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NURS 6050 Assignment: Legislation  Grid Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement

Assignment: Legislation  Grid

Legislation Grid Template

Nurses experience events and situations that motivate them to assume the advocacy role in hopes of influencing policies, regulations, and laws related to healthcare and care provision. To do so, they have to enter into the less familiar political and policy making spheres to demonstrate their interests by evaluating proposed bills and their overall effects on the target health populations, the nursing profession and the healthcare industry at large. The purpose of this assignment is to review a selected health-related bill that has been proposed in Congress and complete the Legislation Grid Template to determine its intent, proponents and opponents, the target population and issue an advocacy statement or testimony.

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Health-related Bill Name Mobile Health Record Act of 2019

 

Bill Number H.R.1390
Description Mobile Health Record Act of 2019 was introduced in the house on February 27, 2019 and was sponsored by Susan Brook, the house representative from the fifth Congressional District in Indiana. The bill’s co-sponsors include Yvettte Clarke the New York representative of 9th Congressional District, Levine Mike from California, Schweikert David from Arizona and Gottheimer Josh from New Jersey.

The proposal mandates the Centers of Medicare and Medicaid Services (CMS) to develop a program, which ensures Medicare enrollees link their data using reliable applications, services and research initiative. The bill also requires enrollees to access information using a mobile health record application of their choice and one that is approved by the CMS and meets the specified requirements. The CMS must make such information accessible to such applications as stipulated by the current Blue Button 2.0 program. The proposed legislation also mandates federal payments to states that opt to develop or purchase similar applications for the enrollees.

 

 

Federal or State? Federal
Legislative Intent The legislative intends to change the Social Security Act with the aim of offering benefits from part A or part B of the Medicare programs. These include individuals who enroll in state programs under Medicaid. The bill will empower the beneficiaries to access personal medical data that comprises of prescribed medicines, their diagnoses, providers and tests through the use of their selected mobile health records applications.

 

Proponents/ Opponents Proponents:

Proponents of the bill include the representatives introducing and supporting it, healthcare providers like nurses and physicians, software development companies and startups, and Centers for Medicare and Medicaid Services (CMS).

 

Opponents: Opponents may include insurance companies that have always had the monopoly to offer consultancy services to the beneficiaries.

 

Target Population  Medicare and Medicaid Enrollees

 

Status of the bill (Is it in hearings or committees?) The sponsor introduced the bill in Congress in 2019. The bill went to the respective Committee on Energy and Commerce. The bill is currently in the Committee of Ways and Means’ subcommittee on Health. Lastly, while the bill has received substantial amount of coverage, it is still new and at the committee stage.

 

 

General Notes/Comments

 

 

The need to expand access to health care, especially for older Americans and individuals with chronic conditions, is essential as the country continues to battle pandemics like the Coronavirus disease of 2020. The use of health information technology models like mobile health expands access, particularly to underserved and susceptible populations. Therefore, the bill seeks to enhance access to information and allow individuals to have effective management and involvement in their health decisions (Bouayad et al., 2017). By allowing Medicaid and Medicare beneficiaries to access personal health information through mobile applications, the bill expands care and individual autonomy to make decisions.

Part 2: Legislation Testimony/Advocacy Statement

Access to healthcare remains one of the fundamental goals of different administrations, particularly at this time when the country and the world are battling a resurgence in COVID-19 cases due to the Delta variant. The cost of healthcare continues to rise, particularly for those from low-income households and neighborhood and racial minorities. Initiating different interventions such as the introduction of Mobile Health Records Act of 2019 will ensure that these people can access healthcare at affordable cost. The bill focuses on improving access to care information at an individual level by using novel technology. In their study, Dameff et al. (2019) advance that the deployment of mobile health records platforms can enhance health delivery and outcomes. The authors emphasize the need to embrace health information technology models to enhance overall care delivery, particularly access to personal health records.

The main concern should be on whether the model through the provision of access to personal health information can improve care outcomes at the minimal cost while maintaining the quality of care service (Snezana et al., 2020). It is essential to know that the advent of electronic health records and expanded use of Internet platforms and smart technologies have led to seamless flow of critical clinical information among care organizations and providers (Harahap et al., 2021). Imperatively, if the same can be attained at a personal level, it will enhance patient involvement in decision making concerning their care plans and interventions.

The approach will also enhance individuals’ ability to make informed choices concerning the use of healthcare services. Opposition to this Act can only arise due to unproven status of such applications in improving access and quality of care (Niazkhani et al., 2020). Such positions can be addressed by looking at the success of models like the electronic health records, the use of telehealth and telemedicine, and even artificial intelligence in care provision and reducing the cost of healthcare.

Conclusion

The Mobile Health Records Act of 2019 is a mobile version of EHRs and should be passed and enacted into law to enhance access to care and reduce the overall costs. The use of such technologies will also enhance patients’ participation in their treatment plans and interventions and allow them to make better informed choices and decisions.

References

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.

doi: 10.2196/jmir.8073.

Congress.GOV. (2021). H.R.1390 – Mobile Health Record Act of 2019.

https://www.congress.gov/bill/116th-congress/house-bill/1390/committees

Dameff, C., Clay, B., Longhurst, C. A. (2019). Personal Health Records: More

Promising in the Smartphone Era? JAMA, 321(4):339-340.

doi: 10.1001/jama.2018.20434.

Harahap, N. C., Handayani, P. W., & Hidayanto, A. N. (2021). Functionalities and

issues in the implementation of personal health records: Systematic review. Journal of medical Internet research, 23(7), e26236.

doi: 10.2196/26236

Niazkhani, Z., Toni, E., Cheshmekaboodi, M., Georgiou, A., & Pirnejad, H.

(2020). Barriers to patient, provider, and caregiver adoption and use of electronic personal health records in chronic care: a systematic review. BMC medical informatics and decision making, 20(1), 1-36.

doi: 10.1186/s12911-020-01159-1

Snezana, S., Kilintzis, V., Jakimovski, B., Jolevski, I., Beredimas, N., Mourouzis,

A., … & Trajkovik, V. (2020, September). Cloud Based Personal Health Records Data Exchange in the Age of IoT: The Cross4all Project. In International Conference on ICT Innovations (pp. 28-41). Springer, Cham.

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.

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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.

Legislation Grid Template

Use this document to complete Part 1 of the Module 2 Assessment Legislation Grid and

NURS 6050 Assignment Legislation Grid Assignment Legislation Comparison Grid and TestimonyAdvocacy Statement

NURS 6050 Assignment Legislation Grid Assignment Legislation Comparison Grid and TestimonyAdvocacy Statement

Testimony/Advocacy Statement

Health-related Bill Name
Helping Health Care Workers Afford Child and Elderly Care Act
Bill Number S.3567
Description Healthcare providers have an essential role to play in the provision of care to the diverse populations. In doing this, they also have the responsibility to ensure that they address the healthcare needs of those who depend on them. In specific, the healthcare providers should be able to afford the care that their children and elderly parents need. This implies that there is a need for a legislation that provides the healthcare givers with the financial support that they need in ensuring that the health needs of their children and elderly parents are met (Crawshaw et al., 2020). Therefore, the Helping Health Care Workers Afford Child and Elder Care Act has been proposed to achieve this outcome.

Federal or State? The bill is a state bill. It seeks to ensure that all the states adopt the bill to ensure that healthcare providers can afford the care that their children and elderly need. The bill aims to enhance the affordability, accessibility, and availability of the care that those dependent on healthcare providers need.

Legislative Intent

The Helping Healthcare Workers Afford Child and Elder Care Act targets mainly the essential workers in the state. The essential workers as defined in the bill include the health-sector workers, sanitation workers, workers who are unable to telework, emergency responders, and employees of the businesses that must be open during public emergencies. According to the bill, there should be an increase in the funding for the bill to achieve its objective. The states are obligated to allocate $500000 in the fiscal year 2020. The funds are to be used for the provision of child care services for the essential workers, daytime care services as well as adult protective services for individuals that are household members of essential workers or dependent on household workers and require healthcare services. The funds are proposed to reimburse for the essential workers for costs to be incurred in seeking services including emergency care services and child care services for the children and elderly depending on the essential workers. The eligibility of the children and elderly for the funds shall not be conditioned on a means test (Shaheen, 2020).

Proponents/ Opponents Proponents: Currently, five senators have co-sponsored the bill. The senators include Baldwin Tammy, Hassan Margaret Wood, Harris Kamala, Reed Jack, and Durbin Richard. According to the proponents of the bill, the bill will increase the access to care by the dependents of the health care workers. The bill will also lessen the burden of the disease to the healthcare workers. Through it, the health care workers will be assured of the support from the state on matters of health affecting their significant others.

Opponents: The bill currently does not have opponents for its implementation. However, it is anticipated that the bill will face some opposition from arguments that the existing health acts such as the Affordable Care Act addresses the needs of the elderly and children in different states. The bill might also face some resistance against its implementation due to the current huge wage bill in most of the states.

Target Population The target population for the bill comprises mainly of the children and elderly who depend on essential workers.

Status of the bill (Is it in hearings or committees?) The bill is currently on the hearing stage.

 

General Notes/Comments

The Health Care Workers Afford Child and Elder Care Act is an important bill that should be implemented by all the states in America. The bill seeks to lower the burden of a disease of health care needs for the essential workers. Essential workers play a critical role in the promotion of the health of the diverse populations. The ability to provide high quality care to the populations in need depend largely on the manner in which their actual and potential needs as human beings are met. The bill seeks to promote the mental health and wellbeing of the essential workers by assuring them state support for the healthcare needs of their dependents. Through it, the health care workers are expected to be highly motivated to engage in activities that promote the health and wellbeing of the general population. According to Niles (2019), legislative interventions that address the critical needs of the healthcare providers are critical in promoting their motivation in providing care to others. Through the proposed bill, it is expected that the essential workers will be highly motivated to provide innovative and evidence-based care to their populations (Milstead, 2019; Olusegun & Tinuke, 2020). Consequently, I support its adoption in the states to address the needs of the healthcare givers too in supporting their families. One of the interventions that I will utilize to address the opponents in my position is pointing out the essential role that healthcare workers play in our country. For example, I will use the effects of Covid19 on the population and healthcare workers to increase the relevance of the bill in supporting the needs of the essential workers. I will also use principles of human resource management such as employee development to address opponents of the bill. For example, I will argue that implementing the bill will motivate the health care workers, hence, the promotion of the health and wellbeing of the population as a whole. Lastly, I will cite evidence from evidence-based studies and countries that have implemented similar acts in the past.

References
Crawshaw, J., Budhwar, P., & Davis, A. (2020). Human Resource Management: Strategic and International Perspectives. SAGE.
Milstead, J. A. (2019). Health Policy and Politics: A Nurse’s Guide. Burlington, MA: Jones & Bartlett Publishers.
Niles, N. J. (2019). Basic Concepts of Health Care Human Resource Management. Burlington, MA: Jones & Bartlett Learning.
Olusegun, A., Sulaiman, & Tinuke, F. (2020). Human Resource Management Practices for Promoting Sustainability. IGI Global.
Shaheen, J. (2020, March 22). S.3567 – 116th Congress (2019-2020): Helping Health Care Workers Afford Child and Elder Care Act (2019/2020) [Webpage]. https://www.congress.gov/bill/116th-congress/senate-bill/3567

Module 2: Legislation (Weeks 3-4)

Laureate Education (Producer). (2018). Legislation [Video file]. Baltimore, MD: Author.

Learning Objectives

Students will:
  • Analyze how cost-benefit analysis affects legislative efforts
  • Analyze legislative intent of bills
  • Identify proponents and opponents of bills
  • Analyze legislative process of bills
  • Advocate policy position for bills

 

Due By
Assignment
Week 3, Days 1-2
Read/Watch/Listen to the Learning Resources.
Compose your initial Discussion post.
Week 3, Day 3
Post your initial Discussion post.
Begin to compose your Assignment.
Week 3, Days 4-5
Review peer Discussion posts.
Compose your peer Discussion responses.
Continue to compose your Assignment.
Week 3, Day 6
Post at least two peer Discussion responses on two different days (and not the same day as the initial post).
Week 3, Day 7
Wrap up Discussion.
Week 4, Days 1-6
Continue to compose your Assignment.
Week 4, Day 7
Deadline to submit your Assignment.

 


Learning Resources

Required Readings

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 3, “Government Response: Legislation” (pp. 37–56)
  • Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 180–183 only)

Document: Legislation Grid Template (Word document)

Required Media

Laureate Education (Producer). (2018). Working with Legislators [Video file]. Baltimore, MD: Author.

Laureate Education (Producer). (2018). Introduction to Health Policy and Law with Joel Teitelbaum [Video file]. Baltimore, MD: Author.

Credit: Provided courtesy of the Laureate International Network of Universities.

Laureate Education (Producer). (2018). Contemporary Issues in Public Health Policy with Joel Teitelbaum [Video file]. Baltimore, MD: Author.

Laureate Education (Producer). (2018). Peter Beilenson: Population Health [Video file]. Baltimore, MD: Author.


Discussion: Politics and the Patient Protection and Affordable Care Act

Regardless of political affiliation, individuals often grow concerned when considering perceived competing interests of government and their impact on topics of interest to them. The realm of healthcare is no different. Some people feel that local, state, and federal policies and legislation can be either helped or hindered by interests other than the benefit to society.

Consider for example that the number one job of a legislator is to be reelected. Cost can be measured in votes as well as dollars. Thus, it is important to consider the legislator’s perspective on either promoting or not promoting a certain initiative in the political landscape.

To Prepare:

  • Review the Resources and reflect on efforts to repeal/replace the Affordable Care Act (ACA).
  • Consider who benefits the most when policy is developed and in the context of policy implementation.

By Day 3 of Week 3

Post an explanation for how you think the cost-benefit analysis in terms of legislators being reelected affected efforts to repeal/replace the ACA. Then, explain how analyses of the voters views may affect decisions by legislative leaders in recommending or positioning national policies (e.g., Congress’ decisions impacting Medicare or Medicaid). Remember, the number one job of a legislator is to be re-elected. Please check your discussion grading rubric to ensure your responses meet the criteria.

By Day 6 of Week 3

Respond to at least two of your colleagues* on two different days by expanding on their explanation and providing an example that supports their explanation or respectfully challenging their explanation and providing an example.

*Note: Throughout this program, your fellow students are referred to as colleagues.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 3 Discussion Rubric

Post by Day 3 and Respond by Day 6 of Week 3

To participate in this Discussion:

Week 3 Discussion

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include 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.
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