Obamacare Pre-Existing Conditions Coverage Rules Released


022812-obamacare-lgOn Tuesday, he Obama administration finally released the new rules that will require insurance companites to cover people with preexisting medical conditions.

The Hill reports,

Regulations released Tuesday will prohibit insurers from charging women a higher premium than men, and will require plans in every state to cover certain services.

The regulations still leave key questions unanswered, including the structure of a federally run insurance exchange in the roughly 30 states that won’t set up their own. HHS officials said more information on the federal exchange will be coming soon.

“I’m confident states will have what they need to move forward,” HHS Secretary Kathleen Sebelius told reporters Tuesday.

Sam Baker went on to point out:

The new regulations also put a finer point on some of the most politically popular elements of Obama’s signature healthcare law. The proposed rules implement the health law’s ban on denying coverage to people with preexisting conditions and also require insurers to renew those customers’ coverage.

HHS also began putting in place new limits on how much insurers can vary their premiums — for example, allowing them to charge older patients only three times more than younger customers. The law prohibits insurers from varying premiums at all based on some factors, including gender.

The regulations also bar insurers from charging sick customers a higher premium. Everyone who buys insurance through a newly created exchange, rather than getting it through an employer, will be combined into one large risk pool, meaning insurance companies can spread out their risks more broadly.

This is exactly what makes them popular with many people, but it doesn’t make it right. The force of the government to tell insurance providers they have to cover pre-existing conditions will only aggravate the problem, for it will increase the costs to everyone in the system. That is how they make up the difference to cover it. You can bet your bottom dollar the feds will not allow the insurance companies to really stick it to those with pre-existing conditions. No, in the world of Obama, it’s the communist ideology that the rest of us will have to bear the burden of some of that additional cost.

The states should be, and some are already, positioning to shoot down the Obamacare health law. It looks like nullification is the order of the day.

Raven Clabough at The New American writes:

Since Chief Justice John Roberts called the individual mandate that is so integral to the healthcare law a “tax,” Republicans are now afforded the option of using a procedure known as “budget reconciliation” to formulate a repeal bill that requires just a simple majority to pass.

States may also fall in line with Louisiana and Missouri and nullify ObamaCare. In the 1798 Kentucky Resolutions, Thomas Jefferson wrote, “Whensoever the general government assumes undelegated powers … a nullification of the act is the rightful remedy.”

The Tenth Amendment Center indicates that the states have a number of methods by which they may nullify a law, including through state law, a statement amendment, or a voters’ referendum.

The Nullification Project notes:

After today’s Supreme Court ruling on “Obamacare,” it remains clear that the people cannot rely on the high court to uphold the principles enshrined in the Constitution. In such cases, the Founders, particularly Thomas Jefferson, have provided We the People and the States, a final check on the power of the three branches of the federal government: Nullification.”

A growing number of Americans have become aware of this option and are coordinating efforts to encourage their state officials to nullify ObamaCare. The Nullification Project is in fact intended to raise funds to deliver a copy of the book Nullification: How to Resist Federal Tyranny in the 21st Century, written by Thomas E. Woods, Jr., to each of the 50 governors. Project officials say, “It is our hope that the book will inspire them to continue the fight against government overreach — from every branch.”

Senator Jim DeMint (R-SC) echoed the nullification on the day of the Supreme Court’s ruling in a statement which read:

“This government takeover of health care remains as destructive, unsustainable, and unconstitutional as it was the day it was passed, unread, by a since-fired congressional majority. Now as then, our first step toward real health care reform and economic renewal remains Obamacare’s full repeal, down to the last letter and punctuation mark.

“I urge every governor to stop implementing the health care exchanges that would help implement the harmful effects of this misguided law. Americans have loudly rejected this federal takeover of health care, and governors should join with the people and reject its implementation.”

“The President’s health care law will not reform anything, but is already undermining what does still work in America’s health care system. We cannot build a free market health care system on this flawed structure of centralized government control, we must repeal all of it and start over with commonsense solutions that make health care more affordable and accessible for every American. We can allow Americans to purchase lower cost plans from other states, support state high-risk pools to cover those with pre-existing conditions, medical-malpractice reform to end frivolous lawsuits, and tax equity so Americans who don’t get their health insurance from an employer are not penalized.”

By the way, why is HHS Secretary Kathleen Sebelius still free? She has been determined to have violated federal law!





  • http://www.facebook.com/Obadiahorthodox Obadiah Robinson

    THE PLAN IS WORKING, 4 MORE YEARS AND WE WILL HAVE A COMMUNIST PARADISE!!!!!~!! ALL YOU NEO CON BASTARDS WILL PAY!!!!!!! VIVA LA REVOLUTION!!!!!

  • Beckery49

    When they force me into it, (taking part of the $1K a month I do get), I’ll use the system for everything I am intitled to, abuse to as much as I legally can. If I can’t pay my house payment or eat, I can at least feel good while dieing.

  • R.Young

    All Hail OBAMACARE!

  • freedomringsforall

    We need to stay united.

    We need to get these commie, fascist, Islamic terrorist codling bunch of scum
    out of power in these United States.

    Then we need to work our bums off to get our freedoms and rights restored.

    We are the only hope left for this planet and for all those down trodden and
    less fortunate to look to as their hope for true freedom and all that it
    brings.

    We must stay united and take the hope, the light, and the right of freedom to
    every last corner and dark alley and to every last soul in this world.

    Also:

    Since when does the President of the United States have the sole authority to unilaterally decide what individual or what individual business or what individual group gets a specific tax break or not?

    How can you tax the same kind of individuals, groups, or businesses differently?

    If there is a tax break doesn’t it have to be equally available to all?

  • agbjr

    Research the Tariff of 1829 … nullification DOES work!

  • http://www.facebook.com/people/Renee-Hollister/100003984226668 Renee Hollister

    That was bad enough.. Right?
    Well get a load of this..Did you know??
    Within
    the 2-thousand pages of obamacare there is a provision where monies can be used
    to raise a special civilian Army Loyal Only To 0bama. Check it out. Don’t take
    my word, but I did read it in obamacare bill. This nothing more than a 2,000
    page communist manifesto. I hope some of you are scared and will see what
    communist wheels are in motion.

    The
    historic progressive of Socialism – a majority votes themselves a variety of
    free lunches. The economy goes totally south, as in Broke. The 0ccupiers Riot.
    The militant Dictator Emerges.,

    Yippie… We are really
    in for some fun times… >>> NOT

  • it is just far.

    one aspect of the pre -exisiting coverage needed to be fixed.. if the insurance company took your premiums.. they should cover you for all covered illnesses .. period..
    I had a car I blew the transmission in once.. does that mean my next warranty doesn’t cover transmissions? no .. they still cover it,.. just like the guy who never had a problem..
    yet insurances are allowed to take your premium and give you less of a product then another person with the same illness.. I never once saw them ever return the premiums to a person they denied coverage to.. no wonder many feel ripped off by them..

  • http://www.facebook.com/people/Renee-Hollister/100003984226668 Renee Hollister

    Remember what nancy pelosi said about the
    0bamacare bill??

    “We have to pass the bill so that you can find out
    what is in it”

    WELL, LISTEN UP…..

    Listed
    below are some of the regulations/laws inside the Obama Healthcare
    Bill that are not widely known and which adds to why this is a very bad bill
    that will hurt us all! I am sure there are many others. I strongly recommend
    that you read each one as the “devil is
    in the details” .

    If
    you do not believe me then I have included the site where you can download the
    actual Healthcare Bill for reference: Obama’s
    Healthcare Bill http://frwebgate.access.gpo.gov/cgi-bin/getdoc.cgi?dbname=111_cong_bills&docid=f:h3200ih.pdf

    To
    add injury to insult, Congress has EXEMPTED themselves from the
    bill!

    Here
    they are:

    Pg
    22 of the HC Bill MANDATES the Govt will audit books of ALL EMPLOYERS that self
    insure!!

    Pg
    29 lines 4-16 in the HC bill – YOUR
    HEALTHCARE IS RATIONED!!!

    Pg
    30 Sec 123 of HC bill – THERE WILL BE A
    GOVT COMMITTEE that decides what treatments/benefits you get

    Pg
    42 of HC Bill – The Health Choices Commissioner will choose your HC Benefits for
    you. You have no choice!

    PG
    50 Section 152 in HC bill – HC will be provided to ALL Non US citizens,
    illegal or otherwise

    Pg
    58HC Bill – Govt will have real-time access to individuals finances & a
    National ID Health card will be issued!

    Pg
    59 HC Bill lines 21-24 Govt will have direct access to your banks accts for
    electronic funds transfer

    PG
    65 Sec 164 is a subsidized plan for
    retirees and their families in Unions & community orgs (ACORN).

    Pg
    72 Lines 8-14 Govt is creating an HC Exchange to bring private HC plans under
    Govt control.

    PG
    84 Sec 203 HC bill – Govt mandates ALL benefit pkgs for private HC plans in the
    Exchange

    Pg
    95 HC Bill Lines 8-18 The Govt will use groups I.e., ACORN & Americorps to
    sign up individuals for Govt HC plan

    PG
    102 Lines 12-18 HC Bill – Medicaid Eligible Individuals will be automatically
    enrolled in Medicaid. No choice

    Pg
    124 lines 24-25 HC No company can sue GOVT on price fixing.

    Pg
    145 Line 15-17 An Employer MUST auto enroll employees into public option plan.
    NO CHOICE

    Pg
    146 Lines 22-25 Employers MUST pay for HC for part time employees AND their
    families.

    Pg
    149 Lines 16-24 ANY Emplyr w payroll 400k & above who does not provide
    public option pays 8% tax on all payroll

    Pg
    150 Lines 9-13 Businesses with payroll between 251k & 400k who do not
    provide pub. Opiont pays 2-6% tax on all payroll

    Pg
    167 Lines 18-23 ANY individual who does not have acceptable HC according to Govt
    will be taxed 2.5% of income

    Pg
    170 Lines 1-3 Any NONRESIDENT Alien is exempt from individual taxes.

    Pg
    195 HC Bill -officers & employees of HC Administration will have access
    individuals finance, papers and records

    PG
    203 Line 14-15 HC – “The tax imposed under this section shall not be treated as
    TAX” Yes, it says that

    PG
    253 Line 10-18 Govt sets value of Dr’s time, professional judgement,
    etc

    PG
    265 Sec 1131Govt mandates & controls productivity for private HC industries

    PG
    268 Sec 1141 Fed Govt regulates rental & purchase of power driven
    wheelchairs

    Page
    280 Sec 1151 The Govt will penalize hospitals for what Govt deems preventable re
    admissions.

    Pg
    298 Lines 9-11 Doctors who treat a patient during initial admission that results
    in a re admission will be penalized

    Pg
    317 L 13-20 Govt will determine what Doctors. And how much ownership/investment
    they can own.

    Pg
    317-318 lines 21-25,1-3 Govt is mandating hospitals cannot expand pg 321 2-13
    Hospitals have option to apply for exception but community input
    required

    Pg335
    L 16-25 Pg 336-339 – Govt sets and mandates establishment of outcome based
    measures the way they want.

    Pg
    341 Lines 3-9 Govt has authority to disqualify Medicare Adv Plans, HMOs, etc.

    Pg
    354 Sec 1177 – Govt will RESTRICT
    enrollment of Special needs patients!

    PG
    425 Lines 4-12 Govt mandates Advance
    Care Planning Consultation- Senior Citizens end of life

    Pg
    425 Lines 17-19 Govt will instruct &
    consult regarding living wills, durable powers of atty. Mandatory!

    PG
    425 Lines 22-25, 426 Lines 1-3 Govt
    provides approved list of end of life resources,
    guiding you in death

    PG
    427 Lines 15-24 Govt mandates program
    for orders for end of life.

    Pg
    429 Lines 1-9 An “advance care planning
    consult” will be used frequently as patients health deteriorates

    PG
    429 Lines 10-12 “advance care
    consultation” may include an ORDER for end of life plans.

    Pg
    429 Lines 13-25 – The govt will specify
    which Doctors can write an end of life order.

    PG
    430 Lines 11-15 The Govt will decide
    what level of treatment you will have at end of life

    Pg
    494-498 Govt will define covered Mental Health
    services

  • http://www.facebook.com/people/Renee-Hollister/100003984226668 Renee Hollister

    Check out page # 418 on Assisted
    Suicide..

    Remember during this last election when the
    dems

    Were implying that Romney was going to throw Granny
    off the cliff?? How about Any Unwanted

    With a needle in their arm??? And get this,
    *people*

    You and I ) are called Units in obamacare,Yes,
    >Not Humans.<..*UNITS *

    Stay
    Healthy Folks,

    Knowing Americans Taxes

    Will Be Well Spent….

  • J J

    Well, see there, there isn’t really a war on women – it’s a war on everyone. Every time I get a bill from any insurance company, the premium goes up and I could have sworn that Obama promised that this would control costs and wouldn’t cost me any more but it’s just more BS from Obama!!! This unconstitutional piece of crap needs to be shredded and they should start over but the fact that Democrats won’t compromise means that nothing will ever happen.

    • ritha

      Surely you didn’t believe one of odumbo promises? He LIES.

  • aorobert

    Women’s rates cannot be higher than men? So in other words, RISK is no longer a factor? We can plan on the highest rates possible now for all parties, discounts are gone.

    • The Blue Collar Man

      Yep. You got it. Also, you should add in the extra cost of pre exsisting conditions, and use that number as insurance cost for all.
      That way, we all will “Pay our Fair Share”.

    • KarenWI

      I guess the actuarial part of health insurance just went out the window…

  • rennyangel

    it’s not insurance.

  • http://www.facebook.com/people/Erik-Osbun/100001215333702 Erik Osbun

    I think what this says is that you are coverable even with a potentially fatal pre-existing condition, which means that they will take your money. What is not said is that you may be denied health care by the 15 man board when your condition becomes critical.

    • Jillian

      We may be denied health care if we become critical, or can’t pay, but the illegals, welfare riders will be taken care of into infinity. Their health care will not be cut off if their condition becomes critical. What happens to us in that case? Does Obama send in the death squad?

    • freedomringsforall

      Well, he has already executive ordered himself to be judge, jury, and execution orderer of any United States citizen that he solely and personally believes needs to die hasn’t he.

    • danimal

      For many of us, this is the death squad. From the sounds of it, I will never see my grandchildren grow up, 2 cancer operations will give the right to the Goverment to stick a needle in my arm, just like a death row inmate

  • Dean

    OBAMACARE, What a frickin disaster!

  • Smiley

    Sadly, our Supreme Court is as guilty of Treason to the Constitution as many in the Congress and the Senate and our current President. It would be nice of the citizens could line the whole bunch up and shoot them, or as the vaunted Muslims would do, behead them. The same traitors that have abolished our Constitution seem to love the Muslims, so maybe we should act like the Muslims.

  • billstanley

    The “Origination Clause” in the U.S. Constitution (Article I, Section 7)
    requires that taxes be initiated in the House. The Senate took a House bill
    dealing with veterans and deleted the title and all text, leaving only the
    bill’s number. ObamaCare was then inserted. The Supreme Court characterized the
    penalties in ObamaCare as federal taxes, but was not asked and did not address
    the issue of which body of Congress initiated the taxes. The Pacific Legal
    Foundation has filed a suit (U.S. District Court for the District of Columbia)
    challenging ObamaCare on this issue.

  • http://www.facebook.com/scott.kuschel Scott Kuschel

    In an era where fewer employers offer health insurance and few people will have the security to work only one job, why is it unreasonable to ask insurance companies to cover Pre-existing conditions? Isn’t that simply a needed modernization to keep up with changes in our economy?

    • JJM123

      As a Type 1 diabetic, I have had preexisting condition for over 20 years. I could always find group or private health insurance. Some insurance would not accept me but state high risk pool always would. Biggest complaint, other than cost, always was if I had gone a few months w/o coverage, I would not be covered for the pre existing for 12 months yet still had to pay the higher rate w/o the benefit.
      Insurance premiums have always been based on risk analysis – higher risk = higher cost. Now if rates are to be equal, you are forced to subsidize my coverage with higher rates, same as my boys will need to subsidize women’s higher risk coverage.
      Socialism does not work. The Pilgrims would not have had a Thanksgiving and would have starved if they did not drop their initial Common Good initiative and changed to a capitalist private property, work hard to have more, practice.

  • DOOM

    If you’re born with it it’s a preexisting condition. Otherwise it’s just a regular, run of the mill condition.

  • King_of_the_Road

    http://www.wnd.com/2012/11/how-obama-can-be-stopped-in-electoral-college/
    How Obama can be stopped in Electoral CollegeJust like the “rats did in Wisconsin and the “rats did in Texas when they left the state to deny the RINOs a state quorum. DENY the electoral college a quorum by refusing to show up at the college . . . Read more
    Barack Obama has not yet been re-elected president.Yes, the election is over – but remember, a presidential election in America is not by popular vote. We vote for the candidate, but what we are really doing is voting for the electors who will meet on the Monday after the second Wednesday in December. That is when the actual re-election of the president occurs.And the best part – this is totally constitutional. The 12th Amendment of the Constitution as well as Article II of the Constitution govern the Electoral College. According to the 12th Amendment, for the Electoral College to be able to select the president, it must have a quorum of two-thirds of the states voting. If enough states refuse to participate, the Electoral College will not have a quorum. If the Electoral College does not have a quorum or otherwise cannot vote or decide, then the responsibility for selecting the president and vice president devolves to the Congress. . Can this work? Sure it can. Democrats have actually set this precedent of refusing to participate to deny Republicans a quorum. They did this in Wisconsin and in Texas. Why can’t we do this with the Electoral College?So how do we do this? Mitt Romney carried 24 states. We need to have conservative activists from all over the nation contact the electors, the Republican Party and the secretary of state in all of these states and tell them not to participate in the Electoral College when it meets on Dec. 17. If we can get 17 of those states (just over one-third) to refuse to participate, the Electoral College will have no quorum. Then, as the Constitution directs, the election goes to the House of Representatives. That is how we can still pull this election out and make Mitt Romney president in January. We need this concept shared with every tea party, liberty and patriotic group throughout the country. We have time to act, but we must pressure Republicans to do the right thing. We the people must contact the electors, party officials and secretaries of state from every red state and insist that they refuse to participate in the Electoral College. We can still save America and use the Constitution to do it. But this truly is our last chance.

    • rennyangel

      Very interesting.

    • Jillian

      Where can I find a list of the people to contact? I will write or call. I have been thinking that had the ones who started the secessionist movement had asked for an impeachment movement the Senate might have had to listen to the voice of the people. I would have loved to have seen so many states push for impeachment that pushed for secession. I wish I knew how to do this sort of thing.

    • d rash

      The Senate, led by the communist basta*d Harry Reid, does not care “SQUAT about the voice of the people! All he cares about is getting the communist agenda in place. “Hey Harry, I understand you used to be a boxer?” I challenge you to a boxing match, and the winner gets to decide how the Senate is run during the rest of your term”? I am 66 years old. How about it sissy? Wanna get down!

    • http://www.facebook.com/people/David-Randall-Francis/1404211380 David Randall Francis

      Great idea. Do 1/3+ electors have the chutzpah to carry this out? The next big question is do liberals have the moral fabric to remain civil in the face of such an anomaly?

  • http://www.facebook.com/people/Shorty-Stuff/100002035641339 Shorty Stuff

    What about the unconstitutionality of this law because since it was designated a tax, all tax bill have to be initiated in the House. Obamacare was initiated in the Senate. Should be a simple wave of the pen that this is unconstitutional.

    • freedomringsforall

      Amen

      We need to stay united.

      We need to get these commie, fascist, Islamic terrorist codling bunch of scum
      out of power in these United States.

      Then we need to work our bums off to get our freedoms and rights restored.

      We are the only hope left for this planet and for all those down trodden and
      less fortunate to look to as their hope for true freedom and all that it
      brings.

      We must stay united and take the hope, the light, and the right of freedom to
      every last corner and dark alley and to every last soul in this world.

    • RAVEN

      OK … now just who will ‘wave the pen’?? Who will pick it up ?? Your state
      representative ?? Your state Governor?? Prod someone with a stick !!