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Health Reform Bill: Top 14 Provisions That Take Effect Immediately
It can't be expressed enough . . .We here at the Cafe have all pretty much heard the moron mantra and rhetorical refrain from the party of no and the Teabagging twits . . .
To paraphrase -- it goes something like this:
ObamaCare doesn't really start till 2013, but we have to start paying HEAVY taxation for it starting NEXT YEAR. Someone on here the other day made some stupid remark to the tune of "How many more Americans had to die while we waited for Snowe to vote for the bill?" I had to explain to the idiot that however many "Americans died" would still be dead cause this BS doesn't start for THREE YEARS.
Well again, let's see...
TOP 14 PROVISIONS THAT TAKE EFFECT IMMEDIATELY
1. BEGINS TO CLOSE THE MEDICARE PART D DONUT HOLE -- Reduces the donut hole by $500 and institutes a 50% discount on brand-name drugs, effective January 1, 2010.
2. IMMEDIATE HELP FOR THE UNINSURED UNTIL EXCHANGE IS AVAILABLE (INTERIM HIGH-RISK POOL) -- Creates a temporary insurance program until the Exchange is available for individuals who have been uninsured for several months or have been denied a policy because of pre-existing conditions.
3. BANS LIFETIME LIMITS ON COVERAGE--Prohibits health insurance companies from placing lifetime caps on coverage.
4. ENDS RESCISSIONS--Prohibits insurers from nullifying or rescinding a patient's policy when they file a claim for benefits, except in the case of fraud.
5. EXTENDS COVERAGE FOR YOUNG PEOPLE UP TO 27TH BIRTHDAY THROUGH PARENTS' INSURANCE-- Requires health plans to allow young people through age 26 to remain on their parents' insurance policy, at the parents' choice.
6. ELIMINATES COST-SHARING FOR PREVENTIVE SERVICES IN MEDICARE--Eliminates co-payments for preventive services and exempts preventive services from deductibles under the Medicare program.
7. IMPROVES HELP FOR LOW-INCOME MEDICARE BENEFICIARIES--Improves the low-income protection programs in Medicare to assure more individuals are able to access this vital help.
8. PROVIDES NEW CONSUMER PROTECTIONS IN MEDICARE ADVANTAGE-- Prohibits Medicare Advantage plans from charging enrollees higher cost-sharing for services in their private plan than what is charged in traditional Medicare.
9. IMMEDIATE SUNSHINE ON PRICE GOUGING--Discourages excessive price increases by insurance companies through review and disclosure of insurance rate increases.
10. CONTINUITY FOR DISPLACED WORKERS--Allows Americans to keep their COBRA coverage until the Exchange is in place and they can access affordable coverage.
11. CREATES NEW, VOLUNTARY, PUBLIC LONG-TERM CARE INSURANCE PROGRAM--Creates a long-term care insurance program to be financed by voluntary payroll deductions to provide benefits to adults who become functionally disabled.
12. HELP FOR EARLY RETIREES--Creates a $10 billion fund to finance a temporary reinsurance program to help offset the costs of expensive health claims for employers that provide health benefits for retirees age 55-64.
13. COMMUNITY HEALTH CENTERS--Increases funding for Community Health Centers to allow for a doubling of the number of patients seen by the centers over the next 5 years.
14. INCREASING NUMBER OF PRIMARY CARE DOCTORS -- Provides new investment in training programs to increase the number of primary care doctors, nurses, and public health professionals.
c-span.org/pdf/health102909_housebill03.pdf
~OGD~
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Very helpful info! Let us hope that #13 includes Community Mental Health Centers too!
November 15, 2009 10:29 AM
Steps in the right direction.
We're not going to be where we need, not right away, still, it's progress. Consolidate gains and move forward.
November 15, 2009 10:59 AM
In addition to the important provisions listed, the House bill, HR3962 authorizes the immediate exploration by Medicare of innovative methods to constrain costs within the healthcare system, including accountable care organziations (ACOs), "medical homes", and other types of bundled payment mechanisms designed to reward value rather than quantity in providing medical care. In each of these cases, the remuneration would be tailored to outcome, and the amount the providers get to keep would be dependent on their efficiency. Based on a few examples already in existence, there's reason to hope that at least some of these mechanisms will prove themselves worthy of extending to large segments of the patient population by the time the Exchange begins operating in 2013.
November 15, 2009 11:18 AM
Good for you and this may be good for all of us.
Good for you because you straighten out misconceptions for those who wish to find their way out of the MSM abyss.
Good for us, because these appear to be immediate reforms that are necessary RIGHT NOW.
Thank you again.
November 15, 2009 12:20 PM
OGD, I've become especially cynical of the health care efforts because it falls so far short of what we wanted, especially during the election. So thanks for reminding me that there is some progress being made.
Do you know when the personal mandate and penalties for non-compliance take effect? I have to admit, I've very skeptical about the efficacy of the idea and the reasons for it.
November 15, 2009 6:07 PM
Same here.
C
November 15, 2009 8:13 PM
And here. The core issue of cost containment isn't near adequately addressed. We are still stuck with systemic inefficiencies the same as always.
Not to mention I will die before I am required to participate in a system that forces my participation and allows money from that participation to be channeled to congress via insurance industry PACs and the like. There is a big problem with this if I am legally required to pay and then money from that is used to influence my representatives in ways which will assuredly be disadvantageous to citizens. That is absurd.
That feels very much like the middle class being legally required to commit political suicide. Fuck that.
November 16, 2009 1:46 AM
I misread that as:
The core of our constant containment isn't near adequately addressed.
November 16, 2009 7:33 AM
Hello Destor ... Yes I understand your basic skepticism . . .
Now ... Here is the latest from the Kaiser Foundation interactive side-by-side comparison tool on what and when key provisions are purportedly set to go into effect.
Specific to the question of when the personal mandate and penalties for non-compliance take effect is as follows:
Again: Here is the link to Kaiser Foundation Organization interactive tool:
kff.org/healthreform/sidebyside.cfm
You may also wish to go to my previous blog post for additional information on other sections of the bills and their dates of implementaion.
Health Reform Bill Implementation: "2010 or 2013?" (Josh's Front Page Comment)
~OGD~
November 16, 2009 9:49 AM
Thanks!
November 16, 2009 10:17 AM