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Appropriations and Fund Transfers in the Affordable Care Act (ACA)

Description: This report summarizes all the mandatory appropriations and Medicare trust fund transfers in the 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. This report is periodically revised and updated to reflect important legislative and other developments.
Date: March 6, 2015
Creator: Redhead, C. Stephen
Item Type: Report
Partner: UNT Libraries Government Documents Department

The Community Health Center Fund: In Brief

Description: This report provides information on the Community Health Center Fund (CHCF) that may be useful for discussions about the fund's future. Specifically, it includes information on: the types of grants awarded, total funds disbursed, and the amount of CHCF funds that facilities in each state and territory received.
Date: February 12, 2015
Creator: Heisler, Elayne J.
Item Type: Report
Partner: UNT Libraries Government Documents Department

The Affordable Care Act and Small Business: Economic Issues

Description: This report explains how employer-sponsored insurance can be used to address concerns about health insurance coverage and cost. Then, it summarizes the three Affordable Care Act (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).
Date: January 15, 2015
Creator: Lowry, Sean & Gravelle, Jane G.
Item Type: Report
Partner: UNT Libraries Government Documents Department

The ACA Medicaid Expansion

Description: This report provides an overview of the ACA Medicaid expansion, and the impact of the Supreme Court decision on the ACA Medicaid expansion. Then, the report describes who is covered under the expansion, the expansion rules, and how the expansion is financed. In addition, enrollment and expenditure estimates for the ACA Medicaid expansion are provided. Finally, the report reviews state decisions whether or not to implement the ACA Medicaid expansion, and the implications of those decisions on certain individuals, employers, and hospitals.
Date: December 30, 2014
Creator: Mitchell, Alison
Item Type: Report
Partner: UNT Libraries Government Documents Department

Premium Tax Credits and Federal Health Insurance Exchanges: Questions and Answers

Description: Legal challenges that may have a substantial impact on the implementation and operation of the Patient Protection and Affordable Care Act (ACA) concern whether premium tax credits are available for millions of individuals participating in federally administered health insurance exchanges. The Supreme Court has decided to weigh in on this issue in King v. Burwell. This report provides background on provisions of ACA relevant to this issue. It then answers questions concerning the legal challenges and potential implications of the Court's decision in King.
Date: December 19, 2014
Creator: Staman, Jennifer A.; Lunder, Erika K. & Shedd, Daniel T.
Item Type: Report
Partner: UNT Libraries Government Documents Department

Ebola: Selected Legal Issues

Description: Several West African countries are currently grappling with an unprecedented outbreak of Ebola virus disease (EVD). Here in the United States, where Ebola is not endemic, a handful of EVD cases have been diagnosed, and domestic transmission of the virus has occurred in only two cases to date. This report provides a brief overview of selected legal issues regarding measures to prevent transmission of Ebola virus and the civil rights of individuals affected by the disease.
Date: December 16, 2014
Creator: Cole, Jared P.; Perry, Rodney M.; Dolan, Alissa M.; Shimabukuro, Jon O.; Garcia, Michael J.; Smith, Jane M. et al.
Item Type: Report
Partner: UNT Libraries Government Documents Department

Hospital-Based Emergency Departments: Background and Policy Considerations

Description: This report describes Emergency departments (EDs), the role they play in the health care delivery system, and current federal involvement in supporting EDs. It then discusses the causes and consequences of three commonly identified and interrelated challenges that EDs face: (1) crowding, (2) providing repeat care to a subset of patients who are frequent users, and (3) providing care to a large population who have behavioral health conditions when an ED lacks the appropriate resources to provide such treatment. The report concludes with policy options that Congress may consider to potentially improve ED functioning and reduce payer costs.
Date: December 8, 2014
Creator: Heisler, Elayne J. & Tyler, Nancy Leigh
Item Type: Report
Partner: UNT Libraries Government Documents Department

Congress Faces Calls to Address Expiring ACA Appropriations

Description: This report discusses the Affordable Care Act (ACA), enacted in March 2010, which appropriated billions of dollars of mandatory funds to support grant programs and other activities authorized by the law.
Date: November 25, 2014
Creator: Redhead, C. Stephen & Heisler, Elayne J.
Item Type: Report
Partner: UNT Libraries Government Documents Department

A Federal Pause in Potentially Risky Influenza Research

Description: This report briefly discusses a recently implemented federal research moratorium that has highlighted concerns about the general appropriateness of research on biological pathogens and the sufficiency of certain biosecurity efforts.
Date: November 24, 2014
Creator: Shea, Dana A.
Item Type: Report
Partner: UNT Libraries Government Documents Department

Treating Ebola Patients in the United States: Health Care Delivery Implications

Description: This report discusses the recent response to Ebola patients in the United States. While the U.S. health care system has the resources to effectively identify and treat Ebola cases, a situation that is novel, emergent, and resource-intensive may test the system's ability to effectively mobilize those resources.
Date: November 4, 2014
Creator: Sarata, Amanda K.
Item Type: Report
Partner: UNT Libraries Government Documents Department

U.S. and International Health Responses to the Ebola Outbreak in West Africa

Description: In March 2014, an Ebola Virus Disease (EVD) outbreak was reported in Guinea, West Africa. The outbreak is the first in West Africa and has caused an unprecedented number of cases and deaths. The outbreak is continuing to spread in Guinea, Sierra Leone, and Liberia (the "affected countries"); it has been contained in Nigeria and Senegal, and has been detected in Mali. As of October 22, 2014, more than 10,000 people have contracted EVD, more than half of whom have died. This report focuses on the health impacts of the outbreak and discusses U.S. and international responses to those health challenges.
Date: October 29, 2014
Creator: Salaam-Blyther, Tiaji
Item Type: Report
Partner: UNT Libraries Government Documents Department

Discretionary Spending Under the Affordable Care Act (ACA)

Description: The Patient Protection and Affordable Care Act (Affordable Care Act, or ACA) reauthorized funding for numerous existing discretionary grant programs administered by the Department of Health and Human Services (HHS). The ACA also created many new discretionary grant programs and provided for each an authorization of appropriations. Generally, the law authorized (or reauthorized) appropriations through FY2014 or FY2015. This report summarizes all the discretionary spending provisions in the ACA.
Date: October 28, 2014
Creator: Redhead, C. Stephen; Colello, Kirsten J.; Heisler, Elayne J.; Lister, Sarah A. & Sarata, Amanda K.
Item Type: Report
Partner: UNT Libraries Government Documents Department

The Ebola Outbreak: Quarantine and Isolation Authority

Description: This legal sidebar discusses recent quarantine policies announced by several states, including New York and New Jersey, for travelers arriving from areas affected by the outbreak of Ebola Virus Disease, which have raised legal and constitutional questions about federal and state authority to order quarantine and isolation measures.
Date: October 28, 2014
Item Type: Report
Partner: UNT Libraries Government Documents Department

Medicare: Insolvency Projections

Description: 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.
Date: September 19, 2014
Creator: Davis, Patricia A.
Item Type: Report
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: September 10, 2014
Creator: Davis, Patricia A.; Talaga, Scott R.; Binder, Cliff; Hahn, Jim; Morgan, Paulette C.; Mulvey, Janemarie et al.
Item Type: Report
Partner: UNT Libraries Government Documents Department

Medical Loss Ratio Requirements Under the Patient Protection and Affordable Care Act (ACA): Issues for Congress

Description: 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.
Date: August 26, 2014
Creator: Kirchhoff, Suzanne M.
Item Type: Report
Partner: UNT Libraries Government Documents Department

Appropriations and Fund Transfers in the Affordable Care Act (ACA)

Description: 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.
Date: August 1, 2014
Creator: Redhead, C. S.
Item Type: Report
Partner: UNT Libraries Government Documents Department

Private Health Insurance Market Reforms in the Affordable Care Act (ACA)

Description: 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.
Date: July 24, 2014
Creator: Mach, Annie L. & Fernandez, Bernadette
Item Type: Report
Partner: UNT Libraries Government Documents Department

Private Health Insurance Market Reforms in the Affordable Care Act (ACA)

Description: 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.
Date: May 6, 2014
Creator: Mach, Annie L. & Fernandez, Bernadette
Item Type: Report
Partner: UNT Libraries Government Documents Department

Individual Mandate Under ACA

Description: 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.
Date: May 5, 2014
Creator: Mach, Annie L.
Item Type: Report
Partner: UNT Libraries Government Documents Department