The report discusses the oral health of children eligible for Medicaid, the House Committee on Energy and Commerce and its Subcommittee on Health and the Environment requested OTA to determine whether children eligible for Medicaid are provided at least a minimum level of dental care. This study compares the dental manuals of seven State Medicaid programs with a set of “basic’ dental services (which comprise shared components of various well-accepted dental guidelines) to see if States allow these particular services.

In this paper OTA summarizes the evidence on the effectiveness and costs of colorectal cancer screening in the elderly and explores the implications for Medicare of offering this preventive technology as a Medicare benefit. Nowhere are the hard choices between potential medical benefits and high costs illustrated more clearly than with this cancer screening technology.

This Background Paper examines the evidence of the effectiveness of drug abuse treatment; it also evaluates the role that such treatment might play in reducing the spread of HIV. Because most intravenous drug users are not in treatment, the paper also examines other approaches to HIV prevention among this high-risk group.

This report responds to requests by the House Committee on Energy and Commerce and the House Committee on Government Operations to assess the role that communication and information technologies play in the securities markets. The Committee desired a benchmark for gauging progress made toward the national market system envisioned by the 1975 Act. This report assesses the current use of information technology by U.S. securities exchanges and over-the-counter dealers, by related futures and options markets, and by associated industries and regulatory agencies.

This report is about access of people in rural America to basic health care services. This report focuses on trends in the availability of primary and acute health care in rural areas and factors affecting those trends.

This report profiles the structures of four domestic nonferrous metals industries (copper, aluminurn, lead, and zinc) and the changes they have undergone since 1980. The study also outlines the U.S. position in the world markets.

In this report OTA gives a broad overview of the qualities of the competing fuels and examines in depth some of the most contentious issues associated with the wisdom of active Federal support for introducing the fuels. Areas of uncertainty that affect the debate on Federal support include fuel cost (including costs of building new infrastructure and modifying vehicles); the air quality effects of the new fuels; effects on energy security; other environmental impacts of the fuels; and consumer acceptance of the changes in vehicle performance, refueling procedures, costs, and other facets of the transportation system that would follow a large-scale introduction of any of the fuels. The report singles out for special examination the arguments concerning the costs, energy security implications, and air quality impacts of introducing methanol fuels into the fleet.

This report market that have institutions, usually refered to as "clearing house", which handle both the clearing and some aspects of the settlement processes.

This report describes the unconventional cancer treatments that are most used by U.S. cancer patients; it describes the way in which people find out about them and how much they pay for them; reviews the claims made for them and the information base in support of the claims; suggests possible ways of generating valid information about their safety and effectiveness; and presents the legal issues surrounding unconventional treatments that have brought civil and criminal litigation to bear on the subject.

This report discusses the definition of honesty and integrity tests defined by OTA. The definition does not necessarily resolve ambiguities over the universe of tests that should be considered integrity tests. Controversy surrounds the meanings of integrity and honesty in the workplace; there is disagreement over whether integrity tests differ from other personnel tests in design or in the kinds of inferences they support; and there is little relative information on how integrity and honesty tests are actually used in hiring decisions.

This report focuses on the training given to employed workers both from the standpoint of the competitiveness of U.S. industry and from the standpoint of the individual worker who may need training to advance. Most workers who get training get it from their employer, and much of the report looks at the employer provided training system. The message of this report is that the debate about national training policies needs to be broadened to encompass not only training programs for the economically disadvantaged, the displaced worker, or people with special needs, but also those who stand on the front line of American productivity-employed workers at all levels.

This report discusses biological rhythms: what they are, how they are controlled by the brain, and the role they play in regulating physiological and cognitive functions. The major focus of the report is the examination of the effects of nonstandard work hours on biological rhythms and how these effects can interact with other factors to affect the health, performance, and safety of workers.

This report, the final product of OTA’s assessment on international collaboration in defense technology, explores the form and dynamics of the international defense industry, the intricacies of technology transfer and equipment sales, and the implications for U.S. policy.

This OTA Background Paper presents the results of a survey of 1,500 U.S. companies, the 50 largest utilities, and the largest unions. The survey was designed to obtain information about the types of medical monitoring and screening done in the United States and the extent of their use. OTA finds that virtually all large U.S. employers use some of these tests.

This background paper discusses the legacy of 40 years of U.S. university/AID collaboration, and examines new opportunities for U.S. university participation in development assistance.

Common issues for these systems include their possible contributions to improving mobility in congested corridors, U.S. technology leadership, the Federal role in transportation research and development, and institutional and community barriers to major, new infrastructure programs. Moreover, some Federal financing is likely to be required if commercial maglev or tiltrotor technologies are to be developed by U.S. industry over the next decade. Congress will need to clarify its objectives for supporting or encouraging these technologies before it can make wise decisions on when or whether to undertake substantial, long-term Federal programs in support of either or both of them. This report identifies several funding and management options for consideration if such goals are established.

This report presents a summary of research into the biological factors associated with schizophrenia, bipolar disorder, major depression, obsessive-compulsive disorder, and panic disorder. The report also discusses support for this research and the social context in which it moves forward.

This background paper also responds to the request of the Congressional Sunbelt Caucus that OTA examine and judge the available evidence on whether Medicaid and Medicare patients, particularly obstetrics patients, are more litigious than other patients.

This background paper reviews and evaluates the available literature linking health insurance coverage with the utilization and process of health care services and with individual health outcomes.

In this report, OTA provides a conceptual overview of how designers might integrate environmental concerns with traditional design objectives, and how policymakers can best take advantage of such opportunities. Although the concept of “green” design is gathering momentum, a number of technical, behavioral, economic, and informational barriers need to be addressed.

This report examines in detail ways in which compliance with such a regime might be monitored. Surveying the life-cycle of SLCMs from development testing through deployment and storage, the assessment identifies the ‘indicators’ by which the missiles might be tracked and accounted for. It also assesses the paths of evasion that a determined cheater might take to avoid the proposed monitoring measures.

This report finds little likelihood that a NAFTA, by itself, will lead to the most dismal scenarios. But OTA’s analysis also indicates that market forces alone are not likely to produce the social and economic rewards the heads of both states have promised from a free trade agreement.

This report examines the following: the outlook for safety management and economic life decisions for the Nation’s existing nuclear power plants as they age, the prospects for decommissioning, and current and potential Federal efforts that could contribute to more timely and better informed decisions regarding plant life and decommissioning.

This report describes the OTA study that examined regulatory, research, and technology issues related to passenger safety and evacuation testing.