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Discretionary Spending Under the Affordable Care Act (ACA)

Description: This report examines the Affordable Care Act's (ACA's) effects on discretionary spending. It first discusses all the ACA authorizations (and reauthorizations) of appropriations for grant and other programs; this information, along with actual funding amounts, is summarized in a series of tables. The report then reviews the ACA administrative costs borne by CMS and the IRS.
Date: January 13, 2016
Creator: Redhead, C. Stephen; Colello, Kirsten J.; Heisler, Elayne J.; Lister, Sarah A. & Sarata, Amanda K.
Partner: UNT Libraries Government Documents Department
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Health-Related Tax Expenditures: Overview and Analysis

Description: This report analyzes health-related tax expenditures together at the budget function level, rather than focusing on the size of any single provision. To provide some insights into common questions about health-related expenditures, this report analyzes historical data on health-related tax expenditure estimates published by the Joint Committee on Taxation (JCT).
Date: January 8, 2016
Creator: Lowry, Sean
Partner: UNT Libraries Government Documents Department
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Finding Medicare Enrollment Statistics

Description: This report presents basic categories and definitions for terms related to Medicare enrollment data, a quick reference table that summarizes key data available in selected resources, and a more detailed overview of core resources.
Date: January 12, 2017
Creator: Malloy, Michele L.
Partner: UNT Libraries Government Documents Department
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Contractors and HealthCare.gov: Answers to Frequently Asked Questions

Description: This report provides answers to 20 frequently asked questions regarding contractors and HealthCare.gov, the federal online health insurance portal called for by the Patient Protection and Affordable Care Act (ACA) (P.L. 111-148, as amended). Over 50 contractors, including CGI Federal and Quality Software Services, Inc. (QSSI), helped in building the site, which was reportedly largely unusable when it first became available to the public on October 1, 2013.
Date: January 24, 2014
Creator: Manuel, Kate M.; Murrill, Brandon J. & Perry, Rodney M.
Partner: UNT Libraries Government Documents Department
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The Affordable Care Act and Small Business: Economic Issues

Description: This report explains how employer-sponsored insurance can be used to address concerns about health insurance coverage and cost. Then, it summarizes the three Affordable Care Act (ACA) provisions most relevant to small businesses. Also, it analyzes these provisions for their potential effects on small businesses. Last, this report presents several approaches that could address some concerns associated with these provisions (particularly the employer penalty).
Date: January 15, 2015
Creator: Lowry, Sean & Gravelle, Jane G.
Partner: UNT Libraries Government Documents Department
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Community Living Assistance Services and Supports (CLASS) Provisions in the Patient Protection and Affordable Care Act (PPACA)

Description: This report first discusses the cost and financing for long-term care (LTC) services as well as the current market for private LTC insurance. It then details those CLASS program requirements for enrollment, premiums, eligibility, benefits, administration, and oversight. The report also discusses federal budget implications, as estimated by the Congressional Budget Office (CBO) and the Centers for Medicare and Medicaid Services (CMS). Finally, the report provides a timeline of the CLASS program … more
Date: January 5, 2011
Creator: Mulvey, Janemarie & Colello, Kirsten J.
Partner: UNT Libraries Government Documents Department
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Prevalence of Mental Illness in the United States: Data Sources and Information

Description: This report briefly describes the methodology and results of three large surveys that provide national prevalence estimates of diagnosable mental illness: the National Comorbidity Survey Replication (NCS-R), the National Comorbidity Survey Replication Adolescent Supplement (NCS-A), and the National Survey on Drug Use and Health (NSDUH). This report presents prevalence estimates of any mental illness and serious mental illness based on each survey and ends with a brief discussion of how these pr… more
Date: January 19, 2018
Creator: Bagalman, Erin & Cornell, Ada S.
Partner: UNT Libraries Government Documents Department
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Military Medical Care: Questions and Answers

Description: This report answers several frequently asked questions about military health care, including: how the system is structured, a TRICARE summary, TRICARE eligibility and plan options, cost of military health care to beneficiaries, relationship of TRICARE to MEDICARE, how the Affordable Care Act affects TRICARE, long-term trends of defense health care costs, and a summary of the fund which funds TRICARE.
Date: January 22, 2013
Creator: Jansen, Don J. & Blakeley, Katherine
Partner: UNT Libraries Government Documents Department
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Military Medical Care: Questions and Answers

Description: This report answers several frequently asked questions about military health care, including: how the system is structured, a TRICARE summary, TRICARE eligibility and plan options, cost of military health care to beneficiaries, relationship of TRICARE to MEDICARE, how the Affordable Care Act affects TRICARE, long-term trends of defense health care costs, and a summary of the fund which funds TRICARE - the Medicare Eligible Retiree Health Care fund.
Date: January 7, 2013
Creator: Jansen, Don J. & Blakeley, Katherine
Partner: UNT Libraries Government Documents Department
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Increasing Choice, Access, and Quality in Health Care for Americans Act (Division C of P.L. 114-255)

Description: This report summarizes the Increasing Choice, Access, and Quality in Health Care for Americans Act, enacted December 13, 2016, as Division C of the 21st Century Cures Act (P.L. 114-255). It includes an overview and a breakdown of provisions by section.
Date: January 6, 2017
Creator: Uberoi, Namrata K.
Partner: UNT Libraries Government Documents Department
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U.S. Response to the Global Threat of Tuberculosis: Basic Facts

Description: Tuberculosis (TB) is one of the most widespread infectious diseases in the world, infecting an average of 9 million people annually. Although TB is curable, more than 1 million TB-related deaths occur each year. Due in part to a growing global response to TB, progress has been made in combating the disease. Globally, new TB infection rates have begun to slowly decline and TB mortality rates have decreased significantly since 1990. At the same time, absolute numbers of people infected with TB, p… more
Date: January 5, 2012
Creator: Kendal, Alexandra E.
Partner: UNT Libraries Government Documents Department
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Use of the Annual Appropriations Process to Block Implementation of the Affordable Care Act (FY2011-FY2016)

Description: This report summarizes the language related to the Affordable Care (ACA) that was added to annual appropriations legislation by congressional appropriators since the ACA was signed into law. The information is presented in a table. While a detailed examination of the ACA itself is beyond the scope of this report, a brief overview of the ACA's core provisions and its impact on federal spending is provided as context for the material in the table. Congress remains deeply divided over implementati… more
Date: January 5, 2016
Creator: Redhead, C. S. & Cornell, Ada S.
Partner: UNT Libraries Government Documents Department
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Mental Health Parity and the Patient Protection and Affordable Care Act of 2010

Description: This report provides a brief background on mental health parity and the policy discussion around parity in health insurance coverage; an overview of federal mental health parity law prior to the enactment of the ACA; and an analysis of the impact of the ACA.
Date: January 7, 2011
Creator: Sarata, Amanda K.
Partner: UNT Libraries Government Documents Department
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Use of the Annual Appropriations Process to Block Implementation of the Affordable Care Act (FY2011-FY2017)

Description: This report summarizes the ACA-related language added to annual appropriations legislation by congressional appropriators since the ACA was signed into law. The information is presented in Table 1. While a detailed examination of the ACA itself is beyond the scope of this report, a brief overview of the ACA's core provisions and its impact on federal spending is provided as context for the material in the table.
Date: January 13, 2017
Creator: Redhead, C. Stephen & Cornell, Ada S.
Partner: UNT Libraries Government Documents Department
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TRICARE and VA Health Care: Impact of the Patient Protection and Affordable Care Act (ACA)

Description: This report addresses key questions concerning the impact of enactment of the Affordable Care Act (ACA) on the TRICARE and VA health care programs. To provide some context to this discussion, the report begins with a brief overview of the two health systems and eligibility for care under each system.
Date: January 27, 2012
Creator: Panangala, Sidath V. & Jansen, Don J.
Partner: UNT Libraries Government Documents Department
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Health Care for Rural Veterans: The Example of Federally Qualified Health Centers

Description: This report discusses considerations that may arise during possible attempts to increase collaboration between the Department of Veterans Affairs (VA) and federally qualified health centers (FQHCs) and describes policy levers Congress might use to encourage VA-FQHC collaboration. These approaches might also be employed to encourage collaboration between the VA and other types of facilities that may serve rural veterans.
Date: January 13, 2014
Creator: Heisler, Elayne J.; Panangala, Sidath Viranga & Bagalman, Erin
Partner: UNT Libraries Government Documents Department
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Neglected Tropical Diseases: Background, Responses, and Issues for Congress

Description: Over the past decade, global health has become a priority in U.S. foreign policy, more than tripling U.S. funding for such efforts. This report discusses neglected tropical diseases (NTDs), a group of 17 diseases that are found primarily among the poorest people in 149 countries and territories. NTDs are an important focus of U.S. global health assistance and may come under scrutiny as the 112th Congress debates spending levels for ongoing global health programs.
Date: January 21, 2011
Creator: Salaam-Blyther, Tiaji
Partner: UNT Libraries Government Documents Department
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Security and Prosperity Partnership of North America: An Overview and Selected Issues

Description: This report discusses the Security and Prosperity Partnership of North America (SPP), which was a trilateral initiative that was launched in March 2005 by Canada, Mexico, and the United States to increase cooperation and information sharing for the purpose of increasing and enhancing security and prosperity in North America.
Date: January 22, 2010
Creator: Villarreal, M. Angeles & Lake, Jennifer E.
Partner: UNT Libraries Government Documents Department
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