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.
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.
By Day 7 of Week 4

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

Description

Federal or State?
Legislative Intent

Target Population

Status of the bill (Is it in hearings or committees? Is it receiving press coverage?)

General Notes/Comments

Week 3 information
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)

Congress.gov. (n.d.). Retrieved September 20, 2018, from https://www.congress.gov/

Taylor, D., Olshansky, E., Fugate-Woods, N., Johnson-Mallard, V., Safriet, B. J., & Hagan, T. (2017). Corrigendum to position statement: Political interference in sexual and reproductive health research and health professional education. Nursing Outlook, 65(2), 346–350. doi:10.1016/j.outlook.2017.05.003
Note: You will access this article from the Walden Library databases.

United States House of Representatives. (n.d.). Retrieved September 20, 2018, from https://www.house.gov/

United States Senate. (n.d.). Retrieved September 20, 2018, from https://www.senate.gov/

United States Senate. (n.d.). Senate organization chart for the 115th Congress. Retrieved September 20, 2018, from https://www.senate.gov/reference/org_chart.htm

Document: Legislation Comparison Grid Template (Wo

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.
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.

Sample Essay Answer

Legislation Comparison Grid
PART 1

Health-related Bill Name
MEDICAID EXTENDERS ACT OF 2019
Description The Bill sought to create a greater scope of protection under Medicaid by including other vulnerable groups not previously covered under the Social Security Act Amendments of 1965 which created the program. The statute was passed by the congress and enacted into law through presidential assent on 23rd January 2019 (GovTrack.us, 2019).

Federal or State? Federal Bill which was introduced to the Congress of the US

Legislative Intent The intention of this Bill is to accord coverage of Medicaid to persons who would undergo impoverishment while acting as spouse to a beneficiary under the program (GovTrack.us, 2019). Additionally, the bill also attempts to protect beneficiaries of Medicaid from any activities such as services which are community oriented which may place them in danger of becoming poor.

Target Population This Bill focuses on beneficiaries of Medicaid by offering additional protection to such individuals by covering their spouses from poverty. The main objective under the Bill is to ensure that recipients of Medicaid do not suffer as a result of impoverished condition of a spouse (GovTrack.us, 2019). Consequently, the Bill aims to offer coverage to spouses to ensure that Medicaid helps families as originally designed.

Status of the bill (Is it in hearings or committees? Is it receiving press coverage?) The Bill has been enacted into law through presidential assent on 23rd January 2019 following debate and hearing in both the house and the senate and after getting passed in identical forms. This Bill has received sufficient coverage following its enactment with mainstream media reporting about the amendments to Medicaid plan of 1965.

General Notes/Comments

This Bill should have taken into consideration the needs of other vulnerable members of the American society by seeking to repeal the Social Security Act Amendments of 1965. The main objective of such an amendment would have been to include other members of the society within the coverage of Medicaid as opposed to the current situation where only the elderly are covered.
PART 2

The Medicaid Extenders Act of 2019 is a positive development towards addressing the coverage gap which existed after the introduction of the Medicaid programs by the Social Security Act Amendments of 1965. Principally, Medicare refers to a program which was formulated and is currently run by the government of the US which offers cover to different categories of deserving members of the civilian population within the country (GovTrack.us, 2019). Primarily, this initiative is the health insurance program which is operated by the federal government as the basis for offering healthcare and protection to the vulnerable members of the society. This program is under the docket of the federal government and is usually funded using an arrangement with the insurance companies to render subsidized healthcare services to the older members of the society who have attained the age of sixty five years old, the disabled as well as a category of people with a specific disease (GovTrack.us, 2019). It is noteworthy that the coverage under the Medicaid has traditionally been limited to elderly members of the public and people with specific illness and this causes inconvenience to the rest of the society. Therefore, the enactment of the Medicaid Extenders Act of 2019 is a positive step towards expanding this gap which has been a matter of public concern in the past years. The main reason why the debate on expansion of gap under Medicaid has arisen is the poor state of national health insurance in the US with the rate of taxation and premium continually increasing.
A contrary argument to this justification for expansion of Medicaid gap of coverage by the Medicaid Extenders Act of 2019 would assert that under Medicaid, part of the funding occurs from the consolidated fund in which the government channels money to facilitate the health program for the vulnerable individuals in the country (Milstead & Short, 2019). On another end, the covered individuals such as the elderly, young members with aspects of disabilities and those people suffering from renal diseases are also expected to meet a little expense of the insurance plan under the subsidy program to facilitate the completion of the funding expenses (United States House of Representatives, 2019). In light of this, proponents of this position could rely on the fact that the recipients of Medicaid offer contributions in support of the program hence its similarity to the national health insurance initiatives.
The necessary amendment to the Bill would be that the statute should be amended to include all children in the society as a vulnerable group. This is justified on the fact that Medicaid now covers the elderly and their spouses leaving out their children who can still lead to poverty when such young one becomes ill (GovTrack.us, 2019). At the moment, for an individual to qualify under Medicare, a person must belong to the category of the. The elderly are described as individuals whose age is above that of sixty five years old while the element of disability is central for the admission of any young person into the program (Congress.gov, n.d.). Moreover, another additional requirement is that of individuals who are suffering from kidney problems such as renal disease and kidney failure and are in need of constant dialysis hence the need to expand the gap as discussed in this analysis.

References

Congress.gov. (n.d.). Retrieved March 12, 2019, from https://www.congress.gov/
GovTrack.us. (2019). H.R. 259-116th Congress: Medicaid Extenders Act of 2019. Retrieved from https://www.govtrack.us/congress/bills/116/hr259
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.
United States House of Representatives. (n.d.). Retrieved March 12, 2019, from https://www.house.gov/

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