H.R. 3962 & "DOC FIX" Legislation CBO.. NET INCREASE in FED DEFICITS.. $425 BILLION in Medicaid & CHIP $605 BILLION in FED Subsidies SUB TOTAL.. $1,055 billion in subsidies by exchanges & related spending! + $245 BILLION "DOC FIX" = $1.3 TRILLION TOTAL! Offsets - $167 billion in penalties paid by individuals & employers 10 years. NET reduction in fed budget deficits of $104 billion over 2010-2019 period With "DOC FIX" GRAND TOTAL of Health Care Proposal? $ 1,196,000,000,000.00!
"Dem leaders hoped to PASS THE PROPOSAL QUICKLY, so as to DISASSOCIATE it from the larger health reform proposal."
"Were doing the doc fix (formula to pay doctors treating Medicare patients) first so as not to get it confused with health care reform," Sen. Tom Harkin (D-Iowa) said.
"Were going to try to pass it as an emergency-type of spending so that it DOESNT CONNECT to the health care reform bill & FIGURE IN AS A COST OF IT."
..Imposes a "play-or-pay" requirement on employers MANDATED to offer "qualifying" insurance to employees & contribute SUBSTANTIAL share toward the premiums or PAY A FEE (TAX) to equal 8% of their payroll!
..Smaller employers (Less than $750,000) pay lower rate or be exempt from that requirement!
..Certain employers could allow all of their workers to choose among the plans available in the exchanges, but those enrollees would NOT BE ELIGIBLE to receive SUBSIDIES via the exchanges!
That a "public plan" paying negotiated rates would attract a broad network of providers but.... would typically have PREMIUMS that are somewhat HIGHER THAN THE AVERAGE PREMIUMS for the private plans in the exchanges!
The rates the public plan pays to providers would, on average, probably BE COMPARABLE TO THE RATES PAID BY PRIVATE INSURERS!
To reduce direct spending by about $426 billion over the 2010 - 2019 period...
.. Permanent reductions in the annual updates to Medicares payment rates for most services in the fee-for-service sector! (namely, the effects of those changes on payments to Medicare Advantage plans & collections of Part B premiums.) (SAVING $229 BILLION)
.. Setting payment rates in the MEDICARE ADVANTAGE PROGRAM on the basis of Medicare spending! (SAVING $170 BILLION)
Page 1174—Section 1802(b) includes provisions entitled TAXES ON CERTAIN INSURANCE POLICIES to fund comparative effectiveness research, breaking Speaker Pelosis promise that We will not be taxing [health] benefits in any bill that passes the House, and the Presidents promise not to raise taxes on families with incomes under $250,000
Genn,
These are reports from the Congressional Budget Office... looks like it's YOU that needs to check into the "facts"!
Feel stupid yet???
YOU SHOULD!
bigtex501 2 years ago
It's funny how many GOP congressmen are Doctors. Even funnier that they're against reform. Go figure!
wervasdeferens 2 years ago
bigtex501 2 years ago
$245 BILLION "DOC FIX" Legislation
Sen. Stabenow (D-Mich)
"Dem leaders hoped to PASS THE PROPOSAL QUICKLY, so as to DISASSOCIATE it from the larger health reform proposal."
"Were doing the doc fix (formula to pay doctors treating Medicare patients) first so as not to get it confused with health care reform," Sen. Tom Harkin (D-Iowa) said.
"Were going to try to pass it as an emergency-type of spending so that it DOESNT CONNECT to the health care reform bill & FIGURE IN AS A COST OF IT."
bigtex501 2 years ago
COMPARISONS OF H.R. 3200 & H.R. 3962
CBO....
...3962 expands eligibility from 133% to 150% and covers 91% INSTEAD of 100% of Medicaid "newly eligible" enrollees!
...3962 does NOT include increasing payments to primary care physicians under Medicaid ($60 BILLION over 10 years)!
...3962 w/ the larger expansion of Medicaid means that FEWER PEOPLE would be eligible for coverage through the exchanges!
bigtex501 2 years ago
COMPARISONS OF H.R. 3200 & H.R. 3962
CBO....
3962 Incomes from enrollees towards their premiums in 2013 INCREASE
3962 Federal subsidy payments would grow somewhat MORE slowly
3962 projected play-or-pay revenues are lower than they would have been under the previous assumptions!
3962 does NOT include changes to sustainable growth rate mechanism for setting Medicares payment rates for physicians services!
bigtex501 2 years ago
CBO H.R. 3962
**LEAVES 18 MILLION non-elderly residents UNINSURED!
** The "public plan" would have to CHARGE premiums to cover its costs!
MANDATE for legal residents to obtain health insurance starting in 2013 & impose a FINANCIAL PENALTY on people who did not do so!
Substantially reduce the growth of Medicare's payment rates for services!
Impose an INCOME TAX SURCHARGE on high-income individuals!
Pay SUBSIDIES to 150% to 400% of FPL in the exchanges.
Set up insurance "exchanges"!
bigtex501 2 years ago
CBO
..Imposes a "play-or-pay" requirement on employers MANDATED to offer "qualifying" insurance to employees & contribute SUBSTANTIAL share toward the premiums or PAY A FEE (TAX) to equal 8% of their payroll!
..Smaller employers (Less than $750,000) pay lower rate or be exempt from that requirement!
..Certain employers could allow all of their workers to choose among the plans available in the exchanges, but those enrollees would NOT BE ELIGIBLE to receive SUBSIDIES via the exchanges!
bigtex501 2 years ago
CBOs assessment....
That a "public plan" paying negotiated rates would attract a broad network of providers but.... would typically have PREMIUMS that are somewhat HIGHER THAN THE AVERAGE PREMIUMS for the private plans in the exchanges!
The rates the public plan pays to providers would, on average, probably BE COMPARABLE TO THE RATES PAID BY PRIVATE INSURERS!
bigtex501 2 years ago
Congressional Budget Office Reports....
To reduce direct spending by about $426 billion over the 2010 - 2019 period...
.. Permanent reductions in the annual updates to Medicares payment rates for most services in the fee-for-service sector! (namely, the effects of those changes on payments to Medicare Advantage plans & collections of Part B premiums.) (SAVING $229 BILLION)
.. Setting payment rates in the MEDICARE ADVANTAGE PROGRAM on the basis of Medicare spending! (SAVING $170 BILLION)
bigtex501 2 years ago
Page 1174—Section 1802(b) includes provisions entitled TAXES ON CERTAIN INSURANCE POLICIES to fund comparative effectiveness research, breaking Speaker Pelosis promise that We will not be taxing [health] benefits in any bill that passes the House, and the Presidents promise not to raise taxes on families with incomes under $250,000
JohnHenryReaves 2 years ago
Where can I get a copy?
sleonardelli 2 years ago
I posted more of them in 'All Bureaucracy' , look for it.
JohnHenryReaves 2 years ago
Google: Opencongress
TheLiberalssuckdick 2 years ago
Google: Open Congress
All Bills are online all the time.
Tnoy34rt 2 years ago