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Page By Page Summary of the Health Care Bill Note: This summary was not prepared by our group so if you have any questions make sure to compare to the original document. However, it should provide you with information when you contact you favorite politician. See full H.R. 3200 here: http://frwebgate.access.gpo.gov/cgi-bin/getdoc.cgi?dbname=111_cong_bills&docid=f:h3200ih.pdf Peter Fleckstein (aka Fleckman) is reading it and has been posting on Twitter his findings. This is from his postings (Note: All comments are Fleckman's) Pg 22 of the Health Care Bill MANDATES the Govt will audit books of ALL EMPLOYERS that self-insure!! Pg 30 Sec 123- THERE WILL BE A GOVT COMMITTEE that decides what treatments/benefits you get. Pg 29 lines 4-16 – YOUR HEALTH CARE IS RATIONED!!! Pg 42 – The “Health Choices Commissioner” will choose your HC Benefits for you. You have no choice! PG 50 Section 152- HC will be provided to ALL non-US citizens, illegal or otherwise. Pg 53- Severability (KEY GEM) “If any provision of the Act, or any application of such provision to any person or circumstance, is held to be unconstitutional, the remainder of the provisions of this Act and the application of the provision to any other person or circumstance shall not be affected.” Pg
58 – Govt will have real-time access to individual’s finances & a
National ID Healthcard will be issued! PG 65 Sec 164 is a payoff subsidized plan for retirees and their families in Unions & community organizations (ACORN). Pg 72 Lines 8-14 Govt is creating an HC Exchange to bring private HC plans under Govt control. PG 84 Sec 203 – Govt mandates ALL benefit packages for private HC plans in the Exchange PG 85 Line 7 – Specs for Benefit Levels for Plans = The Govt will ration your Healthcare! PG 91 Lines 4-7- Govt mandates linguistic appropriate services. Example: Translation for illegal aliens Pg 95 Lines 8-18 The Govt will use groups i.e., ACORN & Americorps to sign up individuals. for Govt HC plan. PG 85 Line 7 – Specs of Benefit Levels For Plans. AARP members- Your Health care WILL be rationed PG 102 Lines 12-18- Medicaid-Eligible Individual will be automatically enrolled in Medicaid. No choice. pg 124 lines 24-25 No company can sue GOVT on price > fixing. No “judicial review” against Govt Monopoly. pg 127 Lines 1-16- RE: Doctors- The Govt will tell YOU what you can make. Pg 145 Line 15-17 An Employer MUST auto-enroll employees > into public option plan. NO CHOICE Pg 126 Lines 22-25 Employers MUST pay for HC for part time employees AND their families. Pg 149 Lines 16-24 ANY Employer w/ payroll $400k & > above who doesn’t provide public option pays 8% tax on all payroll. PG 150 Lines 9-13- Biz w payroll between $251k & $400k who doesn’t provide pub. opt pays 2-6% tax on all payroll Pg 167 Lines 18-23 ANY individual who doesn’t have acceptable HC according to Govt will be taxed 2.5% of income. Pg 170 Lines 1-3 Any NONRESIDENT Alien is EXEMPT from individual taxes. (Americans will pay) Pg 195 -Officers & employees of HC Admin (GOVT) will have access to ALL Americans financial/personal records PG
203 Line 14-15- “The tax imposed under this section shall not be
treated as tax.” Yes, it actually says that. Pg 241 Line 6-8- Doctors, doesn’t matter what specialty you have, you’ll all be paid the same. PG
253 Line 10-18 Govt sets value of Dr’s time, professional judgment,
etc. Literally sets the value of PG 265 Sec 1131-Govt mandates & controls productivity for private HC industries PG 268 Sec 1141- Fed Govt regulates rental & purchase of power driven wheelchairs. PG 272 SEC. 1145- TREATMENT OF CERTAIN CANCER HOSPITALS – Cancer patients – welcome to rationing! Page 280 Sec 1151- The Govt will penalize hospitals for what Govt deems “preventable re-admissions.” Pg 298 Lines 9-11- Doctors, treat a patient during initial admission that results in a readmission? Govt will penalize you. Pg 317 L 13-20- OMG!! PROHIBITION on ownership/investment. Govt tells Drs. what/how much they can own. Pg 317-318 lines 21-25,1-3: PROHIBITION on expansion- Govt is mandating hospitals cannot expand. Pg 321 2-13: Hospitals have opportunity to apply for exception BUT community input required. Can you say ACORN?!!
Pg
341 Lines 3-9:
Govt has authority to disqualify Medicare Adv Plans, HMOs, etc.
Forcing people into Govt plan Pg 354 Sec 1177 – Govt will RESTRICT enrollment of Special needs people! WTF. My sister has downs syndrome!! Pg 379 Sec 1191- Govt creates more bureaucracy – “Telehealth Advisory Committee.” Can you say HC by phone? PG 425 Lines 4-12 Govt mandates “Advanced Care Planning Consultations.” PG 425 the Federal Government will require EVERYONE who is on Social Security to undergo a counseling session every 5 years with the objective being that they will explain to them just how to end their own life earlier. Pg
425 Lines 17-19: Govt will instruct & consult regarding living
wills, durable powers of attorney. Mandatory! PG
425 Lines 22-25, 426 Lines 1-3: Govt provides approved
list of end of life resources,
guiding you in PG 427 Lines 15-24: Govt mandates program for orders for end of life. The Govt has a say in how your life ends. Pg
429 Lines 1-9: An “advanced care planning consult” will be used
frequently as patients health PG 429 Lines 10-12: “advanced care consultation” may include an ORDER for end of life plans. AN ORDER from the Government. Pg 429 Lines 13-25 – The govt will specify which Doctors can write an end of life order. PG 430 Lines 11-15- The Govt will decide what level of treatment you will have at end of life. Pg
469 – Community Based Home Medical Services = Non profit
organizations. Hello, ACORN Medical Services here!! Page 472 Lines 14-17: PAYMENT TO COMMUNITY-BASED ORG. 1 monthly payment to a community-based org. Like ACORN? PG 489 Sec 1308: The Govt will cover Marriage & Family therapy. Govt intrusion into your marriage? Pg 494-498: Govt will cover Mental Health Services including defining, creating, rationing those services. PG
502 Section 1181 Center for Comparative Effectiveness Research
Established. – Hello Big Brother – Literally. PG 502 Line 5-18 Government builds the “Center” to conduct, support, & synthesize research to define our HealthCare Services. PG 503 Line 13-19 Government will build registries and data networks from YOUR electronic medical records. PG
503 Line 21-25 Government may secure data directly from any
department or agency of the US including your data. PG 506 Line 19-21 The Center will recommend policies that would allow for public access of data PG 518 Line 21-25 The Commission will have input from HealthCare consumer reps – Can you say unions & ACORN? PG 524 18-22 Comparative Effectiveness Research Trust Fund set up. More taxes for ALL. PG 525-620 deals with the Government basically taking over nursing homes, PGs 525-620 deals with the Govt basically taking over nursing homes, long-term care facilities (think assisted living) through regulations of the facilities, the owners of said facilities, the employees of said facilities and even the land owners of that said facilities reside on. Additionally as you read these 90+ pages you can come to the conclusion that any Health related svcs will be determined and rationed by the Govt for our senior citizens and others in nursing homes. This one post should do enough to raise awareness of the control the Govt is exerting over the older population of American citizens. PG 620 Line 1-9 The Government will define, prioritize, and nationalize your Health Care Services. PG 621 Lines 20-25 Government will define what Quality means in HealthCare. Since when does Government know about quality? PG 622 Lines 2-9 To pay for the quality Standards Government will transfer $$ from to other Government Trust Funds. More Taxes. PG
624 “Quality” measures shall be designed to assess outcomes &
functional status of patients. PG 630 9-24/631 1-9 Those Multi-stake holder groups including Unions & groups like ACORN deciding HealthCare quality. PG 632 Lines 14-25 The Government may implement any “Quality measure” of HealthCare Services as they see fit. PG 633 14-25/ 634 1-9 The Secretary may issue non-endorsed “Quality Measures” for Physician Services & Dialysis Services. PG 635 – 653 Physicians Payments Sunshine Provision – Government wants to shine sunlight on Docs but not Government. PG 654-659 Public Reporting on Health Care-Associated Infections – Looks okay. PG 660-671 Doctors in Residency – Government will tell you where your residency will be, thus where you’ll live. PG 676-686 Government will regulate hospitals in EVERY aspect of residency programs, including teaching hospitals. PG 686-700 Increased Funding to Fight Waste, Fraud, and Abuse. You mean the Government with an $18 mil website? PGs 701-704 Section 1619 If your part of HealthCare plan that isn’t in Government HealthCare Exchange but you qualify for Federal aid, no payment. PG705-709 SEC. 1128 If Secretary gets complaints (ACORN) on HealthCare provider or supplier, Government can do background check. P G 711 Lines 8-14 The Secretary has broad powers to deny HealthCare providers/suppliers admittance into HealthCare Exchange. Pg 719-720 Section 1637 ANY Doctor who orders durable medical equipment or home medical services MUST be enrolled in Medicare. PG 722 Section 1639 Government Mandates Doctors must have face-to-face with patient to certify patient for Home Health Services. PG 724 Lines 16-22 Government reserves right to apply face-to-face certification for patient to ANY other HealthCare service. PG 724 23-25 PG 725 1-5 The same Government certifications will apply to medicaid & CHIP (your kids) Pg 735 lines 16-25 For law enforcement purposes, the Secretary of Health & Human Services will give Attorney General access to ALL data. PG 740-757 Government sets guidelines for subsidizing the uninsured (That’s your tax dollars peeps) Pg 757-762 Fed Government will shift burden of payments to Disproportionate Share Hospitals (DSH) to States. (Taxes) Page 763 1-8 No DS/EA hospitals will be paid unless they provide services without regard to national origin Pg 765 Section 1711 Government will require Preventative Services including vaccines. (Choice?) Pg 768 Section 1713 Government – Nurse Home Visitation Services (Hello union paybacks) Pg 769 3-5 Nurse Home Visit Services – “increasing birth intervals between pregnancies.” Government Abortions anyone? Pg 769 11-14 Nurse Home Visit Services include-economic self-sufficiency, employment advancement, school-readiness. Pg 770 SEC 1714 Federal Government mandates eligibility for State Family Planning Services. Say abortion & State Sovereign. Pg 789-797 Government will set & mandate drug prices, controlling which drugs will be brought to market. Bye innovation Pgs 797-800 SEC. 1744 PAYMENTS for grad medical education. The government will now control Drs education. PG 801 Sec 1751 The Government will decide which Health care conditions will be paid. Say RATION! Pg 810 SEC. 1759. Billing Agents, clearinghouses, etc. required to register. Government takes over private payment system.
Page 820-824 Sec 1801 Government will identify individuals
ineligible for subsidies. Will access all Pg 824-829 SEC. 1802. Government Sets up Comparative Effectiveness Research Trust Fund. Another tax black hole. PG 829-833 Government will impose a fee on ALL private health insurance plans including self insured to pay for Trust Fund! PG 835 11-13 fees imposed by Government for Trust Fund shall be treated as if they were taxes. PG 838-840 Government will design & implement Home Visitation Program for families with young kids & families expecting kids. PG 844-845 This Home Visitation Program includes Government coming into your house & telling you how to parent!!!, Public Health Fund at a cost of $88,800,000,000. Yes that's Billion. PG 865 to 876 The NHS Corps is a program where Drs. Pg 859 Government will establish a perform mandatory HealthCare for 2 years for part loan repayment. PG 876-892 The Government takes over the education of our Medical students and Drs. PG 898 The Government will establish a Public Health Workforce Corps. to ensure supply of public health professionals. PG 898 The Public health workforce corps shall consist of officers of Regular & Reserve Corps of Service. 898 The Public health workforce corps shall consist of civilian employees of the U.S. as Secretary deems. PG 900 The Public Health Workforce Corps includes veterinarians. 901 The Public Health Workforce Corps WILL include commissioned Regular & Reserve Officers. HealthCare Draft? PG 910 The Government will develop, build & run Public Health Training Centers. PG 913-914 Government starts a HealthCare affirmative action program thru guise of diversity scholarships. PG 915 SEC. 2251. Government MANDATES Cultural & linguistic competency training for HealthCare professionals. Pg 932 The Government will establish Preventative & Wellness Trust fund – initial cost of $30,800,000,000-Billion. PG
935 21-22 Government will identify specific goals & objectives for
prevention & wellness activities. PG 936 Government will develop “Healthy People & National Public Health Performance Standards” Tell me what to eat?
PG 950- 980 BIG Government core public health infrastructure includes workforce capacity, lab systems; health information systems, etc PG 993 Government will establish school based health clinics. Your kids wont have a chance. PG 994 School Based Health Clinic will be integrated into the school environment. Say Government Brainwash! PG 1001 The Government will establish a National Medical Device Registry. Will you be tracked? PG 1003 9-11 National Medical Dev Reg ‘‘(iii) other post market device surveillance activities” you WILL be tracked. PG 1018 States give up some of their State Sovereignty.
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