Obama’s Health Care Plan

CareSummary of H.R. 3200.  Full Text Of Bill

• Sec. 113, Pg. 21-22 of the Health Care (HC) Bill MANDATES a government audit of the books of ALL EMPLOYERS that self-insure in order to “ensure that the law does not provide incentives for small and mid-size employers to self-insure”!
• Sec. 122, Pg. 29, Lines 4-16 – YOUR HEALTH CARE WILL BE RATIONED!
• Sec. 123, Pg. 30 – THERE WILL BE A GOVERNMENT COMMITTEE deciding what treatments and benefits you get.
• Sec. 142, Pg. 42 – The Health Choices Commissioner will choose your benefits for you.
• Sec. 152, Pg. 50-51 – HC will be provided to ALL NON-US citizens.
• Sec. 163, Pg. 58-59 beginning at line 5 – Government will have real-time access to individual’s finances & a National ID health care card will be issued!
• Sec. 163, Pg. 59, Lines 21-24 – Government will have direct access to your bank accounts for electronic funds transfer.
• Sec. 164, Pg. 65 is a payoff subsidized plan for retirees and their families in unions & community organizations.
• Sec. 201, Pg. 72, Lines 8-14 – Government is creating an HC Exchange to bring
• Sec. 203, Pg. 84 – Government mandates ALL benefit packages for private Health Care plans in the exchange.
• Sec. 203, Pg. 85, Line 7 – Specifications of benefit levels for plans means that the government will define your HC plan and has the ability to ration your health care!
• Sec. 205, Pg. 95, Lines 8-18 – The government will use groups to “inform and educate” individuals for government plan.
• Sec. 205, Pg. 102, Lines 12-18 – Medicaid-eligible individuals will be automatically enrolled in Medicaid.
• Sec. 223, Pg. 124, Lines 24-25 – No company can sue the government for price-fixing. No “administrative of judicial review” against a government monopoly.
• Sec. 225, Pg. 127, Lines 1-16 – Doctors – the government will tell YOU what you can make. “The Secretary shall provide for the annual participation of physicians under the public health insurance option, for which payment may be made for services furnished during the year.”
• Sec. 312, Pg. 145, Lines 15-17 – Employers MUST auto-enroll employees into public option plan.
• Sec. 313, Pg. 149, Lines 16-23 – ANY employer with payroll $400,000 and above who does not provide public option pays 8% tax on all payroll.
• Sec. 313, Pg. 150, Lines 9-13 – Businesses with payroll between $251,000 and $400,000 who do not provide public option pay 2-6% tax on all payroll.
• Sec. 401.59B, Pg. 167, Lines 18-23 – ANY individual who does not have acceptable care, according to government, will be taxed 2.5% of income.
• Sec. 59B, Pg. 170, Line 1 – Any NONRESIDENT alien is exempt from individual taxes.
• Sec. 431, Pg. 195, Lines 1-3 – Officers and employees of HC Administration will have access to ALL Americans’ financial and personal records.
• Sec. 441, Pg. 203, Lines 14-15 – “The tax imposed under this section shall not be treated as tax.”
• Sec. 1121, Pg. 239, Lines 14-24 – The government will limit and reduce physician services for Medicaid.
• Sec. 1121, Pg. 241, Lines 6-8 – Doctors, it does not matter what specialty you have; you’ll all be paid the same. “Service categories established under this paragraph shall apply without regard to the specialty of the physician furnishing the service.”
• Sec. 1122, Pg. 253, Lines 10-23 – The government “validates work relative value units”, professional judgment, methods etc.
• Sec. 1131, Pg. 265 – Government mandates and controls productivity for private HC industries. “Incorporating Productivity Improvements into Market Basket Updates that Do Not Already Incorporate Such Improvements.”
• Sec. 1141, Pg. 268 – The government regulates rental and purchase of power-driven wheelchairs.
• Sec. 1145, Pg. 272 – Treatment of certain cancer hospitals.
• Sec. 1151, Pg. 280 – The government will penalize hospitals for what government deems preventable readmissions.
• Sec. 1151, Pg. 298, Lines 9-11 – Doctors, treat a patient during initial admission that results in a readmission and the government will penalize you for that action.
• Sec. 1156, Pg. 317, Lines 13-20 – “PROHIBITION on physician ownership or Investment.”
• Sec. 1156, Pg. 317-318, Lines 21-25, 1-3 – “PROHIBITION on Expansion of Facility Capacity.”
• Sec. 1156, Pg. 321, Lines 2-13 – Hospitals have opportunity to apply for exception BUT community input required.
• Sec. 1162, Pg. 335-339, Lines 16-25 – The government mandates establishment of outcome-based measures.
• Sec. 1162, Pg. 341, Lines 3-9 – The government has authority to disqualify Medicare Advantage Plans (Part B), HMOs, etc.
• Sec. 1177, Pg. 354 – Government will RESTRICT enrollment of special needs people.
• Sec. 1191, Pg. 379 – Government creates more bureaucracy.
• Sec. 1233, Pg. 425, Lines 4-12 – Government mandates Advance Care Planning consultation.
• Sec. 1233, Pg. 425, Lines 17-19 – Government WILL instruct and consult regarding living wills and durable powers of attorney.
• Sec. 1233, Pg. 425-426, Lines 22-25, 1-3 – Government provides approved list of end-of-life resources, guiding you in death.
• Sec. 1233, Pg. 427, Lines 15-24 – Government mandates program for orders for life-sustaining treatment.
• Sec. 1233, Pg. 429, Lines 1-9 – An “advanced care planning consult” will be used as patient’s health deteriorates.
• Sec. 1233, Pg. 429, Lines 10-12 – “Advanced Care Consultation” may include an ORDER for end-of-life plans.
• Sec. 1233, Pg. 429, Lines 13-25 – The government will specify which Doctors (professional authority under state law includes Nurse Practitioners or Physician’s Assistants) can write an end-of-life order.
• Sec. 1233, Pg. 430, Lines 11-15 – The government will decide what level of treatment you will have at end of life, according to preset methods.
• Sec. 1302, Pg. 468, Lines 16-21 – “Community-Based Home Medical Services means a nonprofit community-based or state-based organization.”
• Sec. 1302, Pg. 472, Lines 14-17 – PAYMENT TO COMMUNITY-BASED ORGANIZATION: One monthly payment to a community-based organization.
• Sec. 1308, Pg. 489 – The government will cover Marriage and Family therapy.
• Sec. 1308, Pg. 494-498 – The government will cover Mental Health Services including defining, creating and rationing those services.
• Sec. 1401, Pg. 502 – Center for Comparative Effectiveness Research Established.
• Sec. 1401, Pg. 503, Lines 13-19 – The government will build registries and data networks from YOUR electronic medical records.
• Sec. 1401, Pg. 503, Lines 21-25 – The government may secure data directly from any department or agency of the US, including your data.
• Sec. 1401, Pg. 503, Lines 21-25 – The “Center” will collect data both “published and unpublished”.
• Sec. 1401, Pg. 506, Lines 19-21 – An “Appointed Clinical Perspective Advisory Panel” will advise The Center and recommend policies that would allow for public access of data.
• Sec. 1401, Pg. 518, Lines 21-25 – The Commission will have input from HC consumer representatives.
• Sec. 1411, Pg. 524, Lines 18-22 – Establishes the “Comparative Effectiveness Research Trust Fund.”
• Sec. 1441, Pg. 621, Lines 20-25 – The government will define “NEW Quality” measures in HC.
• Sec. 1442, Pg. 622, Lines 2-9 – To pay for the Quality Standards, government will transfer money from “qualified entities”  to other government Trust Funds.
• Sec. 1442, Pg. 624, Lines 19-23 – Qualified Entities: “The Secretary shall ensure that the entity is a public, nonprofit or academic institution with technical expertise in the area of health quality measurement.”
• Sec. 1442, Pg. 623, Lines 5-10 – “Quality” measures shall be designed to assess outcomes and functional status of patients.
• Sec. 1442, Pg. 623, Lines 15-17 – “Quality” measures shall be designed to profile you, including race, age, gender, place of residence, etc.
• Sec. 1443, Pg. 628 – The government will give “Multi-Stake Holders” pre-rulemaking input into selection of “quality” measures.
• Sec. 1443, Pg. 630-31, Lines 9-24, 1-9 – Those Multi-Stake Holder groups include unions and groups deciding what constitutes quality.
• Sec. 1444, Pg. 632, Lines 14-25 – The government may implement any “Quality measure” of HC services that bureaucrats see fit.
• Sec. 1444, Pg. 632-333, Lines 14-25, 1-9 – The Secretary may issue nonendorsed “Quality Measures” for physician and dialysis services.
• Sec. 1251, Pg. 634 to 652 – “Physician Payments Sunshine Provision” – government wants to shine sunlight on Doctors but not government. “Reports on financial relationships between manufacturers and distributors . . . and between physicians and other health care entities.”
• Sec. 1501, Pg. 659-670 – Doctors in Residency – government will tell you where your residency will be.
• Sec. 1503, Pg. 675-685 – Government will regulate hospitals in EVERY aspect of residency programs, including teaching hospitals.
• Sec. 1601, Pg. 685-699 – Increased funding to fight waste, fraud, and abuse.
• Sec. 1619, Pg. 700-703 – If your part of HC plan isn’t in the government’s HC Exchange but you qualify for federal aid, you don’t have to pay.
• Sec. 1128G, Pg. 704-708 – If the Secretary determines there is a “significant risk of fraudulent activity,” on HC provider or supplier, the government can do a background check.
• Sec. 1632, Pg. 710, Lines 8-14 – The Secretary has broad powers to deny HC providers and suppliers admittance into HC Exchange.
• Sec. 1637, Pg. 718-719 – ANY Doctor who orders durable medical equipment or home medical services is REQUIRED to be enrolled in, or eligible for, Medicare.
• Sec. 1639, Pg. 721 – Government MANDATES that Doctors must have face-to-face with patient to certify patient for home health services.
• Sec. 1639, Pg. 723-24, Lines 23-25, 1-5 – The same government certifications will apply to Medicaid and CHIP.
• Sec. 1640, Pg. 723, Lines 16-22 – The government reserves right to apply face-to-face certification for patient to ANY other HC service.
• Sec. 1651, Pg. 734, Lines 16-25 – Proposes, for law enforcement sake, that the Secretary of HHS will give Attorney General access to ALL medical data.
• Sec. 1701 (beginning), Pg. 739-756 – The government sets guidelines for subsidizing the uninsured.
• Sec. 1704, Pg. 756-761 – The government will shift burden of payments to Disproportionate Share Hospitals (DSH) to states.
• Sec. 1711, Pg. 764 – The government will require preventative services – including vaccinations.
• Sec. 1713, Pg. 768 – Government-determined Nurse Home Visitation Services.
• Sec. 1713, Pg. 768, Lines 3-5 – Nurse Home Visit Services – Service #1: “Improving maternal or child health and pregnancy outcomes or increasing birth intervals between pregnancies.”
• Sec. 1713, Pg. 768, Lines 11-14 – Nurse Home Visit Services include determinations of economic self-sufficiency, employment advancement and school-readiness.
• Sec. 1714, Pg. 769 – Federal government mandates eligibility for State Family Planning Services..
• Sec. 1733, Pg. 788-798 – Government will set and mandate drug prices, therefore controlling which drugs are brought to market.
• Sec. 1744, Pg. 796-799 – Establishes PAYMENTS for graduate medical education.
• Sec.1751, Pg. 800 – The government will decide which Health Care conditions will be paid.
• Sec. 1759, Pg. 809 – Billing Agents, clearinghouses, or other alternate payees are required to register.
• Sec. 1801, Pg. 819-823 – The Government will identify individuals “likely to be ineligible” for subsidies.
• Sec. 1802, Pg. 823-828 – Government sets up Comparative Effectiveness Research Trust Fund.
• Sec. 4375, Pg. 828-832, Lines 12-16 – Government will impose a fee on ALL private health insurance plans, including self-insured, to pay for Trust Fund!
• Sec. 4377, Pg. 835, Lines 11-13 – Fees imposed by government for Trust Fund shall be treated as if they were taxes.
• Sec. 440, Pg. 837-839 – The government will design and implement Home Visitation Program for families with young kids and families that are expecting children.
• Sec. 1904, Pg. 843-844 – This Home Visitation Program includes the government coming into your house.
• Sec. 2002, Pg. 858 – The government will establish a Public Health Fund at a cost of $88,800,000,000.
• Sec. 2201, Pg. 864 – The government will MANDATE the establishment of a National Health Service Corps.
o Sec. 2201 – “Fulfillment of Obligated Service Requirement”
o Sec. 2201, Pg. 864-875 – The NHS Corps is a program where Doctors perform mandatory HC for 2 years for partial loan repayment.
• Sec. 2212, Pg. 875-891 – The government takes over the education of Medical students and Doctors through education and loans.
• Sec. 340L, Pg. 897 – The government will establish a Public Health Workforce Corps to ensure an adequate supply of public health professionals.
• Sec. 340L, Pg. 897 – The Public Health Workforce Corps shall consist of civilian employees of the United States as Secretary deems necessary.
• Sec. 340L, Pg. 897 – The Public Health Workforce Corps shall consist of officers of Regular and Reserve Corps of Service.
• Sec. 340M, Pg. 899 – The Public Health Workforce Corps includes veterinarians.
• Sec. 2233, Pg. 909 – The government will develop, build and run Public Health Training Centers.
• Sec. 2241, Pg. 912-913 – Government starts a HC affirmative action program under the guise of diversity scholarships.
• Sec. 2251, Pg. 915 – Government MANDATES cultural and linguistic competency training for HC professionals.
• Sec. 3111, Pg. 931 – The government will establish a Preventative and Wellness Trust fund, with initial cost of $30,800,000,000.
• Sec. 3121, Pg. 934, Lines 21-22 – Government will identify specific goals and objectives for prevention and wellness activities.
• Sec. 3121, Pg. 935, Lines 1-2 – The government will develop “Healthy People & National Public Health Performance Standards.”
• Sec. 3131, Pg. 942, Lines 22-25 – “Task Force on Community Preventive Services.” Under the Offices of Surgeon General, Public Health Services, Minority Health and Women’s Health.
• Sec. 3141, Pg. 949-979 – More public health infrastructure includes workforce capacity, lab systems, health information systems, etc.
• Sec. 2511, Pg. 992 – Government will establish school-based “health” clinics.
• Sec. 399Z-1, Pg. 993 – School-Based Health Clinics will be integrated into the school environment.
• Sec. 2521, Pg. 1000 – The government will establish a National Medical Device Registry.

Related Links:

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Obama Stem Cell Policy ?
I Got An Answer, Earmark

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  1. How dare you try to educate Americans about this bill! That is simply not allowed!

    • Stan The Man
    • August 14th, 2009

    THIS BILL IS SO TWISTED, I SEE WHY THEY DIDN’T VOTE FOR IT.

  2. complex post. simply one detail where I bicker with it. I am emailing you in detail.

    • emptysuit
    • August 17th, 2009

    Laurene Stuckel, thanks for that link, don’t be a stranger

    • emptysuit
    • August 17th, 2009

    What is senior home care, thanks for that link, don’t be a stranger

    • emptysuit
    • August 17th, 2009

    Pasadena Closet Conservative, this schooling is becoming a job. Thanks for your support.

    • emptysuit
    • August 17th, 2009

    Stan The Man, too many pages to try to understand. America has started reading these bills and they are not happy. Thanks Stan The Man

    • emptysuit
    • August 17th, 2009

    Debt Settlement Program, very complex, thanks.

  3. Apologize for my bad english, I deem its a gracious piece of your writing. Well I have faced alot of difficulties in this train but your article will definately escape me in future. Thank You

  4. I was told that on page 107 of Obama’s health care bill he uses the word Dhimmitude, which has a few meanings none of them good for the American people but I have not been able to verify this by actually reading the page. All I find is mostly favorable dialog of the bill from liberal progresives. I would really like to just find the text as it was written. Any help would be greatly appriated thank you

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