NURS 6050/5050 Assignment: Legislation Grid and Testimony/Advocacy Statement
Walden University Assignment: Legislation Grid and Testimony/Advocacy Statement– Step-By-Step Guide
This guide will demonstrate how to complete the Walden University Assignment: Legislation Grid and Testimony/Advocacy Statement assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for Assignment: Legislation Grid and Testimony/Advocacy Statement
Whether one passes or fails an academic assignment such as the Walden University Assignment: Legislation Grid and Testimony/Advocacy Statement depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for Assignment: Legislation Grid and Testimony/Advocacy Statement
The introduction for the Walden University Assignment: Legislation Grid and Testimony/Advocacy Statement is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for Assignment: Legislation Grid and Testimony/Advocacy Statement
After the introduction, move into the main part of the Assignment: Legislation Grid and Testimony/Advocacy Statement assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for Assignment: Legislation Grid and Testimony/Advocacy Statement
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for Assignment: Legislation Grid and Testimony/Advocacy Statement
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Assignment: Legislation Grid and Testimony/Advocacy Statement
Nurses are patient advocates and interact with different individuals who suffer from existing health disparities that reduce their access to health care services and quality care outcomes. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity by the National Academies of Sciences, Engineering, and Medicine emphasizes the critical role that nurses will play in the next decade to achieve health equity (Bode, 2022). The purpose of this legislation grid is to analyze a bill to reduce health disparities and the role of nurses in advocating its enactment to attain health equity by reducing the current health disparities.
| Health-related Bill Name | Health Equity and Accountability Act of 2022 |
| Bill Number | H. R. 7585 |
| Description | Introduced by Representative Kelly Robin (Democrat for Illinois’s second Congressional district), the bill requires the Health and Human Service Department and other agencies to implement different interventions aimed at reducing health disparities (Congress.GOV, 2022). The bill aims at making the U.S. health care system not only equitable but also accessible for everyone, irrespective of their diversity and legal status in the country.
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| Federal or State? | Federal |
| Legislative Intent | The legislative intent of the bill is to ensure that Congress creates policies aimed at addressing the link between health inequities and demographic factors like race and ethnicity, immigration status, age, disability and sex, gender, sexual orientation and expression as well as language and socioeconomic status. The bill has over 80 cosponsors and support from 60 stakeholder groups and organizations (Congress.GOV, 2022). The bill implores the Health and Human Services Department to focus on ten areas associated with health equity to reduce disparities. The bill requires the department to support health workforce diversity and increase access to culturally and linguistically appropriate care. It also proposes changes to eligibility and requirements for Medicare and Medicaid as well as private health insurance and nutritional assistance. These programs among others aim at reducing health disparities. |
| Proponents/ Opponents | Proponents: The bill has diverse proponents that include over 80 Congressional members and close to 60 stakeholder groups in healthcare and related sectors. The bill emphasizes the need to improve quality care delivery for all people across the health and age continuum. It has certain provisions for noncitizens and ethnic minority groups. |
| Opponents: Currently, there has been no documented opposition to the bill, both in and outside Congress. | |
| Target Population | The bill targets the general population because of its components. The bill has wide provisions for different demographics, from support to health workforce to improving accessibility by even noncitizens to illustrate its wide scope and target. |
| Status of the bill (Is it in hearings or committees?) | The bill has had eighteen actions and been to 13 committees. Currently, the bill is in the House and been reviewed or tabled and debated in different committees that include Energy and Commerce, Ways and Means, Education and Labor, Agriculture and Budget, Judiciary and Homeland Security as well as Financial Services and Transportation and Infrastructure. |
| General Notes/Comments
|
The bill is critical to addressing the current disparities in health care to ensure health equity for all people in the country. With over 80 cosponsors, the bill is poised to be passed and will have significant transformation of the health care industry, especially efforts to reduce health disparities and achieve equity. |
Part 2: Legislation Testimony/Advocacy Statement
Advocacy is an essential role for nurses, especially in efforts to reduce existing disparities and attain health equity for different populations, especially low-income individuals and families. The Health Equity and Accountability Act (HEAA) of 2022 is a critical legislative piece that requires enactment because it addresses critical issues that impact the delivery of health equity for different populations. Consequently, Congress should pass this bill for effective enactment to attain its benefits. Keeping demographics about individuals and families as well as groups experiencing disparities and inequities in health care provision is essential to improving the health of the population (Bode, 2022). The bill also considers the position of nurses and the need to enhance their ability to offer quality care as it proposes increased support from the HHS to health workforce diversity and enhancing access to culturally and linguistically-sensitive care for patients and health populations.
The bill has provisions that respect noncitizens, maternal health, infant health and child health. It also proposes interventions to health individuals access support and changes eligibility requirements for Medicare, Medicaid and private health insurance. Therefore, this bill captures all aspects recommended in the report by the National Academies of Sciences, Engineering and Medicines (Bode, 2022). Today, millions of Americans and noncitizens cannot access equitable and quality care due to disparities caused by different aspects of their demographics. As such, this bill will be critical in improving the current conditions and increasing access to healthcare services. Currently, there is no opposition to the bill. However, in case it arises, it is essential to remind opponents that developing a healthy nation reduces expenditure on care and the burden of costs associated with health disparities, especially health inequities and inequalities.
Conclusion
Nurses need advocacy to help improve access to healthcare for patients and health populations. The bill aims at addressing these issues and nurses should take a forefront position to advocate its enactment. Through this bill, the workforce will also be enhanced to meet expected demands.
References
Bode, H. (2022). A new bill to address health disparities: The Health Equity and
Accountability Act. https://www.kidneyfund.org/article/new-bill-address-health-disparities-health-equity-and-accountability-act
Congress.GOV (2022). H.R.7585 – Health Equity and Accountability Act of 2022.
https://www.congress.gov/bill/117th-congress/house-bill/7585
Wakefield, M., Williams, D. R., & Le Menestrel, S. (2021). The future of nursing 2020-
2030: Charting a path to achieve health equity. National Academy of Sciences.
Use this document to complete Part 1 of the Module 2 Assessment Legislation and Testimony/Advocacy statement
| Health-related
Bill Name |
Affordable Health Care for America Act |
| Bill Number |
H.R. 3962 |
| Description | The Affordable Care Act was designed to reduce health coverage costs to people who qualified. The bill introduced cost-sharing reductions and premium tax credits to lower the expense for families and lower- income individuals, thus lowering expenses. The bill aimed to extend the health insurance program to
approximately 32 million uninsured Americans by expanding public and private insurance. The Affordable |
| Care Act requires that employers cover the pay penalties and their workers, with the exceptions for small employers | |
| Federal or State | Federal statute |
| Legislative Intent | The bill was passed by the House of Representatives on November 7, 2009 by a vote or 220 members out of 215.The bill was also passed by one Republican who voted after the necessary votes had already been cased together with the support from the majority of
Democrats |
| Proponents | President Barack Obama |
| Opponents | President Donald Trump and some business owners who claimed that it would destroy jobs. Notably, the affordable care act aimed at cutting the number of working hours from the employee schedule |
| Target Population | Individual, employers, children and young adults who make less than 138 percent based on the poverty line |
| Status of the bill(is it in hearings or
committees) |
The bill was enacted by the 111th United States Congress and signed into law in march 2010 |
| General Notes
/Comments |
The affordable care act was formally known as the Patient Protection and Affordable Care Act. Obama care and the law included a list of health care policies that intended at extending health insurance coverage to uninsured Americans. The Act helped in expanding Medicaid eligibility by creating health insurance exchanges. In addition, the bill allows children to
remain under the parents’ insurance plan until the age of 26. |
In my opinion, the Affordable Care Act (H.R. 3962) is good since it offers an opportunity to get affordable, comprehensive health coverage and encourages high-quality care to patients regardless of their financial status. Notably, a huge difference is identified from
the previous years before the approval of the Affordable Care Act in 2010. For instance, approximately 48 million Americans would incur a high cost of health coverage due to a lack of affordable health insurance (Collins et al., 2017). The high cost of health care directly impacts family shares of employer-based coverage, consumers, and business whereby the Affordable Care Act has helped solve the problem. Additionally, the Affordable care act has supported research by helping in tracking key health measures which reduce the disparities in health insurance coverage.
The Affordable Care Act opponents suggested that the bill eliminated the individual mandate by requiring the residents to pay a penalty or have health insurance, thus that more people entered the insurance market. I would address the issue that the penalty, inform of tax, is a way of setting discipline to the residents and encourage them to have health insurance cover for easy access to high and quality services (Galvani et al., 2020). For instance, by eliminating the penalty, an increase in the insurance premium will rise, limiting healthy people from securing insurance cover (Laureate Education, 2018). Additionally, the affordable care act bill helped expand Medicaid eligibility beyond families, thus raising the income threshold since it included low-income adults. Therefore, most people who gained health care coverage after the passage of the Affordable Care Act also get enrolled in Medicaid, thus proving its popularity.
References
Collins, S. R., Gunja, M. Z., Doty, M. M., & Beutel, S. (2017). How the Affordable Care Act has improved Americans’ ability to buy health insurance on their own. Retrieved March, 29, 2017.
Galvani, A. P., Parpia, A. S., Foster, E. M., Singer, B. H., & Fitzpatrick, M. C. (2020).
Improving the prognosis of health care in the USA. The Lancet, 395(10223), 524-533. https://www.congress.gov/help/legislative-glossary/#glossary_billsummary
Laureate Education (Producer). (2018). The Policy Process [Video file]. Baltimore, MD: Author.
Maternal healthcare is one of the determinants of the quality, safety and efficiency of health in a state. The US is one of the most developed countries in the world. It is therefore expected to have the lowest maternal mortality and morbidity rates in the world. However, statistics show that the rates of maternal mortality and morbidity in the US are significantly high. Consequently, this paper explores a proposed policy that aims at reducing the current rates and trends in maternal mortality and morbidity in the USA.
| Health-related Bill Name | Recognizing The Maternal Health Crisis In The United States And The Importance Of Reducing Mortality And Morbidity Among All Women And Honoring Mothers
|
| Bill Number | H.Res.539 |
| Description | Maternal mortality and morbidity is a critical issue affecting the United States of America. The statistics presented in the bill shows that despite being a developed nation, America has the highest rate of maternal mortality and morbidity. The statistics also show that the risk for maternal mortality and morbidity is significantly elevated among women from ethnic minority groups when compared to the American natives. Women also experience challenges in their maternal care such as mistreatment that degrade their self-identity and autonomy. Based on the above maternal health-related issues, the Recognizing The Maternal Health Crisis In The United States And The Importance Of Reducing Mortality And Morbidity Among All Women And Honoring Mothers Act was proposed for implementation. The act seeks to address the issue by focusing on a number of aspects related to maternal health. Firstly, it seeks to raise the awareness of the public about maternal morbidity, mortality and the existence of disparities in maternal health-related outcomes. The bill also seeks to encourage states, Federal Government, territories, local communications and healthcare organizations among other stakeholders to take interventions that reduce the risk and rate of adverse maternal health outcomes as well as improve maternal safety. The other aims of the act include addressing and eliminating disparities in maternal health outcomes, ensuring the provision of equitable and respectively maternal care, honoring mothers who have died due to pregnancy-related complications, and supporting the collection of data on maternal morbidity and mortality. It also supports the need for further investment efforts to enhance maternal health and health outcomes as well as eliminate disparities in maternal healthcare.
|
| Federal or State? | Federal |
| Legislative Intent | The legislative intent of the act is to recognize the seriousness of maternal morbidity and mortality issues in the US. The act also seeks to raise the awareness of the public and other stakeholders on the need to prevent maternal morbidity and mortality. Further, the act aims at ensuring the disparities in outcomes of maternal health are eliminated. Lastly, it aims at ensuring that mothers and pregnant women receive respectful care that meets their health needs.
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| Proponents/ Opponents | Proponents: They include Reps. Underwood Lauren, Kelly Robin, Spanberger Abigail Davis, Wexton Jennifer, and Adams Alma.
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| Opponents: none
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| Target Population | The primary beneficiaries of the proposed bill are pregnant women and mothers. It also includes women from ethnic minorities. The secondary target population includes healthcare providers, policymakers, and communities.
|
| Status of the bill (Is it in hearings or committees?) | The bill has been referred to the House Committee on Energy and Commerce.
|
| General Notes/Comments
|
The proposed bill is a crucial bill that should be adopted in the US. The need for the bill is attributed to the high rate of maternal mortality and morbidity rates in the USA. Its implementation would therefore support the provision of care that addresses the needs of pregnant women and mothers from diverse ethnic backgrounds. |
Advocacy Statement
Maternal mortality and morbidity is a critical issue in the US despite it being a developed nation (Collier & Molina, 2019; Joseph et al., 2021). For example, statistics show that 60% of the maternal mortalities reported in the US are preventable. In addition, the risk of women of ethnic minority groups such as African American and American Indians dying from pregnancy related complications is three times that of the White women. Women also experience different forms of mistreatment, as they receive their needed maternal healthcare (Morton et al., 2019). Therefore, the proposed bill should be adopted in the USA to address the identified issues. The bill will increase the maternal health outcomes as well as the quality of care mothers and pregnant women receive (Congress.gov, 2021). Through the bill, the USA will rank among the world’s leading nations with lowest maternal mortality and morbidity rates. I will address the opponents in my position by presenting facts above the severity of the issue of maternal mortalities and morbidities in the US. I will also provide the socioeconomic implications of maternal mortalities and morbidities to the state. For example, I will explore the cost implications of the issue to the American economy and families.
Conclusion
The US currently has a high rate of maternal mortality and morbidity. Significant disparities exist in maternal health outcomes due to ethnicity of the mothers and pregnant women. The proposed bill is important in ensuring equity in maternal healthcare and adoption of best practices to reduce and prevent maternal mortalities and morbidities. Therefore, it should be implemented to promote public health.
References
Collier, A. Y., & Molina, R. L. (2019). Maternal Mortality in the United States: Updates on Trends, Causes, and Solutions. NeoReviews, 20(10), e561–e574. https://doi.org/10.1542/neo.20-10-e561
Morton, C. H., VanOtterloo, L. R., Seacrist, M. J., & Main, E. K. (2019). Translating Maternal Mortality Review Into Quality Improvement Opportunities in Response to Pregnancy-Related Deaths in California. Journal of Obstetric, Gynecologic & Neonatal Nursing, 48(3), 252–262. https://doi.org/10.1016/j.jogn.2019.03.003
Joseph, K. S., Boutin, A., Lisonkova, S., Muraca, G. M., Razaz, N., John, S., … & Schisterman, E. (2021). Maternal Mortality in the United States: Recent Trends, Current Status, and Future Considerations. Obstetrics and Gynecology, 137(5), 763. doi: 10.1097/AOG.0000000000004361
Congress.gov. (2021, July 19). Text – H.Res.539 – 117th Congress (2021-2022): Recognizing the maternal health crisis in the United States and the importance of reducing mortality and morbidity among all women, and honoring mothers. (2021/2022) [Legislation]. https://www.congress.gov/bill/117th-congress/house-resolution/539/text
Legislation 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.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
To Prepare:
- Select a bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources.
The Assignment: (1- to 2-page Legislation Grid; 1-page Legislation Testimony/Advocacy Statement)
Be sure to add a title page, an introduction, purpose statement, and a conclusion. This is an APA paper.
Part 1: Legislation Grid
Based on the health-related bill (proposed, not enacted) you selected, complete the Legislation 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?
Part 2: Legislation Testimony/Advocacy Statement
Based on the health-related bill you selected, develop a 1-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.
- Explain how the social determinants of income, age, education, or gender affect this legislation.
- Describe how you would address the opponent to your position. Be specific and provide examples.
- At least 2 outside resources and 2-3 course specific resources are used.
By Day 7 of Week 4
Submit your completed legislation grid and testimony/advocacy statement.
submission information
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.
- To submit your completed assignment, save your Assignment as WK4Assgn+LastName+Firstinitial
- Then, click on Start Assignment near the top of the page.
- Next, click on Upload File and select Submit Assignment for review.
Rubric
| Criteria | Ratings | Pts | ||||
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Federal and State LegislationPart 1: Legislation GridBased on the health- related bill you selected, complete the Legislation 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? |
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Part 2: Legislation Testimony/Advocacy Statement• Advocate a position for the bill you selected and write testimony in support of your position.• Explain how the social determinants of income, age, education, or gender affect this legislation.• Describe how you would address the opponent to your position. Be specific and provide examples. |
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References |
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Written Expression and Formatting—Paragraph Development and OrganizationParagraphs make clear points that support well developed ideas, low logically, and demonstrate continuity of ideas.Sentences are carefully focused– neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria. |
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Written Expression and Formatting: English Writing StandardsCorrect grammar, mechanics, and proper punctuation. |
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Written Expression and Formatting: The paper follows correct APA format for title page, font, spacing, indentations, parenthetical/in-text citations, and reference list. |
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Total Points: 100
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