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Author: Julia Belian Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
Although mandated by federal law, Medicaid always has been fundamentally a matter of state business, primarily because states administer the program and receive only partial federal reimbursement for state expenditures. As health care costs have burgeoned over the past few decades, states have encountered growing pressure on numerous areas of their economies and budgets. In response, states increasingly desire permissible ways to reduce Medicaid costs, lobbying intensely for increased flexibility within federal Medicaid standards. The push for Medicaid reform is evident in the Deficit Reduction Act (DRA), which developed in part as a response to state-level dissatisfaction with existing Medicaid program options such as waivers. The DRA spells significant changes for Medicaid, as it institutes deep revisions of some of the program's core elements. The most significant components of the DRA's reforms include the expansion of state options and the simplification of the option approval process. This article examines the newly available options that will most notably affect Medicaid services to the elderly, especially long-term care services, and it summarizes program revisions under consideration or active development.
Author: Julia Belian Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
Although mandated by federal law, Medicaid always has been fundamentally a matter of state business, primarily because states administer the program and receive only partial federal reimbursement for state expenditures. As health care costs have burgeoned over the past few decades, states have encountered growing pressure on numerous areas of their economies and budgets. In response, states increasingly desire permissible ways to reduce Medicaid costs, lobbying intensely for increased flexibility within federal Medicaid standards. The push for Medicaid reform is evident in the Deficit Reduction Act (DRA), which developed in part as a response to state-level dissatisfaction with existing Medicaid program options such as waivers. The DRA spells significant changes for Medicaid, as it institutes deep revisions of some of the program's core elements. The most significant components of the DRA's reforms include the expansion of state options and the simplification of the option approval process. This article examines the newly available options that will most notably affect Medicaid services to the elderly, especially long-term care services, and it summarizes program revisions under consideration or active development.
Author: Michael F. Cannon Publisher: Cato Institute ISBN: 1939709059 Category : Political Science Languages : en Pages : 65
Book Description
The Patient Protection and Affordable Care Act (PPACA) remains vulnerable to repeal, largely because Congress and the Supreme Court have granted each state the power to veto major provisions of the law before they take effect in 2014. The PPACA itself empowers states to block the employer mandate, to exempt many of their low- and middle-income taxpayers from the individual mandate, and to reduce federal deficit spending, simply by not establishing a health insurance "exchange." To date, 34 states have refused to create Exchanges and some 16 states have announced they would not expand their Medicaid programs. Yet the Obama administration is trying to coerce states into implementing parts of the expansion that the Court rendered optional. This special White Paper provides a comprehensive review of the process now occurring between states and the Obama Administration, underscoring how a critical mass of states exercising their vetoes over Exchanges and the Medicaid expansion can force Congress to reconsider, and hopefully repeal, the rest of the PPACA.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309104726 Category : Medical Languages : en Pages : 619
Book Description
The future of disability in America will depend on how well the U.S. prepares for and manages the demographic, fiscal, and technological developments that will unfold during the next two to three decades. Building upon two prior studies from the Institute of Medicine (the 1991 Institute of Medicine's report Disability in America and the 1997 report Enabling America), The Future of Disability in America examines both progress and concerns about continuing barriers that limit the independence, productivity, and participation in community life of people with disabilities. This book offers a comprehensive look at a wide range of issues, including the prevalence of disability across the lifespan; disability trends the role of assistive technology; barriers posed by health care and other facilities with inaccessible buildings, equipment, and information formats; the needs of young people moving from pediatric to adult health care and of adults experiencing premature aging and secondary health problems; selected issues in health care financing (e.g., risk adjusting payments to health plans, coverage of assistive technology); and the organizing and financing of disability-related research. The Future of Disability in America is an assessment of both principles and scientific evidence for disability policies and services. This book's recommendations propose steps to eliminate barriers and strengthen the evidence base for future public and private actions to reduce the impact of disability on individuals, families, and society.
Author: United States. Congress. House Publisher: ISBN: Category : CD-ROMs Languages : en Pages : 1568
Book Description
Some vols. include supplemental journals of "such proceedings of the sessions, as, during the time they were depending, were ordered to be kept secret, and respecting which the injunction of secrecy was afterwards taken off by the order of the House".
Author: United States. Congress Publisher: ISBN: Category : Law Languages : en Pages :
Book Description
The Congressional Record is the official record of the proceedings and debates of the United States Congress. It is published daily when Congress is in session. The Congressional Record began publication in 1873. Debates for sessions prior to 1873 are recorded in The Debates and Proceedings in the Congress of the United States (1789-1824), the Register of Debates in Congress (1824-1837), and the Congressional Globe (1833-1873)
Author: Julia Belian
Author: Julia Belian
Author: Michael F. Cannon
Author: United States. Office of Child Support Enforcement![An Act to Provide Revenue, Equalize Duties and Encourage the Industries of the United States, and for Other Purposes ... [H.R. 1438]. PDF](https://books.google.com/books/content/images/frontcover/9Ug5AAAAMAAJ?fife=w80-h100)
Author: United States
Author: United States. Congress. House. Committee on the Budget
Author: Institute of Medicine
Author: United States. Office of Child Support Enforcement
Author: Texas
Author: United States. Congress. House
Author: United States. Congress