D546 HEALTHCARE POLICY AND
GOVERNANCE REPORT ACTUAL TEST
SCRIPT WITH SOLVED QUESTIONS AND
VERIFIED ANSWERS
●● 1997 CHIP — Policy Goals
Answer: Expansion of Access
●● 1999 Medicare+Choice/"Medicare Advantage" — Policy Goals
Answer: Expansion of Access + Cost Control/Effectiveness
●● 2003 Medicare Part D Rx Drug Coverage — Policy Goals
Answer: Cost Control/Effectiveness
●● 2010 ACA Medicaid Expansion — Policy Goals
Answer: Expansion of Access
●● 2017 Medicaid Reform — Policy Goals
Answer: Cost Control/Effectiveness + Retrenchment/Reductions in
Access
,●● Which federal health policies focused on Expansion of
Infrastructure?
Answer: 1965 Medicare & Medicaid (SSA Amendments); also earlier:
1798 U.S. Marine Hospital Service, 1924 WW Veterans, 1946 Hill-
Burton, 1946 Mental Health
●● Which federal health policies focused on Retrenchment/Reductions
in Access?
Answer: 2017 Medicaid Reform
●● Which federal health policy addressed both Cost Control AND
Retrenchment?
Answer: 2017 Medicaid Reform
●● National (Federal) Government Powers — Exclusive
Answer: Regulate foreign and interstate commerce, coin money, tax
imports/exports, establish/regulate postal system, conduct foreign
relations/make treaties, create and maintain armed forces, declare war,
amend the U.S. Constitution, make laws "necessary and proper" to carry
out enumerated powers
●● State Government Powers — Exclusive
Answer: Regulate intrastate commerce, establish and maintain schools,
establish local governments, issue licenses/permits/certificates, protect
, public health/safety/morals, maintain state militia (National Guard),
ratify amendments to the U.S. Constitution
●● Concurrent Powers (National AND State)
Answer: Levy taxes, borrow money, administer courts, make and
enforce laws, build roads and transportation systems, take private land
for public use with just compensation (eminent domain), charter banks
and corporations
●● National Level of Government
Answer: Largest level; for everyone in the country; led by the President
and Congress; can declare war, control post offices and National Parks,
collect taxes, print money
●● State Level of Government
Answer: Medium level; for everyone living in that state; led by the
Governor and General Assembly; in charge of schools and traffic laws,
collects taxes
●● Local Level of Government
Answer: Smallest level; for people in the town or city; led by the mayor,
city council, or county commission; in charge of public services like
police and firefighters
●● Eminent Domain
GOVERNANCE REPORT ACTUAL TEST
SCRIPT WITH SOLVED QUESTIONS AND
VERIFIED ANSWERS
●● 1997 CHIP — Policy Goals
Answer: Expansion of Access
●● 1999 Medicare+Choice/"Medicare Advantage" — Policy Goals
Answer: Expansion of Access + Cost Control/Effectiveness
●● 2003 Medicare Part D Rx Drug Coverage — Policy Goals
Answer: Cost Control/Effectiveness
●● 2010 ACA Medicaid Expansion — Policy Goals
Answer: Expansion of Access
●● 2017 Medicaid Reform — Policy Goals
Answer: Cost Control/Effectiveness + Retrenchment/Reductions in
Access
,●● Which federal health policies focused on Expansion of
Infrastructure?
Answer: 1965 Medicare & Medicaid (SSA Amendments); also earlier:
1798 U.S. Marine Hospital Service, 1924 WW Veterans, 1946 Hill-
Burton, 1946 Mental Health
●● Which federal health policies focused on Retrenchment/Reductions
in Access?
Answer: 2017 Medicaid Reform
●● Which federal health policy addressed both Cost Control AND
Retrenchment?
Answer: 2017 Medicaid Reform
●● National (Federal) Government Powers — Exclusive
Answer: Regulate foreign and interstate commerce, coin money, tax
imports/exports, establish/regulate postal system, conduct foreign
relations/make treaties, create and maintain armed forces, declare war,
amend the U.S. Constitution, make laws "necessary and proper" to carry
out enumerated powers
●● State Government Powers — Exclusive
Answer: Regulate intrastate commerce, establish and maintain schools,
establish local governments, issue licenses/permits/certificates, protect
, public health/safety/morals, maintain state militia (National Guard),
ratify amendments to the U.S. Constitution
●● Concurrent Powers (National AND State)
Answer: Levy taxes, borrow money, administer courts, make and
enforce laws, build roads and transportation systems, take private land
for public use with just compensation (eminent domain), charter banks
and corporations
●● National Level of Government
Answer: Largest level; for everyone in the country; led by the President
and Congress; can declare war, control post offices and National Parks,
collect taxes, print money
●● State Level of Government
Answer: Medium level; for everyone living in that state; led by the
Governor and General Assembly; in charge of schools and traffic laws,
collects taxes
●● Local Level of Government
Answer: Smallest level; for people in the town or city; led by the mayor,
city council, or county commission; in charge of public services like
police and firefighters
●● Eminent Domain
