1. Navigate 2 Scenario - Going from Policy to Law (Episode 2)
Overview of Scenario
You are an intern working with the Senator’s team to get the
bill (based on the policy created in Episode 1 for the Navigate 2
Scenario) passed. You must follow the legislative process to
select committees, identify stakeholders, communicate with
health care providers
about their role, and identify key departments who will be
responsible if the bill is passed. Within this virtual scenario,
you will need to apply concepts such as how others influence
the process, for example, health care providers who write
letters, telephone and make personal visits to senator’s office.
You should understand that this is the responsibility of a health
care professional. Also, you must be able to articulate why the
Department of Health and Human Services (DHHS) is the
agency chosen to implement the law and develop the
regulations, what the regulations are, and why they are
important.
Assessment
You will
create
a recommendation where you will recommend a committee,
identify general stakeholders, and identify responsible
departments. Your recommendation will be posted in this
discussion board forum. You must also respond to 2 of your
peers' posts and make sure to reference any outside sources you
may have used in your recommendation.
Learning Outcomes Addressed in this virtual scenario.

2. Examine the various applications of the law within the health
care system.
Analyze how such various applications of the law affect
decisions in the development and operation of a health care
organization.
Use technology and information resources to research issues in
health care policy, law, and ethics.
Characters from this Navigate 2 Scenario scenario:
The Student (You),
Health Care Policy
Intern for Congress
The student used to work within the Bright Road Health Care
System, and had a special interest in policy. The student is
thinking about moving into politics, hoping to make a
difference at that level. The student has just been accepted into
the internship; this is the student’s first big project.
Peter Shackley, Senior Policy Staff Member
The student’s mentor, Peter, is a young and feisty staff member.
In his late 20s, Pete has been interested in politics since he was
President of his high school student body. He’s especially
passionate about policy-making and how the process works.
Pete will help guide the student through the policy-making
process.

3. Quinn Smith, Chairman of the Board of Bright Road Health
Care System
Quinn is in his 50s. In his capacity, Quinn takes on the
responsibility for corporate governance, capital formation,
setting the company’s operating strategy, and guiding it to
profitability. The student will work with Quinn to determine
how the bill and policy may impact the operations of the Health
Care System. (good as he is a stakeholder at state level)
Timothy Kohl, Staff member at DHHS
Timothy is in his mid-50s, and has been with DHHS for more
than 20 years. His main focus is
health policy
. Timothy consults with staff in various departments and
agencies to work out how health care law should be written and
then implemented.
#1 Peer Comment Please Respond to this comment:
Committee Recommendations
The committee members for this legislation should be made up
of the following groups to ensure a well-rounded piece of
legislation is proposed and can be successfully implemented and
regulated by the Department of Health and Human Services.
• Bright Road Hospital System, as a large hospital system they
are a significant stakeholder, has an interest for ensuring
reasonable legislation is proposed. The bill needs to be
clinically, operationally, and fiscally reasonable for hospitals to
be able to successfully implement the regulations.

4. • American Nurses Association (ANA) represents the 4 million
registered nurses in the United States and is the strongest voice
of the profession (American Nurses Association, 2019). Their
input in the design of the legislation is vital from a quality
standpoint. They are the frontline of healthcare and the ANA
advocates for high standards, safe and ethical work
environments.
• EMILY’s List is a pro-democratic organization that focuses on
diversity and inclusion for Democratic congresswomen. Their
mission statement includes ‘creating a space where people are
valued regardless of sex, age, race, gender identity, sexual
orientation, ability, national origin or religious affiliation’
(EMILY's List, 2019). These values will ensure patient’s rights
taken into consideration for safety, privacy, transparency.
• American Hospital Association (AHA) represents almost 5,000
hospitals, health care systems, and other providers (American
Hospital Association, 2019). They well ensure, along with
Bright Road, that the hospital perspectives are taken into
consideration as the legislation is developed.
• America’s Health Insurance Plans (AHIP) is a national
association of insurance carriers who cover millions of
Americans with not only commercial insurance but also Medical
Advantage plans (America's Health Insurance Plans, 2019).
They will ensure the bill does not add unnecessary costs to the
healthcare process and at the same time want to ensure high
quality care to reduce overall health expenses.
The Department of Health and Human Services will have the
ultimate responsibility for writing the regulations that
implement the final law and the long-term over-sight. But with
the well-rounded group of committee members above that
represent the providers, nurses, patients, and payers a very
manageable piece of legislation should be able to be drafted.

5. References
American Hospital Association. (2019, November 29). Abouth
the AHA. Retrieved from American Hospital Association:
https://www.aha.org/about
American Nurses Association. (2019, November 29). About
ANA. Retrieved from American Nusrses Association:
https://www.nursingworld.org/ana/about-ana/
America's Health Insurance Plans. (2019, November 29). About.
Retrieved from AHIP: https://www.ahip.org/about-us/
EMILY's List. (2019, November 29). Mission & Vission.
Retrieved from EMILY's List:
https://www.emilyslist.org/pages/entry/our-mission
#2 Peer Review
To: Senator Powers, Peter Shackley
Subject: Policy Committee Recommendation
Good afternoon. I’m writing regarding the policy
committee recommendation. After speaking with key
stakeholders, the initial make up of this group has been
identified. The recommendation is to form a committee
comprised of American Nurses Association, EMILY’s List,
WISH List, National Association of Clinical Nurse Specialists,
National Medical Association and American Hospital
Association. Additionally, we have members from the Board of
Bright Road Health Care System, insurance lobby representation
and Department of Health and Human Services. These groups in
addition to some additional doctors and patients will ensure the

6. voice of various groups are heard.
The purpose of involving these groups are as
follows; the American Nurses Association would ensure we
have a great involvement of our nurses. If they help shape the
law then they will have buy-in, can help support it, and can
further help transition the implementation so our hospitals
understand it. If we involve EMILY’s List and WISH List then
we will have support of our women from both political parties
and the majority of nurses in healthcare are female. The
American Hospital Association can help involve our hospital
administration. Their assistance can ensure the wording is clear,
flexible and transparent. So that hospitals can understand the
law and how to follow it. Speaking of implementation, that is
why DHHS is a key stakeholder group to ensure we can
implement this policy effectively since they will be enforcing /
regulating it after the policy becomes law.
The National Association of Clinical Nurse Specialists
and National Medical Association represent additional
professionals and ethnic diversity to ensure additional parties
have a voice in shaping our healthcare future. A diversity of
thought could really help us think outside of the box on this
policy and be one step ahead to ensuring the scope and details
of the law are inclusive. Insurance lobby representation will be
helpful to have as this policy change and reimbursement will
influence everyone including insurance companies. Last, but
most important will be including the voice of our patients and
community. To do so we will have members from the National
Patient Advocate Foundation on the Committee to bring patient
voices into this important health care bill.
Looking forward to meeting with you to discuss this Committee
recommendation.