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Employment-Based Health Coverage and Health Reform: Selected Legal Considerations

Description: It is estimated that nearly 170 million individuals have employer-based health coverage. As part of a comprehensive health care reform effort, there has been support (including from the Obama Administration) in enacting comprehensive health insurance reform that retains the employer-based system. This report presents selected legal considerations inherent in amending two of the primary federal laws governing employer-sponsored health care: the Employee Retirement Income Security Act (ERISA) and the Internal Revenue Code (IRC).
Date: June 12, 2009
Creator: Staman, Jennifer & Liu, Edward C.
Partner: UNT Libraries Government Documents Department
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Health Insurance: Uninsured by State, 2005

Description: An estimated 15.9% of the U.S. populations lacked health insurance coverage in 2005. When examined by state, estimates of the percent uninsured ranged from a low of 8.4% in Minnesota to a high of 24.2% in Texas. Generally, states in the Midwest and New England have lower rates of uninsured, while states in the Southwestern and Southern portion of the nation have higher shares of their populations without coverage.
Date: September 8, 2006
Creator: Peterson, Chris L.
Partner: UNT Libraries Government Documents Department
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Ergonomics in the Workplace: Is It Time for an OSHA Standard?

Description: This report debates implementing an OSHA (Occupational Safety and Health Administration) standard for ergonomics. This standard would be motivated by the fact that one third of state employer's costs are related to improper ergonomic design causing illness. The report details that standards suggested in the past have been rejected by Congress.
Date: May 7, 2002
Creator: Rappaport, Edward
Partner: UNT Libraries Government Documents Department
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The Independent Payment Advisory Board

Description: This report, which provides an overview of the Payment Advisory Board, begins with a discussion of the rationale behind the creation of an independent Medicare board and briefly reviews prior proposals for similar boards and commissions. The report then describes the structure of the Board, the calculations and determinations required to be made by the Office of the Chief Actuary (the Chief Actuary) in the Centers for Medicare & Medicaid Services (CMS) that trigger a Board proposal, and the content of and constraints on Board proposals--including the Medicare productivity exemptions under Section 3401 of the The Patient Protection and Affordable Care Act (PPACA).
Date: April 17, 2013
Creator: Hahn, Jim & Davis, Christopher M.
Partner: UNT Libraries Government Documents Department
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Medicare Trigger

Description: This report analyzes the financing of Medicare and its impact on the federal budget. It includes a discussion of the Medicare "trigger," which requires certain actions to be taken should general revenue funding be expected to exceed a certain proportion of total Medicare outlays within a certain number of years.
Date: February 8, 2018
Creator: Davis, Patricia A.; Garvey, Todd & Davis, Christopher M.
Partner: UNT Libraries Government Documents Department
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Health Insurance: Small is the New Large

Description: This report discusses aspects of the Patient Protection and Affordable Care Act that expand the definition of small employer to include employers with 100 or fewer employees. States must implement the expanded definition for plan years beginning in 2016, but have the option of implementing the expanded definition prior to the deadline.
Date: August 26, 2015
Creator: Mach, Annie L.
Partner: UNT Libraries Government Documents Department
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Medicare: Enrollment in Medicare Drug Plans

Description: This report discusses the enrollment process for private prescription drug plans (PDPs) or Medicare Advantage prescription drug (MA-PD) plans. At a minimum, these plans offer "standard coverage" or alternative coverage with actuarially equivalent benefits. Beneficiaries are required to enroll in one of these private plans in order to obtain coverage.
Date: January 3, 2006
Creator: O'Sullivan, Jennifer
Partner: UNT Libraries Government Documents Department
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Medicaid Citizenship Documentation

Description: Due to recent changes in federal law, individuals who declare that they are citizens for Medicaid eligibility purposes must present documentation that proves citizenship and documents personal identity. This report discusses issues related to Medicaid citizenship documentation that have received considerable media and interest group attention, as well as proposed legislation that would affect the requirement.
Date: April 15, 2008
Creator: Grady, April
Partner: UNT Libraries Government Documents Department
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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
Partner: UNT Libraries Government Documents Department
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Medicaid Issues for the 109th Congress

Description: Medicaid is jointly financed by the federal and state governments, but each state designs and administers its own state program under broad federal guidelines. Accordingly, state variation in eligibility, covered services, and the delivery of, and reimbursement for, services is the rule rather than the exception. How is Congress to respond to the numerous proposals to move Medicaid forward into the near and long term? This report lays out some of these issues, explains the factors underlying them, and provides links to CRS products that can help Members of Congress and their staff prepare to discuss Medicaid’s role today and into the future.
Date: April 10, 2006
Creator: Hearne, Jean
Partner: UNT Libraries Government Documents Department
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Medicare: FY2007 Budget Issues

Description: This report discusses President's budget request to Congress for Medicare, for the following federal fiscal year, along with projections for the five-year budget window. The President’s 2007 budget includes Medicare legislative proposals for Part A (Hospital Insurance) and Part B (Supplementary Medical Insurance) spending with estimated savings of $2.5 billion in 2007 and $35.9 billion over the five-year budget window.
Date: March 31, 2006
Creator: Chaikind, Hinda; Morgan, Paulette C.; O'Shaughnessy, Carol; O'Sullivan, Jennifer; Stone, Julie & Tilson, Sibyl
Partner: UNT Libraries Government Documents Department
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Medicare Primer

Description: This report provides a general overview of the Medicare program including descriptions of the program's history, eligibility criteria, covered services, provider payment systems, and program administration and financing.
Date: March 31, 2016
Creator: Davis, Patricia A.; Talaga, Scott R.; Binder, Cliff; Hahn, Jim; Kirchhoff, Suzanne M. & Morgan, Paulette C.
Partner: UNT Libraries Government Documents Department
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Medicare: Enrollment in Medicare Drug Plans

Description: This report discusses the enrollment process for private prescription drug plans (PDPs) or Medicare Advantage prescription drug (MA-PD) plans. At a minimum, these plans offer "standard coverage" or alternative coverage with actuarially equivalent benefits. Beneficiaries are required to enroll in one of these private plans in order to obtain coverage.
Date: October 20, 2006
Creator: O'Sullivan, Jennifer
Partner: UNT Libraries Government Documents Department
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Medicare: Private Contracts

Description: 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.
Date: October 21, 1997
Creator: O'Sullivan, Jennifer & Echeverria, Cecilia O
Partner: UNT Libraries Government Documents Department
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How Medicaid Works: Program Basics

Description: Medicaid is a means-tested entitlement program that has been in existence for over 35 years. It provides primary and acute care as well as long-term care to over 40 million Americans at a cost to federal and state governments of approximately $258.2 billion in FY2002. Of all federally supported social programs, only Medicare comes close to this level of spending, and only Social Security costs more.
Date: February 7, 2004
Creator: Herz, Elicia J.; Hearne, Jean P.; Stone-Axelrad, Julie; Tritz, Karen; Baumrucker, Evelyne P.; Scott, Christine et al.
Partner: UNT Libraries Government Documents Department
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How Medicaid Works - Program Basics

Description: Medicaid is a means-tested entitlement program that has been in existence for over 35 years. It provides primary and acute care as well as long-term care to over 50 million Americans at a cost to federal and state governments of approximately $276.1 billion in FY2003. Of all federally supported social programs, only Medicare comes close to this level of spending, and only Social Security costs more.
Date: March 16, 2005
Creator: Herz, Elicia J.; Hearne, Jean P.; Stone-Axelrad, Julie; Tritz, Karen; Baumrucker, Evelyne P.; Scott, Christine et al.
Partner: UNT Libraries Government Documents Department
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Medicare Payment Policies

Description: No Description Available.
Date: February 23, 2005
Creator: Tilson, Sibyl L.; Chaikind, Hinda Ripps; O'Sullivan, Jennifer; Morgan, Paulette C.; Justice, Diane; Stone-Axelrad, Julie et al.
Partner: UNT Libraries Government Documents Department
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