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 Collection: Congressional Research Service Reports
Environmental Exposure to Endocrine Disruptors: What Are the Human Health Risks?

Environmental Exposure to Endocrine Disruptors: What Are the Human Health Risks?

Date: February 4, 2002
Creator: Schierow, Linda-Jo & Buck, Eugene H.
Description: This report discusses the human health risks, specifically from endocrine disruptors that are chemical compounds in drugs, food, consumer products, or the ambient environment that can interfere with internal biological processes of animals that normally are regulated by their hormones.
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Public Health, Workforce, Quality, and Related Provisions in H.R. 3962

Public Health, Workforce, Quality, and Related Provisions in H.R. 3962

Date: November 5, 2009
Creator: Redhead, C. Stephen
Description: This report discusses health care reform, which was at the top of the domestic policy agenda for the 111th Congress, driven by concerns about the growing ranks of the uninsured and the unsustainable growth in spending on health care and health insurance.
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Medicare Primer

Medicare Primer

Date: September 10, 2014
Creator: Davis, Patricia A.; Talaga, Scott R.; Binder, Cliff; Hahn, Jim; Morgan, Paulette C.; Mulvey, Janemarie 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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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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The Title X Family Planning Program

The Title X Family Planning Program

Date: March 22, 2005
Creator: Coleman, Sharon K.
Description: This report discusses Title X of the Public Health Service Act. The program, enacted in 1970, is the only federal program devoted solely to family planning and related preventive health services. Although the authorization for Title X ended with FY1985, funding for the program has been provided through bills that provide appropriations for the Departments of Labor, Health and Human Services, and Education, and Related Agencies.
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Medicaid and SCHIP: The President’s FY2006 Budget Proposals

Medicaid and SCHIP: The President’s FY2006 Budget Proposals

Date: February 15, 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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Tax Benefits for Health Insurance and Expenses: Overview of Current Law and Legislation

Tax Benefits for Health Insurance and Expenses: Overview of Current Law and Legislation

Date: April 28, 2008
Creator: Lyke, Bob & Whittaker, Julie M.
Description: This report discusses how tax policy affects health insurance and health care spending.
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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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Prescription Drug Coverage Under Medicaid

Prescription Drug Coverage Under Medicaid

Date: February 21, 2006
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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The ACA Medicaid Expansion

The ACA Medicaid Expansion

Date: December 30, 2014
Creator: Mitchell, Alison
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 certain individuals, employers, and hospitals.
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Health Insurance Coverage for Retirees

Health Insurance Coverage for Retirees

Date: March 28, 2006
Creator: Chaikind, Hinda
Description: With the retirement of the baby boom generation looming ahead, employers offering coverage to their retired workers will face a huge future financial commitment. Some employers have already reduced or eliminated their commitment to insure their retirees. Recent trends indicate that retiree health benefits are increasingly subject to higher beneficiary cost-sharing. Further, among employers who provide health insurance for current retirees, their current workers are less likely to be guaranteed these benefits upon retirement. This report discusses issues regarding health insurance coverage for retirees.
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Health Insurance Coverage for Retirees

Health Insurance Coverage for Retirees

Date: January 22, 2007
Creator: Chaikind, Hinda
Description: With the retirement of the baby boom generation looming ahead, employers offering coverage to their retired workers will face a huge future financial commitment. Some employers have already reduced or eliminated their commitment to insure their retirees. Recent trends indicate that retiree health benefits are increasingly subject to higher beneficiary cost-sharing. Further, among employers who provide health insurance for current retirees, their current workers are less likely to be guaranteed these benefits upon retirement. This report discusses issues regarding health insurance coverage for retirees.
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Medicare Home Health Benefit Primer: Benefit Basics and Issues

Medicare Home Health Benefit Primer: Benefit Basics and Issues

Date: February 6, 2014
Creator: Talaga, Scott R.
Description: This report describes home health eligibility criteria, home health services, characteristics of Medicare beneficiaries who use home health services, and home health providers. Further, this report describes in detail the Medicare home health prospective payment system (HH PPS), provides an overview of Medicare home health payments, and discusses issues for Congress related to the Medicare home health benefit.
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Medicare: FY2008 Budget Issues

Medicare: FY2008 Budget Issues

Date: February 6, 2007
Creator: Chaikind, Hinda; Jacobson, Gretchen A.; Hahn, Jim; Morgan, Paulette C.; O’Sullivan, Jennifer & Stockdale, Holly Sue
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.
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Medicaid Citizenship Documentation

Medicaid Citizenship Documentation

Date: April 15, 2008
Creator: Grady, April
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.
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Health Insurance Coverage: Characteristics of the Insured and Uninsured Populations in 2007

Health Insurance Coverage: Characteristics of the Insured and Uninsured Populations in 2007

Date: September 3, 2008
Creator: Peterson, Chris L. & Grady, April
Description: Based on data from the Census Bureau’s Current Population Survey (CPS), 45.7 million people in the United States had no health insurance in 2007 — a decrease of approximately 1.3 million people when compared with 2006. This report briefly examines the characteristics of this uninsured population.
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Medicare Physician Payment Updates and the Sustainable Growth Rate (SGR) System

Medicare Physician Payment Updates and the Sustainable Growth Rate (SGR) System

Date: August 2, 2012
Creator: Hahn, Jim & Mulvey, Janemarie
Description: This report discusses the Sustainable Growth Rate (SGR), which is the statutory method for determining the annual updates to the Medicare physician fee schedule. The SGR system was established because of the concern that the Medicare fee schedule itself would not adequately constrain overall increases in spending for physicians’ services.
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Medicare: FY2007 Budget Issues

Medicare: FY2007 Budget Issues

Date: March 31, 2006
Creator: Chaikind, Hinda; Morgan, Paulette C.; O’Shaughnessy, Carol; O’Sullivan, Jennifer; Stone, Julie & Tilson, Sibyl
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.
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Health Care and Markets

Health Care and Markets

Date: January 5, 2007
Creator: Austin, D. Andrew & Government and Finance Division
Description: Health care spending is one of the most rapidly growing portions of the federal budget. Projections suggest if the rapid growth in health care costs is not curtailed, governments at all levels will face an uncomfortable choice between significant cuts in other spending priorities or major tax increases. This report examines the economic justification for government intervention and involvement in health care markets.
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Federal Drug Price Negotiation: Implications for Medicare Part D

Federal Drug Price Negotiation: Implications for Medicare Part D

Date: April 19, 2007
Creator: Hahn, Jim
Description: This report discusses what it means for the federal government to “negotiate” drug prices under existing public programs, the arguments for and against such activities, and some implications for the pharmaceutical industry, Medicare beneficiaries, and others if similar federal involvement were to occur on behalf of the Medicare Part D program.
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Recent Developments in Medicare Affecting Long-Term Care Hospitals

Recent Developments in Medicare Affecting Long-Term Care Hospitals

Date: March 14, 2006
Creator: Tilson, Sibyl
Description: Medicare pays about $36 billion annually for post-acute care in four separate settings: long-term care hospitals (LTCHs), inpatient rehabilitation settings (IRFs), skilled nursing facilities (SNFs), and in the home. This report provides background information on several operational issues affecting LTCHs that are currently attracting attention from Congress, specifically efforts to develop a patient assessment tool, to develop qualification criteria that should be imposed on LTCHs, and to change Medicare’s LTCH payment methods.
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Centers for Medicare & Medicaid Services: President’s FY2013 Budget

Centers for Medicare & Medicaid Services: President’s FY2013 Budget

Date: April 9, 2012
Creator: Mitchell, Alison & Paulette, Morgan C.
Description: This report summarizes the President's budget estimates for each section of the CMS budget. Then, for each legislative proposal included in the President's budget, this report provides a description of current law and the President's proposal. The explanations of the President's legislative proposals are grouped by the following program areas: Medicare, Medicaid, program integrity, and health insurance programs.
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Medicaid Coverage of Long-Term Services and Supports

Medicaid Coverage of Long-Term Services and Supports

Date: December 5, 2013
Creator: Colello, Kirsten J.
Description: This report provides a description of the various statutory authorities that either require or otherwise allow states to cover LTSS under Medicaid. The Appendix provides a brief legislative history of Medicaid LTSS from Medicaid’s enactment and initial coverage requirements for institutional care through the evolution of HCBS options available to states.
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Medicaid and Graduate Medical Education

Medicaid and Graduate Medical Education

Date: May 28, 2008
Creator: Herz, Elicia J. & Tilson, Sibyl
Description: This report discusses Medicaid coverage of graduate medical education (GME) costs. GME costs are difficult to determine because teaching occurs in the context of patient care and research. There are direct GME (DGME) costs, which include residents' stipends, payments to supervising physicians, and direct program administration costs.
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