PHPB7160 - Health Care Timeline

PH7160 - Health Care Timeline

This health care timeline is designed to help you put our health care system in both a historical and a political context. We will refer to it in class and I encourage you to look back at it as we continue to explore the U.S. health care system in subsequent sessions. ;xNLx;;xNLx;There are two categories in this timeline - (1) Health Care Reform (Red) and (2) Private Insurance (Blue). You may explore the timeline as 2d or 3d by clicking on the tab located on the left bottom corner. ;xNLx;;xNLx;This timeline was created for the Georgia State University School of Public Health PH7160 - Fundamentals of Health Systems, Leadership, and Policy course.

1850-01-01 11:26:38

First accident insurance

The Franklin Health Assurance Company of Massachusetts begins providing accident insurance.

1929-01-01 11:26:38

Baylor Plan

Led by Justin Ford Kimball, Baylor Hospital introduces a pre-paid hospital insurance plan for a group of school teachers, which is considered the forerunner of future nonprofit Blue Cross plans.

1930-01-01 11:26:38

Life insurance companies begin offering health insurance

1935-06-01 03:14:30

Social Security Act

The Social Security Act included grants for Maternal and Child Health and extended the role of the Children’s Bureau to include not only maternal and child health services, but other child welfare services.

1940-06-01 11:41:50

Employee benefit plans grow

Proliferation of employee benefit plans and expansion of those including health insurance coverage.

1944-01-01 03:54:43

Economic Bill of Rights

President Franklin D. Roosevelt outlines 'economic bill of rights' including right to adequate medical care and the opportunity to achieve and enjoy good health in his State of the Union address.

1946-01-01 03:54:43

Hill-Burton Act

The Hill Burton Act (Hospital Survey and Construction Act) funded the construction of new hospitals across the country. It also prohibited discrimination on the basis of race, religion, or national origin in the provision of hospital services, but allowed for "separate but equal" facilities. The statute also required hospitals to provide a "reasonable volume" of charitable care.

1962-01-01 03:54:43

President John F Kennedy Healthcare Speech

(televised from Madison Square Garden)

1965-01-01 11:41:50

Medicare and Medicaid

The Medicare and Medicaid programs were signed into law by President Lyndon Johnson, incorporated as Titles XVIII & XIX of the Social Security Act.

1986-01-01 03:54:43

Emergency Medical Treatment and Active Labor Act (EMTALA)

The Emergency Medical Treatment and Labor Act (EMTALA) is a federal law that requires anyone coming to an emergency department to be stabilized and treated, regardless of their insurance status or ability to pay.

1986-01-01 03:54:43

Consolidated Omnibus Budget Reconciliation Act (COBRA)

COBRA contains specific regulations that allow employees who lose their jobs to continue with their health plan for 18 months.

1993-01-01 03:54:40

Health Security Act Proposal

President Bill Clinton's proposal, the Health Security Act, most frequently referred to as the Clinton Health Reform proposal, failed to move forward in Congress.

1993-03-01 03:54:43

Vaccines for Children Program (VFC)

The Vaccines for Children Program providing federally purchased vaccines to states is established. This provides childhood vaccines at no cost to medical providers for vaccination of children on Medicaid as well as any child who is uninsured or does not have insurance coverage for routine vaccinations.

1996-01-01 03:54:43

Health Insurance Portability and Accountability Act (HIPAA)

HIPAA restricted use of pre-existing conditions in health insurance coverage determinations, set standards for medical records privacy, and established tax-favored treatment of long-term care insurance.

1996-01-01 03:54:43

Mental Health Parity and Addiction Equity Act

The Mental Health Parity and Addiction Equity Act prohibited group health plans from having lower annual or lifetime dollar limits for mental health benefits than medical or surgical benefits (except substance abuse and chemical dependency).

1997-01-01 03:54:43

State Children's Health Insurance Program (S-CHIP)

S-CHIP provided block grants to states allowing for coverage of low-income children above Medicaid eligibility levels.

2003-01-01 12:15:14

Medicare Drug, Improvement, and Modernization Act (MMA)

The MMA created a voluntary, subsidized prescription drug benefit under Medicare (Medicare Part D), administered exclusively through private plans, both stand-along prescription drug plans and Medicare Advantage plans. This went into effect in 2006.

2006-01-01 12:15:14

Massachusetts Health Reform

Massachusetts passed and implemented legislation to provide health care coverage to nearly all state residents. The legislation required residents to obtain health insurance coverage and called for shared responsibility among individuals, employers, and the government in financing the expanded coverage. Within two years of implementation the state's uninsured rate was cut in half.

2007-01-01 11:41:50

45.7 million Americans are uninsured

(Census Bureau data)

2008-01-01 12:15:14

Mental Health Parity Act amended

Mental Health Parity Act was amended to require full parity. Insurance companies were required to treat mental health conditions, including substance abuse disorders, on an equal basis with physical conditions when health policies cover both (did not require coverage, but required parity when coverage was provided).

2009-01-01 12:15:14

American Reinvestment and Recovery Act (ARRA)

ARRA made substantial investments to help develop health information technology, expand the primary care workforce and conduct research on comparative effectiveness for health care treatment. ARRA included the Health Information Technology for Economic and Clinical Health Act (HITECH), providing funding to support the development of a national network of electronic health records.

2010-01-05 23:12:37

Patient Protection and Affordable Care Act (ACA)

On March 23, 2010, President Barack Obama signed the ACA, the most historic health reform legislation since the establishment of Medicare and Medicaid 45 years earlier.

2015-01-05 23:12:37

Medicare Access and CHIP Reauthorization Act (MACRA)

MACRA changed the way physicians are paid in Medicare, by creating a new Quality Payment System intended to help payment move from volume to value. It also reauthorized funding for CHIP.

PHPB7160 - Health Care Timeline

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