Saturday, March 27, 2010

THIS TROJAN HORSE OF WEALTH REDISTRIBUTION,HEALTH CARE IS NOT GOOD ENOUGH FOR CONGRESS>>>

This is the timeline for this monster perpetrated upon the American people by a White house crawling with socialist and anti Americans. Dozens of Czars whose job it is to lay out plans designed to take over and hurl the U.S. into socialism. Anger..we are in righteous anger.
Timeline of Major Provisions in the Democrats’ Health Care Package
2009
2‐year tax credit (total cap of $1B) for new chronic disease therapy investments
•Medicare cuts to hospitals begin (long‐term care (7/1/09) and inpatient and
rehabilitation facilities (FY10))

2010
States and Federal officials review premium increases
•FDA authorized to approve "follow‐on" biologics
•Increase brand name pharmaceutical Medicaid rebate (from 15.1% to 23.1%)
•Medicare payments to physicians in primarily rural areas increase (2 years)
•Deny "black liquor" eligibility for cellulosic biofuel producers credit
•Tax credits provided to certain small employers for health care‐related expenses
•Increase adoption tax incentives for 2 years
•Codify economic substance doctrine and impose penalties for underpayments
(transactions on/after 3/23/10)
•Provide income exclusion for specified Indian tribe health benefits provided after
3/23/10
•Temporary high‐risk pool and high‐cost union retiree reinsurance ($5 B each for 3.5
years) (6/23/10)
•Impose 10% tax on indoor UV tanning (7/1/10)
•Medicare cuts to inpatient psych hospitals (7/1/10)
•Prohibits lifetime and annual benefit spending limits (plan years beginning 9/23/10)
•Prohibits non‐group plans from canceling coverage (rescissions) (plan years
beginning 9/23/10)
•Requires plans to cover, at no charge, most preventive care (plan years beginning
9/23/10)
•Allows dependents to stay on parents’ policies through age 26 (plan years
beginning 9/23/10)
•Provides limited protections to children with pre‐existing conditions (plan years
beginning 9/23/10)
•Hospitals in "Frontier States" (ND, MT, WY, SD, UT ) receive higher Medicare
payments (FY11)
•Hospitals in “low‐cost” areas receive higher Medicare payments for 2 yrs ($400
million, FY11)

2011
Medicare Advantage cuts begin
•No longer allowed to use FSA, HSA, HRA, Archer MSA distributions for over‐thecounter
medicines
•Medicare cuts to home health begin
•Wealthier seniors ($85k/$170k) begin paying higher Part D premiums (not indexed
for inflation in Parts B/D)
•Medicare reimbursement cuts when seniors use diagnostic imaging like MRIs, CT
scans, etc.
•Medicare cuts begin to ambulance services, ASCs, diagnostic labs, and durable
medical equipment
•Impose new annual tax on brand name pharmaceutical companies
•Americans begin paying premiums for federal long‐term care insurance (CLASS Act)
•Health plans required to spend a minimum of 80% of premiums on medical claims
•Physicians in "Frontier States" (ND, MT, WY, SD, UT ) receive higher Medicare
payments
•Prohibition on Medicare payments to new physician‐owned hospitals
•Penalties for non‐qualified HSA and Archer MSA distributions double (to 20%)
•Seniors prohibited from purchasing power wheelchairs unless they first rent for 13
Months.
2011
•Brand name drug companies begin providing 50% discount in the Part D “donut
hole”
•10% Medicare bonus payment for primary care and general surgery (5 years)
•Employers required to report value of health benefits on W‐2
•Steps towards health insurance administrative simplification (reduced paperwork,
etc) begins (5 yr process)
•Additional funding for community health centers (5 years)
•Seniors who hit Part D “donut hole "in 2010 receive $250 check (3/15/11)
•New Medicare cuts to long‐term care hospitals begin (7/1/11)
•Additional Medicare cuts to hospitals and cuts to nursing homes and inpatient
rehab facilities begin (FY12)
•New tax on all private health insurance policies to pay for comp. eff. research (plan
years beginning FY12)
2012
•Medicare cuts to dialysis treatment begins
•Require information reporting on payments to corporations
•Medicare to reduce spending by using an HMO‐like coordinated care model
(Accountable Care Organizations)
•Medicare Advantage plans with a 4 or 5 star rating receive a quality bonus payment
•New Medicare cuts to inpatient psych hospitals (7/1/12)
•Hospital pay‐for‐quality program begins (FY13)
•Medicare cuts to hospitals with high readmission rates begin (FY13)
•Medicare cuts to hospice begin (FY13)

2013
•Impose $2,500 annual cap on FSA contributions (indexed to CPI)
•Increase Medicare wage tax by 0.9% and impose a new 3.8% tax on unearned , nonactive
business income for those earning over $200k/$250k (not indexed to inflation)
•Generally increases (7.5% to 10%) threshold at which medical expenses, as a % of
income, can be deductible
•Eliminate deduction for Part D retiree drug subsidy employers receive
•Impose 2.3% excise tax on medical devices
•Medicare cuts to hospitals who treat low‐income seniors begin
•Post‐acute pay for quality reporting begins
•CO‐OP Program: Secretary awards loans and grants for establishing nonprofit health
insurers
•$500,000 deduction cap on compensation paid to insurance company employees and
officers
•Part D “donut hole” reduction begins, reaching a 25% reduction by 2020

IF YOU LIKE CHAVEZ....YOU SHOULD LOVE OBAMA.

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