Posts Tagged ‘ abortion ’

California’s 2010-11 Budget

EXPENDITURES
The following table presents proposed and revised budget year expenditures for each agency area. These totals include General Fund, special funds, and selected bond funds, but do not include federal funds, certain non-governmental cost funds, or reimbursements.

State Agencies
January ’10
Proposed Total
State Funds*
May ’10
Revised Total
State Funds*
Change*
% Change
K thru 12 Education $36,786,787 $35,898,058 -$888,729 -2.42%
Higher Education 12,642,355 12,927,654 285,299 2.26%
Health and Human Services 29,792,401 34,284,646 4,492,245 15.08%
Corrections and Rehabilitation 8,031,387 9,029,734 998,347 12.43%
Business, Transportation & Housing 12,511,373 12,001,358 -510,015 -4.08%
Natural Resources 5,186,264 5,978,579 792,315 15.28%
Environmental Protection 1,469,735 1,893,000 423,265 28.80%
State and Consumer Services 1,366,695 1,371,571 4,876 0.36%
Labor and Workforce Development 433,972 441,718 7,746 1.78%
General Government 4,400,528 2,610,172 -1,790,356 -40.69%
Legislative, Judicial, and Executive 6,133,986 6,182,301 48,315 0.79%
TOTALS $118,755,483 $122,618,791 $3,863,308 3.25%

* Dollars in thousands

PERSONNEL YEARS
The following table presents proposed and revised budget year personnel years for each agency area.

State Agencies
January ’10
Proposed Total
Personnel
Years
May ’10
Revised Total
Personnel
Years
Change
% Change
K thru 12 Education 2,845.5 2,851.1 5.6 0.20%
Higher Education 127,464.6 127,475.1 10.5 0.01%
Health and Human Services 32,771.2 32,963.6 192.4 0.59%
Corrections and Rehabilitation 61,792.8 63,175.5 1,382.7 2.24%
Business, Transportation & Housing 44,355.8 43,881.5 -474.3 -1.07%
Natural Resources 17,792.9 17,802.3 9.4 0.05%
Environmental Protection 4,481.7 4,487.6 5.9 0.13%
State and Consumer Services 16,439.4 16,433.8 -5.6 -0.03%
Labor and Workforce Development 13,905.6 13,829.4 -76.2 -0.55%
General Government 5,485.3 5,480.7 -4.6 -0.08%
Legislative, Judicial, and Executive 17,925.7 17,965.3 39.6 0.22%
TOTALS 345,260.5 346,345.9 1,085.4 0.31%

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Obama Executive Order On Abortion Funding

EXECUTIVE ORDER

ENSURING ENFORCEMENT AND IMPLEMENTATION OF ABORTION RESTRICTIONS IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT

By the authority vested in me as President by the Constitution and the laws of the United States of America, including the “Patient Protection and Affordable Care Act” (approved March ¬¬__, 2010), I hereby order as follows:

Section 1. Policy.

Following the recent passage of the Patient Protection and Affordable Care Act (“the Act”), it is necessary to establish an adequate enforcement mechanism to ensure that Federal funds are not used for abortion services (except in cases of rape or incest, or when the life of the woman would be endangered), consistent with a longstanding Federal statutory restriction that is commonly known as the Hyde Amendment. The purpose of this Executive Order is to establish a comprehensive, government-wide set of policies and procedures to achieve this goal and to make certain that all relevant actors—Federal officials, state officials (including insurance regulators) and health care providers—are aware of their responsibilities, new and old.

The Act maintains current Hyde Amendment restrictions governing abortion policy and extends those restrictions to the newly-created health insurance exchanges. Under the Act, longstanding Federal laws to protect conscience (such as the Church Amendment, 42 U.S.C. §300a-7, and the Weldon Amendment, Pub. L. No. 111-8, §508(d)(1) (2009)) remain intact and new protections prohibit discrimination against health care facilities and health care providers because of an unwillingness to provide, pay for, provide coverage of, or refer for abortions.

Numerous executive agencies have a role in ensuring that these restrictions are enforced, including the Department of Health and Human Services (HHS), the Office of Management and Budget (OMB), and the Office of Personnel Management (OPM).

Section 2. Strict Compliance with Prohibitions on Abortion Funding in Health Insurance Exchanges. The Act specifically prohibits the use of tax credits and cost-sharing reduction payments to pay for abortion services (except in cases of rape or incest, or when the life of the woman would be endangered) in the health insurance exchanges that will be operational in 2014. The Act also imposes strict payment and accounting requirements to ensure that Federal funds are not used for abortion services in exchange plans (except in cases of rape or incest, or when the life of the woman would be endangered) and requires state health insurance commissioners to ensure that exchange plan funds are segregated by insurance companies in accordance with generally accepted accounting principles, OMB funds management circulars, and accounting guidance provided by the Government Accountability Office.

I hereby direct the Director of OMB and the Secretary of HHS to develop, within 180 days of the date of this Executive Order, a model set of segregation guidelines for state health insurance commissioners to use when determining whether exchange plans are complying with the Act’s segregation requirements, established in Section 1303 of the Act, for enrollees receiving Federal financial assistance. The guidelines shall also offer technical information that states should follow to conduct independent regular audits of insurance companies that participate in the health insurance exchanges. In developing these model guidelines, the Director of OMB and the Secretary of HHS shall consult with executive agencies and offices that have relevant expertise in accounting principles, including, but not limited to, the Department of the Treasury, and with the Government Accountability Office. Upon completion of those model guidelines, the Secretary of HHS should promptly initiate a rulemaking to issue regulations, which will have the force of law, to interpret the Act’s segregation requirements, and shall provide guidance to state health insurance commissioners on how to comply with the model guidelines.

Section 3. Community Health Center Program.

The Act establishes a new Community Health Center (CHC) Fund within HHS, which provides additional Federal funds for the community health center program. Existing law prohibits these centers from using federal funds to provide abortion services (except in cases of rape or incest, or when the life of the woman would be endangered), as a result of both the Hyde Amendment and longstanding regulations containing the Hyde language. Under the Act, the Hyde language shall apply to the authorization and appropriations of funds for Community Health Centers under section 10503 and all other relevant provisions. I hereby direct the Secretary of HHS to ensure that program administrators and recipients of Federal funds are aware of and comply with the limitations on abortion services imposed on CHCs by existing law. Such actions should include, but are not limited to, updating Grant Policy Statements that accompany CHC grants and issuing new interpretive rules.

Section 4. General Provisions.

(a) Nothing in this Executive Order shall be construed to impair or otherwise affect: (i) authority granted by law or presidential directive to an agency, or the head thereof; or (ii) functions of the Director of the Office of Management and Budget relating to budgetary, administrative, or legislative proposals.

(b) This Executive Order shall be implemented consistent with applicable law and subject to the availability of appropriations.

(c) This Executive Order is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity against the United States, its departments, agencies, entities, officers, employees or agents, or any other person.

THE WHITE HOUSE

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Obama Admits He Does Not Know What’s In The Health Care Bill

At .45 Obama admits, “by the time the vote has taken place not only I will know whats in it you will know whats in it because it’s gonna be posted and everybody is gonna be able to evulate it on the merits.” Why are the Democrats pushing a bill that nobody has a clue on what’s in it?

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Democrats Positions On The Healthcare Reform Bill

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Democrats Positions On The Healthcare Reform Bill

The Hill’s survy. House Democrats not on this list are expected to vote yes. However, some members of the Congressional Hispanic Caucus who are not mentioned below have threatened to vote no unless the Senate’s immigration-related provisions are changed.

All House Republicans are expected to vote no.

* — Voted for Stupak amendment in November
(Y) — Voted yes in November
(N) — Voted no in November

Firm No, Leaning No, Likely No (37)
John Adler (N.J.)
(N) Citing cost containment, Adler told the Courier-Post that he will vote against Senate measure
Michael Arcuri (N.Y.)
(Y) Some reports have him as firm no, but Rules Committee member hasn’t closed the door yet
John Barrow (Ga.)
* (N) Voted no last year in committee and on floor. Likely no
Marion Berry (Ark.)
* (Y) Has been critical of the president since announcing his retirement. Strong backer of Stupak language. Voted yes in Budget Committee markup on March 15
Dan Boren (Okla.) * (N) Won’t be changing his mind — firm no
Rick Boucher (Va.) (N) GOP target who has told local press outlets in Virginia he has major problems with Medicare cuts and “unsavory dealmaking” that benefited Nebraska, Louisiana and Florida. Leaning no
Bobby Bright (Ala.) * (N) Voted against House health bill, stimulus and climate change. Firm no
Allen Boyd (Fla.) (N) Facing primary challenge. Voted no on education reform bill expected to move with healthcare reform as part of reconciliation. Voted no on March 15 during Budget Committee markup
Chris Carney (Pa.) * (Y) Carney told the Scranton Times-Shamrock, “As I said publicly, I can’t vote for a bill that will publicly fund abortion.”
Ben Chandler (Ky.) * (N) His office told The Hill on March 15: “Congressman Chandler’s position on the bill remains the same. He expects to vote against the legislation.”
Travis Childers (Miss.) * (N) In toss-up reelection race
Jerry Costello (Ill.)
* (Y) Told the Akron Telegraph March 14 that White House and leadership “bungled” healthcare reform. Most of the calls, e-mails and letters he has received have advised a no vote. Says he opposes Senate bill, but doesn’t sound like an absolute no
Artur Davis (Ala.) * (N) Running for governor, but will make sure to return to D.C. to vote no
Lincoln Davis (Tenn.) * (N) Voted no first time, and most expect him to vote no again. He has not commented publicly.
Joe Donnelly (Ind.) * (Y) Among the Stupak dozen — will vote no unless abortion language in Senate bill is changed, according to The Rochester Sentinel
Steve Driehaus (Ohio) * (Y) In toss-up race in November who is ardent backer of Stupak language. Now sounds like a very firm no. Told the Cincinnati Enquirer, “They are going to have to do it without me and without the other pro-life Democrats.”
Chet Edwards (Texas) (N) Perennial GOP target. Edwards spokesman told CNN he will vote no. Votes no at March 15 Budget Committee markup
Luis Gutierrez (Ill.) (Y) Citing immigration language, Gutierrez said on MSNBC that “I can’t support this bill.” Lawmaker has lambasted the president on not moving immigration reform yet. Warned that other Hispanic lawmakers will also vote no
Larry Kissell (N.C.) (N) GOP target, but reelection chances on the rise. Firm no
Frank Kratovil (Md.) (N) Voted for climate change; says he will vote no
Dennis Kucinich (Ohio) (N) Progressive was on the fence before House vote last fall. He has said he is a firm no this time around. An undeterred President Barack Obama publicly called on him to back the bill on March 15 and gave him a ride on Air Force One
Stephanie Herseth Sandlin (S.D.) (N) Congresswoman told the Rapid City Journal she’s a no, noting she is not a fan of reconciliation. She also voted no on education reform bill expected to move in reconciliation with healthcare reform
Tim Holden (Pa.) * (N) Voted against healthcare and climate change in 2009. Told The Republican Herald that he is a no, citing abortion and “significant” cuts to Medicare and Medicaid
Daniel Lipinski (Ill.)
* (Y) Will not vote for abortion language in Senate bill, but has other concerns as well. Democratic leaders cannot count on Lipinski
Jim Marshall (Ga.) * (N) Perennial GOP target, but favored to win reelection. Told The Hill he’s a no
Jim Matheson (Utah)
* (N) President Obama this year tapped brother for post, but Matheson still a likely no
Mike McIntyre (N.C.) * (N) Seven-term lawmaker rejected House health bill and climate change. Spokesman tells The Hill McIntyre is a no. Expected to win reelection easily even though Sen. John McCain (R-Ariz.) won district
Mike McMahon (N.Y.)
(N) Suggested last month he was a no to the Staten Island Advance. McMahon told The Hill on March 12 he is leaning no. Voted no on education reform bill that is expected to move with healthcare reform in reconciliation
Charlie Melancon (La.) * (N) Senate hopeful voted no in November and no in committee. Likely no
Walt Minnick (Idaho) (N) One of the House’s most conservative members. Firm no
Collin Peterson (Minn.) * (N) Ag chairman not shy in bucking leadership. Firm no
Mike Ross (Ark.) * (N) Voted for bill in committee, but not since. Firm no
Heath Shuler (N.C.)
* (N) CNN reporting Shuler is a no. Doesn’t hold his tongue when he opposes Democratic leaders. Critic of reconciliation
Ike Skelton (Mo.) * (N) GOP targeting his seat. Armed Services Committee chairman is a firm no
Bart Stupak (Mich.)
* (Y) No deal with leadership on abortion = no vote on final bill for Stupak and other Democratic opponents of abortion rights
Gene Taylor (Miss.) * (N) Has been a firm no all Congress. Constituents last summer urged him to get others to vote no
Harry Teague (N.M.) * (N) Told The Hill that he will review bill to see if final bill brings costs down. If “we are in the same place — a no”

Firm Yes (5)
Dale Kildee (Mich.) * (Y) Not one of Stupak’s Dozen
Steve Kagen (Wis.) (Y) Told Fox 11 in Wisconsin that he prefers more incremental approach. But on March 13 he said, “We’re going to find and secure enough votes to pass healthcare…”
Dan Maffei (N.Y.) (Y) On March 16, Maffei said, “I’m proud to support this legislation.”
Silvestre Reyes (Texas) * (Y) Intelligence panel chairman on board
Carol Shea-Porter (N.H.)
(Y) Spoke out favorably on healthcare reform on the House floor on March 16. In a toss-up reelection race, according to Cook Political Report.

Leaning Yes or Likely Yes (17)
Joe Baca (Calif.) * (Y) Must-have for leadership. Said recently country can’t wait any longer for reform. Voted for Stupak language
Russ Carnahan (Mo.) (Y) In competitive race this fall, but should win
Gerry Connolly (Va.)
(Y) If he votes no, bill will not pass. Likely yes. Voted yes in Budget Committee markup on March 15
Joe Courtney
(Conn.) (Y) Wary of excise tax, but likely yes
Mike Doyle (Pa.)
* (Y) Doyle told The Hill on March 16 that he will likely vote yes
Bob Etheridge (N.C.) * (Y) Passed up Senate run. Voted yes in Budget Committee markup on March 15
Jim Himes (Conn.)
(Y) Must-have vote for leadership. Likely yes
Jim Langevin (R.I.) * (Y) Langevin’s seat not in danger this fall. He has previously fended off primary challenges. Voted yes in March 15 Budget Committee markup
Mike Michaud (Maine)
* (Y) Likely yes
Dennis Moore (Kan.) (Y) Retiring this year. New Budget Committee member voted yes in March 15 markup
Jim Oberstar (Minn.) * (Y) Wants to vote yes, but also wants Stupak language. Oberstar sounds like a firm yes vote
David Obey (Wis.)
* (Y) Waiting to review bill language; likely yes
Vic Snyder (Ark.) * (Y) Not seeking reelection. Snyder said on Fox News he is leaning yes
John Spratt (S.C.)
* (Y) Budget Committee chairman is in competitive reelection race. Spratt will soon be trying to collect votes for his budget resolution. Voted yes in Budget Committee markup on March 15
Anthony Weiner (N.Y.) (Y) On March 12, Weiner noted that 290 times this Congress, the Senate has failed to act on bills passed by the House, adding, “Fool us once, shame on you, fool me 290 times, shame on us.” Regardless, Weiner is a very likely yes
Charlie Wilson (Ohio)
* (Y) Considered less vulnerable this fall than other Ohio Democrats. Sounds like a yes vote, telling CQ he is willing to vote for Senate bill
John Yarmuth (Ky.)
(Y) Considered a team player. Likely yes. Voted yes in Budget Committee markup on March 15

Undecided (55)
Jason Altmire (Pa.) * (N) On March 16, Altmire told Fox Business Network that he has major problem with Democrats’ apparent “deem and pass” strategy, calling it “wrong.” Majority Whip James Clyburn (D-S.C.) told McClatchy he is targeting Altmire, who many view as key to passage. Voted no in committee and on floor, but bottom line is his yes vote is gettable.
Brian Baird (Wash.) (N) Retiring member who bucked party on Iraq war surge. Another target of Clyburn
Melissa Bean (Ill.) (Y) Conservative Democrat well-positioned for midterm election
Shelley Berkley (Nev.)
(Y) Told Politico she does not like the Senate bill
Sanford Bishop Jr. (Ga.) * (Y) Favors Stupak provision
Tim Bishop (N.Y.) (Y) Must-have vote for leadership. Bishop’s office told CNN that the New York lawmaker wants major changes to Senate bill. Voted yes in March 15 Budget Committee markup
John Boccieri (Ohio) * (N) In a bad sign for the White House, Boccieri did not appear with President Barack Obama at his March 15 speech in Ohio. Boccieri, a GOP target, told Foxnews.com, “I’m not afraid to cast a tough vote…” Clyburn has publicly said he is leaning on Boccieri, whose vote could go a long way in determining whether healthcare reform will pass
Michael Capuano (Y) Wanted to be a senator, but doesn’t trust the Senate. TPM reported that Capuano is leaning no. In an e-mail to supporters, Capuano said he has many problems with Senate measure
Dennis Cardoza (Calif.) * (Y) Secured language for district before last year’s vote
Jim Cooper (Tenn.) * (Y) Has had up-and-down relationship with Speaker Nancy Pelosi (D-Calif.)
Jim Costa (Calif.) * (Y) Secured project for his district before November vote
Henry Cuellar (Texas) * (Y) Cuellar backs Stupak language but undecided. Cuellar’s vote has been one of rampant speculation, but the office told The Daily Caller he is undecided. Under pressure from Speaker and the president, Cuellar backed the climate change bill and House healthcare measure last year.
Kathy Dahlkemper (Pa.) * (Y) GOP target. Her yes vote could be key to passage. Strong backer of Stupak language
Brad Ellsworth (Ind.) * (Y) Senate hopeful who is big supporter of Stupak language
Bill Foster (Ill.) (Y) GOP target
Marcia Fudge (Ohio) (Y) Fudge is undecided, according to wkyc.com. Obama lobbying for her vote, giving her a ride on Air Force One on March 15
Gabrielle Giffords (Ariz.) (Y) GOP target
Bart Gordon (Tenn.) * (N) Retiring committee chairman. Clyburn especially wants his vote
Raul Grijalva (Ariz.) (Y) Despite many threats, Arizona liberal expected to vote yes
John Hall (N.Y.)
(Y) Democratic leaders may lose other Dems from N.Y., but need to keep Hall on board
Debbie Halvorson (Ill.) (Y) Politically vulnerable, but favored to win her reelection race
Baron Hill (Ind.) * (Y) Passed up Senate run
Paul Kanjorski (Pa.) * (Y) GOP target. Also voted with education reform bill that will move with healthcare reform in reconciliation
Marcy Kaptur (Ohio) * (Y) Voted with leadership first time around, but doesn’t toe the party line. Wants Stupak language but that’s not a deal breaker. Voted yes during Budget Committee markup. Likely to move to lean yes category soon
Mary Jo Kilroy (Ohio) (Y) In toss-up race this November
Ron Kind (Wis.) (Y) Represents competitive district. Voted against bill in committee
Ann Kirkpatrick (Ariz.) (Y) GOP target
Ron Klein (Fla.) (Y) GOP target
Suzanne Kosmas (Fla.) (N) President Obama urges her to vote yes in the Oval Office, according to March 16 AP report
Betsy Markey (Colo.) (N) Was a late no last time. In early March, Markey declined to be interviewed by Denver Post on her position on bill. Likely target for Democratic leaders
Jerry McNerney (Calif.) (Y) Waiting for final language. There are false reports of him being a firm no
Harry Mitchell (Ariz.) (Y) GOP target
Alan Mollohan (W.Va.) * (Y) In November, seat was considered safe. Now, he’s in a tight race
Chris Murphy (Conn.) (Y) GOP target
Scott Murphy (N.Y.) (N) President Obama urges Murphy to vote yes in Oval Office meeting, according to March 16 AP report. Reelection race looks good, for now. Told local media he might vote yes
Richard Neal (Mass.) * (Y) Better vote yes if he wants to take Ways and Means gavel; fan of Stupak language
Glenn Nye (Va.) (N) In toss-up race
Solomon Ortiz (Texas) * (Y) Was a late yes last time around
Bill Owens (N.Y.) (Y) One of first votes in Congress was yes on House health bill; media reports have him as undecided
Tom Perriello (Va.) * (Y) Took a step toward a yes by endorsing Senate abortion language on March 16. Still has not said how he will vote. In toss-up race this fall; Pelosi had long talk with the Virginia Democrat on March 10 on the House floor
Earl Pomeroy (N.D.) * (Y) Voted against bill in committee, and for it on the House floor
Nick Rahall (W.Va.) * (Y) Another panel chairman on the fence
Ciro Rodriguez (Texas) * (Y) Considered by Cook Political Report to “likely” retain seat
Tim Ryan (Ohio) * (Y) Opposes abortion rights; voted for Stupak language
John Salazar (Colo.) * (Y) GOP target
Loretta Sanchez (Calif.) (Y) Was a late yes in November
Mark Schauer (Mich.) (Y) In toss-up race this fall
Kurt Schrader (Ore.)
(Y) Budget Committee member didn’t vote during March 15 markup. In competitive reelection race.
Zack Space (Ohio) * (Y) Voted yes in committee and yes on the floor last year
Adam Smith (Wash.) (Y) Was a late yes in November
Betty Sutton (Ohio) (Y) GOP target
John Tanner (Tenn.) * (N) House deputy whip not running for reelection, but he still will need to be convinced to get to yes. Voted no in committee and on floor
Dina Titus (Nev.) (Y) Her office told The Hill the congresswoman is undecided. Voted no in committee and yes on the floor last year
Paul Tonko (N.Y.) (Y) Waiting for Congressional Budget Office numbers
David Wu (Ore.) (Y) Was undecided for three hours during 2003 Medicare drug vote, then voted with the GOP

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Health Care Insurance And Health Care Benefits
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Summary Of Obama’s Proposal For Health Care Reform
H.R. 3962 Summary
Affordable Health Care For America Act “H.R. 3962″
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H.R. 3962 Tax Hikes
The Votes On H.R.3962
Obama Health Reform Lies
US Voters Want Congress To Drop Health
Obama Signs $1.1 Trillion Spending Bill
Earmarks In The $1.1T Federal Spending Bill
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Health Care Insurance And Health Care Benefits

Health Care Insurance

Insurance against loss by illness or bodily injury. Health insurance provides coverage for medicine, visits to the doctor or emergency room, hospital stays and other medical expenses. Policies differ in what they cover, the size of the deductible and/or co-payment, limits of coverage and the options for treatment available to the policyholder. Health insurance can be directly purchased by an individual, or it may be provided through an employer. Medicare and Medicaid are programs which provide health insurance to elderly, disabled, or un-insured individuals. There are a number of companies which provide private health insurance, including Blue Cross, United Healthcare, or Aetna.

Health insurance like other forms of insurance is a form of collectivism by means of which people collectively pool their risk, in this case the risk of incurring medical expenses. It is sometimes used more broadly to include insurance covering disability or long-term nursing or custodial care needs. It may be provided through a government-sponsored social insurance program, or from private insurance companies. It may be purchased on a group basis (e.g., by a firm to cover its employees) or purchased by individual consumers. In each case, the covered groups or individuals pay premiums or taxes to help protect themselves from high or unexpected healthcare expenses. Similar benefits paying for medical expenses may also be provided through social welfare programs funded by the government.

By estimating the overall risk of healthcare expenses, a routine finance structure (such as a monthly premium or annual tax) can be developed, ensuring that money is available to pay for the healthcare benefits specified in the insurance agreement. The benefit is administered by a central organization such as a government agency, private business, or not-for-profit entity.

A health insurance policy is a contract between an insurance company and an individual or his sponsor (e.g. an employer). The contract can be renewable annually or monthly. The type and amount of health care costs that will be covered by the health insurance company are specified in advance, in the member contract or “Evidence of Coverage” booklet. The individual insured person’s obligations may take several forms:

  • Premium: The amount the policy-holder or his sponsor (e.g. an employer) pays to the health plan each month to purchase health coverage.
  • Deductible: The amount that the insured must pay out-of-pocket before the health insurer pays its share. For example, a policy-holder might have to pay a $500 deductible per year, before any of their health care is covered by the health insurer. It may take several doctor’s visits or prescription refills before the insured person reaches the deductible and the insurance company starts to pay for care.
  • Co-payment: The amount that the insured person must pay out of pocket before the health insurer pays for a particular visit or service. For example, an insured person might pay a $45 co-payment for a doctor’s visit, or to obtain a prescription. A co-payment must be paid each time a particular service is obtained.
  • Coinsurance: Instead of, or in addition to, paying a fixed amount up front (a co-payment), the co-insurance is a percentage of the total cost that insured person may also pay. For example, the member might have to pay 20% of the cost of a surgery over and above a co-payment, while the insurance company pays the other 80%. If there is an upper limit on coinsurance, the policy-holder could end up owing very little, or a great deal, depending on the actual costs of the services they obtain.
  • Exclusions: Not all services are covered. The insured person is generally expected to pay the full cost of non-covered services out of their own pocket.
  • Coverage limits: Some health insurance policies only pay for health care up to a certain dollar amount. The insured person may be expected to pay any charges in excess of the health plan’s maximum payment for a specific service. In addition, some insurance company schemes have annual or lifetime coverage maximums. In these cases, the health plan will stop payment when they reach the benefit maximum, and the policy-holder must pay all remaining costs.
  • Out-of-pocket maximums: Similar to coverage limits, except that in this case, the insured person’s payment obligation ends when they reach the out-of-pocket maximum, and the health company pays all further covered costs. Out-of-pocket maximums can be limited to a specific benefit category (such as prescription drugs) or can apply to all coverage provided during a specific benefit year.
  • Capitation: An amount paid by an insurer to a health care provider, for which the provider agrees to treat all members of the insurer.
  • In-Network Provider: (U.S. term) A health care provider on a list of providers preselected by the insurer. The insurer will offer discounted coinsurance or co-payments, or additional benefits, to a plan member to see an in-network provider. Generally, providers in network are providers who have a contract with the insurer to accept rates further discounted from the “usual and customary” charges the insurer pays to out-of-network providers.
  • Prior Authorization: A certification or authorization that an insurer provides prior to medical service occurring. Obtaining an authorization means that the insurer is obligated to pay for the service, assuming it matches what was authorized. Many smaller, routine services do not require authorization.
  • Explanation of Benefits: A document sent by an insurer to a patient explaining what was covered for a medical service, and how they arrived at the payment amount and patient responsibility amount.

Prescription drug plans are a form of insurance offered through some employer benefit plans in the U.S., where the patient pays a copayment and the prescription drug insurance part or all of the balance for drugs covered in the formulary of the plan.

Some, if not most, health care providers in the United States will agree to bill the insurance company if patients are willing to sign an agreement that they will be responsible for the amount that the insurance company doesn’t pay. The insurance company pays out of network providers according to “reasonable and customary” charges, which may be less than the provider’s usual fee. The provider may also have a separate contract with the insurer to accept what amounts to a discounted rate or capitation to the provider’s standard charges. It generally costs the patient less to use an in-network provider.

Health plan vs. health insurance

Historically, HMOs tended to use the term “health plan”, while commercial insurance companies used the term “health insurance”. A health plan can also refer to a subscription-based medical care arrangement offered through HMOs, preferred provider organizations, or point of service plans. These plans are similar to pre-paid dental, pre-paid legal, and pre-paid vision plans. Pre-paid health plans typically pay for a fixed number of services (for instance, $300 in preventive care, a certain number of days of hospice care or care in a skilled nursing facility, a fixed number of home health visits, a fixed number of spinal manipulation charges, etc.). The services offered are usually at the discretion of a utilization review nurse who is often contracted through the managed care entity providing the subscription health plan. This determination may be made either prior to or after hospital admission (concurrent utilization review).

Comprehensive vs. scheduled

Comprehensive health insurance pays a percentage of the cost of hospital and physician charges after a deductible (usually applies to hospital charges) or a co-pay (usually applies to physician charges, but may apply to some hospital services) is met by the insured. These plans are generally expensive because of the high potential benefit payout — $1,000,000 to 5,000,000 is common — and because of the vast array of covered benefits.

Scheduled health insurance plans are not meant to replace a traditional comprehensive health insurance plans and are more of a basic policy providing access to day-to-day health care such as going to the doctor or getting a prescription drug. In recent years, these plans have taken the name mini-med plans or association plans. The term “association” is often used to describe them because they require membership in an association that must exist for some other purpose than to sell insurance. Examples include the National Association for the Self Employed and the Health Care Credit Union Association. These plans may provide benefits for hospitalization and surgical, but these benefits will be limited. Scheduled plans are not meant to be effective for catastrophic events. These plans cost much less than comprehensive health insurance. They generally pay limited benefits amounts directly to the service provider, and payments are based upon the plan’s “schedule of benefits”. Annual benefits maximums for a typical scheduled health insurance plan may range from $1,000 to $25,000.

Healthcare Benefits

Healthcare benefits are employee benefits which offer assistance with healthcare costs. They are most commonly seen in the United States, where citizens do not have a national health system to rely upon for healthcare, and therefore employers use healthcare benefits as a perk to attract employees. The type of coverage offered under such benefits varies widely, and for people who are interested in receiving healthcare benefits as part of a compensation package, it is a good idea to research a company’s policy on benefits and to talk to existing employees about the company health plan, if possible. An employer offers employees some form of group health insurance, or a set amount to spend on healthcare or personal insurance plans each year. Employees may be offered insurance after working for a set period of time, or right away, and the level of coverage is usually linked to employment status, with part time employees receiving fewer benefits. Depending on the company’s plan, employees may have to opt into the healthcare plan, paying a small fee while the company pays the bulk of the premium, or the employer may cover all insurance-related costs. Under group benefits, employees can have access to a variety of healthcare plans, including indemnity plans, under which people pay for services at the time they are rendered, and submit a bill to the insurance company for reimbursement, and managed care plans like health maintenance organizations (HMOs) and preferred provider organizations (PPOs), which provide care through a network of providers.

Standard healthcare benefits just offer basic healthcare. For things like dental and vision care, employees may need to pursue additional insurance plans. The plan may also fail to cover elective surgical procedures, focusing specifically on wellness and emerging conditions, with people paying out of pocket for plastic surgery, fertility treatment, and other types of medical care which are viewed as elective or optional. While there is no federal law that requires employers to provide employees with healthcare insurance, historical factors, tax law incentives, and competitive requirements have resulted in an employment-based health insurance system in the United States. As a result, most employers (except for the smallest organizations) sponsor health benefit plans.

Since health benefits were introduced in the U.S. marketplace in the 1940s, they have been both a blessing and a curse. No one wants to be without them, but few of us can afford to pay full freight either. Most people get health insurance through their jobs or are covered through a family member’s insurance. This is called group insurance. Group insurance is generally the least expensive kind. In many cases, the employer pays part or all of the cost. Some organizations offer only one health insurance plan and others offer a choice of plans: a fee-for-service or indemnity plan, a health maintenance organization (HMO), or a preferred provider organization (PPO).

Managed care coverage
Unlike an indemnity plan, managed care is a health insurance plan like an HMO, PPO, or POS (described below), that encourages insured individuals to use certain providers. A managed care plan requires or creates incentives for an insured person to use providers that are owned, managed, or under contract with the insurer. These incentives may be financial incentives or additional benefits. Managed health care plans differ widely in their details, however, all will seek to steer a patient toward a pre-approved network of doctors and facilities, as well as limit coverage of any treatment sought outside the network.

Most private sector health plans are covered by the Employee Retirement Income Security Act (ERISA). Among other things, ERISA provides protections for participants and beneficiaries in employee benefit plans (participant rights), including providing access to plan information. Also, those individuals who manage plans (and other fiduciaries) must meet certain standards of conduct under the fiduciary responsibilities specified in the law.

The Department of Labor’s Employee Benefits Security Administration (EBSA) is responsible for administering and enforcing these provisions of ERISA. Click on the agency to find out more about the agency’s program. As part of carrying out its responsibilities, the agency provides consumer information on health plans as well as compliance assistance for employers, plan service providers, and others to help them comply with ERISA.

The Fair Labor Standards Act (FLSA) does not address benefits such as life insurance, long-term care insurance, medical insurance accounts or wellness benefits. These benefits are generally a matter of agreement between an employer and an employee (or the employee’s representative).

Employee Benefits in the United States (PDF 3.5Mb) This Bureau of Labor Statistics (BLS) bulletin shows access and participation in and key provisions of employee benefit plans for workers in private industry and state and local governments.

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Democrats Against Obama’s Health Care

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Obama And His C-SPAN Lie

Watch Obama give Eight Lies Promising Televised Healthcare Negotiations. Remember Joe Wilson’s famous cry, “You Lie!”

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Abortion Provision In HR 3962; Formerly HR 3200

embryo7Around 21 million people are expected to get coverage through the exchange by 2019, according to the Congressional Budget Office. Abortion coverage is widely available in the private market.

A law called the Hyde amendment. must be renewed annually, it bars federal funding for abortion except in cases of rape, incest or if the mother’s life is in danger. The restrictions apply to Medicaid, forcing states that cover abortions for low-income women to pay for them with state revenues. Separate laws apply the restrictions to the federal employee health plan and the military.
SEC. 222. ESSENTIAL BENEFITS PACKAGE DEFINED.

(e) ABORTION COVERAGE PROHIBITED AS PART OF MINIMUM BENEFITS PACKAGE.

  • (1) PROHIBITION OF REQUIRED COVERAGE. The Health Benefits Advisory Committee may not recommend under section 223(b), and the Secretary may not adopt in standards under section 224(b), the services described in paragraph (4)(A) or (4)(B) as part of the essential benefits package and the Commissioner may not require such services for qualified health benefits plans to participate in the Health Insurance Exchange.
  • (2) VOLUNTARY CHOICE OF COVERAGE BY PLAN. In the case of a qualified health benefits plan, the plan is not required (or prohibited) under this Act from providing coverage of services described in paragraph (4)(A) or (4)(B) and the QHBP offering entity shall determine whether such coverage is provided.
  • (3) COVERAGE UNDER PUBLIC HEALTH INSURANCE OPTION. The public health insurance option shall provide coverage for services described in paragraph (4)(B). Nothing in this Act shall be construed as preventing the public health insurance option from providing for or prohibiting coverage of services described in paragraph (4)(A).
  • (4) ABORTION SERVICES.
    • (A) ABORTIONS FOR WHICH PUBLIC FUNDING IS PROHIBITED. The services described in this subparagraph are abortions for which the expenditure of Federal funds appropriated for the Department of Health and Human Services is not permitted, based on the law as in effect as of the date that is 6 months before the beginning of the plan year involved.
    • (B) ABORTIONS FOR WHICH PUBLIC FUNDING IS ALLOWED. The services described in this subparagraph are abortions for which the expenditure of Federal funds appropriated for the Department of Health and Human Services is permitted, based on the law as in effect as of the date that is 6 months before the beginning of the plan year involved.

SEC. 258. APPLICATION OF STATE AND FEDERAL LAWS REGARDING ABORTION.

  • (a) NO PREEMPTION OF STATE LAWS REGARDING ABORTION. Nothing in this Act shall be construed to preempt or otherwise have any effect on State laws regarding the prohibition of (or requirement of) coverage, funding, or procedural requirements on abortions, including parental notification or consent for the performance of an abortion on a minor.
  • (b) NO EFFECT ON FEDERAL LAWS REGARDING ABORTION.
    • (1) IN GENERAL. Nothing in this Act shall be construed to have any effect on Federal laws regarding
      • (A) conscience protection;
      • (B) willingness or refusal to provide abortion; and
      • (C) discrimination on the basis of the willingness or refusal to provide, pay for, cover, or refer for abortion or to provide or participate in training to provide abortion.
  • (c) NO EFFECT ON FEDERAL CIVIL RIGHTS LAW. Nothing in this section shall alter the rights and obligations of employees and employers under title VII of the Civil Rights Act of 1964.

SEC. 259. NONDISCRIMINATION ON ABORTION AND RESPECT FOR RIGHTS OF CONSCIENCE.

  • (a) NONDISCRIMINATION. A Federal agency or program, and any State or local government that receives Federal financial assistance under this Act (or an amendment made by this Act), may not
    • (1) subject any individual or institutional health care entity to discrimination; or
    • (2) require any health plan created or regulated under this Act (or an amendment made by this Act) to subject any individual or institutional health care entity to discrimination, on the basis that the health care entity does not provide, pay for, provide coverage of, or refer for abortions.
  • (b) DEFINITION. In this section, the term ‘‘health care entity’’ includes an individual physician or other health care professional, a hospital, a provider-sponsored organization, a health maintenance organization, a health insurance plan, or any other kind of health care facility, organization, or plan.
  • (c) ADMINISTRATION. The Office for Civil Rights of the Department of Health and Human Services is designated to receive complaints of discrimination based on this section, and coordinate the investigation of such complaints.

SEC. 304. CONTRACTS FOR THE OFFERING OF EXCHANGE PARTICIPATING HEALTH BENEFITS PLANS.

  • (d) NO DISCRIMINATION ON THE BASIS OF PROVISION OF ABORTION. No Exchange participating health benefits plan may discriminate against any individual health care provider or health care facility because of its willingness or unwillingness to provide, pay for, provide coverage of, or refer for abortions.

Sec. 341. Availability through Health Insurance Exchange.

(3) PROHIBITION OF USE OF PUBLIC FUNDS FOR ABORTION COVERAGE.

An affordability credit may not be used for payment for services described in section 222(d)(4)(A).

SEC. 2511. SCHOOL-BASED HEALTH CLINICS.

‘‘(c) USE OF FUNDS. Funds awarded under a grant under this section—

  • ‘‘(1) may be used for
    • ‘‘(A) providing training related to the provision of comprehensive primary health services and additional health services;
    • ‘‘(B) the management and operation of SBHC programs, including through subcontracts; and
    • ‘‘(C) the payment of salaries for health professionals and other appropriate SBHC personnel; and
  • ‘‘(2) may not be used to provide abortions.
  • ‘‘(3) SCHOOL-BASED HEALTH CLINIC. The term ‘school-based health clinic’ means a health clinic that
  • ‘‘(A) is located in, or is adjacent to, a school facility of a local educational agency;
  • ‘‘(B) is organized through school, community, and health provider relationships;
  • ‘‘(C) is administered by a sponsoring facility;
  • ‘‘(D) provides comprehensive primary health services during school hours to children and adolescents by health professionals in accordance with State and local laws and regulations, established standards, and community practice; and
  • ‘‘(E) does not perform abortion services.

SEC. 2529. POSTPARTUM DEPRESSION.

(c) SENSE OF CONGRESS REGARDING LONGITUDINAL STUDY OF RELATIVE MENTAL HEALTH CONSEQUENCES FOR WOMEN OF RESOLVING A PREGNANCY.

  • (1) SENSE OF CONGRESS. It is the sense of the Congress that the Director of the National Institute of Mental Health may conduct a nationally representative longitudinal study (during the period of fiscal years 2011 through 2020) on the relative mental health consequences for women of resolving a pregnancy (intended and unintended) in various ways, including carrying the pregnancy to term and parenting the child, carrying the pregnancy to term and placing the child for adoption, miscarriage, and having an abortion. This study may assess the incidence, timing, magnitude, and duration of the immediate and long-term mental health consequences (positive or negative) of these pregnancy outcomes.
  • (2) REPORT. Beginning not later than 3 years after the date of the enactment of this Act, and periodically thereafter for the duration of the study, such Director may prepare and submit to the Congress reports on the findings of the study.

‘‘SEC. 804. LIMITATION ON USE OF FUNDS APPROPRIATED TO INDIAN HEALTH SERVICE.
‘‘Any limitation on the use of funds contained in an Act providing appropriations for the Department for a period with respect to the performance of abortions shall apply for that period with respect to the performance of abortions using funds contained in an Act providing appropriations for the Service.

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Barack Obama First Year Presidential Actions

obamaOctober 29, 2009 President Obama Signs Executive Order to Amend Executive Order 13462

October 24, 2009 Declaration of a National Emergency with Respect to the 2009 H1N1 Influenza Pandemic

October 16, 2009 Presidential Memorandum Brazil Assistance

October 15, 2009 Presidential Proclamation White Cane Safety Day, 2009

October 14, 2009 Executive Order – Asian American and Pacific Islander Community

October 09, 2009 Presidential Proclamation – Columbus Day

October 09, 2009 Presidential Proclamation – National School Lunch Week

October 09, 2009 Presidential Proclamation – General Pulaski Memorial Day

October 08, 2009 Presidential Memorandum to the Secretary of State

October 07, 2009 Presidential Proclamation – Leif Erikson Day

October 06, 2009 Presidential Proclamation German American Day

October 05, 2009 President Obama signs an Executive Order Focused on Federal Leadership in Environmental, Energy, and Economic Performance

October 05, 2009 Presidential Proclamation Child Health Day

October 02, 2009 Presidential Proclamation- National Arts and Humanities Month, 2009

October 02, 2009 Presidential Proclamation-National Energy Awareness Month

October 02, 2009 Presidential Proclamation Fire Prevention Week

October 01, 2009 Presidential Proclamation National Information Literacy Awareness Month

October 01, 2009 Executive Order-Federal Leadership on Reducing Text Messaging while Driving

October 01, 2009 Presidential Proclamation – National Cybersecurity Awareness Month

October 01, 2009 Presidential Proclamation – National Domestic Violence Awareness Month

September 30, 2009 Presidential Proclamation-National Disability Employment Awareness Month

September 30, 2009 Presidential Proclamation-National Breast Cancer Awareness Month

September 30, 2009 Presidential Memoranda, 9/30/09

September 29, 2009 Presidential Memorandum to the Secretary of Commerce

September 29, 2009 Executive Order Federal Advisory Committees

September 28, 2009 Presidential Proclamation – Family Day, 2009

September 25, 2009 Presidential Proclamation-Gold Star Mother’s and Families’ Day, 2009

September 25, 2009 Presidential Proclamation National Public Lands Recognition Day

September 22, 2009 Presidential Proclamation-National Hunting and Fishing Day

September 21, 2009 Presidential Memorandum Concerning National Security

September 21, 2009 Presidential Proclamation-National Farm Safety And Health Week

September 18, 2009 Presidential Determiniation regarding major illicit drug transit

September 18, 2009 Presidential Proclamation-National POW/MIA Recognition Day, 2009

September 17, 2009 Presidential Proclamation Constitution Day, Citizenship Day and Constitution Week

September 17, 2009 Presidential Memorandum Concerning Medical Liability Reform

September 15, 2009 Presidential Determination regarding trafficking in persons

September 15, 2009 Presidential Proclamation-National Hispanic Heritage Month

September 14, 2009 Presidential Proclamation-National Employer Support of the Guard and Reserve Week

September 14, 2009 Presidential Proclamation-15th Anniversary of the Violence Against Women Act

September 14, 2009 Memorandum from the President regarding the Trading With the Enemy Act

September 11, 2009 Memorandum For The Secretary Of Commerce The Secretary Of Labor The United State Trade Representative

September 11, 2009 Proclamation Address Market Disruption from Imports of Certain Passenger Vehicle and Light Truck Tires

September 10, 2009 Presidential Proclamation-Patriot Day and National Day of Remembrance and Service

September 08, 2009 Presidential Determination of Assistance to the Maldives

September 08, 2009 Presidential Determination of Assistance to the Economic Community of Central African States

September 07, 2009 Presidential Proclamation National Preparedness Month

September 07, 2009 Presidential Proclamation National Labor Day

September 03, 2009 Presidential Proclamation National Wilderness Month, 2009

September 01, 2009 Presidential Proclamations National Prostate Cancer Awareness Month

September 01, 2009 Presidential Proclamation National Alcohol and Drug Addiction Recovery Month

September 01, 2009 Presidential Proclamations National Ovarian Cancer Awareness Month

August 31, 2009 Presidential Proclamation-Adjustment of the Rules of Origin under NAFTA

August 31, 2009 Presidential Memorandum-International Boundary and Water Commission Designations

August 31, 2009 Presidential Proclamation National Historically Black Colleges and Universities Week

August 21, 2009 Memorandum from the President to the Secretary of Transportation

August 13, 2009 Presidential Memorandum regarding drug interdiction assistance to Colombia

August 06, 2009 Memorandum from the President to the Secretary of Homeland Security

August 05, 2009 Memorandum from the President on the Office of Science and Technology Policy

July 30, 2009 Memorandum from the President for the Heads of Executive Departments and Agencies Regarding Guidelines for Human Stem Cell Research

July 17, 2009 Memorandum from the President Assigning Certain Reporting Functions Under the Supplemental Appropriations Act

July 17, 2009 Presidential Proclamation-Captive Nations Week

July 08, 2009 Memorandum from the President to the Secretary of State Concerning the Palestinian Authority

June 30, 2009 Presidentials Proclamation regarding duty-free treatment under the generalized system of preferences

June 23, 2009 Establishing a White House Council on automotive communities and workers

June 17, 2009 Memorandum for the Heads of Executive Departments and Agencies on Federal Benefits and Non-Discrimination, 6-17-09

June 12, 2009 Memorandums from the President regarding Cambodia and Laos

June 09, 2009 Memorandum from the President to the Secretary of State, 6-9-09

June 05, 2009 Presidential Memorandum on the Embassy in Jerusalem

June 02, 2009 National Caribbean-American Heritage Month

June 02, 2009 African-American Music Appreciation Month

May 27, 2009Presidential Memorandum-Classified Information and Controlled Unclassified Information

May 20, 2009 Presidential Memorandum Regarding Nuclear Agreement with the United Arab Emirates

May 20, 2009 Presidential Memorandum Regarding Preemption

May 15, 2009 Memorandum from the President for the Chair of the Council on Environmental Quality

May 14, 2009 Presidential Proclamation-Armed Forces Day, 2009

May 12, 2009 Executive Order Chesapeake Bay Protection and Restoration

May 04, 2009 Presidential Proclamation – National Charter Schools Week

May 04, 2009 Presidential Proclamation-Older Americans Month

May 03, 2009 Presidential Proclamation Asian American And Pacific Islander Heritage Month

May 01, 2009 Presidential Memorandum Regarding The United States Peru Trade Promotion Agreement Implementation Act

May 01, 2009 Proclamation Signed By The President Today Regarding Loyalty Day

April 30, 2009 Presidential Memorandum for the Secretary of State, 4-30-09

April 28, 2009 Presidential Proclamation Equal Pay Day

April 27, 2009 Presidential Memorandum for the Secretary of Defense

April 23, 2009 Presidential Memorandum Regarding Regulatory Review

April 21, 2009 Message to Congress from the President

April 13, 2009 Memorandum: Promoting Democracy and Human Rights in Cuba

April 09, 2009 Presidential Memorandum Regarding the Palestine Liberation Organization Office, 4/09/09

April 08, 2009 Presidential Proclamation Marking National Sexual Assault Awarness Month, 2009

April 08, 2009 Executive Order Establishing The White House Office Of Health Reform

April 01, 2009 Presidential Proclamation Marking National Child Abuse Prevention Month

April 01, 2009 Presidential Proclamation Marking National Cancer Control Month

March 24, 2009 Presidential Proclamation – Greek Independence Day

March 23, 2009 Presidential Memorandum Regarding Deferred Enforced Departure for Liberians

March 20, 2009 Memorandum for the Heads of Executive Departments and Agencies, 3/20/09

March 13, 2009 National Poison Prevention Week, 2009

March 11, 2009 Unexpected Urgent Refugee and Migration Needs Related to the Continuing Conflict in Pakistan

March 11, 2009 Executive Order Creating the White House Council on Women and Girls

March 09, 2009 Memorandum on Presidential Signing Statements

March 09, 2009 Memorandum for the Heads of Executive Departments and Agencies 3-9-09

March 09, 2009 Removing Barriers to Responsible Scientific Research Involving Human Stem Cells

March 04, 2009 Message to Congress from the President Regarding Export Certification

March 04, 2009 Memorandum for the Heads of Executive Departments and Agencies – Subject: Government Contracting

March 03, 2009 Memorandum for the Heads of Executive Departments and Agencies

March 03, 2009 Women’s History Month, 2009

February 27, 2009 National Consumer Protection Week, 2009

February 27, 2009 Transfer of Detainee to Control of the Attorney General

February 27, 2009 Read Across America Day, 2009

February 27, 2009 Save Your Vision Week, 2009

February 20, 2009 Amending Executive Order 13390

February 19, 2009 Executive Order: Establishment of the White House Office of Urban Affairs

February 06, 2009 Executive Order: Use of Project Labor Agreements for Federal Construction Projects

February 06, 2009 Presidential Executive Order Establishing the President’s Economic Recovery Advisory Board

February 05, 2009 Executive Order – Further Amendments To Executive Order 12859,Establishment Of The Domestic Policy Council

February 05, 2009 Executive Order: Further Amendments to Executive Order 12835, Establishment of the National Economic Council

February 05, 2009 Amendments to Executive Order 13199 and Establishment of the President’s Advisory Council for Faith-Based and Neighborhood Partnerships

February 05, 2009 Appliance Efficiency Standards

February 04, 2009 Presidential Memorandum — State Children’s Health Insurance Program

February 02, 2009 American Heart Month, 2009

February 02, 2009 National African American History Month, 2009

January 30, 2009 Revocation Of Certain Executive Orders Concerning Regulatory Planning And Review

January 30, 2009 Memorandum for the Heads of Executive Departments and Agencies

January 30, 2009 Executive Order — Economy in Government Contracting

January 30, 2009 Nondisplacement of Qualified Workers Under Service Contracts

January 30, 2009 Executive Order — Notificiation of Employee Rights Under Federal Labor Laws

January 27, 2009 Unexpected Urgent Refugee and Migration Needs Related to Gaza

January 26, 2009 The Energy Independence and Security Act of 2007

January 26, 2009 California Request for Waiver Under the Clean Air Act

January 23, 2009 Mexico City Policy and Assistance for Voluntary Population Planning

January 22, 2009 Ensuring Lawful Interrogations

January 22, 2009 Review of the Detention of Ali Saleh Kahlah

January 22, 2009 Review of Detention Policy Options

January 22, 2009 Closure Of Guantanamo Detention Facilities

January 21, 2009 Ethics Commitments By Executive Branch Personnel

January 21, 2009 Presidential Records

January 21, 2009 Pay Freeze

January 21, 2009 Freedom of Information Act

January 21, 2009 Transparency and Open Government

January 20, 2009 National Day of Renewal and Reconciliation, 2009

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Affordable Health Care For America Act “H.R. 3962″

barack-obama-5aUnveiled by Obama’s Democrats. The Affordable Health Care for America Act H.R. 3962 has been updated with three versions of previous bills passed by the House committees of jurisdiction in July.  H.R. 3962 Complete Bill (1990 Pages)

Key Provisions:

Public Health Insurance Option
The Health Insurance Marketplace
Shared Responsibility
Guaranteed Benefits
Making Coverage Affordable
Consumer Protections and Insurance Market Reforms
Employers and Health Reform
Strengthening the Nation’s Health Workforce
Lowering Health Care Costs
Prevention and Wellness
Delivery System Reforms
Preventing Waste, Fraud and Abuse
Strengthening Medicare
Improving Medicare Part D Drug Program
Maintaining and Improving Medicaid
Medicare Advantage
Health Care Surcharge and Households
Health Care Surcharge and Small Businesses
Women Have the Most to Gain
Small Businesses
A Guide for Seniors
Young Americans
Rural Communities
Health Care Disparities
Indian Health

Top 14 Provisions That Take Effect Immediately »

Top 10 Changes to the Health Insurance Reform Bill

What Health Insurance Reform Means for You

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Serena Williams Outburst, SHAME !

Williams said, “I swear to God I’m f@#%$^ going to take this f@#%$^ ball and shove it down your f@#%$^ throat, you hear that? I swear to God.” Here’s the close-up

Running your mouth will get you EJECTED! Serena Williams has learned, Obama and Acorn need to take lessons from this. Tapes Never Lie!

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Obama Health Reform Lies

obamahealthcare1Lie. Obama has said health-care reform will be deficit neutral, does not steer tax dollars to abortions and that there are 46 million uninsured Americans.

Truth.  The legislation proposed by Democrats in Congress and backed by Obama would establishing a government plan to compete with private insurers, mandate employer and individual coverage and prohibit insurance companies from denying coverage based on a pre-existing condition.

Lie. During his Aug. 22, weekly address aimed at busting myths about the health reform plan, Obama insisted the legislation would not fund abortions.
Obama said  when it comes to the current ban on using tax dollars for abortions, nothing will change under reform.”

Truth. However, the House bill mandates that government-run insurance exchanges where people would buy insurance with government subsidies include at least one plan that covers abortion. Committees in both the House and Senate rejected amendment that would have explicitly forbid federal money from going to pay for abortion under the plan.  The House Energy and Commerce Committee rejected an amendment on July 31 that would said, “No funds authorized under this Act (or an amendment by this Act) may be used to pay for any abortion.”  It was defeated by a 30-29 vote. The committee then added an amendment by Rep. Lois Capps (D-Calif.) that would leave it up to private insurers whether to fund abortions, even if these private insurers are taking federally subsidized customers.  Her amendment also required that at least one insurer in the federal insurance exchange cover abortion, and left it up to the secretary of health and human services to decide if the public option itself would provide abortion coverage.

Lie. During his July 22 news conference, the president stressed that one important goal of the legislation was to save money. Obama said: “Now, what we did very early on was say two-thirds of the costs of health care reform–which includes providing coverage for people who don’t have it, making it more affordable for folks who do, and making sure that we’re over the long term creating the kinds of systems where prevention and wellness and information technologies make the system more efficient–that the entire cost of that has to be paid for and it’s got to be deficit-neutral.”

Truth. Congressional Budget Office (CBO) has shown that the health care overhaul legislation would add another $1.04 trillion in federal spending over the next 10 years if enacted. That estimate primarily reflects $438 billion in additional federal outlays for Medicaid and $773 billion in federal subsidies that would be provided to purchase coverage through the new insurance exchanges. Not all enrollees in the exchanges would receive subsidies, but the average subsidy among those who would be subsidized is projected to rise from roughly $4,800 in 2015 to roughly $6,000 in 2019. The other main element of the proposal that would increase federal deficits is the tax credit for small employers who offer health insurance, which is estimated to reduce revenues by $53 billion over 10 years.

Lie. During the July 22 news conference, Obama said talked about the 47 million Americans who have no health insurance. In an op-ed in The New York Times, Obama said, “I don’t have to explain to the nearly 46 million Americans who don’t have health insurance how important this is.” During an Aug. 11 town hall meeting in Portsmouth, N.H., he also said, “nearly 46 million Americans don’t have health insurance coverage today,” and that “46 million of our fellow citizens have no coverage.”

Truth. The U.S. Census Bureau reports that 35.9 million U.S. citizens and 9.7 million foreign nationals living in the United States are without medical insurance. That is according to the bureau’s report on “Income, Poverty, and Health Insurance Coverage in the United States: 2007,” the most recent publicly available statistics. The president has overstated the number of Americans who are uninsured by as much as 10 million.

Lie. When speaking to the AARP, Obama said, “Nobody is talking cutting Medicare benefits.”

Truth.  Obama has supported eliminating subsidies to Medicare Advantage, which allows seniors to buy certain private plans with public dollars. The president has called the program “costly and redundant.” Obama has stated, “What we do want to do is eliminate some of the waste that is being paid for out of the Medicare trust fund that could be used more effectively to cover more people and to strengthen the system,”

Lie.
Obama has stated that everyone would be able to keep their existing plan. If you like your doctor, you can keep your doctor.  If you like your private insurance plan, you can keep your plan.

Truth. The government-run health insurance exchange and the public option, employers would have incentives to change the plan offered to their employees, according to studies by the CBO and the Lewin Group, a private health care analysis firm. The Lewin Group projects that if the government option extended to all employers, enrollment would grow to 131.2 million and 119.1 million Americans would leave private plans for the public option. When fully implemented, about 39 million individuals would obtain coverage through the new insurance exchanges.

Emptysuit Related Links:
Hillary Clinton Warned America About Obama
Obama’s Health Care, A Bad Idea
Obama On Abortion
Obama’s Health Care, A Bad Idea
Marine Vet David William Hedrick Rips Rep. Brian Baird
Obama Lies About Abortion Funding in Healthcare Bill
Obama’s Health Care Plan
Healthcare battle ‘isn’t about me’

Glenn Beck Attacks Obama

08Glenn Beck detailed a multitude of questionable quotes and inappropriate associations of Obama’s White House appointees. To the Obama Kool Aid Drinker, Obama Dust Sniffer, and Obamedia Beck is a thorn in the side. Blogger Pasadena Closet Conservative commented in a post something all should know ‘If you want to piss off a conservative, tell him a lie; if you want to piss off a liberal, tell him the truth.’ Thanks Pasadena for that wisdom.

Below are excerpts from Glenn Beck’s broadcast which aired on Fox News.

Treasury Secretary, Timothy Giethner said, ”To get through this, governments need to act, great obligation, responsibility for governments to act to solve these things.  The Market will not solve this and the great risk for us that we do too little, not that we do too much.”

Vice President, Joe Biden said, “The markets are still a free market, still need to be able to function, but if I can steal a phrase from a former president, it was referenced about him that he saved capitalism from the capitalists.”

President of the Service Employees International Union, Andy Stern said, “I think I’m gonna win the Nobel Prize, cause I think I can finally prove that Ronald Reagan is wrong, George Bush is wrong, wealth does not trickle down, it trickle’s up.”

US Congresswoman Maxine Waters said to oil industry leaders on the house floor, “And guess what this liberal would be all about?  This liberal would be all about socializing… uh… would be about… basically [pause]… taking over, and the government running all of your companies.”

Democratic National Committee Chairman Howard Dean said, “I think we’ve had enough capitalism in the last eight years, I think we need some regulation now.”

Obama administration Science Czar, John Holdren said, “The need for de-development presents our economists with a major challenge.  They must design a stable, low consumption economy in which there is a much more equitable distribution of wealth than the present one redistribution of wealth both within and among nations is absolutely essential, if a decent life is to be provided for every human being.”

John Holdren also said while writing of large families, that they “contribute to general social deterioration by overproducing children [and] can be required by law to exercise reproductive responsibility.” -  “it has been concluded that compulsory population-control laws, even including laws requiring compulsory abortion, could be sustained under the existing Constitution if the population crisis became sufficiently severe to endanger the society.” – “Neither the Declaration of Independence or the Constitution mentions a right to reproduce.”  This quote is directly from his book 1977 book, “Ecoscience: Population, Resources, Environment,” co-authored with Paul and Anne Ehrlich, and dealt with limited resources and mandatory population control.

Obama administration Regulatory Czar, Cass Sunstein said,  “Without taxes there would be no liberty.  Without taxes there would be no property.  Without taxes few of us would have any assets worth defending [it is] a dim fiction that some people enjoy and exercise their rights without placing any burden on the public fisc… there is no liberty without dependency.  That is why we should celebrate tax day.”  Sunstien has proposed bans on hunting and eating meat, offered a proposal that dogs, be allowed to have an attorney in court and proposed a fairness doctrine for the internet.

Carol Browner, Global Warming Czar,  was listed up until January 5th, as one of 14 leaders of the socialist group, Socialists International. Socialist International, an umbrella group for many of the world’s social democratic political parties such as Britain’s Labor Party, says it supports socialism and is harshly critical of U.S. policies.  The group’s Commission for a Sustainable World Society, the organization’s action arm on climate change, says the developed world must reduce consumption and commit to binding and punitive limits on greenhouse gas emissions.

Healthcare Czar, Ezekial Emanuel a believer in the “Complete Lives System” said this in a paper he co-authored in Lancet 2009, “ Because none of the currently used systems satisfy all ethical requirements for just allocation, we propose an alternative: the complete lives system. This system incorporates five principles: youngest-first, prognosis, save the most lives, lottery, and instrumental value. … When implemented, the complete lives system produces a priority curve on which individuals aged between roughly 15 and 40 years get the most substantial chance, whereas the youngest and oldest people get chances that are attenuated … the complete lives system is least vulnerable to corruption. Age can be established quickly and accurately from identity documents.  Prognosis allocation encourages physicians to improve patients’ health, unlike the perverse incentives to sicken patients or misrepresent health that the sickest-first allocation creates.”

Green Jobs Czar, Van Jones developed the radical group STORM, who says this about itself, “STORM developed and promoted a set of explicitly revolutionary ideas during a time when these politics were hard to find.  While many people in our generation dismissed Marxism as inherently white and sectarian, we looked towards the revolutionary traditions of third world communism and found valuable and inspiring models for revolutionary change.”  Van (Anthony) Jones was a leading member  of a Marxist organization known by the acronym STORM, which means Standing Together to Organize a Revolutionary Movement.

Van Jones, is a former black Nationalist who admitted to becoming communist whie in jail.  He has served on the board of directors for, the Social Venture Network, an acivist group for the Global Government giant, the World Trade Organization (WTO) the Apollo Alliance mentioned above, the Rainforest Action Network (RAN), a group listed on several Socialist action websites as a resource on several websites.

Regarding the coal industry in the united states, Van Jones has said, “All that clean coal stuff, now, I’m gonna tell ya right now…we could have clean coal, I’m for clean coal, but I tell ya what, if we gonna have clean coal, let’s have a couple of other things, Instead of clean coal,  we could have unicorns pull our cars for us equally fictitious, equally fantastic, equally ludicrous… we could have the tooth fairy bring us our energy at night, equally ludicrous, there is no such thing as unicorns, there is no such thing as the tooth fairy and there is no such thing as clean coal, so let’s be clear about that.”  As clean coal is the only way the coal industry will survive regulatory requirements in Cap and Trade, is the administration going to put the coal industry out of business?

Deocrating representative John Conyers said when asked about reading the healthcare bill before signing it, “I love these members, they get up and say, ‘Read the bill… What good is reading the bill if it’s a thousand pages and you don’t have two days and two lawyers to find out what it means after you read the bill?”

And we end with President Obama’s long time friend and advisor, William AyersIn 2006, Mr. Ayers said, “You want me to elaborate the point?  Down with capitalism!”

I like Beck, don’t get a chance to listen/watch him but I do try to read some of his articles.  Those on the LEFT cannot face the truth of how this Administration plan to ruin this country. Beck, keep the torch, sooner or later the country will wake-up and see the Real Obama.

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