Pg 170 Lines 1-3 Any NONRESIDENT Alien is exempt from individual taxes. (Americans will pay).
A non-resident alien only pays income taxes in the event of of income being related to American trade or business anyway. Trying to tack on a tax on income which may or may not be taxable is far too much of a boondoggle for the likely few NRAs present in the US at any given time.
Pg 195 Officers & employees of HC Admin (GOVT) will have access to ALL Americans financial and personal records.
This is incorrect. The only time financial information of any sort is made available is in determination of ability to pay and what discounts on premiums and other costs are given. In fact, that same page clearly defines this:
‘‘(i) taxpayer identity information with respect to such taxpayer, ‘‘(ii) the filing status of such tax-payer,‘‘(iii) the modified adjusted gross income of such taxpayer (as defined in sec-tion 59B(e)(5)), ‘‘(iv) the number of dependents of the taxpayer,‘‘(v) such other information as is pre-scribed by the Secretary by regulation as might indicate whether the taxpayer is eligible for such affordability credits (and the
amount thereof)
This is common even today for those receiving public benefits like welfare or food stamps.
Pg 203 Line 14-15 HC - The tax imposed under this section shall not be treated as tax Yes, it says that.
I suspect the snarkiness of this statement is a cover for the author not really understanding legalese, which is part and parcel of any kind of legislation. What the section actually says:
‘‘(4) NOT TREATED AS TAX IMPOSED BY THIS
CHAPTER FOR CERTAIN PURPOSES.—The tax imposed under this section shall not be treated as tax imposed by this chapter for purposes of determining the amount of any credit under this chapter or for purposes of section 55.’’.
Basically, it's stating that the tax won't be treated as a tax (ie. additional tax levy on the individual's income, which could affect the outcome of an income-based credit calculation) on figuring things like discounts or credits.
Pg 239 Line 14-24 HC Bill Govt will reduce physician services for Medicaid. Seniors, low income, poor affected.
No services are being limited. Inclusion of services in a computational model for target growth rates of fees is what's being amended. Simple ... reading ... comprehension.
Pg 241 Line 6-8 HC Bill - Doctors, doesnt matter what specialty you have, youll all be paid the same.
Again, this is an exclusion of service categories for the purpose of a computational growth model. Not the actual exclusion of services or payments.
Pg 253 Line 10-18 Govt sets value of Drs time, prof judg, etc. Literally value of humans.
No, this isn't literally valuing humans. It's figuring out how to pay someone according to what they do and is a component of any calculation to that effect, including by existing insurance companies.
Pg 265 Sec 1131 Govt mandates & controls productivity for private HC industries.
No, this is setting standards for health care facilities which operate within the elected standards of accepting health care exchange plans.
Pg 268 Sec 1141 Fed Govt regulates rental & purchase of power driven wheelchairs.
...under Medicare coverage plans, which the government already does and which is the title of the section this is under on page 223.
Pg 272 SEC. 1145. Treatment of certain cancer hospitals“ Cancer patients - welcome to rationing!
...under Medicare coverage plans, which are again what this section is under and what the government already does.
Page 280 Sec 1151 The Govt will penalize hospitals for what Govt deems preventable readmissions. (Incentives for hospital to not treat and release.)
..for Medicare coverage plans. Again. Honestly, at this point, the author of the email is looking increasingly desperate to apply all things under Medicare reorganization to the public at large.
Pg 298 Lines 9-11 Drs, treat a patient during initial admission that results in a readmission-Govt will penalize you.
Under Medicare coverage. Again. And which the government already does for such coverage.
Pg 317 L 13-20 PROHIBITION on ownership/investment. Govt tells Drs. what/how much they can own.
In order to qualify for rural provider and hospital ownership exception to self-referral prohibition, a doctor is prohibited from owning a certain amount of interest in the hospital. This prevents conflicts of interest. Here is the rest of the bill, which the email dishonestly left out:
The percentage of the total value of the ownership or investment interests held in the hospital, or in an entity whose assets include the hospital, by physician owners or investors in the aggregate does not exceed such percentage as of the date of enactment of this subsection.
Pg 317-318 lines 21-25,1-3 PROHIBITION on expansion- Govt is mandating hospitals cannot expand.
No, this is once again under the requirements for hospitals applying for an exemption to regulation referenced in my previous response.
pg 321 2-13 Hospitals have opportunity to apply for exception BUT community input required. Can you say ACORN?!!
Again, Acorn isn't mentioned anywhere in the bill. Community input means you. It means your spouse, your therapist (and I certainly hope the author has one), and even your adult kids. It means you making your voice known.
Pg335 L 16-25 Pg 336-339 - Govt mandates established of outcome based measures. HC the way they want. Rationing.
No, an examination of how things worked so you can plan for how they will work in the coming year. That's common sense for any business or initiative to measure what you have done in the past in order to tailor the future.
Pg 341 Lines 3-9 Govt has authority to disqualify Medicare Advantage Plans (Part B), HMOs, etc. Forcing people into Govt plan.
Since Medicare is already a government plan, there is no forcing of anyone to go with another. Instead, here's what the bill reads:
In applying clauses (ii) and (iii), the Secretary may determine not to identify a Medicare Advantage plan if the Secretary has identified deficiencies in the plan’s compliance with rules for such plans under this part.
If the plan is deficient, it's disqualified. Same as already happens under Medicare.
Pg 354 Sec 1177 - Govt will RESTRICT enrollment of Special needs people!
No, this section changes the date for Medicare plans covering special needs individuals in order to grandfather in more current plans. There is no restriction against special needs people.
Pg 379 Sec 1191 Govt creates more bureaucracy - Telehealth Advisory Committee. HC by phone/Internet?
Once again, the author is showing signs of ignorance of basic tenets of current health care practices. Tele-health refers to the availability of health care information via digital sources, ie checking your calendar year coverage online. This isn't an expansion of bureaucracy, it's a reduction of someone having to wade through paper mailings once a month or wait on a telephone queue for someone to explain things to them.
Pg 425 Lines 4-12 Govt mandates Advance[Death] Care Planning Consult. Think Senior Citizens end of life.
This section is instructing patients and practitioner to discuss things like living wills, durable powers of attorney, advance directives, etc. on a regular basis in order to keep those wishes by the patient current and timely. This is absolutely essential to responsible decision making for those left behind in the event of a death.
Pg 425 Lines 17-19 Govt will instruct & consult regarding living wills, durable powers of atty. Mandatory!
There is no government mentioned here. The bill itself read for patients and practitioners. Nothing about the government whatsoever.
Pg 425 Lines 22-25, 426 Lines 1-3 Govt provides approved list of end of life resources, guiding you in death.
The practitioner is providing a list of national and state sponsored agencies to assist. There is nothing stipulating government-only agencies or lists.
Pg 427 Lines 15-24 Govt mandates program for orders for end of life. The Govt has a say in how your life ends.
No, this is a program mandating standardization of orders so they are recognized throughout the state and other states.
Pg 429 Lines 1-9 An adv. care planning consult will be used frequently as patients health deteriorates.
I am struggling to figure out why or how this is considered a bad/scary thing. If you have any ideas, please feel free to let me know.
Pg 429 Lines 10-12 adv. care consultation may incl an ORDER for end of life plans. AN ORDER from GOV
The section referenced says nothing of the sort. It says an order may be formulated and within context of the preceding text, that order is from the individual patient.
Pg 429 Lines 13-25 - The govt will specify which Doctors can write an end of life order.
No, it specifies that only doctors, nurse practitioner, or physician's assistant acting within the scope of their professional purview can write such an order. In other words, all current MDs, NPs, and PAs.
PG 430 Lines 11-15 The Govt will decide what level of treatment you will have at end of life
No, this is once again referring back to the order that the patient writes. No mention of government orders here.
Pg 469 - Community Based Home Medical Services=Non profit orgs. Hello, ACORN Medical Svcs here!!?
No mention of Acorn here at all and Acorn also doesn't provide the services stipulated as being requirements under this section:
‘‘(i) The organization provides bene-
ficiaries with medical home services.
8
‘‘(ii) The organization provides med-
9
ical home services under the supervision of
10
and in close collaboration with the primary
11
care or principal care physician or nurse
12
practitioner designated by the beneficiary
13
as his or her community-based medical
14
home provider.
15
‘‘(iii) The organization employs com-
16
munity health workers, including nurses or
17
other non-physician practitioners, lay
18
health workers, or other persons as deter-
19
mined appropriate by the Secretary, that
20
assist the primary or principal care physi-
21
cian or nurse practitioner in chronic care
22
management activities such as teaching
23
self-care skills for managing chronic ill-
24
nesses, transitional care services, care plan
25
setting, medication therapy management
services for patients with multiple chronic
2
diseases, or help beneficiaries access the
3
health care and community-based resources
4
in their local geographic area.
5
‘‘(iv) The organization meets such
6
other requirements as the Secretary may specify.
Pg 472 Lines 14-17 PAYMENT TO COMMUNITY-BASED ORG. 1 monthly payment to a community-based org. Like ACORN?
This section details how payments to home hospice care organizations are made for high need patients. Once again, no Acorn mentioned and Acorn doesn't provide such services in the first place.
Pg 489 Sec 1308 The Govt will cover Marriage & Family therapy. They will insert Government into your marriage.
No, the government is providing coverage for services rendered by therapy professionals. If you drive on a road paid for by the government, is the government inserting itself in your morning commute?
Pg 494-498 Govt will cover Mental Health Svcs including defining, creating, rationing those svcs
Once again, providing coverage doesn't equate to controlling the service. There are standards to be applied for coverage to be qualified, as there are with private insurers now. I seriously hope the author of the email is receiving such coverage now.
PG 502 Sec 1181 Center for Comparative Effectiveness Research Established. – Hello Big Brother – Literally.
This is similar to what the CDC and WHO, both non-profit government funded organizations do already along with private insurers.
That's all for now. More tomorrow as we go through all 1000 pages of FUD from this chain email.
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