OTD 417 Exam 2 UPDATED ACTUAL
Questions and CORRECT Answers
For the political process, most bills have to go through what? - CORRECT ANSWER - Bills
have to go through committees (hearings and then vote on the bill) and have to pay for these bills
so either have to raise money or be paid from cuts somewhere else
What is the usual order of the political process? - CORRECT ANSWER - Hearing on the
issue ---> draft the bill---> hearing on the bill---> mark up of the bill (vote + amendments made)
The executive branch implements the bill after what occurs? - CORRECT ANSWER - House
and senate have to pass the same bill (House needs 50% for the bill to pass, Senate needs 60
votes to pass) then get president's signature and then the executive branch implements the bill
Chairman of committee has wide control over what? - CORRECT ANSWER - Has wide
control over what gets brought before the committee, during the committee process is when
committee members have the most power in the political process, bill can be "tweaked" before
voted on by entire body
What are pay fors? - CORRECT ANSWER - Things added to a bill that will literally pay for
the bill
True or False: Pay fors are NOT always included in the bill that passes a committee - CORRECT
ANSWER - True
True or False: Committee may have authority to create the spending or the pay for it may be too
political - CORRECT ANSWER - False: Committee may NOT have the authority to create
the spending or the pay for it may be too political
True or False: Pay Fors are often added between the committee and the floor - CORRECT
ANSWER - True; example: COTAs get paid 15% less was a pay-for added to a larger bill in
order to pay for the large bill
, True or False: Pay fors can be a bill deal (Medicaid cuts, Medicare provider cuts) and are much
less transparent - CORRECT ANSWER - True
What is the issue with home health flexibility Act? - CORRECT ANSWER - Unlike
PT/Speech and skilled nursing, the need for OT CANNOT qualify someone for HH services,
1980s compromise made to add us as a HH benefit
True or False: Although OTs added as HH benefit, Medicare decided they are not permitted to be
1st in door to make initial assessment or comprehensive assessment - CORRECT ANSWER -
True
True or false: Not being able to open the case does not devalue the role of OT in HH ? -
CORRECT ANSWER - False it DOES devalue the role of OT and leaves the final decision
for the need for OT services up to PT/Speech/Nursing
True or False: The Medicare HH Flexibility Act would direct Medicare to allow OT to open HH
therapy cases (conduct the initial/comprehensive assessment) by ourselves - CORRECT
ANSWER - False: Bill says we cant do stand alone OT in HH, but if we are with
Speech/PT/Nursing then we can open the case/do initial assessment
What happened with this congress affecting the Home Health Flexibility Act? - CORRECT
ANSWER - Last year our champions "worked the bill" and posed a higher chance of success
but this Congress we lost 2 of our lead sponsors so we are trying to secure replacements.
Who is the Senate Supporter for the Home Health Flexibility Act? - CORRECT ANSWER -
Sen Ben Carding(D-MD), need a republican
Who are the House supporters for the Home Health Flexibility Act? - CORRECT ANSWER -
Rep Lloyd Dogett(now the chair of subcommittee on health for Ways and Means so people are
hoping he will bring this bill forward), Rep David McKinley (R-WV), and Rep Paul Tonko (D-
NY) Confirming one more sponsor
Questions and CORRECT Answers
For the political process, most bills have to go through what? - CORRECT ANSWER - Bills
have to go through committees (hearings and then vote on the bill) and have to pay for these bills
so either have to raise money or be paid from cuts somewhere else
What is the usual order of the political process? - CORRECT ANSWER - Hearing on the
issue ---> draft the bill---> hearing on the bill---> mark up of the bill (vote + amendments made)
The executive branch implements the bill after what occurs? - CORRECT ANSWER - House
and senate have to pass the same bill (House needs 50% for the bill to pass, Senate needs 60
votes to pass) then get president's signature and then the executive branch implements the bill
Chairman of committee has wide control over what? - CORRECT ANSWER - Has wide
control over what gets brought before the committee, during the committee process is when
committee members have the most power in the political process, bill can be "tweaked" before
voted on by entire body
What are pay fors? - CORRECT ANSWER - Things added to a bill that will literally pay for
the bill
True or False: Pay fors are NOT always included in the bill that passes a committee - CORRECT
ANSWER - True
True or False: Committee may have authority to create the spending or the pay for it may be too
political - CORRECT ANSWER - False: Committee may NOT have the authority to create
the spending or the pay for it may be too political
True or False: Pay Fors are often added between the committee and the floor - CORRECT
ANSWER - True; example: COTAs get paid 15% less was a pay-for added to a larger bill in
order to pay for the large bill
, True or False: Pay fors can be a bill deal (Medicaid cuts, Medicare provider cuts) and are much
less transparent - CORRECT ANSWER - True
What is the issue with home health flexibility Act? - CORRECT ANSWER - Unlike
PT/Speech and skilled nursing, the need for OT CANNOT qualify someone for HH services,
1980s compromise made to add us as a HH benefit
True or False: Although OTs added as HH benefit, Medicare decided they are not permitted to be
1st in door to make initial assessment or comprehensive assessment - CORRECT ANSWER -
True
True or false: Not being able to open the case does not devalue the role of OT in HH ? -
CORRECT ANSWER - False it DOES devalue the role of OT and leaves the final decision
for the need for OT services up to PT/Speech/Nursing
True or False: The Medicare HH Flexibility Act would direct Medicare to allow OT to open HH
therapy cases (conduct the initial/comprehensive assessment) by ourselves - CORRECT
ANSWER - False: Bill says we cant do stand alone OT in HH, but if we are with
Speech/PT/Nursing then we can open the case/do initial assessment
What happened with this congress affecting the Home Health Flexibility Act? - CORRECT
ANSWER - Last year our champions "worked the bill" and posed a higher chance of success
but this Congress we lost 2 of our lead sponsors so we are trying to secure replacements.
Who is the Senate Supporter for the Home Health Flexibility Act? - CORRECT ANSWER -
Sen Ben Carding(D-MD), need a republican
Who are the House supporters for the Home Health Flexibility Act? - CORRECT ANSWER -
Rep Lloyd Dogett(now the chair of subcommittee on health for Ways and Means so people are
hoping he will bring this bill forward), Rep David McKinley (R-WV), and Rep Paul Tonko (D-
NY) Confirming one more sponsor
