Congressional Research Service Reports - Browse

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Military Medical Care: Questions and Answers

Description: This report attempts to answer basic questions about defense health care, its beneficiary population, the medical services it provides, its costs, and major changes that are underway or have been proposed.
Date: January 29, 2009
Creator: Jansen, Don J.
Partner: UNT Libraries Government Documents Department

Public Health and Medical Preparedness and Response: Issues in the 111th Congress

Description: 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.
Date: February 10, 2009
Creator: Lister, Sarah A.
Partner: UNT Libraries Government Documents Department

State Medicaid and SCRIP Coverage of Noncitizens

Description: This report focuses on the laws governing noncitizen eligibility for Medicaid and the State Children's Health Insurance Program (SCHIP) and -- to the extent of available data -- implementation of these policies at the state level
Date: February 12, 2009
Creator: Wasem, Ruth Ellen
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: February 17, 2009
Creator: Herz, Elicia J. & Tilson, Sibyl
Partner: UNT Libraries Government Documents Department

Medicaid and Outpatient Hospital Services

Description: 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.
Date: February 17, 2009
Creator: Herz, Elicia J. & Tilson, Sibyl
Partner: UNT Libraries Government Documents Department

Medicaid and Schools

Description: 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).
Date: February 17, 2009
Creator: Herz, Elicia J.
Partner: UNT Libraries Government Documents Department

Selected Health Funding in the American Recovery and Reinvestment Act of 2009

Description: 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.
Date: February 20, 2009
Creator: Redhead, C. S.; Colello, Kirsten J.; Lister, Sarah A.; Reyes-Akinbileje, Bernice; Smith, Pamela W. & Sommers, Andrew R.
Partner: UNT Libraries Government Documents Department

End-of-Life Care: Services, Costs, Ethics, and Quality of Care

Description: This report provides information on various aspects of end-of-life care: (1) demographic and historical changes affecting death and dying in the United States (2) the definitions of end-of-life, palliative, and hospice care (3) costs associated with end-of-life care (4) end-of-life care laws and ethics (5) quality of care at the end of life and (6) policy issues that would modify or expand the federal government's role in addressing end-of-life care.
Date: February 23, 2009
Creator: Colello, Kirsten J.; Mulvey, Janemarie; Sarata, Amanda K.; Williams, Erin D. & Thomas, Kenneth R.
Partner: UNT Libraries Government Documents Department

The Health Information Technology for Economic and Clinical Health (HITECH) Act

Description: This report provides a summary and explanation of the provisions in the HITECH Act, which is intended to promote the widespread adoption of health information technology (HIT) for the electronic sharing of clinical data among hospitals, physicians, and other health care stakeholders. It gives an overview of prior actions taken by Congress and the Administrations to promote HIT, and briefly describes efforts by the 109th and 110th Congresses to enact comprehensive HIT legislation.
Date: February 23, 2009
Creator: Redhead, C. S.
Partner: UNT Libraries Government Documents Department

Medicare Advantage

Description: 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.
Date: March 3, 2009
Creator: Morgan, Paulette C.
Partner: UNT Libraries Government Documents Department

Health Insurance Premium Assistance for the Unemployed: The American Recovery and Reinvestment Act of 2009

Description: This report discusses employer-sponsored health insurance coverage and barriers to accessing health insurance for the unemployed; provisions of the American Recovery and Reinvestment Act of 2009 (ARRA) with respect to unemployment and health insurance; and potential impact of ARRA provisions on the unemployed.
Date: March 6, 2009
Creator: Mulvey, Janemarie; Chaikind, Hinda & Fernandez, Bernadette
Partner: UNT Libraries Government Documents Department

Medicare's Hospice Benefit

Description: This report discusses Medicare's hospice benefit, which was provides care that specializes in the relief of the pain and symptoms associated with a terminal illness and the provision of supportive and counseling services to patients and their families during the final stages of a patient's illness and death.
Date: March 9, 2009
Creator: Stone, Julie
Partner: UNT Libraries Government Documents Department

Medicare Primer

Description: This report provides an overview of Medicare, the nation's federal insurance program, which pays for covered health care services of qualified beneficiaries.
Date: March 10, 2009
Creator: Chaikind, Hinda; Tilson, Sibyl; Morgan, Paulette C.; Hahn, Jim; Stockdale, Holly; Davis, Patricia A. et al.
Partner: UNT Libraries Government Documents Department

American Recovery and Reinvestment Act of 2009 (ARRA, P.L. 111-5): Title V, Medicaid Provisions

Description: In addition to reducing some taxes and funding infrastructure projects, American Recovery and Reinvestment Act of 2009 (ARRA) provisions were designed to provide: temporary support to families and individuals by increasing unemployment compensation benefits; financial assistance for individuals to maintain their health coverage under provisions in the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA); temporary increases in Medicaid matching rates; and increases in disproportionate share hospital allotments. This report is a summary of ARRA's Medicaid provisions.
Date: March 17, 2009
Creator: Binder, Cliff; Baumrucker, Evelyne P.; Grady, April & Herz, Elicia J.
Partner: UNT Libraries Government Documents Department

Medical Marijuana: Review and Analysis of Federal and State Policies

Description: 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.
Date: March 31, 2009
Creator: Eddy, Mark
Partner: UNT Libraries Government Documents Department

Selected Health Funding in the American Recovery and Reinvestment Act of 2009

Description: 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.
Date: April 13, 2009
Creator: Redhead, C. S.; Lister, Sarah A.; Reyes-Akinbileje, Bernice; Smith, Pamela W.; Sommers, Andrew R. & Walke, Roger
Partner: UNT Libraries Government Documents Department

Health Care Reform: An Introduction

Description: This report provides an introduction to health care reform. It focuses on three predominant concerns--coverage, cost and spending, and quality--and some of the legislative issues within which they likely will be debated--the scope of reform (particularly whether Medicare and Medicaid should be included); the choice between public and private coverage; whether employment-based insurance should be strengthened, weakened, or left alone; and what role states might play.
Date: April 14, 2009
Creator: Bob Lyke
Partner: UNT Libraries Government Documents Department

The U.S. Mental Health Delivery System Infrastructure: A Primer

Description: This report begins with a historical perspective on delivery of mental health care services. Next, it describes the health care delivery system within which mental health care is currently provided and presents the various mechanisms that finance the current system. In describing the mental health system, this report considers three aspects: Who provides care? Where is the care provided? Who pays for the care? Finally, this report analyzes the barriers to receiving mental health treatment and workforce training issues, and presents possible options for Congress to address these barriers.
Date: April 21, 2009
Creator: Sundararaman, Ramya
Partner: UNT Libraries Government Documents Department

Increases in Tricare Costs: Background and Options for Congress

Description: This report discusses budgetary matters for the U.S. Department of Defense (DOD), specifically regarding past instances of debate regarding the Tricare system. The dollar amounts allocated to health care in the budget of the DOD have more than doubled since FY2001, growing from about $17 billion to over $44.8 billion in FY2009.
Date: May 14, 2009
Creator: Jansen, Don J.
Partner: UNT Libraries Government Documents Department

Factors Affecting the Demand for Long-Term Care Insurance: Issues for Congress

Description: This report will discuss the role of long-term care insurance (LTCI) in financing long term care (LTC) costs and current trends in the LTCI industry; factors affecting the demand for LTCI, including cost and complexity of the product and adequacy of consumer protections; and key features of legislative proposals in the 111th Congress to address these issues.
Date: May 27, 2009
Creator: Mulvey, Janemarie
Partner: UNT Libraries Government Documents Department