on H.R.3200

I couldn’t help it, really I couldn’t. I had to go and look at it for myself.

H.R.3200 – America’s Affordable Health Care Choice Act. A.A.H.C.A If you try and pronounce the acronym you get something that sounds not unlike my cat just before he hawks up a hairball.

Same thing happened to me when I started reading this bill. No, I haven’t read all 1006 pages. Heck, I didn’t get past page, well, who knows–you don’t get page numbers when you view it online. It’s really close to the top, though.

‘(a) Standards for Financial and Administrative Transactions-

‘(1) IN GENERAL- The Secretary shall adopt and regularly update standards consistent with the goals described in paragraph (2).

‘(2) GOALS FOR FINANCIAL AND ADMINISTRATIVE TRANSACTIONS- The goals for standards under paragraph (1) are that such standards shall–

‘(A) be unique with no conflicting or redundant standards;

‘(B) be authoritative, permitting no additions or constraints for electronic transactions, including companion guides;

‘(C) be comprehensive, efficient and robust, requiring minimal augmentation by paper transactions or clarification by further communications;

‘(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;

Let’s see here….why do we even need paragraph 1?? No wonder the thing is 1000+ pages long.

(B)…no…constraints for electronic transactions…not sure I wanna know what that means, but am afraid I do as it is defined elsewhere in the bill. Wait for it.

(C)…minimal augmentation by paper….um, 1000+ pages.

(D) (the juicy part of this little section is highlighted for ya) Excuse me? Eligible for a specific service WITH A SPECIFIC PHYSICIAN AT A SPECIFIC FACILITY???? How’s that work w/ the patient’s right to see any provider s/he chooses? Health plan beneficiary identification card?? We can’t have an ID card that distinguishes citizens from non-citizens for purposes like, oh, I don’t know, VOTING, but we can have an ID card for this?

I’ve bookmarked the text of this bill. At first I thought I could use it as reading material for those nights when I can’t sleep at all, or wake up at 3:00 AM w/ fibro pain and can’t get back to sleep. However, upon further reflection, I don’t believe it to be prudent to read this material and then try to sleep.



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