POLICY NEWEST 2026 ACTUAL
EXAM| LSUS MHA 708 EXAM B
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SECTION 1: U.S. HEALTHCARE SYSTEM STRUCTURE & GOVERNANCE
Question 1
The U.S. healthcare system is best described as:
A) A single-payer system
B) A socialized medicine system
C) A mixed public-private system
D) A national health service
Correct Answer: C
Rationale: The U.S. healthcare system combines private insurance, employer-
sponsored plans, and public programs (Medicare, Medicaid, VA, CHIP). Unlike
single-payer or national health service models, the U.S. relies on a complex mix of
public and private financing and delivery mechanisms.
,Question 2
Which of the following is the largest source of health insurance coverage in the
United States?
A) Medicare
B) Medicaid
C) Employer-sponsored insurance (ESI)
D) The Affordable Care Act (ACA) Marketplace
Correct Answer: C
Rationale: Employer-sponsored insurance (ESI) remains the largest source of
health coverage in the U.S., covering approximately 49% of the non-elderly
population. Medicare primarily covers individuals aged 65 and older, while
Medicaid serves low-income populations.
Question 3
The three branches of government in the United States are:
A) Federal, State, and Local
B) Legislative, Executive, and Judicial
C) Senate, House, and Supreme Court
D) Executive, Administrative, and Regulatory
Correct Answer: B
Rationale: The three branches of government are Legislative (Congress), Executive
(President and agencies), and Judicial (courts). This separation of powers is
fundamental to U.S. governance and healthcare policymaking.
,Question 4
Which branch of government holds the Senate and the House of Representatives?
A) Executive branch
B) Judicial branch
C) Legislative branch
D) Administrative branch
Correct Answer: C
Rationale: The Legislative branch consists of the Senate and the House of
Representatives, which together form the U.S. Congress. This branch is responsible
for making laws, including healthcare legislation.
Question 5
How many senators does each state have?
A) 1
B) 2
C) Depends on population
D) 4
Correct Answer: B
Rationale: Each state has two senators, regardless of population, ensuring equal
representation for all states in the Senate. There are currently 100 senators total.
, Question 6
How many voting members are in the House of Representatives?
A) 100
B) 270
C) 435
D) 538
Correct Answer: C
Rationale: The House of Representatives has 435 voting members, with
representation based on state population. Each state's number of representatives
is determined by the decennial census.
Question 7
The Origination Clause requires that:
A) All bills must be approved by the Supreme Court
B) All revenue bills must originate in the House of Representatives
C) All bills must be signed by the President
D) All healthcare bills must be approved by CMS
Correct Answer: B
Rationale: The Origination Clause (Article I, Section 7 of the Constitution) requires
that all bills for raising revenue must originate in the House of Representatives. The
Senate may propose or concur with amendments.