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House Health Care Bill released



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Oct 29, 2009 02:10 PM

House Health Care Bill released

by HM2VikingRN Staff

House leadership has released the bill.


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3 Readers Gave Kudos

 
 
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31 Comments
No. 1
from Tweety
Old Oct 29, 2009, 03:11 PM
Updated Oct 29, 2009 at 03:17 PM by Tweety

Default Re: House Health Care Bill released
So what does it say in English? I know there was some compromise to please the more conservative democrats.
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No. 2
Old Oct 29, 2009, 03:23 PM

Default Re: House Health Care Bill released
Originally Posted by Tweety View Post
So what does it say in English? I know there was some compromise to please the more conservative democrats.

LOL . .. .
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No. 3
from GCTMT
Old Oct 29, 2009, 05:43 PM

Default Re: House Health Care Bill released
I'm pleased it has a public option. The explanation of how it will work begins on page 211 if anyone is interested. It will be on the exchange, have a start up of 2 billion which must be paid back in 10 years, and be sustained by premium dollars. There is a "limitation on funding" and "no bailout" clause in which the language elaborates that the public option will "in no case" receive "public funds due to insolvency".

Consumers will be able to choose from three different qualities regarding the public option; basic, premium and premium plus plans.

Rates will be negotiated with providers.

As far as establishing a provider network, those who currently take Medicare will by default take the public option unless they opt-out.

There's a bit more and like I said it starts on page 211 and ends on page 225 for those interested in looking themselves. Seems like a sweet deal.
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6 Readers Gave Kudos
 
No. 4
Old Oct 29, 2009, 07:23 PM
Updated Oct 29, 2009 at 07:42 PM by HM2VikingRN

Default Re: House Health Care Bill released
There is also money budgeted for primary prevention....I couldn't copy TOC earlier today...

DIVISION A—AFFORDABLE HEALTH CARE CHOICES
TITLE I—IMMEDIATE REFORMS
TITLE II—PROTECTIONS AND STANDARDS FOR QUALIFIED
HEALTH BENEFITS PLANS
Subtitle A—General Standards
Subtitle B—Standards Guaranteeing Access to Affordable Coverage
Subtitle C—Standards Guaranteeing Access to Essential Benefits
Subtitle D—Additional Consumer Protections
Subtitle E—Governance
Subtitle F—Relation to Other Requirements; Miscellaneous
TITLE III—HEALTH INSURANCE EXCHANGE AND RELATED PROVISIONS
Subtitle A—Health Insurance Exchange
Subtitle B—Public Health Insurance Option
Subtitle C—Individual Affordability Credits
TITLE IV—SHARED RESPONSIBILITY
Subtitle A—Individual Responsibility
Subtitle B—Employer Responsibility
TITLE V—AMENDMENTS TO INTERNAL REVENUE CODE OF 1986
Subtitle A—Shared Responsibility
Subtitle B—Credit for Small Business Employee Health Coverage Expenses
Subtitle C—Disclosures To Carry Out Health Insurance Exchange Subsidies
Subtitle D—Other Revenue Provisions
DIVISION B—MEDICARE AND MEDICAID IMPROVEMENTS
TITLE I—IMPROVING HEALTH CARE VALUE
Subtitle A—Provisions related to Medicare part A
Subtitle B—Provisions Related to Part B
Subtitle C—Provisions Related to Medicare Parts A and B
Subtitle D—Medicare Advantage Reforms
Subtitle E—Improvements to Medicare Part D
Subtitle F—Medicare Rural Access Protections
TITLE II—MEDICARE BENEFICIARY IMPROVEMENTS
Subtitle A—Improving and Simplifying Financial Assistance for Low Income
Medicare Beneficiaries
Subtitle B—Reducing Health Disparities
Subtitle C—Miscellaneous Improvements
TITLE III—PROMOTING PRIMARY CARE, MENTAL HEALTH SERVICES,
AND COORDINATED CARE
TITLE IV—QUALITY
Subtitle A—Comparative Effectiveness Research
Subtitle B—Nursing Home Transparency
Subtitle C—Quality Measurements
Subtitle D—Physician Payments Sunshine Provision
Subtitle E—Public Reporting on Health Care-Associated Infections
TITLE V—MEDICARE GRADUATE MEDICAL EDUCATION
TITLE VI—PROGRAM INTEGRITY
VerDate Nov 24 2008 10:05 Oct 29, 2009 Jkt 000000 PO 00000 Frm 00002 Fmt 6652 Sfmt 6211 C:\TEMP\AHCAA_001.XML HOLCPC
October 29, 2009 (10:05 a.m.)
F:\P11\NHI\TRICOMM\AHCAA_001.XML
f:\VHLC\102909\102909.022.xml (453769|4)
3
Subtitle A—Increased funding to fight waste, fraud, and abuse
Subtitle B—Enhanced penalties for fraud and abuse
Subtitle C—Enhanced Program and Provider Protections
Subtitle D—Access to Information Needed to Prevent Fraud, Waste, and Abuse
TITLE VII—MEDICAID AND CHIP
Subtitle A—Medicaid and Health Reform
Subtitle B—Prevention
Subtitle C—Access
Subtitle D—Coverage
Subtitle E—Financing
Subtitle F—Waste, Fraud, and Abuse
Subtitle G—Puerto Rico and the Territories
Subtitle H—Miscellaneous
TITLE VIII—REVENUE-RELATED PROVISIONS
TITLE IX—MISCELLANEOUS PROVISIONS
DIVISION C—PUBLIC HEALTH AND WORKFORCE DEVELOPMENT
TITLE I—COMMUNITY HEALTH CENTERS
TITLE II—WORKFORCE
Subtitle A—Primary Care Workforce
Subtitle B—Nursing Workforce
Subtitle C—Public Health Workforce
Subtitle D—Adapting Workforce to Evolving Health System Needs
TITLE III—PREVENTION AND WELLNESS
TITLE IV—QUALITY AND SURVEILLANCE
TITLE V—OTHER PROVISIONS
Subtitle A—Drug Discount for Rural and Other Hospitals; 340B Program Integrity
Subtitle B—Programs
Subtitle C—Food and Drug Administration
Subtitle D—Community Living Assistance Services and Supports
Subtitle E—Miscellaneous


Ends the preexisting condition exclusions....allows children to remain in their parents group plan until age 27....nearly ends recissions. (Appeal process mandated to a neutral third party) Administrative simplification mandated....Looks like the French Ebill payment model for providers is implemented....A lot more good than bad....

A lot of the language in the bill is dedicated to making sure that technical fixes to conflicts with other statutes are corrected.....

Best of all it reduces federal budget deficits by 104 Billion during the first decade alone according to CBO.
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4 Readers Gave Kudos
 
No. 5
Old Oct 29, 2009, 11:02 PM

Default Re: House Health Care Bill released
Here is your wiat list and denying coverage for critically ill or elderly.


22 (2) INSUFFICIENT FUNDS.—

23 If the Secretary estimates for any fiscal year that the aggregate


24 amounts available for payment of expenses of the

25 high-risk pool will be less than the amount of the ex-



VerDate Nov 24 2008 10:05 Oct 29, 2009 Jkt 000000 PO 00000 Frm 00025 Fmt 6652 Sfmt 6201 C:\TEMP\AHCAA_001.XML HOLCPC
October 29, 2009 (10:05 a.m.)
F:\P11\NHI\TRICOMM\AHCAA_001.XML
f:\VHLC\102909\102909.022.xml (453769|4)
26
1 penses, the Secretary shall make such adjustments




2 as are necessary to eliminate such deficit, including


3 reducing benefits, increasing premiums, or estab4



lishing waiting lists.

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1 Reader Gave Kudos
 
No. 6
from GCTMT
Old Oct 29, 2009, 11:22 PM

Default Re: House Health Care Bill released
Kyrshamark, read page 16. These "waiting lists" are referring to the "establishment of a temporary national high risk pool program to provide health benefits to eligible individuals during the period beginning on January 1, 2010 ... ending on the date on which the National Health Insurance Exchange is established."

In other words, until the exchange is implemented, the government is going to cover the people the insurance companies refuse.
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2 Readers Gave Kudos
 
No. 7
Old Oct 30, 2009, 02:30 AM
Updated Oct 30, 2009 at 02:39 AM by Kyrshamarks

Default Re: House Health Care Bill released
Read ther bottom of page 25 and the top of page 26, it talks of when they run out if money the (5 billion to start)what the secretary is authorized to do, he/she can cut bennies, raise premiums, and create waiting lists for treatments.

And if you hard read my post the part I copied states INSUFFICIENT FUNDS
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No. 8
Old Oct 31, 2009, 12:55 AM

Default Re: House Health Care Bill released
I too am quite pleased about the public option, however, watered-down it appears to be. I am disappointed in what has not been addressed, which is wellness. Wellness, a concept foreign to the healthcare schema of the united states is what makes European single payor systems work, and cuts the costs spent per person. Unfortunately, we have let ourselves become too sickly to assume that lack of access alone will control skyrocketing costs.
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No. 9
Old Oct 31, 2009, 01:44 AM
Updated Oct 31, 2009 at 02:42 AM by HM2VikingRN

Default Re: House Health Care Bill released
Originally Posted by Kyrshamarks View Post
Here is your wiat list and denying coverage for critically ill or elderly.



[/left]
Um no it isn't. If you read the language carefully the funds are a supplemental on top of collected premiums for members of the high risk pool until the exchanges are operational. Basically this language is a bailout provision for the high risk pools. the funding streams for all aspects of the bill are premium dollars first. (Plus the elderly are not in the high risk pool group. They are covered by Medicare.)
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4 Readers Gave Kudos
 
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