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 Decade: 2010-2019
 Year: 2014
 Collection: Congressional Research Service Reports
The ACA Medicaid Expansion

The ACA Medicaid Expansion

Date: December 30, 2014
Creator: Mitchell, Alison
Description: This report provides an overview of the ACA Medicaid expansion, and the impact of the Supreme Court decision on the ACA Medicaid expansion. Then, the report describes who is covered under the expansion, the expansion rules, and how the expansion is financed. In addition, enrollment and expenditure estimates for the ACA Medicaid expansion are provided. Finally, the report reviews state decisions whether or not to implement the ACA Medicaid expansion, and the implications of those decisions on certain individuals, employers, and hospitals.
Contributing Partner: UNT Libraries Government Documents Department
Discretionary Spending Under the Affordable Care Act (ACA)

Discretionary Spending Under the Affordable Care Act (ACA)

Date: October 28, 2014
Creator: Redhead, C. Stephen; Colello, Kirsten J.; Heisler, Elayne J.; Lister, Sarah A. & Sarata, Amanda K.
Description: The Patient Protection and Affordable Care Act (Affordable Care Act, or ACA) reauthorized funding for numerous existing discretionary grant programs administered by the Department of Health and Human Services (HHS). The ACA also created many new discretionary grant programs and provided for each an authorization of appropriations. Generally, the law authorized (or reauthorized) appropriations through FY2014 or FY2015. This report summarizes all the discretionary spending provisions in the ACA.
Contributing Partner: UNT Libraries Government Documents Department
A Federal Pause in Potentially Risky Influenza Research

A Federal Pause in Potentially Risky Influenza Research

Date: November 24, 2014
Creator: Shea, Dana A.
Description: This report briefly discusses a recently implemented federal research moratorium that has highlighted concerns about the general appropriateness of research on biological pathogens and the sufficiency of certain biosecurity efforts.
Contributing Partner: UNT Libraries Government Documents Department
Appropriations and Fund Transfers in the Affordable Care Act (ACA)

Appropriations and Fund Transfers in the Affordable Care Act (ACA)

Date: August 1, 2014
Creator: Redhead, C. S.
Description: This report summarizes all the mandatory appropriations and Medicare trust fund transfers in the Affordable Care Act (ACA) and provides details on the status of obligation of these funds. The information is presented in two tables. The report also includes a brief discussion of the impact that sequestration is having on ACA mandatory spending.
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Medicare Primer

Medicare Primer

Date: September 10, 2014
Creator: Davis, Patricia A.; Talaga, Scott R.; Binder, Cliff; Hahn, Jim; Morgan, Paulette C.; Mulvey, Janemarie et al.
Description: This report provides an overview of Medicare, the nation's federal insurance program, which pays for covered health care services of qualified beneficiaries.
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The Affordable Care Act and Small Business: Economic Issues

The Affordable Care Act and Small Business: Economic Issues

Date: February 25, 2014
Creator: Lowry, Sean & Gravelle, Jane G.
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 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).
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Treating Ebola Patients in the United States: Health Care Delivery Implications

Treating Ebola Patients in the United States: Health Care Delivery Implications

Date: November 4, 2014
Creator: Sarata, Amanda K.
Description: This report discusses the recent response to Ebola patients in the United States. While the U.S. health care system has the resources to effectively identify and treat Ebola cases, a situation that is novel, emergent, and resource-intensive may test the system's ability to effectively mobilize those resources.
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Congress Faces Calls to Address Expiring ACA Appropriations

Congress Faces Calls to Address Expiring ACA Appropriations

Date: November 25, 2014
Creator: Redhead, C. Stephen & Heisler, Elayne J.
Description: This report discusses the Affordable Care Act (ACA), enacted in March 2010, which appropriated billions of dollars of mandatory funds to support grant programs and other activities authorized by the law.
Contributing Partner: UNT Libraries Government Documents Department
Beverage Industry Pledges to Reduce Americans' Drink Calories

Beverage Industry Pledges to Reduce Americans' Drink Calories

Date: October 6, 2014
Creator: Dabrowska, Agata
Description: This report briefly covers recent initiatives by leading beverage companies to curb the obesity epidemic.
Contributing Partner: UNT Libraries Government Documents Department
Ebola: Selected Legal Issues

Ebola: Selected Legal Issues

Date: December 16, 2014
Creator: Cole, Jared P.; Perry, Rodney M.; Dolan, Alissa M.; Shimabukuro, Jon O.; Garcia, Michael J.; Smith, Jane M. et al.
Description: Several West African countries are currently grappling with an unprecedented outbreak of Ebola virus disease (EVD). Here in the United States, where Ebola is not endemic, a handful of EVD cases have been diagnosed, and domestic transmission of the virus has occurred in only two cases to date. This report provides a brief overview of selected legal issues regarding measures to prevent transmission of Ebola virus and the civil rights of individuals affected by the disease.
Contributing Partner: UNT Libraries Government Documents Department
Medicare Home Health Benefit Primer: Benefit Basics and Issues

Medicare Home Health Benefit Primer: Benefit Basics and Issues

Date: February 6, 2014
Creator: Talaga, Scott R.
Description: This report describes home health eligibility criteria, home health services, characteristics of Medicare beneficiaries who use home health services, and home health providers. Further, this report describes in detail the Medicare home health prospective payment system (HH PPS), provides an overview of Medicare home health payments, and discusses issues for Congress related to the Medicare home health benefit.
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Contractors and HealthCare.gov: Answers to Frequently Asked Questions

Contractors and HealthCare.gov: Answers to Frequently Asked Questions

Date: January 24, 2014
Creator: Manuel, Kate M.; Murrill, Brandon J. & Perry, Rodney M.
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.
Contributing Partner: UNT Libraries Government Documents Department
Overview of Health Care Changes in the FY2015 House Budget

Overview of Health Care Changes in the FY2015 House Budget

Date: April 16, 2014
Creator: Davis, Patricia A.; Mitchell, Alison & Fernandez, Bernadette
Description: This report summarizes the proposed changes to Medicare, Medicaid, and private health insurance as described in H.Con.Res. 96 and accompanying documents, including the committee report and Chairman Ryan's Path to Prosperity report.
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Private Health Insurance Market Reforms in the Affordable Care Act (ACA)

Private Health Insurance Market Reforms in the Affordable Care Act (ACA)

Date: May 6, 2014
Creator: Mach, Annie L. & Fernandez, Bernadette
Description: This report provides background information about the private health insurance market, including market segments and regulation. It then describes each Affordable Care Act (ACA) market reform.
Contributing Partner: UNT Libraries Government Documents Department
Preventing the Introduction and Spread of Ebola in the United States: Frequently Asked Questions

Preventing the Introduction and Spread of Ebola in the United States: Frequently Asked Questions

Date: December 5, 2014
Creator: Lister, Sarah A.
Description: This report answers common legal and policy questions about the potential introduction and spread of Ebola Virus Disease in the United States.
Contributing Partner: UNT Libraries Government Documents Department
U.S. and International Health Responses to the Ebola Outbreak in West Africa

U.S. and International Health Responses to the Ebola Outbreak in West Africa

Date: October 29, 2014
Creator: Salaam-Blyther, Tiaji
Description: In March 2014, an Ebola Virus Disease (EVD) outbreak was reported in Guinea, West Africa. The outbreak is the first in West Africa and has caused an unprecedented number of cases and deaths. The outbreak is continuing to spread in Guinea, Sierra Leone, and Liberia (the "affected countries"); it has been contained in Nigeria and Senegal, and has been detected in Mali. As of October 22, 2014, more than 10,000 people have contracted EVD, more than half of whom have died. This report focuses on the health impacts of the outbreak and discusses U.S. and international responses to those health challenges.
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Hospital-Based Emergency Departments: Background and Policy Considerations

Hospital-Based Emergency Departments: Background and Policy Considerations

Date: December 8, 2014
Creator: Heisler, Elayne J. & Tyler, Nancy Leigh
Description: This report describes Emergency departments (EDs), the role they play in the health care delivery system, and current federal involvement in supporting EDs. It then discusses the causes and consequences of three commonly identified and interrelated challenges that EDs face: (1) crowding, (2) providing repeat care to a subset of patients who are frequent users, and (3) providing care to a large population who have behavioral health conditions when an ED lacks the appropriate resources to provide such treatment. The report concludes with policy options that Congress may consider to potentially improve ED functioning and reduce payer costs.
Contributing Partner: UNT Libraries Government Documents Department
Private Health Insurance Market Reforms in the Affordable Care Act (ACA)

Private Health Insurance Market Reforms in the Affordable Care Act (ACA)

Date: March 13, 2014
Creator: Mach, Annie L. & Fernandez, Bernadette
Description: This report provides background information about the private health insurance market, including market segments and regulation. It then describes each Affordable Care Act (ACA) market reform.
Contributing Partner: UNT Libraries Government Documents Department
Patient Protection and Affordable Care Act (ACA): Resources for Frequently Asked Questions

Patient Protection and Affordable Care Act (ACA): Resources for Frequently Asked Questions

Date: March 7, 2014
Creator: Napili, Angela
Description: The report provides basic consumer sources, including broad overviews of the Affordable Care Act (ACA) law, and resources related to specific provisions. It also has links to contacts for specific questions (including websites, hotlines, and online chat assistance).
Contributing Partner: UNT Libraries Government Documents Department
Medical Loss Ratio Requirements Under the Patient Protection and Affordable Care Act (ACA): Issues for Congress

Medical Loss Ratio Requirements Under the Patient Protection and Affordable Care Act (ACA): Issues for Congress

Date: August 26, 2014
Creator: Kirchhoff, Suzanne M.
Description: This report provides a detailed description of the Patient Protection and Affordable Care Act (ACA, P.L. 111-148) requirements for Medical Loss Ratio (MLR) reporting and rebates as specified in regulations, including components of the MLR formula, state flexibility and waivers, and the nature of rebates to policyholders. The report also addresses issues that have been raised about the MLR provisions since the ACA was enacted, namely the treatment of insurance commissions paid to brokers and agents.
Contributing Partner: UNT Libraries Government Documents Department
Summary Cost Data for Federally-Facilitated Exchanges, 2014

Summary Cost Data for Federally-Facilitated Exchanges, 2014

Date: August 8, 2014
Creator: Fernandez, Bernadette & Mach, Annie L.
Description: This report provides fact sheets for Federally-Facilitated exchanges offering individual plans.
Contributing Partner: UNT Libraries Government Documents Department
TRICARE and VA Health Care: Impact of the Patient Protection and Affordable Care Act (ACA)

TRICARE and VA Health Care: Impact of the Patient Protection and Affordable Care Act (ACA)

Date: February 11, 2014
Creator: Panangala, Sidath Viranga & Jansen, Don J.
Description: This report addresses key questions concerning how the Patient Protection and Affordable Care Act (ACA) affects TRICARE and VA health care.
Contributing Partner: UNT Libraries Government Documents Department
Medicare: Insolvency Projections

Medicare: Insolvency Projections

Date: September 19, 2014
Creator: Davis, Patricia A.
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.
Contributing Partner: UNT Libraries Government Documents Department
Private Health Insurance Market Reforms in the Affordable Care Act (ACA)

Private Health Insurance Market Reforms in the Affordable Care Act (ACA)

Date: July 24, 2014
Creator: Mach, Annie L. & Fernandez, Bernadette
Description: This report provides background information about the private health insurance market, including market segments and regulation. It then describes each Affordable Care Act (ACA) market reform.
Contributing Partner: UNT Libraries Government Documents Department
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