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Executive Authority to Reform Health: Options and Limitations

机译:改革卫生行政权:选择和局限性

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摘要

Presidential power has provoked increasingly vigorous debate since the turn of this century. In recent years, scholars and lawyers have been grappling with how Congress\u27s dictates may limit the President\u27s Commander-in-Chief power to detain enemy combatants at Guantanamo Bay, to fight wars abroad, and to conduct intelligence activities at home. But policymakers have not yet explored the many possibilities for invoking the President\u27s \u22Take Care\u22 power to change health care policy.This paper explores the scope and limits of President Barack Obama\u27s ability to invoke his executive authority to reform health care. Specifically, it identifies ways the Obama Administration can use directives to: (1) expand Medicaid and SCHIP coverage through section 1115 waivers; (2) test quality initiatives through Medicare demonstration authority; (3) expand health information technology; (4) allow drug reimportation and experiment with contracting power under Medicare; (5) enhance patient protections and private coverage requirements; (6) lift coverage restrictions on Medicaid and SCHIP; and (7) build on the health insurance program for federal employees.Consistent with the mission of the Legal Solutions in Health Reform project, this paper does not endorse a particular policy. Instead of recommending \u22what,\u22 it explains \u22how.\u22
机译:自本世纪初以来,总统权力引起了越来越激烈的辩论。近年来,学者和律师一直在争论国会的命令如何限制总统的总司令权力,以将敌方战斗人员拘留在关塔那摩湾,在国外打仗以及在国内进行情报活动。但是政策制定者尚未探讨调用总统改变医疗政策的多种可能性。本文探讨了巴拉克·奥巴马总统援引其行政权力改革医疗保健能力的范围和局限性。 。具体而言,它确定了奥巴马政府可以使用指令的方式:(1)通过1115条豁免扩大医疗补助和SCHIP的覆盖范围; (2)通过医疗保险示范机构测试质量计划; (3)扩大健康信息技术; (4)允许重新进口药物并在Medicare下尝试具有签约权; (5)加强患者保护和私人承保要求; (6)取消对医疗补助和SCHIP的覆盖范围限制; (7)建立在联邦雇员健康保险计划的基础上。与“健康改革法律解决方案”项目的使命相一致,本文不认可特定政策。 \ u22并没有建议\ u22做什么,而是解释了\ u22how。

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    Chugh, Madhu;

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  • 年度 2009
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