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

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.
Date: August 1, 2014
Creator: Redhead, C. 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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Federal Employees Health Benefits Program (FEHBP): Available Health Insurance Options

Description: 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.
Date: February 13, 2013
Creator: Mach, Annie L.
Partner: UNT Libraries Government Documents Department
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Medical Loss Ratio Requirements Under the Patient Protection and Affordable Care Act (ACA): Issues for Congress

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 age… more
Date: August 26, 2014
Creator: Kirchhoff, Suzanne M.
Partner: UNT Libraries Government Documents Department
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The Independent Payment Advisory Board

Description: This report, which provides an overview of the Payment Advisory Board, begins with a discussion of the rationale behind the creation of an independent Medicare board and briefly reviews prior proposals for similar boards and commissions. The report then describes the structure of the Board, the calculations and determinations required to be made by the Office of the Chief Actuary (the Chief Actuary) in the Centers for Medicare & Medicaid Services (CMS) that trigger a Board proposal, and the con… more
Date: April 17, 2013
Creator: Hahn, Jim & Davis, Christopher M.
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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Individual Mandate Under ACA

Description: 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.
Date: August 12, 2014
Creator: Mach, Annie L.
Partner: UNT Libraries Government Documents Department
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Individual Mandate Under ACA

Description: 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.
Date: May 5, 2014
Creator: Mach, Annie L.
Partner: UNT Libraries Government Documents Department
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Overview of Health Care Changes in the FY2015 House Budget

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.
Date: April 16, 2014
Creator: Davis, Patricia A.; Mitchell, Alison & Fernandez, Bernadette
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 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: February 25, 2014
Creator: Lowry, Sean & Gravelle, Jane G.
Partner: UNT Libraries Government Documents Department
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Individual Mandate Under ACA

Description: 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.
Date: March 6, 2014
Creator: Mach, Annie L.
Partner: UNT Libraries Government Documents Department
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Medical Child Support: Background and Current Policy

Description: This report describes current federal policy with respect to medical child support. It also examines the potential impact of the Affordable Care Act (ACA) on the Child Support Enforcement (CSE) program. It provides a legislative history of medical support provisions in the CSE program and state data on the medical support coverage of children in the CSE program.
Date: December 18, 2013
Creator: Solomon-Fears, Carmen
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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Federal Employees Health Benefits Program (FEHBP): Available Health Insurance Options

Description: 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.
Date: November 13, 2013
Creator: Mach, Annie L. & 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: July 24, 2013
Creator: Jansen, Don J. & Blakeley, Katherine
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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NFIB v. Sebelius: Constitutionality of the Individual Mandate

Description: Report that provides an overview of the Court's holding with respect to the individual mandate of the Patient Protection and Affordable Care Act (ACA) under the Commerce Clause and the Taxing Power. It also addresses possible implications of the decision on existing federal law and future legislation.
Date: September 3, 2012
Creator: Lunder, Erika K. & Staman, Jennifer
Partner: UNT Libraries Government Documents Department
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Public Health, Workforce, Quality, and Related Provisions in ACA: Summary and Timeline

Description: Report containing reference material regarding the Affordable Care Act (ACA) individual provisions at the time of enactment. This report -- one in a series of CRS products summarizing ACA that were issued after the law's enactment -- describes the law's workforce, public health, quality, and related provisions.
Date: May 17, 2013
Creator: Redhead, C. S. & Heisler, Elayne 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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