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Employment-Based Health Coverage and Health Reform: Selected Legal Considerations

Description: It is estimated that nearly 170 million individuals have employer-based health coverage. As part of a comprehensive health care reform effort, there has been support (including from the Obama Administration) in enacting comprehensive health insurance reform that retains the employer-based system. This report presents selected legal considerations inherent in amending two of the primary federal laws governing employer-sponsored health care: the Employee Retirement Income Security Act (ERISA) and… more
Date: June 12, 2009
Creator: Staman, Jennifer & Liu, Edward C.
Partner: UNT Libraries Government Documents Department
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Health Insurance: Uninsured by State, 2005

Description: An estimated 15.9% of the U.S. populations lacked health insurance coverage in 2005. When examined by state, estimates of the percent uninsured ranged from a low of 8.4% in Minnesota to a high of 24.2% in Texas. Generally, states in the Midwest and New England have lower rates of uninsured, while states in the Southwestern and Southern portion of the nation have higher shares of their populations without coverage.
Date: September 8, 2006
Creator: Peterson, Chris L.
Partner: UNT Libraries Government Documents Department
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Ergonomics in the Workplace: Is It Time for an OSHA Standard?

Description: This report debates implementing an OSHA (Occupational Safety and Health Administration) standard for ergonomics. This standard would be motivated by the fact that one third of state employer's costs are related to improper ergonomic design causing illness. The report details that standards suggested in the past have been rejected by Congress.
Date: May 7, 2002
Creator: Rappaport, Edward
Partner: UNT Libraries Government Documents Department
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NFIB v. Sebelius: Constitutionality of the Individual Mandate

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.
Date: September 3, 2012
Creator: Lunder, Erika K. & Staman, Jennifer
Partner: UNT Libraries Government Documents Department
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Medicare Trigger

Description: This report analyzes the financing of Medicare and its impact on the federal budget. It includes a discussion of the Medicare "trigger," which requires certain actions to be taken should general revenue funding be expected to exceed a certain proportion of total Medicare outlays within a certain number of years.
Date: February 8, 2018
Creator: Davis, Patricia A.; Garvey, Todd & Davis, Christopher M.
Partner: UNT Libraries Government Documents Department
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Medicare: Enrollment in Medicare Drug Plans

Description: This report discusses the enrollment process for private prescription drug plans (PDPs) or Medicare Advantage prescription drug (MA-PD) plans. At a minimum, these plans offer "standard coverage" or alternative coverage with actuarially equivalent benefits. Beneficiaries are required to enroll in one of these private plans in order to obtain coverage.
Date: January 3, 2006
Creator: O'Sullivan, Jennifer
Partner: UNT Libraries Government Documents Department
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Medicaid Citizenship Documentation

Description: Due to recent changes in federal law, individuals who declare that they are citizens for Medicaid eligibility purposes must present documentation that proves citizenship and documents personal identity. This report discusses issues related to Medicaid citizenship documentation that have received considerable media and interest group attention, as well as proposed legislation that would affect the requirement.
Date: April 15, 2008
Creator: Grady, April
Partner: UNT Libraries Government Documents Department
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The ACA Medicaid Expansion

Description: This report provides an overview of the ACA Medicaid expansion, and the impact of the Supreme Court decision on the ACA Medicaid expansion. Then, the report describes who is covered under the expansion, the expansion rules, and how the expansion is financed. In addition, enrollment and expenditure estimates for the ACA Medicaid expansion are provided. Finally, the report reviews state decisions whether or not to implement the ACA Medicaid expansion, and the implications of those decisions on ce… more
Date: December 30, 2014
Creator: Mitchell, Alison
Partner: UNT Libraries Government Documents Department
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Medicaid Issues for the 109th Congress

Description: Medicaid is jointly financed by the federal and state governments, but each state designs and administers its own state program under broad federal guidelines. Accordingly, state variation in eligibility, covered services, and the delivery of, and reimbursement for, services is the rule rather than the exception. How is Congress to respond to the numerous proposals to move Medicaid forward into the near and long term? This report lays out some of these issues, explains the factors underlying th… more
Date: April 10, 2006
Creator: Hearne, Jean
Partner: UNT Libraries Government Documents Department
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Medicare: FY2007 Budget Issues

Description: This report discusses President's budget request to Congress for Medicare, for the following federal fiscal year, along with projections for the five-year budget window. The President’s 2007 budget includes Medicare legislative proposals for Part A (Hospital Insurance) and Part B (Supplementary Medical Insurance) spending with estimated savings of $2.5 billion in 2007 and $35.9 billion over the five-year budget window.
Date: March 31, 2006
Creator: Chaikind, Hinda; Morgan, Paulette C.; O'Shaughnessy, Carol; O'Sullivan, Jennifer; Stone, Julie & Tilson, Sibyl
Partner: UNT Libraries Government Documents Department
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Medicare Primer

Description: This report provides a general overview of the Medicare program including descriptions of the program's history, eligibility criteria, covered services, provider payment systems, and program administration and financing.
Date: March 31, 2016
Creator: Davis, Patricia A.; Talaga, Scott R.; Binder, Cliff; Hahn, Jim; Kirchhoff, Suzanne M. & Morgan, Paulette C.
Partner: UNT Libraries Government Documents Department
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Medicare: Enrollment in Medicare Drug Plans

Description: This report discusses the enrollment process for private prescription drug plans (PDPs) or Medicare Advantage prescription drug (MA-PD) plans. At a minimum, these plans offer "standard coverage" or alternative coverage with actuarially equivalent benefits. Beneficiaries are required to enroll in one of these private plans in order to obtain coverage.
Date: October 20, 2006
Creator: O'Sullivan, Jennifer
Partner: UNT Libraries Government Documents Department
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The Independent Payment Advisory Board

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 con… more
Date: April 17, 2013
Creator: Hahn, Jim & Davis, Christopher M.
Partner: UNT Libraries Government Documents Department
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Medicare Structural Reform: Background and Options

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.
Date: January 28, 2003
Creator: Chaikind, Hinda R.; O'Sullivan, Jennifer & Boulanger, Jennifer
Partner: UNT Libraries Government Documents Department
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Medicare: FY2008 Budget Issues

Description: This report discusses President's budget request to Congress for Medicare, for the following federal fiscal year, along with projections for the five-year budget window. The President’s 2008 budget includes Medicare legislative proposals with estimated savings of $4.3 billion in 2008 and $65.6 billion over the five-year budget window.
Date: February 6, 2007
Creator: Chaikind, Hinda; Jacobson, Gretchen A.; Hahn, Jim; Morgan, Paulette C.; O'Sullivan, Jennifer & Stockdale, Holly Sue
Partner: UNT Libraries Government Documents Department
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The Affordable Care Act’s Contraceptive Coverage Requirement: History of Regulations for Religious Objections

Description: This report summarizes the issues involved with the Affordable Care Act's (ACA) requirement in group health plans for contraceptive coverage. Moreover, the report covers the history of how religious objections to this provision of the ACA have been handled. Specifically, the report discuses this topic in relation to employers providing health insurance for employees.
Date: April 2, 2015
Creator: Brown, Cynthia
Partner: UNT Libraries Government Documents Department
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Addressing Medicare Hospital Readmissions

Description: This report highlights the issue of one-fifth of medicare patients in 2005 being readmitted to a hospital within thirty days time. These readmissions put a strain on the budget, the majority of which it is estimated may be avoidable. The report notes that Medicare as a program is working on moving around those difficulties, without reducing the quality of care.
Date: May 25, 2012
Creator: Tilson, Sibyl
Partner: UNT Libraries Government Documents Department
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Medicaid: A Primer

Description: 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. The recently passed Deficit Reduction Act of 2005 or DRA, as amended by the Tax Relief and Health Care Act of 2006, included many provisions affecting Medicaid. DRA provides states with oppor… more
Date: January 24, 2007
Creator: Herz, Elicia J.
Partner: UNT Libraries Government Documents Department
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The Independent Payment Advisory Board

Description: In response, in part, to overall growth in Medicare program expenditures and growth in expenditures per Medicare beneficiary, the Patient Protection and Affordable Care Act created the Independent Payment Advisory Board (IPAB, or the Board) and charged the Board with developing proposals to "reduce the per capita rate of growth in Medicare spending." This report discusses the responsibilities and duties.
Date: March 12, 2012
Creator: Hahn, Jim & Davis, Christopher M.
Partner: UNT Libraries Government Documents Department
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Medicare Advantage

Description: This report is an overview of the Medicare Advantage (MA) program, an alternative way for Medicare beneficiaries to receive covered benefits, and includes legislative history and analysis of recent trends.
Date: March 3, 2009
Creator: Morgan, Paulette C.
Partner: UNT Libraries Government Documents Department
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The Independent Payment Advisory Board (IPAB): Frequently Asked Questions

Description: This report responds to frequently asked questions about the Independent Payment Advisory Board (IPAB), including the board's background, current status, controversial issues including legal challenges, and recent legislative efforts to repeal the IPAB.
Date: October 30, 2015
Creator: Hahn, Jim; Davis, Christopher M. & Liu, Edward C.
Partner: UNT Libraries Government Documents Department
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