WAKE UP AMERICA - STEALING THE NEXT ELECTION - and eroding our way of life

Considering the Tactics employed by progressive, subversive groups, this is not that far fetched,.. in order to be able to combat your 'enemy' you must know their methods and movements...  this article hold information on their process and thinking methods 
- if you have been a student of history, you will immediately recognize the beginnings of a very distinct historical pattern..

A Number of you may question why are they working to undermine the 'American' way of life?? 

These groups and people hate difference, they want homogeneity, it is a convenient method for controlling the masses and all the money!!   
but this is also why these societies self implode!!
example USSR!! do we want this future for the UNITED STATE OF AMERICA - for our children and grandchildren??

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STEALING THE NEXT ELECTION
From amnesty to universal registration, Obama's strategy for maintaining power
Posted: March 01, 2010
10:47 pm Eastern

© 2010 WorldNetDaily

With tens of millions of Americas furious at Barack Obama and Nancy Pelosi for unconstitutionally forcing socialized medicine down their throats, and with congressional Democrats in danger of massive electoral losses this November, one giant question looms large for Team Obama: How to stay in power despite plummeting voter support?

The answer to that question can be found in the groundbreaking March issue of Whistleblower magazine, titled "STEALING THE NEXT ELECTION."

This game-changing special report is summarized in its long subtitle: "Amnesty, universal voter registration, felons voting, operatives planted: Team Obama's strategy for maintaining permanent power."

"The people currently running the show in Washington," said Whistleblower Editor David Kupelian, "come from the radical leftist world of Saul Alinsky in which everything they do – no matter how unethical, corrupt and flat-out illegal – is morally justified if it advances their agenda. Winning votes and elections by any means possible is their stock in trade."

"STEALING THE NEXT ELECTION" surveys the various stratagems the far left is currently developing to consolidate power in the U.S. long-term. The list includes:

Universal voter registration: Now being secretly prepared by at least two prominent members of Congress, this is essentially a scheme to legalize voter fraud by shifting responsibility for registering to vote from the citizen to the government, meaning people are automatically registered to vote, based on DMV records, income-tax returns, welfare rolls, unemployment lists and other government databases.

Illegal immigrant registration: Since government databases contain names of non-citizens, not to mention mentally incompetent individuals and felons – factors that would ordinarily disqualify a person from voting in most states – universal registration would open the floodgates to fraud. And since many people own property in more than one location and pay taxes to numerous government entities, they would be afforded the opportunity to vote in multiple locations.

Amnesty: Disguised once again by euphemisms like "comprehensive immigration reform," amnesty will create millions of new Democrat voters. As Obama adviser and SEIU executive vice president Eliseo Medina said recently regarding amnesty: "Can you imagine 8 million new voters who care about our issues and will be voting? We will be creating a governing coalition for the long term, not just for an election cycle."

Convicted felons voting: The 9th U.S. Circuit Court of Appeals late last year cleared the way for inmates to vote from prison. The court overturned a Washington state law prohibiting felons from voting until they are released and off parole, arguing state restrictions unfairly penalized minorities since they have a higher incarceration rate. Polls show felons overwhelmingly prefer Democrats.

Planting operatives in America's statehouses: A subversive, Soros-backed group called the Secretary of State Project is gearing up to steal the 2012 election for Obama and congressional Democrats by installing left-wing Democrats as secretaries of state across the nation, from which posts they can help tilt the electoral playing field.

"This is just a taste of the astonishing revelations in March's Whistleblower edition," said Kupelian. "It gets much worse."

Highlights of "STEALING THE NEXT ELECTION":

* "The next big gambit" by Joseph Farah

* "Democrats plan to steal the vote" by Chelsea Schilling, who warns, If you thought Obamacare was scary, check out universal registration

* "Why Obama wants control of the census" by John Fund, on White House hopes to find "missing" Democratic voters in the 2010 count

* "Soros group preparing to steal 2012 election" by Matthew Vadum, who shows Stalin was right in saying, "The people who count the votes decide everything"

* "How to lock Democrats in power" by James Simpson, who exposes strategies the party is using to engineer a new electorate

* "Voters think ACORN steals elections" – one quarter of Americans believe the disgraced group tied to Obama affected the outcome of the 2008 election

* "Obama adviser: Amnesty will ensure 'progressive' rule" by Aaron Klein. Boasts the SEIU executive, "Can you imagine 8 million new voters who care about our issues?"

* "The New Black Panthers and the White House" by Hans A. von Spakovsky, who asks, What did the president's men know and when did they know it?

* "Is Obama's $789 billion buying votes instead of jobs?" by Drew Zahn, on studies showing "stimulus" funds were spent on Democrats, not unemployment

* "Incarcerated felons have right to vote, rules court" by Art Moore, who shows that surveys show prisoners overwhelmingly favor Democrats

* "The Democrats' technological thuggery" by Phil Elmore, on violence, abuse, libel, slander and propaganda in the service of power

* "Don't progressives like free speech?" by John Stossel, who explains why Democrats recoil as a major electoral advantage bites the dust

* "Are Republicans 'due'?" by Thomas Sowell, who warns the fate of America is on the line in this fall's elections

* "What states can do to safeguard America's election system" by Hans A. von Spakovsky, who outlines specific actions that will assure the will of legitimate voters prevails

* "Time to 'roll back' liberalism" by Ben Shapiro, who explains that perversions of the Constitution are not entrenched forever


"In this issue of Whistleblower, we are blowing the whistle on what could be the biggest political scam in history – one that results in a virtual coup d'etat for America – one from which it unlikely ever to recover," said WND founder and Editor Joseph Farah. "This is an issue you will want to share with your friends. This is information vital to our national security and sovereignty. This is information that might mean the difference between preserving American freedom and losing it forever."

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WE ARE UNDER ASSAULT, EVERYTHING WE TREASURE AND HOLD DEAR!! FROM EVERY DIRECTION!!

What is even scarier than the information written above is a known fact of our children's indoctrination by means of an institute we have come to trust - our public schools - 
most of you will think me very radical, mentally unbalanced and many other less complementary thoughts but it is a fact of history and already evidenced by media reports - take time to read about how it was accomplished in Germany, and other socialist, communistic countries because it has already started within American, one known location is OHIO! IN THE HIGH SCHOOL NO LESS!!
take Time to Visit Your school classrooms, find out what they are teaching your children.. 
DO NOT BE AFRAID TO CHALLENGE THE SYSTEM!!

IT IS YOUR SCHOOL!! REMEMBER, SCHOOLS HAVE A VERY STRONG INFLUENCE ON YOUR CHILD'S THINKING; YOUNG CHILDREN DO NOT HAVE STRONG JUDGMENT SKILLS

MAIN STREAM MEDIA [MSM] WILL NOT REPORT THIS, 
THEY ARE ADVOCATES OF THE TAKEOVER!!

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Consider the extraordinary book by Hilmar von Campe, "Defeating the Totalitarian Lie: A Former Hitler Youth Warns America." Forced to join the Hitler Youth at age 10, von Campe was conscripted into the army at 18, later becoming a prisoner of war of the Communist Tito government staging a sensational escape crossing seven borders. The author is now an American patriot who understands as few others the close relationship between socialism and despotism.

This is just one story,.. if you search, you will find many similar stories of the same nature, to fundamentally change a society you start with the children!!

If you are interested:
SPECIAL OFFER! For a limited time, subscribe to Whistleblower, renew your subscription or give a gift subscription for one year and you'll get $10 off the regular price (only $39.95 instead of $49.95), plus you receive the extraordinary book by Hilmar von Campe.

[the previous offer not endorsed by AR Vets Coalition but offered for your convenience]

SUMMARY AS OF: 3/23/2010 -- Public Law. [formally HR3590] - Title I

I would advise anyone reading this portion to take your time, reading this summary closely!!

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SUMMARY AS OF:
3/23/2010--Public Law.    (There are 3 other summaries)
(This measure has not been amended since it was passed by the Senate on December 24, 2009.
The summary of that version is repeated here.)

Patient Protection and Affordable Care Act - 

Title I: Quality, Affordable Health Care for All Americans -

Subtitle A: Immediate Improvements in Health Care Coverage for All Americans -

(Sec. 1001, as modified by Sec. 10101) Amends the Public Health Service Act to prohibit a health plan ("health plan” under this subtitle excludes any “grandfathered health plan” as defined in section 1251) from establishing lifetime limits or annual limits on the dollar value of benefits for any participant or beneficiary after January 1, 2014.

Permits a restricted annual limit for plan years beginning prior to January 1, 2014. 

Declares that a health plan shall not be prevented from placing annual or lifetime per-beneficiary limits on covered benefits that are not essential health benefits to the extent that such limits are otherwise permitted.

this is an indication of continued limitation of benefits for plans which are in existance as of the date of enactment of this entitlement

Prohibits a health plan from rescinding coverage of an enrollee except in the case of fraud or intentional misrepresentation of material fact.

Requires health plans to provide coverage for, and to not impose any cost sharing requirements for:

• (1) specified preventive items or services;
• (2) recommended immunizations; and
• (3) recommended preventive care and screenings for women and children.

Prohibits any qualified health plan offered through an Exchange from discriminating against any individual health care provider or health care facility because of its unwillingness to provide, pay for, provide coverage of, or refer for abortions.

Requires a health plan that provides dependent coverage of children to make such coverage available for an unmarried, adult child until the child turns 26 years of age.

Requires the Secretary of Health and Human Services (HHS) to develop standards for health plans to provide an accurate summary of benefits and coverage explanation.

Directs each health plan, prior to any enrollment restriction, to provide such a summary of benefits and coverage explanation to:

• (1) the applicant at the time of application;
• (2) an enrollee prior to the time of enrollment or re-enrollment; and (3) a policy or certificate holder at the time of issuance of the policy or delivery of the certificate.

the method by which the government is telling you what benefits you are going to have in your 'gopvernment approved, minimum essential' health care policy

Requires group health plans to comply with requirements relating to the prohibition against discrimination in favor of highly compensated individuals.

Requires the Secretary to develop reporting requirements for health plans on benefits or reimbursement structures that:

• (1) improve health outcomes;
• (2) prevent hospital re-admissions;
• (3) improve patient safety and reduce medical errors; and
• (4) promote wellness and health.

more bureaucracy and paper work for Health Care providers which  means more cost, someone has to pay for the additional regulation requirements

Requires a health plan to:

• (1) submit to the Secretary a report concerning the ratio of the incurred loss (or incurred claims) plus the loss adjustment expense (or change in contract reserves) to earned premiums; and
• (2) provide an annual rebate to each enrollee if the ratio of the amount of premium revenue expended by the issuer on reimbursement for clinical services provided to enrollees and activities that improve health care quality to the total amount of premium revenue for the plan year is less than a 85% for large group markets or 80% for small group or individual markets.

Requires each U.S. hospital to establish and make public a list of its standard charges for items and services.
Requires a health plan to implement an effective process for appeals of coverage determinations and claims.

more bureaucracy and paper work for Health Care providers which  means more cost, someone has to pay for the additional regulation requirements

Sets forth requirements for health plans related to:

• (1) designation of a primary care provider;
• (2) coverage of emergency services; and
• (3) elimination of referral requirements for obstetrical or gynecological care.

more bureaucracy and paper work for Health Care providers which  means more cost, someone has to pay for the additional regulation requirements also think about the implications on amount of services which will be available.. 

(Sec. 1002) Requires the Secretary to award grants to States for offices of health insurance consumer assistance or health insurance ombudsman programs.

from personal experience, these persons usually will afford you lip-service to you about your problem you are experiencing but when It comes to actual assistance, I have witnessed those who did have an impact but mostly they did not, remember this, we pay their salary from tax monies - more bureaucracy

(Sec. 1003, as modified by Sec. 10101) Requires the Secretary to establish a process for the annual review of unreasonable increases in premiums for health insurance coverage.


government deciding how much you will be paying for your policy which is not an efficient system

(Sec. 1004) Makes this subtitle effective for plan years beginning six months after enactment of this Act, with certain exceptions.

Subtitle B: Immediate Actions to Preserve and Expand Coverage -

(Sec. 1101) Requires the Secretary to establish a temporary high risk health insurance pool program to provide health insurance coverage to eligible individuals with a preexisting condition. Terminates such coverage on January 1, 2014, and provides for a transition to an American Health Benefit Exchange (Exchange).

High cost - not much better than what they presently have..

(Sec. 1102, as modified by Sec. 10102) Requires the Secretary to establish a temporary reinsurance program to provide reimbursement to participating employment-based plans for a portion of the cost of providing health insurance coverage to early retirees before January 1, 2014.

(Sec. 1103, as modified by Sec. 10102) Requires the Secretary to establish a mechanism, including an Internet website, through which a resident of, or small business in, any State may identify affordable health insurance coverage options in that State.

(Sec. 1104) Sets forth provisions governing electronic health care transactions. Establishes penalties for health plans failing to comply with requirements.

this is going to affect costs and availability of services, possible closures of facilities for non-expeditious compliance

(Sec. 1105) Makes this subtitle effective on the date of enactment of this Act.

Subtitle C: Quality Health Insurance Coverage for All Americans -

Part I: Health Insurance Market Reforms -

(Sec. 1201, as modified by Sec. 10103) Prohibits a health plan ("health plan” under this subtitle excludes any “grandfathered health plan” as defined in section 1251) from:

• (1) imposing any preexisting condition exclusion; or
• (2) discriminating on the basis of any health status-related factor. Allows premium rates to vary only by individual or family coverage, rating area, age, or tobacco use.

Requires health plans in a State to:

• (1) accept every employer and individual in the State that applies for coverage; and
• (2) renew or continue coverage at the option of the plan sponsor or the individual, as applicable.

Prohibits a health plan from establishing individual eligibility rules based on health status-related factors, including medical condition, claims experience, receipt of health care, medical history, genetic information, and evidence of insurability.

Sets forth provisions governing wellness programs under the health plan, including allowing cost variances for coverage for participation in such a program.

good intentions but this will probably have unintented consquences

Prohibits a health plan from discriminating with respect to participation under the plan or coverage against any health care provider who is acting within the scope of that provider's license or certification under applicable State law.
Requires health plans that offer health insurance coverage in the individual or small group market to ensure that such coverage includes the essential health benefits package. Requires a group health plan to ensure that any annual cost-sharing imposed under the plan does not exceed specified limitations.

How do you think this will affect cost??

Prohibits a health plan from:

• (1) applying any waiting period for coverage that exceeds 90 days; or
• (2) discriminating against individual participation in clinical trials with respect to treatment of cancer or any other life-threatening disease or condition.

Part II: Other Provisions -

(Sec. 1251, as modified by Sec. 10103) Provides that nothing in this Act shall be construed to require that an individual terminate coverage under a group health plan or health insurance coverage in which such individual was enrolled on the date of enactment of this Act. Allows family members of individuals currently enrolled in a plan to enroll in such plan or coverage if such enrollment was permitted under the terms of the plan. Allows new employees and their families to enroll in a group health plan that provides coverage on the date of enactment of this Act.

How do you think this is going to affect individual employers overhead cost structure

Defines a "grandfathered health plan" as a group health plan or health insurance coverage in which an individual was enrolled on the date of enactment of this Act.

this statement is where they are getting the claim 'if you like wha tyou have you can keep it [for now! - wait unitl 2104 and afterwards to see if this still applies]

States that this subtitle and subtitle A shall not apply to:

• (1) a group health plan or health insurance coverage in which an individual was enrolled on the date of enactment of this Act, regardless of whether the individual renews such coverage after such date of enactment;
• (2) an existing group health plan that enrolls new employees under this section; and
• (3) health insurance coverage maintained pursuant to one or more collective bargaining agreements between employee representatives and one or more employers that was ratified before the date of enactment of this Act until the date on which the last of the collective bargaining agreements relating to the coverage terminates.

Hello, consessions to unions and labor groups!!

Applies provisions related to uniform coverage documents and medical loss ratios to grandfathered health plans for plan years beginning after enactment of this Act.

(Sec. 1252) Requires uniform application of standards or requirements adopted by States to all health plans in each applicable insurance market.

Federal Government telling the State Insurance Commissioners what benefits the providers in each State will have to have, violates individual State Sovreignity under US Constitution!

(Sec. 1253, as added by Sec. 10103) Directs the Secretary of Labor to prepare an annual report on self-insured group health plans and self-insured employers.

down side of this can very well be the Federal Government requiring more and more coverage on those businesses and entities, which will increase cost to  the participants, thus forcing them into a government run 'health care program'

(Sec. 1254, as added by Sec. 10103) Requires the HHS Secretary to conduct a study of the fully-insured and self-insured group health plan markets related to financial solvency and the effect of insurance market reforms.


WELL, how much financial infomation are they going to require from these entities?? IS the Federal Government going to decide who is allowed to continue in the market??

(Sec. 1255, as modified by Sec. 10103) Sets forth effective dates for specified provisions of this subtitle.

Subtitle D: Available Coverage Choices for All Americans -

Part I: Establishment of Qualified Health Plans -

(Sec. 1301, as modified by Sec. 10104) Defines "qualified health plan" to require that such a plan provides essential health benefits and offers at least one plan in the silver level at one plan in the gold level in each Exchange through which such plan is offered.

who is going to define "essential health benefits" - you know who - The Federal Government - Department of Health and Hunman Services.


(Sec. 1302, as modified by Sec. 10104) Requires the essential health benefits package to provide essential health benefits and limit cost-sharing. Directs the Secretary to:

• (1) define essential health benefits and include emergency services, hospitalization, maternity and newborn care, mental health and substance use disorder services, prescription drugs, preventive and wellness services and chronic disease management, and pediatric services, including oral and vision care;
• (2) ensure that the scope of the essential health benefits is equal to the scope of benefits provided under a typical employer plan; and
• (3) provide notice and an opportunity for public comment in defining the essential health benefits.

This is the Department of Health and Hunman Services authority!! 


Establishes:

• (1) an annual limit on cost-sharing beginning in 2014; and
• (2) a limitation on the deductible under a small group market health plan.

this will mean your State agency, health group or employer will have to make up the cost difference

Sets forth levels of coverage for health plans defined by a certain percentage of the costs paid by the plan.
Allows health plans in the individual market to offer catastrophic coverage for individuals under age 30, with certain limitations.

(Sec. 1303, as modified by Sec. 10104) Sets forth special rules for abortion coverage, including:

• (1) permitting States to elect to prohibit abortion coverage in qualified health plans offered through an Exchange in the State;
• (2) prohibiting federal funds from being used for abortion services; and
• (3) requiring separate accounts for payments for such services.
  

This is a direct violation of the Arkansas Constitution of 1874, Amendment 68  which states:

  Abortion. ------------------------------------------------------------------------------------ 119

• Section:
• 1. Public funding.---------------------------------------------------------------------------- 119
• No public funds will be used to pay for any abortion, except to save the mother's life.
• 2. Public policy.------------------------------------------------------------------------------119
  The policy of Arkansas is to protect the life of every unborn child from conception until birth, to the extent permitted by the Federal Constitution.
   [Hyde Amendment long standing law - does not permit funding of abortion other than the same conditions set forth by Arkansas Constitution]
• 3. Effect of amendment.--------------------------------------------------------------------119
  This amendment will not affect contraceptives or require an appropriation of public funds.
  

Check your State Constitution for similar language


(Sec. 1304, as modified by Sec. 10104) Sets forth definitions for terms used in this title.

Part II: Consumer Choices and Insurance Competition

Through Health Benefit Exchanges - 

(Sec. 1311, as modified by Sec. 10104) Requires States to establish an American Health Benefit Exchange that:        [A State establiched but Federal Government controlled entity]

• (1) facilitates the purchase of qualified health plans; and 
• (2) provides for the establishment of a Small Business Health Options Program (SHOP Exchange) that is designed to assist qualified small employers in facilitating the enrollment of their employees in qualified health plans offered in the small group market in the State.

Requires the Secretary to establish criteria for the certification of health plans as qualified health plans, including requirements for: 

• (1) meeting market requirements; and 
• (2) ensuring a sufficient choice of providers.

 Federal Government - HHS setting criteria, not the State

Sets forth the requirements for an Exchange, including that an Exchange: 

• (1) must be a governmental agency or nonprofit entity that is established by a State; 
• (2) may not make available any health plan that is not a qualified health plan; 
• (3) must implement procedures for certification of health plans as qualified health plans; and 
• (4) must require health plans seeking certification to submit a justification of any premium increase prior to implementation of such increase.

Hello -  additional bureaucracy - more or increased costs

Permits States to require qualified health plans to offer additional benefits. Requires States to pay for the cost of such additional benefits.

Allows a State to establish one or more subsidiary Exchanges for geographically distinct areas of a certain size.

Applies mental health parity provisions to qualified health plans.

(Sec. 1312, as modified by Sec. 10104) Allows an employer to select a level of coverage to be made available to employees through an Exchange. Allows employees to choose to enroll in any qualified health plan that offers that level of coverage. Permits States to allow large employers to join an Exchange after 2017.

limitation of customer pool which always drives costs..  and the limitation of choice

(Sec. 1313, as modified by Sec. 10104) Requires an Exchange to keep an accurate accounting of all activities, receipts, and expenditures and to submit to the Secretary, annually, a report concerning such accounting's.

Requires the Secretary to take certain action to reduce fraud and abuse in the administration of this title. Requires the Comptroller General to conduct an ongoing study of Exchange activities and the enrollees in qualified health plans offered through Exchanges.

this is Federal Government, Dep't of Health and Human Services authority to Micro manage & control -  

Part III: State Flexibility Relating to Exchanges -

(Sec. 1321) Requires the Secretary to issue regulations setting standards related to: 

• (1) the establishment and operation of Exchanges; 
• (2) the offering of qualified health plans through Exchanges; and 
• (3) the establishment of the reinsurance and risk adjustment programs under part V.

 this is one of the few Mandates in which the Federal Government is exerting it's true authority within the scope of it's Constitutional Powers

Requires the Secretary to: 

• (1) establish and operate an Exchange within a State if the State does not have one operational by January 1, 2014; and 
• (2) presume that an Exchange operating in a State before January 1, 2010, that insures a specified percentage of its population meets the standards under this section. 

Gives authority for the Department of Health and Humans Services to usurp States power to regulate commerce within individual State boundaries of each State, violates the Commerce clause for intrastate commerce

<>(Sec. 1322, as modified by Sec. 10104) Requires the Secretary to establish the Consumer Operated and Oriented Plan (CO-OP) program to foster the creation of qualified nonprofit health insurance issuers to offer qualified health plans in the individual and small group markets.

Requires the Secretary to provide for loans and grants to persons applying to become qualified nonprofit health insurance issuers. Sets forth provisions governing the establishment and operation of CO-OP program plans.

If this is on a National basis this is great but what if only on a State level, not so great

(Sec. 1323, deleted by Sec. 10104)

(Sec. 1324, as modified by Sec. 10104) Declares that health insurance coverage offered by a private health insurance issuer shall not be subject to federal or State laws if a qualified health plan offered under the CO-OP program is not subject to such law.

Part IV: State Flexibility to Establish Alternative Programs -

(Sec. 1331, as modified by Sec. 10104) Requires the Secretary to establish a basic health program under which a State may enter into contracts to offer one or more standard health plans providing at least the essential health benefits to eligible individuals in lieu of offering such individuals coverage through an Exchange. Sets forth requirements for such a plan. Transfers funds that would have gone to the Exchange for such individuals to the State.

Federal Government is setting standards, not the State

(Sec. 1332) Authorizes a State to apply to the Secretary for the waiver of specified requirements under this Act with respect to health insurance coverage within that State for plan years beginning on or after January 1, 2017.

Directs the Secretary to provide for an alternative means by which the aggregate amounts of credits or reductions that would have been paid on behalf of participants in the Exchange will be paid to the State for purposes of implementing the State plan.

only plan years beginning on or after January 1, 2017.


(Sec. 1333, as modified by Sec. 10104) Requires the Secretary to issue regulations for the creation of health care choice compacts under which two or more States may enter into an agreement that:

• (1) qualified health plans could be offered in the individual markets in all such States only subject to the laws and regulations of the State in which the plan was written or issued; and 
• (2) the issuer of any qualified health plan to which the compact applies would continue to be subject to certain laws of the State in which the purchaser resides, would be required to be licensed in each State, and must clearly notify consumers that the policy may not be subject to all the laws and regulations of the State in which the purchaser resides. Sets forth provisions regarding the Secretary's approval of such compacts

this again is a control point of the Federal Government not the State

(Sec. 1334, as added by Sec. 10104) Requires the Director of the Office of Personnel Management (OPM) to:

• (1) enter into contracts with health insurance issuers to offer at least two multistate qualified health plans through each Exchange in each State to provide individual or group coverage; and 
• (2) implement this subsection in a manner similar to the manner in which the Director implements the Federal Employees Health Benefits Program. Sets forth requirements for a multistate qualified health plan.

 OPM, a Federal Government entitiy, negotiates the contracts not the Person, Employer,  or State

Part V: Reinsurance and Risk Adjustment -

(Sec. 1341, as modified by Sec. 10104) Directs each State, not later than January 1, 2014, to establish one or more reinsurance entities to carry out the reinsurance program under this section.

Requires the Secretary to establish standards to enable States to establish and maintain a reinsurance program under which: 

• (1) health insurance issuers and third party administrators on behalf of group health plans are required to make payments to an applicable reinsurance entity for specified plan years; and 
• (2) the applicable reinsurance entity uses amounts collected to make reinsurance payments to health insurance issuers that cover high risk individuals in the individual market. Directs the State to eliminate or modify any State high-risk pool to the extent necessary to carry out the reinsurance program established under this section.

Again Federal control dominated process 

(Sec. 1342) Requires the Secretary to establish and administer a program of risk corridors for calendar years 2014, 2015, and 2016 under which a qualified health plan offered in the individual or small group market shall participate in a payment adjusted system based on the ratio of the allowable costs of the plan to the plan's aggregate premiums. Directs the Secretary to make payments when a plan's allowable costs exceed the target amount by a certain percentage and directs a plan to make payments to the Secretary when its allowable costs are less than target amount by a certain percentage.

(Sec. 1343) Requires each State to assess a charge on health plans and health insurance issuers if the actuarial risk of the enrollees of such plans or coverage for a year is less than the average actuarial risk of all enrollees in all plans or coverage in the State for the year.  

Requires each State to provide a payment to health plans and health insurance issuers if the actuarial risk of the enrollees of such plan or coverage for a year is greater than the average actuarial risk of all enrollees in all plans and coverage in the State for the year. Excludes self-insured group health plans from this section.

WELL!  consessions to companies such as Walmart!

Subtitle E: Affordable Coverage Choices for All Americans - 

Part I: Premium Tax Credits and Cost-sharing Reductions - 

Subpart A: Premium Tax Credits and Cost-sharing Reductions -

(Sec. 1401, as modified by section 10105) Amends the Internal Revenue Code to allow individual taxpayers whose household income equals or exceeds 100%, but does not exceed 400%, of the federal poverty line (as determined in the Social Security Act [SSA]) a refundable tax credit for a percentage of the cost of premiums for coverage under a qualified health plan. Sets forth formulae and rules for the calculation of credit amounts based upon taxpayer household income as a percentage of the poverty line.

but as this had been explained to me, the person or family will not receive this 'credit', it actually will be paid directly to teh insurance company,

Directs the Comptroller General, not later than five years after enactment of this Act, to conduct a study and report to specified congressional committees on the affordability of health insurance coverage.

(Sec. 1402) Requires reductions in the maximum limits for out-of-pocket expenses for individuals enrolled in qualified health plans whose incomes are between 100% and 400% of the poverty line.

but would it not stand to reason tha tmore of the cost would be born by us the taxpayer, County, State and Federal or employer?

Subpart B: Eligibility Determinations -

(Sec. 1411) - Requires the Secretary to establish a program for verifying the eligibility of applicants for participation in a qualified health plan offered through an Exchange or for a tax credit for premium assistance based upon their income or their citizenship or immigration status.  

Requires an Exchange to submit information received from an applicant to the Secretary for verification of applicant eligibility. Provides for confidentiality of applicant information and for an appeals and redetermination process for denials of eligibility. Imposes civil penalties on applicants for providing false or fraudulent information relating to eligibility.

 Here agian, Federal Government control with not local autonomy

Requires the Secretary to study and report to Congress by January 1, 2013, on procedures necessary to ensure the protection of privacy and due process rights in making eligibility and other determinations under this Act. 

[Down side of this - Everyone's personal information will be included without your consent. provisions are included in this section]

(Sec. 1412) Requires the Secretary to establish a program for advance payments of the tax credit for premium assistance and for reductions of cost-sharing. Prohibits any federal payments, tax credit, or cost-sharing reductions for individuals who are not lawfully present in the United States.

(Sec. 1413) Requires the Secretary to establish a system to enroll State residents who apply to an Exchange in State health subsidy programs, including Medicaid or the Children's Health Insurance Program (CHIP, formerly known as SCHIP), if such residents are found to be eligible for such programs after screening. 

 this is the mechanism through which AUTOMATIC  enrollment will procede

(Sec. 1414) Requires the Secretary of the Treasury to disclose to HHS personnel certain taxpayer information to determine eligibility for programs under this Act or certain other social security programs.

 Forget privacy!!

(Sec. 1415) Disregards the premium assistance tax credit and cost-sharing reductions in determining eligibility for federal and federally-assisted programs.

???   this is not the normal standard where all income sources MUST be counted including tax returns

(Sec. 1416, as added by section 10105) Directs the HHS Secretary to study and report to Congress by January 1, 2013, on the feasibility and implication of adjusting the application of the federal poverty level under this subtitle for different geographic areas in the United States, including its territories.

Part II: Small Business Tax Credit -

(Sec. 1421, as modified by section 10105) Allows qualified small employers to elect, beginning in 2010, a tax credit for 50% of their employee health care coverage expenses.

Defines "qualified small employer" as an employer who has no more than 25 employees with average annual compensation levels not exceeding $50,000. Requires a phase-out of such credit based on employer size and employee compensation.

[But this explanation does not tell you about these very same employers being levied the fines and 'excise' taxes for various compliance reasons]

Subtitle F: Shared Responsibility for Health Care -

Part I: Individual Responsibility -

(Sec. 1501, as modified by section 10106) Requires individuals to maintain minimal essential health care coverage beginning in 2014. Imposes a penalty for failure to maintain such coverage beginning in 2014, except for certain low-income individuals who cannot afford coverage, members of Indian tribes, and individuals who suffer hardship. Exempts from the coverage requirement individuals who object to health care coverage on religious grounds, individuals not lawfully present in the United States, and individuals who are incarcerated. 
 
(Sec. 1502) Requires providers of minimum essential coverage to file informational returns providing identifying information of covered individuals and the dates of coverage. Requires the IRS to send a notice to taxpayers who are not enrolled in minimum essential coverage about services available through the Exchange operating in their State. 

Part II: Employer Responsibilities -

(Sec. 1511) Amends the Fair Labor Standards Act of 1938 to:

• (1) require employers with more than 200 full-time employees to automatically enroll new employees in a health care coverage and provide notice of the opportunity to opt-out of such coverage; and 
• (2) provide notice to employees about an Exchange, the availability of a tax credit for premium assistance, and the loss of an employer's contribution to an employer-provided health benefit plan if the employee purchases a plan through an Exchange.

(Sec. 1513, as modified by section 10106) Imposes fines on large employers (employers with more than 50 full-time employees) who fail to offer their full-time employees the opportunity to enroll in minimum essential coverage or who have a waiting period for enrollment of more than 60 days.
Requires the Secretary of Labor to study and report to Congress on whether employees' wages are reduced due to fines imposed on employers.

(Sec. 1514, as modified by section 10106) Requires large employers to file a report with the Secretary of the Treasury on health insurance coverage provided to their full-time employees. Requires such reports to contain:

• (1) a certification as to whether such employers provide their full-time employees (and their dependents) the opportunity to enroll in minimum essential coverage under an eligible employer-sponsored plan; 
• (2) the length of any waiting period for such coverage; 
• (3) the months during which such coverage was available; 
• (4) the monthly premium for the lowest cost option in each of the enrollment categories under the plan; 
• (5) the employer's share of the total allowed costs of benefits provided under the plan; and 
• (6) identifying information about the employer and full-time employees. Imposes a penalty on employers who fail to provide such report.
  

Authorizes the Secretary of the Treasury to review the accuracy of information provided by large employers.

(Sec. 1515) Allows certain small employers to include as a benefit in a tax-exempt cafeteria plan a qualified health plan offered through an Exchange.

 All the above will bring an increased paperwork burden on all States and Employers. which will raise cost of doing business

Subtitle G: Miscellaneous Provisions -

(Sec. 1551) Applies the definitions under the Public Health Service Act related to health insurance coverage to this title.

(Sec. 1552) Requires the HHS Secretary to publish on the HHS website a list of all of the authorities provided to the Secretary under this Act.

(Sec. 1553) Prohibits the federal government, any State or local government or health care provider that receives federal financial assistance under this Act, or any health plan created under this Act from discriminating against an individual or institutional health care entity on the basis that such individual or entity does not provide a health care item or service furnished for the purpose of causing, or assisting in causing, the death of any individual, such as by assisted suicide, euthanasia, or mercy killing.

WELL! when will the mercy killings start for the 'less than viable' persons??

(Sec. 1554) Prohibits the Secretary from promulgating any regulation that: 

• (1) creates an unreasonable barrier to the ability of individuals to obtain appropriate medical care; 
• (2) impedes timely access to health care services; 
• (3) interferes with communications regarding a full range of treatment options between the patient and the health care provider; 
• (4) restricts the ability of health care providers to provide full disclosure of all relevant information to patients making health care decisions; 
• (5) violates the principle of informed consent and the ethical standards of health care professionals; or 
• (6) limits the availability of health care treatment for the full duration of a patient's medical needs.

(Sec. 1555) Declares that no individual, company, business, nonprofit entity, or health insurance issuer offering group or individual health insurance coverage shall be required to participate in any federal health insurance program created by or expanded under this Act. Prohibits any penalty from being imposed upon any such issuer for choosing not to participate in any such program.  

(Sec. 1556) Amends the Black Lung Benefits Act, with respect to claims filed on or after the effective date of the Black Lung Benefits Amendments of 1981, to eliminate exceptions to: 

• (1) the applicability of certain provisions regarding rebuttable presumptions; and 
• (2) the prohibition against requiring eligible survivors of a miner determined to be eligible for black lung benefits to file a new claim or to refile or otherwise re-validate the miner's claim. 

(Sec. 1557) Prohibits discrimination by any federal health program or activity on the grounds of race, color, national origin, sex, age, or disability.

(Sec. 1558) Amends the Fair Labor Standards Act of 1938 to prohibit an employer from discharging or discriminating against any employee because the employee: 

• (1) has received a health insurance credit or subsidy; 
• (2) provides information relating to any violation of any provision of such Act; or 
• (3) objects to, or refuses to participate in, any activity, policy, practice, or assigned task that the employee reasonably believed to be in violation of such Act.
  

(Sec. 1559) Gives the HHS Inspector General oversight authority with respect to the administration and implementation of this title.

(Sec. 1560) Declares that nothing in this title shall be construed to modify, impair, or supersede the operation of any antitrust laws.

 still gives exemption to the Insurance industry against anti-trust

(Sec. 1561) Amends the Public Health Service Act to require the Secretary to: 

• (1) develop interoperable and secure standards and protocols that facilitate enrollment of individuals in federal and State health and human services programs; and 
• (2) award grants to develop and adapt technology systems to implement such standards and protocols.

(Sec. 1562, as added by Sec. 10107) Directs the Comptroller General to study denials by health plans of coverage for medical services and of applications to enroll in health insurance.

(Sec. 1563, as added by Sec. 10107) Disallows the waiver of laws or regulations establishing procurement requirements relating to small business concerns with respect to any contract awarded under any program or other authority under this Act.

(Sec. 1563 [sic], as modified by Sec. 10107) Makes technical and conforming amendments.

(Sec. 1563 [sic]) Expresses the sense of the Senate that: 

• (1) the additional surplus in the Social Security Trust Fund generated by this Act should be reserved for Social Security; and 
• (2) the net savings generated by the CLASS program (established under Title VIII of this Act) should be reserved for such program.

For how long??  they have been raiding the Social Security Trust Fund since the early 1970's

---

To Be Continued:

Title II: Role of Public Programs - 

Subtitle A: Improved Access to Medicaid - 

Congress

111th Congress Casualty List

Died:
   Edward M Kennedy (D) (Massachusetts Senate)
   John P Murtha (D) (Pennsylvania District 12)

Left office:
   Neil Abercrombie (D) (Hawaii District 1)
   Joseph R Biden Jr (D) (Delaware Senate)
   Hillary Clinton (D) (New York Senate)
   John M McHugh (R) (New York District 23)
   Adam H Putnam (R) (Florida District 12)
   Ken Salazar (D) (Colorado Senate)
   Hilda L Solis (D) (California District 32)
   Ellen O Tauscher (D) (California District 10)

Resigned:
   Nathan Deal (R) (Georgia District 9)
   Paul Kirk (D) (Massachusetts Senate)
   Mel Martinez (R) (Florida Senate)
   Eric Massa (D) (New York District 29)
   Robert Wexler (D) (Florida District 19)

Retiring at end of session:
   Brian Baird (D) (Washington District 3)
   Evan Bayh (D) (Indiana Senate)
   Marion Berry (D) (Arkansas District 1)
   Christopher "Kit" Bond (R) (Missouri Senate)
   Henry Brown (R) (South Carolina District 1)
   Sam Brownback (R) (Kansas Senate)
   Jim Bunning (R) (Kentucky Senate)
   Steve Buyer (R) (Indiana District 4)
   Bill Delahunt (D) (Massachusetts District 10)
   Lincoln Diaz-Balart (R) (Florida District 21)
   Chris Dodd (D) (Connecticut Senate)
   Byron L Dorgan (D) (North Dakota Senate)
   Vernon J Ehlers (R) (Michigan District 3)
   Bart Gordon (D) (Tennessee District 6)
   Judd Gregg (R) (New Hampshire Senate)
   Ted Kaufman (D) (Delaware Senate)
   Patrick J Kennedy (D) (Rhode Island District 1)
   John Linder (R) (Georgia District 7)
   Dennis Moore (D) (Kansas District 3)
   John Shadegg (R) (Arizona District 3)
   Vic Snyder (D) (Arkansas District 2)
   John Tanner (D) (Tennessee District 8)
   George V Voinovich (R) (Ohio Senate)
   Diane E Watson (D) (California District 33)

Your New Obamacare plan - HR3200 & 3590

Please Read Carefully:

The information below is a compilation of reading  from the HC Bills of both the House and Senate,.. from several of us who are knowledgeable and understanding of this language
this is what Pelosi & Company is pushing at any cost to cram down out throats,.. read the attached info, the Dems, I do not believe, want the American people to have access to this information .. let alone read it!!

Your New Proposed Obamacare plan - HR3200 & 3590

I ask you respectfully and as a patriotic American to look at the following troubling lines that I have read in the bill. You cannot possibly believe that these proposals are in the best interests of the country and our fellow citizens.

I ask, How is this directly related to Health Care!! What has this to do with Health Care..
the following item alone which is the very first statement in the bill, [HR3590] makes me strongly question just how many of the Democratic members have even read this tome of rhetoric..

To amend the Internal Revenue Code of 1986 to modify
the first-time homebuyers credit in the case of members
of the Armed Forces and certain other Federal employees,
and for other purposes.

• Page 22 of the HC Bill:  Mandates that the Govt will audit books of all employers that self-insure!!
• Page 29 lines 4-16 in the HC bill: YOUR HEALTH CARE IS RATIONED!!!
• Page 30 Sec 123 of HC bill: THERE WILL BE A GOVT COMMITTEE that decides what treatments/benefits you get.
• Page 42 of HC Bill: The Health Choices Commissioner will choose your HC benefits for you. You have no choice!
• Page 50 Section 152 in HC bill: HC will be provided to ALL non-US citizens, illegal or otherwise.
• Page 58 HC Bill: Govt will have real-time access to individuals' finances & a 'National ID Health card' will be issued!
• Page 59 HC Bill lines 21-24: Govt will have direct access to your bank accounts for elective funds transfer.
• Page 65 Sec 164:  Is a payoff subsidized plan for retirees and their families in unions & community organizations: (ACORN).
• Page 84 Sec 203 HC bill: Govt mandates ALL benefit packages for private HC plans in the 'Exchange.'
• Page 85 Line 7 HC Bill: Specifications of Benefit Levels for Plans--The Govt will ration your health care!
• Page 91 Lines 4-7 HC Bill: Govt mandates linguistic appropriate services. (Translation: illegal aliens.)
• Page 95 HC Bill Lines 8-18:  The Govt will use groups (i.e. ACORN & AmeriCorps to sign up individuals for Govt HC plan.
• Page 85 Line 7 HC Bill: Specifications of Benefit Levels for Plans. (AARP members - your health care WILL be rationed!)
• Page 102 Lines 12-18 HC Bill: Medicaid eligible individuals will be automatically enrolled in Medicaid. (No Choice.)
• Page114 Line 22 EXEMPTS THE PRESIDENT, SENATE, CONGRESS AND FAMILIES FROM THIS ACT!!
• Page 124 lines 24-25 HC: No company can sue GOVT on price fixing. No "judicial review" against Govt monopoly.
• Page 127 Lines 1-16 HC Bill:   Doctors / American Medical Association - The Govt will tell YOU what salary you can make.
• Page 145 Line 15-17:  An Employer MUST auto-enroll employees into public option plan.(NO choice!)
• Page 126 Lines 22-25: Employers MUST pay for HC for part-time employees AND their families. (Employees shouldn't get excited about this as employers will be forced to reduce its work force, benefits, and wages/salaries to cover such a huge expense.)
• Page 149 Lines 16-24:  ANY Employer with payroll 401k & above who does not provide public option will pay 8% tax on all payroll!
  
• (See the last comment in parenthesis.)
• Page 150 Lines 9-13:  A business with payroll between $251K & $401K who doesn't provide public option will pay 2-6% tax on all payroll.
• Page 167 Lines 18-23:  ANY individual who doesn't have acceptable HC according to Govt will be taxed 2.5% of income.
• Page 170 Lines 1-3 HC Bill:  Any NONRESIDENT Alien is exempt from individual taxes. (Americans will pay.)
• Page 195 HC Bill: Officers & employees of the GOVT HC Admin.. will have access to ALL Americans' finances and personal records.
• Page 203 Line 14-15 HC:  "The tax imposed under this section shall not be treated as tax." (Yes, it really says that!)
• Page 239 Line 14-24 HC Bill:  Govt will reduce physician services for Medicaid Seniors. (Low-income and the poor are affected.)
• Page 241 Line 6-8 HC Bill: Doctors:It doesn't matter what specialty you have trained yourself in -- you will all be paid the same!
  
• (Just TRY to tell me that's not Socialism!)
• Page 253 Line 10-18:  The Govt sets the value of a doctor's time, profession, judgment, etc. (Literally-- the value of humans.)
• Page 265 Sec 1131: The Govt mandates and controls productivity for "private" HC industries.
• Page 268 Sec 1141: The federal Govt regulates the rental and purchase of power driven wheelchairs.
• Page 272 SEC. 1145: TREATMENT OF CERTAIN CANCER HOSPITALS - Cancer patients - welcome to rationing!
• Page 280 Sec 1151: The Govt will penalize hospitals for whatever the Govt deems preventable (i.e...re-admissions).
• Page 298 Lines 9-11: Doctors: If you treat a patient during initial admission that results in a re-admission -- the Govt will penalize you.
• Page 317 L 13-20:  PROHIBITION on ownership/investment. (The Govt tells doctors what and how much they can own!)
• Page 317-318 lines 21-25, 1-3: PROHIBITION on expansion. (The Govt is mandating that hospitals cannot expand.)
• Page 321 2-13: Hospitals have the opportunity to apply for exception BUT community input is required. (Can you say ACORN?)
• Page 335 L 16-25 Pg 336-339: The Govt mandates establishment of outcome-based measures. (HC the way they want -- rationing.)
• Page 341 Lines 3-9: The Govt has authority to disqualify Medicare Advance Plans, HMOs, etc. (Forcing people into the Govt plan)
• Page 354 Sec 1177: The Govt will RESTRICT enrollment of 'special needs people!'
  
• Unbelievable! THESE ARE THE PPL THEY ARE SUPPOSEDLY TRYING TO HELP
  
• Page 379 Sec 1191: The Govt creates more bureaucracy via a "Tele-Health Advisory Committee." (Can you say HC by phone?)
• Page 425 Lines 4-12: The Govt mandates "Advance-Care Planning Consult." (Think senior citizens end-of-life patients.)
• Page 425 Lines 17-19: The Govt will instruct and consult regarding living wills, durable powers of attorney, etc. (And it's mandatory!)
• Page 425 Lines 22-25, 426 Lines 1-3: The Govt provides an "approved" list of end-of-life resources; guiding you in death. (Also called 'assisted suicide.')
• Page 427 Lines 15-24: The Govt mandates a program for orders on "end-of-life." (The Govt has a say in how your life ends!)
• Page 429 Lines 1-9: An "advanced-care planning consultant" will be used frequently as a patient's health deteriorates.
• Page 429 Lines 10-12: An "advanced care consultation" may include an ORDER for end-of-life plans. (AN ORDER TO DIE FROM THE GOVERNMENT?!?)
• Page 429 Lines 13-25: The GOVT will specify which doctors can write an end-of-life order.
  
• (I wouldn't want to stand before God after getting paid for THAT job!)
• Page 430 Lines 11-15: The Govt will decide what level of treatment you will have at end-of-life! (Again -- no choice!)
• Page 469: Community-Based Home Medical Services = Non-Profit Organizations. (Hello? ACORN Medical Services here!?!)
• Page 489 Sec 1308: The Govt will cover marriage and family therapy. (Which means Govt will insert itself into your marriage even.)
• Page 494-498: Govt will cover Mental Health Services including defining, creating, and rationing those services.

and much more:

Even those who have bought into this Marxist Socialistic takeover of our lives, need to take off the blinders and read this with an open mind... even they will be SHOCKED!! at the lies being perpetuated on the American citizen..

Government is needed to restrain excesses, to regulate, to provide the framework within which States are to function, not to become the complete control factor of every aspect of the citizenry's lives... this is communism at it's worst.. look at what the Soviet Union was and the reasons for it's downfall.. socialism is unsustainable... what is happening to us is EXACTLY how it started with Nazi Germany.. a process that took about twenty years to come to fruition.. what were the consequences of such actions??..

PLEASE!! BE A LEADER FOR COMMON SENSE CHANGE FOR IT IS EVIDENT THAT TRUE REFORM IS NEEDED NOT GOVERNMENT TAKEOVER...
do not allow this insurgence into our closely held tenets of personal freedom to become law..

WE NEED STRONGER REGULATORY REFORM DIRECTED AT THE FOUNDATION OF THE EXCESSES .. not a massive new entitlement program that will bankrupt an already fragile economy,.. usurp personal freedom of choice a cornerstone of our very basic tenets, COST JOBS!!, impose new taxes on companies that can ill afford this action:
the American people are smart enough to make informed choices without the government telling them what to do and what choice to make by limiting such choices..

If my information is accurate, some very basic changes in regulations will have a dramatic impact on the cost of health care cost,

Please work with the GOP moderates to affect COMMON SENSE CHANGE, SCRAP THIS PIECE OF INSANITY!! AND START OVER...
 LISTEN TO THE ECONOMISTS NOT THE DEMOCRATIC LEADERSHIP AND WISHFUL THINKING..

THIS BILL DOES NOT ACHIEVE WHAT THEY ARE WISHING IT TO ACHIEVE.. JUST THE OPPOSITE..  CBO has stated in Letter to Harry Reid,  this is just the beginning, the complete text is attached,..

The Congressional Budget Office (CBO) and the staff of the Joint Committee on Taxation (JCT) have estimated the direct spending and revenue effects of the Patient Protection and Affordable Care Act, an amendment in the nature of a substitute to H.R. 3590, as proposed in the Senate on November 18, 2009. Among other things, the legislation would establish a mandate for most legal residents of the United States to obtain health insurance; set up insurance “exchanges” through which certain individuals and families could receive federal subsidies to substantially reduce the cost of purchasing that coverage; significantly expand eligibility for Medicaid; substantially reduce the growth of Medicare’s payment rates for most services (relative to the growth rates projected under current law); impose an excise tax on insurance plans with relatively high premiums; and make various other changes to the federal tax code, Medicare, Medicaid, and other programs.

Estimated Budgetary Impact
According to CBO and JCT’s assessment, enacting the Patient Protection and Affordable Care Act would result in a net reduction in federal budget deficits of $130 billion over the 2010–2019 period (see Table 1). In the subsequent decade, the collective effect of its provisions would probably be small reductions in federal  budget deficits if all of the provisions continued to be fully implemented. Those estimates are subject to substantial uncertainty.

THIS IS ONLY $13B A YEAR, MAYBE!!

Manager"s Amendment - why is this necessary unless they were Hiding restrictions in the main bill text??
Page 5

11 ‘‘(c) PROTECTION OF SECOND AMENDMENT GUN
12 RIGHTS.—
13 ‘‘(1) WELLNESS AND PREVENTION PRO
14 GRAMS.—A wellness and health promotion activity
15 implemented under subsection (a)(1)(D) may not re
16 quire the disclosure or collection of any information
17 relating to—
18 ‘‘(A) the presence or storage of a lawfully
19 possessed firearm or ammunition in the resi
20 dence or on the property of an individual; or
21 ‘‘(B) the lawful use, possession, or storage
22 of a firearm or ammunition by an individual.

23 ‘‘(2) LIMITATION ON DATA COLLECTION.—None
24 of the authorities provided to the Secretary under
25 the Patient Protection and Affordable Care Act or

continued on pages 6 & 7
Why are they needing  to collect this info except toward a movement of gun control??

10 ‘‘(3) LIMITATION ON DATABASES OR DATA
11 BANKS.—None of the authorities provided to the
12 Secretary under the Patient Protection and Afford
13 able Care Act or an amendment made by that Act
14 shall be construed to authorize or may be used to
15 maintain records of individual ownership or posses
16 sion of a firearm or ammunition.

Page 7  Why does this need be excluded??

7 ‘‘(5) LIMITATION ON DATA COLLECTION RE
8 QUIREMENTS FOR INDIVIDUALS.—No individual
9 shall be required to disclose any information under
10 any data collection activity authorized under the Pa
11 tient Protection and Affordable Care Act or an
12 amendment made by that Act relating to—
13 ‘‘(A) the lawful ownership or possession of
14 a firearm or ammunition; or
15 ‘‘(B) the lawful use, possession, or storage
16 of a firearm or ammunition.’’.

‘‘(c) PROTECTION OF SECOND AMENDMENT GUN RIGHTS.—

‘‘(1) WELLNESS AND PREVENTION PROGRAMS.—

A wellness and health promotion activity implemented under subsection (a)(1)(D) may not require the disclosure or collection of any information relating to—

‘‘(A) the presence or storage of a lawfully possessed firearm or ammunition in the residence or on the property of an individual; or

‘‘(B) the lawful use, possession, or storage of a firearm or ammunition by an individual.

‘‘(2) LIMITATION ON DATA COLLECTION.—

None of the authorities provided to the Secretary under the Patient Protection and Affordable Care Act or

6
an amendment made by that Act shall be construed to authorize or may be used for the collection of any information relating to—

‘‘(A) the lawful ownership or possession of a firearm or ammunition;

‘‘(B) the lawful use of a firearm or ammunition; or

‘‘(C) the lawful storage of a firearm or ammunition.

‘‘(3) LIMITATION ON DATABASES OR DATA BANKS.—

None of the authorities provided to the Secretary under the Patient Protection and Affordable Care Act or an amendment made by that Act shall be construed to authorize or may be used to maintain records of individual ownership or possession of a firearm or ammunition.

‘‘(4) LIMITATION ON DETERMINATION OF PREMIUM RATES OR ELIGIBILITY FOR HEALTH INSURANCE.—

A premium rate may not be increased, health insurance coverage may not be denied, and a discount, rebate, or reward offered for participation in a wellness program may not be reduced or with  held under any health benefit plan issued pursuant to or in accordance with the Patient Protection and

7

Affordable Care Act or an amendment made by that Act on the basis of, or on reliance upon—

‘‘(A) the lawful ownership or possession of a firearm or ammunition; or

‘‘(B) the lawful use or storage of a firearm or ammunition.

‘‘(5) LIMITATION ON DATA COLLECTION REQUIREMENTS FOR INDIVIDUALS.—

No individual shall be required to disclose any information under any data collection activity authorized under the Patient Protection and Affordable Care Act or an amendment made by that Act relating to—

‘‘(A) the lawful ownership or possession of a firearm or ammunition; or

‘‘(B) the lawful use, possession, or storage of a firearm or ammunition.’’.

the above text leads one to believe there is language in the main text body which impugns the rights of citizens under the 2nd Amendment of the Bill of Rights

Abortion Funding
Page 39

22 ‘‘(ii) ABORTIONS FOR WHICH PUBLIC
23 FUNDING IS ALLOWED.—The services de
24 scribed in this clause are abortions for
25 which the expenditure of Federal funds ap

1 propriated for the Department of Health
2 and Human Services is permitted, based
3 on the law as in effect as of the date that
4 is 6 months before the beginning of the
5 plan year involved.

Page 45

8 ‘‘(4) NO DISCRIMINATION ON BASIS OF PROVI
9 SION OF ABORTION.—No qualified health plan of 
10 fered through an Exchange may discriminate against
11 any individual health care provider or health care fa 
12 cility because of its unwillingness to provide, pay for,
13 provide coverage of, or refer for abortions

Page 30

5 ‘‘(c) LIMITATIONS ON COVERAGE.—This section shall
6 not be construed to require a group health plan, or a
7 health insurance issuer offering group or individual health
8 insurance coverage, to provide benefits for routine patient
9 care services provided outside of the plan’s (or coverage’s)
10 health care provider network unless out-of-network bene
11 fits are otherwise provided under the plan (or coverage).

There is substantive language which essentially nullifies and repeals any expectation of privacy pertaining to HIPAA where Dept of HHS is authorized and instructed to gather information pertaining to your personal identification, family size, doctors you frequent, the illnesses you have had or have, without your having ANY expectation of privacy nor any right of access or nullification of participation..   this flies in the face of the 1st Amendment,..

 I also have extreme conflicts with the special deals which have been made in favor of Florida, Nebraska, Massachusetts, Vermont, Louisiana, and possibly Connecticut which flies in the face of Commerce preference restrictions stated in Article 9 of the U.S. Constitution,..

Once Again
The Federal Government is needed to restrain excesses, to regulate, to provide the framework within which States are to function not taking away from the states which has been reserved to each in the 10th Amendment,  not to become the complete control factor of every aspect of the citizenry's lives...
this is socialism/communism at it's worst.. look at what the Soviet Union was and the reasons for it's downfall.. socialism is unsustainable...   what is happening to us is EXACTLY how it started with Nazi Germany..   a process that took about twenty years to come to fruition.. what were the consequences of such actions??..
PLEASE!!  BE A LEADER FOR COMMON SENSE CHANGE FOR IT IS EVIDENT THAT TRUE REFORM IS NEEDED BUT NOT GOVERNMENT TAKEOVER... 
do not allow this insurgence into our closely held tenets of individual personal freedom to become law..

WE NEED STRONGER REGULATORY REFORM DIRECTED AT THE FOUNDATION OF THE EXCESSES ..  NOT a massive, new entitlement program that will bankrupt an already fragile economy,.. usurp personal freedom of choice a cornerstone of our very basic tenets,  COST JOBS!!, impose new taxes on companies that can ill afford this action: 

the American people are smart enough to make informed choices without the government telling them what to do and what choice to make by limiting such choices..

If my information is accurate, some very basic changes is regulations will have a dramatic impact on the cost of health care cost, 
Please work with the GOP moderates to affect COMMON SENSE CHANGE,  SCRAP THIS PIECE OF INSANITY!! AND START OVER... LISTEN TO THE ECONOMISTS NOT THE DEMOCRATIC LEADERSHIP AND WISHFUL, " WE KNOW BETTER THAN THE PEOPLE" THINKING..
THIS BILL DOES NOT ACHIEVE WHAT THEY ARE WISHING IT TO ACHIEVE.. JUST THE OPPOSITE..

With strong hopes I have reached you with this plea for reflection, common sense and preservation of what all Patriotic Citizens hold dear..

But the questions I keep asking is:  What part of or about NO does the Congressional leadership NOT understand?? 
Keep in mind, better than 60%  of the Arkansas ppl, regardless of what poll you look at,  DO NOT WANT THIS MONSTROSITY OF HEALTH CARE REFORM!!!


Senate, Obama spar over health plan's pet projects - this article highlights where the special deals are: right where the hold outs in the Senate are from,..

• Baucus (D) - Mont, (Medicare for 2,900 in SMALL town of Libby Mt)
• Ben Nelson (D) - Neb., 'Cornhusker Kickback' (state exemption from paying mandate Abt $100M)
• Bill Nelson (D) - Fla, (exempting 800K seniors from losing Medicare Advantage)
• Leahy (D) - Vt, (extra Medicaid money, $100M)
• Dodd (D) - Conn., (new Hospital building funds $100M)
• Kennedy/Kerry (D) - Mass., (extra Medicaid $$ $100M)
• Byrd (D) - W.Va., (Black lung benefits special funding)
• Conrad / Dorgan (D) - N. Dakota, (extra $$ for hospitals and doctors)
• Johnson (D) - S. Dakota, (extra $$ for hospitals and doctors)
• Enzi / Barasso (both R) - Wyoming  (extra $$ for hospitals and doctors)
• Landrieu (D) - Louisiana '$300M Louisianan Purchase'  this will probably stay in the bill
• Pomeroy - (D) Exemption for N.Dakota Banks to continue issuing Student Loans
  

this is about $1B + of added money for special interests..

Story: Senate, Obama spar over health plan's pet projects - Yahoo! News

With strong hopes I have reached you with this plea for reflection, common sense and preservation of what all Patriotic Citizens hold dear..

Jean McClellan-Chambers
Niece of the Late Sen. John L. McClellan

Cuts Medicare [$470B directly taken out of Medicare Advantage, Home Health Services (75% cut) and Nursing Home subsidies], cuts to Vets Admin HC budget, cuts to Tricare for Life,  to be able to fund this NEW ENORMOUS ENTITLEMENT PROGRAM WHICH WILL BANKRUPT OUR COUNTRY WHICH I BELIEVE IS THE ULTIMATE GOAL!! 

This HC "reform' is being built on backs of those who can ill afford the reductions, those who have already paid for these services with military service or payroll deductions over their lifetime.. all for WHAT??  History? this is not history but Saul Alinsky guided socialistic style takeover of our social system, which is social communism, this is about control of the masses with the so-called elite riding to the top of the scum pool,  
read the page on the following link Barack Obama’s Rules for Revolution, The Alinsky Model

I hope I have opened your eyes..