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 Collection: Congressional Research Service Reports
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. digital.library.unt.edu/ark:/67531/metacrs9131/
U.S. and International Responses to the Global Spread of Avian Flu: Issues for Congress
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Health Savings Accounts: Some Current Policy Issues
This report discusses the Health Savings Accounts (HSAs), which are one way that people can pay for their unreimbursed medical expenses (deductibles, copayments, and services not covered by insurance) on a tax-advantaged basis digital.library.unt.edu/ark:/67531/metacrs9009/
Medicare: Physician Payments
This report discusses payments for physicians services under Medicare that are made on the basis of a fee schedule. digital.library.unt.edu/ark:/67531/metacrs8886/
Medicaid and SCHIP: FY2007 Budget Issues
This report provides information on Medicaid and State Children’s Health Insurance Program (SCHIP) issues. digital.library.unt.edu/ark:/67531/metacrs8941/
Coverage of the TANF Population Under Medicaid and SCHIP
Health insurance is an important support for individuals receiving, leaving or diverted from the Temporary Assistance for Needy Families (TANF) welfare or cash assistance program for low-income families. Medicaid and SCHIP (State Children’s Health Insurance Program) are key vehicles for providing such coverage. While there is no formal link between TANF and either Medicaid or SCHIP, some TANF-eligibles, especially children, are likely to qualify for one of these programs. But state eligibility rules can be complex and often differ for parents versus children, leaving some parents, in particular, without coverage. digital.library.unt.edu/ark:/67531/metacrs8936/
Coverage of the TANF Population Under Medicaid and SCHIP
Health insurance is an important support for individuals receiving, leaving or diverted from the Temporary Assistance for Needy Families (TANF) welfare or cash assistance program for low-income families. Medicaid and SCHIP (State Children’s Health Insurance Program) are key vehicles for providing such coverage. While there is no formal link between TANF and either Medicaid or SCHIP, some TANF-eligibles, especially children, are likely to qualify for one of these programs. But state eligibility rules can be complex and often differ for parents versus children, leaving some parents, in particular, without coverage. digital.library.unt.edu/ark:/67531/metacrs8896/
Medicare/Medicaid Reimbursement: Selected References
This report is a compilation of selected articles, books, and executive agency and congressional publications on Medicare and Medicaid reimbursement, primarily to health facilities and physicians. digital.library.unt.edu/ark:/67531/metacrs8868/
Military Medical Care Services: Questions and Answers
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Health Maintenance Organizations
This report discusses the "health maintenance organization", which is an entity that provides specific health services to its members for a prepaid, fixed payment. digital.library.unt.edu/ark:/67531/metacrs8788/
Pandemic Flu and Medical Biodefense Countermeasure Liability Legislation: P.L. 109-148, Division C (2005)
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U.S. and International Responses to the Global Spread of Avian Flu: Issues for Congress
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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. digital.library.unt.edu/ark:/67531/metacrs8717/
Health Insurance: The Pro-Competition Proposals
For more than a decade, Congress and the Executive Branch have tried to stem spiraling health care costs through various regulatory actions at the Federal and State levels. Planning laws, for example, focus regulatory attention on the capacity of the health care industry to provide health services. Other laws have created programs to monitor and control the use of services provided to individual patients. Direct wage and price controls were applied to the health industry in the early 1970's and in recent years Congress has debated whether to impose controls over hospital spending in the United States. This report discusses the debate surrounding various approaches to lower health care costs. digital.library.unt.edu/ark:/67531/metacrs8608/
U.S. and International Responses to the Global Spread of Avian Flu: Issues for Congress
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Military Medical Care Services: Questions and Answers
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Mandated Employer Provided Health Insurance
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Catastrophic Health Insurance: Comparison of the Major Provisions of the "Medicare Catastrophic Protection Act of 1987" (H.R. 2470, as passed by the House July 22, 1987) and the "Medicare Catastrophic Loss Prevention Act of 1987" (S. 1127, as passed by the Senate Finance Committee, July 27, 1987)
Catastrophic Health Insurance: Comparison of the Major Provisions of the “Medicare Catastrophic Protection Act of 1987” (H.R. 2470, as passed by t h e House July 22, 1987) and the "MEDICARE CATASTROPHIC LOSS PREVENTION ACT OF 1987" (S. 1127, as reported by the S e n a t e Finance Committee, July 27, 1987) digital.library.unt.edu/ark:/67531/metacrs8425/
Military Medical Care Services: Questions and Answers
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U.S. and International Responses to the Global Spread of Avian Flu: Issues for Congress
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U.S. and International Responses to the Global Spread of Avian Flu: Issues for Congress
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Medical Marijuana: Review and Analysis of Federal and State Policies
This report discusses the issue facing Congress on whether to continue to support the executive branch’s prosecution of medical marijuana patients and their providers, in accordance with marijuana’s status as a Schedule I drug under the Controlled Substances Act, or whether to relax federal marijuana prohibition enough to permit the medical use of botanical cannabis products by seriously ill persons, especially in states that have created medical marijuana programs under state law. digital.library.unt.edu/ark:/67531/metacrs8244/
Military Health Care: The Issue of "Promised" Benefits
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Health Savings Accounts: Overview and Rules for 2006
This report provide a summary of the principal rules governing Health Savings Accounts (HSAs), covering such matters as eligibility, qualifying health insurance, contributions, and withdrawals. digital.library.unt.edu/ark:/67531/metacrs8276/
A Review of Medical Child Support: Background, Policy, and Issues
Improving the establishment and enforcement of medical child support has been hampered to some extent by factors such as high health care costs, a decline in employer-provided health insurance coverage, an increase in the share of health insurance costs borne by employees, and the large number of uninsured children. This report provides a legislative history of medical support provisions in Child Support Enforcement (CSE) programs, describes current policy with respect to medical child support, examines available data, and discusses some of the issues related to medical child support. This report will not be updated. digital.library.unt.edu/ark:/67531/metacrs8188/
Health Insurance: Federal Data Sources for Analyses of the Uninsured
Given the various reasons individuals lack health insurance coverage, analysis of the effectiveness of a proposal to reduce the number of uninsured (such as those discussed above) requires examining characteristics of individuals with and without health insurance coverage. Numerous sources of data have emerged over time that support estimates of the uninsured. However, each data source differs in how it collects information from individuals, as well as the amount of information it collects related to health insurance status. This report outlines the major advantages and limitations of four federally administered surveys — in providing estimates of the uninsured population. digital.library.unt.edu/ark:/67531/metacrs8180/
Medicaid: Recent Trends in Beneficiaries and Spending
This report discusses medicaid and recent trend is beneficiaries and spending. digital.library.unt.edu/ark:/67531/metacrs8174/
Medicaid: A Primer
This report describes the basic elements of Medicaid, focusing on federal rules governing who is eligible, what services are covered, how the program is financed and how beneficiaries share in the cost, how providers are paid, and the role of special waivers in expanding eligibility and modifying benefits. digital.library.unt.edu/ark:/67531/metacrs8053/
AIDS: International Problems and Issues
This issue brief discusses the AIDS (Acquired Immune Deficiency Syndrome) virus and its effects on the world, especially with regard to the welfare of developing nations and various facets of general international relations. Also discussed are the related issues for Congress and U.S. contributions to international AIDS relief efforts led by the World Health Organization (WHO). digital.library.unt.edu/ark:/67531/metacrs8096/
AIDS: An Overview of Issues
This report discusses the many difficult policy dilemmas associated with the AIDS epidemic, including past Congressional funding to support AIDS research and education efforts, strategies for controlling the spread of the AIDS virus, and methods and resources available for the care and treatment of persons with AIDS. digital.library.unt.edu/ark:/67531/metacrs8095/
AIDS: An Overview of Issues
This report discusses the many difficult policy dilemmas associated with the AIDS epidemic, including past Congressional funding to support AIDS research and education efforts, strategies for controlling the spread of the AIDS virus, and methods and resources available for the care and treatment of persons with AIDS. digital.library.unt.edu/ark:/67531/metacrs8084/
Budget Reconciliation FY2006: Provisions Affecting the Medicaid Federal Medical Assistance Percentage (FMAP)
The federal medical assistance percentage (FMAP) is the rate at which states are reimbursed for most Medicaid service expenditures. The FY2006 budget reconciliation bills passed by the House (H.R. 4241) and Senate (S. 1932) include provisions that would affect state FMAPs for Medicaid in a number of ways. This report describes these provisions and estimates their impact on FY2006 FMAPs. digital.library.unt.edu/ark:/67531/metacrs7978/
Pandemic Flu Liability Limitation Legislation
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Influenza Antiviral Drugs and Patent Law Issues
This report identifies and analyzes the patent law aspects of the current avian influenza drug situation. First, the report explains the role that patent rights have played in affecting the availability of Tamiflu. Second, the report examines options for increasing the drug’s production, including the possibility of governments abrogating Roche’s patent rights by issuing compulsory licenses to other drug companies to manufacture generic versions of Tamiflu without Roche’s consent. digital.library.unt.edu/ark:/67531/metacrs7939/
The Global Fund and PEPFAR in U.S. International AIDS Policy
The international HIV/AIDS pandemic continues to deepen. According to UNAIDS, the Joint United Nations Program on HIV/AIDS, an estimated 39.4 million people were living with HIV in 2004, including 4.9 million who were newly infected during the year. This report discusses the President’s Emergency Plan for AIDS Relief (PEPFAR), which includes bilateral programs and contributions to the multilateral Global Fund for AIDS, Tuberculosis, and Malaria. digital.library.unt.edu/ark:/67531/metacrs7922/
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. digital.library.unt.edu/ark:/67531/metacrs7918/
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. digital.library.unt.edu/ark:/67531/metacrs7917/
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. digital.library.unt.edu/ark:/67531/metacrs7916/
Transitional Medical Assistance (TMA) Under Medicaid
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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
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. digital.library.unt.edu/ark:/67531/metacrs7715/
State Medicaid Program Administration: A Brief Overview
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Medicaid Disproportionate Share Payments
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The Pros and Cons of Allowing the Federal Government to Negotiate Prescription Drug Prices
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Hurricane Katrina: The Public Health and Medical Response
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Medicaid Issues for the 109th Congress
This report provides background information for medicaid reforms and discuses proposals for reform. digital.library.unt.edu/ark:/67531/metacrs7617/
Health Insurance Coverage for Retirees
This report provides an introduction to demographics of the retiree population. The report discusses health insurance coverage for retirees and reasons for eroding coverage and issues, as well as legislative proposals. digital.library.unt.edu/ark:/67531/metacrs7616/
Hurricane Katrina: Medicaid Issues
This report discusses the following: Medicaid’s rules on eligibility, benefits, and financing in the context of current questions and issues raised by Hurricane Katrina. Recent state actions in response to Medicaid issues raised by the hurricane. Federal Medicaid waiver authority, including information on current activity in this area and the New York Disaster Relief Medicaid waiver granted in response to the September 11 terrorist attacks. Current federal legislation related to Medicaid and Hurricane Katrina relief efforts. digital.library.unt.edu/ark:/67531/metacrs7603/
Medicaid and SCHIP: The President's FY2006 Budget Proposals
This report describes the proposal and provides an estimate of the cost or savings based on publicly available information. The report provides a brief background for the proposal and provides a listing of current Congressional Research Service (CRS) reports related to the proposal. digital.library.unt.edu/ark:/67531/metacrs7591/
Individuals with Disabilities Education Act (IDEA) and Medicaid
This report begins with an overview of Individuals with Disabilities Education Act (IDEA). It then discusses the distinction made in IDEA between medical services and health services. The report then summarizes the provisions in law that link Medicaid funding to IDEA. Next the report provides an overview of the complexities of Medicaid eligibility and covered services. Following that discussion, the report analyzes possible reasons why Medicaid appears to cover relatively little of IDEA health-related costs. Finally the report outlines possible legislative approaches with respect to Medicaid and IDEA. digital.library.unt.edu/ark:/67531/metacrs7575/
Social Security and Medicare: The Economic Implications of Current Policy
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