HSA 3150 Lecture Notes - Lecture 15: Policy Analysis, Rulemaking, Incrementalism
Document Summary
Modification at legislation development: modification is routine at this stage, pressure to modify stems from: Modification in a cyclical relationship: modification may happen as part of a feedback loop between agenda setting and legislation development, opponents can immediately take proposed legislation back into the agenda-setting phase. Implementing organization is given major new responsibilities: exa(cid:373)ple: cms"s ce(cid:374)te(cid:396)s fo(cid:396) medica(cid:396)e & medicaid se(cid:396)vices. When a change is made in a law or in how it is to be implemented: example: aca timing on insurance mandate for companies with 50+ employees. Modification through rulemaking: enacted legislation is rarely explicit enough to guide its own implementation, public policies are modified most frequently through changes in the rules used to guide their implementation. Example: rules on medicare payments are frequently changed. Modification through operating: managers have significant opportunities to modify, pressures for change in operating policies. Internal: managers establish standards or operating objectives and make changes in operations.
