NURS 6050 Week 4 Assignment: Legislation Grid and Testimony/Advocacy Statement
NURS 6050 Week 4 Assignment: Legislation Grid and Testimony/Advocacy Statement
NURS 6050 Week 4 Assignment: Legislation Grid and Testimony/Advocacy Statement
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.
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| 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. |
| Opponents: none | |
| 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.
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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
Use this document to complete Part 1 of the Module 2 Assessment Legislation Grid and Testimony/Advocacy Statement
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| Health-related Bill Name |
Telehealth Act: US Congress House Bill 7992
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| Bill Number | US HB7992 |
| Description | The bill, HB7992, proposes the expansion of the access to telehealth services, and for other purposes. In other words, the bill seeks to expand access to telehealth services, and for other purposes. On October 6th 2020, the bill was presented to the subcommittee on health. The bill also seeks to enhance the expansion in the use of technology in the healthcare processes. The bill was proposed by Rep. Troy Balderson [R-OH] and Rep. Ann Wagner [R-MO]. |
| Federal or State? | Federal |
| Legislative Intent | To amend the public health Service Act to enhance the provision of assistance for the rural health clinics and health centers to implement the provision of the telemedicine services. In general, the bill seeks to enhance the application of telehealth in the provision of healthcare services to promote quality healthcare delivery in both the rural and urban healthcare facilities. |
| Proponents/ Opponents | Proponents: Republicans (It is a partisan bill) |
| Opponents: Tony Yang, an associate research professor in healthadministration and policy for George Mason University. | |
| Target Population | Population in the rural areas and healthcare professionals |
| Status of the bill (Is it in hearings or committees?) | House Subcommittee on Health Committee |
| General Notes/Comments | The bill is still pending at the subcommittee level, there is still public comments on it. Also, there is still no visible private or public participation discussions concerning the bill. |
Part 2: Legislation Testimony/Advocacy Statement
The telehealth Act, US Congress House Bill 7992 aims at enhancing the application of telehealth technology in the healthcare system. The bill, HB7992, proposes the expansion of the access to telehealth services, and for other purposes. In other words, the bill seeks to expand access to telehealth services, and for other purposes. On October 6th 2020, the bill was presented to the subcommittee on health. The bill also seeks to enhance the expansion in the use of technology in the healthcare processes. The bill was proposed by Rep. Troy Balderson [R-OH] and Rep. Ann Wagner [R-MO].
The Telehealth Act or the HB7992 bill is a significant proposal in the healthcare system. When implemented, there will be a general improvement in the healthcare delivery from different healthcare facilities, both urban and rural (Bieber & Weiner, 2018). The bill should be passed and signed into law as it will mostly help in healthcare delivery especially for the populations in the rural areas. Telehealth bill, when signed into law, will greatly save costs and provide healthcare assistance to the healthcare professionals assigned to the rural healthcare facilities (Borges, 2019). The Telehealth Act, although still in the subcommittee stage, needs to be passed to ensure general quality healthcare delivery processes.
The bill has both proponents and opponents. Convincing the opponents to support the bill is significant in ensuring that it becomes law. The opponent, Tony Yang, an associate research professor in health administration and policy for George Mason University, argues that the cost associated with the policy will be greater. However, there is a need to consider the fact that the act will lead to more benefits for both the patients and the healthcare professionals.
References
Bieber, S. D., & Weiner, D. E. (2018). Telehealth and home dialysis: a new option for patients in the United States. Clinical Journal of the American Society of Nephrology, 13(8), 1288-1290. https://cjasn.asnjournals.org/content/13/8/1288.short
Borges, L. M. (2019). A Service Member’s experience of Acceptance and Commitment Therapy for Moral Injury (ACT-MI) via telehealth:“Learning to accept my pain and injury by reconnecting with my values and starting to live a meaningful life”. Journal of Contextual Behavioral Science, 13, 134-140. https://doi.org/10.1016/j.jcbs.2019.08.002
I enjoyed reading about your insight. Indeed, the affordable health care bill, or Obamacare, transformed the American medical system. It covered millions of people with health care insurance, added billions of dollars to tax revenues, changed the insurance laws in the country, and focused on high quality and efficiency of treatment to Americans. Obamacare forced insurers, hospitals, and employers to reform their reimbursement systems, which the Washington White House could not do much about. Decreasing healthcare expenditures has been one of the main objectives of the Affordable Care Act. The Centers for Medicare and Medicaid Services (CMS) has been tasked with experimenting with provider reimbursement methods to increase quality while decreasing costs. This research aimed to study the effects of the Affordable Care Act on physician reimbursement rates from CMS to determine the most cost-effective method of delivering healthcare services (Bowling et al., 2018).
Former President Trump wanted to repeal or replace this bill, but he failed. Republicans were not in a position to cut millions of people’s insurance. On the other hand, hospitals and insurers have potent lobbies. Hospitals can play a more decisive role in cost-benefit measures and want something like the status to continue. The healthcare law’s payment reforms also remained unchanged since this bill had created hundreds of successful experiences in cost control by rewarding physicians for efficiency and adjusting costs at different stages of treatment or treating the entire population. What will likely remain at the top of the Affordable health care bill is that employers ensure workers’ children up to age 26. The people welcomed this action, which still is and does not cost much. If a parent’s job-based plan covers you, your coverage usually ends when you turn 26. But check with the employer or plan. Some states and programs have different rules (Health Insurance Coverage For Children and Young Adults Under 26, n.d.).
Rubric
| Excellent | Good | Fair | Poor | |
|---|---|---|---|---|
| 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? |
Points Range: 32 (32%) – 35 (35%)
The response clearly and accurately summarizes in detail the legislative intent of the health-related bill.The response accurately identifies in detail the proponents and opponents of the health-related bill.The response accurately identifies in detail the populations targeted by the health-related bill.
The response clearly and thoroughly describes in detail the current status of the health-related bill. |
Points Range: 28 (28%) – 31 (31%)
The response accurately summarizes the legislative intent of the health-related bill.The response accurately identifies the proponents and opponents of the health-related bill.The response accurately identifies the populations targeted by the health-related bill.
The response accurately describes the current status of the health-related bill. |
Points Range: 25 (25%) – 27 (27%)
The response vaguely or inaccurately summarizes the legislative intent of the health-related bill.The response vaguely or inaccurately identifies the proponents and opponents of the health-related bill.The response vaguely or inaccurately identifies the populations targeted by the health-related bill.
The response vaguely or inaccurately describes the current status of the health-related bill. |
Points Range: 0 (0%) – 24 (24%)
Summary of the legislative intent of the health-related bill is vague and inaccurate or is missing.Identification of the proponents and opponents of the health-related bill are vague and inaccurate or is missing.Identification of the populations targeted by the health-related bill is vague and inaccurate or is missing.
The description of the current status of the health-related bill is vague and inaccurate or is missing. |
| Advocating for LegislationPart 2: Legislation Testimony/Advocacy StatementBased 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. • Describe how you would address the opponent to your position. Be specific and provide examples. |
Points Range: 45 (45%) – 50 (50%)
Testimony clearly and thoroughly provides statements that fully justifies a position for a health-related bill.Response provides a detailed, thorough, and logical explanation of how to address opponents to the position for the health-related bill and includes one or more clear and accurate supporting examples.A complete, detailed, and specific synthesis of two outside resources is provided. The response fully integrates at least 2 outside resources and 2-3 course specific resources that fully supports the responses provided.
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Points Range: 40 (40%) – 44 (44%)
Testimony clearly and accurately provides statements that somewhat justifies a position for a health-related bill.Response provides an accurate explanation of how to address opponents to the position for the health-related bill and may include at least one supporting example.An accurate synthesis of at least one outside resource is provided. The response integrates at least 1 outside resource and 2-3 course specific resources that may support the responses provided.
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Points Range: 35 (35%) – 39 (39%)
Testimony used to justify a position for a health-related bill is vague or inaccurate.Explanation of how to address the opponents to the position for the health-related bill is vague or inaccurate, lacks logic, and/or the supporting examples are vague or inaccurate.A vague or inaccurate synthesis of outside resources is provided. The response minimally integrates resources that may support the responses provided.
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Points Range: 0 (0%) – 34 (34%)
Testimony used to justify a position for a health-related bill is vague and inaccurate, incomplete, or is missing.Explanation of how to address the opponents to the position for the health-related bill is vague and inaccurate, or is missing.A vague and inaccurate synthesis of no outside resources is provided, or is missing. The response fails to integrate any resources to support the responses provided.
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| Written Expression and Formatting – Paragraph Development and Organization:Paragraphs make clear points that support well developed ideas, flow 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. |
Points Range: 5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.
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Points Range: 4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.
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Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.Purpose, introduction, and conclusion of the assignment is vague or off topic.
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Points Range: 0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.No purpose statement, introduction, or conclusion was provided.
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| Written Expression and Formatting – English writing standards:Correct grammar, mechanics, and proper punctuation |
Points Range: 5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
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Points Range: 4 (4%) – 4 (4%)
Contains a few (1-2) grammar, spelling, and punctuation errors.
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Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) grammar, spelling, and punctuation errors.
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Points Range: 0 (
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