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NFIB v. Sebelius: Constitutionality of the Individual Mandate

Description: Report that provides an overview of the Court's holding with respect to the individual mandate of the Patient Protection and Affordable Care Act (ACA) under the Commerce Clause and the Taxing Power. It also addresses possible implications of the decision on existing federal law and future legislation.
Date: September 3, 2012
Creator: Lunder, Erika K. & Staman, Jennifer
Partner: UNT Libraries Government Documents Department
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Health Benefits for Members of Congress

Description: Report that covers health benefits made available to Members of Congress through federal government employment, including Federal Employees Health Benefits Program (FEHBP), dental and vision insurance, flexible spending accounts, long-term care insurance, services at the Office of the Attending Physician and military hospitals, and Medicare. It also offers a comparison of FEHBP to health benefits offered by the private sector and state and local governments and a discussion of the effect of the… more
Date: November 30, 2012
Creator: Cornell, Ada S.
Partner: UNT Libraries Government Documents Department
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Cancellation of Nongroup Health Insurance Policies

Description: This report provides background information about health insurance cancellations, non-renewals and rescissions, including applicable federal rules under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and ACA.
Date: November 19, 2013
Creator: Fernandez, Bernadette & Mach, Annie L.
Partner: UNT Libraries Government Documents Department
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Federal Employees Health Benefits Program (FEHBP): Available Health Insurance Options

Description: This report discusses the Federal Employees Health Benefits Program (FEHBP), a program administered by the Office of Personnel Management (OPM), which is statutorily given the authority to contract with qualified carriers offering plans and to prescribe regulations necessary to carry out the statute, among other duties.
Date: November 13, 2013
Creator: Mach, Annie L. & Cornell, Ada S.
Partner: UNT Libraries Government Documents Department
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Children's Health Insurance: Information on Coverage of Services, Costs to Consumers, and Access to Care in CHIP and Other Sources of Insurance

Description: A letter report issued by the Government Accountability Office with an abstract that begins "In five selected states, GAO determined that the separate State Children's Health Insurance Program (CHIP) plans were generally comparable to the benchmark plans selected by states in 2012 as models for the benefits that will be offered through qualified health plans (QHP) in 2014. The plans were comparable in the services they covered and the services on which they imposed limits, although there was so… more
Date: November 21, 2013
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Private Health Insurance: Estimates of Effects of Health Insurance Tax Credits and Deductions as Proposed in H.R. 2261

Description: Correspondence issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on the health insurance tax credit proposed in H.R. 2261 for individuals who purchased private health insurance, focusing on both the number of people who would potentially be eligible for a tax credit or deduction under this proposal and the potential value of these credits and deductions."
Date: September 13, 1999
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
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Private Health Insurance: Coverage of Key Colorectal Cancer Screening Tests is Common but Not Universal

Description: A letter report issued by the General Accounting Office with an abstract that begins "Colorectal cancer is the second leading cause of cancer deaths in the United States. Its mortality can be reduced through early detection and treatment. Four key tests are used to detect the cancer--fecal occult blood test (FOBT), flexible sigmoidoscopy, double-contrast barium enema (DCBE), and colonoscopy. Private health insurance plans generally cover these tests to diagnose cancer; however, the extent to wh… more
Date: June 17, 2004
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
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Private Health Insurance: Waivers of Restrictions on Annual Limits on Health Benefits

Description: Correspondence issued by the Government Accountability Office with an abstract that begins "The Patient Protection and Affordable Care Act (PPACA), which became law in March, 2010, generally prohibits health insurance issuers and group health plan sponsors from imposing annual limits on the dollar value of "essential" covered health benefits beginning on January 1, 2014, but allows restricted annual limits, as defined by the Secretary of Health and Human Services (HHS), on the value of those be… more
Date: June 14, 2011
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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State Children's Health Insurance Program: CMS Should Improve Efforts to Assess whether SCHIP Is Substituting for Private Insurance

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Congress created the State Children's Health Insurance Program (SCHIP) to reduce the number of uninsured children in low-income families that do not qualify for Medicaid. States have flexibility in structuring their SCHIP programs, and their income eligibility limits vary. Concerns have been raised that individuals might substitute SCHIP for private health insurance--known as crowd-out. GAO was asked to… more
Date: February 20, 2009
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Private Health Insurance: Small Employers Continue to Face Challenges in Providing Coverage

Description: A letter report issued by the General Accounting Office with an abstract that begins "Many small employers--those with 50 or fewer workers--do not offer health benefits to their employees. This is particularly true for employers with fewer than 10 workers. The families of workers employed by small employers are about twice as likely to be uninsured as households with a worker at a large employer. Despite efforts by Congress and the states to help small employers buy coverage, many small employe… more
Date: October 31, 2001
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
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Private Health Insurance: Progress and Challenges in Implementing 1996 Federal Standards

Description: A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on: (1) the implementation status of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) provisions in the group insurance market; (2) the price of coverage for certain individuals losing group insurance; (3) the extent of consumer understanding of HIPAA as well as federal, state, and private efforts undertaken to educate consume… more
Date: May 12, 1999
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
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Private Health Insurance: The Range of Base Premiums for Individuals Age 19 and 64 in the Individual Market by State in January 2013

Description: Correspondence issued by the Government Accountability Office with an abstract that begins "GAO reported the range of base premiums prior to underwriting for individual market health insurance plans as displayed on the HealthCare.gov Plan Finder in January 2013. The base premiums were for individuals aged 19 and 64 in each of the 50 states and the District of Columbia. The base premiums reflected information from data submitted by insurers to the Center for Consumer Information and Insurance Ov… more
Date: January 31, 2014
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Private Health Insurance: Data on Application and Coverage Denials

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The large percentage of Americans that rely on private health insurance for health care coverage could expand with enactment of the Patient Protection and Affordable Care Act (PPACA) of 2010. Until PPACA is fully implemented, some consumers seeking coverage can have their applications for enrollment denied, and those enrolled may face denials of coverage for specific medical services. PPACA required GAO… more
Date: March 16, 2011
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Children's Health Insurance: State Experiences in Implementing SCHIP and Considerations for Reauthorization

Description: Testimony issued by the Government Accountability Office with an abstract that begins "In August 1997, Congress created the State Children's Health Insurance Program (SCHIP) with the goal of significantly reducing the number of low-income uninsured children, especially those who lived in families with incomes exceeding Medicaid eligibility requirements. Unlike Medicaid, SCHIP is not an entitlement to services for beneficiaries but a capped allotment to states. Congress provided a fixed amount--… more
Date: February 1, 2007
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Private Health Insurance: Early Experiences Implementing New Medical Loss Ratio Requirements

Description: A letter report issued by the Government Accountability Office with an abstract that begins "To help ensure that Americans receive value for their premium dollars, the Patient Protection and Affordable Care Act (PPACA) established minimum "medical loss ratio" (MLR) standards for health insurers. The MLR is a basic financial indicator, traditionally referring to the percentage of premiums spent on medical claims. The PPACA MLR is defined differently from the traditional MLR. Beginning in 2011, i… more
Date: July 29, 2011
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Private Health Insurance: Expiration of the Health Coverage Tax Credit Will Affect Participants' Costs and Coverage Choices as Health Reform Provisions Are Implemented

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Expiration of the Health Coverage Tax Credit (HCTC) and implementation of Patient Protection and Affordable Care Act (PPACA) premium tax credits, cost-sharing subsidies, and Medicaid expansion will affect HCTC participants' costs for health plans in multiple ways. Projections from GAO's analysis of 2010 Internal Revenue Service (IRS) data show that most HCTC participants in 2014 will likely be eligible … more
Date: December 28, 2012
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Children's Health Insurance: Opportunities Exist for Improved Access to Affordable Insurance

Description: A letter report issued by the Government Accountability Office with an abstract that begins "GAO estimates that under the 2010 Patient Protection and Affordable Care Act (PPACA), about three-quarters of approximately 7 million children who were uninsured in January 2009 would be eligible for Medicaid, the State Children’s Health Insurance Program (CHIP), or the new premium tax credit. The remaining children had family incomes too high to be eligible, were noncitizens, or would be ineligible for… more
Date: June 22, 2012
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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State Children's Health Insurance Program: Program Structure, Enrollment and Expenditure Experiences, and Outreach Approaches for States That Cover Adults

Description: A letter report issued by the Government Accountability Office with an abstract that begins "In 2006 about 4.5 million individuals were enrolled in the State Children's Health Insurance Program (SCHIP). Congress created SCHIP with the goal of significantly reducing the number of low-income uninsured children. Under certain circumstances, states may also cover adults, and in June 2006 about 349,000 adults were enrolled. Each state receives an annual allotment of federal funds, available as a fed… more
Date: November 26, 2007
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Private Health Insurance: Employers and Individuals Are Vulnerable to Unauthorized or Bogus Entities Selling Coverage

Description: A letter report issued by the General Accounting Office with an abstract that begins "Health insurance premiums have increased at double-digit rates over the past few years. While searching for affordable options, some employers and individuals have purchased coverage from certain entities that are not authorized by state insurance departments to sell this coverage. Such unauthorized entities--also sometimes referred to as bogus entities or scams--may collect premiums and not pay some or all of… more
Date: February 27, 2004
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
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Private Health Insurance: Implementation of the Early Retiree Reinsurance Program

Description: Correspondence issued by the Government Accountability Office with an abstract that begins "During the last decade the number of large employers offering health benefits to retirees--including early retirees not eligible for Medicare--has declined. Among all large firms that offered health benefits to active employees from 2001 to 2010, the percentage that offered health benefits to retirees decreased from 39 percent in 2001 to 28 percent in 2010. According to the Agency for Healthcare Research… more
Date: September 30, 2011
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Children's Health Insurance: SCHIP Enrollment and Expenditure Information

Description: Correspondence issued by the General Accounting Office with an abstract that begins "Congress created the State Children's Health Insurance Program (SCHIP) in 1997 to reduce the number of uninsured poor children whose families incomes are too high to qualify for Medicaid. Congress appropriated $40 billion over 10 years (fiscal years 1998 through 2007) for SCHIP. Each state's SCHIP allotment is available as a federal match based on state expenditures. Although the SCHIP statute generally targets… more
Date: July 25, 2001
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
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Private Health Insurance Coverage: Expert Views on Approaches to Encourage Voluntary Enrollment

Description: Correspondence issued by the Government Accountability Office with an abstract that begins "To help expand health insurance coverage among the 50 million uninsured Americans, the Patient Protection and Affordable Care Act as amended (PPACA) mandates that individuals, subject to certain exceptions, obtain health insurance coverage or pay a financial penalty beginning in 2014--the "individual mandate". At the same time, PPACA generally requires insurers to accept all applicants, regardless of hea… more
Date: February 25, 2011
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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