Mandate Unconstitutional Allowing Individual

Mandate Unconstitutional Allowing Individual

Competency

Discuss the role and impact of lobbyists, special interest groups, and other consumer advocates on the development of healthcare policies in the U.S.

Student Success Criteria

View the grading rubric for this deliverable by selecting the “This item is graded with a rubric” link, which is located in the Details & Information pane.

Scenario

You are the director of community affairs for the health lobby organization, Pathways to a Healthy America. In 2010, President Barack Obama signed the Affordable Care Act into law. As a result, millions of Americans who were previously uninsured gained access to the healthcare system. One of the initial provisions of the Act required individual states to expand the eligibility criteria for Medicaid. The program’s costs would be absorbed by the federal government at a rate of 100% for the first three years of program participation which would decrease to 90% after 2020, still, considerably higher than previous funding by the federal government. However, in 2012, the Supreme Court ruled the mandate unconstitutional allowing individual states to voluntarily “opt” out of the Medicaid expansion program. As a result of the various states’ decision to “opt” out of the ACA’s Medicaid expansion, millions of adults fell into the critical coverage gap. Your organization represents a state which has decided to forego participation in the ACA expansion program. The decision was met with both praise and criticism.

It has now been a few years since the decision and your organization has gathered information on the impact of the decision in order to advocate for Medicaid reform during the next state legislative session.

You are required to write an advocacy report to state lawmakers in which you advocate for either participating in the original expansion program or participating with conditions (waivers) to address the critical gap in coverage for vulnerable adults in your state. Waivers such as Section 1115 enable for alternative implementation of Medicaid expansion and allow states to impose restrictions which may result in a denial of Medicaid eligibility for individuals who do not meet those restrictions, i.e., work requirements.

Instructions

Research the Medicaid expansion program offered through the Affordable Care Act (ACA) as well as Medicaid reform initiatives using waivers to increase access to Medicaid. Determine, based on your state’s profile, which process (the ACA’s expansion program or the use of waivers) is most beneficial to your state. Include a comprehensive, well-supported recommendation for participation in Medicaid reform using either the ACA’s program or a modified reform process using waivers.

Your advocacy report should describe your state’s current Medicaid program including its eligibility criteria, demographics, Medicaid spending and savings since the ACA’s implementation, and comprehensive details of current or pending waivers. You should also include a discussion (benchmark) on another state’s success with Medicaid reform using your recommended strategy (the ACA’s expansion program or the use of the specific types of waivers for which you propose).

Resources

You will find a PDF containing information from the Commonwealth Fund’s findings here

You will find a PDF containing information from the Kaiser Family Foundation on Medicaid Expansion here.

APA formatting for the reference list, and proper grammar, punctuation, and form are required. APA help is available here.

A – 4 – Mastery

Report includes a comprehensive, coherent, well thought out recommendation, for either the ACA’s expansion of Medicaid or a modified expansion process with a justification based on comprehensive research with fully developed, well-supported reasoning.

A – 4 – Mastery

Report includes a comprehensive description of the state’s Medicaid program including eligibility criteria, demographics, spending, savings and the state’s current or pending waivers.

A – 4 – Mastery

Report includes a comprehensive assessment of another state’s successful reform efforts and a comprehensive, well-supported discussion on the criteria used in evaluating the implementation of successful Medicaid reform in that state

A – 4 – Mastery

Report includes a comprehensive discussion with significant and current details on the Medicaid expansion program offered through the Affordable Care Act (ACA). Discussion includes assertions supported by credible research.

A – 4 – Mastery

Report includes a comprehensive description of waivers (i.e., Section 1115). Discussion includes assertions supported by credible research.

A – 4 – Mastery

Includes 3 or more credible, scholarly, current (within the past 5 years), and relevant sources. Adequate integration of information included within the report. Appropriate synthesis and analysis included in the report.

Stuck With A Lot Of Homework Assignments And Feeling Stressed ? Take Professional Academic Assistance & Get 100% Plagiarism Free Papers

Get Help By Expert

For students who are struggling with essay writing, we can be a lifesaver. We offer essay writing help for students of all levels, from elementary school to college. Our team of experienced assignment writers can help you with any type of essay, from persuasive essays to comparative essays. So if you're struggling with essay writing, don't hesitate to contact us for assistance.

Answer

Looking For Plagiarism Free Answers For Your College/ University Assignments.

Do you have an upcoming essay or assignment due?

All of our assignments are originally produced, unique, and free of plagiarism.

If yes Get Your Custom Answer Now