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Medicaid: President's FY88 Budget
This report provides background and analysis on Medicaid and discusses the President's FY88 budget.
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.
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).
Legal Implications of the Contagious Disease or Infections Amendment to the Civil Rights Restoration Act, S.557
This report discusses the civil rights restoration act, S. 557, as it passed the House and Senate. This provision would most likely be interpreted as codifying the existing standards relating to section 504 interpretation concerning discrimination against individuals with handicaps.
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.
Family Planning: Title X of the Public Health Service Act
This report discusses Title X of the Public Health Service Act provides support for family planning clinics, research related to family planning and population, training of family planning personnel, and development and dissemination of family planning information.
Private Health Insurance Continuation Coverage
No Description Available.
Mandated Employer Provided Health Insurance
No Description Available.
The Japanese Health Care System
This report provides (1) a description of the coverage, benefits, financing and administration of the Japanese health insurance plans; (2) a discussion of the way in which reimbursement levels for health care providers are determined; and (3) an analysis of the way in which the provision of health care system is organized in Japan.
Medicaid: Recent Trends in Beneficiaries and Spending
This report discusses medicaid and recent trend is beneficiaries and spending.
Access to Medical Records Under Federal Law
This report highlights the contentions surrounding the release of health care information when it is meant to be confidential. In addition, the report summarizes the federal laws that govern how this information is distributed and when it is to be distributed. Finally, the report discusses the tension between the federal government and state governments in implementing a uniform standard for this type of law.
Health Care Fact Sheet: International Health Spending
Numerous indicators are used to make international comparisons of health spending. The two most often used show: 1) health spending as a share of a nation's overall economy percent of GDP); and 2) a nation's real (adjusted for inflation and exchange rates) per capita spending.
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.
World Health Organization: A Fact Sheet
The World Health organization (WHO), established in 1948, is the United Nations system's authority on international public health issues. It assists governments in improving national health services and in establishing worldwide standards for foods, chemicals, and biological and pharmaceutical products. WHO concentrates on preventive rather than curative programs, including efforts to eradicate endemic and other widespread diseases, stabilize population growth, improve nutrition, sanitation, and maternal and child care. WHO is not an operational agency. It works through contracts with other agencies and private voluntary organizations.
Medicare: Payments to HMOs and Other Private Plans Under the Medicare+Choice Program
This report describes how payments will be calculated under the Medicare+Choice program established under the new law.
Managed Health Care: A Primer
No Description Available.
Managed Health Care: Federal and State Regulation
No Description Available.
Medicare: Private Contracts
This report discusses private contracting for medicare,which is the term used to describe situations where a physician and a patient agree not to submit a claim for a service which would otherwise be covered and paid for by Medicare.
Medicare: Payments to Physicians
This report discusses payments for physicians services under Medicare that are made on the basis of a fee schedule.
Medicaid: 105th Congress
No Description Available.
Medical Savings Accounts: Legislation in the 105th Congress
No Description Available.
The State Children's Health Insurance Program: Guidance on Frequently Asked Questions
No Description Available.
Medicare Expansion: President Clinton's Proposals to Allow Coverage Before Age 65
This report discusses medicare expansion; President Clinton's proposal to allow people ages 62 through 64 to buy into Medicare if they do not have access to employer-sponsored or federal health insurance.
Medicare: Financing the Part A Hospital Insurance Program
This report discusses Medicare, which consists of two distinct parts — Part A (Hospital Insurance (HI)) and Part B (Supplementary Medical Insurance (SMI)). Part A is financed primarily through payroll taxes levied on current workers and their employers. Income from these taxes is credited to the HI trust fund. Part B is financed through a combination of monthly premiums paid by current enrollees and general revenues. Income from these sources is credited to the SMI trust fund.
Medicare: Changes to Balanced Budget Act of 1997 (BBA 97, P.L. 105-33) Provisions
This report summarizes the major provisions of the agreement between the by House and Senate negotiators on the Medicare provisions.
Medicare Beneficiary Access to Care: The Effects of New Prospective Payment Systems on Outpatient Hospital Care, Home Health Care, and Skilled Nursing Facility Care
This report discusses the Balanced Budget Act of 1997 (BBA 97), which required that prospective payment systems replace retrospective cost-based reimbursement systems for Medicare beneficiaries receiving care in hospital outpatient departments, from home health care agencies, and in skilled nursing facilities.
Trends in Medicare Spending: Fact Sheet
No Description Available.
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.
Medicare: Prescription Drug Proposals
This report provides an overview of the President’s plan and the legislation introduced to date in the 106th Congress. It
The State Children's Health Insurance Program: Eligibility, Enrollment, and Program Funding
No Description Available.
Long-Term Care: The President's FY2001 Budget Proposals and Related Legislation
No Description Available.
Pharmacy Benefit Managers
No Description Available.
Military Medical Care Services: Questions and Answers
No Description Available.
Medicaid, SCHIP, and Other Health Provisions in H.R. 5661: Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000
This report discusses Medicaid and the State Children’s Health Insurance Program (SCHIP). The report also discusses other major health provisions provisions of H.R. 5661 are incorporated, by reference into H.R. 4577, the Consolidated Appropriations Act 2001.
Reaching Low-Income, Uninsured Children: Are Medicaid and SCHIP Doing the Job?
No Description Available.
Tax Benefits for Health Insurance: Current Legislation
No Description Available.
Patient Protection and Managed Care: Legislation in the 106th Congress
No Description Available.
The Cost of Prescription Drugs for the Uninsured Elderly and Legislative Approaches
The purpose of this report is to explain why many of those who are least able to afford high drug costs are those who are most frequently charged the most. This report describes the basic economic theory underlying price differentiation and, in the context of the pharmaceutical market, analyzes the role and behavior of pharmacy benefit managers (PBMs), pharmaceutical manufacturers, and retail pharmacies, respectively. It also looks at a number of the criticisms that have been made of the practice of differential pricing. Finally, this report discusses various policy approaches aimed at assisting the elderly to purchase prescription drugs.
Long-Term Care: What Direction for Public Policy?
No Description Available.
Tax Subsidies for Health Insurance for the Uninsured: An Economic Analysis of Selected Policy Issues for Congress
No Description Available.
Patient Protection and Mandatory External Review: Amending ERISA's Claims Procedure
No Description Available.
The Financial Outlook for Social Security and Medicare
The 2001 annual reports of the board of trustees of the Social Security and Medicare trust funds were released on March 19, 2001. Both programs have benefitted from an improved economic outlook in the near term, but both continue to have projected long-range problems. Insolvency for the Disability Insurance (DI) part of Social Security is projected to occur in 2026, and for the retirement and survivors part, in 2040.
Social Security and Medicare "Lock Boxes"
With the onset of burgeoning federal budget surpluses, Social Security and Medicare's treatment in the budget has become a major policy issue. Congressional views about what to do with the surpluses are diverse -- ranging from "buying down" the federal government's outstanding debt to cutting taxes to increasing spending.
The State Children's Health Insurance Program: Eligibility, Enrollment, and Program Funding
No Description Available.
Medicare's Skilled Nursing Facility Benefit
No Description Available.
Medicare Provisions in the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA, P.L. 106-554)
No Description Available.
Military Health Care: The Issue of "Promised" Benefits
No Description Available.
Medicare Structure Reform: Background and Options
No Description Available.
Medicare: Selected Prescription Drug Proposals in the 107th Congress
Medicare, the nationwide health insurance program for the aged and disabled, does not cover most outpatient prescription drugs. On several occasions, the Congress has considered providing coverage for at least a portion of beneficiaries’ drug costs. The issue received renewed attention in the 106th Congress. However, there was no consensus on how the coverage should be structured. This report provides a side-by-side comparison of bills introduced in the 107th Congress that have received the most attention.
ERISA Regulation of Health Plans: Fact Sheet
The Employee Retirement Income Security Act of 1974 (ERISA, P.L. 93-406) places the regulation of employee benefit plans (including health plans) primarily under federal jurisdiction for about 124 million people. ERISA’s treatment of health plans is both complicated and confusing. ERISA has been interpreted as dividing health plans into two groups regulated differently under the law: about 54 million people are covered by self-insured plans for which the employer, rather than an insurer, assumes the risk for paying for covered services and about 70 million people are covered by purchased insurance (according to 2000 information from the Census Bureau and the Department of Labor).
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