PG 58 Government will have real-time access to individuals’ finances & a National ID HealthCare Card will be issued!
(D) enable the real-time (or near real time) determination of an individual’s financial responsibility at the point of service and, to the extent possible, prior to service, including whether the individual is eligible for a specific service with a specific physician at a specific facility, which may include utilization of a machine-readable health plan beneficiary identification card;
(E) enable, where feasible, near real-time adjudication of claims;
PG 59 Line 21-24 Government will have direct access to your banks accounts for electronic funds transfer!
(C) enable electronic funds transfers, in order to allow automated reconciliation with the related health care payment and remittance advice;
PG 1018 States give up some of their State Sovereignty.
Subtitle E—States Failing to Ad7
here to Certain Employment Ob8
9 SEC. 2541. LIMITATION ON FEDERAL FUNDS.
10 A State is eligible for Federal funds under the provi-
11 sions of the Public Health Service Act (42 U.S.C. 201 et
12 seq.) only if the State—
13 (1) agrees to be subject in its capacity as an
14 employer to each obligation under division A of this
15 Act and the amendments made by such division ap-
16 plicable to persons in their capacity as an employer;
18 (2) assures that all political subdivisions in the
19 State will do the same.
PG 61 Line 22-24 Congress has no clue what Electronic Medical Records will cost. Asks for estimate.
‘‘(E) an estimate of total funds needed to ensure timely completion of the implementation plan;
PG 62 Protection of Data, Government shows they will have database of your personal & financial info.
(c) PROTECTION OF DATA.—The Secretary shall ensure (through the promulgation of regulations or otherwise) that all data collected pursuant to subsection (a) are—
(1) used and disclosed in a manner that meets the HIPAA privacy and security law (as defined in section 3009(a)(2) of the Public Health Service Act), including any privacy or security standard adopted under section 3004 of such Act; and
(2) protected from all inappropriate internal use by any entity that collects, stores, or receives the data, including use of such data in determinations of eligibility (or continued eligibility) in health plans, and from other inappropriate uses, as defined by the Secretary.’’.
OK peeps a big one – PG 64 Line 21-25, pg65 Line 1-5 which refers to processing payment transactions by financial institutions
(2) REVISION IN PROCESSING PAYMENT TRANSACTIONS BY FINANCIAL INSTITUTIONS.—
(A) IN GENERAL.—Section 1179 of the Social Security Act (42 U.S.C. 1320d–8) is amended, in the matter before paragraph (1)—
(i) by striking ‘‘or is engaged’’ and inserting ‘‘and is engaged’’; and
(ii) by inserting ‘‘(other than as a business associate for a covered entity)’’
after ‘‘for a financial institution’’.
Sec. 1179. [42 U.S.C. 1320d–8] To the extent that an entity is engaged in activities of a financial institution (as defined in section 1101 of the Right to Financial Privacy Act of 1978), or is engaged in authorizing, processing, clearing, settling, billing, transferring, reconciling, or collecting payments, for a financial institution, this part, and any standard adopted under this part, shall not apply to the entity with respect to such activities, including the following:
(1) The use or disclosure of information by the entity for authorizing, processing, clearing, settling, billing, transferring, reconciling or collecting, a payment for, or related to, health plan premiums or health care, where such payment is made by any means, including a credit, debit, or other payment card, an account, check, or electronic funds transfer.
(2) The request for, or the use of disclosure of, information by the entity with respect to a payment described in paragraph (1)—
(A) for transferring receivables;
(B) for auditing;
(C) in connection with—
(i) a customer dispute; or
(ii) an inquiry from, or to, a customer;
(D) in a communication to a customer of the entity regarding the customer's transactions, payment card, account, check, or electronic funds transfer;
(E) for reporting to consumer reporting agencies; or
(F) for complying with—
(i) a civil or criminal subpoena; or
(ii) a Federal or State law regulating the entity.
PG 1001 The Government will establish a National Medical Device Registry. Will you be tracked?
PG 1003 9-11 National Medical Dev Reg ''(iii) other postmarket device surveillance activities" you WILL be tracked.
‘‘(iii) other postmarket device surveillance
10 activities of the Secretary authorized by this
11 chapter; and
SEC. 2521. NATIONAL MEDICAL DEVICE REGISTRY.
12 (a) REGISTRY.—
13 (1) IN GENERAL.—Section 519 of the Federal
14 Food, Drug, and Cosmetic Act (21 U.S.C. 360i) is
16 (A) by redesignating subsection (g) as sub17 section (h); and
18 (B) by inserting after subsection (f) the
20 ‘‘National Medical Device Registry
21 ‘‘(g)(1) The Secretary shall establish a national med
22 ical device registry (in this subsection referred to as the
23 ‘registry’) to facilitate analysis of postmarket safety and
24 outcomes data on each device that—
25 ‘‘(A) is or has been used in or on a patient; and
1 ‘‘(B) is—
2 ‘‘(i) a class III device; or
3 ‘‘(ii) a class II device that is implantable,
4 life-supporting, or life-sustaining.
PG 993 Government will establish school based health clinics. Your kids wont have a chance.
PG 994 School Based Health Clinic will be integrated into the school environment. Say Government Brainwash!
1 Subtitle B—School-Based Health
3 SEC. 2511. SCHOOL-BASED HEALTH CLINICS.
4 (a) IN GENERAL.—Part Q of title III (42 U.S.C.
5 280h et seq.) is amended by adding at the end the fol6
7 ‘‘SEC. 399Z–1. SCHOOL-BASED HEALTH CLINICS.
8 ‘‘(a) PROGRAM.—The Secretary shall establish a
9 school-based health clinic program consisting of awarding
10 grants to eligible entities to support the operation of
11 school-based health clinics (referred to in this section as
13 ‘‘(b) ELIGIBILITY.—To be eligible for a grant under
14 this section, an entity shall—
15 ‘‘(1) be an SBHC (as defined in subsection
16 (l)(4)); and
17 ‘‘(2) submit an application at such time, in
18 such manner, and containing such information as
19 the Secretary may require, including at a min20
21 ‘‘(A) evidence that the applicant meets all
22 criteria necessary to be designated as an
24 ‘‘(B) evidence of local need for the services
25 to be provided by the SBHC;
1 ‘‘(C) an assurance that—
2 ‘‘(i) SBHC services will be provided in
3 accordance with Federal, State, and local
4 laws governing—
5 ‘‘(I) obtaining parental or guard6
ian consent; and
7 ‘‘(II) patient privacy and student
8 records, including section 264 of the
9 Health Insurance Portability and Ac10
countability Act of 1996 and section
11 444 of the General Education Provi12
13 ‘‘(ii) the SBHC has established and
14 maintains collaborative relationships with
15 other health care providers in the
16 catchment area of the SBHC;
17 ‘‘(iii) the SBHC will provide on-site
18 access during the academic day when
19 school is in session and has an established
20 network of support and access to services
21 with backup health providers when the
22 school or SBHC is closed;
23 ‘‘(iv) the SBHC will be integrated into
24 the school environment and will coordinate
25 health services with appropriate school per-
1 sonnel and other community providers co2
located at the school; and
3 ‘‘(v) the SBHC sponsoring facility as4
sumes all responsibility for the SBHC ad5
ministration, operations, and oversight;
7 ‘‘(D) such other information as the Sec8
retary may require.
‘‘(2) Communities or populations in which chil7
dren and adolescents have difficulty accessing health
8 and mental health services.
PG 72 Line 8-14 Government is creating an HealthCare Exchange to bring private HealthCare plans under Government control.
Subtitle A—Health Insurance Exchange
SEC. 201. ESTABLISHMENT OF HEALTH INSURANCE EXCHANGE; OUTLINE OF DUTIES; DEFINITIONS.
(a) ESTABLISHMENT.—There is established within the Health Choices Administration and under the direction of the Commissioner a Health Insurance Exchange in order to facilitate access of individuals and employers, through a transparent process, to a variety of choices of affordable, quality health insurance coverage, including a public health insurance option.
(1) under section 204 establish standards for, accept bids from, and negotiate and enter into contracts with, QHBP offering entities for the offering of health benefits plans through the Health Insurance Exchange, with different levels of benefits required under section 203, and including with respect to oversight and enforcement;
PG 84 Line 203 Government mandates ALL benefit packages for private. HealthCare plans in the Exchange.
SEC. 203. BENEFITS PACKAGE LEVELS.
(a) IN GENERAL.—The Commissioner shall specify the benefits to be made available under Exchange-participating health benefits plans during each plan year, consistent with subtitle C of title I and this section.
(b) LIMITATION ON HEALTH BENEFITS PLANS OFFERED BY OFFERING ENTITIES.—The Commissioner may not enter into a contract with a QHBP offering entity under section 204(c) for the offering of an Exchange-participating health benefits plan in a service area unless the following requirements are met:
(1) REQUIRED OFFERING OF BASIC PLAN.—The entity offers only one basic plan for such service area.
(2) OPTIONAL OFFERING OF ENHANCED PLAN.—If and only if the entity offers a basic plan for such service area, the entity may offer one enhanced plan for such area.
(3) OPTIONAL OFFERING OF PREMIUM PLAN.— If and only if the entity offers an enhanced plan for such service area, the entity may offer one premium
plan for such area.
(4) OPTIONAL OFFERING OF PREMIUM-PLUS PLANS.—If and only if the entity offers a premium plan for such service area, the entity may offer one or more premium-plus plans for such area.