Affordable Healthcare for America Act (H.R. 3962)


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What I Live By...
Key Components of the Bill:
http://edlabor.house.gov/blog/2009/10/affordable-health-care.shtml
The key components of the Affordable health Care for America Act include:

Increasing choice and competition.The bill will protect and improve consumers’ choices.
If people like their current plans, they will be able to keep them.

For individuals who aren’t currently covered by their employer, and some small businesses, the proposal will establish a new Health Insurance Exchange where consumers can comparison shop from a menu of affordable, quality health care options that will include private plans, health co-ops, and a new public health insurance option. The public health insurance option will play on a level playing field with private insurers, spurring additional competition.

This Exchange will create competition based on quality and price that leads to better coverage and care. Patients and doctors will have control over decisions about their health care, instead of insurance companies.

Giving Americans peace of mind.
The legislation will ensure that Americans have portable, secure health care coverage – so that they won’t lose care if their employer drops their plan or they lose their job.

Every American who receives coverage through the Exchange will have a plan that includes standardized, comprehensive and quality health care benefits.

It will end increases in premiums or denials of care based on pre-existing conditions, race, or gender, and strictly limit age rating.

The proposal will also eliminate co-pays for preventive care, and cap out-of-pocket expensesto protects every American from bankruptcy.

Improving quality of care for every American. The legislation will ensure that Americans of all ages, from young children to retirees have access to greater quality of care by focusing on prevention, wellness, and strengthening programs that work.

Guarantees that every child in America will have health care coverage that includes dental, hearing and vision benefits.

Provides better preventive and wellness care. Every health care plan offered through the exchange and by employers after a grace period will cover preventive care at no cost to the patient.

Increases the health care workforce to ensure that more doctors and nurses are available to provide quality care as more Americans get coverage.

Strengthens Medicare and Medicaid and closes the Medicare Part D ‘donut hole’ so that seniors and low-income Americans receive better quality of care and see lower prescription drug costs and out-of-pocket expenses.

Ensuring shared responsibility. The bill will ensure that individuals, employers, and the federal government share responsibility for a quality and affordable health care system.

Employers can continue offering coverage to workers, and those who choose not offer coverage contribute a fee of eight percent of payroll.

All individuals will generally be required to get coverage, either through their employer or the exchange, or pay a penalty of 2.5 percent of income, subject to a hardship exemption.

The federal government will provide affordability credits, available on a sliding scale for low- and middle-income individuals and families to make premiums affordable and reduce cost-sharing.

Protecting consumers and reducing waste, fraud, and abuse. The legislation will put the interests of consumers first, protect them from problems in getting and keeping health care coverage, and reduce waste, fraud, and abuse.

Provides transparency in plans in the Health Exchange so that consumers have the clear, complete information, in plain English, needed to select the plan that best meets their needs.

Establishes consumer advocacy offices as part of the Exchange in order to protect consumers, answer questions, and assist with any problems related to their plans.

Simplifies paperwork and other administrative burdens. Patients, doctors, nurses, insurance companies, providers, and employers will all encounter a streamlined, less confusing, more consumer friendly system.

Increases funding of efforts to reduce waste, fraud and abuse; creates enhanced oversight of Medicare and Medicaid programs.

Reducing the deficit and ensuring the solvency of Medicare and Medicaid. The legislation will be entirely paid for – it will not add a dime to the deficit. It will also put Medicare and Medicaid on the path to a more fiscally sound future, so seniors and low-income Americans can continue to receive the quality health care benefits for years to come.

Pays for the entire cost of the legislation though a combination of savings achieved by making Medicare and Medicaid more efficient – without cutting seniors’ benefits in any way – and revenue generated from placing a surcharge the top 0.3 percent of all households in the U.S.(married couples with adjusted gross income of over $1,000,000) and other tax measures.

The Congressional Budget estimates the bill will reduce the deficit by at least $100 billion over ten years.

Estimates also show the bill will slow the rate of growth of the Medicare program from 6.6 percent annually to 5.3 percent annually.

There are other links on this website to the complete bill text, changes to the health insurance reform bill (I'm assuming changes from H.R.3200 to this bill)
 
http://edlabor.house.gov/documents/111/pdf/publications/AHCAA-Top10Changes-102909.pdf

TOP 10 CHANGES TO HEALTH INSURANCE REFORM BILL

1. REDUCES THE DEFICIT MORE—According to the CBO, the revised bill reduces the deficit by $30 billion over the first 10
years. (The original bill reduced the deficit by $6 billion over the first 10 years). The revised bill also continues to reduce
the deficit over the second 10 years.

2. ENDS HEALTH INSURANCE COMPANIES’ BLANKET EXEMPTION FROM ANTI-TRUST LAWS—In order to open up health
insurance markets to real competition, the revised bill ends insurers’ blanket exemption from anti-trust laws, bringing antitrust
enforcement to the two most abusive practices of health insurers – price fixing and market allocation.

3. EXTENDS COVERAGE FOR YOUNG PEOPLE UP TO 27TH BIRTHDAY THROUGH PARENTS’ INSURANCE—The revised bill
requires health plans to allow young people through age 26 to remain on their parents’ policy, at their parents’ choice.

4. CREATES A NEW, VOLUNTARY, PUBLIC LONG-TERM CARE INSURANCE PROGRAM—The revised bill creates a long-term
care insurance program to be financed by voluntary payroll deductions to provide benefits to adults who become
functionally disabled. The measure provides a cash benefit to help individuals with community-based services.

5. EXEMPTS SMALL BUSINESSES WITH PAYROLLS BELOW $500,000 FROM EMPLOYER MANDATE—The revised bill exempts
a greater number of small businesses from the employer mandate – exempting 86% of all America’s businesses.
Specifically, the bill exempts firms with payrolls up to $500,000 (instead of $250,000) from the mandate and provides only a
graduated penalty for not offering coverage for firms with payrolls between $500,000 and $750,000 (instead of firms with
payrolls between $250,000 and $400,000.)

6. LIMITS THE “HEALTH CARE SURCHARGE†TO MILLIONAIRES—Under the revised bill, only the wealthiest 0.3% of
Americans would pay a surcharge on the portion of their income above $500,000 (instead of $280,000) for individuals and
$1 million (instead of $350,000) for couples, in order to help make health insurance affordable for middle class families.

7. ADDRESSING GEOGRAPHIC VARIATIONS IN MEDICARE PAYMENTS/MOVING TO MEDICARE PAYMENTS REWARDING
QUALITY AND COST-EFFECTIVENESS—The revised bill provides that the Institute of Medicine (IOM), through two studies,
will make recommendations on how to fix the current Medicare reimbursement system, including addressing current
geographic variations. Under the bill, the Centers for Medicare and Medicaid Services (CMS) will implement the IOM
recommendations on changes to Medicare payment systems unless disapproved by Congress.

8. BEGINS CLOSING THE MEDICARE PART D DONUT HOLE IMMEDIATELY—The revised bill moves forward the effective
date of reducing the donut hole by $500 and instituting a 50% discount for brand-name drugs in the donut hole, from
January 1, 2011 to January 1, 2010. It also completes elimination of the donut hole by 2019 (instead of 2024).

9. IMMEDIATE HELP FOR THE UNINSURED (INTERIM HIGH-RISK POOL)—To fill the gap before the Exchange is available, the
revised bill immediately creates an insurance program with financial assistance for those who have been uninsured for
several months or denied a policy because of pre-existing conditions.

10. HHS NEGOTIATION OF DRUG PRICES—Under the revised bill, the Secretary of HHS is required to negotiate drug prices
on behalf of Medicare beneficiaries.
PREPARED BY OFFICE OF SPEAKER PELOSI – OCTOBER 29, 2009
 



http://www.politico.com/news/stories/1009/28904.html

By JONATHAN ALLEN | 10/29/09 4:22 PM EDT


It runs more pages than War and Peace, has five times as many words as the Torah, and its tables of contents alone are far longer than this story.

The House health care bill unveiled Thursday clocks in at 1,990 pages and about 400,000 words.

And for some members, that may not be enough.

A “robustâ€￾ public option can’t be found in the bill. Neither can the word “doctorâ€￾ – save for a few references to degrees. No “cost curveâ€￾ is bent. No “blue pillâ€￾ is dispensed.

“Deathâ€￾ and “taxesâ€￾ are both in there, but “death panelâ€￾ is not.

The text defines dozens of words and phrases, including “familyâ€￾ (“an individual and . . . the individual’s dependentsâ€￾), “health insurance coverage,â€￾ “exchange-eligible individualâ€￾ and “Indian.â€￾

And for those who cry “read the bill,â€￾ beware. There are plenty of paragraphs like this one:

“(a) Outpatient Hospitals – (1) In General – Section 1833(t)(3)(C)(iv) of the Social Security Act (42 U.S.C. 1395(t)(3)(C)(iv)) is amended – (A) in the first sentence – (i) by inserting “(which is subject to the productivity adjustment described in subclause (II) of such section)â€￾ after “1886(b)(3)(B)(iii); and (ii) by inserting “(but not below 0)â€￾ after “reducedâ€￾; and (B) in the second sentence, by inserting “and which is subject, beginning with 2010 to the productivity adjustment described in section 1886(b)(3)(B)(iii)(II)â€￾.

The section deals with “incorporating productivity improvements into market basket updates that do not already incorporate such improvements,â€￾ if that helps.

Optimistic lawmakers say it could take a week just to get through the bill’s text.

“I’ll have to call an emergency meeting of my staff and drop the customary procedure of me reading and my staff not reading,â€￾ joked House Judiciary Committee Chairman John Conyers (D-Mich.), who famously told filmmaker Michael Moore that lawmakers “don’t read most of the bills.â€￾

“It’s one thing to read it,â€￾ said Rep. Lee Terry (R-Neb.), a lawyer who voted against the first version of the bill on its way through the Energy and Commerce Committee. “It’s another thing to understand it when it’s written in legalese.â€￾


When given the bill’s dimensions, Rep. Anthony Weiner (D-N.Y.) noted that some members are faster readers than others.

“That’s one afternoon for Barney Frank,â€￾ he said.

North Carolina Republican Rep. Patrick McHenry, 34 years old and a few inches taller than 5 feet, said a print-out of the bill could act as a â€￾booster seat.â€￾

Democrats say the essence of the bill isn’t much different from the three sister bills they moved through committees this summer, which came in around 1,000 pages.

If you read those, they say, you pretty much know what’s in this one.

“It’s almost a complete certainty that we have already discussed and debated almost every element that’s in this bill,â€￾ said Rep. Steve Rothman (D-N.J.)

McHenry took issue with the notion that the 2,000-page bill hasn’t changed much from the earlier, 1,000-page versions. To prove the point, he pulled out a Democratic-written summary of the changes.

All eight pages of them.

Asked why the House will vote on the roughly 400,000-word bill in a week when it takes a congregation a year to read the 80,000-word Torah at a synagogue, Rothman, who is Jewish, exhibited the wisdom of a Talmudic scholar.

“It only takes a year because you read one section a week,â€￾ he said.

But Republican Rep. Joe Barton, who is Texan, said the bill is “about four reams of paperâ€￾ that add up to the American public “getting reamed.â€￾
 
Maybe one of you repubs could answer this for me. Why are you so against health care for the poor, when you pay for it anyway. Folks who don't have insurance go to the local hospitals emergency room and they can't turn them away. In return you pay for it in your taxes. Wouldn't allowing folks to get health care up front cut down on the cost that we pay for anyway? Also I work for a very large company. Over 200K folks, we are going to a health care program that is just like the one that the pres is trying to get passed. Now I know if my company is doing it, there are many others doing it. Gone are they days of companies carrying Blue Cross and Atena. Please explain your views to me. I am not trying to poke fun or joke you. I just really wanna understand your views. That way I could understand what the other side is saying. I personally don't trust the views of these other guys in Bama, so maybe your view could help me. Thanks!!!
 
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Maybe one of you repubs could answer this for me. Why are you so against health care for the poor, when you pay for it anyway. Folks who don't have insurance go to the local hospitals emergency room and they can't turn them away. In return you pay for it in your taxes. Wouldn't allowing folks to get health care up front cut down on the cost that we pay for anyway? Also I work for a very large company. Over 200K folks, we are going to a health care program that is just like the one that the pres is trying to get passed. Now I know if my company is doing it, there are many others doing it. Gone are they days of companies carrying Blue Cross and Atena. Please explain your views to me. I am not trying to poke fun or joke you. I just really wanna understand your views. That way I could understand what the other side is saying. I personally don't trust the views of these other guys in Bama, so maybe your view could help me. Thanks!!!
good luck with this. The average conservative I meet in Mississippi makes absolutely no sense. A guy wrote on my page that the way to reform healthcare was through tort reform. I pointed out to him the Mcallen, Texas has one of the lowest Median Household Incomes in the nation, in a state with very strong tort laws and only lags behind Miami in medical spending.
 
Maybe one of you repubs could answer this for me. Why are you so against health care for the poor, when you pay for it anyway. Folks who don't have insurance go to the local hospitals emergency room and they can't turn them away. In return you pay for it in your taxes. Wouldn't allowing folks to get health care up front cut down on the cost that we pay for anyway? Also I work for a very large company. Over 200K folks, we are going to a health care program that is just like the one that the pres is trying to get passed. Now I know if my company is doing it, there are many others doing it. Gone are they days of companies carrying Blue Cross and Atena. Please explain your views to me. I am not trying to poke fun or joke you. I just really wanna understand your views. That way I could understand what the other side is saying. I personally don't trust the views of these other guys in Bama, so maybe your view could help me. Thanks!!!

CEE, I hope this help you to understand why conservatives are against government twisting the free market.

Economics of Medicare

http://www.youtube.com/watch?v=z_jnDm6HNnw
 
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