What You Could Be Looking Forward to... Health Care Reform

HR 3200 currently under consideration in the House of Representatives:

Pg 22 of the HC Bill MANDATES the Govt will audit the books of ALL EMPLOYERS that self insure!!

Pg 30 Sec 123 of HC bill - THERE WILL BE A GOVT COMMITTEE that decides what treatments/benefits you get

Pg 29 lines 4-16 in the HC bill - YOUR HEALTHCARE IS RATIONED!!!

Pg 42 of HC Bill - The Health Choices Commissioner will choose your benefits for you. You have no choice!

Pg 50 Section 152 in HC bill - HC will be provided to ALL non US citizens, illegal or otherwise

Pg 58HC Bill – Gov’t will have real-time access to individual’s finances & a National ID Health care card will be issued!

Pg 59 HC Bill lines 21-24 Govt will have direct access to your banks accts for electronic funds transfer.

Pg 65 Sec 164 is a payoff subsidized plan for retirees and their families in Unions & community orgs (ACORN).

Pg 72 Lines 8-14 Govt is creating an HC Exchange to bring priv HC plans under Govt control.

Pg 84 Sec 203 HC bill - Govt mandates ALL benefit packages for private Health Care plans in the Exchange

Pg 85 Line 7 HC Bill - Specs for of Benefit Levels for Plans = The Govt will ration your Healthcare!

Pg 91 Lines 4-7 HC Bill - Govt mandates linguistic appropriate services.
Example - Translation for illegal aliens.

Pg 95 HC Bill Lines 8-18 The Govt will use groups i.e., ACORN & Americorps to sign up individuals for Govt HC plan

Pg 85 Line 7 HC Bill - Specs of Ben Levels 4 Plans. #AARP members - Your Health Care WILL be rationed

Pg 102 Lines 12-18 HC Bill - Medicaid Eligible Individual will be automat.enrolled in Medicaid. No choice.

Pg 124 lines 24-25 HC No company can sue Govt on price fixing. No “judicial review” against Govt Monopoly.

Pg 127 Lines 1-16 HC Bill - Doctors/ #AMA - The Govt will tell YOU what you can make.

Pg 145 Line 15-17 An Employer MUST auto enroll employees into public opt plan. NO CHOICE

Pg 126 Lines 22-25 Employers MUST pay for HC for part time employees AND their families.

Pg 149 Lines 16-24 ANY Employer w/ payroll 400k & above who does not prov. pub opt. pays 8% tax on all payroll

Pg 150 Lines 9-13 Biz w payroll btw 251k & 400k who doesnt provide public opt pays 2-6% tax on all payroll Pg 167 Lines 18-23 ANY individual who doesnt have acceptable HC according to Govt will be taxed 2.5% of income.

Pg 170 Lines 1-3 Any NONRESIDENT Alien is exempt from individual taxes. (Americans will pay ).

Pg 195 Officers & employees of HC Admin (GOVT) will have access to ALL Americans financial and personal records.

Pg 203 Line 14-15 HC - “The tax im posed under this section shall not be treated as tax” Yes, it says that. Pg 239 Line 14-24 HC Bill Govt will reduce physician services for Medicaid. Seniors, low income, poor affected.

Pg 241 Line 6-8 HC Bill - Doctors, it does not matter what specialty you have, you’ll all be paid the same.

Pg 253 Line 10-18 Govt sets value of Dr’s time, prof judg, etc. Literally value of humans.

Pg 265 Sec 1131Govt mandates & controls productivity for private HC industries.

Pg 268 Sec 1141 Fed Govt regulates rental & purchase of power driven wheelchairs.

Pg 272 SEC. 1145. Treatment of certain cancer hospitals – Cancer patients - welcome to rationing!

Page 280 Sec 1151 The Govt will penalize hospitals for what Govt deems preventable readmissions. (Incentives for hospital to not treat and release.)

Pg 298 Lines 9-11 Drs, treat a patient during initial admission that results in a readmission-Govt will penalize you.

Pg 317 L 13-20 PROHIBITION on ownership/investment. Govt tells Drs. what/how much they can own.

Pg 317-318 lines 21-25,1-3 PROHIBITION on expansion- Govt is mandating hospitals cannot expand.

pg 321 2-13 Hospitals have opportunity to apply for exception BUT community input required. Can you say ACORN?!!

Pg335 L 16-25 Pg 336-339 - Govt mandates established of outcome based measures. HC the way they want. Rationing.

Pg 341 Lines 3-9 Govt has authority to disqualify Medicare Advantage Plans (Part B), HMOs, etc. Forcing people into Govt plan.

Pg 354 Sec 1177 - Govt will RESTRICT enrollment of Special needs people!

Pg 379 Sec 1191 Govt creates more bureaucracy - Telehealth Advisory Committee. HC by phone/Internet?

Pg 425 Lines 4-12 Govt mandates Advance [Death] Care Planning Consult. Think Senior Citizens end of life.

Pg 425 Lines 17-19 Govt will instruct & consult regarding living wills, durable powers of atty. Mandatory!

Pg 425 Lines 22-25, 426 Lines 1-3 Gov’t provides approved list of end of life resources, guiding you in death.

Pg 427 Lines 15-24 Govt mandates program for orders for end of life. The Gov’t has a say in how your life ends.

Pg 429 Lines 1-9 An “adv. care planning consult” will be used frequently as patients health deteriorates.

Pg 429 Lines 10-12 “adv. care consultation” may incl an ORDER for end of life plans. AN ORDER from GOV

Pg 429 Lines 13-25 - The govt will specify which Doctors can write an end of life order.
PG 430 Lines 11-15 The Govt will decide what level of treatment you will have at end of life
(NOTE FROM RJ: The above really does give the government the authority to determine who lives and dies, and when. A government bureaucrat really will be making this decision for you and your loved ones.)

Pg 469 - Community Based Home Medical Services=Non profit orgs. Hello, ACORN Medical Svcs here!!?

Pg 472 Lines 14-17 PAYMENT TO COMMUNITY-BASED ORG. 1 monthly payment to a community-based org. Like ACORN?

Pg 489 Sec 1308 The Govt will cover Marriage & Family therapy. They will insert Government into your marriage. Pg 494-498 Govt will cover Mental Health Svcs including defining, creating, rationing those svcs

PG 502 Sec 1181 Center for Comparative Effectiveness Research Established. – Hello Big Brother – Literally.

Pg 503 Lines 13-19 Gov’t will build registries and data networks from YOUR electronic med records.

Pg 503 lines 21-25 Gov’t may secure data directly from any depart or agency of the US including your data.

Pg 504 Lines 6-10 The “Center” will collect data both published & unpublished (that means public & your private info)

PG 506 Lines 19-21 The Center will recommend policies that would allow for public access of data.

PG 518 Lines 21-25 The Commission will have input from HC consumer reps – Can you say unions & ACORN?

PG 524 18-22 Comparative Effectiveness Research Trust Fund set up. More taxes for ALL.

PG 621 Lines 20-25 Gov’t will define what Quality means in HC. Since when does Gov’t know about quality?

Pg 622 Lines 2-9 To pay for the Quality Standards, Govt will transfer $$ from to other Govt Trust Funds. More Taxes.

PG 624 “Quality” measures shall be designed to assess outcomes & functional status of patients.

PG 624 “Quality” measures shall be designed to profile you including race, age, gender, place of residence, etc

Pg 628 Sec 1443 Gov’t will give “Multi-Stake Holders” Pre-Rule Making input into Selection of “Quality” Measures.

Pg 630 9-24/631 1-9 Those Multi-stake holder groups incl. Unions & groups like ACORN deciding HC quality.

Pg 632 Lines 14-25 The Gov’t may implement any “Quality measure” of HC Services as they see fit.

PG 633 14-25/ 634 1-9 The Secretary may issue non-endorsed “Quality Measures” for Physician Services & Dialysis Services.

Pg 635 to 653 Physicians Payments Sunshine Provision – Gov’t wants to shine sunlight on Docs but not Govt.

Pg 654-659 Public Reporting on Health Care-Associated Infections – Looks okay.

PG 660-671 Doctors in Residency – Gov’t will tell you where your residency will be, thus where you’ll live.

Pg 676-686 Gov’t will regulate hospitals in EVERY aspect of residency programs, incl. teaching
hospitals.

Pg 686-700 Increased Funding to Fight Waste, Fraud, and Abuse. You mean like the Gov’t with an $18 million website?

PGs 701-704 Sec 1619 If your part of HC plan isn’t in Gov’t HC Exchange but you qualify for Fed aid, no payment.

PG 705-709 SEC. 1128 If Secr gets complaints (ACORN) on HC provider or supplier, Gov’t can do background check.

PG 711 Lines 8-14 The Secretary has broad powers to deny HC providers/ suppliers admittance into HC Exchange. Your doctor could be thrown out of business.

Pg 719-720 Sec 1637 ANY Doctor who orders durable med equip or home med services MUST be enrolled in Medicare.

PG 722 Sec 1639 Gov’t MANDATES Doctors must have face to face with patient to certify patient for Home Health Svcs.

PG 724 23-25 PG 725 1-5 The same Gov’t certifications will apply to Medicaid & CHIP (your kids)

PG 724 Lines 16-22 Gov’t reserves rt to apply face to face certification for patient to ANY other HC service.

Pg 735 lines 16-25 For law enforce. proposes the Secretary-HHS will give Atty General access to ALL data.

PG 740-757 Gov’t sets guidelines for subsidizing the uninsured (Thats your tax dollars people)

Pg 757-762 Fed gov’t will shift burden of payments to Disproportionate Share Hospitals (DSH) to States. (Taxes)

Pg 763 1-8 No DS/EA hospitals will be paid unless they provide services without regard to national origin

Pg 765 Sec 1711 Gov’t will require Preventative Services including vaccines. (Choice?)

Pg 768 Sec 1713 Gov’t – Nurse Home Visitation Svcs (Hello union paybacks)

Pg 769 11-14 Nurse Home Visit Svcs include-economic self-sufficiency, employ adv, school-readiness.

Pg 769 3-5 Nurse Home Visit Services - “increasing birth intervals between pregnancies.” Govt ABORTIONS anyone

Pg 770 SEC 1714 Fed Gov’t mandates eligibility for State Family Planning Services. Abortion & State Sovereign.

Pg 789-797 Gov’t will set, mandate drug prices, controlling which drugs brought to market. Bye innovation.

Pgs 797-800 SEC. 1744 PAYMENTS for graduate medical education. The government will now control Drs’ education.

PG 801 Sec 1751 The Govt will decide which Health care conditions will be paid. Say RATION!

Pg 810 SEC. 1759. Billing Agents, clearinghouses, etc req. to register. Gov’t takes over private payment sys.

Pg 820-824 Sec 1801 Govt will identify individ. ineligible for subsidies. Will access all personal financial information.

Pg 824-829 SEC. 1802. Govt Sets up Comparative Effectiveness Research Trust Fund. Another tax black hole.

PG 829-833 Gov’t will impose a fee on ALL private health ins. plans incl. self insured to pay for Trust Fund!

PG 835 11-13 fees imposed by Gov’t for Trust Fund shall be treated as if they were taxes.

Pg 838-840 Gov’t will design & implement Home Visitation Program for families with young kids & families expect kids.

PG 844-845 This Home Visitation Prog. includes Gov’t coming into your house & telling you how to parent!!!

Pg 859 Gov’t will establish a Public Health Fund at a cost of $88,800,000,000. Yes that’s Billion.
Pg 865 The Gov’t will MANDATE the establishment of a National Health Service Corps.

PG 865 to 876 The NHS Corps is a program where Drs. perform mandatory HC for 2yrs for part loan repayment.

PG 876-892 The govt takes over the education of our Med students and Drs.

PG 898 The Govt will establish a Public Health Workforce Corps to ensure supply of public health prof.

PG 898 The Public health workforce corps shall consist of civilian employees of the U.S. as Secretary deems.

PG 898 The Public health workforce corps shall consist of officers of Regular & Reserve Corps of Service.

PG 900 The Public Health Workforce Corps includes veterinarians.

PG 901 The Public Health Workforce Corps WILL include commissioned Regular & Reserve Officers. HC Draft?

PG 910 The Govt will develop, build & run Public Health Training Centers.

PG 913-914 Govt starts a HC affirmative action program thru guise of diversity scholarships.

PG 915 SEC. 2251. Govt MANDDATES Cultural & linguistic competency training for HC professionals.

Pg 932 The Govt will estab Preventative & Wellness Trust fund- initial cost of $30,800,000,000-Billion.

PG 935 21-22 Govt will identify specific goals & objectives for prevention & wellness activities. Control YOU!!

PG 936 Govt will develop “Healthy People & National Public Health Perform. Standards” Tell me what to eat?

PG 942 Lines 22-25 More Gov’t? Offices of Surgeon General -Public Health Svc, Minority Health, Women’s Health

PG 950- 980 BIG GOV’T core pub health infrastructure including workforce capacity, lab systems; health info sys, etc

PG 993 Gov’t will establish school based health clinics. Your kids won’t have a chance.

PG 994 School Based Health Clinic will be integrated into the school environment. Say GOVT Brainwash!

PG 1001 The Govt will establish a National Medical Device Registry. Will you be tracked?

Mathew D. Staver* Founder and Chairman Dean and Professor of Law Liberty Counsel Liberty University School of Law Offices in Florida, Virginia and the District of Columbia, Lynchburg, Virginia (800) 671-1776 - Telephone (434) 592-5300 http://www.lc.org/ http://www.law.liberty.edu/