Posts Tagged ‘ obamacare ’

Zombie Barack Obama

A Halloween-themed graphic featuring a zombie President Barack Obama with a bullet hole in his forehead provoked widespread outrage and the attention of the Secret Service Monday after a local Republican committee in Virginia used it to scare up interest in Halloween parade political activities. he montage, a banner on a mass email to Loudoun Republicans, mingles seasonal images including a jack-o-lantern, a disfigured U.S. Rep. Nancy Pelosi and a throng of flesh-hungry zombie Obama supporters. Obama Joker Poster

The posterized image of a rotting, undead Obama with a bleeding, large-caliber hole an inch above his right eye prompted Democrats to cry foul and Virginia’s Republican governor to denounce it as “shameful and offensive.” There was no reply from Sell to a follow-up email seeking an alternative explanation for the nickel-sized hole in Obama’s forehead.

The image was first reported in a post Monday on the conservative northern Virginia blog, Too Conservative. The post’s author, identified as a “Loudoun Insider,” said he’s no Obama fan, “but putting up a photo of him as a zombie with a bullet hole in his head?”

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Michelle Obama On Hawaii Beach For Christmas
Obama Joker Poster
Michelle Obama Chimp Image On Google 
Obama Doll Found Hanging From Building 
Michelle Obama Called Ghetto Girl
Michelle Obamas Weight Problem
The Audacity Of Hope Page 261
Easy As Taking Cells From An Embryo
Health Care Insurance And Health Care Benefits 
Rush Limbaugh: The Obamas Party Like Royalty

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Children As Weapons Of War, Okay Says Obama

International Human Rights groups and organizations are outraged and left grappling for answers. Earlier this week President Obama gave four countries a year pass, a waiver for the use of child in war; Chad, Democratic Republic of Congo (DR Congo), Sudan, and Yemen.

In one momentary, sweeping act President Obama has undercut years of work and thousands of dollars spent in effort to protect children worldwide from this very traumatizing act.

In a quid pro quo, Yemen received the waiver in exchange for helping the United States (US) in its struggle against Al Qaeda, the same for Chad. DR Congo and Sudan were given the one year waiver so that they may have more time to rid their armies of this practice while continuing to strengthen their military forces with our monetary aid.

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Black Republican Candidates 2010

Senate candidates:
Marion Thorpe, Florida
Larry Linney, North Carolina
Michael Williams, Texas

Congressional candidates:
Lester Phillip, Alabama’s 5th District
Princella Smith, Arkansas’s 1st District
Vernon Parker, Arizona’s 3rd District
Virginia Fuller,California’s 7th District
Star Parker, California’s 37th District
Chrystopher Smith, California’s 39th District
Mason Weaver, California’s 53rd District
Ryan Frazier, Colorado’s 7th District
Prince Brown, Florida’s 8th District
Eddie Adams, Florida’s 11th District
Corey Poitier, Florida’s 17th District
Allen West, Florida’s 22nd District
Deon Long, Florida’s 24th District
Cory Ruth, Georgia’s 4th District
Deborah Honeycutt, Georgia’s 13th District
Rupert Parchment, Georgia’s 13th District
Isaac Hayes, Illinois’s 2nd District
Robert Broadus, Maryland’s 4th District
Charles Lollar, Maryland’s 5th District
Bill Hardiman, Michigan’s 3rd District
Angela McGlowan, Mississippi’s 1st District
Barb Davis White (running as Independent), Minnesota’s 5th District
Martin Baker, Missouri’s 1st District
Shannon Wright, New Jersey’s 6th District
Michael Faulkner,New York’s 15th District
Jerry Grimes, North Carolina’s 1st District
Lou Huddleston, North Carolina’s 8th District
Bill Randall, North Carolina’s 13th District
Tim Scott, South Carolina’s 3rd District
Jean Howard-Hill, Tennessee’s 3rd District
Charlotte Bergmann, Tennessee’s 9th District
William Hurd, Texas’s 23rd District
Stephen Broaden, Texas’s 30th District
David Castillo, Washington’s 3rd District

Obama Heckled On AIDS At NY Event

Jobless Claims Rise To 472,000

U.S. Department of Labor
Office of Public Affairs
Washington, D.C.

EMPLOYMENT AND TRAINING ADMINISTRATION USDL 10-888-NAT
Program Contact: TRANSMISSION OF MATERIAL IN THIS
Scott Gibbons (202) 693-3008 RELEASE IS EMBARGOED UNTIL
Tony Sznoluch (202) 693-3176 8:30 A.M. (EDT), THURSDAY
Media Contact : July 1, 2010
(202) 693-4676

In the week ending June 26, the advance figure for seasonally adjusted initial claims was 472,000, an increase of 13,000 from the previous week’s revised figure of 459,000. The 4-week moving average was 466,500, an increase of 3,250 from the previous week’s revised average of 463,250.

The advance seasonally adjusted insured unemployment rate was 3.6 percent for the week ending June 19, unchanged from the prior week’s revised rate of 3.6 percent.

The advance number for seasonally adjusted insured unemployment during the week ending June 19 was 4,616,000, an increase of 43,000 from the preceding week’s revised level of 4,573,000. The 4-week moving average was 4,567,500, a decrease of 25,250 from the preceding week’s revised average of 4,592,750.

The fiscal year-to-date average of seasonally adjusted weekly insured unemployment, which corresponds to the appropriated AWIU trigger, was 5.077 million.

UNADJUSTED DATA

The advance number of actual initial claims under state programs, unadjusted, totaled 438,305 in the week ending June 26, an increase of 14,867 from the previous week. There were 559,857 initial claims in the comparable week in 2009.

The advance unadjusted insured unemployment rate was 3.4 percent during the week ending June 19, unchanged from the prior week. The advance unadjusted number for persons claiming UI benefits in state programs totaled 4,311,264, an increase of 3,471 from the preceding week. A year earlier, the rate was 4.5 percent and the volume was 6,078,254.

Extended benefits were available in Alaska, Arizona, California, Connecticut, the District of Columbia, Georgia, Kansas, Maine, Massachusetts, Michigan, Minnesota, Montana, Nevada, New Hampshire, New Jersey, New Mexico, North Carolina, Oregon, Puerto Rico, Rhode Island, Vermont, Virginia, Washington, and Wisconsin during the week ending June 12.

Initial claims for UI benefits by former Federal civilian employees totaled 2,083 in the week ending June 19, a decrease of 64 from the prior week. There were 2,381 initial claims by newly discharged veterans, a decrease of 118 from the preceding week.

There were 18,082 former Federal civilian employees claiming UI benefits for the week ending June 12, an increase of 245 from the previous week. Newly discharged veterans claiming benefits totaled 34,334, a decrease of 2,589 from the prior week.

States reported 4,515,499 persons claiming EUC (Emergency Unemployment Compensation) benefits for the week ending June 12, a decrease of 217,513 from the prior week. There were 2,503,379 claimants in the comparable week in 2009. EUC weekly claims include first, second, third, and fourth tier activity.

The highest insured unemployment rates in the week ending June 12 were in Puerto Rico (6.6 percent), Alaska (5.1), Oregon (4.9), California (4.4), Nevada (4.4), Pennsylvania (4.4), Wisconsin (4.1), Connecticut (4.0), North Carolina (4.0), New Jersey (3.9), and South Carolina (3.9).

The largest increases in initial claims for the week ending June 19 were in Pennsylvania (+3,460), New Jersey (+1,708), Iowa (+1,494), Maryland (+1,404), and Michigan (+1,251), while the largest decreases were in Illinois (-3,711), California (-3,629), New York (-3,566), Georgia (-1,921), and South Carolina (-1,565).


UNEMPLOYMENT INSURANCE DATA FOR REGULAR STATE PROGRAMS


Advance Prior1
WEEK ENDING June 26 June 19 Change June 12 Year

Initial Claims (SA) 472,000 459,000 +13,000 476,000 604,000
Initial Claims (NSA) 438,305 423,438 +14,867 444,172 559,857
4-Wk Moving Average (SA) 466,500 463,250 +3,250 464,250 604,500
Advance Prior1
WEEK ENDING June 19 June 12 Change June 5 Year

Ins. Unemployment (SA) 4,616,000 4,573,000 +43,000 4,593,000 6,501,000
Ins. Unemployment (NSA) 4,311,264 4,307,793 +3,471 4,308,561 6,078,254
4-Wk Moving Average (SA) 4,567,500 4,592,750 -25,250 4,608,250 6,504,500

Ins. Unemployment Rate (SA)2 3.6% 3.6% 0.0 3.6% 4.9%
Ins. Unemployment Rate (NSA)2
3.4% 3.4% 0.0 3.4% 4.5%

INITIAL CLAIMS FILED IN FEDERAL PROGRAMS (UNADJUSTED)


Prior1
WEEK ENDING
June 19
June 12
Change
Year

Federal Employees 2,083 2,147 -64 1,574
Newly Discharged Veterans 2,381 2,499 -118 2,095

PERSONS CLAIMING UI BENEFITS IN FEDERAL PROGRAMS (UNADJUSTED)


Prior1
WEEK ENDING
June 12
June 5
Change
Year

Federal Employees 18,082 17,837 +245 17,018
Newly Discharged Veterans 34,334 36,923 -2,589 28,356
Railroad Retirement Board 5,000 5,000 0 10,000
Extended Benefits 405,081 563,236 -158,155 480,298
EUC 20083 4,515,499 4,733,012 -217,513 2,503,379

FOOTNOTES
SA – Seasonally Adjusted Data
NSA – Not Seasonally Adjusted Data
1 – Prior year is comparable to most recent data.
2 – Most recent week used covered employment of 128,298,468 as denominator.
3 – EUC weekly claims include first, second, third, and fourth tier activity.

UNADJUSTED INITIAL CLAIMS FOR WEEK ENDED 06/19/2010


STATES WITH A DECREASE OF MORE THAN 1,000


State Change State Supplied Comment
IL -3,711 Fewer layoffs in the trade and service industries.
CA -3,629 No comment.
NY -3,566 Fewer layoffs in the construction, real estate, rental and leasing, and manufacturing industries.
GA -1,921 Fewer layoffs in the construction, service, and manufacturing industries.
SC -1,565 Fewer layoffs in the manufacturing industry.
IN -1,543 No comment.
KY -1,399 No comment.
NC -1,334 Fewer layoffs in the construction, furniture, paper, and textile industries.
WA -1,157 No comment.
OR -1,093 No comment.
TX -1,063 Fewer layoffs in the service, finance, and manufacturing industries.

STATES WITH AN INCREASE OF MORE THAN 1,000


State Change State Supplied Comment
MI +1,251 No comment.
MD +1,404 No comment.
IA +1,494 Layoffs in the manufacturing industry.
NJ +1,708 Layoffs in the transportation, warehousing, service, and manufacturing industries.
PA +3,460 No comment.

State Detail Prior Week
UI Claims Series 1967 to current

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Obama Job Loss

Financial Reform Summary

Executive Order 13544, Socialized Health Care

Summary: Financial Regulatory Reform
Summary: Health Care Reform Bill H.R. 4872
The Jones Act And Gulf Oil Spill
New Patients Bill of Rights
Copenhagen Climate Treaty Summary
Health Care Insurance And Health Care Benefits
H.R. 3962 Summary
H.R. 3962 Tax Hikes

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Financial Reform Summary

Calendar No. ll A BILL

HIGHLIGHTS OF THE NEW BILL

Consumer Protections with Authority and Independence: Creates a new independent watchdog, housed at the Federal Reserve, with the authority to ensure American consumers get the clear, accurate information they need to shop for mortgages, credit cards, and other financial products, and protect them from hidden fees, abusive terms, and deceptive practices.

Ends Too Big to Fail: Ends the possibility that taxpayers will be asked to write a check to bail out financial firms that threaten the economy by: creating a safe way to liquidate failed financial firms; imposing tough new capital and leverage requirements that make it undesirable to get too big; updating the Fed’s authority to allow system-wide support but no longer prop up individual firms; and establishing rigorous standards and supervision to protect the economy and American consumers, investors and businesses.

Advanced Warning System: Creates a council to identify and address systemic risks posed by large, complex companies, products, and activities before they threaten the stability of the economy.

Transparency & Accountability for Exotic Instruments: Eliminates loopholes that allow risky and abusive practices to go on unnoticed and unregulated – including loopholes for over-the-counter derivatives, asset-backed securities, hedge funds, mortgage brokers and payday lenders.

Federal Bank Supervision: Streamlines bank supervision to create clarity and accountability. Protects the dual banking system that supports community banks.

Executive Compensation and Corporate Governance: Provides shareholders with a say on pay and corporate affairs with a non-binding vote on executive compensation.

Protects Investors: Provides tough new rules for transparency and accountability for credit rating agencies to protect investors and businesses.

Enforces Regulations on the Books: Strengthens oversight and empowers regulators to aggressively pursue financial fraud, conflicts of interest and manipulation of the system that benefit special interests at the expense of American families and businesses.

STRONG CONSUMER FINANCIAL PROTECTION WATCHDOG
The new independent Consumer Financial Protection Bureau will have the sole job of protecting American consumers from unfair, deceptive and abusive financial products and practices and will ensure people get the clear information they need on loans and other financial products from credit card companies, mortgage brokers, banks and others.
American consumers already have protections against faulty appliances, contaminated food, and dangerous toys. With the creation of the Consumer Financial Protection Bureau, they’ll finally have a watchdog to oversee financial products, giving Americans confidence that there is a system in place that works for them – not just big banks on Wall Street.

Why Change Is Needed: The economic crisis was driven by an across-the-board failure to protect consumers. When no one office has consumer protections as its top priority, consumer protections don’t get the attention they need. The result has been unfair and deceptive practices being allowed to spread unchallenged, nearly bringing down the entire financial system.

The Consumer Financial Protection Bureau
· Independent Head: Led by an independent director appointed by the President and confirmed by the Senate.
· Independent Budget: Dedicated budget paid by the Federal Reserve Board.
· Independent Rule Writing: Able to autonomously write rules for consumer protections governing all entities – banks and non-banks – offering consumer financial services or products.
· Examination and Enforcement: Authority to examine and enforce regulations for banks and credit unions with assets of over $10 billion and all mortgage-related businesses (lenders, servicers, mortgage brokers, and foreclosure scam operators) and large non-bank financial companies, such as large payday lenders, debt collectors, and consumer reporting agencies. Banks with assets of $10 billion or less will be examined by the appropriate bank regulator.
· Consumer Protections: Consolidates and strengthens consumer protection responsibilities currently handled by the Office of the Comptroller of the Currency, Office of Thrift Supervision, Federal Deposit Insurance Corporation, Federal Reserve, National Credit Union Administration, and Federal Trade Commission.
· Able to Act Fast: With this bureau on the lookout for bad deals and schemes, consumers won’t have to wait for Congress to pass a law to be protected from bad business practices.
· Educates: Creates a new Office of Financial Literacy.
· Consumer Hotline: Creates a national consumer complaint hotline so consumers will have, for the first time, a single toll-free number to report problems with financial products and services.
· Accountability: Makes one office accountable for consumer protections. With many agencies sharing responsibility, it’s hard to know who is responsible for what, and easy for emerging problems that haven’t historically fallen under anyone’s purview, to fall through the cracks.
· Works with Bank Regulators: Coordinates with other regulators when examining banks to prevent undue regulatory burden. Consults with regulators before a proposal is issued and regulators could appeal regulations if they believe would put the safety and soundness of the banking system or the stability of the financial system at risk.

ADDRESSING SYSTEMIC RISKS

The Financial Stability Oversight Council
The newly created Financial Stability Oversight Council will focus on identifying, monitoring and addressing systemic risks posed by large, complex financial firms as well as products and activities that spread risk across firms. It will make recommendations to regulators for increasingly stringent rules on companies that grow large and complex enough to pose a threat to the financial stability of the United States.

Why Change Is Needed: The economic crisis introduced a new term to our national vocabulary – systemic risk. In July, Federal Reserve Governor Daniel Tarullo, testified that “Financial institutions are systemically important if the failure of the firm to meet its obligations to creditors and customers would have significant adverse consequences for the financial system and the broader economy.” In short, in an interconnected global economy, it’s easy for some people’s problems to become everybody’s problems. The failures that brought down giant financial institutions last year also devastated the economic security of millions of Americans who did nothing wrong – their jobs, homes, retirement security, gone overnight.

The Financial Stability Oversight Council
· Expert Members: A 9 member council of federal financial regulators and an independent member will be Chaired by the Treasury Secretary and made up of regulators including: Federal Reserve Board, SEC, CFTC, OCC, FDIC, FHFA, the new Consumer Financial Protection Bureau. The council will have the sole job to identify and respond to emerging risks throughout the financial system.
· Tough to Get Too Big: Makes recommendations to the Federal Reserve for increasingly strict rules for capital, leverage, liquidity, risk management and other requirements as companies grow in size and complexity, with significant requirements on companies that pose risks to the financial system.
· Regulates Nonbank Financial Companies: Authorized to require, with a 2/3 vote, nonbank financial companies that would pose a risk to the financial stability of the US if they failed be regulated by the Federal Reserve. With this provision the next AIG would be regulated by the Federal Reserve.
· Break Up Large, Complex Companies: Able to approve, with a 2/3 vote, a Federal Reserve decision to require a large, complex company, to divest some of its holdings if it poses a grave threat to the financial stability of the United States – but only as a last resort.
· Technical Expertise: Creates a new Office of Financial Research within Treasury to be staffed with a highly sophisticated staff of economists, accountants, lawyers, former supervisors, and other specialists to support the council’s work by collecting financial data and conducting economic analysis.
· Make Risks Transparent: Through the Office of Financial Research and member agencies the council will collect and analyze data to identify and monitor emerging risks to the economy and make this information public in periodic reports and testimony to Congress every year.
· Oversight of Important Market Utilities: Identifies systemically important clearing, payments, and settlements systems to be regulated by the Federal Reserve.
· No Evasion: Large bank holding companies that have received TARP funds will not be able to avoid Federal Reserve supervision by simply dropping their banks. (the Hotel California Provision)

ENDING TOO BIG TO FAIL BAILOUTS

Preventing another crisis where American taxpayers are forced to bail out financial firms requires strengthening big financial companies to better withstand stress, putting a price on excessive growth or complexity that poses risks to the financial system, and creating a way to shutdown big financial firms that fail without threatening the economy.

Why Change Is Needed: As long as giant financial firms (and their creditors) believe the government will prop them up if they get into trouble, they only have incentive to get larger and take bigger risks, believing they will reap any rewards and leave taxpayers to foot the bill if things go wrong. Since the crisis began, a number of financial institutions previously considered “too big to fail” have only grown bigger by acquiring failing companies, leaving our country with the same vulnerabilities that led to last year’s bailouts.

Limiting Large, Complex Financial Companies and Preventing Future Bailouts
· Discourage Excessive Growth & Complexity: The Financial Stability Oversight Council will monitor systemic risk and make recommendations to the Federal Reserve for increasingly strict rules for capital, leverage, liquidity, risk management and other requirements as companies grow in size and complexity, with significant requirements on companies that pose risks to the financial system.
· Volcker Rule: Requires regulators to implement regulations for banks, their affiliates and bank holding companies, to prohibit proprietary trading, investment in and sponsorship of hedge funds and private equity funds, and to limit relationships with hedge funds and private equity funds. Nonbank financial institutions supervised by the Federal Reserve will also have restrictions on their proprietary trading and hedge fund and private equity investments. Regulations will be developed after a study by the Financial Stability Oversight Council and based on their recommendations.
· Extends Regulation: The Council will have the ability to require nonbank financial companies that pose a risk to the financial stability of the United States to submit to supervision by the Federal Reserve.
· Funeral Plans: Requires large, complex companies to periodically submit plans for their rapid and orderly shutdown should the company go under. Companies will be hit with higher capital requirements and restrictions on growth and activity, as well as divestment, if they fail to submit acceptable plans. Plans will help regulators understand the structure of the companies they oversee and serve as a roadmap for shutting them down if the company fails. Significant costs for failing to produce a credible plan create incentives for firms to rationalize structures or operations that cannot be unwound easily.
· Orderly Shutdown: Creates an orderly liquidation mechanism for the FDIC to unwind failing systemically significant financial companies. Shareholders and unsecured creditors will bear losses and management will be removed.
· Liquidation Procedure: Requires Treasury, FDIC and the Federal Reserve all agree to put a company into the orderly liquidation process. A panel of 3 bankruptcy judges must convene and agree – within 24 hours – that a company is insolvent.
· Costs to Financial Firms, Not Taxpayers: Charges the largest financial firms $50 billion for an upfront fund, built up over time, that will be used if needed for any liquidation. Industry, not the taxpayers, will take a hit for liquidating large, interconnected financial companies. Allows FDIC to borrow from the Treasury only for working capital that it expects to be repaid from the assets of the company being liquidated. The government will be first in line for repayment.
· Limits & Disclosure for Federal Reserve Lending: Updates the Federal Reserve’s 13(3) lender of last resort authority to allow system-wide support for healthy institutions or systemically important market utilities with sufficient collateral to protect taxpayers from loss during a major destabilizing event, but not to prop up individual institutions. The Board must begin reporting within 7 days of extending loans, periodically thereafter, and disclose borrowers, collateral, amounts borrowed unless doing so would defeat the purpose of the support. Disclosure may be delayed 12 months if it would compromise the program or financial stability.
· Bankruptcy: Most large financial companies are expected to be resolved through the normal bankruptcy process.
· Limits on Debt Guarantees: To provide protection against bank runs, the FDIC can guarantee debt of solvent insured banks and thrifts and their holding companies only if the meet a series of serious checks: the Board and the Council determine that there is a threat to financial stability; the Treasury Secretary approves terms and conditions and determines a cap on overall guarantee amounts; the President must activate an expedited process for Congressional review of the amount and use of the guarantees; and fees are set to cover all expected costs and losses are recouped from users of the program.

IMPROVING BANK REGULATION
The bill will streamline bank supervision with clear lines of responsibility, reducing arbitrage, and improve consistency and accountability. For the first time there will be clear lines of responsibility among bank regulators.

Why Change Is Needed: Today, we have a convoluted system of bank regulators created by historical accident. There are 4 federal banking agencies that oversee large systemically significant and small local national and state banks and federal and state thrifts.
Experts agree that no one would have designed a system that looked like this. For over 60 years, administrations of both parties, members of Congress across the political spectrum, commissions and scholars have proposed streamlining this irrational system.
· Clear Lines of Responsibility: Replaces confusing regulation riddled with dangerous loopholes, with clear lines of responsibility.
· FDIC: will regulate state banks and thrifts of all sizes and bank holding companies of state banks with assets below $50 billion.
· OCC: will regulate national banks and federal thrifts of all sizes and the holding companies of national banks and federal thrifts with assets below $50 billion. The Office of Thrift Savings is eliminated, existing thrifts will be grandfathered in, but no new charters for federal thrifts.
· Federal Reserve: will regulate bank and thrift holding companies with assets of over $50 billion, where the Fed’s capital market experience will enhance its supervision. As a consolidated supervisor, the Federal Reserve can see risks whether they lie in the bank holding company or its subsidiaries. They will be responsible for finding risk throughout the system. The Vice Chair of the Federal Reserve will be responsible for supervision and will report semi-annually to Congress.
· Dual Banking System: Preserves the dual banking system, leaving in place the state banking system that governs most of our nation’s community banks.

CREATING TRANSPARENCY AND ACCOUNTABILITY FOR DERIVATIVES
Today’s bill largely reflects the November draft. Senators Jack Reed (D-RI) and Judd Gregg (R-NH) are working on a substitute amendment to this title that may be offered at full committee.
Under today’s proposal, common sense safeguards will protect taxpayers against the need for future bailouts and buffer the financial system from excessive risk-taking. Over-the-counter derivatives will be regulated by the SEC and the CFTC, more will be cleared through centralized clearing houses and traded on exchanges, un-cleared swaps will be subject to margin requirements and swap dealers and major swap participants will be subject to capital requirements, and all trades will be reported so that regulators can monitor risks in this large, complex market.

Why Change Is Needed: The over-the-counter derivatives market has exploded- from $91 trillion in 1998 to $592 trillion in 2008. During the financial crisis, concerns about the ability of companies to make good on these contracts and the lack of transparency about what risks existed caused credit markets to freeze. Investors were afraid to trade as Bear Stearns, AIG, and Lehman Brothers failed because any new transaction could expose them to more risk. Over-the-counter derivatives are supposed to be contracts that protect businesses from risks, but they became a way for traders to make enormous bets with no regulatory oversight or rules and therefore exacerbated risks. Because the derivatives market was considered too big and too interconnected to fail, taxpayers had to foot the bill for Wall Street’s bad bets. Those bad bets linked thousands of traders, creating a web in which one default threatened to produce a chain of corporate and economic failures worldwide. These interconnected trades, coupled with the lack of transparency about who held what, made unwinding the “too big to fail” institutions more costly to taxpayers.

Bringing Transparency and Accountability to the Derivatives Market
· Closes Regulatory Gaps: Provides the SEC and CFTC with authority to regulate over-the-counter derivatives so that irresponsible practices and excessive risk-taking can no longer escape regulatory oversight. Uses the Administration’s outline for a joint rulemaking process with the Financial Stability Oversight Council stepping in if the two agencies can’t agree.
· Central Clearing and Exchange Trading: Requires central clearing and exchange trading for derivatives that can be cleared and provides a role for both regulators and clearing houses to determine which contracts should be cleared. Requires the SEC and the CFTC to pre-approve contracts before clearing houses can clear them.
· Safeguards for Un-Cleared Trades: Requires margin for un-cleared trades in order to offset the greater risk they pose to the financial system and encourage more trading to take place in transparent, regulated markets. Swap dealers and major swap participants will be subject to capital requirements.
· Market Transparency: Requires data collection and publication through clearing houses or swap repositories to improve market transparency and provide regulators important tools for monitoring and responding to risks.

HEDGE FUNDS
Hedge funds that manage over $100 million will be required to register with the SEC as investment advisers and to disclose financial data needed to monitor systemic risk and protect investors.

Why Change Is Needed: Hedge funds are responsible for huge transfers of capital and risk, but some operate outside the framework of the financial regulatory system, even as they have become increasingly interwoven with the rest of the country’s financial markets.
No regulator is currently able to collect information on the size and nature of these firms or calculate the risks they pose to the broader economy. The SEC is currently unable to examine unregistered hedge funds’ books and records.

Raising Standards and Regulating Hedge Funds
· Fills Regulatory Gaps: Ends the “shadow” financial system in which hedge funds operate by requiring that they provide regulators with critical information.
· Register with the SEC: Requires hedge funds to register with the SEC as investment advisers and provide information about their trades and portfolios necessary to assess systemic risk. This data will be shared with the systemic risk regulator and the SEC will report to Congress annually on how it uses this data to protect investors and market integrity.
· Greater State Supervision: Raises the assets threshold for federal regulation of investment advisers from $25 million to $100 million, a move expected to increase the number of advisors under state supervision by 28%. States have proven to be strong regulators in this area and subjecting more entities to state supervision will allow the SEC to focus its resources on newly registered hedge funds.

INSURANCE

Office of National Insurance: Creates a new office within the Treasury Department to monitor the insurance industry, coordinate international insurance issues, and requires a study on ways to modernize insurance regulation and provide Congress with recommendations.
Streamlines the regulation of surplus lines insurance and reinsurance through state-based reforms.

CREDIT RATING AGENCIES
Establishes a new Office of Credit Rating Agencies at the Securities and Exchange Commission to strengthen regulation of credit rating agencies. New rules for internal controls, independence, transparency and penalties for poor performance will address shortcomings and restore investor confidence in these ratings.

Why Change Is Needed: Rating agencies market themselves as providers of independent research and in-depth credit analysis. But in this crisis, instead of helping people better understand risk, they failed to warn people about risks hidden throughout layers of complex structures.
Flawed methodology, weak oversight by regulators, conflicts of interest, and a total lack of transparency contributed to a system in which AAA ratings were awarded to complex, unsafe asset-backed securities – adding to the housing bubble and magnifying the financial shock caused when the bubble burst. When investors no longer trusted these ratings during the credit crunch, they pulled back from lending money to municipalities and other borrowers.

New Requirements and Oversight of Credit Rating Agencies
· New Office, New Focus at SEC: Creates an Office of Credit Ratings at the SEC with its own compliance staff and the authority to fine agencies. The SEC is required to examine Nationally Recognized Statistical Ratings Organizations at least once a year and make key findings public.
· Disclosure: Requires Nationally Recognized Statistical Ratings Organizations to disclose their methodologies, their use of third parties for due diligence efforts, and their ratings track record.
· Independent Information: Requires agencies to consider information in their ratings that comes to their attention from a source other than the organizations being rated if they find it credible.
· Conflicts of Interest: Prohibits compliance officers from working on ratings, methodologies, or sales.
· Liability: Investors could bring private rights of action against ratings agencies for a knowing or reckless failure to conduct a reasonable investigation of the facts or to obtain analysis from an independent source.
· Right to Deregister: Gives the SEC the authority to deregister an agency for providing bad ratings over time.
· Education: Requires ratings analysts to pass qualifying exams and have continuing education.
· Reduce Reliance on Ratings: Requires the GAO study and requires regulators to remove unnecessary references to NRSRO ratings in regulations.

EXECUTIVE COMPENSATION AND CORPORATE GOVERNANCE

Strengthening Shareholder Rights
Giving shareholders a say on pay and proxy access, ensuring the independence of compensation committees, and requiring public companies to set policies to take back executive compensation based on inaccurate financial statements are important steps in reining in excessive executive pay and can help shift management’s focus from short-term profits to long-term growth and stability.

Why Change Is Needed: In this country, you are supposed to be rewarded for hard work.
But Wall Street has developed an out of control system of out of this world bonuses that rewards short term profits over the long term health and security of their firms. Incentives for short-term gains likewise created incentives for executives to take big risks with excess leverage, threatening the stability of their companies and the economy as a whole.

Giving Shareholders a Say on Pay and Creating Greater Accountability
· Vote on Executive Pay: Gives shareholders a say on pay with the right to a non-binding vote on executive pay. This gives shareholders a powerful opportunity to hold accountable executives of the companies they own, and a chance to disapprove where they see the kind of misguided incentive schemes that threatened individual companies and in turn the broader economy.
· Nominating Directors: Gives the SEC authority to grant shareholders proxy access to nominate directors. Also required directors to win by a majority vote in uncontested elections. These can help shift management’s focus from short-term profits to long-term growth and stability.
· Independent Compensation Committees: Standards for listing on an exchange will require that compensation committees include only independent directors and have authority to hire compensation consultants in order to strengthen their independence from the executives they are rewarding or punishing.
· No Compensation for Lies: Requires that public companies set policies to take back executive compensation if it was based on inaccurate financial statements that don’t comply with accounting standards.
· SEC Review: Directs the SEC to clarify disclosures relating to compensation, including requiring companies to provide charts that compare their executive compensation with stock performance over a five-year period.

SEC AND IMPROVING INVESTOR PROTECTIONS
Every investor – from a hardworking American contributing to a union pension to a day trader to a retiree living off of their 401(k) – deserves better protections for their investments. Investors in securities will be better protected by improving the competence of the SEC.

Why Change Is Needed: The Madoff scandal demonstrated just how desperately the SEC is in need of reform. The SEC has failed to perform aggressive oversight and is unable to understand some of the very companies it is supposed to regulate. And investors have been used and abused by the very people who are supposed to be providing them with financial advice.

SEC and Beefed Up Investor Protections
· Encouraging Whistleblowers: Creates a program within the SEC to encourage people to report securities violations, creating rewards of up to 30% of funds recovered for information provided.
· SEC Management Reform: Mandates an annual assessment of the SEC’s internal supervisory controls and a GAO study of SEC management.
· Investment Advice: Requires a study on whether brokers who give investment advice should be held to the same fiduciary standard as investment advisers – should be required to act in their clients’ best interest.
· New Advocates for Investors: Creates the Investment Advisory Committee, a committee of investors to advise the SEC on its regulatory priorities and practices as well as the Office of Investor Advocate in the SEC, to identify areas where investors have significant problems dealing with the SEC and provide them assistance.
· Funding: The self-funded SEC will no longer be subject to the annual appropriations process.

SECURITIZATION
Companies that sell products like mortgage-backed securities are required to retain a portion of the risk to ensure they won’t sell garbage to investors, because they have to keep some of it for themselves.

Why Change Is Needed: Companies made risky investments, such as selling mortgages to people they knew could not afford to pay them, and then packaged those investments together, called asset-backed securities, and sold them to investors who didn’t understand the risk they were taking. For the company that made, packaged and sold the loan, it wasn’t important if the loans were never repaid as long as they were able to sell the loan at a profit before problems started. This led to the subprime mortgage mess that helped to bring down the economy.

Reducing Risks Posed by Securities
· Skin in the Game: Requires companies that sell products like mortgage-backed securities to retain at least 5% of the credit risk, unless the underlying loans meet standards that reduce riskiness. That way if the investment doesn’t pan out, the company that packaged and sold the investment would lose out right along with the people they sold it to.
· Better Disclosure: Requires issuers to disclose more information about the underlying assets and to analyze the quality of the underlying assets.

MUNICIPAL SECURITIES
Municipal securities will have better oversight through the registration of municipal advisers and increased investor representation on the Municipal Securities Rulemaking Board.

Why Change Is Needed: Financial advisers to municipal securities issuers have been involved in “pay-to-play” scandals and have recommended unsuitable derivatives for small municipalities, among other inappropriate actions, and are not currently regulated.

Better Oversight of Municipal Securities
· Registers Advisors and Brokers: Requires SEC registration for municipal financial advisers, swap advisers, and investment brokers – unregulated intermediaries who play key roles in the municipal bond market. Subjects financial advisers, swap advisers, and investment brokers to rules issued by the Municipal Securities Rulemaking Board and enforced by the SEC or a designee.
· Puts Investors First on the MSRB Board: Gives investor and public representatives a majority on the MSRB to better protect investors in the municipal securities market where there has been less transparency than in corporate debt markets.

STRENGTHENING THE FEDERAL RESERVE
The Federal Reserve will oversee the larger, more complex holding companies with assets over $50 billion and other systemically significant financial firms, where their expertise in capital markets will come into play. With this new role will come new responsibilities, but also new transparency and efforts to eliminate conflicts of interest.

Strengthening the Federal Reserve
· Transparency: GAO will have authority to audit any emergency lending facility set up by the Federal Reserve under section 13(3) of the Federal Reserve Act.
· Financial Stability Function: The Board of Governors of the Federal Reserve will now have a formal responsibility to identify, measure, monitor, and mitigate risks to U.S. financial stability.
· Oversight Accountability: Creates a Vice Chairman for Supervision, a member of the Board of Governors of the Federal Reserve designated by the President, who will develop policy recommendations regarding supervision and regulation for the Board, and will report to Congress semi-annually on Board supervision and regulation efforts.
· Eliminates Conflicts of Interest in Reserve Bank Governance: No company, subsidiary or affiliate of a company that is supervised by the Federal Reserve Board will be allowed to vote for directors of Federal Reserve Banks; and their past or present officers, directors and employees cannot serve as directors. Currently the member banks elect directors, who choose the Federal Reserve Board president. Federal Reserve supervisory functions are carried out through the Federal Reserve Banks.
· Increases Accountability at the New York Federal Reserve Bank: The president of the New York Federal Reserve Bank will be appointed by the President of the United States, with the advice and consent of the Senate. The New York Federal Reserve president is a permanent member of the Federal Open Market Committee, the Bank executes open market operations and is an important source of information on capital markets, and the Bank supervises many important bank holding companies. However, the president of the New York Federal Reserve Bank is currently chosen by the Bank’s directors, 6 of whom are elected by member banks in that district.
!@!@!@!@
Here is a summary of the The Wall Street Reform and Consumer Protection Act, the long-awaited financial reform overhaul that passed out of conference committee at 5:39 a.m this morning.
Both the House and Senate are expected to pass the conference report next week so that it is on President Obama’s desk by the July 4th recess.

Bureau of Consumer Financial Protection:
House conferees agreed to the Senate language that creates a bureau within the Federal Reserve to regulate consumer financial products like mortgages and credit cards. The bureau would also oversee payday lenders and check cashing businesses. Auto dealers and pawnbrokers are exempt from the bureau’s regulation even though the Department of Defense wanted auto dealers included because of past instances of exploiting members of the military. House members originally wanted this watchdog to be a freestanding agency.

The Power to Unwind:
The FDIC would have the authority to liquidate failing firms while the Treasury Department fronts the money to do so. There would also be a repayment plan so that taxpayers are guaranteed to get the money back.

Financial Stability Oversight Council:
The council would monitor systemic risk across the entire financial system and make recommendations to the Federal Reserve to alleviate that risk. The ten-member council would include the heads of the federal financial agencies.

Fannie/Freddie:
Republicans biggest beef with the whole bill is that it does nothing to address the problems, and sustainability, of mortgage giants Fannie Mae and Freddie Mac.

No Resolution Fund:
The House wanted to create a $150 billion fund to pay for any future bailouts. The fund would be paid for by the banks. This provision was gutted. Conferees agreed that this could only be created after a massive collapse. This is the fund that Republicans successfully painted as a permanent bailout fund when Democrats in the Senate tried to include a similar, but only $50 billion, fund.
Volcker Rule:
Mostly prohibits banks from proprietary trading and investing in private equity firms or hedge funds. Conferees agreed to weaken this by allowing some stronger banks to invest up to three percent of their capital in private equity groups or hedge funds.

Derivatives:
One of the thorniest issues, and the final compromise that led to passage of the conference report, was whether, and how, to allow banks to trade derivatives. Under the agreement, banks would be forced to spinoff some derivative trades to a subsidiary so that they are not in the same pot as federally insured deposits. They would not be allowed to trade in some of the most risky derivatives. Banks could still trade some swaps to legitimately hedge risk. Most swaps would have to be cleared and traded on exchanges.

Credit Rating Agencies:
Credit rating agencies like Moody’s, Standard and Poor’s and Fitch took a lot of heat after the financial crisis for giving AAA ratings to some of the most toxic mortgage-backed securities. As lawmakers made an effort to understand what led to the 2008 financial crisis, they saw that an inherent conflict of interest since the agencies are paid by the companies for the ratings. Under the conference agreement, there will be a two-year study, but then the SEC must create a board that will assign credit ratings agencies to issuers of asset-backed securities. That’s unless the SEC study reveals a better way to eliminate the conflict of interest.

Credit/debit Card fees:
Sen. Dick Durbin (D-Ill.) championed this provision that would regulate the $20 billion interchange fee system. It would require that the fees banks charge businesses for processing debit card transactions be “reasonable and proportional to the cost incurred in processing the transaction” according to Durbin’s summary of the provision. The Federal Reserve would be required to issue new rules on the fees.

Mortgages:
Lenders must verify that borrowers are able to repay the loans that they issue. Lenders would pay penalties for irresponsible lending.

Government Accountability Office Study of the Federal Reserve:
The GAO will be able to do a full audit of the Federal Reserve. This is still a major provision, but conferees did not accept the more strict language in the House bill that would require an audit every year.

Assessments:
Financial firms with over $50 billion in assets and hedge funds with over $10 billion have to pay a fee to pay for the costs of the bill.

New Consumer Protection Agency

A Bureau of Consumer Financial Protection, an independent regulator housed within the Federal Reserve, would consolidate oversight of a wide variety of financial products, including mortgages, credit cards and payday loans. Responsibility for these areas is currently scattered across a variety of government agencies, and experts say that creating a single supervisor will help make financial products easier to understand and not take unfair advantage of borrowers.

“The creation of this consumer bureau is really important,” says Ellen Bloom, director of Federal Policy at Consumers Union. “Consumers have suffered plenty during this financial crisis and now they have an entity that’s watching out for them.”

Free Credit Scores

If you get turned down for a loan because of your credit score, or are offered an interest rate you deem too high, you would have the right to see the score your lender is working with, for free. Consumers Union’s Bloom says consumers may currently see their report, but don’t have access to their score. She adds this provision will help consumers understand whether their lenders’ concerns are legitimate.

Why does it matter? “Credit scores tell you how much you should be paying for a loan,” says CRL’s Calhoun. “It’s creates transparency.”

Stricter Morgtage Practices

A hodge podge of state regulations on mortgages will be brought under a national yardstick.
Among the changes: consumers with adjustable-rate mortgages and other complicated mortgage products would no longer have to pay pre-payment penalties if they want to pay off their mortgage early. Consumers currently pay penalties that make it more expensive – and sometimes impossible – for them to switch out of their loans if they feel they have been given a bad deal. Consumers say current practices stifle competition and give lenders an incentive to sell unfair ARMs.

In addition, the bill will prohibit brokers and bankers from earning bonuses based on the type of loan they sell, which would reduce the incentive to write higher-risk loans.

New Debit Card Rules

Merchants have complained for years that Visa and MasterCard’s rules about debit cards put them at a disadvantage. The reform would address many of these complaints, giving store owners a victory over card issuers, and to some extent over consumers.

Store owners would be allowed to set minimums on credit card transactions – up to $10 — which they are currently not allowed to do. For consumers, this likely means no more $1.50 packs of gum, which can cost the vendor more than $2 in swipe fees.

“Consumers may feel some sympathy on this issue, but if you take away their ability to use their cards anywhere, anytime, they’re not going to be happy,” says Gerri Detweiler, a credit advisor at Credit.com.

The bill would also allow the Federal Reserve to make sure that card issuers are charging “reasonable and proportional” fees, which is likely to bring down costs to store owners, and potentially could also reduce prices for consumers.

Tougher Auto Financing Rules

Some lawmakers had hoped to put auto lenders under the eye of the Bureau of Consumer Financial Protection, but the agreement leaves them under the Federal Trade Commission. However, the FTC has been given more powers to “develop and enforce new rules to protect consumers from unfair and abusive auto financing transactions,” according to the Consumers Union.

Wall Street Reforms

A range of other, intricate financial regulations are meant to reform some of Wall Street’s aggressive business practices with the aim of preventing a repeat of the financial crisis.

One of the biggest changes involves the creation of an Office of Credit Ratings, which is meant to supervise rating agencies such as Moody’s and Standard and Poor’s, and prevent conflicts of interest that may sway credit ratings issued to companies. The bill also allows investors to sue credit agencies, according to the Consumers Union. The credit rating agencies attracted criticism during the crisis, for allegedly assigning positive ratings to risky investments.

Other big reforms involve stricter regulation of how CEOs are paid and forcing derivatives to be traded on public exchanges. Lax practices in those areas are widely blamed for the financial debacle of the past three years.

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New Patients Bill of Rights

A fly lands on President Barack Obama’s face as he delivers remarks on the Affordable Care Act and the New Patients Bill of Rights, Tuesday, June 22, 2010, in the East Room of the White House in Washington. Why are flies attracted to smelly places?

The White House today released this “Fact Sheet: The Affordable Care Act’s New Patient’s Bill of Rights,” the Obama administration’s summary of new regulations issued by the Department of Health and Human Services. The formatting is from the original version, as released by the administration.

A major goal of the Affordable Care Act – the health insurance reform legislation President Obama signed into law on March 23 – is to put American consumers back in charge of their health coverage and care. Insurance companies often leave patients without coverage when they need it the most, causing them to put off needed care, compromising their health and driving up the cost of care when they get it. Too often, insurance companies put insurance company bureaucrats between you and your doctor. The Affordable Care Act cracks down on the some of the most egregious practices of the insurance industry while providing the stability and the flexibility that families and businesses need to make the choices that work best for them.

Today, the Departments of Health and Human Services (HHS), Labor, and Treasury issued regulations to implement a new Patient’s Bill of Rights under the Affordable Care Act – which will help children (and eventually all Americans) with pre-existing conditions gain coverage and keep it, protect all Americans’ choice of doctors and end lifetime limits on the care consumers may receive. These new protections apply to nearly all health insurance plans.1

How These New Rules Will Help You

Stop insurance companies from limiting the care you need. For most plans starting on or after September 23, these rules stop insurance companies from imposing pre-existing condition exclusions on your children; prohibit insurers from rescinding or taking away your coverage based on an unintentional mistake on an application; ban insurers from setting lifetime limits on your coverage; and restrict their use of annual limits on coverage.

Remove insurance company barriers between you and your doctor. For plans starting on or after September 23, these rules ensure that you can choose the primary care doctor or pediatrician you want from your plan’s provider network, and that you can see an OB-GYN without needing a referral. Insurance companies will not be able to require you to get prior approval before seeking emergency care at a hospital outside your plan’s network. These protections apply to health plans that are not grandfathered.

Builds On Other Affordable Care Act Policies

These new protections complement other parts of the Affordable Care Act including:

— Reviewing Insurers’ Premium Increases. HHS recently offered States $51 million in grant funding to strengthen review of insurance premiums. Annual premium hikes can put insurance out of reach of many working families and small employers. These grants are a down-payment that enable States to act now on reviewing, disclosing, and preventing unreasonable rate hikes. Already, a number of States, including California, New York, Maine, Pennsylvania and others are moving forward to improve their oversight and require more transparency of insurance companies’ requests to raise rates.

— Getting the Most from Your Premium Dollars. Beginning in January, the Affordable Care Act requires individual and small group insurers to spend at least 80% and large group insurers to spend at least 85% of your premium dollars on direct medical care and efforts to improve the quality of care you receive – and rebate you the difference if they fall short. This will limit spending on overhead and salaries and bonuses paid to insurance company executives and provide new transparency into how your dollars are spent. Insurers will be required to publicly disclose their rates on a new national consumer website – HealthCare.gov.

— Keeping Young Adults Covered. Starting September 23, children under 26 will be allowed to stay on their parent’s family policy, or be added to it. Group health plans that are grandfathered plans can limit this option to adult children that don’t have another offer of employment-based coverage. Many insurance companies and employers have agreed to implement this program early, to avoid a gap in coverage for new college graduates and other young adults.

— Providing Affordable Coverage to Americans without Insurance due to Pre-existing Conditions: Starting July 1, Americans locked out of the insurance market because of a pre-existing condition can begin enrolling in the Pre-existing Condition Insurance Plan (PCIP). This program offers insurance without medical underwriting to people who have been unable to get it because of a preexisting condition. It ends in 2014, when the ban on insurers refusing to cover adults with pre-existing conditions goes into effect and individuals will have affordable choices through Exchanges – the same choices as members of Congress.

New Consumer Protections Starting As Early As This Fall

The new Patient’s Bill of Rights regulations detail a set of protections that apply to health coverage starting on or after September 23, 2010, six months after the enactment of the Affordable Care Act. They are:

— No Pre-Existing Condition Exclusions for Children Under Age 19. Each year, thousands of children who were either born with or develop a costly medical condition are denied coverage by insurers. Research has shown that, compared to those with insurance, children who are uninsured are less likely to get critical preventive care including immunizations and well-baby checkups. That leaves them twice as likely to miss school and at much greater risk of hospitalization for avoidable conditions.

– A Texas insurance company denied coverage for a baby born with a heart defect that required surgery. Friends and neighbors rallied around the family to raise the thousands of dollars needed to pay for the surgery and put pressure on the insurer to pay for the needed treatment. A week later the insurer backed off and covered the baby.2

The new regulations will prohibit insurance plans from denying coverage to children based on a pre-existing conditions. This ban includes both benefit limitations (e.g., an insurer or employer health plan refusing to pay for chemotherapy for a child with cancer because the child had the cancer before getting insurance) and outright coverage denials (e.g., when the insurer refuses to offer a policy to the family for the child because of the child’s pre-existing medical condition). These protections will apply to all types of insurance except for individual policies that are “grandfathered,” and will be extended to Americans of all ages starting in 2014.

— No Arbitrary Rescissions of Insurance Coverage. Right now, insurance companies are able to retroactively cancel your policy when you become sick, if you or your employer made an unintentional mistake on your paperwork.

– In Los Angeles, a woman undergoing chemotherapy had her coverage cancelled by an insurer who insisted her cancer existed before she bought coverage. She faced more than $129,000 in medical bills and was forced to stop chemotherapy for several months after her insurance was rescinded.3

Under the regulations, insurers and plans will be prohibited from rescinding coverage – for individuals or groups of people – except in cases involving fraud or an intentional misrepresentation of material facts. Insurers and plans seeking to rescind coverage must provide at least 30 days advance notice to give people time to appeal. There are no exceptions to this policy.

— No Lifetime Limits on Coverage. Millions of Americans who suffer from costly medical conditions are in danger of having their health insurance coverage vanish when the costs of their treatment hit lifetime limits set by their insurers and plans. These limits can cause the loss of coverage at the very moment when patients need it most. Over 100 million Americans have health coverage that imposes such lifetime limits.

– A teenager was diagnosed with an aggressive form of leukemia requiring chemotherapy and a stay in the intensive care unit. He reached his family’s plan’s $1 million lifetime limit in less than a year. His parents had to turn to the public for help when the hospital informed them it needed either $600,000 in certified insurance or a $500,000 deposit to perform the bone marrow transplant he needed.4

The regulation released today prohibits the use of lifetime limits in all health plans and insurance policies issued or renewed on or after September 23, 2010.

— Restricted Annual Dollar Limits on Coverage. Even more aggressive than lifetime limits are annual dollar limits on what an insurance company will pay for health care. Annual dollar limits are less common than lifetime limits, involving 8 percent of large employer plans, 14 percent of small employer plans, and 19 percent of individual market plans. But for people with medical costs that hit these limits, the consequences can be devastating.

– One study found that 10 percent of cancer patients reached a limit of what insurance would pay for treatment – and a quarter of families of cancer patients used up all or most of their savings on treatment.5

The rules will phase out the use of annual dollar limits over the next three years until 2014 when the Affordable Care Act bans them for most plans. Plans issued or renewed beginning September 23, 2010, will be allowed to set annual limits no lower than $750,000. This minimum limit will be raised to $1.25 million beginning September 23, 2011, and to $2 million beginning on September 23, 2012. These limits apply to all employer plans and all new individual market plans. For plans issued or renewed beginning January 1, 2014, all annual dollar limits on coverage of essential health benefits will be prohibited.

Employers and insurers that want to delay complying with these rules will have to win permission from the Federal government by demonstrating that their current annual limits are necessary to prevent a significant loss of coverage or increase in premiums. Limited benefit insurance plans – which are often used by employers to provide benefits to part-time workers — are examples of insurers that might seek this kind of delay. These restricted annual dollar limits apply to all insurance plans except for individual market plans that are grandfathered.

— Protecting Your Choice of Doctors. Being able to choose and keep your doctor is a key principle of the Affordable Care Act, and one that is highly valued by Americans. People who have a regular primary care provider are more than twice as likely to receive recommended preventive care; are less likely to be hospitalized; are more satisfied with the health care system, and have lower costs. Yet, insurance companies don’t always make it easy to see the provider you choose. One survey found that three-fourths of OB-GYNs reported that patients needed to return to their primary care physicians for permission to get follow-up care.

The new rules make clear that health plan members are free to designate any available participating primary care provider as their provider. The rules allow parents to choose any available participating pediatrician to be their children’s primary care provider. And, they prohibit insurers and employer plans from requiring a referral for obstetrical or gynecological (OB-GYN) care. All of these provisions will improve people’s access to needed preventive and routine care, which has been shown to improve the health of those treated and avoid unnecessary health care costs. These policies apply to all individual market and group health insurance plans except those that are grandfathered.

— Removing Insurance Company Barriers to Emergency Department Services. Some insurers will only pay for health care provided by a limited number or network of providers – including emergency health care. Others require prior approval before receiving emergency care at hospitals outside of their networks. This could mean financial hardship if you get sick or injured when you are away from home or not near a network hospital.

The new rules make emergency services more accessible to consumers. Health plans and insurers will not be able to charge higher cost-sharing (copayments or coinsurance) for emergency services that are obtained out of a plan’s network. The rules also set requirements on how health plans should reimburse out-of-network providers. This policy applies to all individual market and group health plans except those that are grandfathered.

Benefits of Consumer Protections

The new rules will bring immediate relief to many Americans and provide peace of mind to millions more who are only one illness or accident away from medical and financial chaos. The new ban on lifetime limits would affect group premiums by 0.5% or less and individual market premiums by 0.75% or less. The restricted annual limit policy would affect group and individual markets by roughly 0.1% or less (grandfathered individual market plans are exempt). And, the prohibition of preexisting conditions exclusions for children would affect group health plans by just a few hundredths of a percent. For new plans in the individual market, this impact would be roughly 0.5% in many states. In states with community rating, (roughly twenty states), the impact could be up to 1.0%. These costs are before taking into account benefits.

In addition, the rules will achieve greater cost savings by:

— Reducing the “hidden tax” on insured Americans: By making sure insurance covers people who are most at risk, there will be less uncompensated care and the amount of cost shifting among those who have coverage today will be reduced by up to $1 billion in 2013.

— Improving Americans’ health: By making sure that high-risk individuals have insurance, the rules will reduce premature deaths.6 Insured children are less likely to experience avoidable hospital stays than uninsured children7 and, when hospitalized, insured children are at less risk of dying.8

— Protecting Americans’ savings: High medical costs contribute to some degree to about half of the more than 500,000 personal bankruptcies in the U.S. in 2007.9 These costs borne by individuals might be assumed by insurance companies once rescissions are banned, annual limits are restricted, lifetime limits are prohibited, and most children have access to health insurance without pre-existing condition exclusions.

— Enhancing workers’ productivity: Making sure that kids with health problems have coverage will reduce the number of days parents have to take off from work to care for family members. Parents will also be freed from “job lock,” which occurs when people are afraid to take a better job because they might lose coverage for themselves or their families.10

1 Limits on pre-existing conditions and annual limits will not apply to existing “grandfathered” plans offering individual coverage. For details, see the Fact Sheet and interim final regulations released on the topic on June 14.

2 Jarvis, Jan, “Under Fire, Blue Cross Blue Shield of Texas Offers to Cover Medical Expenses for Crowley Baby,” Houston Star-Telegram, (March 31, 2010).

3 Girion, Lisa “Health Net Ordered to Pay $9 million after Canceling Cancer Patient’s Policy,” Los Angeles Times (2008), available at: http://www.latimes.com/business/la-fi-insure23feb23,1,5039339.story.

4 Murphy, Tom. “Patients struggle with lifetime health insurance benefit caps,” Los Angeles Times, July 2008.

5 See “National Survey of Households Affected by Cancer.” (2006) accessed at http://www.kff.org/kaiserpolls/upload/7591.pdf

6 See, for example, Almond, Doyle, Kowalski, Williams (2010), Doyle (2005), and Currie and Gruber (1996).

7 Keane, Christopher et al. “The Impact of Children’s Health Insurance Program by Age.” Pediatrics 104:5 (1999), available at: http://pediatrics.aappublications.org/cgi/reprint/104/5/1051.

8 Bernstein, Jill et al. “How Does Insurance Coverage Improve Health Outcomes?” Mathematica Policy Research (2010), available: http://www.mathematica-mpr.com/publications/PDFs/Health/Reformhealthcare_IB1.pdf

9 David Himmelstein et al, 2009.

10 Gruber, J. and B. Madrian. “Health Insurance, Labor Supply, and Job Mobility: A Critical Review of the Literature.” (2001).

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