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Updated July 8, 2024 Medicare is a federal program that pays for covered health care services of qualified beneficiaries. It was established in 1965 under Title XVIII of the Social [...]

May 24, 2024 Contents Introduction Descriptions of Medicaid, CHIP, and Medicare Medicaid CHIP Medicare Summaries of Provisions Subtitle B--Medicaid Section 201: Requirement for State Medicaid Plans to Provide Coverage for [...]

Contents Tables Table 1. Provisions Expired or Expiring in the 118th Congress, First Session Table 2. Provisions That Expired in the 117th Congress Table A-1. Demonstration Projects and Pilot Programs [...]

SUMMARY R47303 November 15, 2022 This report provides information on selected health care-related provisions that have expired or are scheduled to expire during the second session of the 117th Congress [...]

June 14, 2021 This report describes selected health care-related provisions that are scheduled to expire during the first session of the 117th Congress (i.e., during calendar year [CY] 2021). For [...]

April 27, 2021 Contents Introduction Budget Reconciliation Process High-Level Summary Private Health Insurance Medicaid and CHIP Provisions Medicare Provisions Medicare and Medicaid Provisions Abbreviated Summary of Provisions Detailed Summaries of [...]

Contents Introduction COVID-19 Testing Overview What Are the Different Types of COVID-19 Tests? Molecular Diagnostic Testing Antigen Testing Serology Testing For What Purposes Is COVID-19 Testing Used? When Is COVID-19 [...]

May 21, 2020 Contents Introduction Medicare History Eligibility and Enrollment Benefits and Payments Part A Inpatient Hospital Services Skilled Nursing Facility Services Hospice Care Parts A and B Home Health [...]

Updated May 21, 2020 Medicare is a federal program that pays for covered health care services of qualified beneficiaries. It was established in 1965 under Title XVIII of the Social [...]

May 11, 2020 Long-term care facilities (LTCFs), commonly referred to as nursing homes, provide services to those who require skilled nursing care over a short period of time for recuperation [...]

April 29, 2020 Contents Introduction A Snapshot of CARES Act Health Provisions Report Contents Definitions, Abbreviations, and Acronyms 'Section 319' Public Health Emergency Additional Definitions and Acronyms CARES Act Health [...]

April 28, 2020 Contents Overview CY2020 Expiring Provisions Social Security Act (SSA) Title V: Sexual Risk Avoidance Education Program and Personal Responsibility Education Program Sexual Risk Avoidance Education Program (SSA [...]

June 21, 2019 Contents CY2019 Expiring Provisions Social Security Act (SSA) Title V: Sexual Risk Avoidance Education Program and Personal Responsibility Education Program Family-to-Family Health Information Centers (SSA [section] 501(c); [...]

The article provide information on selected health care-related provisions that have expired or are scheduled to expire during the first session of the 118th Congress. It is reported that the expiring provisions are defined as time-limited portions of law that will lapse once a statutory deadline is reached. It covers expiring provisions related to Medicare, Medicaid, the State Children's Health Insurance Program (CHIP), and private health insurance programs and activities.

Updated January 2, 2019 Contents Introduction Budgetary Impact Related Prior Laws SUPPORT ACT Provisions Medicare Coverage of Opioids and OUD Treatment Medicare Provisions of the SUPPORT Act Title II: Medicare [...]

Updated March 9, 2018 Contents Introduction Abbreviated Summary of Provisions Tables Table 1. Title 1 (CHIP): Description and CRS Contact Information, by Section Table 2. Title II (Medicare Extenders): Description [...]

The article provides information on selected health care-related provisions that have expired or are scheduled to expire during the second session of the 117th Congress. It mentions that the expiring provisions included in this report are any identified provisions related to Medicare, Medicaid, the State Children's Health Insurance Program (CHIP), or private health insurance programs and activities.

Updated July 20, 2016 Contents Eligibility for SNF Care Covered SNF Services and Providers SNF Prospective Payment System Urban and Rural Base Rates Resource Utilization Groups Wage Index Medicare SNF [...]

Updated June 2, 2016 Contents Medicare SNF Coverage and the Three-Day Inpatient Stay Requirement Hospital Outpatient Observation Care Modifying or Eliminating the Three-Day Inpatient Stay Requirement OIG Reports on the [...]

The article presents a report by the U.S. Congressional Research Service which describes elected health care-related provisions that are scheduled to expire during the first session of the 117th Congress. It mentions about Medicaid, the State Children's Health Insurance Program, Patient Protection and Affordable Care Act, and Pregnancy Assistance Fund.

Medicare is a federal program that pays for covered health care services of qualified beneficiaries. It was established in 1965 under Title XVIII of the Social Security Act to provide health insurance to individuals 65 and older, and has been expanded over the years to include permanently disabled individuals under the age of 65. Medicare, which consists of four parts (A-D), covers hospitalizations, physician services, prescription drugs, skilled nursing facility care, home health visits, and hospice care, among other services. Generally, individuals are eligible for Medicare if they or their spouse worked for at least 40 quarters in Medicare-covered employment, are 65 years old, and are a citizen or permanent resident of the United States. Individuals may also qualify for coverage if they are a younger person who cannot work because they have a medical condition that is expected to last at least one year or result in death, or have end-stage renal disease (permanent kidney failure requiring dialysis or transplant). The program is administered by the Centers for Medicare & Medicaid Services (CMS) within the Department of Health and Human Services (HHS) and by private entities that contract with CMS to provide claims processing, auditing, and quality oversight services. In FY2019, the program is expected to cover approximately 61 million persons (52 million aged and 9 million disabled) at a total cost of about $772 billion. Spending under the program (except for a portion of administrative costs) is considered mandatory spending and is not subject to the annual appropriations process. Services provided under Parts A and B (also referred to as "original" or "traditional" Medicare) are generally paid directly by the government on a "fee-forservice" basis, using different prospective payment systems or fee schedules. Under Parts C and D, private insurers are paid a monthly "capitated" amount to provide enrollees with required benefits. Medicare is required to pay for all covered services provided to eligible persons, so long as specific criteria are met. Since 1965, the Medicare program has undergone considerable change. For example, during the 111th Congress, the Patient Protection and Affordable Care Act (ACA; P.L. 111-148 and P.L. 111- 152) made numerous changes to the Medicare program that modified provider reimbursements, provided incentives to increase the quality and efficiency of care, and enhanced certain Medicare benefits. In the 114th Congress, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA; P.L. 114-10) changed the method for calculating updates to Medicare payment rates to physicians and altered how physicians and other practitioners will be paid in the future. Projections of future Medicare expenditures and funding indicate that the program will place increasing financial demands on the federal budget and on beneficiaries. For example, the Hospital Insurance (Part A) trust fund is projected to become insolvent in 2026. Additionally, although the Supplementary Medical Insurance (Parts B and D) trust fund is financed in large part through federal general revenues and cannot become insolvent, associated spending growth is expected to put increasing strains on the country's competing spending priorities. As such, Medicare is expected to be a high-priority issue in the current Congress, and Congress may consider a variety of Medicare reform options ranging from further modifications of provider payment mechanisms to redesigning the entire program. This report provides a general overview of the Medicare program including descriptions of the program's history, eligibility criteria, covered services, provider payment systems, and program administration and financing. A list of commonly used acronyms, as well as information on beneficiary cost sharing, may be found in the appendixes. [ABSTRACT FROM AUTHOR]

The article provides an overview of the health care-related expiring provisions of the U.S. 116th Congress. Topics discussed include Title V of Social Security Act's Sexual Risk Avoidance Education Program; Personal Responsibility Education Program; and Health Coverage Tax Credit. It also informs on Excise Tax on Medical Device Manufacturers.

The article presents a report from the U.S. Congressional Research Service on medicare program in the U.S. that pays for covered health care services of qualified beneficiaries. Topics include the program is administered by the U.S. Centers for Medicare and Medicaid Services (CMS), but individuals enroll in Medicare through the Social Security Administration and most of these methodologies are established in statute, and Congress has changed these payment systems over time.