Your Handy Reference for What’s Actually in the Health Care Reform Bill *UPDATED*
August 2, 2009 by Johnny Alamo
Peter Fleckenstein, at his “Common Sense from a Common Man” Blog has this handy guide to what’s in the Health Care Reform Bill, as well as a link to the PDF file of the actual bill located right HERE. Pete has been reading the entire 1,018 pages of the Health Care bill and documenting it on Twitter (which is why this list might look funny; it’s a list of cached Tweets). But the links work, and I decided to just cut and paste it right into here so you can see where he posted it and such for bona-fides.
And let me be clear in fairness to the author, Peter: This is by no means my work. It’s the work of Peter Fleckman, who has given his permission to publish it in blogs in order to get the word out on the Health Care bill. There’s an e-mail circulating with a partial list of the first 500 pages of his work that doesn’t credit Peter.
So without further ado; here’s the complete list, revised for legibility:
PG 1018 States give up some of their State Sovereignty.
PG 1001-3 Sections 9-11 (iii) “The Govt will establish a National Medical Device Registry. Other postmarket device surveillance activities” You WILL be tracked.
PG 994 School Based Health Clinic will be integrated into the school environment. Say GOV’T Brainwashing?!
PG 993 Govt will establish school based health clinics.
PG 950- 980 BIG GOV’T core public health infrastructure, including workforce capacity, lab systems; health information systems, etc
PG 942 Lines 22-25 More Govt? Offices of Surg. Gen. -Public Health Svc, MinorityHealth, Women’s Health
PG 936 Govt will develop “Healthy People & National Public Health Perform. Standards” Tell me what 2 eat?
PG 935 21-22 Govt will identify specific goals & obj 4 prevention & wellness activities. Control U!!
Pg 932 The Govt will estab Preventative & Wellness Trust fund- intial cost of $30,800,000,000-Billion.
PG 915 SEC. 2251. Govt MANDATES Cultural & linguistic competency trng 4 HC professionals.
PG 913-914 Govt starts a HC affirmative action program thru guise of diversity scholarships.
PG 910 The Govt will develop, build & run Public Health Training Centers.
PG 901 The Public Health Workforce Corps WILL incl commissioned Regular & Reserve Officers. HC Draft? WTF!
PG 900 The Public Health Workforce Corps includes veterinarians.
PG 898 The Public health workforce corps shall consist of civilian employees of the U.S. as Secretary deems.
PG 898 The Public health workforce corps shall consist of officers of Regular & Reserve Corps of Service.
PG 898 The Govt will establish a Public Health Workforce Corps. 2 ensure supply of public health prof.
PG 876-892 The govt takes over the education of our Med students and Drs.
PG 865 to 876 The NHS Corps is a program where Drs. perform mandatory HC for 2yrs for part loan repayment.
Pg 865 The Govt will MANDATE the establishment of a National Health Service Corps.Pg 859 Govt will establish a Public Health Fund at a cost of $88,800,000,000. Yes that’s Billion.PG 844-845 OMG! This Home Visitation Prog. includes Govt coming in2 ur house & telling u how 2 parent!!!
Pg 838-840 Govt will design & implem. Home Visitation Prog 4 families w young kids & families expect kids.
PG 835 11-13 fees imposed by Govt for Trust Fund shall be treated as if they were taxes. No sh*t.
PG 829-833 Govt will impose a fee on ALL private health ins. plans incl. self insured to pay for Trust Fund!
Pg 810 SEC. 1759. Billing Agents, clearinghouses, etc req. 2 register. Govt takes over private payment sys.
801 Sec 1751 The Govt will decide which Health care conditions will be paid. Say RATION!
Pg 789-797 Govt will set, mandate drug prices, controlling which drugs brought 2 mrkt. Bye innovation
Pg 770 SEC 1714 Fed Govt mandates eligibility 4 State Family Planning Svcs. Say abortion & State Sovereign.
Pg 769 3-5 Nurse Home Visit Svcs – “increasing birth intervals btwn pregnancies.” Govt ABORTIONS any1?
Pg 769 11-14 Nurse Home Visit Svcs include-economic self-sufficiency, employ adv, school-readiness. WTF?!!
Pg 769 3-5 Nurse Home Visit Svcs – “increasing birth intervals btwn pregnancies.” Govt Abortions any1?
Pg 768 Sec 1713 Govt – Nurse Home Visitation Svcs (Hello union paybacks)
Pg 765 Sec 1711 Govt will require Preventative Services including vaccines. (Choice?) Pg 757-762 Fed govt will shift burden of payments 2 Disproportionate Share Hospitals (DSH) 2 States. (Taxes)
PG 740-757 Govt sets guidelines 4 subsidizing the uninsured (Thats UR tax dollars peeps)
Pg 735 lines 16-25 For law enforce. purposes the Secretary-HHS will give Atty General access to ALL data.
PG 724 23-25 PG 725 1-5 The same Govt certifications will apply 2 medicaid & CHIP (ur kids)
PG 722 Sec 1639 Govt MANDATES Doctors must have face2face w patient 2 certify patient 4 Home Health Svcs.
PG 724 Lines 16-22 Govt reserves rt 2 apply face2face certification 4 patient to ANY other HC service.
PG 722 Sec 1639 Govt MANDATES Doctors must have face2face w patient 2 certify patient 4 Home Health Svcs.
Pg 719-720 Sec 1637 ANY Doctor who orders durable med equip or home med svcs MUST be enrolled in Medicare.
PG 711 Lines 8-14 The Secretary has broad powers to deny HC providers/suppliers admittance into HC Exchng.
Pg 686-700 Increased Funding 2 Fight Waste, Fraud, and Abuse. LMAO!! U mean the Govt w an $18 mil website?
Pg 676-686 Govt will regulate hospitals in EVERY aspect of residency programs, incl. teaching hospitals.
PG 660-671 Doctors in Residency – Govt will tell YOU where your residency will be, thus where you’ll live.
Pg 654-659 Public Reporting on Health Care-Associated Infections – Looks okay.
Pg 635 to 653 Physicians Payments Sunshine Provision – Govt wants to shine sunlight on Docs but not Govt.
PG 633 14-25/ 634 1-9 The Secretary may issue non-endorsed “Qual Measures” 4 Physician Svcs & Dialysis Svcs.
Pg 632 Lines 14-25 The Govt may implement any “Quality measure” of HC Services as they see fit.
Pg 630 9-24/631 1-9 Those Multi-stake holder groups incl. Unions & groups like ACORN deciding HC quality.
Pg 628 Sec 1443 Govt will give “Multi-Stake Holders” Pre-Rule Making input in2 Selection of “Quality” Measures.
PG 624 “Quality” measures shall b designd to profile u including race, age, gender, place of residence, etc
PG 624 “Quality” measures shall be designd to assess outcomes & functional status of patients.
Pg 622 Lines 2-9 To pay 4 the Qual Standards Govt will xsfer $$ from 2 other Govt Trust Funds. More Taxes.
PG 621 Lines 20-25 Govt will define what Quality means in HC. Since when does Govt know about quality?
PG 524 18-22 Comparative Effectiveness Research Trust Fund set up. More taxes for ALL.
PG 518 Lines 21-25 The Commission will have input from HC consumer reps – Can u say unions & ACORN?
PG 506 Lines 19-21 The Center will recommend policies that would allow for public access of data.
Pg 504 Lines 6-10 The “Center” will collect data both pub & unpub (that means public & ur private info)
Pg 503 lines 21-25 Govt may secure data directly from any depart or agency of the US incl your data.
Pg 503 Lines 13-19 Govt will build registries and data networks from YOUR electronic med records.
PG 502 Sec 1181 Ctr 4 Comparative Effectiveness Research Established. – Hello Big Brother – Literally.
Pg 494-498 Govt will cover Mental Health Svcs including defining, creating, rationing those svcs.
PG 489 Sec 1308 The Govt will cover Marriage & Family therapy. Which means they will insert Govt into your marriage.
PG 476 19-20 Chapter 35/ title 44, (Privacy of pers records) shall not apply Home Med Svcs. ACORN ACCESS!
: Pg 469 – Community Based Home Medical Services=Non profit orgs. Hello, ACORN Medical Svcs here!!?
Pg 464 Lines 17-22 Indep. Patient Ctr Home Med Svcs – Drs dont have 2 b at ur home just some1 directed by Dr.
Pg 460 Sec 1302 The Govt WILL provide medical svcs in ur home. Paging Nurse Pelosi !!
Pg 460 Sec 1302 – Knock Knock – It’s the Govt and I’m here w the Medical Home Program – YOUR home.
PG 455 Lines 3-4 Govt exempts itself frm Chapter 35, Title 44 Paperwork Reduct & Citizens Privacy Prot. Act
PG 448 Lines 4-17 Govt will set performance targets 4 ALL Accountable Care Organizations incl. private.
PG 444 Lines 1-6 Gov’s Accountable Care Program will mandate svcs & infrastructure thru reward/penalty sys.
PG 443 Lines 7-24 Govt at taxpayers exp, test out an “Accountable Care Org” program (Gov doesnt have plan).
PG 438 Sec 1236 – The Govt will develop a patient decision making aid program that u & Dr. WILL use.
PG 434 Section 1234 Military Active, Reservists, Families – Once HC bill is passed ur premiums will go up.
PG 434 Section 1234 Military Active, Reservists, Families – If ur not enrolled in Tricare it is mandated.
PG 432 Lines 18-21 The Govt will publish “quality measures” 4 individual’s end of life in Federal Register.
PG 430 Lines 11-15 The Govt will decide what level of treatment u will have at end of life.
Pg 429 Lines 13-25 – The govt will specify which Doctors can write an end of life order. Logan’s Run anyone?
PG 429 Lines 10-12 “adv. care consultation” may incl an ORDER 4 end of life plans. AN ORDER from GOV
Pg 429 Lines 1-9 An “adv. care planning consult” will b used frequently as patients health deteriorates.
PG 427 Lines 15-24 Govt mandates program 4 orders 4 end of life. The Govt has a say in how ur life ends.
PG 425 Lines 22-25, 426 Lines 1-3 Govt provides apprvd list of end of life resources, guiding u in death.
Pg 425 Lines 17-19 Govt will instruct & consult regarding living wills, durable powers of atty. Mandatory!
PG 425 Lines 4-12 Govt mandates Advance Care Planning Consult. Think Senior Citizens end of life.
Pg 404 Lines 17-19 Govt doesnt know the cost of Language svcs but states that money is there.
PG 404 Lines 12-16 Govt exempts itself again from – Chap 35 of title 44, USC incl. privacy of Americans.
PG 401Sec 1221 Americans will fund Medicare Language & Translation Svcs Program. Can u say MORE taxes?
Pg 399 – If ur a subsidy eligible individ under Medicare part D and u dont enroll, the Govt will autoenroll u.
Pg 379 Sec 1191 Govt creates more bureaucracy – Telehealth Advisory Cmtte. Can u say HC by phone?
Pg 355-369 Sec 1181 Govt disguises tax on Drug Cos as rebate 2 Govt 2 subsidize Drugs. We pay in the end.
Pg 354 Sec 1177 – Govt will RESTRICT enrollment of Special needs ppl! WTF. My sis has down syndrome!!
Pg 341 Lines 3-9 Govt has authority 2 disqual Medicare Adv Plans, HMOs, etc. Forcing peeps in2 Govt plan.
Pg 335 L 16-25 Pg 336-339 – Govt mandates estab. of outcome based measures. HC the way they want. Rationing.
Pg 328 Sec 1157 Govt study disguised. Its a HC workforce study mandated by law for unionization.
pg 321 2-13 Hospitals have oppt to apply for exception BUT community input required. Can u say ACORN?!!
Pg 318-319 HC Bill – Govt is mandating how hospitals & physicians conduct business & investments. We’re nxt!
Pg 317-318 lines 21-25,1-3 PROHIBITION on expansion- Govt is mandating hospitals cannot expand.
Pg 317 L 13-20 OMG!! PROHIBITION on ownership/investment. Govt tells Drs. what/how much they can own.
pg 313 L 9-14 Govt MANDATES Health Svcs providrs will state ownership, invest, & compensation arrangements.
Pg 304 L 17-19 Govt does NOT have 2 protect ur priv, share w any1, & is not resp
Pg 306 L 3-6 The Govt can expand the scope & size of Post Acute Program Svcs anytime & as they see fit.
Pg 304 L 17-19 BIG ONE HERE: Expedited Data Collection – Chapter 35 o…
Pg 303 L 12-25 Post Acute Care Svcs Data – Govt will collect data including Pers. info as they see fit.
Pg 300 Line 1-18 The Govt will MANDATE Post Acute Care svcs(what), how Drs. get paid, etc.
Pg 298 Lines 9-11 Drs, treat a patient during initial admiss that results in a readmiss-Govt will penalize u.
Pg 287 Line 14-25 PROOF that Govt will ration HC by mandating waiting periods for readmission.
PG 276 Line 3-20 Oxgen Equip & Supply Cos -Govt MANDATES u will provide suppl NO MATTER where indiv. is.
PG 272 SEC. 1145. TREATMENT OF CERTAIN CANCER HOSPITALS – Cancer patients – welcome to rationing!
Pg 270 Sec 1144 Govt Mandates that all private ambulatory surgical centers submit cost data & other data
PG 268 Sec 1141 Fed Govt regulates rental & purchase of power driven wheelchairs.
PG 265 Sec 1131Govt mandates & controls productivity for private HC industries.
Pg 260 Sec 1125 HC Fed Govt will adjust Medicare Payment Localities 4 California based on Census. ACORN?
PG 253 Line 10-18 Govt sets value of Dr’s time, prof judg, etc. Literally value of humans. We’re nxt.
Pg 238-249 Sec 1121 Doctors-Govt mandates ur growth, costs, value, svcs, & income. Peeps-Welcm 2 rationing
Pg 239 Line 10-12 Medicare DSH payments will be increased. Can u say even higher taxes for all?
Pg 236 Line 22-25 PG 237 Line 1-3 National rate of uninsur defind by Census. Can u say ACORN corruption?
Pg 241 Line 6-8 HC Bill – Doctors, doesnt matter what specialty u have, you’ll all be paid the same.
Pg 239 Line 14-24 HC Bill Govt will reduce physician svcs 4 Medicaid. Seniors, low income, poor affected.
Pg 202-215 HC Bill is a GOVT rewrite of the tax code ensuring more taxes for EVERYONE, Everywhere.
PG 203 Line 14-15 HC – “The tax imposed under this section shall not be treated as tax” Yes, it says that.
PG 201 Lines 12-19 HC – Govt will ignore whatever costs they see fit 2 show savings. (Cookin the books)
PG 199 Lines 1-4 HC Bill Surtax rates on raised AGAIN on Americans in 2012.
Pg 198 lines 4-6 HC Bill 5.4% ADDITIONAL TAX on peeps who have income of 1mil+. Redist Wealth
pg 198 lines 1-3 HC Bill 1.5% ADDITIONAL TAX on peeps who have income of 500k to 1mil. Redist Wealth.
Pg 195 HC Bill -officers & employees of HC Admin (GOVT) will have access 2 ALL Americans finan/pers recs.
Pg 170 Lines 1-3 HC Bill Any NONRESIDENT Alien is exempt from indiv. taxes. (Americans will pay)
Pg 167 Lines 18-23 ANY individual who doesnt have acceptable HC accrdng 2 Govt will be taxed 2.5% of inc.
Pg 151 Lines 1-3 HC Bill Aggregate Rules-tax on employers payroll not on pub opt. incl payroll of other biz.
pg 150 Lines 9-13 Biz w payroll btw 251k & 400k who doesnt prov. pub. opt pays 2-6% tax on all payroll.
Pg 149 Lines 16-24 ANY Emplyr w payroll 400k & above who does not prov. pub opt. pays 8% tax on all payroll.
Pg 126 Lines 22-25 Employers MUST pay 4 HC 4 part time employees AND their families.
Pg 145 Line 15-17 An Employer MUST auto enroll employees into pub opt plan. NO CHOICE.
Pg 130 Lines 10-23 HC Bill – FedGovt will subsidize State Medicaid= Even Higher State & Fed taxes 4 ALL.
PG 129 HC Bill – The public opt will be subsidized. Credits= Ur tax dollars. Redistribution of wealth.
pg 127 Lines 1-16 HC Bill – Doctors/AMA – The Govt will tell YOU what u can make.
pg 126 lines 10-15 HC Bill – The Govt can make up prices for anything at anytime for any reason.
pg 124 lines 24-25 HC No company can sue GOVT on price fixing. No “judicial review” against Govt Monop.
Pg 121 Sec 223 HC bill- PAYMENT RATES FOR ITEMS AND SERVICES. Can u say Govt price fixing & monopoly?
Pg 119 HC Bill Lines 1-3 establish geographically-adj prem. rates 4 pub opt. Can u say ACORN census?
Pg 111 Sec 208 The Federal Govt will usurp all State powers in State Based HC Exchng. Violation 10th Amend.
Pg 110 Lines 19-24 the Treas. can take $$ from Soc Sec to pay HC.
Pg 110 Lines 13-18 An excise tax on ALL goods from companies not offering Govt HC. ALL Americans pay.
PG 110 Lines 7-12 HC Bill Employment taxes on ALL employers NOT offering Govt HC. No choice.
PG 109 Sec 207 – Health Trust Fund. The Govt will raise taxes on EVERYONE 2 fund HC as they see fit.
PG 102 Lines 12-18 HC Bill – Medicaid Eligible Indiv will be automat.enrolled in Medicaid. No choice
Pg 100 HC Bill Lines 15-19 The govt WILL be using ACORN and other comm. grps to promote & enroll.
PG 85 Line 7 HC Bill – Specs of Ben Levels 4 Plans. AARP members – U Health care WILL be rationed.
Pg 98 HC Bill Line 8 – Americans u will be paying 4 others HC while paying 4 ur own.
Pg 95 HC Bill Lines 8-18 The Govt will use groups i.e., ACORN & Americorps 2 sign up indiv. for Govt HC plan.
PG 89 Lines 6-10 HC Bill – The FAR is not applicable. Govt can write contracts any way they want.
PG 85 Line 7 HC Bill – Specs for of Benefit Levels for Plans = The Govt will ration ur Healthcare!
PG 84 Sec 203 HC bill – Govt mandates ALL benefit pkgs 4 priv. HC plans in the Exchange.
Pg 72 Lines 8-14 Govt is creating an HC Exchange 2 bring priv HC plans under Govt control.
PG 65 Sec 164 is a payoff subsidized plan 4 retirees and their families in Unions & community orgs (ACORN).
Pg 64 lines 21-25, pg65 lines 1-5 which refers 2 this http://www.ssa.gov/OP_Home/ssact/title11/1179.htm (expand). It says the Govt does not #tcot #p2 (1/2)
Pg 62 HC bill – Protection of Data, Govt shows they will have database of ur pers & financial info.
Pg 61 HC Bill lines 22-24 Congress has no clue what Elec. Med Records will cost. Asks for estimate.
Pg 59 HC Bill lines 21-24 Govt will have direct access 2 ur banks accts 4 elect. funds transfer!
Pg 58HC Bill – Govt will have real-time access 2 individs finances & a National ID Healthcard will b issued!
PG 50 Section 152 in HC bill – HC will be provided 2 ALL non US citizens, illegal or otherwise.
Pg 42 of HC Bill – The Health Choices Commissioner will choose UR HC Benefits 4 you. U have no choice!
Pg 29 lines 4-16 in the HC bill – YOUR HEALTHCARE IS RATIONED!!!
Pg 37 Sec 132 of HC Bill – The Govt will be reviewing grievances about themselves and will decide on appeals for rejected claims.
Pg 30 Sec 123 of HC bill – THERE WILL BE A GOVT COMMITTEE that decides what treatments/benes u get.
PG 24 Sec 116 of HC bill Govt effectively sets prices for ALL private health plans. WTF!!!!
Pg 22 of the HC Bill MANDATES the Govt will audit books of ALL EMPLOYERS that self insure!!
Alphabetized Annotated version coming soon!