Week 4: Federal Legislative Advocacy Flashcards
2 divisions of US Congress
House of Rep
Senate
How many members in the senate?
100 (2/state)
How many members int the house of reps?
435 (based on population of state)
2 roles of the president
- setting the agenda on what he thinks is important and wants passed
- letting congress know whats important to him
2 roles of the executive branch
- establish rules
2. implement laws
Most common health agency hat oversees health policy in the US
Dept. of Health and Human Services (DHHS)
This agency provides rule and regulations for how we get reimbursed for the services we provide?
Center for Medicare and Medicaid Services (CMS)
Key agency for EBP and research in health care quality and effectiveness
National Institute for Health (NIH)
this agency is established to improve quality, safety, efficacy, and effectiveness of health care
Agency for Healthcare Research and Quality (AHRQ)
This agency develops rules for programs such as those under IDEA
Dept. of Education
Through mass emails, letter writing campaigns, and phone calls, this type of advocates can bring issues to the attention of legislators; Who uses it?
grassroots
special interest groups
These type of groups play large role in policy making; they are professionals weigh in on issues with Congress and employ lobbyists to represent groups
special interest groups
These groups are formed by an industry or organization to raise and contribute money to campaigns for candidates of a particular interest group
Political Action Committee (PAC)
These emerge from public demand for action or inaction
public policy
Education for All handicapped Children of 1975
- Requires all public schools accepting federal funds to provide equal access to education for children with physical and mental disabilities
- Required public schools to evaluate and create education plan (with parent) that was similar to that of a student without disabilities
- Precursor to IDEA
- Allowed OTs to work in school-based setting
Individuals with Disabilities Education Act 1990
- school-based
- anti-discrimination act that ensure that all students and families with a disability get the services and/or accommodations that they need
Part B of IDEA covers whom?
school aged kids
Part C of IDEA covers whom?
birth to 3 or 5
Americans with Disabilities Act 1990
- Changed the way in which society viewed people with disabilities.
- It was the first comprehensive civil rights law for individuals with disabilities.
- Prohibits discrimination against people with disabilities in employment, transportation, public accommodation, communications, and governmental activities.
Health Insurance Portability and Accountability Act (HIPPA) 1996
- 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).
Balanced Budget Act of 1997
- Reducing medicare spending and adding caps
- determine cost of therapy ahead of time
Medicare Part B
- covers 2 types of services (lab tests, surgeries, and doctor visits) and supplies (wheelchairs and walkers) considered medically necessary to treat a disease or condition
- medically necessary services and preventative services
- 65 yrs and older and us citizen for more than 5 yrs
Affordable Care Act (ACA)
- Requires marketplace plans to cover “essential health benefits,” including habilitative and rehabilitative services (OT is considered part of these services).
- OT, therefore, receives more coverage from insurance.
- Mandatory coverage for all individuals
- ACA is seeking to put pressure on hospitals to reduce avoidable hospital acquired conditions
- Huge push for preventative care
