In Poor Health, the Federal Commitment to Vulnerable Americans: Hearing Before the Select Committee on Aging, House of Representatives, One Hundred First Congress, Second Session, March 5, 1990

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U.S. Government Printing Office, 1990 - 124 pages
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Page 106 - Preventive services including prenatal care, well-child care, mammograms, pap smears, colorectal and prostate cancer screening procedures and other preventive services that evidence shows are effective relative to cost. * Early, periodic, screening, diagnosis and treatment services (EPSDT) are included for children in the public program.
Page 4 - School, those 85 and older have a three-fold greater risk of losing their independence, seven times the chance of entering a nursing home and two-and-a-half times the risk of dying compared to persons 65 to 74 years of age.
Page 120 - Act at or through institutes under the National Institutes of Health and the Alcohol, Drug Abuse, and Mental Health Administration...
Page 111 - If 80% of uninsured employees of firms with fewer than 25 workers (as of Year 1) are not insured through their employers, along with their dependents, all employers of this size are required to provide coverage or contribute toward the cost of coverage in the public plan.
Page 109 - Containment Commission, made up 'of experts, public and private payers, providers and consumers, be created to assess cost experience and initiatives to contain costs in the public and private sectors and to make periodic recommendations to the Congress on federal initiatives. Delivery Issues . 1. Expanding health care insurance coverage should reinforce — not replace — support for primary care delivery systems targeted at the poor and underserved. Organized primary care providers (eg, local...
Page 6 - Medicaid benefits to all pregnant women and children up to age 6 with family incomes up to 133 percent of the Federal poverty level. (See box 16-B for a summary of OBRA-89 and OBRA-90...
Page 115 - ROLE 1. Home and Community-based Care * Individuals pay 20% of the costs of care up to a maximum of the national average cost of home and community-based care. * The federal government subsidizes the coinsurance at least for persons with incomes below 200% of the federal poverty level. 2. Nursing Home Program * Individuals contribute their income toward the cost of care minus the housing and personal needs allowances. * Individuals...
Page 113 - ... revenue will not need to be enacted over time. Rates of growth would need to be in excess of 8% to 9% per year. C. Various combinations of revenue sources may be used that together meet these criteria even if individual tax sources may fall short in one category.
Page 116 - The federal government encourages the development of private long-term care insurance through clarification of the tax code. This includes: * Treating, for tax purposes, the premiums paid and the benefits received as health insurance. * Enabling qualified long-term care policies to be sold in . employers

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