By John Ballard
A previous post presented a brief outline of where Congressional legislation now stands on its way to being delivered.
Timothy Jost, in a trio of summary posts, combs through nearly two thousand pages of legislative mouseprint to find details that only a dedicated policy wonk could love. I'm putting the links up with a few snips but I'm not holdingmy breath or getting too worked up over anything. In this case it ain't over til the fat lady first goes on a diet, then sings.
HR 3962: The Affordable Health Care for Americans Act
One of the most important contributions of the latest version of the House bill is that it offers a host of programs and regulatory initiatives that would be noticed immediately or in the very near future by many Americans. (See the previous post for an overview,)
The Public Option And Insurance Exchange In The House Bill
[...]This post will look more closely at some of the bill�s basic insurance
reform elements....To begin, there is the public option. It is one of the most popular
features of the bill�many polls find that it is supported by a majority
of Americans�but the media continues to insist that it is a loony
left-fringe idea and it terrifies the insurance industry. Some analysts
believe the public option to be the most effective cost-control
mechanism in the reform legislation, as a public plan paying something
close to Medicare rates could introduce competition into markets which
a single or small group of insurers currently dominate. This includes
the vast majority of local insurance markets in the United States.Insurers have little to fear from this public plan, however, it is in
all likelihood a paper tiger.
The House Health Reform Bill: Delivery System Reforms And Other Provisions
In this final post, I will explore the remaining 1600 pages of HR 3962. Although these provisions have received less attention (except from the interest groups immediately affected by them), they will in fact work important changes in the American health care system.
First, however, I will mention a few provisions buried in the health care financing reform provisions�the first 400 pages of the bill�that are worth noting. First, the �compromise� worked out on abortion in the Energy and Commerce Committee is included in the bill. Currently federal funds cannot be used to pay for abortion except in cases of rape, incest, or life endangerment. But, according to some reports, most private insurance plans cover abortion. If private plans are to be more heavily regulated and funded through premium subsidies, what affect will this have on abortion?
[JB ed. Additional remarks about abortion. My guess is that language here will be carefully crafted to allow future discussion and consideration of FOCA. This is not the time or place to finally settle yet another inflammatory issue.]
Topics covered at this link include...
- The House�s �Public Option�: Strengths And Weaknesses
- How Would The Public Plan Negotiate With Providers?
- The House�s Health Insurance Exchange Proposal
- The House�s Exchange: An Active Negotiator, Not A Passive Price-Taker Like The Senate�s Exchanges
- Other Health Care Financing Provisions
Sometimes I report and you decide.
This time I'm not gonna do more than pass along the links.
Get out a shovel and do your own reporting. The reader has a lot of shit to dig through.
If it helps, pretend you're a Congressional staffer and your only reward will be a pat on the head by one of our elected representatives whose loyalty is divided between voters and campaign contributors.
And make no mistake about it, those two groups are not congruent.
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