Background Of Affordable Care Act

1344 Words Jun 18th, 2015 6 Pages
Description of the Issue
Background of Affordable Care Act The Patient Protection and Affordable Care Act (PPACA), commonly called Obama care, or the Affordable Care Act (ACA), is a United States federal statute signed into law by President Barack Obama on March 23, 2010. Together with the Health Care and Education Reconciliation Act (an amendment to the ACA signed March 30, 2010) it represents the most significant regulatory overhaul of the country’s healthcare system since the passage of Medicare and Medicaid in 1965. Anywhere from thirty-eight to forty eight million Americans do not have health insurance for a number of reasons. Yet the cost of these uninsured citizens is passed to healthcare providers and ultimately consumers. More
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F. 2014).
State and Federal Agencies that Regulate Practice
In every state, the role of regulating medicine lies with that state 's government through a medical board that is usually appointed by the governor under that state 's authorizing legislation (e.g., Medical Practice Act). A medical board 's core roles are to determine, for that state, what constitutes the practice of medicine, to issue licenses to people educated and prepared for the practice of medicine as per the board 's regulations, and to discipline licensed individuals who fail to meet those standards, up to and including revocation of licensure. Every state has a board of nursing that regulates the practice, licensure and policing of nursing within a state and the "scope of practice" of nursing, which is­ again-within the purview of legally licensed nurses in the state. Protection of the public 's health, safety and welfare is the sine qua non of all medical and nursing boards. Traditionally, all states allowed APNs to practice in a setting that provided direct supervision by a physician (Fontenot, S. F. 2014). Many states have already begun to implement legislative changes based on the IOM recommendations in relation to the ACA either completely, or in part, by granting APRNs the authority to prescribe, treat and diagnose (Bear, A , 2012).

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