Congressional Research Service Reports - 30 Matching Results

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Medicaid Citizenship Documentation

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.
Date: April 15, 2008
Creator: Grady, April
Partner: UNT Libraries Government Documents Department

Transitional Medical Assistance (TMA) Under Medicaid

Description: This report provides an overview of transitional medical assistance (TMA). While Section 1925 of the Social Security Act outlines the provisions requiring states to provide TMA for up to 12 months, states have considerable flexibility in designing and implementing their TMA programs.
Date: July 24, 2008
Creator: Grady, April
Partner: UNT Libraries Government Documents Department

Medicare: Part B Premiums

Description: 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.
Date: December 29, 2008
Creator: Hahn, Jim
Partner: UNT Libraries Government Documents Department

Medicaid and Graduate Medical Education

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.
Date: May 28, 2008
Creator: Herz, Elicia J. & Tilson, Sibyl
Partner: UNT Libraries Government Documents Department

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

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.
Date: September 3, 2008
Creator: Peterson, Chris L. & Grady, April
Partner: UNT Libraries Government Documents Department

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

Does Price Transparency Improve Market Efficiency? Implications of Empirical Evidence in Other Markets for the Health Sector

Description: This report reviews the empirical studies of the effect of changes in price transparency on prices and quality of goods in a variety of industries; addresses the extent to which this evidence might be applicable to the health care market and certain special characteristics of the health care market which may reduce the importance of prices as signals; examines how prices are actually set by hospitals and the evidence that exists on price dispersion both across hospitals and across patient categories; discusses some initiatives undertaken by governments, insurers, and interest groups to improve information about prices and to regulate price discrimination; and finally, suggests that while it is difficult to determine the consequences of greater consumer price transparency, it is reasonable to believe that greater transparency would improve outcomes.
Date: April 29, 2008
Creator: Austin, D. Andrew & Gravelle, Jane G.
Partner: UNT Libraries Government Documents Department

Legal Issues Relating to State Health Care Regulation: ERISA Preemption and Fair Share Laws

Description: 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.
Date: August 26, 2008
Creator: Shimabukuro, Jon O. & Staman, Jennifer
Partner: UNT Libraries Government Documents Department

Enforcement of the HIPAA Privacy and Security Rules

Description: 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.
Date: August 11, 2008
Creator: Stevens, Gina Marie
Partner: UNT Libraries Government Documents Department

Military Medical Care: Questions and Answers

Description: 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).
Date: August 4, 2008
Creator: Best, Richard A., Jr.
Partner: UNT Libraries Government Documents Department

Military Medical Care: Questions and Answers

Description: 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.
Date: May 20, 2008
Creator: Best, Richard A., Jr.
Partner: UNT Libraries Government Documents Department

Prescription Drug Coverage Under Medicaid

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.
Date: February 6, 2008
Creator: Hearne, Jean
Partner: UNT Libraries Government Documents Department

Bisphenol A (BPA) in Plastics and Possible Human Health Effects

Description: Bisphenol A (BPA) is used to produce certain types of plastic. Containers made of these plastics may expose people to small amounts of BPA in food and water. Some animal experiments have found that fetal and infant development may be harmed by small amounts of BPA, but scientists disagree about the value of the animal studies for predicting harmful effects in people. This report discusses this issue and relevant legislation, as well as inquiries into studies currently underway to determine the true harm inherent in BPA and the degree to which people are regularly exposed to BPA.
Date: June 30, 2008
Creator: Schierow, Linda-Jo & Lister, Sarah A.
Partner: UNT Libraries Government Documents Department

Bisphenol A (BPA) in Plastics and Possible Human Health Effects

Description: Bisphenol A (BPA) is used to produce certain types of plastic. Containers made of these plastics may expose people to small amounts of BPA in food and water. Some animal experiments have found that fetal and infant development may be harmed by small amounts of BPA, but scientists disagree about the value of the animal studies for predicting harmful effects in people. This report discusses this issue and relevant legislation, as well as inquiries into studies currently underway to determine the true harm inherent in BPA and the degree to which people are regularly exposed to BPA.
Date: July 23, 2008
Creator: Schierow, Linda-Jo & Lister, Sarah A.
Partner: UNT Libraries Government Documents Department

Bisphenol A (BPA) in Plastics and Possible Human Health Effects

Description: Bisphenol A (BPA) is used to produce certain types of plastic. Containers made of these plastics may expose people to small amounts of BPA in food and water. Some animal experiments have found that fetal and infant development may be harmed by small amounts of BPA, but scientists disagree about the value of the animal studies for predicting harmful effects in people. This report discusses this issue and relevant legislation, as well as inquiries into studies currently underway to determine the true harm inherent in BPA and the degree to which people are regularly exposed to BPA.
Date: September 8, 2008
Creator: Schierow, Linda-Jo & Lister, Sarah A.
Partner: UNT Libraries Government Documents Department

Increases in Tricare Costs: Background and Options for Congress

Description: In its FY2007, FY2008, and FY2009 budget submissions, the Department of Defense (DOD) proposed increases in Tricare enrollment fees, deductibles, and pharmacy co-payments for retired beneficiaries not yet eligible for Medicare. In passing the FY2009 National Defense Authorization Act, Congress included measures establishing demonstration projects intended to find ways to contain costs through increased use of preventive care services by TRICARE beneficiaries. The scope of these measures are limited. Defense health care spending will likely remain an issue for the DOD in the next Administration, and Congress can anticipate being asked to consider new proposals to constrain costs.
Date: August 15, 2008
Creator: Jansen, Don J. & Best, Richard
Partner: UNT Libraries Government Documents Department

The False Claims Act, the Allison Engine Decision, and Possible Effects on Health Care Fraud Enforcement

Description: The False Claims Act (FCA), an important tool for combating fraud against the U.S. government, generally provides that a person who knowingly submits, or causes to be submitted, a false or fraudulent claim for payment to the U.S. government may be subject to civil penalties and damages. This report provides an overview of the FCA and the Allison Engine decision, analyzes how this decision could affect certain FCA health care claims, and discusses the proposed False Claims Correction Acts (S. 2041 and H.R. 4854), which, if enacted, could limit the application of the Allison Engine decision.
Date: November 6, 2008
Creator: Staman, Jennifer
Partner: UNT Libraries Government Documents Department

Increases in Tricare Costs: Background and Options for Congress

Description: In its FY2007, FY2008, and FY2009 budget submissions, the Department of Defense (DOD) proposed increases in Tricare enrollment fees, deductibles, and pharmacy co-payments for retired beneficiaries not yet eligible for Medicare. In passing the FY2009 National Defense Authorization Act, Congress included measures establishing demonstration projects intended to find ways to contain costs through increased use of preventive care services by TRICARE beneficiaries. The scope of these measures are limited. Defense health care spending will likely remain an issue for the DOD in the next Administration, and Congress can anticipate being asked to consider new proposals to constrain costs.
Date: October 23, 2008
Creator: Jansen, Don J.
Partner: UNT Libraries Government Documents Department

Increases in Tricare Costs: Background and Options for Congress

Description: In its FY2007, FY2008, and FY2009 budget submissions, the Department of Defense (DOD) proposed increases in Tricare enrollment fees, deductibles, and pharmacy co-payments for retired beneficiaries not yet eligible for Medicare. In passing the FY2009 National Defense Authorization Act, Congress included measures establishing demonstration projects intended to find ways to contain costs through increased use of preventive care services by TRICARE beneficiaries. The scope of these measures are limited. Defense health care spending will likely remain an issue for the DOD in the next Administration, and Congress can anticipate being asked to consider new proposals to constrain costs.
Date: July 25, 2008
Creator: Jansen, Don J.
Partner: UNT Libraries Government Documents Department

Title X (Public Health Service Act) Family Planning Program

Description: 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.
Date: August 4, 2008
Creator: Napili, Angela
Partner: UNT Libraries Government Documents Department

The Tax Exclusion for Employer-Provided Health Insurance: Policy Issues Regarding the Repeal Debate

Description: Employer-provided health insurance is excluded from the determination of employees' federal income taxes, resulting in significant tax savings for many workers. The federal income tax exclusion -- the focus of this report -- is criticized for several reasons. These arguments about the exclusion merit careful consideration as Congress is starting to debate broad health care reform for the first time in 15 years. This report discusses this issue at length, including advantages and disadvantages to keeping the income tax inclusion as Congress undergoes the health policy reform process.
Date: November 21, 2008
Creator: Lyke, Bob
Partner: UNT Libraries Government Documents Department

Government Spending on Health Care Benefits and Programs: A Data Brief

Description: In a country where health spending accounts for more than 16% of gross domestic product (GDP), health care costs and spending are often described as a problem for consumers and their families; for employers that provide (or seek to provide) health benefits; and for government, which finances a mix of health care services, health research and training, and health safety programs. To describe government spending on health care benefits and programs, this report presents data from the Office of Management and Budget (OMB), the Congressional Budget Office (CBO), and the Centers for Medicare and Medicaid Services (CMS).
Date: June 16, 2008
Creator: Jenson, Jennifer
Partner: UNT Libraries Government Documents Department