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You Will Be Able To Purchase Coverage From Private Insurers
IBD Editorials ^ | July 21, 2009 | NOSTRILUS HENRY WAXMAN

Posted on 07/21/2009 6:25:14 PM PDT by Kaslin

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To: rudman

The follow up editorial, posted before Waxman’s, explains it well.


21 posted on 07/21/2009 6:45:12 PM PDT by Psycho_Bunny (ALSO SPRACH ZEROTHUSTRA)
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To: Kaslin

Good Evening, Please add me to your list :)


22 posted on 07/21/2009 6:46:20 PM PDT by Paige ("All that is necessary for the triumph of evil is that good men do nothing," Edmund Burke)
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To: Kaslin

The devil is in the details. Read between the lines.


23 posted on 07/21/2009 6:52:47 PM PDT by rawhide
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To: Kaslin

This is like Obama saying “If you have healthcare or a doctor you prefer you can keep it.” to the question “Is it going to be illegal to buy private health care if you don’t already have health care. /nuance


24 posted on 07/21/2009 6:53:01 PM PDT by Naspino (Not creative enough to have a tagline.)
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To: Kaslin

Waxman is a leftist psychopathic liar. He probably didn’t even read the healthcare bill, but he knows that it is full of crap, like himself.

He is a disgrace to California (if that is possible), to the Congress (if that is possible), to America, and to the human race.

If they ever send man to the moon again, Waxman has to be on or under the next moon-lander. I don’t care which. Just get this pig off the earth before he destroys it.


25 posted on 07/21/2009 6:53:25 PM PDT by MadMax, the Grinning Reaper
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To: Paige

Done :)


26 posted on 07/21/2009 6:54:38 PM PDT by Kaslin (Acronym for 0bama: One Big Ass Mistake America)
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To: Kaslin

Tar and feather this traitor.


27 posted on 07/21/2009 6:56:01 PM PDT by Sir Gawain ("Let every man make known what kind of government would command his respect" - Thoreau)
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To: Cindy

Thanks for the link to the whole series.


28 posted on 07/21/2009 7:00:37 PM PDT by nina0113
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To: Cyber Liberty

I have the bill in front of me. What are you talking about?

*************************

Michael Steele could have used your help on CNN today. He needs to be able to cite the bill chapter and verse and oh by the way, CNN demanded to know which insurance carrier he used. How is that information pertinent?


29 posted on 07/21/2009 7:02:11 PM PDT by JavaJumpy
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To: Pining_4_TX
SEC. 121. COVERAGE OF ESSENTIAL BENEFITS PACKAGE.

a) In General- A qualified health benefits plan shall provide coverage that at least meets the benefit standards adopted under section 124 for the essential benefits package described in section 122 for the plan year involved.


SEC. 123. HEALTH BENEFITS ADVISORY COMMITTEE.

(a) Establishment-

(1) IN GENERAL- There is established a private-public advisory committee which shall be a panel of medical and other experts to be known as the Health Benefits Advisory Committee to recommend covered benefits and essential, enhanced, and premium plans.

(b) Duties-

(1) RECOMMENDATIONS ON BENEFIT STANDARDS- The Health Benefits Advisory Committee shall recommend to the Secretary of Health and Human Services (in this subtitle referred to as the `Secretary') benefit standards (as defined in paragraph (4)), and periodic updates to such standards. In developing such recommendations, the Committee shall take into account innovation in health care and consider how such standards could reduce health disparities.


SEC. 124. PROCESS FOR ADOPTION OF RECOMMENDATIONS; ADOPTION OF BENEFIT STANDARDS.

(a) Process for Adoption of Recommendations-

(1) REVIEW OF RECOMMENDED STANDARDS- Not later than 45 days after the date of receipt of benefit standards recommended under section 123 (including such standards as modified under paragraph (2)(B)), the Secretary shall review such standards and shall determine whether to propose adoption of such standards as a package.

(2) DETERMINATION TO ADOPT STANDARDS- If the Secretary determines--

(A) to propose adoption of benefit standards so recommended as a package, the Secretary shall, by regulation under section 553 of title 5, United States Code, propose adoption such standards; or

(B) not to propose adoption of such standards as a package, the Secretary shall notify the Health Benefits Advisory Committee in writing of such determination and the reasons for not proposing the adoption of such recommendation and provide the Committee with a further opportunity to modify its previous recommendations and submit new recommendations to the Secretary on a timely basis.


203. BENEFITS PACKAGE LEVELS.

(a) In General- A qualified health benefits plan shall provide coverage that at least meets the benefit standards adopted under section 124 for the essential benefits package described in section 122 for the plan year involved.


(b) Limitation on Health Benefits Plans Offered by Offering Entities- The Commissioner may not enter into a contract with a QHBP offering entity under section 204(c) for the offering of an Exchange-participating health benefits plan in a service area unless the following requirements are met:

(1) REQUIRED OFFERING OF BASIC PLAN- The entity offers only one basic plan for such service area.

(2) OPTIONAL OFFERING OF ENHANCED PLAN- If and only if the entity offers a basic plan for such service area, the entity may offer one enhanced plan for such area.

(3) OPTIONAL OFFERING OF PREMIUM PLAN- If and only if the entity offers an enhanced plan for such service area, the entity may offer one premium plan for such area.

(4) OPTIONAL OFFERING OF PREMIUM-PLUS PLANS- If and only if the entity offers a premium plan for such service area, the entity may offer one or more premium-plus plans for such area.

All such plans may be offered under a single contract with the Commissioner.

(c) Specification of Benefit Levels for Plans-

(1) IN GENERAL- The Commissioner shall establish the following standards consistent with this subsection and title I:

(A) BASIC, ENHANCED, AND PREMIUM PLANS- Standards for 3 levels of Exchange-participating health benefits plans: basic, enhanced, and premium (in this division referred to as a `basic plan', `enhanced plan', and `premium plan', respectively).


Items to note from the above:


30 posted on 07/21/2009 7:05:04 PM PDT by Gideon7
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To: JavaJumpy

I have been referring to section 102, on page 16 of the house bill. To what section do you refer to support Waxman?


31 posted on 07/21/2009 7:13:41 PM PDT by Cyber Liberty (I AM JIM THOMPSON!)
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To: JavaJumpy

Sorry, I was asking that other guy....


32 posted on 07/21/2009 7:14:38 PM PDT by Cyber Liberty (I AM JIM THOMPSON!)
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To: Kaslin
The editorial incorrectly states that "those who currently have private individual coverage won't be able to change it. . . . Nor will those who leave a company to work for themselves be free to buy individual plans from private carriers."

SEC. 102. PROTECTING THE CHOICE TO KEEP CURRENT COVERAGE.

(a) Grandfathered Health Insurance Coverage Defined- Subject to the succeeding provisions of this section, for purposes of establishing acceptable coverage under this division, the term `grandfathered health insurance coverage’ means individual health insurance coverage that is offered and in force and effect before the first day of Y1 if the following conditions are met:

(1) LIMITATION ON NEW ENROLLMENT-

(A) IN GENERAL- Except as provided in this paragraph, the individual health insurance issuer offering such coverage does not enroll any individual in such coverage if the first effective date of coverage is on or after the first day of Y1. [Y1 = first year of ObamaCare]

(2) LIMITATION ON CHANGES IN TERMS OR CONDITIONS- Subject to paragraph (3) and except as required by law, the issuer does not change any of its terms or conditions, including benefits and cost-sharing, from those in effect as of the day before the first day of Y1.


If you quit your job you will not be able to get new individual private insurance.

Your existing private plan is banned from accepting new members. And it is banned from making any changes to the plan.

Such plans, by design, will die out, and quickly.

When Obama announces that you can 'keep your existing plan' he is technically correct. But as a practical matter such plans will no longer be viable.

33 posted on 07/21/2009 7:22:27 PM PDT by Gideon7
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To: Cyber Liberty

I have been referring to section 102, on page 16 of the house bill. To what section do you refer to support Waxman?

**************************

I must not have written clearly. Let me rephrase:

Michael Steele could have used your research abilities today during an interview on CNN. During that interview, he was asked to name specifically in the bill where his points could be found and because he couldn’t name a section and/or page number, I think CNN felt they had a ‘gotcha!’ moment.

That’s all I meant.


34 posted on 07/21/2009 7:24:37 PM PDT by JavaJumpy
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To: Cyber Liberty

Sorry, I was asking that other guy....

********************

OH! Sorry back, I replied! It’s been a long day.


35 posted on 07/21/2009 7:26:01 PM PDT by JavaJumpy
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To: FlingWingFlyer

He could win an ugly dog contest.


36 posted on 07/21/2009 7:32:35 PM PDT by RipSawyer (Change has come to America and all hope is gone.)
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To: Kaslin

Bump


37 posted on 07/21/2009 7:35:45 PM PDT by BunnySlippers (I LOVE BULL MARKETS . . .)
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To: Gideon7

...health insurers may only offer individual coverage that meets insurance market reform standards...

So what the heck does this mean? Whose reform? What standards? This is crazy. This is writing nonsense into law. This has amazingly vague wording - especially for a law that affects millions of people, a good percentage of the economy, and the stability of the healthcare system.

I deal with government red tape in healthcare in my job and the potential for misuse and abuse in this legislation is stunning. Enough. Democrats - when you are in a hole, stop digging. Your frantic efforts to pass this junk to meet Obama’s egotistical timetable will cost you your next election.


38 posted on 07/21/2009 7:36:06 PM PDT by MassRepublican
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To: Kaslin

“Insurers will no longer be able to exclude individuals from coverage based on pre-existing conditions and will be prevented from selectively refusing to renew coverage or charging different premiums based on an individual’s need for health care.”
/////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////

If a company cannot exclude people with preexisting conditions and cannot charge different premiums the private health insurance business is dead! How are they going to insure a sixty year old with terminal cancer at the same rate as a twenty five year old in perfect health?


39 posted on 07/21/2009 7:38:05 PM PDT by RipSawyer (Change has come to America and all hope is gone.)
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To: nina0113

You’re welcome Nina.


40 posted on 07/21/2009 7:53:51 PM PDT by Cindy
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