"You and I have a rendezvous with destiny. We will preserve for our children this, the last best hope of man on earth, or we will sentence them to take the first step into a thousand years of darkness. If we fail, at least let our children and our children's children say of us we justified our brief moment here. We did all that could be done."
Ronald Reagan

Wednesday, August 8, 2012

Retired Geek - ObamaCare Regulations 2011 and Beyond

 David Lee "Dave" Camp (born July 9, 1953) is the U.S. Representative for Michigan's 4th congressional district, serving since 1991. He is a member of the Republican Party and the current Ranking Member and incoming Chairman of the House Committee on Ways and Means.

Dave Camp has compiled this list of when different aspects of ObamaCare legislation will go into effect. Click Here for .PDF File
The premise that Barack Obama and Liberal Progressives have posited, is that Americans cannot afford to pay for Doctors, Nurses, Hospitals and their Medications.

The solution offered by Barack Obama and Liberal Progressives, is that Americans could afford to pay for Doctors, Nurses, Hospitals and their Medications, if almost 200 NEW Government Agencies, thousands of NEW Government bureaucrats, millions of NEW Patients that consists of Illegal Aliens and others who will NOT pay ANYTHING into the Health Care System were added to the original costs.

Liberal Cognitive Dissonance is the holding of two or more diametrically opposed views of reality as the singularity of reality, this is a serious 'Mental Disorder'.

What is obvious about ObamaCare is that those who are now dependent on Medicare WILL NOT be moved to ObamaCare, instead most of the ObamaCare funding will come from slashing funds from Medicare and directing those funds to ObamaCare.

Marxist/Socialists like Barack Obama and his Liberal Progressive 'Cabal' in Congress - have a long History of preying on the weak, helpless and defenseless in order to institute their Marxist schemes of 'Social Justice For The Common Good'.

The elderly and others dependent on Medicare will be left 'High and Dry' by ObamaCare and viewed as 'Useless Eaters' with a 'Quality of Life' not worth spending resources and using valuable assets on. This brazen action against the elderly, the severely handicapped and those dying from incurable diseases reveals what the future of the NOW Healthy under ObamaCare will be like.

Notice the reductions in funding directed towards the weak, frail and dying while reading the list compiled by Dave Camp.

Ronald Reagan's Comments on 'Socialized Medicine' are as pertinent Today as when he first made them.

  • Medicare Advantage cuts begin
  • No longer allowed to use FSA, HSA, HRA, Archer MSA distributions for over-the counter medicines
  • Medicare cuts to home health begin
  • Wealthier seniors ($85k/$170k) begin paying higher Part D premiums (not indexed for inflation in Parts B/D)
  • Medicare reimbursement cuts when seniors use diagnostic imaging like MRIs, CT scans, etc.
  • Medicare cuts begin to ambulance services, ASCs, diagnostic labs, and durable medical equipment
  • Impose new annual tax on brand name pharmaceutical companies
  • Americans begin paying premiums for federal long-term care insurance (CLASS Act)
  • Health plans required to spend a minimum of 80% of premiums on medical claims
  • Physicians in “Frontier States” (N.D., Mont., Wyo., S.D., Utah) receive higher Medicare payments
  • Prohibition on Medicare payments to new physician-owned hospitals
  • Penalties for non-qualified HSA and Archer MSA distributions double (to 20%)
  • Seniors prohibited from purchasing power wheelchairs unless they first rent for 13 months
  • Brand name drug companies begin providing 50% discount in the Part D “donut hole”
  • 10% Medicare bonus payment for primary care and general surgery (5 years)
  • Employers required to report value of health benefits on W-2
  • Steps towards health insurance administrative simplification (reduced paperwork, etc) begins (five year process)
  • Additional funding for community health centers (five years)
  • Seniors who hit Part D “donut hole “in 2010 receive $250 check (3/15/11)
  • New Medicare cuts to long-term care hospitals begin (7/1/11)
  • Additional Medicare cuts to hospitals and cuts to nursing homes and inpatient rehab facilities begin (fiscal 2012)
  • New tax on all private health insurance policies to pay for comp. eff. research (plan years beginning fiscal 2012)
  • Medicare cuts to dialysis treatment begins
  • Require information reporting on payments to corporations
  • Medicare to reduce spending by using an HMO-like coordinated care model (Accountable Care Organizations)
  • Medicare Advantage plans with a 4 or 5 star rating receive a quality bonus payment
  • New Medicare cuts to inpatient psych hospitals (7/1/12)
  • Hospital pay-for-quality program begins (fiscal 2013)
  • Medicare cuts to hospitals with high readmission rates begin (fiscal 2013)
  • Medicare cuts to hospice begin (fiscal 2013)
  • Impose $2,500 annual cap on FSA contributions (indexed to CPI)
  • Increase Medicare wage tax by 0.9% and impose a new 3.8% tax on unearned, nonactive business income for those earning over $200,000 or $250,000 for families (not indexed to inflation)
  • Generally increases (7.5% to 10%) threshold at which medical expenses, as a percentage of income, can be deductible
  • Eliminate deduction for Part D retiree drug subsidy employers receive
  • Impose 2.3% excise tax on medical devices
  • Medicare cuts to hospitals which treat low-income seniors begin
  • Post-acute pay for quality reporting begins
  • CO-OP Program: Secretary of Health and Human Services awards loans and grants for establishing nonprofit health insurers
  • $500,000 deduction cap on compensation paid to insurance company employees and officers
  • Part D “donut hole” reduction begins, reaching a 25% reduction by 2020
  • Individuals without government-approved coverage are subject to a tax of the greater of $695 or 2.5% of income
  • Employers who fail to offer “affordable” coverage would pay a $3,000 penalty for every employee that receives a subsidy through the Exchange
  • Employers who do not offer insurance must pay a tax penalty of $2,000 for every full-time employee
  • More Medicare cuts to home health begin
  • States must have established Exchanges
  • Employers with more than 200 employees can auto-enroll employees in health coverage, with opt-out
  • All non-grandfathered and Exchange health plans required to meet federally mandated levels of coverage
  • States must cover parents /childless adults up to 138% of poverty on Medicaid, receive increased FMAP
  • Tax credits available for Exchange-based coverage, amount varies by income up to 400% of poverty
  • Insurers cannot impose any coverage restrictions on pre-existing conditions (guaranteed issue/renewability)
  • Modified community rating: individual or family coverage; geography; 3:1 ratio for age; 1.5:1 for smoking
  • Insurers must offer coverage to anyone wanting a policy and every policy has to be renewed
  • Limits out-of-pocket cost-sharing (tied to limits in HSAs, currently $5,950/$11,900 indexed to COLA)
  • Insurance plans must include government-defined “essential benefits ” and coverage levels
  • OPM must offer at least two multi-state plans in every state
  • Employers can offer some employees free choice vouchers for health insurance in the Exchange
  • Government board (IPAB) begins submitting proposals to cut Medicare
  • Impose tax on nearly all private health insurance plans
  • Medicare payment cuts for hospital-acquired infections begin (fiscal 2015)
  • More Medicare cuts to home health begin
  • States can form interstate insurance compacts if the coverage with HHS approval (2016)
  • Physician pay-for-quality program begins for all physicians
  • States may allow large employers and multi-employer health plans to purchase coverage in the Exchange.
  • States may apply to the HHS secretary for a limited waiver from certain federal requirements
  • Impose “Cadillac tax on “high cost” plans, 40% tax on the benefit value above a certain threshold: ($10,200 individual coverage, $27,500 family or self-only union multi-employer coverage)

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