Since the beginning of the decade, there has been an increase in US homelessness due to multiple economic and social factors. But homelessness poses a major health risk. Research has shown that those living in poverty are more likely to die from acute or chronic diseases than their peers. Health disorders can be caused by environmental stressors. The research shows that the health problems of those who are homeless can be complicated, and often exacerbated due to economic and social limitations. Many homeless people cannot afford high-cost health care. However, stigmatization and lack of continuity of treatment can make poverty worse. Unfortunately, there are a number of policy issues that affect the health and hinder care coordination among nurses and community service providers such as shelters for homeless people. The government plays a crucial role in shaping the health care sector by providing solutions to issues like cost, accessibility and quality. The Affordable Care Act and Health Insurance Portability and Accountability Act are notable health and safety regulations for homeless people. The Accessible Care Act, which included a Medicaid expansion clause was approved to help make healthcare affordable. This legislation was a basis for increasing the availability of health insurance. In order to improve access for homeless people and other vulnerable populations, legislation was passed. Health Insurance Portability and Accountability Act (1999) was created out of the desire to safeguard sensitive patient health information (PHI), to maintain patient privacy. (Oyeleye (2021). The act stipulated in this regard that only covered businesses may receive PHI from health care professionals. Otherwise, patients must authorize the disclosure of any sensitive or essential information to be shared. HIPAA as well as the ACA are significant in ensuring that homeless persons can access coordinated medical treatment. In particular, every individual must be enrolled in a health insurance plan because of the Affordable Care Act’s (ACA), commitment to affordability and access. The subsidies are available to those with lower incomes, but the majority of homeless people do not sign up for Medicaid because they cannot afford the insurance. Canham et al. For instance, Canham and colleagues (2019) noted that many homeless persons are not eligible for Medicaid. Except for emergency care, those who do not have an insurance policy must pay the cost of treatment admissions and drugs. The rule prevents health professionals from providing coordinated care for uninsured homeless persons. The caregivers don’t get a reward for their charity work and homeless shelters have to take care of the people they serve.
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