In the modern era, nurses have made a vital contribution in policies and strategies formulations at health care units, and a broader level they actively participate in politics to pass bills and laws. Nurses are well aware of the modern world health care system, and they are realized that it is in trouble and requires a set of reforms. Changes in the processes and SOPs, and policies which develop foundations for laws, and regulations in order to efficiently govern the health care system at a broader level. The successful advocacy policy depends on power and authority.
Moreover, its success is influenced by time, energy, as well as the diplomatic skills of the nurses representative to raise their issues in its legislative arena. Health care bills comprised of a set of actions or inactions undertaken by health care organizations or government to achieve the desired results (Starkweather et al., 2018). Health care system is composed of the public sector, private sector, and political forces. These forces have influenced the laws and regulations and shaped the health care system. A bill becomes a law and then regulation. We form a certain position regarding a certain cause, and then turn our interest into bills, which become law and regulation. There are certain steps taken to pass a bill and then transform it to law and regulation.
Nursing is one of the largest professions in the world; there are more than four million nurses provide services in different health care centers in the USA alone. Nurses have the potential to influence the politics and policies on a global scale (Breda et al., 2018). The involvement of nurses in politics is purely for the betterment and improvement of health care services. As the bills and laws are concerned, nurses can get involved in politics by joining professional nursing organizations. In the United States of America, it is not easy to pass a bill; the legislative process is very long, complex, and frustrating. During the process of passing a bill, there are many times and places where one believes that the bill can die. According to the facts and figures, only a few bills survive to become law. The president of the States plays a vital role in the legislative process. When the bill is passed by both the House and Senate, it is then forwarded to the president to be signed and approved. After the signature of the president, the bills become law.
Drafting a bill
First of all, the problem is recognized by the representatives of the house and senate then the formal legislative is processed when the bill is introduced. A problem must be recognized for the proposed solutions. Among these solutions, the best one is chosen in the American political process. The difficulty lies in the process of choosing the best option among numerous proposed solutions. Drafting a bill before the members, the relevant experts review it and the congressional legal staff helps them to make a proper draft of the bill.
Building Support for the Bill
After successful drafting of the bill, the members must successfully compete for public attention and legislation. To build support from members and the public to get the momentum for the bill, members of parliament introduce the bill to the public through press conferences and get support from the public.
Once the bill is introduced to the public, it is put forward to the congressional committee for further actions and consideration. The bill is then scheduled for the timely public hearing and a vote. If the committee has some objections and votes to keep the bill, so the bill is not sent for further consideration, and the bill is dead.
The Conference Committee
When the bill is passed by both the houses and both the parties. The bill is then referred to the committee temporarily formed from the members of both the parties. Then it is forwarded to the president to sign it. If the president refuses it, the Congress has the right to veto the bill if the two-thirds majority in both the houses are agreed and vote to do so.
Health policies in the USA, the federal government, states, and local government are the stakeholders who influence policies development and regulating the procedures of the health care system. Issues linked with health policy are started with individual health and summed up with the public health issues of the country. The issue of involvement of government in policies, and laws in the health sector is debatable; the concerns are regarding the level of government involvement. In other countries, health is considered as the basic right of the citizens, and thus, they expect that their governments will play an essential role to develop concrete health care policies for their citizens. While the scenario in the USA is different, health is seldom considered as the right of the citizens. There are certain programs in the country which facilitate people regarding health issues, for instance, Medicare and Medicaid; however, mostly the health care system is controlled by the private sector. The nursing profession is based on human health and the science of caring for the patients. They can influence the practice standards and procedures to assure the best quality care. Policies also have an impact on allocating resource to provide the best healthcare services. There are many nursing organizations which are actively participating in policy formulation. For instance, de Cordova et al., (2019) argued that the American Association of Colleges of Nursing emphasizes the role of nursing in making policies, along with National League for Nursing to address the policies as the part of their professional role. Today nurses are playing an important contribution to decision making, and development of policies, bills, and laws to provide services effectively.
Breda, K. L., Barbee, E. L., & Zadoroznyj, M. (2018). Nursing in the United States. In Nursing and Globalization in the Americas (pp. 275-322). Routledge.
De Cordova, P. B., Rogowski, J., Riman, K. A., & McHugh, M. D. (2019). Effects of Public Reporting Legislation of Nurse Staffing: A Trend Analysis. Policy, Politics, & Nursing Practice, 1527154419832112.
Starkweather, A. R., Coleman, B., de Mendoza, V. B., Hickey, K. T., Menzies, V., Fu, M. R., … & McCormick, K. (2018). Strengthen federal and local policies to advance precision health implementation and nurses’ impact on healthcare quality and safety. Nursing Outlook, 66(4), 401-406.