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Pelosi’s health care bill creates 111 new federal Obamacare bureaucracies

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By: Dan Spencer (Diary)  |  November 2nd, 2009 at 08:48 PM  | 

RESIZE: AAA

The House Republican Conference has compiled the following list of the 110 new Obamacare boards, bureaucracies, commissions, and programs created in H.R. 3962, Speaker Pelosi’s legislation for a government takeover of health care:

1.     Retiree Reserve Trust Fund (Section 111(d), p. 61)

2.     Grant program for wellness programs to small employers (Section 112, p. 62)

3.     Grant program for State health access programs (Section 114, p. 72)

4.     Program of administrative simplification (Section 115, p. 76)

5.     Health Benefits Advisory Committee (Section 223, p. 111)

6.     Health Choices Administration (Section 241, p. 131)

7.     Qualified Health Benefits Plan Ombudsman (Section 244, p. 138)

8.     Health Insurance Exchange (Section 201, p. 155)

9.     Program for technical assistance to employees of small businesses buying Exchange coverage (Section 305(h), p. 191)

10.   Mechanism for insurance risk pooling to be established by Health Choices Commissioner (Section 306(b), p. 194)

11.   Health Insurance Exchange Trust Fund (Section 307, p. 195)

12.   State-based Health Insurance Exchanges (Section 308, p. 197)

13.   Grant program for health insurance cooperatives (Section 310, p. 206)

14.   “Public Health Insurance Option” (Section 321, p. 211)

15.   Ombudsman for “Public Health Insurance Option” (Section 321(d), p. 213)

16.   Account for receipts and disbursements for “Public Health Insurance Option” (Section 322(b), p. 215)

17.   Telehealth Advisory Committee (Section 1191 (b), p. 589)

18.   Demonstration program providing reimbursement for “culturally and linguistically appropriate services” (Section 1222, p. 617)

19.   Demonstration program for shared decision making using patient decision aids (Section 1236, p. 648)

20.   Accountable Care Organization pilot program under Medicare (Section 1301, p. 653)

21.   Independent patient-centered medical home pilot program under Medicare (Section 1302, p. 672)

22.   Community-based medical home pilot program under Medicare (Section 1302(d), p. 681)

23.   Independence at home demonstration program (Section 1312, p. 718)

24.   Center for Comparative Effectiveness Research (Section 1401(a), p. 734)

25.   Comparative Effectiveness Research Commission (Section 1401(a), p. 738)

26.   Patient ombudsman for comparative effectiveness research (Section 1401(a), p. 753)

27.   Quality assurance and performance improvement program for skilled nursing facilities (Section 1412(b)(1), p. 784)

28.   Quality assurance and performance improvement program for nursing facilities (Section 1412 (b)(2), p. 786)

29.   Special focus facility program for skilled nursing facilities (Section 1413(a)(3), p. 796)

30.   Special focus facility program for nursing facilities (Section 1413(b)(3), p. 804)

31.   National independent monitor pilot program for skilled nursing facilities and nursing facilities (Section 1422, p. 859)

32.   Demonstration program for approved teaching health centers with respect to Medicare GME (Section 1502(d), p. 933)

33.   Pilot program to develop anti-fraud compliance systems for Medicare providers (Section 1635, p. 978)

34.   Special Inspector General for the Health Insurance Exchange (Section 1647, p. 1000)

35.   Medical home pilot program under Medicaid (Section 1722, p. 1058)

36.   Accountable Care Organization pilot program under Medicaid (Section 1730A, p. 1073)

37.   Nursing facility supplemental payment program (Section 1745, p. 1106)

38.   Demonstration program for Medicaid coverage to stabilize emergency medical conditions in institutions for mental diseases (Section 1787, p. 1149)

39.   Comparative Effectiveness Research Trust Fund (Section 1802, p. 1162)

40.   “Identifiable office or program” within CMS to “provide for improved coordination between Medicare and Medicaid in the case of dual eligibles” (Section 1905, p. 1191)

41.   Center for Medicare and Medicaid Innovation (Section 1907, p. 1198)

42.   Public Health Investment Fund (Section 2002, p. 1214)

43.   Scholarships for service in health professional needs areas (Section 2211, p. 1224)

44.   Program for training medical residents in community-based settings (Section 2214, p. 1236)

45.   Grant program for training in dentistry programs (Section 2215, p. 1240)

46.   Public Health Workforce Corps (Section 2231, p. 1253)

47.   Public health workforce scholarship program (Section 2231, p. 1254)

48.   Public health workforce loan forgiveness program (Section 2231, p. 1258)

49.   Grant program for innovations in interdisciplinary care (Section 2252, p. 1272)

50.   Advisory Committee on Health Workforce Evaluation and Assessment (Section 2261, p. 1275)

51.   Prevention and Wellness Trust (Section 2301, p. 1286)

52.   Clinical Prevention Stakeholders Board (Section 2301, p. 1295)

53.   Community Prevention Stakeholders Board (Section 2301, p. 1301)

54.   Grant program for community prevention and wellness research (Section 2301, p. 1305)

55.   Grant program for research and demonstration projects related to wellness incentives (Section 2301, p. 1305)

56.   Grant program for community prevention and wellness services (Section 2301, p. 1308)

57.   Grant program for public health infrastructure (Section 2301, p. 1313)

58.   Center for Quality Improvement (Section 2401, p. 1322)

59.   Assistant Secretary for Health Information (Section 2402, p. 1330)

60.   Grant program to support the operation of school-based health clinics (Section 2511, p. 1352)

61.   Grant program for nurse-managed health centers (Section 2512, p. 1361)

62.   Grants for labor-management programs for nursing training (Section 2521, p. 1372)

63.   Grant program for interdisciplinary mental and behavioral health training (Section 2522, p. 1382)

64.   “No Child Left Unimmunized Against Influenza” demonstration grant program (Section 2524, p. 1391)

65.   Healthy Teen Initiative grant program regarding teen pregnancy (Section 2526, p. 1398)

66.   Grant program for interdisciplinary training, education, and services for individuals with autism (Section 2527(a), p. 1402)

67.   University centers for excellence in developmental disabilities education (Section 2527(b), p. 1410)

68.   Grant program to implement medication therapy management services (Section 2528, p. 1412)

69.   Grant program to promote positive health behaviors in underserved communities (Section 2530, p. 1422)

70.   Grant program for State alternative medical liability laws (Section 2531, p. 1431)

71.   Grant program to develop infant mortality programs (Section 2532, p. 1433)

72.   Grant program to prepare secondary school students for careers in health professions (Section 2533, p. 1437)

73.   Grant program for community-based collaborative care (Section 2534, p. 1440)

74.   Grant program for community-based overweight and obesity prevention (Section 2535, p. 1457)

75.   Grant program for reducing the student-to-school nurse ratio in primary and secondary schools (Section 2536, p. 1462)

76.   Demonstration project of grants to medical-legal partnerships (Section 2537, p. 1464)

77.   Center for Emergency Care under the Assistant Secretary for Preparedness and Response (Section 2552, p. 1478)

78.   Council for Emergency Care (Section 2552, p 1479)

79.   Grant program to support demonstration programs that design and implement regionalized emergency care systems (Section 2553, p. 1480)

80.   Grant program to assist veterans who wish to become emergency medical technicians upon discharge (Section 2554, p. 1487)

81.   Interagency Pain Research Coordinating Committee (Section 2562, p. 1494)

82.   National Medical Device Registry (Section 2571, p. 1501)

83.   CLASS Independence Fund (Section 2581, p. 1597)

84.   CLASS Independence Fund Board of Trustees (Section 2581, p. 1598)

85.   CLASS Independence Advisory Council (Section 2581, p. 1602)

86.   Health and Human Services Coordinating Committee on Women’s Health (Section 2588, p. 1610)

87.   National Women’s Health Information Center (Section 2588, p. 1611)

88.   Centers for Disease Control Office of Women’s Health (Section 2588, p. 1614)

89.   Agency for Healthcare Research and Quality Office of Women’s Health and Gender-Based Research (Section 2588, p. 1617)

90.   Health Resources and Services Administration Office of Women’s Health (Section 2588, p. 1618)

91.   Food and Drug Administration Office of Women’s Health (Section 2588, p. 1621)

92.   Personal Care Attendant Workforce Advisory Panel (Section 2589(a)(2), p. 1624)

93.   Grant program for national health workforce online training (Section 2591, p. 1629)

94.   Grant program to disseminate best practices on implementing health workforce investment programs (Section 2591, p. 1632)

95.   Demonstration program for chronic shortages of health professionals (Section 3101, p. 1717)

96.   Demonstration program for substance abuse counselor educational curricula (Section 3101, p. 1719)

97.   Program of Indian community education on mental illness (Section 3101, p. 1722)

98.   Intergovernmental Task Force on Indian environmental and nuclear hazards (Section 3101, p. 1754)

99.   Office of Indian Men’s Health (Section 3101, p. 1765)

100.Indian Health facilities appropriation advisory board (Section 3101, p. 1774)

101.Indian Health facilities needs assessment workgroup (Section 3101, p. 1775)

102.Indian Health Service tribal facilities joint venture demonstration projects (Section 3101, p. 1809)

103.Urban youth treatment center demonstration project (Section 3101, p. 1873)

104.Grants to Urban Indian Organizations for diabetes prevention (Section 3101, p. 1874)

105.Grants to Urban Indian Organizations for health IT adoption (Section 3101, p. 1877)

106.Mental health technician training program (Section 3101, p. 1898)

107.Indian youth telemental health demonstration project (Section 3101, p. 1909)

108.Program for treatment of child sexual abuse victims and perpetrators (Section 3101, p. 1925)

109.Program for treatment of domestic violence and sexual abuse (Section 3101, p. 1927)

110.Native American Health and Wellness Foundation (Section 3103, p. 1966)

111.Committee for the Establishment of the Native American Health and Wellness Foundation (Section 3103, p. 1968)

Is the cost of all this new bureaucracy included in the $1 trillion cost of the House Democrats latest version of Obamacare?

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COMMENTS

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  • caindependent

    …and trying to scoop them back into my head after it exploded.

    No way in hell is this bill going to cost a trillion. That’s chump change for Zero & the Kleptocrats.

    Republicans should have gotten off their asses & proposed comprehensive reform designed around the real elephant in the room.

    Tort reform.

  • gekster

    send to all your friends
    It would be grass roots

    • zachv

      Tea Party Patriots are leading a House Phone Call Surge TOMORROW, November 3rd starting at 1:30 PM until 6:00 PM.

      They are repeating this each day until THURSDAY when Bachmann is holding the press conference in front of the Capital.

      See the TeaPartyPatriots (dot) org for more information.

  • DONTTREADONME

    rotflmao

  • DONTTREADONME

    “8. Health Insurance Exchange (Section 201, p. 155 ”
    Anyone ever hear of the SEC? My guess is a whole bureaucracy is needed to look after this whole exchange maybe we shall call it HECk.

  • Swamp_Yankee

    Kudos for the team that put this together. Accessible and detailed. Send to voters in Blue Dog Districts.

  • http://hillbillypolitics.com Steph C

    I would add what this means in real dollars by comparing it to a comparable program of aid to the poor.

    Over the next decade, welfare spending will amount to $30,000 per person per year — $120,000 for a family of 4 per year — 56% of which (or $67,200) goes to the recipients.

    http://www.americanthinker.com/2009/11/but_what_about_the_poor.html

    How much more will that 36%, that the government skims off for every dollar, be when they implement all these new bureaucracies?

    Moreover, these direct costs do not cover the concomitant costs for enterprises. That is, many organizations apply to whole populations, although their justification is the needs of the “poor.” For example, most people can afford education, but to guarantee it for the poor, there is public education for most, as well as subsidies. The same holds for establishing Social Security, Medicare, housing, health insurance, and industrial policy. There are then huge additional costs to the taxpayers and to the recipients of services who are not “poor.”

    The whole thing is worse than a ponzi scheme. It’s pure graft; government enriching itself at the expense of the people. Didn’t we fight a revolution once upon a time to stop this sort of thing?

  • michigan

    at least unemployment will drop to 5%. Geeze, you can’t have it all now. What a system!!!

  • DONTTREADONME

    6. Health Choices Administration (Section 241, p. 131)
    Choice of What, they want a single payer system?

    11. Health Insurance Exchange Trust Fund (Section 307, p. 195)
    Yeah, just like that whole SSecurity Trust Fund, how long before the D’s raid that “lock box”

    12. State-based Health Insurance Exchanges (Section 308, p. 197)
    Why do we have state and federal, can’t we try this at the state level first, oh wait we can’t because it would never work unless bolstered by the federal government.

  • carlsbadd

    5. Health Benefits Advisory Committee (Section 223, p. 111)

    Translation: This is not a death panel. it just separates the benefits congress and the unions get from the rest of the population.

    17. Telehealth Advisory Committee (Section 1191 (b), p. 589)

    Translation: Tax for calling in sick (union exemption applies)

    74. Grant program for community-based overweight and obesity prevention (Section 2535, p. 1457)

    Translation: Replaces the Presidents council on fitness, where school children actually took gym classes and went out and ran cross country , did push up’s and pull up’s and sweating sometimes happened, the government is much more progressive now and does not want to subject our children to such extreme measures.

    81. Inter agency Pain Research Coordinating Committee (Section 2562, p. 1494)

    Translation: Seeks to find ways to cut costs of pain medication, why have state of the art medication when a aspirin will do?

    4. Program of administrative simplification (Section 115, p. 76)

    Translation: Bureaucracy to watch the other 110+ bureaucracies

    • hickorystick

      65. Healthy Teen Initiative grant program regarding teen pregnancy (Section 2526, p. 1398)
      Translation: Free abortion
      64. ?No Child Left Unimmunized Against Influenza?
      Translation: We don’t care what you decide, we know better
      66. Grant program for interdisciplinary training, education, and services for individuals with autism
      Translation: “Our vaccines didn’t cause your kids neurological problems but we have a program anyway”

  • caindependent

    And it was taken down in seconds, but all the paid liberals trolls lengthy notes of support never do.

    We need to get this out.

  • USNJIMRET

    or in some cases renaming or expanding existing parts of the bureaucracy?
    Also, heard that part of the Dem push back is going to be that some of the agencies etc, are ones that in past years Republicans have either proposed or agreed with the need for.
    Not that I don’t doubt for a second that this legislation has a stupidly incredible number of new Federal this and that, or that such a huge increase in an already bloated and unresponsive government isn’t just insane.
    Actually, I’m not at all certain that “insane” even covers this Congress and the unbelievable amount of crap they crap out on a regular basis!
    Makes one wish for some serious Legislative constipation!

  • dnha14

    No. 4 on the list…”Program of administrative simplification”. What does this say about the other 110 items?

    • martyinaz

      That sounds like an oxymorn to me. When did any government administration simplify anything?

      Government is a disease masquarading as a cure for all society..Robert Lefavre

  • http://www.helpawhiteguy.com livefreenh

    Sorry about that. Strike the word “holy”.