1. A major controversy that is yet to be resolved about the Medicare Prescription Drug, Improvement and Modernization Act of 2003 is: A. The mechanism for enrollment of new Medicare managed care clients B. Northern versus southern states’ philosophies of “indigent care” C. What the program will ultimately cost the federal government D. None of the above

C. What the program will ultimately cost the federal government

Explanation:

The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 was an attempt to make improvements or amendments to the Social Security Act.  It radically changed the playing field for private plans participating in the Medicare program by substantially raising monthly payment rates in an effort to stabilize the market and reverse the decline in benefit generosity.  It also provided for voluntary prescription drugs under the medicare program.  However, the utilization and cost of the program skyrocketed as soon as the funding source was established.  It has remained unknown what the program will ultimately cost the federal government, no wonder the current administration under Trump wants to turn it upside down.