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 Decade: 2000-2009
 Collection: Congressional Research Service Reports
The Health Information Technology for Economic and Clinical Health (HITECH) Act

The Health Information Technology for Economic and Clinical Health (HITECH) Act

Date: February 23, 2009
Creator: Redhead, C. S.
Description: This report provides a summary and explanation of the provisions in the HITECH Act, which is intended to promote the widespread adoption of health information technology (HIT) for the electronic sharing of clinical data among hospitals, physicians, and other health care stakeholders. It gives an overview of prior actions taken by Congress and the Administrations to promote HIT, and briefly describes efforts by the 109th and 110th Congresses to enact comprehensive HIT legislation.
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Increases in Tricare Costs: Background and Options for Congress

Increases in Tricare Costs: Background and Options for Congress

Date: October 23, 2008
Creator: Jansen, Don J.
Description: In its FY2007, FY2008, and FY2009 budget submissions, the Department of Defense (DOD) proposed increases in Tricare enrollment fees, deductibles, and pharmacy co-payments for retired beneficiaries not yet eligible for Medicare. In passing the FY2009 National Defense Authorization Act, Congress included measures establishing demonstration projects intended to find ways to contain costs through increased use of preventive care services by TRICARE beneficiaries. The scope of these measures are limited. Defense health care spending will likely remain an issue for the DOD in the next Administration, and Congress can anticipate being asked to consider new proposals to constrain costs.
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Increases in Tricare Costs: Background and Options for Congress

Increases in Tricare Costs: Background and Options for Congress

Date: July 25, 2008
Creator: Jansen, Don J.
Description: In its FY2007, FY2008, and FY2009 budget submissions, the Department of Defense (DOD) proposed increases in Tricare enrollment fees, deductibles, and pharmacy co-payments for retired beneficiaries not yet eligible for Medicare. In passing the FY2009 National Defense Authorization Act, Congress included measures establishing demonstration projects intended to find ways to contain costs through increased use of preventive care services by TRICARE beneficiaries. The scope of these measures are limited. Defense health care spending will likely remain an issue for the DOD in the next Administration, and Congress can anticipate being asked to consider new proposals to constrain costs.
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Increases in Tricare Costs: Background and Options for Congress

Increases in Tricare Costs: Background and Options for Congress

Date: August 15, 2008
Creator: Jansen, Don J. & Best, Richard
Description: In its FY2007, FY2008, and FY2009 budget submissions, the Department of Defense (DOD) proposed increases in Tricare enrollment fees, deductibles, and pharmacy co-payments for retired beneficiaries not yet eligible for Medicare. In passing the FY2009 National Defense Authorization Act, Congress included measures establishing demonstration projects intended to find ways to contain costs through increased use of preventive care services by TRICARE beneficiaries. The scope of these measures are limited. Defense health care spending will likely remain an issue for the DOD in the next Administration, and Congress can anticipate being asked to consider new proposals to constrain costs.
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The False Claims Act, the Allison Engine Decision, and Possible Effects on Health Care Fraud Enforcement

The False Claims Act, the Allison Engine Decision, and Possible Effects on Health Care Fraud Enforcement

Date: November 6, 2008
Creator: Staman, Jennifer
Description: The False Claims Act (FCA), an important tool for combating fraud against the U.S. government, generally provides that a person who knowingly submits, or causes to be submitted, a false or fraudulent claim for payment to the U.S. government may be subject to civil penalties and damages. This report provides an overview of the FCA and the Allison Engine decision, analyzes how this decision could affect certain FCA health care claims, and discusses the proposed False Claims Correction Acts (S. 2041 and H.R. 4854), which, if enacted, could limit the application of the Allison Engine decision.
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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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Bisphenol A (BPA) in Plastics and Possible Human Health Effects

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

Date: July 23, 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.
Contributing Partner: UNT Libraries Government Documents Department
Bisphenol A (BPA) in Plastics and Possible Human Health Effects

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

Date: September 8, 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.
Contributing Partner: UNT Libraries Government Documents Department
Military Medical Care: Questions and Answers

Military Medical Care: Questions and Answers

Date: August 4, 2008
Creator: Best, Richard A., Jr.
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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Medicare Primer

Medicare Primer

Date: March 10, 2009
Creator: Chaikind, Hinda; Tilson, Sibyl; Morgan, Paulette C.; Hahn, Jim; Stockdale, Holly; Davis, Patricia A. et al.
Description: This report provides an overview of Medicare, the nation's federal insurance program, which pays for covered health care services of qualified beneficiaries.
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Increases in Tricare Costs: Background and Options for Congress

Increases in Tricare Costs: Background and Options for Congress

Date: May 14, 2009
Creator: Jansen, Don J.
Description: This report discusses budgetary matters for the U.S. Department of Defense (DOD), specifically regarding past instances of debate regarding the Tricare system. The dollar amounts allocated to health care in the budget of the DOD have more than doubled since FY2001, growing from about $17 billion to over $44.8 billion in FY2009.
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Military Medical Care: Questions and Answers

Military Medical Care: Questions and Answers

Date: October 31, 2008
Creator: Jansen, Don J.
Description: This report answers several frequently-asked questions about military health care, particularly related to TRICARE and its various aspects.
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Medicaid and Schools

Medicaid and Schools

Date: February 17, 2009
Creator: Herz, Elicia J.
Description: This report discusses the recent history and current issues facing Medicaid funding for certain health related costs under the Individuals with Disabilities Education Act (IDEA).
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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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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+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+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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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, 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: 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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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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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 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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Prescription Drug Coverage Under Medicaid

Prescription Drug Coverage Under Medicaid

Date: February 6, 2008
Creator: Hearne, Jean
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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