The regulations governing Medicare was made extensive in 1973 to include
the medical needs of those under the ages of sixty-five, but with
serious disabilities requiring serious medical attention. In 1988,
Congress again made this scheme extensive to cover prescription
medications. This bill became very unpopular and it was abolished in
1989 because funding solely came from taxing the elderly. Again in 2003,
improvements were made on Medicare and the regulations governing it
were modified to include prescription medications that had become very
expensive and this was directly related to prescription medications that
were much needed by the elderly.
If truth has to be told, the
freezes in income that were required by law during the period of the
Second World War was what principally caused employers to include health
insurance in the pay pack of employees. This was thought to be a remedy
to attract the much needed labour. This practice was kept alive and
regulated by the 1985 Consolidated Omnibus Budget Reconciliation Act.
This basically took care of the medical needs of those who were
dependent on an insurance scheme or employees who were no longer
working. Although regulations relating to health insurance were identified and
put forward by Congress as far back as the 1930s and 1940s, they were
never ratified at that time. On the other hand, the 1965 Social Security
Amendments Act brought about Medicare to take care of the needs of
families earning little. In 1993, the United States' president at that
time, Bill Clinton, initiated the bill of universal cover, but this also
died down. Given the fact that each state has been given the freedom to administer
its own health insurance plans as it deems reasonable and fit for its
citizens, some states such as Oregon have come up with rules and
regulations to take care of the needs of those who have a sure and
particular form of disability, rather than trying to see if this
beneficiary will qualify for the health insurance benefits available. An
example of this is the Oregon Health Plan.
In 1996, the Mental
Health Parity Act was passed and this act acknowledged the awareness and
frequency of psychological illnesses and it compelled every employee
with fifty or more employees to provide health insurance to take care of
psychological illnesses as any other health insurance scheme will do
for conditions with physical illnesses. Yet still, employers were able
to get of out of this by totally carrying on the burden health insurance
to their employees and leaving the employees to take care of this in
person. Still, there was nothing on the part of the legislative arm to
redress this position of employers.
The main aims of the 1985 Consolidated Omnibus Budget Reconciliation Act
was to make sure that if an employee was no longer active in service,
those who were still dependent on him should continue receiving any
benefits that could have been open to them, had the employee been in
active service. 1996 saw the introduction of the Health Insurance
Portability Act and this act was meant to take care of the health
insurance needs of a workman who was no longer working, but who was in a
process of getting hooked to another employment.
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