More Facts About Obamacare (3.18.2010)

For your perusal from Republican.Senate.Gov.

New Health Bill: Even More Tax Increases

More Than $560 Billion In Taxes On Medicare Patients, Private Health Insurance Plans, Medical Device Manufacturers, Small Businesses, And Much More…


SEN. MARY LANDRIEU (D-LA):
“Yes, We’ve Had To Raise Some Taxes And Fees To Pay For This Bill.” (CSPAN’s Washington Journal, 12/22/09)


MORE THAN $200 BILLION IN TAXES ON INDIVIDUALS AND SMALL BUSINESSES

“Medicare Hospital Insurance Tax … 210.2 [Billion Dollars].” JCT: “Broaden Medicare Hospital Insurance Tax Base for High-Income Taxpayers – additional surtax of 0.9% on earned income in excess of $200,000/$250,000 (unindexed) [1], and 3.8% surtax on investment income for taxpayers with AGI in excess of $200,000/$250,000 (unindexed)… 2010-2019… 210.2 [Billion Dollars].” (“Estimated Revenue Effects Of The Amendment In The Nature Of A Substitute To H.R. 4872, The “Reconciliation Act Of 2010,” In Combination With The Revenue Effects Of H.R. 3590, The “Patient Protection And Affordable Care Act (‘PPACA’),” As Passed By The Senate,” Joint Committee On Taxation, P.2, 3/18/10)

MORE THAN $50 BILLION IN TAXES ON EMPLOYERS
“Penalty Payments By Employers… 2010-2019… -52 [Billion Dollars].” (CBO Director Doug Elmendorf, Letter To Rep. Nancy Pelosi, 3/18/10, P.8)

MORE THAN $30 BILLION IN TAXES ON PRIVATE HEALTH INSURANCE PLANS
Tax On Private Health Insurance Plans: “32.0 [Billion Dollars].” JCT: “I. Revenue Provisions 1. 40% excise tax on health coverage in excess of $10,200/$27,500 (subject to adjustment for unexpected increase in medical costs prior to effective date) and increased thresholds of $1,650/$3,450 for over age 55 retirees or certain high-risk professions, both indexed for inflation by CPI-U plus 1%; adjustment based on age and gender profile of employees; vision and dental excluded from excise tax; levied at insurer level; employer aggregates and issues information return for insurers indicating amount subject to the excise tax; nondeductible… 2010-2019… 32.0 [Billion Dollars].” (“Estimated Revenue Effects Of The Amendment In The Nature Of A Substitute To H.R. 4872, The “Reconciliation Act Of 2010,” In Combination With The Revenue Effects Of H.R. 3590, The “Patient Protection And Affordable Care Act (‘PPACA’),” As Passed By The Senate,” Joint Committee On Taxation, P.1, 3/18/10)

NEARLY $20 BILLION IN TAXES ON UNINSURED AMERICANS
“Penalty Payments By Uninsured Individuals… 2010-2019… -17 [Billion Dollars].” (CBO Director Doug Elmendorf, Letter To Rep. Nancy Pelosi, 3/18/10, P.8)

$20 BILLION IN TAXES ON MEDICAL DEVICE MANUFACTURERS
“Excise Tax On Manufacturers And Importers Of Certain Medical Devices… 20.0 [Billion Dollars].” JCT: “Impose 2.9% excise tax on manufacturers and importers of certain medical devices… 2010-2019… 20.0 [Billion Dollars].” (“Estimated Revenue Effects Of The Amendment In The Nature Of A Substitute To H.R. 4872, The “Reconciliation Act Of 2010,” In Combination With The Revenue Effects Of H.R. 3590, The “Patient Protection And Affordable Care Act (‘PPACA’),” As Passed By The Senate,” Joint Committee On Taxation, P.2, 3/18/10)

AND MORE…

New Health Bill: Even More Medicare Cuts

More Than $520 Billion Cut From Hospitals, Nursing Homes, Hospice, Home Health Programs, Medicare Advantage, And Much More…

MORE THAN $150 BILLION IN CUTS TO HOSPITALS, NURSING HOMES, AND HOSPICE
“Ensuring Medicare Sustainability… -156.6 [Billion Dollars].” “TITLE III—Improving The Quality And Efficiency Of Health Care; Subtitle E—Ensuring Medicare Sustainability; 3401 Revision Of Certain Market Basket Updates And Incorporation Of Services Productivity Improvements Into Market Basket Updates That Do Not Already Incorporate Such Improvements (Effect Of Productivity Adjustment For Home Health Included In Estimate For Section 3131)… 2010-2019… -156.6 [Billion Dollars].” (CBO Director Doug Elmendorf, Letter To Rep. Nancy Pelosi, 3/18/10, P.14)

MORE THAN $200 BILLION IN CUTS TO MEDICARE ADVANTAGE
“Medicare Advantage Payments… -131.9 [Billion Dollars].” “TITLE III—Improving The Quality And Efficiency Of Health Care; Subtitle C—Provisions Relating to Part C; Medicare Advantage Payments… 2010-2019… -131.9 [Billion Dollars].” (CBO Director Doug Elmendorf, Letter To Rep. Pelosi, 3/18/10, P. 13)

“Medicare Advantage Interactions… -70.4 [Billion Dollars].” “Interactions; Medicare Advantage Interactions… 2010-2019… -70.4 [Billion Dollars].” (CBO Director Doug Elmendorf, Letter To Rep. Pelosi, 3/18/10, P. 18)

NEARLY $40 BILLION IN CUTS TO HOME HEALTH CARE
“Home Health Care… -39.7 [Billion Dollars].”
“TITLE III—Improving The Quality And Efficiency Of Health Care; Subtitle B—Improving Medicare For Patients And Providers; Part III – Improving Payment Accuracy; 3131 Payment Adjustments For Home Health Care (Includes Effect Of Section 3401)… 2010-2019… -39.7 [Billion Dollars].” (CBO Director Doug Elmendorf, Letter To Rep. Nancy Pelosi, 3/18/10, P.13)

MORE THAN $20 BILLION IN REDUCED “MEDICARE PAYMENTS TO HOSPITALS THAT SERVE A LARGE NUMBER OF LOW-INCOME PATIENTS”
“Medicare Disproportionate Share Hospital (DSH) Payments… -22.1 [Billion Dollars].” “TITLE III—Improving The Quality And Efficiency Of Health Care; Subtitle B—Improving Medicare For Patients And Providers; Part III—Improving Payment Accuracy; 3133 Medicare Disproportionate Share Hospital (DSH) Payments… 2010-2019… -22.1 [Billion Dollars].” (CBO Director Doug Elmendorf, Letter To Rep. Nancy Pelosi, 3/18/10, P.13)

•    “Reducing Medicaid and Medicare payments to hospitals that serve a large number of low-income patients, known as disproportionate share (DSH) hospitals…” (CBO Director Doug Elmendorf, Letter To Sen. Harry Reid, 11/18/09, P. 10)

New Health Bill: Old Deals Out, New Deals In

DAVID AXELROD: “The President Does Believe That State-Only Carve-Outs Should Not Be In The Bill.” (“White House Seems to Have New Policy On ‘Special Deals’ in Health Care Reform Bill,” ABC News, 3/15/10)

BISMARCK BANK JOB

“The Health Care Budget Reconciliation Bill Appears To Have A Special Carve-Out For One Of Its Most Ardent Critics — Senate Budget Chairman Kent Conrad (D-N.D.).  Though The Measure Would Broadly Eliminate Government Subsidies To Banks That Offer Student Loans, The Bank Of North Dakota Will Continue To Receive Federal Assistance For Its Student Loan Program.”
(“Conrad Appears To Get Special Carve-Out In Reconciliation Bill,” Roll Call, 3/18/10)

ROCKY TOP VOTE SWAP

Full Medicaid Disproportionate Share Payment (DSH) For Tennessee. “EXTENSION OF DSH ALLOTMENT.—Section 1923(f)(6)(A) of the Social Security Act (42 U.S.C. 1396r-4(f)(6)(A)) is amended by adding at the end the following: ‘‘(v) ALLOTMENT FOR 2D, 3RD, AND 4TH QUARTERS OF FISCAL YEAR 2012 AND FOR FISCAL YEAR 2013.—Notwithstanding the table set forth in paragraph (2): ‘‘(I) 2D, 3RD, AND 4TH QUARTERS OF FISCAL YEAR 2012.—In the case of a State that has a DSH allotment of $0 for the 2d, 3rd, and 4th quarters of fiscal year 2012, the DSH allotment shall be $47,200,000 for such quarters. ‘‘(II) FISCAL YEAR 2013.—In the case of a State that has a DSH allotment of $0 for fiscal year 2013, the DSH allotment shall be $53,100,000 for such fiscal year.’’” (“Amendment In The Nature Of A Substitute To H.R. 4872,” 3/18/2010, P. 67)

LOUISIANA PURCHASE
“Obama’s New Health Care Proposal Keeps Louisiana Medicaid Provision.”
(“Obama’s New Health Care Proposal Keeps Louisiana Medicaid Provision,” New Orleans Times-Picayune, 2/22/10)

“Obama’s Plan Is Silent On Two Other High-Profile Legislative Deals In The Senate Bill. The First Provision Sends $300 Million In Additional Medicaid Funding To Louisiana And Was Widely Viewed As A Sweetener To Win Moderate Democratic Sen. Mary Landrieu’s Vote Last Fall.” (“Deals Remain In Obama’s Plan,” Politico, 2/22/10)

“…There Are Controversial Special Provisions Of The Senate Health Reform Bill That President Obama Leaves Untouched. First Up, The ‘Louisiana Purchase.’ … [Sen. Mary] Landrieu Said In A Speech On The Senate Floor Feb. 4th That Critics Should ‘Shut Their Mouth.’” (“White House Cuts Special Help For Nebraska, But Other Deals Remain In Reform Bill,” ABC News, 2/22/10)

•    “And Reid Already Has Established A Dangerous Precedent, By Dangling $300 Million In Medicaid Funding For Louisiana To Win Landrieu’s Support For Bringing The Bill To The Senate Floor. Months Earlier, Reid Had Carved Out His Own Medicaid Exemption For Nevada. One addition he made to the Senate bill, an increase in the Medicare payroll tax for high earners, has raised concerns with Sen. Olympia J. Snowe (Maine). Snowe, the only Republican who has been at least somewhat supportive of Democratic reform efforts, cited its potential to harm small businesses.” (“Reid’s Recipe For Getting Health-Care Deal Done,” The Washington Post, 12/4/09)

U-CON
“There Is Also Not Specific Mention In The President’s List Of Fix-It, Of A Special Proposal Aimed At A Connecticut Research Hospital, But Open To Other Hospitals… So Those Provisions Apparently Still Remain.” (“White House Cuts Special Help For Nebraska, But Other Deals Remain In Reform Bill,” ABC News, 2/22/10)

•    $100,000,000 For “Health Care Facility” “At A Public Research University In The United States That Contains A State’s Sole Public Academic Medical And Dental School.” “(a) APPROPRIATION.—There are authorized to be appropriated, and there are appropriated to the Department of Health and Human Services, $100,000,000 for fiscal year 2010, to remain available for obligation until September 30, 2011, to be used for debt service on, or direct construction or renovation of, a health care facility that provides research, inpatient tertiary care, or outpatient clinical services. Such facility shall be affiliated with an academic health center at a public research university in the United States that contains a State’s sole public academic medical and dental school.” (Manager’s Amendment To H.R. 3590, Pg. 328)

MONTANA
“The Secretary Shall Establish A Pilot Program In Accordance With This Subsection To Provide Innovative Approaches To Furnishing Comprehensive, Coordinated, And Cost-Effective Care Under This Title To Individuals Described In Paragraph … [An Individual] Is An Environmental Exposure Affected Individual Described In Subsection (E)(2) Who Resides In Or Around The Geographic Area Subject To An Emergency Declaration Made As Of June 17, 2009.” ‘‘(A) PRIMARY PILOT PROGRAM.—The Secretary shall establish a pilot program in accordance with this subsection to provide innovative approaches to furnishing comprehensive, coordinated, and cost-effective care under this title to individuals described in paragraph (2)(A). … ‘‘(2) INDIVIDUAL DESCRIBED.—For purposes of paragraph (1), an individual described in this paragraph is an individual who enrolls in part B, submits to the Secretary an application to participate in the applicable pilot program under this subsection, and— ‘‘(A) is an environmental exposure affected individual described in subsection (e)(2) who resides in or around the geographic area subject to an emergency declaration made as of June 17, 2009.” (Manager’s Amendment To H.R. 3590, Pg. 195-196)

•    “On June 17, 2009, EPA Administrator Lisa Jackson Issued A Public Health Emergency (PHE) Finding At The Libby Asbestos Superfund Site In Northwest Montana. Over The Past Several Years, Hundreds Of Cases Of Asbestos-Related Disease Have Been Documented In The Communities Of Libby And Nearby Troy.” (EPA Website, Accessed 12/19/09)
“Another Provision The President Has Asked Reid To Consider Removing Was Promoted By Senate Finance Committee Chairman Max Baucus (D-Mont.) On Behalf Of Residents Of Libby, Mont.” (“Obama Presses Reid To Cut Special Deals From Health Bill,” Politico, 3/11/10)

3 thoughts on “More Facts About Obamacare (3.18.2010)”

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