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 Decade: 2010-2019
 Collection: Congressional Research Service Reports
Summary Cost Data for Health Plans Available in Maine's Exchange, 2014: Fact Sheet

Summary Cost Data for Health Plans Available in Maine's Exchange, 2014: Fact Sheet

Date: May 1, 2014
Creator: Elan, Nicholas; Fernandez, Bernadette & Mach, Annie L.
Description: This report discusses the Patient Protection and Affordable Care Act (ACA, P.L. 111-148, as amended) that contains a number of provisions that may affect the individual health insurance market.
Contributing Partner: UNT Libraries Government Documents Department
Zika Response Funding: Request and Congressional Action

Zika Response Funding: Request and Congressional Action

Date: May 20, 2016
Creator: Epstein, Susan B. & Lister, Sarah A.
Description: This report presents the Administration's request for supplemental appropriations for the Zika response. It includes sections outlining Congressional actions, the emergency supplemental appropriations request for Zika response efforts -- by both U.S. health and human services agencies and international assistance programs -- and information about unobligated Ebola response funds.
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Self-Insured Health Insurance Coverage

Self-Insured Health Insurance Coverage

Date: June 25, 2010
Creator: Fernandez, Bernadette
Description: This report provides background information on private health insurance coverage, state and federal regulation of private coverage, and self-insured health plans. It includes data on the prevalence of self-insurance and discusses the employer decision to self-insure. Lastly, it describes selected private health insurance provisions under federal health reform, and application of such provisions on self-insured plans.
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Eligibility and Determination of Health Insurance Premium Tax Credits and Cost-Sharing Subsidies: In Brief

Eligibility and Determination of Health Insurance Premium Tax Credits and Cost-Sharing Subsidies: In Brief

Date: March 23, 2016
Creator: Fernandez, Bernadette
Description: Certain individuals without access to subsidized health insurance coverage may be eligible for premium tax credits, as established under the Patient Protection and Affordable Care Act (ACA; P.L. 111-148, as amended). This report examines these tax credits and their eligibility requirements, as well as cost-sharing subsidies.
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Health Coverage Tax Credit

Health Coverage Tax Credit

Date: April 2, 2015
Creator: Fernandez, Bernadette
Description: The report describes the expired eligibility criteria, as well as the types of health insurance to which the tax credit may have been applied. It discusses past federal and state roles in administering the HCTC program, and it summarizes analyses on the credit's effectiveness in reaching targeted populations and related equity and efficiency issues. In addition, the report includes a short discussion of relevant current law and summarizes statutory history of the HCTC program.
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The Health Coverage Tax Credit (HCTC): In Brief

The Health Coverage Tax Credit (HCTC): In Brief

Date: February 18, 2016
Creator: Fernandez, Bernadette
Description: This report describes the eligibility criteria for the Health Coverage Tax Credit (HCTC) and the types of health insurance to which the tax credit may be applied. The tax credit's purpose is to make the purchase of health insurance more affordable for eligible individuals. The HCTC has a sunset date of January 1, 2020. The report also briefly describes the administration of the HCTC program and receipt of the credit by eligible taxpayers; it concludes with a summary of the HCTC's statutory history.
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Health Insurance Premium Credits in the Patient Protection and Affordable Care Act (ACA)

Health Insurance Premium Credits in the Patient Protection and Affordable Care Act (ACA)

Date: March 12, 2014
Creator: Fernandez, Bernadette
Description: 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.
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Health Insurance Premium Credits in the Patient Protection and Affordable Care Act (ACA) in 2015

Health Insurance Premium Credits in the Patient Protection and Affordable Care Act (ACA) in 2015

Date: March 18, 2015
Creator: Fernandez, Bernadette
Description: 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 and guidance on premium credits and indicates the status of implementation, where relevant data is available.
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Self-Insured Health Insurance Coverage

Self-Insured Health Insurance Coverage

Date: May 12, 2010
Creator: Fernandez, Bernadette
Description: This report provides background information on private health insurance coverage, state and federal regulation of private coverage, and self-insured health plans. It includes data on the prevalence of self-insurance and discusses the employer decision to self-insure. Lastly, it describes selected private health insurance provisions under federal health reform, and application of such provisions on self-insured plans.
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Cancellation of Nongroup Health Insurance Policies

Cancellation of Nongroup Health Insurance Policies

Date: November 19, 2013
Creator: Fernandez, Bernadette & Mach, Annie L.
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.
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Health Insurance Exchanges Under the Patient Protection and Affordable Care Act (ACA)

Health Insurance Exchanges Under the Patient Protection and Affordable Care Act (ACA)

Date: October 10, 2012
Creator: Fernandez, Bernadette & Mach, Annie L.
Description: This report outlines the required minimum functions of state health insurance exchanges and explains how exchanges are expected to be established and administered under the Patient Protection and Affordable Care Act (ACA). The coverage offered through exchanges is discussed, and the report concludes with a discussion of how exchanges will interact with selected other ACA provisions.
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Private Health Plans Under the ACA: In Brief

Private Health Plans Under the ACA: In Brief

Date: September 19, 2013
Creator: Fernandez, Bernadette & Mach, Annie L.
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.
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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.
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Timeline Related to Health Insurance and Exchange Rules: Backdrop to King v. Burwell

Timeline Related to Health Insurance and Exchange Rules: Backdrop to King v. Burwell

Date: June 19, 2015
Creator: Fernandez, Bernadette; Mach, Annie L. & Uberoi, Namrata K.
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.
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Tax Options for Financing Health Care Reform

Tax Options for Financing Health Care Reform

Date: March 2, 2010
Creator: Gravelle, Jane G.
Description: This report reviews the revenue raisers proposed to fund health care reform. Other financing proposals are presented including those made by the Obama Administration and those introduced in earlier congressional work. The final sections discuss other proposals suggested by the round-table discussion participants.
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Health Care-Related Expiring Provisions, First Session of the 114th Congress

Health Care-Related Expiring Provisions, First Session of the 114th Congress

Date: March 25, 2015
Creator: Hahn, Jim
Description: This report provides a list of selected health-related programs and activities under specified titles of the Social Security Act (SSA).
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The Independent Payment Advisory Board

The Independent Payment Advisory Board

Date: April 17, 2013
Creator: Hahn, Jim & Davis, Christopher M.
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 content of and constraints on Board proposals--including the Medicare productivity exemptions under Section 3401 of the The Patient Protection and Affordable Care Act (PPACA).
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The Independent Payment Advisory Board

The Independent Payment Advisory Board

Date: March 12, 2012
Creator: Hahn, Jim & Davis, Christopher M.
Description: In response, in part, to overall growth in Medicare program expenditures and growth in expenditures per Medicare beneficiary, the Patient Protection and Affordable Care Act created the Independent Payment Advisory Board (IPAB, or the Board) and charged the Board with developing proposals to "reduce the per capita rate of growth in Medicare spending." This report discusses the responsibilities and duties.
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Medicare Physician Payment Updates and the Sustainable Growth Rate (SGR) System

Medicare Physician Payment Updates and the Sustainable Growth Rate (SGR) System

Date: February 15, 2013
Creator: Hahn, Jim & Janemarie Mulvey
Description: This report provides a background on the Medicare fee schedule, the Sustainable Growth Rate (SGR) system, and the annual updates and discusses recent proposals to address this issue.
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Medicare Physician Payment Updates and the Sustainable Growth Rate (SGR) System

Medicare Physician Payment Updates and the Sustainable Growth Rate (SGR) System

Date: December 27, 2011
Creator: Hahn, Jim & Mulvey, Janemarie
Description: This report provides a background on the Medicare fee schedule, the Sustainable Growth Rate (SGR) system and the annual updates, and discusses recent proposal to address this issue.
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Medicare Physician Payment Updates and the Sustainable Growth Rate (SGR) System

Medicare Physician Payment Updates and the Sustainable Growth Rate (SGR) System

Date: August 2, 2012
Creator: Hahn, Jim & Mulvey, Janemarie
Description: This report discusses the Sustainable Growth Rate (SGR), which is the statutory method for determining the annual updates to the Medicare physician fee schedule. The SGR system was established because of the concern that the Medicare fee schedule itself would not adequately constrain overall increases in spending for physicians’ services.
Contributing Partner: UNT Libraries Government Documents Department
The Independent Payment Advisory Board (IPAB): Frequently Asked Questions

The Independent Payment Advisory Board (IPAB): Frequently Asked Questions

Date: October 30, 2015
Creator: Hahn, Jim; Davis, Christopher M. & Liu, Edward C.
Description: This report responds to frequently asked questions about the Independent Payment Advisory Board (IPAB), including the board's background, current status, controversial issues including legal challenges, and recent legislative efforts to repeal the IPAB.
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The Community Health Center Fund: In Brief

The Community Health Center Fund: In Brief

Date: February 12, 2015
Creator: Heisler, Elayne J.
Description: This report provides information on the Community Health Center Fund (CHCF) that may be useful for discussions about the fund's future. Specifically, it includes information on: the types of grants awarded, total funds disbursed, and the amount of CHCF funds that facilities in each state and territory received.
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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