Difference between revisions of "U.S. Department of Health and Human Services"
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Revision as of 23:09, 30 April 2014
|Department of Health and Human Services|
|Deputy Secretary:||Bill Corr|
|Annual budget:||$907.7 billion (2013)|
|Total employed:||60,303 (2011)|
- 1 History
- 2 Structure
- 3 Obama administration
- 4 Analysis
- 5 Recent news
- 6 See also
- 7 External links
- 8 References
The Department employs 60,303 employees. The operating budget for fiscal year 2013 was $907.7 billion. 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).
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:
- 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
The Department of Health and Human Services website states the mission:
|“||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.||”|
|Secretaries of Health and Human Services Full History|
|Secretary of Health and Human Services||Years in office||Nominated by||Confirmation vote|
|Patricia R. Harris||1979-1981||Jimmy Carter||N/A|
|Richard Schweiker||1981-1983||Ronald Reagan||99-0|
|Margaret Heckler||1983-1985||Ronald Reagan||82-3|
|Otis R. Bowen||1985-1989||Ronald Reagan||93-2|
|Louis W. Sullivan||1989-1993||George H.W. Bush||98-1|
|Donna Shalala||1993-2001||Bill Clinton||N/A|
|Tommy Thompson||2001-2005||George W. Bush||100-0|
|Mike Leavitt||2005-2009||George W. Bush||N/A|
|Kathleen Sebelius||2009-2014||Barack Obama||65-31|
|Sylvia Mathews Burwell||2014-Present||Barack Obama||78-17|
Note: Votes marked "N/A" represent voice votes or unrecorded votes.
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.
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.
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. The ten essential benefits outlined by the ACA are:
- Ambulatory patient services
- Emergency services
- 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."
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." 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.
|U.S. Department of Health and Human Services Annual Budget|
|Year||Budget (in billions)||% Difference from previous year|
- Note: 2014 only represents the Department's budget request, not an enacted budget.
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.
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.
- Kathleen Sebelius
- Sylvia Mathews Burwell
- Obamacare overview
- Healthcare.gov website rollout
- Health insurance policy cancellations since Obamacare
- Official Department of Health and Human Services website
- Department of Health and Human Services blog
- Official Facebook page
- Official Twitter page
- Official Youtube channel
- Official Flickr account
- Department of Health and Human Services, "Historical Highlights," accessed December 9, 2013
- HHS.gov, "About," accessed November 18, 2013
- New York Times, "Health Secretary Resigns After Woes of HealthCare.gov," April 10, 2014
- Best Places to Work in the Federal Government, "Health and Human Services Department," accessed December 10, 2013
- HHS.gov, "FY 2012 budget in brief," accessed November 18, 2013
- Note: This text is quoted verbatim from the original source. Any inconsistencies are attributed to the original source.
- New York Times, "Obama Signs Health Care Overhaul Bill, With a Flourish," March 23, 2010
- Kaiser Family Foundation, "Summary of the Affordable Care Act," March 12, 2014
- Washington Post, "This is why Obamacare is canceling some people's insurance plans," October 29, 2013
- National Association of Insurance Commissioners, "Patient Protection and Affordable Care Act of 2009: Health Insurance Exchanges," April 20, 2010
- ABC News, "Kathleen Sebelius launches ObamaCare effort with Rite Aid in New Jersey," September 9, 2013
- Politico, "Kathleen Sebelius at center of storm over child's lung transplant," June 4, 2013
- Fox News, "Dying girl intubated as she awaits lung transplant," June 10, 2013
- U.S. Department of Health and Human Services, "Budget and Performance," accessed January 31, 2014