Hsa5200 cbe section 01cbe healthcare policy, ethics, and laws (11 wee

1. HSA5200CBE Section 01CBE Healthcare Policy, Ethics, and
Laws (11 Weeks) - CBE - 2021 Fall Quarter
Deliverable 2 – Develop an Advocacy Report
Deliverable 2 – Develop an Advocacy Report
Assignment Content
Competency
Discuss the role and impact of lobbyists, special interest
groups, and other consumer advocates on the development of
healthcare policies in the U.S.
Student Success Criteria
View the grading rubric for this deliverable by selecting the
“This item is graded with a rubric” link, which is located in the
Details & Information
pane.
Scenario
You are the director of community affairs for the health lobby
organization, Pathways to a Healthy America. In 2010,
President Barack Obama signed the Affordable Care Act into
law. As a result, millions of Americans who were previously
uninsured gained access to the healthcare system. One of the
initial provisions of the Act required individual states to expand

2. the eligibility criteria for Medicaid. The program’s costs would
be absorbed by the federal government at a rate of 100% for the
first three years of program participation which would decrease
to 90% after 2020, still, considerably higher than previous
funding by the federal government. However, in 2012, the
Supreme Court ruled the mandate unconstitutional allowing
individual states to voluntarily “opt” out of the Medicaid
expansion program. As a result of the various states’ decision to
“opt” out of the ACA’s Medicaid expansion, millions of adults
fell into the critical coverage gap. Your organization represents
a state which has decided to forego participation in the ACA
expansion program. The decision was met with both praise and
criticism.
It has now been a few years since the decision and your
organization has gathered information on the impact of the
decision in order to advocate for Medicaid reform during the
next state legislative session.
You are required to write an advocacy report to state lawmakers
in which you advocate for either participating in the original
expansion program or participating with conditions (waivers) to
address the critical gap in coverage for vulnerable adults in
your state. Waivers such as Section 1115 enable for alternative
implementation of Medicaid expansion and allow states to
impose restrictions which may result in a denial of Medicaid
eligibility for individuals who do not meet those restrictions,
i.e., work requirements.
Instructions
Research the Medicaid expansion program offered through the

3. Affordable Care Act (ACA) as well as Medicaid reform
initiatives using waivers to increase access to Medicaid.
Determine, based on your state’s profile, which process (the
ACA’s expansion program or the use of waivers) is most
beneficial to your state. Include a comprehensive, well -
supported recommendation for participation in Medicaid reform
using
either
the ACA’s program or a modified reform process using
waivers.
Your advocacy report should describe your state’s current
Medicaid program including its eligibility criteria,
demographics, Medicaid spending and savings since the ACA’s
implementation, and comprehensive details of current or
pending waivers. You should also include a discussion
(benchmark) on another state’s success with Medicaid reform
using your recommended strategy (the ACA’s expansion
program
or
the use of the specific types of waivers for which you propose).
Resources
You will find a PDF containing information from the
Commonwealth Fund’s findings
here
You will find a PDF containing information from the Kaiser
Family Foundation on Medicaid Expansion
here
.

4. APA formatting for the reference list, and proper grammar,
punctuation, and form are required. APA help is available
here
.