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  • Senate Health Care Timeline

    Obamacare is still just one signature away from becoming law, but the battle over its repeal has already begun.  Key to this debate will be which elements of Obamacare phase in when. Back in December after Obamacare first passed the Senate, Heritage Foundation scholar Robert Book  produced the following chart (pdf) detailing how the policy is scheduled to be implemented between 2010 and 2017. Highlights from each year include:

    2010: Physician Medicare payments decrease 21% effective March 1, 2010

    2011: “Annual Fee” tax on health insurance, allocated according to share of total premiums. Begins at $2 billion in 2011, then increases to $4 billion in 2012, $7 billion in 2013, $9 billion in the years 2014, 2015, and 2016, and eventually $10 billion for 2017 and every year thereafter. Two insurers in Nebraska and one in Michigan are exempt from this tax.

    2012: Medicare payment penalties for hospitals with the highest readmission rates for selected conditions.

    2013: Medicare tax increased from 2.9% to 3.8% for incomes over $250,000 (joint filers) or $200,000 (all others). (This is stated as an increase of 0.9 percentage points, to only the employee’s share of the FICA tax.)

    2014: Individual mandate begins: Tax penalties for not having insurance begin at $95 or 0.5% of income, whichever is higher, rising to $495 or 1% of income in 2015 and $750 or 2% of income thereafter (indexed for inflation after 2016). These penalties are per adult, half that amount per child, to a maximum of three times the per-adult amount per family. The penalty is capped at the national average premium for the “bronze” plan.

    2015: Establishment of Independent Medicare Advisory Board (IMAB) to recommend cuts in Medicare benefits; these cuts will go into effect automatically unless Congress passes, and the President signs, an override bill.

    2016: Individual mandate penalty rises to $750 per adult ($375 per child), maximum $2,250 per family, or 2% of family income, whichever is higher (capped at the national average premium for the “bronze” plan). After 2016, the penalty will be increased each year to adjust for inflation.

    2017: Itemized deduction for out-of-pocket medical expenses is limited to expenses over 10% of AGI for those over age 65.

    Posted in Obamacare [slideshow_deploy]

    15 Responses to Senate Health Care Timeline

    1. Steve G says:

      The time has come for Americans to put down the remote or Xbox controller and get involved. If the Left will go to these lengths to ignore the will of those Americans who are informed and engaged, then they need to removed from office.

      I haven't found a better commentary on this entire health care debate than right here: http://rjmoeller.com/2010/03/battered-citizen-syn

    2. barry foster lake ja says:

      Where can I go to get an overview of the health care overhaul and meaningful criticism of it? I have friends asking about what just happened and I would rather refer them to a location that details the travesty than to try to explain it to them.-Dr. B

    3. Milton Moore says:

      Please post PAC links and more info as to how we may engage the fight more vigorously now.

    4. Actongue, NJ says:

      Republicans are to be blamed for doctors not being paid for Medicare. They have all (but one) voted NO in the house and the Senate to change the way the Doctors are paid for their services……..Texas Medical association………House Passes SGR Fix Bill; Burgess Is Lone Republican to Vote “AYE” Keywords: Medicare ——————————————————————————– The U.S. House of Representatives today (Nov. 19, 2009) passed HR 3961 on a 243-183 vote. The bill would stop the 21-percent cut in physicians' Medicare payments scheduled for Jan. 1. It would replace the Medicare Sustainable Growth Rate (SGR) with a new formula that is still based on growth in the gross domestic product. It also would set future payment rate changes separately for evaluation and management services and for procedural codes. House passage of HR 3961 is critical if a permanent SGR fix is going to be included in Congress' final health reform package. ………………………. Unfortunately, Capitol Hill partisan politics is complicating what already is a terribly complicated problem of health system reform. Rep. Michael Burgess, MD (R-Lewisville), was the only Republican to vote for HR 3961. I am terribly proud of Dr. Burgess for his courageous stance, which might expose him to some intraparty consequences. As the most knowledgeable member of Congress on Medicare, he introduces bills year after year to replace the SGR with a formula that is based on physicians' cost of caring for patients. He took the time early this morning to consult with TMA leaders about today's vote and what it means to Texas physicians and your patients. ……………. Cloture vote on the Motion to Proceed to S. 1776 Purpose: Cloture votes are used in the Senate to end debate and move to a final up-or-down vote on the matter. The Senate cannot move forward until cloture is agreed to. Voting against cloture is essentially a filibuster. Because it takes 3/5ths of senators to achieve cloture, it is used as a tool by those against the matter to avoid the final simple-majority vote. Read more at Filibusted.us. Every single Republican voted NO and a few democrats

    5. Zach, MN says:

      You guys do such great work! We are so grate to have you.

    6. Pingback: PA Pundits - International

    7. Ben C. Ann Arbor, MI says:

      Actongue – interesting cut and paste but I am not sure how you can blame Republicans for anything when the Democrats had a super majority last year and still had majority after Scott Brown joined the Senate. Obviously "a few" Democrat Senators agreed with the Republicans per your quote so what is your point? Seems to me you are telling us half of the story.

    8. Aaron, Ohio says:

      "Republicans are to be blamed for doctors not being paid for Medicare. …. Cloture vote on the Motion to Proceed to S. 1776 Purpose: Cloture votes are used in the Senate to end debate and move to a final up-or-down vote on the matter. The Senate cannot move forward until cloture is agreed to. Voting against cloture is essentially a filibuster. Because it takes 3/5ths of senators to achieve cloture, it is used as a tool by those against the matter to avoid the final simple-majority vote. Read more at Filibusted.us. Every single Republican voted NO and a few democrats"

      13 is more than just a few Democrats. The Democrat caucus had 3/5ths of the senators needed to achieve cloture at that point in time. If the Democrats had really wanted this the Republicans could not have stopped them.

      You also gloss over the fact that the Democrats explicitly choose not to include these provisions, the "doc fix," in the health care reform bill, when they should have done so.

      Lack of Democrat unity within their supermajority, not Republican opposition, kept this from passing.

    9. Mark, Elgin. Illinoi says:

      To the President of the United States.Obama and friends Saul Alinsky alone with radical socialist Columbia University professors , Richard Andrew Cloward and Frances Fox Piven Would have been proud. Social justice game of redistribution of wealth.

      America its time to play Alinsky, Cloward, Piven A.C.P.in reverse.

      don't pay any Tax's fed. state and sales tax put it under bed they can't arrest America obama repeal health care and you get paid.

    10. Aaron, Ohio says:

      "Voting against cloture is essentially a filibuster. Because it takes 3/5ths of senators to achieve cloture, it is used as a tool by those against the matter to avoid the final simple-majority vote. Read more at Filibusted.us."

      You do know that Obama supported the filibuster rule right? When there was talk of eliminating the filibuster in the past, he said, quote: "…what I worry about would be that you essentially still have two chambers the House and the Senate but you have simply majoritarian absolute power on either side, and that’s just not what the founders intended.”

      Here is what Harry Reid said about filibusters: "Mr. President, the right to extended debate is never more important than the one party controls Congress and the White House. In these cases the filibuster serves as a check on power and preserves our limited government."

      Here is what Chris Dodd said about filibusters: "Why have two chambers? What were the framers thinking about 218 years ago? They understood, Mr. President, that there is a tyranny of the majority."

      Here is what Hillary Clinton said about filibusters: ""You've got majority rule and then you have the Senate over here where people can slow things down where they can debate, where they have something called 'the filibuster.' Eh, you know it seems like it's a little less than efficient." Well that's right. It is. And deliberately designed to be so."

    11. Cat Estanol says:

      Did you find nothing positive about the bill to include in your timeline? Did you forget to report the schedule for no pre-existing conditions for children, carrying your children through the age 26 on you policy? Did you mention that currently the itemized medical deduction is 7.5% and it isn't just for people over 65, its everybody?

      So twisted, so twisted.

    12. Diane, NC says:

      I'm really wondering why the need for children to be on parents insurance to age 26. If a child is unable to work, that child is eligible for all kinds of government assistance. So, why is it necessary to keep a child on parents insurance to age 26? When my husband and I were 26, we had a mortgage, jobs and children of our own. When our children were 26, they all had jobs, 1 had a child, and all had their own homes. I don't get it.

    13. sandra, montrose col says:

      IRS???? in my government law classes, we where

      taught that the IRS is the only court in our land;wherein, you are quilty untill you prove otherwise..just think about where this is really going..If they get you broke, they have complete control. There is more to come with this alleged obamahealth

      and we need to fix this mess..the best way is to vote for the right person who believes in the constition and will have the guts to standup for all americans, other wise we are doomed…con artist come in shades, sizes, etc. We have obama to prove this, along with congress, senate but check out your state government..corruption is every where and only the people"WE THE PEOPLE"

      can stompt this out,

    14. Aaron, Ohio says:

      "Did you find nothing positive about the bill to include in your timeline? Did you forget to report the schedule for no pre-existing conditions for children, carrying your children through the age 26 on you policy?"

      If you had bothered to read the timeline, you would know that yes, he included it.. Bullet point number 8.

      "Did you mention that currently the itemized medical deduction is 7.5% and it isn’t just for people over 65, its everybody?"

      Yes, he mentioned that too. Bullet point number 24.

    15. C. Pringle; Denver, says:

      The 21% decrease of physician Medicare payments is not part of the Health Care Reform legislation. It is the result of legislation passed in the 1990s that has been delayed over the years by majority vote. Republicans refuse to cooperate with delaying the decrease. I suspect is exactly for this purpose, so that it can be implied to be part of the President's health care reform. Including this as part of the current health care reform is quite dishonest. I'm certain that you are aware of this fact.

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