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 Collection: Congressional Research Service Reports
The Affordable Care Act and Small Business: Economic Issues

The Affordable Care Act and Small Business: Economic Issues

Date: August 15, 2013
Creator: Lowry, Sean & Gravelle, Jane G.
Description: This report explains how employer-sponsored insurance can be used to address concerns about health insurance coverage and cost. Then, it summarizes the three ACA provisions most relevant to small businesses. Also, it analyzes these provisions for their potential effects on small businesses. Last, this report presents several approaches that could address some concerns associated with these provisions (particularly the employer penalty).
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The Affordable Care Act's (ACA) Employer Shared Responsibility Determination and the Potential ACA Employer Penalty

The Affordable Care Act's (ACA) Employer Shared Responsibility Determination and the Potential ACA Employer Penalty

Date: September 1, 2015
Creator: Whittaker, Julie M.
Description: This report describes the potential employer penalties related to the Patient Protection and Affordable Care Act (ACA; P.L. 111-148, as amended) as well as regulations to implement the ACA employer provisions. The regulations address insurance coverage requirements, methodologies for determining whether a worker is considered full time, provisions relating to seasonal workers and corporate franchises, and other reporting requirements.
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The Affordable Care Act's (ACA) Employer Shared Responsibility Determination and the Potential Employer Penalty

The Affordable Care Act's (ACA) Employer Shared Responsibility Determination and the Potential Employer Penalty

Date: April 19, 2016
Creator: Whittaker, Julie M.
Description: This report describes potential employer penalties as well as regulations to implement the ACA employer provisions. The regulations address insurance coverage requirements, methodologies for determining whether a worker is considered full time, provisions relating to seasonal workers and corporate franchises, and other reporting requirements.
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AIDS: An Overview of Issues

AIDS: An Overview of Issues

Date: December 24, 1987
Creator: Smith, Pamela W
Description: 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.
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AIDS: An Overview of Issues

AIDS: An Overview of Issues

Date: March 21, 1988
Creator: Smith, Pamela W
Description: 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.
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AIDS: International Problems and Issues

AIDS: International Problems and Issues

Date: January 6, 1988
Creator: McHugh, Lois B
Description: 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).
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AIDS: The Ryan White CARE Act

AIDS: The Ryan White CARE Act

Date: February 22, 2006
Creator: Johnson, Judith A & Morgan, Paulette C
Description: This report discusses the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act, which makes federal funds available to metropolitan areas and states to assist in health care costs and support services for individuals and families affected by the human immunodeficiency virus (HIV) or acquired immune deficiency syndrome (AIDS). This report discusses related legislation and appropriations.
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American Recovery and Reinvestment Act of 2009 (ARRA, P.L. 111-5): Title V, Medicaid Provisions

American Recovery and Reinvestment Act of 2009 (ARRA, P.L. 111-5): Title V, Medicaid Provisions

Date: March 17, 2009
Creator: Binder, Cliff; Baumrucker, Evelyne P.; Grady, April & Herz, Elicia J.
Description: In addition to reducing some taxes and funding infrastructure projects, American Recovery and Reinvestment Act of 2009 (ARRA) provisions were designed to provide: temporary support to families and individuals by increasing unemployment compensation benefits; financial assistance for individuals to maintain their health coverage under provisions in the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA); temporary increases in Medicaid matching rates; and increases in disproportionate share hospital allotments. This report is a summary of ARRA's Medicaid provisions.
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Appropriations and Fund Transfers in the Affordable Care Act (ACA)

Appropriations and Fund Transfers in the Affordable Care Act (ACA)

Date: August 1, 2014
Creator: Redhead, C. S.
Description: This report summarizes all the mandatory appropriations and Medicare trust fund transfers in the Affordable Care Act (ACA) and provides details on the status of obligation of these funds. The information is presented in two tables. The report also includes a brief discussion of the impact that sequestration is having on ACA mandatory spending.
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Appropriations and Fund Transfers in the Affordable Care Act (ACA)

Appropriations and Fund Transfers in the Affordable Care Act (ACA)

Date: March 6, 2015
Creator: Redhead, C. Stephen
Description: This report summarizes all the mandatory appropriations and Medicare trust fund transfers in the ACA and provides details on the status of obligation of these funds. The information is presented in two tables. The report also includes a brief discussion of the impact that sequestration is having on ACA mandatory spending. This report is periodically revised and updated to reflect important legislative and other developments.
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Association Health Plans, Health Marts and the Small Group Market for Health Insurance

Association Health Plans, Health Marts and the Small Group Market for Health Insurance

Date: July 31, 2003
Creator: Hearne, Jean P
Description: An estimated 41.2 million people were without health insurance in 2001. Legislation under consideration by the 108th and earlier Congresses is intended to assist small employers in offering health insurance as a benefit to their workers. A new bill, H.R. 4281, introduced on May 5, 2004, The Small Business Health Fairness Act of 2003 (H.R. 6601s. 545), and a number of bills from the earlier Congresses include provisions creating new groups for small firms to join or encouraging the growth of existing groups so that small employers can band together to offer coverage to their employees.
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Association Health Plans, Health Marts and the Small Group Market for Health Insurance

Association Health Plans, Health Marts and the Small Group Market for Health Insurance

Date: July 7, 2003
Creator: Hearne, Jean P
Description: An estimated 41.2 million people were without health insurance in 2001. Legislation under consideration by the 108th and earlier Congresses is intended to assist small employers in offering health insurance as a benefit to their workers. A new bill, H.R. 4281, introduced on May 5, 2004, The Small Business Health Fairness Act of 2003 (H.R. 6601s. 545), and a number of bills from the earlier Congresses include provisions creating new groups for small firms to join or encouraging the growth of existing groups so that small employers can band together to offer coverage to their employees.
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Association Health Plans, Health Marts and the Small Group Market for Health Insurance

Association Health Plans, Health Marts and the Small Group Market for Health Insurance

Date: May 10, 2004
Creator: Hearne, Jean P
Description: An estimated 41.2 million people were without health insurance in 2001. Legislation under consideration by the 108th and earlier Congresses is intended to assist small employers in offering health insurance as a benefit to their workers. A new bill, H.R. 4281, introduced on May 5, 2004, The Small Business Health Fairness Act of 2003 (H.R. 6601s. 545), and a number of bills from the earlier Congresses include provisions creating new groups for small firms to join or encouraging the growth of existing groups so that small employers can band together to offer coverage to their employees.
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Association Health Plans, Health Marts and the Small Group Market for Health Insurance

Association Health Plans, Health Marts and the Small Group Market for Health Insurance

Date: June 5, 2003
Creator: Hearne, Jean P
Description: An estimated 41.2 million people were without health insurance in 2001. Legislation under consideration by the 108th and earlier Congresses is intended to assist small employers in offering health insurance as a benefit to their workers. A new bill, H.R. 4281, introduced on May 5, 2004, The Small Business Health Fairness Act of 2003 (H.R. 6601s. 545), and a number of bills from the earlier Congresses include provisions creating new groups for small firms to join or encouraging the growth of existing groups so that small employers can band together to offer coverage to their employees.
Contributing Partner: UNT Libraries Government Documents Department
Association Health Plans: Legislation in the 109th Congress

Association Health Plans: Legislation in the 109th Congress

Date: May 26, 2005
Creator: Hearne, Jean P
Description: An estimated 41.2 million people were without health insurance in 2001. Legislation under consideration by the 108th and earlier Congresses is intended to assist small employers in offering health insurance as a benefit to their workers. A new bill, H.R. 4281, introduced on May 5, 2004, The Small Business Health Fairness Act of 2003 (H.R. 6601s. 545), and a number of bills from the earlier Congresses include provisions creating new groups for small firms to join or encouraging the growth of existing groups so that small employers can band together to offer coverage to their employees. Opponents of the AHP approach raise concerns that unintended negative consequences would arise, negating the benefits that the new groups would create. While the proposed AHPs are not likely to immediately undermine the small group market, they are likely to require additional features to significantly expand insurance coverage among the uninsured.
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Beneficiary Information and Decision Supports for the Medicare-Endorsed Prescription Drug Discount Card

Beneficiary Information and Decision Supports for the Medicare-Endorsed Prescription Drug Discount Card

Date: March 24, 2005
Creator: Justice, Diane
Description: On December 8, 2003 the President signed into law the Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA, P.L. 108-173). This legislation establishes a Medicare prescription drug benefit, effective January 1, 2006. In the interim, the legislation requires the Department of Health and Human Services (HHS) to establish a temporary program of Medicare-endorsed prescription drug discount cards. This report discusses the objectives and benefits of this legislation.
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Beverage Industry Pledges to Reduce Americans' Drink Calories

Beverage Industry Pledges to Reduce Americans' Drink Calories

Date: October 6, 2014
Creator: Dabrowska, Agata
Description: This report briefly covers recent initiatives by leading beverage companies to curb the obesity epidemic.
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Bioterrorism: Legislation to Improve Public Health Preparedness and Response Capacity

Bioterrorism: Legislation to Improve Public Health Preparedness and Response Capacity

Date: January 31, 2002
Creator: Redhead, C. Stephen; Vogt, Donna U & Tiemann, Mary
Description: This report shows that while lawmakers work towards final passage of new authorizing legislation, Congress has appropriated more than $3 billion to the Dept. of Health and Human Services (HHS) to increase bioterrorism preparedness at the federal, state, and local levels. HHS anti-bioterrorism funding was included in the FY2002 Labor-HHSEducation appropriations bill and in the $20 billion emergency spending package that was attached to the FY2002 Defense appropriations bill. Until the new authorizing legislation is enacted, HHS is dispersing the funds according to existing authorities and the broad parameters set out in the appropriations bills.
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Bioterrorism: Legislation to Improve Public Health Preparedness and Response Capacity

Bioterrorism: Legislation to Improve Public Health Preparedness and Response Capacity

Date: March 8, 2002
Creator: Redhead, C. Stephen; Vogt, Donna U & Tiemann, Mary
Description: This report shows that while lawmakers work towards final passage of new authorizing legislation, Congress has appropriated more than $3 billion to the Dept. of Health and Human Services (HHS) to increase bioterrorism preparedness at the federal, state, and local levels. HHS anti-bioterrorism funding was included in the FY2002 Labor-HHSEducation appropriations bill and in the $20 billion emergency spending package that was attached to the FY2002 Defense appropriations bill. Until the new authorizing legislation is enacted, HHS is dispersing the funds according to existing authorities and the broad parameters set out in the appropriations bills.
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Bioterrorism: Legislation to Improve Public Health Preparedness and Response Capacity

Bioterrorism: Legislation to Improve Public Health Preparedness and Response Capacity

Date: May 8, 2002
Creator: Redhead, C. Stephen; Vogt, Donna U & Tiemann, Mary
Description: While lawmakers work towards final passage of new authorizing legislation, Congress has appropriated $3 billion to the Dept. of Health and Human Services (HHS) for FY2002 to increase bio-terrorism preparedness at the federal, state, and local levels. HHS anti bio-terrorism funding was included in theFY2002Labor-HHS-Education appropriations bill (P.L. 107-116, H.R. 3061) and in the $20 billion emergency spending package (P.L. 107- 117, H.R. 3338). HHS is dispersing the funds according to existing authorities and the broad spending parameters set out in the appropriations bills.
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Bioterrorism: Summary of a CRS/National Health Policy Forum Seminar on Federal, State, and Local Public Health Preparedness

Bioterrorism: Summary of a CRS/National Health Policy Forum Seminar on Federal, State, and Local Public Health Preparedness

Date: December 21, 2001
Creator: Strongin, Robin J & Redhead, C. Stephen
Description: The September 11th attack and subsequent intentional release of anthrax spores via the U.S. postal system have focused policymakers’ attention on the preparedness and response capability of the nation’s public health system. The anthrax attacks put a tremendous strain on the U. S. public health infrastructure, an infrastructure that many experts argue has been weakened by years of neglect and under-funding. To better understand the preparedness gaps that exist, as well as the disparate functions and agencies that define public health in this country, the Congressional Research Service (CRS), in conjunction with George Washington University’s National Health Policy Forum (NHPF), convened a seminar on October 26, 2001, entitled, The U.S. Health Care System: Are State and Local Officials Prepared for Bioterrorism? How Should the Federal Government Assist?
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Bioterrorism: Summary of a CRS/National Health Policy Forum Seminar on Federal, State, and Local Public Health Preparedness

Bioterrorism: Summary of a CRS/National Health Policy Forum Seminar on Federal, State, and Local Public Health Preparedness

Date: March 8, 2002
Creator: Strongin, Robin J & Redhead, C. Stephen
Description: The September 11th attack and subsequent intentional release of anthrax spores via the U.S. postal system have focused policymakers’ attention on the preparedness and response capability of the nation’s public health system. The anthrax attacks put a tremendous strain on the U. S. public health infrastructure, an infrastructure that many experts argue has been weakened by years of neglect and under-funding. To better understand the preparedness gaps that exist, as well as the disparate functions and agencies that define public health in this country, the Congressional Research Service (CRS), in conjunction with George Washington University’s National Health Policy Forum (NHPF), convened a seminar on October 26, 2001, entitled, The U.S. Health Care System: Are State and Local Officials Prepared for Bioterrorism? How Should the Federal Government Assist?
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Bisphenol A (BPA) in Plastics and Possible Human Health Effects

Bisphenol A (BPA) in Plastics and Possible Human Health Effects

Date: August 13, 2010
Creator: Schierow, Linda-Jo & Lister, Sarah A.
Description: This report discusses Bisphenol A (BPA). BPA is used to produce certain types of plastic that are used in thousands of formulations for myriad products. Containers made with these plastics may expose people to small amounts of BPA in food and water. Medical devices and other more ubiquitous products, such as thermal paper coatings, also may contribute significantly to human exposure. Some animal experiments have found that fetal and infant development may be harmed by small amounts of BPA, but scientists disagree about the value of the animal studies for predicting harmful effects in people.
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Bisphenol A (BPA) in Plastics and Possible Human Health Effects

Bisphenol A (BPA) in Plastics and Possible Human Health Effects

Date: June 30, 2008
Creator: Schierow, Linda-Jo & Lister, Sarah A.
Description: Bisphenol A (BPA) is used to produce certain types of plastic. Containers made of these plastics may expose people to small amounts of BPA in food and water. Some animal experiments have found that fetal and infant development may be harmed by small amounts of BPA, but scientists disagree about the value of the animal studies for predicting harmful effects in people. This report discusses this issue and relevant legislation, as well as inquiries into studies currently underway to determine the true harm inherent in BPA and the degree to which people are regularly exposed to BPA.
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