September 3, 2009 | House Republican Leader John Boehner (R-OH) | Permalink Democrats
continue to claim that their health care legislation will not increase
the federal deficit, even though the non-partisan Congressional Budget
Office has revealed the truth: the bill actually increases the deficit
by $239 billion. One of the reasons it’s so expensive is the plethora
of new federal government programs it would create. House Republican
Leader John Boehner offered the following comment: | “The
American people’s number one concern about health care is controlling
cost, so it is baffling that Democrats have put together a $1.5
trillion bill that actually increases the deficit in order to create 53
new government programs. We need to throw away this 1,000-page
monstrosity and start over, this time focusing on real, bipartisan
reforms that lower costs and expand coverage.” |
The House Democrats’ bill creates a massive new federal bureaucracy
littered with new federal agencies, new programs, and new bureaucrats.
Here they are, as identified by the House Republican Conference,
chaired by Rep. Mike Pence (R-IN): - Health Benefits Advisory Committee (Section 123, p. 30)
- Health Choices Administration (Section 141, p. 41)
- Qualified Health Benefits Plan Ombudsman (Section 144, p. 47)
- Program of administrative simplification (Section 163, p. 57)
- Retiree Reserve Trust Fund (Section 164(d), p. 70)
- Health Insurance Exchange (Section 201, p. 72)
- Mechanism for insurance risk pooling to be established by Health Choices Administration Commissioner (Section 206(b), p. 106)
- Special Inspector General for the Health Insurance Exchange (Section 206(c), p. 107)
- Health Insurance Exchange Trust Fund (Section 207, p. 109)
- State-based Health Insurance Exchanges (Section 208, p. 111)
- “Public Health Insurance Option” (Section 221, p. 116)
- Ombudsman for “Public Health Insurance Option” (Section 221(d), p. 117)
- Account for receipts and disbursements for “Public Health Insurance Option” (Section 222(b), p. 119)
- Telehealth Advisory Committee (Section 1191, p. 380)
- Demonstration program providing reimbursement for “culturally and linguistically appropriate services” (Section 1222, p. 405)
- Demonstration program for shared decision making using patient decision aids (Section 1236, p. 438)
- Accountable Care Organization pilot program (Section 1301, p. 443)
- Independent patient-centered medical home pilot program under Medicare (Section 1302, p. 462)
- Community-based medical home pilot program under Medicare (Section 1302(d), p. 468)
- Center for Comparative Effectiveness Research (Section 1401(a), p. 502)
- Comparative Effectiveness Research Commission (Section 1401(a), p. 505)
- Patient ombudsman for comparative effectiveness research (Section 1401(a), p. 519)
- Quality assurance and performance improvement program for skilled nursing facilities (Section 1412(b)(1), p. 546)
- Quality assurance and performance improvement program for nursing facilities (Section 1412 (b)(2), p. 548)
- Special focus facility program for skilled nursing facilities (Section 1413(a)(3), p. 559)
- Special focus facility program for nursing facilities (Section 1413(b)(3), p. 565)
- National independent monitor pilot program for skilled nursing facilities and nursing facilities (Section 1422, p. 607)
- Demonstration program for approved teaching health centers with respect to Medicare GME (Section 1502(d), p. 674)
- Pilot program to develop anti-fraud compliance systems for Medicare providers (Section 1635, p. 716)
- Medical home pilot program under Medicaid (Section 1722, p. 780)
- Comparative Effectiveness Research Trust Fund (Section 1802, p. 824)
- “Identifiable
office or program” within CMS to “provide for improved coordination
between Medicare and Medicaid in the case of dual eligibles” (Section
1905, p. 852)
- Public Health Investment Fund (Section 2002, p. 859)
- Scholarships for service in health professional needs areas (Section 2211, p. 870)
- Loan repayment program for service in health professional needs areas (Section 2211, p. 873)
- Program for training medical residents in community-based settings (Section 2214, p. 882)
- Grant program for training in dentistry programs (Section 2215, p. 887)
- Public Health Workforce Corps (Section 2231, p. 898)
- Public health workforce scholarship program (Section 2231, p. 900)
- Public health workforce loan forgiveness program (Section 2231, p. 904)
- Grant program for innovations in interdisciplinary care (Section 2252, p. 917)
- Advisory Committee on Health Workforce Evaluation and Assessment (Section 2261, p. 920)
- Prevention and Wellness Trust (Section 2301, p. 932)
- Clinical Prevention Stakeholders Board (Section 2301, p. 941)
- Community Prevention Stakeholders Board (Section 2301, p. 947)
- Grant program for community prevention and wellness research (Section 2301, p. 950)
- Grant program for community prevention and wellness services (Section 2301, p. 951)
- Grant program for public health infrastructure (Section 2301, p. 955)
- Center for Quality Improvement (Section 2401, p. 965)
- Assistant Secretary for Health Information (Section 2402, p. 972)
- Grant program to support the operation of school-based health clinics (Section 2511, p. 993)
- National Medical Device Registry (Section 2521, p. 1001)
- Grants for labor-management programs for nursing training (Section 2531, p. 1008)
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