"There is a lot of disinformation about health insurance reform out there, spanning from control of personal finances to end of life care. These rumors often travel just below the surface via chain emails or through casual conversation. Since we can’t keep track of all of them here at the White House, we’re asking for your help. If you get an email or see something on the web about health insurance reform that seems fishy, send it to: firstname.lastname@example.org"
"These officials also told skittish senators that fresh polling suggests an emphasis on issues such as barring insurers from denying coverage on the basis of pre-existing medical conditions is a political winner, able to increase support among independents, women, seniors and rural voters.
The officials spoke on condition of anonymity, saying they were not authorized to discuss details of the closed-door session that took place hours before lawmakers headed to their home states for a monthlong vacation"
Section 401 – Tax on individuals without ACCEPTABLE health coverage (according to the Health Benefits Advisory Committee and Healt Choices Commissioner)
SEC. 59B. TAX ON INDIVIDUALS WITHOUT ACCEPTABLE HEALTH CARE COVERAGE.
(a) Tax Imposed- In the case of any individual who does not meet the requirements of subsection
(d) at any time during the taxable year, there is hereby imposed a tax equal to 2.5 percent of the excess of–
(1) the taxpayer’s modified adjusted gross income for the taxable year, over
(2) the amount of gross income specified in section 6012(a)(1) with respect to the taxpayer
Section 163(a)"Sec.1173A."(a) – Electronic monitoring of individuals accounts
(2) GOALS FOR FINANCIAL AND ADMINISTRATIVE TRANSACTIONS- The goals for standards under paragraph (1) are that such standards shall–
(A) be unique with no conflicting or redundant standards;
(B) be authoritative, permitting no additions or constraints for electronic transactions, including companion guides;
(C) be comprehensive, efficient and robust, requiring minimal augmentation by paper transactions or clarification by further communications;
(D) enable the real-time (or near real-time) determination of an individual’s financial responsibility at the point of service and, to the extent possible, prior to service, including whether the individual is eligible for a specific service with a specific physician at a specific facility, which may include utilization of a machine-readable health plan beneficiary identification card;
(E) enable, where feasible, near real-time adjudication of claims;
(F) provide for timely acknowledgment, response, and status reporting applicable to any electronic transaction deemed appropriate by the Secretary;
(G) describe all data elements (such as reason and remark codes) in unambiguous terms, not permit optional fields, require that data elements be either required or conditioned upon set values in other fields, and prohibit additional conditions; and
(H) harmonize all common data elements across administrative and clinical transaction standards.
Section 1121(c) – End of life care #1
(c) Limitation on Physicians’ Services Included in Target Growth Rate Computation to Services Covered Under Physician Fee Schedule– Effective for services furnished on or after January 1, 2009 , section 1848(f)(4)(A) of such Act is amended striking `(such as clinical’ and all that follows through `in a physician’s office’ and inserting `for which payment under this part is made under the fee schedule under this section, for services for practitioners described in section 1842(b)(18)(C) on a basis related to such fee schedule, or for services described in section 1861(p) (other than such services when furnished in the facility of a provider of services)’.
(d) Establishment of Separate Target Growth Rates for Categories of Services–
(1) ESTABLISHMENT OF SERVICE CATEGORIES- Subsection (j) of section 1848 of the Social Security Act (42 U.S.C. 1395w-4) is amended by adding at the end the following new paragraph:
`(5) SERVICE CATEGORIES- For services furnished on or after January 1, 2009 , each of the following categories of physicians’ services (as defined in paragraph (3)) shall be treated as a separate `service category’:
`(A) Evaluation and management services that are procedure codes (for services covered under this title) for–
`(i) services in the category designated Evaluation and Management in the Health Care Common Procedure Coding System (established by the Secretary under subsection (c)(5) as of December 31, 2009 , and as subsequently modified by the Secretary); and
`(ii) preventive services (as defined in section 1861(iii)) for which payment is made under this section.
`(B) All other services not described in subparagraph (A).
Service categories established under this paragraph shall apply without regard to the specialty of the physician furnishing the service.’.
Section 1233 – End of life care #2 Advance Care Planning Consultation
(hhh)(1) Subject to paragraphs (3) and (4), the term `advance care planning consultation’ means a consultation between the individual and a practitioner described in paragraph (2) regarding advance care planning, if, subject to paragraph (3), the individual involved has not had such a consultation within the last 5 years. Such consultation shall include the following:
(A) An explanation by the practitioner of advance care planning, including key questions and considerations, important steps, and suggested people to talk to.
(B) An explanation by the practitioner of advance directives, including living wills and durable powers of attorney, and their uses.
(C) An explanation by the practitioner of the role and responsibilities of a health care proxy.
(D) The provision by the practitioner of a list of national and State-specific resources to assist consumers and their families with advance care planning, including the national toll-free hotline, the advance care planning clearinghouses, and State legal service organizations (including those funded through the Older Americans Act of 1965).
(E) An explanation by the practitioner of the continuum of end-of -life services and supports available, including palliative care and hospice, and benefits for such services and supports that are available under this title.
(F)(i) Subject to clause (ii), an explanation of orders regarding life sustaining treatment or similar orders, which shall include–
(I) the reasons why the development of such an order is beneficial to the individual and the individual’s family and the reasons why such an order should be updated periodically as the health of the individual changes;
(II) the information needed for an individual or legal surrogate to make informed decisions regarding the completion of such an order; and
(III) the identification of resources that an individual may use to determine the requirements of the State in which such individual resides so that the treatment wishes of that individual will be carried out if the individual is unable to communicate those wishes, including requirements regarding the designation of a surrogate decisionmaker (also known as a health care proxy).
(ii) The Secretary shall limit the requirement for explanations under clause (i) to consultations furnished in a State
This bill, as it stands today, HR 3200 IH, does much of what Obama himself has said he will not sign yet he and Congressional leaders are demanding its passage if not by the August break soon thereafter. To me this means that either some congressional members are going to be working through the break OR they will pass this thing that A) raises taxes B) sets it up that only a single payer option will survive C) rations care D) explodes costs E) makes it impossible to get care if the goernment decides you don’t need it. So for those who say I am being unfair and rocking the boat with hyperbole and partisan rhetoric I have only 1 thing left to say…
"I am sick and tired of people who say that if you debate and you disagree with THIS administration how your not patriotic and we should stand up and say ‘We are Americans and we have a RIGHT to debate and disagree with ANY administration’!" – Hilary Clinton on the 2008 DNC nomination campaign trail, now Secritary of State in Obama’s Administration