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To prepare for this assignment, review the key components of the health care policy process in Ch. 3 of Health policymaking in the United States.

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To prepare for this assignment, review the key components of the health care policy process in Ch. 3 of Health policymaking in the United States. Additionally, Chapters 5-9 of the course text are also excellent resources for each stage of the policy process. Here is a breakdown of what you can find in each chapter of Longest (2016):

· Chapter 5: Formulation

· Chapter 6: Legislation

· Chapter 7: Implementation

· Chapter 8: Implementation/Analysis/Evaluation

· Chapter 9: Analysis/Evaluation and Revision

The policy cycle provides lawmakers with a pathway for developing a policy and guiding it through the institutions of our government. The cycle starts with identification of a targeted problem and ultimately ends up with providing a specific course of action. Along the way, the outcomes of a policy are subjected to various levels of review, evaluation, and revisions that result in a continual loop. As a health care administrator, it’s important to have a working knowledge of the process and how the process ultimately leads to implementation of health care laws that eventually will have an impact on what you do.

Write a 1,000- to 1,500-word paper that explains the policy process and explains how the Affordable Care Act advanced through the policy process stages. Your paper must include the following:

1.Discuss five stages of the policy process identified in Longest (2016)–at least 100-150 words to describe each stage:






2.Explain how the Affordable Care Act advanced through each stage of the policy process

How the law was formed/proposed and then passed by Congress

How it has been implemented and what agencies primarily implement the law

One or two ways the ACA can be evaluated

List at least one revision to the law since it has been passed

Cite at least 3 reputable references. One of your sources must be the course textbook, Longest (2016). Reputable references include trade or industry publications, government or agency websites, scholarly works a textbook, or other sources of similar quality.


Write a 175- to 265-word response to the following:

· What did you learn about the legislative process? 

· Explain anything new you learned about how a bill becomes a law and why it is important to health care.

· Do you think the President or Congress have more of an impact on healthcare policy? Why?

· How have you seen the legislative process in action lately?

** Initial responses must include a reference and citation.**


The legislative process is quite complex and there are many steps that have to happen before a bill can become a law. First, the members of either the House or Senate have to create a draft on the new bill and decide how this should be presented. From there, a committee is assigned to look over the presented bill and see if they need to make changes or keep it the way it is. The House or Senate can offer to make changes to help improve the bill. At this point, there will be a vote and if approved this will go to the President for his approval and signature which turns the bill into a law.

I believe that Congress and the President play an important role on healthcare policy. I would like to think the hope is that all citizens should have a way to get healthcare if needed and this can happen with the help of congress and the President signing new bills into laws.


To be one hundred percent honest, I did not understand the complexity behind the legislative process until beginning to read about about it and research and I quickly found out how much information there is to be known on this topic. According to the National Human Genome Research Institute (2020), “There are nine steps that a bill can go through before becoming a law.” I learned that the bill gets drafted, and then becomes introduced in the House, and then the bill will move to the committee, and then the subcommittee will review, the mark up of the bill will occur, voting of the bill, referral of the bill and then then the bill enters the Presidents headquarters.

If the President of the United States decides to veto a bill, it will be sent back to Congress, and from there, Congress can begin to try and override a veto by having 2/3 supermajority vote. So personally, after learning that and reading through that research, I feel like the President of course holds high power being able to make that decision with all the consulting and knowledge that is gathered, but if the bill gets veto’d by the President, there is still chance if the Congress is pro this bill and to turn it into a law. So I believe both the President and the Congress hold high impact on health care policies. Throughout the year of 2020-current time, we have seen a massive increase in this legislative process during COVID-19. From mandating masks, to vaccines, to lock down orders.

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