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Patient Protection and Affordable Care Act (ACA): Resources for Frequently Asked Questions

Description: The Patient Protection and Affordable Care Act (ACA; P.L. 111-148, as amended) has numerous provisions affecting private health insurance and public health coverage programs. This report provides resources to help congressional staff respond to constituents' frequently asked questions (FAQs) about the law. The report lists selected resources regarding consumers, employers, and other stakeholders, with a focus on federal sources. It also lists CRS reports that summarize ACA's provisions.
Date: November 14, 2014
Creator: Napili, Angela
Partner: UNT Libraries Government Documents Department

Discretionary Spending Under the Affordable Care Act (ACA)

Description: The Patient Protection and Affordable Care Act (Affordable Care Act, or ACA) reauthorized funding for numerous existing discretionary grant programs administered by the Department of Health and Human Services (HHS). The ACA also created many new discretionary grant programs and provided for each an authorization of appropriations. Generally, the law authorized (or reauthorized) appropriations through FY2014 or FY2015. This report summarizes all the discretionary spending provisions in the ACA.
Date: October 28, 2014
Creator: Redhead, C. Stephen; Colello, Kirsten J.; Heisler, Elayne J.; Lister, Sarah A. & Sarata, Amanda K.
Partner: UNT Libraries Government Documents Department

Health Care: Constitutional Rights and Legislative Powers

Description: The health care reform debate raises many complex issues including those of coverage, accessibility, cost, accountability, and quality of health care. Underlying these policy considerations are issues regarding the status of health care as a constitutional or legal right. This report analyzes constitutional and legal issues pertaining to a right to health care, as well as the power of Congress to enact and fund health care programs. Following the recent passage of the Patient Protection and Affordable Care Act, P.L. 111-148, legal issues have been raised regarding the power of Congress to mandate that individuals purchase health insurance, and the ability of states to "nullify" or "opt out" of such a requirement. These issues are also discussed.
Date: May 18, 2010
Creator: Swendiman, Kathleen S.
Partner: UNT Libraries Government Documents Department

Health Savings Accounts and High- Deductible Health Plans: A Data Primer

Description: This report discusses health savings accounts (HSAs), which are generally used to pay for unreimbursed medical expenses on a tax-advantaged basis. HSAs are tax-advantaged and provide some incentives for people to monitor, and perhaps reduce, their expenditures on health care.
Date: August 17, 2010
Creator: Rapaport, Carol
Partner: UNT Libraries Government Documents Department

Budget Control Act: Potential Impact of Sequestration on Health Reform Spending

Description: This report examines how automatic spending reductions triggered by the Budget Control Act of 2011 (BCA) might affect health reform implementation under the Patient Protection and Affordable Care Act (ACA). It is divided into three sections. The first section provides an overview of ACA's health insurance reforms and some analysis of the Congressional Budget Office's (CBO's) estimates of the impact of the law's implementation on federal direct spending and revenues. The second section examines the automatic spending reductions under the BCA. The final section discusses which types of health reform spending are likely subject to, or exempt from, those reductions.
Date: May 1, 2013
Creator: Redhead, C. Stephen
Partner: UNT Libraries Government Documents Department

Health Care for Noncitizens in Immigration Detention

Description: This report begins with an overview of noncitizen detention and then examines the procedures and issues with detainee health care. This report concludes with a discussion of legislation introduced in the 110th Congress related to detainee health care.
Date: June 27, 2008
Creator: Siskin, Alison
Partner: UNT Libraries Government Documents Department

Long-Term Services and Supports: Overview and Financing

Description: This report provides an overview of Long-term services and supports (LTSS), including who needs LTSS, how need for LTSS is determined, and how much LTSS costs. The report also provides information on who the primary LTSS payers are, how much they spend, and what types of services are purchased.
Date: April 4, 2013
Creator: Colello, Kirsten J.; Mulvey, Janemarie & Talaga, Scott R.
Partner: UNT Libraries Government Documents Department

Budget Control Act: Potential Impact of Sequestration on Health Reform Spending

Description: This report discusses the Budget Control Act of 2011 (BCA; P.L. 112-25), which established new budget enforcement mechanisms for reducing the federal deficit by at least $2.1 trillion over the 10-year period FY2012-FY2021. The BCA places statutory limits, or caps, on discretionary spending for each of those 10 fiscal years, which will save an estimated $0.9 trillion during that period. In addition, it creates a Joint Select Committee on Deficit Reduction (Joint Committee), which is instructed to develop legislation to reduce the federal deficit by at least another $1.5 trillion through FY2021.
Date: February 21, 2013
Creator: Redhead, C. Stephen
Partner: UNT Libraries Government Documents Department

Patient Protection and Affordable Care Act (ACA): Resources for Frequently Asked Questions

Description: The report provides basic consumer sources, including broad overviews of the Affordable Care Act (ACA) law, and resources related to specific provisions. It also has links to contacts for specific questions (including websites, hotlines, and online chat assistance).
Date: March 7, 2014
Creator: Napili, Angela
Partner: UNT Libraries Government Documents Department

Individual Mandate Under ACA

Description: Report describing the individual mandate requirements of the Afordable Care Act, as well as penalties for not meeting these requirements and exemptions granted for hardships.
Date: unknown
Creator: Mach, Annie 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 Care for Rural Veterans: The Example of Federally Qualified Health Centers

Description: This report discusses considerations that may arise during possible attempts to increase the Department of Veterans Affairs' (VA) collaboration with federally qualified health centers (FQHC), and describes policy levers Congress might use to encourage VA-FQHC collaboration.
Date: April 3, 2013
Creator: Heisler, Elayne J.; Panangala, Sidath Viranga & Bagalman, Erin
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

Medicare Beneficiary Access to Care: The Effects of New Prospective Payment Systems on Outpatient Hospital Care, Home Health Care, and Skilled Nursing Facility Care

Description: 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.
Date: February 2, 2000
Creator: Merck, Carolyn L
Partner: UNT Libraries Government Documents Department

Health Care Spending: Past Trends and Projections

Description: This report focuses on trends in personal health care spending, which includes spending on health care goods and services provided to individuals and excludes expenditures for administrative costs, research, and public health activities. Personal health care expenditures have grown considerably over the past 40 years. It is estimated that personal health spending will exceed $2.9 trillion in 2013.
Date: April 8, 2004
Creator: Morgan, Paulette C.
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

Discretionary Spending Under the Affordable Care Act (ACA)

Description: This report examines the Affordable Care Act's (ACA's) effects on discretionary spending. It first discusses all the ACA authorizations (and reauthorizations) of appropriations for grant and other programs; this information, along with actual funding amounts, is summarized in a series of tables. The report then reviews the ACA administrative costs borne by CMS and the IRS.
Date: January 13, 2016
Creator: Redhead, C. Stephen; Colello, Kirsten J.; Heisler, Elayne J.; Lister, Sarah A. & Sarata, Amanda K.
Partner: UNT Libraries Government Documents Department