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When the Patient Protection and Affordable Care Act was signed into law in 2010, it was so that everybody have some basic security when it comes to their healthcare. The legislation, including the reconciliation bill, the Health Care and Education Reconciliation Act is designed to reform healthcare insurance policies and practice, and expand coverage to the insured in the United States. The 2 bills together are known as the Affordable Care Act (ACA).

The two key provisions that have/will impact my current nursing practice are as follows:

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  1. Nurse Loan Repayment and Scholarship Programs (NLRP): Section 5310

This provision provides loan repayment to students who serve two years as a faculty member at an accredited nursing school (AACN, 2010). This is a great incentive to encourage registered nurses to explore the educational side of the field. Most nurses are reluctant to become nursing educators due to the pay cut they acquire while doing so. This is another reason why nursing schools are so competitive- they do not have adequate staffing. This provision could close the gap between adequate staffing and the number of enrolled students.

  1. Comparative Effectiveness Research: Section 6301

The purpose of this section is to assist providers, patients, and policy makers in making health care decisions by performing research on comparative analysis (AACN, 2010). Ultimately this would ensure the most updated practice is being used in connection with prevention and treatment. I think this would also eventually work towards lowering health care costs due to mandated practice guidelines and cost coverage decisions as well.


American Association of College of Nursing (AACN). (2010). Nursing Education and Practicing Provisions. Retrieved from…