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President Obama’s Proposal for Healthcare

Diane | February 24, 2010

Source:  WhiteHouse.gov
February 23, 2010 

The following proposal President Barack Obama will bring to his Thursday health ’summit’ with Congressional leaders contains many of the ideas from the bills already passed by the Democratic House and Senate, including a mandate that individuals buy insurance and a promise to ‘end discrimination’ from pre-existing conditions.”

Over the past year the House and the Senate have been working on an effort to provide health insurance reform that lowers costs, guarantees choices, and enhances quality health care for all Americans. Building on that year-long effort, the President has now put forth a proposal that incorporates the work the House and the Senate have done and adds additional ideas from Republican members of Congress. The President has long said he is open to any good ideas for reforming our health care system, and he looks forward to discussing ideas for further improvements from Republicans and Democrats at an open, bipartisan meeting on Thursday.  

The proposal will make health care more affordable, make health insurers more accountable, expand health coverage to all Americans, and make the health system sustainable, stabilizing family budgets, the Federal budget, and the economy: 

  • It makes insurance more affordable by providing the largest middle class tax cut for health care in history, reducing premium costs for tens of millions of families and small business owners who are priced out of coverage today.  This helps over 31 million Americans afford health care who do not get it today – and makes coverage more affordable for many more. 
  • It sets up a new competitive health insurance market giving tens of millions of Americans the exact same insurance choices that members of Congress will have.  
  • It brings greater accountability to health care by laying out commonsense rules of the road to keep premiums down and prevent insurance industry abuses and denial of care.  
  • It will end discrimination against Americans with pre-existing conditions.
  • It puts our budget and economy on a more stable path by reducing the deficit by $100 billion over the next ten years – and about $1 trillion over the second decade – by cutting government overspending and reining in waste, fraud and abuse.

Key Provisions in the President’s Proposal:

The President’s Proposal builds off of the legislation that passed the Senate and improves on it by bridging key differences between the House and the Senate as well as by incorporating Republican provisions that strengthen the proposal.

One key improvement, for example, is eliminating the Nebraska FMAP provision and providing significant additional Federal financing to all States for the expansion of Medicaid.  For America’s seniors, the proposal completely closes the Medicare prescription drug “donut hole” coverage gap.  It strengthens the Senate bill’s provisions that make insurance affordable for individuals and families, while also strengthening the provisions to fight fraud, waste, and abuse in Medicare and Medicaid to save taxpayer dollars.  The threshold for the excise tax on the most expensive health plans will be raised from $23,000 for a family plan to $27,500 and will start in 2018 for all such plans.  And another important idea included is improving insurance protections for consumers and creating a new Health Insurance Rate Authority to review and rein in unreasonable rate increases and other unfair practices of insurance plans. 

  • Download the full PDF of the President’s key improvements.
  • Read the Overview.
  • Read the President’s Proposed Policies to Improve Affordability and Accountability.
  • Read the President’s Policies to Crack Down on Waste, Fraud and Abuse.
  • Read the President’s Policies to Contain Cost and Ensure Fiscal Sustainability.
  • Read the President’s Other Proposed Policy Improvements.

Summaries of Key Elements of the President’s Proposal:

  • Title I: Quality, Affordable Health Care for All Americans
  • Title II: The Role of Public Programs
  • Title III: Improving the Quality and Efficiency of Health Care
  • Title IV: Prevention of Chronic Disease and Improving Public Health
  • Title V: Health Care Workforce
  • Title VI: Transparency and Program Integrity
  • Title VII: Improving Access to Innovative Medical Therapies
  • Title VIII: Community Living Assistance Services and Supports Act (CLASS Act)
  • Title IX: Revenue Provisions
  • Title X: Reauthorization of the Indian Health Care Improvement Act
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Removing Barriers to Responsible Scientific Research Involving Human Stem Cells

Diane | March 15, 2009

THE WHITE HOUSE

Office of the Press Secretary
_________________________________________
For Immediate Release       March 9, 2009

EXECUTIVE ORDER

- – - – - – -

REMOVING BARRIERS TO RESPONSIBLE SCIENTIFIC
RESEARCH INVOLVING HUMAN STEM CELLS

By the authority vested in me as President by the Constitution and the laws of the United States of America, it is hereby ordered as follows:

Section 1.  Policy.  Research involving human embryonic stem cells and human non-embryonic stem cells has the potential to lead to better understanding and treatment of many disabling diseases and conditions.  Advances over the past decade in this promising scientific field have been encouraging, leading to broad agreement in the scientific community that the research should be supported by Federal funds.

For the past 8 years, the authority of the Department of Health and Human Services, including the National Institutes of Health (NIH), to fund and conduct human embryonic stem cell research has been limited by Presidential actions.  The purpose of this order is to remove these limitations on scientific inquiry, to expand NIH support for the exploration of human stem cell research, and in so doing to enhance the contribution of America’s scientists to important new discoveries and new therapies for the benefit of humankind.

Sec. 2.  Research.  The Secretary of Health and Human Services (Secretary), through the Director of NIH, may support and conduct responsible, scientifically worthy human stem cell research, including human embryonic stem cell research, to the extent permitted by law.

Sec. 3.  Guidance.  Within 120 days from the date of this order, the Secretary, through the Director of NIH, shall review existing NIH guidance and other widely recognized guidelines on human stem cell research, including provisions establishing appropriate safeguards, and issue new NIH guidance on such research that is consistent with this order.  The Secretary, through NIH, shall review and update such guidance periodically, as appropriate.

Sec. 4.  General Provisions.  (a)  This order shall be implemented consistent with applicable law and subject to the availability of appropriations.

(b)  Nothing in this order shall be construed to impair or otherwise affect:

(i)   authority granted by law to an executive department, agency, or the head thereof; or

(ii)  functions of the Director of the Office of Management and Budget relating to budgetary, administrative, or legislative proposals.

(c)  This order is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity, by any party against the United States, its departments, agencies, or entities, its officers, employees, or agents, or any other person.

Sec. 5.  Revocations.  (a)  The Presidential statement of August 9, 2001, limiting Federal funding for research involving human embryonic stem cells, shall have no further effect as a statement of governmental policy.

(b)  Executive Order 13435 of June 20, 2007, which supplements the August 9, 2001, statement on human embryonic stem cell research, is revoked.
 

BARACK OBAMA
 

THE WHITE HOUSE,
March 9, 2009.

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