Health Law and Ethics
rakan2019
MidtermExaminationHLTHST314Spring2017PublicLawPortion22.0.docxMidterm Examination HLTHST 314 Spring 2017 Public Law Portion #2
Instructions
The following is the Essay portion of the Midterm Exam in HLTHST 314. It is open book/open note/open course-content. However, you are not permitted to work together or receive the assistance of any other person in completing this exam. To do so would constitute academic dishonesty and would result in your dismissal from the class with a failing grade. Now that you have opened the Exam, you may not discuss its contents or your answers with anyone else other than the course instructor.
Outside Materials and Attribution of Sources Used:
All materials necessary to successfully complete this exam have been assigned in the first six lessons. Moreover, the purpose of the Exam is to assess your understanding of the materials covered in this course. Accordingly, you are strongly encouraged to rely solely on course materials (assigned readings, PowerPoint slides, videos, your notes, exercises.) in completing this exam. If you choose not to follow this advice, you must provide a citation to any non-course materials you rely on in your answers, even if you do not directly quote from the material. For Internet sources, a working hyperlink is sufficient.
If you directly quote from any resources (including class PowerPoint slides, assigned readings, Internet sources, or other out-of-class materials) in your exam answers, the quoted material must be in quotation marks (“ ”) and you must provide a citation to the source in parentheses. Each of the following examples would be appropriate: (Clinical Ethics, p. 3), (Trolley Car Video, minute 2:30), (Harris text, p. 310).
Submitting your Exam:
This exam is due via Blackboard by 12 Noon on Wednesday March 6, 2017. Please attach your answers in a .doc or .docx format into the “HLTHST 314 Midterm Exam Answer Sheet” available on Blackboard, and submit your completed document as a MS Word Document (either .doc or .docx) via SafeAssign. Do not include the text of the questions with your answer. If you complete your exam before the deadline, early submission is encouraged.
Questions about the Exam:
If you have questions please feel free to contact me
In this portion of the Midterm you will be exploring the Childern’s Health Insurance Program (CHIP) by Reviewing and responding to questions realted to
1. A Public Law associated with the program, and
2. A Federal Register posting of a proposed rule, and
3. A CFR posting of a the final rule identified in number 2 above.
Background on CHIP
Program Description
The Children's Health Insurance Program (CHIP) is a partnership between the federal and state governments that provides health coverage to uninsured children whose families earn too much to qualify for Medicaid, but too little to afford private health coverage. Benefits vary by state and by the type of CHIP program, but all states provide comprehensive coverage like immunizations and well-baby/well-child care at no cost. The federal government establishes general guidelines for the administration of CHIP benefits. However, specific eligibility requirements to get CHIP benefits, and the type and scope of services provided, are determined by each individual state. You must check with the CHIP office in the state you live in to confirm if your family is eligible to get benefits. These programs may be called different names in your state. To find information about the Medicaid and CHIP programs in your state, visit InsureKidsNow.gov or call 1-877-KIDS-NOW (1-877-543-7669). When you call, you’ll be connected to someone in your state who can help you learn whether your children may qualify and help you enroll them.
Website for CHIP
Examination Portion of Section:
You have recently been employed by and facility and your supervisor knows you have taken HLTHST 314 at Boise State University and knows that you have had experience finding Public Laws and reviewing the Federal Register plus accessing the appropriate CFR section. Your supervisor has been asked to make a presentation on aspects of the CHIP program at an upcoming conference for children. You supervisor has asked you to do the research on the topic to help with the presentation. You supervisor has given you specific URL’s to access the information and wishes you to gather the following information:
1. Early in President Obama’s administration he signed a bill into law related to the Children’s Health Insurance Program (CHIP):
Link to Children's Health Insurance Program Reauthorization Act of 2009
https://www.congress.gov/bill/111th-congress/house-bill/2
a. In what session of Congress was the bill adopted and what is the official name of the legislation?
b. Who was the Sponsor of the bill and how many co-sponsors were there for the bill?
c. How many Roll call votes were there on the bill before it passed?
d. When was the bill passed by the senate?
e. What were the initial Congressional Budget Office total for Specified Authorizations estimates
f. When was the bill signed into law by the President?
g. How long did it take from introduction of the bill until it was signed by the President?
h. Please provide your supervisor with a “point of interest” that could be mentioned during the presentation.
2. Sometime in 2015 a proposed rule was released in the Federal Register related to the CHIP program:
Link to Federal Register for Medicaid and Children's Health Insurance Program (CHIP) Programs; Medicaid Managed Care, CHIP Delivered in Managed Care, Medicaid and CHIP Comprehensive Quality Strategies, and Revisions Related to Third Party Liability Summary
or
https://www.gpo.gov/fdsys/pkg/FR-2015-06-01/pdf/2015-12965.pdf
a. What is the purpose of this new proposed rule?
b. What is the Document Number?
c. What is the Agency/Docket Number?
d. By what date must you submit comments and to whom must they be submitted?
e. Reviewing the table of contents what is your sense about the complexity of the proposed rule?
f. The proposed rule states that since the Medicaid Managed Care Regulations of 2002 laws have been adopted that have changed the “landscape”. Which laws do they cite to support the statement.
g. Provide your supervisor with a “point of interest” that could be included in the presentation.
h.
3. Sometime in 2016 the final rule was published in the CFR. Your supervisor gave you the following links:
Link to Summary: Medicaid and CHIP Managed Care Final Rule (CMS- 2390-F) 42 CFR Parts 431, 438, 440, 457 and 495 May 13, 2016
https://www.kff.org/medicaid/issue-brief/cmss-final-rule-on-medicaid-managed-care-a-summary-of-major-provisions/
Link to actual 42 CFR 457.1201 - Standard contract requirements.
https://www.law.cornell.edu/cfr/text/42/457.1201
You have been specifically asked to review the section related to contracts which is the last URL link.
a. Your supervisor wishes to know what changes that are listed under the Rule Making tab have been made since the rule was posted in the CFR.
b. What is the U.S. Code authority for the rule?
c. Your supervisor is adverse to using acronyms in a presentation. There are multiple acronyms in this rule. Please provide a glossary for your supervisor in a table format. It is probably easiest to copy and paste from the resources
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d. Provide a “point of interest” that can be used in the presentation.
That is the end of this portion of the Midterm Examination – You can now submit this portion.
