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Federal Funding for Health Insurance Exchanges

Description: This report discusses the health insurance exchanges established as mandated by the Patient Protection and Affordable Care Act (ACA).To fund the establishment of exchanges, the ACA authorizes the HHS Secretary to award grants to states through 2014. Each exchange is expected to generate its own funds to sustain its operations beginning January 1, 2015. This report provides a state-by-state breakdown of the grants awarded to date. It then briefly describes the requirement for exchanges to be self-sustaining, and concludes with a discussion of the sources and amounts of funding that HHS has used and plans to use to support FFE operations.
Date: October 29, 2014
Creator: Mach, Annie L. & Redhead, C. Stephen
Partner: UNT Libraries Government Documents Department

Federal Funding for Health Insurance Exchanges

Description: This report provides a state-by-state breakdown of the grants awarded to date. It then briefly describes the requirement for exchanges to be selfsustaining, and concludes with a discussion of the sources and amounts of funding that Department of Health and Human Services (HHS) has used and plans to use to support federally-facilitated exchange (FFE) operations.
Date: July 28, 2014
Creator: Mach, Annie L. & Redhead, C. Stephen
Partner: UNT Libraries Government Documents Department

Free Exercise of Religion by Closely Held Corporations: Implications of Burwell v. Hobby Lobby Stores, Inc.

Description: This report analyzes the Court's decision in Hobby Lobby, including arguments made between the majority and dissent, to clarify the scope of the decision and potential impacts for future interpretation of RFRA's applicability. It also examines potential legislative responses, should Congress consider addressing the current applicability of RFRA. Finally, the report addresses the decision's effect on requirements that employers offer contraceptive coverage in group health plans under federal or state law.
Date: July 23, 2014
Creator: Brougher, Cynthia
Partner: UNT Libraries Government Documents Department

The Market Structure of the Health Insurance Industry

Description: This report discusses whether or not the current health insurance market structure hinders the U.S. health system's ability to reach the policy goals of expanding health insurance coverage and containing health care costs. It also describes the forces that have shaped the health insurance industry, including its historical evolution, characteristics of health care and health insurance, determinants of supply and demand for health insurance, and the nature of competition among health insurers.
Date: May 25, 2010
Creator: Austin, D. Andrew & Hungerford, Thomas L.
Partner: UNT Libraries Government Documents Department

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

Description: Implementation of the Patient Protection and Affordable Care Act (Affordable Care Act, or ACA) is having a significant impact on federal mandatory — also known as direct — spending. Most of the projected spending under the law is for expanding health insurance coverage. 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.
Date: October 10, 2014
Creator: Redhead, C. Stephen
Partner: UNT Libraries Government Documents Department

Health Insurance Premium Credits in the Patient Protection and Affordable Care Act (ACA)

Description: This report describes the eligibility criteria applicable to the premium tax credits and cost-sharing subsidies, and the calculation method for the credit and subsidy amounts. It also highlights selected issues addressed in the final regulation on premium credits.
Date: March 12, 2014
Creator: Fernandez, Bernadette
Partner: UNT Libraries Government Documents Department

Legal Issues Relating to State Health Care Regulation: ERISA Preemption and Fair Share Laws

Description: This report provides an overview of the Employee Retirement Income Security Act (ERISA) preemption, discusses legal challenges to fair share laws, and analyzes the fair share requirements included as part of the Massachusetts Health Care Reform Act.
Date: August 26, 2008
Creator: Shimabukuro, Jon O. & Staman, Jennifer
Partner: UNT Libraries Government Documents Department

Legislative Actions to Repeal, Defund, or Delay the Affordable Care Act

Description: This report summarizes legislative actions taken to repeal, defund, delay, or otherwise amend the Affordable Care Act (ACA) since it was signed into law. The report is divided into two sections. The first section focuses on authorizing legislation, and the second section discusses appropriations bills.
Date: November 4, 2015
Creator: Redhead, C. S. & Kinzer, Janet
Partner: UNT Libraries Government Documents Department

The Ryan White HIV/AIDS Program: Overview and Impact of the Affordable Care Act

Description: This report discusses the impact of the Affordable Care Act on the Ryan White HIV/AIDS Program, which makes federal funds available to metropolitan areas and states to that provide a number of health care services for HIV/AIDS patients.
Date: December 21, 2015
Creator: Johnson, Judith A. & Heisler, Elayne J.
Partner: UNT Libraries Government Documents Department

Potential Policy Implications of the House Reconciliation Bill (H.R. 3762)

Description: This report provides background on the reconciliation process and summarizes the provisions in the Restoring Americans' Healthcare Freedom Reconciliation Act of 2015 (H.R. 3762), including their projected budgetary impact. It then briefly examines some of the bill's policy implications.
Date: October 21, 2015
Creator: Mach, Annie L.
Partner: UNT Libraries Government Documents Department

Legislative Actions to Repeal, Defund, or Delay the Affordable Care Act

Description: This report provides background information and three tables summarizing legislative actions taken to repeal, defund, delay, or otherwise amend the Affordable Care Act (ACA) since it was enacted. Table 1 summarizes the ACA changes that have been signed into law. Table 2 lists all the House-passed ACA bills. Table 3 summarizes the ACA provisions in the vetoed reconciliation bill.
Date: February 5, 2016
Creator: Redhead, C. S. & Kinzer, Janet
Partner: UNT Libraries Government Documents Department

The Health Coverage Tax Credit (HCTC): In Brief

Description: This report describes the eligibility criteria for the Health Coverage Tax Credit (HCTC) and the types of health insurance to which the tax credit may be applied. The tax credit's purpose is to make the purchase of health insurance more affordable for eligible individuals. The HCTC has a sunset date of January 1, 2020. The report also briefly describes the administration of the HCTC program and receipt of the credit by eligible taxpayers; it concludes with a summary of the HCTC's statutory history.
Date: February 18, 2016
Creator: Fernandez, Bernadette
Partner: UNT Libraries Government Documents Department

Use of the Annual Appropriations Process to Block Implementation of the Affordable Care Act (FY2011-FY2016)

Description: This report summarizes the language related to the Affordable Care (ACA) that was added to annual appropriations legislation by congressional appropriators since the ACA was signed into law. The information is presented in a table. While a detailed examination of the ACA itself is beyond the scope of this report, a brief overview of the ACA's core provisions and its impact on federal spending is provided as context for the material in the table. Congress remains deeply divided over implementation of the Affordable Care Act (ACA), which President Obama signed into law in March 2010.
Date: January 5, 2016
Creator: Redhead, C. S. & Cornell, Ada S.
Partner: UNT Libraries Government Documents Department

The Use of Modified Adjusted Gross Income (MAGI) in Federal Health Programs

Description: This report explores how modified adjusted gross income (MAGI) is defined differently across health programs such as Medicare, the health insurance exchanges under the Affordable Care Act (ACA), and Medicaid. It also discusses why MAGI is used, and how it is applied, specific to each program. The report covers that MAGI is used to determine (1) penalty amounts owed if a person does not comply with the individual mandate or whether an individual is exempt from the individual mandate; (2) eligibility for and the amount of a premium credit to purchase coverage through a health insurance exchange; and (3) Medicaid income eligibility for certain populations.
Date: February 25, 2016
Creator: Baumrucker, Evelyne P.; Davis, Patricia A.; Fernandez, Bernadette; Mach, Annie L. & Pettit, Carol A.
Partner: UNT Libraries Government Documents Department

Legislative Actions to Repeal, Defund, or Delay the Affordable Care Act

Description: This report provides background information and three tables summarizing legislative actions taken to repeal, defund, delay, or otherwise amend the Affordable Care Act (ACA) since it was enacted. Table 1 summarizes the ACA changes that have been signed into law. Table 2 lists all the House-passed ACA bills. Table 3 summarizes the ACA provisions in the vetoed reconciliation bill.
Date: January 14, 2016
Creator: Redhead, C. S. & Kinzer, Janet
Partner: UNT Libraries Government Documents Department