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Mar 19, 2010
9:23PM

Summary of Amendments Submitted to the Rules Committee for
H.R. 4872 - Reconciliation Act of 2010
(summaries derived from information provided by sponsors)
Listed in Alphabetical Order
Mar 20, 2010 6:20PM

 

 

Barton (TX), Johnson, Sam (TX)

#48

Would remove the provision which provides extra funds to Louisiana’s Medicaid program.
 

Barton (TX), Johnson, Sam (TX)

#49

Would remove the provision which provides funds for a medical facility in Connecticut.
 

Barton (TX), Johnson, Sam (TX)

#50

Would remove the provision that would allow certain hospitals to benefit from Section 508 if it means higher Medicare payments.
 

Barton (TX)

#53

Would prevent this bill from taking effect until the Office of Management and Budget certifies that the federal budget deficit has been eliminated
 

Barton (TX), Johnson, Sam (TX)

#54

Would remove the provision that provides for increased Medicare payments to hospitals and doctors in frontier states.
 

Barton (TX), Johnson, Sam (TX)

#62

Would require that all individuals under Medicaid have to demonstrate their identity and citizenship.
 

Barton (TX)

#68

Would strike all taxes in the bill.
 

Barton (TX), Johnson, Sam (TX)

#70

Would repeal a provision providing Medicare coverage to certain individuals exposed to environmental health hazards.
 

Barton (TX)

#74

Would prevent the bill from taking effect until Medicare and Medicaid are solvent for the next 20 years.
 

Barton (TX)

#76

Would repeal section 6001 of the bill, Limitation on Medicare exception to the prohibition on certain physician referrals for hospitals.
 

Blackburn (TN)

#4

Would require the HHS Secretary to certify that no American will lose access to his or her current health insurance due to the establishment and operation of health plans offered through a state Exchange. This will be an annual certification. Until certification is made, no State is required or penalized for the failure to establish plans in an Exchange.
 

Blackburn (TN)

#5

Would provide that if any provision of this Act or the Patient Protection and Affordable Care Act (or amendments thereto) imposes an unfunded mandate on the States, such provision or amendment shall be null and void and the States shall not be subject to such provision or amendment.
 

Blackburn (TN)

#7

Would provide that nothing in the Act shall preclude an individual from purchasing or maintaining insurance qualifying for Health Savings Account deposits and nothing shall interfere with their ability to continue to make deposits according to the schedule created in the 2006 HSA legislation.
 

Blackburn (TN)

#8

Would provide that if OMB submits a report saying that the costs of title I of the bill and the Patient Protection and Affordable Care Act are 25% or greater than the Federal budget, than the Congress shall consider a joint resolution to repeal such provisions.
 

Blackburn (TN)

#12

Would prohibit exchange plans from being established until the HHS Secretary certifies that the establishment of exchange plans will not cause the cost of the average price of private health insurance premiums to increase.
 

Blackburn (TN)

#13

Would prohibit the Federal government from passing any law that would give it authority to ration health care for the American people.
 

Broun (GA)

#46

Would provide individuals 100% deductibility for all medical expenses; reform EMTALA; provide for cooperative governing of individual health insurance coverage; and provide for Association Health Plans. The amendment is the same as H.R.3889.
 

Broun (GA)

#85

Would require any business that is characterized as a minority owned business or small business concern (as defined by section 3 of the Small Business Act, 15 U.S.C. 632) is exempt from all employer mandates.
 

Broun (GA)

#86

Would exempt any business whose gross revenues per year do not exceed $500,000 from all employer mandates.
 

Broun (GA)

#87

Would exempt any business whose gross revenues have declined from the previous fiscal year from all employer mandates.
 

Broun (GA)

#88

Would allow for 100% deductibility of individual medical expenses.
 

Brown-Waite (FL)

#66

Would repeal the individual mandate.
 

Brown-Waite (FL)

#67

Would repeal the sections of the bill that require the IRS to enforce the individual mandate.
 

Brown-Waite (FL)

#81

Would require that all cuts to the Medicare program in this bill be used to ensure the solvency of the Medicare program and not for any other program.
 

Brown-Waite (FL)

#82

Would eliminate any cuts to Medicare in the bill.
 

Burgess (TX)

#18

Would make Members of Congress a mandatory covered population under Title XIX of the Social Security Act (Medicaid) without consideration of any other asset or qualification test. Family members of Members of Congress are not impacted and remain eligible for the Federal Employees Health Benefit Plan (FHEBP).
 

Burgess (TX)

#19

Would require that to have a qualified state plan under the Medicaid program states must pay providers at least 75% of the payment rate paid to a provider under the state employees plan or the Federal Employees Health Benefit Plan (FEHBP) most chosen by families. For dental & vision services, in the case where such services are covered under a state employee plan, providers must be paid at 75% of the rate paid under the plan. In the case where supplemental dental and vision services are not offered to a state employee providers must be paid at a rate of 75 % of the rate paid by the supplemental (vision & dental) FEHBP plan most often chosen by families.
 

Burgess (TX)

#20

Would establish a utilization review and appeals process for qualified health plans.
 

Burgess (TX)

#61

Would add a division based on the medical liability reforms adopted in Texas.
 

Buyer (IN), McKeon (CA)

#31

Would protect the integrity and independence of the Department of Defense (DOD) and the Department of Veterans Affairs (VA) health care systems and state that the TRICARE program and veterans’ health care programs meet all of the requirements for individual health insurance under the bill.
 

Cassidy (LA)

#91

Would clarify that high-deductible health plans with an HSA meet the definition of adequate coverage. Furthermore, any new standards adopted by the Secretary shall not apply to high-deductible health plans and health savings accounts if such standards would have the effect of disqualifying such plans from meeting the essential benefit package requirements.
 

Cole (OK)

#3

Would require that savings resulting from spending reductions in Medicare will stay in Medicare to pay down long-term unfunded financial obligations.
 

Dent (PA)

#89

Would add a new division titled, ending defensive medicine and encouraging innovation.
 

Foxx (NC)

#6

Would strike the entire Student Aid and Fiscal Responsibility Act (SAFRA) from the Amendment in the Nature of a Substitute to H.R. 4872.
 

Franks (AZ)

#43

Would prohibit cuts to Medicare Advantage plans.
 

Gingrey (GA)

#26

Would require that the Secretary of Health and Human Services to provide for a methodology that ensures that any savings to the Medicare program resulting from (and amendments to) HR 3962 shall be retained in the Medicare program to make seniors health care more stable and affordable.
 

Gingrey (GA)

#27

Would require the Secretary of Health and Human Services to provide for an opt-out process from the individual mandate for every American citizen.
 

Gingrey (GA)

#28

Would include caps on non-economic damages and other reforms included in the CBO score that showed a $54 billion in savings over a 10 year period. The amendment reflects H.R. 1086, the HEALTH ACT, which seeks to enact medical liability reform in the states.
 

Gingrey (GA)

#29

Would state that nothing in H.R. 4872 shall be construed to allow any Federal employee or political appointee to dictate how a medical provider practices medicine.
 

Grayson (FL)

#2

Withdrawn Would allow any American citizen or permanent resident to buy into Medicare at cost and benefit from Medicare parts A, B, and D. The amendment creates six age brackets (actuarial pools) and requires each pool to be solvent or pay for itself.
 

Hall, Ralph (TX)

#69

Would require a social security number for eligibility for participation in an exchange.
 

Hall, Ralph (TX)

#80

Would require a valid photo ID when applying for Medicaid or SCHIP.
 

Herger (CA), Boustany (LA), Broun (GA)

#45

Would prohibit CMS from making coverage determinations using Comparative Effectiveness Research solely on the basis of cost.
 

Kagen (WI)

#1

Withdrawn Would require any and all individuals and business entities that offer health care products or services for sale to the public must at all times openly disclose all of their prices, including on the Internet.
 

Lee, Christopher (NY)

#11

Would create a 3 year / 5 state medical tribunal pilot program to be administered by the Secretary of HHS.
 

Lummis (WY), Johnson, Sam (TX)

#41

Would allow States to opt out of any provisions of the bill to the extent that they mandate the purchasing of health insurance by residents in such State, mandate the provision of health insurance by employers in such State, or interfere with the ability of patients to privately contract with medical providers and insurers under the laws of such State.
 

Moore, Gwen (WI)

#9

Would change the date when insurers would need to comply with the new Medical Loss Ratio requirements from 2011 to 2014, to conform to when the American Health Benefits Exchanges will be established. Redirects MLR rebates to the Treasury.
 

Moore, Gwen (WI)

#10

Would change the date when insurers would be required to comply with new Medical Loss Ratio (MLR) requirements from the current draft date of 2011 to 2014, synchronizing it with the year when the American Health Benefit Exchanges will be established. Redirects the MLR rebates to the Treasury to be made available for the funding of premium assistance credits.
 

Paulsen (MN), Gerlach (PA), Lance (NJ), Dent (PA)

#30

Would remove the medical innovation tax and replaces it with unobligated stimulus funds.
 

Paulsen (MN)

#42

Would exclude temporary workers from the employer mandate.
 

Roe (TN)

#44

Would repeal the enactment of the Independent Medicare Advisory Board.
 

Rogers, Mike (MI)

#32

Would express the sense of Congress that any new Social Security payroll tax revenue that results from this legislation could only be used for future Social Security benefit payments.
 

Rogers, Mike (MI)

#33

Would strike the employer health insurance mandate from the Senate health reform bill.
 

Rogers, Mike (MI)

#34

Would strike the provisions in section 1405 relating to an excise tax on medical devices from the Senate health reform bill.
 

Rogers, Mike (MI)

#35

Would allow all health insurance plans in effect today to be considered acceptable coverage for purposes of the Senate health reform bill’s individual insurance mandate.
 

Rogers, Mike (MI)

#36

Would strike all Medicare cuts from the Senate health reform bill.
 

Rogers, Mike (MI)

#37

Would require Health Savings Accounts to be considered acceptable coverage under the Senate health reform bill’s individual insurance mandate.
 

Rogers, Mike (MI)

#38

Would strike all provisions related to student lending reforms in the reconciliation bill.
 

Rogers, Mike (MI)

#39

Would require the Secretary of HHS to certify that no seniors would lose access to their current Medicare Advantage plan before any cuts to the MA program could be enacted.
 

Rogers, Mike (MI)

#51

Would prohibit the employer mandate from going into effect if in a state where unemployment is over 10%
 

Rogers, Mike (MI)

#64

Would prohibit the employer mandate from going into effect if national unemployment is over 10%.
 

Rogers, Mike (MI)

#73

Would require there to be no changes to Medicare Advantage for a given year until the HHS Secretary certifies that no senior will be forced away from or losing their enrollment in the MA plan they were enrolled on as of the day before enactment of the bill.
 

Roskam (IL)

#90

Would strike the current section 1302, essential health benefits requirements, and replace with a new section, medicare waste, fraud, and abuse prevention pilot program.
 

Scalise (LA)

#65

Would strike the individual health care mandate.
 

Shadegg (AZ), Broun (GA)

#83

Adds a section to establish universal access programs to improve high risk pools and reinsurance markets.
 

Shadegg (AZ), Blackburn (TN), Broun (GA)

#84

Would add a section on interstate purchasing of health insurance.
 

Shimkus (IL)

#47

Would provide funds to Medicaid recipients so they can buy into employer-sponsored insurance.
 

Shimkus (IL)

#55

Would require a certification that the bill would lower national health costs.
 

Shimkus (IL)

#58

Would allow states to opt-out of the Medicaid expansion.
 

Shimkus (IL)

#72

Would allow individuals or states to opt out of any fee or tax imposed or increased under the bill.
 

Stearns (FL)

#14

Would require the co-equal heads of the three branches of government - the President, Congress and Supreme Court Justices to be enrolled in the health exchange.
 

Stearns (FL)

#15

Would strike Sections 9009 and 10904, which tax medical devices.
 

Stearns (FL)

#16

Would allow individuals to deduct the cost of medical care and prescription drugs from their income taxes above the line.
 

Stearns (FL)

#17

Would require that any written, visual or audio materials distributed through a covered official, entity or program shall be in English only.
 

Stearns (FL)

#24

Would require any individual who wishes to access to the Health Exchange or Affordability Tax Credits to provide documentation of citizenship or nationality.
 

Stearns (FL)

#25

Would extend the protection of existing coverage in section 1251 Preservation of Right to Maintain Existing Coverage to are enrolled on after the date of enactment.
 

Stearns (FL)

#40

Would strike sections 1102 and 1103, and repeal the provisions related to Medicare Advantage.
 

Sullivan (OK)

#22

Would require the HHS Secretary to conduct a study on new and old programs affected by this legislation to determine if there is any program duplication. Would require the Secretary to write a report on the study within one year of the enactment of this bill. After writing that report, the Secretary would be required to eliminate any duplicative programs within one year.
 

Sullivan (OK)

#23

Would require the HHS Secretary to conduct a study on new and old grant programs affected by this legislation to determine if there is any program duplication. Would require the Secretary to write a report on the study within one year of the enactment of this bill. After writing that report, the Secretary would be required to eliminate any duplicative programs within one year.
 

Sullivan (OK)

#59

Would eliminate duplicative programs at HHS.
 

Sullivan (OK)

#60

Would eliminate duplicative grants at HHS.
 

Terry (NE)

#21

Substitute Would establish the Citizen's Congressional Health Benefits Program (CCHBP).
 

Terry (NE)

#52

Would strike market basket update reductions.
 

Terry (NE)

#75

Would ensure that additional hospital insurance taxes be deposited into the Federal Hospital Insurance Trust Fund and used only for purpose funding Medicare Part A.
 

Terry (NE)

#79

Would strike Medicare payment cuts to disproportionate share hospitals.
 

Upton (MI)

#77

Would prohibit the employer mandate from going into effect if unemployment is over 7%.
 

Upton (MI)

#78

Would prohibit the bill from taking effect until the Medicare Trustees publish projections that show that Medicare is solvent for the next 30 years.
 

Walden (OR)

#63

Would ensure proportional representation of interest of rural areas on IPAB.
 

Walden (OR)

#71

Would ensure that MEDPAC has adequate rural representation.
 

Whitfield (KY)

#56

Would remove the "prompt pay" discount from the Medicare part B reimbursement formula.
 

Whitfield (KY)

#57

Would place a moratorium on the cuts to reimbursement for procedure performed by interventional pain physicians.
 

Broun (GA), Franks (AZ), Johnson, Sam (TX)

#98

Would provide that nothing in the Patient Protection and Affordable Care Act or this Act may authorize or permit access to or coverage of abortions except in the case of a woman who suffers a physical disorder, physical injury, or physical illness that would, as certified by a physician, place the woman in danger of death unless an abortion is performed; or if the pregnancy is the result of an act of forcible rape or incest.

Broun (GA), Franks (AZ)

#102

Would provide that nothing in the Patient Protection and Affordable Care Act or this Act may authorize or permit access to or coverage of abortions.

Flake, Jeff (AZ)

#106

Would strike the employer mandate to provide health insurance for employees.

Heller (NV), Johnson, Sam (TX)

#96

Strikes the individual mandate exemption for illegal immigrants.

Heller (NV)

#97

Prevents the $2,000 per employee tax from impacting employers in states where unemployment is greater than 6 percent.

Heller (NV), Johnson, Sam (TX)

#103

Would add an identification requirement for receiving taxpayer-funded benefits by strengthening identification requirements for government-provided health benefits.

Heller (NV)

#104

Would reform the medical liability system, improve access to health care for rural and indigent patients, enhance access to affordable prescription drugs, and for other purposes.

Hinojosa (TX)

#105

Would add a Hold Harmless Amendment for those hospitals that serve High Poverty Areas and are subject to reductions in their Medicare and Medicaid Disproportionate Share Hospital Payments. Would require MEDPAC to conduct a study that determines the continued operability of hospitals in High Poverty Areas. The Secretary of health and Human Services would enact recommendations based on the study to ensure continued access to care by individuals served by such hospitals.

Issa (CA)

#95

Substitute Would strike all after the enacting clause and insert language that would allow every American to obtain the same health insurance that members of Congress have by using the existing framework of the Federal Employees Health Benefits Plan (FEHBP). The Office of Personnel Management (OPM) would contract with insurance providers to make private health insurance plans available to all Americans.

Jackson-Lee (TX)

#92

Would strike Medicare limits on expanding physician-owned hospitals.

Jackson-Lee (TX)

#93

Would provide an exception to Medicare limits on physician-owned hospitals by providing an exception for safety net hospitals (meets criteria for disproportionate share hospital or high number of emergency room visits).

Jackson-Lee (TX)

#94

Would amend the definition for “high Medicaid facility.”

Kingston (GA)

#99

Would suspend the employer mandate for every year that the national unemployment rate is at or above 9%.

Kingston (GA)

#100

Would strike the student loan provision in the bill.

Kingston (GA)

#101

Would suspend new taxes unless Medicare fraud is below 1%.

Rogers, Mike (MI)

#107

Would force health insurance companies to compete across state lines.

Rogers, Mike (MI)

#108

Would strengthen patient access to state high risk pools.

Rogers, Mike (MI)

#109

Would strike provisions in the Senate bill given to specific Senators for the purpose of their support of the bill.