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548:'s, and the administration's bill (known as Medicare). Byrnes was a Republican committee member who proposed for doctors' services and drugs to be financed; participation in coverage would be voluntary for the aged. An elderly patient who needed the help would have financing "scaled to the amounts of the participant's Social Security cash benefits," and the financing would come from the government's revenues. The AMA proposed Eldercare, which provided government financing for physician's services, surgical charges, drugs, nursing home costs,
559:, the chair of the Ways and Means committee, suggested combining Byrnes's ideas and Medicare. His committee took on the task of drafting H.R. 6675, the bill that ultimately became law. In combining the two bills, Byrnes's suggestion, which included lower taxes, had to be altered as higher taxes were necessary for the program's predicted costs. The Ways and Means Committee reported favorably on the new bill to the full House of Representatives on March 29 after a straight-party committee vote of 17 to 8.
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532:, Assistant Secretary for Legislation of the Department of Health, Education and Welfare (and later Secretary), pushed the Medicare bill. Cohen convinced Johnson to give the bill high priority, and Johnson declared its importance to his Great Society program. The bill was introduced as companion bills, H.R. 1 and S. 1, with the numbers being the first bills introduced in each house of a new Congress.
36:
443:, began an era with a greater emphasis on public health issues. Medicare and Medicaid became the country's first public health insurance programs. The legislation was vigorously opposed by the American Medical Association until it had been enacted, but the AMA obtained concessions and later co-operated in its implementation.
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An Act to provide a hospital insurance program for the aged under the Social
Security Act with a supplementary health benefits program and an expanded program of medical assistance, to increase benefits under the Old-Age, Survivors, and Disability Insurance System, to improve the Federal-State public
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In 1960, the Kerr–Mills Act created the
Medical Assistance for the Aged (MAA), a program that gave states the power to decide which patients needed financial assistance. The federal government would provide matching funds to the states for the program. Some states did not participate in or abide by
607:
and was attended by Truman. Johnson credited Truman with "planting the seeds of compassion and duty which have today flowered into care for the sick and serenity for the fearful." Implementation of the amendments required extensive data processing and the re-configuration of hospital policies
562:
During debate on the House floor, Republicans offered a substitute bill that would have made participation fully voluntary. It was narrowly defeated 236 to 191, with 128 of 138 Republicans in favor of the substitute. H.R. 6675 was passed in the House on April 8, 1965, by a vote of 313 to 115.
470:, medical benefits were left out of the bill. The committee that Roosevelt appointed to study issues related to Social Security wanted to include health insurance in the bill. However, the committee was concerned that amending the bill to include health insurance would kill the entire bill.
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the Act. Another preliminary bill, the King–Anderson Bill, was introduced in 1962. Under it, some hospital and nursing home costs for patients 65 and older would have been covered. Although the bill was defeated in committee, the vote was narrow (12–11), signaling a shift in attitudes.
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The biggest threat to the passage of H.R. 6675 in the Senate came from liberal
Democrats who were eager to expand coverage of the bill. As amended and passed in the Senate on July 19 by a vote of 68 to 21, H.R. 6675 would have cost approximately $ 800 million more than the House bill.
399:
attempted to introduce a medical insurance bill to some state legislatures. The attempts were not successful, and as a result, controversy about national insurance came about. National groups supporting the idea of government health insurance included the
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In the late 1960s and the early 1970s, the federal government doubled the number of physicians trained in the US from 8,000 to 16,000 a year. There was a hospital building boom that moved from inpatient wards to one- and two-patient hospital rooms.
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at which Mills worked to eliminate practically all of the Senate amendments. The bill went through more than 5// amendments before being passed by majority vote in the House (307–116) on July 27 and in the Senate on July 28 (70–24).
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The groups previously opposed to the legislation switched their focus from opposing the bill to creating new versions of it. As a result, three forms of the bill emerged:
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Those who had worked on the King-Anderson Bill drafted a new bill providing coverage of the aged, limited hospitalization and nursing home insurance benefits, and
521:. The Democrats in the House Ways and Means Committee shifted away from Southern Democrats, making the committee more sympathetic towards health insurance reform.
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program. Truman's attempts were also unsuccessful, but during his presidency, the fight for national medical care became specific to the aged population.
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and lab services. When brought back to the Ways and Means committee, three bills were presented: Byrnes's, Eldercare, and
Medicare.
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Once the targeted age was decided, a lengthy debate began over presenting a coherent medical care bill to
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On July 30, 1965, Johnson signed the bill, making it Public Law 89–97. The signing took place in
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640:"Bookshelf : Link to "Health Information Management: Concepts, Principles, and Practice""
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When deliberations began in 1965, both AMA members and their suggestions were rejected.
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Many politicians were involved in drafting the final bill that was introduced to the
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The
Politics of Medicare: Second Edition (Social Institutions and Social Change)
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took on the idea of national medical care and tried to integrate it into his
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whose most important provisions resulted in creation of two programs:
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for the elderly (over 65) and for financially challenged families.
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Health
Information Management: Concepts, Principles, and Practice
27:
1965 United States legislation establishing
Medicare and Medicaid
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Old-Age, Survivors, and
Disability Insurance Amendments of 1965
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included social insurance for sickness in the platform of his
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489:, which complicated attempts to pass social health programs.
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in 1964, Democrats controlled both the presidency and the
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1938 United States House of Representatives elections
778:"In 1965, Experts Warned of Medicare-Induced Crisis"
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60:. Unsourced material may be challenged and removed.
709:"Social Security Act Amendments · The Legislation"
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428:, and the Life Insurance Association of People.
757:. National Archives and Records Administration
1290:Democratic Party presidential primaries, 1960
1042:
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513:, claiming a 2:1 ratio to Republicans in the
375:. The legislation initially provided federal
8:
1270:United States Senate special elections, 1941
592:of 1935. Title XVIII, which became known as
168:assistance programs, and for other purposes.
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588:The legislation made two amendments to the
1212:Lyndon B. Johnson School of Public Affairs
1197:Lyndon B. Johnson National Historical Park
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397:American Association for Labor Legislation
297:Reported by the joint conference committee
680:"companion bill or measure glossary term"
120:Learn how and when to remove this message
1567:United States federal health legislation
1334:1960 United States presidential election
1187:Lyndon Baines Johnson Library and Museum
883:Temporary Assistance for Needy Families
751:"Social Security Act Amendments (1965)"
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1006:Social Security debate (United States)
637:(4th ed). AHIMA Press. Retrieved from
410:National Association of Social Workers
131:
1572:Medicare and Medicaid (United States)
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1562:Social security in the United States
1357:Lyndon B. Johnson in popular culture
1192:Lyndon B. Johnson National Grassland
873:Social Security Disability Insurance
703:
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69:"Social Security Amendments of 1965"
58:adding citations to reliable sources
1319:Democratic National Convention 1956
1275:1948 United States Senate elections
1081:Vice President of the United States
1070:36th President of the United States
1441:Claudia "Lady Bird" Taylor Johnson
955:Social Security Amendments of 1965
345:Tooltip Public Law (United States)
336:Social Security Amendments of 1965
252:in the House as H.R. 6675 by
133:Social Security Amendments of 1965
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863:Disability Determination Services
426:United States Chamber of Commerce
153:Health Insurance for the Aged Act
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450:in March 1965. On July 30, 1965
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1577:Presidency of Lyndon B. Johnson
823:Social Security (United States)
776:Sternberg, Steve (2015-07-30).
45:needs additional citations for
1202:Lyndon B. Johnson Space Center
970:Windfall Elimination Provision
842:Social Security Administration
487:House Ways and Means Committee
1:
1217:Memorial Grove on the Potomac
868:Retirement Insurance Benefits
422:American Hospital Association
878:Supplemental Security Income
546:American Medical Association
418:American Medical Association
1582:89th United States Congress
1376:The Years of Lyndon Johnson
996:Office of the Chief Actuary
960:Social Security Death Index
452:President Lyndon B. Johnson
420:(AMA); others included the
406:American Nurses Association
178:89th United States Congress
18:Social Security Act of 1965
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1147:Texas Broadcasting Company
965:Social Security Trust Fund
837:History of Social Security
454:signed the bill into law.
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1207:Lyndon Baines Johnson Day
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1011:Social Security Wage Base
733:"Social Security History"
517:and 32 more seats in the
363:, was legislation in the
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1483:George Washington Baines
1135:Civil Rights Act of 1960
1130:Civil Rights Act of 1957
1001:Primary Insurance Amount
536:House of Representatives
462:In 1935, when President
458:Previous administrations
395:. Around 1915 the group
1471:Samuel Ealy Johnson Sr.
1459:Samuel Ealy Johnson Jr.
1447:Lynda Bird Johnson Robb
1089:U.S. Senator from Texas
311:on July 28, 1965 (
303:on July 27, 1965 (
279:on April 8, 1965 (
268:Committee consideration
1385:(1991 television film)
1119:Early years and career
847:Social Security number
664:Marmor, T. R. (2000).
605:Independence, Missouri
501:Johnson administration
483:Conservative Coalition
448:United States Congress
301:agreed to by the House
289:on July 9, 1965 (
893:Unemployment benefits
505:With the election of
464:Franklin D. Roosevelt
433:Truman administration
1557:1965 in American law
1477:Joseph Wilson Baines
582:conference committee
272:House Ways and Means
54:improve this article
1485:(great-grandfather)
1465:Sam Houston Johnson
1453:Luci Baines Johnson
1097:U.S. Representative
950:Social Security Act
945:Revenue Act of 1942
856:Assistance programs
633:LaTour, K. (2013).
590:Social Security Act
580:The bill went to a
468:Social Security Act
414:Socialist Party USA
264:) on March 29, 1965
241:Legislative history
235:Social Security Act
134:
1222:U.S. Postage stamp
1125:Southern Manifesto
389:Theodore Roosevelt
299:on July 27, 1965;
147:Other short titles
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1504:← John F. Kennedy
1152:Johnson Amendment
1058:Lyndon B. Johnson
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1016:Years of coverage
713:acsc.lib.udel.edu
507:Lyndon B. Johnson
393:Progressive Party
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323:Lyndon B. Johnson
287:Passed the Senate
209:Statutes at Large
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1423:(2017 film)
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1398:All the Way
1393:(2002 film)
1391:Path to War
1103:(1937–1949)
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1072:(1963–1969)
986:Legacy debt
902:Health care
737:www.ssa.gov
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528:financing.
466:signed the
110:August 2008
1551:Categories
1489:Chuck Robb
1455:(daughter)
1449:(daughter)
1312:withdrawal
1171:Legacy and
718:2016-04-06
689:2016-04-06
650:2013-09-13
621:References
435:following
412:, and the
359:, enacted
351:, 79
250:Introduced
197:Public law
164:Long title
80:newspapers
1467:(brother)
1406:2016 film
1402:2012 play
1232:Elections
1174:memorials
782:U.S. News
476:Fair Deal
387:In 1912,
192:Citations
184:Effective
1535:Category
1461:(father)
1300:campaign
991:Numident
914:Medicare
909:Medicaid
598:Medicaid
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544:'s, the
511:Congress
373:Medicaid
369:Medicare
214:79
761:6 April
612:Effects
402:AFL–CIO
383:History
341:Pub. L.
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