Archive for the ‘obama care’ Category

Friday, April 16th, 2010

As lawmakers returned to Washington this week, Republicans affirmed their commitment to repealing the health care reform legislation, while Democrats continued to campaign on the health care reform law’s merits. Meanwhile, President Obama stepped up his efforts to energize his core supporters by capitalizing on health care reform.

Health Care Reform

New Health Care Reform Law Means Tax Increase for Middle Class: According to a report recently received by congressional staffers, the new health care reform law will result in higher taxes for approximately 14.7 million middle class Americans. Taxpayers can currently deduct medical expenses in excess of 7.5 percent of their adjusted gross income (AGI). Starting in 2013, most taxpayers will only be able to deduct expenses greater than 10 percent of AGI. By limiting the medical expense deduction – a provision widely used by taxpayers who either have a serious illness or are older – the new law is expected to save billions of dollars. However, according to the Joint Committee on Taxation, those taxpayers earning less than $200,000 a year will pay roughly $3.9 billion more in taxes in 2019 alone because of the new limits for this deduction.

Members of Congress Baffled by Health Care Reform Provisions: According to the Congressional Research Service, the new health care reform law may have serious unintended consequences for members of Congress and their employees. Due to ambiguous and confusing language, members of Congress and their staff members may lose access to the Federal Employees Health Benefits Program, effective immediately. Rep. Jason Chaffetz (R-UT) said lawmakers were in the same boat as many Americans, trying to figure out what the new law meant for them. Congressman Chaffetz asked, “If members of Congress cannot explain how it’s going to work for them and their staff, how will they explain it to the rest of America?”

Additional Activities
Massachusetts Court Rejects Bid to Increase Premiums: Last month, insurance executives in Massachusetts attempted to increase their companies’ premiums by as much as 32 percent, citing the expected rise in medical costs associated with insuring individuals and small group customers in Massachusetts. Insurance Commissioner Joseph Murphy rejected the proposals, citing the increases as “excessive.” As a result, representatives from six of the insurance companies sued, claiming the state does not have the authority to cap premiums. On Monday, a Superior Court Judge in Suffolk County ruled against the insurance providers on procedural grounds for not exhausting all administrative remedies within the Department of Insurance before seeking legal intervention.

Unemployment Benefits Extended Again: On Monday, Senate Democrats advanced a measure temporarily extending the unemployment benefits that expired during the recent two-week congressional recess. Democrats achieved cloture (the only formal procedure that Senate rules provide for breaking a filibuster) with 4 key Republican votes in the Senate. The $9.2 billion bill would extend long-term unemployment benefits along with COBRA health care subsidies for unemployed Americans. It would also extend an annual increase in payments to doctors who treat Medicare patients. The unemployment benefits and health care subsidies will continue until May 5, while the other changes will expire on April 30.

The Senate’s action late Monday set the stage for a final vote on the legislation. On Thursday evening, the bill passed 59-38 , and the measure was sent back to the House, which was expected to vote and send it to President Obama for his signature.

Another State Joins Lawsuit Against Health Care Reform Bill: This week, Georgia Governor Sonny Perdue appointed a special assistant attorney general to lead the state’s challenge against the health care reform law. Georgia joins 18 other states in alleging that the new law infringes on Americans’ Constitutional rights by mandating that individuals  purchase health care coverage or pay a penalty. Frank Jones, the state’s pro bono special assistant attorney general, will represent the State of Georgia and join the multiparty lawsuit filed on March 23 in a federal court in Florida. Other states in the suit include Alabama, Arizona, Colorado, Florida, Idaho, Indiana, Louisiana, Michigan, Mississippi, Nebraska, Nevada, North Dakota, Pennsylvania, South Carolina, South Dakota, Texas, Utah and Washington.

Insurance Commissioner Won’t Comply with Law: Also in Georgia, Insurance Commissioner John Oxendine refused a request from the U.S. Department of Health and Human Services to create a pool for high risk insurance plans. His decision to opt out of creating a high risk pool will not affect the cost of insurance for any patients. However, the federal government, instead of the state, will oversee the distribution of certain federal health care funds in Georgia health insurance to ensure that high risk patients receive subsidized premiums on health insurance.

Chairman Waxman Cancels Hearing: House Energy and Commerce Committee Chairman Henry Waxman (D-CA) issued a statement on Wednesday cancelling a hearing called to listen to concerns from major corporations about how they will be impacted by the health care reform bill. Over the past few weeks, several company executives contacted Chairman Waxman and expressed their feelings that the new law may ease their costs if it is implemented properly. Companies like AT&T, Verizon and Caterpillar made news last month when they informed investors they would need to take billions of dollars in write-downs because of changes in how health care subsidies will be taxed.

Public Opinion
Polls this week show that the number of Americans favoring repeal of the health care reform law continues to rise following the law’s enactment. At the same time, President Obama’s job approval ratings have slipped since passage of health care reform.

More Americans Strongly Favor Repeal: In a recent Rasmussen report, 58 percent of Americans – up 4 points from last week – support repealing the new health care reform law. Further, 52 percent of likely voters continue to feel the legislation is bad for the country.

Similar results were found in a new study conducted by Indiana University. Researchers at the Center for Health Policy and Professionalism Research found that 58 percent of Americans are in favor of repealing the health care legislation.

Obama’s Approval Ratings Slip: In a recent AP/Gfk poll, 52 percent of Americans said they disapprove of the way President Obama is handling health care reform, up 6 points since last month. At the same time, 50 percent disapprove of his performance overall, which is up from 46 percent just a month ago.

Looking Ahead
As lawmakers shift their attention to debating financial reform and climate change legislation, President Obama continues to travel the country to discuss with Americans the details of the new health care reform legislation.

Friday, April 16th, 2010

Changes occurring in 2010 include:

Young Adults on Parents’ Health Insurance Plans. Young adults may stay on their parents’ health insurance until age 26, effective six months after enactment.

Prohibition on Pre existing Condition Exclusions for Children. Insurers are prohibited from excluding coverage of any  pre existing condition for children in the individual health insurance market, effective six months after enactment of the bill.

Prohibition Against Plan Rescissions. Carriers providing group or individual coverage are prohibited from rescinding coverage once an enrollee is covered under the plan, except in the case of an individual who has performed an act or practice that constitutes fraud or makes an intentional misrepresentation of the material facts. Effective six months after enactment of the law.

Prohibitions Against Lifetime Maximum Benefit Caps. Carriers providing group or individual coverage are prohibited from setting lifetime maximum limits on the dollar value of benefits and from setting unreasonable annual limits on the dollar value of benefits, effective six months after enactment.

National High Risk Pool. People with pre existing conditions who are uninsurable will be eligible for subsidized coverage through a national high risk pool, beginning 90 days after enactment.

Limits on Share of Private Premiums Insurers Spend on Non Medical Costs. New limits will be set for the percent of premiums that insurers can spend on non medical claim costs.

Annual Review of Health Premium Increases. Effective immediately, the HHS secretary and states will establish a new process for annual review of unreasonable insurance premium increases.

Elimination of Cost Sharing for Preventive Care in Medicare and Private Plans. In 2010, cost sharing for proven preventive care services is eliminated in both Medicare and private plans.

Wednesday, April 14th, 2010

The state House in Tennessee has approved a piece of legislation that will have the state opt out of using tax money from the state to pay for abortions in Tennessee health insurance exchanges. The bill is in response to the federal health care legislation Congress approved and President Barack Obama signed into law last month that includes massive taxpayer funding of abortion.

House members passed HB 2681 on a 70-23 vote and will help protect residents from some abortion funding. The bill strictly limits the use of public funds in health exchanges mandated by the new federal health insurance plan.

The Tennessee health insurance law states that “No health care plan required to be established in this state through an exchange pursuant to federal health care reform legislation enacted by the 111th Congress shall offer coverage for abortion services.”

Friday, April 2nd, 2010

President Obama finalized his health care reform package this week, signing into law the package of fixes approved by the House late last week. While some of the new provisions won’t take effect until 2014, some will be phased in beginning this year.

Health Care Reform
President Obama Signs Final Health Care Bill into Law:  On Tuesday, President Obama signed into law the package of changes to the newly enacted Patient Protection and Affordable Care Act. Approved over unanimous Republican opposition in both chambers of Congress, this reconciliation bill increases the overall cost of the health care reform legislation by $65 billion, bringing the new total to $940 billion over the next 10 years.

What Does This Health Care Reform Legislation Mean: The biggest changes to the nation’s health insurance system will not take effect until 2014. Some of the changes include: the creation of insurance marketplaces called “exchanges” where people can shop for insurance; rules requiring insurers to accept all applicants, including those with pre-existing conditions; and an expansion of state Medicaid programs. Some additional provisions will become effective immediately while others will kick in later this year.

These are some of the features of the new health care overhaul bill passed through the reconciliation process and slated to begin to take effect in 2010:

  • For new sales and subscribers who change policies after March 23, 2010, insurance companies will be required to make additional changes beginning in approximately 6 months, such as removing any member cost sharing for “preventive” benefits (as defined by the legislation). The renewal product requirements beginning for plan years 6 months after enactment include:
  • Coverage for dependents up to age 26;
  • Removal of limits on lifetime maximum benefits;
  • Temporary federal high-risk pools; and
  • Tax credits for small group employers.

Health Care Reform Impacts on Premiums: There are concerns that the new taxes on health insurance will likely increase premiums. Members of the news media report that under the health care overhaul , young adults who buy their own individual health insurance will carry a heavier burden of the medical costs of older Americans. This is expected to raise insurance premiums for young people when the plan takes full effect in 2014.

Additional Activities
Several Companies Push to Repeal Provision of Health Care Law: The American Benefits Council, an association representing hundreds of large corporations, urged President Obama and Congressional Democrats to repeal a provision in the health care bill that reduces the tax deductions allowed to companies that provide drug coverage for their retired employees. As a result of this impending provision, companies like AT&T, Caterpillar, Prudential, Deere Co. and 3M have all announced substantial charges against their first-quarter earnings in order to comply with federal accounting rules.

Insurers Will Comply With Law Regarding Children’s Coverage: This past week, despite vague language in the new health care law regarding coverage of children with pre-existing conditions, insurance companies assured HHS Secretary Kathleen Sebelius that they await clarification and will comply with the law, effective later this year.

Indiana health insurance Joins States’ Lawsuit Against Health Care Bill: In response to the new health care reform legislation, the Attorneys General of several states across the country filed lawsuits arguing against the constitutionality of requiring Americans to purchase health insurance. This week, the state of Indiana joined 13 others in a lawsuit filed last week in a Florida federal court. The 14 states – Indiana, Florida, Alabama, Colorado, Idaho, Louisiana, Michigan, Nebraska, Pennsylvania, South Carolina, South Dakota, Texas, Utah and Washington – will become joint plaintiffs in the suit and split the costs of the legal challenge.

Doctors Group Files Lawsuit to Repeal Health Care Legislation: The Association of American Physicians and Surgeons filed a lawsuit in the U.S. District Court for the District of Columbia against HHS Secretary Kathleen Sebelius and Social Security Administration Commissioner Michael Astrue. Attorneys for the group argue that the insurance mandate is unconstitutional. They also argued against the constitutionality of other provisions saying, “If the bill goes unchallenged, then it spells the end of freedom in medicine as we know it.”

Public Opinion
More Americans Disapprove of President’s Handling of Health Care: In a recent CNN poll, 54 percent of Americans said they disapprove of the way President Obama is handling health care reform, while 45 percent approve. In addition, 56 percent of respondents feel the Democrats’ health care legislation creates too much government involvement in the nation’s health care system.

Americans Unhappy over Health Care Reform Passage: In a recent USA Today/Gallup poll, 50 percent of Americans said the recent passage of health care reform legislation is a bad thing. Further, 55 percent say health care costs in the U.S. will rise as a result of the bill.

Two Polls Offer Different Results:  In a newly released Rasmussen report, 54 percent of Americans favor repealing the recently enacted health care legislation. Further, 49 percent believe the new law will reduce the quality of care, while 60 percent think it will increase the federal budget deficit. In contrast, supporters of reform are touting the recent CNN poll that shows 50 percent of Americans are either fine with the new legislation or would favor seeing more government involvement in health care. In this poll, only 47 percent of Americans favor repealing the bill.

Looking Ahead
Late this week , President Obama traveled to the swing states of Maine and North Carolina to discuss details of the new health care reform law and its effects on unemployment and small business. At the same time, Republicans continue to debate how best to leverage growing discontent over the bill and its implications in the months leading up to the November elections. In the meantime, it’s within federal agencies such as HHS that much of the detail, timing and how-to questions will be worked out going forward.

Thursday, April 1st, 2010

While the majority of health insurance reform provisions go into effect in 2014, there are a number of provisions that take effect in 2010. Here’s an overview of the provisions that become effective this year:

Immediately at enactment

  • Grandfathering – Plans and individuals that “renew” their coverage are exempt from any provisions of the law. These “grandfathered plans” must comply, however, with the following provisions of the law: extend dependent coverage through age 26, prohibit rescissions, eliminate waiting periods greater than 90 days, and eliminate pre-existing condition exclusions for children
  • Small employer tax credits – provides premium subsidies for small groups with 25 or fewer employees and average salaries of $40K or less

Less than six months

  • High-risk pool program – establish a temporary national high-risk pool for individuals with pre-existing medical conditions. (effective 90 days post enactment through January 1, 2014)
  • Temporary reinsurance for employer retirees – Creates a temporary reinsurance for employers providing health insurance coverage to retirees over 55 who are not eligible for Medicare (effective 90 days post enactment through January 1, 2014)

Six months plus

  • No lifetime limits – Eliminates all lifetime limits on the dollar value of coverage (effective six months post enactment)
  • Restrictions on rescissions – Prohibits insurers from rescinding coverage except in the cases of fraud (effective six months post enactment)
  • No pre-existing conditions for children – Eliminate pre-existing condition exclusions for children under 19 (effective six months post enactment)
  • Dependent age 26 – Extends dependent coverage to age 26 (effective six months post enactment)
  • Preventive care with no cost sharing – Eliminates cost-sharing for certain preventive services (effective January 1, 2011)
  • Appeals process – Individuals  have access to an  internal and external appeals process to appeal decisions by their health insurance plan.
Thursday, April 1st, 2010

On March 23,  thirteen states (Alabama, Colorado, Florida, Idaho, Louisiana, Michigan, Nebraska, Pennsylvania, South Carolina, South Dakota, Texas, Utah, and Washington) filed one lawsuit in the U.S. Court system for the Northern District of Florida challenging the Patient Protection and Affordable Care Act. This came minutes after President Barack Obama signed the comprehensive health insurance reform legislation into law. The attorneys general’s argument is centered on two elements:

1) the Act’s individual health insurance mandate is an unconstitutional expansion of Congress’ ability to regulate interstate commerce;

2) the penalties for being non compliant within the individual health insurance mandate violates the taxation powers provided to Congress under the Constitution.

In addition, U.S. states are challenging provisions of the new law that will create dramatic Medicaid spending increases for the financial burden of the states.

Governor Jan Brewer also announced her support for a legal challenge to the federal reform law in an initiative to amend the constitution to prohibit mandatory coverage requirements. The attorney general will not contest the federal law. He also suggested to Brewer that she use any additional funds to reinstate the Arizona health insurance KidsCare program, which was cut due to the budget deficit and eliminated coverage for over 35,000 children.

Senator Tom George and Representative Marc Corriveau have introduced four bills that would completely change the individual Michigan health insurance market. The bills amend Blue Cross Blue Shield from being the insurer of last resort. Therefore, it would require all plans to be guarantee issue and will include a reinsurance pool to reimburse carriers for eligible claims.

Thursday, April 1st, 2010

House Democrats passed their landmark health care overhaul, the “Patient Protection and Affordable Care Act,” (PPACA) on a party-line 219-212 vote late on March 21.  A little more than a day following, on March 23, President Obama signed the legislation into law at a White House ceremony.

Additionally, the House passed H.R. 4872, the “Health Care and Education Affordability Reconciliation Act” (Reconciliation Bill), which is a package of amendments to the PPACA.  The approved Reconciliation Bill then went back to the Senate, where it needed to be voted on – and potentially amended – before it would be ready for President Obama’s signature.
On March 25, by a vote of 56 to 43, the Senate approved the Reconciliation bill with some modifications, and sent it back to the House for yet another vote.  Democrats Ben Nelson (D-NE), Mark Pryor (D-AR) and Blanche Lincoln (D-AR) joined Republicans in voting “no.” Johnny Isakson (R-GA), who is ill, did not vote.

In the final vote on current health insurance reform legislation, the House approved – by 220 to 207 – the same version of the health reconciliation bill, H.R. 4872 that was approved earlier in the day by the Senate.  This bill is now ready to be signed into law by President Obama.  The final version of the reconciliation bill is virtually identical to the version that the House approved on March 21.  The only difference is that two student loan provisions were removed during the Senate floor debate.

The combined package costs $940 billion, and is expected to expand health insurance coverage to 32 million Americans while cutting the deficit by $143 billion over the next 10 years.

A spokesman for House Republican Whip Eric Cantor (R-VA) said Republicans are now shifting their efforts against the health legislation to a campaign aimed at repealing the law and replacing it with their own solutions.  Both the Senate and the House began the two-week Easter recess on March 27.

Overview: Tax Extenders Package
Along with the Reconciliation legislation, lawmakers were also focused intensely on passing another extension of expiring provisions including the Medicare physician payment “fix”, unemployment benefits and the eligibility period for premium assistance for COBRA and state continuation coverage.  Senate leaders attempted to pass by unanimous consent a 30-day extenders package, H.R. 4851, which was approved by the House on March 17.  Senator Tom Coburn (R-OK) objected to the unanimous consent request because of his concern that the bill did not include budget offsets.

Senate Democrats and Republicans then reached an agreement to pass a one-week extension with budget offsets, but House leaders objected to this approach.  As of this writing, it appears that efforts to pass an extenders bill have reached a stalemate.  The Senate passed an adjournment resolution that day allowing the Senate to conduct legislative business through March 31 (cutting into the aforementioned Easter recess), although the “next steps” in the extenders debate are highly uncertain at this time.

Monday, March 29th, 2010

Days after the president Barack Obama signed his massive $2.5-trillion health insurance reform bill into law, we are just beginning to uncover the payoffs, exceptions and special interest deals that are hidden in the 2,700 pages of legislation.

The spirit thus far has been plagued with broken promises and corruption. The health insurance bill exempts top Congressional leaders from reform. This is completely counter to the promises of Democrats and Obama that the people would receive the same health insurance care as those in the U.S. government.

One of Obama’s main talking points is that his plan prevents health insurance carriers from denying coverage to people with pre-existing conditions. Now the new law does not protect children from this outcome of being denied.

This is only the beginning, the attack on our liberties continues. The “fixer” bill to the takeover of health care by the goverment bill (H.R. 3590) just passed through Congress the other day and has been sent to the President. This is turning out to be the most devastating year for freedom that the people have had in a long time. In any other year, this bill would have been shot down and alone would qualify as the worst bill of the year beacuse of all its faults.

It raises taxes when they’re already scheduled to increases this year. Takes over the student loan industry with a replacement of private employees with government bureaucrats. It increases the no health insurance fine from $750 to $2,000 per employee for employers who do not provide coverage to all of their employees. None of this will make our health care system more secure or affordable for anyone.

Thursday, March 25th, 2010

The United States free market system is under a profound assault from President Obama.

President Barack Obama got his health insurance reform bill passed this week in Congress. Parents are now required to pay for unmarried kids’ health insurance until the age of 26. Younger adults will be enticed to continue slacking off with no job and very well past college graduation, with a degree. Everyone is questioning why the government is enticing and allowing a whole generation to be unemployed.

America is place where hard work is rewarded regardless of any social status or age. But should the U.S. government encourage young adults to be slackers? And should the federal government guarantee a 5 year “bum period” from responsibility after graduation for millions of college graduates? Obama’s health care bill is celebrated on the ski slopes and surf shacks of this country. In America, we are not supposed to reward citizens who don’t work hard.

Thursday, March 25th, 2010

Nevada’s attorney general has been directed by Governor Jim Gibbons to sue the federal government. This issue at hand is Nevada health insurance reform. Thirteen other states are taking the same actions.

The problem is that the state simply cannot afford to provide Nevada health insurance to every resident. This will cost the state millions upon millions of dollars. The governor feels it is unconstitutional because it requires every resident to purchase Nevada health insurance. This Obama Care force must be stopped.