Congressional Research Service Reports - 556 Matching Results
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- Managed Health Care: A Primer
- No Description Available.
- Managed Health Care: Federal and State Regulation
- No Description Available.
- Mandated Employer Provided Health Insurance
- No Description Available.
- Maps of 2015 Individual Exchange Enrollment by Zip Code
- This report presents a tool to examine exchange enrollment information by zip code with additional geographic boundaries.
- Medicaid: 105th Congress
- No Description Available.
- Medicaid: A Fact Sheet
- No Description Available.
- Medicaid: A Primer
- This report describes the basic elements of Medicaid, focusing on federal rules governing who is eligible, what services are covered, how the program is financed and how beneficiaries share in the cost, how providers are paid, and the role of special waivers in expanding eligibility and modifying benefits. The recently passed Deficit Reduction Act of 2005 or DRA, as amended by the Tax Relief and Health Care Act of 2006, included many provisions affecting Medicaid. DRA provides states with opportunities to make fundamental changes in Medicaid program design, including covered benefits and beneficiary cost-sharing. These and other major DRA changes are summarized here. Lastly, basic program statistics and citations to in-depth CRS reports on specific topics are provided.
- Medicaid: A Primer
- This report describes the basic elements of Medicaid, focusing on federal rules governing who is eligible, what services are covered, how the program is financed and how beneficiaries share in the cost, how providers are paid, and the role of special waivers in expanding eligibility and modifying benefits.
- Medicaid and Children's Health Insurance Program (CHIP) Provisions in Affordable Health Care for America Act (H.R. 3962)
- This report summarizes the major provisions affecting Medicaid and CHIP in H.R. 3962 (as passed), including modifications made by the manager's amendment. The report focuses on provisions in Division B, Title VII--Medicaid and CHIP, plus selected provisions in Title IX--Miscellaneous Provisions. It also describes selected sections of Titles I and II of Division D, the Indian Health Care Improvement Act Amendments of 2009, related to improving access to Medicaid and CHIP for American Indians and Alaskan Natives.
- Medicaid and CHIP Maintenance of Effort (MOE): Requirements and Responses
- This report summarizes the MOE requirements enacted under American Recovery and Reinvestment Act of 2009 and the Patient Protection and Affordable Care Act as modified by the Health Care and Education Reconciliation Act of 2010 and what these requirements have meant for states in terms of their actions to restrict Medicaid and/or CHIP eligibility. It also summarizes recent legislative activity to repeal the MOE requirements.
- Medicaid and Graduate Medical Education
- 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.
- Medicaid and Graduate Medical Education
- 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.
- Medicaid and Outpatient Hospital Services
- This report discusses a recently-proposed Medicaid rule that would change the definition of outpatient hospital and rural health clinic services, as well as the methods that states must use to demonstrate compliance with the federal upper payment limit on outpatient hospital services provided in private outpatient facilities. A number of groups have expressed concern that this rule will have a significant negative impact on coverage of certain services, which may harm Medicaid beneficiaries.
- Medicaid and SCHIP: FY2007 Budget Issues
- This report provides information on Medicaid and State Children’s Health Insurance Program (SCHIP) issues.
- Medicaid and SCHIP: The President’s FY2006 Budget Proposals
- 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.
- Medicaid and SCHIP: The President's FY2006 Budget Proposals
- 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.
- Medicaid and Schools
- This report discusses the recent history and current issues facing Medicaid funding for certain health related costs under the Individuals with Disabilities Education Act (IDEA).
- Medicaid and the Current State Fiscal Crisis
- Medicaid, a health insurance program funded jointly by the federal government and the states, is facing a period of quickly escalating costs at a time when the need (as measured by the number of uninsured) among the population it serves — the lowincome disabled, families and elderly — is rising. The pressures of quickly rising costs and increasing need are driving legislative attention both at the state and federal levels. Between FY2000 and FY2003, the annual growth rate of federal Medicaid expenditures was 11.3%.
- Medicaid Citizenship Documentation
- 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.
- Medicaid Coverage of Long-Term Services and Supports
- 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.
- Medicaid: Eligibility for the Aged and Disabled
- No Description Available.
- Medicaid Expenditures, FY2002 and FY2003
- Medicaid is a health insurance program jointly funded by the states and the federal government. Generally, eligibility is limited to low-income children, pregnant women, parents of dependent children, people with disabilities, and the elderly. Each state designs and administers its own program within broad federal guidelines.
- Medicaid Expenditures, FY2003 and FY2004
- This report discusses the federal medical assistance percentage (FMAP), which is the percentage of Medicaid benefit costs paid for by the federal government.
- Medicaid Financial Eligibility for Long-Term Services and Supports
- 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-eligibility treatment of income, and estate recovery.
- 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.
- Medicaid Issues for the 109th Congress
- Medicaid is jointly financed by the federal and state governments, but each state designs and administers its own state program under broad federal guidelines. Accordingly, state variation in eligibility, covered services, and the delivery of, and reimbursement for, services is the rule rather than the exception. How is Congress to respond to the numerous proposals to move Medicaid forward into the near and long term? This report lays out some of these issues, explains the factors underlying them, and provides links to CRS products that can help Members of Congress and their staff prepare to discuss Medicaid’s role today and into the future.
- Medicaid Issues for the 109th Congress
- This report provides background information for medicaid reforms and discuses proposals for reform.
- Medicaid: President's FY88 Budget
- This report provides background and analysis on Medicaid and discusses the President's FY88 budget.
- Medicaid: Recent Trends in Beneficiaries and Spending
- This report discusses medicaid and recent trend is beneficiaries and spending.
- Medicaid Regulatory Issues
- 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.
- Medicaid Reimbursement Policy
- 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.
- Medicaid, SCHIP, and Other Health Provisions in H.R. 5661: Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000
- This report discusses Medicaid and the State Children’s Health Insurance Program (SCHIP). The report also discusses other major health provisions provisions of H.R. 5661 are incorporated, by reference into H.R. 4577, the Consolidated Appropriations Act 2001.
- Medicaid: The Federal Medical Assistance Percentage (FMAP)
- This report examines the formula that determines the federal government's share of Medicaid costs for most services, which is established in statute; states must contribute the remaining portion of costs in order to qualify for federal funds.
- Medicaid Upper Payment Limits and Intergovernmental Transfers: Current Issues and Recent Regulatory and Legistlative Action
- No Description Available.
- 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.
- 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.
- Medical Marijuana: Review and Analysis of Federal and State Policies
- This report discusses the issue before Congress of whether to continue the federal prosecution of medical marijuana patients and their providers, in accordance with the federal Controlled Substances Act (CSA), or whether to relax federal marijuana prohibition enough to permit the medicinal use of botanical cannabis products when recommended by a physician, especially where permitted under state law.
- Medical Marijuana: Review and Analysis of Federal and State Policies
- This report discusses the issue facing Congress on whether to continue to support the executive branch’s prosecution of medical marijuana patients and their providers, in accordance with marijuana’s status as a Schedule I drug under the Controlled Substances Act, or whether to relax federal marijuana prohibition enough to permit the medical use of botanical cannabis products by seriously ill persons, especially in states that have created medical marijuana programs under state law.
- Medical Savings Accounts: Legislation in the 105th Congress
- No Description Available.
- Medicare Advantage
- This report is an overview of the Medicare Advantage (MA) program, an alternative way for Medicare beneficiaries to receive covered benefits, and includes legislative history and analysis of recent trends.
- Medicare Advantage (MA)--Proposed Benchmark Update and Other Adjustments for CY2016: In Brief
- This report provides a brief background on how Medicare Advantage (Part C or MA) payments are determined through a comparison of a plan's estimated cost (bid) and the maximum amount Medicare will pay a plan (benchmark).
- Medicare Beneficiary Access to Care: The Effects of New Prospective Payment Systems on Outpatient Hospital Care, Home Health Care, and Skilled Nursing Facility Care
- This report discusses the Balanced Budget Act of 1997 (BBA 97), which required that prospective payment systems replace retrospective cost-based reimbursement systems for Medicare beneficiaries receiving care in hospital outpatient departments, from home health care agencies, and in skilled nursing facilities.
- Medicare: Beneficiary Cost-Sharing Under Prescription Drug Legislation
- This report provides an analysis of how the cost-sharing and premium provisions under the Prescription Drug and Medicare Improvement Act of 2003 (S. 1) and the Medicare Prescription Drug and Modernization Act of 2003 (H bill would affect the amount that a beneficiary would pay annually for prescription drugs.
- Medicare: Beneficiary Cost-Sharing Under Proposed Prescription Drug Benefits
- This report examines these proposals as well as the “Medicare Rx Drug Benefit and Discount Act of 2003,” which was introduced by Representative Charles Rangel, the ranking member of the House Ways and Means Committee. Specifically, this report provides background on how the cost-sharing and premium provisions under each bill would affect the amount that a beneficiary pays annually for prescription drugs.
- Medicare: Beneficiary Cost-Sharing Under Proposed Prescription Drug Benefits
- This report provides background on how the cost-sharing and premium provisions under each bill would affect the amount that a beneficiary pays annually for prescription drugs. In addition, this report gives examples of how annual cost-sharing would differ for beneficiaries with various levels of total prescription drug spending in 2006 under the plans.
- Medicare: Changes to Balanced Budget Act of 1997 (BBA 97, P.L. 105-33) Provisions
- This report summarizes the major provisions of the agreement between the by House and Senate negotiators on the Medicare provisions.
- Medicare+Choice Payments
- This report discusses the M+C program that established new rules for beneficiary and plan participation. This report focuses on M+C payments.
- Medicare+Choice Payments
- This report discusses the M+C program that established new rules for beneficiary and plan participation. This report focuses on M+C payments.
- Medicare Endorsed Prescription Drug Discount Card Program
- No Description Available.
- Medicare: Enrollment in Medicare Drug Plans
- This report discusses the enrollment process for private prescription drug plans (PDPs) or Medicare Advantage prescription drug (MA-PD) plans. At a minimum, these plans offer "standard coverage" or alternative coverage with actuarially equivalent benefits. Beneficiaries are required to enroll in one of these private plans in order to obtain coverage.