{ "id": "RS22796", "type": "CRS Report", "typeId": "RS", "number": "RS22796", "active": true, "source": "CRSReports.Congress.gov, EveryCRSReport.com, University of North Texas Libraries Government Documents Department", "versions": [ { "source_dir": "crsreports.congress.gov", "title": "Medicare Trigger", "retrieved": "2022-05-05T04:03:54.697152", "id": "RS22796_30_2022-04-07", "formats": [ { "filename": "files/2022-04-07_RS22796_411ea9335ba26377a03cbf0a04d15a00cba2f00b.pdf", "format": "PDF", "url": "https://crsreports.congress.gov/product/pdf/RS/RS22796/30", "sha1": "411ea9335ba26377a03cbf0a04d15a00cba2f00b" }, { "format": "HTML", "filename": "files/2022-04-07_RS22796_411ea9335ba26377a03cbf0a04d15a00cba2f00b.html" } ], "date": "2022-04-07", "summary": null, "source": "CRSReports.Congress.gov", "typeId": "RS", "active": true, "sourceLink": "https://crsreports.congress.gov/product/details?prodcode=RS22796", "type": "CRS Report" }, { "source_dir": "crsreports.congress.gov", "title": "Medicare Trigger", "retrieved": "2022-05-05T04:03:54.694954", "id": "RS22796_28_2021-03-12", "formats": [ { "filename": "files/2021-03-12_RS22796_78427b9fe42fe2bbe7059f894fefaf4d741c42db.pdf", "format": "PDF", "url": "https://crsreports.congress.gov/product/pdf/RS/RS22796/28", "sha1": "78427b9fe42fe2bbe7059f894fefaf4d741c42db" }, { "format": "HTML", "filename": "files/2021-03-12_RS22796_78427b9fe42fe2bbe7059f894fefaf4d741c42db.html" } ], "date": "2021-03-12", "summary": null, "source": "CRSReports.Congress.gov", "typeId": "RS", "active": true, "sourceLink": "https://crsreports.congress.gov/product/details?prodcode=RS22796", "type": "CRS Report" }, { "source": "EveryCRSReport.com", "id": 615766, "date": "2020-02-04", "retrieved": "2020-02-04T23:04:26.658497", "title": "Medicare Trigger", "summary": "The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA; P.L. 108-173) requires the Medicare Board of Trustees to provide in its annual reports, starting with the 2005 report, an expanded analysis of Medicare expenditures and revenues (MMA \u00a7801). If the Medicare trustees determine that general revenue funding for Medicare is expected to exceed 45% of Medicare outlays for the current fiscal year or any of the next six fiscal years, a determination of excess general revenue Medicare funding is made. If the determination is issued for two consecutive years, a funding warning is triggered, which requires certain presidential and congressional actions (MMA \u00a7\u00a7 802-804). Specifically, in the event of a funding warning, the President would be required to submit to Congress proposed legislation to respond to the funding warning within 15 days of submitting a budget in the next year (for the subsequent fiscal year); Congress would then be required to consider that legislation on an expedited basis.\nThe Medicare trustees made a determination of excess general revenue funding in each of their 2006 through 2013 reports and in their 2017 through 2019 reports. The Medicare trustees therefore issued funding warnings in their 2007 through 2013 and in their 2018 and 2019 reports, thus requiring specified actions by the President and Congress. To date, only one presidential proposal has been submitted (in response to the 2007 funding warning) and no legislation responding to these warnings has been enacted. Because the Medicare trustees issued a funding warning in their 2019 report, the MMA provides that the President will be required to submit a responsive legislative proposal after the 2020 release of his FY2021 budget. \nThe Medicare trigger focuses attention on the impact of program spending on the federal budget, and it provides one measure of the financial health of the program. However, some options for reducing general revenue spending below the 45% level would have a greater impact than others. Proponents of the trigger maintain that it forces fiscal responsibility, whereas critics of the trigger suggest that other measures of Medicare spending, such as total Medicare spending as a portion of federal spending, would be more useful indicators.", "type": "CRS Report", "typeId": "REPORTS", "active": true, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "https://www.crs.gov/Reports/RS22796", "sha1": "482832d3daefbc5de88aba12db0ffd18c31164e6", "filename": "files/20200204_RS22796_482832d3daefbc5de88aba12db0ffd18c31164e6.html", "images": { "/products/Getimages/?directory=RS/html/RS22796_files&id=/1.png": "files/20200204_RS22796_images_dbd1f12c79e1ee98c666eb3b38c5e9acd3a9651d.png", "/products/Getimages/?directory=RS/html/RS22796_files&id=/0.png": "files/20200204_RS22796_images_030973d04be0385dbf6d0c09864a0b5d9a9c921a.png" } }, { "format": "PDF", "encoding": null, "url": "https://www.crs.gov/Reports/pdf/RS22796", "sha1": "841487517b622285a50dff513de11d36573e9935", "filename": "files/20200204_RS22796_841487517b622285a50dff513de11d36573e9935.pdf", "images": {} } ], "topics": [ { "source": "IBCList", "id": 4912, "name": "Medicare" } ] }, { "source": "EveryCRSReport.com", "id": 586307, "date": "2018-10-15", "retrieved": "2019-12-20T20:46:19.135846", "title": "Medicare Trigger", "summary": "The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA; P.L. 108-173) requires the Medicare Board of Trustees to provide in its annual reports an expanded analysis of Medicare expenditures and revenues (Section 801 of the MMA). If the Medicare trustees determine that general revenue funding for Medicare is expected to exceed 45% of Medicare outlays for the current fiscal year or any of the next six fiscal years, a determination of excess general revenue Medicare funding is made. If the determination is issued for two consecutive years, a funding warning is issued which triggers certain presidential and congressional actions (Sections 802-804 of the MMA). Specifically, in the event of a funding warning, the President would be required to submit to Congress proposed legislation to respond to the funding warning within 15 days of submitting a budget for the succeeding year, and Congress would then be required to consider that legislation on an expedited basis.\nBecause a determination of excess general revenue Medicare funding was issued in both the 2006 and the 2007 Medicare trustees\u2019 reports, the President was required to submit a legislative proposal to Congress within 15 days of submitting his FY2009 budget (in 2008) that would lower the ratio to the 45% level. Similarly, each of the subsequent annual reports of the Boards of Trustees through 2013 included an estimate that general revenue funding would exceed 45% at some point during the current or six subsequent fiscal years, thus triggering a response from the President and Congress. President George W. Bush submitted such a proposal in 2008, but no related legislation has been enacted.\nIn each of their 2014 through 2016 reports, the Medicare trustees projected that general revenue Medicare funding would not exceed 45% of total Medicare outlays within seven fiscal years. Therefore, the Medicare trustees did not issue funding warnings in those years, and the President was not required to submit related legislative proposals subsequent to the release of the FY2015 through FY2019 budgets. However, in both their 2017 and 2018 reports, the Medicare trustees issued a determination of projected excess general revenue Medicare funding. Because such a determination was made in two consecutive years, a funding warning has been triggered and the MMA provides that the President will be required to submit a responsive legislative proposal after the release of his FY2020 budget (in 2019). \nThe Medicare funding warning focuses attention on the impact of program spending on the federal budget, and it provides one measure of the financial health of the program. However, some options for reducing general revenue spending below the 45% level would have a greater impact than others. Proponents of the trigger maintain that it forces fiscal responsibility, whereas critics of the trigger suggest that other measures of Medicare spending, such as total Medicare spending as a portion of federal spending, would be more useful indicators.", "type": "CRS Report", "typeId": "REPORTS", "active": true, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "https://www.crs.gov/Reports/RS22796", "sha1": "e3d389d502607799f7af350434a1179bc1a27a09", "filename": "files/20181015_RS22796_e3d389d502607799f7af350434a1179bc1a27a09.html", "images": { "/products/Getimages/?directory=RS/html/RS22796_files&id=/1.png": "files/20181015_RS22796_images_a0b5819426aeadea7bace87aec34231a92ebba10.png", "/products/Getimages/?directory=RS/html/RS22796_files&id=/0.png": "files/20181015_RS22796_images_030973d04be0385dbf6d0c09864a0b5d9a9c921a.png" } }, { "format": "PDF", "encoding": null, "url": "https://www.crs.gov/Reports/pdf/RS22796", "sha1": "a41c4180d48a8c112c4abd9d91fd5e02301694b3", "filename": "files/20181015_RS22796_a41c4180d48a8c112c4abd9d91fd5e02301694b3.pdf", "images": {} } ], "topics": [ { "source": "IBCList", "id": 4912, "name": "Medicare" } ] }, { "source": "EveryCRSReport.com", "id": 585350, "date": "2018-02-08", "retrieved": "2018-09-20T14:35:51.035349", "title": "Medicare Trigger", "summary": "The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA; P.L. 108-173) requires the Medicare Board of Trustees to provide in its annual reports an expanded analysis of Medicare expenditures and revenues (\u00a7801 of the MMA). Specifically, if the Medicare trustees determine that general revenue funding for Medicare is expected to exceed 45% of Medicare outlays for the current fiscal year or any of the next six fiscal years, a determination of excess general funding is made. If the determination is issued for two consecutive years, a funding warning is issued which triggers certain presidential and congressional actions related to the introduction and consideration of legislation designed to respond to the warning (\u00a7\u00a7802-804 of the MMA). \nBecause such a determination was issued in both the 2006 and 2007 Medicare trustees\u2019 reports, the President was required to submit a legislative proposal to Congress within 15 days of submitting his FY2009 budget (in 2008) that would lower the ratio to the 45% level. Similarly, each of the subsequent annual reports of the Boards of Trustees through 2013 has included an estimate that general revenue funding would exceed 45% at some point during the current or six subsequent fiscal years, thus \u201ctriggering\u201d a response from the President and Congress. President George W. Bush submitted such a proposal in 2008, but no such legislative proposals have been submitted since that time. \nIn each of their 2014 through 2016 reports, the Medicare trustees projected that Medicare general revenue funding would not exceed 45% of total Medicare outlays within seven fiscal years. Therefore, the Medicare trustees did not issue funding warnings in those years, and the President was not required to submit related legislative proposals subsequent to the release of the FY2015 through FY2018 budgets. However, in their 2017 report, the Medicare trustees issued a determination of projected excess general revenue funding. Because such a determination must be made in two consecutive years to trigger a funding warning and such a determination was not made in the 2016 report, a funding warning was not issued and no legislative response will be required by the President subsequent to the release of his FY2019 budget (in 2018). \nBased on the projections in the 2017 Medicare Trustees Report, it is possible that a determination of excess general revenue funding will again be made in the 2018 report. Should that occur, a funding warning would be issued and a response would be required by the President and Congress in 2019, subsequent to the submission of the President\u2019s FY2020 budget.\nThe Medicare funding warning focuses attention on the impact of program spending on the federal budget, and it provides one measure of the financial health of the program. However, some options for reducing general revenue spending below the 45% level would have a greater impact than others. Proponents of the trigger maintain that it forces fiscal responsibility, whereas critics of the trigger suggest that other measures of Medicare spending, such as total Medicare spending as a portion of federal spending, would be more useful indicators.", "type": "CRS Report", "typeId": "REPORTS", "active": true, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "http://www.crs.gov/Reports/RS22796", "sha1": "690f5c013b6eec5cd1209eb9e977b5b27a17bbe8", "filename": "files/20180208_RS22796_690f5c013b6eec5cd1209eb9e977b5b27a17bbe8.html", "images": { "/products/Getimages/?directory=RS/html/RS22796_files&id=/1.png": "files/20180208_RS22796_images_4930b79743cf5516ec1ea049a8b964017a84fa11.png", "/products/Getimages/?directory=RS/html/RS22796_files&id=/0.png": "files/20180208_RS22796_images_030973d04be0385dbf6d0c09864a0b5d9a9c921a.png" } }, { "format": "PDF", "encoding": null, "url": "http://www.crs.gov/Reports/pdf/RS22796", "sha1": "c3112711d255f2b904b12e06adb44cd4a5cdc03d", "filename": "files/20180208_RS22796_c3112711d255f2b904b12e06adb44cd4a5cdc03d.pdf", "images": {} } ], "topics": [ { "source": "IBCList", "id": 4912, "name": "Medicare" } ] }, { "source": "University of North Texas Libraries Government Documents Department", "sourceLink": "https://digital.library.unt.edu/ark:/67531/metadc980494/", "id": "RS22796_2017Mar08", "date": "2017-03-13", "retrieved": "2017-06-14T13:15:12", "title": "Senate Judiciary Committee Hearings for Supreme Court Nominations: Historical Overview and Data", "summary": "This report discusses the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA; P.L. 108-173), which requires the Medicare Board of Trustees to provide in its annual reports an expanded analysis of Medicare expenditures and revenues (\u00a7801 of the MMA).", "type": "CRS Report", "typeId": "REPORT", "active": false, "formats": [ { "format": "PDF", "filename": "files/20170313_RS22796_0145b7436a3c73da0f55667f96285619e6ee2640.pdf" }, { "format": "HTML", "filename": "files/20170313_RS22796_0145b7436a3c73da0f55667f96285619e6ee2640.html" } ], "topics": [ { "source": "LIV", "id": "Medicare", "name": "Medicare" }, { "source": "LIV", "id": "Medicare managed care", "name": "Medicare managed care" }, { "source": "LIV", "id": "Medical care", "name": "Medical care" } ] }, { "source": "EveryCRSReport.com", "id": 459429, "date": "2017-03-08", "retrieved": "2017-03-09T17:47:06.905062", "title": "Medicare Trigger", "summary": "The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA; P.L. 108-173) requires the Medicare Board of Trustees to provide in its annual reports an expanded analysis of Medicare expenditures and revenues (\u00a7801 of the MMA). Specifically, if the Medicare trustees determine that general revenue funding for Medicare is expected to exceed 45% of Medicare outlays for the current fiscal year or any of the next six fiscal years, a determination of excess general funding is made. If the determination is issued for two consecutive years, a funding warning is issued, which triggers certain presidential and congressional actions related to the introduction and consideration of legislation designed to respond to the warning (\u00a7\u00a7802-804 of the MMA). \nBecause such a determination was issued in both the 2006 and 2007 Medicare trustees\u2019 reports, the President was required to submit a legislative proposal to Congress within 15 days of submitting his budget in 2008 that would lower the ratio to the 45% level. Similarly, each of the subsequent annual reports of the Boards of Trustees through 2013 has included an estimate that general revenue funding would exceed 45% at some point during the current or six subsequent fiscal years, thus \u201ctriggering\u201d a response from the President and Congress. President George W. Bush submitted such a proposal in 2008, but no such legislative proposals have been submitted since that time. \nIn each of their 2014 through 2016 reports, the Medicare trustees projected that Medicare general revenue funding would not exceed 45% of total Medicare outlays within seven fiscal years. Therefore, the Medicare trustees did not issue funding warnings in those years, and the President was not required to submit a related legislative proposal subsequent to the release of his FY2016 and FY2017 budgets nor will he be required to submit such legislation subsequent to the submission of his FY2018 budget.\nThe Medicare funding warning focuses attention on the impact of program spending on the federal budget, and it provides one measure of the financial health of the program. However, some options for reducing general revenue spending below the 45% level would have a greater impact than others. Proponents of the trigger maintain that it forces fiscal responsibility, whereas critics of the trigger suggest that other measures of Medicare spending, such as total Medicare spending as a portion of federal spending, would be more useful indicators.", "type": "CRS Report", "typeId": "REPORTS", "active": true, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "http://www.crs.gov/Reports/RS22796", "sha1": "5a67bab7d35141cd4b6fd7db779e71bd9304211b", "filename": "files/20170308_RS22796_5a67bab7d35141cd4b6fd7db779e71bd9304211b.html", "images": null }, { "format": "PDF", "encoding": null, "url": "http://www.crs.gov/Reports/pdf/RS22796", "sha1": "0e79dc1871ba62058d6d766e57d7f69f65082529", "filename": "files/20170308_RS22796_0e79dc1871ba62058d6d766e57d7f69f65082529.pdf", "images": null } ], "topics": [ { "source": "IBCList", "id": 4912, "name": "Medicare" } ] }, { "source": "EveryCRSReport.com", "id": 449463, "date": "2016-02-08", "retrieved": "2016-04-06T17:15:00.061858", "title": "Medicare Trigger", "summary": "The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA; P.L. 108-173) requires the Medicare Board of Trustees to provide in its annual reports an expanded analysis of Medicare expenditures and revenues (\u00a7801 of the MMA). Specifically, if the Medicare Trustees determine that general revenue funding for Medicare is expected to exceed 45% of Medicare outlays for the current fiscal year or any of the next six fiscal years, a determination of excess general funding is made. If the determination is issued for two consecutive years, a funding warning is issued, which triggers certain presidential and congressional actions related to the introduction and consideration of legislation designed to respond to the warning (\u00a7\u00a7802-804 of the MMA). \nBecause such a determination was issued in both the 2006 and 2007 Medicare Trustees reports, the President was required to submit a legislative proposal to Congress within 15 days of submitting his budget in 2008 that would lower the ratio to the 45% level. Similarly, each of the subsequent annual reports of the Boards of Trustees through 2013 has included an estimate that general revenue funding would exceed 45% at some point during the current or six subsequent fiscal years, thus \u201ctriggering\u201d a response from the President and Congress. President George W. Bush submitted such a proposal in 2008, but no such legislative proposals have been submitted since that time. \nIn both their 2014 and 2015 reports, the Medicare Trustees projected that Medicare general revenue funding would not exceed 45% of total Medicare outlays within seven fiscal years. Therefore, the Medicare Trustees did not issue funding warnings in those years, and the President was not required to submit a related legislative proposal subsequent to the release of his FY2016 budget and will not be required to submit such legislation subsequent to the submission of his FY2017 budget.\nThe Medicare funding warning focuses attention on the impact of program spending on the federal budget, and it provides one measure of the financial health of the program. However, some options for reducing general revenue spending below the 45% level would have a greater impact than others. Proponents of the trigger maintain that it forces fiscal responsibility, whereas critics of the trigger suggest that other measures of Medicare spending, such as total Medicare spending as a portion of federal spending, would be more useful indicators.", "type": "CRS Report", "typeId": "REPORTS", "active": true, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "http://www.crs.gov/Reports/RS22796", "sha1": "34848001ff61aa4a087bcbe5b3b2b8ad92a62a69", "filename": "files/20160208_RS22796_34848001ff61aa4a087bcbe5b3b2b8ad92a62a69.html", "images": null }, { "format": "PDF", "encoding": null, "url": "http://www.crs.gov/Reports/pdf/RS22796", "sha1": "5c1846a7925bfd1e99fbd812891baa509fd08734", "filename": "files/20160208_RS22796_5c1846a7925bfd1e99fbd812891baa509fd08734.pdf", "images": null } ], "topics": [ { "source": "IBCList", "id": 2177, "name": "Medicare" } ] }, { "source": "University of North Texas Libraries Government Documents Department", "sourceLink": "https://digital.library.unt.edu/ark:/67531/metadc819185/", "id": "RS22796_2015Jan30", "date": "2015-01-30", "retrieved": "2016-03-19T13:57:26", "title": "Medicare Trigger", "summary": null, "type": "CRS Report", "typeId": "REPORT", "active": false, "formats": [ { "format": "PDF", "filename": "files/20150130_RS22796_995ea5d31430639fba669c2c1ed9fc1de381c269.pdf" }, { "format": "HTML", "filename": "files/20150130_RS22796_995ea5d31430639fba669c2c1ed9fc1de381c269.html" } ], "topics": [] }, { "source": "University of North Texas Libraries Government Documents Department", "sourceLink": "https://digital.library.unt.edu/ark:/67531/metadc821726/", "id": "RS22796_2012Apr09", "date": "2012-04-09", "retrieved": "2016-03-19T13:57:26", "title": "Medicare Trigger", "summary": null, "type": "CRS Report", "typeId": "REPORT", "active": false, "formats": [ { "format": "PDF", "filename": "files/20120409_RS22796_3c5bddcfc38b205159eb038c3489c45a669091f9.pdf" }, { "format": "HTML", "filename": "files/20120409_RS22796_3c5bddcfc38b205159eb038c3489c45a669091f9.html" } ], "topics": [] }, { "source": "University of North Texas Libraries Government Documents Department", "sourceLink": "https://digital.library.unt.edu/ark:/67531/metadc806345/", "id": "RS22796_2009Jan15", "date": "2009-01-15", "retrieved": "2016-03-19T13:57:26", "title": "Medicare Trigger", "summary": null, "type": "CRS Report", "typeId": "REPORT", "active": false, "formats": [ { "format": "PDF", "filename": "files/20090115_RS22796_5b9c3def762062fe022ef89862d89409e911ccad.pdf" }, { "format": "HTML", "filename": "files/20090115_RS22796_5b9c3def762062fe022ef89862d89409e911ccad.html" } ], "topics": [] } ], "topics": [ "Energy Policy", "Health Policy", "Legislative Process" ] }