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

Health-related Bill Name Protecting Americans with Preexisting Conditions Act of 2019
Bill Number H.R. 986
Description The bill proposes that Americans with preexisting conditions should pay less cost for healthcare services. The bill seeks approval of the government to provide states with waivers to execute the affordable cost for Americans with preexisting conditions (H.R. 986, 2019). The bill opposes the denial of care or high cost of healthcare for people who were born with certain diseases or conditions they cannot control (Molyneux, 2018).

Federal or State? Federal
Legislative Intent The legislative intent is to lower the cost and allow flexibility for Americans with preexisting conditions.

Proponents/ Opponents Proponents:
The supporters of the bill argue that if the bill is enacted into law it would safeguard the health of people with preexisting conditions (Rogers, Kim, Lee, Basu & Tipirneni, 2019). The idea is to expand healthcare access to Americans who have various conditions without being overcharged or denied healthcare.
Opponents:
The opponents argue that expanding healthcare access of short-term or association based plans would increase the options of consumers (Hampton & Lenhart, 2019). It would also duplicate the partial provision of federal government for short-term healthcare plans.

Target Population Americans with preexisting conditions.

Status of the bill (Is it in hearings or committees? Is it receiving press coverage?) The bill was passed in the House on May 9th, 2019. It will later be taken to the Senate for consideration. The bill is already receiving press coverage since it is a popular proposal to expand healthcare access to people who have been neglected for a long time.

General Notes/Comments

The purpose of the bill is to expand healthcare access to the people who are living with preexisting conditions. The sponsor of the bill Ann Kuster, a Democrat is Representative for New Hampshire’s 2nd congressional district. Therefore, the bill is necessary since it will provide the required care to all Americans. Additionally, it has received the support of the House and now it awaits the Senate.

References
Hampton, J. M., & Lenhart, O. (2019). Till insurance do us apart: the effect of the affordable care act preexisting conditions provision on marriage.
Molyneux, J. (2018). Health care policy update: new Medicaid work requirements, preexisting conditions at risk, the drug cost crisis. AJN The American Journal of Nursing, 118(8), 22-24.
Protecting Americans with Preexisting Conditions Act of 2019, H.R. 986, 116th Cong. (2019).
Rogers, M. A., Kim, C., Lee, J. M., Basu, T., & Tipirneni, R. (2019). Private insurance coverage for diabetes before and after enactment of the preexisting condition mandate of the Affordable Care Act, 2005–2016. American journal of public health, 109(4), 562-564.

Legislation Testimony
The bill by Ann Kuster is titled ‘Protecting Americans with Preexisting Conditions Act of 2019’. The bill proposes that Americans who had preexisting conditions before the enactment of the Affordable Care Act should not be charged more or denied healthcare access (H.R. 986. 2019). The various preexisting conditions include asthma, cancer or diabetes. The bill is sponsored by Ann Kuster, a Democrat and a Representative for New Hampshire’s 2nd congressional district.
The testimony to show the importance of the bill is of my friend called John. John has been asthmatic since childhood. He expected that the Affordable Care Act would provide him with an opportunity to receive treatment at a friendly cost (Molyneux, 2018). However, he has been turned down in several hospitals due to the preexisting condition. The condition exposes him to other types of diseases such as pneumonia or bronchitis. Therefore, health organizations and insurance companies argue that he should pay more since he is more exposed to factors that might lead to sickness.
I would address the opponents by showing the statistics of the people who have preexisting conditions. Therefore, it would be unfair for people like John to pay more or be denied healthcare access (Rogers, Kim, Lee, Basu & Tipirneni, 2019). For example, 27 percent or over 52 million people have preexisting conditions by the time the Affordable Care Act was enacted. Therefore, the law is looking into the interests of over 50 million people who are likely to be overcharged or denied access to healthcare (Hampton & Lenhart, 2019). To support the bill, I would recommend the bill to indicate all the preexisting conditions that are covered in the bill. The specific conditions would show that the bill is addressing specific issues that people are going through.
References
Hampton, J. M., & Lenhart, O. (2019). Till insurance do us apart: the effect of the affordable care act preexisting conditions provision on marriage.
Molyneux, J. (2018). Health care policy update: new Medicaid work requirements, preexisting conditions at risk, the drug cost crisis. AJN The American Journal of Nursing, 118(8), 22-24.
Protecting Americans with Preexisting Conditions Act of 2019, H.R. 986, 116th Cong. (2019).
Rogers, M. A., Kim, C., Lee, J. M., Basu, T., & Tipirneni, R. (2019). Private insurance coverage for diabetes before and after enactment of the preexisting condition mandate of the Affordable Care Act, 2005–2016. American journal of public health, 109(4), 562-564.

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