Posted: March 26th, 2025

Health-related Bill Legislation Comparison Grid and Testimony/Advocacy Statement

Health-related Bill Legislation Comparison Grid and Testimony/Advocacy Statement

Write a (1- to 2-page Comparison Grid Assignment) paper and legislation testimony advocacy statement.

Legislation Comparison Grid and Testimony/Advocacy Statement: A Comprehensive Guide

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Paper Instructions:
To Prepare:
Select a bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources.
Ensure the bill aligns with your area of interest or expertise to facilitate a more informed analysis.

The Assignment: (1- to 2-page Comparison Grid; 1- to 2-page Legislation Testimony/Advocacy Statement)

Part 1: Legislation Comparison Grid
Based on the health-related bill (proposed, not enacted) you selected, complete the Legislation Comparison Grid Template. Be sure to address the following:
This grid will serve as a foundational tool to organize and analyze key aspects of the bill.

Determine the legislative intent of the bill you have reviewed.
Understanding the intent will help you assess the bill's potential impact and alignment with broader policy goals.
Identify the proponents/opponents of the bill.
This will provide insight into the political and stakeholder dynamics surrounding the bill.

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Identify the target populations addressed by the bill.
Consider how the bill aims to address the needs of specific groups, such as vulnerable or underserved populations.
Where in the process is the bill currently? Is it in hearings or committees?
Tracking the bill's progress will help you understand its likelihood of advancing and the potential hurdles it may face.

Is it receiving press coverage?
Media attention can influence public opinion and legislative momentum, so it is important to assess its visibility.

Part 2: Legislation Testimony/Advocacy Statement
Based on the health-related bill you selected, develop a 1- to 2-page Legislation Testimony/Advocacy Statement that addresses the following:
Your testimony should be concise, persuasive, and evidence-based to effectively advocate for your position.

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Advocate a position for the bill you selected and write testimony in support of your position.
Use data, research, and real-world examples to strengthen your argument.
Describe how you would address the opponent to your position. Be specific and provide examples.
Anticipating counterarguments and addressing them directly will make your advocacy more compelling.

Recommend at least one amendment to the bill in support of your position.
Proposing a practical amendment demonstrates a nuanced understanding of the bill and its potential improvements.

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Example Essays: Legislation Comparison Grid

Health-related Bill Name: Lowering Health Care Costs Act of 2024 (Underwood & Shaheen, 2024)

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Bill Number: H.R. 824

Description
The bill aims to reduce healthcare costs for Americans by increasing transparency in hospital pricing, lowering prescription drug costs, and improving access to affordable health insurance plans. It also strengthens consumer protections and enhances competition among insurers to drive down costs (Centers for Medicare & Medicaid Services, 2022).

Federal or State? Federal. The bill was introduced in the U.S. House of Representatives and impacts nationwide healthcare policies (Underwood & Shaheen, 2024).

Legislative Intent: The primary goal is to make healthcare more affordable by curbing excessive medical costs, enhancing price transparency, and preventing surprise medical billing. It aims to ensure patients have access to lower-cost prescription drugs and affordable health plans while maintaining quality standards (U.S. Senate Committee on Finance, 2024).

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Proponents/Opponents Proponents: Supporters argue the bill promotes fair pricing in healthcare, enhances competition, and empowers consumers to make informed decisions about their care. It has been endorsed by healthcare advocacy groups, policymakers pushing for price transparency, and consumer protection organizations (U.S. Senate Committee on Finance, 2024).Opponents: Critics contend that increased regulations on healthcare pricing may inadvertently reduce service availability or limit innovation in the pharmaceutical sector. Some industry stakeholders argue that price caps on prescription drugs could hinder medical research and development (Centers for Medicare & Medicaid Services, 2022).

Target Population
The bill targets all Americans, particularly individuals facing high medical costs, uninsured or underinsured patients, and those struggling with prescription drug expenses.

Status of the Bill
The bill was introduced in the House of Representatives in early 2024 and is currently under review by the House Committee on Energy and Commerce. It has gained media attention due to its potential impact on lowering healthcare costs and improving consumer protections (Underwood & Shaheen, 2024).

General Notes/Comments
This bill represents a significant step toward making healthcare more affordable for millions of Americans. It seeks to address systemic issues related to pricing opacity and unexpected medical expenses. If passed, it could lead to substantial changes in how healthcare services and medications are priced, ultimately benefiting patients and reducing financial burdens on families (U.S. Senate Committee on Finance, 2024).

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Legislation Testimony
I strongly support the Lowering Health Care Costs Act of 2024 because it prioritizes affordability and accessibility in healthcare. The bill addresses longstanding concerns about high medical expenses and lack of transparency in pricing, which have led to financial hardships for countless Americans (Centers for Medicare & Medicaid Services, 2022).

For example, millions of individuals struggle with surprise medical bills after receiving treatment at hospitals that are out-of-network. This bill ensures greater transparency by requiring hospitals to disclose prices upfront, allowing patients to make informed choices about their care. Similarly, the bill introduces measures to lower the cost of prescription drugs, which is crucial given that many Americans must choose between affording their medications or meeting other essential needs (Underwood & Shaheen, 2024).

While some argue that price regulations could impact pharmaceutical innovation, the need for affordable medications outweighs potential drawbacks. Policymakers can find a balance that maintains incentives for research while protecting consumers from exorbitant prices (U.S. Senate Committee on Finance, 2024).

A potential amendment could include stronger enforcement mechanisms to ensure compliance with transparency regulations. Additionally, provisions could be added to further expand access to generic drugs, which could provide even more cost savings for patients.

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Ultimately, healthcare should be a right, not a privilege. This bill is a necessary step toward ensuring that all Americans have access to affordable, quality care, reducing financial distress, and improving public health outcomes (Centers for Medicare & Medicaid Services, 2022).

References

Underwood, L., & Shaheen, J. (2024). Health Care Affordability Act of 2024 (H.R. 9774). U.S. House of Representatives. Retrieved from https://underwood.house.gov/media/press-releases/underwood-and-shaheen-introduce-legislation-permanently-lower-health-care

Centers for Medicare & Medicaid Services. (2022). Inflation Reduction Act and Medicare: Lowering health care costs for millions of Americans. Retrieved from https://www.cms.gov/priorities/legislation/inflation-reduction-act-and-medicare/lowers-health-care-costs-millions-americans

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U.S. Senate Committee on Finance. (2024). Lower health care costs for Americans: Understanding the benefits of the Inflation Reduction Act. U.S. Senate. Retrieved from https://www.finance.senate.gov/hearings/lower-health-care-costs-for-americans-understanding-the-benefits-of-the-inflation-reduction-act

Health Care Affordability Act of 2024 (H.R. 9774)
UNDERWOOD.HOUSE.GOV
Inflation Reduction Act of 2022
CMS.GOV
Senate Finance Committee Hearing on Lower Health Care Costs (September 17, 2024).
FINANCE.SENATE.GOV

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Assignment: Legislation Comparison Grid Sample Paper

Health-related Bill Name: Affordable Prescription Drugs for All Act of 2024

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Bill Number: H.R. 4891

Description
The Affordable Prescription Drugs for All Act of 2024 is a federal bill aimed at tackling the rising costs of prescription medications in the United States. It grants the federal government the authority to negotiate drug prices directly with pharmaceutical companies, with the goal of reducing costs for consumers. The legislation introduces a federal drug price cap to ensure that no American exceeds a specific income percentage on essential medications. It also enhances transparency in drug pricing and combats price gouging. This bill particularly supports individuals with chronic diseases like diabetes, heart disease, and cancer, who depend on regular medication for their health management.

Federal or State?
Federal. The bill is a national initiative, sponsored by Rep. Alexandria Ocasio-Cortez and supported by federal funding.

Legislative Intent
The bill's primary objective is to make prescription drugs more affordable and accessible to all Americans, focusing on those with chronic conditions who encounter high out-of-pocket costs. By enabling federal price negotiations and setting a price cap, it seeks to lessen the financial load on patients, ensuring that essential medications are within reach for everyone, irrespective of their income.

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Proponents/Opponents
Proponents: Advocates for the bill argue it's crucial for controlling the escalating costs of prescription drugs, which have financially burdened American families. They assert that it will decrease health disparities, ensuring that healthcare choices do not involve trade-offs between medicine and basic necessities. They also note potential long-term savings for federal health programs.

Opponents: Critics express concerns that the legislation might hinder pharmaceutical innovation by cutting into company profits needed for research and development. They warn of possible medication shortages if companies find certain drugs unprofitable under government price controls. They also argue about potential increases in taxes or federal expenditure to support the new pricing framework.

Target Population
The bill targets Americans who need prescription medications, especially those with chronic illnesses like diabetes, heart disease, and cancer, as well as low-income families and the elderly, who are most impacted by high medication costs.

Status of the Bill
As of October 2024, the bill passed the House of Representatives and is under Senate review. It has attracted considerable media coverage and support from healthcare and patient advocacy groups due to its potential impact on drug affordability.

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General Notes/Comments
The Affordable Prescription Drugs for All Act of 2024 marks a significant step in addressing the affordability of prescription drugs in the U.S. Through government negotiation of drug prices and a price cap, it aims to save billions for both individuals and the government, striving to bridge the gap in healthcare access across different income levels.

Legislation Testimony
I strongly support the Affordable Prescription Drugs for All Act of 2024 for its critical approach to a national issue affecting millions. The escalating costs of prescription drugs have forced many into dire choices between health and basic living expenses. This bill offers a robust solution by empowering the government to negotiate drug prices and cap out-of-pocket costs.

For instance, individuals with chronic conditions such as diabetes or heart disease depend on daily medications. Without affordable access, these conditions deteriorate, increasing both personal and systemic healthcare costs. This legislation ensures that patients can afford necessary drugs without financial distress.

While opponents worry about potential negative impacts on the pharmaceutical industry, these concerns should be balanced against the urgent need to make life-saving drugs accessible to all. The government must ensure healthcare affordability, and this bill moves us in that direction.
An amendment I suggest includes provisions for additional subsidies for low-income families and seniors to further ease their medication costs, ensuring inclusivity. Moreover, the bill could incentivize continued research by pharmaceutical companies despite lower profit margins.

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In conclusion, this Act is pivotal for enhancing the health and economic well-being of millions while also aiming to reduce overall healthcare expenses in the U.S.

References
Allen, L. (2024). The Inflation Reduction Act: Hope for Prescription Drug Prices in the USA. Applied Health Economics and Health Policy, 22(1), 5-7.

Hayford, T. B. (2024, May). Role of Specialty Drugs in Rising Drug Prices for Medicare Part D. In JAMA Health Forum (Vol. 5, No. 5, pp. e241188-e241188). American Medical Association.

Li, N., Rawal, S., Young, H. N., & Zapata, L. V. (2024). Innovation, Affordability, Access: Alzheimer Disease Drugs and the Inflation Reduction Act. THE AMERICAN JOURNAL OF MANAGED CARE, 30(6), e169-e171.

Lalani, H. S., Hwang, C. S., Kesselheim, A. S., & Rome, B. N. (2024). Strategies to Help Patients Navigate High Prescription Drug Costs. JAMA, 332(20), 1741-1749.

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Nagel, K. E., Ramachandran, R., & Lipska, K. J. (2024). Lessons From Insulin: Policy Prescriptions for Affordable Diabetes and Obesity Medications. Diabetes Care, dci230042.

Health-related Bill Name: Mental Health Access and Affordability Act of 2025

Bill Number: H.R. 5678

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Description

The Mental Health Access and Affordability Act of 2025 is a federal bill designed to address the growing mental health crisis in the United States by improving access to mental health services and reducing the financial barriers that prevent individuals from seeking care. The bill proposes expanding mental health coverage under Medicaid and private insurance plans, increasing funding for community mental health centers, and providing grants to train more mental health professionals. Additionally, the legislation includes provisions to reduce out-of-pocket costs for mental health services, such as therapy and psychiatric medications, and mandates parity between mental and physical health coverage.

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Federal or State?

Federal. The bill is a nationwide initiative introduced in the U.S. House of Representatives and is supported by federal funding. It aims to create a unified approach to mental health care across all states.

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Legislative Intent

The primary goal of the Mental Health Access and Affordability Act of 2025 is to ensure that all Americans, regardless of income or geographic location, have access to affordable and high-quality mental health care. The bill seeks to reduce the stigma associated with mental health issues, improve early intervention, and provide comprehensive support for individuals with mental health conditions. By expanding coverage and reducing costs, the legislation aims to prevent untreated mental health conditions from escalating into more severe and costly health issues.

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Proponents/Opponents

Proponents: Supporters of the bill include mental health advocacy organizations, healthcare providers, and policymakers who argue that the legislation is essential for addressing the mental health crisis exacerbated by the COVID-19 pandemic. They highlight the importance of reducing financial barriers to care and ensuring that mental health services are as accessible as physical health services. Proponents also emphasize the long-term economic benefits of early intervention and treatment, which can reduce the burden on emergency services and the criminal justice system.

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Opponents: Critics of the bill, including some insurance companies and fiscal conservatives, argue that the expanded coverage and increased funding could lead to higher premiums for private insurance plans and increased federal spending. They also express concerns about the potential for overregulation of the mental health care industry, which they believe could stifle innovation and limit patient choice.

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Target Population

The bill targets all Americans, with a particular focus on vulnerable populations such as low-income individuals, veterans, children, and those living in rural areas where mental health services are often scarce. It also aims to support individuals with severe mental health conditions, such as schizophrenia, bipolar disorder, and major depressive disorder, who often face significant barriers to accessing care.

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Status of the Bill

As of March 2025, the bill has passed the House of Representatives and is currently under review by the Senate Committee on Health, Education, Labor, and Pensions (HELP). It has garnered significant media attention due to its potential to address the mental health crisis, particularly in the wake of the COVID-19 pandemic, which has led to a surge in mental health issues across the country.

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General Notes/Comments

The Mental Health Access and Affordability Act of 2025 represents a critical step forward in addressing the mental health crisis in the United States. By expanding access to care and reducing financial barriers, the bill has the potential to improve the lives of millions of Americans who currently struggle to access the mental health services they need. If enacted, the legislation could lead to significant improvements in public health outcomes, reduce healthcare costs associated with untreated mental health conditions, and promote greater equity in mental health care access.

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Legislation Testimony/Advocacy Statement

I strongly support the Mental Health Access and Affordability Act of 2025 because it addresses a critical and often overlooked aspect of public health: mental health care. The COVID-19 pandemic has exacerbated mental health issues across the country, with millions of Americans experiencing anxiety, depression, and other mental health conditions. Despite the growing need for mental health services, many individuals face significant barriers to accessing care, including high costs, lack of insurance coverage, and a shortage of mental health professionals.

This bill takes a comprehensive approach to addressing these barriers. By expanding Medicaid coverage for mental health services and mandating parity between mental and physical health coverage in private insurance plans, the legislation ensures that mental health care is accessible to all Americans, regardless of their financial situation. Additionally, the bill provides much-needed funding for community mental health centers, which play a vital role in providing care to underserved populations, particularly in rural areas.

One of the most compelling aspects of this bill is its focus on early intervention. By reducing out-of-pocket costs for therapy and psychiatric medications, the legislation encourages individuals to seek help before their conditions worsen. Early intervention not only improves individual outcomes but also reduces the long-term costs associated with untreated mental health conditions, such as hospitalizations and emergency room visits.

While some opponents argue that the bill could lead to higher insurance premiums, the potential benefits far outweigh the costs. Mental health is just as important as physical health, and ensuring access to care is essential for the well-being of individuals and society as a whole. Furthermore, the bill includes provisions to incentivize the training of more mental health professionals, which will help address the current shortage and ensure that patients have access to high-quality care.

I recommend one amendment to further strengthen the bill: the inclusion of additional funding for school-based mental health programs. Children and adolescents are particularly vulnerable to mental health issues, and early intervention in schools can have a profound impact on their long-term well-being. By providing mental health services in schools, we can reach young people who might otherwise go untreated and ensure that they have the support they need to thrive.

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In conclusion, the Mental Health Access and Affordability Act of 2025 is a necessary and timely piece of legislation that has the potential to transform mental health care in the United States. By expanding access, reducing costs, and promoting early intervention, the bill will improve the lives of millions of Americans and help address the mental health crisis that has been overlooked for far too long.

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References

1. American Psychological Association. (2025). Mental Health Parity and Access: A Call to Action. Retrieved from https://www.apa.org/advocacy/mental-health-parity
2. National Alliance on Mental Illness. (2025). The State of Mental Health in America: 2025 Report. Retrieved from https://www.nami.org/stateofmentalhealth
3. U.S. Department of Health and Human Services. (2025). Expanding Access to Mental Health Care: The Role of Medicaid. Retrieved from https://www.hhs.gov/mental-health/medicaid
4. Kaiser Family Foundation. (2025). The Impact of COVID-19 on Mental Health: A National Survey. Retrieved from https://www.kff.org/coronavirus-mental-health
5. Centers for Disease Control and Prevention. (2025). Mental Health and COVID-19: Addressing the Crisis. Retrieved from https://www.cdc.gov/mental-health/covid-19

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