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SK in CV
ParticipantThe “essential, enhanced and premium” refer to 3 different levels of coverage in the insurance exchange. Nobody is required to choose a carrier that participates in the plan. Nobody is required to choose a particular plan. I suspect we share the objection to the plan being mandatory, and the penalties for not participating (as stupid as that choice might be for most). But ignoring that particular objection for the moment, I’m not sure what the objection to this particular clause would be. Since the government is establishing the non-mandatory insurance exchange, it is also establishing the guidelines under which different policies and benefits would be classified.
With regards to the item on page 50, section 152, I would direct you to page 132, section 142. Everyone must have insurance. Affordability credits are granted to those deemed to have income insufficient to pay premiums in full. Those credits are only available to “an individual who
is lawfully present in a State in the United States”. So those illegally present would be required to buy insurance, but get no aid in doing so. They would pay full price for premiums, and be penalized on their tax returns if they don’t. (yes, I smiled when i typed that) I think that makes it so that no one that is here illegally gets anything for free. (existing aid under medicaid notwithstanding)ParticipantThe “essential, enhanced and premium” refer to 3 different levels of coverage in the insurance exchange. Nobody is required to choose a carrier that participates in the plan. Nobody is required to choose a particular plan. I suspect we share the objection to the plan being mandatory, and the penalties for not participating (as stupid as that choice might be for most). But ignoring that particular objection for the moment, I’m not sure what the objection to this particular clause would be. Since the government is establishing the non-mandatory insurance exchange, it is also establishing the guidelines under which different policies and benefits would be classified.
With regards to the item on page 50, section 152, I would direct you to page 132, section 142. Everyone must have insurance. Affordability credits are granted to those deemed to have income insufficient to pay premiums in full. Those credits are only available to “an individual who
is lawfully present in a State in the United States”. So those illegally present would be required to buy insurance, but get no aid in doing so. They would pay full price for premiums, and be penalized on their tax returns if they don’t. (yes, I smiled when i typed that) I think that makes it so that no one that is here illegally gets anything for free. (existing aid under medicaid notwithstanding)ParticipantThe “essential, enhanced and premium” refer to 3 different levels of coverage in the insurance exchange. Nobody is required to choose a carrier that participates in the plan. Nobody is required to choose a particular plan. I suspect we share the objection to the plan being mandatory, and the penalties for not participating (as stupid as that choice might be for most). But ignoring that particular objection for the moment, I’m not sure what the objection to this particular clause would be. Since the government is establishing the non-mandatory insurance exchange, it is also establishing the guidelines under which different policies and benefits would be classified.
With regards to the item on page 50, section 152, I would direct you to page 132, section 142. Everyone must have insurance. Affordability credits are granted to those deemed to have income insufficient to pay premiums in full. Those credits are only available to “an individual who
is lawfully present in a State in the United States”. So those illegally present would be required to buy insurance, but get no aid in doing so. They would pay full price for premiums, and be penalized on their tax returns if they don’t. (yes, I smiled when i typed that) I think that makes it so that no one that is here illegally gets anything for free. (existing aid under medicaid notwithstanding)Participant[quote=AN]
Please see meadandale’s excerpt of the bill on page 5 for some of the reason I’m against this bill.[/quote]I saw them. The vast majority were outright falsehoods. The plan itself can be seen here.
http://energycommerce.house.gov/Press_111/20090714/aahca.pdf
The errors included in meandale’s first post are:
Pg 22 of the HC Bill MANDATES the Govt will audit books of ALL EMPLOYERS that self insure!!
False. It doesn’t audit the books. It doesn’t say “all” anywhere. It examines the solvency of, and risk of self-insured employers of not being able to pay claims. Makes sense to me.
Pg 30 Sec 123 of HC bill – THERE WILL BE A GOVT COMMITTEE that decides what treatments/benes u get
False. It establishes minimum benefits.
Pg 29 lines 4-16 in the HC bill – YOUR HEALTHCARE IS RATIONED!!!
False. No “rationing” is even mentioned. It covers maximum out of pocket expenses for covered individuals and families.
Pg 42 of HC Bill – The Health Choices Commissioner will choose UR HC Benefits 4 you. U have no choice!
False. The commissioner will establish minimum standards. Not maximum.
PG 50 Section 152 in HC bill – HC will be provided 2 ALL non US citizens, illegal or otherwise
Maybe. But it doesn’t explicitly say that.
Pg 58HC Bill – Govt will have real-time access 2 individs finances & a National ID Healthcard will b issued!
False. It provides for immediate access to patient responsibility for payment of services at the time rendered. Insurance cards will be issued exactly as they are now for most all medical insurance.
Pg 59 HC Bill lines 21-24 Govt will have direct access 2 ur banks accts 4 elect. funds transfer
False. It provides for electronic transfer of funds to health care providers for services rendered. Same as medicare does now.
PG 65 Sec 164 is a payoff subsidized plan 4 retirees and their families in Unions & community orgs (ACORN).
Mostly False. It susidizes retirees insurance, otherwise paid by employers, for retirees between 55 and 65 years old. May apply to some organized labor contracts, but no mention of unions or community organizations. No relationship whatsoever with ACORN.
Pg 72 Lines 8-14 Govt is creating an HC Exchange 2 bring priv HC plans under Govt control.
False. No Gov’t control involved. No mandatory participation by private insurers. It creates a single clearinghouse for insurers.
PG 84 Sec 203 HC bill – Govt mandates ALL benefit pkgs 4 priv. HC plans in the Exchange
True. It will provide for minimum standards for those private insurers who voluntarily choose to particpate at the various levels of coverage. (Basic, Enhanced, Premium) Participation is not mandatory.
PG 85 Line 7 HC Bill – Specs for of Benefit Levels for Plans = The Govt will ration ur Healthcare!
False. Government will establish minimum guidelines for levels of coverage within the exhange. (Basic, Enhanced and Premium)
PG 91 Lines 4-7 HC Bill – Govt mandates linguistic approp svcs. Example – Translation 4 illegal aliens
Translation for all participants in the plan.
Pg 95 HC Bill Lines 8-18 The Govt will use groups i.e., ACORN & Americorps 2 sign up indiv. for Govt HC plan
Outreach to inform participants of options within the exchange, including private insurers.
PG 85 Line 7 HC Bill – Specs of Ben Levels 4 Plans. #AARP members – U Health care WILL b rationed
False. Government will establish minimum guidelines for levels of coverage within the exhange. (Basic, Enhanced and Premium)
-PG 102 Lines 12-18 HC Bill – Medicaid Eligible Indiv. will b automat.enrolled in Medicaid. No choice
No change to current law. Those eligible for Medicaid are enrolled in Medicaid.
pg 124 lines 24-25 HC No company can sue GOVT on price fixing. No “judicial review” against Govt Monop
Exactly the same as current Medicare reimbursement rate rules. Participation by health care providers is not mandatory. Lack of participation in public plan does not prohibit participation in other exchange insurance plans.
pg 127 Lines 1-16 HC Bill – Doctors/ #AMA – The Govt will tell YOU what u can make.
False. Government will set reimubursement rates. Participation by doctors is voluntary, just as it is now for medicare. Lack of participation in public plan does not prohibit participation in other exchange insurance plans.
Pg 145 Line 15-17 An Employer MUST auto enroll employees into pub opt plan. NO CHOICE
False. Employers have coverage requirements. There is no requirement that the coverage is through the public option plan or even the insurance exchange.
Pg 126 Lines 22-25 Employers MUST pay 4 HC 4 part time employees AND their families.
False. Employers must pay proportionally for other than full time workers. No family coverage specified. (reference should be to page 146, not 126)
Pg 149 Lines 16-24 ANY Emplyr w payroll 400k & above who does not prov. pub opt. pays 8% tax on all payroll
False. There is no requirement for participation in the public option.
pg 150 Lines 9-13 Biz w payroll btw 251k & 400k who doesnt prov. pub. opt pays 2-6% tax on all payroll
False. There is no requirement for participation in the public option.
Pg 167 Lines 18-23 ANY individual who doesnt have acceptable HC accrdng 2 Govt will be taxed 2.5% of inc
False. The tax will be limited to the cost of required coverage, up to a maximum of 2.5%, prorated for partial year coverage.
Pg 170 Lines 1-3 HC Bill Any NONRESIDENT Alien is exempt from indiv. taxes. (Americans will pay)
False. No change to existing tax law for non-resident aliens.
Pg 195 HC Bill -officers & employees of HC Admin (GOVT) will have access 2 ALL Americans finan/pers recs
False. HC Admin will have access to records required to verify eligibility for affordability credits. Affordability credits are not mandatory. If you are elegible, you need not participate, but in order to do so, verification of some tax records are required.
PG 203 Line 14-15 HC – “The tax imposed under this section shall not be treated as tax” Yes, it says that
Awkwardly worded, but quoted text makes sense when not taken out of context.
Pg 239 Line 14-24 HC Bill Govt will reduce physician svcs 4 Medicaid. Seniors, low income, poor affected
False. Referenced sections refer to “target growth rate computation”, not direct payment of services.
Pg 241 Line 6-8 HC Bill – Doctors, doesnt matter what specialty u have, you’ll all be paid the same
False. Doctors providing exactly the same services will be paid the same, regardless of their specialty.
PG 253 Line 10-18 Govt sets value of Dr’s time, prof judg, etc. Literally value of humans.
False. Government may review service codes to accurately reflect and reimburse for the services provided. Just as every private insurance company does annually.
PG 265 Sec 1131Govt mandates & controls productivity for private HC industries
False. Section refers to evaluation of reimbursement rates.
PG 268 Sec 1141 Fed Govt regulates rental & purchase of power driven wheelchairs
False. Section modifies definition of power driven wheelchairs.
PG 272 SEC. 1145. TREATMENT OF CERTAIN CANCER HOSPITALS – Cancer patients – welcome to rationing!
False. No rationing involved. Section refers to fee schedule adjustments related to certain cancer hospitals if their costs exceed those costs in other hospitals.
Page 280 Sec 1151 The Govt will penalize hospitals 4 what Govt deems preventable readmissions.
Correct. Will promote proper aftercare and act as a deterrent for premature discharge, in addition to penalize hospitals which use readmissions to boost revenues.
Pg 298 Lines 9-11 Drs, treat a patient during initial admiss that results in a readmiss-Govt will penalize u.
False. Section refers to a mandated study of readmissions.
Pg 317 L 13-20 OMG!! PROHIBITION on ownership/investment. Govt tells Drs. what/how much they can own.
Virtually identical to existing Medicare rules, which reduce possibility of doctors receiving kickbacks for referrals to other care providers in which they have an ownership interest.
Pg 317-318 lines 21-25,1-3 PROHIBITION on expansion- Govt is mandating hospitals cannot expand
False. Section refers to qualification of certain facilities as “Rural Providers”, which may be eligible for alternate fee schedule.
pg 321 2-13 Hospitals have oppt to apply for exception BUT community input required. Can u say ACORN?!!
Section refers to qualification of certain facilities as “Rural Providers”, which may be eligible for alternate fee schedule. You can say ACORN, but it would have nothing to do with this section. More likely that “corn” might be related.
Pg335 L 16-25 Pg 336-339 – Govt mandates estab. of outcome based measures. HC the way they want. Rationing
False. Section refers to bonus payments for quality of care which exceeds specified standards.
Pg 341 Lines 3-9 Govt has authority 2 disqual Medicare Adv Plans, HMOs, etc. Forcing peeps in2 Govt plan
False. Government has the authority to disqualify some plans for inadequate patient care. No requirement for transfer to public plan.
Pg 354 Sec 1177 – Govt will RESTRICT enrollment of Special needs ppl!
False. Section refers to extension of existing rules regarding some plans and provides for an analysis of those plans.
Pg 379 Sec 1191 Govt creates more bureaucracy – Telehealth Advisory Cmtte. Can u say HC by phone?
False. The section refers to expansion of program already in existence under medicare.
PG 425 Lines 4-12 Govt mandates Advance Care Planning Consult. Think Senior Citizens end of life
False. There is no mandate in this section. It provides for payment of services related to advance directives every 5 years.
Pg 425 Lines 17-19 Govt will instruct & consult regarding living wills, durable powers of atty. Mandatory!
False. Government will reimburse for those non-mandated services, just as they reimburse for other medical services.
PG 425 Lines 22-25, 426 Lines 1-3 Govt provides apprvd list of end of life resources, guiding u in death
False. Reference is description of what services related to advance care planning will be reimbursed. Nothing is mandated.
PG 427 Lines 15-24 Govt mandates program 4 orders 4 end of life. The Govt has a say in how ur life ends
False. Reference is description of what services related to advance care planning will be reimbursed. Nothing is mandated.
Pg 429 Lines 1-9 An “adv. care planning consult” will b used frequently as patients health deteriorates
Not exactly. Section provides for reimbursement more than every 5 years if there is significant deterioration of the health of a patient.
PG 429 Lines 10-12 “adv. care consultation” may incl an ORDER 4 end of life plans. AN ORDER from GOV
False. Reference is description of what services related to advance care planning will be reimbursed. Nothing is mandated.
Pg 429 Lines 13-25 – The govt will specify which Doctors can write an end of life order.
False. Reference is description of a durable advance directive, so that patients will not have to sign a new advance directive every time they enter a different hospital.
PG 430 Lines 11-15 The Govt will decide what level of treatment u will have at end of life
False. Section refers to what information may be included in an advance directive.
Pg 469 – Community Based Home Medical Services=Non profit orgs. Hello, ACORN Medical Svcs here!!?
Section refers to defintion of a Community Based Medical Home. Objection to this section is unclear.
Page 472 Lines 14-17 PAYMENT TO COMMUNITY-BASED ORG. 1 monthly payment 2 a community-based org. Like ACORN?
ACORN does not operate community based home medical services facilities. So no, not like ACORN.
PG 489 Sec 1308 The Govt will cover Marriage & Family therapy. Which means they will insert Govt in2 ur marriage
False.
Pg 494-498 Govt will cover Mental Health Svcs including defining, creating, rationing those svcs
Not entirely. Some mental health services may be covered. No description of rationing is involved.
I spent quite a bit of time reviewing each of the items of above. So please review them carefully. And if you doubt the veracity of any of my responses on the particular items, please click on the link above and review the actual bill.
Participant[quote=AN]
Please see meadandale’s excerpt of the bill on page 5 for some of the reason I’m against this bill.[/quote]I saw them. The vast majority were outright falsehoods. The plan itself can be seen here.
http://energycommerce.house.gov/Press_111/20090714/aahca.pdf
The errors included in meandale’s first post are:
Pg 22 of the HC Bill MANDATES the Govt will audit books of ALL EMPLOYERS that self insure!!
False. It doesn’t audit the books. It doesn’t say “all” anywhere. It examines the solvency of, and risk of self-insured employers of not being able to pay claims. Makes sense to me.
Pg 30 Sec 123 of HC bill – THERE WILL BE A GOVT COMMITTEE that decides what treatments/benes u get
False. It establishes minimum benefits.
Pg 29 lines 4-16 in the HC bill – YOUR HEALTHCARE IS RATIONED!!!
False. No “rationing” is even mentioned. It covers maximum out of pocket expenses for covered individuals and families.
Pg 42 of HC Bill – The Health Choices Commissioner will choose UR HC Benefits 4 you. U have no choice!
False. The commissioner will establish minimum standards. Not maximum.
PG 50 Section 152 in HC bill – HC will be provided 2 ALL non US citizens, illegal or otherwise
Maybe. But it doesn’t explicitly say that.
Pg 58HC Bill – Govt will have real-time access 2 individs finances & a National ID Healthcard will b issued!
False. It provides for immediate access to patient responsibility for payment of services at the time rendered. Insurance cards will be issued exactly as they are now for most all medical insurance.
Pg 59 HC Bill lines 21-24 Govt will have direct access 2 ur banks accts 4 elect. funds transfer
False. It provides for electronic transfer of funds to health care providers for services rendered. Same as medicare does now.
PG 65 Sec 164 is a payoff subsidized plan 4 retirees and their families in Unions & community orgs (ACORN).
Mostly False. It susidizes retirees insurance, otherwise paid by employers, for retirees between 55 and 65 years old. May apply to some organized labor contracts, but no mention of unions or community organizations. No relationship whatsoever with ACORN.
Pg 72 Lines 8-14 Govt is creating an HC Exchange 2 bring priv HC plans under Govt control.
False. No Gov’t control involved. No mandatory participation by private insurers. It creates a single clearinghouse for insurers.
PG 84 Sec 203 HC bill – Govt mandates ALL benefit pkgs 4 priv. HC plans in the Exchange
True. It will provide for minimum standards for those private insurers who voluntarily choose to particpate at the various levels of coverage. (Basic, Enhanced, Premium) Participation is not mandatory.
PG 85 Line 7 HC Bill – Specs for of Benefit Levels for Plans = The Govt will ration ur Healthcare!
False. Government will establish minimum guidelines for levels of coverage within the exhange. (Basic, Enhanced and Premium)
PG 91 Lines 4-7 HC Bill – Govt mandates linguistic approp svcs. Example – Translation 4 illegal aliens
Translation for all participants in the plan.
Pg 95 HC Bill Lines 8-18 The Govt will use groups i.e., ACORN & Americorps 2 sign up indiv. for Govt HC plan
Outreach to inform participants of options within the exchange, including private insurers.
PG 85 Line 7 HC Bill – Specs of Ben Levels 4 Plans. #AARP members – U Health care WILL b rationed
False. Government will establish minimum guidelines for levels of coverage within the exhange. (Basic, Enhanced and Premium)
-PG 102 Lines 12-18 HC Bill – Medicaid Eligible Indiv. will b automat.enrolled in Medicaid. No choice
No change to current law. Those eligible for Medicaid are enrolled in Medicaid.
pg 124 lines 24-25 HC No company can sue GOVT on price fixing. No “judicial review” against Govt Monop
Exactly the same as current Medicare reimbursement rate rules. Participation by health care providers is not mandatory. Lack of participation in public plan does not prohibit participation in other exchange insurance plans.
pg 127 Lines 1-16 HC Bill – Doctors/ #AMA – The Govt will tell YOU what u can make.
False. Government will set reimubursement rates. Participation by doctors is voluntary, just as it is now for medicare. Lack of participation in public plan does not prohibit participation in other exchange insurance plans.
Pg 145 Line 15-17 An Employer MUST auto enroll employees into pub opt plan. NO CHOICE
False. Employers have coverage requirements. There is no requirement that the coverage is through the public option plan or even the insurance exchange.
Pg 126 Lines 22-25 Employers MUST pay 4 HC 4 part time employees AND their families.
False. Employers must pay proportionally for other than full time workers. No family coverage specified. (reference should be to page 146, not 126)
Pg 149 Lines 16-24 ANY Emplyr w payroll 400k & above who does not prov. pub opt. pays 8% tax on all payroll
False. There is no requirement for participation in the public option.
pg 150 Lines 9-13 Biz w payroll btw 251k & 400k who doesnt prov. pub. opt pays 2-6% tax on all payroll
False. There is no requirement for participation in the public option.
Pg 167 Lines 18-23 ANY individual who doesnt have acceptable HC accrdng 2 Govt will be taxed 2.5% of inc
False. The tax will be limited to the cost of required coverage, up to a maximum of 2.5%, prorated for partial year coverage.
Pg 170 Lines 1-3 HC Bill Any NONRESIDENT Alien is exempt from indiv. taxes. (Americans will pay)
False. No change to existing tax law for non-resident aliens.
Pg 195 HC Bill -officers & employees of HC Admin (GOVT) will have access 2 ALL Americans finan/pers recs
False. HC Admin will have access to records required to verify eligibility for affordability credits. Affordability credits are not mandatory. If you are elegible, you need not participate, but in order to do so, verification of some tax records are required.
PG 203 Line 14-15 HC – “The tax imposed under this section shall not be treated as tax” Yes, it says that
Awkwardly worded, but quoted text makes sense when not taken out of context.
Pg 239 Line 14-24 HC Bill Govt will reduce physician svcs 4 Medicaid. Seniors, low income, poor affected
False. Referenced sections refer to “target growth rate computation”, not direct payment of services.
Pg 241 Line 6-8 HC Bill – Doctors, doesnt matter what specialty u have, you’ll all be paid the same
False. Doctors providing exactly the same services will be paid the same, regardless of their specialty.
PG 253 Line 10-18 Govt sets value of Dr’s time, prof judg, etc. Literally value of humans.
False. Government may review service codes to accurately reflect and reimburse for the services provided. Just as every private insurance company does annually.
PG 265 Sec 1131Govt mandates & controls productivity for private HC industries
False. Section refers to evaluation of reimbursement rates.
PG 268 Sec 1141 Fed Govt regulates rental & purchase of power driven wheelchairs
False. Section modifies definition of power driven wheelchairs.
PG 272 SEC. 1145. TREATMENT OF CERTAIN CANCER HOSPITALS – Cancer patients – welcome to rationing!
False. No rationing involved. Section refers to fee schedule adjustments related to certain cancer hospitals if their costs exceed those costs in other hospitals.
Page 280 Sec 1151 The Govt will penalize hospitals 4 what Govt deems preventable readmissions.
Correct. Will promote proper aftercare and act as a deterrent for premature discharge, in addition to penalize hospitals which use readmissions to boost revenues.
Pg 298 Lines 9-11 Drs, treat a patient during initial admiss that results in a readmiss-Govt will penalize u.
False. Section refers to a mandated study of readmissions.
Pg 317 L 13-20 OMG!! PROHIBITION on ownership/investment. Govt tells Drs. what/how much they can own.
Virtually identical to existing Medicare rules, which reduce possibility of doctors receiving kickbacks for referrals to other care providers in which they have an ownership interest.
Pg 317-318 lines 21-25,1-3 PROHIBITION on expansion- Govt is mandating hospitals cannot expand
False. Section refers to qualification of certain facilities as “Rural Providers”, which may be eligible for alternate fee schedule.
pg 321 2-13 Hospitals have oppt to apply for exception BUT community input required. Can u say ACORN?!!
Section refers to qualification of certain facilities as “Rural Providers”, which may be eligible for alternate fee schedule. You can say ACORN, but it would have nothing to do with this section. More likely that “corn” might be related.
Pg335 L 16-25 Pg 336-339 – Govt mandates estab. of outcome based measures. HC the way they want. Rationing
False. Section refers to bonus payments for quality of care which exceeds specified standards.
Pg 341 Lines 3-9 Govt has authority 2 disqual Medicare Adv Plans, HMOs, etc. Forcing peeps in2 Govt plan
False. Government has the authority to disqualify some plans for inadequate patient care. No requirement for transfer to public plan.
Pg 354 Sec 1177 – Govt will RESTRICT enrollment of Special needs ppl!
False. Section refers to extension of existing rules regarding some plans and provides for an analysis of those plans.
Pg 379 Sec 1191 Govt creates more bureaucracy – Telehealth Advisory Cmtte. Can u say HC by phone?
False. The section refers to expansion of program already in existence under medicare.
PG 425 Lines 4-12 Govt mandates Advance Care Planning Consult. Think Senior Citizens end of life
False. There is no mandate in this section. It provides for payment of services related to advance directives every 5 years.
Pg 425 Lines 17-19 Govt will instruct & consult regarding living wills, durable powers of atty. Mandatory!
False. Government will reimburse for those non-mandated services, just as they reimburse for other medical services.
PG 425 Lines 22-25, 426 Lines 1-3 Govt provides apprvd list of end of life resources, guiding u in death
False. Reference is description of what services related to advance care planning will be reimbursed. Nothing is mandated.
PG 427 Lines 15-24 Govt mandates program 4 orders 4 end of life. The Govt has a say in how ur life ends
False. Reference is description of what services related to advance care planning will be reimbursed. Nothing is mandated.
Pg 429 Lines 1-9 An “adv. care planning consult” will b used frequently as patients health deteriorates
Not exactly. Section provides for reimbursement more than every 5 years if there is significant deterioration of the health of a patient.
PG 429 Lines 10-12 “adv. care consultation” may incl an ORDER 4 end of life plans. AN ORDER from GOV
False. Reference is description of what services related to advance care planning will be reimbursed. Nothing is mandated.
Pg 429 Lines 13-25 – The govt will specify which Doctors can write an end of life order.
False. Reference is description of a durable advance directive, so that patients will not have to sign a new advance directive every time they enter a different hospital.
PG 430 Lines 11-15 The Govt will decide what level of treatment u will have at end of life
False. Section refers to what information may be included in an advance directive.
Pg 469 – Community Based Home Medical Services=Non profit orgs. Hello, ACORN Medical Svcs here!!?
Section refers to defintion of a Community Based Medical Home. Objection to this section is unclear.
Page 472 Lines 14-17 PAYMENT TO COMMUNITY-BASED ORG. 1 monthly payment 2 a community-based org. Like ACORN?
ACORN does not operate community based home medical services facilities. So no, not like ACORN.
PG 489 Sec 1308 The Govt will cover Marriage & Family therapy. Which means they will insert Govt in2 ur marriage
False.
Pg 494-498 Govt will cover Mental Health Svcs including defining, creating, rationing those svcs
Not entirely. Some mental health services may be covered. No description of rationing is involved.
I spent quite a bit of time reviewing each of the items of above. So please review them carefully. And if you doubt the veracity of any of my responses on the particular items, please click on the link above and review the actual bill.
Participant[quote=AN]
Please see meadandale’s excerpt of the bill on page 5 for some of the reason I’m against this bill.[/quote]I saw them. The vast majority were outright falsehoods. The plan itself can be seen here.
http://energycommerce.house.gov/Press_111/20090714/aahca.pdf
The errors included in meandale’s first post are:
Pg 22 of the HC Bill MANDATES the Govt will audit books of ALL EMPLOYERS that self insure!!
False. It doesn’t audit the books. It doesn’t say “all” anywhere. It examines the solvency of, and risk of self-insured employers of not being able to pay claims. Makes sense to me.
Pg 30 Sec 123 of HC bill – THERE WILL BE A GOVT COMMITTEE that decides what treatments/benes u get
False. It establishes minimum benefits.
Pg 29 lines 4-16 in the HC bill – YOUR HEALTHCARE IS RATIONED!!!
False. No “rationing” is even mentioned. It covers maximum out of pocket expenses for covered individuals and families.
Pg 42 of HC Bill – The Health Choices Commissioner will choose UR HC Benefits 4 you. U have no choice!
False. The commissioner will establish minimum standards. Not maximum.
PG 50 Section 152 in HC bill – HC will be provided 2 ALL non US citizens, illegal or otherwise
Maybe. But it doesn’t explicitly say that.
Pg 58HC Bill – Govt will have real-time access 2 individs finances & a National ID Healthcard will b issued!
False. It provides for immediate access to patient responsibility for payment of services at the time rendered. Insurance cards will be issued exactly as they are now for most all medical insurance.
Pg 59 HC Bill lines 21-24 Govt will have direct access 2 ur banks accts 4 elect. funds transfer
False. It provides for electronic transfer of funds to health care providers for services rendered. Same as medicare does now.
PG 65 Sec 164 is a payoff subsidized plan 4 retirees and their families in Unions & community orgs (ACORN).
Mostly False. It susidizes retirees insurance, otherwise paid by employers, for retirees between 55 and 65 years old. May apply to some organized labor contracts, but no mention of unions or community organizations. No relationship whatsoever with ACORN.
Pg 72 Lines 8-14 Govt is creating an HC Exchange 2 bring priv HC plans under Govt control.
False. No Gov’t control involved. No mandatory participation by private insurers. It creates a single clearinghouse for insurers.
PG 84 Sec 203 HC bill – Govt mandates ALL benefit pkgs 4 priv. HC plans in the Exchange
True. It will provide for minimum standards for those private insurers who voluntarily choose to particpate at the various levels of coverage. (Basic, Enhanced, Premium) Participation is not mandatory.
PG 85 Line 7 HC Bill – Specs for of Benefit Levels for Plans = The Govt will ration ur Healthcare!
False. Government will establish minimum guidelines for levels of coverage within the exhange. (Basic, Enhanced and Premium)
PG 91 Lines 4-7 HC Bill – Govt mandates linguistic approp svcs. Example – Translation 4 illegal aliens
Translation for all participants in the plan.
Pg 95 HC Bill Lines 8-18 The Govt will use groups i.e., ACORN & Americorps 2 sign up indiv. for Govt HC plan
Outreach to inform participants of options within the exchange, including private insurers.
PG 85 Line 7 HC Bill – Specs of Ben Levels 4 Plans. #AARP members – U Health care WILL b rationed
False. Government will establish minimum guidelines for levels of coverage within the exhange. (Basic, Enhanced and Premium)
-PG 102 Lines 12-18 HC Bill – Medicaid Eligible Indiv. will b automat.enrolled in Medicaid. No choice
No change to current law. Those eligible for Medicaid are enrolled in Medicaid.
pg 124 lines 24-25 HC No company can sue GOVT on price fixing. No “judicial review” against Govt Monop
Exactly the same as current Medicare reimbursement rate rules. Participation by health care providers is not mandatory. Lack of participation in public plan does not prohibit participation in other exchange insurance plans.
pg 127 Lines 1-16 HC Bill – Doctors/ #AMA – The Govt will tell YOU what u can make.
False. Government will set reimubursement rates. Participation by doctors is voluntary, just as it is now for medicare. Lack of participation in public plan does not prohibit participation in other exchange insurance plans.
Pg 145 Line 15-17 An Employer MUST auto enroll employees into pub opt plan. NO CHOICE
False. Employers have coverage requirements. There is no requirement that the coverage is through the public option plan or even the insurance exchange.
Pg 126 Lines 22-25 Employers MUST pay 4 HC 4 part time employees AND their families.
False. Employers must pay proportionally for other than full time workers. No family coverage specified. (reference should be to page 146, not 126)
Pg 149 Lines 16-24 ANY Emplyr w payroll 400k & above who does not prov. pub opt. pays 8% tax on all payroll
False. There is no requirement for participation in the public option.
pg 150 Lines 9-13 Biz w payroll btw 251k & 400k who doesnt prov. pub. opt pays 2-6% tax on all payroll
False. There is no requirement for participation in the public option.
Pg 167 Lines 18-23 ANY individual who doesnt have acceptable HC accrdng 2 Govt will be taxed 2.5% of inc
False. The tax will be limited to the cost of required coverage, up to a maximum of 2.5%, prorated for partial year coverage.
Pg 170 Lines 1-3 HC Bill Any NONRESIDENT Alien is exempt from indiv. taxes. (Americans will pay)
False. No change to existing tax law for non-resident aliens.
Pg 195 HC Bill -officers & employees of HC Admin (GOVT) will have access 2 ALL Americans finan/pers recs
False. HC Admin will have access to records required to verify eligibility for affordability credits. Affordability credits are not mandatory. If you are elegible, you need not participate, but in order to do so, verification of some tax records are required.
PG 203 Line 14-15 HC – “The tax imposed under this section shall not be treated as tax” Yes, it says that
Awkwardly worded, but quoted text makes sense when not taken out of context.
Pg 239 Line 14-24 HC Bill Govt will reduce physician svcs 4 Medicaid. Seniors, low income, poor affected
False. Referenced sections refer to “target growth rate computation”, not direct payment of services.
Pg 241 Line 6-8 HC Bill – Doctors, doesnt matter what specialty u have, you’ll all be paid the same
False. Doctors providing exactly the same services will be paid the same, regardless of their specialty.
PG 253 Line 10-18 Govt sets value of Dr’s time, prof judg, etc. Literally value of humans.
False. Government may review service codes to accurately reflect and reimburse for the services provided. Just as every private insurance company does annually.
PG 265 Sec 1131Govt mandates & controls productivity for private HC industries
False. Section refers to evaluation of reimbursement rates.
PG 268 Sec 1141 Fed Govt regulates rental & purchase of power driven wheelchairs
False. Section modifies definition of power driven wheelchairs.
PG 272 SEC. 1145. TREATMENT OF CERTAIN CANCER HOSPITALS – Cancer patients – welcome to rationing!
False. No rationing involved. Section refers to fee schedule adjustments related to certain cancer hospitals if their costs exceed those costs in other hospitals.
Page 280 Sec 1151 The Govt will penalize hospitals 4 what Govt deems preventable readmissions.
Correct. Will promote proper aftercare and act as a deterrent for premature discharge, in addition to penalize hospitals which use readmissions to boost revenues.
Pg 298 Lines 9-11 Drs, treat a patient during initial admiss that results in a readmiss-Govt will penalize u.
False. Section refers to a mandated study of readmissions.
Pg 317 L 13-20 OMG!! PROHIBITION on ownership/investment. Govt tells Drs. what/how much they can own.
Virtually identical to existing Medicare rules, which reduce possibility of doctors receiving kickbacks for referrals to other care providers in which they have an ownership interest.
Pg 317-318 lines 21-25,1-3 PROHIBITION on expansion- Govt is mandating hospitals cannot expand
False. Section refers to qualification of certain facilities as “Rural Providers”, which may be eligible for alternate fee schedule.
pg 321 2-13 Hospitals have oppt to apply for exception BUT community input required. Can u say ACORN?!!
Section refers to qualification of certain facilities as “Rural Providers”, which may be eligible for alternate fee schedule. You can say ACORN, but it would have nothing to do with this section. More likely that “corn” might be related.
Pg335 L 16-25 Pg 336-339 – Govt mandates estab. of outcome based measures. HC the way they want. Rationing
False. Section refers to bonus payments for quality of care which exceeds specified standards.
Pg 341 Lines 3-9 Govt has authority 2 disqual Medicare Adv Plans, HMOs, etc. Forcing peeps in2 Govt plan
False. Government has the authority to disqualify some plans for inadequate patient care. No requirement for transfer to public plan.
Pg 354 Sec 1177 – Govt will RESTRICT enrollment of Special needs ppl!
False. Section refers to extension of existing rules regarding some plans and provides for an analysis of those plans.
Pg 379 Sec 1191 Govt creates more bureaucracy – Telehealth Advisory Cmtte. Can u say HC by phone?
False. The section refers to expansion of program already in existence under medicare.
PG 425 Lines 4-12 Govt mandates Advance Care Planning Consult. Think Senior Citizens end of life
False. There is no mandate in this section. It provides for payment of services related to advance directives every 5 years.
Pg 425 Lines 17-19 Govt will instruct & consult regarding living wills, durable powers of atty. Mandatory!
False. Government will reimburse for those non-mandated services, just as they reimburse for other medical services.
PG 425 Lines 22-25, 426 Lines 1-3 Govt provides apprvd list of end of life resources, guiding u in death
False. Reference is description of what services related to advance care planning will be reimbursed. Nothing is mandated.
PG 427 Lines 15-24 Govt mandates program 4 orders 4 end of life. The Govt has a say in how ur life ends
False. Reference is description of what services related to advance care planning will be reimbursed. Nothing is mandated.
Pg 429 Lines 1-9 An “adv. care planning consult” will b used frequently as patients health deteriorates
Not exactly. Section provides for reimbursement more than every 5 years if there is significant deterioration of the health of a patient.
PG 429 Lines 10-12 “adv. care consultation” may incl an ORDER 4 end of life plans. AN ORDER from GOV
False. Reference is description of what services related to advance care planning will be reimbursed. Nothing is mandated.
Pg 429 Lines 13-25 – The govt will specify which Doctors can write an end of life order.
False. Reference is description of a durable advance directive, so that patients will not have to sign a new advance directive every time they enter a different hospital.
PG 430 Lines 11-15 The Govt will decide what level of treatment u will have at end of life
False. Section refers to what information may be included in an advance directive.
Pg 469 – Community Based Home Medical Services=Non profit orgs. Hello, ACORN Medical Svcs here!!?
Section refers to defintion of a Community Based Medical Home. Objection to this section is unclear.
Page 472 Lines 14-17 PAYMENT TO COMMUNITY-BASED ORG. 1 monthly payment 2 a community-based org. Like ACORN?
ACORN does not operate community based home medical services facilities. So no, not like ACORN.
PG 489 Sec 1308 The Govt will cover Marriage & Family therapy. Which means they will insert Govt in2 ur marriage
False.
Pg 494-498 Govt will cover Mental Health Svcs including defining, creating, rationing those svcs
Not entirely. Some mental health services may be covered. No description of rationing is involved.
I spent quite a bit of time reviewing each of the items of above. So please review them carefully. And if you doubt the veracity of any of my responses on the particular items, please click on the link above and review the actual bill.
Participant[quote=AN]
Please see meadandale’s excerpt of the bill on page 5 for some of the reason I’m against this bill.[/quote]I saw them. The vast majority were outright falsehoods. The plan itself can be seen here.
http://energycommerce.house.gov/Press_111/20090714/aahca.pdf
The errors included in meandale’s first post are:
Pg 22 of the HC Bill MANDATES the Govt will audit books of ALL EMPLOYERS that self insure!!
False. It doesn’t audit the books. It doesn’t say “all” anywhere. It examines the solvency of, and risk of self-insured employers of not being able to pay claims. Makes sense to me.
Pg 30 Sec 123 of HC bill – THERE WILL BE A GOVT COMMITTEE that decides what treatments/benes u get
False. It establishes minimum benefits.
Pg 29 lines 4-16 in the HC bill – YOUR HEALTHCARE IS RATIONED!!!
False. No “rationing” is even mentioned. It covers maximum out of pocket expenses for covered individuals and families.
Pg 42 of HC Bill – The Health Choices Commissioner will choose UR HC Benefits 4 you. U have no choice!
False. The commissioner will establish minimum standards. Not maximum.
PG 50 Section 152 in HC bill – HC will be provided 2 ALL non US citizens, illegal or otherwise
Maybe. But it doesn’t explicitly say that.
Pg 58HC Bill – Govt will have real-time access 2 individs finances & a National ID Healthcard will b issued!
False. It provides for immediate access to patient responsibility for payment of services at the time rendered. Insurance cards will be issued exactly as they are now for most all medical insurance.
Pg 59 HC Bill lines 21-24 Govt will have direct access 2 ur banks accts 4 elect. funds transfer
False. It provides for electronic transfer of funds to health care providers for services rendered. Same as medicare does now.
PG 65 Sec 164 is a payoff subsidized plan 4 retirees and their families in Unions & community orgs (ACORN).
Mostly False. It susidizes retirees insurance, otherwise paid by employers, for retirees between 55 and 65 years old. May apply to some organized labor contracts, but no mention of unions or community organizations. No relationship whatsoever with ACORN.
Pg 72 Lines 8-14 Govt is creating an HC Exchange 2 bring priv HC plans under Govt control.
False. No Gov’t control involved. No mandatory participation by private insurers. It creates a single clearinghouse for insurers.
PG 84 Sec 203 HC bill – Govt mandates ALL benefit pkgs 4 priv. HC plans in the Exchange
True. It will provide for minimum standards for those private insurers who voluntarily choose to particpate at the various levels of coverage. (Basic, Enhanced, Premium) Participation is not mandatory.
PG 85 Line 7 HC Bill – Specs for of Benefit Levels for Plans = The Govt will ration ur Healthcare!
False. Government will establish minimum guidelines for levels of coverage within the exhange. (Basic, Enhanced and Premium)
PG 91 Lines 4-7 HC Bill – Govt mandates linguistic approp svcs. Example – Translation 4 illegal aliens
Translation for all participants in the plan.
Pg 95 HC Bill Lines 8-18 The Govt will use groups i.e., ACORN & Americorps 2 sign up indiv. for Govt HC plan
Outreach to inform participants of options within the exchange, including private insurers.
PG 85 Line 7 HC Bill – Specs of Ben Levels 4 Plans. #AARP members – U Health care WILL b rationed
False. Government will establish minimum guidelines for levels of coverage within the exhange. (Basic, Enhanced and Premium)
-PG 102 Lines 12-18 HC Bill – Medicaid Eligible Indiv. will b automat.enrolled in Medicaid. No choice
No change to current law. Those eligible for Medicaid are enrolled in Medicaid.
pg 124 lines 24-25 HC No company can sue GOVT on price fixing. No “judicial review” against Govt Monop
Exactly the same as current Medicare reimbursement rate rules. Participation by health care providers is not mandatory. Lack of participation in public plan does not prohibit participation in other exchange insurance plans.
pg 127 Lines 1-16 HC Bill – Doctors/ #AMA – The Govt will tell YOU what u can make.
False. Government will set reimubursement rates. Participation by doctors is voluntary, just as it is now for medicare. Lack of participation in public plan does not prohibit participation in other exchange insurance plans.
Pg 145 Line 15-17 An Employer MUST auto enroll employees into pub opt plan. NO CHOICE
False. Employers have coverage requirements. There is no requirement that the coverage is through the public option plan or even the insurance exchange.
Pg 126 Lines 22-25 Employers MUST pay 4 HC 4 part time employees AND their families.
False. Employers must pay proportionally for other than full time workers. No family coverage specified. (reference should be to page 146, not 126)
Pg 149 Lines 16-24 ANY Emplyr w payroll 400k & above who does not prov. pub opt. pays 8% tax on all payroll
False. There is no requirement for participation in the public option.
pg 150 Lines 9-13 Biz w payroll btw 251k & 400k who doesnt prov. pub. opt pays 2-6% tax on all payroll
False. There is no requirement for participation in the public option.
Pg 167 Lines 18-23 ANY individual who doesnt have acceptable HC accrdng 2 Govt will be taxed 2.5% of inc
False. The tax will be limited to the cost of required coverage, up to a maximum of 2.5%, prorated for partial year coverage.
Pg 170 Lines 1-3 HC Bill Any NONRESIDENT Alien is exempt from indiv. taxes. (Americans will pay)
False. No change to existing tax law for non-resident aliens.
Pg 195 HC Bill -officers & employees of HC Admin (GOVT) will have access 2 ALL Americans finan/pers recs
False. HC Admin will have access to records required to verify eligibility for affordability credits. Affordability credits are not mandatory. If you are elegible, you need not participate, but in order to do so, verification of some tax records are required.
PG 203 Line 14-15 HC – “The tax imposed under this section shall not be treated as tax” Yes, it says that
Awkwardly worded, but quoted text makes sense when not taken out of context.
Pg 239 Line 14-24 HC Bill Govt will reduce physician svcs 4 Medicaid. Seniors, low income, poor affected
False. Referenced sections refer to “target growth rate computation”, not direct payment of services.
Pg 241 Line 6-8 HC Bill – Doctors, doesnt matter what specialty u have, you’ll all be paid the same
False. Doctors providing exactly the same services will be paid the same, regardless of their specialty.
PG 253 Line 10-18 Govt sets value of Dr’s time, prof judg, etc. Literally value of humans.
False. Government may review service codes to accurately reflect and reimburse for the services provided. Just as every private insurance company does annually.
PG 265 Sec 1131Govt mandates & controls productivity for private HC industries
False. Section refers to evaluation of reimbursement rates.
PG 268 Sec 1141 Fed Govt regulates rental & purchase of power driven wheelchairs
False. Section modifies definition of power driven wheelchairs.
PG 272 SEC. 1145. TREATMENT OF CERTAIN CANCER HOSPITALS – Cancer patients – welcome to rationing!
False. No rationing involved. Section refers to fee schedule adjustments related to certain cancer hospitals if their costs exceed those costs in other hospitals.
Page 280 Sec 1151 The Govt will penalize hospitals 4 what Govt deems preventable readmissions.
Correct. Will promote proper aftercare and act as a deterrent for premature discharge, in addition to penalize hospitals which use readmissions to boost revenues.
Pg 298 Lines 9-11 Drs, treat a patient during initial admiss that results in a readmiss-Govt will penalize u.
False. Section refers to a mandated study of readmissions.
Pg 317 L 13-20 OMG!! PROHIBITION on ownership/investment. Govt tells Drs. what/how much they can own.
Virtually identical to existing Medicare rules, which reduce possibility of doctors receiving kickbacks for referrals to other care providers in which they have an ownership interest.
Pg 317-318 lines 21-25,1-3 PROHIBITION on expansion- Govt is mandating hospitals cannot expand
False. Section refers to qualification of certain facilities as “Rural Providers”, which may be eligible for alternate fee schedule.
pg 321 2-13 Hospitals have oppt to apply for exception BUT community input required. Can u say ACORN?!!
Section refers to qualification of certain facilities as “Rural Providers”, which may be eligible for alternate fee schedule. You can say ACORN, but it would have nothing to do with this section. More likely that “corn” might be related.
Pg335 L 16-25 Pg 336-339 – Govt mandates estab. of outcome based measures. HC the way they want. Rationing
False. Section refers to bonus payments for quality of care which exceeds specified standards.
Pg 341 Lines 3-9 Govt has authority 2 disqual Medicare Adv Plans, HMOs, etc. Forcing peeps in2 Govt plan
False. Government has the authority to disqualify some plans for inadequate patient care. No requirement for transfer to public plan.
Pg 354 Sec 1177 – Govt will RESTRICT enrollment of Special needs ppl!
False. Section refers to extension of existing rules regarding some plans and provides for an analysis of those plans.
Pg 379 Sec 1191 Govt creates more bureaucracy – Telehealth Advisory Cmtte. Can u say HC by phone?
False. The section refers to expansion of program already in existence under medicare.
PG 425 Lines 4-12 Govt mandates Advance Care Planning Consult. Think Senior Citizens end of life
False. There is no mandate in this section. It provides for payment of services related to advance directives every 5 years.
Pg 425 Lines 17-19 Govt will instruct & consult regarding living wills, durable powers of atty. Mandatory!
False. Government will reimburse for those non-mandated services, just as they reimburse for other medical services.
PG 425 Lines 22-25, 426 Lines 1-3 Govt provides apprvd list of end of life resources, guiding u in death
False. Reference is description of what services related to advance care planning will be reimbursed. Nothing is mandated.
PG 427 Lines 15-24 Govt mandates program 4 orders 4 end of life. The Govt has a say in how ur life ends
False. Reference is description of what services related to advance care planning will be reimbursed. Nothing is mandated.
Pg 429 Lines 1-9 An “adv. care planning consult” will b used frequently as patients health deteriorates
Not exactly. Section provides for reimbursement more than every 5 years if there is significant deterioration of the health of a patient.
PG 429 Lines 10-12 “adv. care consultation” may incl an ORDER 4 end of life plans. AN ORDER from GOV
False. Reference is description of what services related to advance care planning will be reimbursed. Nothing is mandated.
Pg 429 Lines 13-25 – The govt will specify which Doctors can write an end of life order.
False. Reference is description of a durable advance directive, so that patients will not have to sign a new advance directive every time they enter a different hospital.
PG 430 Lines 11-15 The Govt will decide what level of treatment u will have at end of life
False. Section refers to what information may be included in an advance directive.
Pg 469 – Community Based Home Medical Services=Non profit orgs. Hello, ACORN Medical Svcs here!!?
Section refers to defintion of a Community Based Medical Home. Objection to this section is unclear.
Page 472 Lines 14-17 PAYMENT TO COMMUNITY-BASED ORG. 1 monthly payment 2 a community-based org. Like ACORN?
ACORN does not operate community based home medical services facilities. So no, not like ACORN.
PG 489 Sec 1308 The Govt will cover Marriage & Family therapy. Which means they will insert Govt in2 ur marriage
False.
Pg 494-498 Govt will cover Mental Health Svcs including defining, creating, rationing those svcs
Not entirely. Some mental health services may be covered. No description of rationing is involved.
I spent quite a bit of time reviewing each of the items of above. So please review them carefully. And if you doubt the veracity of any of my responses on the particular items, please click on the link above and review the actual bill.
Participant[quote=AN]
Please see meadandale’s excerpt of the bill on page 5 for some of the reason I’m against this bill.[/quote]I saw them. The vast majority were outright falsehoods. The plan itself can be seen here.
http://energycommerce.house.gov/Press_111/20090714/aahca.pdf
The errors included in meandale’s first post are:
Pg 22 of the HC Bill MANDATES the Govt will audit books of ALL EMPLOYERS that self insure!!
False. It doesn’t audit the books. It doesn’t say “all” anywhere. It examines the solvency of, and risk of self-insured employers of not being able to pay claims. Makes sense to me.
Pg 30 Sec 123 of HC bill – THERE WILL BE A GOVT COMMITTEE that decides what treatments/benes u get
False. It establishes minimum benefits.
Pg 29 lines 4-16 in the HC bill – YOUR HEALTHCARE IS RATIONED!!!
False. No “rationing” is even mentioned. It covers maximum out of pocket expenses for covered individuals and families.
Pg 42 of HC Bill – The Health Choices Commissioner will choose UR HC Benefits 4 you. U have no choice!
False. The commissioner will establish minimum standards. Not maximum.
PG 50 Section 152 in HC bill – HC will be provided 2 ALL non US citizens, illegal or otherwise
Maybe. But it doesn’t explicitly say that.
Pg 58HC Bill – Govt will have real-time access 2 individs finances & a National ID Healthcard will b issued!
False. It provides for immediate access to patient responsibility for payment of services at the time rendered. Insurance cards will be issued exactly as they are now for most all medical insurance.
Pg 59 HC Bill lines 21-24 Govt will have direct access 2 ur banks accts 4 elect. funds transfer
False. It provides for electronic transfer of funds to health care providers for services rendered. Same as medicare does now.
PG 65 Sec 164 is a payoff subsidized plan 4 retirees and their families in Unions & community orgs (ACORN).
Mostly False. It susidizes retirees insurance, otherwise paid by employers, for retirees between 55 and 65 years old. May apply to some organized labor contracts, but no mention of unions or community organizations. No relationship whatsoever with ACORN.
Pg 72 Lines 8-14 Govt is creating an HC Exchange 2 bring priv HC plans under Govt control.
False. No Gov’t control involved. No mandatory participation by private insurers. It creates a single clearinghouse for insurers.
PG 84 Sec 203 HC bill – Govt mandates ALL benefit pkgs 4 priv. HC plans in the Exchange
True. It will provide for minimum standards for those private insurers who voluntarily choose to particpate at the various levels of coverage. (Basic, Enhanced, Premium) Participation is not mandatory.
PG 85 Line 7 HC Bill – Specs for of Benefit Levels for Plans = The Govt will ration ur Healthcare!
False. Government will establish minimum guidelines for levels of coverage within the exhange. (Basic, Enhanced and Premium)
PG 91 Lines 4-7 HC Bill – Govt mandates linguistic approp svcs. Example – Translation 4 illegal aliens
Translation for all participants in the plan.
Pg 95 HC Bill Lines 8-18 The Govt will use groups i.e., ACORN & Americorps 2 sign up indiv. for Govt HC plan
Outreach to inform participants of options within the exchange, including private insurers.
PG 85 Line 7 HC Bill – Specs of Ben Levels 4 Plans. #AARP members – U Health care WILL b rationed
False. Government will establish minimum guidelines for levels of coverage within the exhange. (Basic, Enhanced and Premium)
-PG 102 Lines 12-18 HC Bill – Medicaid Eligible Indiv. will b automat.enrolled in Medicaid. No choice
No change to current law. Those eligible for Medicaid are enrolled in Medicaid.
pg 124 lines 24-25 HC No company can sue GOVT on price fixing. No “judicial review” against Govt Monop
Exactly the same as current Medicare reimbursement rate rules. Participation by health care providers is not mandatory. Lack of participation in public plan does not prohibit participation in other exchange insurance plans.
pg 127 Lines 1-16 HC Bill – Doctors/ #AMA – The Govt will tell YOU what u can make.
False. Government will set reimubursement rates. Participation by doctors is voluntary, just as it is now for medicare. Lack of participation in public plan does not prohibit participation in other exchange insurance plans.
Pg 145 Line 15-17 An Employer MUST auto enroll employees into pub opt plan. NO CHOICE
False. Employers have coverage requirements. There is no requirement that the coverage is through the public option plan or even the insurance exchange.
Pg 126 Lines 22-25 Employers MUST pay 4 HC 4 part time employees AND their families.
False. Employers must pay proportionally for other than full time workers. No family coverage specified. (reference should be to page 146, not 126)
Pg 149 Lines 16-24 ANY Emplyr w payroll 400k & above who does not prov. pub opt. pays 8% tax on all payroll
False. There is no requirement for participation in the public option.
pg 150 Lines 9-13 Biz w payroll btw 251k & 400k who doesnt prov. pub. opt pays 2-6% tax on all payroll
False. There is no requirement for participation in the public option.
Pg 167 Lines 18-23 ANY individual who doesnt have acceptable HC accrdng 2 Govt will be taxed 2.5% of inc
False. The tax will be limited to the cost of required coverage, up to a maximum of 2.5%, prorated for partial year coverage.
Pg 170 Lines 1-3 HC Bill Any NONRESIDENT Alien is exempt from indiv. taxes. (Americans will pay)
False. No change to existing tax law for non-resident aliens.
Pg 195 HC Bill -officers & employees of HC Admin (GOVT) will have access 2 ALL Americans finan/pers recs
False. HC Admin will have access to records required to verify eligibility for affordability credits. Affordability credits are not mandatory. If you are elegible, you need not participate, but in order to do so, verification of some tax records are required.
PG 203 Line 14-15 HC – “The tax imposed under this section shall not be treated as tax” Yes, it says that
Awkwardly worded, but quoted text makes sense when not taken out of context.
Pg 239 Line 14-24 HC Bill Govt will reduce physician svcs 4 Medicaid. Seniors, low income, poor affected
False. Referenced sections refer to “target growth rate computation”, not direct payment of services.
Pg 241 Line 6-8 HC Bill – Doctors, doesnt matter what specialty u have, you’ll all be paid the same
False. Doctors providing exactly the same services will be paid the same, regardless of their specialty.
PG 253 Line 10-18 Govt sets value of Dr’s time, prof judg, etc. Literally value of humans.
False. Government may review service codes to accurately reflect and reimburse for the services provided. Just as every private insurance company does annually.
PG 265 Sec 1131Govt mandates & controls productivity for private HC industries
False. Section refers to evaluation of reimbursement rates.
PG 268 Sec 1141 Fed Govt regulates rental & purchase of power driven wheelchairs
False. Section modifies definition of power driven wheelchairs.
PG 272 SEC. 1145. TREATMENT OF CERTAIN CANCER HOSPITALS – Cancer patients – welcome to rationing!
False. No rationing involved. Section refers to fee schedule adjustments related to certain cancer hospitals if their costs exceed those costs in other hospitals.
Page 280 Sec 1151 The Govt will penalize hospitals 4 what Govt deems preventable readmissions.
Correct. Will promote proper aftercare and act as a deterrent for premature discharge, in addition to penalize hospitals which use readmissions to boost revenues.
Pg 298 Lines 9-11 Drs, treat a patient during initial admiss that results in a readmiss-Govt will penalize u.
False. Section refers to a mandated study of readmissions.
Pg 317 L 13-20 OMG!! PROHIBITION on ownership/investment. Govt tells Drs. what/how much they can own.
Virtually identical to existing Medicare rules, which reduce possibility of doctors receiving kickbacks for referrals to other care providers in which they have an ownership interest.
Pg 317-318 lines 21-25,1-3 PROHIBITION on expansion- Govt is mandating hospitals cannot expand
False. Section refers to qualification of certain facilities as “Rural Providers”, which may be eligible for alternate fee schedule.
pg 321 2-13 Hospitals have oppt to apply for exception BUT community input required. Can u say ACORN?!!
Section refers to qualification of certain facilities as “Rural Providers”, which may be eligible for alternate fee schedule. You can say ACORN, but it would have nothing to do with this section. More likely that “corn” might be related.
Pg335 L 16-25 Pg 336-339 – Govt mandates estab. of outcome based measures. HC the way they want. Rationing
False. Section refers to bonus payments for quality of care which exceeds specified standards.
Pg 341 Lines 3-9 Govt has authority 2 disqual Medicare Adv Plans, HMOs, etc. Forcing peeps in2 Govt plan
False. Government has the authority to disqualify some plans for inadequate patient care. No requirement for transfer to public plan.
Pg 354 Sec 1177 – Govt will RESTRICT enrollment of Special needs ppl!
False. Section refers to extension of existing rules regarding some plans and provides for an analysis of those plans.
Pg 379 Sec 1191 Govt creates more bureaucracy – Telehealth Advisory Cmtte. Can u say HC by phone?
False. The section refers to expansion of program already in existence under medicare.
PG 425 Lines 4-12 Govt mandates Advance Care Planning Consult. Think Senior Citizens end of life
False. There is no mandate in this section. It provides for payment of services related to advance directives every 5 years.
Pg 425 Lines 17-19 Govt will instruct & consult regarding living wills, durable powers of atty. Mandatory!
False. Government will reimburse for those non-mandated services, just as they reimburse for other medical services.
PG 425 Lines 22-25, 426 Lines 1-3 Govt provides apprvd list of end of life resources, guiding u in death
False. Reference is description of what services related to advance care planning will be reimbursed. Nothing is mandated.
PG 427 Lines 15-24 Govt mandates program 4 orders 4 end of life. The Govt has a say in how ur life ends
False. Reference is description of what services related to advance care planning will be reimbursed. Nothing is mandated.
Pg 429 Lines 1-9 An “adv. care planning consult” will b used frequently as patients health deteriorates
Not exactly. Section provides for reimbursement more than every 5 years if there is significant deterioration of the health of a patient.
PG 429 Lines 10-12 “adv. care consultation” may incl an ORDER 4 end of life plans. AN ORDER from GOV
False. Reference is description of what services related to advance care planning will be reimbursed. Nothing is mandated.
Pg 429 Lines 13-25 – The govt will specify which Doctors can write an end of life order.
False. Reference is description of a durable advance directive, so that patients will not have to sign a new advance directive every time they enter a different hospital.
PG 430 Lines 11-15 The Govt will decide what level of treatment u will have at end of life
False. Section refers to what information may be included in an advance directive.
Pg 469 – Community Based Home Medical Services=Non profit orgs. Hello, ACORN Medical Svcs here!!?
Section refers to defintion of a Community Based Medical Home. Objection to this section is unclear.
Page 472 Lines 14-17 PAYMENT TO COMMUNITY-BASED ORG. 1 monthly payment 2 a community-based org. Like ACORN?
ACORN does not operate community based home medical services facilities. So no, not like ACORN.
PG 489 Sec 1308 The Govt will cover Marriage & Family therapy. Which means they will insert Govt in2 ur marriage
False.
Pg 494-498 Govt will cover Mental Health Svcs including defining, creating, rationing those svcs
Not entirely. Some mental health services may be covered. No description of rationing is involved.
I spent quite a bit of time reviewing each of the items of above. So please review them carefully. And if you doubt the veracity of any of my responses on the particular items, please click on the link above and review the actual bill.
Participant[quote=AN][quote=SK in CV]
Who’s making 2 1/2 times what they made in 1990? The insurance companies.[/quote]
Yes, they are. Yet, AARP is fully behind this bill. Call me cynical, but 1+1 sounds a lot like 2.[/quote]Help me out here. Are you opposed to it because AARP is in favor? AARP supports legislation that is favorable to their membership. They are anything but unbiased, but their agenda isn’t hidden. They would applaud free laxatives and tax exemptions for golf carts. Medical insurance companies are all opposed to real reform that promotes competition.
Participant[quote=AN][quote=SK in CV]
Who’s making 2 1/2 times what they made in 1990? The insurance companies.[/quote]
Yes, they are. Yet, AARP is fully behind this bill. Call me cynical, but 1+1 sounds a lot like 2.[/quote]Help me out here. Are you opposed to it because AARP is in favor? AARP supports legislation that is favorable to their membership. They are anything but unbiased, but their agenda isn’t hidden. They would applaud free laxatives and tax exemptions for golf carts. Medical insurance companies are all opposed to real reform that promotes competition.
Participant[quote=AN][quote=SK in CV]
Who’s making 2 1/2 times what they made in 1990? The insurance companies.[/quote]
Yes, they are. Yet, AARP is fully behind this bill. Call me cynical, but 1+1 sounds a lot like 2.[/quote]Help me out here. Are you opposed to it because AARP is in favor? AARP supports legislation that is favorable to their membership. They are anything but unbiased, but their agenda isn’t hidden. They would applaud free laxatives and tax exemptions for golf carts. Medical insurance companies are all opposed to real reform that promotes competition.
Participant[quote=AN][quote=SK in CV]
Who’s making 2 1/2 times what they made in 1990? The insurance companies.[/quote]
Yes, they are. Yet, AARP is fully behind this bill. Call me cynical, but 1+1 sounds a lot like 2.[/quote]Help me out here. Are you opposed to it because AARP is in favor? AARP supports legislation that is favorable to their membership. They are anything but unbiased, but their agenda isn’t hidden. They would applaud free laxatives and tax exemptions for golf carts. Medical insurance companies are all opposed to real reform that promotes competition.
Participant[quote=AN][quote=SK in CV]
Who’s making 2 1/2 times what they made in 1990? The insurance companies.[/quote]
Yes, they are. Yet, AARP is fully behind this bill. Call me cynical, but 1+1 sounds a lot like 2.[/quote]Help me out here. Are you opposed to it because AARP is in favor? AARP supports legislation that is favorable to their membership. They are anything but unbiased, but their agenda isn’t hidden. They would applaud free laxatives and tax exemptions for golf carts. Medical insurance companies are all opposed to real reform that promotes competition.
Participant[quote=AN]
The link I posted on the last page shows that “More than 25% of the increase in medical costs between 1987 and 2001 is attributable to obesity and obesity-related conditions such as hypertension and diabetes, according to a new report from the non-partisan Urban Institute.” Today, 30-32% of American between 20-74 are obese. Based on the graph they provided, in 1987, about 15% of American were obese. Even more staggering: “And today, close to 20% of children are obese, up from 4% four decades ago.” “Come 2015, it is estimated that 40% of American adults will be obese, which is more than double the rate 40 years ago.”[/quote]
That’s a problem. A huge problem. Obesity accounting for 25% of the increase in medical costs. What about the other 75%? Medical insurance costs during a similar period (from 1990 to 2001) went up almost 83%. And from 1990 to 2007 up a whopping 164%. We’re paying more than two and a half times what we paid in 1990. Doctors and hospitals and other medical care providers certainly don’t earn 2 1/2 times what they did in 1990. Part of that increase is obesity. And part of the reason for the obesity is lack of preventive care. More preventive care would reduce the costs of treating the acute symptoms of obesity, diabetes, hypertension, heart disease.
Who’s making 2 1/2 times what they made in 1990? The insurance companies.
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