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Medicaid: A Primer

Description: This report describes the basic elements of Medicaid, focusing on federal rules governing who is eligible, what services are covered, how the program is financed and how beneficiaries share in the cost, how providers are paid, and the role of special waivers in expanding eligibility and modifying benefits.
Date: December 19, 2005
Creator: Herz, Elicia J.
Partner: UNT Libraries Government Documents Department
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Medicare Financing

Description: This report provides an overview of how the Medicare program is financed, including a description of the Medicare trust funds and a summary of key findings and estimates from the 2013 Report of the Medicare Board of Trustees regarding 2012 program operations and future financial soundness.
Date: September 19, 2013
Creator: Davis, Patricia A.
Partner: UNT Libraries Government Documents Department
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Federal Drug Price Negotiation: Implications for Medicare Part D

Description: This report discusses what it means for the federal government to “negotiate” drug prices under existing public programs, the arguments for and against such activities, and some implications for the pharmaceutical industry, Medicare beneficiaries, and others if similar federal involvement were to occur on behalf of the Medicare Part D program.
Date: April 19, 2007
Creator: Hahn, Jim
Partner: UNT Libraries Government Documents Department
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Division A of H.R. 3922: The CHAMPIONING HEALTHY KIDS Act

Description: This report summarizes provisions in Division A of the CHAMPIONING HEALTHY KIDS Act that would extend funding for certain public health programs and provide offsets for these funding extensions. CRS Report R44989, Comparison of the Bills to Extend State Children's Health Insurance Program (CHIP) Funding, summarizes provisions in Division B.
Date: December 19, 2017
Creator: Heisler, Elayne J.; Fernandes-Alcantara, Adrienne L.; Fernandez, Bernadette & Lister, Sarah A.
Partner: UNT Libraries Government Documents Department
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Implications of the Medicare Prescription Drug Benefit for Dual Eligibles and State Medicaid Programs

Description: This report discusses the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA, P.L. 108-173), which added a new Medicare prescription drug benefit, implemented in January 2006. This report focuses on MMA provisions that added a voluntary prescription drug benefit under a new Medicare Part D, and the effect of this new benefit both on individuals who are dually eligible for Medicaid and Medicare, and on state Medicaid programs.
Date: January 19, 2006
Creator: Tritz, Karen
Partner: UNT Libraries Government Documents Department
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The Affordable Care Act's (ACA) Employer Shared Responsibility Determination and the Potential Employer Penalty

Description: This report describes potential employer penalties as well as regulations to implement the ACA employer provisions. The regulations address insurance coverage requirements, methodologies for determining whether a worker is considered full time, provisions relating to seasonal workers and corporate franchises, and other reporting requirements.
Date: April 19, 2016
Creator: Whittaker, Julie M.
Partner: UNT Libraries Government Documents Department
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Military Medical Care: Questions and Answers

Description: Report that 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: June 19, 2013
Creator: Jansen, Don J. & Blakeley, Katherine
Partner: UNT Libraries Government Documents Department
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Private Health Plans Under the ACA: In Brief

Description: This report provides short descriptions of health plans that may be offered inside and outside of exchanges, and includes information about interaction with other selected ACA provisions. The descriptions are displayed in a side-by-side format to facilitate comparison of exchange and nonexchange plans.
Date: September 19, 2013
Creator: Fernandez, Bernadette & Mach, Annie L.
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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Medicare: Insolvency Projections

Description: This report focuses on the two separate trust funds that fund Medicare, the Hospital Insurance (HI) trust fund and Supplementary Medical Insurance (SMI) trust fund. Almost from its inception, the HI trust fund has faced a projected shortfall and eventual insolvency. Because of the way it is financed, the SMI trust fund cannot become insolvent; however, the Medicare Trustees continue to express concerns about the rapid growth in SMI costs.
Date: September 19, 2014
Creator: Davis, Patricia A.
Partner: UNT Libraries Government Documents Department
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Emergency Department Boarding of Behavioral Health Patients

Description: This report outlines emergency department (ED) boarding of behavioral health (BH) patients and highlights areas for research and discusses policy options Congress may consider to reduce BH patient boarding. Behavioral health refers to patients with psychiatric and/or substance use disorders. Boarding refers to the holding of inpatients in an ED after an admission or transfer decision has been made.
Date: July 19, 2018
Creator: Heisler, Elayne J.
Partner: UNT Libraries Government Documents Department
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Public Health Service Agencies: Overview and Funding (FY2015-FY2017)

Description: This report gives a brief overview of the eight agencies within the Department of Health and Human Services (HHS) which are designated components of the U.S. Public Health Services (PHS), and summarizes its funding for FY2015 through FY2017.
Date: May 19, 2016
Creator: Redhead, C. S.; Dabrowska, Agata; Bagalman, Erin; Heisler, Elayne J.; Johnson, Judith A.; Lister, Sarah A. et al.
Partner: UNT Libraries Government Documents Department
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Timeline Related to Health Insurance and Exchange Rules: Backdrop to King v. Burwell

Description: This report provides a timeline that identifies selected 2015 dates related to exchange establishment and operation, legislative calendars, and regulation of the individual health insurance market, among other issues.
Date: June 19, 2015
Creator: Fernandez, Bernadette; Mach, Annie L. & Uberoi, Namrata K.
Partner: UNT Libraries Government Documents Department
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Cancellation of Nongroup Health Insurance Policies

Description: This report provides background information about health insurance cancellations, non-renewals and rescissions, including applicable federal rules under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and ACA.
Date: November 19, 2013
Creator: Fernandez, Bernadette & Mach, Annie L.
Partner: UNT Libraries Government Documents Department
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Premium Tax Credits and Federal Health Insurance Exchanges: Questions and Answers

Description: Legal challenges that may have a substantial impact on the implementation and operation of the Patient Protection and Affordable Care Act (ACA) concern whether premium tax credits are available for millions of individuals participating in federally administered health insurance exchanges. The Supreme Court has decided to weigh in on this issue in King v. Burwell. This report provides background on provisions of ACA relevant to this issue. It then answers questions concerning the legal challenge… more
Date: December 19, 2014
Creator: Staman, Jennifer A.; Lunder, Erika K. & Shedd, Daniel T.
Partner: UNT Libraries Government Documents Department
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Medicare Prescription Drug and Reform Legislation

Description: This report describes the major features of S. 1, as ordered reported, and the measure to be considered by the House Ways and Means Committee, H.R. 2473, as ordered reported.
Date: June 19, 2003
Creator: O'Sullivan, Jennifer; Chaikind, Hinda Ripps; Tilson, Sibyl L.; Boulanger, Jennifer & Morgan, Paulette C.
Partner: UNT Libraries Government Documents Department
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