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Pharmacy Benefit Managers
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Potential Farm Sector Effects of 2009 H1N1 "Swine Flu": Questions and Answers
This report discusses how the outbreak of the strain of influenza A (H1N1), commonly referred to as "swine flu," affected the domestic and international pork markets.
Prescription Drug Coverage Under Medicaid
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.
The Prescription Drug Import Provisions of the FY2001 Agriculture Appropriations Act, P.L. 106-387
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Prescription Drug Importation and Internet Sales: A Legal Overview
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Prescription Drug Monitoring Programs
This report looks at ways that prescription drug monitoring programs (PDMPs), which maintain statewide electronic databases of prescriptions dispensed for controlled substances, can help to deter prescription drug misuse.
Prescription Drug Monitoring Programs
This report looks at ways that prescription drug monitoring programs (PDMPs), which maintain statewide electronic databases of prescriptions dispensed for controlled substances, can help to deter prescription drug misuse.
Prescription Drug User Fee Act of 1992: Effects on Bringing New Drugs to Market
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Prescription Drugs: Importation for Personal Use
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President Bush's Proposed Medicare-Endorsed Drug Discount Card Initiative: Status and Issues
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President Bush's Proposed Medicare-Endorsed Drug Discount Card Initiative: Status and Issues
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President Bush's Proposed Medicare-Endorsed Drug Discount Card Initiative: Status and Issues
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The President's Emergency Plan for AIDS Relief (PEPFAR): Funding Issues After a Decade of Implementation, FY2004-FY2013
This report outlines U.S. spending on global HIV/AIDS programs since the inception of the President's Emergency Plan for AIDS Relief (PEPFAR), analyzes global HIV/AIDS funding by other donors, and highlights key issues pertaining to funding that will face the 113th Congress as it considers the future of PEPFAR
Prevalence of Mental Illness in the United States: Data Sources and Estimates
This report briefly describes the methodology and selected findings of three large federally funded surveys that provide national prevalence estimates of diagnosable mental illness: the National Comorbidity Survey Replication (NCS-R), the National Comorbidity Survey Replication Adolescent Supplement (NCS-A), and the National Survey on Drug Use and Health (NSDUH). This report presents prevalence estimates of any mental illness and serious mental illness based on each survey and ends with a brief discussion of how these prevalence estimates might inform policy discussions.
Preventing the Introduction and Spread of Ebola in the United States: Frequently Asked Questions
This report answers common legal and policy questions about the potential introduction and spread of Ebola Virus Disease in the United States.
The Private Testing of Mad Cow Disease: Legal Issues
This report provides information on how most of the countries banned United States beef after a single report of Bovine Spongiform Encephalopathy (BSE) in a Canadian-born cow after the December 2003 U.S. report. Creekstone Farms Premium Beef, proposed to conduct BSE rapid tests to be able to do exports, but USDA rejected this proposal since it implies as consumer safety rather than animal health. Updated December 3, 2004.
The Private Testing of Mad Cow Disease: Legal Issues
This report provides information on how most of the countries banned United States beef after a single report of Bovine Spongiform Encephalopathy (BSE) in a Canadian-born cow after the December 2003 U.S. report. Creekstone Farms Premium Beef, proposed to conduct BSE rapid tests to be able to do exports, but USDA rejected this proposal since it implies as consumer safety rather than animal health. Updated December 3, 2004.
Progress in Combating Neglected Tropical Diseases (NTDs): U.S. and Global Efforts from FY2006 to FY2013
This report discusses the prevalence of "neglected tropical diseases" (NTDs), U.S. and global actions to address them, and options the 113th Congress might consider.
The Proposed Tobacco Settlement: Effects on Prices, Smoking Behavior, and Income Distribution
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The Proposed Tobacco Settlement: Who Pays for the Health Costs of Smoking?
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The Pros and Cons of Allowing the Federal Government to Negotiate Prescription Drug Prices
The Medicare Prescription Drug, Improvement, and Modernization Act (MMA) expressly forbids the Secretary of Health and Human Services (HHS) from negotiating the price of prescription drugs on behalf of Medicare beneficiaries. This report outlines the arguments for and against allowing the federal government to negotiate prescription drug prices on behalf of Medicare beneficiaries. This report will be updated, as needed.
Public Health and Medical Emergency Management: Issues in the 112th Congress
This report summarizes key issues in domestic public health and medical preparedness and response, and discusses selected federal programs by citing other CRS reports and sources of additional information.
Public Health and Medical Preparedness and Response: Issues in the 110th Congress
The 2001 terrorist attacks, Hurricane Katrina, and concerns about an influenza ("flu") pandemic have sharpened congressional interest in the nation's systems to track and respond to public health threats. The 109th Congress passed laws that reauthorized public health and medical preparedness and response programs in the Department of Health and Human Services (HHS), and reorganized parts of the Department of Homeland Security (DHS), including the establishment of an Office of Health Affairs (OHA). This report discusses key issues in public health and medical preparedness and response, citing additional CRS reports and other resources.
Public Health and Medical Preparedness and Response: Issues in the 110th Congress
The 2001 terrorist attacks, Hurricane Katrina, and concerns about an influenza ("flu") pandemic have sharpened congressional interest in the nation's systems to track and respond to public health threats. The 109th Congress passed laws that reauthorized public health and medical preparedness and response programs in the Department of Health and Human Services (HHS), and reorganized parts of the Department of Homeland Security (DHS), including the establishment of an Office of Health Affairs (OHA). This report discusses key issues in public health and medical preparedness and response, citing additional CRS reports and other resources.
Public Health and Medical Preparedness and Response: Issues in the 111th Congress
This report summarizes key issues in domestic public health and medical preparedness and response, citing other CRS Reports and sources of additional information. Key recent events--the 2001 terrorist attacks, Hurricane Katrina, and concerns about an influenza ("flu") pandemic, among others--sharpened congressional interest in the nation's systems to track and respond to public health threats.
The Public Health and Medical Response to Disasters: Federal Authority and Funding
This report examines (1) the authorities and coordinating mechanisms of the President and the Secretary of HHS in providing routine assistance, and assistance pursuant to emergency or major disaster declarations and/or public health emergency determinations; (2) mechanisms to assure a coordinated federal response to public health and medical emergencies, and overlaps or gaps in agency responsibilities; and (3) existing mechanisms, potential gaps, and proposals for financing the costs of a response to public health and medical emergencies.
The Public Health and Medical Response to Disasters: Federal Authority and Funding
This report examines, first, the authorities and coordinating mechanisms of the President and the Secretary of HHS in providing routine assistance, and assistance pursuant to emergency or major disaster declarations and/or public health emergency determinations; second, mechanisms to assure a coordinated federal response to public health and medical emergencies, and overlaps or gaps in agency responsibilities; and finally, existing mechanisms, potential gaps, and proposals for financing the costs of a response to public health and medical emergencies.
The Public Health and Medical Response to Disasters: Federal Authority and Funding
This report examines (1) the authorities and coordinating mechanisms of the President and the Secretary of Health and Human Services (HHS) in providing routine assistance, and assistance pursuant to emergency or major disaster declarations and/or public health emergency determinations; (2) mechanisms to assure a coordinated federal response to public health and medical emergencies, and overlaps or gaps in agency responsibilities; and (3) existing mechanisms, potential gaps, and proposals for financing the costs of a response to public health and medical emergencies.
The Public Health and Medical Response to Disasters: Federal Authority and Funding
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The Public Health and Medical Response to Disasters: Federal Authority and Funding
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Regulation of Clinical Tests: In Vitro Diagnostic (IVD) Devices, Laboratory Developed Tests (LDTs), and Genetic Tests
In vitro diagnostic (IVD) devices are used in the analysis of human samples, such as blood or tissue, to provide information in making health care decisions. Examples of IVDs include pregnancy test kits or blood glucose tests for home use; laboratory tests for infectious disease, such as HIV or hepatitis, and routine blood tests, such as cholesterol and anemia; and tests for various genetic diseases or conditions. More recently, a specific type of diagnostic test--called a companion diagnostic--has been developed that may be used to select the best therapy, at the right dose, at the correct time for a particular patient; this is often referred to as personalized or precision medicine. This report provides an overview of federal regulation of IVDs by FDA, through the Federal Food, Drug, and Cosmetics Act (FFDCA) and the Public Health Service Act (PHSA), and by CMS, through the Clinical Laboratory Improvement Amendments (CLIA) of 1988.
Regulation of Clinical Tests: In Vitro Diagnostic (IVD) Devices, Laboratory Developed Tests (LDTs), and Genetic Tests
In vitro diagnostic (IVD) devices are used in the analysis of human samples, such as blood or tissue, to provide information in making health care decisions. Examples of IVDs include pregnancy test kits or blood glucose tests for home use; laboratory tests for infectious disease, such as HIV or hepatitis, and routine blood tests, such as cholesterol and anemia; and tests for various genetic diseases or conditions. More recently, a specific type of diagnostic test--called a companion diagnostic--has been developed that may be used to select the best therapy, at the right dose, at the correct time for a particular patient; this is often referred to as personalized or precision medicine. This report provides an overview of federal regulation of IVDs by FDA, through the Federal Food, Drug, and Cosmetics Act (FFDCA) and the Public Health Service Act (PHSA), and by CMS, through the Clinical Laboratory Improvement Amendments (CLIA) of 1988.
Regulation of Plant-Based Pharmaceuticals
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The Role of the Department of Defense During A Flu Pandemic
This report focuses on the role of the Department of Defense (DOD) in supporting the nation's domestic response effort to a flu pandemic, although it will also touch on DOD's international role.
The Ryan White HIV/AIDS Program: Overview and Impact of the Affordable Care Act
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.
Safe at Home? Letting Ebola-Stricken Americans Return
This report examines the U.S. practice of isolation and quarantine for citizens arriving in the country who have been infected with or exposed to a dangerous communicable disease. The report frames this information in the context of the two American healthcare workers who were brought back into the U.S. for treatment after contracting the Ebola virus in West Africa in the Summer of 2014.
Safe Harbor for Preclinical Use of Patented Inventions in Drug Research and Development:
In Merck KGaA v. Integra Lifesciences, the United States Supreme Court unanimously held that the preclinical use of patented inventions in drug research is exempted from patent infringement claims by the "safe harbor" provision of the Patent Act. This report includes information on related background information, the scope of the safe harbor provision, the Merck KGaA v. Integra Lifesciences case, the Supreme Court's decision in that case, and more.
The Safety of Air Ambulances
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The Safety of Air Ambulances
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The Schiavo Case: Legal Issues
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Science, Technology, and Medicine: Issues Facing the 105th Congress, First Session
Science, technology, and medicine are an indisputable part of many of the policy issues that may come before the Congress this coming year. This report provides an overview of several of these issue and identifies CRS publications that treat them in more depth.
Science, Technology, and Medicine: Issues Facing the 105th Congress, Second Session
Science, technology, and medicine are an integral part of many of the policy issues that might come before the Congress this second session. This report provides an overview of several of these issues and identifies CRS reports that treat them in more depth
Science, Technology, and Medicine: Issues Facing the 106th Congress, First Session
Science, technology, and medicine is playing an integral part in many of the policy issues that are coming before this Congress. Legislative action in certain areas directly affects the progress of science, technology, and medicine (STM). And advances in those areas can significantly affect broader public policy issues. This issue brief provides an overview of several of those issues and identifies CRS reports that treat them in more depth.
Science, Technology, and Medicine: Issues Facing the 106th Congress, Second Session
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Selected Health Funding in the American Recovery and Reinvestment Act of 2009
The American Recovery and Reinvestment Act (ARRA) of 2009, which the President signed into law on February 17, 2009, provided more than $17 billion in supplemental FY2009 discretionary appropriations for biomedical research, public health, and other health-related programs within the Department of Health and Human Services (HHS). This report discusses the health-related programs and activities funded by ARRA, including details of how the administering HHS agencies and offices plan to allocate, award, and spend the funds.
Selected Health Funding in the American Recovery and Reinvestment Act of 2009
This report compares funding provided for selected Health and Human Services (HHS) programs in the American Recovery and Reinvestment Act (ARRA) conference report (H.Rept. 111-16) with the recommendations in the House- and Senate-passed versions of H.R. 1. It also briefly discusses ARRA's provisions on HIT and comparative effectiveness research as they relate to the funding.
Severe Acute Respiratory Syndrome (SARS): Public Health Situation and U.S. Response
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A Shortage of Registered Nurses: Is It on the Horizon or Already Here?
The largest, traditionally female-dominated health care occupation is registered nurses (RNs). It has been asserted that there are too few RNs available today to meet employers’ needs, that is, there is a shortage of nurses at the present time. It also has been estimated that there could well be a shortage of RNs in the not-too-distant future. This report will analyze the labor market conditions facing RNs and their employers.
A Shortage of Registered Nurses: Is It on the Horizon or Already Here?
The largest traditionally female-dominated health care occupation is registered nurses (RNs). It has been asserted that there is an ongoing nationwide shortage of RNs of various kinds and in various sectors of the health care services industry. Before the latest (mid-2002) release of supply-demand projections from the U.S. Health Resources and Services Administration (HRSA), it was estimated, based in whole or part on 1996 HRSA projections, that there would likely be a shortage of RNs in 2007 or shortly thereafter. This report first will analyze recent trends in the RN labor market and then examine HRSA’s new projections, which moved up the date of an RN shortage to 2000.
Smallpox Vaccine Injury Compensation
This report discusses the Public Safety Officers’ Benefits Program, which provides for compensation of individuals injured by vaccinations given as part of a countermeasure plan declared by the Secretary of Health and Human Services in preparation for potential hostile activities involving the smallpox virus.
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