HCS455 Wk3

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Dec 6, 2023

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Influencing Skills Report Kristen Draper University of Phoenix HCS/455 Health Care Policy: The Past and The Future Marilyn Ketchum 11/7/23

Proposed Legislation The proposed legislation H.R. 4531: Support for Patients and Communities Reauthorization Act is a bill requesting reauthorization through FY2028 in which it modified various grants, programs, and activities that address substance use and misuse. The bill proposes reauthorization of the SUPPORT Act of 2018 which provided funding for community- based drug addiction treatment and recovery programs and is composed of various titles, most of the 2018 policy provisions have a five-year lifespan, which is where this proposed reauthorization act comes into play. The reauthorization includes expansion of funding for overdose crisis, make medications for opioid use disorder (MOUD) more accessible and include reevaluation by the FDA and MDHHS for buprenorphine-naloxone drug class scheduling to a lower class to make it more available, as well as includes illicit xylazine to be moved to a schedule three class. The reauthorization will also allow expanded Medicaid services to those who are incarcerated or on trial. In 2018 when the SUPPORT bill was passed there were approximately 70,000 American lives lost to drug overdose, five years later, that number has increased to 110,000, which is a huge driver for the approval and expansion of the SUPPORT act reauthorization, without the approval the number of overdose deaths could significantly increase over the next two years. The SUPPORT Reauthorization Act as of September 18, 2023, is currently in the Legislation phase of formulation. The bill was introduced to the House of Representatives and was referred to the committee of energy and commerce, committee on the judiciary and the committee of education and the workforce, the committees will review, research, and revise the bill before voting on whether to send the bill back to the house of representatives. Currently

consideration and mark-up sessions have been held for two of the three committees. Once the third committee completes its review and mark-up, the bill will leave the committees and return to the house of representatives and will be scheduled for floor consideration and debate and may be amended. After the bill is debated and all changes have been made the house of representatives will vote on the bill viva voce (voice vote). If majority says yes, the bill is then passed onto the senate and the same steps are repeated, and if approved the bill passes onto the president where the president can approve the bill, veto the bill or do nothing (pocket veto), if the president approves the bill the bill is signed into law and enforced by the government. Stages of the Policy Process For a bill to become a law, it must be approved by the U.S. House of Representatives, the U.S. Senate, and the President. Once a bill is proposed it must go through the process of becoming a law. The process has many parts including formulation, legislation, implementation, evaluation, analysis, and modification. Each phase has significant importance and helps the bill become a law.  The formulation phase involves agenda setting and the development of legislation, this is where problems are identified, and viable solutions are discussed, congress must introduce the bill to legislation and the bill must be sponsored.  The legislative process is when the bill is referred from the house of representatives to a committee where the bill is added to the committee’s calendar the committee can

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