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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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Excise Tax on High-Cost Employer-Sponsored Health Coverage: In Brief

Description: This report provides an overview of the excise tax. The report includes cost estimates for the excise tax and explores the excise tax's relationship with the tax advantages for employer-sponsored health coverage. The information in this report is based on statute and two notices issued by the Department of the Treasury (Treasury) and the Internal Revenue Service (IRS).
Date: March 24, 2016
Creator: Mach, Annie L.
Partner: UNT Libraries Government Documents Department
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Eligibility and Determination of Health Insurance Premium Tax Credits and Cost-Sharing Subsidies: In Brief

Description: Certain individuals without access to subsidized health insurance coverage may be eligible for premium tax credits, as established under the Patient Protection and Affordable Care Act (ACA; P.L. 111-148, as amended). This report examines these tax credits and their eligibility requirements, as well as cost-sharing subsidies.
Date: March 23, 2016
Creator: Fernandez, Bernadette
Partner: UNT Libraries Government Documents Department
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Consumer Operated and Oriented Plan (CO-OP) Program: Frequently Asked Questions

Description: This report addresses frequently asked questions regarding the Consumer Operated and Oriented Plan (CO-OP) program, which was established under the Patient Protection and Affordable Care Act and aims to foster the creation of CO-OPs--nonprofit, member-run health insurance issuers that sell health plans in states in which they are licensed.
Date: March 11, 2016
Creator: Mach, Annie L.
Partner: UNT Libraries Government Documents Department
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The Use of Modified Adjusted Gross Income (MAGI) in Federal Health Programs

Description: This report explores how modified adjusted gross income (MAGI) is defined differently across health programs such as Medicare, the health insurance exchanges under the Affordable Care Act (ACA), and Medicaid. It also discusses why MAGI is used, and how it is applied, specific to each program. The report covers that MAGI is used to determine (1) penalty amounts owed if a person does not comply with the individual mandate or whether an individual is exempt from the individual mandate; (2) eligibi… more
Date: February 25, 2016
Creator: Baumrucker, Evelyne P.; Davis, Patricia A.; Fernandez, Bernadette; Mach, Annie L. & Pettit, Carol A.
Partner: UNT Libraries Government Documents Department
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The Health Coverage Tax Credit (HCTC): In Brief

Description: This report describes the eligibility criteria for the Health Coverage Tax Credit (HCTC) and the types of health insurance to which the tax credit may be applied. The tax credit's purpose is to make the purchase of health insurance more affordable for eligible individuals. The HCTC has a sunset date of January 1, 2020. The report also briefly describes the administration of the HCTC program and receipt of the credit by eligible taxpayers; it concludes with a summary of the HCTC's statutory hist… more
Date: February 18, 2016
Creator: Fernandez, Bernadette
Partner: UNT Libraries Government Documents Department
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Private Health Insurance Market Reforms in the Patient Protection and Affordable Care Act (ACA)

Description: This report provides background information about the private health insurance market, including market segments and regulation. It then describes each ACA market reform, grouped under the following categories: obtaining coverage, keeping coverage, cost of purchasing coverage, covered services, cost-sharing limits, consumer assistance and other health care protections, and plan requirements related to health care providers.
Date: February 10, 2016
Creator: Mach, Annie L. & Fernandez, Bernadette
Partner: UNT Libraries Government Documents Department
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Puerto Rico and Health Care Finance: Frequently Asked Questions

Description: This report provides answers to frequently asked questions (FAQs) about how federal health care programs and requirements are implemented in Puerto Rico, including information about eligibility, coverage, program requirements, and payment rules. Examples provided in the FAQs illustrate that in many circumstances, some health programs in Puerto Rico differ from programs in the US, while in other circumstances, Puerto Rico is treated the same as the states. As such, these questions and answers sh… more
Date: February 3, 2016
Creator: Mach, Annie L.
Partner: UNT Libraries Government Documents Department
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Provisions of the Senate Amendment to H.R. 3762

Description: This report includes a table listing all provisions in H.R. 3762 and the Senate amendment to H.R. 3762 that would amend or repeal Affordable Care Act (ACA) provisions. It also provides a brief explanation of the provisions included in the Senate Amendment to H.R. 3762.
Date: February 1, 2016
Creator: Mach, Annie L.
Partner: UNT Libraries Government Documents Department
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Discretionary Spending Under the Affordable Care Act (ACA)

Description: This report examines the Affordable Care Act's (ACA's) effects on discretionary spending. It first discusses all the ACA authorizations (and reauthorizations) of appropriations for grant and other programs; this information, along with actual funding amounts, is summarized in a series of tables. The report then reviews the ACA administrative costs borne by CMS and the IRS.
Date: January 13, 2016
Creator: Redhead, C. Stephen; Colello, Kirsten J.; Heisler, Elayne J.; Lister, Sarah A. & Sarata, Amanda K.
Partner: UNT Libraries Government Documents Department
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Health-Related Tax Expenditures: Overview and Analysis

Description: This report analyzes health-related tax expenditures together at the budget function level, rather than focusing on the size of any single provision. To provide some insights into common questions about health-related expenditures, this report analyzes historical data on health-related tax expenditure estimates published by the Joint Committee on Taxation (JCT).
Date: January 8, 2016
Creator: Lowry, Sean
Partner: UNT Libraries Government Documents Department
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Use of the Annual Appropriations Process to Block Implementation of the Affordable Care Act (FY2011-FY2016)

Description: This report summarizes the language related to the Affordable Care (ACA) that was added to annual appropriations legislation by congressional appropriators since the ACA was signed into law. The information is presented in a table. While a detailed examination of the ACA itself is beyond the scope of this report, a brief overview of the ACA's core provisions and its impact on federal spending is provided as context for the material in the table. Congress remains deeply divided over implementati… more
Date: January 5, 2016
Creator: Redhead, C. S. & Cornell, Ada S.
Partner: UNT Libraries Government Documents Department
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The Ryan White HIV/AIDS Program: Overview and Impact of the Affordable Care Act

Description: This report discusses the impact of the Affordable Care Act on the Ryan White HIV/AIDS Program, which makes federal funds available to metropolitan areas and states to that provide a number of health care services for HIV/AIDS patients.
Date: December 21, 2015
Creator: Johnson, Judith A. & Heisler, Elayne J.
Partner: UNT Libraries Government Documents Department
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Puerto Rico and Health Care Finance: Frequently Asked Questions

Description: This report provides answers to frequently asked questions (FAQs) about Puerto Rico's health care system, including how federal health care programs (Medicare, Medicaid, and the State Children's Health Insurance Program [CHIP]) and private health insurance requirements apply to Puerto Rico.
Date: November 18, 2015
Creator: Mach, Annie L.
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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Potential Policy Implications of the House Reconciliation Bill (H.R. 3762)

Description: This report provides background on the reconciliation process and summarizes the provisions in the Restoring Americans' Healthcare Freedom Reconciliation Act of 2015 (H.R. 3762), including their projected budgetary impact. It then briefly examines some of the bill's policy implications.
Date: October 21, 2015
Creator: Mach, Annie L.
Partner: UNT Libraries Government Documents Department
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Potential Impact of No Social Security COLA on Medicare Part B Premiums in 2016

Description: This report provides an overview of Medicare Part B premiums, the relationship between the Social Security cost-of-living increase (COLA) and Part B premiums, and the potential impact of a projected 0% Social Security COLA in 2016 on Medicare premiums, based on recent projections by the Medicare Trustees.
Date: October 20, 2015
Creator: Davis, Patricia A.
Partner: UNT Libraries Government Documents Department
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Public Health Service Agencies: Overview and Funding (FY2010-FY2016)

Description: This report gives a brief overview of the eight agencies within the Department of Health and Human Services (HHS) which are designated components of the U.S. Public Health Services (PHS), and summarizes its funding for FY2010 through FY2016.
Date: October 13, 2015
Creator: Redhead, C. S. & Dabrowska, Agata
Partner: UNT Libraries Government Documents Department
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Use of the Annual Appropriations Process to Block Implementation of the Affordable Care Act (FY2011-FY2016)

Description: This report summarizes the Patient Protection and Affordable Care act (ACA)-related language added to annual appropriations legislation by congressional appropriators since the ACA was signed into law.
Date: October 13, 2015
Creator: Redhead, C. S. & Cornell, Ada S.
Partner: UNT Libraries Government Documents Department
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Abortion, Hospital Admitting Privileges, and Whole Woman’s Health v. Cole

Description: This report revolves around the contentious issue of admitting privileges as can be seen in Whole Woman's Health v. Cole. The report also includes information on how admitting privileges have been used to impose an undue burden on a woman's ability to seek abortions.
Date: September 25, 2015
Creator: Shimabukuro, Jon O.
Partner: UNT Libraries Government Documents Department
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Abortion: Judicial History and Legislative Response

Description: This report discusses the judicial history of abortion and how legislatures respond to those decisions made by the court. The report tackles landmark cases such as Roe v. Wade as well as companion decisions such as Doe v. Bolton. The report highlights specifically how Congress has attempted to enact legislation that limits abortion practices.
Date: September 16, 2015
Creator: Shimabukuro, Jon O.
Partner: UNT Libraries Government Documents Department
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The Affordable Care Act's (ACA) Employer Shared Responsibility Determination and the Potential ACA Employer Penalty

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.
Date: September 1, 2015
Creator: Whittaker, Julie M.
Partner: UNT Libraries Government Documents Department
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The Patient Protection and Affordable Care Act's Essential Health Benefits (EHB)

Description: This report provides an overview of the first component of the essential health benefits (EHB) package--a core package of health care services required by the Patient Protection and Affordable Care Act (ACA; P.L. 111-148, as amended) for non-group and small-group private health insurance markets. The report examines how the EHB are defined, regulations related to the EHB, state variation in the EHB, applicability of the EHB to health plans, and how the EHB interact with other ACA provisions.
Date: August 27, 2015
Creator: Uberoi, Namrata K.
Partner: UNT Libraries Government Documents Department
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Health Insurance: Small is the New Large

Description: This report discusses aspects of the Patient Protection and Affordable Care Act that expand the definition of small employer to include employers with 100 or fewer employees. States must implement the expanded definition for plan years beginning in 2016, but have the option of implementing the expanded definition prior to the deadline.
Date: August 26, 2015
Creator: Mach, Annie L.
Partner: UNT Libraries Government Documents Department
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