Sarah has become well versed about the ACA with a focus on the HAC provision. CMS recognizes Sarah system's obvious challenges in compliance with ACA and the importance of the Allen Care System to the communities it serves.Ms Dewitt has been asked to testify before Congress about the impact of ACA repeal on your system.

Ms Dewitt knows that Sarah have become well versed about the details ofACA during her "service" on the Health Policy Task Force (and her policy course in the MHA program).Ms. Dewitt has asked each of the Health Policy Task Force members to demon or explain in a draft for her to consider using in her testimony before Congress.She will choose the best one or the best parts of several.She expects Sarah to de or explain from her own educational and experiential perspective with the best interests of Allen Care System at heart.For this purpose, only total repeal without replacement is being considered.

• For exact wording of the Affordable Care Act, seeAbout theAffordableCare Act

The Memo: This section must be in the same document as her testimony, but it can be placed at the beginning or end. Make sure to include the strategies to advise the CEO related to her recommendation, process, and (who will accomplish recommendation, and potential stakeholder impact.

The memo will be copied and distributed to committee members, a typical approach. Sarah should includeat least three sourcesof her information (aside from the textbook) with very accurate and clear citation and a complete reference list.In this case, Sarah must include in the list even the textbook and other items we have provided for this document because the intended audience is outside the course.

The quality of Sarah's work will reflect on herCEO?makeher look good! It will also reflect on her with herboss?make herself look good. Make sure it is perfect! Be sure to plan ahead so that you have time to edit out errors.

References

1. DeVore, S. (2021) Health Care in 2021https://www.healthaffairs.org/do/10.1377/hblog20210119.724670/full/

• https://www.aacom.org/docs/default-source/hpf-2018/2018-06_seminar/testimony-guidelines.pdf?sfvrsn=8aef2097_2
• https://www.apha.org/policies-and-advocacy/advocacy-for-public-health/testimony-and-comments
• https://www.mafp.com/system/:tenant_id/ckeditor_assets/attachments/885/original_testimony_sb_68_march_10_final.pdf
• https://www.commonwealthfund.org/publications/2019/apr/testimony-health-insurance-recent-congressional-reform-bills
• http://files.kff.org/attachment/Testimony-of-Karen-Pollitz-Committee-on-Ways%20and-Means-Pre-existing-Conditions-and-Health-Insurance

1. Longest,B.B.(2016).HealthpolicymakingintheUnitedStates(6thEd.).Chicago,IL:HealthAdministrationPress.

Preparing Testimony to Influence Policy-making I. Testimony to a legislative of rulemaking committee. A. Know your audience. The members of the committee care that you have taken time out of your day to come and testify before them. 1. Make your entire presentation respectful. 2. Do not scold. accuse. put down. or insult anymore associated with the measure (legislators. rulemakers. or other witnesses). Remember that in politics, today's enemy could be tomorrow's advocate on another issue. 8. Opening comments 1. Begin by introduction yourself to the chair and committee members and stating your purpose. For example. \"Mr. or Madam Chair and members of the committee, I am Jane Doe from Portland.\" 2. Make it clear whom you are representing. 3. State your general position on the measure being heard (don't make them wait until the end to find out you oppose it. for example). Build your case briey but clearly. 1. Remember always who your audience is and what your objective is. 2. Find a way to make your case without using too much technical jargon and acronyms. 3. Support your case with as many facts as possible. 4. Be knowledgeable about other positions on the subject so that you address major points in your presentation. Adapted from : Washington State Legislature (n.d.) How to testify in committee. Retrieved from http:waw.leg.wa.gov/iegislaturefPages/'I'estifyaspx ll. Examples of testimony that could be helpful as models. but note that these are not necessarily perfect! A. Health & Medicine Policy Research Group. (2010. December 9). Comments RE \"Health insurance reform and the option of establishing an insurance exchange in Illinois.\" Retrieved from: http'JIhmprg.ornglog+PostsIComments+RE+Health+|nsurance+Refomt+and+the+ Option+of+Establishing+an+lnsurance+Exchange+in+lllinois This is a good example of testimony presented in anticipation of rulemaking. (Note that the opening introduction has been removed.) Secondarily, it gives you some good background on an aspect of ADA we have not discussed in this course - health exchanges. It you have time, look into the mission of the HMPRG and the accomplishments of its founder, Quentin Young, a giant in the health care reform world. B. Langer. SD. (2012. July 24). Testimony opposing the Department of Social Service's application for an 115 Demonstration Waiver for Medicaid low-income adult coverage appropriations and human services committees. Retrieved from: httpJMwwctvoicesorglsitesldefaultll'iles107241 2_approps_1 1 15demonstrationwai ver.pdf This testimony happens to be in letter format. but could easily have been an oral testimony with a different opening