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Comments Posted By nellie

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Health Bill Basics

I don’t think they can change the bill once it’s posted for review.

We just disagree. We’ll find out what’s going on at some point.

» Posted By nellie On March 18, 2010 @ 6:29 pm

SN, the Committee on Rules has posted the page below, which is different from what is in Thomas. The Rules Committee page is dated today, and Rep Clyburn has said that they were just able to post the bill at 2 pm this afternoon, est. So I think we should be aware that there are two versions online and be careful about drawing conclusions from the text.

http://www.rules.house.gov/bills_details.aspx?NewsID=4606

» Posted By nellie On March 18, 2010 @ 6:20 pm

No, I don’t think the PO is part of the final bill. I think the Thomas link is to the bills reported out of committee. But we’ll find out.

» Posted By nellie On March 18, 2010 @ 6:13 pm

Yes, bito, that’s the version I have posted in the article. That’s what I’ve heard discussed today.

» Posted By nellie On March 18, 2010 @ 6:05 pm

And I still think we may be talking about two different things. I think the Thomas link may be to the bills that were reported out of committee — and that’s different from the final bill.

We’ll just have to wait for more information.

» Posted By nellie On March 18, 2010 @ 5:45 pm

Don’t apologize. It’s so much harder to get to this information than it should be.

Why aren’t we hearing anything about this????

» Posted By nellie On March 18, 2010 @ 5:34 pm

I’m not sure, but I think the Thomas link below may be the bills that were reported out of committee — and this may not be the final bill. I don’t think there’s a public option in the final bill. I hope I’m wrong.

At any rate, here’s the PO language from Title II, Subtitle B–Public Health Insurance Option

H.R. 4872

SEC. 221. ESTABLISHMENT AND ADMINISTRATION OF A PUBLIC HEALTH INSURANCE OPTION AS AN EXCHANGE-QUALIFIED HEALTH BENEFITS PLAN.

(a) Establishment- For years beginning with Y1, the Secretary of Health and Human Services (in this subtitle referred to as the `Secretary’) shall provide for the offering of an Exchange-participating health benefits plan (in this subdivision referred to as the `public health insurance option’) that ensures choice, competition, and stability of affordable, high quality coverage throughout the United States in accordance with this subtitle. In designing the option, the Secretary’s primary responsibility is to create a low-cost plan without compromising quality or access to care.

(b) Offering as an Exchange-participating Health Benefits Plan-

   (1) EXCLUSIVE TO THE EXCHANGE- The public health insurance option shall only be made available through the Health Insurance Exchange.

   (2) ENSURING A LEVEL PLAYING FIELD- Consistent with this subtitle, the public health insurance option shall comply with requirements that are applicable under this title to an Exchange-participating health benefits plan, including requirements related to benefits, benefit levels, provider networks, notices, consumer protections, and cost sharing.

   (3) PROVISION OF BENEFIT LEVELS- The public health insurance option–

      (A) shall offer basic, enhanced, and premium plans; and

      (B) may offer premium-plus plans.

(c) Administrative Contracting- The Secretary may enter into contracts for the purpose of performing administrative functions (including functions described in subsection (a)(4) of section 1874A of the Social Security Act) with respect to the public health insurance option in the same manner as the Secretary may enter into contracts under subsection (a)(1) of such section. The Secretary has the same authority with respect to the public health insurance option as the Secretary has under subsections (a)(1) and (b) of section 1874A of the Social Security Act with respect to title XVIII of such Act. Contracts under this subsection shall not involve the transfer of insurance risk to such entity.

(d) Ombudsman- The Secretary shall establish an office of the ombudsman for the public health insurance option which shall have duties with respect to the public health insurance option similar to the duties of the Medicare Beneficiary Ombudsman under section 1808(c)(2) of the Social Security Act.

(e) Data Collection- The Secretary shall collect such data as may be required to establish premiums and payment rates for the public health insurance option and for other purposes under this subtitle, including to improve quality and to reduce racial, ethnic, and other disparities in health and health care.

(f) Treatment of Public Health Insurance Option- With respect to the public health insurance option, the Secretary shall be treated as a QHBP offering entity offering an Exchange-participating health benefits plan.

(g) Access to Federal Courts- The provisions of Medicare (and related provisions of title II of the Social Security Act) relating to access of Medicare beneficiaries to Federal courts for the enforcement of rights under Medicare, including with respect to amounts in controversy, shall apply to the public health insurance option and individuals enrolled under such option under this title in the same manner as such provisions apply to Medicare and Medicare beneficiaries.

» Posted By nellie On March 18, 2010 @ 5:29 pm

It’s not taking me there… I just want to see how to get there.

I’ll keep trying. Thanks.

» Posted By nellie On March 18, 2010 @ 5:16 pm

Sanity, do you know the main source page for this link? It looks like the gov printing office — but I don’t see this on their site.

» Posted By nellie On March 18, 2010 @ 5:14 pm

The senate bill will be passed. So yes, we’ll have the basics. The reconciliation part needs to go back to the senate, and that’s dicier.

» Posted By nellie On March 18, 2010 @ 5:11 pm

Why can’t I find this. What’s the source page, SN?

» Posted By nellie On March 18, 2010 @ 5:10 pm

I have the bill — I’m looking for the language…

» Posted By nellie On March 18, 2010 @ 5:03 pm

I don’t see the language yet….

There’s no “Public Option” language. I see references to the “Public Health Services Act”

Still looking …

I see “Community Heath Insurance Option”:

(b) ESTABLISHMENT OF COMMUNITY HEALTH INSURANCE OPTION.

(1) ESTABLISHMENT.

» Posted By nellie On March 18, 2010 @ 4:51 pm

I would also say that H.R. 3590 is not really moot. This is the basic bill — the senate bill — that we’re trying to get votes for. The rest is the reconciliation part of the process, and this is where the senate may or may not agree with the House.

» Posted By nellie On March 18, 2010 @ 4:50 pm

Choicelady, I hope you’re right about the public option. I’m surprised we haven’t heard anything about it.

The link to the Amendments to the Senate bill is right in this article at this link:

http://www.rules.house.gov/bills_details.aspx?NewsID=4606

The three parts are:

Text of the Amendment in the Nature of a Substitute
Text of the Senate Amendments to H.R. 3590 (Senate health bill)
Text of the bill as reported (reported by the Budget Committee)

The section with the public option would be the second section — the Senate Amendments. I’m going to take a look. It’s very exciting.

» Posted By nellie On March 18, 2010 @ 4:38 pm

That would be excellent.

I’ve never understood why there’s a cap at all. This is a public good, which should be supported by the society at large.

» Posted By nellie On March 18, 2010 @ 4:06 pm

That last one is what I hope will end the for-profit insurance business.

Blue Cross was never a for-profit company until 1980. My mother was on that company’s plan, and they treated so well, she would never give them up. And in the end, they let her down. Because they were raking in the dollars and turning their backs on people who needed care.

» Posted By nellie On March 18, 2010 @ 3:15 pm

UPDATE 2:41 pm pst

Doctors and hospitals encouraged to ban together to do “Accountable Care” — rewarded for good outcomes.

Small businesses 25 employees or less get assistance in buying insurance for employees — if you choose. Mandate for businesses to buy insurance applies to companies of 100+ employees.

Insurance companies must spend 85 cents of every dollar of premiums on health care.

» Posted By nellie On March 18, 2010 @ 2:41 pm

I’d really like to find a list of the House Dems who have not committed to voting yes. I might have relatives or friends in those districts….

» Posted By nellie On March 18, 2010 @ 2:31 pm

Yep. That is their best talent. Maybe their only talent. 🙂

» Posted By nellie On March 18, 2010 @ 2:30 pm

UPDATE 2:27 pm pst

The Health care bill provides $5 billion toward a health care pool run by the states for catastrophic cases. Not free, but premiums are much lower than private premiums.

For people w insurance — no lifetime dollar limits, cannot cancel if you’ve paid your premiums, kids can stay on your insurance

For self employed 2014 — and those whose employers don’t offer coverage — will be able to shop on a health care exchange. the same model as the federal employee health program that congress and staff have. Range of private plans. Small businesses can also join if they choose to.

If you are a small business w 50 or fewer workers, you are no longer required to provide health insurance for your employees.

25 million people will be buying on the state exchanges.

6 in 10 will receive subsidies, computed based on your income

After 2014, you will be fined approx $98 if you do not purchase health insurance.

People w employer provided insurance will not see major changes.

Begin to close the “donut hole.” Will not fully close until 2020, but until then will receive 50% discount on proscriptions.

Medicare Advantage — private insurance that enrolls about a quarter of our seniors — will now be paid exactly what Medicare pays and no more.

» Posted By nellie On March 18, 2010 @ 2:29 pm

It’s for us to read. The Party of No doesn’t care what’s in the bill.

» Posted By nellie On March 18, 2010 @ 2:20 pm

It’s unclear. Lawrence O’Donnell keeps saying that, but other lawyers say he’s wrong. I haven’t heard anything definitive from someone I trust on that one.

» Posted By nellie On March 18, 2010 @ 2:19 pm

UPDATE 2:12 pm pst:

The HR 4872 SIDECAR — this is the bill that contains the fixes — has been posted. I will add to the above as soon as the problem with the categories has been fixed.

The House was not able to post this bill until 2 pm Eastern Time, so Sunday’s vote will not take place until 2 pm, to honor the 72-hour review period.

CBO Report on H.R. 4872

» Posted By nellie On March 18, 2010 @ 2:13 pm

Update:

From John Dean:
Expect two votes on Sunday in the House. The first vote will be on the Rule to Deem and Pass. The second will be on the Resolution (revisions) to fix the Senate Bill.

The language of the rule will be something like: “The senate bill is printed in Section 2 of this Resolution and will be considered adopted by the House and the Committee as a whole.” CORRECTION: Once the revisions pass, the senate bill is passed, and whether or not the Senate adopts the House Resolution, we have health care reform.

The next step is to make sure the Senate adopts the revisions passed in the house. That will be the reconciliation measure.

» Posted By nellie On March 18, 2010 @ 1:52 pm

It has the Plouffe touch…

» Posted By nellie On March 18, 2010 @ 12:51 pm

Ugh.

It’s amazing how many heartless people these companies can find to do their dirty work. If your brain is missing a conscience, you have a promising future in Corporate America.

Sunday we will toast the new paradigm.

» Posted By nellie On March 18, 2010 @ 12:51 pm

Republicans “Deem and Pass” the Hypocrisy on Healthcare Reform Bill

Whenever you hear a right winger accusing the Democrats of doing something — you just KNOW it’s projection. It’s either what the GOP would like to be doing, or something they’re doing already.

» Posted By nellie On March 18, 2010 @ 10:19 am

Thank you!

It’s so important to get these facts out.

» Posted By nellie On March 18, 2010 @ 9:54 am

Good morning javaz.

For my part, I think the corporate wing nuts are very loud but have little influence on what happens in our legislature. The people who plug into this kind of hate speech are people who are willing to believe this crazy stuff. They’re in the minority.

The Right Wing is spending a lot of money to saturate the media with trolls, be they highly paid ones like Rush Limbaugh or the pathetic basement dwellers who post on HP. They make a lot of noise, but they’re not changing anything. We never would have gotten single payer — even without the tea party — because too many congresspeople are bought and paid for.

I’ve come to look at Fox and Rush as cover — cover for corporate bought-off legislators so they can put up a front that they’re representing the public. But I don’t think they affect voting or lawmaking. But corporate money in campaigns and lobbying does. I think that’s the real danger.

» Posted By nellie On March 18, 2010 @ 9:41 am

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