Congressional Research Service Reports - Browse

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World Health Organization: A Fact Sheet
The World Health organization (WHO), established in 1948, is the United Nations system's authority on international public health issues. It assists governments in improving national health services and in establishing worldwide standards for foods, chemicals, and biological and pharmaceutical products. WHO concentrates on preventive rather than curative programs, including efforts to eradicate endemic and other widespread diseases, stabilize population growth, improve nutrition, sanitation, and maternal and child care. WHO is not an operational agency. It works through contracts with other agencies and private voluntary organizations.
Medicare: Payments to HMOs and Other Private Plans Under the Medicare+Choice Program
This report describes how payments will be calculated under the Medicare+Choice program established under the new law.
Managed Health Care: A Primer
No Description Available.
Federal Employees Health Benefits Program
No Description Available.
Managed Health Care: Federal and State Regulation
No Description Available.
Medicare: Private Contracts
This report discusses private contracting for medicare,which is the term used to describe situations where a physician and a patient agree not to submit a claim for a service which would otherwise be covered and paid for by Medicare.
Medicare: Payments to Physicians
This report discusses payments for physicians services under Medicare that are made on the basis of a fee schedule.
Medicaid: 105th Congress
No Description Available.
Medical Savings Accounts: Legislation in the 105th Congress
No Description Available.
The State Children's Health Insurance Program: Guidance on Frequently Asked Questions
No Description Available.
Medicare Expansion: President Clinton's Proposals to Allow Coverage Before Age 65
This report discusses medicare expansion; President Clinton's proposal to allow people ages 62 through 64 to buy into Medicare if they do not have access to employer-sponsored or federal health insurance.
Medicare: Financing the Part A Hospital Insurance Program
This report discusses Medicare, which consists of two distinct parts — Part A (Hospital Insurance (HI)) and Part B (Supplementary Medical Insurance (SMI)). Part A is financed primarily through payroll taxes levied on current workers and their employers. Income from these taxes is credited to the HI trust fund. Part B is financed through a combination of monthly premiums paid by current enrollees and general revenues. Income from these sources is credited to the SMI trust fund.
The Financial Outlook for Social Security and Medicare
No Description Available.
The Health Insurance Portability and Accountability Act (HIPAA) of 1996: Guidance on Frequently Asked Questions
No Description Available.
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 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.
Trends in Medicare Spending: Fact Sheet
No Description Available.
Medicare: Prescription Drug Proposals
This report provides an overview of the President’s plan and the legislation introduced to date in the 106th Congress. It
The State Children's Health Insurance Program: Eligibility, Enrollment, and Program Funding
No Description Available.
Long-Term Care: The President's FY2001 Budget Proposals and Related Legislation
No Description Available.
Medicare: Selected Prescription Drug Proposals
No Description Available.
Medicare: Side-by-Side Comparison of Selected Prescription Drug Bills
No Description Available.
Pharmacy Benefit Managers
No Description Available.
Military Medical Care Services: Questions and Answers
No Description Available.
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.
Reaching Low-Income, Uninsured Children: Are Medicaid and SCHIP Doing the Job?
No Description Available.
Tax Benefits for Health Insurance: Current Legislation
No Description Available.
Patient Protection and Managed Care: Legislation in the 106th Congress
No Description Available.
The Cost of Prescription Drugs for the Uninsured Elderly and Legislative Approaches
The purpose of this report is to explain why many of those who are least able to afford high drug costs are those who are most frequently charged the most. This report describes the basic economic theory underlying price differentiation and, in the context of the pharmaceutical market, analyzes the role and behavior of pharmacy benefit managers (PBMs), pharmaceutical manufacturers, and retail pharmacies, respectively. It also looks at a number of the criticisms that have been made of the practice of differential pricing. Finally, this report discusses various policy approaches aimed at assisting the elderly to purchase prescription drugs.
Long-Term Care: What Direction for Public Policy?
No Description Available.
Tax Subsidies for Health Insurance for the Uninsured: An Economic Analysis of Selected Policy Issues for Congress
No Description Available.
Patient Protection and Mandatory External Review: Amending ERISA's Claims Procedure
No Description Available.
The Financial Outlook for Social Security and Medicare
No Description Available.
Social Security and Medicare "Lock Boxes"
No Description Available.
The State Children's Health Insurance Program: Eligibility, Enrollment, and Program Funding
No Description Available.
Medicare's Skilled Nursing Facility Benefit
No Description Available.
Tax Benefits for Health Insurance: Current Legislation
No Description Available.
Medicare Provisions in the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA, P.L. 106-554)
No Description Available.
Health Information Standards, Privacy, and Security: HIPAA's Administrative Simplification Regulations
No Description Available.
Federal and State Causes of Action Against Health Plans Under S. 1052 and S. 889
No Description Available.
Military Health Care: The Issue of "Promised" Benefits
No Description Available.
Medicare Structure Reform: Background and Options
No Description Available.
Medicare: Selected Prescription Drug Proposals in the 107th Congress
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 most attention.
ERISA Regulation of Health Plans: Fact Sheet
The Employee Retirement Income Security Act of 1974 (ERISA, P.L. 93-406) places the regulation of employee benefit plans (including health plans) primarily under federal jurisdiction for about 124 million people. ERISA’s treatment of health plans is both complicated and confusing. ERISA has been interpreted as dividing health plans into two groups regulated differently under the law: about 54 million people are covered by self-insured plans for which the employer, rather than an insurer, assumes the risk for paying for covered services and about 70 million people are covered by purchased insurance (according to 2000 information from the Census Bureau and the Department of Labor).
Social Security and Medicare "Lock Boxes"
No Description Available.
Military Medical Care Services: Questions and Answers
No Description Available.
Summary of the Medicare Regulatory and Contracting Reform Act of 2001 (H.R. 3391)
No Description Available.
Bioterrorism: Summary of a CRS/National Health Policy Forum Seminar on Federal, State, and Local Public Health Preparedness
The September 11th attack and subsequent intentional release of anthrax spores via the U.S. postal system have focused policymakers’ attention on the preparedness and response capability of the nation’s public health system. The anthrax attacks put a tremendous strain on the U. S. public health infrastructure, an infrastructure that many experts argue has been weakened by years of neglect and under-funding. To better understand the preparedness gaps that exist, as well as the disparate functions and agencies that define public health in this country, the Congressional Research Service (CRS), in conjunction with George Washington University’s National Health Policy Forum (NHPF), convened a seminar on October 26, 2001, entitled, The U.S. Health Care System: Are State and Local Officials Prepared for Bioterrorism? How Should the Federal Government Assist?
Health Insurance Continuation Coverage under COBRA
No Description Available.
Health Insurance: Uninsured by State, 2000
No Description Available.