Download e-book for kindle: American federalism in practice : the formulation and by Michael Doonan

By Michael Doonan

ISBN-10: 0815724837

ISBN-13: 9780815724834

ISBN-10: 0815724845

ISBN-13: 9780815724841

ISBN-10: 1299808417

ISBN-13: 9781299808416

American Federalism in perform is an immense contribution to our knowing of latest overall healthiness coverage in the USA. regularly a tremendous subject, the difficulty holds detailed forex at the present time given the prominence of wellbeing and fitness care in latest political and monetary panorama. Michael Doonan offers a special viewpoint on American federalism and U.S. well-being coverage in explaining how intergovernmental relatives form public  Read more...

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Additional info for American federalism in practice : the formulation and implementation of contemporary health policy

Sample text

The result was a compromise. Conservative and liberals were quick to drop any ideological notions of federalism when their interests were at stake. The details of the statute and the floor debates show individual members from both parties adding restrictions to the bill. There was bipartisan support to restrict coverage to uninsured children, prevent shifting from private or other public programs to CHIP, require certain data collection and reporting requirements, reduce the possibility of fraud and abuse, and limit administrative costs.

36 Meanwhile, a massive grassroots campaign by child health advocates pushed for a comprehensive benefits package, quality assurance, and uniform national standards. 37 The Finance Committee bill found middle ground. It reduced the Medicaid benefit requirements and substituted an actuarial equivalent, which would ensure comprehensive benefits but provide flexibility for plans to operate more like those in the private sector. Several amendments to reduce state flexibility were offered by members of both parties in committee and on the Senate floor.

The CHIP experience suggests that the administration should continue to expedite the regulation process and work collaboratively with the states to get the program up and running as quickly as possible. Rules and regulations define a program and make it real. The alternatives are to allow existing ambiguities to remain, which would weaken the program, or to let it be defined by the next administration, the states, or the courts. Through their comments and political access to the administration, providers, consumers, and business and other interests also can have a real and direct impact on the rules.

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American federalism in practice : the formulation and implementation of contemporary health policy by Michael Doonan


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