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Posted: 11:01 p.m. Thursday, Nov. 19, 2009
By Jamie Dupree
When you go through the latest Democratic health care bill unveiled by Senate leaders on Thursday, it's hard to know where to start on the 2,074 page bill. But I found a few things along the way.
I'm sure others will find more interesting items, too. But here are a few.
In the section that lays out the Health Insurance Exchanges, lawmakers evidently wanted to make sure that money wasn't wasted while setting up those "shopping centers" for consumers looking for new health insurance options.
On Page 142, it says "PROHIBITING WASTEFUL USE OF FUNDS.--In carrying out activities under this subsection, an Exchange shall not utilize any funds intended for the administrative and operational expenses of the Exchange for staff retreats, promotional giveaways, excessive executive compensation, or promotion of Federal or State legislative and regulatory modifications."
On Page 369, the bill details legal protections offered to workers who face retribution by their employers, if they complain that they have not received health insurance as guaranteed by this health bill.
Three pages later, there is a provision that says colleges and universities can still offer student health plans.
"Nothing in this title (or an amendment made by this title) shall be construed to prohibit an institution of higher education (as such term is defined for purposes of the Higher Education Act of 1965) from offering a student health insurance plan."
It makes you wonder - who needed that provision?
Then up on page 395, there is this mysterious sounding provision, that is noted as an exception:
"Notwithstanding subsection (a), the provisions of sections 2716 and 2718 of title XXVII of the Public Health Service Act (as amended by the Patient Protection and Affordable Care Act) shall not apply with respect to self-insured group health plans, and the provisions of this part shall continue to apply to such plans as if such sections of the Public Health Service Act (as so amended) had not been enacted.''.
I am always skeptical about bill language that talks about how it applies as if such sections "had not been enacted."
Finally, there is this somewhat puzzling provision about members of Congress, who currently get the same health benefits as any other federal employee.
"Notwithstanding any other provision of law, after the effective date of this subtitle, the only health plans that the Federal Government may make available to Members of Congress and congressional staff with respect to their service as a Member of Congress or congressional staff shall be health plans that are - (I) created under this Act (or an amendment made by this Act); or (II) offered through an Exchange established under this Act (or an amendment made by this Act)."
That seems to me to say that lawmakers and their staff might see some changes in their health plans.
My eyes hurt from reading this, and I'm not even halfway through the bill.
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