Congressional Research Service Reports - 537 Matching Results

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Health Care for Veterans: Suicide Prevention

Description: This report focuses on suicide prevention activities of the Veterans Health Administration (VHA) within the Department of Veterans Affairs (VA). The VHA's approach to suicide prevention is based on a public health framework, which has three major components: (1) surveillance, (2) risk and protective factors, and (3) interventions.
Date: January 30, 2015
Creator: Bagalman, Erin
Partner: UNT Libraries Government Documents Department

Regulation of Clinical Tests: In Vitro Diagnostic (IVD) Devices, Laboratory Developed Tests (LDTs), and Genetic Tests

Description: In vitro diagnostic (IVD) devices are used in the analysis of human samples, such as blood or tissue, to provide information in making health care decisions. Examples of IVDs include pregnancy test kits or blood glucose tests for home use; laboratory tests for infectious disease, such as HIV or hepatitis, and routine blood tests, such as cholesterol and anemia; and tests for various genetic diseases or conditions. More recently, a specific type of diagnostic test--called a companion diagnostic--has been developed that may be used to select the best therapy, at the right dose, at the correct time for a particular patient; this is often referred to as personalized or precision medicine. This report provides an overview of federal regulation of IVDs by FDA, through the Federal Food, Drug, and Cosmetics Act (FFDCA) and the Public Health Service Act (PHSA), and by CMS, through the Clinical Laboratory Improvement Amendments (CLIA) of 1988.
Date: December 17, 2014
Creator: Sarata, Amanda K. & Johnson, Judith A.
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
Partner: UNT Libraries Government Documents Department

Veterans Affairs: Presumptive Service Connection and Disability Compensation

Description: This report discusses presumptive service connection, its legislative history, and current challenges in making evidence-based determinations of presumptions. It also discusses the Agent Orange Act (P.L. 102-4) and suggests implications of the process established by the act for future presumptive service-connected determinations.
Date: November 18, 2014
Creator: Panangala, Sidath Viranga; Shedd, Daniel T. & Moulta-Ali, Umar
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
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: September 3, 2014
Creator: Napili, Angela
Partner: UNT Libraries Government Documents Department

Immigration Policies and Issues on Health-Related Grounds for Exclusion

Description: This report discusses the criteria that foreign nationals must meet before admission to the United States, specifically examining the health-related grounds for exclusion. It provides this information in the context of recent outbreaks of communicable diseases abroad such as Ebola in West Africa, avian influenza in China, polio in the middle east, and dengue fever in the Caribbean.
Date: August 13, 2014
Creator: Wasem, Ruth Ellen
Partner: UNT Libraries Government Documents Department

Ebola: 2014 Outbreak in West Africa

Description: This report gives a overview of the West African Ebola outbreak that began in March, 2014. The report discusses the nature of the disease as well as local and international responses to it. The report also briefly examines U.S policy and congressional actions in the wake of the outbreak.
Date: August 8, 2014
Creator: Cook, Nicolas & Salaam-Blyther, Tiaji
Partner: UNT Libraries Government Documents Department

Safe at Home? Letting Ebola-Stricken Americans Return

Description: This report examines the U.S. practice of isolation and quarantine for citizens arriving in the country who have been infected with or exposed to a dangerous communicable disease. The report frames this information in the context of the two American healthcare workers who were brought back into the U.S. for treatment after contracting the Ebola virus in West Africa in the Summer of 2014.
Date: August 5, 2014
Creator: Lister, Sarah A.
Partner: UNT Libraries Government Documents Department

Mandatory Vaccinations: Precedent and Current Laws

Description: This report provides an overview of the legal precedent for mandatory vaccination laws, and of state laws that require certain individuals or populations, including school-aged children and health care workers, to be vaccinated against various communicable diseases. Also discussed are state laws providing for mandatory vaccinations during a public health emergency or outbreak of a communicable disease.
Date: May 21, 2014
Creator: Cole, Jared P. & Swendiman, Kathleen S.
Partner: UNT Libraries Government Documents Department

Immigration Policies and Issues on Health-Related Grounds for Exclusion

Description: This report discusses the criteria that foreign nationals must meet before admission to the United States including the reasons why a foreign national might be denied admission, most particularly on health-related grounds. It describes this issue in relation to the recent outbreak of the 2009 H1N1 ("swine flu") virus, and how the outbreak has affected various government agencies, such as the Customs and Border Protection (CBP) agency within the Department of Homeland Security (DHS). This report also discusses efforts to confront and address related issues on a legislative front.
Date: April 28, 2014
Creator: Wasem, Ruth Ellen
Partner: UNT Libraries Government Documents Department

Regulation of Clinical Tests: In Vitro Diagnostic (IVD) Devices, Laboratory Developed Tests (LDTs), and Genetic Tests

Description: In vitro diagnostic (IVD) devices are used in the analysis of human samples, such as blood or tissue, to provide information in making health care decisions. Examples of IVDs include pregnancy test kits or blood glucose tests for home use; laboratory tests for infectious disease, such as HIV or hepatitis, and routine blood tests, such as cholesterol and anemia; and tests for various genetic diseases or conditions. More recently, a specific type of diagnostic test--called a companion diagnostic--has been developed that may be used to select the best therapy, at the right dose, at the correct time for a particular patient; this is often referred to as personalized or precision medicine. This report provides an overview of federal regulation of IVDs by FDA, through the Federal Food, Drug, and Cosmetics Act (FFDCA) and the Public Health Service Act (PHSA), and by CMS, through the Clinical Laboratory Improvement Amendments (CLIA) of 1988.
Date: March 27, 2014
Creator: Sarata, Amanda K.
Partner: UNT Libraries Government Documents Department

Prescription Drug Monitoring Programs

Description: This report looks at ways that prescription drug monitoring programs (PDMPs), which maintain statewide electronic databases of prescriptions dispensed for controlled substances, can help to deter prescription drug misuse.
Date: March 24, 2014
Creator: Finklea, Kristin M.; Bagalman, Erin & Sacco, Lisa N.
Partner: UNT Libraries Government Documents Department

The Federal Food Safety System: A Primer

Description: This report discusses concerns about food safety, the resources required to ensure food safety, and whether federal food safety laws themselves, first enacted in the early 1900s, have kept pace with the significant changes that have occurred in the food production, processing, and marketing sectors since then.
Date: January 17, 2014
Creator: Johnson, Renée
Partner: UNT Libraries Government Documents Department

Pharmaceutical Supply Chain Security

Description: This report serves as a primer on pharmaceutical supply chain issues. It (1) describes the chain from manufacturer to patient, including where it is vulnerable; (2) summarizes current federal law, regulation, and FDA policies that Congress and the agency designed to protect the integrity of the final drug product, and indicates where those protections may falter; (3) notes state-level and professional association activities; and (4) discusses areas that Congress, FDA, and industry, health care, and patient stakeholders have suggested might be changed to increase the security of the pharmaceutical supply chain.
Date: October 31, 2013
Creator: Thaul, Susan
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.
Date: July 24, 2013
Creator: Jansen, Don J. & Blakeley, Katherine
Partner: UNT Libraries Government Documents Department

Military Medical Care: Questions and Answers

Description: Report that 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.
Date: June 19, 2013
Creator: Jansen, Don J. & Blakeley, Katherine
Partner: UNT Libraries Government Documents Department

Prevalence of Mental Illness in the United States: Data Sources and Estimates

Description: This report briefly describes the methodology and selected findings of three large federally funded surveys that provide national prevalence estimates of diagnosable mental illness: the National Comorbidity Survey Replication (NCS-R), the National Comorbidity Survey Replication Adolescent Supplement (NCS-A), and the National Survey on Drug Use and Health (NSDUH). This report presents prevalence estimates of any mental illness and serious mental illness based on each survey and ends with a brief discussion of how these prevalence estimates might inform policy discussions.
Date: April 24, 2013
Creator: Bagalman, Erin & Napili, Angela
Partner: UNT Libraries Government Documents Department

Title X (Public Health Service Act) Family Planning Program

Description: This report discusses the Family Planning Program, Title X of the Public Health Service Act (42 U.S.C. §§300 to 300a-6), which is the only domestic federal program devoted solely to family planning and related preventive health services. The report discusses various services related to Title X and also considers current legislation related to the program.
Date: January 23, 2013
Creator: Napili, Angela
Partner: UNT Libraries Government Documents Department