PHP 0310 Lecture Notes - Lecture 31: Employee Retirement Income Security Act, Massachusetts Health Care Reform, United States Constitution
6 May 2017
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Federalism: 1781 articles of confederation established out of concern for overly strong government, gave federal government little authority. Shay"s rebellion proved that federal authority was needed: 1787 constitution strengthened federal authority, retained state sovereignty. Federalism established: federalism reconciles two conflicting forces: central authority and state autonomy, defines constitutional relationship between federal and state governments. Federal and state partnership: medicaid waivers, hippa 1996. Schip 1997: *federal involvement has been increasing in the past few decades. Federal vs. state powers: federal powers, regulation of commerce between states: insurance and pharmaceuticals, provide funding for general welfare. Licensure: facilities (hospitals, nursing homes, clinics), professionals, scope of practice, discipline: accreditation of healthcare organizations: joint commission on the. Support for medical education, state medical schools, other professional development: provide and finance health services. State worker or retiree health insurance: manage medicaid, public hospitals, clinics, uncompensated care, mental health, veterans" care, disabilities, regulatory bodies of health regulation in ri. Implications of federalism in health regulation: state-level regulations.
