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HR 987 Strengthening Health Care and Lowering Prescription Drug Costs Act – Solved Essay

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Select a current or proposed health care policy that is designed to improve a specific population’s access to quality, cost-effective health care. In a paper of 1,000-1,250 words, include the following:..


Strengthening Health Care and Lowering Prescription Drug Costs Act


Zero dedicated congressional hearings in the current Congress and the one before it have examined the challenge of increasing healthcare costs and their impact on patients’ access to high quality and cost-effective care. According to Barlas (2019), the chairperson of the House Judiciary Antitrust subcommittee Representative David Cicilline listed an increase in hospital prices and drug price increases. The rising healthcare costs place an increasing burden on employers who are required to provide health insurance to their employees. At the same time, the employees who get their coverage at work have to contribute an increased share of the cost. Be that as it may, evidence demonstrates that increased high prices are linked to higher drug prices leading to difficult healthcare choices as patients delay taking or not accessing treatments they cannot afford. Therefore, Americans across party lines consider health policy options a viable way of containing prescription drug prices. Consequently, H.R. 987: Strengthening Health Care and Lowering Prescription Drug Costs Act is examined as a proposed healthcare policy that can improve heart failure patients aged above 45 years of access to quality and cost-effective healthcare. The paper is divided into three sections, with the first explaining the H.R. 937 health policy followed a second one that explores a federal health policy it is related to. Before the conclusion, the third and last section examines the advocacy strategies a nurse leader can utilize to ensure that heart patients with a bias to H.F. victims can enjoy the policy’s benefits.

Explanation of the HR 987 Health Policies

The H.R. 987 Strengthening Healthcare and Lowering Prescription Drug Costs Act (hereafter referred to simply as HR 987 is a House of Representative Bill that was sponsored by Representative for Delaware at Large a Democrat. First introduced on 6 February 2019, the bill was passed in a vote in the House in May 2019 and where it proceeded to the Senate or the next consideration. The bill aims to amend the Patient Protection and Affordable Care Act to allow for Federal Exchange outreach and education activities. As mentioned earlier, the U.S. House of Representatives passed the HR 987 as legislation with several bills that seek to decrease prescription drug costs by making it easier to ship in more generic drugs into the U.S. market. This legislation packet includes the CREATES Act meant to limit ‘pay for delay ‘activities while other language makes it to supply the market with generic drugs. It passed with a vote of 234 to 183, of which only five Republicans voted as the legislators tied the prescription drug prescriptions to the more partisan bills connected to the Affordable Care Act of 2010. 

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At the Senate level, the upper house stuck too many of the themes outlined in the House of Representatives. However, the Senate’s Health, Education, Labor, and Pensions (HELP) Committee and the Finance Committee released bipartisan packages. 

It is essential to acknowledge that both committees are financially sound, considering that the HELP package intends to reduce general healthcare costs. In contrast, the Finance Committee package explicitly addresses prescription drug prices. Like in the drugs for other chronic diseases, H.F. patients enjoy decreased healthcare costs considering that patients’ out of pocket costs will be significantly reduced by the enactment of this legislation (Audureau et al., 2019). The reason why HR 987 is regarded as a financially sound policy is that it targets to limit Medicare Part B and Medicare Part D price increases. It demands that manufacturers pay extra rebates to Medicare if they raise prices above the inflation rate. Secondly, the enactment of this bill, which by 2019 October was still in the Senate, could redesign the Medicare Part D to decrease the out of pocket costs for seniors a substantial number of whom suffer from H.F. In a Congress as divided as the current one under the Trump administration the political factors to consider is the near-impossible task of securing bipartisan consensus on this complex health care policy. The best nursing perspective to adopt during the implantation of HR 987 is Walker and Avant approach, which has eight steps. The eight steps of concept analysis recognize an appropriate concept analysis, determine its purpose, review the literature, and clarify attributes at step four. Step five entails the presentation of a model case, the elaboration of antecedents at step six. The last two steps are the clarification of consequences and empirical referent (Arabi et al., 2014).

National Strategic Goal 1: US HHS Strategic Plan for F.Y. 2018- 2022 and HR 987

The U.S. Department of Health and Human Services Strategic Plan for F.Y. 2018- 2022 has as its Strategic Goal 1: Reform, strengthen, and modernize the Nation’s healthcare system whose four strategic objectives capture HR 987 intentions and purposes. Like the HR 987 which targets to strengthen healthcare and lower prescription drug costs, the U.S. – HHS Strategic plan for 2018- 2022 strategic goal 1as strengthening of the federal healthcare system but goes a step further to set out the system’s reformation and its modernization as its other mandates to be achieved within this strategic goal. The premium spending and deductibles balance while also decreasing the patient’s out-of-pocket expenses (US HHS, 2018). Strategic objective three explicitly states that it seeks to improve America’s access to healthcare by simultaneously expanding choices of care and service options. Noonan, Velasco-Mondragon & Wagner (2016) in their study, pointed out that despite there being policies meant to achieve health equity; some racial and ethnic minorities like those that African Americans have been left behind. The HR 987 is formulated in ways that will, if enacted and adequately enforced, is bound to bring low-cost options and competitions while incentivizing the new generics for heart failure treatment and management( van der Gronde, Uyl-de Groot & Pieters, 2017). These and other drug pricing measures mean the H.F. patient, like all others having chronic diseases, can buy cost-effective drugs within the same class that is expensively priced. The HR 987 based healthcare policy facilitates all those measures since it protects the consumer rights of accessing generic drugs. All these clauses make the HR 987 bill is of significant importance in the achievement of the stated goals.

Advocacy Strategies a Nurse Leader Would Employ on Behalf of the H.F. Patients to Access the Benefits of HR 987

With a nursing workforce comprising more than 12 million members, the American Heart Association (AHA) and the World Health Organization (WHO) acknowledge the vital role that nurses have to play in the successful implementation of healthcare policies aiming to decrease heart disease like H.F. and disability by 25 % by the year 2025. Hayman et al. (2015) echo the nurses’ call to action where they should engage in advocacy programs. Snaterse et al. (2016), a nurse, can ensure H.F. patients enjoy the benefits of the HR 987 by advocating the adherence to the healthcare policy guidelines as espoused by the HR 987 bill with nurse coordinated care forming the foundations of this initiative. The nurse-led coordinated care should emphasize the appropriate management of the risk factors and engage in multidisciplinary consultations and shared decision-making. Advocacy measures used, the health policy advice as well as committing resources to address the social factors that influence the population health of health disease patients will promote the health of H.F. patients (Williams, Philips & Koyama, 2018) while these researchers note that the socially and economically disadvantaged populations most likely suffer from ill health and are also not likely to access quality and cost-effective healthcare embracing the implementation as well as the operationalization of various sections of HR 987.

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Strengthening health care and lowering prescription drug costs act
Strengthening Health Care and Lowering Prescription Drug Costs Act

 The advocacy can help them to enjoy effective H.F. management interventions at a relatively lower cost, which they can afford. No one can downplay the close connection between a nurse’s religious convictions and their professional as well as moral obligations. Hughes et al. (2017) quip that the actions of the Christian fraternity regard charity where working for the poor and infirm is regarded as a mandate of the Christian faith. In contemporary healthcare, the spiritual well-being of the nursing professions is paramount, considering that there also spiritual care models that are used to care for patients with various health issues. As the advanced practice nurse continues to advocate for health promotion and disease prevention, the spiritual health and well-being of the patient should not be ignored. Research studies indicate that there is a secure connection between positive spirituality and the patient’s well-being. The APRN should run to appreciate those who hold different religious views since Christianity holds that all humanity was created in God’s image. At the same time, Jesus decreased the greatest commandment: to love one’s neighbor as one loves oneself.


In conclusion, this essay has established that most heart disease events are avoidable through primary prevention. The paper has also echoed the control of conventional CVD risk factors like tobacco use avoidance, shunning a sedentary lifestyle, and adopting a heart-friendly diet. The HR 987 has been identified as a proposed healthcare policy through its clauses as an effective strategy that can help decrease H.F. and other CVD diseases. The paper has also emphasized the role of nurse advocating in health promotion and prevention of diseases while also acknowledging that religious views with a specific bias to Christianity have a significant role in promoting and maintaining a patient’s health.


Audureau, E., Davis, B., Besson, M. H., Saba, J., & Ladner, J. (2019). Willingness to pay for medical treatments in chronic diseases: a multicounty survey of patients and physicians. Journal of comparative effectiveness research8(5), 357-369.

Arabi, A., Rafii, F., Cheraghi, M. A., & Ghiyasvandian, S. (2014). Nurses’ policy influence: A concept analysis. Iranian journal of nursing and midwifery research19(3), 315.

Barlas, S. (2019). Are Hospital Prices a Bigger Problem than Drug Prices? Congress Doesn’t Know, Doesn’t Care. Pharmacy and Therapeutics44(5), 259.

Hayman, L. L., Berra, K., Fletcher, B. J., & Miller, N. H. (2015). The role of nurses in promoting cardiovascular health worldwide: the global cardiovascular nursing leadership forum.

Noonan, A. S., Velasco-Mondragon, H. E., & Wagner, F. A. (2016). Improving the health of African Americans in the USA: an overdue opportunity for social justice. Public health reviews37(1), 12.

Snaterse, M., Dobber, J., Jepma, P., Peters, R. J., ter Riet, G., Boekholdt, S. M., … & op Reimer, W. J. S. (2016). Effective components of nurse-coordinated care to prevent recurrent coronary events: a systematic review and meta-analysis. Heart102(1), 50-56.

U.S. Department of Health and Human Services. HHS Strategic Plan FY 2018-2022 [Internet]. Washington (D.C.): U.S. Department of Health and Human Services; 2018 [cited 18 June 2020)].

Van der Gronde, T., Uyl-de Groot, C. A., & Pieters, T. (2017). Addressing the challenge of high-priced prescription drugs in the era of precision medicine: A systematic review of drug life cycles, therapeutic drug markets, and regulatory frameworks. PloS one12(8).

Williams, S. D., Phillips, J. M., & Koyama, K. (2018). Nurse advocacy: adopting health in all policies approach. OJIN: The Online Journal of Issues in Nursing23(3).

Question – Strengthening Health Care and Lowering Prescription Drug Costs Act

Select a current or proposed health care policy that is designed to improve a specific population’s access to quality, cost-effective health care. In a paper of 1,000-1,250 words, include the following:

  1. Explain the policy and how it is designed to improve cost-effectiveness and health care equity for the population. Is the policy financially sound? Why or why not? How does the policy account for any relevant ethical, legal, and political factors and the nursing perceptive one must consider when implementing it?
  2. To what state, federal, global health policies or goals is this particular policy related? How well do you think the policy is designed to achieve those goals?
  3. Finally, discuss the advocacy strategies you would employ on behalf of your population to ensure they have access to the benefits of the policy. Explain, from a Christian perspective, the professional and moral obligation of advanced registered nurse to advocate for and promote health and prevent disease among diverse populations.

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You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

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