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Public Law 100-360, Medicare Catastrophic Coverage Act of 1988, 1 July 1988.

This Act significantly expands the US Medicare program of health care to the aged and disabled. Among the changes that it makes are the following: 1) eliminating the time limit on the number of days of inpatient hospital and hospice care covered; 2) increasing nursing home care to 150 days; 3) reducing deductibles and copayments for hospital and nursing home care; 4) establishing coverage for respite-care (up to 80 hours per year), mammography screening, and outpatient prescription drugs; and 5) lowering the income level below which persons must be covered by Medicaid. The Act also creates the US Bipartisan Commission on Comprehensive Health Care to examine issues related to comprehensive health care and comprehensive longterm health care for the aged and disabled. The changes in Medicaid are to be paid for by additional premiums on persons enrolled in Medicaid, determined in part by income level.

Age Factors↗

Decree No. 17898-S of 2 December 1987.

This Decree, which is aimed at guaranteeing health care for all the people of Costa Rica, recognizes the right of persons insured by the State to receive, without direct payment, services to protect their health in the facilities of the Costa Rica Social Security Fund. A person insured by the State is defined as a user of health services not included in any of the schemes, categories, or agreements of the Fund and who cannot pay for health services. Further provisions of the Decree set forth rules on determining who is eligible to receive health services and the financing of such services, among other things.

Americas↗

Health care reformers hear from pro-choice colleagues, Catholic bishops.

On July 13, more than 6 dozen House members signed their names to a letter sent to Speaker Thomas Foley (D-WA) indicating that they would not support a health care reform measure if it did not include abortion coverage. Drafted by Representatives Patricia Schroeder (D-CO) and Peter DeFazio (D-OR), the letter stated that "...any health care reform package that comes before the House must contain coverage for contraceptive and abortion services if it is to gain our support." Speaking at a news conference releasing the letter, Representative Don Edwards (D-CA) said, "I resent that certain religious groups are entering this political fight in Congress." Rep. Edwards was referring to a National Conference of Catholic Bishops (NCCB) campaign to oppose "any health care bill that requires coverage of abortion" announced on the same day. The NCCB represents the top leaders in the nation's Roman Catholic church, which has 25,000 parishes across the country. In a letter sent to 30 Congressional leaders, the NCCB reaffirmed its support for universal coverage in a national health plan, but only if abortion is not included. Although not well publicized, an additional component of the NCCB campaign is the push to have Congress allow employers to opt out of coverage for contraception. The Bishops claim to have garnered 5 million cards from people who say they have told their lawmakers of their opposition to any coverage for abortion. The NCCB strategy calls for further grassroots action--including lobbying legislators, a telegram-writing campaign, and town meetings--and a national advertising campaign. In Cleveland, Ohio, the Catholic Diocese's Pro-Life Office announced on July 14 that it would start urging pastors and parishioners to speak out against abortion coverage.

Abortion, Induced↗

B.C. Civil Liberties Assn. v. British Columbia, 7 March 1988.

The petitioner challenged the legality of Regulation 54/88 of 10 February 1988, which adds abortion to the list of services that "shall not be considered as services that are medically required and are not insured services" under the British Columbia Medical Services Act. The Court held that the Cabinet had exceeded its powers in that it was not authorized by the Act to stipulate that certain services are not "medically required." It noted, however, that the Cabinet might have acted within its powers if it merely stipulated that abortion would not be an insured service.

Abortion, Induced↗

Witcraft v. Sundstrand Health and Disability Group Benefit, 16 March 1988.

The plaintiffs sought insurance reimbursements for sperm treatment and artificial insemination. The Supreme Court of Iowa ruled that the words illness, sickness, and disease are used synonymously in health insurance contracts and that the treatments for infertility were treatments of an illness, or morbid condition of the body, that is, a deviation from the healthy or normal condition of any functions or tissues of the body.

Americas↗

Abortion.

Explore the source record for details and available documents.

Abortion, Induced↗

Judgment, 15 January 1988.

The Regional Court at Munich, Federal Republic of Germany, held that the defendant, a private insurance company, must pay for all five artificial insemination attempts performed on a woman covered by the insurance contract. The Court ruled that so long as the physician performing the procedures believes that there is a possibility of success, the insurance company must pay for them.

Developed Countries↗

Ohio House approves two restrictive abortion bills.

A bill prohibiting the use of state funds to pay for state employees' health benefits related to "nontherapeutic abortions" passed the House on September 9 by a vote of 60-34. The measure, HB 395, defines a "nontherapeutic abortion" as a procedure performed when the life of the mother would not be endangered by carrying the pregnancy to term; the bill was amended to exempt victims of rape and incest from the funding restriction. Under HB 395, the state would pay for benefit plans that allow state employees to purchase an optional rider for abortion coverage. Also on September 9, the House passed HB 421 by a vote of 66-28. The measure amends Ohio's informed consent law for abortion by requiring a physician, but not necessarily the same physician who will perform the procedure, to meet with the patient in person and in a private setting 24 hours prior to the procedure. Just before the vote was taken, an amendment was offered and approved 68-26 which changes Ohio's parental notification law to parental consent. Both bills have been referred to the Senate for consideration.

Abortion, Induced↗

Judgment, 19 December 1986.

The Swiss Federal Court ruled that the plaintiff's insurer had to pay the costs of her undergoing an amniocentesis if she was over 35 years old. It based its decision on expert medical opinion that the risk of bearing a child with chromosomal abnormalities increased rapidly after this age. It concluded that, in this case, the cost of the amniocentesis became an expense incurred in order to prevent harm threatening health rather than simply a prophylactic measure, and was thus covered by insurance.

Age Factors↗

Law No. 88-16, 5 January 1988.

Among other things, this Law extends the scope of social protection granted to mothers In France. It seeks to ensure that women who stay at home to bring up their families are not penalized in any way and to encourage such women to have a third child. The following are among measures of the Law: 1) entitlement to receive benefits in kind from the sickness insurance scheme in the event of divorce or the death of the spouse was previously restricted to a limited period (one year, extended until the date of the third birthday of the last child); it is now granted without limit of time and without charge, in the event of either contingency, to single parents aged 45 or over who have, or have had, three or more dependent children; 2) the possibility for any parent with dependent children residing in France and not engaging in any occupational activity to join the voluntary old-age pension scheme has now been extended to cover invalidity; the contributions payable (which may be deducted from family allowances) will be calculated on the basis of the minimum guaranteed wage (SMIC); 3) reversionary pensions of widows between ages 55 and 65 who have dependent children are to be increased by a uniform amount, set at 400 francs per month and adjustable; and 4) periods of maternity leave will be taken into account in the determination of seniority rights within an enterprise, particularly in the context of notice of dismissal (half of all periods of parental educational leave were already taken into account).

Aid to Families with Dependent Children↗