NURS 6050 Legislation Grid and Testimony/Advocacy Statement

NURS 6050 Legislation Grid and Testimony/Advocacy Statement

Legislation Grid Template

 

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As important healthcare providers, nurses encounter situations that implore them to take actions and participate in activities or initiatives aimed at improving access to affordable quality care for different health populations. As patient advocates, nurses seek to impact policies, laws, and regulations that affect healthcare issues of interest (Milstead et al., 2019). Through the undertaking, they help patients attain better outcomes by offering inputs on how such policies should be developed for effective implementation in clinical settings and nursing practice (Walden University, 2018). The purpose of this legislation grid and testimony or advocacy statement is to discuss and advocate a proposed bill on healthcare that will enhance quality of care.

Part 1: Legislation Grid

Health-related Bill Name  

Special Diabetes Program Reauthorization Act of 2023

Bill Number S.1855
Description The Special Diabetes Program Reauthorization Act of 2023 is proposed legislation that aims at having continued funding for a key federal diabetes research program which is set to expire in September, 2023. The legislation reauthorizes funding for the program that focuses on type 1 diabetes research for another five years to allow scientists at the National Institutes of Health to continue their ongoing efforts to get new approaches to treating, preventing and curing the disease (Collins, 2023). The legislation, if enacted, would offer the program $150 million each year for the program. According to the National Institute of Diabetes and Digestive and Kidney Diseases, the special diabetes program aims at researching about the prevention and cure of type 1 diabetes (Govtrack.us, 2023). Therefore, this bill expands the mandate for more research on the condition to develop innovative and unique treatment options for the condition that affects millions of Americans.
Federal or State? Federal
Legislative Intent The legislative intent of the bill is to reauthorize funding for special diabetes program for Type 1 Diabetes as well as the special diabetes program Indians. The Act would not only reauthorize but also strengthen critical research on type 1 diabetes and develop new critical treatment, education, and prevention initiatives for populations considered as at high risk (Govtrack.us, 2023). These include Native Americans and Alaska Native communities who have high rates of Type 2 diabetes than the national average.
Proponents/ Opponents Proponents: Proponents of the bill include the sponsors, Senior Senator Susan Collins and the cosponsors Senator Jeanne Shaheen who are co-chairs of the Senate Diabetes Caucus. The bill is also supported by the National Council of Urban Indian Health (2023).
Opponents: The bill does not have any known opponents as it is considered a bipartisan legislation supported by Congressional members from the two dominant parties and even independents.

 

 

Target Population The bill targets populations that are susceptible to getting diabetes type 1 that may lead to type 2 diabetes like the native Indians and Alaska Natives. The bill also targets research facilities like the National Institutes of Health. The increase in allocations means that more individuals can benefit from the research on interventions, education programs and awareness about type 1 diabetes.
Status of the bill (Is it in hearings or committees?) The committee assigned to the bill sent it to both House and Senate as whole to consider it by June 15, 2023. The committee had passed the bill paving way for its return to the Senate and the House for debate as whole and after that taking of a vote on it.
General Notes/Comments

 

 

The Special Diabetes Reauthorization Program Act 2023 is a critical piece of legislation that would improve care provision for the targeted population through effective research initiatives (DeGette, 2023). The bill is important in improving the overall health outcomes for those populations and individuals who are at increased risk for type 1 diabetes.

 

Part 2: Legislation Testimony/Advocacy Statement

The Special Diabetes Program Reauthorization Act of 2023 is a core proposed legislation that would help fight the increasing cases of type 1 diabetes, especially among the Native communities and minorities who bear the greatest risk for the condition. Existing evidence shows that the Type 1 Diabetes Research and the Special Diabetes Program for Indians (SDPI) has been significant in creating meaningful resources and research milestones to develop cures and prevention initiatives for individuals with Type 1 diabetes, including Native Americans and Alaska Natives. Imperatively, if not extended, the two programs will expire and increase the risk of diabetes, not just among the communities but even the nation and pile pressure and strain on the current resources. As such, this bill is essential in helping mitigate such situations now and in the future.

Social determinants of health (SDOH) are conditions that one is born and lives in which affect their access to health. These include income, education, age, and gender among others. These SDOHs affect the legislation as they imply that only those individuals with access to better health care based on income can have better treatment interventions (Milstead et al., 2019). These determinants also affect access to information and use of the information to make informed and better choices.

Currently, the bill has no known opposition as it is a bipartisan approach to dealing with the issue of diabetes as a public health concern. However, it is essential to emphasize that the bill will offer immense benefits to patients and the targeted communities through better interventions, especially prevention of the disease. As such, all should support the bill because of its benefits to public health discourse and patients.

Conclusion

Legislations are essential in improving healthcare outcomes. Nurses as patient advocates should support such legislations so that they can improve the quality of care delivery for their patients. The proposed bill will ensure that more people can access treatment and preventive care against diabetes.

References

Collins, S. (2023 June 15). Collins’ Bipartisan Bill to Support Type 1 Diabetes

Research and Combat Type 2 Diabetes Advances Senate Committee. https://www.collins.senate.gov/newsroom/collins-bipartisan-bill-to-support-type-1-diabetes-research-and-combat-type-2-diabetes-advances-senate-committee

DeGette, D. (2023 April 11). DeGette, Bilirakis introduce legislation to continue

funding key diabetes research program. https://degette.house.gov/media-center/press-releases/degette-bilirakis-introduce-legislation-continue-funding-key-diabetes

Govtrack.us (2023). S. 1855: Special Diabetes Program Reauthorization Act of

  1. https://www.govtrack.us/congress/bills/118/s1855

National Council of Urban Health for Indians (2023 June 10). Senate Committee

Passes Bipartisan Bill to Reauthorize the Special Diabetes Program for Indians, Marking First Increase in Nearly Two Decades. https://ncuih.org/2023/06/20/senate-committee-passes-bipartisan-bill-to-reauthorize-the-special-diabetes-program-for-indians-marking-first-increase-in-nearly-two-decades/

National Institute of Diabetes and Digestive and Kidney Diseases (2023). About

the Special Diabetes Program. https://www.niddk.nih.gov/about-niddk/research-areas/diabetes/type-1-diabetes-special-statutory-funding-program/about-special-diabetes-program

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide

            (6th ed.). Jones & Bartlett Learning.

Walden University, LLC. (Producer). (2018). Introduction to Health Policy and

            Law with Joel Teitelbaum [Video file]. Baltimore, MD: Author.

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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.

WEEKLY RESOURCES

 

Learning Resources

Required Readings

  • Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Jones & Bartlett Learning.
    • Chapter 3, “Government Response: Legislation” (pp. 37–56)
    • Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 180–183 only)
  • Congress.gov

Required Media

  • Walden University, LLC. (Producer). (2018). Working with Legislators [Video file]. Baltimore, MD: Author.

 

  • Walden University, LLC. (Producer). (2018). Introduction to Health Policy and Law with Joel Teitelbaum [Video file]. Baltimore, MD: Author.

 

  • Walden University, LLC. (Producer). (2018). Contemporary Issues in Public Health Policy with Joel Teitelbaum [Video file]. Baltimore, MD: Author.

 

  • Walden University, LLC. (Producer). (2018). Peter Beilenson: Population Health [Video file]. Baltimore, MD: Author.

 

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

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Rubric

NURS_6050_Module02_Week04_Assignment_Rubric

NURS_6050_Module02_Week04_Assignment_Rubric

Criteria Ratings Pts
This criterion is linked to a Learning Outcome 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?
35 to >31.0 ptsExcellent

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.

31 to >27.0 ptsGood

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.

27 to >24.0 ptsFair

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.

24 to >0 ptsPoor

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.

35 pts
This criterion is linked to a Learning Outcome 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.
40 to >35.0 ptsExcellent

Testimony clearly, accurately, and thoroughly provides statements that fully justifies a position for a health-related bill…. Response provides a detailed, thorough, and logical explanation of the social determinant affecting the topic, and how to address opponents to the position for the health-related bill and includes one or more clear and accurate supporting examples.

35 to >31.0 ptsGood

Testimony clearly and accurately provides statements that somewhat justifies a position for a health-related bill. …Response provides an accurate explanation of the social determinant affecting the topic, and how to address opponents to the position for the health-related bill and may include at least one supporting example.

31 to >27.0 ptsFair

Testimony used to justify a position for a health-related bill is vague or inaccurate. …Explanation of how to address the opponents and social determinant for the position for the health-related bill is vague or inaccurate, lacks logic, and/or the supporting examples are vague or inaccurate.

27 to >0 ptsPoor

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 and social determinant for the position for the health-related bill is vague and inaccurate or is missing.

40 pts
This criterion is linked to a Learning Outcome References
10 to >8.0 ptsExcellent

Response includes 3 or more course resources and 2 or more outside sources.

8 to >7.0 ptsGood

Response includes 2-3 course resources and 2 outside sources.

7 to >6.0 ptsFair

Response includes fewer than 2 course resources and/or fewer than 2 outside resources.

6 to >0 ptsPoor

Response includes 2 or fewer resources.

10 pts
This criterion is linked to a Learning Outcome 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.
5 to >4.0 ptsExcellent

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.

4 to >3.0 ptsGood

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

3 to >2.0 ptsFair

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.

2 to >0 ptsPoor

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. …Purpose, introduction, and conclusion of the assignment is incomplete or missing.

5 pts
This criterion is linked to a Learning Outcome Written Expression and Formatting: English Writing StandardsCorrect grammar, mechanics, and proper punctuation.
5 to >4.0 ptsExcellent

Uses correct grammar, spelling, and punctuation with no errors.

4 to >3.0 ptsGood

Contains a few (1-2) grammar, spelling, and punctuation errors.

3 to >2.0 ptsFair

Contains several (3-4) grammar, spelling, and punctuation errors.

2 to >0 ptsPoor

Contains many (≥5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

5 pts
This criterion is linked to a Learning Outcome Written Expression and Formatting: The paper follows correct APA format for title page, font, spacing, indentations, parenthetical/in-text citations, and reference list.
5 to >4.0 ptsExcellent

Uses correct APA format with no errors.

4 to >3.0 ptsGood

Contains a few (1-2) APA format errors.

3 to >2.0 ptsFair

Contains several (3-4) APA format errors.

2 to >0 ptsPoor

Contains many (≥5) APA format errors.

5 pts
Total Points: 100

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