Week 4 Federal Legislation

Question 1

members in the House

Answer 1

435

Question 2

o Most common health agency that oversees policy

Answer 2

• Dept. of Health and Human Services (DHHS)

Question 3

o Key agency for evidence-based practice and research in health care quality and effectiveness

Answer 3

• National Institute for Health (NIH)

Question 4

List 5 Health Agencies Impacting OT

Answer 4

• Dept. of Health and Human Services (DHHS)
• Centers for Medicare and Medicaid Services (CMS)
• National Institute for Health (NIH)
• Agency for Healthcare Research and Quality (AHRQ)
• Dept. of Education

Question 5

What does Agency for Healthcare Research and Quality (AHRQ) do?

Answer 5

o Established to improve quality, safety, efficacy, and effectiveness of health care

Question 6

Education for All handicapped Children of 1975

Answer 6

• Required all public schools accepting federal funds to provide equal access to education for children with physical and mental disabilities
• Allowed OTs to work in school-based setting

Question 7

Individuals with Disabilities Education Act 1990

Answer 7

o It is a school-based anti-discrimination act that ensure that all students and families with a disability get the services and/or accommodations that they need
o Dictates how states and public agencies provide:
 Early Intervention
 Special Education
 Related Services

Question 8

precursor to IDEA

Answer 8

Education for All handicapped Children of 1975

Question 9

Balanced Budget Act of 1997 & affect on OT

Answer 9

• Goal was to balance Federal budget by 2002 by reducing medicare spending and adding caps
• Resulted in shorter acute care stays
• Prospective fee schedule to determine therapy costs ahead of time
• OT focus became ADLs in hospitals rather than broader scope of practice

Question 10

o A landmark law that changed the way in which society viewed people with disabilities. It was the first comprehensive civil rights law for individuals with disabilities.
o Prohibits discrimination against people with disabilities in employment, transportation, public accommodation, communications, and governmental activities.

Answer 10

Americans with Disabilities Act 1990

Question 11

• Provides the ability to transfer and continue health insurance coverage for millions of American workers and their families when they change or lose their jobs
• Regulates all aspects of healthcare documentation and access to personal health information (PHI)

Answer 11

Health Insurance Portability and Accountability Act 1996

Question 12

What is a PAC?

Answer 12

• Groups formed by an industry or issued oriented organization
• Used to raise and contribute money to campaigns of candidates
• Used to advance a particular group’s interest

Question 13

How is a bill introduced in the Senate vs. House?

Answer 13

House = member gives copy to Clerk of House
Senate = gain recognition of presiding officer

Question 14

Once the bill is give a name and sent to US Government printing office what happens next?

Answer 14

Bill goes to committee w/jurisdiction

Question 15

What can the committee w/jurisdiction do with the newly introduced bill?

Answer 15

• request more info

- assign subcommittee to look into it

Question 16

Once subcommittee “marks” bill and returns it to the full committee what happens?

Answer 16

• full committee can have “marked up” session

- then full committee vote

Question 17

After full committee approves bill what happens?

Answer 17

goes to respective chamber (House or Senate) and put on legislative calendar

Question 18

T/F

Debate on the House floor is unlimited.

Answer 18

False

Debate on the Senate floor is unlimited.

Question 19

How many House members votes are needed to pass bill?

Answer 19

218

Question 20

T/F

Debate in the House is regulated by Rules Committee and proponents and opponents have same amount of time to debate

Answer 20

True

Question 21

What is cloture?

Answer 21

Vote of 2/3 in the Senate to finalize the debate of a bill

Question 22

Name for when the Senate purposely has a lengthy debate to defeat a measure.

Answer 22

filibuster

Question 23

If a bill passes in one chamber what happens next?

Answer 23

Sent to the other chamber for a vote

Question 24

T/F

If neither chamber passes bill it dies at end of 2 year Congress

Answer 24

True

Question 25

If both chamber pass bill where to next?

Answer 25

President

Question 26

What if the House and Senate pass different bills?

Answer 26

Sent to conference committee with members from each chamber to work out differences. Then vote on it again.

Question 27

2 ways a bill becomes a law

Answer 27

1. President signs it

2. President does not veto or sign bill w/in 10 days that Congress is in session

Question 28

2 ways bill does not become a law after both chambers vote in favor of it

Answer 28

1. President vetos it and goes back to Congress

2. Pocket veto (If Congress adjourns before 10 days and it was not signed or vetoed by President)