Infamous page 16
Page 16 of the health care reform bill has become the grassy knoll or Area 54 of health care for conspiracy buffs.
No matter what anyone tells them they are convinced that Page 16 outlaws all private health care plans.
It is not quite as facinating as Sara Palin's claim that her son Trig, with his Down Syndrome, would have to go before an Obama "death panel" to determine if he lives or not, but it is one of the more enduring myths of the health care debate.
(By the way, the National Down Syndrome Congress as endorsed the bill that, if Palin is to be believed, would result in the death of Down Syndrome children.)
In any case, if anyone is interested in the truth, and I have my doubts, here is the entire Page 16 unedited:
1
COVERAGE. 2
(a) GRANDFATHERED HEALTH INSURANCE COV- 3
ERAGE DEFINED.—Subject to the succeeding provisions of 4
this section, for purposes of establishing acceptable cov- 5
erage under this division, the term ‘‘grandfathered health 6
insurance coverage’’ means individual health insurance 7
coverage that is offered and in force and effect before the 8
first day of Y1 if the following conditions are met: 9
(1) LIMITATION ON NEW ENROLLMENT.— 10
(A) IN GENERAL.—Except as provided in 11
this paragraph, the individual health insurance 12
issuer offering such coverage does not enroll 13
any individual in such coverage if the first ef- 14
fective date of coverage is on or after the first 15
day of Y1. 16
(B) DEPENDENT COVERAGE PER- 17
MITTED.—Subparagraph (A) shall not affect 18
the subsequent enrollment of a dependent of an 19
individual who is covered as of such first day. 20
(2) LIMITATION ON CHANGES IN TERMS OR 21
CONDITIONS.—Subject to paragraph (3) and except 22
as required by law, the issuer does not change any 23
of its terms or conditions, including benefits and 24
cost-sharing, from those in effect as of the day be- 25
fore the first day of Y1.
No matter what anyone tells them they are convinced that Page 16 outlaws all private health care plans.
It is not quite as facinating as Sara Palin's claim that her son Trig, with his Down Syndrome, would have to go before an Obama "death panel" to determine if he lives or not, but it is one of the more enduring myths of the health care debate.
(By the way, the National Down Syndrome Congress as endorsed the bill that, if Palin is to be believed, would result in the death of Down Syndrome children.)
In any case, if anyone is interested in the truth, and I have my doubts, here is the entire Page 16 unedited:
1
COVERAGE. 2
(a) GRANDFATHERED HEALTH INSURANCE COV- 3
ERAGE DEFINED.—Subject to the succeeding provisions of 4
this section, for purposes of establishing acceptable cov- 5
erage under this division, the term ‘‘grandfathered health 6
insurance coverage’’ means individual health insurance 7
coverage that is offered and in force and effect before the 8
first day of Y1 if the following conditions are met: 9
(1) LIMITATION ON NEW ENROLLMENT.— 10
(A) IN GENERAL.—Except as provided in 11
this paragraph, the individual health insurance 12
issuer offering such coverage does not enroll 13
any individual in such coverage if the first ef- 14
fective date of coverage is on or after the first 15
day of Y1. 16
(B) DEPENDENT COVERAGE PER- 17
MITTED.—Subparagraph (A) shall not affect 18
the subsequent enrollment of a dependent of an 19
individual who is covered as of such first day. 20
(2) LIMITATION ON CHANGES IN TERMS OR 21
CONDITIONS.—Subject to paragraph (3) and except 22
as required by law, the issuer does not change any 23
of its terms or conditions, including benefits and 24
cost-sharing, from those in effect as of the day be- 25
fore the first day of Y1.
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