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Let's discuss what's in the Health Care Bill

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posted on Aug, 9 2009 @ 03:25 PM
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PG 621 Lines 20-25 Government will define what Quality means in HealthCare. Since when does Government know about quality?


‘‘(1) IN GENERAL.—The Secretary shall enter
4 into agreements with qualified entities to develop
5 quality measures for the delivery of health care serv
6ices in the United States.



True.




posted on Aug, 9 2009 @ 03:26 PM
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Claim:

PG 624 “Quality” measures shall be designed to assess outcomes & functional status of patients.


What it says:

23 ‘‘(c) DEVELOPMENT OF QUALITY MEASURES.—
24 ‘‘(1) PATIENT-CENTERED AND POPULATION
25 BASED MEASURES.—Quality measures developed
1 under agreements under subsection (a) shall be de
2 signed—
3 ‘‘(A) to assess outcomes and functional
4 status of patients;
5 ‘‘(B) to assess the continuity and coordina
6 tion of care and care transitions for patients
7 across providers and health care settings, in
8 cluding end of life care;
9 ‘‘(C) to assess patient experience and pa
10 tient engagement;
11 ‘‘(D) to assess the safety, effectiveness,
12 and timeliness of care;
13 ‘‘(E) to assess health disparities including
14 those associated with individual race, ethnicity,
15 age, gender, place of residence or language;
16 ‘‘(F) to assess the efficiency and resource
17 use in the provision of care;
18 ‘‘(G) to the extent feasible, to be collected
19 as part of health information technologies sup
20 porting better delivery of health care services;
21 ‘‘(H) to be available free of charge to users
22 for the use of such measures; and
23 ‘‘(I) to assess delivery of health care serv
24 ices to individuals regardless of age.


I don't see anything that would negate this claim, but from what I'm reading is that this will keep records to be shared across the health care "network" in order to asses the quality of care.



posted on Aug, 9 2009 @ 03:29 PM
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PG 620 Line 1-9 The Government will define, prioritize, and nationalize your Health Care Services.



(c) CONSIDERATIONS IN SETTING NATIONAL PRIORITIES.—With respect to such priorities, the Secretary shall ensure that priority is given to areas in the delivery of health care services in the United States that—
(1) contribute to a large burden of disease, including those that address the health care provided to patients with prevalent, high-cost chronic diseases;
(2) have the greatest potential to decrease morbidity and mortality in this country, including those that are designed to eliminate harm to patients;
(3) have the greatest potential for improving the performance, affordability, and patientcenteredness of health care, including those due to variations in care;
(4) address health disparities across groups and areas; and
(5) have the potential for rapid improvement due to existing evidence, standards of care or other reasons.


True. There will be priorities set on a national scale. What this will mean in the application, I'm not sure of though.



posted on Aug, 9 2009 @ 03:31 PM
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PG 622 Lines 2-9 To pay for the quality Standards Government will transfer $$ from to other Government Trust Funds. More Taxes.


‘‘(1) IN GENERAL.—The Secretary shall enter
4 into agreements with qualified entities to develop
5 quality measures for the delivery of health care serv
6ices in the United States.
7 ‘‘(2) FORM OF AGREEMENTS.—The Secretary
8 may carry out paragraph (1) by contract, grant, or
9 otherwise.


Relavant portion bolded. Possibly true if funds aren't avaliable anywhere else.



posted on Aug, 9 2009 @ 03:32 PM
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Claim:

PG 950- 980 BIG Government core public health infrastructure includes workforce capacity, lab systems; health information systems, etc


Huge section will try to quote relevant sections:

5 ‘‘Subtitle D—Prevention and
6 Wellness Research
7 ‘‘SEC. 3141. PREVENTION AND WELLNESS RESEARCH ACTIV
8 ITY COORDINATION.
9 ‘‘In conducting or supporting research on prevention
10 and wellness, the Director of the Centers for Disease Con
11 trol and Prevention, the Director of the National Insti
12 tutes of Health, and the heads of other agencies within
13 the Department of Health and Human Services con
14 ducting or supporting such research, shall take into con
15 sideration the national strategy under section 3121 and
16 the recommendations of the Task Force on Clinical Pre
17 ventive Services under section 3131 and the Task Force
18 on Community Preventive Services under section 3132.



13 ‘‘Subtitle E—Delivery of Commu14
nity Prevention and Wellness
15 Services
16 ‘‘SEC. 3151. COMMUNITY PREVENTION AND WELLNESS
17 SERVICES GRANTS.
18 ‘‘(a) IN GENERAL.—The Secretary, acting through
19 the Director of the Centers for Disease Control and Pre
20 vention, shall establish a program for the delivery of com
21 munity preventive and wellness services consisting of
22 awarding grants to eligible entities—



18 ‘‘Subtitle F—Core Public Health
19 Infrastructure
20 ‘‘SEC. 3161. CORE PUBLIC HEALTH INFRASTRUCTURE FOR
21 STATE, LOCAL, AND TRIBAL HEALTH DEPART
22 MENTS.
23 ‘‘(a) PROGRAM.—The Secretary, acting through the
24 Director of the Centers for Disease Control and Preven-
1 tion shall establish a core public health infrastructure pro
2 gram consisting of awarding grants under subsection (b).



6 ‘‘Subtitle G—General Provisions
7 ‘‘SEC. 3171. DEFINITIONS.
8 ‘‘In this title:
9 ‘‘(1) The term ‘core public health infrastruc
10 ture’ includes workforce capacity and competency;
11 laboratory systems; health information, health infor
12 mation systems, and health information analysis;
13 communications; financing; other relevant compo
14 nents of organizational capacity; and other related
15 activities.


Claim is true.



posted on Aug, 9 2009 @ 03:38 PM
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Claim:

PG 942 Lines 22-25 More Government? Offices of Surgeon General -Public Health Services, Minority Health, Women’s Health


what it says(not the lines he mentioned but relevant to the claim):

1 ‘‘(f) CLINICAL PREVENTION STAKEHOLDERS
2 BOARD.—
3 ‘‘(1) IN GENERAL.—The Task Force shall con
4 vene a clinical prevention stakeholders board com
5 posed of representatives of appropriate public and
6 private entities with an interest in clinical preventive
7 services to advise the Task Force on developing, up
8 dating, publishing, and disseminating evidence-based
9 recommendations on the use of clinical preventive
10 services.


Now the lines for the claim:


21 Members of the Task Force or the clinical prevention
22 stakeholders board shall not be considered employees of
23 the Federal Government by reason of service on the Task
24 Force, except members of the Task Force shall be consid
25 ered to be special Government employees within the mean-
1 ing of section 107 of the Ethics in Government Act of
2 1978 (5 U.S.C. App.) and section 208 of title 18, United
3 States Code, for the purposes of disclosure and manage
4 ment of conflicts of interest under those sections.


Claim is true, more government.



posted on Aug, 9 2009 @ 03:45 PM
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reply to post by mikerussellus
 


The way I read it Section 1411 it requires the owner's, management's, and pretty much every employee's name to be posted and readily available for anyone who wants to see it. Section 1412 requires facilities to "have in operation a compliance and ethics program that is effective in preventing and detecting criminal, civil, and administrative violations under this Act and in promoting quality of care consistent with regulations developed under clause (ii)." and requires quality assurance programs be put in place.



posted on Aug, 9 2009 @ 03:48 PM
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Claim:

Pg 932 The Government will establish Preventative & Wellness Trust fund - intial cost of $30,800,000,000-Billion.


what it says:

1 ‘‘TITLE XXXI—PREVENTION AND
2 WELLNESS
3 ‘‘Subtitle A—Prevention and
4 Wellness Trust
5 ‘‘SEC. 3111. PREVENTION AND WELLNESS TRUST.
6 ‘‘(a) DEPOSITS INTO TRUST.—There is established
7 a Prevention and Wellness Trust. There are authorized
8 to be appropriated to the Trust—
9 ‘‘(1) amounts described in section
10 2002(b)(2)(ii) of the America’s Affordable Health
11 Choices Act of 2009 for each fiscal year; and
12 ‘‘(2) in addition, out of any monies in the Pub
13 lic Health Investment Fund—
14 ‘‘(A) for fiscal year 2010, $2,400,000,000;
15 ‘‘(B) for fiscal year 2011, $2,800,000,000;
16 ‘‘(C) for fiscal year 2012, $3,100,000,000;
17 ‘‘(D) for fiscal year 2013, $3,400,000,000;
18 ‘‘(E) for fiscal year 2014, $3,500,000,000;
19 ‘‘(F) for fiscal year 2015, $3,600,000,000;
20 ‘‘(G) for fiscal year 2016, $3,700,000,000;
21 ‘‘(H) for fiscal year 2017, $3,900,000,000;
22 ‘‘(I) for fiscal year 2018, $4,300,000,000;
23 and
24 ‘‘(J) for fiscal year 2019, $4,600,000,000
1 ‘‘(b) AVAILABILITY OF FUNDS.—Amounts in the Pre
2 vention and Wellness Trust shall be available, as provided
3 in advance in appropriation Acts, for carrying out this
4 title.
5 ‘‘(c) ALLOCATION.—Of the amounts authorized to be
6 appropriated in subsection (a)(2), there are authorized to
7 be appropriated—
8 ‘‘(1) for carrying out subtitle C (Prevention
9 Task Forces), $35,000,000 for each of fiscal years
10 2010 through 2019;
11 ‘‘(2) for carrying out subtitle D (Prevention
12 and Wellness Research)—
13 ‘‘(A) for fiscal year 2010, $100,000,000;
14 ‘‘(B) for fiscal year 2011, $150,000,000;
15 ‘‘(C) for fiscal year 2012, $200,000,000;
16 ‘‘(D) for fiscal year 2013, $250,000,000;
17 ‘‘(E) for fiscal year 2014, $300,000,000;
18 ‘‘(F) for fiscal year 2015, $315,000,000;
19 ‘‘(G) for fiscal year 2016, $331,000,000;
20 ‘‘(H) for fiscal year 2017, $347,000,000;
21 ‘‘(I) for fiscal year 2018, $364,000,000;
22 and
23 ‘‘(J) for fiscal year 2019, $383,000,000.
24 ‘‘(3) for carrying out subtitle E (Delivery of
25 Community Preventive and Wellness Services)—
1 ‘‘(A) for fiscal year 2010, $1,100,000,000;
2 ‘‘(B) for fiscal year 2011, $1,300,000,000;
3 ‘‘(C) for fiscal year 2012, $1,400,000,000;
4 ‘‘(D) for fiscal year 2013, $1,600,000,000;
5 ‘‘(E) for fiscal year 2014, $1,700,000,000;
6 ‘‘(F) for fiscal year 2015, $1,800,000,000;
7 ‘‘(G) for fiscal year 2016, $1,900,000,000;
8 ‘‘(H) for fiscal year 2017, $2,000,000,000;
9 ‘‘(I) for fiscal year 2018, $2,100,000,000;
10 and
11 ‘‘(J) for fiscal year 2019, $2,300,000,000.
12 ‘‘(4) for carrying out section 3161 (Core Public
13 Health Infrastructure and Activities for State and
14 Local Health Departments)—
15 ‘‘(A) for fiscal year 2010, $800,000,000;
16 ‘‘(B) for fiscal year 2011, $1,000,000,000;
17 ‘‘(C) for fiscal year 2012, $1,100,000,000;
18 ‘‘(D) for fiscal year 2013, $1,200,000,000;
19 ‘‘(E) for fiscal year 2014, $1,300,000,000;
20 ‘‘(F) for fiscal year 2015, $1,400,000,000;
21 ‘‘(G) for fiscal year 2016, $1,500,000,000;
22 ‘‘(H) for fiscal year 2017, $1,600,000,000;
23 ‘‘(I) for fiscal year 2018, $1,800,000,000;
24 and
1 ‘‘(J) for fiscal year 2019, $1,900,000,000;
2 and
3 ‘‘(5) for carrying out section 3162 (Core Public
4 Health Infrastructure and Activities for CDC),
5 $400,000,000 for each of fiscal years 2010 through
6 2019.


There are a lot of big numbers in this, but the numbers from just the first list is adds up to be 35.3 billion dollars, it would be appreciated if somebody else could figure out what all those numbers mean.

It's true though unless my math is wrong.



posted on Aug, 9 2009 @ 03:51 PM
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PG 633 14-25/ 634 1-9 The Secretary may issue non-endorsed “Quality Measures” for Physician Services & Dialysis Services.



(c) PHYSICIANS’ SERVICES.—Section 1848(k)(2)(C)(ii) of such Act (42 U.S.C. 1395w–4(k)(2)(C)(ii)) is amended by adding at the end the following:
‘‘The Secretary shall submit such a non-endorsed measure to the entity for consideration for endorsement. If the entity considers but does not endorse such a measure and if the Secretary does not phase-out use of such measure, the Secretary shall include the rationale for continued use of such a measure in rulemaking.’’.
(d) RENAL DIALYSIS SERVICES.—Section 1881(h)(2)(B)(ii) of such Act (42 U.S.C. 1395rr(h)(2)(B)(ii)) is amended by adding at the end the following:
‘‘The Secretary shall submit such a non-endorsed measure to the entity for consideration for endorsement. If the entity considers but does not endorse such a measure and if the Secretary does not phase-out use of such measure, the Secretary shall include the rationale for continued use of such a measure in rulemaking.’’.
(e) ENDORSEMENT OF STANDARDS.—Section 1890(b)(2) of the Social Security Act (42 U.S.C. 1395aaa(b)(2)) is amended by adding after and below subparagraph (B) the following:
‘If the entity does not endorse a measure, such entity shall explain the reasons and provide suggestions about changes to such measure that might make it a potentially endorsable measure.’ ’’.


True. The Secretary only needs to provide rationale for continuing to use measures that are not endorsed.



posted on Aug, 9 2009 @ 03:54 PM
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Claim:

PG 915 SEC. 2251. Government MANDATES Cultural & linguistic competency training for HealthCare professionals


What it says:

1 PART 2—INTERDISCIPLINARY TRAINING
2 PROGRAMS
3 SEC. 2251. CULTURAL AND LINGUISTIC COMPETENCY
4 TRAINING FOR HEALTH CARE PROFES5
SIONALS.
6 Section 741 (42 U.S.C. 293e) is amended—
7 (1) in the section heading, by striking ‘‘GRANTS
8 FOR HEALTH PROFESSIONS EDUCATION’’ and in
9 serting ‘‘CULTURAL AND LINGUISTIC COMPETENCY
10 TRAINING FOR HEALTH CARE PROFESSIONALS’’;
11 (2) by redesignating subsection (b) as sub
12 section (h); and
13 (3) by striking subsection (a) and inserting the
14 following:
15 ‘‘(a) PROGRAM.—The Secretary shall establish a cul
16 tural and linguistic competency training program for
17 health care professionals, including nurse professionals,
18 consisting of awarding grants and contracts under sub
19 section (b).


This claim is true.



posted on Aug, 9 2009 @ 03:59 PM
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Claim:

PG 913-914 Government starts a HealthCare affirmative action program thru guise of diversity scholarships.


Wat it says:

13 Subtitle D—Adapting Workforce to
14 Evolving Health System Needs
15 PART 1—HEALTH PROFESSIONS TRAINING FOR
16 DIVERSITY
17 SEC. 2241. SCHOLARSHIPS FOR DISADVANTAGED STU
18 DENTS, LOAN REPAYMENTS AND FELLOW
19 SHIPS REGARDING FACULTY POSITIONS, AND
20 EDUCATIONAL ASSISTANCE IN THE HEALTH
21 PROFESSIONS REGARDING INDIVIDUALS
22 FROM DISADVANTAGED BACKGROUNDS.


This claim is true.



posted on Aug, 9 2009 @ 04:03 PM
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Claim:

PG 910 The Government will develop, build & run Public Health Training Centers


what it says:

12 SEC. 2233. PUBLIC HEALTH TRAINING CENTERS.
13 Section 766 (42 U.S.C. 295a) is amended—
14 (1) in subsection (b)(1), by striking ‘‘in further
15 ance of the goals established by the Secretary for
16 the year 2000’’ and inserting ‘‘in furtherance of the
17 goals established by the Secretary in the national
18 prevention and wellness strategy under section
19 3121’’; and


Been there done that got the T-Shirt, claim is true, but it isn't anything that we aren't already doing.



posted on Aug, 9 2009 @ 04:12 PM
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PG 724 23-25 PG 725 1-5 The same Government certifications will apply to medicaid & CHIP (your kids)


The referenced section doesn't apply. In fact, Lines 24 and 25 of page 724 are blank, and lines 1-5 of page 725 are the title of a new section that has nothing to do with certifications for medicaid or CHIP. So either he once again wrote down the wrong page numbers or the claim is false.


PG 801 Sec 1751 The Government will decide which Health care conditions will be paid. Say RATION!


I believe this is what he was referring to:

(c) PERMISSION TO INCLUDE ADDITIONAL HEALTH CARE-ACQUIRED CONDITIONS.—Nothing in this section shall prevent a State from including additional health care-acquired conditions for non-payment in its Medicaid program under title XIX of the Social Security Act.


Ran a search on the document for a definition of a "health care-acquired condition" and came up with nothing and I couldn't find a definition for it on the SSA website either.

The way I read this though, the claim is true. The government will be deciding what conditions will be included for non-payment under Medicaid.



posted on Aug, 9 2009 @ 04:20 PM
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reply to post by Jenna
 



"health care-acquired condition"


Conditions developed from side effects of surgeries, medication, treatment, etc? That is how interpret that at least.

Could be wrong though.



posted on Aug, 9 2009 @ 04:24 PM
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Claim:

Pg 865 The Government will MANDATE the establishment of a National Health Service Corps.

PG 865 to 876 The NHS Corps is a program where Drs. perform mandatory HealthCare for 2 years for part loan repayment.


What it says:

6 TITLE II—WORKFORCE
7 Subtitle A—Primary Care
8 Workforce



11 (a) FULFILLMENT OF OBLIGATED SERVICE RE
12 QUIREMENT THROUGH HALF-TIME SERVICE.—


This claim is true, but under the circumstances of the bill I don't see anything wrong with it. Just like if you sign up for a Military College you have to do "x" amount of years services when you graduate. It does give the secretary the ability to issue waivers though.

[edit on 9-8-2009 by Hastobemoretolife]



posted on Aug, 9 2009 @ 04:30 PM
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Page 820-824 Sec 1801 Government will identify individuals ineligible for subsidies. Will access all personal finances.



‘‘(19) DISCLOSURES TO FACILITATE IDENTIFICATION OF INDIVIDUALS LIKELY TO BE INELIGIBLE FOR LOW-INCOME SUBSIDIES UNDER MEDICARE PRESCRIPTION DRUG PROGRAM TO ASSIST SOCIAL SECURITY ADMINISTRATION’S OUTREACH TO ELIGIBLE INDIVIDUALS.—
(A) IN GENERAL.—Upon written request from the Commissioner of Social Security, the following return information (including such information disclosed to the Social Security Administration under paragraph (1) or (5)) shall be disclosed to officers and employees of the Social Security Administration, with respect to any taxpayer identified by the Commissioner of Social Security—
(i) return information for the applicable year from returns with respect to wages (as defined in section 3121(a) or 3401(a)) and payments of retirement income (as described in paragraph (1) of this subsection),
(ii) unearned income information and income information of the taxpayer from partnerships, trusts, estates, and subchapter S corporations for the applicable year,
(iii) if the individual filed an income tax return for the applicable year, the filing status, number of dependents, income from farming, and income from self-employment, on such return,
(iv) if the individual is a married individual filing a separate return for the applicable year, the social security number (if reasonably available) of the spouse on such return,
(v) if the individual files a joint return for the applicable year, the social security number, unearned income information, and income information from partnerships, trusts, estates, and subchapter S corporations of the individual’s spouse on such return, and
(vi) such other return information relating to the individual (or the individual’s spouse in the case of a joint return) as is prescribed by the Secretary by regulation as might indicate that the individual is likely to be ineligible for a low-income prescription drug subsidy under section 1860D–14 of the Social Security Act.


This claim is true. All of the above information can and will be disclosed if they decide you're likely to be ineligible. Why, I wonder, would they need it to show ineligiblity instead of to show eligibility?



posted on Aug, 9 2009 @ 04:31 PM
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Claim:

Pg 859 Government will establish a Public Health Fund at a cost of $88,800,000,000. Yes thats Billion.


What it says:

1 SEC. 2002. PUBLIC HEALTH INVESTMENT FUND.
2 (a) ESTABLISHMENT OF FUNDS.—
3 (1) IN GENERAL.—There is established a fund
4 to be known as the ‘‘Public Health Investment
5 Fund’’ (referred to in this section as the ‘‘Fund’’).
6 (2) FUNDING.—
7 (A) There shall be deposited into the
8 Fund—
9 (i) for fiscal year 2010,
10 $4,600,000,000;
11 (ii) for fiscal year 2011,
12 $5,600,000,000;
13 (iii) for fiscal year 2012,
14 $6,900,000,000;
15 (iv) for fiscal year 2013,
16 $7,800,000,000;
17 (v) for fiscal year 2014,
18 $9,000,000,000;
19 (vi) for fiscal year 2015,
20 $9,400,000,000;
21 (vii) for fiscal year 2016,
22 $10,100,000,000;
23 (viii) for fiscal year 2017,
24 $10,800,000,000;
25 (ix) for fiscal year 2018,
26 $11,800,000,000; and
1 (x) for fiscal year 2019,
2 $12,700,000,000.
3 (B) Amounts deposited into the Fund shall
4 be derived from general revenues of the Treas
5 ury.


Claim is true, just off by 100,000,000. So it will really be 88.7 billion dollars, once again if my math is right.



posted on Aug, 9 2009 @ 04:35 PM
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Claim:

Pg 838-840 Government will design & implement Home Visitation Program for families with young kids & families expecting kids.


What it says:

8 ‘‘Subpart 3—Support for Quality Home Visitation
9 Programs
10 ‘‘SEC. 440. HOME VISITATION PROGRAMS FOR FAMILIES
11 WITH YOUNG CHILDREN AND FAMILIES EX
12 PECTING CHILDREN.
13 ‘‘(a) PURPOSE.—The purpose of this section is to im
14 prove the well-being, health, and development of children
15 by enabling the establishment and expansion of high qual
16 ity programs providing voluntary home visitation for fami
17 lies with young children and families expecting children.


Claim is true, but it is voluntary.



posted on Aug, 9 2009 @ 04:38 PM
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Claim:

PG 835 11-13 fees imposed by Government for Trust Fund shall be treated as if they were taxes.


What it says:

11 ‘‘(c) TREATMENT AS TAX.—For purposes of subtitle
12 F, the fees imposed by this subchapter shall be treated
13 as if they were taxes.


Claim is true.

Here is more info:

14 ‘‘(d) NO COVER OVER TO POSSESSIONS.—Notwith
15 standing any other provision of law, no amount collected
16 under this subchapter shall be covered over to any posses
17 sion of the United States.’’.
18 (2) CLERICAL AMENDMENTS.—
19 (A) Chapter 34 of such Code is amended
20 by striking the chapter heading and inserting
21 the following:
22 ‘‘CHAPTER 34—TAXES ON CERTAIN
23 INSURANCE POLICIES
‘‘SUBCHAPTER A. POLICIES ISSUED BY FOREIGN INSURERS
‘‘SUBCHAPTER B. INSURED AND SELF-INSURED HEALTH PLANS


But the fed gov is exempt from these taxes, at least that is how I read it.



posted on Aug, 9 2009 @ 04:43 PM
link   
Claim:

PG 829-833 Government will impose a fee on ALL private health insurance plans including self insured to pay for Trust Fund!


What it says:

9 ‘‘Subchapter B—Insured and Self-Insured
10 Health Plans
‘‘Sec. 4375. Health insurance.
‘‘Sec. 4376. Self-insured health plans.
‘‘Sec. 4377. Definitions and special rules.
11 ‘‘SEC. 4375. HEALTH INSURANCE.
12 ‘‘(a) IMPOSITION OF FEE.—There is hereby imposed
13 on each specified health insurance policy for each policy
14 year a fee equal to the fair share per capita amount deter
15 mined under section 9511(c)(1) multiplied by the average
16 number of lives covered under the policy.
17 ‘‘(b) LIABILITY FOR FEE.—The fee imposed by sub
18 section (a) shall be paid by the issuer of the policy.


It goes on to say more, you should read it, but even government insurance plans are not not exempt from this fee. So this claim is true.





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