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Medicaid Regulatory Issues

Description: This report provides a summary of seven proposed and final rules affecting the Medicaid program that were issued by the Bush Administration during 2007 and 2008. Six of the seven rules are currently under a congressional moratorium on further administrative action until April 1, 2009. A description of possible administrative and legislative actions to modify these rules, which could be taken by the next administration or the 111th Congress, is also provided.
Date: November 26, 2008
Creator: Herz, Elicia J. & Burrows, Vanessa K.
Partner: UNT Libraries Government Documents Department
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Medicare: Selected Prescription Drug Proposals in the 107th Congress

Description: Medicare, the nationwide health insurance program for the aged and disabled, does not cover most outpatient prescription drugs. On several occasions, the Congress has considered providing coverage for at least a portion of beneficiaries’ drug costs. The issue received renewed attention in the 106th Congress. However, there was no consensus on how the coverage should be structured. This report provides a side-by-side comparison of bills introduced in the 107th Congress that have received the mos… more
Date: August 13, 2001
Creator: O'Sullivan, Jennifer
Partner: UNT Libraries Government Documents Department
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Medicaid Coverage of Long-Term Services and Supports

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.
Date: December 5, 2013
Creator: Colello, Kirsten J.
Partner: UNT Libraries Government Documents Department
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Health Care Spending: Context and Policy

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.
Date: September 6, 2005
Creator: Jenson, Jennifer
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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Abortion at or Over 20 Weeks' Gestation: Frequently Asked Questions

Description: This report provides answers to frequently asked questions concerning abortions that are performed in the second trimester of a woman's pregnancy because Congress and many state legislatures are considering legislation that would limit or ban abortions in midpregnancy. This report does not discuss constitutional or legal questions nor does it discusses differing state regulations regarding such abortions.
Date: April 11, 2018
Creator: Barry, Matthew B.
Partner: UNT Libraries Government Documents Department
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Division A of H.R. 3922: The CHAMPIONING HEALTHY KIDS Act

Description: This report summarizes provisions in Division A of the CHAMPIONING HEALTHY KIDS Act that would extend funding for certain public health programs and provide offsets for these funding extensions. CRS Report R44989, Comparison of the Bills to Extend State Children's Health Insurance Program (CHIP) Funding, summarizes provisions in Division B.
Date: December 19, 2017
Creator: Heisler, Elayne J.; Fernandes-Alcantara, Adrienne L.; Fernandez, Bernadette & Lister, Sarah A.
Partner: UNT Libraries Government Documents Department
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Bipartisan Budget Act of 2018 (P.L. 115-123): CHIP, Public Health, Home Visiting, and Medicaid Provisions in Division E

Description: This report provides information about the provisions from Division E of the Bipartisan Budget Act of 2018 (BBA 2018) related to CHIP, certain public health programs, the MIECHV program, and the Medicaid program.
Date: March 20, 2018
Creator: Mitchell, Alison & Heisler, Elayne J.
Partner: UNT Libraries Government Documents Department
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Health Insurance Premium Credits in the Patient Protection and Affordable Care Act (ACA) in 2015

Description: This report describes the eligibility criteria applicable to the premium tax credits and cost-sharing subsidies, and the calculation method for the credit and subsidy amounts. It also highlights selected issues addressed in the final regulation and guidance on premium credits and indicates the status of implementation, where relevant data is available.
Date: March 18, 2015
Creator: Fernandez, Bernadette
Partner: UNT Libraries Government Documents Department
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H.R. 2: The Children's Health Insurance Program Reauthorization Act of 2009

Description: This report summarizes changes to current law across the major provisions of H.R. 2 that would occur if The Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) were enacted.
Date: January 14, 2009
Creator: Baumrucker, Evelyne P.; Herz, Elicia J.; Peterson, Chris L.; Tilson, Sibyl & Gravelle, Jane G.
Partner: UNT Libraries Government Documents Department
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Environmental Exposure to Endocrine Disruptors: What Are the Human Health Risks?

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.
Date: February 4, 2002
Creator: Schierow, Linda-Jo & Buck, Eugene H.
Partner: UNT Libraries Government Documents Department
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Health Care Spending: Past Trends and Projections

Description: This report focuses on trends in personal health care spending, which includes spending on health care goods and services provided to individuals and excludes expenditures for administrative costs, research, and public health activities. Personal health care expenditures have grown considerably over the past 40 years. It is estimated that personal health spending will exceed $2.9 trillion in 2013.
Date: April 8, 2004
Creator: Morgan, Paulette C.
Partner: UNT Libraries Government Documents Department
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Implications of the Medicare Prescription Drug Benefit for Dual Eligibles and State Medicaid Programs

Description: This report discusses the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA, P.L. 108-173), which added a new Medicare prescription drug benefit, implemented in January 2006. This report focuses on MMA provisions that added a voluntary prescription drug benefit under a new Medicare Part D, and the effect of this new benefit both on individuals who are dually eligible for Medicaid and Medicare, and on state Medicaid programs.
Date: January 19, 2006
Creator: Tritz, Karen
Partner: UNT Libraries Government Documents Department
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Contractors and HealthCare.gov: Answers to Frequently Asked Questions

Description: This report provides answers to 20 frequently asked questions regarding contractors and HealthCare.gov, the federal online health insurance portal called for by the Patient Protection and Affordable Care Act (ACA) (P.L. 111-148, as amended). Over 50 contractors, including CGI Federal and Quality Software Services, Inc. (QSSI), helped in building the site, which was reportedly largely unusable when it first became available to the public on October 1, 2013.
Date: January 24, 2014
Creator: Manuel, Kate M.; Murrill, Brandon J. & Perry, Rodney M.
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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The 2009 Influenza A(H1N1) Outbreak: Selected Legal Issues

Description: This report summarizes the legal issues concerning the 2009 influenza A(H1N1) outbreak. The report also includes information on how containment may occur to extrapolate the legal implications of the various ways to reduce the level of contamination. The report ultimately explores the questions that may be raised as the government implements a solution to remedy the situation.
Date: May 21, 2009
Creator: Swendiman, Kathleen S. & Jones, Nancy Lee
Partner: UNT Libraries Government Documents Department
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Hospital Reimbursement

Description: This report discusses the process of hospital reimbursement by health insurers and regulations governing the process.
Date: September 9, 1974
Creator: Markus, Glenn R.
Partner: UNT Libraries Government Documents Department
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Medicaid Financial Eligibility for Long-Term Services and Supports

Description: This report provides an overview of the financial requirements used for determining eligibility for Medicaid long-term services and supports (LTSS). It first provides background information on the Medicaid program, including general eligibility requirements. Then it describes federal statutes as well as selected regulations and guidance regarding these financial eligibility requirements, including rules related to spousal impoverishment, asset transfers, treatment of certain assets, post-eligib… more
Date: March 7, 2017
Creator: Colello, Kirsten J.
Partner: UNT Libraries Government Documents Department
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