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It fails to be enacted as the United States enters World War I.
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It's considered the forerunner of future Blue Cross plans.
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It included grants for maternal and child health.
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It was signed into law by Pres. Franklin D. Roosevelt.
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It provided goverment health insurance for dependents of those in the armed forces.
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The American Medcial Association reiterates it's opposition.
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It's considered a precursor to the Medicaid program.
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The American Medical Association issued a rebuttal.
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It required employers to cover any employee working more than 20 hours a week.
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The proposal fails to come to a vote in Congress.
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At the time, it was within the Department of Health Edcuation and Welfare, which later became the Department of Health and Human Services.
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It applied to "Katie Beckett" children under age 18 with disabilities requiring institutional care but living at home by waiving requirements to that families fall within income restrictions.
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The bill required hospitals participating in Medicare to screen adn stabilize everyone in emergency rooms regardless of ability to pay.
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The option would cover them up to 100 percent of the federal poverty level, regardless of whether they receive public assistance. That number was later increased to 185 percent of the federal poverty level.
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It also included a cap on beneficiaries' out-of-pocket expenses. The expansion was later retracted.
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He appoints First Lady Hillary Rodham Clinton as the chair of the task force, which sparks a wave of controversy and trouble from the get-go.
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She is frustrated because she is getting little cooperation in the health care effort and tells them she is having trouble getting meetings with Republicans. It is common knowledge among many of those present that the staff of Senate Minority Leader Bob Dole has told Republicans they are not to meet with the First Lady.
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Although the meeting is meant to be private, accounts of the session appear in the Washington Post and the New York Times shortly thereafter. The next three debates were indefinitely postponed. This incident make the Clintons feel they are being subjected to intentional acts of disloyalty.
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In what has become an American advertising classic, the ads feature a middle-class couple worried about Clinton's health plan.
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She accuses the industry of greed and lying about reform to protect its profits. Rarely, if ever, has a First Lady publicly attacked any American industry or industry group.
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Medicare C, as the bill is called, becomes the House version of the Clinton plan.
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Pat Moynihan, while searching for a deal with Bob Dole, introduces his own version of the bill, knowing Clinton's plan has no Republican support and lots of Democratic opposition.
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In two years the Democrats have gone from a controlling majority 258 seats in the House of Representatives to a minority of 204. In all the contests House, Senate, and gubernatorial seats, not a single Republican seeking reelection lost.
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Republicans complain that Clinton is walking away from the problem.
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President Clinton vetoes the bill knowing he won't be overridden.
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The law restricts use of pre-existing conditions in health insurance coverage determination, sets standards for medical records privacy and establishes tax-favored treatement of long-term care insurance.
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Legal immigrants admitted on or after this date are ineligible for Medicaid until they've lived in the United States for five years, unless it's for emergency care.
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The legislative package slowed Medicare spending growth, but enacted the State Children's Health Insurance Porgram (S-CHIP), which provides grants to states to help cover low-income kids above Medicaid eligibility levels.
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The Mental Health Parity Act prohibits health plans from having lower limits on mental health benefits except substance abuse and chemical dependency.
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The law allows states to cover the working disabled up to 250% of the federal poverty level and impose income-related premiums.
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Through the act, states are allowed to provide medical coverage to uninsured women for treatment of breast or cervical cancer if they've been diagnosed through a CDC screening program, regardless of income or resources.
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Their plan provides subsidized coverage to individuals and small employers and expands Medicaid.
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The act creates voluntary, subsidized prescription benefits under Medicare.
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This allows pre-taxed income to be set aside for future medical expenses. HSAs must be used in conjucntion with a high-deductible plan.
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The plan requires them to obtain health insurance. Individuals, employers and government share responsibility in financing the expansion. Within two years, the state's uninsured rate is cut by half.
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The law would require individuals to obtain private coverage through state health insurance purchasing pools. It gains some bipartisan support.
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The plan would replace the tax preference for employer-sponsored insurance with a standard health care deduction. The plan gets no action in Congress.
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Even though the reauthorization, which would have extended benefits until March 2009, had bipartisan support, President Bush vetoed the bill a month later and there weren't enough votes in Congress to override the veto.
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Eventually, the initiatives failed. the plan called for reform with individual mandates and shared financial responsitbility, much like Massachusetts' plan. Governor Schwarzenegger suported the plan, but it couldn't pass their state senate.
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The amendments require full parity, and requires insurance companies to treat and cover mental health conditions, including substance abuse on an equal basis with physical conditions.
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The chairman of the Senate Finance Committee releases the proposal on health reform, outlining a plan based around Massachusetts'.
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The reauthorization provided states with additional funding and reached 4.1 millino children through Medicaid and CHIP who otherwise would have been uninsured by 2013.
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The budget report outlined eight principles for health reform and proposed setting aside $634 billion in a health reform reserve fund.
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They both pass one bill and not the other. Challenges to reconcile the bills include the option of a public plan to compete with private insurance companies, the coverage of abortion servies by a federally-funded plan, financing mechanisms and others. Most vocal opposition comes from the newly formed Tea Party.
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He also hosts a second Health Care Summit, but little consensus is acheived between Democrats and Republicans.
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In a speech, he suggests that the Senate ought to use their supermajority powers to pass major reform legislation.
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Known as the Patient Protection and Affordable Care Act, the House is able to send it to Obama's desk for signature. The House also passes an act to amend the Senate bill to reflect negotiations and includes reform of the nations' student loan system. The reconciliation vote is sent to the Senate for a final vote.
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Most of the legislation will go into effect in 2014.
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These offices can assist with filing of complainst and appeals, collect and track inquiries, educate and assist consumers in plans and resolve problems with obtaining subsidies.
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Immediately, the preservation of the right to maintain existing coverage is enacted. Certain provisions to the plans apply: excessive waiting periods, lifetime limits, rescissions, dextension of dependent coverage, and others.
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It had to go through another round of Congressional votes before being sent to the President's desk.
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As of June, a $250 rebate will be available to seniors reaching the "donut hole."
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This program would be for people with preexisting conditions who have been without coverage for at least six months. North Dakota's current high risk pool, the Comprehensive Health Association of North Dakota (CHAND) doesn't meet requirements. Requirements include: having no preexisting condition exclusions, cover at least 65% of total allowed costs, an out-of-pocket limits no greater than the limit for high deductible health plans, and others.
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The plan should reimburse employment-based plans for 80% of costs incurred by retirees over the age of 55, but not eligible for Medicare between $15,000 and $90,000 annually.
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The website should be able to help individuals and small businesses identify affordable coverage options.
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Coverage may be rescinded only for fraud or intentional misrepresentation of material fact.
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Among the care includes services recommended by the U.S. Preventative Services Task Force, immunizations recommended by the Advisory Committee on enactment Immunization Practices of teh Centers for Disease Control, preventative care and screenings for infants, children, adolescents and women supproted by the Health Resources and Services Administration.
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The information includes claims payment policies and practices, periodic financial disclosures, data on enrollment and disenrollment, data an the number of claims that are denied, data on ratings practices and information on cost-sharing and payments with respect to out-of-network coverage.
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- A plan that provides for designation of a primary care provider must allow the choice of any participating primary care provider who is available to accept them, including pediatricians.
- If a plan provides coverage for emergency services, the plan must do so without prior authorization, regardless of whether the provider is a participating provider.
- A plan may not require authorization or referral for a female patrient to receive obstetric or gynecological care from a provider.
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Loss ratio is the fraction of revenue from a plan's premiums that goe to pay for medical services. On this date, medical loss ratios go to 80 percent for individual/small group plans and 85 percent for large group plans.
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The study will determine the extrent to which the bill's market reforms will cause adverse selection in the large group market and prompt small and mid-size employers to self insure. The Government Accountability Office is also to conduct a study of the incidence of denials of coverage for medical services and denials ofapplication to enroll in health insurance plans by group health plans and health insurance issuers.
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These standards must be provided to all potential policyholders and enrollees.
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The rules will regard electronic exchange of health information, transaction standards for electronic funds transfers and requirements for financial and administrative transactions.
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There must be two exchanges: a non-group market exchange and an exchange for small businesses. Some functions include:
-Certify qualified plans to be sold in the exchange
- Maintain a website
- Provide for initial, annual and special open enrollment periods
- Create a rating system for plans and perform satisfaction survey
- Provide a calculator to determine enrollee premiums and subsidies
- Identify those individuals exempt from the individual mandate and notify treasury -
Other qualifications for the vouchers apply. Employees may use these vouchers to purchase coverage through the Exchange.
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Those without coverage must pay a tax penalty, which will be phased in over two years and then increase by a cost-of-living adjustment.
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Plans may not establish rules for eligibility based on health status-related factors, coverage must be comprehensive, group plans may not impose waiting periods of longer than 90 days, coverage for individuals participating in approved clinical trials, and more.
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Under the compact, individual market plans could be offered in all states, subject to the laws and regulations of th estate. Plans must be licensed in each state in which they sell coverage.
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Some requirements that couple apply are:
- for qualified health benefits plans
- for health insurance exchanges
- for reduced cost-sharing in qualified health benefits plans
- for premium subsidies
- for the employer mandate
- for the individuals mandate -