How is regulation different from legislation?

Chapter 3
Case Study: Workplace Safety
Emergency department (ED) nurses have expressed concern about workplace safety, with many experiencing physical attacks on a routine basis. Many employers have been reluctant to report assaults to law enforcement because of the bad publicity it might engender. Nurses and others in psychiatric settings have similar concerns, as do nurses working in home health.
Professional organizations representing these individuals, particularly ED nurses, formed a coalition to strategize about how to protect their members. Before the coalition had finished its work, the issue came to a head when an agitated family member assaulted a nurse, resulting in severe injuries to the nurse. Local media picked up the story, and a state legislator, who was a member of the minority party and facing a difficult re-election, was surprised to learn that although teachers and law enforcement officials are part of a “protected class,” attacking healthcare workers was a misdemeanor rather than a felony offense. For protected workers, the same assault carries the more stringent criminal designation that includes possible incarceration. The legislator decided to take on this issue, in part because he thought it might help his re-election efforts and because nurse organizations had supported his candidacy in the past.
1.) Which factors must the politically savvy nurse consider if this issue is to move successfully from concept to legislation to law?
Chapter 4:
2.) How is regulation (rules/rule-making) similar to legislation (laws/law-making)? How is regulation different from legislation?
3.) Summarize the steps of the legislative process.
4.) When and where was the first state to legally recognize diagnosis and treatment as part of the scope of practice of nurse practitioners?
5.) Describe and explain each of the following types of credentialing: licensure, registration, and certification.  Which of the three is the most restrictive form of credentialing?
6.) Describe and explain evidence-informed health policy (EIHP).  What is the significance of the usage of the term “informed” in their model?
7.) What was the significance of the 1998 Medicare reimbursement reform to APRNs?
8.) At what percentage are NPs reimbursed from Medicare from that of a physician’s fee schedule amount?
9.) Describe some strengths and weaknesses of the federal regulatory process.
10.) Describe some of the recommendations the Pew Health Commission report written in 1994  provided.
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Jones & Bartlett Learning.

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