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Beneficiary Information and Decision Supports for the Medicare-Endorsed Prescription Drug Discount Card

Description: On December 8, 2003 the President signed into law the Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA, P.L. 108-173). This legislation establishes a Medicare prescription drug benefit, effective January 1, 2006. In the interim, the legislation requires the Department of Health and Human Services (HHS) to establish a temporary program of Medicare-endorsed prescription drug discount cards. This report discusses the objectives and benefits of this legislation.
Date: March 24, 2005
Creator: Justice, Diane
Partner: UNT Libraries Government Documents Department
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Benefits for the Aged and the Federal Budget: Short- and Long-Term Projections

Description: As the 108th Congress addresses short-term budget decisions, it may also want to consider the long-run impacts of those decisions and the major shifts in budget composition that are underway. Congress may be pressed to add new benefits in response to population aging, such as improved support for long-term care and broader Medicare drug coverage.
Date: November 14, 2002
Creator: Storey, James R.
Partner: UNT Libraries Government Documents Department
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Civil Service Retirement Bills in the 106th Congress

Description: Among the civil service retirement issues addressed in bills introduced thus far in the 106th Congress are the correction of retirement coverage errors for federal employees assigned to the wrong retirement system; immediate eligibility for federal employees to participate in the Thrift Savings Plan (TSP); improved portability of pension benefits; and repeal of the temporary increase in employee retirement contributions that was mandated by the Balanced Budget Act of 1997. Other bills would exp… more
Date: June 28, 2000
Creator: Purcell, Patrick J.
Partner: UNT Libraries Government Documents Department
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Concurrent Receipt: Background and Issues for Congress

Description: "Concurrent Receipt" refers to the simultaneous receipt of two types of monetary benefits: military retired pay and Department of Veterans Affairs (VA) disability compensation. This report addresses the two primary components of the concurrent receipt program: Combat-Related Special Compensation (CRSC) and Concurrent Retirement and Disability Payments (CRDP). It reviews the possible legislative expansion of the program to additional populations and provide several potential options for Congress… more
Date: September 24, 2010
Creator: Henning, Charles A.
Partner: UNT Libraries Government Documents Department
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Converting Retirement Savings into Income: Annuities and Periodic Withdrawals

Description: To a worker contemplating retirement, there is perhaps no more important question than "How long will my money last?" Congress has a strong interest in the income security of older Americans because much of their income is either provided directly from public programs like Social Security, or in the case of pensions and retirement accounts, is subsidized through tax deductions and deferrals. This report discusses risks involved with retirement fund disbursement and strategies for dealing with s… more
Date: December 1, 2008
Creator: Mulvey, Janemarie & Purcell, Patrick
Partner: UNT Libraries Government Documents Department
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Converting Retirement Savings into Income: Annuities and Periodic Withdrawals

Description: To a worker contemplating retirement, there is perhaps no more important question than "How long will my money last?" Congress has a strong interest in the income security of older Americans because much of their income is either provided directly from public programs like Social Security, or in the case of pensions and retirement accounts, is subsidized through tax deductions and deferrals. This report looks at strategies to help deal with the following risks: longevity, investment, inflation,… more
Date: December 1, 2008
Creator: Mulvey, Janemarie & Purcell, Patrick
Partner: UNT Libraries Government Documents Department
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The Cost of Prescription Drugs for the Uninsured Elderly and Legislative Approaches

Description: The purpose of this report is to explain why many of those who are least able to afford high drug costs are those who are most frequently charged the most. This report describes the basic economic theory underlying price differentiation and, in the context of the pharmaceutical market, analyzes the role and behavior of pharmacy benefit managers (PBMs), pharmaceutical manufacturers, and retail pharmacies, respectively. It also looks at a number of the criticisms that have been made of the practi… more
Date: January 16, 2001
Creator: Library of Congress. Congressional Research Service. Resources, Science, and Industry Division.
Partner: UNT Libraries Government Documents Department
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A CRS Review of 10 States: Home and Community-Based Services — States Seek to Change the Face of Long-Term Care: Indiana

Description: Many states have devoted significant efforts to respond to the desire for home and community-based care for persons with disabilities and their families. Nevertheless, financing of nursing home care, chiefly by Medicaid, still dominates most states’ spending for long-term care today. To assist Congress in understanding issues that states face in providing long-term care services, the Congressional Research Service (CRS) undertook a study of 10 states in 2002. This report, one in a series of 10 … more
Date: December 15, 2003
Creator: Tilly, Jane; O'Shaughnessy, Carol & Weissert, Rob
Partner: UNT Libraries Government Documents Department
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End-of-Life Care: Services, Costs, Ethics, and Quality of Care

Description: This report provides information on various aspects of end-of-life care: (1) demographic and historical changes affecting death and dying in the United States (2) the definitions of end-of-life, palliative, and hospice care (3) costs associated with end-of-life care (4) end-of-life care laws and ethics (5) quality of care at the end of life and (6) policy issues that would modify or expand the federal government's role in addressing end-of-life care.
Date: February 23, 2009
Creator: Colello, Kirsten J.; Mulvey, Janemarie; Sarata, Amanda K.; Williams, Erin D. & Thomas, Kenneth R.
Partner: UNT Libraries Government Documents Department
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Factors Affecting the Demand for Long-Term Care Insurance: Issues for Congress

Description: This report will discuss the role of long-term care insurance (LTCI) in financing long term care (LTC) costs and current trends in the LTCI industry; factors affecting the demand for LTCI, including cost and complexity of the product and adequacy of consumer protections; and key features of legislative proposals in the 111th Congress to address these issues.
Date: May 27, 2009
Creator: Mulvey, Janemarie
Partner: UNT Libraries Government Documents Department
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Federal Spending for Older Americans

Description: This report discusses the share of the federal budget devoted to older Americans, which is growing. The federal government currently spends more than one-third of its budget on benefits and programs for older Americans. For people age 65 and over, estimated FY2007 spending for Social Security, Medicare, and Medicaid alone is $833 billion. Spending for retired federal employees and military personnel and for veterans is also significant, and smaller programs add to the total as well. Tax expendi… more
Date: January 25, 2007
Creator: Grady, April & Klunk, William J.
Partner: UNT Libraries Government Documents Department
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Income and Poverty Among Older Americans in 2007

Description: This report describes the income and poverty status of the 36.8 million Americans age 65 and older who were living in households in 2007. The report also describes how the proportion of total income received from each source differs between high-income individuals and households and low-income individuals and households.
Date: October 3, 2008
Creator: Purcell, Patrick
Partner: UNT Libraries Government Documents Department
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Income and Poverty Among Older Americans in 2008

Description: This report describes the sources and amounts of income received by the 37.8 million Americans aged 65 and older who lived in non-institutional settings in 2008. The report also describes how the proportion of total income received from each source differs between high-income individuals and households and low-income individuals and households.
Date: October 2, 2009
Creator: Purcell, Patrick
Partner: UNT Libraries Government Documents Department
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Increases in Tricare Costs: Background and Options for Congress

Description: This report discusses budgetary matters for the U.S. Department of Defense (DOD), specifically regarding past instances of debate regarding the Tricare system. The dollar amounts allocated to health care in the budget of the DOD have more than doubled since FY2001, growing from about $17 billion to over $44.8 billion in FY2009.
Date: May 14, 2009
Creator: Jansen, Don J.
Partner: UNT Libraries Government Documents Department
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Increases in Tricare Costs: Background and Options for Congress

Description: In its FY2007, FY2008, and FY2009 budget submissions, the Department of Defense (DOD) proposed increases in Tricare enrollment fees, deductibles, and pharmacy co-payments for retired beneficiaries not yet eligible for Medicare. In passing the FY2009 National Defense Authorization Act, Congress included measures establishing demonstration projects intended to find ways to contain costs through increased use of preventive care services by TRICARE beneficiaries. The scope of these measures are lim… more
Date: August 15, 2008
Creator: Jansen, Don J. & Best, Richard
Partner: UNT Libraries Government Documents Department
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Increases in Tricare Costs: Background and Options for Congress

Description: In its FY2007, FY2008, and FY2009 budget submissions, the Department of Defense (DOD) proposed increases in Tricare enrollment fees, deductibles, and pharmacy co-payments for retired beneficiaries not yet eligible for Medicare. In passing the FY2009 National Defense Authorization Act, Congress included measures establishing demonstration projects intended to find ways to contain costs through increased use of preventive care services by TRICARE beneficiaries. The scope of these measures are lim… more
Date: July 25, 2008
Creator: Jansen, Don J.
Partner: UNT Libraries Government Documents Department
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Increases in Tricare Costs: Background and Options for Congress

Description: In its FY2007 budget submission, the Department of Defense (DOD) proposed increases in Tricare enrollment fees, deductibles, and pharmacy co-payments for retired beneficiaries not yet eligible for Medicare. The raises were justified by DOD as necessary to constrain the growth of health care spending as a proportion of the overall defense budget in the next decade. Many beneficiaries argued that the proposed hikes were unfair and unnecessary. The FY2007 Defense Authorization Act prohibited incre… more
Date: May 6, 2008
Creator: Best, Richard A., Jr.
Partner: UNT Libraries Government Documents Department
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Increases in Tricare Costs: Background and Options for Congress

Description: In its FY2007, FY2008, and FY2009 budget submissions, the Department of Defense (DOD) proposed increases in Tricare enrollment fees, deductibles, and pharmacy co-payments for retired beneficiaries not yet eligible for Medicare. In passing the FY2009 National Defense Authorization Act, Congress included measures establishing demonstration projects intended to find ways to contain costs through increased use of preventive care services by TRICARE beneficiaries. The scope of these measures are lim… more
Date: October 23, 2008
Creator: Jansen, Don J.
Partner: UNT Libraries Government Documents Department
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The LIHEAP Formula: Legislative History and Current Law

Description: This Congressional Research Service Report for Congress contains information about the Low Income Home Energy Assistance Program (LIHEAP). LIHEAP provides funds to states, the District of Colombia, U.S territories and commonwealths, and Indian tribal organizations (collectively referred to as grantees) primary to help low-income households pay home energy expenses.
Date: September 8, 2010
Creator: Peral, Libby
Partner: UNT Libraries Government Documents Department
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