Coastal Carolina Taxpayers Association (CCTA)

Conservative News & Views, and the latest Action Alerts in the fight for our country! CCTA is the "Tea Party" movement in Carteret, Craven, Pamilico and Jones counties, NC. Everyone is welcome!

OBAMACARE EXPOSED!


March 23, 2012

Video: The Whole Truth  (About Obamacare from AmericanDoctors4Truth.org)

Charts: ObamaCare In 5 Pictures--ObamaCare & Things the Federal Government Can’t Do – The left circle lists things ObamaCare does. The right circle lists things the federal government cannot do. The individual mandate? Both circles.


March 15, 2012

CBO: 4 million to lose employer insurance by 2016--White House Dossier A new report by the nonpartisan Congressional Budget Office states that by 2016, Obamacare will result in 4 million people fewer people getting health insurance coverage from their employers. The estimate is a vast increase from the CBO prediction just a year ago that 1 million would no longer obtain coverage from their employers.  The estimate is a vast increase from the CBO prediction just a year ago that 1 million would no longer obtain coverage from their employers. And it raises substantial questions about the veracity of one of Obama’s key pledges in selling the health care law — that everyone who wants to keep their current health insurance plan and doctor could do it.

New CBO health law estimate shows much higher spending past first 10 years

Side Effects: Doctors Fear Obamacare--The American public doesn’t support Obamacare, and a new survey shows that doctors have an even worse opinion. No one has a better grasp on the state of the health care system than physicians, and according to the Doctors Company survey, 60 percent of them believe that Obamacare will have a negative impact on overall patient care. This survey is consistent with the findings of another doctor survey taken in October 2010, which also showed doctors’ lack of confidence in Obamacare.  The survey was conducted to unveil physicians’ concerns about health care reform. The Doctors Company, which is the largest insurer of physician and surgeon medical liability in the nation, received more than 5,000 surveys, including all specialties and every region in the country. The results weren’t good for the President’s signature piece of legislation.

March 8, 2012: The 10 Terrible Provisions of Obamacare You May Not Have Heard Of Obamacare includes such a variety and volume of negative policies that it’s hard to keep track of them all. Here is a list of 10 terrible provisions that every American should be aware of:
1. It increases taxes on families earning over $250,000. [2] In 2013, the employee portion of the Medicare payroll tax will increase from 1.45 percent to 2.35 percent for families earning $250,000 or more and individuals earning $200,000 or more. The income threshold is not indexed for inflation, so more and more middle-income families will be hit by the tax hike as time goes on.


2. It adds a new tax to investment income. [2] The increased payroll tax rate is also applied to high-earners’ investment income for the first time beginning in 2013. It will hit capital gains, dividends, rents, and royalties, discouraging investment and harming economic growth.


3. It puts new limitations on those with HSAs and FSAs. [3] Starting in 2012, Obamacare restricts the products that consumers may purchase with a Health Savings Account (HSA) or Flexible Savings Account (FSA)—such as over-the-counter medications—and increases the penalty for such non-qualified uses of HSAs. It also limits the amount taxpayers may deposit into an FSA to $2,500 a year in 2013.
CONTINUED: 
January 25, 2012:  Obamacare: Obama Ends Medicare As We Know It FACTSHEET From the Heritage Foundation

http://blog.heritage.org/2012/03/07/the-10-terrible-provisions-of-obamacare-you-may-not-have-heard-of/?utm_source=Newsletter&utm_medium=Email&utm_campaign=Heritage%2BHotsheet


JANUARY 25, 2012:  ObamaCare Ups Premiums $1300

We Need Medicare Reform, but Not Obamacare
Obamacare Ends Traditional Medicare, but the Wrong Way: Former House Speaker Nancy Pelosi claimed that the health law protects Medicare. The truth: Obamacare makes massive changes to the program. Obamacare contains more than 160 provisions for Medicare that increase government’s control over the delivery of care, hit doctors with unsustainable payment cuts, and leave taxpayers with higher deficits.

Obamacare Continues an Outdated Model for Reform: Obamacare expands central planning and tightens price controls on providers. These recycled mechanisms have yet to show any success in driving down costs without harming patients’ access and quality of care. Even the program’s chief accountant says many Medicare providers cannot survive the cuts.


Obamacare Undermines the Doctor–Patient Relationship: On top of the severe payment cuts facing physicians that will threaten seniors’ access, the law weakens the doctor–patient relationship by linking payment not to patient outcomes but to adherence to government protocol.

FOR MUCH MORE CLICK HERE!

A cheery op-ed in a recent Washington Post by Health Secretary Kathleen Sebelius is titled, “The Affordable Care Act: helping Americans curb health-care costs.”

She claims that ObamaCare is helping to lower health costs “in three ways: by increasing insurance-market competition, assisting those who can’t afford coverage, and tackling the underlying cost of medical care.”

The law is doing exactly the opposite. The president repeatedly promised the American people he would cut a typical family’s premium $2,500 a year before the end of his first term. But costs are rising now even faster than before the law was enacted in March 2010.

A Kaiser Family Foundation survey found that premiums for a family policy topped $15,000 a year in 2011, increasing an average of $1,300 in the last year — three times faster than the year before.

The many ObamaCare mandates to come will raise premiums even further. Health insurance is consuming a bigger share of employer budgets, pre-empting pay raises and pushing higher costs onto employees, the Kaiser survey found.
CONTINUED:  http://www.conservative.org/acuf/issue-196/issue196news3

JANUARY 24, 2012:  No Death Panels? They Are Here Now. When critics of Obamacare warned of death panels, the government dismissed all such talk as scaremongering. There will never be such panels. You have the government’s word. Oh yeah? Tell it to this mother.

I am going to try and tell you what happened to us on January 10, 2012, in the conference room in the Nephrology department at Children’s Hospital of Philadelphia.

We arrived for our regular Nephrology visit with Amelia’s doctor who has seen her for the last three years. She examines Amelia and sends us for labs. I ask about the transplant and she says we have about six months to a year until she needs one. She tells us she reserved the conference room and when we get back from labs, we can meet with the transplant team and he can tell us about the transplant process.
JANUARY 18, 2012:  Obamacare implementation continues to grind forward--
Obamacare is likely to find its way into the national debate continuously throughout 2012 as the Supreme Court takes the constitutionality of the law up, while the regulatory mechanisms for enforcing the law continue to be put into place.

Americans for Limited Government Foundation has put together some key upcoming dates when actions will occur that impact American’s healthcare. Some will get major news media coverage, others will be ignored in the legacy media. But all of these dates represent transformative changes that will change the way the government is involved in healthcare forever.

DECEMBER 30, 2011:  AAPS News January 2012 - ObamaCare: More Power Means More Corruption   -- Once big government reaches a critical mass, it may be impossible to turn back. It picks the winners and the losers. The elite in both parties have accepted the premises of the welfare state, central planning, and fiat currency—and in medicine, third-party payment. Being contrary to the laws of economics (human nature), these ideas are historical losers, leading always and everywhere to corruption, oppression, poverty, and death.
Beware of the “repeal and replace” mantra—the result might simply be a reshuffling of special interest groups, the temporary winners, while Americans lose their Republic.
Craig Cantoni suggests a frightening analogy: “Unfortunately, voters are now like capos in a Mafia family. Knowing that the other party, or family, is headed by a ruthless don, they feel they have no choice but to elect an even more ruthless don to protect their family from being plundered by the other family.” This has been the pattern throughout history, he notes, as republics “morphed into empires and then into theft rings.”
Republican and Industry Complicity
Republicans and Democrats, or industry (including the AMA) and government may do a lot of mutual finger-pointing, but the current system is based on bipartisan legislation and on public-private partnerships (a.k.a. fascism). These include the private fiscal intermediaries that administer the Medicare program, and the managed-care companies that use Medicaid as a cash cow.
The sustained growth rate (SGR), the prime target of multi-million dollar AMA lobbying efforts, is from a bipartisan (Clinton-Gingrich) deal. The Texas Medical Association, in ads reminiscent of Al Gore’s scary cartoons with greenhouse gas villains beating up on poor Mr. Sun, feature a little girl’s voice worrying about how Big Bad SGR Man is going to hurt her grandma (http://tinyurl.com/8x5ez4n). In the background we see mathematical formulas and the weird equation “beets + clock = wagon,” reminiscent of the logic behind the resource-based relative value scale (RB-RVS), implemented through AMA’s lucrative coding monopoly and secretive “RUC” committee.
Leading Republican Presidential contenders Newt Gingrich and Mitt Romney are trying to distance themselves from ObamaCare, but both are big-idea, big-government men (“visionaries”) and have some inconvenient history.   CONTINUED.

DECEMBER 22, 2011:  A List of Obamacare Abominations--President Obama says his health care “reform” will be good for business. Business has learned the truth. Three successful businessmen explained to me how Obamacare is a reason that unemployment stays high. Its length and complexity make businessmen wary of expanding. Mike Whalen, CEO of Heart of America Group, which runs hotels and restaurants, said that when he asked his company’s health insurance experts to summarize the impact of Obamacare, “the three of them kind of looked at each other and said, ‘We’ve gone to seminar after seminar, and, Mike, we can’t tell you.’ I think that just kind of sums up the uncertainty.” Brad Anderson, CEO of Best Buy, added that Obamacare makes it impossible to achieve even basic certainty about future personnel costs: “If I was trying to get you to fund a new business I had started and you asked me what my payroll was going to be three years from now per employee, if I went to the deepest specialist in the industry, he can’t tell me what it’s actually going to cost, let alone what I’m going to be responsible for.”

DECEMBER 7, 2011:  Obamacare’s MLR ‘Bomb’ Will Create Private Insurance Monopolies--My Forbes colleague Rick Ungar has caused a stir by arguing that medical loss ratio regulations contained in Obamacare have put us “on an inescapable path to a single-payer system for most Americans and thank goodness for it.” Rick’s glee at this alleged development is interesting. However, the bottom line is that Obamacare’s MLR regulations won’t deliver us a utopia of government-run single-payer health care. Instead, they will usher in a new era of private insurance monopolies and significantly drive up the cost of health insurance, things that neither liberals nor conservatives should cheer.
 
What is a medical loss ratio?  Investors in managed care stocks have long used medical loss ratios, or MLRs to understand the economic health of insurers. Insurers collect premiums from their beneficiaries, and then spend money paying out claims for health care expenses on behalf of those beneficiaries. The medical loss ratio is the percentage of premiums paid out in health expenses. So, if an insurer has had a bad year, in which expenses were greater than premiums collected, MLR can be higher than 100 percent. On average, depending on the type of insurance, MLRs are in the range of 70 to 85 percent.
SEPTEMBER 23, 2011:  Morning Bell: The Latest Obamacare Implosion-- Inefficient programs that don’t solve problems and are passed against the will of the American people seem to be the Obama Administration’s forte. Now their high-minded aspirations of a health care revolution are quickly unraveling as fatal glitches in Obamacare become apparent.SEPTEMBER 21, 2011:  "What you permit, you promote." (On good authority from DC)
 
 
 


Next up for implosion? The Community Living Assistance Services and Supports Act, otherwise known as the “CLASS Act,” which creates a government-run long term care insurance program too costly to sustain. At a time when entitlement programs in America have spun out of control, liberal proponents of Obamacare were pushing a new one that had no hope of staying afloat. Now, they are trying hide the fact that they were wrong as another bungling layer of Obamacare is exposed.

The per person Medicare insurance premium will increase from the present monthly fee of $96.40, rising to: $104.20 in 2012; $120.20 in 2013; And $247.00 in 2014. These are provisions incorporated in the Obamacare legislation, purposely delayed so as not to 'confuse' the 2012 re-election campaigns. Send this to all seniors that you know, so they will know who's throwing them under the bus. REMEMBER THIS IN NOVEMBER 2012 & VOTE ACCORDINGLY.

AUGUST 8, 2011:  Obamacare Limits Children’s Access to Care--Last Wednesday, the Senate Health, Education, Labor and Pensions Committee released a grim report showing a reduction in the availability of child-only policies for parents looking to purchase health insurance for their children. They findings show that, “Of the 50 states, 17 reported that there are currently no carriers selling child-only health plans to new enrollees. Thirty-nine states indicated at least one insurance carrier exited the child-only market following enactment of the new health care laws.” AUGUST 8, 2011:  Researchers: Obamacare cost estimates hide up to $50 billion per year- Federal payments required by President Barack Obama’s health care law are being understated by as much as $50 billion per year because official budget forecasts ignore the cost of insuring many employees’ spouses and children, according to a new analysis. The result could cost the U.S. Treasury hundreds of billions of dollars during the first ten years of the new health care law’s implementation.

AUGUST 5, 2011:  CATO INSTITUTE: The Individual Mandate--An Unprecedented Expansion of Federal Power-- *Before I go further, let me explain that I use the term "Obamacare" simply because people colloquially refer to it that way — probably because it's easier to say than "PPACA," "Affordable Care Act," or any other more cognate. While thought in some quarters to be pejorative, I've never understood how that is (unless said with a sneer, but by that standard anything can be pejorative). Even the leading academic supporters of Obamacare's constitutionality, such as Yale law professors Akhil Amar and Jack Balkin, use the term, as did Time magazine's managing editor Richard Stengel in his recent cover story about the Constitution. The one semi-accurate criticism I've heard is that the law was mostly written by Congress, not the White House (for which the president got plenty of heat from the left). But that just means it would be better to call it Pelosi-Reid-care, which presumably is no more or less pejorative. In any event, that ship has sailed.   CONTINUED:
http://www.cato.org/pub_display.php?pub_id=13512
 

July 21, 2011:  The Future of Private Health Plans under Health Reform
The new health reform law creates incentives for state and federal politicians and bureaucrats to exert direct control over the premiums of health plans. However, because health plans largely pass through costs from medical providers, artificially limiting increases in premiums cannot actually result in lower health costs. Instead, it results in reduced access to care and threatens the solvency of health plans, says John R. Graham, director of health care studies at the Pacific Research Institute.

The health reform law also introduces at least five critical uncertainties that make it difficult to estimate future medical costs accurately, and suggest that the reform law will be much more disruptive to health insurance than the Obama administration has advertised:
July 21, 2011:  Healthcare law may leave families with high insurance costs -- A major provision of the healthcare reform law designed to prevent businesses from dropping coverage for their workers could inadvertently leave families without access to subsidized health insurance.The problem is a huge headache for the Obama administration and Democrats, because it could leave families unable to buy affordable health insurance when the healthcare law requires that everyone be insured starting in 2014. http://thehill.com/blogs/healthwatch/health-reform-implementation/172765-healthcare-law-may-leave-families-with-high-insurance-costs

  • It encourages the establishment of so-called Accountable Care Organizations (ACOs). ACOs will lead to consolidation and cartelization of medical providers, thereby increasing medical costs more than anticipated.
  • Health plans must offer policies designed on a standard health plan that offers government-approved benefits. They can vary their offerings only by how much of the actuarial value of the policy is indemnified by the health plan. Even expert actuaries cannot yet agree on the actuarial value of the policy.
  • The law anticipates that some Americans will receive coverage through Health Benefits Exchanges. Independent analyses, however, conclude that many millions more will be enrolled in exchanges than the federal government anticipates.
  • The health reform law imposes federal control over an accounting calculation called the Medical Loss Ratio (MLR), which equals the proportion of premium that is spent on medical costs. However, there is no evidence that individuals or groups choosing health plans believe the MLR is important.
  • The law, which purports to maintain a significant role for private health plans, is not the desired end-state of many of its proponents. Many proponents would prefer a so-called "single payer" government monopoly health system. It is reasonable to anticipate that as the reform law fails, these politicians will seek to shift blame and liability to the private health plans, in order to minimize their role and continue progress towards this final goal.

Source: John R. Graham, "Bust or Bailout? The Future of Private Health Plans under ObamaCare," Pacific Research Institute, June 2011.
http://www.pacificresearch.org/docLib/20110705_BustorBailout_F4.pdf

REPEAL OBAMACARE: For the first time, a graphic has been put together that illustrates just how dangerous ObamaCare will become if left unchecked. For months our organization, the Independent Women’s Voice, has been petitioning Congress, demanding a time-out on ObamaCare. While we have had some success, we knew we could do more. That is why we put together an easy to understand graphic that is ready to share.  (07.12.11)
http://therepealpledge.com/BigPill
May 23, 2011--Obama Care Highlighted by Page Number


THE OBAMACARE BILL HB 3200

JUDGE KITHIL IS THE 2ND OFFICIAL WHO HAS OUTLINED THESE PARTS OF THE CARE BILL.

Judge Kithil of Marble Falls, TX - highlighted the most egregious pages of HB3200.  Please read this........ especially the reference to pages 58 & 59

JUDGE KITHIL wrote:
** Page 50/section 152: The bill will provide insurance to all non-U.S. residents, even if they are here illegally.
** Page 58 and 59: The government will have real-time access to an individual's bank account and will have the authority to make electronic fund transfers from those accounts.
** Page 65/section 164: The plan will be subsidized (by the government) for all union members, union retirees and for community organizations (such as the Association of Community Organizations for Reform Now - ACORN).
** Page 203/line 14-15: The tax imposed under this section will not be treated as a tax. (How could anybody in their right mind come up with that?)
** Page 241 and 253: Doctors will all be paid the same regardless of specialty, and the government will set all doctors' fees.
** Page 272. section 1145: Cancer hospital will ration care according to the patient's age.
** Page 317 and 321: The government will impose a prohibition on hospital expansion; however, communities may petition for an exception.
** Page 425, line 4-12: The government mandates advance-care planning consultations. Those on Social Security will be required to attend an "end-of-life planning" seminar every five years. (Death counseling..)
** Page 429, line 13-25: The government will specify which doctors can write an end-of-life order.

HAD ENOUGH???? Judge Kithil then goes on to identify:

"Finally, it is specifically stated that this bill will not apply to members of Congress. Members of Congress are already exempt from the Social Security system, and have a well-funded private plan that covers their retirement needs. If they were on our Social Security plan, I believe they would find a very quick 'fix' to make the plan financially sound for their future."

- Honorable David Kithil of Marble Falls, Texas
APRIL 5, 2011--Obamacare Paid Out $2 Billion to Corporations-- A little-known provision in the Obamacare legislation has sent $2 billion to corporations, unions and state public employee systems to subsidize health coverage for retirees.

Financial Viability of Accountable Care Organizations--Most organizations will lose money in the first three years under the accountable care organization model...

$5B Hollywood Handout Bankrupting Obamacare

Thursday, 24 Mar 2011 By Chris Gonsalves

A $5 billion handout to states, big corporations, and Hollywood unions to subsidize health insurance for early retirees is threatening to bankrupt a major part of the year-old healthcare reform law, according to staffers of the House Energy and Commerce Committee.

A small percentage of the organizations signed up for the plan has already drained more than $500 million from the program’s coffers.

Like many provisions in Obamacare, the “Early Retiree Reinsurance Program” has largely escaped public scrutiny and congressional oversight. The program provides subsidies to employers and unions to cover between $15,000 and $90,000 of the healthcare costs for early retirees.

The ERRP program was designed primarily to help early retirees over age 55, along with their spouses and dependents, who are not eligible for Medicare.

Nearly 5,500 organizations have been approved to participate in the program. Among the 253 participants that received more than $535 million in ERRP funding last year were Hollywood unions such as the Screen Actors’ Guild, and large corporations like Boeing, Northrop Grumman, and Sara Lee.

The lion’s share of ERRP reimbursements went to state governments, followed by non-profits, corporations, unions, and religious organizations, the report says.

Over one-third of the of the money spent in 2010, some $182 million, went to just five government entities: California Public Employees’

Retirement System — $57.8 million; State of New Jersey Treasury Department, Pension Accounting Services — $38.6 million; Georgia Department of Community Health, State Health Benefit Plan — $35 million; Commonwealth of Kentucky — $29.7 million; and Employees Retirement System of Texas — $20,982,299.

The retiree reinsurance money was supposed to last until 2014. The program received $5 billion — the same amount provided for high-risk coverage pools for people with pre-existing conditions. But with 10 percent of the allocated funds already spent on less than 5 percent of program participants in just a few months, the fund will likely run dry by early next year, according to Richard Popper, Director of the Office of Insurance Programs at the Center for Consumer Information and Insurance Oversight.

“The Early Retiree Reinsurance Program is helping to control healthcare costs and protect coverage for early retirees and their families,” says HHS Secretary Kathleen Sebelius. “This program is providing critical financial relief to help states, private employers and other organizations preserve access to affordable health coverage for millions of Americans.”

The House staffers report concluded differently, however.

“With the public debate focused squarely on the spiraling costs of the federal budget, and this administration’s lackluster efforts to create job growth, the committee staff was surprised to learn that the healthcare law would subsidize the early retirees of corporate America, Hollywood, state, county and municipal employees, as well as unions,” the Congressional staffers wrote.

“It is inappropriate that a bill sold to the American people as healthcare legislation would contain a sweetheart deal for unions and Hollywood, and it is grossly inefficient that in troubling economic times, the American taxpayer would be asked to subsidize the healthcare costs of massive corporations.”

© Newsmax. All rights reserved.
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Operation Obamacare: Uncle Sam is afflicted with Obamacare and needs surgery! Step into the operating room by choosing the right answers to help him.   Click here! =====================================




Next week, the U.S. House of Representatives will be voting on a historic repeal of the Obamacare law.

While there are many reasons to oppose this flawed government health insurance law, it is important to remember that Obamacare is also one of the largest tax increases in American history.

Below is a comprehensive list of the two dozen new or higher taxes that pay for Obamcare’s expansion of government spending and interference between doctors and patients.


Individual Mandate Excise Tax (January 2014): anyone not buying “qualifying” health insurance must pay an income surtax according to the higher of the following.

1 Adult 2 Adults 3+ Adults

2014 1% AGI/$95 1% AGI/$190 1% AGI/$285
2015 2% AGI/$325 2% AGI/$650 2% AGI/$975
2016+ 2.5% AGI/$695 2.5% AGI/$1,390 2.5% AGI/$2,085

Exemptions for religious objectors, undocumented immigrants, prisoners, those earning less than the poverty line, members of Indian tribes, and hardship cases (determined by HHS).

Employer Mandate Tax (January 2014): If an employer does not offer health coverage, and at least one employee qualifies for a health tax credit, the employer must pay an additional non-deductible tax of $2,000 for all full-time employees. This provision applies to all employers with 50 or more employees.

If any employee actually receives coverage through the exchange, the penalty on the employer for that employee rises to $3,000. If the employer requires a waiting period to enroll in coverage of 30-60 days, there is a $400 tax per employee ($600 if the period is 60 days or longer).

Combined score of individual and employer mandate tax penalty: $65 billion/10 years.

Surtax on Investment Income ($123 billion/January 2013): This increase involves the creation of a new, 3.8 percent surtax on investment income earned in households making at least $250,000 ($200,000 single). This would result in the following top tax rates on investment income.

Capital Gains Dividends Other*

2010 15% 15% 35%
2011-2012 (now) 20% 39.6% 39.6%
2011-2012 (budget) 20% 20% 39.6%
2013+ (now) 23.8% 43.4% 43.4%
2013+ (budget) 23.8% 23.8% 43.4%

*Other unearned income includes (for surtax purposes) gross income from interest, annuities, royalties, net rents, and passive income in partnerships and Subchapter-S corporations. It does not include municipal bond interest or life insurance proceeds, since those do not add to gross income. It does not include active trade or business income, fair market value sales of ownership in pass-through entities, or distributions from retirement plans. The 3.8 percent surtax does not apply to non-resident aliens.

Excise Tax on Comprehensive Health Insurance Plans ($32 billion /January 2018): New 40 percent excise tax on “Cadillac” health insurance plans ($10,200 single/$27,500 family). For early retirees and high-risk professions exists a higher threshold ($11,500 single/$29,450 family). CPI +1 percentage point indexed.

Hike in Medicare Payroll Tax ($86.8 billion/January 2013): Current law and changes:

First $200,000

$250,000 Married)

Employer/Employee All Remaining Wages

Employer/Employee

Current Law 1.45%/1.45%

2.9% self-employed 1.45%/1.45%

2.9% self-employed

Obama Tax Hike 1.45%/1.45%

2.9% self-employed 1.45%/2.35%

3.8% self-employed

Medicine Cabinet Tax ($5 billion/January 2011): Americans no longer able to use health savings account (HSA), flexible spending account (FSA), or health reimbursement (HRA) pre-tax dollars to purchase non-prescription, over-the-counter medicines (except insulin).

HSA Withdrawal Tax Hike($1.4 billion/January 2011): Increases additional tax on non-medical early withdrawals from an HSA from 10 to 20 percent, disadvantaging them relative to IRAs and other tax-advantaged accounts, which remain at 10 percent.

Flexible Spending Account Cap — “Special Needs Kids Tax” ($13 billion/January 2013): Imposes cap of $2,500 (indexed to inflation after 2013) on FSAs (now unlimited). There is one group of FSA owners for whom this new cap will be particularly cruel and onerous: parents of special needs children.

There are thousands of families with special needs children in the United States, and many of them use FSAs to pay for special needs education.

Tuition rates at one leading school that teaches special needs children in Washington, D.C. (National Child Research Center) can easily exceed $14,000 per year. Under tax rules, FSA dollars can be used to pay for this type of special needs education.

Tax on Medical Device Manufacturers($20 billion/January 2013): Medical device manufacturers employ 360,000 people in 6000 plants across the country. This law imposes a new 2.3 percent excise tax. Exemptions include items retailing for less than $100.

Raise "Haircut" for Medical Itemized Deduction From 7.5 percent to 10 Percent of AGI ($15.2 billion/January 2013): Currently, those facing high medical expenses are allowed a deduction for medical expenses to the extent that those expenses exceed 7.5 percent of adjusted gross income (AGI).

The new provision imposes a threshold of 10 percent of AGI; it is waived for taxpayers 65 or older in 2013-2016 only.

Tax on Indoor Tanning Services ($2.7 billion/July 1, 2010): New 10 percent excise tax on Americans using indoor tanning salons.

Elimination of Tax Deduction for Employer-Provided Retirement Rx Drug Coverage in Coordination With Medicare Part D ($4.5 billion/January 2013)

Blue Cross/Blue Shield Tax Hike ($0.4 billion/January 2010): The special tax deduction in current law for Blue Cross/Blue Shield companies would only be allowed if 85 percent or more of premium revenues are spent on clinical services.

Excise Tax on Charitable Hospitals(Min/immediate): $50,000 per hospital if they fail to meet new "community health assessment needs," "financial assistance," and "billing and collection" rules set by HHS.

Tax on Innovator Drug Companies($22.2 billion/January 2010): $2.3 billion annual tax on the industry imposed relative to share of sales made that year.

Tax on Health Insurers($60.1 billion/January 2014): Annual tax on the industry imposed relative to health insurance premiums collected that year. The stipulation phases in gradually until 2018, and is fully-imposed on firms with $50 million in profits.

$500,000 Annual Executive Compensation Limit for Health Insurance Executives ($0.6 billion/January 2013)

Employer Reporting of Insurance on W-2 (Min./January 2011): Preamble to taxing health benefits on individual tax returns.

Corporate 1099-MISC Information Reporting ($17.1 billion/January 2012): Requires businesses to send 1099-MISC information tax forms to corporations (currently limited to individuals), a huge compliance burden for small employers.

“Black Liquor”($23.6 billion): This is a tax increase on a type of bio-fuel.

Codification of the “Economic Substance Doctrine” ($4.5 billion): This provision allows the IRS to disallow completely-legal tax deductions and other legal tax-minimizing plans just because the IRS deems that the action lacks “substance” and is merely intended to reduce taxes owed.


© Newsmax. All rights reserved.   http://www.newsmax.com/GroverNorquist/obamacare-taxes/2011/01/14/id/382849

Big Health-Care Changes Arrive in New Year

http://www.newsmax.com/InsideCover/health-care-law-unions/2011/03/24/id/390680
Friday, January 14, 2011
From the ATR website. 
By: Grover Norquist, Newsmax

http://online.wsj.com/article/SB10001424052748703909904576052240946162956.html?mod=WSJ_hp_MIDDLENexttoWhatsNewsThird#printMode

The Wall Street Journal, Friday, December 31, 2010
By JANET ADAMY

New taxes on drug makers, lower prescription-drug costs for seniors and restrictions on tax-free medical spending accounts are among a slate of health-law provisions that kick in Saturday.

The changes show how the law will begin to reshape American health care, even as opponents try to overturn the measure in Congress and the courts.

Although House Republicans are threatening to starve the law of funding and stage a symbolic repeal vote, those actions aren't likely to block any significant pieces of the law aimed at consumers for 2011. That's because the changes generally involve new rules and don't require spending.

"The debate over defunding and repeal is going to be much more of a political story in 2011 than something that actually means something for consumers immediately," said Larry Levitt, vice president at the nonprofit Kaiser Family Foundation.

Over the longer term, however, Republicans could succeed in thwarting funding for staff and grants needed to put the law in place. The biggest changes, including new health-insurance exchanges and subsidies for lower earners, are set to happen in 2014.

Medicare recipients who fall into a prescription-drug coverage gap known as the "doughnut hole" may reap the biggest windfall of the law in 2011. Enrollees whose total drug costs for the year fall between $2,840 and $6,448 will get a 50% discount on branded prescriptions. That's compared with a $250 rebate the law gave them in 2010 to offset the cost of paying for those drugs entirely out of pocket. The seniors' group AARP estimates more than three million people fall into the doughnut hole each year.

The cost of drug coverage, however, will go up for some seniors. Medicare beneficiaries with annual incomes above $85,000 for individuals and $170,000 for couples will get a smaller government subsidy for Medicare Part D prescription-drug coverage.

In 2011, pharmaceutical manufacturers will see the first major industry tax of the law, a $2.5 billion levy that will be distributed across drug makers based on their sales volume for the year. The industry worries the tax will eat into companies' budgets for finding new drugs.

"It diminishes the amount of capital we have to invest in research and development," said John Castellani, president and chief executive of the Pharmaceutical Research and Manufacturers of America, the industry's main lobbying group. The industry spent $65.3 billion on research in 2009, according to the group.

Drug makers agreed to make concessions with the hope of getting millions of newly insured customers under the law.

Also under the law, about 20 preventive health services, including colorectal cancer screenings, mammograms and smoking cessation services, will be free for people on Medicare.  (However, the reimubursment to providers will decrease, so expect to see limited offerings of these services--rationing!)

Seniors with privately administered Medicare Advantage plans may see fewer extra benefits, such as eyeglasses and free gym memberships, as insurers prepare for federal reimbursement cuts to those plans in 2012.

For those insured outside Medicare, 2011 starts a new requirement that insurers must spend 80% of revenue for small-group plans and 85% of revenue for large-group plans on medical care. The requirement is designed to rein in industry profit and administrative costs. Carriers that don't meet the requirement will have to issue rebates to consumers, though those won't go out until 2012.

Consumers will no longer be able to use their flexible spending accounts—tax-free funds set aside for medical costs—to pay for any over-the-counter items, such as bandages and aspirin.

For many consumers, Jan. 1 will mark the first opportunity to tap into a slate of benefits that began taking effect Sept. 23. That's when the law called for insurers to allow parents to keep a child on their policy until their 26th birthday, among other things. Employers didn't need to make that batch of changes until they started a new plan year.

Nurse midwives also will see change in the new year. Until now, certified nurse midwives were paid 65% the rate of physicians for performing the same services by Medicare. Now they will be paid at the same rate.

Such practitioners provide senior women with basic medical services, such as Pap smears and cholesterol screenings, as well as providing gynecologic services to the three million women of child-bearing age who receive Medicare because they are disabled. The payment change was designed to bolster such care in rural areas, where physicians can be scarce, said Patrick Cooney, lobbyist for the American College of Nurse Midwives.


Write to Janet Adamy at janet.adamy@wsj.com

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