Health policy


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Health policy

  1. 1. An Overview ofLegislation and RegulationChapter 65 & 66
  2. 2. Influencing the Introduction of a BillNurses can influence as constituents and as members ofprofessional organizations that lobby congress.Organized groups such as the ANA, AACN, CNAWhat can nurses do?
  3. 3. Committee ActionCenters for policy making at federal andstate levelsConflicting points of view discussed andlegislation refined or amendedOrganization, consensus building, andtime15% of bills that go through committeesare reported out to the House or Senate
  4. 4. Conference Committee A type of joint committee (House and Senate) Work together to address differences
  5. 5. Ways a committee can handle a billApprove a bill with or withoutamendmentsRewrite or revise a bill, and report it outto the full House or SenateReport it unfavorable (i.e., allow the bill tobe considered by the full House orSenate, but with a recommendation thatit be rejected)Take no action, which kills the bill
  6. 6. Authorization and Appropriation ProcessImportant for nurses to be familiar with this processNurse Education ActScholarships for the Disadvantaged StudentsNational Institutes of Nursing Research
  7. 7. Authorization and Appropriation ProcessTwo Step Process 1. Authorization Bill * Establishes the purpose of and sets guidelines for the program * Legal authority 2. Appropriation Bill * Allows an agency or program to spend money
  8. 8. Committee ProceduresThree Standard Steps1. Hearings2. Mark-ups3. Reports
  9. 9. Presidential AppointmentsApproved by the Senate Described in the U.S. Constitution Supreme Court Nominees High-level positions Ambassadors Federal Judges U.S. Attorneys U.S. Marshalls
  10. 10. Regulatory ProcessMajor role is to interpret the lawsImportant for nurses to influence theregulatory process Regulations have a direct impact on nurses’ work and professional life
  11. 11. Sources of Regulation Affecting Nursing PracticeNursing Boards Authority through state lawsWhat is determined at the state level? Initial qualifications for licensure Continuing educational requirements Disciplinary procedures Complaint resolution processes Professional misconduct Mandatory reporting requirements Specific scopes of practice
  12. 12. Sources of Regulation Affecting Nursing Practice Health and Human Services HHS Regulations Civil Rights, Privacy, Food and Drug Safety, MCR/MCD programs, health care fraud, medical research, technology standards, and tribal matters Umbrella organization for... CMS, FDA, CDC, and OCR
  13. 13. Sources of Regulation Affecting Nursing PracticeCenters for Medicare and Medicaid Government health insurance Medicare versus Medicaid Office of Inspector General List of Excluded Individuals/Entities
  14. 14. Sources of Regulation Affecting Nursing Practice The Joint Commission Compliance with MCR/MCD Standards Goal
  15. 15. Sources of Regulation Affecting Nursing Practice Federal, State, and Local Law Public Health Codes Emergency preparedness Communicable diseases Environmental controls Utilization of health care facilities Staff credentials and competency Policies and procedures Sanitation, Housing, Childhood nutrition Mental health issues, Food safety Other elements related to nursing care
  16. 16. Sources of Regulation Affecting Nursing PracticeOrganizational Policy Nurse responsibility Practice Standards Standardization and Consistency Failure to follow
  17. 17. Scope of PracticeScope of practice has evolved and expandedIssues with scope of practice Medical societies challenging BON Actions by the AMA and degrading terms