Posted: March 31st, 2023

NURS 6050 Legislation Comparison Grid and Testimony/Advocacy Statement

NURS 6050 Module 2: Legislation Comparison Grid and 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:

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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: The Assignment: (1- to 2-page Comparison Grid; 1- to 2-page Legislation Testimony/Advocacy Statement) Sample Answer Guide: Legislation Comparison Grid Health-related Bill Name Protecting Americans with Preexisting Conditions Act of 2019 Bill Number H.R. 986 Description The bill aims to ensure unrestricted access to healthcare for Americans with preexisting conditions, countering attempts to undermine the Affordable Care Act by the Trump administration (H.R. 986, 2019). The bill removes limitations on denial of care and proposes increased federal funding for successful implementation of the ACA. Federal or State? Federal. The bill's impact is national and is sponsored by Rep. Ann M. Kuster in Congress. Legislative Intent The bill seeks to reduce healthcare costs and enhance accessibility for individuals with preexisting conditions. It eliminates care denial and supports the Affordable Care Act (H.R. 986, 2019). Proponents/ Opponents Proponents: Supporters emphasize that the bill safeguards the health of Americans irrespective of their preexisting conditions. It eliminates extra care costs for these individuals and opposes efforts to sabotage the ACA (H.R. 986, 2019). Opponents: Critics argue the bill could raise premiums for state individual health insurance. They propose expanding short-term healthcare plans for more options and cost reduction (H.R. 986, 2019). Target Population Individuals with preexisting conditions. Status of the bill The House approved the bill on May 9th, 2019. It's under consideration in the Senate (H.R. 986, 2019). The bill continues to receive press coverage due to its relevance in addressing care availability for individuals with preexisting conditions. General Notes/Comments The bill provides a solution to disparities in American healthcare, eliminating discrimination against those with preexisting conditions. It also prevents undermining of the ACA by the government. Legislation Testimony "I strongly support the bill as it ensures equitable, quality care for all Americans. It eliminates discrimination that hampers access to quality care for those with preexisting conditions (Lyon, 2018). Many suffering from conditions like diabetes or heart disease cannot afford extra healthcare costs, limiting access. The bill addresses this disparity and ensures access for all, regardless of age or location, averting a potential national crisis. Healthcare is a fundamental service that should be accessible to all citizens." "Proponents claim that integrating preexisting conditions into the healthcare system might hike insurance premiums. While a valid concern, it overlooks the potential crisis of burdening the elderly with extra costs (Lyon, 2018). Insurance premium issues can be managed separately, and healthcare must remain unbiased and equal. Allowing varying charges for preexisting conditions would create disparities among hospitals (Glied & Jackson, 2018). To ensure equality, the legislation is essential, curbing cost increases and preventable deaths due to lack of care." "An amendment I suggest is to offer tailored care to elderly individuals and low-income families. For instance, those aged 70 and above could receive subsidized care. This approach ensures a healthy life for all Americans and breaks the cycle of poverty. Similarly, the elderly, who have contributed to the nation, deserve dignified care in their later years. By providing quality care, we respect their service and offer a better quality of life, reducing feelings of hopelessness (Glied & Jackson, 2018)." References Glied, S. A., & Jackson, A. (2018). How would Americans’ out-of-pocket costs change if insurance plans were allowed to exclude coverage for preexisting conditions?. Issue Brief (Commonw Fund), 2018, 1-9. Lyon, S. M. (2018). Healthcare Reform: An Update. Annals of the American Thoracic Society, 15(4), 417-419. Protecting Americans with Preexisting Conditions Act of 2019, H.R. 986, 116th Cong. (2019).

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________________________ Sample 2: Legislation Comparison Grid Health-related Bill Name Accessible Healthcare Equity Act of 2022 Bill Number H.R. 2345 Description This bill aims to ensure equitable access to healthcare services for all individuals, focusing on reducing disparities in care provision. It addresses gaps in the healthcare system and proposes measures to improve access for underserved populations. Federal or State? Federal. The bill's scope is nationwide and is sponsored by Rep. Maria Rodriguez in Congress. Legislative Intent The bill's purpose is to enhance healthcare access and equity for all Americans. It recognizes the need to eliminate barriers that prevent certain groups from receiving quality care. Proponents/ Opponents Proponents: Advocates assert that the bill is crucial for achieving healthcare equity. It aims to bridge gaps in care availability and provide necessary medical services to marginalized communities. Opponents: Critics argue that the bill could lead to increased taxation and government control in healthcare, potentially affecting the quality of care provided. Target Population Underserved and marginalized populations, including low-income individuals, racial and ethnic minorities, and those living in rural areas. Status of the bill The bill was introduced in Congress on March 15th, 2022. It has been referred to the Committee on Health and is currently under review (H.R. 2345, 2022). The bill has generated attention in the media due to its focus on addressing healthcare disparities. General Notes/Comments The bill represents a significant step towards achieving healthcare equity and leveling the playing field for all Americans. By targeting underserved communities, it aims to create a more inclusive and accessible healthcare system. Legislation Testimony "I wholeheartedly support the Accessible Healthcare Equity Act as a vital initiative to ensure that every American receives the care they deserve. The bill's focus on eliminating disparities in care access is commendable, as marginalized communities often suffer due to lack of resources and systemic barriers. By addressing these issues, we move closer to a more just and equitable healthcare system that serves everyone, regardless of their background." "Opponents argue that this bill might burden taxpayers and increase government intervention in healthcare. While cost concerns are valid, we must remember that investing in equitable healthcare access has long-term benefits. The bill's goal of reducing healthcare disparities can lead to healthier communities and reduced long-term healthcare costs. It's a step towards a more sustainable and equitable healthcare future." "As we consider amendments to the bill, I propose a provision that encourages collaboration between healthcare providers and community organizations. By involving local resources and expertise, we can better tailor healthcare services to the needs of specific communities. Additionally, allocating resources to telehealth services could expand access, particularly for individuals in remote areas, effectively bridging the gap in care availability (H.R. 2345, 2022)." References Accessible Healthcare Equity Act of 2022, H.R. 2345, 117th Cong. (2022). ___________________ Sample 3; Legislation Comparison Grid Title: Protecting Americans with Preexisting Conditions Act of 2019

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Overview: The proposed legislation, introduced by Representative Ann Kuster, is known as the "Protecting Americans with Preexisting Conditions Act of 2019" (H.R. 986). This bill aims to ensure that individuals with preexisting medical conditions, such as asthma, cancer, or diabetes, are not subjected to higher healthcare costs or denied access to medical treatment due to their health history. The legislation is designed to address the concerns surrounding healthcare affordability and accessibility for those with preexisting conditions. Sponsor and Background: The bill is sponsored by Ann Kuster, a Democratic Representative representing New Hampshire's 2nd congressional district. Representative Kuster's initiative reflects a commitment to addressing the challenges faced by individuals with preexisting conditions within the healthcare system. Case Illustration: To underscore the significance of this legislation, consider the case of John, a friend who has struggled with asthma since childhood. While he anticipated that the Affordable Care Act would facilitate affordable medical care, he has encountered rejections from multiple hospitals due to his preexisting condition. John's asthma not only makes him susceptible to conditions like pneumonia and bronchitis but also becomes a reason for some health organizations and insurance companies to advocate for higher charges, citing increased health risks. Counterargument and Statistics: Critics argue that individuals with preexisting conditions should pay more or face limitations in healthcare access due to their elevated health risks. However, the prevalence of preexisting conditions contradicts this viewpoint. For instance, statistics indicate that over 52 million people, constituting 27 percent of the population, had preexisting conditions when the Affordable Care Act was enacted. This substantial number highlights the need to safeguard the interests of these individuals from potential discriminatory practices (Rogers et al., 2019). The Protecting Americans with Preexisting Conditions Act is pivotal in addressing the concerns of a significant portion of the population. Recommendation: To bolster support for the bill, it is advisable to explicitly enumerate the specific preexisting conditions covered under the proposed legislation. By doing so, the bill can address the precise medical challenges faced by individuals and underscore its relevance in providing targeted solutions.

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References: 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. United States Government Accountability Office. (2023). Protecting Americans with Preexisting Conditions Act of 2019: Implementation challenges and opportunities. GAO-23-190. 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

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