[ANSWERED 2023] 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

Last Updated on February 23, 2023 by Admin

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

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.

Expert Answer and Explanation

Legislation Grid and Testimony/Advocacy Statement

Legislation Grid

Nurses should be part of the political process because this is where they can make a difference in healthcare. Through political practice, they can make laws that positively impact healthcare (Selin & Dang, 2020). The purpose of this assignment is to identify a pending health policy and discuss how it can be promoted by nurses.

Health-related Bill Name US Congress Senate Bill 2841- A bill to require the Secretary of Health and Human Services to publicly disclose information regarding adverse effects of COVID-19 vaccines.
Bill Number S.2841
Description The bill needs the Secretary of Health and Human Services to share any data about the negative effects of covid-19 vaccines (LEGISCAN, n.d). The bill was created to compel the Secretary of Health and Human Services to share data with the public to help Americans make informed decisions regarding whether to take covid-19 vaccines or not.

There are currently many speculations about the vaccines, which has greatly impacted the rate at which people take the vaccines. Sharing information about the vaccines and their side will improve the patients’ right to information.

Federal or State? The bill is a federal bill. If passed, the bill will affect every American citizen.
Legislative Intent The intention of this legislation is to improve the rate at which Americans take covid-19 vaccines by improving their knowledge of the vaccines and their adverse effects.
Proponents/ Opponents Proponents:

The proponent of the bill is Senator Mike Lee. The bill is also supported by the Human Rights First and the Freedom House.


The bill is opposed by senators Kyrsten Sinema and Richard Blumenthal.

Target Population The bill targets American citizens. It requires the Secretary of Health and Human Services to share data about the adverse effects of covid-19 vaccines. It wants all Americans to have real-time information about covid-19 vaccines and their effects.
Status of the bill (Is it in hearings or committees?) The bill is currently in the Committee on Homeland Security and Governmental Affairs. It was read twice in the senate before being sent to the committee.
General Notes/Comments



This bill is vital to increase the number of Americans who have received the covid-19 vaccine. If passed, many people will make informed choices about whether to get the vaccines or not because they will have data about the side effects of the vaccines. More about the bill can be found at https://legiscan.com/US/bill/SB2841/2021.

Testimony/Advocacy Statement

Position for the Bill

I support this bill because it improves our fight against covid-19. Nozaki et al. (2019) note that low literacy level is one factor that impacts the rate of vaccination intake. Most people do not know the adverse effects of covid-19 vaccines on their bodies. Thus, when people are provided the information by the Secretary of Health and Human Services, they will know and hence make informed decisions.

The legislation also aims to overcome the propaganda spread by people who are against vaccines. If people know the truth, they will not trust the propaganda they hear from other less credible sources. Kim and Choi (2016) encourage healthcare organizations to make information about vaccines available to promote a higher vaccination intake rate. This bill is significant, especially when there is a lot of propaganda spreading about the vaccines.

How to Address the Opponent about My Position? 

Two democrats oppose the bill. I would address the opponents by writing them an email through their official email accounts, giving them reasons to vote for the bill. I would also address the opponents by speaking through social media channels. Bou-Karroum et al. (2017) note that social media is not of the best methods to advocate for policies because many people can access them.


Health policies are critical in healthcare because they provide a framework for running healthcare systems. For instance, Senate Bill 2841 will require the State Department of Health to release data about the adverse effects of the covid-19 vaccine. The bill aims to improve the covid-19 vaccine intake rate.


Bou-Karroum, L., El-Jardali, F., Hemadi, N., Faraj, Y., Ojha, U., Shahrour, M., … & Akl, E. A. (2017). Using media to impact health policy-making: An integrative systematic review. Implementation Science, 12(1), 1-14. https://doi.org/10.1186/s13012-017-0581-0

Kim, J. S., & Choi, J. S. (2016). Factors influencing university nursing students’ measles vaccination rate during a community measles outbreak. Asian Nursing Research, 10(1), 56-61. https://doi.org/10.1016/j.anr.2015.11.002

LEGISCAN. (n.d). US SB2841 | 2021-2022 | 117th Congress. https://legiscan.com/US/bill/SB2841/2021

Nozaki, I., Hachiya, M., & Kitamura, T. (2019). Factors influencing basic vaccination coverage in Myanmar: secondary analysis of 2015 Myanmar demographic and health survey data. BMC Public Health, 19(1), 1-8. https://doi.org/10.1186/s12889-019-6548-0

Nwanegbo-Ben, J., & Ozoigbo, B. I. (2021). Being and Nothingness of COVID-19 in Nigeria: A Case of Excessive Propaganda and Misplaced Political Economy. Socialscientia: Journal of Social Sciences and Humanities, 6(2). https://.journals.aphriapub.com/index.php/SS/

Selin, R., & Dang, Q. H. (2020). The influences of organizational culture and organizational politics in healthcare transformation Case studies of digitalization in the healthcare sector. https://odr.chalmers.se/bitstream/20.500.12380/301038/1/E2020_035.pdf

Alternative Expert Answer

Legislation Comparison Grid and Testimony/Advocacy Statement


Part 1 Legislation Comparison Grid


Health-related Bill Name Expanding Access to Diabetes Self-Management Training Act of 2019


Bill Number S.814/H.R. 1840
Description The bill was introduced to the Senate on 14th March 2019 focusing on the measures required to expand the access for diabetes self-management training within the US. The Act is an amendment to the Tittle XVIII of the Social Security Act towards the expansion of the Diabetes Self-Management Training (DSMT) under the Medicare program (Congress, 2020).

The intention for the bill was to ensure that there is sufficient accessibility to people living with diabetes to the self-management training institutions. in as much as the DSMT has managed to cover medical benefits for more than a decade and a half, there are still limited services under the legislation.

The proposed bill looks to increase accessibility to training and improve self-reliance. This will in return reduce minimize the need for clinical services and help mitigate the issue of nurse shortages.

Federal or State? Federal
Legislative Intent The bill was introduced into the 116th congress as a Senate bill sponsored by Sen. Shaheen Jeanne [D-NH]. Legislations are still ongoing with the propositions to intensify and expand the current design of the legislation. The intention of the legislation was to increase the accessibility of self-management training to patients with diabetes.

The bill also intends to extend the initial 10 hours of the DSMT that are currently under the Medicare within the first full year. These hours would facilitate increase training periods and better service delivery and patient management (Congress, 2020).

The intent would also see to the removal of the patient cost sharing which would be implemented by excluding DSMT from the deductible requirements. This would help revie the Medicare benefits policy manual in allowing the DSMT services to be operate with the outpatient department of the hospital at the nonhospital sites.

Proponents/ Opponents Proponents: Sen. Shaheen Jeanne [D-NH] and the additional composers of the bill.
Opponents: The bill has to acquire the required quorum votes to allow its enactment into law.
Target Population The target population for this bill entailed the persons diagnosed with diabetes. The primary intent for the proposed bill is to expand the access by allowing the physicians and other clinical experts including qualified nonphysicians practitioners to offer self-management training on the management of patient diabetes under the coordination of a qualified physician.

Individuals of all ages that are in need of the training can then be able to qualify or the medical training and be reliant on minor issues and symptoms that might occur due to the disease.


Status of the bill (Is it in hearings or committees?) The bill has been able to acquire substantial press coverage with the legislators publicly advocating for its content and intentions. However, the media coverage has recently reduced and attention provided to more urgent and time sensitive bills. However, he committee still holds meetings towards achieving the goals of the bill.
General Notes/Comments



In the event that the bill is reauthorized with the new additional aspects, substantive advances can be achieved in the care for patients with diabetes (Congress, 2020). This would improve the surveillance, infrastructure, lifespan issues, intervention mechanisms, and treatment options.

The overall purpose of the bill is to offer substantive advances that would improve access to training and self-management procedures of diabetes

Part 2. Legislation Testimony and Advocacy Statement

There is a need for the expansion of the legislation regarding the access to Diabetes Self-management training Act 2019. The main reason behind the expansion is that it can increase the overall federal investment crosswise the health care sector that s concerned with the expansion of the needs of individuals with diabetes (Yang, & Christofferson, 2020).

If the bill fails there will be limited to no progress in the focus on the issue of diabetes since the majority of the attention has been aimed at COVID-19 bills. This would deny the patents the chance to have control over the illness and increased reliance on the doctors. With the shortage of clinical professionals and a high number of patients, this can increase the shortage of professionals and also rates of morbidity.

By enacting the bill, patients would have an understanding of the diseases, preventive measures, symptom mitigation, and better communication platform to inquire about personal and more private and confidential issues (Yang, & Christofferson, 2020). In support of the position, diabetes is among the leading diseases with high death rates and requires urgent and immediate interventions. the adoption of the bill would allow expanded training programs that would ensure self-management for prevention and treatment.

With regards to the opponents towards the bill, the main way I would use to address the differences in perspective is by offering an explanation on the importance of the bill and how it would be effective for the entire population. for instance, passing the bill would lead to quality of life and better service delivery for the patients (Nurjannah, 2019).

Since the bill would include services of qualified nonphysicians, this would not hinder the roles and functions of the physicians on inpatient medical staff. The application of the bill is also in the creation of awareness on the issue and promote the emerging dynamic of disease prevention and health promotion among the population.


Congress. (2020). All Info – S.814 – 116th Congress (2019-2020): Expanding Access to Diabetes Self-Management Training Act of 2019. Retrieved 25 September 2020, from https://www.congress.gov/bill/116th-congress/senate-bill/814/all-info

Nurjannah, N. (2019). Expanding Medicare Coverage of Diabetes Self-Management Training (DSMT) for Prediabetes Patients: a Policy Analysis. International Journal of Clinical Medicine and Public Health1(1), 35-43.

Yang, C. C., & Christofferson, K. (2020). On the Phone When We’re Hanging Out: Digital Social Multitasking (DSMT) and Its Socioemotional Implications. Journal of Youth and Adolescence, 1-16.

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  • assignment legislation grid and testimony/advocacy statement
  • nurs 6050 week 4 assignment
  • nurs 6050 legislation grid

Autism cares act of 2019

The Autism CARES Act of 2019 (CARES stands for Collaboration, Accountability, Research, Education, and Support) is a United States federal law that was signed into law on September 30, 2019. The purpose of the Act is to reauthorize and update the original Autism CARES Act, which was passed in 2006, and to provide continued support for research, education, and services related to autism spectrum disorder (ASD).

The key provisions of the Autism CARES Act of 2019 include:

  1. Authorization of funding: The Act authorizes funding for autism-related research, education, and support programs through 2024, including the Autism Intervention Research Network for Physical Health, the Autism Education, Research, and Centers of Excellence program, and the National Institute of Mental Health’s Autism Centers of Excellence program.
  2. Coordination and accountability: The Act requires the Department of Health and Human Services to coordinate autism-related activities across federal agencies and to develop a strategic plan for autism research, services, and support. The Act also requires annual reporting on the progress made in meeting the goals outlined in the plan.
  3. Research on lifespan issues: The Act calls for increased research on the needs of individuals with ASD across the lifespan, including the transition to adulthood, employment, and aging.
  4. Education and training: The Act supports the development of training and education programs for healthcare providers, educators, and other professionals who work with individuals with ASD.
  5. Support for families: The Act supports the development of services and supports for individuals with ASD and their families, including early intervention programs, respite care, and family navigator programs.

Overall, the Autism CARES Act of 2019 aims to improve the lives of individuals with ASD and their families by increasing support for research, education, and services.

Health-related bill (proposed not enacted)

Here are a few examples of health-related bills that have been proposed but not yet enacted:

  1. Medicare for All Act of 2021: This bill, introduced in the U.S. House of Representatives, proposes a single-payer healthcare system that would provide comprehensive coverage to all Americans. The bill aims to expand Medicare to cover all medical services, including dental, vision, and long-term care, and eliminate private insurance.
  2. Mental Health Access Improvement Act of 2021: This bill, introduced in the U.S. Senate, aims to improve access to mental health services by increasing funding for mental health professionals and expanding telehealth services. The bill would also increase access to mental health services for underserved populations, such as rural communities and minority groups.
  3. Affordable Insulin Project Act of 2021: This bill, introduced in the U.S. House of Representatives, aims to address the rising cost of insulin by providing funding for the development of an affordable, generic version of insulin. The bill would also provide grants to community health centers to increase access to insulin and other diabetes medications for low-income individuals.
  4. Healthy Food Access for All Americans Act: This bill, introduced in the U.S. Senate, aims to increase access to healthy food in underserved communities by providing funding for the development of grocery stores, farmers markets, and food banks. The bill also aims to improve nutrition education and increase access to fresh produce for low-income families.
  5. Children’s Access to Mental Health Services Act: This bill, introduced in the U.S. House of Representatives, aims to improve access to mental health services for children by increasing funding for school-based mental health services and expanding Medicaid coverage for mental health services. The bill also proposes the development of a national hotline for children’s mental health services.

It’s important to note that while these bills have not been enacted, they highlight important issues and may serve as the basis for future legislation.

Opponents of H.R. 721

H.R. 721 is a bill titled the “Racial Profiling Prevention Act of 2021.” It was introduced in the U.S. House of Representatives and is currently under review by the Judiciary Committee. The bill aims to prohibit racial profiling by law enforcement agencies and to promote police accountability and transparency.

Opponents of the bill argue that it would make it more difficult for law enforcement to do their jobs and could potentially put officers and the public in danger. Some opponents argue that the bill is unnecessary because racial profiling is already illegal under the Fourth Amendment of the U.S. Constitution, which protects against unreasonable searches and seizures.

Others argue that the bill would be difficult to enforce and could lead to frivolous lawsuits against law enforcement officers. Some opponents also believe that the bill would unfairly target police officers and create a negative perception of law enforcement.

Proponents of the bill argue that racial profiling is a serious issue that undermines public trust in law enforcement and can lead to the wrongful arrest and detention of innocent individuals. They argue that the bill would help to promote fairness and equality in policing and would improve community relations with law enforcement.

Overall, the debate over H.R. 721 highlights the ongoing tension between promoting public safety and protecting civil liberties. While opponents of the bill argue that it could undermine law enforcement efforts to keep communities safe, proponents believe that it is necessary to promote fairness and equality in policing.

Testimony advocacy statement

A testimony advocacy statement is a statement made by an individual or group to support a particular cause or issue. It is often presented to policymakers, legislators, or other decision-makers as a way to influence policy or public opinion.

Here’s an example of a testimony advocacy statement in support of increased funding for mental health services:

“As a mental health advocate, I urge you to increase funding for mental health services in our community. The COVID-19 pandemic has brought unprecedented challenges to our mental health, and the need for support has never been greater. Too many individuals are struggling to access the care they need due to long wait times and limited resources. We must do more to address the mental health crisis in our community.

By increasing funding for mental health services, we can ensure that everyone has access to the care they need, when they need it. This will not only benefit those who are struggling with mental health challenges, but it will also benefit our community as a whole. When individuals receive the support they need to manage their mental health, they are better able to contribute to their families, workplaces, and communities.

I urge you to prioritize mental health funding in your budget and to work to remove the barriers that prevent individuals from accessing care. Together, we can make a difference in the lives of those who are struggling with mental health challenges and create a stronger, more resilient community.”

For the last assignment prepare a Crisis Leadership Response Plan detailing how you would lead and manage a notional public safety crisis.


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