NUR 513 Research health care legislation that is being considered in your state

NUR 513 Research health care legislation that is being considered in your state

NUR 513 Research health care legislation that is being considered in your state

House Bill 1013 is a mental health bill that unanimously passed both of Georgia’s legislative chambers with bipartisan support in March of 2022. The new law gives more authority to medical providers and less control to insurance companies to determine what mental health services should be covered. Because of this newly assigned jurisdiction, the law received pushback from health insurers and lawmakers from the far right. Parts of the bill that unified lawmakers from both parties were provisions to improve and strengthen treatment for individuals suffering with substance abuse and mental health disorders. The law also dictates that a certain percentage of taxpayers’ money goes to fund programs that have direct patient care and not to cover administrative costs alone. The law mandates that teams of local law enforcement officers and behavioral health experts respond to calls placed for citizens experiencing mental health crisis. Of the 50 states, Georgia is currently 48th regarding its citizens ability to acquire mental healthcare. Hopefully, the new law will improve Georgia’s ranking and the quality-of-care available throughout the state. (Nolin, 2022)

I feel that this new law will positively impact the collective practice of nurses in Georgia because this law places the importance of mental healthcare on par with physical healthcare. Hopefully, the nurses in the respective areas can provide patients who need psychiatric support services with the care they need, and free up time, space, and resources for nurses to care for people who need physical health services as well.

 

Reference:

 

Nolin, J. (2022, March 30). Georgia lawmakers unanimously pass bill to overhaul mental health services. Georgia recorder. https://georgiarecorder.com/2022/03/30/georgia-lawmakers-unanimously-pass-bill-to-overhaul-mental-health-services/ 

 

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RESPOND HERE

I agree with you that House Bill 1013 is a mental health bill that was passed both of Georgia’s legislative chambers with bipartisan support in March of 2022. The law deprive insurers their authority while giving medical providers more powers to determine mental health services to be covered. The law assumes that medical professionals are the best people to advice on treatment and management of mental health complications (Yang et al., 2021). Insurance companies may prioritize economic and other interests away from patients’ recovery. As a result, the House Bill 1013 allows medical providers to be in control of mental health insurance. However, the law received pushback from health insurers and lawmakers from the far right (Stucky et al., 2021). The law dictates that a certain percentage of taxpayers’ money goes to fund programs that have direct patient care and not to cover administrative costs alone. Unfortunately, some insurance companies have suffered from frustrations from other medical providers due to poor relationship.

 

References

Stucky, C. H., Brown, W. J., & Stucky, M. G. (2021, January). COVID 19: An unprecedented opportunity for nurse practitioners to reform healthcare and advocate for permanent full practice authority. In Nursing Forum (Vol. 56, No. 1, pp. 222-227).  https://doi.org/10.1111/nuf.12515

Yang, B. K., Johantgen, M. E., Trinkoff, A. M., Idzik, S. R., Wince, J., & Tomlinson, C. (2021). State nurse practitioner practice regulations and US health care delivery outcomes: a systematic review. Medical Care Research and Review78(3), 183-196.

 

In New York State (NYS), one current healthcare legislation issue that is being advocated for is expanding the scope

NUR 513 Research health care legislation that is being considered in your state
NUR 513 Research health care legislation that is being considered in your state

of practice of nurse practitioners. Currently in NYS nurse practitioners have to maintain collaborative agreements and practice protocols with physicians in order to practice.The current proposed Nurse Practitioner Modernization Act (NPMA) proposes that nurse practitioners with more than 3,600 hours of experience can practice independently of physicians without practice agreements and protocols (New York State Nurses Association, n.d.). For nurse practitioners with less than 3,600 hours of experience practice agreements and protocols will still be required, but they can be with either a physician or experienced NP providing the oversight.

In regards to my future practice as a hospice nurse, this would be very beneficial as we often have patients who get referred to us who are followed primarily by a nurse practitioner, but we have to have a physician who will sign certifications and orders for the patient. This is often problematic because the nurse practitioners know the patients much better than the physicians who oversee them, and sometimes these patients have never even been seen by these physicians. The NPMA would allow greater autonomy for these nurse practitioners in regards to participating in end of life care for their patients and would allow better continuity of care for these patients.

For the collective practice of nurses in NYS, the NPMA would allow nurse practitioners to practice to the fullest extent of their licensure and training. This could help alleviate the shortage of primary care providers, especially in rural areas where there may not always be a nearby supervising physician. This act would also help to elevate the profession and reputation of nurse practitioners by recognizing them as autonomous providers equal to physicians in practice.

In the future, I foresee myself advocating for policies and laws that expand the scope of practice of advanced practice nurses. I also foresee myself advocating for safe hospital and nursing home staffing ratios and the legalization of physician assisted suicide in NYS, as these are issues that I have dealt with in my nursing career thus far that I feel passionate about.

Reference

New York State Nurses Association. (n.d.). New! Nurse practitioner modernization act: Information/updates. https://www.nysna.org/new-nurse-practitioner-modernization-act-informationupdates

REPLY

 

I concur with you that there have been efforts to expand the scope of practice of nurse practitioners in New York. Different healthcare stakeholders are using their positions and influence to lobby for the expansion of the scope of practice of nurses (Barnes et al., 2018). Collaborative agreements and practice protocols between nurse practitioners and physicians has created suitable room for the expansion. At the same time, the expansion of the scope of practice allows nurses to assume other roles once they are proven to be competent.  Nurse practitioners get referrals of patients with various healthcare complications (Muench et al., 2021). Unfortunately, some of these healthcare providers cannot attend to other referrals since they are restricted. Expanding the scope of practice of nurse practitioners allows healthcare professionals to advance their nursing education. The advancement increases the flexibility of nurse practitioners to engage in new tasks beyond their former scope of operation. Advocating for safe hospital and nursing home staffing ratios and the legalization of physician assisted suicide in NYS demands expansion of the scope of practice for nurses.

 

References

Barnes, H., Richards, M. R., McHugh, M. D., & Martsolf, G. (2018). Rural and nonrural primary care physician practices increasingly rely on nurse practitioners. Health Affairs37(6), 908-914.

Muench, U., Whaley, C., Coffman, J., & Spetz, J. (2021). Scope-of-practice for nurse practitioners and adherence to medications for chronic illness in primary care. Journal of general internal medicine36(2), 478-486.

There are many pending healthcare legislative initiatives being considered within the state of California. The Medical Board of California takes different positions on each bill that are introduced through the legislature. Each quarter, the Board Members analyze and are recommended different types of important initiatives, which in turn, influences a position to take after discussion between members as well as consideration of comments from the public.

One bill that caught my eye addresses the use of overdose prevention programs. In the State of California, overdose has been a documented urgent health crisis since 2011. Substance abuse, dependence and addiction is a mental health issue and more attention to this suffering population is needed in order to curb accidental deaths from overdose. This bill can help provide the resources necessary for addicts to use substances safely which can lead to the desire to change their lives and initiate recovery. Overdose prevention programs are proven effective through evidence-based practice studies and help not just with the actual substance abuse, but also help with associated diseases, crime rates, public drug use, and syringe debris. Programs like these increase access to counseling, treatment, and other risk reduction services leading to higher rate of recovery and wellbeing (Wiener, 2022).

My future practice as an emergency room Registered Nurse would be highly impacted by this initiative due to the fact that there would be a projected decrease in emergency services usage for this type of disparity as well as the illness and complications surrounding this populations health and wellbeing. As a collective practice for nurses, it would positively impact our ability to properly care for, educate and refer patients out to these programs. This in turn would set these patients up for an increase in positive patient outcomes and sustained recovery (Wiener, 2022).

Political advocacy for nursing in my future practice would most likely involve the higher level of incorporation of non-pharmacological alternatives/adjunctive/multimodal approaches to the plan of care within the hospital setting and as an outpatient. In my experiences, I feel as though Doctors tend to be dismissive of alternative therapy/adjunctive techniques, and it is truly up to the nurses to educate and recommend. But it’s a tricky position, because we as nurses are not fully autonomous in recommendations and must be cognizant of possible side effects or negatives impacts associated. Collaborating with providers on possible non-pharmacological alternatives/adjunctive/multimodal approaches recommendations would suffice, but a lot of times Doctors do not have time or an open-minded approach to these types of things. Maybe if medical schools were required to integrate this type of knowledge more readily into the curriculum and/or emphasized the benefit/importance of utilizing it within their practice as a mainstream intervention it would help to normalize the use of the different approaches. Also, putting to use my advanced practice degree and experience by creating more evidence based practice research associated with alternative therapeutic interventions, it would strengthen the mainstream use of such options.

Wiener, S. (2022). SB-57 Controlled substances: overdose prevention program. Medical Board of California. https://www.mbc.ca.gov/About/Laws/Pending-Legislation/