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#1
08-02-2009, 11:04 AM
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H.r.3200
H.R.3200
Title: To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. Sponsor: Rep Dingell, John D. [MI-15] (introduced 7/14/2009) Cosponsors (8) Latest Major Action: 7/21/2009 House committee/subcommittee actions. Status: Committee Consideration and Mark-up Session Held. SUMMARY AS OF: 7/14/2009--Introduced. America's Affordable Health Choices Act of 2009 - Sets forth provisions governinghealth insurance plans and issuers, including: (1) exempting grandfathered health insurance coverage from requirements of this Act; (2) prohibiting preexisting condition exclusions; (3) providing for guaranteed coverage to all individuals and employers and automatic renewal of coverage; (4) prohibiting premium variances, except for reasons of age, area, or family enrollment; and (5) prohibiting rescission of health insurance coverage without clear and convincing evidence of fraud. Requires qualified health benefits plans to provide essential benefits. Prohibits an essential benefits package from imposing any annual or lifetime coverage limits. Lists required covered services, including hospitalization, prescription drugs, mental health services, preventive services, maternity care, and children's dental, vision, and hearing services and equipment. Limits annual out-of-pocket expenses to $5,000 for an individual and $10,000 for a family. Establishes the Health Choices Administration as an independent agency to be headed by a Health Choices Commissioner. Establishes the Health Insurance Exchange within the Health Choices Administration in order to provide individuals and employers access to health insurance coverage choices, including a public health insurance option. Requires the Commissioner to: (1) contract with entities to offer health benefit plans through the Exchange to eligible individuals; and (2) establish a risk-pooling mechanism for Exchange-participating health plans. Provides for an affordability premium credit and an affordability cost-sharing credit for low-income individuals and families participating in the Exchange. Requires employers to offer health benefits coverage to employees and make specified contributions towards such coverage or make contributions to the Exchange for employees obtaining coverage through the Exchange. Exempts businesses with payrolls below $250,000 from such requirement. Amends the Internal Revenue Code to impose a tax on: (1) an individual without coverage under a health benefits plan; and (2) an employer that fails to satisfy health coverage participation requirements for an employee. Imposes a surtax on individual modified adjusted gross income exceeding $350,000. Amends title XVIII (Medicare) of the Social Security Act to revise provisions relating to payment, coverage, and access, including to: (1) reduce payments to hospitals to account for excess readmissions; (2) limit cost-sharing for Medicare Advantage beneficiaries; (3) reduce the coverage gap under Medicare Part D (Voluntary Prescription Drug Benefit Program); (4) provide for increased payment for primary health care services; and (5) prohibit cost-sharing for covered preventive services. Requires the Secretary of Health and Human Services (HHS) to provide for the development of quality measures for the delivery of health care services in the United States. Establishes a Center for Comparative Effectiveness Research within the Agency for Healthcare Research and Quality, financed by a tax on accident and health insurance policies, to conduct and support health care services effectiveness research. Sets forth provisions to reduce health care fraud. Todays focus: Amends title XIX (Medicaid) of the Social Security Act to: (1) expand Medicaid eligibility for low-income individuals and families; (2) require coverage of additional preventive services; and (3) increase payments for primary care services. This means that every person who is eligibile for Medicaid will be signed up. Every person who currently uses Medicaid has a file so that, when they die, their estate is hit for bill. The first thing they do is send an assessor by to place a value on the assets. All assets must be sold and, after expenses, 90% will be collected by the state. Having gone through this, the easiest thing to do is walk away from it forcing the state to sell it all. The hardest thing is to negotiate a reasonable price to buy back family assets. Lawyers are no help in this case.  Send you to the doctor who will help you die and then take everything you own afterward to pay the bill they create.  While this probably won't effect most here, it will probably effect people you know. Joy Sets forth provisions relating to the health workforce, including: (1) addressing health care workforce needs through loan repayment and training; (2) establishing the Public Health Workforce Corps; (3) addressing health care workforce diversity; and (4) establishing the Advisory Committee on Health Workforce Evaluation and Assessment. Sets forth provisions to: (1) provide for prevention and wellness activities; (2) establish the Center for Quality Improvement; (3) establish the position of the Assistant Secretary for Health Information; (4) revise the 340B drug discount program (a program limiting the cost of covered outpatient drugs to certain federal grantees); (5) establish a school-based health care program; and (6) establish a national medical device registry. http://thomas.loc.gov/cgi-bin/bdquer...d111query.html|
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#2
08-04-2009, 02:16 PM
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Inheritance tax on the poor, lower middle class, less fortunate
Inheritance tax on the poor, lower middle class, less fortunate
If the health care bill (HR3200) passes, it will result in an inheritance/death tax on the poor. Every person who is eligible for Medicaid will be signed up. Every person who uses Medicaid has liens placed on all assets on file so that, when they die, their estate is hit for bill. The first thing they do is send an assessor by to place a value on the assets. All assets must be sold. The 1965 Medicaid law also gave states permission to impose liens on property in the estates of deceased Medicaid recipients. Post-death liens prevent the estate from being settled and the property distributed to the recipient’s heirs before all claims against it, including Medicaid’s, are satisfied. Highlights of the 1993 Estate Recovery Mandate: States must pursue recovering costs for medical assistance consisting of:
In 2003, estate recoveries amounted to $330 million, or 0.13% of total Medicaid spending in all states, with individual state collections ranging from 0.0 - 0.64%. For more information, go to the U.S. Department of Health and Human Services site… http://aspe.hhs.gov/daltcp/reports/estaterec.htm http://aspe.hhs.gov/daltcp/reports/estreccol.htm Test: How much does it cost for the government to collect this money? By the way, there is a department for nursing home and one for hospital coverage etc. and they are not allowed to communicate with each other.
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