Four Components of Health Care

Details: There are many reasons why a bill is introduced into legislation, helping a select group of people to make sure that everyone in the country is being protected. It is important as a healthcare provider to understand, how different bills affect the healthcare profession.

Select a current health care bill that addresses one or more of the components of healthcare. You will use three to five academic sources to write this paper.

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Write a 1,250-1,500-word paper about how the bill affects health care services in the community in which you live. Include the following:

Summarize the components of the health care bill.
Describe the health care components that are addressed in this bill.
Who sponsored this bill? Who are the proponents of the bill and who opposes this legislation? What is their position (i.e., why do they disagree?).
Does this bill helps or hinders health care services in the community. (Sacramento, Ca.) Describe how it may affect allied health professionals.
Does this bill affect the health care and allied health care professionals?
Review the American Psychological Association (APA) writing style guidelines and resources located in the Student Success Center. APA format is required for most assignments, so students should become familiar with these resources to facilitate the successful completion of course assignments.

 

Sample Answer

 

Four Components of Health Care

A health care bill is proposed legislation that has an impact on particular aspects of health care. A health care bill is introduced in a legislative body where legislators debate on the provisions and then vote on the bill. If enough legislators vote for the health care bill, the President can sign the bill into law where it can direct various health care processes and components. The selected health care bill is HR 986: Protecting Americans with Preexisting Conditions Act of 2019.

Components of HR 986: Protecting Americans with Preexisting Conditions Act of 2019

After the passage of the Affordable Care Act of 2010, health insurance companies were prohibited from denying medical cover to a person due to preexisting conditions (Glied & Jackson, 2017). Under President Trump, the administration has issued a regulatory guidance that allows states a higher level of experimentation and variation related to health care. The guidance allows higher control over health care plans and could allow some health insurance companies to refuse health care to people with preexisting conditions (Congress, 2019). Protecting Americans with Preexisting Conditions Act of 2019 was introduced to the House on Feb 6, 2019. The bill seeks to repeal the guidance released by the Trump Administration on October 2018 entitled ‘State Relief and Empowerment Waivers’. By repealing the guidance, the bill aims to stop the expansion of health insurance plans in states in a way that could discriminate against people with preexisting conditions. Protecting Americans with Preexisting Conditions Act of 2019 bars the Treasury and the Department of Health and Human Services from taking any further actions to enforce or implement the Trump Administration’s guidance of 2018.

Protecting Americans with Preexisting Conditions Act of 2019 prohibits the Executive from issuing guidance in the future that could allow states to allow health care plans to would allow health care insurance providers to refuse health care to persons with preexisting conditions. The bill will prevent states from taking innovative approaches that would waive some aspects of the Affordable Care Act. Protecting Americans with Preexisting Conditions Act provides guardrails to ensure that health care coverage in all states is both comprehensive and affordable (Congress, 2019). In this way, the bill ensures that all people who could be covered without the waivers provided issued under the Trump Administration’s regulatory guideline can access health care. Finally, the bill prohibits any actions that would lead to the loss of health insurance coverage as provided in the Affordable Care Act. Consequently, the bill protects individuals from discrimination or exclusion from health care coverage. The bill was passed in the House and is set to be tabled in the Senate.

Health Care Components Addressed in the Bill

The four components of health care are financing, delivery, payments, and insurance. Protecting Americans with Preexisting Conditions Act of 2019 addresses the health care components of insurance and delivery. Insurance refers to the coverage that allows an individual to access health care services. Health care insurance enables individuals to pay for medical expenses incurred during treatment. The package of an individual’s health insurance dictates the type of health care the person can receive.

Protecting Americans with Preexisting Conditions Act addresses the insurance component since the bill includes provisions on how health insurance companies should provide health coverage to the population. The bill prohibits insurance companies from denying medical coverage to a person due to preexisting conditions (Claxton et al., 2017). The bill also bars health insurance companies from raising rates for individuals on the grounds of preexisting conditions.

Delivery encompasses activities involved in the delivery of care. Delivery of care involves professionals such as nurses, physicians and allied health professionals. Protecting Americans with Preexisting Conditions Act addresses delivery of care since the bill ensures that people with preexisting conditions can access health care without undue discrimination of exclusion in the respective state (Claxton et al., 2017). The bill also prohibits states from changing health care plans to prevent health care providers from offering services to people with preexisting conditions. Since most providers offer health care services to people with insurance coverage, the bill effectively addresses delivery of care.

Bill Sponsorship

The bill is sponsored by Representative Ann McLane Kuster (Congress, 2019). Rep. Kuster is the Democratic representative of New Hampshire’s 2nd congressional district. Rep. Kuster has served as the representative of the district since January 2013. The bill received co-sponsorship from 19 other representatives, all Democrats.

Proponents of the Bill

The proponents of Protecting Americans with Preexisting Conditions Act are Democrats. In the House, Democrats overwhelmingly voted to pass the bill. Proponents of the bill support its passage because it will allow people with preexisting conditions to access health insurance coverage (Glied & Jackson, 2017). As such, the proponents of the bill argue that the law will safeguard health care for the population and improve the accessibility of health care for a bigger proportion of the population. Supporters of the bill contend that passage of the bill will prevent health insurance companies from charging people with preexisting conditions higher than other demographics. Proponents of the bill also base their support on the need to reinforce and build on the successes of the Affordable Care Act.

Opponents of the Bill

The opponents of the bill are mostly Republicans. In the House, all expect four Republicans voted against the bill. Opponents of the bill want to roll back some of the provision of the Affordable Care Act and allow states more control over health care. Opposition for the bill emerges from anxieties over the consolidation of health care services across all states. Opponents of the bill argue that the bill limits health care options for many Americans (Willison & Singer, 2017). Opponents also argue that enforcing the provisions of the bill will lead to higher premiums and increase the cost of health care for the average American. Opponents argue that laws such as Protecting Americans with Preexisting Conditions Act limit competition in the health care market. Consequently, the opponents hope that by opposing the bill, they will allow consumers to access more health care coverage options.

Impact of Bill on Health Care Services in the Community

Protecting Americans with Preexisting Conditions Act helps health care services in the Sacramento, California community. Firstly, the bill will improve health care since the provisions of the law will allow a higher percentage of the population to access health care insurance. Subsequently, more insured people will have the ability to access health care services in the Sacramento community (Griffith, Evans & Bor, 2017). The bill will help health care services in the community since it will protect individuals with preexisting conditions who are vulnerable and at the highest risk of illness.   Protecting Americans with Preexisting Conditions Act will aid health care in Sacramento by enhancing access to care for the community. The population will have increased access to the range of services offered by health care providers (Glied & Jackson, 2017). The bill will help health care services by improving the affordability of care since health insurance companies will be prohibited from overcharging people with preexisting conditions. As such, the bill will allow more residents of Sacramento, especially lower-income persons, to access quality health care services.

How Bill May Affect Health Care and Allied Health Professionals

Firstly, the passage of the bill will require health care organizations to increase staffing of health care and allied health professionals to meet the increased demand for health care. There will be an increase in people seeking health care services since there will be protections for preexisting conditions. As such, hospitals will need to hire more health care and allied health professionals to deliver care (Demo et al., 2015). There will be need to train and license more health care and allied health care professionals. There is also the possibility that the passage of the bill will increase the workload of health care and allied health professionals as more people access health care. As such, the professionals will expect longer work hours if the bill becomes law.

The bill may affect allied health care professionals by required the professionals to receive training on a range of health issues to enable the provision of care to people with preexisting conditions. Allied health care workers may need to specialize in wellness, preventative measures and management of chronic conditions. Such specialization will improve the capacity of allied health care professionals to provide care to people with preexisting conditions. Additionally, the bill will affect allied health workers who will be required to work in more settings outside the hospital as a broader demographic of people take up health coverage. Allied health care professionals will increasingly work in educational settings and home health.

 

 

References

Claxton, G., Cox, C., Damico, A., Levitt, L., Pollitz, K., & Kaiser Family Foundation. (2017). Preexisting conditions and medical underwriting in the individual insurance market prior to the ACA. Montana25, 152-000.

Congress (2019). H.R.986 – Protecting Americans with Preexisting Conditions Act of 2019. Retrieved from: https://www.congress.gov/bill/116th-congress/house-bill/986

Demo, D. H., Fry, D., Devine, N., & Butler, A. (2015). A call for action: Advocating for increased funding for the allied health professions ASAHP leadership development program. Journal of allied health44(1), 57-62.

Glied, S., & Jackson, A. (2017). The future of the Affordable Care Act and insurance coverage. American journal of public health107(4), 538-540.

Griffith, K., Evans, L., & Bor, J. (2017). The Affordable Care Act reduced socioeconomic disparities in health care access. Health Affairs36(8), 1503-1510.

Willison, C. E., & Singer, P. M. (2017). Repealing the affordable care act essential health benefits: Threats and obstacles. American journal of public health107(8), 1225.

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