Puerto Rico and Health Care Finance: Frequently Asked Questions (CRS Report for Congress)
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| Release Date |
Revised June 27, 2016 |
| Report Number |
R44275 |
| Report Type |
Report |
| Authors |
Marco A. Villagrana,Patricia A. Davis,Sarah A. Donovan,Jim Hahn,Suzanne M. Kirchhoff,Annie L. Mach,Alison Mitchell,Paulette C. Morgan,C. Stephen Redhead |
| Source Agency |
Congressional Research Service |
| Older Revisions |
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Summary:
Puerto Rico’s financial circumstances, including uncertainty about its ability to service its large
public debt, have drawn attention in recent months. As Congress examines Puerto Rico’s
finances, questions have arisen about how federal health care programs (Medicare, Medicaid, and
the State Children’s Health Insurance Program [CHIP]) and private health insurance requirements
apply to Puerto Rico. Is Puerto Rico treated like a state, or is it treated differently?
This report provides answers to frequently asked questions (FAQs) about Puerto Rico’s health
care system. The FAQs are divided into the following sections:
Demographic and Economic Overview
Medicare
Part A
Part B
Part C, Medicare Advantage
Part D
Medicaid
CHIP
Private Health Insurance
The FAQ provides examples, which illustrate that in many circumstances, health programs in
Puerto Rico differ from programs in the 50 states and the District of Columbia (DC), whereas in
other circumstances, Puerto Rico is treated the same as the states. As such, these FAQs should be
viewed as a discussion of the complexity of health care financing as it relates to Puerto Rico
under current law.
This report does not provide a comprehensive overview of how federal health care programs and
requirements apply in Puerto Rico. Instead, the report answers questions about health care
financing that have arisen in light of Puerto Rico’s financial circumstances. This report will be
updated as additional relevant questions and answers arise.
