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Health Politics and Policy

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Submitted By janrob151
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1. A. What is the role of congress in the policy making process?
Congress is the designated lawmaking body of the federal government. Policies (laws) pass through congress via a long process. A member of congress will introduce a bill which is then referred to committee(s) in the Senate and House. The committee refines, approves, and sends the bill on to the Chamber of congress where it originated. The bill could also die in committee from lack of support. The House or Senate will vote on the bill and either approves it and sends it to the other chamber or it will die. The other chamber can approve, revise, or let the bill die. If both the House and Senate move a version of a bill forward, then a committee made up of both chambers come to agreement and send the bill back to the two chambers for a vote. The bill, if not approved, dies. If the chambers approve it, then it goes to the President to sign. If the President vetoes the bill, congress can override it if they have a two-thirds majority in both the House and in the Senate [ (Teitelbaum & Wilensky, 2007, pp. 13-18) ].
1. B. What is the difference between mandatory and discretionary spending?
“Mandatory spending programs are those where the federal government is obligated to provide funds for an expense” [ (Fay, 2008) ]. The allocation of this money is based on existing laws. Congress does not have to vote to approve spending the money each year, it will happen automatically. There are several examples of mandatory spending. These include entitlement programs such as the Medicaid and Medicare programs. Entitlement programs are established by laws and congress must set aside money to fund them each year. Another example of mandatory spending is the interest on the national debt [ (Teitelbaum & Wilensky, 2007, p. 18) ].
“Discretionary spending refers to the portion of federal government spending

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