Assignment: Government Legislation in Healthcare (Part 1 and 2)

Part 1: Legislation is constantly changing the ways in which the healthcare industry operates. You will be investigating different types of legislation affecting various topics: Managed Care or Long Term Care, Health IT, Healthcare Finance and Special Populations. Review the assignment directions link for more details

Part 2: For every new law or regulation, new or updated, policies must be created and be disseminated to staff. There are regularly changing provisions within the Affordable Care Act, other federal healthcare requirements, state laws and regulations, CMS Conditions of Participation, Joint Commission Standards, and other accreditation requirements. You are to select one of the pieces of legislation you researched.  Create a policy that might be adopted by either a hospital or a professional association to implement a component of that legislation. This must be a policy you create—not one that you find on the web or one that is used by your institution. 

HCMG 630

Government Healthcare Legislation 

PART I :   Due Day 7, Week 5  (100 points)

1. For each of the following categories of health care, you will investigate a piece of government legislation related to the category.

The categories are:

1. Managed Care or Long Term Care
2. Health IT
3. Healthcare Finance (DO NOT mix finance with any other piece of legislation, and do not present an insurance bill/legislation as finance. An example might be legislation regarding the change in payment methodologies to value based payments.)
4. Special Populations (This could be related to health disparities, or to individual health professions)

1. EACH of the above categories MUST include information in each of the following areas:

1. 1. Number and Name of Bill/Legislation [you must use a different piece of legislation for each of the categories.  Each will have a different reference. “.com” references are not acceptable. Zero points will be awarded for any legislation piece used twice].
   2. State or city [local] where legislation is being proposed
   3. Who is proposing the legislation [Full name of PERSON.  Do not use the name of an organization. Use the person/persons who are actually proposing the legislation]
   4. When was it proposed/enacted [Month day and year] Year only will not be accepted! Legislation should be within the last 4 years
   5. What the legislation is about. Minimum 2 paragraphs.  Describe the legislation. Do not just restate the legislative verbiage.
   6. Where the legislation will most impact. Minimum 2 paragraphs.  Who or what group is this legislation written for.
   7. Why the legislation is needed. Minimum 2 paragraphs.

Important:  The use of legislation from multiple [different] States and/or Cities are acceptable. Federal legislation for all four is NOT acceptable.  You should have a COMBINATION of Federal, State and Local legislation.

Please utilize a chart format for this assignment.  See example below.  I expect your answers to [5], [6], and [7] to be detailed with data and referenced WITH at least one current and professional in-text citations for each question.

PART 2:  Due Day 7, Week 5  (50 points)

For every new law or regulation, new or updated, policies must be created and be disseminated to staff. There are regularly changing provisions within the Affordable Care Act, other federal healthcare requirements, state laws and regulations, CMS Conditions of Participation, Joint Commission Standards, and other accreditation requirements.

Example:

The following link is to legislation that provides access of individuals to their protected health information:  https://www.law.cornell.edu/cfr/text/45/164.524

This legislation drives the policies of hospitals and physician offices with regard to how they release patient information.  Here is an example of hospital policy based on that legislation:

https://www.bvcaa.org/HSPP/Administrative%20P&P/Medical%20Records/Release%20of%20Medical%20Records%208.8.16.pdf

You are to select one of the pieces of legislation you researched.  Create a policy that might be adopted by either a hospital or a professional association to implement a component of that legislation.  This must be a policy you create—not one that you find on the web or one that is used by your institution.

The following sections should be included:

1. Name of the policy
2. Purpose of the policy:  Answers the question as to why the policy is being written.  Elements to include might be: legal or regulatory reasons, description of the problem the policy will resolve, overall benefits, etc.
3. Scope:  Who does the policy apply to
4. Statement of the policy:  the broad principles/standards of expected action/behavior or compliance.  It sets the framework within which decisions are made on a particular matter.  You would include who needs to follow this policy, any restrictions or situations in which the policy does not apply, any special considerations, etc.   Policy statements address what is the standard, procedures address how the standard is implemented. This section provides a historical, legal and ethical framework for the new or revised policy.  Procedural steps are not included in a policy statement.

For this assignment, this section should be at least 2 paragraphs long.

1. Definition of terms:  include any technical or ambiguous terms for the benefit of novice readers
2. Related legislation:  policies refer to legislation but do not duplicate their content

Above definitions adapted from https://www.cu.edu/sites/default/files/APSwritingguide.pdf