Healthcare Coverage & Access

This report was prepared under contract #HHS-100-97-0013 between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and the Mathematica Policy Research, Inc.

This paper examines the current state of nurse practice acts and their implementing regulations to determine the extent to which they permit more consumer direction in home and community based services. This analysis may be helpful to consumers and states that are seeking ways to balance better state policies to support consumer-directed care. [38 PDF pages]

Contents Background About the Four Cities Immigrants Access to Medicaid and the State Childrens Health Insurance Program (SCHIP) Immigrants Access to Health Services Safety Net Providers Organizational and Financial Responses

by Deborah J. Chollet, Ph.D. Mathematica Policy Research Adele M. Kirk, M.A. University of California at Los Angeles Kosali Ilayperuma Simon, Ph.D. Michigan State University

By: John L. Czajka Cara Olsen Mathematica Policy Research, Inc. Washington, D.C. April 18, 2000 Submitted to:Assistant Secretary for Planning and Evaluation

Executive Summary Prescription drugs play an ever-increasing role in modern medicine. New medications are improving health outcomes and quality of life, replacing surgery and other invasive treatments, and quickening recovery for patients who receive these treatments. As important as prescription drugs are, not everyone has access to them.

This report describes how the state of Oregon designed and implemented its Exceptional Needs Care Coordinator (ENCC) function, assesses the extent to which this role is meeting the state's objectives, and discusses design elements that support the state's objectives.

By: The Lewin Group

[Federal Register: May 7, 1998 (Volume 63, Number 88)] [Proposed Rules] [Page 25320-25357] [DOCID:fr07my98-26] DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the Secretary 45 CFR Part 142 [HCFA-0045-P]