Cedar Rapids Municipal Airport, Iowa, 20 September 1984. Photograph by official White House photographer Michael Evans, courtesy of the Ronald Reagan Presidential Library. A<unk><unk><unk>  or TEFRA<unk>  is a Medicaid<unk>  concerning the income eligibility for home-based Medicaid services for children under the age of nineteen. Prior to the<unk><unk><unk> , if a child with significant medical needs received treatment at home, all of the financial resources of the parents would be "deemed" as the income of the child for the purposes of determining Medicaid eligibility. Only after a hospitalization lasting more than thirty days would the parents' income no longer be deemed to the child, allowing the child to then qualify for Medicaid coverage. The effect was that many families, unable to afford home treatment, kept their children in costly hospital settings in order to meet the Medicaid 30-day requirement.<unk><unk><unk> s allow Medicaid to cover medical services for children in the home, regardless of the parents' income, in cases where home-based treatment will cost less than or the same as treatment in a hospital. The<unk>  is named for<unk><unk> , a three-year-old who had been hospitalized since infancy so that she could receive ventilator assistance after a viral encephalitis infection left her partially paralyzed in a way that affected her ability to breathe. When her situation came to the attention of the newly elected Reagan administration, then preparing its first budget, the administration seized the story as a way to deregulate and reduce the costs of Medicaid. The<unk>  is also called a TEFRA<unk>  because it was passed as a provision of the Tax Equity and Fiscal Responsibility Act of 1982. After the age of nineteen, people with disabilities can transition to Medicaid Home and Home and Community-Based Services<unk> s.
Katie Beckett Medicaid waiver
Countess of Dufferin Fund
Commissioning Support for London
Comstock laws
Florida Medicaid waiver
Bill for the Benefit of the Indigent Insane
Lunatic asylum
Projects for Assistance in Transition from Homelessness