We are looking this week at all the different pieces of the puzzle that create, fund and execute health care initiatives. Please select either one of the committees or sub committees described in Table 2.1 of our e-text on pages 15 and 16 or one of the offices or operating divisions of the Department of Health and Human Services Figure 2-3 in our e-text at page 25.
(1) describe the functions of the entity you have selected (what does it DO?) and
(2) go to https://www.usajobs.gov/ and search for a job at one of the agencies listed in Figure 2-3 by entering part or all of the name into the USAjobs.gov search box, e.g. Finance Committee, or Labor, etc. You MUST select a job in the Federal, State or City government for WHICH YOU COULD BE QUALIFIED. Posts listing things like physician or occupational therapist will not get any credit.
House Rules committee—This committee has juris- diction over the rules and order of business in the House, including rules for the floor debates, amend- ments, and voting procedures. Unlike in the Senate, all House bills must go to the House Rules commit- tee before reaching the House floor for a vote by all representatives. Table 2-1 identifies the key health committees and sub- committees and their health-related jurisdictions. Congressional Commissions and Staff Agencies Although the committee system helps members of Congress focus on particular areas, members often need assistance with in-depth research and policy analysis. Commissions and Table 2-1 Key Health Committees and Subcommittees Committee/Subcommittee Senate Finance Committee • Subcommittee on Health Care Senate Appropriations Committee • Subcommittee on Labor, Health, Human Services, Education, and Related Agencies • Subcommittee on Agriculture, Rural Development, Food and Drug Administration, and Related Agencies • Subcommittee on Interior, Environment, and Related Agencies Senate Health, Education, Labor, and Pensions Committee • Subcommittee on Children and Families • Subcommittee on Primary Health and Retirement Security Senate Committee on Agriculture, Nutrition, and Forestry • Subcommittee on Nutrition, Specialty Crops, and Agricultural Research Senate Committee on Environment and Public Works • Subcommittee on Clean Air and Nuclear Safety Health-Related Jurisdiction Department of Health and Human Services • Centers for Medicare and Medicaid Services (includes CHIP) • Administration for Children and Families Department of the Treasury • Group health plans under the Employee Retirement Income Security Act Department of Health and Human Services • All areas except Food and Drug Administration, Indian Health, and construction activities United States Agricultural Department (except Forest Service) • Includes child nutrition programs; food safety and inspec- tions; nutrition program administration; special supplemental nutrition program for Women, Infants, Children (WIC); Supplemental Nutrition Assistance Program (SNAP) Food and Drug Administration Department of Health and Human Services • Indian Health Services • Agency for Toxic Substances and Disease Registry Aging, biomedical research, individuals with disabilities, occu- pational safety and health, public health, Health Resources Services Act, substance abuse and mental health, oral health, healthcare disparities, ERISA Food from fresh waters, food stamp programs, human nutrition, inspection of livestock, meat, and agricultural products, pests and pesticides, school nutrition programs, other matters related to food, nutrition, and hunger Clean Air Act, indoor air, Tennessee Valley Authority, Nuclear Regulatory Commission, nuclear plant safety
Committee/Subcommittee House Committee on Ways and Means • Subcommittee on Health • Subcommittee on Human Resources House Committee on Appropriations • Subcommittee on Labor, Health and Human Services, Education, and Related Agencies • Subcommittee on Agriculture, Rural Development, Food and Drug Administration, and Related Agencies • Subcommittees on Energy, Water Development, and Related Agencies • Subcommittee on Interior, Environment, and Related Agencies Health-Related Jurisdiction Programs providing payments for health care, health delivery systems, and health research Social Security Act • Maternal and Child Health Block Grant • Medicare • Medicaid • Peer review of utilization and quality control of health care organizations Internal Revenue Services (IRS) • Tax credit and deduction provisions of the IRS relating to health insurance premiums and health care costs • Social Security Act • Public assistance provisions Department of Health and Human Services • Administration for Children and Families • Administration for Community Living • Agency for Healthcare Research and Quality • Centers for Disease Control and Prevention • Centers for Medicare and Medicaid Services • Health Resources Services Administration • National Institutes of Health • Substance Abuse and Mental Health Services Federal Mine Safety and Health Review Commission Medicaid and CHIP Payment and Access Commission Medicare Payment Advisory Committee National Council on Disability Occupational Safety and Health Review Commission Social Security Administration Food and Drug Administration Department of Agriculture (except Forestry) Department of Energy • National Nuclear Security Administration • Federal Energy Regulatory Commission Department of Interior • Bureau of Reclamation Defense Nuclear Facilities Safety Board Nuclear Regulatory Commission Department of Interior Environmental Protection Agency Department of Health and Human Services • Agency for Toxic Substances and Disease Registry • Indian Health Service National Institute of Environmental Health Sciences Chemical Safety and Hazards Investigation Board
Figure 2-3 Department of Health and Human Services Organizational Chart The Executive Secretariat (ES) Office of Health Reform (OHR) Office of the Secretary Office of the Assistant Secretary for Administration (ASA) Office of the Assistant Secretary for Financial Resources (ASFR) Office of the Assistant Secretary for Health (OASH) Office of the Assistant Secretary for Legislation (ASL) Office of the Assistant Secretary for Planning and Evaluation (ASPE) Office of the Assistant Secretary for Preparedness and Response (ASPR)* Office of the Assistant Secretary for Public Affairs (ASPA) Center for Faith-Based and Neighborhood Partnerships (CFBNP) Office for Civil Rights (OCR) Departmental Appeals Board (DAB) Office of the General Counsel (OGC) Office of Global Affairs (OGA)* Office of Inspector General (OIG) Office of Medicare Hearings and Appeals (OMHA) Office of the National Coordinator for Health Information Technology (ONC) Secretary Deputy Secretary Chief of Staff Office of Intergovenmental and External Affairs (IEA) Operating Divisions Administration for Children and Families (ACF) Administration for Community Living (ACL) Agency for Healthcare Research and Quality (AHRQ) Agency for Toxic Substances and Disease Registry (ATSDR) Centers for Disease Control and Prevention (CDC)* Centers for Medicare & Medicaid Services (CMS) Food and Drug Administration (FDA)* Health Resources and Services Administration (HRSA)* Indian Health Service (IHS)* National Institutes of Health (NIH)* Substance Abuse and Mental Health Services Administration (SAMHSA)* *parts of HHS that are components of the Public Health Service. Reproduced from: the U.S. Department of Health and Human Services. HHS Organizational Chart. Available at http://www.hhs.gov/about/agencies/orgchart/index.html. Accessed July 15, 2015. Department of Defense (DoD), and the Department of Veter- ans Affairs (VA). The HHS houses many of the major public health insurance programs and health services that provide care, information, and more to millions of U.S. residents; the DoD and VA operate health insurance programs specifically for military personnel and their families. Department of Health and Human Services The HHS includes hundreds of programs that cover activi- ties as varied as medical and social science research, pre- school education services, substance abuse and prevention services, and health insurance programs, just to name a few. As shown in Figure 2-3, the department has 11 operating divisions. The main purpose of each agency is described in Table 2-4. Each operating division has numerous bureaus or divi- sions that operate health programs. For example, the HIV/ AIDS Bureau (HAB) is one of six bureaus in HRSA. The HIV/AIDs Bureau implements the Ryan White CARE Act, 20 which provides health care to individuals with HIV and AIDS. Similarly, the FDA has several offices or centers; the one whose job is perhaps most well-known to the general public is the Center for Drug Evaluation and Research, which is responsible for testing and approving new drugs before they can be sold to the public. These are just two examples of the many sub-agency units that perform vital functions in our federal health care bureaucracy. The HHS also includes numerous offices that assist the Secretary of HHS in running the department. The Office of the Assistant Secretary of Health (OASH) is the principal advi- sor to the HHS secretary on public health matters. Through the Office of the Surgeon General, OASH oversees the U.S. Public Health Service (PHS), the Commissioned Corps (health professionals used for both emergency responses and as health promoters), and the Office of Disease Prevention and Health Promotion. The PHS employs both commissioned corps members and civilians to run its public health programs. Nine of the offices and agencies within the HHS are part of the PHS. 21 In addition, the PHS employees also work in the Bureau of Prisons, U.S. Coast Guard, National Oce- anic and Atmospheric Administration, Environmental Pro- tection Agency, Division of Immigration Health Services, and U.S. Marshal Services. The HHS also has divisions con- cerned with planning and evaluation, legislation, admin- istration and management, budget and finance, program support, public affairs, and global health affairs. The Center for Faith-Based and Neighborhood Partnerships strives to create partnerships between government, community, and faith-based organizations to help the HHS serve individuals and communities. 22 Offices concerned with the legality and efficiency of the department’s activities include those of the General Counsel and Inspector General, and the Office of Civil Rights.
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