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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

Tax Benefits for Health Insurance: Current Legislation

Description: This report discusses a variety of potential proposals to change the tax benefits for health insurance and medical expenses, including measures that would expand the availability and attractiveness of health savings accounts (HSAs), or employer tax credits.
Date: February 6, 2006
Creator: Lyke, Bob
Partner: UNT Libraries Government Documents Department

Requiring Individuals to Obtain Health Insurance: A Constitutional Analysis

Description: This report discusses the Patient Protection and Affordable Care Act (ACA), P.L. 111-148, as amended, Congress enacted a “minimum coverage provision,” which compels certain individuals to have a minimum level of health insurance. This report provides an analysis of the constitutionality of this provision requiring individuals to obtain health insurance.
Date: April 6, 2012
Creator: Staman, Jennifer; Brougher, Cynthia; Liu, Edward C.; Lunder, Erika K. & Thomas, Kenneth R.
Partner: UNT Libraries Government Documents Department

Medicare Physician Payment Updates and the Sustainable Growth Rate (SGR) System

Description: This report discusses the Sustainable Growth Rate (SGR), which is the statutory method for determining the annual updates to the Medicare physician fee schedule. The SGR system was established because of the concern that the Medicare fee schedule itself would not adequately constrain overall increases in spending for physicians’ services.
Date: August 2, 2012
Creator: Hahn, Jim & Mulvey, Janemarie
Partner: UNT Libraries Government Documents Department

TRICARE and VA Health Care: Impact of the Patient Protection and Affordable Care Act (ACA)

Description: This report addresses key questions concerning the impact of enactment of the Affordable Care Act (ACA) on the TRICARE and VA health care programs. To provide some context to this discussion, the report begins with a brief overview of the two health systems and eligibility for care under each system.
Date: January 27, 2012
Creator: Panangala, Sidath V. & Jansen, Don J.
Partner: UNT Libraries Government Documents Department

Medicare Primer

Description: This report provides an overview of Medicare, the nation's federal insurance program, which pays for covered health care services of qualified beneficiaries.
Date: April 24, 2012
Creator: Davis, Patricia A.; Binder, Cliff; Hahn, Jim; Morgan, Paulette C.; Mulvey, Janemarie; Talaga, Scott R. et al.
Partner: UNT Libraries Government Documents Department

Requiring Individuals to Obtain Health Insurance: A Constitutional Analysis

Description: This report first analyzes the authority of Congress to enact the minimum essential coverage requirement contained in Patient Protection and Affordable Care Act (PPACA), as well as how a court might analyze this provision if challenged based on various provisions of the Fifth and Tenth Amendments. This report discusses whether there must be exceptions to a requirement to purchase health insurance based on First Amendment freedom of religion, and finally, discusses some of the legal challenges to this federal requirement.
Date: February 1, 2011
Creator: Staman, Jennifer; Brougher, Cynthia; Liu, Edward C.; Lunder, Erika K. & Thomas, Kenneth R.
Partner: UNT Libraries Government Documents Department

Requiring Individuals to Obtain Health Insurance: A Constitutional Analysis

Description: This report first analyzes the authority of Congress to enact the minimum essential coverage requirement contained in the Patient Protection and Affordable Care Act (PPACA), as well as how a court might analyze this provision if challenged based on various provisions of the Fifth and Tenth Amendments. This report discusses whether there must be exceptions to a requirement to purchase health insurance based on First Amendment freedom of religion, and finally, discusses some of the legal challenges to this federal requirement.
Date: December 16, 2010
Creator: Staman, Jennifer; Brougher, Cynthia; Liu, Edward C.; Lunder, Erika K. & Thomas, Kenneth R.
Partner: UNT Libraries Government Documents Department

Requiring Individuals to Obtain Health Insurance: A Constitutional Analysis

Description: This report first analyzes the authority of Congress to pass a law of this nature, as well as how a court could analyze this provision in light of a constitutional challenge based on various provisions of the Fifth and Tenth Amendments. Finally, this report discusses whether the exceptions to the individual responsibility requirement to purchase health insurance satisfy First Amendment freedom of religion protections.
Date: May 7, 2010
Creator: Staman, Jennifer; Brougher, Cynthia; Liu, Edward C.; Lunder, Erika K. & Thomas, Kenneth R.
Partner: UNT Libraries Government Documents Department

Requiring Individuals to Obtain Health Insurance: A Constitutional Analysis

Description: This report first analyzes the authority of Congress to pass a proposal of this nature, as well as how a court could analyze this type of proposal if there were to be a constitutional challenge based on various provisions of the Fifth Amendment. Finally, this report discusses whether there must be exceptions to a requirement to purchase health insurance based on First Amendment freedom of religion.
Date: July 24, 2009
Creator: Staman, Jennifer & Brougher, Cynthia
Partner: UNT Libraries Government Documents Department

Puerto Rico and Health Care Finance: Frequently Asked Questions

Description: This report provides answers to frequently asked questions (FAQs) about how federal health care programs and requirements are implemented in Puerto Rico, including information about eligibility, coverage, program requirements, and payment rules. Examples provided in the FAQs illustrate that in many circumstances, some health programs in Puerto Rico differ from programs in the US, while in other circumstances, Puerto Rico is treated the same as the states. As such, these questions and answers should be viewed as a discussion of the complexity of health care financing as it relates to Puerto Rico under current law.
Date: February 3, 2016
Creator: Mach, Annie L.
Partner: UNT Libraries Government Documents Department

Medicare Primer

Description: This report provides an overview of Medicare, the nation's federal insurance program, which pays for covered health care services of qualified beneficiaries.
Date: September 10, 2014
Creator: Davis, Patricia A.; Talaga, Scott R.; Binder, Cliff; Hahn, Jim; Morgan, Paulette C.; Mulvey, Janemarie et al.
Partner: UNT Libraries Government Documents Department

Consumer Operated and Oriented Plan (CO-OP) Program: Frequently Asked Questions

Description: This report addresses frequently asked questions regarding the Consumer Operated and Oriented Plan (CO-OP) program, which was established under the Patient Protection and Affordable Care Act and aims to foster the creation of CO-OPs--nonprofit, member-run health insurance issuers that sell health plans in states in which they are licensed.
Date: March 11, 2016
Creator: Mach, Annie L.
Partner: UNT Libraries Government Documents Department

Health Care for Dependents and Survivors of Veterans

Description: This report discusses the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA), which is primarily a health insurance program where certain eligible dependents and survivors of veterans receive care from private sector health care providers. The report provides information regarding eligibility requirements, available benefits, and payment structures.
Date: March 3, 2016
Creator: Panangala, Sidath V.
Partner: UNT Libraries Government Documents Department

The Affordable Care Act's (ACA) Employer Shared Responsibility Determination and the Potential Employer Penalty

Description: This report describes potential employer penalties as well as regulations to implement the ACA employer provisions. The regulations address insurance coverage requirements, methodologies for determining whether a worker is considered full time, provisions relating to seasonal workers and corporate franchises, and other reporting requirements.
Date: April 19, 2016
Creator: Whittaker, Julie M.
Partner: UNT Libraries Government Documents Department

Excise Tax on High-Cost Employer-Sponsored Health Coverage: In Brief

Description: This report provides an overview of the excise tax. The report includes cost estimates for the excise tax and explores the excise tax's relationship with the tax advantages for employer-sponsored health coverage. The information in this report is based on statute and two notices issued by the Department of the Treasury (Treasury) and the Internal Revenue Service (IRS).
Date: March 24, 2016
Creator: Mach, Annie L.
Partner: UNT Libraries Government Documents Department

Private Health Insurance Market Reforms in the Patient Protection and Affordable Care Act (ACA)

Description: This report provides background information about the private health insurance market, including market segments and regulation. It then describes each ACA market reform, grouped under the following categories: obtaining coverage, keeping coverage, cost of purchasing coverage, covered services, cost-sharing limits, consumer assistance and other health care protections, and plan requirements related to health care providers.
Date: February 10, 2016
Creator: Mach, Annie L. & Fernandez, Bernadette
Partner: UNT Libraries Government Documents Department

Health Insurance Coverage for Retirees

Description: With the retirement of the baby boom generation looming ahead, employers offering coverage to their retired workers will face a huge future financial commitment. Some employers have already reduced or eliminated their commitment to insure their retirees. Recent trends indicate that retiree health benefits are increasingly subject to higher beneficiary cost-sharing. Further, among employers who provide health insurance for current retirees, their current workers are less likely to be guaranteed these benefits upon retirement. This report discusses issues regarding health insurance coverage for retirees.
Date: March 28, 2006
Creator: Chaikind, Hinda
Partner: UNT Libraries Government Documents Department

Health Insurance Coverage for Retirees

Description: With the retirement of the baby boom generation looming ahead, employers offering coverage to their retired workers will face a huge future financial commitment. Some employers have already reduced or eliminated their commitment to insure their retirees. Recent trends indicate that retiree health benefits are increasingly subject to higher beneficiary cost-sharing. Further, among employers who provide health insurance for current retirees, their current workers are less likely to be guaranteed these benefits upon retirement. This report discusses issues regarding health insurance coverage for retirees.
Date: January 22, 2007
Creator: Chaikind, Hinda
Partner: UNT Libraries Government Documents Department