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To: RummyChick

Here is my problem folks. I need to back up all these list and post I see naming pages and lines ( for ex. Pg 354 Sec 1177) Where EXACTLY are people getting this information?
There are at least 3 separate health care bills out there. There is a list circulating around the net with maybe 90 items citing page and line , very scary things that are in the bill ( again what bill) I haven’t been able to find any of these citations.
I can go to my town meeting and say “oh yea Pg 354 Sec 1177 says government will restrict enrollment of special needs people” I need to see the document that supposedly came from .
I’m not being skeptical as much as wanting to be sure we can back up EVERY POINT WE MAKE WITH FACTS.


94 posted on 08/09/2009 10:54:01 PM PDT by sonic109
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To: sonic109
Here is the link to the House Bill which is what most people and “list” talk about.

http://frwebgate.access.gpo.gov/cgi-bin/getdoc.cgi?dbname=111_cong_bills&docid=f:h3200ih.pdf

In regards to this Section starting on page 353, here is the cut and paste (hope it works - the numbers at the side are “line numbers” for ease of finding info)

The ending is where the Government will decide on the plan for special needs people (emphasis mine):

13 PART 3—TREATMENT OF SPECIAL NEEDS PLANS
14 SEC. 1176. LIMITATION ON ENROLLMENT OUTSIDE OPEN
15 ENROLLMENT PERIOD OF INDIVIDUALS INTO
16 CHRONIC CARE SPECIALIZED MA PLANS FOR
17 SPECIAL NEEDS INDIVIDUALS.
18 Section 1859(f)(4) of the Social Security Act (42
19 U.S.C. 1395w–28(f)(4)) is amended by adding at the end
20 the following new subparagraph:
21 ‘‘(C) The plan does not enroll an individual
22 on or after January 1, 2011, other than during
23 an annual, coordinated open enrollment period
24 or when at the time of the diagnosis of the dis
25 ease or condition that qualifies the individual as

1 an individual described in subsection
2 (b)(6)(B)(iii).’’.
3 SEC. 1177. EXTENSION OF AUTHORITY OF SPECIAL NEEDS
4 PLANS TO RESTRICT ENROLLMENT.
5 (a) IN GENERAL.—Section 1859(f)(1) of the Social
6 Security Act (42 U.S.C. 1395w–28(f)(1)) is amended by
7 striking ‘‘January 1, 2011’’ and inserting ‘‘January 1,
8 2013 (or January 1, 2016, in the case of a plan described
9 in section 1177(b)(1) of the America’s Affordable Health
10 Choices Act of 2009)’’.
11 (b) GRANDFATHERING OF CERTAIN PLANS.—
12 (1) PLANS DESCRIBED.—For purposes of sec
13 tion 1859(f)(1) of the Social Security Act (42
14 U.S.C. 1395w–28(f)(1)), a plan described in this
15 paragraph is a plan that had a contract with a State
16 that had a State program to operate an integrated
17 Medicaid-Medicare program that had been approved
18 by the Centers for Medicare & Medicaid Services as
19 of January 1, 2004.
20 (2) ANALYSIS; REPORT.—The Secretary of
21 Health and Human Services shall provide, through
22 a contract with an independent health services eval
23 uation organization, for an analysis of the plans de
24 scribed in paragraph (1) with regard to the impact
25 of such plans on cost, quality of care, patient satis-

1 faction, and other subjects as specified by the Sec
2 retary. Not later than December 31, 2011, the Sec
3 retary shall submit to Congress a report on such
4 analysis and shall include in such report such rec
5 ommendations with regard to the treatment of such
6 plans as the Secretary deems appropriate.

121 posted on 08/10/2009 8:28:52 AM PDT by bobsunshine
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