Wednesday, March 24, 2010

Off Topic

Most of you are astute enough to guess that I was supportive of the Healthcare Reform our President was trying to accomplish for us. Since Mr. ShellHawk wrote to the White House about this, he got an e-mail back from them stating what's going to happen next, now that the (extremely modified) bill has passed. I thought I'd share it with you guys so everyone would be informed as to what's going on.

Good afternoon,

Since the House of Representatives voted to pass health reform legislation on Sunday night, the legislative process and its political impact have been the focus of all the newspapers and cable TV pundits.

Outside of DC, however, many Americans are trying to cut through the chatter and get to the substance of reform with a simple question: "What does health insurance reform actually mean for me?" To help, we've put together some of the key benefits from health insurance reform.

Let's start with how health insurance reform will expand and strengthen coverage:

This year, children with pre-existing conditions can no longer be denied health insurance coverage. Once the new health insurance exchanges begin in the coming years, pre-existing condition discrimination will become a thing of the past for everyone.

This year, health care plans will allow young people to remain on their parents' insurance policy up until their 26th birthday.

This year, insurance companies will be banned from dropping people from coverage when they get sick, and they will be banned from implementing lifetime caps on coverage. This year, restrictive annual limits on coverage will be banned for certain plans. Under health insurance reform, Americans will be ensured access to the care they need.

This year, adults who are uninsured because of pre-existing conditions will have access to affordable insurance through a temporary subsidized high-risk pool.

In the next fiscal year, the bill increases funding for community health centers, so they can treat nearly double the number of patients over the next five years.

This year, we'll also establish an independent commission to advise on how best to build the health care workforce and increase the number of nurses, doctors and other professionals to meet our country's needs. Going forward, we will provide $1.5 billion in funding to support the next generation of doctors, nurses and other primary care practitioners -- on top of a $500 million investment from the American Recovery and Reinvestment Act.

Health insurance reform will also curb some of the worst insurance industry practices and strengthen consumer protections:

This year, this bill creates a new, independent appeals process that ensures consumers in new private plans have access to an effective process to appeal decisions made by their insurer.

This year, discrimination based on salary will be outlawed. New group health plans will be prohibited from establishing any eligibility rules for health care coverage that discriminate in favor of higher-wage employees.

Beginning this fiscal year, this bill provides funding to states to help establish offices of health insurance consumer assistance in order to help individuals in the process of filing complaints or appeals against insurance companies.

Starting January 1, 2011, insurers in the individual and small group market will be required to spend 80 percent of their premium dollars on medical services. Insurers in the large group market will be required to spend 85 percent of their premium dollars on medical services. Any insurers who don't meet those thresholds will be required to provide rebates to their policyholders.

Starting in 2011, this bill helps states require insurance companies to submit justification for requested premium increases. Any company with excessive or unjustified premium increases may not be able to participate in the new health insurance exchanges.

Reform immediately begins to lower health care costs for American families and small businesses:

This year, small businesses that choose to offer coverage will begin to receive tax credits of up to 35 percent of premiums to help make employee coverage more affordable.

This year, new private plans will be required to provide free preventive care: no co-payments and no deductibles for preventive services. And beginning January 1, 2011, Medicare will do the same.

This year, this bill will provide help for early retirees by creating a temporary re-insurance program to help offset the costs of expensive premiums for employers and retirees age 55-64.

This year, this bill starts to close the Medicare Part D 'donut hole' by providing a $250 rebate to Medicare beneficiaries who hit the gap in prescription drug coverage. And beginning in 2011, the bill institutes a 50% discount on prescription drugs in the 'donut hole.'

Thank you,

Nancy-Ann DeParle

Director, White House Office of Health Reform

I think this plan is a good start to curbing insurance companies' taking advantage of the consumer. Is it perfect, all the way around? No, but it is a step in the right direction.

We now return you to your regular programming!


  1. This has been the most viciously and venomously argued bill I have ever seen. If I lost my insurance, I couldn't get any more, they wouldn't touch me with a 10 foot pole with apnea and high blood pressure. And on top of that, we only have 1 provider and that's it. I can't think of anything that I don't like in this bill, but then again, I'm not being bought off by an insurance company or blindly believing the side that is totally against this bill.

    End of rant.

  2. Ugh! Well, I guess this bill (now law) is one scary hot mess, so it's appropriate in a haunting themed blog. ;>

    Sorry, Shell, I couldn't disagree with you more about this.


  3. GC- It would be a boring world if we all agreed on everything!
    I'm more behind curbing runaway premiums and the insurance companies being able to take advantage of the public without anything to curb their greed. It's scary to think they can raise my premiums by 40% (which they are trying to do here in California)in a year, considering the other financial obligations I have. And I don't have pre-existing conditions, like others I know.

    But I do respect your input and your opinion. I REALLY hope your fears are unfounded! Time will tell.


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