Associate Level Material
Appendix A: U.S Health Care Timeline

Use the following timeline or create a timeline of your own with eight major events, including the four provided below, from the last 50 years. You may change the dates in the box to match the dates of your events. Include the following in your timeline: Medicare and Medicaid
HIPPA of 1996
State Children’s Health Insurance Program (SCHIP)
Prospective Payment System (PPS)

1935 | Medicare was signed in 1935; however it did not pass into law until 1965. (ssa.gov, 2012). Medicare was first used for retirement payments only. In later years disability was added to the program.Medicaid was adopted around the same time as Medicare. It was initially meant for the elderly for hospital coverage. In 1965 they added other programs for the Medicaid such as low income families to help receive health coverage. | 1982 | Prospective Payment System (PPS) was created to help control the cost/payments. Medicare would send payments to the hospitals. With the PPS admissions and doctor’s visits were put into categories. (Phillips, 2001). | 1985 | Consolidated Omnibus Budget Reconciliation Act (COBRA), was introduced in order for employers who had insurance coverage to have the option to continue the coverage if they had a job loss. (Paschall, 2010). | 1996 | HIPPA of 1996 was passed in 1996. The reason for HIPPA is to protect people about their health information. Under the HIPPA law no one is permitted to give out information about a person’s health for any reason without the patient’s permission. The HIPPA law has been really enforced since most data is transmitted through electronic devices. (Anderson & Reiber, 2010) | 1997 | In 1997, State Children’s Health Insurance Program (SCHIP) was signed into law. It did not become fully funded until 2002. (“A profile of Medicaid,” 2000). The SCHIP is for children that do not qualify for Medicaid but they cannot afford other health insurance. | 1997 | Balanced Budget Act of 1997 was signed by President Clinton to help manage the deficit budget. The Act also helped create The Children’s Health Insurance Program. | 2006 | Medicare Part D was provided to help getting prescription drugs. (Lau, D. T., Briesacher, B., Touchette, D. R., Stubbings, J., & Ng, J. H. 2011). | 2010 | The Patient Protection and Affordable Care Act passed in March of 2010. This Act will enforce all employers to offer health coverage to employees, eliminates any discrimination for pre-existing health issues, and allows children to be covered on parents insurance until age 26. |

References
Anderson, W. L., & Reiner, D. (2010). Feature Edition. The HPPA Example of How Privacy Laws Should Work., 2010(4), 60-64.
Lau, D. T., Briesacher, B., Touchette, D. R., Stubbings, J., & Ng, J. H. (2011). Medicare Part D and Quality of Prescription Medication Use in Older Adults. Drugs and Aging, 28(10), 797-807.
Paschall, S. (2010). Security of Expectations and Freedom of Choice in the Health Insurance Market. Journal of Economic Issues, 44(2), 487-95.
Phillips, S. (2001). Medicare Hospital Prospective Payment System How DRG Rates Are. Centers for Medicare and Medicaid Services. Retrieved from http://socialsecurity.gov
Schaefer, R. T. (2012). Racial and ethnic groups (13th ed.). Upper Saddle River, NJ: Pearson Prentice Hall.
U.S. Department of Health and Human Services, Health Care Financing Administration. (2000). A Profile of Medicaid. Retrieved from http://www.ncsl.org/issues-research/health/childrens-health-insurance-program-overview.aspx