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CRS85894Apage01
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CRS85894Apage01
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FAMILY nRESPONSIBILIIY LAWS Government .Pu~blicati«onsi Unfl i JUL 22 :994 Washmgton University Libraries St. ‘Louis. M0”63130 M. Maureen Murphy Legislative Attorney American Law Division July 22, 1985
CRS85894Apage14
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CRS85894Apage14
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cas—12 Kentucky (1) A person is guilty of nonsupport when he persistently fails to pro~ vide support which he can reasonably provide and which he knows he has a duty to provide to a minor or child adjudged mentally disabled, indigent spouse or indigent parent. i 0 o , p(2) A person is.gu11ty of flagrant nonsupport when he persistently fails pto provide support which he can reasonably provide
CRS85894Apage17
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CRS85894Apage17
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, or imprisonment not exceeding two years, or both, in the discretion of the- court. a i a If there be more than one person bound under the provisions of the next preceding paragraph to support the same parent or parents, they shall share equitably in the discharge of such duty. , at t s .s . p g f t N.C. Gen. Stat. § 14-326.1. North Dakota rlt is the duty of the father, the mother, and the children of any poor
CRS85894Apage18
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CRS85894Apage18
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with said order, the court may adjudge said person in contempt of court and, in its discres tion, may commit said person to the county jail for a period not exceeding six months. we p T Pa. Stat. Ann. tit. 62 § 1973 (Purdon). Rhode Island For the purpose of this.chapter. the parents in this state are hereby declared to be severally liable for the support of a child eighteen (18) years of age or older
CRS85894Apage20
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CRS85894Apage20
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CRS-18 ,have the power to determine and order the payment, by such person or persons so bound to support, of that amount for support which to the court may seem just. Where the court ascertains that any person has failed to render his or her proper share in such support and maintenance it may, upon the complaint of any party or on its own motion, compel contribution by that person to anyo gperson
CRS85894Apage08
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CRS85894Apage08
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or health" (N.H. Rev. Stat. Ann. § S46-A:2); New Jersey, "if of sufficient ability" (N.J. Laws § 44:1-140); North Carolina, I "having sufficient income after reasonably providing for his or her own immediate family” (N.C. Gen. Stat. § 14-326.1); Pennsylvania, "if of sufficient ability“ (Pa. Stat. Ann. tit. 62 § 1973 (Purdon)); R.I., "able to provide such support" l
CRS85894Apage19
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CRS85894Apage19
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sCRS-17 For the purpose of this chapter, any child over the age of twenty-one (21) years who has been reasonably supported by his or her parent or parents during his or her minority shall be severally liable for the support of his h or her parent or parents, when the parent or parents is or are incapable of iself support and liable to become a public charge and the child is able to provide
CRS87258EPWpage38
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CRS87258EPWpage38
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panel (which included representatives from the AmericanMedical Association and physician specialty organizations)to assist inidentifyingthose elective procedures which could be subject to pre-procedure review. HHS has identified 13 procedures; 10 of these procedures were recommendedi by the physician panel. COBRA required the second surgical opinion program to be implemented by January 1, l987. HCFA
CRS87258EPWpage29
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CRS87258EPWpage29
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CRS‘23 E. Evaluation of PRO Performance PROs are evaluated by the HCFA regional offices, the HCFA central office, and an independent contractor (known as the "SuperP§0"). The Office of Inspector General has performed audits and inspections of various aspects of the PRO program. HCFA regional offices are responsible for onsite monitoring of all aspects of PRO performance. The HCFA
CRS87258EPWpage24
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CRS87258EPWpage24
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1985 regulations. As of September 30, 1986, PROs had identified 3,812 cases in which they had detected a pattern of questionable care or a single gross and flagrant episode. First notices were sent to 1,024 providers or. practitioners informing them of the possibility of sanctions. In some instances, corrective action was taken. Follow-up notices were sent to 126. As of January 31, 1987, PROs have
CRS87258EPWpage65
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CRS87258EPWpage65
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with the following technical evaluation criteria. . 1. Objectives and Data Activities 650 points a. Specific objectives bi. Other review activities and requirements O c. Data collection and analysis 2. Experience 200 20intS a. and quality b. Private review Source: Health Care Financing Administration, Office of Medical
CRS87258EPWpage71
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CRS87258EPWpage71
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CRS-65 ,4mn. um_U««_zaU xw_« U««U.aUz U<_a~ U az:om UUU=«\U:U« UU._«Um U_«_w oz: .;«> U. U: «mo: aU_z_ m>:« az«U_«o« ««_ oz: . «U U. >:z - «UmU«« az«U»«o« Uanouo oz: . «U U. mzo~_«o: U«aUUm az«UU«o« ««_ c:= «U U. «c«>Uz «U «: ezwz ««_ oz: >2 m «a«>Uz Uo >2 m«UU> m«U «some oz: >2 m U««U.«Uz« ozU« «a. U2: >2 m ._«:«: z<UA :_U«U: :U=Uczo: <¢. oz: _: ¢ zc
CRS87258EPWpage13
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CRS87258EPWpage13
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CRS-7 Section 9351 established the following procedures regarding PRO review of hospital denial notices: --If the hospital determines and the attending physician agrees that continued stay is no longer necessary, the hospital may provide the patient with a coverage denial notice. *-If the attending physician does not agree with the hospital's_ determination, the hospital may request the PRO to review the validity of its determination. --If a patient receives a coverage denial notice and requests a PRO review, the PRO must review the determination and provide notice to the patient, hospital, and attending physician, regardless of the patient's financial liability for continued stay. ~~If a patient requests a PRO review of the hospital's determinations no later than noon of the first working day after receipt of the hospital denial notice, the hospital must provide the PRC with the records required to review the determination by the close of that business day, and the PRO must provide notice of its review no later than one full working day after it has received the request and the records. r .--If a patient has made a timely request and did not know or could not reasonably be expected to know that continued stay was unneces- ést sary, the hospital may not charge the patient for hospital services before noon of the day after receipt of the PRO's decision. --PROs must solicit the views of the patient in conducting its re- section 9352 required fiscal intermediaries to provide to PROs each month the data necessary to enable the PROs to initiate a timely review process. If the fiscal intermediary cannot furnish the data on a timely basis, the Secretary may require the hospitals to do so. PROS are required to perform early readmission reviews to determine if the previous inpatient hospital services and post-hospital services meet profesr sionally recognized standards of health care. The reviews may be done on a sample basis if the PRO and the Secretary determine it to be appropriate. An early readmission case is defined asta readmission occurring within 31 days of \ discharge. Review of services provided by physicians in an office setting is
CRS87258EPWpage49
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CRS87258EPWpage49
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-926-6353 CONTRACT# 500-87-0626 PRO CONTACTS:CHIEP ExEC.OPP, LEO STANLEY BEGIN CONTRACT 12/Ol/86 SEND CONTRACT ll/30/88 RO PROJECT OPPICER: ANOELA HARRIS 214-767-6301 MAINE PRO: HEALTH CARE REvIEw,INC. 51 BROADWAY BANCOR ME 04401 PHONE 2O7-945-Ozaa .CONTRACT# P5U0—87+0625 PRO CONTACTS:EXEC.VICE PRES. EONARO J.LYNCH PRES. FREDERICK CRISAFULLI,M.D. OEOIN CONTRACT ll/D1/86 ENO CONTRACT 10/31/88 RO PROJECT OFFICER
CRS87258EPWpage09
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CRS87258EPWpage09
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and discharges; and (4) the appropriateness of care paid for on tan "outlier" basis (outlier payments are made for cases which are extremely expensive or which have extremely long lengths of stay). Hospitals were required to enter into such agreements by October 1, 1984 (later changed to November 15, 1984 by P.L. 98-369) as a condition for receiving Medicare payments. If a contract between
CRS87258EPWpage03
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CRS87258EPWpage03
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Governme . ~ UT Pub” . V Unit C*3T!( )n3 AUG 7 6 1994 may; %. mm" U””’9'SIty Librar t. Louis; Mo 63130 ies ABSTRACT This paper presents the legislative history of Medicare's Utilization and % Quality Cohtrol Peet Review 0rg&nization (PRO) prggram, a summary of major programi 'features_and the issues which surround them, and finally an overview of other relevant i. S.SU€S o
CRS87197EPWpage11
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CRS87197EPWpage11
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is a viable option in the context of changing economic, regulatory and demographic environment. 3/ A defined benefit plan provides a specified benefit such as 1 percent of average salary for each year oftservice. A defined contribution plan is one in which an employer contributes a specified amount to each individualis account. The worker receives the accumulated amounts together with any earn- ings upon
CRS87197EPWpage07
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CRS87197EPWpage07
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K MINIMUM UNIVERSAL PENSION SYSTEM (MUPS) INTRODUCTION In 1981, President Carter's Commission on Pension Policy recommended the . establishment of a minimum universal pension system (MUPS). lj This was a policy response to low and stagnated pension coverage. .The Commission consid- . ered this to be the most serious problem facing our retirement system. .More recent data show that retirement
CRS87197EPWpage14
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CRS87197EPWpage14
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CRS~8 for an employee because of age. The effect on employment patterns after age 65 cannot be predicted. Nonetheless, there remains a cost to delay retirement in defined benefit plans. Because of significant projected increases in life enpectancies, policies that encourage workers to delay retirement might be pursued. Workers would not suffer any loss by delaying retirement in a defined contribution arrangement. Thus, a defined contribution plan may encourage people to work longer while at the same time permitting workers to shift employment among industries or loca- tions in order to take high wage, high productivity jobs.
CRS87197EPWpage01
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CRS87197EPWpage01
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vs LL. I ./I/J-‘ Kpn-776/~/97 Er’!/U m ’ s7-197 EPW Congressiibnal Research Service The Library of Congress Gm, nment P br -% _ “Wu rcatzons AUG 16 1994 Washington, D.C. 20540 Wash: » . “gran Unwersny L,b,an-es St. Louis, MO 63130 '_/ MINIMUM UNIVERSAL PENSION SYSTEM (MUPS) Ray Schmitt % Specialist in Social Legislation Education and Public Welfare Division March 6, 1987 S

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