{
  "id": "R43446",
  "type": "CRS Report",
  "typeId": "REPORTS",
  "number": "R43446",
  "active": false,
  "source": "EveryCRSReport.com",
  "versions": [
    {
      "source": "EveryCRSReport.com",
      "id": 431035,
      "date": "2014-05-15",
      "retrieved": "2016-04-06T22:59:45.811226",
      "title": "Centers for Medicare & Medicaid Services: President\u2019s FY2015 Budget",
      "summary": "Federal law requires the President to submit an annual budget to Congress no later than the first Monday in February. The budget informs Congress of the President\u2019s overall federal fiscal policy based on proposed spending levels, revenues, and deficit (or surplus) levels. The budget request lays out the President\u2019s relative priorities for federal programs, such as how much should be spent on defense, education, health, and other federal programs. The President\u2019s budget may also include legislative proposals for spending and tax policy changes. While the President is not required to propose legislative changes for those parts of the budget that are governed by permanent law (i.e., mandatory spending), such changes are generally included in the budget. President Obama submitted his FY2015 budget to Congress on March 4, 2014.\nThe Centers for Medicare & Medicaid Services (CMS) is the division of the Department of Health & Human Services (HHS) that is responsible for administering Medicare, Medicaid, and the State Children\u2019s Health Insurance Program (CHIP), and the private health insurance programs. CMS is the largest purchaser of health care in the United States, with expenditures from CMS programs accounting for roughly one-third of the nation\u2019s health expenditures. In FY2015, it is estimated that more than one in three Americans will be provided coverage through Medicare, Medicaid, and CHIP. CMS is also responsible for administering the private health insurance programs established in the Patient Protection and Affordable Care Act (ACA, P.L. 111-148 as amended).\nThe CMS budget includes a mixture of both mandatory and discretionary spending. However, the vast majority of the CMS budget is mandatory spending, such as Medicare benefits and grants to states for Medicaid.\nFor budgetary purposes, CMS is divided into the following sections: Medicare, Medicaid, program integrity, CHIP, state grants and demonstrations, private health insurance protections and programs, the Center for Medicare and Medicaid Innovation, and program management. The President\u2019s FY2015 budget contains a number of legislative proposals that would affect the CMS budget. Some are program expansions, and others are designed to reduce federal spending.\nThe President\u2019s proposed budget for CMS would be $897.4 billion in net mandatory and discretionary outlays for FY2015. This would be an increase of $53.8 billion, or 6.4%, over the net outlays for FY2014. This estimate includes the cost of the Medicare physician payment adjustment ($13.7 billion), the net cost of legislative proposals ($2.5 billion), and the estimated savings from program integrity investments (-$0.2 billion).\nThis report summarizes the President\u2019s budget estimates for each section of the CMS budget. Then, for each legislative proposal included in the President\u2019s budget, this report provides a description of current law and the President\u2019s proposal. The explanations of the President\u2019s legislative proposals are grouped by the following program areas: Medicare, Medicaid, program integrity, CHIP, state grants and demonstrations, private health insurance programs, and program management. A table summarizing the estimated costs or savings for each legislative proposal is at the end of each of these sections.",
      "type": "CRS Report",
      "typeId": "REPORTS",
      "active": false,
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      "topics": []
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  ],
  "topics": [
    "Aging Policy",
    "Domestic Social Policy",
    "Health Policy",
    "Immigration Policy"
  ]
}