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, Volume 4

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U.S. Government Printing Office, 1990 - Older people - 124 pages
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Page 106 - ... medical referrals, nutrition counseling, and eligibility determinations for welfare and housing programs). * Undertake and support research and evaluation efforts to determine the effectiveness of primary care models and services aimed at addressing the needs of underserved communities. * Support programs of health promotion, disease prevention, risk reduction and health education toward the reduction of excess morbidity and mortality and toward the increase of healthy lifestyles. Federal support...
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 116 - Act at or through institutes under the National Institutes of Health and the Alcohol, Drug Abuse, and Mental Health Administration...
Page 23 - LOUIS W. SULLIVAN, MD, SECRETARY OF HEALTH AND HUMAN SERVICES Secretary SULLIVAN.
Page 105 - 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 health departments and community health centers) should be recognized and reimbursed by private and public payers on the same basis as all other providers.
Page 4 - 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 102 - All aspects of the administration must be conducted through a new agency which is unconnected to the welfare or Medicaid departments. * States retain the responsibility for regulating financial stability of insurers. 5. Specified Benefit Package * Basic services including hospital and surgical services, physician services, diagnostic tests and limited mental health services (45 inpatient days and 25 outpatient visits) . * Preventive services including prenatal care, well-child care, mammograms, pap...
Page 23 - Members of the Committee: It is a great pleasure to appear before you today to discuss the subject of health care reform.
Page 111 - The federal government is responsible for the home and community-based care program and the three-month "front-end" nursing home care program. 2. The federal and state governments share the financial responsibility for the NHP. 1. The federal government contracts with states to administer all three components of the plan. 2. The federal government sets standards and guidelines for administration. These include the following: * Standardized assessment criteria for determining eligibility for home...
Page 113 - Care A. Although some of the revenues necessary to support the above recommendations could come from savings achieved elsewhere in the federal budget, the Commission is committed to raising whatever additional revenues are necessary. B. In considering what revenue options to adopt, the Commission recommends that the choice be guided by the following three criteria: 1. The final tax package ought to be progressive, requiring a higher contribution from those most able to bear increased tax burdens....

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