Health Financing: Hearings Before the Subcommittee on Health and the Environment of the Committee on Energy and Commerce, House of Representatives, Ninety-ninth Congress, First Session, on Health Planning Program and Capital Policy, May 3, 1985 ; Medicaid Community Care Waiver, June 25, 1985 ; Deficit Reduction Proposals : Part B of Medicare--H.R. 2293, H.R. 2864, H.R. 2342, H.R. 2807, and H.R. 2703, July 17, 1985U.S. Government Printing Office, 1985 - 660 pages |
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A/D A/D A/D additional agency amended applications approved waivers assessment assurances average per capita based services believe Budget capita expenditures capital certificate of need Chairman clients Committee community based community-based services community-based waiver Congress cost cost-effective coverage determine developmentally disabled documentation effective elderly estimated evaluation exceed Federal Register final regulations Financing Administration funding habilitation HCFA Health Care Financing home and community home and community-based home health hospitals ICF/MR implementation income individuals institutional institutionalization limit long-term long-term care March 13 Medicaid program medical assistance Medicare mentally retarded model waiver MR/DD A/D MR/DD MR/DD MR/DO number of beneficiaries nursing facility nursing home option payment persons population problems receiving home recipients reimbursement requirements respite care response Secretary services provided SNF or ICF Social Security Act specific State's Subcommittee submit waiver program waiver request waiver services WAXMAN
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Page 145 - Significant regulatory action" means any regulatory action that is likely to result in a rule that may: (1) Have an annual effect on the economy of $100 million or more or adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities...
Page 146 - HCFA will not grant a waiver under this subpart and may terminate a waiver unless the Medicaid agency provides the following satisfactory assurances to HCFA: (a) Health and Welfare— Assurance that necessary safeguards have been taken to protect the health and welfare of the recipients of the services. Those safeguards must include— (1) Adequate standards for all types of providers that provide services under the waiver...
Page 127 - Budget finds has resulted in or is likely to result in — (A) an annual effect on the economy of $100,000,000 or more; (B) a major increase in costs or prices for consumers, individual industries, Federal, State, or local government agencies, or geographic regions; or (C) significant adverse effects on competition, employment, investment, productivity, innovation, or on the ability of United States-based enterprises to compete with foreign-based enterprises in domestic and export markets.
Page 530 - ... of care. Perhaps the most serious drawback to a DRG-based payment system is that it could break down the role of the physician as the health care advocate for the patient. While physicians are concerned about costs, cost considerations should be secondary to the medical needs of the patient. We never want to see the day when the "best...
Page 362 - The Honorable Henry A. Waxman Chairman Subcommittee on Health and the Environment House Committee on Energy and Commerce...
Page 292 - The Honorable Henry A. Waxman Chairman, Subcommittee on Health and the Environment Committee on Energy and Commerce House of Representatives Dear Mr.
Page 292 - Please let me know if we can be of further assistance. Sincerely yours, JOHN T.
Page 169 - SEC. 1903. (a) From the sums appropriated therefor, the Secretary (except as otherwise provided in this section and section 1117) shall pay to each State which has a plan approved under this title...
Page 169 - April 30, 1961, from the home of a relative (specified in such section 406 (a) ) as a result of a judicial determination to the effect that continuation therein would be contrary to the welfare of such child...
Page 78 - Statea may at their option cover the "medically needy," persons whose Income and resources are large enough to cover daily living expenses, according to income levels set by the State, but not large enough to pay for medical care. If the Income and resources of the "medically needy...