Digging Into The Health Care Morass

Yes. Well. No one said legislation would be like the campaign. No Hillary to knock around any more. No breathless waiting for this or that event or primary.

Just endless pages of health care legislation that is not even finalized. And with all the best will in the world, rampant ignorance and willful obfuscation.

Well here is most of the summary of the House bill of things I bet you did not even know were there. Whether they will end up there I do not know, but the following at least illustrate what MSNBC and others are assiduously failing even to note while they cover such important things as Hillary’s off hand remarks in Africa and other weighty matters.

Official Summary


America’s Affordable Health Choices Act of 2009 – Sets forth provisions governing health insurance plans and issuers, including:

(1) exempting grandfathered health insurance coverage from requirements of this Act;
(2) prohibiting preexisting condition exclusions;
(3) providing for guaranteed coverage to all individuals and employers and automatic renewal of coverage;

Establishes the Health Insurance Exchange within the Health Choices Administration in order to provide individuals and employers access to health insurance coverage choices, including a public health insurance option. Requires the Commissioner to:

(1) contract with entities to offer health benefit plans through the Exchange to eligible individuals; and

(2) establish a risk-pooling mechanism for Exchange-participating health plans. Provides for an affordability premium credit and an affordability cost-sharing credit for low-income individuals and families participating in the Exchange. Requires employers to offer health benefits coverage to employees and make specified contributions towards such coverage or make contributions to the Exchange for employees obtaining coverage through the Exchange. Exempts businesses with payrolls below $250,000 from such requirement. Amends the Internal Revenue Code to impose a tax on:

(1) an individual without coverage under a health benefits plan; and

(2) an employer that fails to satisfy health coverage participation requirements for an employee. Imposes a surtax on individual modified adjusted gross income exceeding $350,000. Amends title XVIII (Medicare) of the Social Security Act to revise provisions relating to payment, coverage, and access, including to:

(1) reduce payments to hospitals to account for excess readmissions;

(2) limit cost-sharing for Medicare Advantage beneficiaries;

(3) reduce the coverage gap under Medicare Part D (Voluntary Prescription Drug Benefit Program);

(4) provide for increased payment for primary health care services; and

(5) prohibit cost-sharing for covered preventive services. Requires the Secretary of Health and Human Services (HHS) to provide for the development of quality measures for the delivery of health care services in the United States. Establishes a Center for Comparative Effectiveness Research within the Agency for Healthcare Research and Quality, financed by a tax on accident and health insurance policies, to conduct and support health care services effectiveness research. Sets forth provisions to reduce health care fraud. Amends title XIX (Medicaid) of the Social Security Act to:

(1) expand Medicaid eligibility for low-income individuals and families;

(2) require coverage of additional preventive services; and

(3) increase payments for primary care services. Sets forth provisions relating to the health workforce, including:

(1) addressing health care workforce needs through loan repayment and training;

(2) establishing the Public Health Workforce Corps;

(3) addressing health care workforce diversity; and

(4) establishing the Advisory Committee on Health Workforce Evaluation and Assessment. Sets forth provisions to:

(1) provide for prevention and wellness activities;

(2) establish the Center for Quality Improvement;

(3) establish the position of the Assistant Secretary for Health Information;

(4) revise the 340B drug discount program (a program limiting the cost of covered outpatient drugs to certain federal grantees);

(5) establish a school-based health care program; and

(6) establish a national medical device registry.



6 thoughts on “Digging Into The Health Care Morass

  1. Pingback: Moving Past Angry Rhetoric on Health Care Reform | Basil & Butterflies

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