ObamaCare Repeal: Cost to repeal vs Cost to continue this law.

Understand that in addition to the following features already installed into the healthcare program, there is the creation of the health panel named and funded in the Stimulus bill. We are saying that hidden in the 2009 Stimulus was the creation and funding of the 15 member health care advisory panel, the forerunner to the "death panel." This provision was buried in the Stimulus, so that its billion dollar price tag would not be a part of the Health Care bill itself.

Understand that another billion dollars was hidden in the Omnibus Bill of 2010, a bill rejected by the GOP in the Lame Duck congress. These two allocations (the doctor fix and the Omnibus million dollar provision) are annual billings and will cost 24 billion over the course of 10 years. Add in the annual "doctor fix" of 240 billion, and 8.8 billion for the extra coverage of 16 million illegals at 500 dollars per year, and you have a 10 year cost of 2.8 trillion of addition costs not figured into the bill passed in March of 2010.

In the days leading up to the March 20th vote (2010), more than 500 pages were added to that bill, adding another 10 billion in cost (not figured in the CBO accounting) for 16,000 IRS agents needed to police the individual mandate. You can find some of these hidden costs here.

The current Marxist talking points with regard to the repeal of health care argue that it will cost billions to repeal. In fact, to continue this law will cost the American taxpayer at least 3 trillion in the first decade and as much as 11 trillion within 20 years. Forget about the cost to repeal. The cost to maintain this monstrosity will be overwhelming in every sense of the word.

Understand that we have just documented -in this very post - 3 trillion dollars of hidden costs that must be added to the cost of this bill. Lies, closed doors, and purely partisan politics (remember, the GOP was not allowed to amend any of this bill) is no way to write and pass any congressional program, much less the largest government power grab of all time.

2010 and the 25 health care features already implemented.

• Review of Health Plan Premium Increases

  Requires the federal government to create a process, in conjunction with states, where insurers have to justify unreasonable premium increases. Provides grants to states for reviewing premium increases.

  Implementation: Plan year 2010
  

• Changes in Medicare Provider Rates

  Reduces annual market basket updates for inpatient and outpatient hospital services, long-term care hospitals, inpatient rehabilitation facilities, and psychiatric hospitals and units and adjusts payments for productivity.

  Implementation: Beginning fiscal year 2010; productivity adjustments added to market basket update in 2012

• Medicaid and CHIP Payment Advisory Commission

  Provides funding for and expands the role of the Medicaid and CHIP Payment and Access Commission to include assessments of adult services in Medicaid.

  Implementation: Funding appropriated for fiscal year 2010
  

• Comparative Effectiveness Research

  Establishes a non-profit Patient-Centered Outcomes Research Institute to conduct research that compares the clinical effectiveness of medical treatments.

  Implementation: Funding appropriated beginning fiscal year 2010
  

• Prevention and Public Health Fund

  Appropriates $5 billion for fiscal years 2010 through 2014 and $2 billion for each subsequent fiscal year to support prevention and public health programs.

  Implementation: Funding appropriated beginning fiscal year 2010
  

• Medicare Beneficiary Drug Rebate

  Provides a $250 rebate to Medicare beneficiaries who reach the Part D coverage gap in 2010. Further subsidies and discounts that ultimately close the coverage gap begin in 2011.

  Implementation: January 1, 2010

• Small Business Tax Credits

  Provides tax credits to small employers with no more than 25 employees and average annual wages of less than $50,000 that provide health insurance for employees. Phase I (2010-2013): tax credit up to 35% (25% for non-profits) of employer cost; Phase II (2014 and later): tax credit up to 50% (35% for non-profits) of employer cost if purchased through an insurance Exchange for two years.

  Implementation: January 1, 2010

• Medicaid Drug Rebate

  Increases the Medicaid drug rebate percentage for brand name drugs to 23.1% (except the rebate for clotting factors and drugs approved exclusively for pediatric use increases to 17.1%) and to 13% of average manufacturer price for non-innovator, multiple source drugs. Extends the drug rebate to Medicaid managed care plans.

  Implementation: January 1, 2010 for increase in Medicaid drug rebate percentage; March 23, 2010 for extension of drug rebate to Medicaid managed care plans

• Coordinating Care for Dual Eligibles

  Establishes the Federal Coordinated Health Care Office to improve care coordination for dual eligibles (people eligible for both Medicare and Medicaid).

  Implementation: March 1, 2010

• Generic Biologic Drugs

  Authorizes the Food and Drug Administration to approve generic versions of biologic drugs and grant biologics manufacturers 12 years of exclusive use before generics can be developed.

  Implementation: March 23, 2010

• New Requirements on Non-profit Hospitals

  Imposes additional requirements on non-profit hospitals to conduct community needs assessments and develop a financial assistance policy and impose a tax of $50,000 per year for failure to meet these requirements.

  Implementation: March 23, 2010

• Medicaid Coverage for Childless Adults

  Creates a state option to provide Medicaid coverage to childless adults with incomes up to 133% of the federal poverty level. (States will be required to provide this coverage in 2014.)

  Implementation: April 1, 2010

• Reinsurance Program for Retiree Coverage

  Creates a temporary reinsurance program for employers providing health insurance coverage to retirees over age 55 who are not eligible for Medicare.

  Implementation: 90 days following enactment until January 1, 2014

• Pre-existing Condition Insurance Plan

  Creates a temporary program to provide health coverage to individuals with pre-existing medical conditions who have been uninsured for at least six months. The plan will be operated by the states or the federal government.

  Implementation: Enrollment into the federal plan began July 1, 2010; implementation dates for the state-operated plans vary

• New Prevention Council

  Creates the National Prevention, Health Promotion and Public Health Council to develop a national prevention, health promotion and public health strategy.

  Implementation: First report due July 1, 2010
  

• Consumer Website

  Requires the Department of Health and Human Services to develop an internet website to help residents identify health coverage options.

  Implementation: July 1, 2010
  

• Tax on Indoor Tanning Services

  Imposes a tax of 10% on the amount paid for indoor tanning services.

  Implementation: July 1, 2010
  

• Expansion of Drug Discount Program

  Expands eligibility for the 340(B) drug discount program to sole-community hospitals, critical access hospitals, certain children’s hospitals, and other entities.

  Implementation: Applications accepted beginning August 2, 2010

• Adult Dependent Coverage to Age 26

  Extends dependent coverage for adult children up to age 26 for all individual and group policies.

  Implementation: Plan or policy years beginning on or after September 23, 2010
  

• Consumer Protections in Insurance

  Prohibits individual and group health plans from placing lifetime limits on the dollar value of coverage, rescinding coverage except in cases of fraud, and from denying children coverage based on pre-existing medical conditions or from including pre-existing condition exclusions for children. Restricts annual limits on the dollar value of coverage (and eliminates annual limits in 2014)

  Implementation: Plan or policy years beginning on or after September 23, 2010 (annual limits eliminated in 2014)
  

• Insurance Plan Appeals Process

  Requires new health plans to implement an effective process for allowing consumers to appeal health plan decisions and requires new plans to establish an external review process.

  Implementation: Plan or policy years beginning on or after September 23, 2010
  

• Coverage of Preventive Benefits

  Requires new health plans to provide at a minimum coverage without cost-sharing for preventive services rated A or B by the U.S. Preventive Services Task Force, recommended immunizations, preventive care for infants, children, and adolescents, and additional preventive care and screenings for women.

  Implementation: Plan or policy years beginning on or after September 23, 2010
  

• Health Centers and the National Health Service Corps

  Permanently authorizes the federally qualified health centers and NHSC programs and increases funding for FQHCs and for the NHSC for fiscal years 2010-2015.

  Implementation: Funding appropriated beginning fiscal year 2010

• Health Care Workforce Commission

  Establishes the National Health Care Workforce Commission to coordinate federal workforce activities and make recommendations on workforce goals and policies and establishes the National Center for Health Workforce Analysis to undertake state and regional workforce data collection and analysis.

  Implementation: Initial appointments to the National Health Care Workforce made by September 30, 2010
  

• Medicaid Community-Based Services

  Provides states with new options for offering home and community-based services through a Medicaid state plan amendment to certain individuals and permits states to extend full Medicaid benefits to individuals receiving home and community-based services under a state plan.

  Implementation: October 1, 2010
  

For more information and a great site for ObamaCare nonpartisan information, go to Health Care Source.

or click on our ObamaCare page at the top of this main page,
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