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good email on health care reform

N

Nikolai

ACCOUNT CLOSED
Apr 17, 2002
1,267
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Eagle River, AK
Got this email today (sorry if it's a repost)
-------------------------------------------------------------
Peter Fleckenstein, a blogger and former Marine from
Phoenix , Arizona , is going through the ObamaCare bill page by page and
highlighting the provisions he finds there.


Clearly, Fleckenstein has struck a nerve. His list,
originally published as a series of Twitter posts, has gone viral via email.
Within days, the liberal fascists published his personal information on
Twitter as a means to silence him. Fleckenstein promises legal action.


It's easy to see why the liberals are tripping over
themselves to suppress the information Fleckenstein unearthed. At its best,
the information Fleckenstein culled from the bowels of the ObamaCare bill
are absurd. When you really understand what the ObamaCare bill is and what
Congress and Obama are trying to do with it, however, it turns from absurd
to nearly terrifying.


Information has been taken from different sources
for formatting purposes but verified back to Fleckenstein's original work.
Fleckenstein's blog is here: http://blog.flecksoflife.com/



* Page 22: Mandates audits of all employers that
self-insure!


* Page 29: Admission: your health care will be
rationed!


* Page 30: A government committee will decide what
treatments and benefits you get (and, unlike an insurer, there will be no
appeals process)


* Page 42: The "Health Choices Commissioner" will
decide health benefits for you. You will have no choice. None.


* Page 50: All non-US citizens, illegal or not, will
be provided with free healthcare services.


* Page 58: Every person will be issued a National
ID Healthcard.


* Page 59: The federal government will have direct,
real-time access to all individual bank accounts for electronic funds
transfer.


* Page 65: Taxpayers will subsidize all union
retiree and community organizer health plans (read: SEIU, UAW and ACORN)


* Page 72: All private healthcare plans must
conform to government rules to participate in a Healthcare Exchange.


* Page 84: All private healthcare plans must
participate in the Healthcare Exchange (i.e., total government control of
private plans)


* Page 91: Government mandates linguistic
infrastructure for services; translation: illegal aliens


* Page 95: The Government will pay ACORN and
Americorps to sign up individuals for Government-run Health Care plan.


* Page 102: Those eligible for Medicaid will be
automatically enrolled: you have no choice in the matter.


* Page 124: No company can sue the government for
price-fixing. No "judicial review" is permitted against the government
monopoly. Put simply, private insurers will be crushed.


* Page 127: The AMA sold doctors out: the
government will set wages.


* Page 145: An employer MUST auto-enroll employees
into the government-run public plan. No alternatives.


* Page 126: Employers MUST pay healthcare bills for
part-time employees AND their families.


* Page 149: Any employer with a payroll of $400K or
more, who does not offer the public option, pays an 8% tax on payroll


* Page 150: Any employer with a payroll of
$250K-400K or more, who does not offer the public option, pays a 2 to 6% tax
on payroll


* Page 167: Any individual who doesn't' have
acceptable healthcare (according to the government) will be taxed 2.5% of
income.


* Page 170: Any NON-RESIDENT alien is exempt from
individual taxes (Americans will pay for them).


* Page 195: Officers and employees of Government
Healthcare Bureaucracy will have access to ALL American financial and
personal records.


* Page 203: "The tax imposed under this section
shall not be treated as tax." Yes, it really says that.


* Page 239: Bill will reduce physician services for
Medicaid. Seniors and the poor most affected."


* Page 241: Doctors: no matter what specialty you
have, you'll all be paid the same (thanks, AMA!)


* Page 253: Government sets value of doctors' time,
their professional judgment, etc.


* Page 265: Government mandates and controls
productivity for private healthcare industries.


* Page 268: Government regulates rental and
purchase of power-driven wheelchairs.


* Page 272: Cancer patients: welcome to the
wonderful world of rationing!


* Page 280: Hospitals will be penalized for what
the government deems preventable re-admissions.


* Page 298: Doctors: if you treat a patient during
an initial admission that results in a readmission, you will be penalized by
the government.


* Page 317: Doctors: you are now prohibited for
owning and investing in healthcare companies!


* Page 318: Prohibition on hospital expansion.
Hospitals cannot expand without government approval.


* Page 321: Hospital expansion hinges on "community"
input: in other words, yet another payoff for ACORN.


* Page 335: Government mandates establishment of
outcome-based measures: i.e., rationing.


* Page 341: Government has authority to disqualify
Medicare Advantage Plans, HMOs, etc.


* Page 354: Government will restrict enrollment of
SPECIAL NEEDS individuals.


* Page 379: More bureaucracy: Telehealth Advisory
Committee (healthcare by phone).


* Page 425: More bureaucracy: Advance Care Planning
Consult: Senior Citizens, assisted suicide, euthanasia?


* Page 425: Government will instruct and consult
regarding living wills, durable powers of attorney, etc. Mandatory. Appears
to lock in estate taxes ahead of time.


* Page 425: Government provides approved list of
end-of-life resources, guiding you in death.


* Page 427: Government mandates program that orders
end-of-life treatment; government dictates how your life ends.


* Page 429: Advance Care Planning Consult will be
used to dictate treatment as patient's health deteriorates. This can include
an ORDER for end-of-life plans. An ORDER from the GOVERNMENT.


* Page 430: Government will decide what level of
treatments you may have at end-of-life.


* Page 469: Community-based Home Medical Services:
more payoffs for ACORN.


* Page 472: Payments to Community-based
organizations: more payoffs for ACORN.


* Page 489: Government will cover marriage and
family therapy. Government intervenes in your marriage.


* Page 494: Government will cover mental health
services: defining, creating and rationing those services.


* PG 502 Line 5-18 Government builds the "Center" to
conduct, support, & synthesize research to define our HealthCare Services.


* PG 502 Section 1181 Center for Comparative
Effectiveness Research Established. - Hello Big Brother - Literally.


* PG 503 Line 13-19 Government will build registries
and data networks from YOUR electronic medical records.


* PG 503 Line 21-25 Government may secure data
directly from any department or agency of the US including your data.


* PG 504 Line 6-10 The "Center" will collect data
both published & unpublished (that means public & your private info)


* PG 506 Line 19-21 The Center will recommend
policies that would allow for public access of data.


* PG 518 Line 21-25 The Commission will have input
from HealthCare consumer reps - Can you say unions & ACORN?


* PG 524 18-22 Comparative Effectiveness Research
Trust Fund set up. More taxes for ALL.


* PGs 525-620 deals with the Govt basically taking
over nursing homes, long-term care facilities (think assisted living)
through regulations of the facilities, the owners of sd facilities, the
employees of sd facilities and even the land owners of that sd facilities
reside on. Additionally as you read these 90+ pages you can come to the
conclusion that any Health related services will be determined and rationed
by the Govt for our senior citizens and others in nursing homes. This one
post should do enough to raise awareness of the control the Govt is exerting
over the older population of American citizens.


* PG 620 Line 1-9 The Government will define,
prioritize, and nationalize your Health Care Services.


* PG 621 Lines 20-25 Government will define what
Quality means in HealthCare. Since when does Government know about quality?


* PG 622 Lines 2-9 To pay for the quality Standards
Government will transfer $$ from to other Government Trust Funds. More
Taxes.


* PG 624 "Quality" measures shall be designed to
assess outcomes & functional status of patients.


* PG 628 Section 1443 Government will give
"Multi-Stake Holders" Pre-Rule Making input into Selection of "Quality"
Measures.


* PG 630 9-24/631 1-9 Those Multi-stake holder
groups including Unions & groups like ACORN deciding HealthCare quality.


* PG 632 Lines 14-25 The Government may implement
any "Quality measure" of HealthCare Services as they see fit.


* PG 633 14-25/ 634 1-9 The Secretary may issue
non-endorsed "Quality Measures" for Physician Services & Dialysis Services.


* PG 635 - 653 Physicians Payments Sunshine
Provision - Government wants to shine sunlight on Docs but not Government.
 
N

Nikolai

ACCOUNT CLOSED
Apr 17, 2002
1,267
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Eagle River, AK
* PG 654-659 Public Reporting on Health
Care-Associated Infections - Looks okay.


* PG 660-671 Doctors in Residency - Government will
tell you where your residency will be, thus where you'll live.


* PG 676-686 Government will regulate hospitals in
EVERY aspect of residency programs, including teaching hospitals.


* PG 686-700 Increased Funding to Fight Waste,
Fraud, and Abuse. You mean the Government with an $18 mil website?


* PGs 701-704 Section 1619 If your part of
HealthCare plan that isn't in Government HealthCare Exchange but you qualify
for Federal aid, no payment.


* PG 705-709 SEC. 1128 If Secretary gets complaints
(ACORN) on HealthCare provider or supplier, Government can do background
check.


* PG 711 Lines 8-14 The Secretary has broad powers
to deny HealthCare providers/suppliers admittance into HealthCare Exchange.


* Pg 719-720 Section 1637 ANY Doctor who orders
durable medical equipment or home medical services MUST be enrolled in
Medicare.


* PG 722 Section 1639 Government Mandates Doctors
must have face-to-face with patient to certify patient for Home Health
Services.


* PG 724 23-25 PG 725 1-5 The same Government
certifications will apply to medicaid & CHIP (your kids) Pg 735 lines 16-25
For law enforcement purposes, the Secretary of Health & Human Services will
give Attorney General access to ALL data.


* PG 724 Lines 16-22 Government reserves right to
apply face-to-face certification for patient to ANY other HealthCare
service.


* PG 740-757 Government sets guidelines for
subsidizing the uninsured (That's your tax dollars peeps)


Pg 757-762 Fed Government will shift burden of
payments to Disproportionate Share Hospitals (DSH) to States. (Taxes)


* PG 763 1-8 No DS/EA hospitals will be paid unless
they provide services without regard to national origin


* Pg 765 Section 1711 Government will require
Preventative Services including vaccines. (Choice?)


* Pg 768 Section 1713 Government - Nursing Home
Visitation Services (Hello union paybacks)


* Pg 769 11-14 Nurseing Home Visit Services
include-economic self-sufficiency, employment advancement, school-readiness.


* Pg 769 3-5 Nursing Home Visit Services -
"increasing birth intervals between pregnancies." Government Abortions
anyone?


* Pg 770 SEC 1714 Federal Government mandates
eligibility for State Family Planning Services. Say abortion & State
Sovereign.


* Pg 789-797 Government will set & mandate drug
prices, controlling which drugs will brought to market. Goodbye innovation.


* Pgs 797-800 SEC. 1744 PAYMENTS for grad medical
education. The government will now control Drs education.


* PG 801 Sec 1751 The Government will decide which
Health care conditions will be paid. Say RATION!


* Pg 810 SEC. 1759. Billing Agents, clearinghouses,
etc. required to register. Government takes over private payment system.


* PG 820-824 Sec 1801 Government will identify
individuals ineligible for subsidies. Will access all personal finances.


* Pg 824-829 SEC. 1802. Government Sets up
Comparative Effectiveness Research Trust Fund. Another tax black hole.


* PG 829-833 Government will impose a fee on ALL
private health insurance plans including self insured to pay for Trust Fund!


* PG 835 11-13 fees imposed by Government for Trust
Fund shall be treated as if they were taxes.


* Pg 838-840 Government will design & implement Home
Visitation Program for families with young kids & families expecting kids.


* PG 844-845 This Home Visitation Program includes
Government coming into your house & telling you how to parent!!!


* Pg 859 Government will establish a Public Health
Fund at a cost of $88,800,000,000. Yes thats Billion.


* PG 865 to 876 The NHS Corps is a program where
Drs. perform mandatory HealthCare for 2 years for part loan repayment.


* PG 876-892 The Government takes over the education
of our Medical students and Drs.


* PG 898 The Government will establish a Public
Health Workforce Corps. to ensure supply of public health professionals.


* PG 898 The Public health workforce corps shall
consist of civilian employees of the U.S. as Secretary deems.


* PG 898 The Public health workforce corps shall
consist of officers of Regular & Reserve Corps of Service.


* PG 900 The Public Health Workforce Corps includes
veterinarians.


* PG 901 The Public Health Workforce Corps WILL
include commissioned Regular & Reserve Officers. HealthCare Draft?


* PG 910 The Government will develop, build & run
Public Health Training Centers.


* PG 913-914 Government starts a HealthCare
affirmative action program thru guise of diversity scholarships.


* PG 915 SEC. 2251. Government MANDATES Cultural &
linguistic competency training for HealthCare professionals.


* Pg 932 The Government will establish Preventative
& Wellness Trust fund - initial cost of $30,800,000,000-Billion.


* PG 935 21-22 Government will identify specific
goals & objectives for prevention & wellness activities. Control You!!


* PG 936 Government will develop "Healthy People &
National Public Health Performance Standards" Tell me what to eat?


* PG 942 Lines 22-25 More Government? Offices of
Surgeon General -Public Health Services, Minority Health, Women's Health.


* PG 950- 980 BIG Government core public health
infrastructure includes workforce capacity, lab systems; health information
systems, etc


* PG 993 Government will establish school based
health clinics. Your kids won't have a chance.


* PG 994 School Based Health Clinics will be
integrated into the school environment. Say Government Brainwash!


* PG 1001 The Government will establish a National
Medical Device Registry. Will you be tracked?


* PG 1003 9-11 National Medical Dev Reg ''(iii)
other postmarket device surveillance activities" you WILL be tracked.


* PG 1018 States give up some of their State
Sovereignty.
 

winter brew

Premium Member
Lifetime Membership
Nov 26, 2007
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LakeTapps, Wa.
read the bill yourself and make your own determination......I'm no fan of this health care thing, but that blog is SO exaggerated and misinterpreted it's not even funny. We need to judge this thing basedon the FACTS, not a biased interpretation.....if the facts were really as bad as they say they are, then WHY do they completely change the wording?? Why can't they simply quote the bill??? Because they are misinterpreting to mislead!
Here's the bill.....compare the actual wording per-page to the E-mail and judge for yourself....I compare this to the greenies interpretation of sledders.
:beer;:)
http://waysandmeans.house.gov/media/pdf/111/AAHCA09001xml.pdf
 
S

snowmobiler

Well-known member
Nov 26, 2001
8,107
3,922
113
your right.i checked a few and not even close.the wackjob must have been drunk when he made that scare tacktick version.
 
S

Snow Flake

Guest
read the bill yourself and make your own determination......I'm no fan of this health care thing, but that blog is SO exaggerated and misinterpreted it's not even funny. We need to judge this thing basedon the FACTS, not a biased interpretation.....if the facts were really as bad as they say they are, then WHY do they completely change the wording?? Why can't they simply quote the bill??? Because they are misinterpreting to mislead!
Here's the bill.....compare the actual wording per-page to the E-mail and judge for yourself....I compare this to the greenies interpretation of sledders.
:beer;:)
http://waysandmeans.house.gov/media/pdf/111/AAHCA09001xml.pdf

Good on you Winter brew. Quite a few people swallowing the abundance of misinformation being spread around would benefit from your advise.

Thinking for yourself. Wow, what a concept.
 

tudizzle

Well-known member
Lifetime Membership
Mar 23, 2005
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read the bill yourself and make your own determination......I'm no fan of this health care thing, but that blog is SO exaggerated and misinterpreted it's not even funny. We need to judge this thing basedon the FACTS, not a biased interpretation.....if the facts were really as bad as they say they are, then WHY do they completely change the wording?? Why can't they simply quote the bill??? Because they are misinterpreting to mislead!
Here's the bill.....compare the actual wording per-page to the E-mail and judge for yourself....I compare this to the greenies interpretation of sledders.
:beer;:)
http://waysandmeans.house.gov/media/pdf/111/AAHCA09001xml.pdf


You logic is far to simple to be effective.......I have a hard time understanding unless your thoughts have been cut and pasted from a chain email or some random website????



:D


:beer;
 

winter brew

Premium Member
Lifetime Membership
Nov 26, 2007
10,016
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LakeTapps, Wa.
You logic is far to simple to be effective.......I have a hard time understanding unless your thoughts have been cut and pasted from a chain email or some random website????



:D


:beer;


You think that was simple, try reading through the wording on most any CURRENT and COMMON health insurance policy like most of us already have and are defending.....most of us would be absolutly opposed to participating in them with their many variables and limitations.
Is it remotely possible that federal health care could turn out to be BETTER than what most of us already have? :eek: I think the biggest obstacle is the cost, and then believing that our doctors will still have control. If those 2 things can be addressed there is a chance it MIGHT be a good thing. Flame away- :beer;:D
 
S
Dec 5, 2007
1,664
298
83
Colorado
Page 1018 is EXTREMELY disturbing... They can force states to give up sovereignty? That doesn't make sense

Especially disturbing since there are only 1017 pages in the official document from GPO. The version linked above does not have the bill number nor certification. Go to the Library of Congress "Thomas" (as in Jefferson) and click on "GPO's PDF Display" on the left.

Regardless, the last page says that States and all political subdivisions therein will be subject to the healthcare takeover as employers are; auditing, fines, etc... Therefore, the "Line 1018" assertion is CORRECT.


read the bill yourself and make your own determination......I'm no fan of this health care thing, but that blog is SO exaggerated and misinterpreted it's not even funny. We need to judge this thing basedon the FACTS, not a biased interpretation.....if the facts were really as bad as they say they are, then WHY do they completely change the wording?? Why can't they simply quote the bill??? Because they are misinterpreting to mislead!
Here's the bill.....compare the actual wording per-page to the E-mail and judge for yourself....I compare this to the greenies interpretation of sledders.
:beer;:)
http://waysandmeans.house.gov/media/pdf/111/AAHCA09001xml.pdf

Very true. Download and read the bill. I have been working on it. The above assertions are NOT exaggerated. Quoting any bill is most times very impractical. How often do you hear politicians quote bills? The Obama has NOT read this either and lies profusely about it.

You will NOT keep your plan. Government plans will be your ONLY options.
Treatment will be rationed out by a government panel. AARP is NOT in favor of this plan because seniors get the shaft. The plan will greatly increase the deficit.

If you wish to dispute the aforementioned list, please read the appropriate text of legislation and refute it. The pages are listed. Other posts even list the line numbers.
 
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S

snowmobiler

Well-known member
Nov 26, 2001
8,107
3,922
113
half the country cant even afford a plan that alot times backs out and wont pay squat leaving you in bankruptsy.so i assume those people really dont care.
 
S
Dec 5, 2007
1,664
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Colorado
half the country cant even afford a plan that alot times backs out and wont pay squat leaving you in bankruptsy.so i assume those people really dont care.

That is a lie.

About 90% of Americans have health coverage. 100% get emergency treatment.
Of those that do not have coverage, the majority are males between 18 and 34 that make less than $40k per year. That would tend to be the demographic that chooses to buy toys instead.

It does seem that insurance does refuse to pay all too often. However, do you really believe government will cough up the cash at all?
 
S
Oct 15, 2008
314
94
28
Bozeman-MT
My wife and I both read the bill. We both understood what it said differently. That's a big problem. A lot of what it says can be interpreted in several ways. My issue is if the bill gets passed Congress will use what ever interpretation they need to.

This bill was written by a very crafty team of people. Just like everything else with our 50% white President, no transparency.

I don't care if your a Democrat, Republican, or Independent, its time to take control of our Government. This is the approach I think we need to take with all these Kerr's:

http://www.youtube.com/watch?v=ynKoZD-sFi4
 
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Sturgis Sledder

Well-known member
Lifetime Membership
Feb 7, 2003
1,525
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Sturgis, SD
That is a lie.

About 90% of Americans have health coverage. 100% get emergency treatment.
Of those that do not have coverage, the majority are males between 18 and 34 that make less than $40k per year. That would tend to be the demographic that chooses to buy toys instead.

AND drink and smoke more than they can afford, have the biggest TV and the latest video game, or the vehicle with the most "bells and whistles" and wearing sports licensed gear that cost the most.
 
T

thomps33

ACCOUNT CLOSED
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that's the problem with this bill...it's too open interpretation with the language used. Just like the fabled 545 think the constitution is open to interpretation:mad:
 
S
Dec 5, 2007
1,664
298
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Colorado
that's the problem with this bill...it's too open interpretation with the language used.

Most legislation is that way. So, given the FACT that government ALWAYS takes more power over people, we MUST surmise that the BROAD wording of this healthcare takeover will empower government to do its very WORST to us.

Just like the fabled 545 think the constitution is open to interpretation:mad:

545?

The Constitution of the United States of America is written plainly and is easily understood by any English speaking person. Interpretation should not be an issue. The problem is that the Constitution is IGNORED by those in power and the people en mass let them.

The Nationalist-Socialist party in 1920s Germany pushed this same type of power grab and got it. The party was commonly known as the Nazi party.



.
 
B
Dec 31, 2007
1,621
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Lolo, MT
Swampy posted this on another thread a week or so ago with the section numbers, which makes it easier to follow in the actual Bill since Thomas and OpenCongress versions don't have page numbers. http://www.liberty.edu/media/9980/attachments/healthcare_overview_obama_072909.pdf

Cut and paste from the actual bill HR3200

(pg 21) Section 113

(2) REPORTS- Not later than 18 months after the date of the enactment of this Act, the Commissioner shall submit to Congress and the applicable agencies a report on the study conducted under paragraph (1). Such report shall include any recommendations the Commissioner deems appropriate to ensure that the law does not provide incentives for small and mid-size employers to self-insure or create adverse selection in the risk pools of large group insurers and self-insured employers.


(pg 30) SEC. 123. HEALTH BENEFITS ADVISORY COMMITTEE.
(a) Establishment-
(1) IN GENERAL- There is established a private-public advisory committee which shall be a panel of medical and other experts to be known as the Health Benefits Advisory Committee to recommend covered benefits and essential, enhanced, and premium plans.
(2) CHAIR- The Surgeon General shall be a member and the chair of the Health Benefits Advisory Committee. [How many of you have looked into who our current Surgeon General is that Obama just appointed? Look it up!]
(3) MEMBERSHIP- The Health Benefits Advisory Committee shall be composed of the following members, in addition to the Surgeon General:
(A) 9 members who are not Federal employees or officers and who are appointed by the President.
(B) 9 members who are not Federal employees or officers and who are appointed by the Comptroller General of the United States in a manner similar to the manner in which the Comptroller General appoints members to the Medicare Payment Advisory Commission under section 1805(c) of the Social Security Act.
(C) Such even number of members (not to exceed 8) who are Federal employees and officers, as the President may appoint.
Such initial appointments shall be made not later than 60 days after the date of the enactment of this Act.
(4) TERMS- Each member of the Health Benefits Advisory Committee shall serve a 3-year term on the Committee, except that the terms of the initial members shall be adjusted in order to provide for a staggered term of appointment for all such members.

Health choices commissioner decides for you:
SEC. 142. DUTIES AND AUTHORITY OF COMMISSIONER.
(a) Duties- The Commissioner is responsible for carrying out the following functions under this division:
(1) QUALIFIED PLAN STANDARDS- The establishment of qualified health benefits plan standards under this title, including the enforcement of such standards in coordination with State insurance regulators and the Secretaries of Labor and the Treasury.
(2) HEALTH INSURANCE EXCHANGE- The establishment and operation of a Health Insurance Exchange under subtitle A of title II.
(3) INDIVIDUAL AFFORDABILITY CREDITS- The administration of individual affordability credits under subtitle C of title II, including determination of eligibility for such credits.
(4) ADDITIONAL FUNCTIONS- Such additional functions as may be specified in this division.
(b) Promoting Accountability-
(1) IN GENERAL- The Commissioner shall undertake activities in accordance with this subtitle to promote accountability of QHBP offering entities in meeting Federal health insurance requirements, regardless of whether such accountability is with respect to qualified health benefits plans offered through the Health Insurance Exchange or outside of such Exchange.
(2) COMPLIANCE EXAMINATION AND AUDITS-
(A) IN GENERAL- The commissioner shall, in coordination with States, conduct audits of qualified health benefits plan compliance with Federal requirements. Such audits may include random compliance audits and targeted audits in response to complaints or other suspected non-compliance.
(B) RECOUPMENT OF COSTS IN CONNECTION WITH EXAMINATION AND AUDITS- The Commissioner is authorized to recoup from qualified health benefits plans reimbursement for the costs of such examinations and audit of such QHBP offering entities.
(c) Data Collection- The Commissioner shall collect data for purposes of carrying out the Commissioner's duties, including for purposes of promoting quality and value, protecting consumers, and addressing disparities in health and health care and may share such data with the Secretary of Health and Human Services.

SEC. 152. PROHIBITING DISCRIMINATION IN HEALTH CARE. [Illegals not excluded]

(a) In General- Except as otherwise explicitly permitted by this Act and by subsequent regulations consistent with this Act, all health care and related services (including insurance coverage and public health activities) covered by this Act shall be provided without regard to personal characteristics extraneous to the provision of high quality health care or related services.

SEC. 163.
(D) enable the real-time (or near real-time) determination of an individual's financial responsibility at the point of service and, to the extent possible, prior to service, including whether the individual is eligible for a specific service with a specific physician at a specific facility, which may include utilization of a machine-readable health plan beneficiary identification card;
 
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