NURS 6050 Legislation Grid Template SAMPLE

NURS 6050 Assignment: Legislation Grid and Testimony/Advocacy Statement SAMPLE
NURS 6050 Legislation Grid Template SAMPLE
NURS 6050 Assignment: Legislation Grid and Testimony/Advocacy Statement
Legislation Grid and Testimony/Advocacy Statement
Legislation Grid Template
Maternal health is defined as a woman’s health and well-being before, during, and after pregnancy. It includes aspects of physical, emotional, mental, and social health. Maternal health also encompasses the absence of maternal morbidity, acute maternal morbidity, and maternal mortality (CMS, 2019). Rural
NURS 6050 Legislation Grid Template SAMPLE
women in the U.S have poorer maternal health outcomes than their urban counterparts, including higher pregnancy-related mortality (Simpson, 2020). This necessitates for laws to be enacted to improve maternal health outcomes in rural areas. This assignment will describe a proposed Bill that seeks to address the maternal health issue and advocate my position for the Bill.
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Health-related Bill Name
Rural MOMS Act
 

Bill Number
S. 1491

Description
The Rural MOMS Act is a bill to amend the Public Health Service Act to improve obstetric care in rural areas. The Bill expands initiatives to address maternal health in rural areas.
 

Federal or State?
Federal

Legislative Intent

The Rural MOMS Act was proposed to provide funding through FY2025 for the Health Resources and Services Administration (HRSA) to create rural obstetric networks (GovTrack.us, 2021).
The rural obstetric networks must support collaboration to enhance birth outcomes and reduce maternal morbidity in rural areas.
Besides, HRSA must reward demonstration grants to medical institutions and health professional training programs to support maternal health education and training in rural areas (GovTrack.us, 2021).
The Bill also integrates maternal health services in various telehealth grant programs.
It also reviews specific research and other Department of Health and Human Services activities related to maternal health (GovTrack.us, 2021).
In addition, the Government Accountability Office must report on maternal health topics, such as health inequities and data issues.
If the Rural MOMS Act is passed to law, the Secretary will be required to award grants or cooperative agreements to eligible entities to establish collaborative improvement and rural obstetric networks to improve maternal and infant health outcomes (GovTrack.us, 2021).

 

Proponents/ Opponents
Proponents: The Bill has eight Cosponsors: 4 Republicans, 3 Democrats, 1 Independent.
Primary sponsor- Smith, Tina [D-MN]
Original Cosponsor- Luján, Ben [D-NM]
Original Cosponsor- Murkowski, Lisa [R-AK]
Original Cosponsor- Ernst, Joni [R-IA]
Original Cosponsor- Gillibrand, Kirsten [D-NY]
Original Cosponsor- King, Angus [I-ME]
Original Cosponsor- Stabenow, Debbie [D-MI]
Joined May 25, 2021- Collins, Susan [R-ME]
Joined May 12, 2021 – Capito, Shelley [R-WV]
 
 

Opponents: None
 
 

Target Population
Women
Infants
 

Status of the Bill (Is it in hearings or committees?)
 

The Bill was introduced in Senate on April 29, 2021, and is currently in the Committee stage.
The Senate committee assigned to this bill, Health, Education, Labor, and Pensions Committee, sent it to the Senate as a whole for consideration on May 25, 2021 (GovTrack.us, 2021).

 
 

General Notes/Comments
 
 

The Bill will significantly help to reduce preventable maternal mortality and acute maternal morbidity by improving maternity care and access to care in rural areas, maternity care health professional target areas, and jurisdictions of Indian Tribes and Tribal organizations.

 

NURS 6050 Legislation Grid Template SAMPLE Part 2: Legislation Testimony/Advocacy Statement
An ideal maternal health system should have all women accessing comprehensive maternal care that encompasses behavioral, social, and economic supports. Besides, women should be involved with the health system before, during, and after pregnancy (Simpson, 2020). However, most women are not receiving care in an ideal system, with women in rural areas encountering challenges that make it difficult for them to access ideal maternal care or any care at all (Simpson, 2020). I support the Rural MOMS Act since it seeks to improve obstetric care for women living in rural areas. The Bill also broadens initiatives that aim to improve maternal health in rural areas. NURS 6050 Assignment: Legislation Grid and Testimony/Advocacy Statement
The lack of access to ideal maternal healthcare disproportionately impacts Black and Hispanic communities and women with low income since they mostly live in urban areas. Women in rural areas are less likely to access prenatal care (CMS, 2019). I would advocate for the Bill because there is a high need for quality maternal health programs in rural areas to address the barriers rural women encounter.
I would address the proponent of the Rural MOMS Act by enlightening them of the barriers that rural women face in accessing maternal care. These include social determinants of health such as low educational attainment, low household incomes, high uninsurance rates, poverty, and housing instability (Lee et al., 2020). For instance, housing insecurity poses maternal health risks such as low birth weight and preterm birth. Rural women also encounter challenges with transportation challenges, food insecurity, and a lack of educational and employment opportunities connected with poor mental health outcomes (Lee et al., 2020). Furthermore, I would inform the proponent that the Bill will provide funds to help eliminate challenges in rural areas such as the closure of rural hospitals and obstetric units, poor physical and mental health, lack of data on maternal health, and lack of care coordination. NURS 6050 Assignment: Legislation Grid and Testimony/Advocacy Statement
NURS 6050 Assignment: Legislation Grid and Testimony/Advocacy Statement Conclusion
If the Rural MOMS Act Bill is passed, it will require the Secretary to provide funding through FY2025 for the HRSA to create rural obstetric networks.
The HRSA will be required to reward grants to medical schools and other professional training programs to support education and training on maternal health in rural areas. The Bill seeks to improve obstetric care in rural areas and expand initiatives to improve maternal health in rural areas. Maternal health initiatives in rural areas can help to increase access to high-quality healthcare services before, during, and after pregnancy and mental health and social support. I support the Bill since it will provide funds that will help address barriers faced by women in rural areas. The Bill will also improve maternity care, which will reduce preventable maternal mortality and acute maternal morbidity.
NURS 6050 Assignment: Legislation Grid and Testimony/Advocacy Statement References
Centers for Medicare & Medicaid Services. (2019). Improving access to maternal health care in rural communities.
GovTrack.us. (2021). S. 1491 — 117th Congress: Rural MOMS Act. Retrieved from https://www.govtrack.us/congress/bills/117/s1491
Lee, H., Hirai, A. H., Lin, C. C. C., & Snyder, J. E. (2020). Determinants of rural-urban differences in health care provider visits among women of reproductive age in the United States. PloS one, 15(12), e0240700. https://doi.org/10.1371/journal.pone.0240700
Simpson, K. R. (2020). Ongoing crisis in lack of maternity services in rural America. MCN: The American Journal of Maternal/Child Nursing, 45(2), 132. https://doi.org/10.1097/NMC.0000000000000605 NURS 6050 Legislation Grid Template SAMPLE
 
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