NURS 6051 Legislation Grid and Testimony Advocacy Statement

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NURS 6051 Legislation Grid and Testimony Advocacy Statement

Nurses and other healthcare providers encounter situations that motivate them to advocate for patients and ensure that effective policies exist to safeguard them; especially in reducing the cost of healthcare (Milstead & Short, 2019). Prescription drugs remain a concern for many individuals, especially those with chronic and long term conditions like diabetes (Laureate Education, 2018). The purpose of this assignment is to review a proposed bill or law that seeks to address the issue of the cost of prescription drugs.

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Health-related Bill Name End Price Gouging for Medications Act

Bill Number H.R. 2829
Description The bill was introduced in House by Representative Peter Welch from Vermont on April 22 2021. The bill requires the Department of Health and Human Services (HHS) to set the maximum cost or price of prescription drugs based on different federal programs (Congress.GOV, 2021). The bill seeks to mandate HHS to establish reference prices and ensure that the uninsured individuals and their families and those with private health insurance have access to the drugs at reasonable cost or prices.
Federal or State? Federal
Legislative Intent The legislative intent of the bill is to amend the price gouging for Medications Act, and ensure that individuals who require medications can access them fast and at affordable price. The bill focuses on ensuring that prescription drugs are priced fairly, especially for individuals with chronic and long-term health conditions. The bill advances that retail prices of certain covered medications under known federal health programs like Medicare and Medicaid should not cost beyond established reference prices. The bill will ensure that the HHS sets better prices that allow patients and their families to have lifesaving medicines as prescribed by their physicians and healthcare teams (Congress.GOV, 2021). The proposals of the bill apply to all patients, irrespective of their health insurance status. This implies that creating stabilization would allow Americans to enjoy the same prices of prescribed drugs like their peers in other developed economies like Canada and Germany among other members.

Target Population The bill targets all Americans and individuals using healthcare services. The bill also targets big Pharma’s monopoly power and ensure that reasonable prices exist to allow Americans, especially those with chronic conditions, purchase the much-needed medicines for their conditions.
General Notes/Comments

The introduction of the bill is essential to ensuring that more Americans can afford the cost of prescription drugs that remains prohibitive for many that require them. The bill is essential in helping the federal government deal with the current healthcare crises like the COVID-19 pandemic and the Opioid epidemic. The bill will ensure that federal government ends the monopoly enjoyed by Big Pharma who dictate prices, making it hard for many Americans to lack access to critical care despite their conditions. The bill will enhance monitoring of prices to ensure that consumers do not have to pay more for same drugs in different states and counties across the country. The bill will ensure that the cost of drug spending reduces on programs like Medicare (Merkley, 2021). For instance, the Medicare Advisory Payment Commission (MedPAC) notes that drug spending continues to grow in the program as it increased by over 25% between 2013 and 2018 attributed mainly to higher prices and launches of novel drugs and not a rise in the number of filled prescriptions. The implication is that no patient or individual or family of a loved one should be left out or left alone to suffer and even die because of higher prices of prescription drugs.

Part 2: Legislative Testimony/ Advocacy Statement
The need to regulate and control prescription drugs’ prices is essential given the increased demand for healthcare, especially as the nation battles health crises like the Covid-19 pandemic and the opioid epidemic. Prescription drugs ensure that patients can manage their conditions and ensuring that more Americans can afford the cost of care is important for the nation’s wellbeing. Big pharmaceutical companies continue to manufacture drugs at costly prices which makes it impossible for many to access (Milstead & Short, 2019). Some of these drugs may find their way into the market, albeit used as opiates and not for medical purposes.
As an advanced nurse practitioner, advocating for reduction in the cost of healthcare, including access to medicines, is critical to improving the quality of care and reducing its costs, especially for low-income individuals and households without medical or health insurance coverage (O’Rourke et al., 2018). Having this bill will help many American families that cannot access medications yet they require them to remain alive.
Opposition to this legislative proposal may not be informed by current research and the need to reduce the cost of healthcare in the country. The opioid crisis is partly due to use of prescriptive drugs that are given to individuals, even those who do not have prescriptions. The implication is that this bill will regulate the prices of medicines and help address contributing factors to the opioid crisis.

NURS 6051 Legislation Grid and Testimony Advocacy Statement

NURS 6051 Legislation Grid and Testimony Advocacy Statement

Conclusion
Improving access to and quality of care is a fundamental part of the nurse advocacy process. As healthcare providers, nurses interact with patients and encounter a host of events that implore them to take actions. The bill to control the prices of prescription drugs is timely and will enhance quality care, particularly to the critically and chronically ill patients.
References
Congress.GOV. (2021). H.R.2829 – End Price Gouging for Medications Act.
https://www.congress.gov/bill/117th-congress/house-bill/2829/all-actions
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide
(6th ed.). Burlington, MA: Jones & Bartlett Learning.
O’Rourke, N. C., Crawford, S. L., Morris, N. S., & Pulcini, J. (2017). Political
efficacy and participation of nurse practitioners. Policy, Politics, and Nursing Practice, 18(3), 135–148. doi:10.1177/1527154417728514
Laureate Education (Producer). (2018). The Policy Process [Video file].
Baltimore, MD: Author.
Laureate Education (Producer). (2018b). Introduction to Health Policy and Law
with Joel Teitelbaum [Video file]. Baltimore, MD: Author.
Merkley, J. (2021). As White House Prepares Health Care Push, Merkley, Welch
Introduce Bill to End Prescription Drugs Price Gouging, Help Ensure Americans Can Get the Medicines They Need. https://www.merkley.senate.gov/news/press-releases/as-white-house-prepares-health-care-push-merkley-welch-introduce-bill-to-end-prescription-drugs-price-gouging-help-ensure-americans-can-get-the-medicines-they-need-2021

Assignment: 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.
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.
• 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 and Grading Information
To submit your completed Assignment for review and grading, do the following:
• Please save your Assignment using the naming convention “WK4Assgn+last name+first initial.(extension)” as the name.
• Click the Week 4 Assignment Rubric to review the Grading Criteria for the Assignment.
• Click the Week 4 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
• Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK4Assgn+last name+first initial.(extension)” and click Open.
• If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
• Click on the Submit button to complete your submission.

NURS_6050_Module02_Week04_Assignment_Rubric

Excellent Good Fair Poor
Federal and State Legislation

Part 1: Legislation Grid

Based 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 Legislation

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.

• 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.

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.

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.

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.

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.

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.

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.

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.

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.
Points Range: 4 (4%) – 4 (4%)
Contains a few (1-2) grammar, spelling, and punctuation errors.
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) grammar, spelling, and punctuation errors.
Points Range: 0 (0%) – 3 (3%)
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.
Points Range: 5 (5%) – 5 (5%)
Uses correct APA format with no errors.
Points Range: 4 (4%) – 4 (4%)
Contains a few (1-2) APA format errors.
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) APA format errors.
Points Range: 0 (0%) – 3 (3%)
Contains many (≥ 5) APA format errors.
Total Points: 100
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