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OVERVIEW of Obama Administration’s Health Care Plan
OVERVIEW of Obama Administration’s Health Care Plan – (from Liberty Counsel www.lc.org)
HR 3200 currently under consideration in the House of Representatives
Revised July 29, 2009 by Liberty Counsel from a version authored by Peter Fleckenstein and posted on
FreeRepublic.com.
• Sect. 113, Pg 21-22 of the Healthcare (HC) Bill MANDATES the Government will audit the books of ALL EMPLOYERS that self insure in order to “ensure that the law does not provide incentives for small and mid-size employers to self-insure”!
• Sect. 122, Pg 29, lines 4-16 in the HC bill - YOUR HEALTHCARE IS RATIONED!
• Sect. 123, Pg 30 of HC bill - THERE WILL BE A GOVERNMENT COMMITTEE that decides what treatments/benefits you get.
• Sect. 142, Pg 42 of HC Bill - The Health Choices Commissioner will choose your benefits for you. You have no choice!
• Sect. 152, Pg 50-51 in HC bill - HC will be provided to ALL non US citizens, illegal or otherwise
• Sect. 163, Pg 58-59 beginning at line 5 of HC Bill - Government will have real-time access to individual’s finances & a National ID Health care card will be issued!
• Sect. 163, Pg 59, lines 21-24 of HC Bill—Government will have direct access to your banks accounts for electronic funds transfer.
• Sect. 164, Pg 65 is a payoff subsidized plan for retirees and their families in Unions & community organizations (ACORN).
• Sect. 201, Pg 72, Lines 8-14—Government is creating an HC Exchange to bring private HC plans under Government control.
• Sect. 203, Pg 84 of HC Bill—Government mandates ALL benefit packages for private Health Care plans in the Exchange
• Sect. 203, Pg 85, Line 7 of HC Bill—Specifications of Benefit Levels for Plans = The Government will define your HC plan and has the ability to ration your Healthcare!
o Sect. 203, Pg 85, Line 7 of HC Bill - Specifications of Benefit Levels for Plans. #AARP members - Your Health Care WILL be rationed
• Sect. 204, Pg 91, Lines 4-7 of HC Bill—Government mandates linguistic appropriate services. (Example - Translation for illegal aliens. Healthcare plans do not need to be carried out in English)
• Sect. 205, Pg 95, Lines 8-18 of HC Bill—The Government will use groups (i.e., ACORN & AmeriCorps) to “inform and educate” (sign up) individuals for Government HC plan.
• Sect. 205, Pg 102, Lines 12-18 of HC Bill—Medicaid Eligible Individual will be automatically enrolled in Medicaid. No choice.
• Sect. 223, Pg 124, Lines 24-25 of HC Bill—No company can sue the Government on price fixing. No “administrative of judicial review” against Government Monopoly.
• Sec. 225, Pg 127, Lines 1-16 of HC Bill—Doctors, The Government will tell YOU what you can make. “The Secretary shall provide for the annual participation of physicians under the public health insurance option, for which payment may be made for services furnished during the year.”
• Sect. 312, Pg 145, Line 15-17 of HC Bill—An Employer MUST auto-enroll employees into public option plan. NO CHOICE.
• Sect. 313, Pg 149, Lines 16-2—ANY Employer with payroll $400,000 & above who does not provide public option pays 8% tax on all payroll.
• Sect. 313, Pg 150, Lines 9-13 Businesses with payroll between $251,000 and $400,000 who do not provide public option pay 2-6% tax on all payroll.
• Sect. 401.59B, Pg 167, Lines 18-23—ANY individual who does not have acceptable HC, according to Government, will be taxed 2.5% of income.
• Sect.59B, Pg 170 Lines, 1—Any NONRESIDENT Alien is exempt from individual taxes. (Americans will pay for alien healthcare.)
• Sect. 431, Pg 195, Lines 1-3—Officers and employees of HC Administration (Government) will have access to ALL Americans financial and personal records.
• Sect. 441, Pg 203, Lines 14-15 of HC Bill—“The tax imposed under this section shall not be treated as tax” Yes, it says that.
• Sect. 1121, Pg 239, Line 14-24 of HC Bill—Government will limit and reduce physician services for Medicaid. Seniors, low income and poor are the ones affected.
• Sect. 1121, Pg 241, Line 6-8 of HC Bill—Doctors, it does not matter what specialty you have; you’ll all be paid the same. “Service categories established under this paragraph shall apply without regard to the specialty of the physician furnishing the service.”
• Sect. 1122, Pg 253, Line 10-18—Government “validates relative value unit’s” (sets value of Doctor’s) time, professional judgment, methods etc. Literally, the value of humans.
• Sect. 1131, Pg 265—Government mandates and controls productivity for private HC industries. “Incorporating Productivity Improvements into Market Basket Updates that Do Not Already Incorporate Such Improvements.”
• Sect. 1141, Pg 268—Federal Government regulates rental and purchase of power driven wheelchairs.
• Sect. 1145, Pg 272—Treatment of certain cancer hospitals – Cancer patients and their treatment are open to rationing!
• Sect. 1151, Page 280—The Government will penalize hospitals for what Government deems preventable readmissions. (Incentives for hospital to not treat and release.)
• Sect. 1151, Pg 298, Lines 9-11—Doctors, treat a patient during initial admission that results in a readmission and the Government will penalize you for that action.
• Sect. 1156, Pg 317, Line 13-20—“PROHIBITION on Physician Ownership or Investment.” Government tells Doctors what/how much they can own.
• Sect. 1156, Pg 317-318, Lines 21-25, 1-3—“PROHIBITION on Expansion of Facility Capacity.” Government is mandating hospitals cannot expand (“number of operating rooms or beds”).
o Sect. 1156, Pg 321, Lines 2-13—Hospitals have opportunity to apply for exception BUT community input required.
• Sect. 1162, Pg 335-339, Lines 16-25—Government mandates establishment of outcome based measures. HC the way they want. Rationing.
• Sect. 1162, Pg 341, Lines 3-9 –Government has authority to disqualify Medicare Advantage Plans (Part B), HMOs, etc. This will force people into a Government plan. “The Secretary may determine not to identify a Medicare Advantage plan if the Secretary has identified deficiencies in the plan’s compliance with rules for such plans under this part.”
• Sect. 1177, Pg 354—Government will RESTRICT enrollment of Special needs people! “Extension of Authority of Special Needs Plans to Restrict Enrollment.”
• Sect. 1191, Pg 379—Government creates more bureaucracy – “Telehealth Advisory Committee.” HC by phone/Internet?
• Sect. 1233, Pg 425, Lines 4-12—Government mandates Advance [Death] Care Planning consultation. Think Senior Citizens and end of life. END OF LIFE COUNSELING. SOME IN THE ADMINISTRATION HAVE ALREADY DISCUSSED RATIONING HEALTH CARE FOR THE ELDERLY.
• Sect. 1233, Pg 425, Lines 17-19—Government will instruct and consult regarding living wills and durable powers of attorney. Mandatory!
• Sect. 1233, Pg 425-426, Lines 22-25, 1-3—Government provides approved list of end of life resources, guiding you in death.
• Sect. 1233, Pg 427, Lines 15-24—Government mandates program for orders for life-sustaining treatment (i.e. end of life). The Government has a say in how your life ends.
• Sect. 1233, Pg 429, Lines 1-9—An “advanced care planning consult” will be used as patient’s health deteriorates.
• Sect. 1233, Pg 429, Lines 10-12 “Advanced Care Consultation” may include an ORDER for end of life plans. AN ORDER from GOVERNMENT!
• Sect. 1233, Pg 429, Lines 13-25—The government will specify which Doctors (professional authority under State law includes Nurse Practitioners or Physician’s Assistants) can write an end of life order.
• Sect. 1233, Pg 430, Lines 11-15—The Government will decide what level of treatment you will have at end of life according to pre-set methods (not individually decided).
• Sect. 1302, Pg 468, Lines 16-21—“Community Based Home Medical Services means a non-profit community-based of State-based organization.”
• Sect. 1302, Pg 472, Lines 14-17—PAYMENT TO COMMUNITY-BASED ORGANIZATION: 1 monthly payment to a community-based organization. Like ACORN?
• Sect. 1308, Pg 489—The Government will cover Marriage and Family therapy. They will insert Government into your marriage.
• Sect. 1308, Pg 494-498—Government will cover Mental Health Services including: defining, creating and rationing those services
• Sect. 1401, Pg. 502 Center for Comparative Effectiveness Research Established. – Hello Big Brother – Literally.
• Sect. 1401, Pg 503, Lines 13-19—Government will build registries and data networks from YOUR electronic medical records. “The Center may secure directly from any department or agency of the United States information necessary to enable it to carry out this section.”
• Sect. 1401, Pg 503, Lines 21-25—Government may secure data directly from any department or agency of the US including your data.
• Sect. 1401, Pg 503, Lines 21-25—The “Center” will collect data both “published and unpublished” (that means public & your private information).
• Sect. 1401, Pg 506, Lines 19-21—An “Appointed Clinical Perspective Advisory Panel” will advise The Center and recommend policies that would allow for public access of data.
• Sect. 1401, Pg 518, Lines 21-25—The Commission will have input from HC consumer representatives
• Sect. 1411, Pg 524, Lines 18-22—Establishes the “Comparative Effectiveness Research Trust Fund.” More taxes for ALL.
• Sect. 1441, Pg 621, Lines 20-25—Government will define “NEW Quality” measures in HC. Since when does Government know about quality?
• Sect. 1442, Pg 622, Lines 2-9—To pay for the Quality Standards, Government will transfer money from “qualified entities” (Government Trust Funds) to other Government Trust Funds. More Taxes.
o Pg. 624, Lines 19-23: Qualified Entities: “The Secretary shall ensure that the entity is a public, nonprofit or academic institution with technical expertise in the area of health quality measurement.”
• Sect. 1442, Pg 623, Lines 5-10—“Quality” measures shall be designed to assess outcomes and functional status of patients.
• Sect. 1442, Pg 623, Lines 15-17—“Quality” measures shall be designed to profile you including race, age, gender, place of residence, etc.
• Sect. 1443, Pg 628—Government will give “Multi-Stake Holders” Pre-Rule Making input into Selection of “Quality” Measures.
• Sect. 1443, Pg 630-31. Lines 9-24, 1-9—Those Multi-stake holder groups include. Unions and groups like ACORN deciding HC quality.
• Sect. 1444, Pg 632, Lines 14-25—The Government may implement any “Quality measure” of HC Services as they see fit.
• Sect. 1444, Pg 632-333, 14-25, 1-9—The Secretary may issue non-endorsed “Quality Measures” for Physician Services and Dialysis Services.
• Sect. 1251 (beginning), Pg 634 to 652—“Physician Payments Sunshine Provision” – Government wants to shine sunlight on Doctors but not Government. “Reports on financial relationships between manufacturers and distributors . . . and between physicians and other health care entities.”
• Sect. 1461 (beginning), Pg 653-658 Public Reporting on Health Care-Associated Infections – Looks okay. “Requirement for Public Reporting by Hospitals and Ambulatory Surgical Centers on Health Care-Associated Infections.”
• Sect. 1501 (beginning), Pg 659-670—Doctors in Residency – Government will tell you where your residency will be, thus where you’ll live.
• Sect. 1503 (beginning), Pg 675-685—Government will regulate hospitals in EVERY aspect of residency programs, including teaching hospitals.
• Sect. 1601 (beginning), Pg 685-699—Increased Funding to Fight Waste, Fraud, and Abuse. You mean like the Government with an $18 million website?
• Sect. 1619, Pgs 700-703—If your part of HC plan isn’t in the Government’s HC Exchange, but you qualify for Federal aid, you don’t have to pay.
• Sect. 1128G, Pg 704-708,--If Secretary determines there is a “significant risk of fraudulent activity,” on HC provider or supplier, the Government can do a background check.
• Sect. 1632, Pg 710, 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.
• Sect. 1637, Pg 718-719—ANY Doctor who orders durable medical equipment or home medical services are REQUIRED to be enrolled in, or eligible for, Medicare.
• Sect. 1639, Pg 721—Government MANDATES that Doctors must have face to face with patient to certify patient for Home Health Services.
o Sect. 1639, Pg 723-24, Lines 23-25, 1-5—The same Government certifications will apply to Medicaid and CHIP (your kids)
• Sect. 1640, Pg 723, Lines 16-22—Government reserves right to apply face to face certification for patient to ANY other HC service.
• Sect. 1651, Pg 734, Lines 16-25—HC Bill proposes, for law enforcement sake, that the Secretary of HHS will give Attorney General access to ALL medical data.
• Sect. 1701 (beginning), Pg 739-756—Government sets guidelines for subsidizing the uninsured. (That’s your tax dollars people)
• Sect. 1704, Pg 756-761—Federal Government will shift burden of payments to Disproportionate Share Hospitals (DSH) to States. (Taxes)
• Sect.1704, Pg 762, Lines 1-8—No DS/EA hospitals will be paid unless they provide services without regard to national origin.
• Sect. 1711, Pg 764—Government will require Preventative Services including vaccines. (Choice?)
• Sect. 1713, Pg 768—Government-determined Nurse Home Visitation Services (Hello union paybacks)
• Sect. 1713, Pg 768, Lines 3-5—Nurse Home Visit Services – Service #1: “Improving maternal or child health and pregnancy outcomes or increasing birth intervals between pregnancies.” Compulsory ABORTIONS?
• Sect. 1713, Pg 768, Lines 11-14—Nurse Home Visit Services include determinations of economic self-sufficiency, employment advancement and school-readiness.
• Sect. 1714, Pg 769—Federal Government mandates eligibility for State Family Planning Services. Abortion and Government control are sovereign.
• Sect. 1733, Pg 788-798—Government will set and mandate drug prices, therefore controlling which drugs are brought to market. G’Bye innovation.
• Sect. 1744, Pgs 796-799—Establishes PAYMENTS for graduate medical education. The government will now control Doctor’s education.
• Sect.1751, Pg 800 Sec 1751—The Government will decide which Health Care conditions will be paid. Say “RATION!”
• Sect. 1759, Pg 809—Billing Agents, clearinghouses, or other alternate payees are required to register. Government takes over private payment systems too.
• Sect. 1801, Pg 819-823—Government will identify individuals “likely to be ineligible” for subsidies. Will access all personal financial information.
• Sect. 1802, Pg 823-828—Government sets up Comparative Effectiveness Research Trust Fund. Another tax black hole.
• Sect. 4375, Pg 828-832, Lines 12-16—Government will impose a fee on ALL private health insurance plans including self-insured to pay for Trust Fund!
• Sect. 4377, Pg 835, Lines 11-13—Fees imposed by Government for Trust Fund shall be treated as if they were taxes.
• Sect. 440, Pg 837-839—Government will design and implement Home Visitation Program for families with young kids and families that expect children.
• Sect. 1904, Pg 843-844—This Home Visitation Program includes the Government coming into your house and teaching/telling you how to parent!!!
• Sect. 2002, Pg 858—Government will establish a Public Health Fund at a cost of $88,800,000,000. Yes that’s Billion.
• Sec. 2201, Pg 864—The Government will MANDATE the establishment of a National Health Service Corps. o Sect. 2201—“Fulfillment of Obligated Service Requirement”
o Sect. 2201, Pg 864-875—The NHS Corps is a program where Doctors perform mandatory HC for 2 years for partial loan repayment.
• Sect. 2212, Pg 875-891—The government takes over the education of Medical students and Doctors through education and loans.
• Sect. 340L, Pg 897—The Government will establish a Public Health Workforce Corps to ensure an adequate supply of public health professionals.
o Sect. 340L, Pg 897—The Public Health Workforce Corps shall consist of civilian employees of the United States as Secretary deems necessary.
o Sect. 340L, Pg 897—The Public Health Workforce Corps shall consist of officers of Regular and Reserve Corps of Service.
o Sect. 340M, Pg 899—The Public Health Workforce Corps includes veterinarians.
• Sect.2233, Pg 909—The Government will develop, build and run Public Health Training Centers.
• Sect. 2241, Pg 912-913—Government starts a HC affirmative action program under the guise of diversity scholarships.
• Sect. 2251, Pg 915—Government MANDATES cultural and linguistic competency training for HC professionals.
• Sect. 3111, Pg 931—The Government will establish a Preventative and Wellness Trust fund, with initial cost of $30,800,000,000 (Billion).
• Sect. 3121, Pg 934, Lines 21-22—Government will identify specific goals and objectives for prevention and wellness activities. Control YOU!!
• Sect. 3121, Pg 935, Line 1-2—Government will develop “Healthy People & National Public Health Performance Standards.” They will tell me what to eat?
• Sect. 3131, Pg 942, Lines 22-25—“Task Force on Community Preventive Services,” More Government? Under the Offices of Surgeon General, Public Health Services, Minority Health and Women’s Health
• Sect. 3141, Pg 949-979—BIG GOVERNMENT core public health infrastructure includes workforce capacity, lab systems, health information systems, etc.
• Sect. 2511, Pg 992—Government will establish school based health clinics. Your kids won’t have a chance.
• Sect. 399Z-1, Pg 993—School Based Health Clinic will be integrated into the school environment. Say GOVERNMENT Brainwash!
• Sect. 2521, Pg 1000—The Government will establish a National Medical Device Registry. Will you be tracked?



