Replies

Buried in the techno-babble here: “public health insurance option”

(19) QHBP OFFERING ENTITY.—The terms
17 ‘‘QHBP offering entity’’ means, with respect to a
18 health benefits plan that is—
19 (A) a group health plan (as defined, sub20
ject to subsection (d), in section 733(a)(1) of
21 the Employee Retirement Income Security Act
22 of 1974), the plan sponsor in relation to such
23 group health plan, except that, in the case of a
24 plan maintained jointly by 1 or more employers
25 and 1 or more employee organizations and with
12
•J. 55–345
1 respect to which an employer is the primary
2 source of financing, such term means such em3
ployer;
4 (B) health insurance coverage, the health
5 insurance issuer offering the coverage;
6 (C) the public health insurance option, the
7 Secretary of Health and Human Services;
8 (D) a non-Federal governmental plan (as
9 defined in section 2791(d) of the Public Health
10 Service Act), the State or political subdivision
11 of a State (or agency or instrumentality of such
12 State or subdivision) which establishes or main13
tains such plan; or
14 (E) a Federal governmental plan (as de15
fined in section 2791(d) of the Public Health
16 Service Act), the appropriate Federal official.
17 (20) QUALIFIED HEALTH BENEFITS PLAN.—
18 The term ‘‘qualified health benefits plan’’ means a
19 health benefits plan that meets the requirements for
20 such a plan under title I and includes the public
21 health insurance option.
22 (21) PUBLIC HEALTH INSURANCE OPTION.—
23 The term ‘‘public health insurance option’’ means
24 the public health insurance option as provided under
25 subtitle B of title II.

— combat_boots
http://www.freerepublic.com/focus/news/2471082/posts?page=179#179

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from michelle malkin:

The student loan nationalization add-on (part of the kiddie human shield strategy I diagnosed last week) starts on page 2098:

DIVISION III—HOUSE COMMITTEE ON EDUCATION AND LABOR: INVESTING IN EDUCATION

SECTION 1. SHORT TITLE.

This division may be cited as the ‘‘Student Aid and Fiscal Responsibility Act of 2009’’.

SEC. 2. TABLE OF CONTENTS.

The table of contents is as follows:

Sec. 1. Short title.
Sec. 2. Table of contents.
Sec. 3. References.
TITLE I—INVESTING IN STUDENTS AND FAMILIES
Subtitle A—Increasing College Access and Completion
Sec. 101. Federal Pell Grants.
Sec. 102. College Access and Completion Innovation Fund.
Sec. 103. Investment in historically Black colleges and universities and other
minority-serving institutions.
Sec. 104. Investment in cooperative education.
Sec. 105. Loan forgiveness for servicemembers activated for duty.
Sec. 106. Veterans Educational Equity Supplemental Grant Program.
Subtitle B—Student Financial Aid Form Simplification
Sec. 121. General effective date.
Sec. 122. Treatment of assets in need analysis.
Sec. 123. Changes to total income; aid eligibility.
TITLE II—STUDENT LOAN REFORM
Subtitle A—Stafford Loan Reform
Sec. 201. Federal Family Education Loan appropriations.
Sec. 202. Scope and duration of Federal loan insurance program.
Sec. 203. Applicable interest rates.
Sec. 204. Federal payments to reduce student interest costs.
Sec. 205. Federal PLUS Loans.
Sec. 206. Federal Consolidation Loan.
Sec. 207. Unsubsidized Stafford loans for middle-income borrowers.
Sec. 208. Loan repayment for civil legal assistance attorneys.
Sec. 209. Special allowances.
Sec. 210. Revised special allowance calculation.
Sec. 211. Origination of Direct Loans at institutions located outside the United
States.
Sec. 212. Agreements with institutions.
Sec. 213. Terms and conditions of loans.
Sec. 214. Contracts.
Sec. 215. Interest rates.
Subtitle B—Perkins Loan Reform
Sec. 221. Federal Direct Perkins Loans terms and conditions.
Sec. 222. Authorization of appropriations.
Sec. 223. Allocation of funds.
Sec. 224. Federal Direct Perkins Loan allocation.
Sec. 225. Agreements with institutions of higher education.
Sec. 226. Student loan information by eligible institutions.
Sec. 227. Terms of loans.
Sec. 228. Distribution of assets from student loan funds.
Sec. 229. Implementation of non-title IV revenue requirement.
Sec. 230. Administrative expenses.
TITLE III—MODERNIZATION, RENOVATION, AND REPAIR
Subtitle A—Elementary and Secondary Education
Sec. 301. Definitions.
CHAPTER1—GRANTS FOR MODERNIZATION, RENOVATION, O REPAIR OF PUBLICSCHOOLFACILITIES

P. 2227

SEC. 343. ADVISORY COUNCIL ON GREEN, HIGH-PERFORMING PUBLIC SCHOOL FACILITIES.

(a) ESTABLISHMENT OF ADVISORY COUNCIL.—The Secretary shall establish an advisory council to be known as the ‘‘Advisory Council on Green, High-Performing Public School Facilities’’ (in this section referred to as the ‘‘Advisory Council’’) which shall be composed of

(1) appropriate officials from the Department

of Education;

(2) representatives of the academic, architectural, business, education, engineering, environmental, labor, and scientific communities; and

(3) such other representatives as the Secretary deems appropriate.

(b) DUTIESOFADVISORYCOUNCIL.—

(1) ADVISORYDUTIES.—The Advisory Council shall advise the Secretary on the impact of green, high-performing schools, on—

(A) teaching and learning;
B) health;
(C) energy costs;
(D) environmental impact; and
(E) other areas that the Secretary and the Advisory Council deem appropriate.

— Blonde
http://www.freerepublic.com/focus/news/2471082/posts?page=182#182

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Health workforce includes veterinarians

23 ‘‘(i) DEFINITION.—In this section, the term ‘health
24 workforce’ includes all health care providers with direct
25 patient care and support responsibilities, including physi1981
•J. 55–345
1 cians, nurses, physician assistants, pharmacists, oral
2 health professionals (as defined in section 749(f)), allied
3 health professionals, mental and behavioral professionals,
4 and public health professionals (including veterinarians
5 engaged in public health practice).’’.

— combat_boots
http://www.freerepublic.com/focus/news/2471082/posts?page=197#197

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End of Life Language — combat_boots
http://www.freerepublic.com/focus/news/2471082/posts?page=191#191

‘‘(B) An advance care planning consultation with re18
spect to an individual may be conducted more frequently
19 than provided under paragraph (1) if there is a significant
20 change in the health condition of the individual, including
21 diagnosis of a chronic, progressive, life-limiting disease, a
22 life-threatening or terminal diagnosis or life-threatening
23 injury, or upon admission to a skilled nursing facility, a
24 long-term care facility (as defined by the Secretary), or
25 a hospice program.
1485
•J. 55–345
1 ‘‘(4) A consultation under this subsection may in2
clude the formulation of an order regarding life sustaining
3 treatment or a similar order.
4 ‘‘(5)(A) For purposes of this section, the term ‘order
5 regarding life sustaining treatment’ means, with respect
6 to an individual, an actionable medical order relating to
7 the treatment of that individual that—
8 ‘‘(i) is signed and dated by a physician (as de9
fined in subsection (r)(1)) or another health care
10 professional (as specified by the Secretary and who
11 is acting within the scope of the professional’s au12
thority under State law in signing such an order, in13
cluding a nurse practitioner or physician assistant)
14 and is in a form that permits it to stay with the in15
dividual and be followed by health care professionals
16 and providers across the continuum of care;
17 ‘‘(ii) effectively communicates the individual’s
18 preferences regarding life sustaining treatment, in19
cluding an indication of the treatment and care de20
sired by the individual;
21 ‘‘(iii) is uniquely identifiable and standardized
22 within a given locality, region, or State (as identified
23 by the Secretary); and
1486
•J. 55–345
1 ‘‘(iv) may incorporate any advance directive (as
2 defined in section 1866(f)(3)) if executed by the in3
dividual.
4 ‘‘(B) The level of treatment indicated under subpara5
graph (A)(ii) may range from an indication for full treat6
ment to an indication to limit some or all or specified
7 interventions. Such indicated levels of treatment may in8
clude indications respecting, among other items—
9 ‘‘(i) the intensity of medical intervention if the
10 patient is pulse less, apneic, or has serious cardiac
11 or pulmonary problems;
12 ‘‘(ii) the individual’s desire regarding transfer
13 to a hospital or remaining at the current care set14
ting;
15 ‘‘(iii) the use of antibiotics; and
16 ‘‘(iv) the use of artificially administered nutri17
tion and hydration.’’.
18 (2) PAYMENT.—Section 1848(j)(3) of such Act
19 (42 U.S.C. 1395w–4(j)(3)) is amended by inserting
20 ‘‘(2)(FF),’’ after ‘‘(2)(EE),’’.
21 (3) FREQUENCY LIMITATION.—Section 1862(a)
22 of such Act (42 U.S.C. 1395y(a)) is amended—
23 (A) in paragraph (1)—
24 (i) in subparagraph (N), by striking
25 ‘‘and’’ at the end;
1487
•J. 55–345
1 (ii) in subparagraph (O) by striking
2 the semicolon at the end and inserting ‘‘,
3 and’’; and
4 (iii) by adding at the end the fol5
lowing new subparagraph:
6 ‘‘(P) in the case of advance care planning
7 consultations (as defined in section
8 1861(hhh)(1)), which are performed more fre9
quently than is covered under such section;’’;
10 and
11 (B) in paragraph (7), by striking ‘‘or (K)’’
12 and inserting ‘‘(K), or (P)’’.
13 (4) EFFECTIVE DATE.—The amendments made
14 by this subsection shall apply to consultations fur15
nished on or after January 1, 2011.
16 (b) EXPANSION OF PHYSICIAN QUALITY REPORTING
17 INITIATIVE FOR END OF LIFE CARE.—

TRI-CARE

10 SEC. 1234. PART B SPECIAL ENROLLMENT PERIOD AND
11 WAIVER OF LIMITED ENROLLMENT PENALTY
12 FOR TRICARE BENEFICIARIES.
13 (a) PART B SPECIAL ENROLLMENT PERIOD.—
14 (1) IN GENERAL.—Section 1837 of the Social
15 Security Act (42 U.S.C. 1395p) is amended by add16
ing at the end the following new subsection:
17 ‘‘(l)(1) In the case of any individual who is a covered
18 beneficiary (as defined in section 1072(5) of title 10,
19 United States Code) at the time the individual is entitled
20 to hospital insurance benefits under part A under section
21 226(b) or section 226A and who is eligible to enroll but
22 who has elected not to enroll (or to be deemed enrolled)
23 during the individual’s initial enrollment period, there
24 shall be a special enrollment period described in paragraph
25 (2).
1491
•J. 55–345
1 ‘‘(2) The special enrollment period described in this
2 paragraph, with respect to an individual, is the 12-month
3 period beginning on the day after the last day of the initial
4 enrollment period of the individual or, if later, the 12-
5 month period beginning with the month the individual is
6 notified of enrollment under this section.
7 ‘‘(3) In the case of an individual who enrolls during
8 the special enrollment period provided under paragraph
9 (1), the coverage period under this part shall begin on the
10 first day of the month in which the individual enrolls or,
11 at the option of the individual, on the first day of the sec12
ond month following the last month of the individual’s ini13
tial enrollment period.
14 ‘‘(4) The Secretary of Defense shall establish a meth15
od for identifying individuals described in paragraph (1)
16 and providing notice to them of their eligibility for enroll17
ment during the special enrollment period described in
18 paragraph (2).’’.
19 (2) EFFECTIVE DATE.—The amendment made
20 by paragraph (1) shall apply to elections made on or
21 after the date of the enactment of this Act.
22 (b) WAIVER OF INCREASE OF PREMIUM.—
23 (1) IN GENERAL.—Section 1839(b) of the So24
cial Security Act (42 U.S.C. 1395r(b)) is amended
1492
•J. 55–345
1 by striking ‘‘section 1837(i)(4)’’ and inserting ‘‘sub2
section (i)(4) or (l) of section 1837’’.
3 (2) EFFECTIVE DATE.—
4 (A) IN GENERAL.—The amendment made
5 by paragraph (1) shall apply with respect to
6 elections made on or after the date of the en7
actment of this Act.
8 (B) REBATES FOR CERTAIN DISABLED
9 AND ESRD BENEFICIARIES.—
10 (i) IN GENERAL.—With respect to
11 premiums for months on or after January
12 2005 and before the month of the enact13
ment of this Act, no increase in the pre14
mium shall be effected for a month in the
15 case of any individual who is a covered
16 beneficiary (as defined in section 1072(5)
17 of title 10, United States Code) at the time
18 the individual is entitled to hospital insur19
ance benefits under part A of title XVIII
20 of the Social Security Act under section
21 226(b) or 226A of such Act, and who is el22
igible to enroll, but who has elected not to
23 enroll (or to be deemed enrolled), during
24 the individual’s initial enrollment period,
25 and who enrolls under this part within the
1493
•J. 55–345
1 12-month period that begins on the first
2 day of the month after the month of notifi3
cation of entitlement under this part.
4 (ii) CONSULTATION WITH DEPART5
MENT OF DEFENSE.—The Secretary of
6 Health and Human Services shall consult
7 with the Secretary of Defense in identi8
fying individuals described in this para9
graph.
10 (iii) REBATES.—The Secretary of
11 Health and Human Services shall establish
12 a method for providing rebates of premium
13 increases paid for months on or after Jan14
uary 1, 2005, and before the month of the
15 enactment of this Act for which a penalty
16 was applied and collected.
17 SEC. 1235. EXCEPTION FOR USE OF MORE RECENT TAX
18 YEAR IN CASE OF GAINS FROM SALE OF PRI19
MARY RESIDENCE IN COMPUTING PART B IN20
COME-RELATED PREMIUM.
21 (a) IN GENERAL.—Section 1839(i)(4)(C)(ii)(II) of
22 the Social Security Act (42 U.S.C. 1395r(i)(4)(C)(ii)(II))
23 is amended by inserting ‘‘sale of primary residence,’’ after
24 ‘‘divorce of such individual,’’.
1494
•J. 55–345
1 (b) EFFECTIVE DATE.—The amendment made by
2 subsection (a) shall apply to premiums and payments for
3 years beginning with 2011.
4 SEC. 1236. DEMONSTRATION PROGRAM ON USE OF PA5
TIENT DECISIONS AIDS.
6 (a) IN GENERAL.—The Secretary of Health and
7 Human Services shall establish a shared decision making
8 demonstration program (in this subsection referred to as
9 the ‘‘program’’) under the Medicare program using pa10
tient decision aids to meet the objective of improving the
11 understanding by Medicare beneficiaries of their medical
12 treatment options, as compared to comparable Medicare
13 beneficiaries who do not participate in a shared decision
14 making process using patient decision aids.

(pages up to 1494)

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student loan [bs] starts @ page 2098

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“Democrats release 2300-page reconciliation bill *Updated*”
http://www.redstate.com/bs/2010/03/14/breaking-democrats-release-2300-page-reconciliation-bill-with-a-public-option/

“And it appears they’ve decided to go all-in on this one. Included in the bill appears to be the “public option” that was removed from the Senate bill. From page 1167 of the bill:

Subtitle B—Public Health Insurance Option

SEC. 221. ESTABLISHMENT AND ADMINISTRATION OF A PUBLIC HEALTH INSURANCE OPTION AS AN EXCHANGE-QUALIFIED HEALTH BENEFITS PLAN.

(a) ESTABLISHMENT.—For years beginning with Y1, the Secretary of Health and Human Services (in this subtitle referred to as the ‘‘Secretary’’) shall provide for the offering of an Exchange-participating health benefits plan (in this subdivision referred to as the ‘‘public health insurance option’’) that ensures choice, competition, and stability of affordable, high quality coverage throughout the United States in accordance with this subtitle. In designing the option, the Secretary’s primary responsibility is to create a low-cost plan without compromising quality or access to care.

— SeattleBruce
http://www.freerepublic.com/focus/news/2471082/posts?page=209#209

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“The public option is back.”

“Democrats release 2300-page reconciliation bill *Updated*”
http://www.redstate.com/bs/2010/03/14/breaking-democrats-release-2300-page-reconciliation-bill-with-a-public-option/

“And it appears they’ve decided to go all-in on this one. Included in the bill appears to be the “public option” that was removed from the Senate bill. From page 1167 of the bill:

Subtitle B—Public Health Insurance Option

SEC. 221. ESTABLISHMENT AND ADMINISTRATION OF A PUBLIC HEALTH INSURANCE OPTION AS AN EXCHANGE-QUALIFIED HEALTH BENEFITS PLAN.

I’m no legislator, but this sure sounds like a public option to me.

The logic escapes me. If the Democrats didn’t write their own death warrant with the 12/24/09 Senate bill, this should pretty much seal it.

Let me add one other comment, based on a twitter msg from one of our colleagues: when the Dems try to ram through legislation using an unconstitutional process like the “Slaughter Solution”, we should not trust them on anything.”

209 posted on Sunday, March 14, 2010 9:57:18 PM by SeattleBruce (God, Family, Church, Country - Keep on Tea Partiers - party like it’s 1773 & pray 2 Chronicles 7:14!)
[ Post Reply | Private Reply | To 17 | View Replies | Report Abuse]

Up to page 2110, on College Loans:
‘‘PART E—COLLEGE ACCESS AND COMPLETION

12 INNOVATION FUND’’.

13 (b) PURPOSE.—Part E of title VII (20 U.S.C. 1141

14 et seq.) is further amended by inserting before section

781

15 the following:

16 ‘‘SEC. 780. PURPOSES.

17 ‘‘The purposes of this part are—

18 ‘‘(1) to promote innovation in postsecondary

19 education practices and policies by institutions of

20 higher education, States, and nonprofit organiza21

tions to improve student success, completion, and

22 post-completion employment, particularly for stu23

dents from groups that are underrepresented in

24 postsecondary education; and

2110

•J. 55–345

1 ‘‘(2) to assist States in developing longitudinal

2 data systems, common metrics, and reporting sys3

tems to enhance the quality and availability of infor4

mation about student success, completion, and post5

completion employment.’’.

6 (c) AUTHORIZATION AND APPROPRIATION.—Section

7 781(a) (20 U.S.C. 1141(a)) is amended to read as follows:

8 ‘‘(a) AUTHORIZATION AND APPROPRIATION.—

9 ‘‘(1) IN GENERAL.—There are authorized to be

10 appropriated, and there are appropriated, to carry

11 out this part (in addition to any other amounts ap12

propriated to carry out this part and out of any

13 money in the Treasury not otherwise appropriated),

14 $600,000,000 for each of the fiscal years 2010

15 through 2014.

16 ‘‘(2) ALLOCATIONS.—Of the amount appro17

priated for any fiscal year under paragraph (1)—

18 ‘‘(A) 25 percent shall be made available to

19 carry out section 781;

20 ‘‘(B) 50 percent shall be made available to

21 carry out section 782;

22 ‘‘(C) 23 percent shall be made available to

23 carry out section 783; and

24 ‘‘(D) 2 percent shall be made available to

25 carry out section 784.’’.

2111

•J. 55–345 1 (d) STATE GRANTS AND GRANTS TO ELIGIBLE ENTI2

TIES.—Part E of title VII (20 U.S.C. 1141 et seq.) is

3 further amended by adding at the end the following:

4 ‘‘SEC. 782. STATE INNOVATION COMPLETION GRANTS.

5 ‘‘(a) PROGRAM AUTHORIZATION.—From the amount v6 appropriated under section 781(a)(2)(B) to carry out this

7 section, the Secretary shall award grants to States on a

8 competitive basis to promote student persistence in, and

9 completion of, postsecondary education.

10 ‘‘(b) FEDERAL SHARE; NON-FEDERAL SHARE.—

11 ‘‘(1) FEDERAL SHARE.—The amount of the

12 Federal share under this section for a fiscal year

13 shall be equal to 2/3 of the costs of the activities and

14 services described in subsection (d)(1) that are car15 vried out under the grant.

http://www.freerepublic.com/focus/news/2471082/posts?page=210#210
— combat_boots

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‘‘(c) HEALTH PROFESSIONS TRAINING FOR DIVER7
SITY.—For the purpose of carrying out sections 736, 737,
8 738, 739, and 739A, in addition to any other amounts
9 authorized to be appropriated for such purpose, there are
10 authorized to be appropriated, out of any monies in the
11 Public Health Investment Fund, the following:
12 ‘‘(1) $90,000,000 for fiscal year 2010.
13 ‘‘(2) $97,000,000 for fiscal year 2011.
14 ‘‘(3) $100,000,000 for fiscal year 2012.
15 ‘‘(4) $104,000,000 for fiscal year 2013.
16 ‘‘(5) $110,000,000 for fiscal year 2014.
17 ‘‘(6) $116,000,000 for fiscal year 2015.
18 ‘‘(7) $121,000,000 for fiscal year 2016.
19 ‘‘(8) $127,000,000 for fiscal year 2017.
20 ‘‘(9) $133,000,000 for fiscal year 2018.
21 ‘‘(10) $140,000,000 for fiscal year 2019.
22 ‘‘(d) INTERDISCIPLINARY TRAINING PROGRAMS, AD23
VISORY COMMITTEE ON HEALTH WORKFORCE EVALUA24
TION AND ASSESSMENT, AND HEALTH WORKFORCE AS25
SESSMENT.—For the purpose of carrying out sections
26 741, 759, 761, and 764, in addition to any other amounts
1985
•J. 55–345
1 authorized to be appropriated for such purpose, there are
2 authorized to be appropriated, out of any monies in the
3 Public Health Investment Fund, the following:
4 ‘‘(1) $91,000,000 for fiscal year 2010.
5 ‘‘(2) $97,000,000 for fiscal year 2011.
6 ‘‘(3) $101,000,000 for fiscal year 2012.
7 ‘‘(4) $105,000,000 for fiscal year 2013.
8 ‘‘(5) $111,000,000 for fiscal year 2014.
9 ‘‘(6) $117,000,000 for fiscal year 2015.
10 ‘‘(7) $122,000,000 for fiscal year 2016.
11 ‘‘(8) $129,000,000 for fiscal year 2017.
12 ‘‘(9) $135,000,000 for fiscal year 2018.
13 ‘‘(10) $141,000,000 for fiscal year 2019.’’.
14 (b) EXISTING AUTHORIZATIONS OF APPROPRIA15
TIONS.—
16 (1) SECTION 736.—Paragraph (1) of section
17 736(h) (42 U.S.C. 293(h)) is amended by striking
18 ‘‘2002’’ and inserting ‘‘2019’’.
19 (2) SECTIONS 737, 738, AND 739.—Subsections
20 (a), (b), and (c) of section 740 are amended by
21 striking ‘‘2002’’ each place it appears and inserting
22 ‘‘2019’’.
23 (3) SECTION 741.—Subsection (h), as so redes24
ignated, of section 741 is amended—
1986
•J. 55–345
1 (A) by striking ‘‘and’’ after ‘‘fiscal year
2 2003,’’; and
3 (B) by inserting ‘‘, and such sums as may
4 be necessary for subsequent fiscal years
5 through the end of fiscal year 2019’’ before the
6 period at the end.
7 (4) SECTION 761.—Subsection (e)(1), as so re8
designated, of section 761 is amended by striking
9 ‘‘2002’’ and inserting ‘‘2019’’.

Oh, and what is the Health Service Trust mentioned pp 1986ff?

— combat_boots
http://www.freerepublic.com/focus/news/2471082/posts?page=198#198

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