Adding a Prescription Drug Benefit to Medicare: An Analysis of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003

Abstract

The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 added an outpatient prescription drug benefit to Medicare. This benefit had been a recurring topic among lawmakers, attempted many times since Medicare was enacted in 1965. The 2003 legislation marked the most significant and expensive overhaul of Medicare since its creation. It occurred at a time of record federal budget deficits and Republican control of Congress and the White House. The major compromise that allowed this legislation to succeed concerned the total funding to be made available, the amount of privatization in the design and administration of the benefit, and the scope of the coverage. This thesis identifies and describes the primary stakeholders involved and their influences on the benefit, including political parties, Congress, the Bush Administration and interest groups, and summarizes previous attempts at similar legislation. Sources include congressional testimony, government cost estimates, legislation, journal articles, and think-tanks. The thesis analyzes the legislative process that produced the Medicare reform and identifies problems and issues resulting from it.

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Document Details

Document Type
Technical Report
Publication Date
Sep 01, 2004
Accession Number
ADA427252

Entities

People

  • Carla D. Jones

Organizations

  • Naval Postgraduate School

Tags

DTIC Thesaurus Topics

  • Business Administration
  • Commerce
  • Congress
  • Cost Estimates
  • Employment
  • Federal Budgets
  • Governments
  • Health Care
  • Health Services
  • Law
  • Medical Personnel
  • National Governments
  • National Politics
  • Personnel Management
  • Public Policy
  • Therapy
  • United States Government

Fields of Study

  • Medicine
  • Political science

Readers

  • Government and Public Administration Law.
  • Medical or Health Care Field.
  • Public Financial Management and Budgeting