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 Country: United States
 Collection: Congressional Research Service Reports
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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Individuals with Disabilities Education Act (IDEA) and Medicaid

Individuals with Disabilities Education Act (IDEA) and Medicaid

Date: January 31, 2003
Creator: Apling, Richard N & Herz, Elicia J
Description: 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.
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Medicare Prescription Drug Proposals: Estimates of Aged Beneficiaries Who Fall Below Income Criteria, by State

Medicare Prescription Drug Proposals: Estimates of Aged Beneficiaries Who Fall Below Income Criteria, by State

Date: February 11, 2003
Creator: Peterson, Chris L. & Morgan, Paulette C.
Description: This report discusses bills related to Medicare benefits, which include additional assistance for low-income beneficiaries. The assistance would have been in the form of reduced, subsidized or eliminated premiums, deductibles and other cost-sharing. Proposals in the 108th Congress will probably also include some of these features for low-income beneficiaries.
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Medicare: Beneficiary Cost-Sharing Under Proposed Prescription Drug Benefits

Medicare: Beneficiary Cost-Sharing Under Proposed Prescription Drug Benefits

Date: June 17, 2003
Creator: Peterson, Chris L
Description: This report examines these proposals as well as the “Medicare Rx Drug Benefit and Discount Act of 2003,” which was introduced by Representative Charles Rangel, the ranking member of the House Ways and Means Committee. Specifically, this report provides background on how the cost-sharing and premium provisions under each bill would affect the amount that a beneficiary pays annually for prescription drugs.
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Medicare Prescription Drug and Reform Legislation

Medicare Prescription Drug and Reform Legislation

Date: June 19, 2003
Creator: O'Sullivan, Jennifer; Chaikind, Hinda Ripps; Tilson, Sibyl L; Boulanger, Jennifer & Morgan, Paulette C
Description: This report describes the major features of S. 1, as ordered reported, and the measure to be considered by the House Ways and Means Committee, H.R. 2473, as ordered reported.
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Medicare: Beneficiary Cost-Sharing Under Proposed Prescription Drug Benefits

Medicare: Beneficiary Cost-Sharing Under Proposed Prescription Drug Benefits

Date: June 26, 2003
Creator: Peterson, Chris L
Description: This report provides background on how the cost-sharing and premium provisions under each bill would affect the amount that a beneficiary pays annually for prescription drugs. In addition, this report gives examples of how annual cost-sharing would differ for beneficiaries with various levels of total prescription drug spending in 2006 under the plans.
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Medicare Prescription Drug Provisions of S.1, as Passed by the Senate, and H.R. 1, as Passed by the House

Medicare Prescription Drug Provisions of S.1, as Passed by the Senate, and H.R. 1, as Passed by the House

Date: July 11, 2003
Creator: O'Sullivan, Jennifer
Description: This report discusses differences in the specifics of the prescription drug provisions in S. 1 and H.R. 1 and provides a side-by-side comparison of the Title I provisions of both bills.
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Medicare: Beneficiary Cost-Sharing Under Prescription Drug Legislation

Medicare: Beneficiary Cost-Sharing Under Prescription Drug Legislation

Date: July 25, 2003
Creator: Peterson, Chris L
Description: This report provides an analysis of how the cost-sharing and premium provisions under the Prescription Drug and Medicare Improvement Act of 2003 (S. 1) and the Medicare Prescription Drug and Modernization Act of 2003 (H bill would affect the amount that a beneficiary would pay annually for prescription drugs.
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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

A CRS Review of 10 States: Home and Community-Based Services — States Seek to Change the Face of Long-Term Care: Indiana

Date: December 15, 2003
Creator: Tilly, Jane; O'Shaughnessy, Carol & Weissert, Rob
Description: 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.
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Prescription Drug Coverage Under Medicaid

Prescription Drug Coverage Under Medicaid

Date: March 12, 2004
Creator: Hearne, Jean & Grady, April
Description: Medicaid is a joint federal-state entitlement program that pays for medical services on behalf of certain groups of low-income persons. It is the third largest social program in the federal budget, exceeded only by Social Security and Medicare and is typically the second largest spending item for states. This report discusses prescription drug policies under the program.
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Health Care Spending: Past Trends and Projections

Health Care Spending: Past Trends and Projections

Date: April 8, 2004
Creator: Morgan, Paulette C.
Description: This report focuses on trends in personal health care spending, which includes spending on health care goods and services provided to individuals and excludes expenditures for administrative costs, research, and public health activities. Personal health care expenditures have grown considerably over the past 40 years. It is estimated that personal health spending will exceed $2.9 trillion in 2013.
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Medicaid Reimbursement Policy

Medicaid Reimbursement Policy

Date: November 2, 2004
Creator: Merlis, Mark
Description: This report begins with a summary of basic federal requirements applicable to payments for all services and an overview of major developments in federal Medicaid reimbursement policy over the last 20 years. This overview provides a historical context for current policies and highlights some issues that have been perennial concerns for federal and state policymakers. The next four sections of the report provide a detailed discussion of Medicaid reimbursement for four basic categories of services or providers.
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Overview of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003

Overview of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003

Date: December 6, 2004
Creator: O'Sullivan, Jennifer; Chaikind, Hinda; Tilson, Sibyl; Boulanger, Jennifer & Morgan, Paulette
Description: This report examines the the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, which creates a prescription drug benefit for Medicare beneficiaries and establishes a new Medicare Advantage program to replace the current Medicare+Choice program.
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Military Medical Care Services: Questions and Answers

Military Medical Care Services: Questions and Answers

Date: January 26, 2005
Creator: Best, Richard A., Jr.
Description: This report attempts to answer basic questions about the Military Health Services System (MHSS), its beneficiary population, the medical services it provides, its costs, and major changes that are underway or have been proposed. Citations are made to more detailed CRS studies where appropriate.
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Medicaid and SCHIP: The President’s FY2006 Budget Proposals

Medicaid and SCHIP: The President’s FY2006 Budget Proposals

Date: February 15, 2005
Creator: Grady, April; Hearne, Jean P; Herz, Elicia J; Scott, Christine; Stone-Axelrad, Julie & Tritz, Karen
Description: 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.
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The Title X Family Planning Program

The Title X Family Planning Program

Date: March 22, 2005
Creator: Coleman, Sharon K.
Description: This report discusses Title X of the Public Health Service Act. The program, enacted in 1970, is the only federal program devoted solely to family planning and related preventive health services. Although the authorization for Title X ended with FY1985, funding for the program has been provided through bills that provide appropriations for the Departments of Labor, Health and Human Services, and Education, and Related Agencies.
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Health Insurance Coverage for Retirees

Health Insurance Coverage for Retirees

Date: June 9, 2005
Creator: Ripps Chaikind, Hinda & Larkins, Fran
Description: 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.
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Medicaid and SCHIP: The President's FY2006 Budget Proposals

Medicaid and SCHIP: The President's FY2006 Budget Proposals

Date: June 9, 2005
Creator: Grady, April; Hearne, Jean P; Herz, Elicia J; Scott, Christine; Stone-Axelrad, Julie & Tritz, Karen
Description: 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.
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Health Care Spending: Context and Policy

Health Care Spending: Context and Policy

Date: September 6, 2005
Creator: Jenson, Jennifer
Description: This report seeks to put health spending in context. Health care costs and spending are persistent concerns for the Congress. On one hand, policymakers worry about access to care and the burden of health costs on household and employer budgets. On the other hand, rising costs put growing pressure on the federal budget from Medicare, Medicaid, and tax expenditures for private health insurance.
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Hurricane Katrina: Medicaid Issues

Hurricane Katrina: Medicaid Issues

Date: September 15, 2005
Creator: Baumrucker, Evelyne P; Grady, April; Hearne, Jean P; Herz, Elicia J; Rimkunas, Richard; Stone-Axelrad, Julie et al.
Description: 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.
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Medicaid Issues for the 109th Congress

Medicaid Issues for the 109th Congress

Date: October 20, 2005
Creator: Hearne, Jean P
Description: This report provides background information for medicaid reforms and discuses proposals for reform.
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