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Section 213: A Monthly Abortion Premium

A monthly abortion premium will be charged of all enrollees in the government-run plan, as well those who select plans that have abortion coverage through the Exchange. The premium will be paid into an U.S. Treasury account and these federal funds will be used to pay for the abortion services.

The Pelosi bill describes the process in which the Health Benefits... read more

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SEC. 213. INSURANCE RATING RULES.Read more at www.opencongress.org
(b) Actuarial Value of Optional Service Coverage-Read more at www.opencongress.org
(1) IN GENERAL- The Commissioner shall estimate the basic per enrollee, per month cost, determined on an average actuarial basis, for including coverage under a basic plan of the services described in section 222(d)(4)(A).Read more at www.opencongress.org
(2) CONSIDERATIONS- In making such estimate the Commissioner–Read more at www.opencongress.org
(A) may take into account the impact on overall costs of the inclusion of such coverage, but may not take into account any cost reduction estimated to result from such services, including prenatal care, delivery, or postnatal care;Read more at www.opencongress.org
(B) shall estimate such costs as if such coverage were included for the entire population covered; andRead more at www.opencongress.org
(C) may not estimate such a cost at less than $1 per enrollee, per month.Read more at www.opencongress.org
 

Section 223: Bureaucrats in Charge of Decisions That Should Be Made by Patients

Despite what congressional Democrats claim, H.R. 3962 would put government bureaucrats in charge of decisions that should be made by patients, their families, and their doctors.

Pages 111-116; Section 223 – The bill establishes a Health Benefits Advisory Committee to make determinations about health care services that will be available to Americans including... read more

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SEC. 223. HEALTH BENEFITS ADVISORY COMMITTEE.

    (a) Establishment-CommentsClose CommentsPermalink


      (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.

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Section 521: Speaker Pelosi’s Bill Keeps Wages Low,Discourages Hiring

Under Speaker Pelosi’s bill, small businesses could receive subsidies to cover a portion of their health care costs. However, to receive a full subsidy, the average employee income must be below $20,000 and have fewer than 10 employees. This creates a perverse incentive to keep wages low and to not hire new workers

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PART 2–CREDIT FOR SMALL BUSINESS EMPLOYEE HEALTH COVERAGE EXPENSESRead more at www.opencongress.org
‘(2) PHASEOUT BASED ON AVERAGE COMPENSATION OF EMPLOYEES- In the case of an employer whose average annual employee compensation for the taxable year exceeds $20,000, the percentage specified in paragraph (1) shall be reduced by a number of percentage points which bears the same ratio to 50 as such excess bears to $20,000.Read more at www.opencongress.org
 

Section 412: A De Facto Tax That Will Lead to Substantial Layoffs

The bill mandates that employer contributions cannot come through salary reductions. Under this section, employers have to make a minimum contribution toward the health benefits plan premium for both full-time and less than full-time employees. By the terms of this provision, they cannot take that contribution out of an employee’s salary. That defies logic s... read more

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SEC. 412. EMPLOYER RESPONSIBILITY TO CONTRIBUTE TOWARD EMPLOYEE AND DEPENDENT COVERAGE.

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(4) SALARY REDUCTIONS NOT TREATED AS EMPLOYER CONTRIBUTIONS- For purposes of this section, any contribution on behalf of an employee with respect to which there is a corresponding reduction in the compensation of the employee shall not be treated as an amount paid by the employer.CommentsClose CommentsPermalink

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Section 413: A New 8% Payroll Tax on Employers and Employees

o The bill imposes a new eight percent payroll tax on: employers who can’t afford to offer health insurance to their employees; employers who do offer health coverage to their employees but it’s deemed “insufficient” by the government; and employers who aren’t paying at least 72.5 percent of an employee’s premium (65 percent for family coverage) (Page... read more

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SEC. 413. EMPLOYER CONTRIBUTIONS IN LIEU OF COVERAGE.

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(a) In General- A contribution is made in accordance with this section with respect to an employee if such contribution is equal to an amount equal to 8 percent of the average wages paid by the employer during the period of enrollment (determined by taking into account all employees of the employer and in such manner as the Commissioner provides, including rules providing for the appropriate aggregation of related employers) but not to exceed the minimum employer contribution described in section 412(b)(1)(A). Any such contribution–CommentsClose CommentsPermalink

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Speaker Pelosi’s Government Takeover of Health Care

Three things about Speaker Pelosi’s health care bill are already clear: it will raise the cost of Americans’ health insurance premiums; it will kill jobs with tax hikes and new mandates; and it will cut seniors’ Medicare benefits. The fact that it weighs in at nearly 2,000 pages – more than 620 pages longer than the government takeover of health care Hil... read more