Posts Tagged ‘HHS’

Myth: Obama Birth Control Mandate Will Bring Down Costs. FACT: Obama FORBID Consideration Of Cost Control In That Mandate

February 18, 2012

You’ve smelled this particular emanation of bovine feces before; remember when Obama and all the Democrats were assuring us that ObamaCare would bring down the cost of health care???

And now we’re learning – you know, after Nancy Pelosi said we have to pass ObamaCare “so you can find out what is in it” – that ObamaCare will actually TRIPLE the damn cost of health care.

So now the left and the Democrats and Obama and the mainstream media are assuring us that trampling on the First Amendment, on religious freedom, on personal conscience and on the rights of people NOT to have Antichrist governing every aspect of our increasingly miserable lives will give us a cost savings.  They’re telling us that health insurance companies will save all kinds of money if Obama forces the Catholic Church to violate its theology that Catholics had held for one thousand-five hundred years and provide birth control, abortion-inducing drugs and sterilization.  And that they will then pass all that savings on to you.

Well, that sounds good, but it’s a lie just like pretty much every other thing that the left says.

Here’s the FACTS:

Obama: Mandate Saves Money; Mandate Authors: HHS Forbid Determining If It Saves Money
By Terence P. Jeffrey
February 16, 2012

CNSNews.com) – There would be no consideration of cost effectiveness.
 
That was the explicit condition that the Department of Health and Human Services imposed on the panel of health-care experts it commissioned to develop the “preventive services” mandate that will require virtually all health-insurance plans in the United States to cover sterilizations and contraceptives—including those that cause abortions.
 
The fact that HHS prohibited the panel from considering the cost effectiveness of the mandate it developed sharply contrasts with President Obama’s declaration at the White House last Friday that his administration had adopted the panel’s recommendations precisely because they will “make the overall cost of health care lower.”

One economist who served on the panel, meanwhile, suggested in a dissenting opinion that the panel’s recommendations in fact might not be cost effective and that the panel’s process for arriving at its recommendations “tended to result in a mix of objective and subjective determinations filtered through a lens of advocacy.”
 
The Patient Protection and Affordable Care Act (aka Obamacare) that Obama signed in 2010 included a provision that all new health care plans would be required to cover “preventive services” without charging any fees or co-pay to the insured. The law allowed the secretary of health and human services to determine which “preventive services” would be mandated for women.
 
HHS commissioned and funded a committee of scientists, operating under the auspices of the Institute of Medicine (a part of the National Academies of Sciences), to recommend which “preventive services” for women should be included, cost free, in all insurance plans.
 
The panel—The Committee on Preventive Services for Women–had only 6 months to do its work and met only 5 times. On July 19, 2011, it issued a report with its recommendations. These included the following: “The committee recommends for consideration as a preventive service for women: the full range of Food and Drug Administration-approved contraceptive methods, sterilization procedures, and patient education and counseling for women with reproductive capacity.”
 
Less than two weeks later, on Aug. 1 of last year, HHS Secretary Kathleen Sebelius issued the panel’s contraception-sterilization recommendation as a new federal regulation—set to take effect on Aug. 1 of this year.
 
In its report, the committee had noted the short time in which it had to work and repeatedly reiterated HHS’s order that it could not consider cost effectiveness in determining its recommendations.
 
“The committee met five times within six months,” the report said.
 
“The cost-effectiveness of screening or services could not be a factor for the committee to consider in its analysis leading to its recommendations,” the report said.
 
“However, it should be noted that the committee did not have adequate time or resources to conduct its own meta-analyses or comprehensive systematic review of each preventive service,” the committee warned.
 
“Finally,” the committee said, “cost-effectiveness was explicitly excluded as a factor that the committee could use in developing recommendations, and so the committee process could not evaluate preventive services on that basis.”
 
“Furthermore,” the committee said, “for consistency in approach with the other three guidelines used by the ACA and given the time limitations for this study, the committee was restricted from considering cost-effectiveness in its process for identifying gaps in current recommendations.”
 
One of the 16 members of the panel—Prof. Anthony Lo Sasso an economist at the University of Illinois at Chicago’s School of Public Health–issued a dissenting report. He criticized the panel’s process for lack a rigorous analytical method and for filtering things “through a lens of advocacy.” He also suggested there was good reason to believe the panel’s recommendations might not be cost effective.
 
“Readers of the Report should be clear on the facts that the recommendations were made without high quality, systematic evidence of the preventive nature of the services considered,” Lo Sasso wrote. “Put differently, evidence that use of the services in question leads to lower rates of disability or disease and increased rates of well-being is generally absent.
 
“The view of this dissent,” wrote Lo Sasso, “is that the committee process for evaluation of the evidence lacked transparency and was largely subject to the preferences of the committee’s composition. Troublingly, the process tended to result in a mix of objective and subjective determinations filtered through the lends of advocacy. An abiding principle in the evaluation of the evidence and the recommendations put forth as a consequence should be transparency and strict objectivity, but the committee failed to demonstrate these principles in the Report.”
 
Lo Sasso also raised a question about the potential cost effectiveness of offering some preventive services for free because it would create a “benign moral hazard”—leading more people to utilize the free service.
 
“Whether coverage of preventive service leads to a reduction in healthcare expenditure depends on the fraction of enrollees using the service before the service becomes covered and the magnitude of the response among enrollees who experience the reduction in out-of-pocket price,” wrote Lo Sasso. “Knowing how elastic patient demand is to preventive services is a critical element to a coverage decision even if one already has good estimates of the effectiveness and cost-effectiveness. This is self-evidently a useful parameter to know for any preventive service because it highlights the impact that first-dollar coverage of the service will have, perhaps in relation to other forms of outreach.”
 
Because the committee was not given the time to do a serious analysis of the real impact of the recommended “preventive services,” Lo Sasso recommended that Secretary Sebelius not mandate the services “until such time as the evidence can be objectively and systematically evaluated.”
 
Despite the fact that this scientifically panel charged with coming up with the recommended preventive services had been expressly forbidden from looking at their cost effectiveness, President Obama declared that his administration had moved forward with the recommendations precisely because of their cost effectiveness.
 
“As part of the health care reform law that I signed last year, all insurance plans are required to cover preventive care at no cost,” Obama said last Friday at the White House. “That means free check-ups, free mammograms, immunizations and other basic services. We fought for this because it saves lives and it saves money–for families, for businesses, for government, for everybody. That’s because it’s a lot cheaper to prevent an illness than to treat one.

“We also accepted a recommendation from the experts at the Institute of Medicine that when it comes to women, preventive care should include coverage of contraceptive services such as birth control,” said Obama. “In addition to family planning, doctors often prescribe contraception as a way to reduce the risks of ovarian and other cancers, and treat a variety of different ailments. And we know that the overall cost of health care is lower when women have access to contraceptive services.”

So we have a tyrant who states something as a FACT that he EXPLICITLY demanded not be tested to see if it was true.  Which ought to tell you that his “fact” is in fact probably false.

We have become a nation of despicable people who believe lies.  That’s the bottom line.  People who believe lies and reject the truth are little better than the people who tell the lies in the first place.

We’re seeing “the big lie” over and over and over again from this administration.  And what is most frightening is how Obama lies “in the name of science.”

On the economic front, Obama is telling one lie after another – and using a methane-foggy haze of cooked “statistics” to sell them to an amoral people.

Obama has his thugs at taxpayer-funded Media Matters trying to personally destroy anyone who gets in the way of their messiah:

A little after 1 p.m. on Sept. 29, 2009, Karl Frisch emailed a memo to his bosses, Media Matters for America founder David Brock and president Eric Burns. In the first few lines, Frisch explained why Media Matters should launch a “Fox Fund” whose mission would be to attack the Fox News Channel.

“Simply put,” Frisch wrote, “the progressive movement is in need of an enemy. George W. Bush is gone. We really don’t have John McCain to kick around any more. Filling the lack of leadership on the right, Fox News has emerged as the central enemy and antagonist of the Obama administration, our Congressional majorities and the progressive movement as a whole.”

“We must take Fox News head-on in a well funded, presidential-style campaign to discredit and embarrass the network, making it illegitimate in the eyes of news consumers.”

What Frisch proceeded to suggest, however, went well beyond what legitimate presidential campaigns attempt. “We should hire private investigators to look into the personal lives of Fox News anchors, hosts, reporters, prominent contributors, senior network and corporate staff,” he wrote.

After that, Frisch argued, should come the legal assault: “We should look into contracting with a major law firm to study any available legal actions that can be taken against Fox News, from a class action law suit to defamation claims for those wronged by the network. I imagine this would be difficult but the right law firm is bound to find some legal ground for us to take action against the network.”

Frisch went on to call for “an elaborate shareholder campaign” against News Corporation, the parent company of Fox News: “This can take many forms, from a front group of shareholders, to passing resolutions at shareholder meetings or massive demonstrations are [sic] shareholder meetings.”

We also find that this taxpayer-funded leftwing hit organization met routinely to coordinate with top-level White House officials such as Valerie Jarrett.  And that their propaganda was routinely picked up by major media sources such as MSNBC, the Washington Post, etc.  And if that isn’t enough, Obama has developed his own Ministry of Propaganda euphemistically called the “Truth Team” to do Obama’s billion-dollar-funded campaign bidding.

Obama is playing the most naked brand of divisive politics to pit – in purely socialist terms – one group against another while he has continually made false promises to poor people who frankly ought to know better by now.  He is promising people whatever it will take to ensure his re-election.

Obama demonically pitted women against Catholics in order to win the women’s vote by sacrificing the Catholics and forcing them to pay for “services” they have found morally reprehensible for one-and-a-half millennia.  That’s how he rolls.

I think back to some haunting words:

…..Any opposition to Hitler is ruthlessly eradicated. Tens of thousands are imprisoned. Journalist Stephan Laurent dared to criticize The Fuehrer…..

“I am writing this from cell 24. Outside a new Germany is being created. Many millions are rejoicing. Hitler is promising everyone precisely what they want. I think when they wake to their sobering senses, they will find they have been led by the nose and duped by lies.”

America will discover one day – especially if it re-elects this despot – that they voted for a truly evil man who did nothing but hurt them while constantly promising he would heal them.

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Obama Imposes Abortion Agenda On Catholic Church Hospitals And Charities To Drive Them Out Of Business

January 23, 2012

Today marks the 39th anniversary of Roe v. Wade.

Let’s celebrate the milestone by driving the Catholic Church out of its mission of caring for the sick and the poor by forcing them to either do something that is anathema to their theology or forcing them to abandon their hospital and charity work:

[Important Updates] Obama Admin Decides to Require Religious Institutions to Cover Free Contraception & Sterilization
by Thomas Peters
January 20, 2012

Liberals are crowing about what they see as a huge victory for them — and they are right — because this victory comes at the expense of religious liberty.

Welcome to the Obama 2012 reelection plan: ignore and marginalize people of faith, pander to the far-left’s sexual-political priorities.

This via the far-left site ThinkProgress:

Today, in a huge victory for women’s health, Health and Human Services Secretary Kathleen Sebelius announced that most employers will be required to cover contraception in their health plans, along with other preventive services, with no cost-sharing such as co-pays or deductibles. This means that after years of trying to get birth control covered to the same extent that health plans cover Viagra, our country will finally have nearly universal coverage of contraception.

Opponents of contraception had lobbied hard for a broad exemption that would have allowed any religiously-affiliated employer to opt out of providing such coverage. Fortunately, the Obama administration rejected that push and decided to maintain the narrow religious exemption that it initially proposed. Only houses of worship and other religious nonprofits that primarily employ and serve people of the same faith will be exempt. Religiously-affiliated employers who do not qualify for the exemption and are not currently offering contraceptive coverage may apply for transitional relief for a one-year period to give them time to determine how to comply with the rule.

Liberals always complain when the Church acts in the public square, tossing out the red herring “separation of church and state!”

But they are perfectly happy to have the state compel the church to do what they want the church (and people of faith) to do.

More from me soon, but there you have it.

UPDATE: Michael Sean Winters, who I have deeply disagreed with in the past, posts his reaction to the news — calling it much more than a disaster:

One sentence in the statement from HHS Secretary Kathleen Sebelius stands out: “The administration remains fully committed to its partnerships with faith-based organizations, which promote healthy communities and serve the common good.”

What can those words “fully committed” possibly mean? They have punched Sr. Carol Keehan and Fr. Jenkins and many other Catholics who have taken shots for this Administration in the nose. They have jumped over the First Amendment to coerce religious organizations to do something we find morally objectionable. They have given people who loved the Affordable Care Act reason for pause, great pause. They have given the Republicans a huge battering ram with which to beat swing voting Catholics over the head.

I say “they,” but the full responsibility for this decision rests with the President. NCR has learned that the President called Cardinal-designate Timothy Dolan, president of the U.S. bishops’ conference, this morning to tell him the news. Wouldn’t you have liked to be on an extension to listen in on that conversation. The president looked Dolan in the eye in November and said he would be pleased with his decision. I am guessing that Dolan is not pleased. He is not alone.

Winters is right that this decision is a huge blow to liberal Catholics who have tried to cover for Obama. But Winters is wrong that the President’s decision comes as any sort of surprise. Of course Obama would throw his liberal Catholics supporters under the bus to please his leftist secular supporters. Obama’s wedding with liberal Catholics has always been one of convenience and he just filed the divorce papers. I therefore find it hard to sympathize with liberal Catholics who are shocked by this decision, because I’ve been warning for years that their relationship with Obama was bound to end in heartbreak.

I do, however, respect Winters for being right to stand up for religious liberty and criticize a President he supported as a candidate. For that I applaud him and I hope that more liberal Catholics acknowledge how foolish they have been to support Obama’s anti-Catholic policies. I urge them to join me and other Catholics in common cause to begin to address this deplorable state of affairs.

UPDATE 2: Cardinal-designate Timothy Dolan, in a video posted (on the right side) of the USCCB website, calls on Catholics to contact the Administration and demand they rescind this anti-religious liberty, anti-first amendment mandate. Read the full press release just sent out by the USCCB here.

UPDATE 3: Grace-Marie Turner writes at NRO’s The Corner blog:

This is another assault on the Constitution and the First Amendment’s guarantee of religious liberty. The U.S. Conference of Catholic Bishops (USCCB) called the federal regulation an “unprecedented threat to individual and institutional religious freedom.”

The Obamacare regulation gives faith-based institutions, like Catholic universities and hospitals, the choice of violating the fundamental tenets of their faith by covering the federally mandated coverage in their employee health plans, or of dropping health insurance for their employees — in which case they would be fined for violating the employer mandate.

…As I told Kathryn Lopez for a recent article, there is a war on religion from the Left, and it is very dangerous to the institutions that make our civil society function.

The Catholic Church historically has been a vital part of the safety net — providing aid for the poor, care for the sick, shelter and food for the homeless, and care for mothers in need, as a few examples.

The health-care law threatens to tear gaping holes in that safety net by forcing Catholic health plans to cover contraception, by denying funds to Catholic adoption agencies, and ultimately by forcing taxpayers — including Catholics — to fund abortion.

This is dangerous to the very fabric of our society. It’s a crucial reason why the whole health law, with its centralized control over health-care decisions, must not stand.

For the record, I am not a Catholic.  I believe that life begins at conception, rather than being present in the male “seed,” and I do not have any issues with birth control that merely prevent a birth rather than actually killing a child (such as RU 486 – which also can kill the mother).

But the Catholic Church has consistently held over the centuries that any form of birth control is tantamount to abortion.

Barack Obama, I have said over and over again, is a genuinely evil man.  This is God damn America and it will continue to be God damn America until the American people wise up and utterly reject him.

This is Barack Obama’s version of Sophie’s Choice: He is trying for force the Catholic Church to either begin performing what it considers murder or to stop helping the poor and the sick.

How on earth is it going to help society to drive the Catholic Church out of helping people???

Obama doesn’t give a damn about the sick and the poor; in fact, he hopes there will be more sick and poor desperate people who must come groveling to him and bow down to his toxic agenda.

This is the most cynical form of naked partisan politik I have ever seen: Obama wants to destroy all forms of health care that he can’t directly control so that there will be nothing left but his precious ObamaCare.

HHS Secretary Sebelius Affirms Obama Administration Double-Counting Same $500 Billion

March 5, 2011

This isn’t the first time we’ve learned this: the Medicare actuary told us this going on a year ago, as the article below points out.

But this display by Health and Human Services Secretary Kathleen Sabelius is just a) incompetent and b) brazen:

Here’s an excellent write-up of this latest Obama Looneytune administration:

obamacare and fuzzy math – finally admitted

Published 4:43 p.m. today
Views: 144

Sebelius: Yes, we’re double-counting Medicare savings

by Ed Morrissey

Rep. John Shimkus (R-IL) pins down HHS Secretary Kathleen Sebelius on one of the most controversial budget tricks in ObamaCare — the $500 billion cut in Medicare that supposedly goes for both cost control and to fund other parts of the program.  Medicare’s own actuary blew the whistle on this sleight of hand in August of last year, which makes this admission by Sebelius a no-brainer:

http://www.youtube.com/watch?v=ukaIZ7pmabo&feature=player_embedded

In her first appearance before the House Energy and Commerce Health Subcommittee since the health-care law passed, Kathleen Sebelius responded to a line of questioning by Republican Rep. John Shimkus of Illinois about whether $500 billion in Medicare cuts were used to sustain the program or pay for the law.

“There is an issue here on the budget because your own actuary has said you can’t double-count,” said Shimkus. “You can’t count — they’re attacking Medicare on the CR when their bill, your law, cut $500 billion from Medicare.”

He continued: “Then you’re also using the same $500 billion to what? Say your funding health care. Your own actuary says you can’t do both. […] What’s the $500 billion in cuts for? Preserving Medicare or funding the health-care law?

Sebelius’ reply? “Both.”

The actuary’s report made this crystal clear last summer:

Bad though all of this is, none of it is actually the worst gimmick in the official report’s advertised improvement in Medicare solvency. That involves the double-counting of Medicare savings. Earlier this year, Congress passed a health care bill containing various new Medicare taxes and constraints on program expenditures. Such savings are assumed in the official report to extend the solvency of Medicare. But Congress chose instead to spend the savings on a new health care entitlement.

The Medicare actuary wrote a memorandum on April 22 of this year calling attention to this “double-counting.” “In practice,” he stated, “the improved Part A financing cannot simultaneously be used to finance other Federal outlays (such as the coverage expansions under the PPACA) and to extend the trust fund, despite the appearance of this result from the respective accounting conventions.”

In other words, money can only be used once. Since the Medicare savings is being spent elsewhere on expanded health care coverage, it is not really being employed to extend Medicare solvency. To claim an improvement in Medicare financing is to mislead about the effects of recent legislation.

Even apart from the double counting, the actuary had little faith in ObamaCare’s ability to deliver the savings claimed by Sebelius in this clip, also noted last summer:

“(T)he financial projections shown in this report for Medicare do not represent a reasonable expectation for actual program operations in either the short range. . . or the long range. . . . I encourage readers to review the ‘illustrative alternative’ projections that are based on more sustainable assumptions for physician and other Medicare price updates.”

These remarkable words are found, in all places, in the “Statement of Actuarial Opinion” in the back of the 2010 annual Medicare Trustees’ Report.

It is difficult to overstate how unusual this development is. The normal process with the annual Trustees’ Reports is for the Trustees to develop and publish the best available projections for the future finances of Social Security and Medicare. The respective Social Security and Medicare actuaries then sign a pro forma blessing of those projections, which is tacked to the back of the report when released to the public.

This year, the Medicare Chief Actuary clearly did not feel he could in good conscience sign such a declaration.

The admission here should prompt the House to demand a new financial accounting of ObamaCare from the CBO in the context of current data, rather than with the rosy scenarios painted by Democrats that ignored both the “doc fix” they later pushed through Congress and the results of this double-counting.

You can either set this half trillion dollars aside to reduce the national debt, or you can spend it on another entitlement program.  You cannot possibly do both.  Unless you’re a Democrat.  Then you can take a dollar and buy your favorite candy bar, and simultaneously take that very same dollar and put it in your piggy bank.  Because you are just that divorced from reality.

At this point, America will probably fiscally implode and go the way of the Dodo bird as it is.  But if ObamaCare manages to survive the fact that it is a blatantly unconstitutional powergrab and is fully implemeted, this country is truly doomed.

The 2,700 pages of ObamaCare will ultimately result in over 200,000 pages that have not been written yet:

The 2,733 pages of the bill are basically an “outline” of the program, and knowledgeable people expect that when all is said and done, the rules and regulations will be over 200,000 pages.

As of now, it will create at least 159 entirely new government bureaucracies:

And here is a list of them via Full Metal Patriot:

Did you know that this new law will create 159 NEW boards, commissions, and other government bureaucracies? Do you know of ANY government administration that is efficient? Is there any reason to believe these new bureaus will be any more caring or competent than the ones we already have? (The actual bill — all 2,490 pages of it — can be viewed here: H.R. 3590)

  1. Grant program for consumer assistance offices (Section 1002, p. 37)
  2. Grant program for states to monitor premium increases (Section 1003, p. 42)
  3. Committee to review administrative simplification standards (Section 1104, p. 71)
  4. Demonstration program for state wellness programs (Section 1201, p. 93)
  5. Grant program to establish state Exchanges (Section 1311(a), p. 130)
  6. State American Health Benefit Exchanges (Section 1311(b), p. 131)
  7. Exchange grants to establish consumer navigator programs (Section 1311(i), p. 150)
  8. Grant program for state cooperatives (Section 1322, p. 169)
  9. Advisory board for state cooperatives (Section 1322(b)(3), p. 173)
  10. Private purchasing council for state cooperatives (Section 1322(d), p. 177)
  11. State basic health plan programs (Section 1331, p. 201)
  12. State-based reinsurance program (Section 1341, p. 226)
  13. Program of risk corridors for individual and small group markets (Section 1342, p. 233)
  14. Program to determine eligibility for Exchange participation (Section 1411, p. 267)
  15. Program for advance determination of tax credit eligibility (Section 1412, p. 288)
  16. Grant program to implement health IT enrollment standards (Section 1561, p. 370)
  17. Federal Coordinated Health Care Office for dual eligible beneficiaries (Section 2602, p. 512)
  18. Medicaid quality measurement program (Section 2701, p. 518)
  19. Medicaid health home program for people with chronic conditions, and grants for planning same (Section 2703, p. 524)
  20. Medicaid demonstration project to evaluate bundled payments (Section 2704, p. 532)
  21. Medicaid demonstration project for global payment system (Section 2705, p. 536)
  22. Medicaid demonstration project for accountable care organizations (Section 2706, p. 538)
  23. Medicaid demonstration project for emergency psychiatric care (Section 2707, p. 540)
  24. Grant program for delivery of services to individuals with postpartum depression (Section 2952(b), p. 591)
  25. State allotments for grants to promote personal responsibility education programs (Section 2953, p. 596)
  26. Medicare value-based purchasing program (Section 3001(a), p. 613)
  27. Medicare value-based purchasing demonstration program for critical access hospitals (Section 3001(b), p. 637)
  28. Medicare value-based purchasing program for skilled nursing facilities (Section 3006(a), p. 666)
  29. Medicare value-based purchasing program for home health agencies (Section 3006(b), p. 668)
  30. Interagency Working Group on Health Care Quality (Section 3012, p. 688)
  31. Grant program to develop health care quality measures (Section 3013, p. 693)
  32. Center for Medicare and Medicaid Innovation (Section 3021, p. 712)
  33. Medicare shared savings program (Section 3022, p. 728)
  34. Medicare pilot program on payment bundling (Section 3023, p. 739)
  35. Independence at home medical practice demonstration program (Section 3024, p. 752)
  36. Program for use of patient safety organizations to reduce hospital readmission rates (Section 3025(b), p. 775)
  37. Community-based care transitions program (Section 3026, p. 776)
  38. Demonstration project for payment of complex diagnostic laboratory tests (Section 3113, p. 800)
  39. Medicare hospice concurrent care demonstration project (Section 3140, p. 850)
  40. Independent Payment Advisory Board (Section 3403, p. 982)
  41. Consumer Advisory Council for Independent Payment Advisory Board (Section 3403, p. 1027)
  42. Grant program for technical assistance to providers implementing health quality practices (Section 3501, p. 1043)
  43. Grant program to establish interdisciplinary health teams (Section 3502, p. 1048)
  44. Grant program to implement medication therapy management (Section 3503, p. 1055)
  45. Grant program to support emergency care pilot programs (Section 3504, p. 1061)
  46. Grant program to promote universal access to trauma services (Section 3505(b), p. 1081)
  47. Grant program to develop and promote shared decision-making aids (Section 3506, p. 1088)
  48. Grant program to support implementation of shared decision-making (Section 3506, p. 1091)
  49. Grant program to integrate quality improvement in clinical education (Section 3508, p. 1095)
  50. Health and Human Services Coordinating Committee on Women’s Health (Section 3509(a), p. 1098)
  51. Centers for Disease Control Office of Women’s Health (Section 3509(b), p. 1102)
  52. Agency for Healthcare Research and Quality Office of Women’s Health (Section 3509(e), p. 1105)
  53. Health Resources and Services Administration Office of Women’s Health (Section 3509(f), p. 1106)
  54. Food and Drug Administration Office of Women’s Health (Section 3509(g), p. 1109)
  55. National Prevention, Health Promotion, and Public Health Council (Section 4001, p. 1114)
  56. Advisory Group on Prevention, Health Promotion, and Integrative and Public Health (Section 4001(f), p. 1117)
  57. Prevention and Public Health Fund (Section 4002, p. 1121)
  58. Community Preventive Services Task Force (Section 4003(b), p. 1126)
  59. Grant program to support school-based health centers (Section 4101, p. 1135)
  60. Grant program to promote research-based dental caries disease management (Section 4102, p. 1147)
  61. Grant program for States to prevent chronic disease in Medicaid beneficiaries (Section 4108, p. 1174)
  62. Community transformation grants (Section 4201, p. 1182)
  63. Grant program to provide public health interventions (Section 4202, p. 1188)
  64. Demonstration program of grants to improve child immunization rates (Section 4204(b), p. 1200)
  65. Pilot program for risk-factor assessments provided through community health centers (Section 4206, p. 1215)
  66. Grant program to increase epidemiology and laboratory capacity (Section 4304, p. 1233)
  67. Interagency Pain Research Coordinating Committee (Section 4305, p. 1238)
  68. National Health Care Workforce Commission (Section 5101, p. 1256)
  69. Grant program to plan health care workforce development activities (Section 5102(c), p. 1275)
  70. Grant program to implement health care workforce development activities (Section 5102(d), p. 1279)
  71. Pediatric specialty loan repayment program (Section 5203, p. 1295)
  72. Public Health Workforce Loan Repayment Program (Section 5204, p. 1300)
  73. Allied Health Loan Forgiveness Program (Section 5205, p. 1305)
  74. Grant program to provide mid-career training for health professionals (Section 5206, p. 1307)
  75. Grant program to fund nurse-managed health clinics (Section 5208, p. 1310)
  76. Grant program to support primary care training programs (Section 5301, p. 1315)
  77. Grant program to fund training for direct care workers (Section 5302, p. 1322)
  78. Grant program to develop dental training programs (Section 5303, p. 1325)
  79. Demonstration program to increase access to dental health care in underserved communities (Section 5304, p. 1331)
  80. Grant program to promote geriatric education centers (Section 5305, p. 1334)
  81. Grant program to promote health professionals entering geriatrics (Section 5305, p. 1339)
  82. Grant program to promote training in mental and behavioral health (Section 5306, p. 1344)
  83. Grant program to promote nurse retention programs (Section 5309, p. 1354)
  84. Student loan forgiveness for nursing school faculty (Section 5311(b), p. 1360)
  85. Grant program to promote positive health behaviors and outcomes (Section 5313, p. 1364)
  86. Public Health Sciences Track for medical students (Section 5315, p. 1372)
  87. Primary Care Extension Program to educate providers (Section 5405, p. 1404)
  88. Grant program for demonstration projects to address health workforce shortage needs (Section 5507, p. 1442)
  89. Grant program for demonstration projects to develop training programs for home health aides (Section 5507, p. 1447)
  90. Grant program to establish new primary care residency programs (Section 5508(a), p. 1458)
  91. Program of payments to teaching health centers that sponsor medical residency training (Section 5508(c), p. 1462)
  92. Graduate nurse education demonstration program (Section 5509, p. 1472)
  93. Grant program to establish demonstration projects for community-based mental health settings (Section 5604, p. 1486)
  94. Commission on Key National Indicators (Section 5605, p. 1489)
  95. Quality assurance and performance improvement program for skilled nursing facilities (Section 6102, p. 1554)
  96. Special focus facility program for skilled nursing facilities (Section 6103(a)(3), p. 1561)
  97. Special focus facility program for nursing facilities (Section 6103(b)(3), p. 1568)
  98. National independent monitor pilot program for skilled nursing facilities and nursing facilities (Section 6112, p. 1589)
  99. Demonstration projects for nursing facilities involved in the culture change movement (Section 6114, p. 1597)
  100. Patient-Centered Outcomes Research Institute (Section 6301, p. 1619)
  101. Standing methodology committee for Patient-Centered Outcomes Research Institute (Section 6301, p. 1629)
  102. Board of Governors for Patient-Centered Outcomes Research Institute (Section 6301, p. 1638)
  103. Patient-Centered Outcomes Research Trust Fund (Section 6301(e), p. 1656)
  104. Elder Justice Coordinating Council (Section 6703, p. 1773)
  105. Advisory Board on Elder Abuse, Neglect, and Exploitation (Section 6703, p. 1776)
  106. Grant program to create elder abuse forensic centers (Section 6703, p. 1783)
  107. Grant program to promote continuing education for long-term care staffers (Section 6703, p. 1787)
  108. Grant program to improve management practices and training (Section 6703, p. 1788)
  109. Grant program to subsidize costs of electronic health records (Section 6703, p. 1791)
  110. Grant program to promote adult protective services (Section 6703, p. 1796)
  111. Grant program to conduct elder abuse detection and prevention (Section 6703, p. 1798)
  112. Grant program to support long-term care ombudsmen (Section 6703, p. 1800)
  113. National Training Institute for long-term care surveyors (Section 6703, p. 1806)
  114. Grant program to fund State surveys of long-term care residences (Section 6703, p. 1809)
  115. CLASS Independence Fund (Section 8002, p. 1926)
  116. CLASS Independence Fund Board of Trustees (Section 8002, p. 1927)
  117. CLASS Independence Advisory Council (Section 8002, p. 1931)
  118. Personal Care Attendants Workforce Advisory Panel (Section 8002(c), p. 1938)
  119. Multi-state health plans offered by Office of Personnel Management (Section 10104(p), p. 2086)
  120. Advisory board for multi-state health plans (Section 10104(p), p. 2094)
  121. Pregnancy Assistance Fund (Section 10212, p. 2164)
  122. Value-based purchasing program for ambulatory surgical centers (Section 10301, p. 2176)
  123. Demonstration project for payment adjustments to home health services (Section 10315, p. 2200)
  124. Pilot program for care of individuals in environmental emergency declaration areas (Section 10323, p. 2223)
  125. Grant program to screen at-risk individuals for environmental health conditions (Section 10323(b), p. 2231)
  126. Pilot programs to implement value-based purchasing (Section 10326, p. 2242)
  127. Grant program to support community-based collaborative care networks (Section 10333, p. 2265)
  128. Centers for Disease Control Office of Minority Health (Section 10334, p. 2272)
  129. Health Resources and Services Administration Office of Minority Health (Section 10334, p. 2272)
  130. Substance Abuse and Mental Health Services Administration Office of Minority Health (Section 10334, p. 2272)
  131. Agency for Healthcare Research and Quality Office of Minority Health (Section 10334, p. 2272)
  132. Food and Drug Administration Office of Minority Health (Section 10334, p. 2272)
  133. Centers for Medicare and Medicaid Services Office of Minority Health (Section 10334, p. 2272)
  134. Grant program to promote small business wellness programs (Section 10408, p. 2285)
  135. Cures Acceleration Network (Section 10409, p. 2289)
  136. Cures Acceleration Network Review Board (Section 10409, p. 2291)
  137. Grant program for Cures Acceleration Network (Section 10409, p. 2297)
  138. Grant program to promote centers of excellence for depression (Section 10410, p. 2304)
  139. Advisory committee for young women’s breast health awareness education campaign (Section 10413, p. 2322)
  140. Grant program to provide assistance to provide information to young women with breast cancer (Section 10413, p. 2326)
  141. Interagency Access to Health Care in Alaska Task Force (Section 10501, p. 2329)
  142. Grant program to train nurse practitioners as primary care providers (Section 10501(e), p. 2332)
  143. Grant program for community-based diabetes prevention (Section 10501(g), p. 2337)
  144. Grant program for providers who treat a high percentage of medically underserved populations (Section 10501(k), p. 2343)
  145. Grant program to recruit students to practice in underserved communities (Section 10501(l), p. 2344)
  146. Community Health Center Fund (Section 10503, p. 2355)
  147. Demonstration project to provide access to health care for the uninsured at reduced fees (Section 10504, p. 2357)
  148. Demonstration program to explore alternatives to tort litigation (Section 10607, p. 2369)
  149. Indian Health demonstration program for chronic shortages of health professionals (S. 1790, Section 112, p. 24)*
  150. Office of Indian Men’s Health (S. 1790, Section 136, p. 71)*
  151. Indian Country modular component facilities demonstration program (S. 1790, Section 146, p. 108)*
  152. Indian mobile health stations demonstration program (S. 1790, Section 147, p. 111)*
  153. Office of Direct Service Tribes (S. 1790, Section 172, p. 151)*
  154. Indian Health Service mental health technician training program (S. 1790, Section 181, p. 173)*
  155. Indian Health Service program for treatment of child sexual abuse victims (S. 1790, Section 181, p. 192)*
  156. Indian Health Service program for treatment of domestic violence and sexual abuse (S. 1790, Section 181, p. 194)*
  157. Indian youth telemental health demonstration project (S. 1790, Section 181, p. 204)*
  158. Indian youth life skills demonstration project (S. 1790, Section 181, p. 220)*
  159. Indian Health Service Director of HIV/AIDS Prevention and Treatment (S. 1790, Section 199B, p. 258)*

*Section 10221, page 2173 of H.R. 3590 deems that S. 1790 shall be deemed as passed with certain amendments.

Another inconvenient truth; none of those new bureaucracies include the 12,000-16,500 additional employees and agents which will be added to the IRS to administer and enforce the new mandate.

We are doomed if this thing becomes law.  Our economy will crash and our entire way of life will be reduced to servitude.