HSEM 255 Lecture Notes - Lecture 3: Patient Protection And Affordable Care Act, Full-Time Equivalent

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-two categories: mandatory and discretionary
Mandatory spending
entitlement programs like medicare, medicaid, social security, and interest on debt
-consumes the majority of total outlays
Discretionary Spending
-most public health programs
-spending is est. by congress each year through bills
-minimal amount available
Federal Budget Process
an annual process
1. the President's Budget Request
2.Congressional Budget Resolution
3.The Appropriations Process
Policy Making Process
-Legislative Branch (congress) est national health priorities by creating authorizing and funding health
programs
-Juditial Branch (courts) interprets health policy
-Executive branch (president and federal agencies) implement programs and regulates and enforces
laws
Goals of the National Health Policy
three primary interrelated goals of the national health policy are to achieve a balance between:
1. Access to care
2.Cost of care
3. Quality of health care
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Document Summary

Mandatory spending entitlement programs like medicare, medicaid, social security, and interest on debt. Spending is est. by congress each year through bills. Federal budget process an annual process: the president"s budget request. Legislative branch (congress) est national health priorities by creating authorizing and funding health programs. Executive branch (president and federal agencies) implement programs and regulates and enforces laws. Goals of the national health policy three primary interrelated goals of the national health policy are to achieve a balance between: access to care. 2. cost of care: quality of health care. Implement health programs est and funded by the federal gov. Enact their own legislation to shape public health activities at the state level. Police powers states have these powers that they use to enforce compliance with public health standards like infectious diseases, immunizations, tobacco control, env protection, Powers based on the gov obligation to protect the health and safety of its citizens.

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