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Cost Sharing Reductions Subsidy
The cost sharing reductions (CSR) subsidy is the smaller of two subsidies paid under the Patient Protection and Affordable Care Act (ACA) as part of the healthcare system in the United States. The subsidies were paid from 2013 to 2017 to insurance companies on behalf of eligible enrollees in the ACA to reduce co-payments and deductibles. They were discontinued by President Donald Trump in October 2017. The nature of the subsidy as discretionary spending (i.e., subject to annual appropriation by Congress) versus mandatory (i.e., paid automatically to eligible parties) was challenged in court by the Republican-controlled House of Representatives in 2014, although payments continued when the ruling in favor of the GOP was appealed by the Obama administration. The non-partisan Congressional Budget Office (CBO) estimated that ending the payments would increase insurance premiums on the ACA exchanges by around 20 percentage points, resulting in increases in the premium tax credit subsidi ...
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Patient Protection And Affordable Care Act
The Affordable Care Act (ACA), formally known as the Patient Protection and Affordable Care Act and colloquially known as Obamacare, is a landmark U.S. federal statute enacted by the 111th United States Congress and signed into law by President Barack Obama on March 23, 2010. Together with the Health Care and Education Reconciliation Act of 2010 amendment, it represents the U.S. healthcare system's most significant regulatory overhaul and expansion of coverage since the enactment of Medicare and Medicaid in 1965. The ACA's major provisions came into force in 2014. By 2016, the uninsured share of the population had roughly halved, with estimates ranging from 20 to 24 million additional people covered. The law also enacted a host of delivery system reforms intended to constrain healthcare costs and improve quality. After it went into effect, increases in overall healthcare spending slowed, including premiums for employer-based insurance plans. The increased coverage was ...
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Healthcare System
Health care or healthcare is the improvement of health via the prevention, diagnosis, treatment, amelioration or cure of disease, illness, injury, and other physical and mental impairments in people. Health care is delivered by health professionals and allied health fields. Medicine, dentistry, pharmacy, midwifery, nursing, optometry, audiology, psychology, occupational therapy, physical therapy, athletic training, and other health professions all constitute health care. It includes work done in providing primary care, secondary care, and tertiary care, as well as in public health. Access to health care may vary across countries, communities, and individuals, influenced by social and economic conditions as well as health policies. Providing health care services means "the timely use of personal health services to achieve the best possible health outcomes". Factors to consider in terms of health care access include financial limitations (such as insurance coverage), geograp ...
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United States
The United States of America (U.S.A. or USA), commonly known as the United States (U.S. or US) or America, is a country Continental United States, primarily located in North America. It consists of 50 U.S. state, states, a Washington, D.C., federal district, five major unincorporated territories, nine United States Minor Outlying Islands, Minor Outlying Islands, and 326 Indian reservations. The United States is also in Compact of Free Association, free association with three Oceania, Pacific Island Sovereign state, sovereign states: the Federated States of Micronesia, the Marshall Islands, and the Palau, Republic of Palau. It is the world's List of countries and dependencies by area, third-largest country by both land and total area. It shares land borders Canada–United States border, with Canada to its north and Mexico–United States border, with Mexico to its south and has maritime borders with the Bahamas, Cuba, Russia, and other nations. With a population of over 333 m ...
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Donald Trump
Donald John Trump (born June 14, 1946) is an American politician, media personality, and businessman who served as the 45th president of the United States from 2017 to 2021. Trump graduated from the Wharton School of the University of Pennsylvania with a bachelor's degree in 1968. He became president of his father's real estate business in 1971 and renamed it The Trump Organization. He expanded the company's operations to building and renovating skyscrapers, hotels, casinos, and golf courses. He later started side ventures, mostly by licensing his name. From 2004 to 2015, he co-produced and hosted the reality television series ''The Apprentice''. Trump and his businesses have been involved in more than 4,000 state and federal legal actions, including six bankruptcies. Trump's political positions have been described as populist, protectionist, isolationist, and nationalist. He won the 2016 United States presidential election as the Republican nominee against Democratic ...
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Obama Administration
Barack Obama's tenure as the 44th president of the United States began with his first inauguration on January 20, 2009, and ended on January 20, 2017. A Democrat from Illinois, Obama took office following a decisive victory over Republican nominee John McCain in the 2008 presidential election. Four years later, in the 2012 presidential election, he defeated Republican nominee Mitt Romney to win re-election. Obama is the first African American president, the first multiracial president, the first non-white president, and the first president born in Hawaii. Obama's accomplishments during the first 100 days of his presidency included signing the Lilly Ledbetter Fair Pay Act of 2009 relaxing the statute of limitations for equal-pay lawsuits; signing into law the expanded State Children's Health Insurance Program(S-CHIP); winning approval of a congressional budget resolution that put Congress on record as dedicated to dealing with major health care reform legislation in 2009; ...
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Congressional Budget Office
The Congressional Budget Office (CBO) is a List of United States federal agencies, federal agency within the United States Congress, legislative branch of the United States government that provides budget and economic information to Congress. Inspired by California's California Legislative Analyst's Office, Legislative Analyst's Office that manages the state budget in a strictly nonpartisan fashion, the CBO was created as a nonpartisan agency by the Congressional Budget and Impoundment Control Act of 1974. Whereas politicians on both sides of the aisle have criticized the CBO when its estimates have been politically inconvenient, economists and other academics overwhelmingly reject that the CBO is partisan or that it fails to produce credible forecasts. There is a consensus among economists that "adjusting for legal restrictions on what the CBO can assume about future legislation and events, the CBO has historically issued credible forecasts of the effects of both Democratic and R ...
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Health Insurance Marketplace
In the United States, health insurance marketplaces, also called health exchanges, are organizations in each state through which people can purchase health insurance. People can purchase health insurance that complies with the Patient Protection and Affordable Care Act (ACA, known colloquially as "Obamacare") at ACA health exchanges, where they can choose from a range of government-regulated and standardized health care plans offered by the insurers participating in the exchange. ACA health exchanges were fully certified and operational by January 1, 2014, under federal law. Enrollment in the marketplaces started on October 1, 2013, and continued for six months. 8.02 million people had signed up through the health insurance marketplaces. An additional 4.8 million joined Medicaid. Enrollment for 2015 began on November 15, 2014 and ended on December 15, 2014. As of April 14, 2020, 11.41 million people had signed up through the health insurance marketplaces. Private non-ACA hea ...
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The New York Times
''The New York Times'' (''the Times'', ''NYT'', or the Gray Lady) is a daily newspaper based in New York City with a worldwide readership reported in 2020 to comprise a declining 840,000 paid print subscribers, and a growing 6 million paid digital subscribers. It also is a producer of popular podcasts such as '' The Daily''. Founded in 1851 by Henry Jarvis Raymond and George Jones, it was initially published by Raymond, Jones & Company. The ''Times'' has won 132 Pulitzer Prizes, the most of any newspaper, and has long been regarded as a national " newspaper of record". For print it is ranked 18th in the world by circulation and 3rd in the U.S. The paper is owned by the New York Times Company, which is publicly traded. It has been governed by the Sulzberger family since 1896, through a dual-class share structure after its shares became publicly traded. A. G. Sulzberger, the paper's publisher and the company's chairman, is the fifth generation of the family to head the ...
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CBO Budgetary Effects Of Ending CSR Payments - V1
CBO may stand for: * Chief business officer, the top operating strategy executive of a commercial company, or academic/research institution * Chief brand officer, another title for the Chief marketing officer * CBO-FM, a CBC Radio One station in Ottawa, Ontario, Canada * Central Bank of Oman, established in December 1974 and began operations on 1 April 1975 * Combined Bomber Offensive, an Anglo-American offensive of strategic bombing during World War II in Europe * Community-based organization * Congressional Budget Office, United States federal agency responsible for government budget calculations and analyses * Criminal behaviour order, a court order issued in England and Wales designed to change the behaviour of convicts * Central Boycott Office, an agency facilitating the Arab League boycott of Israel * City of Birmingham Orchestra, the original name of the City of Birmingham Symphony Orchestra * Collateralized bond obligation, a type of collateralized debt obligation * Colum ...
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Kaiser Family Foundation
KFF (Kaiser Family Foundation), also known as The Henry J. Kaiser Family Foundation, is an American non-profit organization, headquartered in San Francisco, California. It prefers KFF since its legal name can cause confusion as it is no longer a foundation or a family foundation, and is not associated with Kaiser Permanente. KFF focuses on major health care issues facing the nation, as well as U.S. role in global health policy. KFF states that it is a non-partisan source of facts and analysis, polling and journalism for policymakers, the media, the health care community, and the general public, and its website has been heralded for having the "most up-to-date and accurate information on health policy" and as a "must-read for healthcare devotees." Current activities Policy analysis and polling KFF publishes analysis, polling and journalism about health-care issues, and states that much of its work especially concerns persons with low income or those who are otherwise especiall ...
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Lamar Alexander
Andrew Lamar Alexander Jr. (born July 3, 1940) is a retired American lawyer and politician who served as a United States Senator from Tennessee from 2003 to 2021. A member of the Republican Party, he also was the 45th governor of Tennessee from 1979 to 1987 and the 5th United States Secretary of Education from 1991 to 1993, where he helped the implementation of Education 2000. Born in Maryville, Tennessee, Alexander graduated from Vanderbilt University and the New York University School of Law. After establishing a legal career in Nashville, Tennessee, Alexander ran for Governor of Tennessee in 1974, but was defeated by Democrat Ray Blanton. Alexander ran for governor again in 1978, and this time defeated his Democratic opponent. He won re-election in 1982 and served as chairman of the National Governors Association from 1985 to 1986. Alexander served as the president of the University of Tennessee from 1988 until 1991, when he accepted an appointment as Secretary of Educat ...
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Patty Murray
Patricia Lynn Murray (; born October 11, 1950) is an American politician and educator who is the senior United States senator from Washington since 1993. A member of the Democratic Party, Murray was in the Washington State Senate from 1988 to 1992. She was Washington's first female U.S. senator and is due to assume the role of president pro tempore of the Senate in the 118th Congress, which would make her the first woman in American history to hold the position. Born and raised in Bothell, Washington, Murray graduated from Washington State University with a degree in physical education. She worked as a pre-school teacher and, later, as a parenting teacher at Shoreline Community College. A long-time advocate for environmental and education issues, Murray ran for the Washington State Senate in 1988, and defeated two-term incumbent Bill Kiskaddon. She served one term before launching a campaign for the United States Senate in 1992. She has been re-elected five times, most rece ...
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