Studies have shown the United States faces a shortage of physicians, making it increasingly difficult for people to access needed health care. Physicians need graduate medical education (GME) training before they can practice medicine independently and often practice in the same geographic area as their training. The vast majority of federal…

The "Budget of the United States Government, Fiscal Year 2024" contains the Budget Message of the President, information on the President's priorities, and summary tables. The 2024 Budget is a blue-collar blueprint to rebuild America in a fiscally responsible way that leaves no one behind. The Budget continues lowering costs for…

Members of Congress and others have questioned whether expanding the scope of the Medicare graduate medical education (GME) program to include nurse practitioners (NPs) and physician assistants (PAs) could help mitigate the effects of a physician shortage in the United States. A Senate Committee on Appropriations report asked the US Government…

Physician graduate medical education (GME) provides the clinical education to practice medicine independently in the U.S. Agencies within the Department of Health and Human Services (HHS) fund GME, including over $15 billion from Medicare in 2018 (the latest year for which data were available). To be eligible for federal funding, GME programs…

The Health Care and Education Reconciliation Act of 2010 (Public Law 111-152) was put in place to provide for reconciliation pursuant to Title II of the concurrent resolution on the budget for fiscal year 2010 (S. Con. Res. 13). The table of contents for this Act is as follows: (1) Sec. 1. Short title; table of contents. (A) Title--Coverage,…

Research has shown that early intervention can greatly improve the development of a child with autism. Children with disabilities--including children with autism--can receive intervention services through the Individuals with Disabilities Education Act. Low income children may also receive intervention services through Medicaid or the State…

This document presents Congressman Claude Pepper's report on the Medicare Home Care Benefit. Section I traces the history of home health care in the United States. Section II offers statistics and general background information about older Americans and Medicare. The beginning of the Medicare home care benefit and its present operation are…

Text of a Congressional hearing examining the plight of aging Americans, still at financial risk despite the help of Medicare and Medicaid, is presented in this document. Testimony or prepared statements are delivered by 17 Congressmen including Representatives Roybal, Jeffords, Renaldo, Hammerschmidt, Pepper, McCain, Manton, Fawell, Robinson,…

The Medicare Catastrophic Loss Prevention Act of 1987, a bill which would protect Medicare beneficiaries from catastrophic expenses associated with covered Medicare services is reported on in this document from the Senate Committee on Finance. The report opens with the Committee's recommendations that the bill pass as amended. The background and…

This document presents witnesses' testimonies and prepared statements from two of three Senate hearings called to examine budget issues affecting the Medicare, Medicaid, and Maternal and Child Health Block Grant programs, including changes in the Medicare program necessary to reduce spending in accordance with the budget resolution and expansions…

The federal government invests significantly in medical education through various programs to help ensure that the anticipated supply of new physicians meets the nation's health care needs. Medicare, the federal health care program for elderly and certain disabled people, subsidizes training for medical school graduates in hospitals and other…

This document contains witness testimonies and prepared statements from the Congressional hearing called to examine problems in the partnership of Medicare and Health Maintenance Organizations (HMO's). Opening statements are included from committee chairman Claude Pepper and from Representative Lawrence J. Smith. Two panels of witnesses address…

Testimonies and related materials from a Congressional hearing on Medicare and Medicaid reform are presented. Chairman Mike Synar's opening remarks deal with the need to maintain quality health care and access to care in the era of such cost containment policies as Diagnostic Related Groups. The chairman calls for reform of the Medicare and…

Hearings on the status of medical education funded under the Medicare program are presented, with attention to how the program reimburses hospitals for medical education costs. The Social Security Act Amendments of 1983 provided for a radical reform in hospital payment. By the end of a 3-year phase-in period, the program was designed to set…

This document contains witness testimonies and prepared statements from the Congressional hearing called to examine issues involved in maintaining and strengthening Medicare Health Maintenance Orgranizations (HMO). Opening statements are included from Representatives Edward Roybal, Matthew Rinaldo, Mario Biaggi, Don Bonker, Robert Borski, Louise…