Difference between revisions of "U.S. Department of Health and Human Services"

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====Organizational chart====
 
====Organizational chart====
 
[[File:HHS org chart.jpg|750px]]
 
[[File:HHS org chart.jpg|750px]]
 +
 +
==Obama administration==
 +
===Issues===
 +
====Affordable Care Act====
 +
::''See also: [[Obamacare overview]]''
 +
The Patient Protection and Affordable Care Act, commonly known as Obamacare, was passed in its finality on March 21, 2010, and signed into law by President Obama on March 23, 2010.<ref name="nytbecomeslaw">[http://www.nytimes.com/2010/03/24/health/policy/24health.html?_r=0 ''New York Times'', "Obama Signs Health Care Overhaul Bill, With a Flourish," March 23, 2010]</ref>
 +
 +
The aim of the law was to provide an expansion of health insurance coverage to more Americans through both individual health insurance marketplaces as well as through employer-provided plans. Minimum requirements of coverage were established and both individual and employer mandates were established over a period of years in order to achieve the goal of expanded coverage. Subsidies and tax credits are provided to individual consumers based on income level and dependents, and existing programs such as medicaid and CHIP were expanded to increase reach. Small businesses receive tax credits based on the level of insurance offered to employees, as well.<ref>[http://kaiserfamilyfoundation.files.wordpress.com/2011/04/8061-021.pdf ''Kaiser Family Foundation'', "Summary of the Affordable Care Act," March 12, 2014]</ref>
 +
=====Ten essential benefits for coverage=====
 +
The law included ten essential benefits that plans created after the law's passage needed to include.  Existing plans were grandfathered in, but few of the grandfathered plans remain due to frequent changes to health insurance policies.<ref name="wapowhycancelled">[http://www.washingtonpost.com/blogs/wonkblog/wp/2013/10/29/this-is-why-obamacare-is-cancelling-some-peoples-insurance-plans/ ''Washington Post'', "This is why Obamacare is canceling some people's insurance plans," October 29, 2013]</ref> The ten essential benefits outlined by the ACA are:<ref>[http://www.naic.org/documents/committees_b_Exchanges.pdf ''National Association of Insurance Commissioners'', "Patient Protection and Affordable Care Act of 2009: Health Insurance Exchanges," April 20, 2010]</ref>
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*Ambulatory patient services
 +
*Emergency services
 +
*Hospitalization
 +
*Maternity and newborn care
 +
*Mental health and substance abuse disorder services, including behavioral health treatment
 +
*Prescription drugs
 +
*Rehabilitative and habilitative services and devices
 +
*Laboratory services
 +
*Preventive and wellness services and chronic disease management
 +
*Pediatric services, including oral and vision care
 +
 +
=====Rite Aid partnership=====
 +
On September 9, 2013, Sebelius announced a partnership with Rite Aid to promote the Affordable Care Act throughout the country.  The company promised to place insurance agents at 2,000 of the chain's 4,600 locations nationwide.  Agents are not to be affiliated with the insurers offering new exchanges, but they do receive commission on each policy taken out.  Rite Aid also receives a commission per policy.  Sebelius commented on the agreement, stating, "We weren't ever going to make this program work from Washington. This has to be an on-the-ground effort. Americans trust their pharmacists. Often the pharmacist is the on-the-ground health provider people see the most and know the best, so having this critical role in a pharmacy makes wonderful sense."
 +
 +
[[Steve Lonegan]], a [[New Jersey]] candidate for [[United States Senate|U.S. Senate]], spoke out against the agreement, stating, "If Rite Aid and the other big companies are so enthusiastic and think this is such a great plan, let it stand on its own two feet."<ref>[http://abclocal.go.com/wabc/story?section=news/local/new_jersey&id=9241345 ''ABC News'', "Kathleen Sebelius launches ObamaCare effort with Rite Aid in New Jersey," September 9, 2013]</ref>
 +
 +
====Organ transplant lists====
 +
In late May 2013, Secretary of Health and Human Services [[Kathleen Sebelius]] was involved in debate over transplant lines for adult lungs. Policy requires that children under 12 in need of a lung transplant be placed at the bottom of the waiting list for adult lungs, while being placed at the top of the transplant list of childrens' lungs, though they are more rare.  Ten year-old Sarah Murnaghan of [[Pennsylvania]] was in need of a lung transplant due to cystic fibrosis. She had been on the pediatric lung transplant list for 18 months. Sebelius ordered a review of the policy, but stated she "can't imagine anything worse than one individual getting to pick who lives and who dies."<ref>[http://www.politico.com/story/2013/06/kathleen-sebelius-childs-lung-transplant-92237.html ''Politico'', "Kathleen Sebelius at center of storm over child's lung transplant," June 4, 2013]</ref>  On June 5, 2013, a federal judge ordered Sebelius to allow Murnaghan to be added to the adult lung transplant list, giving her a higher probability of receiving a transplant, after hearing oral arguments in a lawsuit filed by Murnaghan's parents. A change to the policy would allow about 20 children annually to be added to the adult waiting list consisting of 1,600 patients. Dr. Arthur Caplan of the New York University Langone Medical Center explained that the reasoning behind the policy is that children generally fair worse than adults after the procedure. Caplan worried that the precedent set by the court ruling could result in politicizing medical judgements.<ref>[http://www.foxnews.com/health/2013/06/10/parents-file-lawsuit-in-girl-lung-transplant-case/ ''Fox News'', "Dying girl intubated as she awaits lung transplant," June 10, 2013]</ref>
  
 
==Analysis==
 
==Analysis==

Revision as of 23:09, 30 April 2014

Department of Health and Human Services
US-DeptOfHHS-Logo.svg
Secretary:Vacant
Deputy Secretary:Bill Corr
Annual budget:$907.7 billion (2013)
Total employed:60,303 (2011)
Year created:1979
Official website:http://www.hhs.gov/

FederalAffairsLogo-01.png

Executive Departments of the United States

Executive Departments
Department of DefenseDepartment of StateDepartment of Homeland SecurityDepartment of JusticeDepartment of CommerceDepartment of EducationDepartment of the TreasuryDepartment of AgricultureDepartment of EnergyDepartment of LaborDepartment of TransportationDepartment of the InteriorDepartment of Health and Human ServicesDepartment of Veterans AffairsDepartment of Housing and Urban Development

Department Secretaries
Ashton CarterJohn KerryJeh JohnsonEric HolderPenny PritzkerArne DuncanJack LewTom VilsackErnest MonizTom PerezAnthony FoxxSally JewellSylvia Mathews BurwellRobert McDonaldJulian Castro
The Department of Health and Human Services is a United States executive department established in 1979. The Department was formed for "protecting the health of all Americans and providing essential human services, especially for those who are least able to help themselves."[1][2] The Department secretary, Kathleen Sebelius, resigned from her post on April 10, 2014, following the troubled rollout of Healthcare.gov. President Barack Obama nominated Sylvia Mathews Burwell to replace Sebelius.[3]

The Department employs 60,303 employees.[4] The operating budget for fiscal year 2013 was $907.7 billion.[5] The Department oversees agencies including, the Centers for Medicare and Medicaid Services (CMS), the Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention (CDC).

History

The Department was formed as the cabinet-level Department of Health, Education and Welfare (HEW) in 1953 under President Eisenhower. In 1979 the Department of Education split from HEW, and the Department of Health and Human Services was formed. Below is a list of events throughout the Department's history:[1]

  • 1953: Salk polio vaccine licensed
  • 1964: First Surgeon General's report on smoking and health
  • 1965: Medicare and Medicaid programs created
  • 1979: Department of Health and Human Services and Department of Education split from (HEW)
  • 1984: National Organ Transplantation Act became law
  • 1990: Human Genome Project established
  • 1996: Health Insurance Portability and Accountability Act (HIPAA) became law
  • 1997: State Children's Health Insurance Program (SCHIP) created
  • 1999: Anti-bioterrorism initiative launched
  • 2003: Medicare Prescription Drug Improvement and Modernization Act enacted
  • 2010: Affordable Care Act (ACA) became law

Structure

Mission

The Department of Health and Human Services website states the mission:[2]

The mission of the Department of Health and Human Services is to help provide the building blocks that Americans need to live healthy, successful lives.[6]

Leadership

Sylvia Mathews Burwell was nominated to become the Secretary of Health and Human Services following the resignation of Kathleen Sebelius.[3]

Note: Votes marked "N/A" represent voice votes or unrecorded votes.


Organizational chart

HHS org chart.jpg

Obama administration

Issues

Affordable Care Act

See also: Obamacare overview

The Patient Protection and Affordable Care Act, commonly known as Obamacare, was passed in its finality on March 21, 2010, and signed into law by President Obama on March 23, 2010.[7]

The aim of the law was to provide an expansion of health insurance coverage to more Americans through both individual health insurance marketplaces as well as through employer-provided plans. Minimum requirements of coverage were established and both individual and employer mandates were established over a period of years in order to achieve the goal of expanded coverage. Subsidies and tax credits are provided to individual consumers based on income level and dependents, and existing programs such as medicaid and CHIP were expanded to increase reach. Small businesses receive tax credits based on the level of insurance offered to employees, as well.[8]

Ten essential benefits for coverage

The law included ten essential benefits that plans created after the law's passage needed to include. Existing plans were grandfathered in, but few of the grandfathered plans remain due to frequent changes to health insurance policies.[9] The ten essential benefits outlined by the ACA are:[10]

  • Ambulatory patient services
  • Emergency services
  • Hospitalization
  • Maternity and newborn care
  • Mental health and substance abuse disorder services, including behavioral health treatment
  • Prescription drugs
  • Rehabilitative and habilitative services and devices
  • Laboratory services
  • Preventive and wellness services and chronic disease management
  • Pediatric services, including oral and vision care
Rite Aid partnership

On September 9, 2013, Sebelius announced a partnership with Rite Aid to promote the Affordable Care Act throughout the country. The company promised to place insurance agents at 2,000 of the chain's 4,600 locations nationwide. Agents are not to be affiliated with the insurers offering new exchanges, but they do receive commission on each policy taken out. Rite Aid also receives a commission per policy. Sebelius commented on the agreement, stating, "We weren't ever going to make this program work from Washington. This has to be an on-the-ground effort. Americans trust their pharmacists. Often the pharmacist is the on-the-ground health provider people see the most and know the best, so having this critical role in a pharmacy makes wonderful sense."

Steve Lonegan, a New Jersey candidate for U.S. Senate, spoke out against the agreement, stating, "If Rite Aid and the other big companies are so enthusiastic and think this is such a great plan, let it stand on its own two feet."[11]

Organ transplant lists

In late May 2013, Secretary of Health and Human Services Kathleen Sebelius was involved in debate over transplant lines for adult lungs. Policy requires that children under 12 in need of a lung transplant be placed at the bottom of the waiting list for adult lungs, while being placed at the top of the transplant list of childrens' lungs, though they are more rare. Ten year-old Sarah Murnaghan of Pennsylvania was in need of a lung transplant due to cystic fibrosis. She had been on the pediatric lung transplant list for 18 months. Sebelius ordered a review of the policy, but stated she "can't imagine anything worse than one individual getting to pick who lives and who dies."[12] On June 5, 2013, a federal judge ordered Sebelius to allow Murnaghan to be added to the adult lung transplant list, giving her a higher probability of receiving a transplant, after hearing oral arguments in a lawsuit filed by Murnaghan's parents. A change to the policy would allow about 20 children annually to be added to the adult waiting list consisting of 1,600 patients. Dr. Arthur Caplan of the New York University Langone Medical Center explained that the reasoning behind the policy is that children generally fair worse than adults after the procedure. Caplan worried that the precedent set by the court ruling could result in politicizing medical judgements.[13]

Analysis

Budget

Obama administration

U.S. Department of Health and Human Services[14] Annual Budget
YearBudget (in billions)% Difference from previous year
2014$967.36.55%
2013$907.87.03%
2012$848.2-4.84%
2011$891.34.34%
2010$854.27.55%
2009$794.2N/A
  • Note: 2014 only represents the Department's budget request, not an enacted budget.

Employment

The Best Places to work in the Federal Government is a website that tracks workforce trends in federal agencies. According to their analysis, from 2005-2011, the Department of Health and Human Services has added an average of 1,326 jobs per year.[4]

Recent news

This section displays the most recent stories in a Google news search for the term U.S. + Department + Health + Human + Services

All stories may not be relevant to this page due to the nature of the search engine.

U.S. Department of Health and Human Services News Feed

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See also

External links

References