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GOP will seek to unfund the Healthcare Law….

Republicans Set Strategy to Unwind Health Care Reform

“As they seek to make good on their campaign promise to roll back President Obama’s health care overhaul, the incoming Republican leaders in the House say they intend to use their new muscle to cut off money for the law, setting up a series of partisan clashes and testing Democratic commitment to the legislation,” the New York Times reports.

“Republicans, who will control the House starting in January but will remain in the minority in the Senate, acknowledge that they do not have the votes for their ultimate goal of repealing the health law, the most polarizing of Mr. Obama’s signature initiatives. But they said they hoped to use the power of the purse to challenge main elements of the law, forcing Democrats — especially those in the Senate who will be up for re-election in 2012 — into a series of votes to defend it.”

“Given their slim majority, Senate Democrats must stick together if they want to avoid sending Mr. Obama spending bills and other legislation that he would feel compelled to veto, setting up the prospect of a broader deadlock and, in an extreme situation, a government shutdown.”

 

November 8, 2010 Posted by | Blogs, Breaking News, Government, Healthcare, Law, Media, Politics, Projections, The Economy, Updates | , , | Leave a comment

The Healthcare Bill is already in effect……Dates of benefits listed…….

For those who have been reading the stories about the law suits against the Healthcare bill be advised that some provisions of the bill are already in gear…..

Here’s the basic time table from Wikipedia……..

H.R. 3590 is divided into 10 titles.

The bill contains provisions that will go into effect immediately; on June 21, 2010 (90 days after enactment); on September 23, 2010 (six months after enactment); and provisions that will go into effect in 2014. For simplicity, the amendments in the Health Care and Education Reconciliation Act of 2010 are integrated into this timeline.

Below are some of the key provisions of the bill:

Effective at enactment

  • The Food and Drug Administration is now authorized to approve generic versions of biologic drugs and grant biologics manufacturers 12 years of exclusive use before generics can be developed.
  • The Medicaid drug rebate for brand name drugs is increased to 23.1% (except the rebate for clotting factors and drugs approved exclusively for pediatric use increases to 17.1%), and the rebate is extended to Medicaid managed care plans; the Medicaid rebate for non-innovator, multiple source drugs is increased to 13% of average manufacturer price.
  • Support Comparative Effectiveness research by establishing a non-profit Patient-Centered Outcomes Research Institute.
  • Creation of task forces on Preventive Services and Community Preventive Services to develop, update, and disseminate evidenced-based recommendations on the use of clinical and community prevention services.
  • The Indian Health Care Improvement Act is reauthorized and amended.

Effective June 21, 2010

  • Adults with pre-existing conditions will be eligible to join a temporary high-risk pool, which will be superseded by the health care exchange in 2014.

Effective September 23, 2010

  • Dependent children will be permitted to remain on their parents’ insurance plan until their 26th birthday.
  • Insurers are prohibited from discriminating against any individuals under the age of 19 based on pre-existing medical conditions.
  • Insurers are prohibited from charging co-payments or deductibles for Level A or Level B preventive care and medical screenings on all newinsurance plans.
  • Individuals affected by the Medicare Part D coverage gap will receive a $250 rebate, and 50% of the gap will be eliminated in 2011. The gap will be eliminated by 2020.
  • Insurers’ abilities to enforce annual spending caps will be restricted, and completely prohibited by 2014.
  • Insurers are prohibited from dropping policyholders when they get sick.
  • Insurers are required to reveal details about administrative and executive expenditures.
  • Insurers are required to implement an appeals process for coverage determination and claims on all new plans.
  • Indoor tanning services are subjected to a 10% service tax.
  • Enhanced methods of fraud detection are implemented.
  • Medicare is expanded to small, rural hospitals and facilities.
  • Non-profit Blue Cross insurers are required to maintain a loss ratio (money spent on procedures over money incoming) of 85% or higher to take advantage of IRS tax benefits.
  • Companies which provide early retiree benefits for individuals aged 55–64 are eligible to participate in a temporary program which reduces premium costs.
  • A new website installed by the Secretary of Health and Human Services will provide consumer insurance information for individuals and small businesses in all states.
  • A temporary credit program is established to encourage private investment in new therapies for disease treatment and prevention.
  • Effective by January 1, 2011
  • Insurers will be required to spend 85% of large-group and 80% of small-group plan premiums (with certain adjustments) on health care or to improve health-care quality, or return the difference to the customer as a rebate.
  • Companies will be required to issue 1099 forms to any vendor of services or rental property to which the business has paid more than $600. Form 1099 is also sent to the IRS. Under the existing law, businesses issued the Form 1099 only to individuals who provided services to a business. The healthcare law included the same form be issued to corporations as well, and that the form be issued to individuals and corporations that provide property to the business.
  • The Centers for Medicare and Medicaid Services is responsible for developing the Center for Medicare and Medicaid Innovation and overseeing the testing of innovative payment and delivery models.
  • Effective by January 1, 2014
  • Insurers are prohibited from discriminating against or charging higher rates for any individuals based on pre-existing medical conditions.
  • Insurers are prohibited from establishing annual spending caps.
  • Expand Medicaid eligibility; individuals with income up to 133% of the poverty line qualify for coverage, including adults without dependent children.
  • Offer tax credits to small businesses who have fewer than 25 employees and provide health care benefits for them.
  • Impose a $2000 per employee tax penalty on employers with over 50 employees who do not offer health insurance to their full-time workers (as amended by the reconciliation bill).
  • (In 2008, over 95% of employers with at least 50 employees offered health insurance.
  • Impose an annual penalty of $95, or up to 1% of income, whichever is greater, on individuals who do not secure insurance; this will rise to $695, or 2.5% of income, by 2016. This is an individual limit; families have a limit of $2,085. Exemptions to the fine in cases of financial hardship or religious beliefs are permitted.
  • Under the CLASS Act provision, creates a new voluntary long-term care insurance program; enrollees who have paid premiums into the program and become eligible (due to disability or chronic illnesses) would receive benefits that help pay for assistance in the home or in a facility.
  • Employed individuals who pay more than 9.5% of their income on health insurance premiums will be permitted to purchase insurance policies from a state-controlled health insurance option.
  • Pay for new spending, in part, through spending and coverage cuts in Medicare Advantage, slowing the growth of Medicare provider payments (in part through the creation of a new Independent Payment Advisory Board), reducing Medicare and Medicaid drug reimbursement rate, cutting other Medicare and Medicaid spending.
  • Revenue increases from a new $2,500 limit on tax-free contributions to flexible spending accounts (FSAs), which allow for payment of health costs.
  • Chain restaurants and food vendors with 20 or more locations are required to display the caloric content of their foods on menus, drive-through menus, and vending machines. Additional information, such as saturated fatcarbohydrate, andsodium content, must also be made available upon request.
  • Establish health insurance exchanges, and subsidization of insurance premiums for individuals with income up to 400% of the poverty line, as well as single adults. Section 1401(36B) of PPACA explains that the subsidy will be provided as a advanceable, refundable tax credit and gives a formula for its calculation. Refundable tax credit is a way to provide government benefit to people even with no tax liability(example: Child Tax Credit). According to White House and Congressional Budget Office estimates, in 2016 the income-based premium caps for a “silver” healthcare plan for family of four would be the following:
Income Premium Cap as a Share of Income Middle of Income Rangea Avg Annual Enrollee Premium Premium Subsidy (share of premium) Avg Cost-Sharing Subsidy
100–150% of federal poverty level 2.1–4.7% of income $30,000 $600 96% $3,300
150–200% of federal poverty level 4.7–6.5% of income $42,000 $2,400 83% $1,800
200–250% of federal poverty level 6.5–8.4% of income $54,000 $4,000 72% 0
250–300% of federal poverty level 8.4–10.2% of income $66,000 $6,100 57% 0
300–350% of federal poverty level 10.2% of income $78,000 $9,200 44% 0
350–400% of federal poverty level 10.2% of income $90,100 $14,100 35% 0

a.^ Note: In 2016, the FPL is projected to equal about $11,800 for a single person and about $24,000 for family of four. See Subsidy Calculator for specific dollar amount.

  • Members of Congress and their staff will only be offered health care plans through the exchange or plans otherwise established by the bill (instead of the Federal Employees Health Benefits Program that they currently use).
  • Earned income of individuals above $200,000 annually or couples above $250,000 annually will be subject to Medicaid Payroll withholding of 3.8%.
  • Investment income of individuals above $200,000 annually or couples above $250,000 annually will be subject to Medicaid Payroll withholding of 3.8%.
  • A new excise tax goes into effect that is applicable to pharmaceutical companies and is based on the market share of the company; it is expected to create $2.5 billion in annual revenue.
  • Most medical devices become subject to a 2.9% excise tax collected at the time of purchase.
  • Health insurance companies become subject to a new excise tax based on their market share; the rate gradually raises between 2014 and 2018 and thereafter increases at the rate of inflation. The tax is expected to yield up to $14.3 billion in annual revenue.
  • The qualifying medical expenses deduction for Schedule A tax filings increases from 7.5% to 10% of earned income.

Effective by January 1, 2017

  • A state may apply to the Secretary of Health & Human Services for a waiver of certain sections in the law, with respect to that state, such as the individual mandate provided that the state develops a detailed alternative that “will provide coverage that is at least as comprehensive” and “at least as affordable” for “at least a comparable number of its residents” as the waived provisions. The decision of whether to grant this waiver is up to the Secretary (who must annually report to Congress on the waiver process) after a public comment period.

Effective by 2018

  • All existing health insurance plans must cover approved preventive care and checkups without co-payment.
  • A new 40% excise tax on high cost (“Cadillac”) insurance plans is introduced. The tax (as amended by the reconciliation bill)is on the cost of coverage in excess of $27,500 (family coverage) and $10,200 (individual coverage), and it is increased to $30,950 (family) and $11,850 (individual) for retirees and employees in high risk professions. The dollar thresholds are indexed with inflation; employers with higher costs on account of the age or gender demographics of their employees may value their coverage using the age and gender demographics of a national risk pool.

Note….The Bill was signed into law on March 23th, 2010….. (52 days ago……. as of this date  May 14, 2010 )

May 14, 2010 Posted by | Blogs, Counterpoints, Family, Government, Healthcare, Law, Media, Other Things, PoliticalDog Calls, Politics, Projections, The Economy, Updates, Women | , , | 3 Comments

Nancy Pelosi is doing fine Thank You……..

Speaker Nancy Pelosi is cheered after the House passed the health-care bill. Republicans laud her effectiveness even as they decry her politics.

[ Speaker Nancy Pelosi is cheered after the House passed the health-care bill. Republicans laud her effectiveness even as they decry her politics. ]

While Nancy Pelosi may not be popular out in the hustings…….

She is doing fine up on the Hill……

Actually, in this country not too many strong-willed women do well with the public anyways……

But Pelosi who everyone complained about a year ago …has found her way…….

She has held her own with the Senate with the Healthcare Bill and has adopted a policy of getting her bills wrapped up and then waiting for the Senate to come on board……

But under the Capitol dome, Pelosi is a towering figure, perhaps even a historic one. Capped by her central role in passing the landmark health-care bill in March, the California Democrat, 70, has transformed herself from the caricature of a millionaire liberal with impeccable fashion taste into a speaker on par with the revered Sam Rayburn, according to historians, pollsters and lawmakers on both sides of the aisle.

Republicans betting on her unpopularity outside of Washington have made the speaker the face of their effort to retake the House this fall, asking donors to “Fire Nancy Pelosi” while showing images of her engulfed in flames. The first tests of that strategy will come later this month with the GOP trying to win two seats long held by Democrats in special elections in Pennsylvania and Hawaii.

But Pelosi girded for this fight years ago, when she outlined a four-step plan for a lasting Democratic control of the House. The first two steps came with winning the majority in 2006 and expanding it in 2008.

While hoping for big Democratic gains in the 2012 presidential election cycle, the goal this year is merely to “sustain” the majority. With the economy limping along, Democrats are bracing for deep losses but cannot afford to lose more than 40 seats. Pelosi said she’s ready for the fight.

More……..

May 3, 2010 Posted by | Blogs, Breaking News, Counterpoints, Government, Healthcare, Law, Media, Other Things, PoliticalDog Calls, Politics, Updates, Women | , , , , | 2 Comments

House Democrats use Healthcare vote to raise money……

While the Republicans try to keep Healthcare alive as a bad thing for Democrats…….

House Democratic members  are smiling…..

It seems that the more the GOP keeps the issue alive…..

The more money they take in……..

Rep. Earl Pomeroy (D-N.D.) raised more than $140,000 from PACs and fellow members in the final 10 days of the quarter — which was more than one-third of the $400,000 total he raised for the entire quarter.

Rep. Scott Murphy (D-N.Y.) raised more than $100,000 from political committees after deciding to vote yes on the bill, and he raised about $475,000 overall.

Reps. Debbie Halvorson (D-Ill.) and Gabrielle Giffords (D-Ariz.) weren’t far behind, each raising more than $90,000 from PACs and fellow members of

Congress in the final week-plus of the quarter. Halvorson raised $410,000 total, while Giffords raised nearly $500,000.

Frequent givers included labor unions and left-leaning groups like the Human Rights Campaign PAC. Several liberal members of Congress who championed the bill, including Reps. Anthony Weiner (D-N.Y.) and Jan Schakowsky (D-Ill.), also rewarded those who voted yes with contributions.

While members flooded each other’s coffers in the final days of the first-quarter fundraising period, House leaders gave little to those who voted no on healthcare reform. In the final week-plus of the quarter, neither Speaker Nancy Pelosi (D-Calif.) nor Majority Whip James Clyburn (D-S.C.) gave money to any member who voted no.

House Majority Leader Steny Hoyer (D-Md.) and Democratic Congressional Campaign Committee (DCCC) Chairman Chris Van Hollen (Md.) did send money to some “no” votes through their leadership PACs. Hoyer’s PAC gave money to eight of the 34 Democrats who voted no, with all eight considered vulnerable this year.

He. he, he……More……

April 21, 2010 Posted by | Blogs, Breaking News, Counterpoints, Government, Media, Men, Other Things, PoliticalDog Calls, Politics, Updates, Women | , , | Leave a comment

Congress puts the Healthcare Bill behind them ………

The Dog is happy to see Congress moving on after the near complete fixation on the Healthcare Bill….

The vote on unemployment benefits which saw both parties join is a good indication that the Congress is doing its work and has stopped politicking  to the exclusion of the countries citizens…..

Good!….it’s about time……

House leaders from both parties appear content to move on from the name-calling and uncivil behavior of the healthcare vote.

When House members return to Washington on Tuesday, they won’t convene any hearings on the subject, nor will they find themselves subject to new rules or guidelines governing their own behavior.

“You could say we’re just moving on,” said one senior Democratic aide. “A lot of this stuff is very in-the-moment.”

Republican leadership aides also said they don’t expect to have to deal with the issue of decorum or take any new steps to reduce threats made to members of Congress.

Just a few weeks ago, the conduct of individual House member, threats to lawmakers and verbal and physical altercations between members and protesters appeared to be taking on crisis proportions.

The final week of the House debate on the healthcare bill brought with it a rash of member-on-member insinuations and accusations, and the bill’s passage provided little immediate relief.

The week after the vote, members received new threats — many of which have resulted in police investigations and arrests — and House leaders traded accusations about which side was responsible for an increase in dangerous behavior.

More……..

April 13, 2010 Posted by | Blogs, Breaking News, Counterpoints, Government, Healthcare, Law, Media, Men, Other Things, PoliticalDog Calls, Politics, Updates, Women | , | Leave a comment

Republicans are stuck on how to deal with the Healthcare Bill in the fall……

Rep. Steve King Iowa-R        Senator DeMint SC-R

Before the Bill really kicks into gear….a good many Republicans are seeking to harness the negative feels they have cultivated against the bill into a sledgehammer they can use for the fall elections…..

Those same politicians in the GOP now find themselves infighting on how far to after the bill…..

Should go for a full repeal of the bill?

Should they go for taking out parts of the bill?

Make no mistake people this isn’t about the bill…..there are actually earmarks for most Congressmen in the bill…..

This is about winning seats……

In the days following the enactment of Obama’s sweeping healthcare reform measure, Senate Minority Leader Mitch McConnell (R-Ky.) and House Minority Leader John Boehner (R-Ohio) agreed to pursue a “repeal and replace” strategy as lawmakers headed home for the Easter recess.

That has frustrated King and other conservatives.

“Sell the repeal idea. We can debate the replace idea. That’s what I would like to see our leadership do,” King said.

In a recent memo, Boehner listed eight items that the GOP conference would fight to repeal, but the Ohio lawmaker stopped short of calling for a full repeal.

President Barack Obama last month dared Republicans to campaign on a repeal message, urging them to “go for it.”

Democrats, including Democratic Congressional Campaign Committee Chairman Chris Van Hollen (Md.), have noted that the new law includes politically popular provisions that go into effect this year, including a $250 rebate for some Medicare beneficiaries.

Van Hollen told The Hill in an interview that the DCCC is keeping close track of which Republicans call for a repeal of the new health law.

Of the 15 senators co-sponsoring DeMint’s repeal bill, four are running for reelection this year. They include Sen. Bob Bennett (R-Utah), who is facing a tough primary race, and Sen. David Vitter (R-La.).

More……

April 8, 2010 Posted by | Blogs, Breaking News, Counterpoints, Government, Healthcare, Home, Law, Media, Men, Other Things, PoliticalDog Calls, Politics, Updates, Women | , , | Leave a comment

Obama and Pelosi get a bounce in the polls….Boehner does not…….

From PolitcalWire…..

Obama Gets Small Health Care Bounce

The latest DailyKos/Research 2000 weekly tracking poll shows President Obama receiving a slight bounce in his favorability rating — up five points — since signing a health care reform bill earlier this week.

For comparison, House Speaker Nancy Pelosi is up three points while House Minority Leader John Boehner is down five points. Congressional Democrats are up three points while Congressional Republicans are down seven points.

Read more: http://politicalwire.com/archives/2010/03/26/obama_gets_small_health_care_bounce.html#ixzz0jIbanB24

I have no comment…..He, he, he…

March 26, 2010 Posted by | Blogs, Breaking News, Government, Healthcare, Law, Media, Men, Other Things, PoliticalDog Calls, Politics, Polls, Updates | , , , , | Leave a comment

Final Healthcare Vote Tonight………

From PoliticalWire..

Final Health Care Vote Expected Tonight

After the Senate approved a budget reconciliation bill — by a 56 to 43 tally — containing fixes to the recently passed health care bill, the bill heads back to the House.

Roll Call: “It’s almost over. The House is expected to finish voting Thursday night on the health care and student loan reconciliation bill and other legislation, according to leadership sources.”

“The House Rules Committee is meeting at 4 p.m. to report out the rule on the reconciliation package.”

Soon……Lets get this done and move on…….

March 25, 2010 Posted by | Blogs, Breaking News, Government, Healthcare, Law, Media, Other Things, Politics, Updates | , | Leave a comment

….Georgia Governor (R) threatens to impeach his Democratic Atty Gen if he doesn't join the suit against the Healthcare Bill…..

People are going Batshit crazy in this country…….

Now they are trying waste people’s money fighting thing’s that they will surely lose…for purely political purposes…

This from Andre Walker @ Mydd.Com…….

Gov. Sonny Perdue (R – Georgia) and the state’s GOP congressional delegation called on Attorney General Baker to join thirteen other state attorneys general across the nation in challenging the new health care law’s constitutionality.

“I am today renewing my December request to the Attorney General that he join other states in reviewing the constitutionality of this travesty. My office has already begun to review any and all legal options to challenge this legislation,” Perdue said in a news release Monday.

“The Democrats’ health care bill is nothing less than an unmitigated attack on individual freedom, choices, and the quality of health care in this nation,” said Congressman Tom Price (R – Georgia).  “Families in Georgia deserve to have their constitutional rights protected against a federal government that is imposing its will through new mandates.”

Price chairs the Republican Study Committee, a group of over 115 congressional Republicans organized for the purpose of advancing a conservative social and economic agenda in the U.S. House of Representatives.

Attorney General Baker responded to Price and Perdue thusly:

Based upon my understanding of the current Act, I am unaware of any constitutional infirmities and do not think it would be prudent, legally or fiscally, to pursue such litigation. I must therefore respectfully decline your request.

More……..

Link……..

March 25, 2010 Posted by | Blogs, Breaking News, Counterpoints, Government, Healthcare, Law, Media, Men, Other Things, PoliticalDog Calls, Politics, Updates | , , , | 7 Comments

….Georgia Governor (R) threatens to impeach his Democratic Atty Gen if he doesn’t join the suit against the Healthcare Bill…..

People are going Batshit crazy in this country…….

Now they are trying waste people’s money fighting thing’s that they will surely lose…for purely political purposes…

This from Andre Walker @ Mydd.Com…….

Gov. Sonny Perdue (R – Georgia) and the state’s GOP congressional delegation called on Attorney General Baker to join thirteen other state attorneys general across the nation in challenging the new health care law’s constitutionality.

“I am today renewing my December request to the Attorney General that he join other states in reviewing the constitutionality of this travesty. My office has already begun to review any and all legal options to challenge this legislation,” Perdue said in a news release Monday.

“The Democrats’ health care bill is nothing less than an unmitigated attack on individual freedom, choices, and the quality of health care in this nation,” said Congressman Tom Price (R – Georgia).  “Families in Georgia deserve to have their constitutional rights protected against a federal government that is imposing its will through new mandates.”

Price chairs the Republican Study Committee, a group of over 115 congressional Republicans organized for the purpose of advancing a conservative social and economic agenda in the U.S. House of Representatives.

Attorney General Baker responded to Price and Perdue thusly:

Based upon my understanding of the current Act, I am unaware of any constitutional infirmities and do not think it would be prudent, legally or fiscally, to pursue such litigation. I must therefore respectfully decline your request.

More……..

Link……..

March 25, 2010 Posted by | Blogs, Breaking News, Counterpoints, Government, Healthcare, Law, Media, Men, Other Things, PoliticalDog Calls, Politics, Updates | , , , | 7 Comments