{
  "id": "R43479",
  "type": "CRS Report",
  "typeId": "REPORTS",
  "number": "R43479",
  "active": true,
  "source": "EveryCRSReport.com",
  "versions": [
    {
      "source": "EveryCRSReport.com",
      "id": 430029,
      "date": "2014-04-16",
      "retrieved": "2016-04-06T20:29:50.614797",
      "title": "Overview of Health Care Changes in the FY2015 House Budget",
      "summary": "On April 1, 2014, House Budget Committee Chairman Paul Ryan released the chairmans mark of the FY2015 House budget resolution together with his non-binding report entitled The Path to Prosperity: Fiscal Year 2015 Budget Resolution, which outlines his budgetary objectives. The House Budget Committee considered and amended the chairmans mark on April 2, 2014, and voted to report the budget resolution to the full House. H.Con.Res. 96 was introduced in the House April 4, 2014, and was accompanied by the committee report (H.Rept. 113-403). H.Con.Res. 96 was agreed to by the House on April 10, 2014.\nOnce it is agreed to by both chambers of Congress, a budget resolution provides enforceable budgetary parameters; however, it is not a law. Changes to programs that are assumed or suggested by the budget resolution would still need to be enacted in separate legislation. Chairman Ryans budget proposal, as outlined in his report and in the committee report, suggests short-term and long-term changes to federal health care programs, including to Medicare, Medicaid, and the health insurance exchanges established by the Patient Protection and Affordable Care Act as amended (ACA, P.L. 111-148, P.L. 111-152).\nWithin the 10-year budget window (FY2015-FY2024), the budget allows for the full repeal of the ACA or just certain provisions, including those that reduce Medicare spending, those that expand Medicaid coverage to the non-elderly with incomes up to 133% of the federal poverty level, and those provisions that establish health insurance exchanges. Committee documents also suggest restructuring Medicaid from an individual entitlement program to a block grant program. In addition, beginning in 2024, the budget assumes the conversion of Medicare to a fixed federal contribution (premium support) program.\nThis report summarizes the proposed changes to Medicare, Medicaid, and private health insurance as described in H.Con.Res. 96 and accompanying documents, including the committee report and Chairman Ryans Path to Prosperity report.",
      "type": "CRS Report",
      "typeId": "REPORTS",
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      ],
      "topics": [
        {
          "source": "IBCList",
          "id": 2177,
          "name": "Medicare"
        },
        {
          "source": "IBCList",
          "id": 3746,
          "name": "Health Care Reform"
        },
        {
          "source": "IBCList",
          "id": 594,
          "name": "Medicaid and CHIP"
        }
      ]
    }
  ],
  "topics": []
}