Ten Things You Didn’t Know Were in the Health Bill

by: Emily Badger  |  Miller-McCune

Ten Things You Didn’t Know Were in the Health Bill
(Image: Jared Rodriguez / t r u t h o u t; Adapted: takomabibelot, Josh Self)

From breast pumping to adoption tax credits, the leviathan known as the U.S. health care bill is loaded with little goodies.

The 2,000-page health care bill that became law last week is packed with major reforms probably well known (in concept if not in detail) by anyone who has channel-surfed through the nightly news over the past year. There's an individual mandate, a system of exchanges, new government subsidies and a ban on some of the worst practices of the insurance industry.

Let's say the small print on the big stuff accounts for about 1,500 pages, give or take a ream. What's in the rest? Some random, weird and interesting solutions to problems you may or may not have known you had, some with dubious connection to health care at best. As a public service, we explain some of them here.

The Idea Lobby lists these provisions without endorsement or critique (although cobbling them all together on a single page does make the aggregate look a little scatterbrained). But, rest assured, someone in the know championed hard for each one: the Center for Science in the Public Interest, National Indian Health Board, the National Consumer Voice for Quality Long-Term C

1. Menu labeling. The legislation mandates that national chains with at least 20 restaurants must post "nutrient content disclosure statements" — in other words, calorie counts right next to the menu offering "Big Mac." To drive the point home, menus will also have to mention your suggested daily caloric intake. The provision has all kinds of addendums to deal with seasonal specials, salad bars, vending machines and condiments, but the main idea is this: Maybe we'll eat less garbage if we can't remain willfully ignorant about how bad it is for us.

2. Swag disclosure. The bill contains key elements of the Physician Payments Sunshine Act, a previously bipartisan idea calling for pharmaceutical reps and device manufacturers to disclose all the goodies they give doctors. This includes money, gifts, food, travel, entertainment, grants, just about anything that may constitute a conflict of interest. The "transparency reports" must be submitted to the Secretary of Health and Human Services and will be posted on a publicly searchable Web site.

3. Right to pump. Workplaces will have to provide "reasonable" break time and a private location — other than a bathroom — for breastfeeding mothers to pump breast milk for one year after the birth of a child. Women's groups have long sought such guarantees, and this one will apply to all workplaces with the exception of employers with less than 50 employees, where the demand might create an "undue hardship."

4. Postpartum depression. In addressing another priority for women's groups, the bill singles out the problem of postpartum depression for expanded funding, worker training, publiceducation and research. The National Institute of Mental Health is due to conduct a national longitudinal study of women with postpartum depression, and the Secretary of Health and Human Services must produce a study on the benefits of PPD screening.

5. Tanning tax. Starting July 1 of this year, there will be a new 10 percent excise tax on indoor tanning services (in legislative speak, "a service employing any electronic product designed to incorporate [one] or more ultraviolet lamps and intended for the irradiation of an individual by ultraviolet radiation, with wavelengths in air between 200 and 400 nanometers, to induce skin tanning"). Something called "phototherapy" is excluded.

6. Adoption credit. Beginning with your 2010 taxes, the federal adoption credit goes up by $1,000 to $13,170 per child and now becomes refundable. As one happy advocate blogged, "I'm pretty creative in coming up with ways that adoption is good for all concerned, but even I think the connection of the adoption tax credit and health care is tenuous."

7. Indian health. The bill incorporates aspects of the Indian Health Care Improvement Act, a goal of organizations who point out American Indians have the worst health disparities of any minority group in the U.S., particularly dealing with suicide, alcoholism and tuberculosis. The law increases funding and support on tribal lands for behavioral health and substance abuse, health care worker recruitment and facilities construction.

8. Background checks. The Secretary of Health and Human Services is tasked with developing a national system for conducting criminal background checks of prospective health care workers who would deal directly with patients in long-term care facilities or private homes. This is one of a suite of changes aimed at protecting seniors in nursing homes.

9. Abstinence education. The bill restores federal funding for abstinence-only education, the sex-ed technique that urges students to wait until marriage (while eschewing talk of contraceptives). Researchers dispute the effectiveness of the strategy, and it was getting the cold shoulder from the Obama administration. The health reform bill, however, allocates $250 million for such programs over the next five years.

10. Your W-2. Changes are coming to your tax paperwork. Come next January, the W-2 you receive from your employer (if, hopefully, you have one) will include the cost of employer-provided health care you probably have not quantified before. This will become much more relevant in 2018, when people with the so-called high-cost "Cadillac" plans will have to start paying a hefty tax on it.
 

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"Little goodies" rather than

"Little goodies" rather than the LARGER GOOD of PROMISED single-payer? Oh, bless you (out!) Massa Obama!



Holy crap what a racist and

Holy crap what a racist and stupid thing to say!



These are "little" or not

These are "little" or not goodies at all. What nonsense. We have a far superior solution to this health care crisis--Single-Payer--but what we do not have from the "representatives" of the people is a social conscience which should be a prerequisite for their jobs and not their "networking" with businesses for future lucrative jobs. What a revolting collection of selfish individualists. Not a society AT ALL.



Well, yes, single payer

Well, yes, single payer would be nice. But it ain't cheap. Everything the government needs to do for the country could be accomplished with a "tithe". A ten percent across the board tax of income, gains, interest, dividends, etc. No outs, no exclusions, no loopholes. Ten percent would apply to ALL corporations, especially big oil, some of whom pay little if no tax at all. Ten percent would apply to you if you made 2 million a year or 200 a year. You would be unable to offset this tax amount by claiming anything. A flat 10% tax. Period. The surplus would be huge and social programs would flourish because of the extra money the government now has to take care of its citizens which is what it should be doing in the first place.



Citizens should learn to

Citizens should learn to take care of themselves. I am sick and tired of all the people who are abusing the system, forcing the government to take more tax dollars away from those who earned them.
I'm not against a flat tax, a fair tax, or other versions of tax reform, if they can be proven to cover the cost of necessary government and eliminate the bloated monster we have in power today.
And as far as this health care bill is concerned... I didn't vote for it. Did you?



No mention of the private

No mention of the private security force that is authorized by the bill in section 5210, on page 1312. What's it intended for, and what will it actually be used for?

Establishing a Ready Reserve Corps

http://www.infowars.com/obama-just-got-his-private-army/



Mike, as far as learning to

Mike, as far as learning to take care of oneself goes: when you learn how to do your own heart transplant on yourself because the one you were born with was attacked by a virus, let us all know.



Oh Christ. We're bleeding

Oh Christ. We're bleeding money and they're allocating another 250 mil to failed abstinence education? What a joke and what a waste.

Also, I'd like some conservatives to come out and give me a legitimate defense of this. You're the ones who are always bellyaching about how much money we spend on useless social programs. Justify this one in light of the fact that every study out there says it's pretty useless.



RE: Mike - Yes, I did vote

RE: Mike -
Yes, I did vote for the Health Care Bill.
Remember we have a representative system and I have, repeatedly, let my representatives know that I wanted them to get the best plan they could and they did that - all of three of them.



Money for abstinence-only

Money for abstinence-only education is a good???



I'm delighted that health

I'm delighted that health care passed.

The thing that really gripes me is people saying they don't have health care and the government shouldn't force them to have it. Don't they realize that the government is forced to pick up the tab when they get in an accident and end up in the hospital? Or maybe they do and just want us taxpayers to pay for their care.



WOW!! Let's hear it for the

WOW!! Let's hear it for the paranoid!! For those interested, Obama's "private army" established in the bill would obviously consist of DOCTORS, NURSES & DENTISTS!!!!! (http://nhsc.hrsa.gov/about/ and http://nhsc.hrsa.gov/about/history.htm)

"The National Health Service Corps (NHSC), through scholarship and loan repayment programs, helps Health Professional Shortage Areas (HPSAs) in the U.S. get the medical, dental, and mental health providers they need to meet their tremendous need for health care.
Since 1972, more than 30,000 clinicians have served in the Corps, expanding access to health care services and improving the health of people who live in urban and rural areas where health care is scarce.
About half of all NHSC clinicians work in Health Resources and Services Administration (HRSA)-supported Health Centers, which deliver preventive and primary care services to patients regardless of their ability to pay. About 40 percent of Health Center patients have no health insurance."
And the purpose of the Ready Reserve Corps, as defined in the bill, is "‘‘(1) PURPOSE.—The purpose of the Ready Reserve Corps is to fulfill the need to have additional Commissioned Corps personnel available on short notice (similar to the uniformed service’s reserve program) to assist regular Commissioned Corps personnel to meet both routine public health and emergency response missions."

So, the "army" consists of doctors, nurses, dentists, public health experts, etc. to help in health emergencies (such as Katrina, Haiti, etc.).
I, for one, am shaking in my boots at the thought of an “army” of doctors and nurses descending on my town!!



Mike I am sick and tired of

Mike I am sick and tired of opponents to health care reform placing single payer advocate in the category of dead beat. I support single payer. I have a net worth of million + and I worked for it. I am a land owner, landlord, property manager, and accountant. I get up and go to work everyday.

Single Payer IS NOT a hand out. It is health coverage paid for through taxes rather than run away out-of-control premiums. It is the most efficient and economical way to run a health care system as has been demonstrated by every other G-8 nation.

And, YES, health care is a right, not a privilege.

Get over yourself. The republican health care bill that just passed without a one of them voting for it speaks volumes about their obstructionism and the lengths to which they will go to bring down this administration.

You say it isn't republican. What in this bill have they not advocated for in the passed? They've always wanted mandates. They've always wanted exchanges. They've always wanted an employer based system. Just want didn't they get in this bill that they wanted? It is a bill Mitt Romey and George Bush would be proud to have passed. As a matter of fact it is almost identical to what Mitt passed in MA.



These are all excellent

These are all excellent except for number 9 which restores funding for abstinence education. Except for #9, they will help everybody and should have been put into practice years ago. Better late than never.



To: I'm delighted that

To: I'm delighted that health care passed. I am glad your glad. Through my 30 years of employment I and my employers paid in over $100,000 into private health plans and being extremely healthy never used the system. In the 30 years I didn't have over $5,000 in claims. Once I left and went out on my owe, the premium employer based plans vanished. It made NO difference how much I had contributed. Once out on my owe, I was in a totally different category.
There lies your problem with mandatory purchases. There is no carry over from plan to plan or employer to employer.
Further, not a penny of what goes into the profits of private insurance will go toward Medicare. I've been paying a bit into medicare all these years but I would much rather have had all of that $100,000 dollars going into a system that will be there for me when I older and really need it.

With our current system, and this bill did nothing to change things, all the premiums that we young folks pay into private insurance will continue to go to over bloated CEO profits and medicare will continue going bankrupt.

It is time for single payer. It is the only solution.



Are there any incentives to

Are there any incentives to get doctors and clinics out to rural America? Native American reservations don't have much access to health care, but many small towns are almost as bad.

A small private room for breast milk pumping- that's wonderful; this will do so much to improve the health of our children!

Since I was in the Army, stationed in Europe by both Bushes, I would definitely love to see public option or single-payer health care - those systems work. The only way we will get any improvements to this bill is to keep Democrats in office. The Republicans have said they want "a government so small you could drown it in a bathtub." which probably means money only for the military and no consumer or environmental protections.



Its a mistake to call this

Its a mistake to call this bill a "health care" bill. It is not. What it is, is an insurance company reform bill. The health care legislation will have to come as amendments to the original bill.



Anyone who is going to

Anyone who is going to infuse their commentary w/ racist or just plain stupid, won't you please evolve w/ the rest of us and stick to the facts? First this headline "loaded w/ goodies" -- implies there's anything wrong w/ making employers allow for pumping (i worked for a company that only gave my friend 15 mins a day to do so), that there's something wrong w/ being able to read your W-2's health info, something wrong w/ taking care of our most vulnerable and shafted people in society (our true americans, the indians), making sure we know what the doctors are getting from teh RX companies (um yes, i'd like to know why they're prescribing one drug over another!). Wake up people, the world isn't going to implode (unles the teabags start shooting, which i suspect their loading up right now out of fear and stupidity), none of what is going to take place is going to affect, i'm pretty sure, anyone who's commenting here in the negative (none of you make $200k or $250K married), so get over it. Guess who won the last elections? THE DEMS, that is what democracy is -- you'll get another chance in a few yrs to infiltrate your poison and rapturous hate again. HOping though that in the meantime you'll all go insane watching Obama actually HELPING Americans and corporations at the same time. Hard to deal with, huh... Go take a pill then, am sure your right wing docs are happy to dole them out for freebies from Rx companies...



All these little perks were

All these little perks were kickbacks to members of the congress who were not sure whether to vote for this monstrosity.

This is just another example how willing people are to let government run their lives because are too irresponsible to do so themselves.

Just a quick question to all you in favor of this, where in the US Constitution does it authorize the Federal Government to run your lives? Please point that out because I don't think such an amendment exists.



Some of these "goodies" are

Some of these "goodies" are complete wastes. Like abstinence only sex education which is already proven in studies NOT to be the most effective kind of sex education in schools. 250 billion dollars for what is shown NOT to work?

ALL of this could be much less expensive and much more effective with a 30 PAGE piece of legislation known as SINGLE PAYER. Opening up Medicare.

As for me, right now, in our family's health care, I have the same damn problems as before. We haven't seen anything yet.

All I can say is that I don't want to deal with insurance companies any more!!

SINGLE PAYER NOW!

Let's live like the civilized nations do.



We don't want to deal

We don't want to deal anymore with

Insurance Companies

Billing Offices

State and Federal Offices

We just want to go to the doctor or hospital of our choice. Portability, privacy, choice. No mandates, do it through taxes.

Let those who want their private insurance keep it. Why should the rest of us have to pay for them?

Single payer now!



250 billion dollars to tell

250 billion dollars to tell people not to have sex, and when we have people who can't get in for a cancer diagnosis??

WAY TO GO CONGRESS!

There is NO DIGNITY in medical care through MEDICAID. Medicaid is crapola! Ask the people who don't have any right to complain under that shat system!!

OPEN UP MEDICARE TO ALL AMERICANS NOW!

SINGLE PAYER!



How many billions are going

How many billions are going into billing offices?



You don't want the

You don't want the government to provide healthcare and to stay out of your life-fine. Get rid of the VA, Medicaid, Medicare, stop supporting state programs to provide medical care for children and elderly that may not qualify for other federal programs but still need help. Tell them to get rid of the CDC, the FDA, USAMRIID, and stop supporting WHO. Quit trying to get the Supreme Court to make abortion illegal (that is a health issue, for the mother and the child), eliminate AIDS research, stop supporting colleges and universities that do the research and trials and testing, the Medical Corps would be eliminated and no extra financial aid/loan forgiveness for medical professionals. These are the real life, every day examples that show that the government always has and always will have a very deep hand/tentacle in healthcare. Like it or not, healthcare would fall apart if the government stopping supporting it. No amount of tax breaks, financial penalties or fines for the insurance companies or political posturing can ignore this. People don't want to support others in the guise of it being too expensive, if you lose your job/coverage, who will take care of you or your loved ones? Don't go to the ER or community clinic, the government helps pay for that care and the rest of society doesn't want to help to take care of you either.



@18:05, There are probably a

@18:05,

There are probably a lot of people in government subsidized health care programs, including funding at the state level, who don't want to see single payer happen either. After all, who would be there to chase all those poor people for bills? Make them haggle and beg for their health care? We can't let it be easy for anyone to get health care at that level! If you're poor, we must let you know what a burden to society you are, and how much of a problem you are for the rest of our society. You will work hard for your Medicaid and State Health Programs! You will be grateful and never complain! You will eat shat if we tell you to! The same health care for everyone? Are you kidding me? This is America!



@17:43 — penelope actually

@17:43 — penelope

actually try reading the article and see million instead of billion in the text before you barge in with your fauxrage.

i do agree that Abstn/edu is a pile of doggydo.



@01:25 - faux

@01:25 - faux "anonymous"

don't tell others about their "faux rage" unless you know something about how they get (or don't get) their health care.

signed

real rage (which you probably know nothing about on YOUR health plan)



Yeah 01:25 @doggie do, where

Yeah 01:25 @doggie do, where do you get off barging in and telling others where they're coming from? What the hell do you know about what other people have gone through in this crap medical system that's still crap? Bet you have your doctor taken care of FAUX know it all.



Faux 01:25 - You should go

Faux 01:25 - You should go on doggy do Medicaid before you barge in with your Faux opinions about other posters and how they feel about being on Medicaid instead of Medicare for All.

Some day people like yourself will have to get health care with those you believe are lower than yourself and don't deserve the same quality as you, snoot nose.



I hate the Guv'mint handing

I hate the Guv'mint handing out billions to the corrupt Pentagon. Socialism!



All the little pork barrel

All the little pork barrel amendments to this bill will be trotted out for the disgruntled masses.
One thing's for sure, when everyone is forced to deal with health insurance companies, public dissatisfaction with them will increase. I only hope this fuels eventually getting rid of them in favor of single payer.

Of course single payer is the best solution, but it means destroying one of the biggest most entrenched profit machines in the world: medical insurance pimps who create nothing and siphon our money.
How do we convince people that certain things should not be squeezed for profit? We already have non-profit firefighters, police, and libraries. How do we convince ignorant teabaggers that people suffering from cancer and pneumonia shouldn't be market commodities.
One more for the flat-tax supporters: how could a flat tax ever work? Example: A contractor builds a house at a labor and materials cost of $300k, then sells it for $375k. He will show an income of $375k. At 10% his tax will be $37,500 which is actually half of what he made. How can he claim legit business expenses without a tax code? How can one arrive at a true gross income without qualified deductions? Suddenly the flat tax becomes bumpy and we're back at square one. The flat tax is for people who don't understand the point of a tax code. If you're against taxes just say so, but quit arguing for a unworkable solution.



Single payer is the only

Single payer is the only solution to the health care crisis that will solve all the major problems and at the same time save tons of money. It was absolutely reprehensible and stupid for Obama and the centrist Democrats to take the only real and proven solution off the table. The national government is too controlled by corporations to work, so there is little hope of getting a sane bill passed. We must all fight for single payer on the state level. If we can get a state like California to go to single payer, other states would soon follow when they saw the results.



Maybe it's better if the

Maybe it's better if the Republican attorney generals are able to defeat the mandates in court. Only I don't think they'll be able to. The Democrats will plow forward with their agenda, expanding government, taking away freedoms, providing more health care for some, and in a most inefficent, costly, laborious way.

Too bad the Republicans haven't supported single payer. The Democrats don't really either, but from another angle.

People who argue for flat taxes and then, against mandates, sound absurd.

This country is going to the dogs. People of good sense have no voice, remain unheard, essentially powerless.

I think we'll move, if we can.



the baggers can't

the baggers can't understand that we almost have a flat tax. The poor and middle class pay dearly while the rich consult their tax attorneys AND creatively hide their loot,
Must be a Victorian-era 'Christian thing' that requires Douchebaggers and anti-tax zealots never to question the filthy rich, since they are 'closer to god' then the miserable little people.



I keep hearing this mantra

I keep hearing this mantra about "the government taking over health care" as if that were something bad. I say, 'You bet your arse government should take over health care.' Capitalism and Reaganomics have screwed it up royally. Americans pay ~2.5 times as much per capita for health care as do the French, but get worse care, as measured by outcomes. Further, millions lack access to health care and more than 20,000 people die a year because they can't get treatment. More thousands end up bankrupt because they have to pay for their care out of their own pockets. The uninsured are charged much more for services than the insured. Health insurance premiums are up more than 400% since 2000. Health insurance industry profits are up more than 130% since then. Health insurance companies make their profits by denying coverage with all kinds of fine-print legalistic deceptive practices. Insurance company execs "earn" compensation greater than $20 million. Single payer is the way to go. If that's socialism, then bring it on. Pay for it with a tax on stock-market transactions and securities transactions. The current "system" costs us more and serves us worse than a decent single-payer system.



The only viable solution is

The only viable solution is single payer medicare for all paid for by public taxes, of course. The real question has ALWAYS been a simple one. How do you equitably and efficiently collect public funds? The answer has been irrefutably explained in the book "Progress and Poverty" by Henry George. Humanity needs a "land value tax" on all natural monopoly values, from land values to natural resource values, and all the other (inefficent and unjust) taxes then may be eliminated. Sound too simple? That's because we have been indoctrinated since birth into a paradigm of thought which has us, including every one of us "progressives", believing that the Earth can in some way be justly treated as private property. And so the world our civilization has built on that premise is totally perverted and divorced from God's will of justice and prosperity for all. The solution is neither left nor right, and lies below the level of social discourse of all the divisive issues of our times. If we want a truly functional and sustainable world where human beings are treated with dignity, we need to resuscitate polital economy, as taught by Henry George, back into public discourse and apply the solution of the SINGLE TAX on land value. George proved in his treatise that nothing else can succeed, and his work is still irrefutable after 130 years in publication.



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