Medicare Modernization Act
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Medicare Modernization Act
The Medicare Prescription Drug, Improvement, and Modernization Act, also called the Medicare Modernization Act or MMA, is a federal law of the United States, enacted in 2003. It produced the largest overhaul of Medicare (United States), Medicare in the public health program's 38-year history. The MMA was signed by President George W. Bush on December 8, 2003, after passing in United States Congress, Congress by a close margin. Prescription drug benefits The MMA's most touted feature is the introduction of an entitlement benefit for prescription drugs, through tax breaks and subsidies. In the years since Medicare's creation in 1965, the role of prescription drugs in patient care has significantly increased. As new and expensive drugs have come into use, patients, particularly senior citizens at whom Medicare was targeted, have found prescriptions harder to afford. The MMA was designed to address this problem. The benefit is funded in a complex way, reflecting diverse prioritie ...
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Dennis Hastert
John Dennis Hastert (; born January 2, 1942) is an American former politician and convicted felon who represented from 1987 to 2007 and served as the 51st speaker of the United States House of Representatives from 1999 to 2007. The longest-serving Republican Speaker of the House in history, Hastert resigned and began work as a lobbyist after the Democrats gained a majority in the chamber in 2007. From 1965 to 1981, Hastert was a high school teacher and coach at Yorkville High School in Yorkville, Illinois. He lost a 1980 bid for the Illinois House of Representatives, but ran again and won a seat in 1981. He was first elected to the United States House of Representatives in 1986, and was re-elected every two years until he retired in 2007. Hastert rose through the Republican ranks in the House, becoming chief deputy whip in 1995 and Speaker in 1999. As Speaker of the House, Hastert supported the George W. Bush administration's foreign and domestic policies. After Democrats to ...
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Donut Hole (Medicare)
The Medicare Part D coverage gap (informally known as the Medicare donut hole) was a period of consumer payments for prescription medication costs that lied between the initial coverage limit and the catastrophic coverage threshold when the consumer was a member of a Medicare Part D prescription-drug program administered by the United States federal government. The gap was reached after a shared insurer payment - consumer payment for all covered prescription drugs reached a government-set amount, and was left only after the consumer had paid full, unshared costs of an additional amount for the same prescriptions. Upon entering the gap, the prescription payments to date were re-set to $0 and continued until the maximum amount of the gap was reached or the then current annual period lapses. In calculating whether the maximum amount of gap had been reached, the "True-out-of-pocket" costs (TrOOP) were added together. A health insurance company provided this explanation about TrOOP: ...
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United States House Of Representatives
The United States House of Representatives, often referred to as the House of Representatives, the U.S. House, or simply the House, is the Lower house, lower chamber of the United States Congress, with the United States Senate, Senate being the Upper house, upper chamber. Together they comprise the national Bicameralism, bicameral legislature of the United States. The House's composition was established by Article One of the United States Constitution. The House is composed of representatives who, pursuant to the Uniform Congressional District Act, sit in single member List of United States congressional districts, congressional districts allocated to each U.S. state, state on a basis of population as measured by the United States Census, with each district having one representative, provided that each state is entitled to at least one. Since its inception in 1789, all representatives have been directly elected, although universal suffrage did not come to effect until after ...
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Nancy Pelosi
Nancy Patricia Pelosi (; ; born March 26, 1940) is an American politician who has served as Speaker of the United States House of Representatives since 2019 and previously from 2007 to 2011. She has represented in the United States House of Representatives since 1987. The district, numbered as the 5th district from 1987 to 1993 and the 8th from 1993 to 2013, includes most of the city of San Francisco. A member of the Democratic Party (United States), Democratic Party, Pelosi is the first woman elected Speaker and the first woman to lead a major political party in either chamber of United States Congress, Congress. Pelosi was born and raised in Baltimore, the daughter of mayor and congressman Thomas D'Alesandro Jr., Thomas D'Alesandro. She graduated from Trinity Washington University, Trinity College, Washington in 1962 and married businessman Paul Pelosi the next year; the two had met while both were students. They moved to New York City before settling down in San Francisco ...
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Public Citizen
Public Citizen is a non-profit, progressive consumer rights advocacy group and think tank based in Washington, D.C., United States, with a branch in Austin, Texas. Lobbying efforts Public Citizen advocates before all three branches of the United States federal government. Its five divisions include: Congress Watch; Energy; Global Trade Watch; the Health Research Group; and Public Citizen Litigation Group, a nationally prominent public interest law firm founded by Alan Morrison and known for its Supreme Court and appellate practice. Broadly speaking, Public Citizen favors robust corporate accountability and strong government regulation, particularly in the areas of transport, healthcare, and nuclear power. The organization's priorities range from campaign finance reform to drug and auto safety and financial reform. The unifying theme is an effort to curb the impact of corporate power on American democracy. For example, Public Citizen has been a public voice on matters rela ...
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Pharmaceutical Research And Manufacturers Of America
Pharmaceutical Research and Manufacturers of America (PhRMA, pronounced ), formerly known as the Pharmaceutical Manufacturers Association, is a trade group representing companies in the pharmaceutical industry in the United States. Founded in 1958, PhRMA lobbies on behalf of pharmaceutical companies. PhRMA is headquartered in Washington, DC. The organization has lobbied fiercely against allowing Medicare to negotiate drug prices for Medicare recipients. At the state level, the organization has lobbied to prevent price limits and greater price transparency for drugs. PhRMA has given substantial dark money donations to right-wing advocacy groups such as the American Action Network (which lobbied heavily against the Affordable Care Act), the Koch brothers' Americans for Prosperity and Grover Norquist's Americans for Tax Reform, while rarely providing some donations to centrist or moderately right-leaning groups such as Center Forward. Membership Leadership George A. Scangos, C ...
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Billy Tauzin
Wilbert Joseph Tauzin II (; born June 14, 1943) is an American lobbyist and politician. He was President and CEO of PhRMA, a pharmaceutical company lobby group. Tauzin was also a member of the United States House of Representatives from 1980 to 2005, representing Louisiana's 3rd congressional district. Personal life Of Cajun descent, he is a lifelong resident of Chackbay, a small town just outside Thibodaux, Tauzin graduated from Nicholls State University in 1964 with a Bachelor of Arts Degree and earned a J.D. degree from Louisiana State University in 1967. While attending law school, he served as a legislative aide in the Louisiana state Senate. He is married to Cecile Tauzin and has five children by a previous marriage. Political career Tauzin began his elective career in 1972, when he was elected to the Louisiana House of Representatives and served four full terms as a Democrat. In his first term, he served alongside fellow Democrats Dick Guidry and Leonard J. Chabert ...
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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 media, digital subscribers. It also is a producer of popular podcasts such as ''The Daily (podcast), The Daily''. Founded in 1851 by Henry Jarvis Raymond and George Jones (publisher), George Jones, it was initially published by Raymond, Jones & Company. The ''Times'' has won List of Pulitzer Prizes awarded to The New York Times, 132 Pulitzer Prizes, the most of any newspaper, and has long been regarded as a national "newspaper of record". For print it is ranked List of newspapers by circulation, 18th in the world by circulation and List of newspapers in the United States, 3rd in the U.S. The paper is owned by the New York Times Company, which is Public company, publicly traded. It has been governed by the Sulzberger family since 189 ...
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Federal Acquisition Regulation
The Federal Acquisition Regulation (FAR) is the principal set of rules regarding Government procurement in the United States,. and is codified at Chapter 1 of Title 48 of the Code of Federal Regulations, . It covers many of the contracts issued by the US military and NASA, as well as US civilian federal agencies. The largest single part of the FAR is Part 52, which contains standard solicitation provisions and contract clauses. Solicitation provisions are certification requirements, notices, and instructions directed at firms that might be interested in competing for a specific contract. These provisions and clauses are of six types: (i) required solicitation provisions; (ii) required-when-applicable solicitation provisions; (iii) optional solicitation provisions; (iv) required contract clauses; (v) required-when-applicable contract clauses; and (vi) optional contract clauses." If the FAR requires that a clause be included in a government contract, but that clause is omitted, case ...
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Cost Accounting Standards
Cost Accounting Standards (popularly known as CAS) are a set of 19 standards and rules promulgated by the United States Government for use in determining costs on negotiated procurements. CAS differs from the Federal Acquisition Regulation (FAR) in that FAR applies to substantially all contractors, whereas CAS applied primarily to the larger ones. History In 1970, Congress established the original Cost Accounting Standards Board (CASB) to promulgate cost accounting standards designed to achieve uniformity and consistency in the cost accounting principles followed by defense contractors and subcontractors in excess of $100,000, and to establish regulations to require defense contractors and subcontractors, as a condition of contracting, to disclose in writing their cost accounting practices, to follow the disclosed practices consistently and to comply with promulgated cost accounting standards. After adopting 19 standards, the original CASB was dissolved on September 30, 1980; the s ...
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Electronic Prescribing
Electronic prescription (e-prescribing or e-Rx) is the computer-based electronic generation, transmission, and filling of a medical prescription, taking the place of paper and faxed prescriptions. E-prescribing allows a physician, physician assistant, pharmacist, or nurse practitioner to use digital prescription software to electronically transmit a new prescription or renewal authorization to a community or mail-order pharmacy. It outlines the ability to send error-free, accurate, and understandable prescriptions electronically from the healthcare provider to the pharmacy. E-prescribing is meant to reduce the risks associated with traditional prescription script writing. It is also one of the major reasons for the push for electronic medical records. By sharing medical prescription information, e-prescribing seeks to connect the patient's team of healthcare providers to facilitate knowledgeable decision making. Functions An e-prescribing system used in the United States must be c ...
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Health Savings Accounts
A health savings account (HSA) is a tax-advantaged medical savings account available to taxpayers in the United States who are enrolled in a high-deductible health plan (HDHP). The funds contributed to an account are not subject to federal income tax at the time of deposit. Unlike a flexible spending account (FSA), HSA funds roll over and accumulate year to year if they are not spent. HSAs are owned by the individual, which differentiates them from company-owned Health Reimbursement Arrangements (HRA) that are an alternate tax-deductible source of funds paired with either high-deductible health plans or standard health plans. HSA funds may be used to pay for qualified medical expenses at any time without federal tax liability or penalty. Beginning in early 2011 over-the-counter medications could not be paid with an HSA without a doctor's prescription, although that requirement was lifted as of January 1, 2020. Withdrawals for non-medical expenses are treated very similarly to ...
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