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 Collection: Congressional Research Service Reports
Medicaid: A Primer

Medicaid: A Primer

Date: December 19, 2005
Creator: Herz, Elicia J
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.
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Budget Reconciliation FY2006: Provisions Affecting the Medicaid Federal Medical Assistance Percentage (FMAP)

Budget Reconciliation FY2006: Provisions Affecting the Medicaid Federal Medical Assistance Percentage (FMAP)

Date: November 28, 2005
Creator: Grady, April
Description: The federal medical assistance percentage (FMAP) is the rate at which states are reimbursed for most Medicaid service expenditures. The FY2006 budget reconciliation bills passed by the House (H.R. 4241) and Senate (S. 1932) include provisions that would affect state FMAPs for Medicaid in a number of ways. This report describes these provisions and estimates their impact on FY2006 FMAPs.
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Hurricane Katrina: Medicaid Issues

Hurricane Katrina: Medicaid Issues

Date: November 18, 2005
Creator: Baumrucker, Evelyne P; Grady, April; Hearne, Jean P & Herz, Elicia J
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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Influenza Antiviral Drugs and Patent Law Issues

Influenza Antiviral Drugs and Patent Law Issues

Date: November 18, 2005
Creator: Yeh, Brian T.
Description: This report identifies and analyzes the patent law aspects of the current avian influenza drug situation. First, the report explains the role that patent rights have played in affecting the availability of Tamiflu. Second, the report examines options for increasing the drug’s production, including the possibility of governments abrogating Roche’s patent rights by issuing compulsory licenses to other drug companies to manufacture generic versions of Tamiflu without Roche’s consent.
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Pandemic Flu Liability Limitation Legislation

Pandemic Flu Liability Limitation Legislation

Date: November 18, 2005
Creator: Cohen, Henry
Description: None
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The Global Fund and PEPFAR in U.S. International AIDS Policy

The Global Fund and PEPFAR in U.S. International AIDS Policy

Date: November 3, 2005
Creator: Copson, Raymond W.
Description: The international HIV/AIDS pandemic continues to deepen. According to UNAIDS, the Joint United Nations Program on HIV/AIDS, an estimated 39.4 million people were living with HIV in 2004, including 4.9 million who were newly infected during the year. This report discusses the President’s Emergency Plan for AIDS Relief (PEPFAR), which includes bilateral programs and contributions to the multilateral Global Fund for AIDS, Tuberculosis, and Malaria.
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Budget Reconciliation FY2006: Medicaid, Medicare, and State Children's Health Insurance Program (SCHIP) Provisions

Budget Reconciliation FY2006: Medicaid, Medicare, and State Children's Health Insurance Program (SCHIP) Provisions

Date: November 2, 2005
Creator: Baumrucker, Evelyne P; Chaikind, Hinda Ripps; Grady, April; Hahn, Jim; Hearne, Jean P; Herz, Elicia J et al.
Description: This is one report in the series of reports that discus the Budget Reconciliation- Medicaid, Medicare, and SCHIP Provisions. These are some of the issues discussed in this report: Medicaid Outpatient Prescription Drugs, Long-Term Care under Medicaid, Fraud, Waste, and Abuse, State Financing and Medicaid, Improving the Medicaid and State Children’s Health Insurance Programs, Medicare Advantage, and other Medicare Provisions.
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Budget Reconciliation FY2006: Medicaid, Medicare, and State Children's Health Insurance Program (SCHIP) Provisions

Budget Reconciliation FY2006: Medicaid, Medicare, and State Children's Health Insurance Program (SCHIP) Provisions

Date: October 31, 2005
Creator: Baumrucker, Evelyne P; Chaikind, Hinda Ripps; Grady, April; Hahn, Jim; Hearne, Jean P; Herz, Elicia J et al.
Description: This is one report in the series of reports that discus the Budget Reconciliation- Medicaid, Medicare, and SCHIP Provisions. These are some of the issues discussed in this report: Medicaid Outpatient Prescription Drugs, Long-Term Care under Medicaid, Fraud, Waste, and Abuse, State Financing and Medicaid, Improving the Medicaid and State Children’s Health Insurance Programs, Medicare Advantage, and other Medicare Provisions.
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Budget Reconciliation: Projections of Funding in the State Children's Health Insurance Program (SCHIP)

Budget Reconciliation: Projections of Funding in the State Children's Health Insurance Program (SCHIP)

Date: October 28, 2005
Creator: Peterson, Chris L
Description: In FY2005, six states faced the prospect of running out of federal funds in the State Children’s Health Insurance Program (SCHIP). This was the first time since the program’s creation in 1997 that multiple states faced such a shortfall. The shortfalls were avoided by the redistribution of funds from other states’ original SCHIP allotments that had not been spent by the end of the three-year period of availability. To address this, the reconciliation proposal approved by the Senate Finance Committee would reduce the period of availability for original allotments from three years to two.
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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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Impact on States of Revised Redistribution of Unspent FY2002 SCHIP Allotments

Impact on States of Revised Redistribution of Unspent FY2002 SCHIP Allotments

Date: October 3, 2005
Creator: Peterson, Chris L
Description: None
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Hurricane Katrina: The Public Health and Medical Response

Hurricane Katrina: The Public Health and Medical Response

Date: September 21, 2005
Creator: Lister, Sarah A
Description: None
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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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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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Medicaid Eligibility for Adults and Children

Medicaid Eligibility for Adults and Children

Date: August 3, 2005
Creator: Hearne, Jean P
Description: None
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Military Medical Care Services: Questions and Answers

Military Medical Care Services: Questions and Answers

Date: July 12, 2005
Creator: Best Jr., Richard A
Description: None
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SCHIP Financing: Funding Projections and State Redistribution Issues

SCHIP Financing: Funding Projections and State Redistribution Issues

Date: July 6, 2005
Creator: Peterson, Chris L
Description: None
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Medicare: Part B Premium Penalty

Medicare: Part B Premium Penalty

Date: June 29, 2005
Creator: O'Sullivan, Jennifer
Description: None
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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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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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Military Medical Care Services: Questions and Answers

Military Medical Care Services: Questions and Answers

Date: May 5, 2005
Creator: Best Jr., Richard A
Description: None
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Medicare: Financing the Part A Hospital Insurance Program

Medicare: Financing the Part A Hospital Insurance Program

Date: April 11, 2005
Creator: O'Sullivan, Jennifer
Description: None
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State Medicaid Program Administration: A Brief Overview

State Medicaid Program Administration: A Brief Overview

Date: March 30, 2005
Creator: Grady, April
Description: None
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