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 Collection: Congressional Research Service Reports
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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Long-Term Services and Supports: Overview and Financing

Long-Term Services and Supports: Overview and Financing

Date: April 4, 2013
Creator: Colello, Kirsten J.; Mulvey, Janemarie & Talaga, Scott R.
Description: This report provides an overview of Long-term services and supports (LTSS), including who needs LTSS, how need for LTSS is determined, and how much LTSS costs. The report also provides information on who the primary LTSS payers are, how much they spend, and what types of services are purchased.
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Federal Employees Health Benefits Program (FEHBP): Available Health Insurance Options

Federal Employees Health Benefits Program (FEHBP): Available Health Insurance Options

Date: February 13, 2013
Creator: Mach, Annie L.
Description: This report discusses the Federal Employees Health Benefits Program (FEHBP), a program administered by the Office of Personnel Management (OPM), which is statutorily given the authority to contract with qualified carriers offering plans and to prescribe regulations necessary to carry out the statute, among other duties.
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Military Medical Care: Questions and Answers

Military Medical Care: Questions and Answers

Date: January 22, 2013
Creator: Jansen, Don J. & Blakeley, Katherine
Description: This report answers several frequently asked questions about military health care, including: how the system is structured, a TRICARE summary, TRICARE eligibility and plan options, cost of military health care to beneficiaries, relationship of TRICARE to MEDICARE, how the Affordable Care Act affects TRICARE, long-term trends of defense health care costs, and a summary of the fund which funds TRICARE.
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Military Medical Care: Questions and Answers

Military Medical Care: Questions and Answers

Date: January 7, 2013
Creator: Jansen, Don J. & Blakeley, Katherine
Description: This report answers several frequently asked questions about military health care, including: how the system is structured, a TRICARE summary, TRICARE eligibility and plan options, cost of military health care to beneficiaries, relationship of TRICARE to MEDICARE, how the Affordable Care Act affects TRICARE, long-term trends of defense health care costs, and a summary of the fund which funds TRICARE - the Medicare Eligible Retiree Health Care fund.
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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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Military Medical Care: Questions and Answers

Military Medical Care: Questions and Answers

Date: October 4, 2012
Creator: Jansen, Don J. & Blakeley, Katherine
Description: This report answers several frequently asked questions about military health care, including: how the system is structured, a TRICARE summary, TRICARE eligibility and plan options, cost of military health care to beneficiaries, relationship of TRICARE to MEDICARE, how the Affordable Care Act affects TRICARE, long-term trends of defense health care costs, and a summary of the fund which funds TRICARE - the Medicare Eligible Retiree Health Care fund.
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NFIB v. Sebelius: Constitutionality of the Individual Mandate

NFIB v. Sebelius: Constitutionality of the Individual Mandate

Date: September 3, 2012
Creator: Lunder, Erika K. & Staman, Jennifer
Description: Report that provides an overview of the Court's holding with respect to the individual mandate of the Patient Protection and Affordable Care Act (ACA) under the Commerce Clause and the Taxing Power. It also addresses possible implications of the decision on existing federal law and future legislation.
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Title X (Public Health Service Act) Family Planning Program

Title X (Public Health Service Act) Family Planning Program

Date: August 28, 2012
Creator: Napili, Angela
Description: This report looks at several bills addressing the Family Planning Program (Title X of the Public Health Service Act) which have been introduced in the 112th Congress, including: funding for abortion-providing entities, elimination of the program, and prohibitions on government spending for the program.
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Medicaid Financing and Expenditures

Medicaid Financing and Expenditures

Date: July 30, 2012
Creator: Mitchell, Alison
Description: This report provides an overview of Medicaid’s financing structure, including both federal and state financing issues. The Medicaid expenditures section of the report discusses economic factors affecting Medicaid, state variability in spending, and projected program spending. Other issues that are examined include congressional proposals to turn Medicaid into a block grant program, federal deficit reduction proposals affecting Medicaid, and state fiscal conditions affecting Medicaid financing and services.
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