.
HEALTH CARE REFORM :
UNITED STATES: LAW:
H.R. 4872 -
Health Care and Education Affordability Reconciliation Act of 2010
H.R. 4872 -
Health Care and Education Affordability Reconciliation Act of 2010
<http://www.whitehouse.gov/
the-press-office/pending-legislation/h.r.-4872>
A shorter URL for the above link:
<http://tinyurl.com/yfahy3c>
Read the text of the legislation
<http://frwebgate.access.gpo.gov/cgi-bin/getdoc.cgi?
dbname=111_cong_bills&docid=f:h4872eh.txt.pdf>
A shorter URL for the above link:
<http://tinyurl.com/ylsqoz5>
111TH CONGRESS
2D SESSION H. R. 4872
AN ACT
To provide for reconciliation pursuant to Title II of the
concurrent resolution on the budget for fiscal year 2010
(S. Con. Res. 13).
1 Be it enacted by the Senate and House of Representa2
tives of the United States of America in Congress assembled,
1 SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
2 (a) SHORT TITLE.This Act may be cited as the
3 Health Care and Education Reconciliation Act of 2010.
4 (b) TABLE OF CONTENTS.The table of contents of
5 this Act is as follows:
Sec. 1. Short title; table of contents.
TITLE ICOVERAGE, MEDICARE, MEDICAID, AND REVENUES
Subtitle ACoverage
Sec. 1001. Tax credits.
Sec. 1002. Individual responsibility.
Sec. 1003. Employer responsibility.
Sec. 1004. Income definitions.
Sec. 1005. Implementation funding.
Subtitle BMedicare
Sec. 1101. Closing the medicare prescription drug donut hole.
Sec. 1102. Medicare Advantage payments.
Sec. 1103. Savings from limits on MA plan administrative costs.
Sec. 1104. Disproportionate share hospital (DSH) payments.
Sec. 1105. Market basket updates.
Sec. 1106. Physician ownership-referral.
Sec. 1107. Payment for imaging services.
Sec. 1108. PE GPCI adjustment for 2010.
Sec. 1109. Payment for qualifying hospitals.
Subtitle CMedicaid
Sec. 1201. Federal funding for States.
Sec. 1202. Payments to primary care physicians.
Sec. 1203. Disproportionate share hospital payments.
Sec. 1204. Funding for the territories.
Sec. 1205. Delay in Community First Choice option.
Sec. 1206. Drug rebates for new formulations of existing drugs.
Subtitle DReducing Fraud, Waste, and Abuse
Sec. 1301. Community mental health centers.
Sec. 1302. Medicare prepayment medical review limitations.
Sec. 1303. Funding to fight fraud, waste, and abuse.
Sec. 1304. 90-day period of enhanced oversight for initial claims of DME
suppliers.
Subtitle EProvisions Relating to Revenue
Sec. 1401. High-cost plan excise tax.
Sec. 1402. Unearned income Medicare contribution.
Sec. 1403. Delay of limitation on health flexible spending arrangements
under cafeteria plans.
Sec. 1404. Brand name pharmaceuticals.
Sec. 1405. Excise tax on medical device manufacturers.
Sec. 1406. Health insurance providers.
Sec. 1407. Delay of elimination of deduction for expenses allocable to
medicare
part D subsidy.
Sec. 1408. Elimination of unintended application of cellulosic biofuel
producer credit.
Sec. 1409. Codification of economic substance doctrine and penalties.
Sec. 1410. Time for payment of corporate estimated taxes.
Subtitle FOther Provisions
Sec. 1501. Community college and career training grant program.
TITLE II EDUCATION AND HEALTH
Subtitle A Education
Sec. 2001. Short title; references.
PART IINVESTING IN STUDENTS AND FAMILIES
Sec. 2101. Federal Pell Grants.
Sec. 2102. College access challenge grant program.
Sec. 2103. Investment in historically black colleges and universities and
minority-serving institutions.
PART II STUDENT LOAN REFORM
Sec. 2201. Termination of Federal Family Education Loan appropriations.
Sec. 2202. Termination of Federal loan insurance program.
Sec. 2203. Termination of applicable interest rates.
Sec. 2204. Termination of Federal payments to reduce student interest
costs.
Sec. 2205. Termination of FFEL PLUS Loans.
Sec. 2206. Federal Consolidation Loans.
Sec. 2207. Termination of Unsubsidized Stafford Loans for middle-income
borrowers.
Sec. 2208. Termination of special allowances.
Sec. 2209. Origination of Direct Loans at institutions outside the United
States.
Sec. 2210. Conforming amendments.
Sec. 2211. Terms and conditions of loans.
Sec. 2212. Contracts; mandatory funds.
Sec. 2213. Income-based repayment.
Subtitle BHealth
Sec. 2301. Insurance reforms.
Sec. 2302. Drugs purchased by covered entities.
Sec. 2303. Community health centers.
The Presidents Proposal puts American families and small business owners
in control of their own health care.
<http://www.whitehouse.gov/health-care-meeting/proposal>
The Presidents Proposal puts American families and small business owners
in control of their own health care.
Over the past year the House and the Senate have been working on an effort
to provide health insurance reform that lowers costs, guarantees choices,
and enhances quality health care for all Americans. Building on that
year-long effort, the President has put forth a proposal that incorporates
the work the House and the Senate have done and adds additional ideas from
Republican members of Congress. The President has long said he is open to
any good ideas for reforming our health care system, and the final
proposal includes the best ideas from both sides of the aisle offered in
the course of the debate, including some from the day-long bipartisan
meeting held in February of 2010. The proposal posted here reflects the
version that is being vote on in Congress.
Read the text of the Senate bill and the changes passed by the House.
The proposal will make health care more affordable, make health insurers
more accountable, expand health coverage to all Americans, and make the
health system sustainable, stabilizing family budgets, the Federal budget,
and the economy:
It makes insurance more affordable by providing the largest middle class
tax cut for health care in history, reducing premium costs for tens of
millions of families and small business owners who are priced out of
coverage today. This helps 32 million Americans afford health care who do
not get it today and makes coverage more affordable for many more. Under
the plan, 95% of Americans will be insured.
It sets up a new competitive health insurance market giving millions of
Americans the same choices of insurance that members of Congress will
have.
It brings greater accountability to health care by laying out commonsense
rules of the road to keep premiums down and prevent insurance industry
abuses and denial of care.
It will end discrimination against Americans with pre-existing conditions.
It puts our budget and economy on a more stable path by reducing the
deficit by more than $100 billion over the next ten years and more than
$1 trillion over the second decade by cutting government overspending and
reining in waste, fraud and abuse.
Key Provisions in the Presidents Proposal:
The Presidents Proposal builds off of the legislation that passed the
Senate and improves on it by bridging key differences between the House
and the Senate as well as by incorporating Republican provisions that
strengthen the proposal.
One key improvement, for example, is eliminating the Nebraska FMAP
provision and providing significant additional Federal financing to all
States for the expansion of Medicaid. For Americas seniors, the proposal
completely closes the Medicare prescription drug donut hole coverage gap.
It strengthens the Senate bills provisions that make insurance affordable
for individuals and families, including protections for out-of-pocket
costs, while also strengthening the provisions to fight fraud, waste, and
abuse in Medicare and Medicaid to save taxpayer dollars. The threshold
for the excise tax on the most expensive health plans will be raised from
$23,000 for a family plan to $27,500 and will start in 2018 for all such
plans.
Download the full PDF of the President's key improvements.
<http://www.whitehouse.gov/sites/default/files/
rss_viewer/summary-president-proposal-final.pdf>
A shorter URL for the above link:
<http://tinyurl.com/ydlq7pe>
Read the Overview.
<http://www.whitehouse.gov/
health-care-meeting/proposal/whatsnew/overview>
A shorter URL for the above link:
<http://tinyurl.com/yjfakvl>
Read the Presidents Proposed Policies to Improve Affordability and
Accountability.
<http://www.whitehouse.gov/health-care-meeting/
proposal/whatsnew/affordability>
A shorter URL for the above link:
<http://tinyurl.com/yfqhag6>
Read the Presidents Policies to Crack Down on Waste, Fraud and Abuse.
<http://www.whitehouse.gov/health-care-meeting/
proposal/whatsnew/waste-fraud-abuse>
A shorter URL for the above link:
<http://tinyurl.com/yjo3r38>
Read the Presidents Policies to Contain Cost and Ensure Fiscal
Sustainability.
<http://www.whitehouse.gov/health-care-meeting/
proposal/whatsnew/cost-sustainability>
A shorter URL for the above link:
<http://tinyurl.com/y8wd4ah>
Read the Presidents Other Proposed Policy Improvements.
<http://www.whitehouse.gov/health-care-meeting/
proposal/whatsnew/other-improvements>
A shorter URL for the above link:
<http://tinyurl.com/ykeoeyb>
Summaries of Key Elements of the Presidents Proposal:
Title I: Quality, Affordable Health Care for All Americans
<http://www.whitehouse.gov/health-care-meeting/proposal/titlei>
Title II: The Role of Public Programs
<http://www.whitehouse.gov/health-care-meeting/proposal/titleii>
Title III: Improving the Quality and Efficiency of Health Care
<http://www.whitehouse.gov/health-care-meeting/proposal/titleiii>
Title IV: Prevention of Chronic Disease and Improving Public Health
<http://www.whitehouse.gov/health-care-meeting/proposal/titleiv>
Title V: Health Care Workforce
<http://www.whitehouse.gov/health-care-meeting/proposal/titlev>
Title VI: Transparency and Program Integrity
<http://www.whitehouse.gov/health-care-meeting/proposal/titlevi>
Title VII: Improving Access to Innovative Medical Therapies
<http://www.whitehouse.gov/health-care-meeting/proposal/titlevii>
Title VIII: Community Living Assistance Services and Supports Act (CLASS
Act)
<http://www.whitehouse.gov/health-care-meeting/proposal/titleviii>
Title IX: Revenue Provisions
<http://www.whitehouse.gov/health-care-meeting/proposal/titleix>
Title X: Reauthorization of the Indian Health Care Improvement Act
<http://www.whitehouse.gov/health-care-meeting/proposal/titlex>
Overview of the President's Proposal
<http://www.whitehouse.gov/
health-care-meeting/proposal/whatsnew/overview>
A shorter URL for the above link:
<http://tinyurl.com/yjfakvl>
The Presidents Proposal puts American families and small business owners
in control of their own health care.
It makes insurance more affordable by providing the largest middle class
tax cut for health care in history, reducing premium costs for tens of
millions of families and small business owners who are priced out of
coverage today. This helps over 32 million Americans afford health care
who do not get it today and makes coverage more affordable for many more.
Under the plan, 95% of Americans will be insured.
It sets up a new competitive health insurance market giving tens of
millions of Americans the same choices of insurance that members of
Congress will have.
It brings greater accountability to health care by laying out commonsense
rules of the road to keep premiums down and prevent insurance industry
abuses and denial of care.
It will end discrimination against Americans with pre-existing conditions.
It puts our budget and economy on a more stable path by reducing the
deficit by more than $100 billion over the next ten years and more than
$1 trillion over the second decade by cutting government overspending and
reining in waste, fraud and abuse.
The Presidents Proposal bridges the gap between the House and Senate bills
and includes new provisions to crack down on waste, fraud and abuse.
It includes a targeted set of changes to the Patient Protection and
Affordable Care Act, the Senate-passed health insurance reform bill. The
Presidents Proposal reflects policies from the House-passed bill and the
Presidents priorities. Key changes include:
Eliminating the Nebraska FMAP provision and providing significant
additional Federal financing to all States for the expansion of Medicaid;
Closing the Medicare prescription drug donut hole coverage gap;
Strengthening the Senate bills provisions that make insurance affordable
for individuals and families and increase protections for out-of-pocket
costs;
Strengthening the provisions to fight fraud, waste, and abuse in Medicare
and Medicaid;
Increasing the threshold for the excise tax on the most expensive health
plans from $23,000 for a family plan to $27,500 and starting it in 2018
for all plans.
Health Care Reform.gov
<http://www.healthreform.gov/>
What People are Saying
March 19, 2010
AARP Statement on Historic Health Insurance Reform Package
AARP Board Chair Bonnie M. Cramer, M.S.W., announced the Associations
support for health insurance reform legislation containing key reform
provisions that will improve health care for older Americans and their
families.
More
<http://www.aarp.org/aarp/presscenter/
pressrelease/articles/hcr_package_support.html>
A shorter URL for the above link:
<http://tinyurl.com/ybl9zxv>
February 17, 2010
Steep Rate Hikes Show Reform Needed
Today the Des Moines Register added its voice to the growing number of
groups calling on Congress to pass comprehensive health insurance reform.
Citing Anthem Blue Cross recent rate hikes to people in the individual
insurance market as an example, the Register called on Congress to finish
the job, saying these are exactly the reforms Americans need. They are the
kind of reforms Iowans need.
Read Excerpt
<http://www.healthreform.gov/forums/whatpeoplearesaying.html#20100217>
February 12, 2010
Reform, Meet Anthem Blue Cross
Anthem Blue Cross recently informed nearly 800,000 Californians that their
premiums would be increasing up to 39% in the coming year. This comes
after Anthem posted $2.7 billion in profits in the previous quarter. The
Los Angeles Times noted the premium increase and spoke out in favor of
health insurance reform.
Read Excerpt
<http://www.healthreform.gov/forums/whatpeoplearesaying.html#20100212>
Reports on Health Reform
http://www.healthreform.gov/reports/index.html
Insurance Companies Prosper, Families Suffer: Our Broken Health Insurance
System
<http://www.healthreform.gov/reports/insuranceprospers/index.html>
Protecting Families and Putting More Money in Your Pocket: How Health
Insurance Reform Will Lower Costs and Increase Choices
<http://www.healthreform.gov/reports/families/index.html>
Preventing and Treating Diabetes: Health Insurance Reform and Diabetes in
America
<http://www.healthreform.gov/reports/diabetes/index.html>
The Case for Change
<http://www.healthreform.gov/healthcarestatus.html>
Lower Premiums, Stronger Businesses: How Health Insurance Reform Will
Bring Down Costs for Small Businesses
Relief from crushing premium increases.
<http://www.healthreform.gov/reports/smallbusiness2/index.html>
More Choices, Better Coverage: Health Insurance Reform and Rural America
<http://www.healthreform.gov/reports/ruralamerica/index.html>
Health Insurance Reform and Breast Cancer: Making the Health Care System
Work for Women
<http://www.healthreform.gov/reports/breastcancer/index.html>
Insurance at Risk: Small Business Employees Risk Losing Coverage
The Decline in Employer-Based Coverage
<http://www.healthreform.gov/reports/smallbusiness/index.html>
A Success Story In American Health Care: Using Health Information
Technology to Improve Patient Care in a Community Health Center in
Washington
Health Care Challenges in Rural America
Nearly 50 million Americans living in rural areas face challenges
accessing health care. Developing a health information technology (IT)
infrastructure can improve the quality and continuity of care for millions
of patients.
<http://healthreform.gov/reports/ruralsuccess/index.html>
Health Insurance Reform and Medicare
<http://www.healthreform.gov/reports/medicare/index.html>
Fighting Back Against Cancer: Health Insurance Reform & Cancer in America
<http://www.healthreform.gov/reports/fightingcancer/index.html>
Young Americans and Health Insurance Reform: Giving Young Americans the
Security and Stability They Need
<http://www.healthreform.gov/reports/youngadults/index.html>
Insurance Insecurity: Families Are Losing Employer-Sponsored Insurance
Coverage
<http://www.healthreform.gov/reports/insurance/index.html>
Strengthening the Health Insurance System: How Health Insurance Reform
Will Help Americas Older and Senior Women
<http://www.healthreform.gov/reports/seniorwomen/index.html>
Americas Seniors and Health Insurance Reform: Protecting Coverage and
Strengthening Medicare
<http://www.healthreform.gov/reports/seniors/index.html>
Out-of-Pocket Expenses: Americans Shoulder the Burden of Growing Health
Care Costs
<http://www.healthreform.gov/reports/out_of_pocket/index.html>
Coverage Denied: How the Current Health Insurance System Leaves Millions
Behind
Pre-Existing Conditions Affect Millions of Americans
A large proportion of Americans have health conditions that insurance
companies can qualify as pre-existing conditions.
<http://www.healthreform.gov/reports/denied_coverage/index.html>
A Success Story in American Health Care
Prevention and Public Health Care in the United States
<http://www.healthreform.gov/reports/success_nebraska/index.html>
A Success Story in American Health Care Report
The Quality and Safety of Health Care in the United States
Improving the quality and safety of health care is a key part of health
reform. Improving the quality of care will improve the health of all
Americans and avoid unnecessary costs.
<http://www.healthreform.gov/reports/success/michigan.html>
The Health Care Status Quo
<http://www.healthreform.gov/healthcarestatus.html>
Hidden Costs of Health Care Report
<http://www.healthreform.gov/reports/hiddencosts/index.html>
Health Disparities: A Case for Closing the Gap
<http://www.healthreform.gov/reports/healthdisparities/index.html>
Roadblocks to Health Care
<http://www.healthreform.gov/reports/women/index.html>
Hard Times in the Heartland
<http://www.healthreform.gov/reports/hardtimes/>
Helping the Bottom Line
<http://www.healthreform.gov/reports/helpbottomline/>
The Cost of Inaction
<http://www.healthreform.gov/reports/inaction/>
The Burden of Health Insurance Premium Increases on American Families
<http://www.whitehouse.gov/assets/
documents/Health_Insurance_Premium_Report.pdf>
A shorter URL for the above link:
<http://tinyurl.com/mkvfhm>
"What's in Reform for My Community?"
http://www.healthreform.gov/reports/index.html#online
Whether you are insured or uninsured; young or old; married or
singlethere is something in health insurance reform for you. Download and
share these fliers with others in your community to get the facts out
about how reform helps all Americans.
Health Insurance Reform Reality Check
How Health Insurance Reform Will Help Your Family
How Health Insurance Reform Will Help Children
How Health Insurance Reform Will Help Early Retirees Aged 55 to 64
How Health Insurance Reform Will Help Minorities
How Health Insurance Reform Will Help Rural Americans
How Health Insurance Reform Will Help Small Business
How Health Insurance Reform Will Help Women
How Health Insurance Reform Will Help Young Adults
How Health Insurance Reform Will Help People with Disabilities
The Economic Effects of Health Care Reform on Small Businesses and Their
Employees
<http://www.whitehouse.gov/assets/documents/CEA-smallbusiness-july24.pdf>
Why Middle Class Americans Need Health Reform
<http://www.whitehouse.gov/assets/documents/
071009_FINAL_Middle_Class_Task_Force_report2.pdf>
A shorter URL for the above link:
<http://tinyurl.com/lbzpoe>
The Economic Case for Health Care Reform
<http://www.whitehouse.gov/assets/documents/CEA_Health_Care_Report.pdf>
White House Forum on Health Reform
<http://www.whitehouse.gov/assets/documents/
White_House_Forum_on_Health_Reform_Report.pdf>
White House Forum on Health Reform
<http://www.whitehouse.gov/assets/documents/
White_House_Forum_on_Health_Reform_Report.pdf>
A shorter URL for the above link:
<http://tinyurl.com/dhcnwt>
Americans Speak on Health Reform: Report on Health Care Community
Discussions
<http://www.healthreform.gov/reports/hccd>
Reports on National Healthcare Quality and Health Disparities
<http://www.ahrq.gov/qual/qrdr08.htm>
WEBBIB0910
Sincerely,
David Dillard
Temple University
(215) 204 - 4584
[log in to unmask]
<http://daviddillard.businesscard2.com>
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http://guides.temple.edu/Russell-Conwell-Center
THE COLLEGE LEARNING CENTER
<http://tinyurl.com/yae7w79>
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http://tinyurl.com/36qd2o
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Bushell, R. & Sheldon, P. (eds),
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Wellness Tourism: Bibliographic and Webliographic Essay
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<http://tinyurl.com/p63whl>
<http://tinyurl.com/ou53aw>
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