Nurs 6050 Policy and advocacy for improving population health

Bill proposal 
Legislation grid
i page legislation testimony / advocacy statement
Determine the legislative intent of the bill
identify the proponents / opponents of the bill
identify the target population addressed by the bill
where in the process is the bill currently is it in hearings or committees 

Legislation testimony / advocacy statement 
Based on the health related bill selected develop 1 page legislation testimony /advocacy statement that address the following 
Advocate a position for the bill selected and write testimony in support of your position
Describe how you would address the opponent to your position be specific and provide examples		 

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Solution 

Policy and Advocacy for Improving Population Health

Legislation Testimony/Advocacy Statement

The selected bill is Coronavirus Medicaid Response Act (the Act) that aim at improving population health in the wake of the ongoing COVID-19 pandemic. The legislative intent of this particular bill is to ensure the existence of a highly responsive and diversified process of promoting and supporting state Medicaid programs and associated initiatives (Casey, 2021). The Bill is also aimed at ensuring the automatic connection of the Medicaid Federal Assistance Percentage (FMAP) to state unemployment and other economic downturns as the fundamental basis for streamlining the flow of federal aid based on other factors behind the economic needs of a state (US Congress, 2021). Lee (2021) indicated that the bill intents to enhance the response of Medicaid to the highly infectious COVID-19 panel in order to address persistent health issues, including financial difficulties faced by both patients and healthcare providers. Therefore, the legislative intent of this particular bill is to ensure enhanced access and availability of quality health services for beneficiaries in the aftermath of the COVID-19 global health crisis.

In terms of proponents, the Bill introduced in the 117th Congress by Rep. Lee Susie and sponsored by 23 others in February 2021 (US Congress, 2021). Over time, the Bill has gained the support from both democrats and republicans in both Houses and also by Trusts, Foundations and other Associations based on the assertion that this particular legislation would lead to a substantial increase in the Medicaid federal matching rate for states and U.S. territories impacted upon by economic difficulties associated with the COVID-19 pandemic (Casey, 2021). On the contrary, the proposed Bill has also received strong backlash from numerous opponents who argue that the legislation is ill-timed, unsubstantiated and unable to sufficiently caution vulnerable populations faced with difficulties lined to access to quality, safe and affordable care in the wake of the uncertainty triggered by the COVID-19 crisis (ADA, 2021). The target population addressed by the bill includes unemployed Americans and people who forfeit coverage as a result of job loss. The Coronavirus Medicaid Response Act was introduced in House of Representatives on the 25th of February, 2021, subsequently referred to the House Committee on Energy and Commerce, which then referred to the Subcommittee on Health (US Congress, 2021).

Advocacy Statement

The advocated position is in support of the legislation. Economic downturns associated with severe public health emergencies such as the COVID-19 pandemic tend to trigger detrimental consequences on the livelihoods of many vulnerable people, particularly the unemployed. As a result, efforts aimed at enabling States to gain access to sufficient funding in order to maintain their Medicaid programs during the ongoing public health crisis can be greatly fostered through enforcement of the proposed bill (MACPAC, 2021). Lee (2021) pointed that the core provisions of the bill would ensure certainty to both states and Medicaid populations across the United States through guaranteeing enhanced access to proper care and other crucial health services for communities and American workers served by the Medicaid program in the face of unexpected crises with unclear scope, impact and period. Equally, the proposed Bill not only provides protection to vulnerable people from losing health coverage but also ensures safety-net providers are covered from the funding cuts that often undermine the quality of and access to care during periods of economic uncertainty, and most importantly, the coronavirus recession (MACPAC, 2021). The opponents to this position must gain a better understanding of how significant cuts in government budgets negatively affects the health and wellbeing of populations, and hence stakeholder-wide initiatives must be made to push the  Congress to raise the federal share of Medicaid costs during extended periods of slow economic growth and uncertainty.

References

ADA. (2021). Partnership for Medicaid supports Coronavirus Medicaid Response Act. https://www.ada.org/publications/ada-news/2021/march/partnership-for-medicaid-supports-coronavirus-medicaid-response-act

Casey, B. (2021).Coronavirus Medicaid Response Act (S. 4108). https://www.aging.senate.gov/imo/media/doc/Coronavirus%20Medicaid%20Response%20Act%20One%20Pager.pdf

Lee, S. (2021).Coronavirus Medicaid Response Act. https://www.bennet.senate.gov/public/_cache/files/6/2/62990de5-e719-47b1-8e61-02d18e0690f0/BF02A30C0F4D499B2FCB23C0AB73218F.117th-bicameral-coronavirus-medicaid-response-act-one-pager.pdf

MACPAC. (2021). Medicaid’s Response to COVID-19. https://www.macpac.gov/topics/medicaids-response-to-covid-19/

US Congress. (2021).Coronavirus Medicaid Response Act. https://trackbill.com/bill/us-congress-senate-bill-439-coronavirus-medicaid-response-act/2051566/