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    FINAL VOTE RESULTS FOR ROLL CALL 165

    (Democrats in roman; Republicans in italic; Independents underlined)

    H R 3590 RECORDED VOTE 21-Mar-2010 10:49 PM QUESTION: On Motion to Concur in Senate Amendments BILL TITLE: Patient Protection and Affordable Care Act

    Ayes Noes PRES NV

    Democratic 219 34

    Republican 178

    Independent

    TOTALS 219 212

    ---- AYES 219 ---

    http://clerk.house.gov/evs/2010/roll165.xml#Yhttp://clerk.house.gov/evs/2010/roll165.xml#Nhttp://clerk.house.gov/evs/2010/roll165.xml#Nhttp://clerk.house.gov/evs/2010/roll165.xml#Y
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    AckermanAndrewsBacaBaird

    BaldwinBeanBecerraBerkleyBermanBishop (GA)Bishop (NY)BlumenauerBoccieriBoswellBoyd

    Brady (PA)Braley (IA)Brown, CorrineButterfieldCappsCapuanoCardozaCarnahanCarneyCarson (IN)Castor (FL)

    ChuClarkeClayCleaverClyburnCohenConnolly (VA)ConyersCooperCostaCostello

    CourtneyCrowleyCuellarCummingsDahlkemperDavis (CA)Davis (IL)DeFazio

    GrijalvaGutierrezHall (NY)Halvorson

    HareHarmanHastings (FL)HeinrichHigginsHillHimesHincheyHinojosaHironoHodes

    HoltHondaHoyerInsleeIsraelJackson (IL)Jackson Lee (TX)Johnson (GA)Johnson, E. B.KagenKanjorski

    KapturKennedyKildeeKilpatrick (MI)KilroyKindKirkpatrick (AZ)Klein (FL)KosmasKucinichLangevin

    Larsen (WA)Larson (CT)Lee (CA)LevinLewis (GA)LoebsackLofgren, ZoeLowey

    ObeyOlverOrtizOwens

    PallonePascrellPastor (AZ)PaynePelosiPerlmutterPerrielloPetersPingree (ME)Polis (CO)Pomeroy

    Price (NC)QuigleyRahallRangelReyesRichardsonRodriguezRothman (NJ)Roybal-AllardRuppersbergerRush

    Ryan (OH)SalazarSnchez, Linda T.Sanchez, LorettaSarbanesSchakowskySchauerSchiffSchraderSchwartzScott (GA)

    Scott (VA)SerranoSestakShea-PorterShermanSiresSlaughterSmith (WA)

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    DeGetteDelahuntDeLauroDicksDingell

    DoggettDonnelly (IN)DoyleDriehausEdwards (MD)EllisonEllsworthEngelEshooEtheridgeFarr

    FattahFilnerFosterFrank (MA)FudgeGaramendiGiffordsGonzalezGordon (TN)GraysonGreen, Al

    Green, Gene

    LujnMaffeiMaloneyMarkey (CO)Markey (MA)

    MatsuiMcCarthy (NY)McCollumMcDermottMcGovernMcNerneyMeek (FL)Meeks (NY)MichaudMiller (NC)Miller, George

    MitchellMollohanMoore (KS)Moore (WI)Moran (VA)Murphy (CT)Murphy (NY)Murphy, PatrickNadler (NY)NapolitanoNeal (MA)

    Oberstar

    SnyderSpeierSprattStarkStupak

    SuttonThompson (CA)Thompson (MS)TierneyTitusTonkoTownsTsongasVan HollenVelzquezVisclosky

    WalzWasserman SchultzWatersWatsonWattWaxmanWeinerWelchWilson (OH)WoolseyWu

    Yarmuth

    THROW ALL THESE SCUMBAGS

    OUT IN NOVEMBER 2010, AND THE

    COMING ELECTIONS !!!!

    WE WILL NOT FORGET WHO YOU ARE AND WHAT YOU DID

    TO AMERICA & THE PEOPLE OF AMERICA !!!

    *****

    ---- NOES 212 ---

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    Aderholt

    Adler (NJ)Akin

    Alexander

    AltmireArcuriAustriaBachmann

    Bachus

    Barrett (SC)

    BarrowBartlett

    Barton (TX)

    BerryBiggert

    BilbrayBilirakisBishop (UT)

    Blackburn

    BluntBoehner

    Bonner

    Bono Mack

    Boozman

    BorenBoucher

    BoustanyBrady (TX)

    BrightBroun (GA)Brown (SC)

    Brown-Waite, Ginny

    Buchanan

    BurgessBurton (IN)

    Buyer

    Calvert

    CampCampbell

    CantorCao

    Capito

    CarterCassidy

    Castle

    FoxxFranks (AZ)

    Frelinghuysen

    Gallegly

    Garrett (NJ)Gerlach

    Gingrey (GA)Gohmert

    Goodlatte

    Granger

    GravesGriffith

    Guthrie

    Hall (TX)Harper

    Hastings (WA)HellerHensarling

    Herger

    Herseth SandlinHoekstra

    HoldenHunter

    InglisIssa

    Jenkins

    Johnson (IL)Johnson, Sam

    Jones

    Jordan (OH)King (IA)

    King (NY)

    Kingston

    Kirk

    KissellKline (MN)

    Kratovil

    LambornLance

    LathamLaTourette

    Latta

    Lee (NY)Lewis (CA)

    Linder

    MinnickMoran (KS)

    Murphy, Tim

    Myrick

    NeugebauerNunes

    NyeOlson

    Paul

    Paulsen

    Pence

    PetersonPetri

    PittsPlatts

    Poe (TX)PoseyPrice (GA)

    Putnam

    RadanovichRehberg

    Reichert

    Roe (TN)

    Rogers (AL)Rogers (KY)

    Rogers (MI)

    RohrabacherRooney

    Ros-Lehtinen

    Roskam

    RossRoyce

    Ryan (WI)

    ScaliseSchmidt

    Schock

    Sensenbrenner

    SessionsShadegg

    Shimkus

    ShulerShuster

    Simpson

    SkeltonSmith (NE)

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    Chaffetz

    ChandlerChildersCoble

    Coffman (CO)

    ColeConaway

    CrenshawCulberson

    Davis (AL)Davis (KY)

    Davis (TN)Deal (GA)

    Dent

    Diaz-Balart, L.Diaz-Balart, M.

    DreierDuncan

    Edwards (TX)Ehlers

    EmersonFallin

    Flake

    Fleming

    ForbesFortenberry

    LipinskiLoBiondoLucas

    Luetkemeyer

    Lummis

    Lungren, Daniel E.LynchMackManzullo

    Marchant

    MarshallMathesonMcCarthy (CA)

    McCaul

    McClintockMcCotter

    McHenryMcIntyreMcKeon

    McMahonMcMorris Rodgers

    MelanconMica

    Miller (FL)

    Miller (MI)Miller, Gary

    Smith (NJ)

    Smith (TX)Souder

    SpaceStearns

    SullivanTannerTaylorTeagueTerry

    Thompson (PA)

    ThornberryTiahrt

    Tiberi

    TurnerUpton

    WaldenWampWestmoreland

    Whitfield

    Wilson (SC)Wittman

    Wolf

    Young (AK)

    Young (FL)

    REWARD THESE PEOPLE WHO PLACED PEOPLE BUSINESS

    FIRST AS THEY REMEMBERED WHO THEY REPRESENT

    AND WHY THEY ARE IN DC. THANK YOU FOR DOING

    WHATS RIGHT FOR THE AMERICAN PEOPLE. American

    Citizens.

    *****

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    BART STUPAK THE TRAITOR AND HIS GANG OF

    (WHORES) SELLOUTS THAT DID THE TRICK

    FOR THE OPIMP & MADAME PELOSI.and for

    sure THEY WILL PAY FOR THEIR BETRAYL TOAMERICA & THE AMERICAN PEOPLE !

    Traitor in chief BENEDICT ARNORLD STUPID Stupak

    Fellow SCUMBAGS :

    Rep. Steve Driehaus (D-Ohio), Reps. JimCooper (Tenn.), Paul Kanjorski (Pa.), Marcy Kaptur (Ohio),

    Nick Rahall (W.Va.), Alan Mollohan (W.Va.) , Kathy

    Dahlkemper (Pa), Rep. Joe Donnelly (Ind), Reps. Bobby Rush

    (Ill.) and Loretta Sanchez (Calif.), James Clyburn (D-S.C),

    Rep. Jan Schakowsy (D-Ill.), Rep. Lois Capps (D-Calif).

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    Stupak, Dems reach abortion dealBy Jared Allen and Jeffrey Young - 03/21/10 03:33 PM ET

    Democrats have reached a deal on an executive order on

    abortion that could hand them a victory on healthcare.

    Rep. Bart Stupak (D-Mich.) announced a deal at a pressconference. He said the deal means Democrats will have the

    216 votes they need to win a healthcare reform vote on thefloor.

    "We're well past 216," he said at the press conference.

    "Eight or nine" Democrats, including Stupak, will support the

    healthcare bill because of the deal, according to an anti-

    abortion rights Democrat.

    "We've changed [our votes]," said Rep. Steve Driehaus(D-Ohio), who appeared at the press conference withStupak.

    Driehaus said he's seen the executive order and can now vote

    for the healthcare bill. He said Stupak has signed off, as well.

    Driehaus spoke minutes before the press conference in the

    Speaker's Lobby.

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    Separately, two other undecided Democrats said they would

    vote for healthcare reform: Reps. Jim Cooper (Tenn.)

    and Paul Kanjorski (Pa.).

    Besides Driehaus and Stupak, other Democrats attending the

    press conference, who will now support the bill, were Reps.

    Marcy Kaptur (Ohio),Nick Rahall (W.Va.),Alan

    Mollohan (W.Va.) and Kathy Dahlkemper (Pa.). Allsaid they would vote for the healthcare bill.

    Stupak said Rep. Joe Donnelly (Ind.), who was unable to

    attend the press conference, will also vote yes.

    That puts Democrats ever so close to the 216 votes they need to

    win a series of floor votes, according to The Hill's whip count.

    By The Hill's count, 35 Democrats are no votes or likely no

    votes. Democrats can afford to lose 37 members.

    Two other Democrats are undecided: Reps. Bobby Rush

    (Ill.) and Loretta Sanchez (Calif.).

    Majority Whip James Clyburn (D-S.C.) said he expectsRush to vote yes.

    Stupak said on Fox News afterward that the executive order

    was a "very strong statement" that wouldn't replace statutory

    language -- his preference -- but acknowledged that he couldn't

    get such language through the Senate.

    "All the safeguards we were looking for, the principle we

    fought for all these months, will be enforced through this

    exeuctive order," Stupak said. "It's a good agreement."

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    Stupak also stressed that fixes to the bill could be enacted

    between now and 2014.

    Pro-abortion-rights Democrats lined up behind the deal,

    signaling that healthcare reform's biggest and last hurdle hadbeen overcome.

    "It looks like it's a go," Rep. Jan Schakowsy (D-

    Ill.) said after exiting Pelosi's office. "Assuming that there'sno final, final, final, final shenanigans that go on with the

    Stupak people, I think we're OK."

    Rep. Lois Capps (D-Calif.), the author of the abortionlanguage initially approved in the House Energy and

    Commerce Committee that Stupak's November floor

    amendment replaced, was also satisfied.

    "I'm pleased that we seem to be getting to the end," said

    Capps. "I'm thankful that we're to the point where now we can

    concentrate on healthcare reform and we're ready to take a

    vote."

    House Republicans responded, saying the executive order

    would not have the authority to implement its own abortion

    language.

    "The law of the land trumps any Executive Order,which can be reversed or altered at the stroke of a

    pen by this or any subsequent President without

    any congressional approval or notice," House

    Minority Leader John Boehner (R-Ohio) said in a

    statement. "Moreover, while an Executive Order

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    can direct members of the executive branch, it

    cannot direct the private sector."

    Outside groups on both sides of the abortion divide do not

    appear poised to support an agreement between the two

    Democratic camps. The National Right to Life Committee and

    the U.S. Conference of Catholic Bishops each issued statements

    rejecting the notion of using an executive order as a bulwark

    against taxpayer dollars being used to fund abortion services.

    Meanwhile, abortion rights advocates like the Planned

    Parenthood Federation of America and NARAL already

    opposed the Senate language Obama's order would ostensiblyaffirm.

    As the Democrats reached their agreement, Republicans enter

    House floor in single file, each asking for unanimous consent to

    revise and extend their remarks in opposition to "this flawed"

    healthcare bill. The Republicans can still throw their biggest

    roadblock later tonight with their motion to recommit.

    This story was updated at 5:37 p.m.

    Molly K. Hooper and Walter Alarkon contributed to this story.

    http://thehill.com/homenews/house/88143-stupak-dems-reach-abortion-deal-eight-or-nine-will-vote-yes

    ___________________________________________________________________

    *****

    http://thehill.com/homenews/house/88143-stupak-dems-reach-abortion-deal-eight-or-nine-will-vote-yeshttp://thehill.com/homenews/house/88143-stupak-dems-reach-abortion-deal-eight-or-nine-will-vote-yeshttp://thehill.com/homenews/house/88143-stupak-dems-reach-abortion-deal-eight-or-nine-will-vote-yeshttp://thehill.com/homenews/house/88143-stupak-dems-reach-abortion-deal-eight-or-nine-will-vote-yes
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    20 WAYS OBAMACARE WILL TAKE AWAY

    OUR FREEDOMS

    With House Democrats poised to pass the Senatehealth care bill with some reconciliation changes

    later today, it is worthwhile to take a

    comprehensive look at the freedoms we will lose.

    Of course, the overhaul is supposed to provide us

    with security. But it will result in skyrocketing

    insurance costs and physicians leaving the field indroves, making it harder to afford and find

    medical care. We may be about to live Benjamin

    Franklins adage, People willing to trade their

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    freedom for temporary security deserve neither

    and will lose both.

    The sections described below are taken from HR3590 as agreed to by the Senate and from the

    reconciliation bill as displayed by the Rules

    Committee.

    1. You are young and dont want health

    insurance? You are starting up a small business

    and need to minimize expenses, and one way to dothat is to forego health insurance? Tough. You

    have to pay $750 annually for the privilege.

    (Section 1501)

    2. You are young and healthy and want to pay for

    insurance that reflects that status? Tough. Youll

    have to pay for premiums that cover not only you,but also the guy who smokes three packs a day,

    drink a gallon of whiskey and eats chicken fat off

    the floor. Thats because insurance companies will

    no longer be able to underwrite on the basis of a

    persons health status. (Section 2701).

    3. You would like to pay less in premiums by

    buying insurance with lifetime or annual limits on

    coverage? Tough. Health insurers will no longer

    be able to offer such policies, even if that is what

    customers prefer. (Section 2711).

    http://rules.house.gov/http://rules.house.gov/http://rules.house.gov/http://rules.house.gov/
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    4. Think youd like a policy that is cheaper

    because it doesnt cover preventive care or

    requires cost-sharing for such care? Tough.

    Health insurers will no longer be able to offerpolicies that do not cover preventive services or

    offer them with cost-sharing, even if thats what

    the customer wants. (Section 2712).

    5. You are an employer and you would like to

    offer coverage that doesnt allow your employers

    slacker children to stay on the policy until age 26?Tough. (Section 2714).

    6. You must buy a policy that covers ambulatory

    patient services, emergency services,

    hospitalization, maternity and newborn care,

    mental health and substance use disorder services,

    including behavioral health treatment;prescription drugs; rehabilitative and habilitative

    services and devices; laboratory services;

    preventive and wellness services; chronic disease

    management; and pediatric services, including

    oral and vision care.

    Youre a single guy without children? Tough,your policy must cover pediatric services. Youre

    a woman who cant have children? Tough, your

    policy must cover maternity services. Youre a

    teetotaler? Tough, your policy must cover

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    substance abuse treatment. (Add your own

    violation of personal freedom here.) (Section

    1302).

    7. Do you want a plan with lots of cost-sharing and

    low premiums? Well, the best you can do is a

    Bronze plan, which has benefits that provide

    benefits that are actuarially equivalent to 60% of

    the full actuarial value of the benefits provided

    under the plan. Anything lower than that, tough.

    (Section 1302 (d) (1) (A))

    8. You are an employer in the small-group

    insurance market and youd like to offer policies

    with deductibles higher than $2,000 for

    individuals and $4,000 for families? Tough.

    (Section 1302 (c) (2) (A).

    9. If you are a large employer (defined as at least

    101 employees) and you do not want to provide

    health insurance to your employee, then you will

    pay a $750 fine per employee (It could be $2,000 to

    $3,000 under the reconciliation changes). Think

    you know how to better spend that money?

    Tough. (Section 1513).

    10. You are an employer who offers health flexible

    spending arrangements and your employees want

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    to deduct more than $2,500 from their salaries for

    it? Sorry, cant do that. (Section 9005 (i)).

    11. If you are a physician and you dont want thegovernment looking over your shoulder? Tough.

    The Secretary of Health and Human Services is

    authorized to use your claims data to issue you

    reports that measure the resources you use,

    provide information on the quality of care you

    provide, and compare the resources you use to

    those used by other physicians. Of course, this willall be just for informational purposes. Its not like

    the government will ever use it to intervene in

    your practice and patients care. Of course not.

    (Section 3003 (i))

    12. If you are a physician and you want to own

    your own hospital, you must be an owner andhave a Medicare provider agreement by Feb. 1,

    2010. (Dec. 31, 2010 in the reconciliation changes.)

    If you didnt have those by then, you are out of

    luck. (Section 6001 (i) (1) (A))

    13. If you are a physician owner and you want to

    expand your hospital? Well, you cant (Section6001 (i) (1) (B). Unless, it is located in a country

    where, over the last five years, population growth

    has been 150% of what it has been in the state

    (Section 6601 (i) (3) ( E)). And then you cannot

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    increase your capacity by more than 200%

    (Section 6001 (i) (3) (C)).

    14. You are a health insurer and you want to raisepremiums to meet costs? Well, if that increase is

    deemed unreasonable by the Secretary of

    Health and Human Services it will be subject to

    review and can be denied. (Section 1003)

    15. The government will extract a fee of $2.3

    billion annually from the pharmaceuticalindustry. If you are a pharmaceutical company

    what you will pay depends on the ratio of the

    number of brand-name drugs you sell to the total

    number of brand-name drugs sold in the U.S. So,

    if you sell 10% of the brand-name drugs in the

    U.S., what you pay will be 10% multiplied by $2.3

    billion, or $230,000,000. (Under reconciliation, itstarts at $2.55 billion, jumps to $3 billion in 2012,

    then to $3.5 billion in 2017 and $4.2 billion in

    2018, before settling at $2.8 billion in 2019

    (Section 1404)). Think you, as a pharmaceutical

    executive, know how to better use that money, say

    for research and development? Tough. (Section

    9008 (b)).

    16. The government will extract a fee of $2 billion

    annually from medical device makers. If you are a

    medical device maker what you will pay depends

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    on your share of medical device sales in the U.S.

    So, if you sell 10% of the medical devices in the

    U.S., what you pay will be 10% multiplied by $2

    billion, or $200,000,000. Think you, as a medicaldevice maker, know how to better use that money,

    say for R&D? Tough. (Section 9009 (b)).

    The reconciliation package turns that into a 2.9%

    excise tax for medical device makers. Think you,

    as a medical device maker, know how to better use

    that money, say for research and development?Tough. (Section 1405).

    17. The government will extract a fee of $6.7

    billion annually from insurance companies. If you

    are an insurer, what you will pay depends on your

    share of net premiums plus 200% of your

    administrative costs. So, if your net premiums andadministrative costs are equal to 10% of the total,

    you will pay 10% of $6.7 billion, or $670,000,000.

    In the reconciliation bill, the fee will start at $8

    billion in 2014, $11.3 billion in 2015, $1.9 billion in

    2017, and $14.3 billion in 2018 (Section

    1406).Think you, as an insurance executive, know

    how to better spend that money? Tough.(Section

    9010 (b) (1) (A and B).)

    18. If an insurance company board or its

    stockholders think the CEO is worth more than

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    $500,000 in deferred compensation? Tough.

    (Section 9014).

    19. You will have to pay an additional 0.5%payroll tax on any dollar you make over $250,000

    if you file a joint return and $200,000 if you file an

    individual return. What? You think you know

    how to spend the money you earned better than

    the government? Tough. (Section 9015).

    That amount will rise to a 3.8% tax ifreconciliation passes. It will also apply to

    investment income, estates, and trusts. You think

    you know how to spend the money you earned

    better than the government? Like you need to ask.

    (Section 1402).

    20. If you go for cosmetic surgery, you will pay anadditional 5% tax on the cost of the procedure.

    Think you know how to spend that money you

    earned better than the government? Tough.

    (Section 9017).

    By David Hogberg, March 22, 2010.

    http://blogs.investors.com/capitalhill/index.php/home/35-

    politicsinvesting/1563-20-ways-obamacare-will-take-away-our-

    freedoms

    ____________________________________________________________________

    http://blogs.investors.com/capitalhill/index.php/home/35-politicsinvesting/1563-20-ways-obamacare-will-take-away-our-freedomshttp://blogs.investors.com/capitalhill/index.php/home/35-politicsinvesting/1563-20-ways-obamacare-will-take-away-our-freedomshttp://blogs.investors.com/capitalhill/index.php/home/35-politicsinvesting/1563-20-ways-obamacare-will-take-away-our-freedomshttp://blogs.investors.com/capitalhill/index.php/home/35-politicsinvesting/1563-20-ways-obamacare-will-take-away-our-freedomshttp://blogs.investors.com/capitalhill/index.php/home/35-politicsinvesting/1563-20-ways-obamacare-will-take-away-our-freedomshttp://blogs.investors.com/capitalhill/index.php/home/35-politicsinvesting/1563-20-ways-obamacare-will-take-away-our-freedoms
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    Just Do the Math and See What You Are on the Hook

    for :

    The fifth column in power is taking over 1/6th of the economy and

    bankrupting the greatest nation in the history of man.

    They reamed Bush for money spent going to war to protect this nation

    against jihad -- and then these moochers and destroyers rout the nation.

    Healthcare by the Numbers

    $1.2 trillion: The total cost of the bill between 2010 and2020 (though the real costs do not start until 2014),

    including $940 billion in coverage subsidies, $144.2

    billion in additional mandatory spending, $70 billion in

    http://www.gop.gov/blog/10/03/20/important-health-care-takeover-byhttp://www.gop.gov/blog/10/03/20/important-health-care-takeover-by
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    discretionary spending in the Senate bill, and $41.6

    billion in unrelated education spending.

    $208 billion: The cost of a ten year patch for theSustainable Growth Rate (SGR) to prevent reduction inMedicare physician payments. This cost is hidden

    because it was included in the earlier Democrat bill, but

    was dropped to provide a better cost estimate. It is

    expected to move separately and would bring the true

    cost of the takeover to $1.4 trillion.

    $569.2 billion: Tax increases in the legislation, including$48.9 billion in new tax increases in the reconciliation

    bill alone.

    $52 billion: The amount of new taxes on employers whocannot afford to pay their employees health care,

    imposed at a time when unemployment is 9.7 percent.

    12: The number of new tax increases in the bill thatviolate President Obamas pledge that, Under my plan,

    no family making less than $250,000 a year will see any

    form of tax increase.

    46%: The percentage of families making less than$66,150 who will be forced to pay the individual

    mandate tax.

    16,500: The estimated number of IRS auditors, agentsand other employees that may be needed to collect the

    hundreds of billions in new taxes levied on the

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    American people.

    $20 billion: The estimated amount of money that the

    IRS and HHS will need for the cost of additionalregulations, bureaucracy, and red tape over the next ten

    years. This spending is not included in CBOs cost

    estimate of H.R. 4872.

    $53 billion: The amount of revenue this bill raids fromSocial Security to appear as if it actually reduces the

    deficit.

    $202.3 billion: The amount of money cut from theMedicare Advantage program for seniors to help offset

    the costs of a new entitlement.

    $436 billion: The amount of federal subsidies in the billthat will go directly to insurance companies to provide

    health care in the exchange.1 out of 22: The number of times the Senate has notsomehow amended a reconciliation bill passed by the

    House, and thus required further House action.

    63%: The percentage of physicians surveyed who feelthat health reform is needed, but are opposed to this

    sweeping overhaul legislation.

    $9 billion: The amount that the Ways and MeansCommittee estimated Medicare would spend annually

    after 25 years when it was passed in 1965. In reality,

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    Medicare spent $67 billion in 1990, or seven times the

    initial cost estimate.

    $1.55 trillion: The projected FY 2010 deficit11 timesthe ten year savings Democrats claim the bill willproduce by spending more than $1 trillion for this

    government takeover of health care.

    Posted by Pamela Geller on Saturday, March 20, 2010 at 12:20 PM

    http://www.gop.gov/blog/10/03/20/important-health-care-takeover-by

    _____________________________________________________________________

    Price: Obamacare Means 159 New

    Gov't Agencies

    http://www.gop.gov/blog/10/03/20/important-health-care-takeover-byhttp://www.gop.gov/blog/10/03/20/important-health-care-takeover-by
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    Saturday, 20 Mar 2010 12:06 PM

    The new government agencies that will be created as the

    result of Obamacare will worsen the quality ofAmerican medical care by restricting physicians andhospitals to use their best judgment, according to Rep.Tom Price, R-Ga., a physician and chairman of theRepublican Study Committee.

    In fact, he says, the bill would create 159 newgovernemnt agencies to regulate insurance and

    medical care for Americans.

    Writing for AOL News, Price says in an op-ed that thehealthcare overhaul being contemplated by HouseDemocrats will sacrifice the quality of health carethat has made this nation's practice of medicine theenvy of the world.

    Quality remains one of the six principles of patient-centered health care that Republicans haveadvocated, Price writes. Yet, all Americans find inthe Democrats' government-centered vision arevarious boards of bureaucrats -- not practicingphysicians -- determining what is considered qualitycare.

    The plan will take away the right of individuals tomake the best decisions about their healthcare inconsultation with their physician.

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    An individual patient is far better served when healthcare decisions are informed by the advice of theirdoctor, not the dictates of Washington, Price writes.

    So when one reads the details of the legislationpending before Congress and finds the creation of 159new government offices and programs, there is littleelse to feel but fear and concern for what will happento the level of quality care in this country.

    The GOP has pushed a series of common-sensemeasures, Price says, that include tort reform and

    efforts to reduce waste and mismanagement ingovernment programs like Medicare.

    Republicans are championing reform with no newbureaucratic boards making medical decisions, no$500 billion cuts to Medicare, no new mandates, andno one standing between you and your doctor, Price

    writes. We can fix what ails our current systemwithout destroying it if we abide by the principle thatquality in health care must not be sacrificed.

    _________________________________________________________________

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    Medicaid and financing other provisions of his health

    agenda.

    But, as Heritage analysts Karen Campbell and

    Guinevere Nell explain in a recent paper, these new

    taxes would have widespread adverse effects for all

    Americans, not just the wealthy that they target. This is

    partially due to the very nature of a tax:

    A well-established economic regularity is that if you

    tax something, you get less of it. For example,

    policymakers in the Senate recently proposed a tax onCadillac health insurance plans. The justification was

    that it would not only generate revenue to help pay for

    subsidized insurance but also reduce demand for high-

    priced premiums, putting downward pressure on all

    health insurance premiums.

    The Cadillac health insurance plan tax is intended to

    reduce the usage of high-cost insurance plans.Similarly, the Presidents proposals tax on tanning

    beds discourages their use; the same is the case with

    cigarette taxes. In several instances, taxes are imposed

    as punitive measures. So why on earth would the

    President impose a tax that would discourage

    investment, delaying recovery from the current

    economic downturn?

    Moreover, Campbell and Nell lay out several ways in

    which this tax would hit average American households

    hard. First, the tax would reduce overall household

    wealth of American families by $274 billion per year.

    http://www.heritage.org/Research/HealthCare/wm2817.cfmhttp://www.heritage.org/Research/HealthCare/wm2817.cfmhttp://www.heritage.org/Research/HealthCare/wm2817.cfmhttp://www.heritage.org/Research/HealthCare/wm2817.cfmhttp://www.heritage.org/Research/HealthCare/wm2817.cfmhttp://www.heritage.org/Research/HealthCare/wm2817.cfmhttp://www.heritage.org/Research/HealthCare/wm2817.cfmhttp://www.heritage.org/Research/HealthCare/wm2817.cfmhttp://www.heritage.org/Research/HealthCare/wm2817.cfmhttp://www.heritage.org/Research/HealthCare/wm2817.cfmhttp://www.heritage.org/Research/HealthCare/wm2817.cfmhttp://www.heritage.org/Research/HealthCare/wm2817.cfmhttp://www.heritage.org/Research/HealthCare/wm2817.cfmhttp://www.heritage.org/Research/HealthCare/wm2817.cfmhttp://www.heritage.org/Research/HealthCare/wm2817.cfm
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    The value of the investment portfolios of many

    householdsnot just the high-income households that

    directly pay the taxare reduced by the tax on

    investment income.

    Second, reducing investment would decrease capital in

    the U.S. economy, which would reduce potential for

    economical growth. This affects not only the rate of job

    creation and wage increase: it would have a dramatic

    effect on the ability of the federal government to borrow

    money. According to Campbell and Nell, A lower U.S.

    economic potential also harms the ability of thegovernment to borrow, because investors lend to the

    U.S. based on the expected potential of the U.S.

    economy. Thus a lower potential economy puts upward

    pressure on government interest rates in order to

    attract financing for the nations deficit. Raising

    government interest rates will add further to the

    financial burden on taxpayers.Because investment is what drives productivity and

    economic growth, less investmenteven if only slightly

    lessleads to lower productivity, slower economic

    growth, weaker wages and salaries, and lower

    household wealth. How much less depends on the

    underlying supply and demand for investment.

    President Obamas health care proposal would expand

    health coveragebut is the detriment to the U.S.

    economy and the burden on the taxpayer worth the

    cost?

    http://www.heritage.org/Research/HealthCare/wm2817.cfmhttp://www.heritage.org/Research/HealthCare/wm2817.cfmhttp://www.heritage.org/Research/HealthCare/wm2817.cfmhttp://www.heritage.org/Research/HealthCare/wm2817.cfmhttp://www.heritage.org/Research/HealthCare/wm2817.cfmhttp://www.heritage.org/Research/HealthCare/wm2817.cfmhttp://www.heritage.org/Research/HealthCare/wm2817.cfmhttp://www.heritage.org/Research/HealthCare/wm2817.cfmhttp://www.heritage.org/Research/HealthCare/wm2817.cfmhttp://www.heritage.org/Research/HealthCare/wm2817.cfmhttp://www.heritage.org/Research/HealthCare/wm2817.cfmhttp://www.heritage.org/Research/HealthCare/wm2817.cfmhttp://www.heritage.org/Research/HealthCare/wm2817.cfmhttp://www.heritage.org/Research/HealthCare/wm2817.cfmhttp://www.heritage.org/Research/HealthCare/wm2817.cfmhttp://www.heritage.org/Research/HealthCare/wm2817.cfmhttp://www.heritage.org/Research/HealthCare/wm2817.cfmhttp://www.heritage.org/Research/HealthCare/wm2817.cfm
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    http://blog.heritage.org/2010/02/25/the-president-health-proposal-taxing-

    investment-income/#comments

    ___________________________________________________________________

    Obamas Health Plan Has Dangerous New Taxes

    Posted February 23rd, 2010 at 6:35pm in Entitlements, Health Carewith 20 comments

    http://blog.heritage.org/2010/02/25/the-president-health-proposal-taxing-investment-income/#commentshttp://blog.heritage.org/2010/02/25/the-president-health-proposal-taxing-investment-income/#commentshttp://blog.heritage.org/category/entitlements/http://blog.heritage.org/category/health-care/http://blog.heritage.org/category/health-care/http://blog.heritage.org/2010/02/23/obama%E2%80%99s-health-plan-has-dangerous-new-taxes/#commentshttp://blog.heritage.org/2010/02/25/the-president-health-proposal-taxing-investment-income/#commentshttp://blog.heritage.org/2010/02/25/the-president-health-proposal-taxing-investment-income/#commentshttp://blog.heritage.org/category/entitlements/http://blog.heritage.org/category/health-care/http://blog.heritage.org/2010/02/23/obama%E2%80%99s-health-plan-has-dangerous-new-taxes/#comments
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    The health care plan President Obama recently released

    is mostly a combination of the different plans passed by

    the House of Representatives and the Senate. But in onemajor way it breaks with long-standing precedent,

    proposing a fundamental wrong-headed change to both

    entitlement policy and tax policy. He proposes for the

    first time to tax capital income to support entitlement

    programs.

    Payroll taxes have always applied just to wages and

    salaries and the revenue those taxes raise has gonesolely to pay for entitlements like Social Security and

    Medicare. The deal has always been that we pay payroll

    taxes during our working years and receive the benefits

    they fund after we retire. President Obamas health

    care plan would shatter this compact forever.

    The Hospital Insurance (HI) portion of the payroll taxis 2.9 percent on all wages and salary that is paid half

    (1.45 percent) by workers and half (the remaining 1.45

    percent) by employers. It is supposed to pay only for the

    hospital insurance portion of Medicare benefits that

    retirees receive. President Obamas plan adopts this

    break with long-held policy and doubles down by

    further severing the link between HI and Medicare

    benefits. Obamas plan not only increases the HI tax onwages and salaries for high-income earners similar to

    the Senate bill, it also applies the HI tax to investment

    income for the first time. Obamas unprecedented plan

    would levy the current 2.9 percent HI tax on what the

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    administration obnoxiously refers to as unearned

    income, which includes capital gains, interest,

    dividends, annuities, royalties and rents for families

    earning more than $250,000 a year ($200,000 for singlefilers).

    Applying the HI tax to investment income would also

    continue to transform entitlements and how they are

    paid for. Using the revenue raised by levying the HI tax

    on investment income would open the floodgates for

    future rate increases to pay for other new spending

    programs. Adding a new revenue stream for Congressto tap when it needs more money is always dangerous

    and should be resisted at all costs, otherwise expanding

    government will be too easy for Congress.

    Yet this is likely the reason President Obama wants to

    levy the HI tax on investment. Applying the HI tax

    separately to investment income will forever give

    Congress yet another tax to hike whenever it wants tofund a new program. If Congress can raise payroll taxes

    easily to pay for any spending it desires, payroll taxes

    will no longer be used to pay for entitlements, but as an

    ATM for Congress to go back each time it needs more

    cash.

    http://blog.heritage.org/2010/02/23/obama%E2%80%99s-health-plan-has-dangerous-new-taxes/

    http://blog.heritage.org/2010/02/23/obama%E2%80%99s-health-plan-has-dangerous-new-taxes/http://blog.heritage.org/2010/02/23/obama%E2%80%99s-health-plan-has-dangerous-new-taxes/http://blog.heritage.org/2010/02/23/obama%E2%80%99s-health-plan-has-dangerous-new-taxes/http://blog.heritage.org/2010/02/23/obama%E2%80%99s-health-plan-has-dangerous-new-taxes/
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    ___________________________________________________________________

    ___________________________________________________________

    Obamas Health Plan Taxes, Taxes Everywhere

    Posted February 24th, 2010 at 12:59pm in Entitlements, Health Care with 3 comments

    The White House recently released President Obamas

    health care reform proposal. The plan incorporates a

    mixture ofthe many tax increases passed by the House

    and Senate, hiking taxes by almost $750 billion over ten

    http://blog.heritage.org/category/entitlements/http://blog.heritage.org/category/health-care/http://blog.heritage.org/2010/02/24/obama%E2%80%99s-health-plan-taxes-taxes-everywhere/#commentshttp://www.heritage.org/Research/HealthCare/wm2706.cfmhttp://www.atr.org/updated-obamacare-raises-taxes-bybr-billion-a4560http://blog.heritage.org/category/entitlements/http://blog.heritage.org/category/health-care/http://blog.heritage.org/2010/02/24/obama%E2%80%99s-health-plan-taxes-taxes-everywhere/#commentshttp://www.heritage.org/Research/HealthCare/wm2706.cfmhttp://www.atr.org/updated-obamacare-raises-taxes-bybr-billion-a4560
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    years. This is on top of$1.3 trillion in other tax

    increases the President recently proposed in his 2011

    budget. Not that there is ever a good time to raise taxes,

    but doing so as the economy is still emerging from adeep recession is particularly ill-advised and will likely

    prolong full recovery. Moreover, the Presidents

    proposal deviates from his stated goal to address the

    soaring spending and debt problem the nation faces by

    piling on massive new spending and taxes.

    Payroll tax hikes: Obama accepted the Senates plan to

    break long-held policy by raising the HospitalInsurance (HI) portion of the payroll tax on high-

    income earners to pay for a new and unrelated health

    care entitlement. He then doubled-down on this

    dangerous new precedent by separately applying the HI

    tax to investment income for the first time. The tax code

    already taxes investment too much. Higher taxes still on

    dividends, interest and business income increases thecost of capital which will further depress investment

    and thus job creation. Ironic to propose this at the very

    time the President wants employers to create jobs.

    Medicare payroll tax would hit seniors: His proposed

    tax hike on investment will hammer seniors particularly

    hard because their investment income is a major

    supplement to their pension and Social Security checks.Seniors also sell assets to raise income, so raising the tax

    on capital gains further reduces their resources. Lastly,

    raising the taxes on capital income and capital gains will

    lower asset values. Nearly 30 percent of all stocks are

    http://www.atr.org/updated-obamacare-raises-taxes-bybr-billion-a4560http://www.heritage.org/Research/Taxes/wm2790.cfmhttp://www.heritage.org/Research/Taxes/wm2790.cfmhttp://blog.heritage.org/2010/02/23/obama%E2%80%99s-health-plan-has-dangerous-new-taxes/http://blog.heritage.org/2010/02/23/obama%E2%80%99s-health-plan-has-dangerous-new-taxes/http://blog.heritage.org/2010/02/23/obama%E2%80%99s-health-plan-has-dangerous-new-taxes/http://www.atr.org/updated-obamacare-raises-taxes-bybr-billion-a4560http://www.heritage.org/Research/Taxes/wm2790.cfmhttp://www.heritage.org/Research/Taxes/wm2790.cfmhttp://blog.heritage.org/2010/02/23/obama%E2%80%99s-health-plan-has-dangerous-new-taxes/http://blog.heritage.org/2010/02/23/obama%E2%80%99s-health-plan-has-dangerous-new-taxes/http://blog.heritage.org/2010/02/23/obama%E2%80%99s-health-plan-has-dangerous-new-taxes/
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    held in retirement savings plans. Most of the seniors

    that rely on the income from these plans for their

    livelihood are not fat cat investors that have been the

    target of other populist tax hikes. They are people thatspent their working years saving money for their own

    retirement in mutual funds, 401(k)s, IRAs, and other

    savings vehicles. This would just punish them for a

    lifetime of careful planning and saving.

    Cadillac tax: The President also adopted an excise tax

    on Cadillac health insurance plans similar to that in

    the Senate plan. Obamas proposal would levy a 40%tax on plans that cost over $10,200 a year for

    individuals and $27,500 for families, but wouldnt be

    effective until 2018. The delay will no doubt give unions

    and other favored groups time to negotiate their way

    out of the tax through collective bargaining or gain a

    complete legislative exemption at some point in the

    future before the tax kicks in. It also means delayingpolitical pain. All the same criticisms of the excise tax

    apply as before. For example, insurers will embed the

    tax in the price of their plans. This will hide its cost

    from their customers. The tax will also fall heavily on

    middle and low-income workers whose taxes President

    Obama pledged not to increase. The President would

    have been better off capping the value of health

    insurance employers can provide their employees taxfree. This is something that has wide support among

    policy experts on the right and the left and would be a

    real show towards openness to the bipartisan ideas he is

    purporting.

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    Still more taxes: Just like the Senate and the House, his

    plan incorporates a multitude of other tax hikes and

    fees that will go towards paying for the monstrously

    expensive bill. Some will raise taxes on people makingless than $250,000 a year, breaking a key campaign

    pledge. Prime examples include:

    Excise tax on medical device manufacturers;

    Fee on brand name pharmaceuticals;

    10 percent tax on tanning services;

    Reduce the amount families can place in Flexible

    Spending Accounts (FSA) and increase the penalties fornon-medical deductions from Health Savings Accounts

    (HSA); and

    Higher taxes on health insurance companies and

    producers of medicine.

    Each of these taxes will fall explicitly on those making

    less than $250,000 or will be passed down to them. And

    this is just a sample of the taxes that will hit thosemaking less than $250,000 in the Presidents plan.

    There are many more. In fact, the mandate on all

    individuals to purchase health insurance could also be

    considered another steep tax hike on those making less

    than $250,000.

    Bottom Line: There is never a good time to raise taxes,

    but even the talk of doing so now continues to cause

    uncertainty in the economy. Sadly, the Presidents plan

    is no better than those of the House or Senate: massive

    new benefits paid for by a myriad of harmful new taxes.

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    Better to drop this plan and start over. Without

    crushing new taxes.

    http://blog.heritage.org/2010/02/24/obama%E2%80%99s-health-plan-taxes-taxes-

    everywhere/

    ___________________________________________________________________

    Dems Stiff Soldiers: Health Care Will NOT Protect Military Health Plans

    Trillions for his goons, the unions, the ACORNS, the AmericCorps that

    suck the lifeblood out of the hard-working American, the soul of

    America -- the ones who play by the rules .... and now the military.

    http://blog.heritage.org/2010/02/24/obama%E2%80%99s-health-plan-taxes-taxes-everywhere/%20http://blog.heritage.org/2010/02/24/obama%E2%80%99s-health-plan-taxes-taxes-everywhere/%20http://blog.heritage.org/2010/02/24/obama%E2%80%99s-health-plan-taxes-taxes-everywhere/%20http://atlasshrugs2000.typepad.com/atlas_shrugs/2010/03/dems-stiff-soldiers-health-care-plan-will-not-protect-military-health-plans-.htmlhttp://blog.heritage.org/2010/02/24/obama%E2%80%99s-health-plan-taxes-taxes-everywhere/%20http://blog.heritage.org/2010/02/24/obama%E2%80%99s-health-plan-taxes-taxes-everywhere/%20http://atlasshrugs2000.typepad.com/atlas_shrugs/2010/03/dems-stiff-soldiers-health-care-plan-will-not-protect-military-health-plans-.html
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    Democrats' Plan Will NOT Protect Military Health Plans

    From House Republican Policy:

    9.2 million military personnel, families and retirees don't

    deserve a back room deal?

    "Although the health care legislation passed by the House

    explicitly exempted TRICARE from being affected, the Senate bill

    did not. Unfortunately, the parliamentary rules of tof the

    reconciliation process did not allow for the inclusion of language

    that specficially protects these programs."-- Armed ServicesCommittee Chairman Ike Skelton (D-MO)

    Background: On March 18, 2010, just days before the House votes on the Democratsgovernment takeover of health care, House Armed Services Committee Chairman IkeSkelton (D-MO) announced he would introduce legislation to preemptively state thatTRICARE and the Department of Defense non-appropriated fund (NAF) health plansmeet all of the health care requirements currently under consideration by Congress forindividual health insurance. TRICARE and the NAF health plans programs providehealth coverage to members of the military and their families, military retirees and theirfamilies, and employees of U.S. military post/base exchanges. Chairman Skelton evenstated he would also insert this legislative language into the national defenseauthorization bill, reiterating the threat the health care bill currently poses to military

    health plans. This is an explicit admission that the final Democrat health care bill doesnot protect these plans.

    Military Protections Scrapped: The Senate-passed health care bill, which the House isexpected to deem passed on March 21, 2010, omitted protections for military

    health plans that were included in the House bill. Specifically, the Senate language

    does not appear to give the Department of Veterans Affairs (VA) health care

    system specific protection from interference by other government agencies

    administering the various authorities contained in the massive bill, as it pertains to

    minimum essential coverage. The minimum essential coverage language in the

    Senate bill does cover the veterans health care program under chapter 17 of title

    38, United States Code, but it is unclear whether that covers veterans survivors

    and dependents.

    The final bill would leave it up to a bureaucrat at the Department of the Treasury todetermine whether TRICARE meets the minimum standards under the Democratsindividual health insurance mandate. If that bureaucrat decides against TRICARE,service members and their families would have to buy some other health coverage or paya penalty.

    http://www.gop.gov/blog/10/03/20/democrats-plan-will-not-protecthttp://www.gop.gov/blog/10/03/20/democrats-plan-will-not-protect
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    In an effort to bolster support for the House health care takeover back in August 2009,the White House advertised that bills exemption for 9.2 million military personnel,families, and retirees covered under TRICARE and the military health plan. In August,the White House website stated that:

    Health reform legislation that is being considered would enable those who are covered byTRICARE to meet the shared responsibility requirement for individuals to haveinsurance, thereby exempting such members of the uniformed services and dependantsfrom being assessed penalties. If enacted, the President will ensure that this exemption isimplemented aggressively.

    Of course, the final health care bill does not include this promised exemption for militaryplans.

    According to Armed Services Committee Ranking MemberBuck McKeon (R-CA), Weneed to fix this problem immediatelybefore Congress passes and the President signs

    the legislation. By forgoing the traditional legislative process, Democrat leaders inCongressand the President who is pushing for immediate passage of the billhave reneged on assurances that the Senate legislation would be fixed in a

    conference committee. Our military personnel deserve to know they will continue toreceive the same level of care they so rightly deserve.

    Veterans groups would seem to agree. Thomas Tradewell Sr., the national commander ofthe Veterans of Foreign Wars stated that, I remain worried because a free press and aneven freer Internet continue to fuel speculation that both systems could be lost and/orabsorbed into a larger national healthcare plan.

    Perverse Priorities: The Democrats government takeover of health care is chock-full ofbackroom deals for favored constituencies such as Louisiana, Connecticut,Nebraska and insurance companies. In their desperate headlong rush to pass a bill,however, Democrats have neglected to protect the integrity and independence of the DoDand VA health care systems and protect all of their health care beneficiaries. U.S. servicemembers and veterans deserve better.

    ____________________________________________________________________

    http://www.whitehouse.gov/blog/Health-Insurance-Reform-and-TRICARE/http://republicans.armedservices.house.gov/News/PRArticle.aspx?NewsID=952http://republicans.armedservices.house.gov/News/PRArticle.aspx?NewsID=952http://www.vfw.org/index.cfm?fa=news.newsDtl&did=5414http://www.vfw.org/index.cfm?fa=news.newsDtl&did=5414http://atlasshrugs2000.typepad.com/policy-news/10/03/18/shady-deals-and-backroom-bargainshttp://www.whitehouse.gov/blog/Health-Insurance-Reform-and-TRICARE/http://republicans.armedservices.house.gov/News/PRArticle.aspx?NewsID=952http://www.vfw.org/index.cfm?fa=news.newsDtl&did=5414http://atlasshrugs2000.typepad.com/policy-news/10/03/18/shady-deals-and-backroom-bargains
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    Obama's New Health Care Army - The IRS

    New tax mandates and penalties included in Obamacare

    will cause the greatest expansion of the Internal

    Revenue Service since World War II, according to a

    release from Rep. Kevin Brady, R-Texas.

    A new analysis by the Joint Economic Committee and

    the House Ways & Means Committee minority staff

    estimates up to 16,500 new IRS personnel will beneeded to collect, examine and audit new tax

    information mandated on families and small businesses

    in the reconciliation bill being taken up by the U.S.

    House of Representatives this weekend. (more)

    http://www.washingtonexaminer.com/opinion/blogs/beltway-confidential/16500-more-IRS-agents-needed-to-enforce-Obamacare-88458137.htmhttp://www.washingtonexaminer.com/opinion/blogs/beltway-confidential/16500-more-IRS-agents-needed-to-enforce-Obamacare-88458137.htm
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    The new fascism, same as the old fascism.

    Obamacare Grants IRS Perilous Power, GOP Says

    The Internal Revenue Service would gain sweeping new

    powers under President Obama's healthcare reform

    proposals, in what Republicans on the House Ways and

    Means Committee are calling a "dangerous expansion"

    of IRS powers.

    That's according to a nine-page Republican report from

    the Committee on Ways and Means on Thursday. It'stitled "The Wrong Prescription" Democrats' Health

    Overhaul Dangerously Expands IRS Authority."

    Among the new powers the IRS would assume, the

    report says: The authority to confiscate tax refunds, to

    impose fines of over $2,200 per taxpayer, and to verify

    whether taxpayers' health insurance coverage is"acceptable."

    One measure of the scope of the IRS' new

    responsibilities under the healthcare overhaul: The

    agency might have to hire as many as 16,500 additional

    auditors, agents, and other employees in order to

    administer the program, according to Rep. Dave Camp,

    R-Mich., the ranking Republican on the Ways andMeans Committee.

    "It is a very dangerous expansion of the IRS' power and

    reach into the lives of virtually every American," Camp

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    ____________________________________________________________________

    H.R. 4872, THE HEALTH CARE & EDUCATION

    AFFORDABILITY RECONCILIATION ACT of 2010SECTION-BY-SECTION ANALYSIS

    Title I Coverage, Medicare, Medicaid and

    Revenues

    Subtitle A CoverageSec. 1001. Affordability. Improves the

    financing for premiums and cost sharing for

    individuals with incomes up to 400% of the

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    federal poverty level. Subsection (a)

    improves tax credits to make premiums more

    affordable as a percent of income; and

    subsection (b) improves support for cost

    sharing, focusing on those with incomes

    below 250% of the federal poverty level.

    Starting in 2019, constrains the growth in tax

    credits if premiums are growing faster than

    the consumer price index, unless spending is

    more than 10% below current CBO

    projections.

    Sec. 1002. Individual responsibility.

    Modifies the assessment that individuals who

    choose to remain uninsured pay in three

    ways: (a) exempts the income below the filingthreshold, (b) lowers the flat payment from

    $495 to $325 in 2015 and from $750 to $695 in

    2016 and (c) raises the percent of income that

    is an alternative payment amount from 0.5 to

    1.0% in 2014, 1.0 to 2.0% in 2015, and 2.0 to

    2.5% for 2016 and subsequent years to makethe assessment more progressive.

    Sec. 1003. Employer responsibility.

    Improves the transition to the employer

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    responsibility policy for employers with 50 or

    more full-time equivalent workers (FTE) by

    subtracting the first 30 full time employees

    from the payment calculation (e.g., a firm

    with 51 workers that does not offer coverage

    will pay an amount equal to 51 minus 30, or

    21 times the applicable per employee

    payment amount). The provision also changes

    the applicable payment amount for firms

    with more than 50 FTEs that do not offer

    coverage to $2,000 per full-time employee. It

    also eliminates the assessment for workers in

    a waiting period, while maintaining the 90-

    day limit on the length of any waiting period

    beginning in 2014.

    Sec. 1004. Income definitions. Modifies the

    definition of income that is used for purposes

    of subsidy eligibility and the individual

    responsibility requirement. The

    modifications conform the income definition

    to information that is currently reported onthe Form 1040 and to the present law income

    tax return filing thresholds. The provision

    also extends the exclusion from gross income

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    for employer provided health coverage for

    adult children up to age 26.

    Sec. 1005. Implementation funding. Provides$1 billion to the Secretary of Health and

    Human Services to finance the administrative

    costs of implementing health insurance

    reform.

    Subtitle B Medicare

    Sec. 1101. Closing the Medicare prescription

    drug donut hole. Provides a $250 rebate

    for all Medicare Part D enrollees who enter

    the donut hole in 2010. Builds on

    pharmaceutical manufacturers' 50%

    discount on brand-name drugs beginning in

    2011 to completely close the donut hole with

    75% discounts on brand-name and generic

    drugs by 2020.

    Sec. 1102. Medicare Advantage payments.Freezes Medicare Advantage payments in

    2011. Beginning in 2012, the provision

    reduces Medicare Advantage benchmarks

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    relative to current levels. Benchmarks will

    vary from 95% of Medicare spending in high-

    cost areas to 115% of Medicare spending in

    low-cost areas. The changes will be phased-in

    over 3, 5 or 7 years, depending on the level of

    payment reductions. The provision

    creates an incentive system to

    increase payments to highquality plans by at

    least 5%. It also extends CMS authority

    to adjust risk scores in Medicare Advantage

    for observed differences in coding patterns

    relative to fee-forservice.

    Sec. 1103. Savings from limits on MA plan

    administrative costs. Ensures Medicare

    Advantage plans spend at least 85% ofrevenue on medical costs or activities that

    improve quality of care, rather than profit

    and overhead.

    Sec. 1104. Disproportionate share hospital

    (DSH) payments. Advances Medicare

    disproportionate share hospital cuts to begin

    in fiscal year 2014 but lowers the ten-year

    reduction by $3 billion.

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    Sec. 1105. Market basket updates. Revises

    the hospital market basket reduction that is

    in addition to the productivity adjustment as

    follows: -0.3 in FY14 and -0.75 in FY17, FY18

    and FY19. Removes Senate provision that

    eliminates the additional market basket for

    hospitals based on coverage levels. Providers

    affected are inpatient hospitals, long-term

    care hospitals, inpatient rehabilitation

    facilities, psychiatric hospitals and outpatient

    hospitals.

    Sec. 1106. Physician ownership-referral.

    Changes to December 31, 2010 the date after

    which physician ownership of hospitals to

    which they self refer is prohibited andprovides a limited exception to the growth

    restrictions for grandfathered physician

    owned hospitals that treat the highest

    percentage of Medicaid patients in their

    county (and are not the sole hospital in a

    county).

    Sec. 1107. Payment for Imaging Services.

    Sets the assumed utilization rate at 75 percent

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    for the practice expense portion of advanced

    diagnostic imaging services.

    Subtitle C Medicaid

    Sec. 1201. Federal funding for States. Strikes

    the provision for a permanent 100% federal

    matching rate for Nebraska for the Medicaid

    costs of expansion populations. Provides

    federal Medicaid matching payments for the

    costs of services to expansion populations at

    the following rates in all states: 100% in 2014,

    2015, and 2016; 95% in 2017; 94% in 2018;

    93% in 2019; and 90% thereafter. In the case

    of expansion states, reduces the state share of

    the costs of covering nonpregnant childless

    adults by 50% in 2014, 60% in 2015, 70% in

    2016, 80% in 2017, 90% in 2018. In 2019 and

    thereafter, expansion states would bear the

    same state share of the costs of covering

    nonpregnant childless adults as non-

    expansion states (e.g., 7% in 2019, 10%

    thereafter).

    Sec. 1202. Payments to primary care

    physicians. Requires that Medicaid payment

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    rates to primary care physicians for

    furnishing primary care services be no less

    than 100% of Medicare payment rates in

    2013 and 2014 (the first year of the Senate

    bills Medicaid coverage expansion to all

    individuals with incomes under 133% of

    poverty). Provides 100% federal funding for

    the incremental costs to States of meeting this

    requirement.

    Sec. 1203. Disproportionate share hospital

    payments. Lowers the reduction in federal

    Medicaid DSH payments from $18.1 billion to

    $14.1 billion and advances the reductions to

    begin in fiscal year 2014. Directs the

    Secretary to develop a methodology forreducing federal DSH allotments to all states

    in order to achieve the mandated reductions.

    Extends through FY 2013 the federal DSH

    allotment for a state that has a $0 allotment

    after FY 2011.

    Sec. 1204. Funding for the territories.

    Increases federal funding in the Senate bill

    for Puerto Rico, Virgin Islands, Guam,

    American Samoa, and the Northern

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    Marianas Islands by $2 billion. Raises the

    caps on federal Medicaid funding for each of

    the territories. Allows each territory to elect

    to operate a Health Benefits Exchange.

    Sec. 1205. Delay in Community First Choice

    Option. Postpones from October 1, 2010 until

    October 1, 2011 the effective date of the

    option established for State Medicaid

    programs to cover attendant care servicesand supports for individuals who require an

    institutional level of care

    Sec. 1206. Drug rebates for new formulations

    of existing drugs. For purposes of applying

    the additional rebate, narrows the definition

    of a new formulation of a drug to a line

    extension of a single source or innovator

    multiple source drug that is an oral solid

    dosage form of the drug.

    Subtitle D Reducing Fraud, Waste, and

    Abuse

    Sec. 1301. Community Mental Health

    Centers. Establishes new requirements for

    community mental health centers that

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    provide Medicare partial hospitalization

    services in order to prevent fraud and abuse.

    Sec. 1302. Medicare prepayment medicalreview limitations. Streamlines procedures to

    conduct Medicare prepayment reviews to

    facilitate additional reviews designed to

    reduce fraud and abuse.

    Sec. 1303. CMS-IRS data match to identify

    fraudulent providers. Allows the Secretary of

    Treasury to share IRS data with HHS

    employees to help screen and identify

    fraudulent providers or providers with tax

    debts, and to help recover such debts.

    Provides strict controls on the use of such

    information to protect taxpayer privacy.

    Sec. 1304. Funding to fight fraud, waste and

    abuse. Increases funding for the Health Care

    Fraud and Abuse Control Fund by $250

    million over the next decade. Indexes funds

    to fight Medicaid fraud based on the increasein the Consumer Price Index.

    Sec. 1305. 90-day period of enhanced

    oversight for initial claims of DME suppliers.

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    Requires a 90-day period to withhold

    payment and conduct enhanced oversight in

    cases where the HHS Secretary identifies a

    significant risk of fraud among DME

    suppliers.

    Subtitle E Revenues

    Sec. 1401. High-cost plan excise tax. Reduces

    the revenue collected by the tax by 80

    percent. This is achieved by: delaying the

    application of the tax until 2018, which gives

    the plans time to implement and realize the

    cost savings of reform; increasing the dollar

    thresholds to $10,200 for single coverage and

    $27,500 for family coverage ($11,850 and

    $30,950 for retirees and employees in high

    risk professions); excluding stand-alone

    dental and vision plans from the tax; and

    permitting an employer to reduce the cost of

    the coverage when applying the tax if the

    employers age and gender demographics are

    not representative of the age and gender

    demographics of a national risk pool. Under

    the modified provision, the dollar thresholds

    are indexed to inflation and the dollar

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    thresholds are automatically increased in

    2018 if CBO is wrong in its forecast of the

    premium inflation rate between now and

    2018.

    Sec. 1402. Medicare tax. Modifies the tax to

    include net investment income in the taxable

    base. Currently, the Medicare tax does not

    apply to net investment income. The

    Medicare tax on net investment income doesnot apply if modified adjusted gross income is

    less than $250,000 in the case of a joint

    return, or $200,000 in the case of a single

    return. Net investment income is interest,

    dividends, royalties, rents, gross income from

    a trade or business involving passiveactivities, and net gain from disposition of

    property (other than property held in a trade

    or business). Net investment income is

    reduced by properly allocable deductions to

    such income.

    Sec. 1403. Delay of the annual limitation on

    contributions to a health FSA. Delays the

    provision by two years until 2013.

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    Sec. 1404. Brand name pharmaceuticals.

    Delays the industry fee on sales of brand

    name pharmaceuticals for use in government

    health programs by one year to 2011, and

    increases revenue raised by the fee by $4.8

    billion.

    Sec. 1405. Excise tax on medical device

    manufacturers. Delays the tax by two years

    to 2013 and converts the industry fee to anexcise tax on the first sale for use of medical

    devices at a rate of 2.9 percent. Exempts

    from the tax Class I medical devices,

    eyeglasses, contact lenses, hearing aids, and

    any device of a type that is generally

    purchased by the public at retail forindividual use.

    Sec. 1406. Health insurance providers.

    Delays the industry fee by 3 years to 2014

    and modifies the annual industry fee for

    revenue neutrality. In the case of tax-exempt

    insurance providers, provides that only 50

    percent of their net premiums that relate to

    their tax-exempt status are taken into account

    in calculating the fee. Provides exemptions

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    for voluntary employee benefit associations

    (VEBAs) and nonprofit providers more than

    80 percent of whose revenues is received from

    Social Security Act programs that target low

    income, elderly, or disabled populations.

    Sec. 1407. Delay of elimination of deduction

    for expenses allocable to Medicare part D

    subsidy. Delays the provision by two years to

    2013.

    Sec. 1408. Elimination of unintended

    application of cellulosic biofuel producer

    credit. Adds an additional revenue provision.

    In 2008, Congress enacted a $1.01 per gallon

    tax credit for the production of biofuel from

    cellulosic feedstocks in order to encourage the

    development of new production capacity for

    biofuels that are not derived from food source

    materials. Congress is aware that some

    taxpayers are seeking to claim the cellulosic

    biofuel tax credit for unprocessed fuels, such

    as black liquor. The provision would limit

    eligibility for the tax credit to processed fuels

    (i.e., fuels that could be used in a car engine

    or in a home heating application).

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    Sec. 1409. Codification of economic

    substance doctrine and penalties. Adds an

    additional revenue provision. The economic

    substance doctrine is a judicial doctrine that

    has been used by the courts to deny tax

    benefits when the transaction generating

    these tax benefits lacks economic substance.

    The courts have not applied the economic

    substance doctrine uniformly. The provision

    would clarify the manner in which the

    economic substance doctrine should be

    applied by the courts and would impose a

    penalty on understatements attributable to a

    transaction lacking economic substance.

    Sec. 1410. Time for payment of corporateestimated taxes. Provides for a one-time

    adjustment to corporate estimated taxes for

    payments made during calendar year 2014.

    Sec. 1411. No impact on Social Security trust

    funds. Provides that Title II of the Social

    Security Act (the old age, survivor, and

    disability benefits program (OASDI)) is not

    amended or modified by the bill.

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    Subtitle F Other Provisions

    Sec. 1501. TAA for communities.

    Appropriates $500 Million a year for fiscalyears 2010 through 2014 in the Community

    College and Career Training Grant program

    for community colleges to develop and

    improve educational or career training

    programs. Ensures that each state receives at

    least 0.5 percent of the total fundsappropriated.

    Title II Health, Education, Labor, and

    Pensions

    Subtitle A Education

    Section 2001. Short Title; References.

    Provides that this subtitle may be cited as the

    SAFRA Act, and that, except as otherwise

    provided, whenever an amendment to, or

    repeal of, a section or other provision, thereference shall be considered to be made to a

    section or other provision of the Higher

    Education Act of 1965.

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    Part IInvesting in Students and Families

    Section 2101. Federal Pell Grants. Amends

    the Higher Education Act to includemandatory funding for the Pell Grant. This

    provides additional mandatory funding to

    augment funds appropriated to increase the

    federal maximum Pell Grant award by the

    change in the Consumer Price Index. The

    mandatory component of the funding isdetermined by inflating the previous years

    total and subtracting the maximum award

    provided for in the appropriations act for the

    previous year or $4860, whichever is greater.

    Beginning in the 2018-2019 academic year,

    the maximum Pell award will be at the 2017-2018 level.

    Section 2102. Student Financial Assistance.

    This section provides $13.5 billion in

    mandatory appropriations to the Federal Pell

    Grant program.

    Section 2103. College Access Challenge Grant

    Program. This section amends section 786 of

    the Higher Education Act by authorizing and

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    appropriating $150 million for fiscal years

    2010 through 2014 for the College Access

    Challenge Grant program created under the

    College Cost Reduction and Access Act of

    2007. Provides that the allotment for each

    State under this section for a fiscal year shall

    not be an amount that is less than 1.0 percent

    of the total amount appropriated for a fiscal

    year.

    Section 2104. Investment in Historically

    Black Colleges and Universities and Minority

    Serving Institutions. This section amends

    section 371(b) of the Higher Education Act by

    extending funding for programs under this

    section created under the College CostReduction and Access Act of 2007 for

    programs at Historically Black Colleges and

    Universities and minority-serving institutions

    through 2019, including programs that help

    low-income students attain degrees in the

    fields of science, technology, engineering ormathematics by the following annual

    amounts: $100 million to Hispanic Serving

    Institutions, $85 million to Historically Black

    Colleges and Universities, $15 million to

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    Predominantly Black Institutions, $30 million

    to Tribal Colleges and Universities, $15

    million to Alaska, Hawaiian Native

    Institutions, $5 million to Asian American

    and Pacific Islander Institutions, and $5

    million to Native American non-tribal serving

    institutions.

    Part IIStudent Loan Reform

    Section 2201. Termination of Federal Family

    Education Loan Appropriations. This section

    terminates the authority to make or insure

    any additional loans in the Federal Family

    Education Loan program after June 30, 2010.

    Section 2202. Termination of Federal loanInsurance Program. This section is a

    conforming amendment with regard to the

    termination of the FFEL program, limiting

    Federal insurance to those loans in the

    Federal Family Education Loan program for

    loans first disbursed prior to July 1, 2010.

    Section 2203. Termination of Applicable

    Interest Rates. This section makes a

    conforming amendment with regard to the

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    termination of the FFEL program limiting

    interest rate applicability to Stafford,

    Consolidation, and PLUS loans to those loans

    made before July 1, 2010.

    Section 2204. Termination of Federal

    payments to Reduce Student Interest Costs.

    This section makes a conforming amendment

    with regard to the termination of the FFEL

    program by limiting subsidy payments tolenders for those loans for which the first

    disbursement is made before July 1, 2010.

    Section 2205. Termination of FFEL PLUS

    Loans. This section makes a conforming

    change with regard to the termination of the

    FFEL program for federal PLUS loans by

    prohibiting further FFEL origination of loans

    after July 1, 2010.

    Section 2206. Federal Consolidation Loans.

    This section makes conforming changes with

    regard to the termination of the FFELprogram for federal consolidation loans. This

    section also provides that, for a 1 year period,

    borrowers who have loans under both the

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    Direct Lending program and the FFEL

    program, or who have loans under either

    program as well as loans that have been sold

    to the Secretary, may consolidate such loans

    under the Direct Lending program regardless

    of whether such borrowers have entered

    repayment on such loans.

    Section 2207. Termination of Unsubsidized

    Stafford loans for Middle-IncomeBorrowers. This section makes conforming

    changes with regard to the termination of the

    FFEL program for Unsubsidized Stafford

    loans by prohibiting further FFEL

    origination of loans after July 1, 2010.

    Section 2208. Termination of Special

    Allowances. This section makes conforming

    changes with regard to the termination of the

    FFEL program by limiting special allowance

    payments to lenders under the FFEL

    program to loans first disbursed before July

    1, 2010.

    Section 2209. Origination of Direct Loans at

    Institutions Outside the United States. This

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    section provides for the origination of federal

    Direct Loans at institutions located outside of

    the United States, through a financial

    institution designated by the Secretary.

    Section 2210. Conforming amendments.

    This section makes conforming technical

    changes with regard to the termination of the

    FFEL program for Department of Education

    agreements with Direct Lending institutions.

    Section 2211. Terms and Conditions of

    Loans. This section makes conforming

    technical changes with regard to the

    termination of the FFEL program to clarify

    the terms and conditions of Direct Loans.

    Section 2212. Contracts. This section directs

    the Secretary to award contracts for servicing

    federal Direct Loans to eligible non-profit

    servicers. In addition, this section provides

    that for the first 100,000 borrower loan

    accounts, the Secretary shall establish aseparate pricing tier. Specifies that the

    Secretary is to allocate the loan accounts of

    100,000 borrowers to each eligible non-profit

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    servicer. The section also permits the

    Secretary to reallocate, increase, reduce or

    terminate an eligible non-profit servicers

    allocation based on the performance of such

    servicer. In addition, this section

    appropriates mandatory funds to the

    Secretary to be obligated for administrative

    costs of servicing contracts with eligible non-

    profit servicers. This section also requires the

    Secretary to provide technical assistance to

    institutions of higher education participating

    or seeking to participate in the Direct

    Lending program. This section appropriates

    $50 million for fiscal year 2010 to pay for this

    technical assistance. Additionally, this section

    authorizes the Secretary to provide paymentsto loan servicers for retaining jobs at location

    in the United States where such servicers

    were operating on January 1, 2010. This

    section appropriates $25,000,000 for each of

    fiscal years 2010 and 2011 for such purpose.

    Section 2213. Agreements with State-Owned

    Banks. This section amends Part D of Title

    IV to direct the Secretary to enter into an

    agreement with an eligible lender for the

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    purpose of providing Federal loan insurance

    on student loans made by state-owned banks.

    Section 2214. Income-Based Repayment.The section amends the Income-Based

    Repayment program to cap student loan

    payments for new borrowers after July 1,

    2014 to 10% of adjusted income, from 15%

    percent, and to forgive remaining balances

    after 20 years of repayment, from 25 years.

    Subtitle B Health

    Sec. 2301. Insurance Reforms. Extends the

    prohibition of lifetime limits, prohibition on

    rescissions, and a requirement to provide

    coverage for non-dependent children up toage 26 to all existing health insurance plans

    starting six months after enactment. Starting

    in 2014, extends the prohibition on excessive

    waiting periods to existing health plans. For

    group health plans, prohibits pre-existing

    condition exclusions in 2014 (for children,they are prohibited starting six months after

    enactment), restricts annual limits beginning

    six months after enactment, and prohibits

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    them starting in 2014. For coverage of non-

    dependent children prior to 2014, the

    requirement on group health plans is limited

    to those adult children without an employer

    offer of coverage.

    Sec. 2302. Drugs Purchased by Covered

    Entities. Repeals the underlying 340B

    expansion to inpatient drugs and exemptions

    to GPO exclusion. Exempts orphan drugsfrom required discounts for new 340B

    entities.

    Sec. 2303. Community Health Centers.

    Increases mandatory funding for community

    health centers to $11 billion over five years

    (FY 2011 FY 2015).

    Prepared by Committees on Ways & Means, Energy & Commerce, and Education &

    Labor, March 18, 2010

    ___________________________________________________________________

    ____________________________________________________________________

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    _____________________________________________________________

    Pinocchio Pelosi

    Published October 5, 2009

    http://drkatesview.wordpress.com/2009/10/05/pinocchio-pelosi/http://drkatesview.wordpress.com/2009/10/05/pinocchio-pelosi/
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    Its time for the Speaker of the House to resign, as

    she neither speaks for nor represents the Peoples

    House.

    After months of calling Americans racists, Nazis,

    astroturfers, and radical right wing extremists,

    and accusing Tea Party patriots of inciting

    violence, how can Nancy Pelosi even dare to call

    herself the Speaker of the House? Of whose

    house? This must be TheAudacity of Botox,

    puffed up beyond all belief.

    Her promises, like her inflated self, are empty, full

    of hot, stale, airlook at what she promised in

    2006. the most open and most ethical Congress

    in history. Heh.

    This woman from the smallest district in thenation, representing a tiny slice of America, is as

    far away from America as she can be. In fact, she

    is another one of the stealth democratic

    socialists in the Congress, with known ties to and

    reverence of communist organizers in the United

    States.

    This post is intended to lend weight to the effort to

    first, remove Nancy Pelosi as the speaker of the

    house, and second, to ensure her election defeat in

    2010. Thankfully, the Patriotic Resistance has

    http://drkatesview.wordpress.com/archived-posts-drkate/the-speaker-of-the-house-deserves-neither/http://www.resistnet.com/http://drkatesview.wordpress.com/archived-posts-drkate/the-speaker-of-the-house-deserves-neither/http://www.resistnet.com/
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    developed a resource page for politicians to watch

    in 2010 and one of them delves into Nancy Pelosi.

    In my view, the work on Pelosi relates entirely tothe Constitution and the protection of our

    Republic: we now have avowed communists in the

    White House, the Senate and House, and in the

    shadow czar government that Obama has

    assembled and that Congress is enabling.

    Spotlight on the Speaker(a) Extraordinary & Unnecessary Bias and

    Partisanship

    One of the key architects of Obamas victory in

    2008 was Nancy Pelosi. She, like many other so-

    called democrats as super delegates, chastised

    people to vote for the peoples choice and thenchanged her mind and chastised people the other

    way when Clinton won the popular vote.

    As Chair of the Democratic National Convention,

    she manipulated the vote on the convention floor

    in favor of Obama. Most crucially, Nancy Pelosi

    signed the documents allowing Obama to be onthe state ballots as the Democratic Presidential

    nominee, the subject of the must read post by jbjd,

    The End Game. On January 8th, 2009, she

    presided over the joint session of Congress to

    http://www.resistnet.com/group/watchdogfornancypelosihousespeakerhttp://jbjd.wordpress.com/http://www.resistnet.com/group/watchdogfornancypelosihousespeakerhttp://jbjd.wordpress.com/
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    certify the electoral vote despite the petitions of

    hundreds, if not thousands, of citizens to certify

    Obamas eligibility before concluding the vote.

    Nancy Pelosi has exercised no leadership during

    tenure. She has misrepresented legislation,

    imposed silly partisan rules that allow her to

    prevent legislation from even being presented on

    the floor or in committee by any opponent, and

    openly calls her constituents racists, bigots, and

    frauds.

    This is conduct unbecoming of a Speaker of the

    House acting like a Chicago thug transplanted

    to San Francisco.

    (b) You Lie!

    When Joe Wilson rightly called out you lie! toObama, Nancy Pelosi looked in disbelief, and of

    course, made himapologizefor telling the truth

    of course. She is a petty tyrant as a Speaker, for

    sure. But when a fellow democrat Alan Grayson

    accused the republican health care plan of

    wanting seniors to die quicklyprecisely the

    democrats planshe refusedto have him apologize.

    She refused to have him apologize for telling a lie,

    but demanded that Wilson apologize for telling

    the truth. Hmmm.

    http://www.foxnews.com/politics/2009/09/30/democratic-lawmaker-republicans-want-americans-die-quickly/http://www.foxnews.com/politics/2009/09/30/democratic-lawmaker-republicans-want-americans-die-quickly/
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    And I dont believe for a minute it had anything to

    do with a Presidential address (Wilson) vs. a

    statement on the House floor (Grayson). No

    Protocol Pelosi has not a leg to stand on.

    (c) The Speaker of the House is Calling us Idiots,

    and Worse

    So Pelosi represents a tiny district in California,

    composed of a small, tiny, segment of the

    population, and she calls the rest of Americathugs?

    (As of march 23, 2010, Pelosi approval rating is 11%.)

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    political nightmare. She may not have the 216 votes necessary

    to pass the Senate's health care bill in the House.

    Hence, Mrs. Pelosi and her congressional Democratic allies are