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 Country: United States
 Collection: Congressional Research Service Reports
Private Health Insurance Market Reforms in the Affordable Care Act (ACA)
This report provides background information about the private health insurance market, including market segments and regulation. It then describes each Affordable Care Act (ACA) market reform. digital.library.unt.edu/ark:/67531/metadc462687/
Health and Safety Concerns Over U.S. Imports of Chinese Products: An Overview
This report provides an overview of concerns about the health, safety, and quality of imported Chinese products, and implications for U.S.-China trade relations. digital.library.unt.edu/ark:/67531/metadc461962/
Beverage Industry Pledges to Reduce Americans' Drink Calories
This report briefly covers recent initiatives by leading beverage companies to curb the obesity epidemic. digital.library.unt.edu/ark:/67531/metadc461921/
Patient Protection and Affordable Care Act (ACA): Resources for Frequently Asked Questions
The report provides basic consumer sources, including broad overviews of the Affordable Care Act (ACA) law, and resources related to specific provisions. It also has links to contacts for specific questions (including websites, hotlines, and online chat assistance). digital.library.unt.edu/ark:/67531/metadc462747/
Individual Mandate Under ACA
Report describing the individual mandate requirements of the Afordable Care Act, as well as penalties for not meeting these requirements and exemptions granted for hardships. digital.library.unt.edu/ark:/67531/metadc462722/
Federal Employees Health Benefits Program (FEHBP): Available Health Insurance Options
This report discusses the Federal Employees Health Benefits Program (FEHBP), a program administered by the Office of Personnel Management (OPM), which is statutorily given the authority to contract with qualified carriers offering plans and to prescribe regulations necessary to carry out the statute, among other duties. digital.library.unt.edu/ark:/67531/metadc462956/
Medical Loss Ratio Requirements Under the Patient Protection and Affordable Care Act (ACA): Issues for Congress
This report provides a detailed description of the Patient Protection and Affordable Care Act (ACA, P.L. 111-148) requirements for Medical Loss Ratio (MLR) reporting and rebates as specified in regulations, including components of the MLR formula, state flexibility and waivers, and the nature of rebates to policyholders. The report also addresses issues that have been raised about the MLR provisions since the ACA was enacted, namely the treatment of insurance commissions paid to brokers and agents. digital.library.unt.edu/ark:/67531/metadc462995/
Medicare: Part B Premiums
This report examines the history of the Medicare Part B Premium. The report considers issues including the changing factors that go into determining the premium. The report also discusses the comparative cost adjustment program, the Part B deductible, and the Part A premium. digital.library.unt.edu/ark:/67531/metadc463177/
Summary Cost Data for Federally-Facilitated Exchanges, 2014
This report provides fact sheets for Federally-Facilitated exchanges offering individual plans. digital.library.unt.edu/ark:/67531/metadc463139/
TRICARE and VA Health Care: Impact of the Patient Protection and Affordable Care Act (ACA)
This report addresses key questions concerning how the Patient Protection and Affordable Care Act (ACA) affects TRICARE and VA health care. digital.library.unt.edu/ark:/67531/metadc462146/
Medicare: Insolvency Projections
This report focuses on the two separate trust funds that fund Medicare, the Hospital Insurance (HI) trust fund and Supplementary Medical Insurance (SMI) trust fund. Almost from its inception, the HI trust fund has faced a projected shortfall and eventual insolvency. Because of the way it is financed, the SMI trust fund cannot become insolvent; however, the Medicare Trustees continue to express concerns about the rapid growth in SMI costs. digital.library.unt.edu/ark:/67531/metadc462915/
Private Health Insurance Market Reforms in the Affordable Care Act (ACA)
This report provides background information about the private health insurance market, including market segments and regulation. It then describes each Affordable Care Act (ACA) market reform. digital.library.unt.edu/ark:/67531/metadc462430/
Appropriations and Fund Transfers in the Affordable Care Act (ACA)
This report summarizes all the mandatory appropriations and Medicare trust fund transfers in the Affordable Care Act (ACA) and provides details on the status of obligation of these funds. The information is presented in two tables. The report also includes a brief discussion of the impact that sequestration is having on ACA mandatory spending. digital.library.unt.edu/ark:/67531/metadc462816/
Health Insurance Premium Credits in the Patient Protection and Affordable Care Act (ACA)
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 on premium credits. digital.library.unt.edu/ark:/67531/metadc463506/
Legal Issues Relating to State Health Care Regulation: ERISA Preemption and Fair Share Laws
This report provides an overview of the Employee Retirement Income Security Act (ERISA) preemption, discusses legal challenges to fair share laws, and analyzes the fair share requirements included as part of the Massachusetts Health Care Reform Act. digital.library.unt.edu/ark:/67531/metadc462496/
Enforcement of the HIPAA Privacy and Security Rules
This report discusses enforcement of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) administrative simplification provisions by the Department of Health and Human Services (HHS) and the Department of Justice (DOJ), and provides an overview of the HIPAA Administrative Simplification Enforcement Rule. digital.library.unt.edu/ark:/67531/metadc463388/
Individual Mandate Under ACA
This report describes the individual mandate as established under the Affordable Care Act (ACA, P.L. 111-148, as amended). The report also discusses the ACA reporting requirements designed, in part, to assist individuals in providing evidence of having met the mandate. digital.library.unt.edu/ark:/67531/metadc306515/
Summary Cost Data for Health Plans Available in Maine's Exchange, 2014: Fact Sheet
This report discusses the Patient Protection and Affordable Care Act (ACA, P.L. 111-148, as amended) that contains a number of provisions that may affect the individual health insurance market. digital.library.unt.edu/ark:/67531/metadc306457/
Private Health Insurance Market Reforms in the Affordable Care Act (ACA)
This report provides background information about the private health insurance market, including market segments and regulation. It then describes each Affordable Care Act (ACA) market reform. digital.library.unt.edu/ark:/67531/metadc306460/
Overview of Health Care Changes in the FY2015 House Budget
This report summarizes the proposed changes to Medicare, Medicaid, and private health insurance as described in H.Con.Res. 96 and accompanying documents, including the committee report and Chairman Ryan's Path to Prosperity report. digital.library.unt.edu/ark:/67531/metadc287964/
The Affordable Care Act and Small Business: Economic Issues
This report explains how employer-sponsored insurance can be used to address concerns about health insurance coverage and cost. Then, it summarizes the three ACA provisions most relevant to small businesses. Also, it analyzes these provisions for their potential effects on small businesses. Last, this report presents several approaches that could address some concerns associated with these provisions (particularly the employer penalty). digital.library.unt.edu/ark:/67531/metadc282333/
Individual Mandate Under ACA
This report describes the individual mandate as established under the Affordable Care Act (ACA, P.L. 111-148, as amended). The report also discusses the ACA reporting requirements designed, in part, to assist individuals in providing evidence of having met the mandate. digital.library.unt.edu/ark:/67531/metadc282345/
Medical Child Support: Background and Current Policy
This report describes current federal policy with respect to medical child support. It also examines the potential impact of the Affordable Care Act (ACA) on the Child Support Enforcement (CSE) program. It provides a legislative history of medical support provisions in the CSE program and state data on the medical support coverage of children in the CSE program. digital.library.unt.edu/ark:/67531/metadc272041/
Cancellation of Nongroup Health Insurance Policies
This report provides background information about health insurance cancellations, non-renewals and rescissions, including applicable federal rules under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and ACA. digital.library.unt.edu/ark:/67531/metadc267868/
Federal Employees Health Benefits Program (FEHBP): Available Health Insurance Options
This report discusses the Federal Employees Health Benefits Program (FEHBP), a program administered by the Office of Personnel Management (OPM), which is statutorily given the authority to contract with qualified carriers offering plans and to prescribe regulations necessary to carry out the statute, among other duties. digital.library.unt.edu/ark:/67531/metadc267872/
Federal Employees Health Benefits Program: Available Health Insurance Options
Report that discusses the Federal Employees Health Benefits Program (FEHBP), which provides health insurance coverage to about 8 million government workers. digital.library.unt.edu/ark:/67531/metadc228131/
NFIB v. Sebelius: Constitutionality of the Individual Mandate
Report that provides an overview of the Court's holding with respect to the individual mandate of the Patient Protection and Affordable Care Act (ACA) under the Commerce Clause and the Taxing Power. It also addresses possible implications of the decision on existing federal law and future legislation. digital.library.unt.edu/ark:/67531/metadc227797/
Medicare Financing
This report provides an overview of how the Medicare program is financed, including a description of the Medicare trust funds and a summary of key findings and estimates from the 2013 Report of the Medicare Board of Trustees regarding 2012 program operations and future financial soundness. digital.library.unt.edu/ark:/67531/metadc227685/
Public Health, Workforce, Quality, and Related Provisions in ACA: Summary and Timeline
Report containing reference material regarding the Affordable Care Act (ACA) individual provisions at the time of enactment. This report -- one in a series of CRS products summarizing ACA that were issued after the law's enactment -- describes the law's workforce, public health, quality, and related provisions. digital.library.unt.edu/ark:/67531/metadc227673/
Individual Mandate and Related Information Requirements under ACA
Report that describes the individual mandate under Section 1501 and Section 10106 of the Patient Protection and Affordable Care Act (ACA, P.L. 111-148, as amended). digital.library.unt.edu/ark:/67531/metadc227674/
Post-Traumatic Stress Disorder and Other Mental Health Problems in the Military: Oversight Issues for Congress
This report discusses the prevalence of different psychological health concerns within the Armed Forces, current mental health screening and treatments, and DOD responses. digital.library.unt.edu/ark:/67531/metadc227900/
Military Medical Care: Questions and Answers
This report answers several frequently asked questions about military health care, including: how the system is structured, a TRICARE summary, TRICARE eligibility and plan options, cost of military health care to beneficiaries, relationship of TRICARE to MEDICARE, how the Affordable Care Act affects TRICARE, long-term trends of defense health care costs, and a summary of the fund which funds TRICARE. digital.library.unt.edu/ark:/67531/metadc228038/
The Affordable Care Act and Small Business: Economic Issues
This report explains how employer-sponsored insurance can be used to address concerns about health insurance coverage and cost. Then, it summarizes the three ACA provisions most relevant to small businesses. Also, it analyzes these provisions for their potential effects on small businesses. Last, this report presents several approaches that could address some concerns associated with these provisions (particularly the employer penalty). digital.library.unt.edu/ark:/67531/metadc227906/
Private Health Plans Under the ACA: In Brief
This report provides short descriptions of health plans that may be offered inside and outside of exchanges, and includes information about interaction with other selected ACA provisions. The descriptions are displayed in a side-by-side format to facilitate comparison of exchange and nonexchange plans. digital.library.unt.edu/ark:/67531/metadc227936/
Military Medical Care: Questions and Answers
Report that answers several frequently asked questions about military health care, including: how the system is structured, a TRICARE summary, TRICARE eligibility and plan options, cost of military health care to beneficiaries, relationship of TRICARE to MEDICARE, how the Affordable Care Act affects TRICARE, long-term trends of defense health care costs, and a summary of the fund which funds TRICARE. digital.library.unt.edu/ark:/67531/metadc228039/
Health Insurance Exchanges Under the Patient Protection and Affordable Care Act (ACA)
This report outlines the required minimum functions of state health insurance exchanges and explains how exchanges are expected to be established and administered under the Patient Protection and Affordable Care Act (ACA). The coverage offered through exchanges is discussed, and the report concludes with a discussion of how exchanges will interact with selected other ACA provisions. digital.library.unt.edu/ark:/67531/metadc122235/
Military Medical Care: Questions and Answers
This report answers several frequently asked questions about military health care, including: how the system is structured, a TRICARE summary, TRICARE eligibility and plan options, cost of military health care to beneficiaries, relationship of TRICARE to MEDICARE, how the Affordable Care Act affects TRICARE, long-term trends of defense health care costs, and a summary of the fund which funds TRICARE - the Medicare Eligible Retiree Health Care fund. digital.library.unt.edu/ark:/67531/metadc122306/
Title X (Public Health Service Act) Family Planning Program
This report looks at several bills addressing the Family Planning Program (Title X of the Public Health Service Act) which have been introduced in the 112th Congress, including: funding for abortion-providing entities, elimination of the program, and prohibitions on government spending for the program. digital.library.unt.edu/ark:/67531/metadc122309/
Public Health and Emergency Preparedness: CRS Experts
This table provides access to names and contact information for CRS experts on policy concerns relating to public health and emergency preparedness. digital.library.unt.edu/ark:/67531/metadc103069/
TRICARE and VA Health Care: Impact of the Patient Protection and Affordable Care Act (PPACA)
This report addresses key questions concerning how the Patient Protection and Affordable Care Act (PPACA) affects TRICARE and VA health care. digital.library.unt.edu/ark:/67531/metadc103091/
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. digital.library.unt.edu/ark:/67531/metadc103132/
Medicaid Financing and Expenditures
This report provides an overview of Medicaid’s financing structure, including both federal and state financing issues. The Medicaid expenditures section of the report discusses economic factors affecting Medicaid, state variability in spending, and projected program spending. Other issues that are examined include congressional proposals to turn Medicaid into a block grant program, federal deficit reduction proposals affecting Medicaid, and state fiscal conditions affecting Medicaid financing and services. digital.library.unt.edu/ark:/67531/metadc99074/
Public Health Service (PHS) Agencies: Overview and Funding, FY2010-FY2012
This report discusses the eleven agencies that consist of the Department of Health and Human Services (HHS), including their purposes and funding. digital.library.unt.edu/ark:/67531/metadc99043/
Health Care: Constitutional Rights and Legislative Powers
This report analyzes constitutional and legal issues pertaining to a right to health care, as well as the power of Congress to enact and fund health care programs. The report also discusses legal issues that have been raised regarding the power of Congress to mandate that individuals purchase health insurance, and the ability of states to "nullify" or "opt out" of such a requirement, following the passage of the Patient Protection and Affordable Care Act (P.L. 111-148). digital.library.unt.edu/ark:/67531/metadc96670/
Health Care Flexible Spending Accounts
Health care Flexible Spending Accounts (FSAs) are benefit plans established by employers to reimburse employees for health care expenses such as deductibles and copayments. The contributions to and withdrawals from FSAs are tax-exempt. On June 7, 2012, the House passed H.R. 436, the Health Care Cost Reduction Act of 2012, which would allow up to $500 of unused balances in health FSAs to be distributed back to the account holder after the plan year ends and to allow over-the-counter prescriptions to be a qualified medical expense. The bill has been sent to the Senate for its consideration. Similar bills in the Senate have been referred to the Senate Finance Committee (S. 1368 and S. 1404). This report discusses these bills in greater detail. digital.library.unt.edu/ark:/67531/metadc87291/
Health Care Flexible Spending Accounts
Health care Flexible Spending Accounts (FSAs) are benefit plans established by employers to reimburse employees for health care expenses such as deductibles and copayments. FSAs are usually funded by employees through salary reduction agreements, although employers are permitted to contribute as well. The contributions to and withdrawals from FSAs are tax-exempt. This report discusses two recent bills, the Patient Protection and Affordable Care Act (ACA) and the Health Care Cost Reduction Act of 2012, both of which limits contributions to FSAs and redefines over the counter (OTC) drugs, digital.library.unt.edu/ark:/67531/metadc87290/
The Independent Payment Advisory Board
In response, in part, to overall growth in Medicare program expenditures and growth in expenditures per Medicare beneficiary, the Patient Protection and Affordable Care Act created the Independent Payment Advisory Board (IPAB, or the Board) and charged the Board with developing proposals to "reduce the per capita rate of growth in Medicare spending." This report discusses the responsibilities and duties. digital.library.unt.edu/ark:/67531/metadc86569/
Health Care: Constitutional Rights and Legislative Powers
The health care reform debate raises many complex issues including those of coverage, accessibility, cost, accountability, and quality of health care. Underlying these policy considerations are issues regarding the status of health care as a constitutional or legal right. This report analyzes constitutional and legal issues pertaining to a right to health care, as well as the power of Congress to enact and fund health care programs. Following the passage of the Patient Protection and Affordable Care Act, P.L. 111-148, legal issues have been raised regarding the power of Congress to mandate that individuals purchase health insurance, and the ability of states to "nullify" or "opt out" of such a requirement. These issues are also discussed. digital.library.unt.edu/ark:/67531/metadc86551/
TRICARE and VA Health Care: Impact of the Patient Protection and Affordable Care Act (PPACA)
The 111th Congress passed, and the President signed into law, the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010, and hereafter referred to as PPACA. This report addresses key questions concerning how PPACA affects the Department of Defense (DOD) TRICARE program and Department of Veterans Affairs (VA) health care. digital.library.unt.edu/ark:/67531/metadc31357/
Food Safety in the 111th Congress
This report discusses whether the current food safety system has the resources, authority, and structural organization to safeguard the health of American consumers, who spend more than $1 trillion on food each year. Also at issue is whether federal food safety laws, first enacted in the early 1900s, have kept pace with the significant changes that have occurred in the food production, processing, and marketing sectors since then. digital.library.unt.edu/ark:/67531/metadc31334/