Diary

Some aspects of the just-published health care bill

Referring to the bill found at http://budget.house.gov/doc-library/FY2010/03.15.2010_reconciliation2010.PDF, it seems to:

1) Fund additional residents (doctor trainees) in primary care (the favored medical specialties) at certain hospitals

2) Specifies minimum services that must be covered, including all preventive services and mental health and substance abuse treatment (combined with #3 below, will pay in perpetuity for someone to recycle in and out of mental health and substance abuse facilities for their entire lives)

3) “[D]oes not impose any annual or lifetime limit on the coverage of covered health care items and services” (hand over your wallets, you won’t be needing them anymore)

4)  “There shall be no cost-sharing under the essential benefits package for preventive items and services (as specified under the benefit standards), including well baby and well child care” (taxpayers foot the entire bill)

5) “The Health Benefits Advisory Committee shall recommend to the Secretary of Health and Human Services…benefit standards…and periodic updates to such standards.  (Death panel, here, get your death panel!  The Health Benefits Advisory Committee giveth and the HBAC taketh away.)

6) “In developing such recommendations, the Committee shall take into account innovation in health care and consider how such standards could reduce health disparities.” (i.e., thumb-on-the-scale for favored groups, regardless of the true reasons that their average health status differs from that of other groups)

7) A ‘big picture’ focus, like studying how many hours of training on dementia nurses aides should have:  The Secretary shall conduct a study on the content of training for certified nurse aides and supervisory staff of skilled nursing facilities and nursing facilities. The study shall include an analysis of the following:
(A) Whether the number of initial training hours for certified nurse aides required under sections 1819(f)(2)(A)(i)(II) and 1919(f)(2)(A)(i)(II) of the Social Security Act (42 U.S.C. 1395i–3(f)(2)(A)(i)(II); 1396r(f)(2)(A)(i)(II)) should be increased from 75 and, if so, what the required number of initial training hours should be, including any recommendations for the content of such training (including training related to dementia).
(B) Whether requirements for ongoing training under such sections 1819(f)(2)(A)(i)(II) and 1919(f)(2)(A)(i)(II)
should be increased from 12 hours per year, including any recommendations for the content of such training.

8) “COVERAGE OF FAMILY PLANNING SERVICES AND SUPPLIES.—Notwithstanding the previous provisions of this section, a State may not provide for medical assistance through enrollment of an individual with benchmark coverage or benchmark-equivalent coverage under this section unless such coverage includes for any individual described in section 1905(a)(4)(C), medical assistance for family planning services and supplies in accordance with such section.’’ (mandatory “family planning?”  Including what, abortion?)

9) “HEALTH PROFESSIONS TRAINING FOR DIVERSITY.”  (Not training for competency?)

10) “There is established a fund to be known as the ‘‘Public Health Investment Fund’’ – There shall be deposited into the Fund—
(i) for fiscal year 2010, $4,600,000,000;

(ii) for fiscal year 2011, $5,600,000,000;
(iii) for fiscal year 2012, $6,900,000,000;
(iv) for fiscal year 2013, $7,800,000,000;
(v) for fiscal year 2014, $9,000,000,000;
(vi) for fiscal year 2015, $9,400,000,000;
(vii) for fiscal year 2016, $10,100,000,000;
(viii) for fiscal year 2017, $10,800,000,000;
(ix) for fiscal year 2018, $11,800,000,000; and
(x) for fiscal year 2019, $12,700,000,000.
(B) Amounts deposited into the Fund shall be derived from general revenues of the Treasury.  (“Investment,” right.)

11) Central planning of the health workforce:  “The Secretary shall, based upon the classifications and standardized methodologies and procedures developed by the Advisory Committee on Health Workforce Evaluation and Assessment under section 764(b)—
(1) collect data on the health workforce (as defined in section 764(i)), disaggregated by field, discipline, and specialty, with respect to—
(A) the supply (including retention) of health professionals relative to the demand for such professionals;
(B) the diversity of health professionals (including with respect to race, ethnic background, and gender); and
(C) the geographic distribution of health professionals”

12) “There is established a Prevention and Wellness Trust. There are authorized to be appropriated to the Trust—
(1) amounts described in section 2002(b)(2)(ii) of the America’s Affordable Health Choices Act of 2009 for each fiscal year; and
(2) in addition, out of any monies in the Public Health Investment Fund—
(A) for fiscal year 2010, $2,400,000,000;
(B) for fiscal year 2011, $2,800,000,000;
(C) for fiscal year 2012, $3,100,000,000;
(D) for fiscal year 2013, $3,400,000,000;
(E) for fiscal year 2014, $3,500,000,000;
(F) for fiscal year 2015, $3,600,000,000;
(G) for fiscal year 2016, $3,700,000,000;
(H) for fiscal year 2017, $3,900,000,000;
(I) for fiscal year 2018, $4,300,000,000;
(J) for fiscal year 2019, $4,600,000,000.

There’s more, I know, but I’ve only made it to page 983, and I’m scanning and searching on certain terms.

Fla Mom