Author: Publisher:
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Languages : en
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Book Description
A CRS Series on Medicaid
Author: Crs Report for Congress
Author: Congressional Research Service: The LibrPublisher: BiblioGov
ISBN: 9781294247326
Category :
Languages : en
Pages : 32
Book Description
Medicaid, a means-tested federal/state program that provides health care coverage to certain groups of individuals, requires that states continue Medicaid benefits for certain low-income families who would otherwise lose coverage because of changes in their income. This continuation of benefits is known as transitional medical assistance (TMA). The law permanently requires four months of TMA for families who lose Medicaid eligibility due to increased child or spousal support collections, as well as those who lose eligibility due to an increase in earned income or hours of employment. Congress expanded work-related TMA under Section 1925 of the Social Security Act as part of the Family Support Act of 1988, and states currently must provide TMA to families who lose Medicaid eligibility for workrelated reasons for at least six, and up to 12, months. The requirement to provide work-related TMA beyond four months is set to expire on September 30, 2004. To qualify for TMA under Section 1925, a family must have received Medicaid in at least three of the six months preceding the month in which eligibility is lost and have a dependent child in the home. During the first six months of TMA, states must provide the same benefits the ...
Crs Report for Congress
Author: Jean HearnePublisher: BiblioGov
ISBN: 9781295250684
Category :
Languages : en
Pages : 26
Book Description
Medicaid is a joint federal-state entitlement program that pays for medical assistance primarily for low-income persons who are aged, blind, disabled, members of families with dependent children, and certain other pregnant women and children. Within broad federal guidelines, each state designs and administers its own program. The federal government shares in a state's Medicaid costs by means of a statutory formula designed to provide a higher federal matching rate to states with lower per capita incomes. The State Children's Health Insurance Program (SCHIP) is another joint federal-state program that allows states to extend coverage to children in families with income that is too high to qualify for Medicaid coverage. Two bills under consideration in the House and the Senate would make important changes to Medicaid and SCHIP. The Medicare Modernization and Prescription Drug Act of 2002 (H.R. 4954), passed the House on June 28, 2002. On October 1, 2002, the Senate Committee on Finance introduced the Beneficiary Access to Care and Medicare Equity Act of 2002 (S. 3018). While the bills are very different from each other, both are largely comprised of provisions affecting the Medicare program, and both include important changes to Medicaid, SCHIP and other health programs. Among ...
Crs Report for Congress
Author: Congressional Research Service: The LibrPublisher: BiblioGov
ISBN: 9781294024781
Category :
Languages : en
Pages : 26
Book Description
Medicaid is a health insurance program jointly funded by the federal government and the states. Generally, eligibility for Medicaid is limited to low-income children, pregnant women, parents of dependent children, the elderly, and people with disabilities. The federal government's share of a state's expenditures for most Medicaid services is called the federal medical assistance percentage (FMAP). The remainder is referred to as the nonfederal share, or state share. Generally determined annually, the FMAP is designed so that the federal government pays a larger portion of Medicaid costs in states with lower per capita income relative to the national average (and vice versa for states with higher per capita incomes). For FY2010, the regular FMAPs--that is, excluding the impact of the temporary FMAP increase included in the American Recovery and Reinvestment Act of 2009 (ARRA, P.L. 111-5)--range from 50.00% to 75.67%. In the State Children's Health Insurance Program (CHIP), expenditures are generally reimbursed at the enhanced FMAP (E-FMAP). This is calculated by reducing the state share under the regular FMAP by 30%. In recent years, the fiscal situation of the states has focused attention on Medicaid expenditures, as well as on changes in the federal share, or FMAP. In the 108th ...
Crs Report for Congress
Author: Congressional Research Service: The LibrPublisher: BiblioGov
ISBN: 9781295255399
Category :
Languages : en
Pages : 24
Book Description
In accordance with Medicaid statute, the Secretary of Health and Human Services (HHS) has established, through a series of regulatory actions, upper payment limits (UPLs) for inpatient and outpatient services provided by certain types of facilities. In late 2000, the Secretary determined that regulations in effect at that time created a financial incentive for states to make higher than usual payments for care provided at non-state government facilities, namely, county and city facilities, allowing these states to claim higher federal matching dollars. States require these facilities to transfer some or all of the excess funds back to the state. Then states use these funds to cover part of the state share of Medicaid costs and/or for other purposes. After HHS issued a proposed rule in October of 2000 designed to halt these practices, Congress mandated additional changes to upper payment limits in the Benefits Improvement and Protection Act of 2000 (BIPA; incorporated by reference into P.L. 106-554). Final regulations that included the BIPA provisions were released by the Clinton Administration on January 12, 2001. Among other changes, this rule established a separate UPL for inpatient services provided by non-state government facilities, and for the subset of non-state public hospitals only, ...
Crs Report for Congress
Author: April GradyPublisher: BiblioGov
ISBN: 9781294022879
Category :
Languages : en
Pages : 34
Book Description
The President's FY2006 budget contains a number of proposals that would impact Medicaid or the State Children's Health Insurance Program (SCHIP). While some proposals are expansions of the current Medicaid program, or a re-authorization of SCHIP, other proposals are designed to reduce federal spending for one or both programs. The Medicaid related proposals are contained within four broad categories:
Crs Report for Congress
Author: Karen TritzPublisher: BiblioGov
ISBN: 9781295244744
Category :
Languages : en
Pages : 30
Book Description
Medicaid, a health insurance program jointly funded by federal and state governments, is facing a period of escalating costs and rising enrollment among the population it serves -- low-income individuals with disabilities, families and the elderly. The downturn in the economy since 2000 coupled with rising Medicaid costs and increasing enrollment and utilization are driving legislative attention both at the state and federal levels. Medicaid expenditures are a significant portion of most states' budgets and are a contributor to the current fiscal crises. However, it is a challenge for states to cut back Medicaid programs because some of the high cost components (such as nursing facility care) are statutorily required for certain beneficiaries, while other optional services (such as prescription drugs) may be important for beneficiaries' well-being. In response to these fiscal pressures, on January 31, 2003, Secretary Tommy Thompson of the Department of Health and Human Services (HHS) announced a proposal to change the Medicaid program and provide additional flexibility to states. The Administration's proposal would give states the option to receive federal funds that combine Medicaid and the State Children's Health Insurance Program (SCHIP) into two lump-sum annual allotments, one for acute care and one for long-term care. ...
Medicare and Medicaid at 50
Author: Alan B. CohenPublisher: Oxford University Press
ISBN: 0190231564
Category : Medical
Languages : en
Pages : 393
Book Description
For fifty years, Medicare and Medicaid have stood at the center of a contentious debate surrounding American government, citizenship, and health care entitlement. In Medicare and Medicaid at 50, leading scholars in politics, government, economics, health policy, and history offer a comprehensive assessment of the evolution of these programs and their impact on society -- from their origins in the Great Society era to the current battles over the Affordable Care Act ("Obamacare"). These highly accessible essays examine Medicare and Medicaid from their origins as programs for the elderly and poor to their later role as a safety net for the middle class. Along the way, they have served as touchstones for heated debates about economics, social welfare, and the role of government. Medicare and Medicaid at 50 addresses key questions for understanding the past and future of health policy in America, including: · What were the origins for these initiatives, and how were they transformed over time? · What marks have Medicare and Medicaid left on society? · In what ways have these programs produced innovation, even in eras of retrenchment? · How did Medicaid, once regarded as a poor person's program, expand its benefits and coverage over the decades to become the platform for the ACA's future expansion? The volume's contributors go on to examine the powerful role of courts in these transformations, along with the shifting roles of Congress, public opinion, and state governors in the programs' ongoing evolution. From Lyndon Johnson to Barack Obama on the left, and from Ronald Reagan to George W. Bush on the right, American political leaders have tied their political fortunes to the fate of America's entitlement programs; Medicare and Medicaid at 50 helps explain why, and how those ongoing debates are likely to shape the future of the Affordable Care Act.
Crs Report for Congress
Author: Congressional Research Service the LibrPublisher: BiblioGov
ISBN: 9781295274208
Category :
Languages : en
Pages : 46
Book Description
Each year, the President is required to submit a comprehensive federal budget proposal to Congress no later than the first Monday in February. Once it is submitted, the Congressional Budget Office (CBO) analyzes the proposal using its own economic assumptions and estimation techniques. Then, the House and Senate Budget Committees each develop a budget resolution after reviewing the President's budget, the views of other committees, and information from CBO. Differences between the houses are supposed to be resolved by April 15, but this deadline is rarely met. Although it is not binding, the resolution provides a framework for subsequent legislative action on the budget. The President's FY2008 budget contains a number of proposals that would affect Medicaid and the State Children's Health Insurance Program (SCHIP). Some are program expansions, and others are designed to reduce federal spending. While certain proposals would require legislative action, others would be implemented administratively (e.g., via regulatory changes, issuance of program guidance, or other possible methods). The President's budget also contains a number of proposals that would affect health insurance. On May 17, the House and Senate adopted a conference agreement on the budget resolution (H.Rept. 110-153 accompanying S.Con.Res. 21).
Medicaid
Author: Sophia R. KetlerPublisher: Nova Publishers
ISBN: 9781604563511
Category : Business & Economics
Languages : en
Pages : 176
Book Description
Medicaid is a state administered program and each state sets its own guidelines regarding eligibility and services. Many groups of people are covered by Medicaid. Even within these groups, though, certain requirements must be met. These may include age, pregnancy, disability, or blindness; income and resources (like bank accounts, real property, or other items that can be sold for cash); and status as either a citizen or a lawfully admitted immigrant. The rules for counting income and resources vary from state to state and from group to group. There are special rules for those who live in nursing homes and for disabled children living at home. This book discusses these factors.