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Have These Candidates Read the Bill?

Over much of last summer, we heard “read the bill!”  Not too much to ask – just read the bills – or at least make sure your staff does and get a summary of the bills before you vote.  The 72 hour waiting period established was plenty of time – even I read the health care reform bill, as it was posted on the House and then the Senate websites.

Now I’ll admit I didn’t read the entire final bill done in reconciliation, but I read the summary of the changes (since I had already read the previous bills, all I needed to know was what had changed).

Now we have a host of Republican candidates who are are offering their solutions for health care reform (over and above “repeal the bill”).

However, as I started reviewing the changes they were proposing – I thought, “wait a minute, that’s IN THE BILL!”  So, I decided to do a little checking on various other candidates (besides Dino Rossi who is running in my state).  Below is the list of what I found.  Note – I didn’t go further east than Indiana  I’d recommend anyone living east of there check the websites of their candidates…and, if necessary, I’d ask them –

IF THEY HAVE READ THE BILL?

Health Care Issue found on campaign website Is it in The Patient Protection and Affordable Care Act?  Did these candidates read the bill?  Hmmm….perhaps not! Links
Dino Rossi, Washington
Improve access  to a greater variety of health insurance plans, and give people choice in picking their doctors . There is nothing in the Patient Protection and Affordable Care Act to limit choice in choosing your doctor. The Patient Protection and Affordable Care Act Implementation Timeline
Allow citizens to buy health insurance across state lines, as they do for other types of insurance. Ensuring Choice through a Multi-State Option. Provides a choice of coverage through a multi-State plan, available nationwide, and offered by private insurance carriers under the supervision of the Office of Personnel Management. The Patient Protection and Affordable Care Act Implementation Timeline
Make offering insurance more affordable for small businesses by allowing them to join together and get the discounts available to big corporations. Establishing Health Insurance Exchanges. Starting in 2014 if your employer doesn’t offer insurance, you will be able to buy insurance directly in an Exchange — a new transparent and competitive insurance marketplace where individuals and small businesses can buy affordable and qualified health benefit plans.  Exchanges will offer you a choice of health plans that meet certain benefits and cost standards.  Starting in 2014, Members of Congress will be getting their health care insurance through Exchanges, and you will be able buy your insurance through Exchanges too. Effective January 1, 2014. http://www.healthcare.gov/law/about/order/byyear.html
Give individuals the same tax deductions as corporations. Cafeteria Plan Changes. Creates a Simple Cafeteria Plan to provide a vehicle through which small businesses can provide tax free benefits to their employees. The Patient Protection and Affordable Care Act Implementation Timeline
James Huffman, Oregon
Interstate competition in the health insurance industry and the portability of health insurance policies. Ensuring Choice through a Multi-State Option. Provides a choice of coverage through a multi-State plan, available nationwide, and offered by private insurance carriers under the supervision of the Office of Personnel Management. The Patient Protection and Affordable Care Act Implementation Timeline
Reform of employer provided insurance so that patients have incentives to economize in consumption of health services. Cafeteria Plan Changes. Creates a Simple Cafeteria Plan to provide a vehicle through which small businesses can provide tax free benefits to their employees. The Patient Protection and Affordable Care Act Implementation Timeline
Tort reform to reduce the costs of defensive medicine practice. Tort Reform & Medical Errors (a) Contain alternative dispute resolution programs – involving nurses and physicians – to resolve malpractice claims outside of the court system, or sort out the merits of a case before it enters the system and (b) Support systems-based improvements to reduce errors, the development of standards of safe staffing practices to maintain quality patient care, and the active participation between the government and health care providers to make the U.S. health system safer with improved outcomes for patients. http://www.ena.org/government/healthcarereform/Documents/AnalysisFinalHCRBills.pdf
Fair and adequate compensation for doctors providing services to Medicare and Medicaid patients. Increasing Medicaid Payments for Primary Care Doctors.  As Medicaid programs and providers prepare to cover more patients in 2014, the Act requires states to pay primary care physicians no less than 100 percent of Medicare payment rates in 2013 and 2014 for primary care services. The increase is fully funded by the federal government. Effective January 1, 2013. http://www.healthcare.gov/law/about/order/byyear.html
A more expeditious and humane process for the approval of life saving drugs and medical devices. FDA and CMS: A Partnership On Approval http://blog.pharmexec.com/2010/09/22/fda-and-cms-a-partnership-on-approval/
Carly S. Fiorina, California
Such as encouraging competition in the health insurance market Ensuring Choice through a Multi-State Option. Provides a choice of coverage through a multi-State plan, available nationwide, and offered by private insurance carriers under the supervision of the Office of Personnel Management. The Patient Protection and Affordable Care Act Implementation Timeline
Cracking down on frivolous lawsuits Tort Reform & Medical Errors (a) Contain alternative dispute resolution programs – involving nurses and physicians – to resolve malpractice claims outside of the court system, or sort out the merits of a case before it enters the system and (b) Support systems-based improvements to reduce errors, the development of standards of safe staffing practices to maintain quality patient care, and the active participation between the government and health care providers to make the U.S. health system safer with improved outcomes for patients. http://www.ena.org/government/healthcarereform/Documents/AnalysisFinalHCRBills.pdf
Ensuring no one is denied coverage because of a pre-existing condition. 2010 – Eliminating Pre-Existing Condition Exclusions for Children. Bars health insurance companies from imposing pre-existing condition exclusions on children’s coverage.  And in 2010:  Immediate Access to Insurance for Uninsured Individuals with a Pre-Existing Condition. Provides eligible individuals access to coverage that does not impose any coverage exclusions for pre-existing health conditions. This provision ends when Exchanges are operational. The Patient Protection and Affordable Care Act Implementation Timeline
Mike Crapo, Idaho
increase affordability, access, quality and choice. Ensuring Choice through a Multi-State Option. Provides a choice of coverage through a multi-State plan, available nationwide, and offered by private insurance carriers under the supervision of the Office of Personnel Management. The Patient Protection and Affordable Care Act Implementation Timeline
Sharron Angle, Nevada
Expanded client pools [and] Allow citizens to purchase insurance across state lines States will be required to create health insurance exchanges for individuals and small businesses. The goal of the exchange is to facilitate portability, plan comparisons, make enrollment easier and offer a range of consumer protections. ISMS has longstanding policy in favor of measures that increase portability. Increased transparency regarding covered services, cost-sharing, excluded services and out-of-pocket limits would benefit patients and is consistent with ISMS Health Reform Principle 3. A small business with up to 100 employees would be able to purchase insurance through the exchange beginning in 2015, and in 2017 employers with more than 100 employees would be able to use the exchange. All state-licensed insurers in the individual and small group markets would be required to participate in the exchange. Four benefit categories (bronze, silver, gold, platinum) will be available and all new policies issued in the individual or small group market would have to meet the exchange standards. A separate “young invincible” catastrophic-only policy would be available for those 30 years or younger. http://www.isms.org/govtaffairs/greatdebate/Documents/hr3590_analysis.pdf
Tort reform Tort Reform & Medical Errors (a) Contain alternative dispute resolution programs – involving nurses and physicians – to resolve malpractice claims outside of the court system, or sort out the merits of a case before it enters the system and (b) Support systems-based improvements to reduce errors, the development of standards of safe staffing practices to maintain quality patient care, and the active participation between the government and health care providers to make the U.S. health system safer with improved outcomes for patients. http://www.ena.org/government/healthcarereform/Documents/AnalysisFinalHCRBills.pdf
Create tax credited health savings accounts Health Savings Accounts Are Still Popular After Health Care Reform
Elimination of coverage mandates
Defund and repeal Obamacare.
Mike Lee, Utah
Allow for communities and groups to unite in associated health plans; support meaningful solutions to health care reform which increase the portability States will be required to create health insurance exchanges for individuals and small businesses. The goal of the exchange is to facilitate portability, plan comparisons, make enrollment easier and offer a range of consumer protections. ISMS has longstanding policy in favor of measures that increase portability. Increased transparency regarding covered services, cost-sharing, excluded services and out-of-pocket limits would benefit patients and is consistent with ISMS Health Reform Principle 3. A small business with up to 100 employees would be able to purchase insurance through the exchange beginning in 2015, and in 2017 employers with more than 100 employees would be able to use the exchange. All state-licensed insurers in the individual and small group markets would be required to participate in the exchange. Four benefit categories (bronze, silver, gold, platinum) will be available and all new policies issued in the individual or small group market would have to meet the exchange standards. A separate “young invincible” catastrophic-only policy would be available for those 30 years or younger. http://www.isms.org/govtaffairs/greatdebate/Documents/hr3590_analysis.pdf
Allow individuals and small businesses to fully claim the same tax deductions large corporations currently enjoy, Health Care Reform Reshapes Tax Code
Put an end to outrageous malpractice damage awards, Tort Reform & Medical Errors (a) Contain alternative dispute resolution programs – involving nurses and physicians – to resolve malpractice claims outside of the court system, or sort out the merits of a case before it enters the system and (b) Support systems-based improvements to reduce errors, the development of standards of safe staffing practices to maintain quality patient care, and the active participation between the government and health care providers to make the U.S. health system safer with improved outcomes for patients. http://www.ena.org/government/healthcarereform/Documents/AnalysisFinalHCRBills.pdf
Ease limitations on health savings accounts (HSAs) Health Savings Accounts Are Still Popular After Health Care Reform
Defund and repeal Obamacare.
Ken Buck, Colorado
We should instead use a tax deduction to encourage individuals to buy their own insurance. That would increase competition among insurers, helping hold prices down. It would let people make more rational decisions about the amount of insurance they buy. And with a personal tax deduction, people wouldn’t lose their insurance when they change jobs. Cafeteria Plan Changes. Creates a Simple Cafeteria Plan to provide a vehicle through which small businesses can provide tax free benefits to their employees. The Patient Protection and Affordable Care Act Implementation Timeline
In terms of providing relief, government should focus tax dollars on hard cases — people who have been denied coverage for pre-existing conditions. But state governments have much more experience in establishing high-risk insurance pools, for workers’ compensation and high-risk auto insurance, for example. Washington should encourage states to provide such healthcare coverage as it has traditionally done, through grants and other incentives. 2010 – Eliminating Pre-Existing Condition Exclusions for Children. Bars health insurance companies from imposing pre-existing condition exclusions on children’s coverage.  And in 2010:  Immediate Access to Insurance for Uninsured Individuals with a Pre-Existing Condition. Provides eligible individuals access to coverage that does not impose any coverage exclusions for pre-existing health conditions. This provision ends when Exchanges are operational. The Patient Protection and Affordable Care Act Implementation Timeline
Federal policy should also encourage individuals to buy high-deductible policies and to establish health savings accounts. HSAs serve two purposes: States will be required to create health insurance exchanges for individuals and small businesses. The goal of the exchange is to facilitate portability, plan comparisons, make enrollment easier and offer a range of consumer protections. ISMS has longstanding policy in favor of measures that increase portability. Increased transparency regarding covered services, cost-sharing, excluded services and out-of-pocket limits would benefit patients and is consistent with ISMS Health Reform Principle 3. A small business with up to 100 employees would be able to purchase insurance through the exchange beginning in 2015, and in 2017 employers with more than 100 employees would be able to use the exchange. All state-licensed insurers in the individual and small group markets would be required to participate in the exchange. Four benefit categories (bronze, silver, gold, platinum) will be available and all new policies issued in the individual or small group market would have to meet the exchange standards. A separate “young invincible” catastrophic-only policy would be available for those 30 years or younger. http://www.isms.org/govtaffairs/greatdebate/Documents/hr3590_analysis.pdf
John H. Hoeven, North Dakota
Create competition among insurance companies by allowing companies to offer plans across state lines. Ensuring Choice through a Multi-State Option. Provides a choice of coverage through a multi-State plan, available nationwide, and offered by private insurance carriers under the supervision of the Office of Personnel Management. The Patient Protection and Affordable Care Act Implementation Timeline
Increase portability of insurance. (across state lines MEANS the policies would increase portability)
Crack down on Medicaid and Medicare fraud that costs taxpayers billions of dollars per year. 2010 – Cracking Down on Health Care Fraud. Requires enhanced screening procedures for health care providers to eliminate fraud and waste in the health care system. The Patient Protection and Affordable Care Act Implementation Timeline
Create a cohesive informational technology system for health care information to increase efficiency and accuracy in sharing health records and files. Tort Reform & Medical Errors (a) Contain alternative dispute resolution programs – involving nurses and physicians – to resolve malpractice claims outside of the court system, or sort out the merits of a case before it enters the system and (b) Support systems-based improvements to reduce errors, the development of standards of safe staffing practices to maintain quality patient care, and the active participation between the government and health care providers to make the U.S. health system safer with improved outcomes for patients. http://www.ena.org/government/healthcarereform/Documents/AnalysisFinalHCRBills.pdf
Promote the purchase of long-term care insurance through tax credits to relieve the pressure of these costs on Medicaid. Providing New, Voluntary Options for Long-Term Care Insurance. The law creates a voluntary long-term care insurance program – called CLASS — to provide cash benefits to adults who become disabled.  The Secretary shall designate a benefit plan no later than October 1, 2012. http://www.healthcare.gov/law/about/order/byyear.html
Shift funding from institutions to home- and community-based care. 2010 – Increasing Access to Home and Community Based Services. The new Community First Choice Option, which allows States to offer home and community based services to disabled individuals through Medicaid rather than institutional care, takes effect on October 1, 2010. The Patient Protection and Affordable Care Act Implementation Timeline
Counseling and Referral to Help People Remain in the Community: The provision of comprehensive and accurate information on services and programs that can help people to remain at home and in the community. These include (a) direct services (such as home and community-based waiver programs, home health, personal care, case management), (b) generic community sources of help (such as nutrition programs, prescription drug programs, health promotion and disease prevention programs, transportation services, home repair programs, real property tax relief), and public or private insurance (such as long-term care insurance, Medicare, Social Security Disability Insurance (SSDI), and SSI). For purposes of this program, counseling and referral activities designed to help individuals to remain in the community that are funded under the Older Americans Act are included in this definition. Implementing the Affordable Care Act: Making it Easier for Individuals to Navigate Their Health and Long-Term Care through Person-Centered Systems of Information, Counseling and Access
Enact tort reform legislation. Tort Reform & Medical Errors (a) Contain alternative dispute resolution programs – involving nurses and physicians – to resolve malpractice claims outside of the court system, or sort out the merits of a case before it enters the system and (b) Support systems-based improvements to reduce errors, the development of standards of safe staffing practices to maintain quality patient care, and the active participation between the government and health care providers to make the U.S. health system safer with improved outcomes for patients. http://www.ena.org/government/healthcarereform/Documents/AnalysisFinalHCRBills.pdf
Promote meaningful prevention and wellness. 2010 – Improving Public Health Prevention Efforts. Creates an interagency council to promote healthy policies at the federal level and establishes a prevention and public health investment fund to provide an expanded and sustained national investment in prevention and public health programs. And in 2010:  Covering Preventive Health Services. All group health plans and plans in the individual market must provide first dollar coverage for preventive services. This takes effect for plan years beginning on or after the date that is six months after enactment. The Patient Protection and Affordable Care Act Implementation Timeline
Increase not only health insurance opportunities for disenfranchised children, but also work to get already eligible children enrolled in the CHIP Program. This legislation passed in 2009 and was broadened in this bill:  (b) Broaden SCHIP to cover all uninsured and underinsured children. # Requires states to maintain current income eligibility levels for children in Medicaid and the Children’s Health Insurance Program (CHIP) until 2019 and extends funding for CHIP through 2015. CHIP benefit package and cost sharing rules will continue as under current law. Beginning in 2015, states will receive a 23 percentage point increase in the CHIP match rate up to a cap of 100%. CHIP-eligible children who are unable to enroll in the program due to enrollment caps will be eligible for tax credits in the new state insurance exchanges. http://www.votesmart.org/issue_keyvote_detail.php?cs_id=23438
http://www.ena.org/government/healthcarereform/Documents/AnalysisFinalHCRBills.pdf
Reduce or eliminate denial of coverage due to pre-existing conditions. 2010 – Eliminating Pre-Existing Condition Exclusions for Children. Bars health insurance companies from imposing pre-existing condition exclusions on children’s coverage.  And in 2010:  Immediate Access to Insurance for Uninsured Individuals with a Pre-Existing Condition. Provides eligible individuals access to coverage that does not impose any coverage exclusions for pre-existing health conditions. This provision ends when Exchanges are operational. The Patient Protection and Affordable Care Act Implementation Timeline
Increase transparency of medical pricing to allow consumers to make informed decisions. Establishing Health Insurance Exchanges. Opens health insurance Exchanges in each State to the individual and small group markets. This new venue will enable people to comparison shop for standardized health packages. It facilitates enrollment and administers tax credits so that people of all incomes can obtain affordable coverage. http://www.rnaction.org/site/DocServer/PatientCareAct.pdf?docID=1041&verID=1
John Thune, South Dakota
No issues provided on website
Jerry Moran, Kansas
Introduce and support legislation for Community Health Centers Strengthening Community Health Centers. The law includes new funding to support the construction of and expand services at community health centers, allowing these centers to serve some 20 million new patients across the country.  Effective 2010. http://www.healthcare.gov/law/about/order/byyear.html
Facilities such as rural hospitals and long-term care homes Increasing Payments for Rural Health Care Providers. Today, 68 percent of medically underserved communities across the nation are in rural areas. These communities often have trouble attracting and retaining medical professionals. The law provides increased payment to rural health care providers to help them continue to serve their communities.  Effective 2010. http://www.healthcare.gov/law/about/order/byyear.html
Providers such as physicians, physicians’ assistants and nurses of all levels,  health care professionals such as dental hygienists, dietitians and occupational therapists Tax Relief for Health Professionals with State Loan Repayment. Excludes from gross income payments made under any State loan repayment or loan forgiveness program that is intended to provide for the increased availability of health care services in underserved or health professional shortage areas. This provision is effective for amounts received by an individual in taxable years beginning after December 31, 2008. http://www.rnaction.org/site/DocServer/PatientCareAct.pdf?docID=1041&verID=1
and health information technology
Tom Coburn, Oklahoma
Preventing Disease and Promoting Healthier Lifestyles 2010 – Improving Public Health Prevention Efforts. Creates an interagency council to promote healthy policies at the federal level and establishes a prevention and public health investment fund to provide an expanded and sustained national investment in prevention and public health programs. And in 2010:  Covering Preventive Health Services. All group health plans and plans in the individual market must provide first dollar coverage for preventive services. This takes effect for plan years beginning on or after the date that is six months after enactment. The Patient Protection and Affordable Care Act Implementation Timeline
Creating Affordable and Accessible Health Insurance Options Establishing Health Insurance Exchanges. Opens health insurance Exchanges in each State to the individual and small group markets. This new venue will enable people to comparison shop for standardized health packages. It facilitates enrollment and administers tax credits so that people of all incomes can obtain affordable coverage. http://www.rnaction.org/site/DocServer/PatientCareAct.pdf?docID=1041&verID=1
Equalizes the Tax Treatment of Health Care, Empowering All Americans with Real Access to Coverage Health Care Reform Reshapes Tax Code
Modernizing the Medicaid Benefit and Protecting Medicare Beneficiary Choice 2013 – Administrative Simplification. Health plans must adopt and implement uniform standards and business rules for the electronic exchange of health information to reduce paperwork and administrative burdens and costs. http://www.rnaction.org/site/DocServer/PatientCareAct.pdf?docID=1041&verID=1
Ensuring Compensation for Injured Patients
Establishing Transparency in Health Care Price and Quality Establishing Health Insurance Exchanges. Opens health insurance Exchanges in each State to the individual and small group markets. This new venue will enable people to comparison shop for standardized health packages. It facilitates enrollment and administers tax credits so that people of all incomes can obtain affordable coverage. http://www.rnaction.org/site/DocServer/PatientCareAct.pdf?docID=1041&verID=1
John Boozman, Arkansas
John seeks to improve care and create affordable access through free-market reforms such as opening up competition Establishing Health Insurance Exchanges. Opens health insurance Exchanges in each State to the individual and small group markets. This new venue will enable people to comparison shop for standardized health packages. It facilitates enrollment and administers tax credits so that people of all incomes can obtain affordable coverage. http://www.rnaction.org/site/DocServer/PatientCareAct.pdf?docID=1041&verID=1
Allowing us all to buy insurance across state lines Ensuring Choice through a Multi-State Option. Provides a choice of coverage through a multi-State plan, available nationwide, and offered by private insurance carriers under the supervision of the Office of Personnel Management. The Patient Protection and Affordable Care Act Implementation Timeline
And letting small businesses pool their resources to get the best health care plans for their employees States will be required to create health insurance exchanges for individuals and small businesses. The goal of the exchange is to facilitate portability, plan comparisons, make enrollment easier and offer a range of consumer protections. ISMS has longstanding policy in favor of measures that increase portability. Increased transparency regarding covered services, cost-sharing, excluded services and out-of-pocket limits would benefit patients and is consistent with ISMS Health Reform Principle 3. A small business with up to 100 employees would be able to purchase insurance through the exchange beginning in 2015, and in 2017 employers with more than 100 employees would be able to use the exchange. All state-licensed insurers in the individual and small group markets would be required to participate in the exchange. Four benefit categories (bronze, silver, gold, platinum) will be available and all new policies issued in the individual or small group market would have to meet the exchange standards. A separate “young invincible” catastrophic-only policy would be available for those 30 years or younger. http://www.isms.org/govtaffairs/greatdebate/Documents/hr3590_analysis.pdf
Chuck Grassley, Iowa
Grassley is working to create payment incentives that reward the quality of services, versus quantity http://www.familiesusa.org/assets/pdfs/health-reform/premium-tax-credits/Iowa.pdf

What can I say about “the government’s going to pull the plug on grandma” Grassley.  Looks like his state is going to find the health care reform bill to their liking based on this report.

IRS lacks clout to enforce mandatory health insurance
Grassley’s efforts would help states like Iowa to recruit physicians and expand access to quality care for Iowans Apparently his memory is failing him as well:
Grassley Confused About His Own Hypocrisy In Supporting The Individual Mandate
Roy Blunt, Missouri
This means ensuring interstate competition among insurers. Ensuring Choice through a Multi-State Option. Provides a choice of coverage through a multi-State plan, available nationwide, and offered by private insurance carriers under the supervision of the Office of Personnel Management. The Patient Protection and Affordable Care Act Implementation Timeline
It also means we must complete the work of ending denial of coverage due to a pre-existing condition. 2010 – Eliminating Pre-Existing Condition Exclusions for Children. Bars health insurance companies from imposing pre-existing condition exclusions on children’s coverage.  And in 2010:  Immediate Access to Insurance for Uninsured Individuals with a Pre-Existing Condition. Provides eligible individuals access to coverage that does not impose any coverage exclusions for pre-existing health conditions. This provision ends when Exchanges are operational. The Patient Protection and Affordable Care Act Implementation Timeline
It is time for bold action to assure that everyone can afford basic coverage that assures access to quality health care, including some government help for those in economic need. Establishing Health Insurance Exchanges. Opens health insurance Exchanges in each State to the individual and small group markets. This new venue will enable people to comparison shop for standardized health packages. It facilitates enrollment and administers tax credits so that people of all incomes can obtain affordable coverage. http://www.rnaction.org/site/DocServer/PatientCareAct.pdf?docID=1041&verID=1
David Vitter, Louisiana
I am strongly opposed to socialized medicine and to letting Washington bureaucrats make health care decisions instead of leaving it to doctors and patients. We can make health care affordable by reducing costs, which is why I’ve fought in the Senate to lower prescription drug prices. I’m fighting to let Americans buy safe prescription drugs in Canada where medications are cheaper than they are in the U.S., and I’m also working to make generic drugs more available to patients. No one should go without their life-saving drugs because of skyrocketing costs, and I’m working to break down expensive barriers to medicine so patients don’t have to choose between prescription drugs and other necessities. December 15, 2009 Roll call number 377 (Amendment number S.Amdt.2793) in the Senate   Question On the Amendment (Dorgan Amdt. No. 2793) Amendment purpose To provide for the importation of prescription drugs.  (30 Dems and 17 Reps voted nay – Vitter was not among the nay voters) http://74.86.203.130/roll_call/sublist/6464?party=Republican&vote=Nay
Ron Johnson, Wisconsin
Market-based solutions that will include: portability (across state lines MEANS the policies would increase portability)
Malpractice reform Tort Reform & Medical Errors (a) Contain alternative dispute resolution programs – involving nurses and physicians – to resolve malpractice claims outside of the court system, or sort out the merits of a case before it enters the system and (b) Support systems-based improvements to reduce errors, the development of standards of safe staffing practices to maintain quality patient care, and the active participation between the government and health care providers to make the U.S. health system safer with improved outcomes for patients. http://www.ena.org/government/healthcarereform/Documents/AnalysisFinalHCRBills.pdf
Mandate reduction
Insurance purchase across state lines Ensuring Choice through a Multi-State Option. Provides a choice of coverage through a multi-State plan, available nationwide, and offered by private insurance carriers under the supervision of the Office of Personnel Management. The Patient Protection and Affordable Care Act Implementation Timeline
Lower costs (no information on the website to clarify how this would be done)
And a safety net for those with pre-existing conditions. 2010 – Eliminating Pre-Existing Condition Exclusions for Children. Bars health insurance companies from imposing pre-existing condition exclusions on children’s coverage.  And in 2010:  Immediate Access to Insurance for Uninsured Individuals with a Pre-Existing Condition. Provides eligible individuals access to coverage that does not impose any coverage exclusions for pre-existing health conditions. This provision ends when Exchanges are operational. The Patient Protection and Affordable Care Act Implementation Timeline
Mark Kirk, Illinois
Adopt the Medical Rights Act (H.R. 2516), prohibiting the government from interfering with decisions made by you and your doctor; (There is nothing in the bill that would allow government to interfere with decisions between you and you doctor – however, insurance bureaucrats do that now.  Much of this bill will prevent these insurance bureaucrats from continuing to interfere by providing coverage for pre-existing conditions and:   Prohibiting Rescissions. Prohibits abusive practices whereby health insurance companies rescind existing health insurance policies when a person gets sick as a way of avoiding covering the costs of enrollees’ health care needs. This takes effect for plan years beginning on or after the date that is six months after enactment.) http://www.rnaction.org/site/DocServer/PatientCareAct.pdf?docID=1041&verID=1
Cut billions of dollars in waste, fraud and abuse; 2010 – Cracking Down on Health Care Fraud. Requires enhanced screening procedures for health care providers to eliminate fraud and waste in the health care system. The Patient Protection and Affordable Care Act Implementation Timeline
End defensive medicine by enacting lawsuit reform and expanding electronic medical records; Tort Reform & Medical Errors (a) Contain alternative dispute resolution programs – involving nurses and physicians – to resolve malpractice claims outside of the court system, or sort out the merits of a case before it enters the system and (b) Support systems-based improvements to reduce errors, the development of standards of safe staffing practices to maintain quality patient care, and the active participation between the government and health care providers to make the U.S. health system safer with improved outcomes for patients. http://www.ena.org/government/healthcarereform/Documents/AnalysisFinalHCRBills.pdf
Allow Americans to buy cheaper and more flexible health insurance from any state in the nation; Ensuring Choice through a Multi-State Option. Provides a choice of coverage through a multi-State plan, available nationwide, and offered by private insurance carriers under the supervision of the Office of Personnel Management. The Patient Protection and Affordable Care Act Implementation Timeline
Give individuals who buy their own insurance the same tax break employers receive; Cafeteria Plan Changes. Creates a Simple Cafeteria Plan to provide a vehicle through which small businesses can provide tax free benefits to their employees. The Patient Protection and Affordable Care Act Implementation Timeline
Promote innovative state programs to insure high-risk pools and end pre-existing conditions; and 2010 – Eliminating Pre-Existing Condition Exclusions for Children. Bars health insurance companies from imposing pre-existing condition exclusions on children’s coverage.  And in 2010:  Immediate Access to Insurance for Uninsured Individuals with a Pre-Existing Condition. Provides eligible individuals access to coverage that does not impose any coverage exclusions for pre-existing health conditions. This provision ends when Exchanges are operational. The Patient Protection and Affordable Care Act Implementation Timeline
Not raise taxes, add to the deficit or cut Medicare.
Dan Coats, Indiana
Allowing competition across state lines Ensuring Choice through a Multi-State Option. Provides a choice of coverage through a multi-State plan, available nationwide, and offered by private insurance carriers under the supervision of the Office of Personnel Management. The Patient Protection and Affordable Care Act Implementation Timeline
Liability reform Tort Reform & Medical Errors (a) Contain alternative dispute resolution programs – involving nurses and physicians – to resolve malpractice claims outside of the court system, or sort out the merits of a case before it enters the system and (b) Support systems-based improvements to reduce errors, the development of standards of safe staffing practices to maintain quality patient care, and the active participation between the government and health care providers to make the U.S. health system safer with improved outcomes for patients. http://www.ena.org/government/healthcarereform/Documents/AnalysisFinalHCRBills.pdf
Allowing for the immediate creation of Association Health Plans (these cannot be done “immediately” – too many systems need to be in place
Expanding Health Savings Accounts. Health Savings Accounts Are Still Popular After Health Care Reform

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