NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement

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Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement

As a nurse, how often have you thought to yourself, If I had anything to do about it, things would work a little differently? Increasingly, nurses are beginning to realize that they do, in fact, have a role and a voice.

Many nurses encounter daily experiences that motivate them to take on an advocacy role in hopes of impacting policies, laws, or regulations that impact healthcare issues of interest. Of course, doing so means entering the less familiar world of policy and politics. While many nurses do not initially feel prepared to operate in this space effectively, the reward is the opportunity to shape and influence future health policy. NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement

To Prepare:

Select a bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources.

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:

Determine the legislative intent of the bill you have reviewed.
Identify the proponents/opponents of the bill.
Identify the target populations addressed by the bill.
Where in the process is the bill currently? Is it in hearings or committees?
Is it receiving press coverage? NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement

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:

Advocate a position for the bill you selected and write testimony in support of your position.
Describe how you would address the opponent to your position. Be specific and provide examples.
Recommend at least one amendment to the bill in support of your position.

By Day 7 of Week 4

Submit your completed legislation comparison grid and testimony/advocacy statement. NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK4Assgn+last name+first initial.(extension)” as the name.
Click the Week 4 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 4 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK4Assgn+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission. NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement

Discussion: Politics and the Patient Protection and Affordable Care Act

Regardless of political affiliation, individuals often grow concerned when considering perceived competing interests of government and their impact on topics of interest to them. The realm of healthcare is no different. Some people feel that local, state, and federal policies and legislation can be either helped or hindered by interests other than the benefit to society.

Consider for example that the number one job of a legislator is to be reelected. Cost can be measured in votes as well as dollars. Thus, it is important to consider the legislator’s perspective on either promoting or not promoting a certain initiative in the political landscape.

To Prepare:NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement

Review the Resources and reflect on efforts to repeal/replace the Affordable Care Act (ACA).
Consider who benefits the most when policy is developed and in the context of policy implementation.

By Day 3 of Week 3

Post an explanation for how you think the cost-benefit analysis in terms of legislators being reelected affected efforts to repeal/replace the ACA. Then, explain how analyses of the voters views may affect decisions by legislative leaders in recommending or positioning national policies (e.g., Congress’ decisions impacting Medicare or Medicaid). Remember, the number one job of a legislator is to be re-elected. Please check your discussion grading rubric to ensure your responses meet the criteria. NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement

By Day 6 of Week 3

Respond to at least two of your colleagues* on two different days by expanding on their explanation and providing an example that supports their explanation or respectfully challenging their explanation and providing an example.

*Note: Throughout this program, your fellow students are referred to as colleagues.

Example Discussion Approaches

Discussion – Week 3

COLLAPSE

Obamacare was an Affordable Care Act (ACA) that was formed in 2010 to provide economical health care to over 30 million Americans. The purpose was to decrease healthcare cost for majority Americans so that they can have healthcare due to poor health of many Americans that did not have health insurance.

This was a summons for each individual to purchase. Also, individuals who had preexisting conditions could not be discriminated against from healthcare insurance companies. Insurance premiums was based on the amount Americans made as it relates to their salary. However, young adults paid higher premiums than older adults although they didn’t use their insurance as much due to having better health and etc.

NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement This somewhat offset insurance companies as it pertains to cost as well as making a profit. Health insurance companies was not pleased due to the fact that they could not terminate anyone’s policy because they are in the business of making a profit and don’t want to come out of pocket too much. With that being said, all Americans were able to see their healthcare providers for preexisting conditions, check-ups, as well as signs and symptoms that could possibly lead to a more serious issue. NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement

There were millions of uninsured Americans that were going to hospital emergency rooms due to waiting under the wire for simple to chronic issues. The emergency room was their primary care physician! Its very expensive to visit the emergency room nowadays, the cost of the physician and being in the emergency are separate charges. The average emergency room visit is $1,389 which is up 176% since 2017 (Healthcare Cost Institute 2019).

All Americans should have access to affordable healthcare and no one should suffer due to their financial circumstances. The goal was to get at least 95% of employed Americans insured for healthcare which individual could get insured through the healthcare market place or through their job.

The numbers of insured individuals increased over time due to having penalties. According to Objective Analysis Effective Solutions, “Firms will increase their offer rates in response to employee preferences, which will change in response to the individual mandate. Specifically, workers will have greater demand for insurance, since there is a penalty associated with being uninsured.” (RAND Corporations).

Republicans failed the American people and could not get enough votes to pass legislation that would repeal and replace the ACA (Meyer 2017). Trump and his administration attempted to repeal Affordable Care Act as it relates to Obamacare. His proposal consists of, to make insurance fully tax deductible, health insurance to be sold across state lines, increase price transparency, and block Medicaid grants. The cost benefit analysis is a very messy world in politics.

The current republican party insist on proposing a bill that will eventually cut Medicaid which is a program to assist individuals that live in poverty. In the fine lines of this proposal, the healthcare plan will only provide tax cuts that will only benefit the rich. NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement

However, the primary goal of legislators is to be re-elected and as it relates to the cost benefit analysis, its in their efforts to repeal or replace Patient and ACA. This can take years to happened and cost millions. There are some legislators that would like to keep things the way they are, just with slight improvement and then you have others that want to totally changed and/or replaced (Milstead and Short, 2019). If there were to repealed and not replace the ACA, many of insured Americans will immensely backout as well as premiums and out of pocket expenses will increase.

Due to this, will cost many to not have health insurance and would impact society in an unfavorable way, especially for those individuals that live in poverty and rural areas. Which will lead to many Americans going untreated and mortality rates increasing. Situations as such, can either affect legislators in a positive or negative way when it comes to being reelected and getting the support from the political party.

The political party agenda then can become affected by legislative leaders in recommending or positioning national policies.NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement According to Diana Taylor, “Politicians encourage laws and regulations that impose politics and ideology on evidence-based care and restrict ethical standards of care” (Nursing Outlook 20017). With that being said, for the majority, legislative leaders do what’s best for the follow mates/political party than what is best for the community/society.

References:

Alltucker, K., (2019). USA Today: ‘Really astonishing’: Average cost of hospital ER visit surges 176% in a decade, report says. Healthcare Cost Institute. Retrieved from https://healthcostinstitute.org/in-the-news/usa-today#:~:text=The%20average%20emergency%20room%20visit,the%20Health%20Care%20Cost%20Institute.Taylor, D., (2017). Corrigendum to position statement: Political interference in sexual and reproductive health research and health professional education. Nursing Outlook. Retrieved from https://www.nursingoutlook.org/article/S0029-6554(17)30102-1/fulltext

Goodwin, R.. (2018). Reasons for Reason-Giving: The Obamacare debates. Australian Nation University.

Eibner, C.. (n.d.). How Will The Affordable Care Affect Employee Health Coverage At Small Businesses. Rand Corporations. Retrieved from https://www.rand.org/pubs/research_briefs/RB9557.html

Milstead, J.A., & Short, N.M. (2019). Health policy and politics: A nurse’s guide (6^th ed.). Burlington, MA: Jones & Bartlett Learning. NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement

Politics and the Patient Protection and Affordable Care Act

The Affordable Care Act was signed into law in 2010, by President Barack Obama, which addressed several issues including health insurance coverage, preventative care, coverage for preexisting conditions, and healthcare costs (Rand Health Care, 2019). The purpose of the ACA was to reduce the number of uninsured citizens, make health insurance more affordable, and expand access to health care, meaning that millions of Americans will receive the health insurance coverage and access for healthcare services that they need (ACA, 2019). His approach was to provide available health care resources to all the American people. NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement

Prior to the ACA, healthcare costs were rising in America and there were millions of Americans denied insurance coverage which had an impact on society. This was a top concern to the Obama administration because people who needed medical insurance were either denied or cancelled. Many people were not seen under a primary care physician, had no way to pay out-of-pocket for medical expenses, and some were not seeking medical attention at all.

People who seek medical treatment while uninsured has caused health care providers in hospitals to be overwhelmed from providing uncompensated care. However, health care is a concern for many. And depending on the political party, the decisions that are made by legislators whether to repeal/replace the ACA may have an impact on society as they are obligated to do what is best for them to be reelected versus what matters.

In contrast, I think that the cost-benefit analysis in terms of legislators being re-elected in efforts to repeal/replace the ACA may be a difficult decision for legislators because they want to remain in office. However, to find the support to continue to be reelected, legislators must be aware of how certain votes will affect their ability to stay in office. They must consider the needs of the community and the desire of their political party.

Because although it is important to them to become reelected, I think that it is also important to them that they make a decision that is based on the political agenda versus what matters to society. And if their decision is opposed, then this may lower their chances of being reelected. NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement

Although, some are in favor of not making any changes to the ACA, there are some that are willing to repeal or replace it (Milstead and Short, 2019). If the ACA were repealed and not replaced, American people would be highly affected with no insurance coverage and insurance companies can again deny or delay care to those who are suffering with chronic or preexisting conditions.

If repealed, it is estimated that over 20 million Americans will lose their healthcare coverage (National Conference of State Legislators, 2011). It will also affect jobs, cause a drop in the number of insured Americans, increase out-of-pocket-costs, decrease the quality of care, and increase the mortality rate.

Ideally, the primary goal of legislators is to be re-elected and to increase their chances for political support. The decisions that are made by legislative leaders in recommending or positioning national policies are most likely affected by their political party’s agenda. Their decision as opposed to being reelected should be solely focused on what is right for the people versus what is right for the party.

With that being said, who may benefit the most is the policy makers because “ policy makers are not necessarily focused on how real people will be affected by the change….but rather on how the change will affect their own reelection chances” (Mildstead & Short, 2019). NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement

References

Affordable Care Act (ACA). (2019). History and Timeline of the Affordable Care Act (ACA). Retrieved from https://www.ehealthinsurance.com/resources/affordable-care-act/history-timeline-affordable-care-act-aca

National Conference of State Legislators. (2011). The Affordable Care Act: A Brief Summary. Retrieved from https://www.ncsl.org/research/health/the-affordable-care-act-brief-summary.aspx#SR

Rand Health Care. (2019). The Future of U.S. Health Care: Replace or Revise the Affordable Care Act? Healthcare Reform; Retrieved from https://www.rand.org/health-care/key-topics/health-policy/in-depth.html

Rubric Detail – NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement

Rubric Detail

Select Grid View or List View to change the rubric’s layout.

Name: NURS_6050_Module02_Week04_Assignment_Rubric
Grid View
List View
Excellent Good Fair Poor
Federal and State Legislation

Part 1: Legislation Comparison Grid

Based on the health-related bill you selected, complete the Legislation Comparison Grid Template. Be sure to address the following:

• Determine the legislative intent of the bill you have reviewed.
• Identify the proponents/opponents of the bill.
• Identify the target populations addressed by the bill.
• Where in the process is the bill currently? Is it in hearings or committees?
• Is it receiving press coverage?
32 (32%) – 35 (35%)
The response clearly and accurately summarizes in detail the legislative intent of the health-related bill.

The response accurately identifies in detail the proponents and opponents of the health-related bill.

The response accurately identifies in detail the populations targeted by the health-related bill. NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement

The response clearly and thoroughly describes in detail the current status of the health-related bill.
28 (28%) – 31 (31%)
The response accurately summarizes the legislative intent of the health-related bill.

The response accurately identifies the proponents and opponents of the health-related bill.

The response accurately identifies the populations targeted by the health-related bill.

The response accurately describes the current status of the health-related bill.
25 (25%) – 27 (27%)
The response vaguely or inaccurately summarizes the legislative intent of the health-related bill.

The response vaguely or inaccurately identifies the proponents and opponents of the health-related bill.

The response vaguely or inaccurately identifies the populations targeted by the health-related bill.

The response vaguely or inaccurately describes the current status of the health-related bill. NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement
0 (0%) – 24 (24%) NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement
Summary of the legislative intent of the health-related bill is vague and inaccurate or is missing.

Identification of the proponents and opponents of the health-related bill are vague and inaccurate or is missing.

Identification of the populations targeted by the health-related bill is vague and inaccurate or is missing.

The description of the current status of the health-related bill is vague and inaccurate or is missing.
Advocating for Legislation

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:

• Advocate a position for the bill you selected and write testimony in support of your position.
• Describe how you would address the opponent to your position. Be specific and provide examples.
• Recommend at least one amendment to the bill in support of your position.
45 (45%) – 50 (50%)
Testimony clearly and thoroughly provides statements that fully justifies a position for a health-related bill.

Response provides a detailed, thorough, and logical explanation of how to address opponents to the position for the health-related bill and includes one or more clear and accurate supporting examples.

A complete, detailed, and specific synthesis of two outside resources is provided. The response fully integrates at least 2 outside resources and 2-3 course specific resources that fully supports the responses provided.

The response accurately and thoroughly recommends at least one amendment to the bill that fully supports the position.
40 (40%) – 44 (44%)
Testimony clearly and accurately provides statements that somewhat justifies a position for a health-related bill. NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement

Response provides an accurate explanation of how to address opponents to the position for the health-related bill and may include at least one supporting example.

An accurate synthesis of at least one outside resource is provided. The response integrates at least 1 outside resource and 2-3 course specific resources that may support the responses provided.

The response accurately recommends at least one amendment to the bill that may support the position.
35 (35%) – 39 (39%)
Testimony used to justify a position for a health-related bill is vague or inaccurate.

Explanation of how to address the opponents to the position for the health-related bill is vague or inaccurate, lacks logic, and/or the supporting examples are vague or inaccurate.

A vague or inaccurate synthesis of outside resources is provided. The response minimally integrates resources that may support the responses provided. NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement

The recommendation of an amendment to the bill in support of the position is inaccurate or incomplete.
0 (0%) – 34 (34%)
Testimony used to justify a position for a health-related bill is vague and inaccurate, incomplete, or is missing.

Explanation of how to address the opponents to the position for the health-related bill is vague and inaccurate, or is missing.

A vague and inaccurate synthesis of no outside resources is provided, or is missing. The response fails to integrate any resources to support the responses provided.

The recommendation of an amendment to the bill in support of the position is inaccurate and incomplete, or is missing.
Written Expression and Formatting – Paragraph Development and Organization:

Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.
5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity. NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement

A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.
4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.
3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.

Purpose, introduction, and conclusion of the assignment is vague or off topic. NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement
0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.

No purpose statement, introduction, or conclusion was provided. NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement
Written Expression and Formatting – English writing standards:

Correct grammar, mechanics, and proper punctuation
5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
4 (4%) – 4 (4%)
Contains a few (1-2) grammar, spelling, and punctuation errors.
3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) grammar, spelling, and punctuation errors.
0 (0%) – 3 (3%)
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list. NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement
5 (5%) – 5 (5%)
Uses correct APA format with no errors.
4 (4%) – 4 (4%)
Contains a few (1-2) APA format errors.
3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) APA format errors.
0 (0%) – 3 (3%)
Contains many (≥ 5) APA format errors.
Total Points: 100
Name: NURS_6050_Module02_Week04_Assignment_Rubric

NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement

Select Grid View or List View to change the rubric’s layout.

Name: NURS_6050_Module02_Week04_Assignment_Rubric. NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement

	Excellent	Good	Fair	Poor
Federal and State Legislation Part 1: Legislation Comparison Grid Based on the health-related bill you selected, complete the Legislation Comparison Grid Template. Be sure to address the following: • Determine the legislative intent of the bill you have reviewed. • Identify the proponents/opponents of the bill. • Identify the target populations addressed by the bill. • Where in the process is the bill currently? Is it in hearings or committees? • Is it receiving press coverage?	32 (32%) – 35 (35%) The response clearly and accurately summarizes in detail the legislative intent of the health-related bill. The response accurately identifies in detail the proponents and opponents of the health-related bill. NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement The response accurately identifies in detail the populations targeted by the health-related bill. The response clearly and thoroughly describes in detail the current status of the health-related bill.	28 (28%) – 31 (31%) The response accurately summarizes the legislative intent of the health-related bill.NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement The response accurately identifies the proponents and opponents of the health-related bill. The response accurately identifies the populations targeted by the health-related bill. The response accurately describes the current status of the health-related bill.	25 (25%) – 27 (27%) The response vaguely or inaccurately summarizes the legislative intent of the health-related bill. The response vaguely or inaccurately identifies the proponents and opponents of the health-related bill. The response vaguely or inaccurately identifies the populations targeted by the health-related bill. The response vaguely or inaccurately describes the current status of the health-related bill. NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement	0 (0%) – 24 (24%) Summary of the legislative intent of the health-related bill is vague and inaccurate or is missing. Identification of the proponents and opponents of the health-related bill are vague and inaccurate or is missing. Identification of the populations targeted by the health-related bill is vague and inaccurate or is missing. The description of the current status of the health-related bill is vague and inaccurate or is missing.
Advocating for Legislation 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: • Advocate a position for the bill you selected and write testimony in support of your position. • Describe how you would address the opponent to your position. Be specific and provide examples. • Recommend at least one amendment to the bill in support of your position. NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement	45 (45%) – 50 (50%) Testimony clearly and thoroughly provides statements that fully justifies a position for a health-related bill. Response provides a detailed, thorough, and logical explanation of how to address opponents to the position for the health-related bill and includes one or more clear and accurate supporting examples. NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy StatementNURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement A complete, detailed, and specific synthesis of two outside resources is provided. The response fully integrates at least 2 outside resources and 2-3 course specific resources that fully supports the responses provided. The response accurately and thoroughly recommends at least one amendment to the bill that fully supports the position.NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement	40 (40%) – 44 (44%) Testimony clearly and accurately provides statements that somewhat justifies a position for a health-related bill. Response provides an accurate explanation of how to address opponents to the position for the health-related bill and may include at least one supporting example. An accurate synthesis of at least one outside resource is provided. The response integrates at least 1 outside resource and 2-3 course specific resources that may support the responses provided. The response accurately recommends at least one amendment to the bill that may support the position.	35 (35%) – 39 (39%) Testimony used to justify a position for a health-related bill is vague or inaccurate. Explanation of how to address the opponents to the position for the health-related bill is vague or inaccurate, lacks logic, and/or the supporting examples are vague or inaccurate. A vague or inaccurate synthesis of outside resources is provided. The response minimally integrates resources that may support the responses provided. The recommendation of an amendment to the bill in support of the position is inaccurate or incomplete.	0 (0%) – 34 (34%) Testimony used to justify a position for a health-related bill is vague and inaccurate, incomplete, or is missing. Explanation of how to address the opponents to the position for the health-related bill is vague and inaccurate, or is missing. A vague and inaccurate synthesis of no outside resources is provided, or is missing. The response fails to integrate any resources to support the responses provided. The recommendation of an amendment to the bill in support of the position is inaccurate and incomplete, or is missing.
Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.	5 (5%) – 5 (5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.	4 (4%) – 4 (4%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive. NURS 6050 N Week 3-4 Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement	3.5 (3.5%) – 3.5 (3.5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time. Purpose, introduction, and conclusion of the assignment is vague or off topic.	0 (0%) – 3 (3%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion was provided.
Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation	5 (5%) – 5 (5%) Uses correct grammar, spelling, and punctuation with no errors.	4 (4%) – 4 (4%) Contains a few (1-2) grammar, spelling, and punctuation errors.	3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) grammar, spelling, and punctuation errors.	0 (0%) – 3 (3%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.	5 (5%) – 5 (5%) Uses correct APA format with no errors.	4 (4%) – 4 (4%) Contains a few (1-2) APA format errors.	3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) APA format errors.	0 (0%) – 3 (3%) Contains many (≥ 5) APA format errors.

Total Points: 100