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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.
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: 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.
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: Payments to Physicians
This report discusses payments for physicians services under Medicare that are made on the basis of a fee schedule.
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
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.
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.
Military Technicians: The Issue of Mandatory Retirement for Non-Dual-Status Technicians
This report describes the mandatory retirement provisions for certain “non-dual-status” military technicians contained in the National Defense Authorization Act for Fiscal Year 2000 (P.L. 106-65), discusses the stated rationale behind the policy, and quantifies the impact it will likely have on individual technicians.
Medicare+Choice Payments
This report discusses the M+C program that established new rules for beneficiary and plan participation. This report focuses on M+C payments.
Medicare+Choice Payments
This report discusses the M+C program that established new rules for beneficiary and plan participation. This report focuses on M+C payments.
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.
Medicare: Beneficiary Cost-Sharing Under Prescription Drug Legislation
This report provides an analysis of how the cost-sharing and premium provisions under the Prescription Drug and Medicare Improvement Act of 2003 (S. 1) and the Medicare Prescription Drug and Modernization Act of 2003 (H bill would affect the amount that a beneficiary would pay annually for prescription drugs.
Medicare: Beneficiary Cost-Sharing Under Proposed Prescription Drug Benefits
This report examines these proposals as well as the “Medicare Rx Drug Benefit and Discount Act of 2003,” which was introduced by Representative Charles Rangel, the ranking member of the House Ways and Means Committee. Specifically, this report provides background on how the cost-sharing and premium provisions under each bill would affect the amount that a beneficiary pays annually for prescription drugs.
Medicare: Beneficiary Cost-Sharing Under Proposed Prescription Drug Benefits
This report provides background on how the cost-sharing and premium provisions under each bill would affect the amount that a beneficiary pays annually for prescription drugs. In addition, this report gives examples of how annual cost-sharing would differ for beneficiaries with various levels of total prescription drug spending in 2006 under the plans.
Medicare Prescription Drug and Reform Legislation
This report describes the major features of S. 1, as ordered reported, and the measure to be considered by the House Ways and Means Committee, H.R. 2473, as ordered reported.
Medicare Prescription Drug Provisions of S.1, as Passed by the Senate, and H.R. 1, as Passed by the House
This report discusses differences in the specifics of the prescription drug provisions in S. 1 and H.R. 1 and provides a side-by-side comparison of the Title I provisions of both bills.
Legal Issues Related to Livestock Watering in Federal Grazing Districts
This report discusses proposed regulations related to livestock watering in federal grazing districts.
Federal Farm Promotion ("Check-off") Programs
This report discusses legislation establishing national generic promotion ("check-off') programs for 20 specified farm commodities. Thirteen of the 20 authorized programs are now in effect.
Grazing Fees: An Overview
This report briefly discusses charging fees for grazing private livestock on federal lands, which is a long-standing but contentious practice. Generally, livestock producers who use federal lands want to keep fees low, while conservation groups and others believe fees should be raised to approximate "fair market value."
Farm Commodity Legislation: Chronology, 1933-98
Farm commodity programs were a product of the Great Depression. This report discusses the history of farm commodity legislation. Since 1933, Congress has required the U.S. Department of Agriculture's (USDA's) Commodity Credit Corporation (CCC) to administer a variety of programs providing price support and income protection for the nations farmers.
Managing Farm Risk in a New Policy Era
This report discusses the enhancements to the crop insurance and revenue insurance programs that are expected to be considered by the 106th Congress in order to improve the farm financial safety net and preclude the need for ad hoc legislative assistance.
Farm Commodity Programs: Sugar
This report discusses the federal sugar program, which authorized by the Federal Agriculture Improvement and Reform Act of 1996 seeks to ensure the viability of the U.S. sugar producing sector primarily by supporting the incomes of sugar beet and sugarcane producers and of those firms that process each crop into sugar.
Farm Economic Relief: Issues and Options for Congress
This report discusses issues regarding Agriculture funding, specifically the Federal Agriculture Improvement and Reform (FAIR) Act (P.L. 104-127), which prescribed farm commodity support policy through 2002.
Farm Economic Relief: Issues and Options for Congress
This report discusses issues regarding Agriculture funding and subsidies. In response to low prices, natural disasters, and other farm-related problems, Congress has, over 3 successive years, provided a total of about $23 billion in supplemental aid – in addition to funds already programmed through the 1996 farm bill (P.L. 104-127). The most recent aid was attached to a crop insurance reform bill signed into law on June 22, 2000 (P.L. 106-224). This Agriculture Risk Protection Act of 2000 includes $7.113 billion for additional farm income and related assistance, of which $5.5 billion is to be spent in FY2000.
Agricultural Trade Issues in the 107th Congress
The 107th Congress is considering trade issues with implications for the U.S. agricultural sector. Trade in agricultural commodities and food products affects farm income and rural employment, and it also generates economic activity beyond the farm gate. With agricultural export sales the equivalent of one-quarter of farm income, some policymakers view U.S. efforts to develop market opportunities overseas as vital to the sector’s financial health. Decisions taken by the Bush Administration, and actions taken by Congress, thus will affect the outlook for agricultural trade.
The Farm Bill: Soil and Water Conservation Issues
This report discusses resource conservation topics, which are a part of the farm bill debate. Debate on existing programs focuses on reauthorization of the Conservation Reserve Program and possible amendments to the reserve, swampbuster, and conservation compliance.
Grazing Fees and Rangeland Management
The Bureau of Land Management (BLM, Department of the Interior) and the Forest Service (Department of Agriculture) manage approximately 70% of the 650 million acres of land owned by the federal government and many of these lands are classified as rangeland. Both agencies have well-established programs permitting private livestock grazing. The Administration issued new, controversial BLM rangeland management rules effective in August 1995. Supporters contended that the Administration's new rules were a step forward in sound resource management, but some believed they did not go far enough to protect rangelands and riparian areas. Many in the ranching community opposed the new rules, believing that they would ultimately reduce private livestock activity on federal lands, and increase operating costs. This report examines the debate over federal grazing management.
Food and Agriculture Issues in the 105th Congress
This report examines various budget issues regarding food and agriculture in the 105th Congress, examining recent developments and then taking a look a the context of those developments.
Food Biotechnology in the United States: Science, Regulation, and Issues
This report provides basic information on the science of food biotechnology. It discusses regulatory policies and issues of concern about the use of biotechnology to modify foods through genetic engineering. It describes the scientific processes used and current products available. It explains how all three major federal agencies - the Food and Drug Administration, the U.S. Department of Agriculture, and the Environmental Protection Agency - regulate these foods.
Food Biotechnology in the United States: Science, Regulation, and Issues
This report discusses the science of food biotechnology, and the federal structure by which it is regulated. Because U.S. farmers are adopting this technology at a rapid rate, some observers advocate a more active role for the federal government to ensure that farmers have equal access to this technology. Others believe that federal officials should play a more active role in protecting the environment, funding more research, and participating in international trade negotiations to ensure that trade continues to expand for genetically engineered crops. Trading partners often label food products that have been genetically modified as genetically modified organisms (GMOs). Many of those partners have labeling requirements for GMOs to allow consumers the “right to know” their food content.
Farm Labor Shortages and Immigration Policy
This report first explains why the nexus between farm labor shortages and immigration policy has again arisen. It next examines the composition of the seasonal agricultural labor force and presents the arguments of grower and farmworker advocates concerning its adequacy relative to employer demand. The report closes with an analysis of the trends in (un)employment, time worked and wages of legal and illegal farmworkers to determine if they are consistent with the existence of a nationwide shortage of domestically available farmworkers.
Farm Labor Shortages and Immigration Policy
This report first explains the connection made over the past several years between farm labor and immigration policies. It next examines the composition of the seasonal agricultural labor force and presents the arguments of grower and farmworker advocates concerning its adequacy relative to employer demand. The report closes with an analysis of the trends in employment, unemployment, time worked and wages of authorized and unauthorized farmworkers to determine whether they are consistent with the existence of a nationwide shortage of domestically available farmworkers.
Farm Support Programs and World Trade Commitments
Congress is now debating reauthorization of omnibus farm legislation, as most commodityprice support provisions expire in 2002. This report discusses this debate, specifically aspects relating to commitments that the U.S. has as a World Trade Organization (WTO) member. Because of the interrelationships between trade and domestic support policies, lawmakers are interested in what the Agreement on Agriculture stipulates with regard to domestic supports, and how not only the United States but also other countries are meeting their Agreement commitments.
Farm Economic Relief and Policy Issues in the 106th Congress: A Retrospective
This report discusses issues regarding Agriculture funding, specifically the Federal Agriculture Improvement and Reform (FAIR) Act (P.L. 104-127), which prescribed farm commodity support policy through 2002.
Immigration of Agricultural Guest Workers: Policy, Trends, and Legislative Issues
This report discusses the revision of U.S. immigration policy on agricultural guest workers that are coming from various perspectives, and several major bills have already been introduced in the 107th Congress
Immigration of Agricultural Guest Workers: Policy, Trends, and Legislative Issues
This report discusses the revision of U.S. immigration policy on agricultural guest workers that are coming from various perspectives, and several major bills have already been introduced in the 107th Congress
Immigration of Agricultural Guest Workers: Policy, Trends, and Legislative Issues
This report discusses the revision of U.S. immigration policy on agricultural guest workers that are coming from various perspectives, and several major bills have already been introduced in the 107th Congress.
The 2002 Farm Bill: Overview and Status
The Federal Agriculture Improvement and Reform, or FAIR, Act of 1996 (commonly known as the "farm bill"), which was due to expire in 2002, is expected to be extended for another six years when President Bush signs the bill into law. This report discusses the provisions of the new "farm bill," including the federal spending involved.
Hog Prices: Questions and Answers
This report discusses price changes in the pork industry. In late 1998, the lowest hog prices in decades created a crisis in the pork industry and prompted the U.S. Department of Agriculture (USDA) and Congress to take a series of actions to assist producers, including direct cash payments, and the purchase of extra pork products to reduce market supplies. The industry sought additional aid as low prices persisted into 1999.
Farm and Food Support Under USDA's Section 32 Program
This report discusses "Section 32", which is a permanent appropriation that since 1935 has earmarked the equivalent of 30% of annual customs receipts to support the farm sector through a variety of activities. Today, most of this sizeable appropriation (now about $5.7 billion per year) is simply transferred directly into the U.S. Department of Agriculture's (USDA's) child nutrition account to fund school feeding and other programs.
IMF and World Bank: U.S. Contributions and Agency Budgets
This paper shows how much the United States has contributed to these international agencies in recent years. It also shows how much the international agencies budget (and the source of those funds) for their administrative expenses and their operational budgets. This report will be updated periodically.
Federal Grazing Regulations: Public Lands Council v. Babbitt
This report discusses new regulations on livestock grazing on lands managed by the Bureau of Land Management became effective August 21, 1995. Many aspects of the new regulations were challenged in Public Lands Council v. Babbitt. A federal district court upheld many of the regulations, but struck down four of them and enjoined their implementation. At the appellate level, only the new regulation allowing conservation use to the exclusion of livestock grazing for the full term of a permit was held invalid. The Supreme Court has agreed to hear the case and argument has been set for March 1, 2000.
Farm Program Spending: What's Permitted Under the Uruguay Round Agreements
This report discusses farm income and commodity price support proposals that might succeed the programs due to expire in 2002. A key question being asked of virtually every new proposal is how it will affect U.S. commitments under the 1994 Uruguay Round Agreement on Agriculture (URAA), which commitsthe United States to spend no more than $19.1 billion annually on domestic farm supports most likely to distort trade. The URAA spells out the rules for countries to determine whether their policies are potentially trade distorting, and to calculate the costs.
Farm Commodity Programs: A Short Primer
This report briefly discusses programs designed to provide income support, price support, and/or supply management for approximately 20 specified agricultural commodities. USDA farm support programs represent the heart of U.S. farm policy, by virtue of their longevity – they have existed since the early 1930s – and their cost.
Farm Commodity Programs: A Short Primer
This report briefly discusses programs designed to provide income support, price support, and/or supply management for approximately 20 specified agricultural commodities. It specifically addresses the proposed farm bill legislation, meant to expand existing services and add new programs, in part to avert ad hoc measures to fill gaps.
Farm "Counter-Cyclical Assistance"
This report discusses the reauthorization of major farm income and commodity price support programs that expire after crop year 2002. Many agricultural interests expect that a new “counter-cyclical assistance” program will be an integral component of future farm policy. The intent of counter-cyclical assistance is to provide more government support when farm prices and/or incomes decline, and less support when they improve.
Farm "Counter-Cyclical Assistance"
This report discusses recently approved legislation reauthorizing major farm income and commodity price support programs through crop year 2007. This legislation includes new “counter-cyclical assistance” programs for grains, cotton, oilseeds, peanuts, and milk. The intent of counter-cyclical assistance is to provide more government support when farm prices and/or incomes decline, and less support when they improve. In fact, farmers have, for many years, been eligible for various forms of counter-cyclical assistance. At issue has been the need for, and potential impacts of, another counter-cyclical program.
Farm Bill Trade and Food Aid Provisions
This report discusses the trade provisions of omnibus farm legislation, passed in May 2002. The measure includes a trade title reauthorizing, through 2007, the major foreign food aid and agricultural export programs. It also contains other provisions affecting agricultural trade, including new country-of-origin labeling requirements for meat, seafood, and produce; and increased domestic farm subsidies with possible implications for U.S. trade relations.
Farm Commodity Payment Limits: Comparison of Proposals
This report discusses U.S. policy regard farm commodities. Greater public awareness of the size of commodity program payments reaching a comparatively small number of very large farms has focused the attention of Congress on payment limits. Limits on commodity program payments have been imposed since 1970. As part of the emergency economic assistance packages enacted each of the past three years, the payment limits have been doubled. In addition, a mechanism has been developed that allows farms to circumvent the limit on loan deficiency payments, namely commodity certificates
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