NURS 6050 Module 2 Assessment: Legislation Grid and Testimony/Advocacy Statement

Course: NURS 6050 – Policy and Advocacy for Improving Population Health
Institution: Walden University
Assignment Type: Legislation Grid (1–2 pages) and Testimony/Advocacy Statement (1 page)
Format: APA 7th Edition paper with title page, introduction, purpose statement, and conclusion

Assignment Overview

As a nurse, how often have you thought, If I had anything to do about it, things would work a little differently? Increasingly, nurses are beginning to realize that they do, in fact, have a role and a voice. Many nurses encounter daily experiences that motivate them to take on an advocacy role in hopes of impacting policies, laws, or regulations that shape healthcare issues of interest. Entering the less familiar world of policy and politics can feel daunting. The reward, however, is the genuine opportunity to shape and influence future health policy.

This assignment equips you with practical skills for analyzing proposed federal legislation and crafting a persuasive advocacy statement, mirroring the real-world work nurses perform when they testify before legislative committees or submit written commentary on pending bills.

To Prepare

• Select a bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources. Suggested sources include Congress.gov and GovTrack.us.

• Review the bill’s full text, sponsorship, committee referrals, and current status.

• Research the health issue the bill addresses, including relevant epidemiological data and evidence-based literature.

Part 1: Legislation Grid

Based on the health-related bill (proposed, not enacted) you selected, complete the Legislation Grid Template. Address each of the following:

• Determine the legislative intent of the bill you have reviewed.

• Identify the proponents and opponents of the bill.

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• Identify the target populations addressed by the bill.

• Where in the process is the bill currently? Is it in hearings or committees?

• Provide any general notes or comments relevant to the bill.

Part 2: Legislation Testimony/Advocacy Statement

Based on the health-related bill you selected, develop a 1-page Legislation Testimony/Advocacy Statement that addresses the following:

• Advocate a position for the bill you selected and write testimony in support of your position.

• Describe how you would address the opponent to your position. Be specific and provide examples.

• Integrate at least 2 outside resources and 2–3 course-specific resources.

Submission Requirements

• APA 7th edition formatting throughout.

• Title page, introduction, purpose statement, and conclusion.

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• 1- to 2-page Legislation Grid plus 1-page Legislation Testimony/Advocacy Statement (excluding title page and references).

• Scholarly writing with correct grammar, punctuation, and evidence-based support.

Grading Rubric

Sample Answer: Legislation Testimony/Advocacy Statement in Support of S. 2303

Chairman Cassidy, Ranking Member Sanders, and distinguished members of the Senate Committee on Health, Education, Labor, and Pensions: my name is [Name], and I am a registered nurse and graduate nursing student at Walden University. I submit this testimony in strong support of S. 2303, the Promoting Physical Activity for Americans Act. This bipartisan legislation, introduced by Senator Roger Wicker (R-MS) and Senator Richard Blumenthal (D-CT), would require the Secretary of Health and Human Services to publish comprehensive, evidence-based physical activity recommendations at least every ten years, with mid-cycle updates addressing emerging evidence and population-specific concerns. Currently, the Department of Health and Human Services publishes the Physical Activity Guidelines for Americans on an irregular schedule without statutory mandate, leaving the timing and content of updates to administrative discretion. Codifying this process ensures that Americans receive consistent, scientifically current guidance regardless of shifts in political leadership. As the American College of Sports Medicine notes in its formal endorsement of S. 2303, the bill would establish a reliable framework for developing, disseminating, and promoting the Physical Activity Guidelines for Americans based on the latest science (ACSM, 2025). The health of our nation depends on such consistency.

Physical Inactivity and the Economic Rationale for S. 2303

Nurses witness the consequences of physical inactivity every day: patients struggling with type 2 diabetes, managing hypertension with multiple medications, and recovering from cardiovascular events that might have been prevented. The epidemiological data is sobering. According to the Centers for Disease Control and Prevention, obesity prevalence among U.S. adults reached 41.9 percent during 2017 through March 2020, more than doubling since the early 1960s, and severe obesity now affects 9.2 percent of the adult population (CDC, 2025). Only 28 percent of adults meet the combined aerobic and muscle-strengthening physical activity guidelines, and among rural residents the figure drops to roughly 16 percent (Abildso et al., 2023). The economic consequences run parallel to the health consequences; the CDC estimates that obesity accounts for nearly $173billioninannualmedicalexpendituresin2019dollars(CDC,2025).A2024reportprojectedthatobesity-relatedhealthcarecostscouldreach$9.1 trillion over the next decade (Managed Healthcare Executive, 2026). Physical inactivity lies at the core of this crisis. The Physical Activity Guidelines for Americans, 2nd edition, summarizes compelling evidence that regular physical activity reduces risk of all-cause mortality, coronary heart disease, stroke, type 2 diabetes, and several cancers while improving cognitive function and quality of sleep (Piercy et al., 2018). Yet without a statutory mandate, the guidelines risk becoming outdated at precisely the moment when evidence-based recommendations are most critically needed.

Addressing Opponent Concerns About Cost and Implementation

Some may raise concerns about the financial resources required to convene expert panels, conduct systematic evidence reviews, and publish comprehensive reports every ten years. These concerns deserve a direct response. The cost of producing the Physical Activity Guidelines represents a fraction of the economic burden that physical inactivity imposes on the healthcare system. A systematic review by Gelius and colleagues identified multiple policy approaches for promoting physical activity, concluding that population-level interventions grounded in evidence-based guidelines yield measurable improvements in activity levels and health outcomes (Gelius et al., 2020). The return on investment favors action over inaction. Furthermore, S. 2303 explicitly states that no physical fitness standard established under the Act shall be binding on any individual as a matter of federal law; the legislation creates no mandates, imposes no penalties, and respects individual autonomy. It simply ensures that Americans and the professionals who serve them have access to the best available science. Nurses understand that informed patients make better health decisions. This bill equips every American with that information.

References (Selected)

• Abildso, C. G., Daily, S. M., Umstattd Meyer, M. R., Perry, C. K., & Eyler, A. (2023). Prevalence of meeting aerobic, muscle-strengthening, and combined physical activity guidelines during leisure time among adults, by rural-urban classification and region — United States, 2020. MMWR Morbidity and Mortality Weekly Report, 72(4), 85–89. https://doi.org/10.15585/mmwr.mm7204a1

• American College of Sports Medicine. (2025, July 17). Physical activity guidelines legislation introduced in Congress. ACSM. https://www.acsm.org/pa-guidelines-legislation-introduced-july-2025/

• Centers for Disease Control and Prevention. (2025). Adult obesity facts. U.S. Department of Health and Human Services. https://www.cdc.gov/obesity/adult-obesity-facts/index.html

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• Gelius, P., Messing, S., Goodwin, L., Schow, D., & Abu-Omar, K. (2020). What are effective policies for promoting physical activity? A systematic review of reviews. Preventive Medicine Reports, 18, 101095. https://doi.org/10.1016/j.pmedr.2020.101095

• GovTrack.us. (2025). S. 2303 — 119th Congress: Promoting Physical Activity for Americans Act. https://www.govtrack.us/congress/bills/119/s2303

• Milstead, J. A., & Short, N. M. (2022). Milstead’s health policy and politics: A nurse’s guide (7th ed.). Jones & Bartlett Learning.

• Piercy, K. L., Troiano, R. P., Ballard, R. M., Carlson, S. A., Fulton, J. E., Galuska, D. A., George, S. M., & Olson, R. D. (2018). The physical activity guidelines for Americans. JAMA, 320(19), 2020–2028. https://doi.org/10.1001/jama.2018.14854

• Promoting Physical Activity for Americans Act, S. 2303, 119th Cong. (2025). https://www.congress.gov/bill/119th-congress/senate-bill/2303

• Representatives Moore, Panetta introduce bipartisan legislation to promote active and healthier lifestyles. (2025, November 19). U.S. Congressman Blake Moore. https://blakemoore.house.gov/media/press-releases/representatives-moore-panetta-introduce-bipartisan-legislation-to-promote-active-and-healthier-lifestyles

Complete a 1- to 2-page Legislation Grid and a 1-page Legislation Testimony/Advocacy Statement for NURS 6050 at Walden University. Select a proposed health-related bill, analyze its legislative intent, proponents, opponents, target populations, and current status, then write persuasive testimony supported by evidence.

Assignment (Module 3, Week 6): Agenda Comparison Grid and Fact Sheet

NURS 6050 Module 3 Assessment: Select a population health issue of interest and identify the agenda priorities of the current sitting U.S. president and two previous presidential administrations. Complete the Agenda Comparison Grid Template to document how each administration addressed (or failed to address) the selected issue. Develop a 1-page Fact Sheet or Talking Points Brief communicating the importance of the issue and the impact of recent or proposed policy on the population. The assignment requires integration of at least 2 outside scholarly resources and 2-3 course-specific resources, formatted in APA 7th edition.