The document discusses the implementation and effects of the Affordable Care Act (ACA) in Florida, highlighting its strengths, such as subsidies for healthcare and inclusive Medicaid coverage, alongside weaknesses like rising costs and complexities in shopping for coverage. It emphasizes the impact of ACA on both consumers and healthcare providers, noting increases in insurance enrollment and ongoing challenges in the healthcare system. The document concludes by addressing the need for citations and further clarity on several points.

1. Running head: HOW FLORIDA STATE IS ENACTED THE
AFFORTABLE CARE ACT 1
HOW FLORIDA STATE IS ENACTING THE AFFORTABLE
CARE ACT 2
How Florida State Is Enacting the Affordable Care Act (ACA)
Rose Sejour
Purdue Global University
06/17/2019
The Strengths of the Affordable Care Act in Florida
There has been an introduction of subsidies in healthcare in
Florida, and this is courtesy of the Affordable Care Act.
Subsidies in the field basically makes buying of health
insurance less expensive for people who live in Florida who are
eligible for the subsidies. (The United States Supreme Court
also ordered for the implementation of 80/20 rule in all the
states, including Florida. The ruling implies the 80 percent of
the premium dollars and individual from Florida spend on

2. healthcare instead of spending on the administrative costs.
Another strength of Obamacare is that Medicaid is at the
moment more inclusive for many citizens in the state. Medicaid
coverage currently comprises of uninsured Americans under
138% of the poverty level.) NEED CITATION SINCE YOU
ARE USING FACT. Comment by McLean, Terry: Read
carefully to find errors such as this field Comment by
McLean, Terry: You can write out numbers over 10 as numerals
The state has also made it easier for the dependents to stay
longer under their parents’ healthcare plan. Some of the youths
may be under the medical cover of their parents up to the age of
26 years old. Lastly, Florida state has also implemented the act
such that there are no preexisting denials or surprise
cancellations of a plan in the healthcare system. Insurance firms
lacks the mandate of cancelling the policy due to an applicant’s
mistake during the application process (Rozensky, 2014).
The Weaknesses of the Affordable Care Act in Florida
Despite the fact that the Affordable Care Act has had a lot of
strengths in Florida, there are also some weaknesses
experienced. The healthcare cost has not decreased for every
individual. A number of private plans had to be cancelled since
they did not comply with the requirements of Obamacare in the
state (Barakat et al., 2017). Those individuals that were
negatively affected (from this mess were (The tone is not
academic) forced to stop and adopt a new health insurance
making them to pay more for a plan which includes benefits like
maternity care that may not be their preference. Secondly,
shopping for coverage might be complicated to some level. With
some confusion that surrounds the rollout of the Obamacare and
the market place, more alternatives to decide on, difficulties
with the websites and limited enrollment periods, shopping for
health coverage may be complicated to some level. Comment by
McLean, Terry: The tone is not academic.
Moreover, those citizens who are not insured might be faced
with huge tax penalties. It is quite unfortunate that Florida
dwellers are only able to see these huge amounts of tax

3. penalties while filing annual taxes. Lastly, a number of
insurance companies made their provider networks of reduced in
an effort to reduce costs while implementing the Obamacare
requirements. The situations made healthcare consumers in
Florida to have fewer providers who are in a shrinking network
(Barakat et al., 2017).
The Impact of the Florida’s’ Approach to ACA on All
Stakeholders, Both Providers and Consumers
The Affordable Care Act, (ACA) is also called the Obamacare.
ACA has been a debate for many policymakers, politicians and
other stakeholders (French, et al., 2016). The ACT was signed
into law by the then president Barack Obama in the year 2010.
Just like in many other U.S. states, Florida has been on the
forefront of implementing Affordable Care Act. The act
expedites the acquisition of health insurance via a system of
health insurance exchanges, subsidies and tax credits. Florida is
among the states that were needed to increase worthiness for the
Medicaid under ACA, a ruling by which was made by the
United States Supreme Court in the year 2012(This will need a
citation). The ruling made the Medicaid voluntary for every
state. There are many strengths and weaknesses of Obamacare.
Comment by McLean, Terry: Put (ACA) Comment by
McLean, Terry: This will need a citation.
The law needs insurers to cover the healthcare services within
an ordinary set of benefits and forbids denials of insurance
coverage founded on the preexisting conditions (sentence
unclear. What do you mean). Under the law, every person in the
U.S. need to acquire health insurance. Between the year 2013
and 2016, the total number of individuals who were not insured
in Florida declined by 34%. Close to 1.4 million people in
Florida had been enrolled in the healthcare plans delivered via
health insurance exchange in the year 2017 (Sommers et al.,
2018) List all five the first time By May in 2017, admission in
Medicaid had gone up to 4.3 million. The researchers found out
that between the years 2016 and 2017, the average monthly
premiums for benchmark plans on the exchange of Florida had

4. to upsurge by an average of 17%, to $306 from $262 in Miami
market. (Need citation since it involved Fact) Comment by
McLean, Terry: A citation is needed. Comment by McLean,
Terry: List all five the first time.
The Affordable Care Act has expanded Americans’ access to
healthcare in Florida. Many citizens in America have been
insured since the state of the policy (This is not clear) and some
of them have been changing the source of healthcare insurance
depending on the benefits they have experienced over time.
These changes have had a significant impact on the healthcare
spending of the consumer as a stakeholder in the area
(Hernandez et al., 2014) There are five authors so list them all
the first time. The law has also made many Americans to be
able to access the healthcare services since they are affordable
to them. However, escalation of the healthcare costs presents an
important weight for Americans in Florida. On the other hand,
healthcare providers have been forced to adapt to the augmented
demand for services as a result of the Affordable Care Act. The
Florida’s government responded to this through employing more
workers, depending more on progressive practice clinicians.
They responded by hiring more staff, relying more on advanced
practice clinicians, and expanding facilities and expanding
hours and facilities. In spite of the escalation in the provider
capacity, nonetheless, there are areas of unmet need and
untiring proficient staff deficiencies which were worsened by
the Affordable Care Act’s coverage expansions (Dolgin &
Dietrich, 2011). Comment by McLean, Terry: This is not
clear. Comment by McLean, Terry: There are five authors
so list them all the first time.

5. References
Barakat, M. T., Mithal, A., Huang, R. J., Mithal, A., Sehgal, A.,
Banerjee, S., & Singh, G. (2017). Affordable Care Act and
healthcare delivery: A comparison of California and Florida
hospitals and emergency departments. PloS one, 12(8),
e0182346.
Dolgin, J. L., & Dietrich, K. R. (2011). Social and legal debate
about the affordable care act. UMKC L. Rev., 80, 45.
French, M. T., Homer, J., Gumus, G., & Hickling, L. (2016).
Key provisions of the Patient Protection and Affordable Care
Act (ACA): a systematic review and presentation of early
research findings. Health services research, 51(5), 1735-1771.
Hernandez-Boussard, T., Burns, C. S., Wang, N. E., Baker, L.
C. & Goldstein, B. A. (2014). The Affordable Care Act reduces
emergency department use by young adults: evidence from three
states. Health Affairs, 33(9), 1648-1654.
Rozensky, R. H. (2014). Implications of the Affordable Care
Act for education and training in professional psychology.
Training and Education in Professional Psychology, 8(2), 83.
Sommers, B. D., Buchmueller, T., Decker, S. L., Carey, C., &
Kronick, R. (2012). The Affordable Care Act has led to
significant gains in health insurance and access to care for
young adults. Health affairs, 32(1), 165-174.
Functional Health Patterns Community Assessment Guide

6. Functional Health Pattern (FHP) Template Directions:
This FHP template is to be used for organizing community
assessment data in preparation for completion of the topic
assignment. Address every bulleted statement in each section
with data or rationale for deferral. You may also add additional
bullet points if applicable to your community.
Value/Belief Pattern
· Predominant ethnic and cultural groups along with beliefs
related to health.
· Predominant spiritual beliefs in the community that may
influence health.
· Availability of spiritual resources within or near the
community (churches/chapels, synagogues, chaplains, Bible
studies, sacraments, self-help groups, support groups, etc.).
· Do the community members value health promotion measures?
What is the evidence that they do or do not (e.g., involvement in
education, fundraising events, etc.)?
· What does the community value? How is this evident?
· On what do the community members spend their money? Are
funds adequate?
Health Perception/Management
· Predominant health problems: Compare at least one health
problem to a credible statistic (CDC, county, or state).
· Immunization rates (age appropriate).
· Appropriate death rates and causes, if applicable.
· Prevention programs (dental, fire, fitness, safety, etc.): Does
the community think these are sufficient?

7. · Available health professionals, health resources within the
community, and usage.
· Common referrals to outside agencies.
Nutrition/Metabolic
· Indicators of nutrient deficiencies.
· Obesity rates or percentages: Compare to CDC statistics.
· Affordability of food/available discounts or food programs
and usage (e.g., WIC, food boxes, soup kitchens, meals-on-
wheels, food stamps, senior discounts, employee discounts,
etc.).
· Availability of water (e.g., number and quality of drinking
fountains).
· Fast food and junk food accessibility (vending machines).
· Evidence of healthy food consumption or unhealthy food
consumption (trash, long lines, observations, etc.).
· Provisions for special diets, if applicable.
· For schools (in addition to above):
· Nutritional content of food in cafeteria and vending machines:
Compare to ARS 15-242/The Arizona Nutrition Standards (or
other state standards based on residence)
· Amount of free or reduced lunch
Elimination (Environmental Health Concerns)
· Common air contaminants’ impact on the community.
· Noise.
· Waste disposal.
· Pest control: Is the community notified of pesticides usage?

8. · Hygiene practices (laundry services, hand washing, etc.).
· Bathrooms: Number of bathrooms; inspect for cleanliness,
supplies, if possible.
· Universal precaution practices of health providers, teachers,
members (if applicable).
· Temperature controls (e.g., within buildings, outside shade
structures).
· Safety (committee, security guards, crossing guards, badges,
locked campuses).
Activity/Exercise
· Community fitness programs (gym discounts, P.E., recess,
sports, access to YMCA, etc.).
· Recreational facilities and usage (gym, playgrounds, bike
paths, hiking trails, courts, pools, etc.).
· Safety programs (rules and regulations, safety training,
incentives, athletic trainers, etc.).
· Injury statistics or most common injuries.
· Evidence of sedentary leisure activities (amount of time
watching TV, videos, and computer).
· Means of transportation.
Sleep/Rest
· Sleep routines/hours of your community: Compare with sleep
hour standards (from National Institutes of Health [NIH]).
· Indicators of general “restedness” and energy levels.
· Factors affecting sleep:
· Shift work prevalence of community members
· Environment (noise, lights, crowding, etc.)
· Consumption of caffeine, nicotine, alcohol, and drugs
· Homework/Extracurricular activities

9. · Health issues
Cognitive/Perceptual
· Primary language: Is this a communication barrier?
· Educational levels: For geopolitical communities, use
http://www.census.gov and compare the city in which your
community belongs with the national statistics.
· Opportunities/Programs:
· Educational offerings (in-services, continuing education,
GED, etc.)
· Educational mandates (yearly in-services, continuing
education, English learners, etc.)
· Special education programs (e.g., learning disabled,
emotionally disabled, physically disabled, and gifted)
· Library or computer/Internet resources and usage.
· Funding resources (tuition reimbursement, scholarships, etc.).
Self-Perception/Self-Concept
· Age levels.
· Programs and activities related to community building
(strengthening the community).
· Community history.
· Pride indicators: Self-esteem or caring behaviors.

10. · Published description (pamphlets, Web sites, etc.).
Role/Relationship
· Interaction of community members (e.g., friendliness,
openness, bullying, prejudices, etc.).
· Vulnerable populations:
· Why are they vulnerable?
· How does this impact health?
· Power groups (church council, student council, administration,
PTA, and gangs):
· How do they hold power?
· Positive or negative influence on community?
· Harassment policies/discrimination policies.
· Relationship with broader community:
· Police
· Fire/EMS (response time)
· Other (food drives, blood drives, missions, etc.)
Sexuality/Reproductive
· Relationships and behavior among community members.
· Educational offerings/programs (e.g., growth and
development, STD/AIDS education, contraception, abstinence,
etc.).
· Access to birth control.
· Birth rates, abortions, and miscarriages (if applicable).
· Access to maternal child health programs and services (crisis
pregnancy center, support groups, prenatal care, maternity
leave, etc.).
Coping/Stress

11. · Delinquency/violence issues.
· Crime issues/indicators.
· Poverty issues/indicators.
· CPS or APS abuse referrals: Compare with previous years.
· Drug abuse rates, alcohol use, and abuse: Compare with
previous years.
· Stressors.
· Stress management resources (e.g., hotlines, support groups,
etc.).
· Prevalent mental health issues/concerns:
· How does the community deal with mental health issues
· Mental health professionals within community and usage
· Disaster planning:
· Past disasters
· Drills (what, how often)
· Planning committee (members, roles)
· Policies
· Crisis intervention plan
PAGE
© 2011. Grand Canyon University. All Rights Reserved.
References

12. These will not indent the second line but on your papers they
should be--you can hit "control t" to indent the second line.
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Arbaugh, J.B. (2001). How instructor immediacy behaviors
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R., Ice, P., Richardson, J. C., & Swan, K. P. (2008). Developing
a community of inquiry instrument: Testing a measure of the
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Running head: HEALTHCARE POLICY
HEALTHCARE POLICY 1
Healthcare Policy
Rose Sejour
Purdue Global University
6/5/2019

16. You need to use the services of the writing center and work on
sentence structure and grammar. Look at the comments below—
my biggest concern is sentence structure.
Comment by Mary Anne Theiss: Use headings to identify
new topics. Headings should be in bold face type as specified
in the APA Manual, sections 3.03-3.03 pp. 62-63. The first
heading on top of paper is NOT bold. It is identical to the Title
of the paper. The first few paragraphs are the Introduction. The
word “introduction” is assumed because of its placement on the
paper. APA Manual 6th ed. 3.33 p.63. You need a heading
here.
It is indisputable veracity to ascertain that human life is
priceless. As a consequence, it is necessary that all spheres of
human living be inclined towards the preservation of life.
Provision of affordable and efficient healthcare is among the
most gravitas aspects aimed at ensuring that human life is
sustained. However, the healthcare sector is spread across a vast
scope, and it is the responsibility of every stakeholder in the
industry to make a considerable impact in achieving an
intelligent healthcare system. Enacting of apposite healthcare
policy is hence, a significant move geared towards making
healthcare more affordable and universal; therefore, the
Medicaid Extenders Act of 2019 is a perfect example of a
healthcare policy enacted with a focal point of improving the
overall health of patients. Comment by Mary Anne Theiss:
This does not make sense—This is clumsy wording—read aloud
this may help. Please refer to your APA Manual section 3.06
pp. 65-66 for further explanation. Comment by Mary Anne
Theiss:
First and foremost, Smith, English, Naidoo and Whitman (2019)
indicated that the Medicaid Extenders Act was sponsored by
Frank Pallone, who is the representative of the New Jersey's 6th
Congressional District. According to Bogie & Michel (2018),
Mr. Frank Pallone is a Democrat, and he introduced the
healthcare policy on the 4th of January 2019. President Donald

17. Trump signed the bill on the 24th of January 2019, thus
enacting it into law (Bogie & Michel 2018). Comment by
Mary Anne Theiss: In scholarly writing do not use colloquiums-
these are words or expressions used in ordinary language by
common people. It is casual conversation, slang terms and
where no attempt is made at being formal. APA p. 68.
Comment by Mary Anne Theiss: Use the past tense when
using signal phrases when citing in text. Example: Smith
(2018) stated that using proper grammar makes it easier for
your audience to read your work. Comment by Mary Anne
Theiss: Use “and” in text. The ampersand -& is used in
parenthetical. Comment by Mary Anne Theiss: Public Law No:
116-3 (01/24/2019)Medicaid Extenders Act of 2019This bill
alters several Medicaid programs and funding mechanisms.(Sec.
2) The bill makes appropriations for FY2019 for, and otherwise
revises, the Money Follows the Person Rebalancing
Demonstration Program. (Under this program, the Centers for
Medicare & Medicaid Services must award grants to state
Medicaid programs to assist states in increasing the use of home
and community care for long-term care and decreasing the use
of institutional care.)(Sec. 3) Additionally, the bill temporarily
extends the applicability of Medicaid eligibility criteria that
protect against spousal impoverishment for recipients of home
and community-based services.(Sec. 4) The bill reduces the
federal medical assistance percentage (i.e., federal matching
rate) for states that have not implemented asset-verification
programs for determining Medicaid eligibility.(Sec. 5) The bill
also reduces funding available to the Medicaid Improvement
Fund beginning in FY2021. Comment by Mary Anne Theiss:
What bill? Medicaid Extenders Act 2019? Comment by
Mary Anne Theiss: I think it was introduced before this
Summary of the Medicaid Extenders Act 2019
More to the point, the Medicaid Extenders Act of 2019
primarily revolves around the alteration of several Medicaid
programs as well as the mechanism responsible for its funding.
Daly (2018) confirmeds that the policy provides appropriations

18. for the financial year 2019 and alternatively revises the money
following the person rebalancing demonstration program.
According to Daly (2018), this program, the institutions for
Medicaid and Medicare services are obliged to provide the
state’s Medicaid programs with grants. Consequently, the grants
will enable the states to increase the use of both community and
home care within the long-term care domain, thus decreasing by
a large margin the use of institutional care (Smith, English,
Naidoo & Whitman 2019). Comment by Mary Anne Theiss:
What does that mean? Comment by Mary Anne Theiss: good
In addition, the bill temporarily lengthens the use of Medicaid
eligibility criteria that specifically protect spousal
impoverishment for the recipients of both community and home-
based services. More so, tThe law decreases the amount of the
federal government medical assistance overall percentage. In
other words, the bill lowers the total level of national matching
rate. However, the scenario applies to only states that have
failed to implement asset-verification programs that are
necessary for the determination of Medicaid eligibility.
Nonetheless, Bogie & Michel (2018) pointed out that the
Medicaid Extenders Act of 2019 significantly reduced the
amount of funding allocation towards the Medicaid
Improvement Fund, beginning in the financial year 2021.
Comment by Mary Anne Theiss: good Comment by
Mary Anne Theiss: Use “and” in text. The ampersand -& is used
in parenthetical. Comment by Mary Anne Theiss: Use the
past tense when using signal phrases when citing in text.
Example: Smith (2018) stated that using proper grammar makes
it easier for your audience to read your work.
Strengths of the Medicaid Extenders Act of 2019
The Medicaid Extenders Act of 2019 provides individuals with
low income with medical care coverage, and thus, these
individuals have to worry less concerning their access to
medical services. More so, persons living with disabilities and
are under the Medicaid Extenders Act are qualified even to
receive payments to aid them in taking care of their needs daily.

19. Medicare Extenders Act might as well cater to long term costs
as well as several and different types of requirements.
Comment by Mary Anne Theiss: good
Moreover, Young, Abdel-Massih, Herchline, McCurdy, Moyer,
Scott & Siddiqui (2019) assert that the cost of expanding the
Medicaid Extenders policy into states presently has been
reduced. This is attributed to the fact that more states are
adopting the policy. The original focal point of the Medicaid
Extenders policy of 2019 was to increase the overall number of
adults in the US living below 133% of the line of poverty. The
American Supreme Court made a neutral ruling in which the
policy was open for either adoption or rejection by any state.
Thus, states that opted to adopt the policy were able to realize
cost efficiency. Comment by Mary Anne Theiss: Look in
APA manual. 184 on how to cite when there are 6 or more
authors. Use all the authors’ last names the first time in the
paper. APA Manual section 6.12, p. 175. The exception to this
is if there are 6 or more authors-use the last name of the first
author, et al. and date. APA p.177. Ex: Deland et al. (2018).
Comment by Mary Anne Theiss: Grammar
Weaknesses of the Medicaid Extenders Act ofOf 2019
Nevertheless, a significant gap in the Medicaid Extenders policy
of 2019 is the fact that it is only beneficial to a specific
category of individuals. There is a widespread inclination of
less wealthy individuals giving their support to the Democratic
Party while the wealthy persons support the Republican Party in
the US. Surprisingly, the same tenet appears to characters the
Medicaid Extenders Act of 2019. The states and districts that
have widely embraced the policy are the Democratic Party
strongholds whereas the Republican Party strongholds are
docile towards embracing the plan. Comment by Mary Anne
Theiss: This does not have to do with the Act Comment by
Mary Anne Theiss: OK I see your point
Impact of the Medicaid Extenders Act Of 2019
The expansion of the Medicaid Extenders Act increases the
local economies. The policy presents beneficial implications on

20. the economies of the states that adopt it. More so, the
economies of states that have been built on flexible economic
structures. HOW?
Through the policy, the rate of uninsured individuals is
significantly reduced. Close to 50% of the entire American
workforce is obliged to health insurance from their employers.
The low-income persons, as well as the self-employed
individual, are the ones who are largely uninsured. Therefore,
the enacting of the Medicaid Extenders policy of 2019 has
significantly helped to reduce the total number of uninsured
Americans. Comment by Mary Anne Theiss: OK good
Comment by Mary Anne Theiss: GoodLook at the
comments below and work on these areas. The biggest concern
is
More expansion of the policy threatens to stop the advantages
emanating from the private insurance schemes. Therefore, the
providers of insurance covers are exposed to losses by the
system. The policy has altered the existing private insurance
firm rates and mode of negotiation. The policy intensively
changed the previously existing private insurers' style of
communication that generally negotiated with the medical
providers to come up with special service rates. This is because
the laws of the Medicaid policy put the government at the core
of coming up with the rules and plans of compensation.
End the paper with a conclusion. The conclusion should be a
brief summary but not introduce any new information.
Conclusion
In summing up, therefore, the Medicaid Extenders Act of 2019
is a pivotal policy aimed at making the life of low-income
Americans better. Nevertheless, it is critical for the policy to be
revised even further to ensure that all Americans realize
affordable and efficient healthcare.
References Comment by Mary Anne Theiss: See comments
below
Bogie, J., & Michel, A. N. (2018). Congress sShould pPursue a

21. 2019 bBudget for Reconciliation. Heritage Foundation Issue
Brief, (4859), 2018-05. Retrieved from
https://www.heritage.org/budget-and-spending/report/congress-
should-pursue-2019-budget-reconciliation
Daly, R., (2018). Budget dDeal iIncludes bBig wWins for
hHospitals. Healthcare Financial Management, 72(3), 7-10.
Retrieved from
https://go.galegroup.com/ps/anonymous?id=GALE%7CA544403
373&sid=googleScholar&v=2.1&it=r&linkaccess=abs&issn=073
50732&p=AONE&sw=w
Smith, T. B., English, T. M., Naidoo, J., & Whitman, M. V.
(2019). The hHospital rReadmissions rReduction pProgram’s
iImpact on rReadmissions rFrom sSkilled nNursing
fFacilities. Journal of Healthcare Management, 64(3), 186-196.
Retrieved from
https://journals.lww.com/jhmonline/Fulltext/2019/06000/The_H
ospital_Readmissions_Reduction_Program_s.11.aspx
Young, J. D., Abdel-Massih, R., Herchline, T., McCurdy, L.,
Moyer, K. J., Scott, J. D., ... & Siddiqui, J. (2019). Infectious
Diseases Society of America Position Statement on Telehealth
and Telemedicine as Applied to the Practice of Infectious
Diseases. Clinical Infectious Diseases. Retrieved from
https://academic.oup.com/cid/article/68/9/1437/5372646
Comment by Mary Anne Theiss: Author, (date). Title with
first letter capitalized only. Journal Title in Italics. Volume in
Italics numeral only (number in block numerals only), pages.
Examples can be found in your APA manual pages 198 to 224
U8 Assignment RubricUnit 8 Assignment: Grading RubricTotal
Available Points =150Instructions: enter score (0-4) in column
FIntroductoryEmergentPracticedProficient/MasteredFinal0-
1234ScoreWeightScoreCriterion 1 Identifies the state,
summarizes the Affordable Care Act (ACA) as implemented in
the stateThe assignment does not address any or all of this
section.The assignment contains some information on this area
of focus, but needs more clarity. Topic needs to be developed

22. more thoroughly. Identifies the state, summarizes a few aspects
of the Affordable Care Act (ACA) as implemented in the state.
Content is not supported.Entry well-constructed and
demonstrated basic connection to the course materials, the
required topic and/or upper-level thinking (application or
analysis). Identifies the state, summarizes the Affordable Care
Act (ACA) as implemented in the state. Some relevant
information pertaining to the state ACA is included. Content is
supported, not all references are from credible sources.Work
demonstrates substantial integration of course materials and/or
use of upper level thinking (synthesis). Identifies the state,
summarizes the Affordable Care Act (ACA) as implemented in
the state. All relevant information pertaining to the state ACA
is included. Content is supported adequately with references
from credible sources.10%0.00Criterion 2 Assesses 3 or more
strengths of the state’s approach to the Affordable Care Act
(ACA)The assignment does not address any or all of this
section.The assignment contains some information on this area
of focus, but needs more clarity. Topic needs to be developed
more thoroughly. Identifies 1 or more strengths of the state’s
approach to the Affordable Care Act (ACA). The strengths are
not addressed from an APN perspective, the APN perspective is
not integrated throughout the paper. Content is not
supported.Entry well-constructed and demonstrated basic
connection to the course materials, the required topic and/or
upper-level thinking (application or analysis). Assesses 2 or
more strengths of the state’s approach to the Affordable Care
Act (ACA). The strengths are not addressed from an APN
perspective, the APN perspective is somewhat integrated
throughout the paper. Content is supported but not all
references are from credible sources.Work demonstrates
substantial integration of course materials and/or use of upper
level thinking (synthesis). Assesses 3 or more major strengths
of the state’s approach to the Affordable Care Act (ACA). The
strengths are addressed from an APN perspective, the APN
perspective is integrated throughout the paper. Content is

23. supported adequately with references from credible
sources.10%0.00Criterion 3 Assesses 3 or more weaknesses of
the state’s approach to the Affordable Care Act (ACA)The
assignment does not address any or all of this section.The
assignment contains some information on this area of focus, but
needs more clarity. Topic needs to be developed more
thoroughly. Identifies1 or more weakness of the state’s
approach to the Affordable Care Act (ACA). The weaknesses
are not addressed from an APN perspective, the APN
perspective is not integrated throughout the paper. Content is
not supported.Entry well-constructed and demonstrated basic
connection to the course materials, the required topic and/or
upper-level thinking (application or analysis). Assesses 2 or
more weaknesses of the state’s approach to the Affordable Care
Act (ACA). The weaknesses are not addressed from an APN
perspective, the APN perspective is somewhat integrated
throughout the paper. Content is supported but not all
references are from credible sources.Work demonstrates
substantial integration of course materials and/or use of upper
level thinking (synthesis). Assesses 3 or more major
weaknesses of the state’s approach to the Affordable Care Act
(ACA). The weaknesses are addressed from an APN
perspective, the APN perspective is integrated throughout the
paper. Content is supported adequately with references from
credible sources.20%0.00Criterion 4 Discusses the impact of the
Affordable Care Act (ACA) on all consumer stakeholdersThe
assignment does not address any or all of this section.The
assignment contains some information on this area of focus, but
needs more clarity. Topic needs to be developed more
thoroughly. Identifies a few of the consumer stakeholders of
the Affordable Care Act (ACA). Identifies the impact of the
ACA but the impact is not relevant to consumer stakeholders.
The APN perspective is not integrated in the paper. Content is
not supported. Entry well-constructed and demonstrated basic
connection to the course materials, the required topic and/or
upper-level thinking (application or analysis). Identifies some

24. consumer stakeholders of the Affordable Care Act (ACA).
Identifies the impact of the ACA on stakeholders, impact is not
specific to consumer stakeholders. The APN perspective is
somewhat integrated throughout the paper. Content is
supported, not all references are from credible sources. Work
demonstrates substantial integration of course materials and/or
use of upper level thinking (synthesis). Identifies all the
consumer stakeholders of the Affordable Care Act (ACA)
Discusses the impact of the ACA on all consumer stakeholders.
The APN perspective is integrated throughout the paper.
Content is supported adequately with references from credible
sources. 20%0.00Criterion 5 Discusses the impact of the
Affordable Care Act (ACA) on all provider stakeholdersThe
assignment does not address any or all of this section.The
assignment contains some information on this area of focus, but
needs more clarity. Topic needs to be developed more
thoroughly. Identifies a few of the provider stakeholders of the
Affordable Care Act (ACA). Identifies the impact of the ACA
but the impact is not relevant to provider stakeholders. The
APN perspective is not integrated in the paper. Content is not
supported. Entry well-constructed and demonstrated basic
connection to the course materials, the required topic and/or
upper-level thinking (application or analysis). Identifies some
provider stakeholders of the Affordable Care Act (ACA).
Identifies the impact of the ACA on stakeholders, impact is not
specific to provider stakeholders. The APN perspective is
somewhat integrated throughout the paper. Content is
supported, not all references are from credible sources. Work
demonstrates substantial integration of course materials and/or
use of upper level thinking (synthesis). Identifies all the
provider stakeholders of the Affordable Care Act (ACA)
Discusses the impact of the ACA on all provider stakeholders.
The APN perspective is integrated throughout the paper.
Content is supported adequately with references from credible
sources. 20%0.00LengthLess than 3 pages.NANAAt least 4
pages.10%0.00Format/StyleDid not follow APA formatMajor

25. errors with APA formattingText, title page, and references page
follow APA guidelines . Minor references and grammar
errorsText, title page and references page follow APA
guidelines. No grammar, word usage or punctuation errors.
Overall style is consistent with professional
work.10%0.00100%0.00Final Score0Percentage0.00%Feedback:
4