony/Advocacy Statement NURS 6050 Legislation Comparison Grid and Testimony/Advocacy Statement Example

Health-related Bill Name	H.R.1346 – Medicare Buy-In and Health Care Stabilization Act of 2019
Description	The legislation was introduced to the House by New York district 26 representative Brian Higgins on February 25, 2019.
Federal or State?	Federal
Legislative Intent	The legislation intends to amend title XVIII of the national Social Security Act to allow people aged between fifty and sixty-four to buy into Medicare. In addition to this, the bill aims to enhance the stability of the nation’s health insurance market. In this light, the bill seeks to mitigate gaps within Medicare to improve coverage for medical need linked to dental, vision and hearing care. Further, it aims at introducing a buy-in clause for persons facing financial challenges in securing coverage for Medicare, and individuals aged between 50 and 64 by making them eligible for enrolment.
Target Population	Vulnerable populations Individuals aged 50 to 64
Status of the bill (Is it in hearings or committees? Is it receiving press coverage?)	The bill was introduced to the floor of the house on 25^th February 2019. It has been subsequently referred to the Committee on Ways and Means and the Committee on Energy and Commerce. It has yet to receive considerable media coverage NURS 6050 Legislation Comparison Grid and Testimony/Advocacy Statement Example.
General Notes/Comments	Various gaps have been identified in Medicare provisions. Among other factors, the differences mean that beneficiaries do receive coverage on hearing, vision, and dental care resulting in high off-the-pocket costs. The proposed bill will go a long way in addressing these gaps as well as stabilizing the nation’s care insurance market.

Legislation Testimony/Advocacy Statement

As a care provider, I am in support of the H.R.1346 – Medicare Buy-In and Health Care Stabilization Act of 2019 given its potential effects in sealing gaps within Medicare that result in higher costs for the consumers and the program itself. Willink, Shoen, and Davis (2018) positions that when it was created almost fifty years ago, Medicare did not include provisions to cover the expenses associated with dental, vision, and hearing care. As a result, the program has had to pay for much higher amounts on severe illnesses and complications arising from or aggravated by the inadequacies in hearing, vision and dental coverage. NURS 6050 Legislation Comparison Grid and Testimony/Advocacy Statement Example.

The impact of this gap is compounded when one considers the number of individuals suffering from these problems but could not receive the needed care. In 2017, 70%, 43% and 75% of people with difficulties in eating, trouble in seeing, and those who required hearing aids respectively did not receive treatment for their respective issues (Willink, Shoen, & Davis, 2018). The proposed bill, if passed, will provide a considerable reprieve for these individuals as well as significantly reducing the consequential costs linked to the impact of these conditions on Medicare and the public NURS 6050 Legislation Comparison Grid and Testimony/Advocacy Statement Example.

Advocacy for the passage of the Medicare Buy-In and Health Care Stabilization Act of 2019 should also consider potential opposition to its passage. To alleviate this challenge, it is advisable to conduct educative programs on how the bill will benefit the nation in addition to Medicare beneficiaries. However, as advised by Burke, Crist, and Goldberg (2019), it is also vital for the legislators to consider real-life consequences of Medicare beneficiaries, especially older adults, who have difficulties in accessing oral, visual, and hearing care because of the expensive nature of paying for these services from their pockets. As it stands, the proposed act does not mention individuals older than sixty-five years. This points to an overlook over a patient population that significantly suffer from these problems. NURS 6050 Legislation Comparison Grid and Testimony/Advocacy Statement Example.

References

Burke, G., Christ, A., & Goldberg, J. (2019). Creating an oral health benefit in Medicare: A statutory analysis. Issue Brief, 2019(1), 1-7.

H.R.1346 – Medicare Buy-In and Health Care Stabilization Act of 2019. (2019). Retrieved from https://www.congress.gov/bill/116th-congress/house-bill/1346/text?q=%7B%22search%22%3A%5B%22GAPS+IN+MEDICARE%22%5D%7D&r=2

Willink, A., Shoen, C., & Davis, K. (2018). How Medicare could provide dental, vision, and hearing care for beneficiaries. Issue Brief (CommonWealth Fund), 2018(1), 1-12. NURS 6050 Legislation Comparison Grid and Testimony/Advocacy Statement Example

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Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

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Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

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For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score. NUR6050 Assignment Week 4 Legislation Comparison Grid

Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

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NUR6050 Assignment Week 4 Legislation Comparison Grid

WALDEN NUR6050 Assignment Week 4 Legislation Comparison Grid and Testimony/Advocacy Statement

NUR6050 Assignment Week 4 Legislation Comparison Grid and Testimony/Advocacy Statement

NURS 6050 Week 4 assignment: Legislation Comparison Grid and Testimony/Advocacy Statement Example

NURS 6050 Week 4 assignment: Legislation Comparison Grid and Testimony/Advocacy Statement Example 1

Part 1. Legislative comparison grid

Part 2. Legislation testimony/advocacy statement

NURS 6050 Legislation Comparison Grid and Testimony/Advocacy Statement

Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement

Legislation Comparison Grid and Testimony/Advocacy Statement Example 2

Legislation Comparison Grid Template

Use this document to complete Part 1 of the Module 2 Assessment Legislation Comparison Grid and Testimony/Advocacy Statement

Legislation Testimony/Advocacy Statement

Legislation Comparison Grid and Testimony/Advocacy Statement Example 3

Legislation Comparison Grid Template

Use this document to complete Part 1 of the Module 2 Assessment Legislation Comparison Grid and Testimony/Advocacy Statement NURS 6050 Legislation Comparison Grid and Testimony/Advocacy Statement Example

Legislation Testimony/Advocacy Statement

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