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 Country: United States
 Collection: Congressional Research Service Reports
Individual Mandate Under ACA

Individual Mandate Under ACA

Date: unknown
Creator: Mach, Annie L.
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.
Contributing Partner: UNT Libraries Government Documents Department
Health Maintenance Organizations

Health Maintenance Organizations

Date: January 22, 1982
Creator: Price, Richard J
Description: This report discusses the "health maintenance organization", which is an entity that provides specific health services to its members for a prepaid, fixed payment.
Contributing Partner: UNT Libraries Government Documents Department
Health Insurance: The Pro-Competition Proposals

Health Insurance: The Pro-Competition Proposals

Date: December 6, 1982
Creator: Lundy, Janet P. & Markus, Glenn
Description: 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.
Contributing Partner: UNT Libraries Government Documents Department
Handicapped Infants: The Final Section 504 Regulation and Legislative Proposals

Handicapped Infants: The Final Section 504 Regulation and Legislative Proposals

Date: February 8, 1984
Creator: Smith, Mary F.
Description: This report discusses the final rule regarding handicapped infants published in the Federal register by HHS on January 12, 1984. Legislative action in response to the Infant Doe issue is also discussed.
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Medicare/Medicaid Reimbursement: Selected References

Medicare/Medicaid Reimbursement: Selected References

Date: August 1, 1984
Creator: Shirley-Reynolds, Saundra
Description: 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.
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Medicare: Physician Payments

Medicare: Physician Payments

Date: June 24, 1987
Creator: O'Sullivan, Jennifer
Description: This report discusses payments for physicians services under Medicare that are made on the basis of a fee schedule.
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Legal Implications of the Contagious Disease or Infections Amendment to the Civil Rights Restoration Act, S.557

Legal Implications of the Contagious Disease or Infections Amendment to the Civil Rights Restoration Act, S.557

Date: March 14, 1988
Creator: Jones, Nancy Lee
Description: 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.
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Family Planning: Title X of the Public Health Service Act

Family Planning: Title X of the Public Health Service Act

Date: March 24, 1988
Creator: Cislowski, Joseph A
Description: 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.
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Medicaid: Recent Trends in Beneficiaries and Spending

Medicaid: Recent Trends in Beneficiaries and Spending

Date: March 27, 1992
Creator: King, Kathleen; Rimkunas, Richard & Nuschler, Dawn
Description: This report discusses medicaid and recent trend is beneficiaries and spending.
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Medicare: Payments to HMOs and Other Private Plans Under the Medicare+Choice Program

Medicare: Payments to HMOs and Other Private Plans Under the Medicare+Choice Program

Date: September 18, 1997
Creator: Smith, Madeleine T
Description: This report describes how payments will be calculated under the Medicare+Choice program established under the new law.
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Medicare: Private Contracts

Medicare: Private Contracts

Date: October 21, 1997
Creator: O'Sullivan, Jennifer & Echeverria, Cecilia O
Description: 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.
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Medicare: Payments to Physicians

Medicare: Payments to Physicians

Date: January 28, 1998
Creator: O'Sullivan, Jennifer
Description: This report discusses payments for physicians services under Medicare that are made on the basis of a fee schedule.
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Medicare Expansion: President Clinton's Proposals to Allow Coverage Before Age 65

Medicare Expansion: President Clinton's Proposals to Allow Coverage Before Age 65

Date: March 31, 1998
Creator: Lyke, Bob; Fuchs, Beth C; O'Sullivan, Jennifer & Smith, Madeleine T
Description: 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.
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Medicare: Financing the Part A Hospital Insurance Program

Medicare: Financing the Part A Hospital Insurance Program

Date: May 5, 1998
Creator: O'Sullivan, Jennifer
Description: 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.
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Medicare: Changes to Balanced Budget Act of 1997 (BBA 97, P.L. 105-33) Provisions

Medicare: Changes to Balanced Budget Act of 1997 (BBA 97, P.L. 105-33) Provisions

Date: November 19, 1999
Creator: O'Sullivan, Jennifer; Merck, Carolyn L; Smith, Madeleine T & Tilson, Sibyl L
Description: This report summarizes the major provisions of the agreement between the by House and Senate negotiators on the Medicare provisions.
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Medicare Beneficiary Access to Care: The Effects of New Prospective Payment Systems on Outpatient Hospital Care, Home Health Care, and Skilled Nursing Facility Care

Medicare Beneficiary Access to Care: The Effects of New Prospective Payment Systems on Outpatient Hospital Care, Home Health Care, and Skilled Nursing Facility Care

Date: February 2, 2000
Creator: Merck, Carolyn L
Description: 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.
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Medicare: Prescription Drug Proposals

Medicare: Prescription Drug Proposals

Date: June 8, 2000
Creator: O'Sullivan, Jennifer
Description: This report provides an overview of the President’s plan and the legislation introduced to date in the 106th Congress. It
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Medicaid, SCHIP, and Other Health Provisions in H.R. 5661: Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000

Medicaid, SCHIP, and Other Health Provisions in H.R. 5661: Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000

Date: January 4, 2001
Creator: Hearne, Jean P; Herz, Elicia J & Baumrucker, Evelyne P
Description: 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.
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Medicare: Selected Prescription Drug Proposals in the 107th Congress

Medicare: Selected Prescription Drug Proposals in the 107th Congress

Date: August 13, 2001
Creator: O’Sullivan, Jennifer
Description: 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.
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Environmental Exposure to Endocrine Disruptors: What Are the Human Health Risks?

Environmental Exposure to Endocrine Disruptors: What Are the Human Health Risks?

Date: February 4, 2002
Creator: Schierow, Linda-Jo & Buck, Eugene H.
Description: This report discusses the human health risks, specifically from endocrine disruptors that are chemical compounds in drugs, food, consumer products, or the ambient environment that can interfere with internal biological processes of animals that normally are regulated by their hormones.
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Health Insurance: Federal Data Sources for Analyses of the Uninsured

Health Insurance: Federal Data Sources for Analyses of the Uninsured

Date: February 7, 2002
Creator: Peterson, Chris L. & Devere, Christine
Description: 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.
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Medicare+Choice Payments

Medicare+Choice Payments

Date: May 8, 2002
Creator: Chaikind, Hinda Ripps & Morgan, Paulette C
Description: This report discusses the M+C program that established new rules for beneficiary and plan participation. This report focuses on M+C payments.
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Medicare+Choice Payments

Medicare+Choice Payments

Date: January 22, 2003
Creator: Chaikind, Hinda Ripps & Morgan, Paulette C
Description: This report discusses the M+C program that established new rules for beneficiary and plan participation. This report focuses on M+C payments.
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Medicare Structural Reform: Background and Options

Medicare Structural Reform: Background and Options

Date: January 28, 2003
Creator: Chaikind, Hinda R.; O'Sullivan, Jennifer & Boulanger, Jennifer
Description: THis report provides a brief overview of major issues underlying the debate about possible structural reforms or improvements to the current Medicare system. Medicare is a nationwide health insurance program for the aged and certain disabled persons.
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