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Overview Health Policy Making Process

1 PHC 6102 Principles of Health Policy & ManagementPolicy Formulation: Legislative Development1 Objectives Relate agenda setting to legislative development in the Policy formulation phase Summarize the steps involved in the development of federal legislation Differentiate the budgeting Process from the general legislative development Process Discriminate state government legislative processes from federal legislative development2 Overview Policy formulation 1. Agenda setting (in previous lecture)2. Legislative development Policy implementation1. Rulemaking2. Operations Policy modification3 Health Policy Making Process4 Longest, B. B. (2002). Health policymaking in the United States. Proposals Many sources of ideas for legislative proposals Politicians/legislators Private citizens (see 1stAmendment to the Constitution) Interest groups Executive branch Health Reform Congress A bicameral legislature: House of Representatives 435 Representatives Elected for two year terms Apportioned among the states by population Senate 100 Senators Elected to six year terms Two Senators for each state627 How a Bill Becomes LawSource: CommitteesCommitteeSubcommitteeExample legislation:Senate Committee on FinanceSubcommittee on Health CareMedicare and MedicaidSenate Committee on Health , Education, Labor, & Pensions (HELP)Subcommittees on Children & Families, Employment & Workplace Safety, and Retirement and AgingMost programs in Department of Health and Human Services, public heal

Budget Legislation Process • Must begin in House • Review APHA’s “The Budget & Appropriations Process:How the Congress Funds Public Health Programs” • Four distinct stages: 1. President creates budget 2. Budget resolution 3. Appropriations (programs must be authorized) 4. Reconciliation 11 The President’s Budget • Required by ...

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