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Individual Mandate Under ACA
This report describes the individual mandate as established under the Affordable Care Act (ACA, P.L. 111-148, as amended). The report also discusses the ACA reporting requirements designed, in part, to assist individuals in providing evidence of having met the mandate.
Federal Employees Health Benefits Program (FEHBP): Available Health Insurance Options
This report discusses the Federal Employees Health Benefits Program (FEHBP), a program administered by the Office of Personnel Management (OPM), which is statutorily given the authority to contract with qualified carriers offering plans and to prescribe regulations necessary to carry out the statute, among other duties.
Autistic Children: Background Information and Legislative Interest
This report discusses children with autism and provides a brief description of autism and its treatments as well as Congressional interest in providing assistance for children with autism.
Individual Mandate Under ACA
Report describing the individual mandate requirements of the Afordable Care Act, as well as penalties for not meeting these requirements and exemptions granted for hardships.
Patient Protection and Managed Care: Legislation in the 106th Congress
No Description Available.
Reaching Low-Income, Uninsured Children: Are Medicaid and SCHIP Doing the Job?
No Description Available.
Managed Health Care: Federal and State Regulation
No Description Available.
Patient Protection and Managed Care: Legislation in the 107th Congress
No Description Available.
Patient Protection and Managed Care: Legislation in the 107th Congress
No Description Available.
Patient Protection and Managed Care: Legislation in the 107th Congress
No Description Available.
A CRS Review of 10 States: Home and Community-Based Services — States Seek to Change the Face of Long-Term Care: Indiana
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 state reports, presents background and analysis about long-term care in Indiana.
Medicaid and the Current State Fiscal Crisis
Medicaid, a health insurance program funded jointly by the federal government and the states, is facing a period of quickly escalating costs at a time when the need (as measured by the number of uninsured) among the population it serves — the lowincome disabled, families and elderly — is rising. The pressures of quickly rising costs and increasing need are driving legislative attention both at the state and federal levels. Between FY2000 and FY2003, the annual growth rate of federal Medicaid expenditures was 11.3%.
Catastrophic Health Insurance: Medicare
Catastrophic medical costs are broadly defined as large unpredictable health care expenses; these are usually associated with a major illness or serious injury. The absence of catastrophic health insurance protection for the elderly is the subject of concern in this report.
Food Safety in the 111th Congress: H.R. 2749 and S. 510
This report discusses whether the current food safety system has the resources, authority, and structural organization to safeguard the health of American consumers, who spend more than $1 trillion on food each year. Also at issue is whether federal food safety laws, first enacted in the early 1900s, have kept pace with the significant changes that have occurred in the food production, processing, and marketing sectors since then.
Food Safety in the 111th Congress: H.R. 2749 and S. 510
This report discusses whether the current food safety system has the resources, authority, and structural organization to safeguard the health of American consumers, who spend more than $1 trillion on food each year. Also at issue is whether federal food safety laws, first enacted in the early 1900s, have kept pace with the significant changes that have occurred in the food production, processing, and marketing sectors since then.
Food Safety in the 111th Congress: H.R. 2749 and S. 510
This report discusses whether the current food safety system has the resources, authority, and structural organization to safeguard the health of American consumers, who spend more than $1 trillion on food each year. Also at issue is whether federal food safety laws, first enacted in the early 1900s, have kept pace with the significant changes that have occurred in the food production, processing, and marketing sectors since then.
Food Safety in the 111th Congress: H.R. 2749 and S. 510
This report discusses whether the current food safety system has the resources, authority, and structural organization to safeguard the health of American consumers, who spend more than $1 trillion on food each year. Also at issue is whether federal food safety laws, first enacted in the early 1900s, have kept pace with the significant changes that have occurred in the food production, processing, and marketing sectors since then.
Food Safety in the 111th Congress
This report discusses whether the current food safety system has the resources, authority, and structural organization to safeguard the health of American consumers, who spend more than $1 trillion on food each year. Also at issue is whether federal food safety laws, first enacted in the early 1900s, have kept pace with the significant changes that have occurred in the food production, processing, and marketing sectors since then.
The 2009 Influenza Pandemic: An Overview
This report first provides a synopsis of key events, actions taken, and authorities invoked by WHO, the U.S. federal government, and state and local governments. It then discusses the WHO process to determine the phase of a flu pandemic, and selected actions taken by the Departments of Homeland Security and Health and Human Services, and by state and local authorities. Next, it lists congressional hearings held to date, and provides information about appropriations and funding for pandemic flu activities. Finally, it summarizes U.S. government pandemic flu planning documents and lists sources for additional information about the situation as it unfolds.
Health Insurance Coverage of Children, 2003
In 2003, 9.1 million children went without health insurance in the U.S. This was not significantly different than in 2002. However, for the third year in a row, the number of children covered by employment-based health insurance dropped but was more than offset by the increase in public coverage. This report provides an overview of the health insurance coverage of children in 2003.
Health Insurance Premium Credits in the Patient Protection and Affordable Care Act (ACA)
This report describes the eligibility criteria applicable to the premium tax credits and cost-sharing subsidies, and the calculation method for the credit and subsidy amounts. It also highlights selected issues addressed in the final regulation on premium credits.
AIDS: The Ryan White CARE Act
This report discusses the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act, which makes federal funds available to metropolitan areas and states to assist in health care costs and support services for individuals and families affected by the human immunodeficiency virus (HIV) or acquired immune deficiency syndrome (AIDS). This report discusses related legislation and appropriations.
Health Care-Related Expiring Provisions, First Session of the 114th Congress
This report provides a list of selected health-related programs and activities under specified titles of the Social Security Act (SSA).
The U.S. Mental Health Delivery System Infrastructure: A Primer
This report begins with a historical perspective on delivery of mental health care services. Next, it describes the health care delivery system within which mental health care is currently provided and presents the various mechanisms that finance the current system. In describing the mental health system, this report considers three aspects: Who provides care? Where is the care provided? Who pays for the care? Finally, this report analyzes the barriers to receiving mental health treatment and workforce training issues, and presents possible options for Congress to address these barriers.
Association Health Plans: Legislation in the 109th Congress
An estimated 41.2 million people were without health insurance in 2001. Legislation under consideration by the 108th and earlier Congresses is intended to assist small employers in offering health insurance as a benefit to their workers. A new bill, H.R. 4281, introduced on May 5, 2004, The Small Business Health Fairness Act of 2003 (H.R. 6601s. 545), and a number of bills from the earlier Congresses include provisions creating new groups for small firms to join or encouraging the growth of existing groups so that small employers can band together to offer coverage to their employees. Opponents of the AHP approach raise concerns that unintended negative consequences would arise, negating the benefits that the new groups would create. While the proposed AHPs are not likely to immediately undermine the small group market, they are likely to require additional features to significantly expand insurance coverage among the uninsured.
Association Health Plans, Health Marts and the Small Group Market for Health Insurance
An estimated 41.2 million people were without health insurance in 2001. Legislation under consideration by the 108th and earlier Congresses is intended to assist small employers in offering health insurance as a benefit to their workers. A new bill, H.R. 4281, introduced on May 5, 2004, The Small Business Health Fairness Act of 2003 (H.R. 6601s. 545), and a number of bills from the earlier Congresses include provisions creating new groups for small firms to join or encouraging the growth of existing groups so that small employers can band together to offer coverage to their employees.
Association Health Plans, Health Marts and the Small Group Market for Health Insurance
An estimated 41.2 million people were without health insurance in 2001. Legislation under consideration by the 108th and earlier Congresses is intended to assist small employers in offering health insurance as a benefit to their workers. A new bill, H.R. 4281, introduced on May 5, 2004, The Small Business Health Fairness Act of 2003 (H.R. 6601s. 545), and a number of bills from the earlier Congresses include provisions creating new groups for small firms to join or encouraging the growth of existing groups so that small employers can band together to offer coverage to their employees.
Association Health Plans, Health Marts and the Small Group Market for Health Insurance
An estimated 41.2 million people were without health insurance in 2001. Legislation under consideration by the 108th and earlier Congresses is intended to assist small employers in offering health insurance as a benefit to their workers. A new bill, H.R. 4281, introduced on May 5, 2004, The Small Business Health Fairness Act of 2003 (H.R. 6601s. 545), and a number of bills from the earlier Congresses include provisions creating new groups for small firms to join or encouraging the growth of existing groups so that small employers can band together to offer coverage to their employees.
Association Health Plans, Health Marts and the Small Group Market for Health Insurance
An estimated 41.2 million people were without health insurance in 2001. Legislation under consideration by the 108th and earlier Congresses is intended to assist small employers in offering health insurance as a benefit to their workers. A new bill, H.R. 4281, introduced on May 5, 2004, The Small Business Health Fairness Act of 2003 (H.R. 6601s. 545), and a number of bills from the earlier Congresses include provisions creating new groups for small firms to join or encouraging the growth of existing groups so that small employers can band together to offer coverage to their employees.
Budget Reconciliation: Projections of Funding in the State Children's Health Insurance Program (SCHIP)
In FY2005, six states faced the prospect of running out of federal funds in the State Children’s Health Insurance Program (SCHIP). This was the first time since the program’s creation in 1997 that multiple states faced such a shortfall. The shortfalls were avoided by the redistribution of funds from other states’ original SCHIP allotments that had not been spent by the end of the three-year period of availability. To address this, the reconciliation proposal approved by the Senate Finance Committee would reduce the period of availability for original allotments from three years to two.
Budget Reconciliation FY2006: Medicaid, Medicare, and State Children's Health Insurance Program (SCHIP) Provisions
This is one report in the series of reports that discus the Budget Reconciliation- Medicaid, Medicare, and SCHIP Provisions. These are some of the issues discussed in this report: Medicaid Outpatient Prescription Drugs, Long-Term Care under Medicaid, Fraud, Waste, and Abuse, State Financing and Medicaid, Improving the Medicaid and State Children’s Health Insurance Programs, Medicare Advantage, and other Medicare Provisions.
Budget Reconciliation FY2006: Medicaid, Medicare, and State Children's Health Insurance Program (SCHIP) Provisions
This is one report in the series of reports that discus the Budget Reconciliation- Medicaid, Medicare, and SCHIP Provisions. These are some of the issues discussed in this report: Medicaid Outpatient Prescription Drugs, Long-Term Care under Medicaid, Fraud, Waste, and Abuse, State Financing and Medicaid, Improving the Medicaid and State Children’s Health Insurance Programs, Medicare Advantage, and other Medicare Provisions.
Hurricane Katrina: The Public Health and Medical Response
Hurricane Katrina struck the Gulf Coast in late August 2005, causing catastrophic wind damage and flooding in several states, and a massive dislocation of victims across the country. The storm is one of the worst natural disasters in the nation’s history. Early estimates are that hundreds of people were killed and about one million displaced.
Handicapped Infants: The Final Section 504 Regulation and Legislative Proposals
This report discusses the final rule regarding handicapped infants published in the Federal register by HHS on January 12, 1984. Legislative action in response to the Infant Doe issue is also discussed.
The Tax Exclusion for Employer-Provided Health Insurance: Policy Issues Regarding the Repeal Debate
Employer-provided health insurance is excluded from the determination of employees' federal income taxes, resulting in significant tax savings for many workers. The federal income tax exclusion -- the focus of this report -- is criticized for several reasons. These arguments about the exclusion merit careful consideration as Congress is starting to debate broad health care reform for the first time in 15 years. This report discusses this issue at length, including advantages and disadvantages to keeping the income tax inclusion as Congress undergoes the health policy reform process.
Cigarette Taxes to Fund Health Care Reform: An Economic Analysis
A cigarette excise tax increase of 75 cents per pack has been proposed to finance part of the President's universal health care program. The tax enjoys considerable public support, would raise about $11 billion per year, and would be relatively simple to administer because it would increase an existing manufacturer's excise tax. This report discusses these rationales, as well as other effects of and concerns about the tax, organized into topics of market failure as a justification for the tax (i.e., economic efficiency); potential for revenue; equity; and the job loss the tax might cause in tobacco growing regions.
AIDS: Ryan White CARE Act
This report discusses the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act, which makes federal funds available to metropolitan areas and states to assist in health care costs and support services for individuals and families affected by the human immunodeficiency virus (HIV) or acquired immune deficiency syndrome (AIDS). This report discusses related legislation and appropriations.
Health Care for Rural Veterans: The Example of Federally Qualified Health Centers
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.
End-of-Life Care: Services, Costs, Ethics, and Quality of Care
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.
H.R. 6: The 21st Century Cures Act
Report about H.R. 6, the 21st Century Cures Act, which would reauthorize the National Institutes of Health (NIH) through FY2018 and provide other funding to the agency through FY2020.
Health Insurance: Uninsured by State, 2001
An estimated 14.6% of the U.S. populations lacked health insurance coverage in 2001, up from 14% in 2000. When examined by state, estimates of the percent uninsured ranged from a low of 7.5% in Iowa to a high of 23.5% in Texas. Generally, states in the Midwest and New England have lower rates of uninsured, while states in the Southwestern and Southern portion of the nation have higher shares of their populations without coverage.
Medicare Prescription Drug and Reform Legislation
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.
Overview of the Medicare Prescription Drug and Reform Legislation
No Description Available.
Medicare Prescription Drug Provisions of S.1, as Passed by the Senate, and H.R. 1, as Passed by the House
This report discusses differences in the specifics of the prescription drug provisions in S. 1 and H.R. 1 and provides a side-by-side comparison of the Title I provisions of both bills.
Implications of the Medicare Prescription Drug Benefit for State Budgets
No Description Available.
Federal and State Quarantine and Isolation Authority
This report provides an overview of federal and state public health laws as they relate to the quarantine and isolation of individuals, a discussion of constitutional issues that may be raised should individual liberties be restricted in a quarantine situation, and federalism questions that may arise where federal and state authorities overlap. In addition, the possible role of the armed forces in enforcing public health measures is discussed, specifically whether the Posse Comitatus Act would constrain any military role, and other statutory authorities that may be used for the military enforcement of health measures.
Social Security and Medicare Taxes and Premiums: Fact Sheet
Financing for social security -- Old Age, Survivors, and Disability Insurance -- and the Hospital Insurance part of Medicare is provided primarily by taxes levied on wages and net self-employment income. Financing for the Supplementary Medical Insurance portion of Medicare is provided by premiums from enrollees and payments from the government. This report describes these taxes and premiums.
Olmstead v. L.C.: Implications and Subsequent Judicial, Administrative, and Legislative Actions
This report will discuss the Supreme Court's decision, subsequent lower court decisions, the Health Care Financing Administration (HCFA) letter, and selected legislation.
Health Insurance Coverage of Children, 2007
Based on data from the Census Bureau's Current Population Survey, 8.9 million children under age 19 were uninsured in 2007, a statistically significant decline compared to 9.4 million in 2006. This report provides an overview of the health insurance coverage of children in 2007.
An Introduction to Health Insurance: What Should a Consumer Know?
This report provides an overview of private-sector (as opposed to government-provided) health insurance. It serves as an introduction to health insurance from the point of view of many consumers under the age of 65. No background in health insurance is assumed, and all terms are defined in the body of the report.
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