Monday, March 22, 2010

What Reform Means Right Now

From karoli at Crooks and Liars:

Here are ten benefits which come online within six months of the President's signature on the health care bill:

    1. Adult children may remain as dependents on their parents’ policy until their 27th birthday
    2. Children under age 19 may not be excluded for pre-existing conditions
    3. No more lifetime or annual caps on coverage
    4. Free preventative care for all
    5. Adults with pre-existing conditions may buy into a national high-risk pool until the exchanges come online. While these will not be cheap, they’re still better than total exclusion and get some benefit from a wider pool of insureds.
    6. Small businesses will be entitled to a tax credit for 2009 and 2010, which could be as much as 50% of what they pay for employees’ health insurance.
    7. The “donut hole” closes for Medicare patients, making prescription medications more affordable for seniors.
    8. Requirement that all insurers must post their balance sheets on the Internet and fully disclose administrative costs, executive compensation packages, and benefit payments.
    9. Authorizes early funding of community health centers in all 50 states (Bernie Sanders’ amendment). Community health centers provide primary, dental and vision services to people in the community, based on a sliding scale for payment according to ability to pay.
    10. AND no more rescissions. Effective immediately, you can't lose your insurance because you get sick.

From Susie Madrak, also at Crooks and Liars, some bad news:

Clearly, passing this health-care bill is just the beginning, because it doesn't really contain strong regulatory powers. It was pulled under reconciliation rules, and Obama reportedly will try to introduce it later:

A Democratic plan for new federal power over health insurance rates was dropped Thursday from the final health care bill, squeezed out by the way the Democrats are pushing the bill through Congress.

Rolled out with fanfare just weeks ago, the Democratic plan was a response to double-digit rate increases proposed by health insurance companies in California and elsewhere.

It was first proposed by Sen. Dianne Feinstein, D-Calif., then picked up by President Barack Obama.

It would have given the federal government the power to reject proposed rate increases. It also would have allowed the secretary of health and human services to order insurance companies to give back part of premiums if the government decided that the companies spent too much of their incomes on salaries or advertising.

Put it at the top of the list of changes to be made to health care reform starting today.

And here it is in chart form from the LA Times, via Kevin Drum.

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