MARCH 26, 2010
This Week in Health Care Reform
Health care reform legislation passed the House this week on a party-line vote. Late Sunday night, House Democrats approved the Senate health care reform package, sending the legislation to President Obama for his signature. On Tuesday, President Obama signed the underlying bill into law, yet the House has yet to finalize the package of “fixes” that will alter the final implications of the legislation.
Health Care Reform Negotiations
House Democrats Pass Health Care Reform Package: The House of Representatives approved the Senate health care reform bill Sunday night by a vote of 219 to 212. The vote marks the climactic finale to a year-long debate over health care reform. In the final vote, 34 Democrats joined all House Republicans in voting against the measure. Shortly thereafter, the House also passed a package of “fixes,” by a vote of 220-211, that was sent directly to the Senate for its approval through reconciliation. On Tuesday, President Obama signed into law the Senate health care reform bill, called the “Patient Protection and Affordable Care Act.”
Republicans Force Senate to Send the Reconciliation Bill Back to the House: Shortly after the President signed the Senate bill into law, Senators began deliberations on the reconciliation bill. Reconciliation protocol restricts Senators to 20 hours of debate on the measure, but it does not limit the number of amendments that can be filed. In an expression of opposition to the bill, Republicans filed 29 amendments to the reconciliation package.
After 10 hours of continuous debate, Republicans were successful in eliminating two provisions related to college financial aid in the non-health care portion of the bill. The Senate parliamentarian ruled early Thursday morning that those two provisions violated the chamber’s rules, sending the legislation back to the House for a new vote. As a result, on Thursday afternoon, the Senate voted on the reconciliation bill without those two provisions and sent the bill back to the House for a vote on final passage. The House vote will likely come Thursday evening.
What Does This Health Care Reform Legislation Mean: While the health care reform bill extends insurance coverage to 32 million more Americans by 2019, the legislation has other far-reaching implications that will be phased in sooner, during a multi-year implementation period.
Several features of the new health care overhaul bill that would take effect in 2010 under the measure passed Sunday include:
* New product requirements beginning 6 months after enactment, including:
o Coverage for dependents up to age 26
o No lifetime maximum benefit limits
o And no cost sharing on preventive care for certain policyholders
* Temporary federal high risk pools;
* Tax credits for small employers; and
* Prohibition on pre-existing condition exclusions for children (beginning 6 months after enactment).
Most Americans will have until 2014 to purchase insurance or pay a penalty. Other elements of the bill that will not take effect until at least 2014 include insurance marketplaces called “exchanges”; rules requiring insurers to accept all applicants regardless of pre-existing conditions, and an expansion of state Medicaid programs.
A number of experts question whether health care reform will really drive down insurance premiums. America’s Health Insurance Plans ( AHIP), the trade group representing health insurers, outlines a series of concerns related to the legislation including a lack of provisions that address underlying health care costs, improve quality of care or ensure a stable risk pool. In addition, AHIP expressed concerns regarding new taxes on health coverage, which will likely increase premiums.
Additional Activities
Obama’s Executive Order on Abortion Funding: On Sunday afternoon, prior to the final House vote on health care reform, President Obama agreed to issue an Executive Order that would uphold the ban on federal funding for abortion . In so doing, he secured about a half-dozen votes from anti-abortion Democrats, led by Rep. Bart Stupak (D-MI), who previously opposed the legislation. On Wednesday, President Obama signed the Executive Order banning the government from spending federal money to pay for abortions through plans offered on the insurance exchanges created under the measure.
States Filing Lawsuit to Fight Provision of Health Care Reform Bill: In response to the new health care reform legislation, states across the country have filed lawsuits asking the courts to declare the law unconstitutional and to bar its enforcement. On Monday,Attorneys General in 13 states, led by Florida, filed a joint lawsuit claiming that the new health care reforms violate state government rights in the U.S. Constitution and will force massive new spending on hard-pressed state governments. Joining Florida in the suit are Alabama, Colorado, Idaho, Louisiana, Michigan, Nebraska, Pennsylvania, South Carolina, South Dakota, Texas, Utah and Washington.
At the same time, the Attorney General in Virginia filed a separate suit contending that Congress has exceeded its power in mandating that people buy health insurance. Virginia Attorney General Ken Cuccinelli argues that the new law’s requirement clashes with Virginia law that exempts citizens from federal fines imposed for not having health insurance.
Senate Voting to Extend COBRA Until May 5: Senate Democrats plan another short-term extension of unemployment aid this week, setting up a face-off with Republicans, who are vowing to fight the extension if the $10 billion cost isn’t offset with spending cuts. The bill, currently set to expire on April 5, would extend a series of emergency programs – including funding for unemployment insurance benefits and COBRA health coverage for the jobless – and would hold off a deep cut in reimbursement rates for doctors who serve Medicare patients. The long-term extension has already passed in both the House and Senate, but the two measures are not expected to be reconciled and sent to the President’s desk until after the Easter recess.
President Obama Heads to Iowa to Speak on Health Care: President Obama headed to Iowa on Thursday to increase support for his health care legislation. This was President Obama’sfirst trip out ofWashington since signing health care reform legislation earlier this week. He spoke at the University of Iowa, in the city where he first announced his health care proposal during the Presidential campaign.
Public Opinion
Most Americans Want Republicans to Fight Health Care Reform Bill: In a recent CBS News poll, 62 percent of Americans said they want congressional Republicans to continue challenging the bill, while 33 percent said they should not. Disapproval of the bill has remained steady, with 46 percent saying they disapprove, including 32 percent who “strongly” disapprove. A majority of Americans continue to say that they find the bill to be confusing and do not understand what it means for them or their family.
American’s Split on Health Care Reform Passage: In a recent USA Today/Gallup poll, 42 percent of Americans said they were angry or disappointed with the recent passage of health care reform legislation. When asked to reveal party affiliation, 79 percent identified themselves as Republicans.
Polling Shows Support for State Lawsuits Against Government: National polling reveals significant opposition to the individual mandate. In a newly released Rasmussen report , 53 percent of those polled oppose the new mandate requiring every American to buy or obtain health insurance. Further, 49 percent of voters are in favor of their state suing the federal government to fight the mandate. Fifty-one percent say individual states should have the right to opt out of the health care plan entirely.
Looking Ahead
After this week’s final health care reform vote, President Obama plans to travel the country in the next few months to discuss the new law. Republicans have begun their own discussions of the law, with an eye towards the November elections.
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Tags: child health, Choices, eyes, glaucoma, HEALTH, health policy, mch services, NHS, primary health centres, women health
June 4th, 2009 at 12:35 pm
Yes hypertension may lead to strokes.Jogging is one of the good cardiovascular exercise.
June 4th, 2009 at 1:49 pm
http://www.everyonebenefits.com/12851363 this is a great ste for someone looking for low cost health programs.
June 4th, 2009 at 2:41 pm
A. Public health looks at everyone from all over. We (I'm an epidemiologist) are concerned with things that may be coming down the pike and hit all of us (like bird flu, etc.). Community health mostly involves doctors, nurses, and other health care professionals that tailor interventions to a particular community's needs, and they generally don't plan out for "the bigger picture", although they do a heck a job in their locales, since they know it better.
June 4th, 2009 at 12:37 pm
i was eating a sandwitch when amir sneezed blood and i lost my apetit
June 4th, 2009 at 1:16 pm
pause at 0:06 and look behind amir in the widow theres jake and amir puppets!WTF!!!!press 9 to here amir say ball thing
June 5th, 2009 at 1:15 am
Yes. If you have unlimited resources as an American you have the best health care in the world. If you are an ordinary citizen you simply don't. Even the average health care plan generally does not cover the basics like European systems do. All too often Americans find out just how under insured they are when sickness strikes.
http://www.commonwealthfund.org/Content/Publications/In-the-Literature/2008/Jun/How-Many-Are-Underinsured–Trends-Among-U-S–Adults–2003-and-2007.aspx
That's important because when those people are lucky enough to stay healthy they will never see a problem whatsoever just as their fellow countrymen were just fine with their coverage before tradgedy happened.
http://www.click2houston.com/investigates/12538706/detail.html
http://www.guaranteedhealthcare.org/your_story/my-insurance-company-denied-my-doctors-prescription
http://www.rhonawaxman.com/blog/insurance-company-medical-exam-denied-me-surgery.html
This is the same thing as with the standard of living. Americans have a higher income on average than Americans but more detailed data shows it's the top 1 percent income earners that's responsible for the whole difference. Middle clas an poor Americans are much worse of than their European counterparts
That's ultimately what it is about
June 5th, 2009 at 10:31 am
pause at 0:06 and look behind amir in the widow theres jake and amir puppets!WTF!!!!
June 5th, 2009 at 12:51 pm
lol i love these clips so much I have the whole Jake and Amir playlist playing… non stop.
June 5th, 2009 at 12:59 pm
I lawl’d at “im like Oh – for life time”
June 5th, 2009 at 4:37 pm
(insert funny quote said in video here)
June 5th, 2009 at 10:08 pm
I like the random stuff in the background in 0:05 : The Puppets, the check for or by Amir and some kind of roboter^^
June 6th, 2009 at 5:42 am
Usually you have to have a BMI (Body Mass Index) of 40 or more to qualify for gastric bypass. If you have a BMI of over 35, sometimes you can qualify if you have significant co-morbidities such as diabetes or sleep apnea. First and foremost, "they" look at how morbid obesity is affecting you, however, your family history may be taken into account, if close relatives are morbidly obese and have health problems relating to obesity.
June 6th, 2009 at 12:48 am
@haydies110 dude, don’t rip off lines from shitty parody movies…
June 6th, 2009 at 7:56 am
i htought the main reason of living in a society was to help each other out, am i wrong?
June 6th, 2009 at 8:00 am
yes………………………..!
June 6th, 2009 at 7:54 pm
Well, if she's 40 and perfectly healthy, it's going to cost her about $500 a month to have a low/no deductible plan that covers checkups.
You BUY it on a month to month basis. If you want low monthly payments, you have to cut the coverage – like take a $10,000 deductible. Or higher. That would cut payments down to maybe $200 a month or less.
The older she is, the less healthy she is, the more it costs.
Your best bet, is to find a local, independent agent, who can help you balance cost with coverage.
June 6th, 2009 at 8:01 pm
The Robert Woods Johnson Foundation is a research think tank. They have all kinds of references to interesting research around health care and health reform. With a little digging, you may be able to contact some of the researchers.
WebMD is another useful source for anything and everything health care.
Centers for disease control and prevention, National Center for Health Statistics: http://www.cdc.gov/nchs/
National Vital statistics system: http://www.cdc.gov/nchs/nvss
June 6th, 2009 at 11:13 pm
@GingeeBread No really. =)