Ch. 13

1) Employer-provided health insurance benefits arose in the mid-20th century as a result of: a. A Supreme Court ruling that health insurance could be included in the collective bargaining process. b. Legislation which legalized this process c. An executive order requiring employers to provide health insurance to employees d. None of the above

2) Which major public insurance program was legislated in 1965? a. Medicare b. Medicaid c. Both a and b d. Neither a nor b

3) Why was SCHIP created? a. To provide health insurance to the elderly who do not qualify for Medicare b. To provide health insurance to low-income children who do not qualify for Medicaid c. To provide health insurance to immigrants who qualify for neither Medicare nor Medicaid d. All of the above

4) Health policies are used in what capacity? a. Regulation of behaviors b. Allocation of income, services, or goods c. Both a and b d. Neither a nor b

5) What was the main purpose of the 1946 Hill-Burton Act? a. Expansion of the availability of health services and improved hospital facilities b. Creation of a national health insurance plan c. Regulation of physicians' salaries d. Raising the legal drinking age to 21 years

6) What is incrementalism? a. The fact that in the U.S., health care is financed by multiple entities b. The fragmented, uncoordinated delivery of health services c. Small policy changes that reflect a compromise amongst different groups' demands d. None of the above

7) What is the role of states in U.S. health policy? a. Financial support for the care and treatment of the poor b. Oversight of health care practitioners and facilities c. Quality assurance d. All of the above

8) Which of the following branches of government is a supplier of policy? a. Executive b. Legislative c. Judicial d. All of the above

9) Which of the following is a power of Congress? a. Power of taxation b. Power to use any reasonable means not prohibited by the Constitution to carry out the will of the people c. Power to spend d. All of the above

10) What is an interest group? a. A group of lawmakers within Congress with a particular area of interest b. A group of appointed judges with a particular political view point c. An independent, non-governmental group united by a policy area, which lobbies and advocates its point of view to lawmakers d. None of the above

11) All of the following are elements of the policy cycle, except: a. Issue raising b. Policy design c. Policy implementation d. Policy evaluation

12) What was the main purpose of the Kerr-Mills program (1960)? a. Provision of federal grants to state government programs assisting the elderly b. Provision of federal grants to state government programs assisting the poor c. Provision of federal grants to state government programs assisting children d. None of the above

13) Which piece of legislation had important implications for rural hospitals? a. Rural Hospital Act of 1992 b. Omnibus Budget Reconciliation Act (OBRA) of 1986 c. Access to Care Act of 1988 d. Higgins-Branyan Act of 2004

14) For what is the National Health Planning and Resources Development Act of 1974 noted? a. The shift from cost containment to improvement of quality as the principal theme in federal health policy b. The shift from cost containment to improvement of access as the principal theme in federal health policy c. The shift from improvement of access to cost containment as the principal theme in federal health policy d. The shift from improvement of quality to cost containment as the principal theme in federal health policy

15) What is the key factor contributing to the passage of the ACA a. Large number of Americans who are uninsured b. High cost of healthcare expenditures c. Declining quality of care d. Democratic control of the Congress

16) What does "CON" stand for? a. Certificate of Need b. Certificate of Nursing c. Certificate of Naturopathy d. Certificate of Nationality

17) What is the main purpose of the Agency for Healthcare Research and Quality? a. To regulate hospitals b. To conduct and support research with respect to health care services and procedures c. To evaluate the effectiveness and safety of pharmaceuticals d. None of the above

18) In what way does research influence policymaking? a. Prescription b. Documentation c. Analysis d. All of the above

19) Which of the following is a health policy challenge faced by state governments? a. Protecting public health b. Subsidizing costs of caring for the uninsured c. Financing health services for the poor d. All of the above

20) All of the following were identified by the Institute of Medicine (Crossing the Quality Chasm, 2001) as areas for quality improvement, except: a. Timeliness b. Safety c. Efficacy d. Patient-centeredness

1) Government spending for health care in the U.S. has been largely confined to filling the gaps left by the private sector.

2) The Medicaid program has been constantly reformed since 1965.

3) The uninsured consist mostly of adults under age 65.

4) All states are required to have the same set of eligibility requirements for Medicaid.

5) Historically, Presidents have not had a substantial impact on national health policy.

6) The U.S. Constitution requires that all bills involving taxation must originate in the U.S. House of Representatives.

7) The legislature is responsible for implementing legislation.

8) People with certain disabilities may be covered by Medicare and/or Medicaid.

9) Currently, the states' role in health policy is limited mostly to basic public health functions.

10) With the passage of ACA of 2010, all Americans will soon have health insurance coverage.