What Is In Your Health Care Bill? Part 1

A document of unknown provenance purporting to provide the low-down on the House health care bill is making its way around the interwebs and fax machines. It turns out to be filled with fabrications and distortions. Here's the approximately the first half of the document with commentary and factual corrections:

There is a lot of talk about the Health Care Bill, HR 3200. It is said some lawmakers who voted on it have not even read it. You can access the health plan that passed the House of Representatives, all 1017 pages. Here's the link: http://frwebgate.access.gpo.gov/cgi- bin/getdoc.cgidbname=111_cong_bills&docid=f:h3200ih.pdf

Bad link. Try this:
http://docs.house.gov/edlabor/AAHCA-BillText-071409.pdf

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

What the bill requires is a study of "the large group insured and self-insured employer health care markets". The study does include an analysis of "[t]he financial solvency and capital reserve levels of employers that self-insure by employer size", but this is hardly an audit.

Pg 30 Sec 123 of HC bill - THERE WILL BE A Government COMMITTEE that decides what treatments/benefits you may have. Pg 29 lines 4-16 in the HC bill - YOUR HEALTH CARE will be RATIONED!!!

Sec 123 describes the establishment of the "Health Benefits Advisory Committee", a board headed by the surgeon general and comprised mostly of non-government employees. Its purpose is to establish a minimum level of benefits, things like coverage for hospitalization, prescription drugs, and maternity care.

Pg 42 of HC Bill - The Health Choices Commissioner will choose Your [sic.] health care Benefits for you. You have no choice.

Again, this refers to establishing minimum standards for Qualified Health Benefits Plans (QHBPs).

PG 50 Section 152 in HC bill - Health care will be provided for ALL non US citizens, illegal or otherwise

What the bill says is "Except as otherwise explicitly permitted by this Act and by subsequent regulations consistent with this Act, all health care and related services (including insurance coverage and public health activities) covered by this Act shall be provided without regard to personal characteristics extraneous to the provision of high quality health care or related services." Section 246 explicitly prohibits the federal government from paying for these services, however.

In other words, this is exactly the way things work now: patients who show up at a hospital and need treatment get it, irrespective of their immigration status, hair color, sex, etc.

Pg 58HC Bill - will have real-time access to individuals finances & a National ID Healthcard will be issued

This refers to Section 1173A which provides for standardization of electronic administrative transactions, the intent of which is to reduce administrative costs by having a standard system for claims administration and payment. One of the goals for this system is that at the point of service, a health care provider should be able to determine what kind of coverage the individual has and what their financial responsibility (co-payments, etc.) are. In other words, Big Brother won't have access to your bank statements, just to information about your health care coverage.

Also, the bill says that this "may include utilization of a machine-readable health plan beneficiary identification card". [emphasis mine] Kinda like the one you probably have right now (if you have insurance, of course).

Pg 59 HC Bill lines 21-24 Government will have direct access to your banks accounts for election funds transfers

You'll have the option to make your copayments via electronic transfer. Or not. "Direct access to your bank accounts"? Hardly.

PG 65 Sec 164 Not everyone will have to go on the plan. There will be a separate, subsidized plan for Government [sic.] retirees and their families including Unions [sic.] & community orgs (ACORN).

I don't see anything in Section 164 that has anything to do with this.

Pg 72 Lines 8-14 Government is creating an health care Exchange to bring private health care plans under Government [sic.] control.

Government regulation does not equal government control. The bill proposes creating a Health Insurance Exchange and participating insurers will have to abide by the rules for those insurers, including providing minimum benefits as discussed above. This supplements the current system in which health insurance coverage is tied to your employer: loose your job, loose your coverage and God help you if you have a pre-existing condition when you try to get new insurance.

PG 84 Sec 203 HC bill - Government mandates ALL benefit packages for private health care plans in the Exchange

No, this is not true. The bill establishes minimum requirements (and sets pricing standards) for participating insurers. In a nutshell, there are four tiers of coverage--basic, enhanced, premium, and premium-plus--and participants must offer all plans beneath the top level of coverage that they offer. e.g., if you offer a premium plan, you have to offer both basic and enhanced plans as well. As I read the bill, an insurer can offer whatever it wishes under premium-plus plans so long as it plays by the rules for its basic, enhanced, and premium plans.

PG 85 Line 7 HC Bill - Specifications for of Benefit Levels for Plans which means the Government [sic.] will ration your health care/Specifications of Benifit [sic.] Levels for Plans [sic.] like AARP member plans- your health care will be rationed

I certainly don't get this from p 85, line 7. I'll take up the notion of health care rationing another time (hint: it's already rationed and the folks doing the rationing do not exactly have your interests at heart).

PG 91 Lines 4-7 HC Bill - Government mandates linguistic appropriate services. Example - Translators for illegal aliens

Turns out to be a bad example since the bill explicitly prohibits government coverage of illegal aliens.

Pg 95 HC Bill Lines 8-18 The Government [sic.] will use groups i.e., ACORN & Americorps to sign up individuals for the Government [sic.] health care plan

Makes sense to me--if you develop a program like this you should promote it. And, sure, the government would likely consider ACORN (the boogey man of the right) for this roll--they are damned good at community outreach especially in communities that are otherwise hard to reach. Americorps would also be a good choice since it is, well, a government program. I'd think that religious groups would also be good candidates.

PG 102 Lines 12-18 HC Bill - Medicaid Eligible Individuals will be automatically enrolled in a national Medicaid program. No choice

A fine idea that will save a lot of money. The overwhelming majority of people who are eligible for Medicaid but not enrolled aren't enrolled because they don't know they are eligible. These are exactly the kind of patients who, for example, present at emergency rooms on the verge of diabetic coma because they haven't been receiving regular health care.

More later . . .