Legislation Comparison and Advocacy Statement
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Legislation Comparison Grid and Testimony/Advocacy Statement
Legislation Comparison Grid Template
Use this document to complete Part 1 of the Module 2 Assessment Legislation Comparison Grid and Testimony/Advocacy Statement.
| Health-related Bill Name | H.R.1390 – Mobile Health Record Act of 2019 |
| Description | The Bill was introduced by Mrs. Brooks of Indiana and Ms. Clarke of New York on February 27th, 2019. The Bill was to be referred to by the Committee on Energy and Commerce and the Committee on Ways and Means. |
| Federal or State? | The Bill is Federal |
| Legislative Intent | The legislation was meant to amend the Social Security Act precisely titles XIX and XVIII in order to enhance the chances of people enrolled part B, those entitled to benefits and the individual who were registered under the State Plan of Medicaid Program, to access their medical information including the tests, diagnosis, prescriptions, and get data on their provider from any mobile application of their choosing (All Information (Except Text) for H.R.1390 – Mobile Health Record Act of 2019, 2019). |
| Target Population | Individuals are benefiting from part A and B of the Social Security Act, and the State plan Medicaid Program. |
| Status of the Bill (Is it in hearings or committees? Is it receiving press coverage?) | The Bill was introduced in the House on February 27th and was referred to the Committee On Energy and Commerce and that of Ways and Means on the same day (All Information (Except Text) for H.R.1390 – Mobile Health Record Act of 2019, 2019). The legislation was later referred to the Health Subcommittee and it is still on this stage. The Bill has introduced a whole year ago, and as there are no developments, it is not receiving much press attention. |
| General Notes/Comments | There are many incidences of errors in the healthcare industry, and whether the errors are intentional or not, sharing the information used in treatment with the patient will automatically reduce errors. Furthermore, transparency will increase the trust of the patient on the providers, which will consequentially promote the health quality of the target population. The Bill should be passed. |
Legislation Testimony/Advocacy Statement
Access to health care has been a major goal for various governments. However, the cost of providing healthcare for all is immense. Various health insurance programs are in place. Everyone’s health insurance has been an important agenda for various governments in US history. Subsequent governments sought to improve access to quality healthcare, improve universal coverage, and increase access to healthcare information, especially among vulnerable groups. The Mobile Medical Records Act of H.R. 1390-2019 aims to improve access to personal health information through the introduction of novice technology. Assessments by Dameff, Clay, and Longhurst (2019) claim that the mobile medical records platform has not yet proven its usefulness, scalability, resilience, and ability to improve healthcare delivery and outcomes.
The main question is whether the provision of personal health information can improve care outcomes at the lowest cost while maintaining the quality of service provided by the platform. It should be noted, however, that the emergence of electronic medical records, coupled with the widespread adoption of online platforms and smart technologies, has facilitated the transfer of critical clinical information through organizations and healthcare providers (Dameff, Clay, & Longhurst, 2019). When the same is achieved at the individual level, it improves patient participation in the decision-making process and enhances the ability to make informed medical decisions about medical consumption.
Opposition to this law may be due to the unproven situation of such technology in improving access to and quality of medical services. These concerns can be addressed by referring to the success achieved in electronic medical records. This, according to Bouayad, Ialynytchev, and Padmanabhan (2017), has made great strides in improving quality and reducing errors. The same can be done using the proposed platform, improving the exchange of information between the healthcare provider and the patient.
As with other information technologies employed in the healthcare industry, mobile patient health information systems are subject to ethical considerations regarding the protection of your personal rights to the security and privacy of this information. According to Bouri and Ravi (2014), these problems are exacerbated by the role of third-party providers that can extract or store patient information for alternative purposes other than human care needs. Therefore, legislators must include amendments that clarify the responsibilities, access rights, obligations, and obligations of the parties involved in entering, storing and transferring patient information.
References
All Information (Except Text) for H.R.1390 – Mobile Health Record Act of 2019. (2019). Retrieved https://www.congress.gov/bill/116th-congress/house-bill/1390/all-info?r=1
Bouri, N., & Ravi, S. (2014). Going mobile: How mobile personal health records can improve health care during emergencies. JMIR mHealth and uHealth, 2(1), e8.
Bouayad, L., Ialynytchev, A., & Padmanabhan, B. (2017). Patient health record systems scope and functionalities: Literature review and future directions. Journal of Medical Internet Research, 19(11), e388.
Dameff, C., Clay, B., Longhurst, C. A. (2019). Personal Health Records: More Promising in the Smartphone Era? JAMA, 321(4):339–340.
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