Post an explanation for how you think the cost-benefit analysis in the statement from page 27 of Feldstein (2006) affected efforts to repeal/replace the ACA.

Post an explanation for how you think the cost-benefit analysis in the statement from page 27 of Feldstein (2006) affected efforts to repeal/replace the ACA.

Post an explanation for how you think the cost-benefit analysis in the statement from page 27 of Feldstein (2006) affected efforts to repeal/replace the ACA. 150 150 Nyagu

NURS 6050 Legislation Comparison Grid and Testimony/Advocacy Statement Example
NURS 6050 Legislation Comparison Grid and Testimony/Advocacy Statement Example

Post an explanation for how you think the cost-benefit analysis in the statement from page 27 of Feldstein (2006) affected efforts to repeal/replace the ACA. Then, explain how analyses such as the one portrayed by the Feldstein statement may affect decisions by legislative leaders in recommending or positioning national policies (e.g., Congress’ decisions impacting Medicare or Medicaid).

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.

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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. NURS 6050 Legislation Comparison Grid and Testimony/Advocacy Statement Example 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. NURS 6050 Legislation Comparison Grid and Testimony/Advocacy Statement Example

Legislation Comparison Grid and Testimony/Advocacy Statement
Legislation Comparison Grid Template
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
H.R.1390 – Mobile Health Record Act of 2019

Description
The bill was introduced in the house on 27th February 2019 under the sponsorship of Susan Brooks the representative from Indiana and co-sponsorship of New York representative Yvette Clarke.

Federal or State? Federal
Legislative Intent
The legislation aims to amend the Social Security Act, titles explicitly XVIII and XIX. The objective is to provide to benefit from part A or part B if the Medicare programs. This also includes individuals who have enrolled under a State program under Medicaid all of who will be empowered to access personal medical data including prescriptions, providers, diagnosis and tests through the mobile health record application of their choice. NURS 6050 Legislation Comparison Grid and Testimony/Advocacy Statement Example

Target Population
Beneficiaries of Medicaid

Status of the bill (Is it in hearings or committees? Is it receiving press coverage?)
The bill was introduced to Congress on February 27, 2019, and as later referred to the Committee on Energy and Commerce as well as the House Committee on Ways and Means. It is still at this stage of legislation.

This is a relatively new bill given it was introduced less than a month ago, hence it has not received significant news coverage.

General Notes/Comments

Universal health coverage is a significant issue in the United States. Considerable efforts have been placed in enhancing access to not only quality care but also healthcare information. This bill seeks to improve such access by allowing Medicaid beneficiaries to access personal health information through the mobile platform. NURS 6050 Legislation Comparison Grid and Testimony/Advocacy Statement Example

Legislation Testimony/Advocacy Statement

Access to healthcare has been one of the fundamental goal for different administrations. However, the cost associated to delivery of healthcare to all is immeasurable. Different health insurance programs have been put in place. Healthcare insurance for all has been an essential agenda for different regimes in the United States history. Subsequent governments have attempted to improve the level of access to quality healthcare services, universal coverage, especially among the vulnerable populations, and enhanced access to care information. The H.R.1390 – Mobile Health Record Act of 2019 aims to improve access to care information at a personal level through the adoption of novice technology. In his assessment Dameff, Clay, and Longhurst (2019) argues that the mobile health records platform is yet to prove its usefulness, scalability, sustainability, and its capacity to improve health delivery and outcomes.

The main question is whether the platform through the provision of personal health information can enhance care outcomes at minimal costs while maintaining the quality of services delivered. However, it should be considered that the advent of electronic health records combined with the increased adoption of internet platforms as well as smart technologies have facilitated to flow of crucial clinical information across care organizations and providers (Dameff, Clay, &Longhurst, 2019) NURS 6050 Legislation Comparison Grid and Testimony/Advocacy Statement Example. The same, if achieved at the individual level, will improve patient inclusion in decision making and also enhance the people’s ability to make informed medical decisions with regards to their consumption of healthcare.

Opposition to this Act can result from the unproven status of such technology in enhancing access and quality of care services. Such concerns can be quelled through referencing the success achieved through Electronic Health Records which according to Bouayad, Ialynytchev, and Padmanabhan (2017), have made significant achievements in the improving quality and reducing errors. The same can be delivered through the proposed platform by enhancing how information is shared between care providers and patients.

Same with other information technologies adopted in the healthcare industry, mobile patient health information systems are susceptible to ethical concerns with regards to the safety of this information and the protection of individual rights to privacy. According to Bouri and Ravi (2014), such matters are compounded by the role played by third-party vendors who might mine or store patient information for alternative uses other than the individual’s care needs. As such, the legislators need to include amendments that clarify the accountability, rights to access, liabilities, and obligations of the parties involved in the input, storage, and transfer of patient information NURS 6050 Legislation Comparison Grid and Testimony/Advocacy Statement Example.

References

All Information (Except Text) for H.R.1390 – Mobile Health Record Act of 2019. (2019). Retrieved https://www.congress.gov/bill/116th-congress/house-bill/1390/all-info?r=1

Bouri, N., & Ravi, S. (2014). Going mobile: How mobile personal health records can improve health care during emergencies. JMIR mHealth and uHealth, 2(1), e8.

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.

Dameff, C., Clay, B., Longhurst, C. A. (2019). Personal Health Records: More Promising in the Smartphone Era? JAMA, 321(4):339–340. NURS 6050 Legislation Comparison Grid and Testimony/Advocacy Statement Example.

Legislation Comparison Grid and Testimony/Advocacy Statement
Legislation Comparison Grid Template
Legislation Comparison Grid Template

Use this document to complete Part 1 of the Module 2 Assessment Legislation Comparison Grid and Testimony/Advocacy Statement NURS 6050 Legislation Comparison Grid and Testimony/Advocacy Statement Example

Health-related Bill Name
H.R.1346 – Medicare Buy-In and Health Care Stabilization Act of 2019

Description
The legislation was introduced to the House by New York district 26 representative Brian Higgins on February 25, 2019.

Federal or State? Federal
Legislative Intent
The legislation intends to amend title XVIII of the national Social Security Act to allow people aged between fifty and sixty-four to buy into Medicare. In addition to this, the bill aims to enhance the stability of the nation’s health insurance market. In this light, the bill seeks to mitigate gaps within Medicare to improve coverage for medical need linked to dental, vision and hearing care. Further, it aims at introducing a buy-in clause for persons facing financial challenges in securing coverage for Medicare, and individuals aged between 50 and 64 by making them eligible for enrolment.

Target Population Vulnerable populations
Individuals aged 50 to 64

Status of the bill (Is it in hearings or committees? Is it receiving press coverage?)
The bill was introduced to the floor of the house on 25th February 2019. It has been subsequently referred to the Committee on Ways and Means and the Committee on Energy and Commerce. It has yet to receive considerable media coverage NURS 6050 Legislation Comparison Grid and Testimony/Advocacy Statement Example.

General Notes/Comments

Various gaps have been identified in Medicare provisions. Among other factors, the differences mean that beneficiaries do receive coverage on hearing, vision, and dental care resulting in high off-the-pocket costs. The proposed bill will go a long way in addressing these gaps as well as stabilizing the nation’s care insurance market.

Legislation Testimony/Advocacy Statement
As a care provider, I am in support of the H.R.1346 – Medicare Buy-In and Health Care Stabilization Act of 2019 given its potential effects in sealing gaps within Medicare that result in higher costs for the consumers and the program itself. Willink, Shoen, and Davis (2018) positions that when it was created almost fifty years ago, Medicare did not include provisions to cover the expenses associated with dental, vision, and hearing care. As a result, the program has had to pay for much higher amounts on severe illnesses and complications arising from or aggravated by the inadequacies in hearing, vision and dental coverage. NURS 6050 Legislation Comparison Grid and Testimony/Advocacy Statement Example.

The impact of this gap is compounded when one considers the number of individuals suffering from these problems but could not receive the needed care. In 2017, 70%, 43% and 75% of people with difficulties in eating, trouble in seeing, and those who required hearing aids respectively did not receive treatment for their respective issues (Willink, Shoen, & Davis, 2018). The proposed bill, if passed, will provide a considerable reprieve for these individuals as well as significantly reducing the consequential costs linked to the impact of these conditions on Medicare and the public NURS 6050 Legislation Comparison Grid and Testimony/Advocacy Statement Example.

Advocacy for the passage of the Medicare Buy-In and Health Care Stabilization Act of 2019 should also consider potential opposition to its passage. To alleviate this challenge, it is advisable to conduct educative programs on how the bill will benefit the nation in addition to Medicare beneficiaries. However, as advised by Burke, Crist, and Goldberg (2019), it is also vital for the legislators to consider real-life consequences of Medicare beneficiaries, especially older adults, who have difficulties in accessing oral, visual, and hearing care because of the expensive nature of paying for these services from their pockets. As it stands, the proposed act does not mention individuals older than sixty-five years. This points to an overlook over a patient population that significantly suffer from these problems. NURS 6050 Legislation Comparison Grid and Testimony/Advocacy Statement Example.

References

Burke, G., Christ, A., & Goldberg, J. (2019). Creating an oral health benefit in Medicare: A statutory analysis. Issue Brief, 2019(1), 1-7.

H.R.1346 – Medicare Buy-In and Health Care Stabilization Act of 2019. (2019). Retrieved from https://www.congress.gov/bill/116th-congress/house-bill/1346/text?q=%7B%22search%22%3A%5B%22GAPS+IN+MEDICARE%22%5D%7D&r=2

Willink, A., Shoen, C., & Davis, K. (2018). How Medicare could provide dental, vision, and hearing care for beneficiaries. Issue Brief (CommonWealth Fund), 2018(1), 1-12. NURS 6050 Legislation Comparison Grid and Testimony/Advocacy Statement Example