Health Care Passes! What Does That Mean Again?


The House of Representatives passed the Senate Health Care Reform Bill tonight, by a vote of 219-212.  I repeat, HCR passed.

After months and months of watching the gnarled, ugly yet effective mess that is the American legislative process, we finally have health care reform despite the gnashing, screaming tantrums and staunch opposition from the Republican Party.

So, wait: what does this all mean?  Good question. Rep. John B. Larson notes the changes that will take effect immediately:

  • Prohibit pre-existing condition exclusions for children in all new plans;
  • Provide immediate access to insurance for uninsured Americans who are uninsured because of a pre-existing condition through a temporary high-risk pool;
  • Prohibit dropping people from coverage when they get sick in all individual plans;
  • Lower seniors prescription drug prices by beginning to close the donut hole;
  • Offer tax credits to small businesses to purchase coverage;
  • Eliminate lifetime limits and restrictive annual limits on benefits in all plans;
  • Require plans to cover an enrollee’s dependent children until age 26;
  • Require new plans to cover preventive services and immunizations without cost-sharing;
  • Ensure consumers have access to an effective internal and external appeals process to appeal new insurance plan decisions;
  • Require premium rebates to enrollees from insurers with high administrative expenditures and require public disclosure of the percent of premiums applied to overhead costs.

Noticeably absent: death panels, government takeover of health care, the public option, and socialism.  Also, the argument that this bill was rammed down the throats of Americans holds no water.  There was no voting on a “rule.” The majority of representatives took an up-or-down vote on health care and health care won.

The first step has finally been taken, which is always the hardest to make.  The nastiness from the opposition is far from over, I’m sure.  Sen. Jim DeMint already announced that he’s going to initiate a bill to repeal HCR.  But given how difficult it was to pass, I imagine it’ll be next to impossible to repeal.  Unless it ends up being an utter failure, which I don’t see happening.   This is a major reform unlike any we’ve seen in health care in 40 years.  But, at the end of the day, the bill will prove to not be nearly as radical as some on either side of the divide claim it to be — health insurance companies won’t become nice guys overnight nor does the reform bill shred the Constitution.

Thank you, Representatives, for seeing this through.  Especially to Rep. Jane Harman, who represents my district here in Venice, CA, to whom I called last week to lend my support and remind her that we do want health care reform.  It wasn’t pretty, but you got it done, and for that, I thank you.

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