United States National Health Care Act
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United States National Health Care Act
The Medicare for All Act, aka the Expanded and Improved Medicare for All Act or United States National Health Care Act, is a bill first introduced in the United States House of Representatives by Representative John Conyers (D-MI) in 2003, with 38 co-sponsors."House Reps Introduce Medicare-for-All Bill"
''Becker's Hospital Review'', Feb. 14, 2013
In 2019, the original 16-year-old proposal was renumbered, and (D-WA) introduced a broadly similar, but more detailed, bill, HR 1384, in the

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Pramila Jayapal
Pramila Jayapal ( ; born September 21, 1965) is an American politician serving as the United States House of Representatives, U.S. representative from since 2017. A member of the Democratic Party (United States), Democratic Party, she represents most of Seattle, as well as some suburban areas of King County, Washington, King County. Jayapal represented the Washington's 37th legislative district, 37th legislative district in the Washington State Senate from 2015 to 2017. She is the first Indian Americans, Indian-American woman to serve in the U.S. House of Representatives. The district's first female member of Congress, she is also the first Asian Americans, Asian American to represent Washington (state), Washington at the federal level. Before entering electoral politics, Jayapal was a Seattle-based civil rights activist, serving until 2012 as the executive director of OneAmerica, a pro-immigrant advocacy group. She founded the organization, originally called Hate Free Zone, afte ...
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Puerto Rico
Puerto Rico (; abbreviated PR; tnq, Boriken, ''Borinquen''), officially the Commonwealth of Puerto Rico ( es, link=yes, Estado Libre Asociado de Puerto Rico, lit=Free Associated State of Puerto Rico), is a Caribbean island and Unincorporated territories of the United States, unincorporated territory of the United States. It is located in the northeast Caribbean Sea, approximately southeast of Miami, Florida, between the Dominican Republic and the United States Virgin Islands, U.S. Virgin Islands, and includes the eponymous main island and several smaller islands, such as Isla de Mona, Mona, Culebra, Puerto Rico, Culebra, and Vieques, Puerto Rico, Vieques. It has roughly 3.2 million residents, and its Capital city, capital and Municipalities of Puerto Rico, most populous city is San Juan, Puerto Rico, San Juan. Spanish language, Spanish and English language, English are the official languages of the executive branch of government, though Spanish predominates. Puerto Rico ...
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112th Congress
The 112th United States Congress was a meeting of the legislative branch of the United States federal government, from January 3, 2011, until January 3, 2013. It convened in Washington, D.C. on January 3, 2011, and ended on January 3, 2013, 17 days before the end of the presidential term to which Barack Obama was elected in 2008. Senators elected to regular terms in 2006 completed those terms in this Congress. This Congress included the last House of Representatives elected from congressional districts that were apportioned based on the 2000 census.Senate Calendar for January 20, 2012
In the 2010 midterm elections, the

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111th Congress
The 111th United States Congress was a meeting of the legislative branch of the United States federal government from January 3, 2009, until January 3, 2011. It began during the last weeks of the George W. Bush administration, with the remainder spanning the first two years of Barack Obama's presidency. It was composed of the Senate and the House of Representatives. The apportionment of seats in the House was based on the 2000 U.S. Census. In the November 2008 elections, the Democratic Party increased its majorities in both chambers (including – when factoring in the two Democratic caucusing independents – a brief filibuster-proof 60-40 supermajority in the Senate), and with Barack Obama being sworn in as President on January 20, 2009, this gave a Democrats an overall federal government trifecta for the first time since the 103rd Congress in 1993. However, the Senate supermajority only lasted for a period of 72 working days while the Senate was actually in s ...
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110th Congress
The 110th United States Congress was a meeting of the legislative branch of the United States federal government, between January 3, 2007, and January 3, 2009, during the last two years of the Presidency of George W. Bush. It was composed of the Senate and the House of Representatives. The apportionment of seats in the House was based on the 2000 U.S. Census. The Democratic Party won a majority in both chambers, giving them full control of Congress for the first time since the 103rd Congress in 1993, which was also the previous time they controlled the House. Officially in the Senate, there were 49 Democrats, 49 Republicans, and two independents, but because both of the independents caucused with the Democrats, this gave the Democrats an operational majority. No Democratic-held seats had fallen to the Republican Party in the 2006 elections. This is the most recent Congress to feature a Republican Senators from Minnesota (Norm Coleman), New Mexico ( Pete Domenici) and ...
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109th Congress
The 109th United States Congress was a meeting of the legislative branch of the United States federal government, composed of the United States Senate and the United States House of Representatives, from January 3, 2005 to January 3, 2007, during the fifth and sixth years of George W. Bush's presidency. House members were elected in the 2004 elections on November 2, 2004. Senators were elected in three classes in the 2000 elections on November 7, 2000, 2002 elections on November 5, 2002, or 2004 elections on November 2, 2004. The apportionment of seats in the House of Representatives was based on the Twenty-second Census of the United States in 2000. This is the most recent Congress to feature a Republican Senator from Rhode Island, Lincoln Chafee, who lost re-election in 2006. The Republicans maintained control of both the House and the Senate (slightly increasing their majority in both chambers), and with the reelection of President Bush, the Republicans maintained ...
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108th Congress
The 108th United States Congress was a meeting of the legislative branch of the United States federal government, composed of the United States Senate and the United States House of Representatives from January 3, 2003 to January 3, 2005, during the third and fourth years of George W. Bush's presidency. House members were elected in the 2002 general election on November 5, 2002. Senators were elected in three classes in the 1998 general election on November 3, 1998, 2000 general election on November 7, 2000, or 2002 general election on November 5, 2002. The apportionment of seats in the House of Representatives was based on the Twenty-second Census of the United States in 2000. This is the most recent Congress to have a Democratic Senator from South Carolina, Fritz Hollings, who retired at the end of the Congress. Both chambers had a Republican majority, with the Republicans slightly increasing their edge in the House, and regaining control of the Senate, after party cont ...
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Pay For Performance (healthcare)
In the healthcare industry, pay for performance (P4P), also known as "value-based purchasing", is a payment model that offers financial incentives to physicians, hospitals, medical groups, and other healthcare providers for meeting certain performance measures. Clinical outcomes, such as longer survival, are difficult to measure, so pay for performance systems usually evaluate process quality and efficiency, such as measuring blood pressure, lowering blood pressure, or counseling patients to stop smoking. This model also penalizes health care providers for poor outcomes, medical errors, or increased costs. Integrated delivery systems where insurers and providers share in the cost are intended to help align incentives for value-based care. Professional societies in the United States have given qualified approval to incentive programs, but express concern with the validity of quality indicators, patient and physician autonomy and privacy, and increased administrative burdens. Studie ...
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Fee-for-service
Fee-for-service (FFS) is a payment model where services are unbundled and paid for separately. In health care, it gives an incentive for physicians to provide more treatments because payment is dependent on the quantity of care, rather than quality of care. However evidence of the effectiveness of FFS in improving health care quality is mixed, without conclusive proof that these programs either succeed or fail. Similarly, when patients are shielded from paying (cost-sharing) by health insurance coverage, they are incentivized to welcome any medical service that might do some good. Fee-for-services raises costs, and discourages the efficiencies of integrated care. A variety of reform efforts have been attempted, recommended, or initiated to reduce its influence (such as moving towards bundled payments and capitation). In capitation, physicians are not incentivized to perform procedures, including necessary ones, because they are not paid anything extra for performing them. FFS is t ...
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Cost Sharing
In health care, cost sharing occurs when patients pay for a portion of health care costs not covered by health insurance. The "out-of-pocket" payment varies among healthcare plans and depends on whether or not the patient chooses to use a healthcare provider who is contracted with the healthcare plan's network. Examples of out-of-pocket payments involved in cost sharing include copays, deductibles, and coinsurance. In accounting, cost sharing or matching means that portion of project or program costs not borne by the funding agency. It includes all contributions, including cash and in-kind, that a recipient makes to an award. If the award is federal, only acceptable non-federal costs qualify as cost sharing and must conform to other necessary and reasonable provisions to accomplish the program objectives. Cost sharing effort is included in the calculation of total committed effort. Effort is defined as the portion of time spent on a particular activity expressed as a percentage of th ...
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United States Department Of Veterans Affairs
The United States Department of Veterans Affairs (VA) is a Cabinet-level executive branch department of the federal government charged with providing life-long healthcare services to eligible military veterans at the 170 VA medical centers and outpatient clinics located throughout the country. Non-healthcare benefits include disability compensation, vocational rehabilitation, education assistance, home loans, and life insurance. The VA also provides burial and memorial benefits to eligible veterans and family members at 135 national cemeteries. While veterans' benefits have been provided by the federal government since the American Revolutionary War, a veteran-specific federal agency was not established until 1930, as the Veterans Administration. In 1982, its mission was extended to a fourth mission to provide care to non-veterans and civilians in case of national emergencies. In 1989, the Veterans Administration became a cabinet-level Department of Veterans Affairs. The age ...
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Indian Health Service
The Indian Health Service (IHS) is an operating division (OPDIV) within the U.S. Department of Health and Human Services (HHS). IHS is responsible for providing direct medical and public health services to members of federally-recognized Native American Tribes and Alaska Native people. IHS is the principal federal health care provider and health advocate for Indian people. The IHS provides health care in 37 states to approximately 2.2 million out of 3.7 million American Indians and Alaska Natives (AI/AN). As of April 2017, the IHS consisted of 26 hospitals, 59 health centers, and 32 health stations. Thirty-three urban Indian health projects supplement these facilities with a variety of health and referral services. Several tribes are actively involved in IHS program implementation. Many tribes also operate their own health systems independent of IHS. It also provides support to students pursuing medical education in order to staff Indian health programs. Formation and missio ...
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