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Showing posts with label Obamacare. Show all posts
Showing posts with label Obamacare. Show all posts

Saturday, January 4, 2014

Barack Obama And His DOJ's War On The Little Sisters Of The Poor

 

Catholic nuns forced to comply with contraception rule? 


 

 Barack Obama And His DOJ's War On The Little Sisters Of The Poor




Published on Sep 24, 2013

The Little Sisters of the Poor are
an international Roman Catholic Congregation of women Religious founded in 1839 by St. Jeanne Jugan. They operate homes in 31 countries, where they provide loving care for over 13,000 needy elderly persons.
 
Although the Little Sisters' homes perform a religious ministry of caring for the elderly poor, they do not fall within the government's narrow exemption for "religious employers." Accordingly, beginning on January1, the Little Sisters will face IRS fines unless they violate their religion by hiring an insurer to provide their employees with contraceptives, sterilization, and abortion-inducing drugs.


For more information, visit www.becketfund.org/littlesisters


Sometime this weekend, consider a word or donation of support by way of thanks to the Little Sisters for being so counterculturally authentic, beacons of integrity, and inspiration.

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Big Government vs. the Little Sisters of the Poor


As expected, the Obama Administration today asked the Supreme Court not to exempt Catholic groups from an ObamaCare requirement to offer contraceptive coverage, after
Justice Sonia Sotomayor gave them a temporary reprieve earlier this week.


That means that Catholic doctrine notwithstanding, President Obama and his minions want to enforce coverage which includes birth control pills and abortifacients for this person:



The Administration’s court filing comes in response to an emergency stay  issued late Tuesday, December 31 by Justice Sonia Sotomayor which prevented the government from enforcing the Mandate against the LittleSisters of the Poor Home for the Aged.


The Becket Fund for Religious Liberty, which is representing the nuns in the case, argue that since the Catholic Church strongly opposes birth control, any requirement which requires that they
 pay for it or their insurance coverage include it is a violation of the  Sisters’ religious liberties, as guaranteed by the First Amendment.


But the Justice Department, responding this morning before the 10 a.m. deadline imposed by Justice Sotomayor, reiterated its tired argument that the group has no foundation for its case.  The
Obama Administration contends that religious groups such as Little Sisters of the Poor can simply certify that they don’t want to provide contraception coverage, leaving it to a third-party provider (the
insurance plan) to decide whether to provide coverage.  The Administration’s response claims,

“Applicants have no legal basis to challenge the self  certification requirement or to complain that it involves them in the  process of providing contraceptive coverage.” 

However, the Sisters have argued that even signing the certification form would violate their religious beliefs.


Mark Rienzi, senior counsel for the Becket Fund, said in a statement,

“The government demands that the Little Sisters of  the Poor sign a permission slip for abortion drugs and contraceptives, or pay millions in fines.  The Sisters believe that doing that violates their faith, and that they shouldn’t be forced to divert funds from the
poor, elderly and dying people they’ve devoted their lives to serve.”

Until now, the Obama Administration has insisted that only churches are entitled to an exemption—and  that the exemption does not extend to religious institutions such as social service agencies or schools.  The United States Conference of Catholic Bishops, in their March 2012 statement, listed three areas of concern with the Affordable Care Act: (1) the narrow definition of
“religious employers” that are exempted, (2) the “accommodation” of religious ministries excluded from that definition, and (3) the treatment of businesses run by people who seek to operate their
companies according to religious principles.


The USCCB has refused to comply.  In a fact sheet on the contraceptive mandate, the USCCB explained:
1. The mandate forces coverage of sterilization and abortion-inducing drugs and devices as well as contraception. Though commonly called the “contraceptive mandate,” the federal mandate also forces employers to sponsor and subsidize coverage of sterilization. And by including all drugs approved by the FDA for use as contraceptives, the mandate includes drugs that can induce abortion such as “Ella” (Ulipristal), a close cousin of the abortion pill RU-486. 
 
2. The mandate does not exempt Catholic charities, schools, universities, or hospitals. These institutions are vital to the mission of the Church, but the Administration does not deem them “religious employers” deserving conscience protection because they do not “serve primarily persons who share the[ir] religious tenets.” The Administration denies these organizations religious freedom precisely because their religiously motivated purpose is to serve the common good of society—a purpose that government should encourage, not punish.

3. The mandate forces these institutions and others, against their conscience, to pay for and facilitate things they consider immoral. Under the mandate, the government forces religious insurers to write policies that violate their beliefs; forces religious employers and schools to subsidize and facilitate coverage that violates their beliefs; and forces conscientiously objecting employees and students to purchase coverage that violates their beliefs.

4. The federal mandate is much more sweeping than existing state mandates. Employers can generally avoid the contraceptive mandates in 28 states by self-insuring their prescription drug coverage, dropping that part of their coverage altogether, or opting for regulation under a federal law (ERISA) that pre-empts state law. The HHS mandate closes off all these avenues of relief.  HHS’ policy of mandating surgical sterilization coverage is reflected in only one state law, Vermont. HHS also chose as its model the narrowest state-level religious exemption, drafted by the ACLU and existing in only 3 states (New York, California, Oregon).

5. Many others have joined the Catholic bishops in speaking out against the mandate. Many recognize this as an assault on the broader principle of religious liberty, whether or not they agree with the Church on the underlying moral question. For example, at a February 2012 congressional hearing on this issue, testimony supporting the USCCB’s position was heard from the President of the Lutheran Church-Missouri Synod, a distinguished Orthodox rabbi, and officials and professors from several Protestant institutions of higher learning. The nation’s two  largest non-Catholic denomination, the Southern Baptist Convention, has strongly criticized the contraceptive mandate, as have leaders of the National Association of Evangelicals, Institutional Religious Freedom Alliance, Union of Orthodox Jewish Congregations of America, Evangelicals for Social Action, and the Council for Christian Colleges and Universities. An online declaration supporting the Church’s position has been signed by about 28,000 Catholic and non-Catholic women, including many health professionals, academics and businesswomen.

6. The rule that created the uproar has not changed at all, but was finalized as is. After its initial proposal of August 2011 was widely criticized across the political spectrum as an attack on religious freedom, the Administration announced its final rule of February 15, 2012 as a compromise. But in fact that rule finalizes the original proposal “without change.” So religious organizations dedicated to serving people of other faiths are still not exempt as “religious employers.”

7. The proposed “accommodation” is not a current rule, but a promise that comes due beyond the point of public accountability. On February 15, besides finalizing its mandate without change, HHS also announced it will develop more regulations to apply that mandate differently to “non-exempt, non-profit religious organizations”—the charities, schools, and hospitals that were left out of the “religious employer” exemption. The regulations for this “accommodation” will be developed during a one-year delay in enforcement, their impact not felt until after the November election.

8. In its March 21 Advance Notice, HHS makes it clear that even the “accommodation” will do nothing to help objecting insurers, objecting employers that are not “religious” as defined by HHS, or individuals. In its August 2011 comments, and many times since, the Catholic bishops’ conference identified all the stakeholders in the process whose religious freedom is threatened—all employers, insurers, and individuals, not only those who meet the government’s definition of religious employers.  It is now clear that all insurers, including self insurers, must provide the coverage; and almost all individuals who pay premiums (whether enrolled in an individual plan or an employer plan) have no escape from subsidizing that coverage. Only organizations identified as “religious” (to be defined by later regulation) may qualify for the “accommodation.”

9. Even religious charities, schools, and hospitals that do qualify for the “accommodation” will still be forced to violate their beliefs. The mandate will still be applied with full force to all employees of these “second-class-citizen” religious institutions, and to the employees’ dependents such as teenage children. While the Administration says employees will not pay an additional charge for this coverage, ultimately the funds to pay for it must come from the premium dollars of the employer and employees. And when these organizations provide any health coverage to their employees, that will be the trigger for having the objectionable coverage provided “automatically” to all these employees and their dependents — even if both employer and employee object to it.


There’s more.  You can access the full fact sheet and additional information regarding the HHS Mandate at the US Bishops’ website.

Read More: SOURCE 


UPDATE:  Kathryn Jean Lopez, over at The Corner, participated today in a conference call in with the Becket Fund.  She reports on the Obama Administration’s “Shocking and Unnecessary ‘War’ on
 Nuns Who Serve the Elderly Poor”, and she invites her readers to consider making a financial gift to the Little Sisters of the Poor.  Read her excellent insights here.

 Little Sisters Of The Poor - Jeanne Jugan








Friday, January 3, 2014

Hospital CEO Blames Obamacare Contractor for Medicare Payment Delays

NE Houston hospital unable to pay employees, blames new Medicare payment facilitator 

 

Dozens of employees at a hospital in northeast Houston have had to make it through the holidays without getting paid for weeks. The CEO of Saint Anthony's Hospital on Little York is blaming a new Medicare payment contractor for his payroll problems

Nearly 150 employees, ranging from doctors to nurses and administrators, haven't been paid in nearly a month, and the CEO says it's not his fault. 

For the neighbors around St. Anthony'S Hospital, the care has been convenient. 

"Since it was close and I was bleeding, I had to come over here," former patient Delores Cano said. But that could soon change. According to the CEO Jason Leday, more than 150 employees haven't been paid in nearly a month. 

"I understand that they have children and a house payment, bills. Not getting paid is wow," nearby resident Theresa Gutierrez said. 

The hospital is strapped for cash not because its not making money, but because Leday says a new Medicare payment facilitator named Novitas Solutions is taking too way long to pay out Medicare claims to the hospital. 

Leday says he's owed nearly $3 million in payments from Medicare and can't make payroll.

Read More: ABC 13 Houston News
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Hospital CEO Blames Obamacare Contractor for Medicare Payment Delays

Employees at a Houston area hospital haven't been paid for nearly a month, and the facility's top official blames a contractor building the financial management system for the Obamacare insurance exchange website for delaying Medicare reimbursements.

Saint Anthony's Hospital CEO Jason Leday told ABC-KTRK in Houston that Medicare owes the facility nearly $3 million and he can't meet payroll for more than 150 employees until the reimbursement bill is paid.

Leday says Novitas Solutions, the federal government's new Medicare payment contractor for the south-central U.S. region is to blame. The company was hired by the Centers for Medicare and Medicaid Services (CMS), reports The Weekly Standard.

The Texas Medical Association reports it has been getting other complaints about Novitas, which also operates the south-central region's Medicare website, which was launched two days before the HealthCare.gov site launched on Oct. 1. The regional Medicare website site also has problems similar to the troubles that initially plagued the Healthcare.gov site, and officials say it will not be fully operational until well into 2014.

Novitas was awarded a contract on Aug. 9 to build the backend system of the Obamacare website that handles accounting and premium payments to insurers. The company got the contract without having to bid for it under an emergency designation by CMS because of the fast-approaching Jan.1, 2014 launch of Obamacare.

The contract, valued at nearly $12 million, is just one of many contracts the company has with CMS, including some that cover doctor and hospital claim administration under the Medicare program.

Leday told KTRK that he's "very remorseful and disappointed" that he can't pay his employees. He said his own salary hasn't been paid in a year and that he has provided gas and grocery money for some employees from his own personal bank account during the past month.

"Its been hard for everybody," he told the television station. "This is a national issue that affects us locally. We are adapting to the new ways of doing business that have been created. We think we can be successful in 2013 and can take care of all of our employees through the transition."

Who is Novitas Solutions?
Novitas Solutions, Inc., (Novitas) proudly serves as an administrative services processing company for government-sponsored health care programs on behalf of the federal government. We employ more than 1,000 staff in the Mechanicsburg and Harrisburg, Pa. areas. Nearly 1,000 other associates are located in field offices in Hunt Valley, Md.; Pittsburgh and Williamsport, Pa.; Dallas, Texas; Milwaukee, Wis.; and Jacksonville, Fla. Novitas currently administers:
  • The Medicare Administrative Contract (MAC) Jurisdiction L (JL), which spans four states and Washington D.C.;
  • The Medicare Administrative Contract (MAC) Jurisdiction H (JH), which spans seven states, Indian Health Service (IHS) and Veterans Affairs (VA); and
  • The payment processing for the Federal Reimbursement of Emergency Health Services Furnished to Undocumented Aliens contract, as authorized under Section 1011 of the 2003 Medicare Modernization Act.

Overview of Novitas Solutions, Inc. in Camp Hill, PA

Novitas Solutions, Inc. filed as a Foreign for Profit Corporation in the State of Florida on Monday, May 14, 2012 and is approximately two years old, as recorded in documents filed with Florida Department of State. The filing is currently active as of the last data refresh which occurred on Sunday, September 01, 2013. A corporate filing is called a foreign filing when an existing corporate entity files in a state other than the state they originally filed in. This does not necessarily mean that they are from outside the United States.

Key People

Stephen Booma serves as the Director and has interests in other corporate entities including Navigy, Inc., First Coast Service Options, Inc. and five more corporations.

Guy Marvin is the Director of Novitas Solutions, Inc.. Guy's additional corporate interests include First Coast Service Options, Inc., Pirates Bay Homeowners Association, Inc. and two more corporations. Guy's past corporate affiliations include Capital Insurance Facilities, Inc.
 
The President of Novitas Solutions, Inc. is Sandra Coston. . Sandra has other corporate interests including First Coast Service Options, Inc., Diversified Service Options, Inc. and two more corporations.

The registered agent for the company is Thomas C. Anderson. Also known as a statutory or resident agent, the registered agent is responsible for receiving legal notifications regarding court summons, lawsuits, and other legal actions involving the corporate entity.

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Overview of Novitas Solutions Inc in Jacksonville, FL

This profile for Novitas Solutions Inc is located in Jacksonville, FL. Novitas Solutions Inc industry is listed as Nonclassifiable Establishments.


Key People

Guy Marvin serves as the Principal

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PARENT COMPANY:  Diversified Service Options

Overview of Diversified Service Options, Inc. in Jacksonville, FL

Diversified Service Options, Inc. filed as a Domestic for Profit Corporation in the State of Florida on Tuesday, May 19, 1998 and is approximately sixteen years old, as recorded in documents filed with Florida Department of State. The filing is currently active as of the last data refresh which occured on Sunday, September 01, 2013.

Key People

Deanna McDonald serves as the Chairman and has interests in other corporate entities including Blue Cross and Blue Shield of Florida Foundation, Inc., H.H. Holdings, Inc. , and First Coast Service Options, Inc.
 
Sandra Coston is the CEO of Diversified Service Options, Inc.. Sandra's additional corporate interests include First Coast Service Options, Inc., C2C Solutions, Inc.
 
The Treasurer of Diversified Service Options, Inc. is Jonathan Hogan. . Jonathan has other corporate interests including C2C Solutions, Inc. located in Jacksonville, FL

The registered agent for the company is Thomas C. Anderson. Also known as a statutory or resident agent, the registered agent is responsible for receiving legal notifications regarding court summons, lawsuits, and other legal actions involving the corporate entity.
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 SISTER COMPANY: First Coast Service Options

Overview of First Coast Service Options, Inc. in Jacksonville, FL

First Coast Service Options, Inc. filed as a Domestic for Profit Corporation in the State of Florida on Friday, May 22, 1998 and is approximately sixteen years old, according to public records filed with Florida Department of State. The filing is currently active as of the last data refresh which occurred on Sunday, September 01, 2013.

Key People

Sandra Coston serves as the President and has interests in other corporate entities including Diversified Service Options, Inc., C2C Solutions, Inc.
 
Guy Marvin is the Chairman of First Coast Service Options, Inc.. Guy's additional corporate interests include Novitas Solutions, Inc., The Florida Sunnyland Chapter of The Antique and Classic Boat Society, Inc. and two more corporations. Guy's past corporate affiliations include Capital Insurance Facilities, Inc.
 
The Director of First Coast Service Options, Inc. is Kathy Ledvina.  Kathy has other corporate interests including Novitas Solutions, Inc. located in Camp Hill, PA

The registered agent for the company is Thomas C. Anderson. Also known as a statutory or resident agent, the registered agent is responsible for receiving legal notifications regarding court summons, lawsuits, and other legal actions involving the corporate entity.




Saturday, December 14, 2013

ObamaCare Whistleblower: I was Told IRS Harassment ‘Came From The Top’ (Audio)

ObamaCare Whistleblower: I was Told IRS Harassment ‘Came From The Top’ (Audio)

Wednesday, radio talk show host Sara Marie Brenner interviewed Bill Elliott, the cancer patient who gained notoriety when he appeared on Fox News with Megyn Kelly after his insurance was cancelled. Elliott, you may remember, later received notification of his audit from the IRS on the same day C. Steven Tucker, the man who helped him get his insurance back, received his. After reaching out to SC Governor Nikki Haley, two congressmen and a Democratic US Senator from North Carolina, he was able to get his IRS “audit” terminated.
According to Elliott, the US Senator – presumably Kay Hagan – was especially helpful on that front.
Via The Washington Times:
Elliott explained that he got cancer in 2007 when he was exposed to some radiological contamination in his work as a chemical and biological trainer to the military. He received a settlement from the government in 2009, which is the same year that the IRS wanted to audit. However, Elliott explains that settlements like these are tax-exempt, and that the IRS was inquiring about something to which they already should have known the answer.
Elliott went on to claim that an unnamed congressman told him that he believed the IRS inquiry had come “from the top.”
Elliott explained that he wasn’t sure whether he meant that “the top” was the president, the IRS or HHS. Someone “from the top ordered the investigation of me and Steve [Tucker],” he says. Elliott has been in communication with Governor Nikki Haley and other elected officials to obtain information and assistance.
Elliott expects to receive a confirmation soon that the IRS audit is “over with” and that he is “clean and good to go.” He plans to continue to help others who have experienced what he has, including informing others that they too can have their insurance reinstated through HIPAA laws.
I asked Elliott if he thought the congressman had any special reason to believe the IRS harassment had come from the top, and he told me that it was speculation based on the fact that 3 people got notifications around the same time.
That’s right three people. In addition to Elliott and C. Steven Tucker, there was another audit as well – of an individual who wishes to remain anonymous because he still works for the government. Elliott and Tucker got their audits on the same day. The other person must have gotten his first. Elliott told me, “that’s why I stated ‘I knew this was coming.’”

The interview begins 20:55 minutes in.

 

SOURCE: NICE DEB

The following is the original interview with Megyn Kelly:

Cancer Patient Resigned To Die Now That Insurance Plan Has Been Canceled

Published on Nov 8, 2013

A South Carolina man was diagnosed with cancer and his old insurance was providing him with the doctors and treatment he needed, but that insurance has been cancelled because Obamacare regulations. His new options are so expensive that he's decided to give up and "let nature take its course" rather than put his family under the financial strain of paying for the new insurance that Obamacare requires.

 

Tuesday, December 10, 2013

No, You Can't Keep Your Drugs Either Under Obamacare

photo courtesy of steadyhealth.com

  How will ObamaCare impact prescription drug coverage?

Published on Dec 9, 2013
Dr. Scott Gottlieb says law could bring higher costs

No, You Can't Keep Your Drugs Either Under Obamacare

EXCERPTED FROM FORBES:The President famously promised that you could keep your health plan and doctor. For many people, both of those pledges are turning out to be false. And now, you might not be able to keep your medicine, either.

There are two reasons why. The first has to do with the higher out of pocket costs patients will face. The second issue may be even more significant.

Simply put, many drugs may not be covered at all, and the costs patients incur by buying them with cash won’t count against out of pocket caps. This has repercussions for drug makers with big portfolios of specialty and primary care drugs (more on that later). But most of all, it has implications for patients.

Drugs on your health plan’s formulary will typically have fixed co-pays. These costs usually count toward your deductible and the out of pocket and lifetime limits on the total amount of money that your health plan can ask you to spend.

As the Wall Street Journal recently reported, these co-pays can already be substantial, pushing people quickly to their annual out-of-pocket limits — $6,350 for individuals and $12,700 for families (after which insurers pay the full tab).

People whose annual income is at or below 250% of the Federal Poverty Level will qualify for cost-sharing reductions. (That comes out to families of four earning less than about $60,000, or individuals earning less than $30,000). But people qualify for these cost-sharing subsidies only if they enroll in a higher cost, “silver” Obamacare plan.

Take, for example, the drug Copaxone for multiple sclerosis.

Someone on a bronze plan would be responsible for paying about 40% of the drug’s costs out of pocket, on average. That comes out to about $1,980 a month.

If you buy the highest cost platinum plan, the out of pocket costs drop to $792 a month. But you’re probably better off with the cheaper bronze plan anyway.

Since you’re going to hit your out of pocket cap regardless of your plan, you might as well save money on the premium (which doesn’t count against your deductible or out of pocket limits) and race to the $12,700 spending cap as quickly as your family can.

After all, the provider networks (and formularies) used by low cost “bronze” and high cost “platinum” plans are often the same. The only thing that varies between different “metal” plans is typically the co-pay structure. Why pay higher premiums just to lower your co-pays when you’re going to hit the out of pocket caps anyway.

By purchasing a costlier, gold or platinum plan, you typically can’t “buy up” to a higher  benefit. 

What you’re really doing is just prepaying the cost sharing.

But consider the even bigger problem lurking inside the law.

The out of pocket caps on consumer spending only apply to costs incurred on drugs that are included on a plan’s drug formulary. This is the list of medicines that the health plans have agreed to provide some coverage for.

If the drug isn’t on this formulary list, then the patient could be responsible for its full cost (with little or no co-insurance to help offset that cost). Moreover, the money they spend won’t count against their deductibles or out of pocket limits ($12,700 for a family, $6,350 for an individual).

These are the ways that Obamacare cheapens the health coverage in order to pay for all of its expensive mandates. Obamacare is a throwback to the old HMO model of the 1990s, which promised a broad package of coverage for primary care benefits like vaccines, and routine doctor visits. But to pay for these benefits, the Obamacare plans skimp on other things – principally the number of doctors you’ll have access to, and also, the number of costlier branded drugs that make it onto formularies.

Many Americans rejected these restrictive HMO model plans in the 1990s, in favor of PPO-style plans that had higher cost sharing for routine health services, but offered broader access to doctors and have bigger drug formularies. What Obamacare says, in effect, is that Americans made the wrong choice when they rejected those HMO plans in favor of PPOs. The President thinks the more comprehensive, but restrictive HMOs were the better choice after all.

In response to the drug formulary issues, and the potential for important drugs to remain completely uncovered, staff at the Centers for Medicare and Medicaid Services is arguing that patients will have the option to appeal formulary decisions — to try and compel a health plan to cover a given drug.

But this appeals process can take months. And there is no sure chance of winning.

If a drug costs tens of thousands of dollars a year, how many patients will be able to foot that bill out of pocket until they win an appeal. Or take the chance that they could lose the appeal, and be stuck with the full cost of the drug?

The biggest problem in all of this is that consumers will have a very hard time figuring out where they stand. In many cases, the health plans being offered in the Obamacare exchanges don’t make information about their drug formularies readily available. In some cases, it doesn’t seem to be published anywhere.

The government was supposed to mandate that plans made this information easily accessible. But that never happened.


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RELATED ARTICLES:
OBAMACARE OUT OF POCKET LIMIT (ANOTHER BIG LIE)
The new and improved health insurance plans promised to make “medical bankruptcy” essentially a thing of the past. Your Obamacare out of pocket limit was supposed to protect consumers from large medical bills. 

Only the plans as conceived by Congress only addressed routine, low dollar claims such as preventive care. In doing so you are left exposed to uncovered, unpaid medical bills significantly higher than with current plan designs.

About that Obamacare out of pocket limit . . .
“This will reduce bankruptcies, but it won’t eliminate them. Until we know what the plans look like and how people are slotting themselves, we won’t know what the impact on bankruptcy will be. We know there will be some decrease but we don’t how much.”
MedPage Today
But the new plan designs were supposed to alleviate that issue.
For Americans not covered by Medicare or Medicaid, they will have two options: grandfathered and exchange health plans.
And what about the third option?
Non-exchange plans . . .
For exchange-sold plans, the maximum annual out-of-pocket cost is $6,350 per individual and $12,700 per family but those caps may reflect only part of the ACA story.
Note the distinction.
Exchange. Sold. Plans.
if the insurer uses a 3rd party prescription drug vendor such as Express Scripts to manage prescription drugs, the beneficiary may face two separate out of pocket expenses, one for medical costs and the other for prescription drugs.
Under such a scenario, after an individual or family pays their premiums and deductibles, they still could be left with a bill of $13,000 or $25,400, respectively.
Or even more.

Copay plans do NOT have an out of pocket maximum for prescription drugs. Drug copay’s do not count toward your major medical deductible nor out of pocket limits.

And these estimates only include in network claims. Out of network claims have separate deductibles, separate copay’s, and separate out of pocket maximums.

There is one other distinction to consider in reviewing Obamacare out of pocket maximums.
Your out of pocket limit only includes covered expenses.

If your prescription drug is not on the formulary, it is not covered, and not subject to copay’s or factored into your Obamacare out of pocket maximum.

In other words, the sky is the limit on what you will have to pay out of pocket if the drug you need is not covered under Obamacare...you are on your own and you don't get to apply the cost of those prescriptions toward and out of pocket costs. 
SOURCE
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 RELATED LINKS:
Obamacare: Your guide to health insurance terms 
Affordable Care Act: Questions and Answers on Over-the-Counter Medicines and Drugs 
How to pick an Obamacare insurance plan 

Thursday, November 28, 2013

Death Panels Alive And Well In Canada And Coming Here

 

"Death Panel" - Obamacare Controversy - Time Mag Analyst: "Rationing" Board In Law

Death Panels Alive And Well In Canada And Coming Here

Canada's Supreme Court has ruled that under the "law of the land" in Ontario, a government board, not the family or doctors, has the ultimate power to pull the plug on a patient.
 Lost in the discussion of defunding ObamaCare and the failed effort in Congress is the fact that failure means the government's ability to defund your life through the ObamaCare's Independent Payment Advisory Board (IPAB) remains. IPAB is regarded by many, starting with former Alaska Gov. Sarah Palin, as a death panel whose decisions based on cost effectiveness would result in health care rationing.

A glimpse of this brave new world can be had by casting a glance at our neighbor to the north. There, Canada's Supreme Court ruled 5-2 that under Ontario's Health Care Consent Act, which has been on the books for nearly two decades, doctors cannot overrule a family's wishes for an incapacitated patient regarding life or death decisions, but an administrative tribunal can.


#ObamaCare: IPAB

A Walkthrough Of ObamaCare’s Most Powerful Bureaucracy

OBAMACARE ALLOWS FOR UNELECTED BUREAUCRATS TO CONTROL HEALTH CARE

ObamaCare Created The Independent Payment Advisory Board (IPAB) “To Come Up With Ways To Cut Medicare Spending If It Grows Too Fast.” “That’s the job description for the 15 members of the Independent Payment Advisory Board — the new panel created by President Barack Obama’s health care law to come up with ways to cut Medicare spending if it grows too fast.” (David Nather, “Medicare Cost-Cutting Job Could Be Worst in D.C.,” Politico, 5/14/11)
  • “If Per Capita Costs Grow By More Than GDP Plus 0.5%, This Board Would Get More Power, Including An Automatic Budget Sequester To Enforce Its Rulings” To Cut Medicare Costs. “Fifteen members will serve on the Independent Payment Advisory Board, all appointed by the President and confirmed by the Senate. If per capita costs grow by more than GDP plus 0.5%, this board would get more power, including an automatic budget sequester to enforce its rulings. So 15 sages sitting in a room with the power of the purse will evidently find ways to control Medicare spending that no one has ever thought of before and that supposedly won’t harm seniors’ care, even as the largest cohort of the baby boom generation retires and starts to collect benefits.” (Editorial Board, “The Presidential Divider,” The Wall Street Journal, 4/14/2011)
The Wall Street Journal: IPAB Embraces The Thought That Health Care Decisions Are Best Made By Bureaucrats Rather Than Patients. “This turn is remarkable because the IPAB really does embody ObamaCare’s innermost values and beliefs—to wit, that health decisions are too important to leave to the people receiving the care (patients), the people providing the care (doctors and hospitals), the people paying for the care (taxpayers), or even the people who got the government involved in the first place (politicians).” (Editorial, “Independent Payment Advisory Revolt,” The Wall Street Journal, 3/9/12)
IPAB Threatens Patient Care
Obama’s HHS Secretary Admits That IPAB Threatens Seniors’ Access To Certain Procedures. “‘If Congress accepted the recommendations and made the decision that cuts in dialysis were appropriate,’ Sebelius replied, ‘I assume there could be some providers who would decide that would not be a service they would any longer deliver…’” (Kathleen Sebelius, “IPAB:  The Controversial Consequences For Medicare And Seniors,” House Energy And Commerce Committee’s Health Subcommittee, 7/13/11)

Witnesses At A Recent Congressional Hearing Argued That IPAB Would Reduce Access To Medical Care. “The Independent Payment Advisory Board, created under the health care law to help control Medicare costs, lacks flexibility to do much more than cut provider payments that would lead to a reduction in access to care, witnesses told a House Ways and Means panel March 6.” (Ralph Lindeman, “IPAB Would Reduce Access to Care, Witnesses Tell Ways and Means Panel,” Bloomberg, 3/7/12)

The Wall Street Journal: IPAB’s “End Game” Will Limit Patient Care.” “The only alternative, and the IPAB’s true end game, is harsher and more arbitrary price controls and eventually limits on the care patients are allowed to receive. The New England Journalists (of Medicine) deny this reality because ObamaCare has a clause that prohibits ‘rationing,’ even as the law leaves that term undefined. But reducing treatment options will be inevitable as government costs explode.” (Editorial, “Independent Payment Advisory Revolt,” The Wall Street Journal, 3/9/12)
  • The Wall Street Journal: IPAB Will Allow Bureaucrats To “Throw Granny Over The Cliff.”  “One place to start is by attacking the Democratic plan to cut Medicare via political rationing. Mr. Ryan’s budget had the virtue of embarrassing President Obama’s spend-more initial budget, and the White House responded by proposing to increase the power of the new Independent Payment Advisory Board (IPAB) to decide what, and how much, Medicare will pay for. The ObamaCare bill goes to great lengths to shelter this 15-member, unelected board from Congressional review, with the goal of letting these bureaucrats throw granny over the cliff if Medicare isn’t reformed. Yet few Americans know anything about IPAB or its rationing intentions.” (Editorial, “The GOP’s New York Spanking,” The Wall Street Journal, 5/26/11)
Industry Groups Worry That IPAB’s Actions Will Result In “Rationing.” “While the board is not supposed to be able to cut benefits, industry groups fear that its actions would result in rationing care. The board … could cut payments to health care providers.” (Duff Wilson, “Industry Aims At Medicare Board,” The New York Times’ “Prescription,” 11/4/10)

Paul Howard And Douglas Holtz-Eakin: IPAB Is “Fatally Flawed,” Spurns Innovation, And Will “Threaten Seniors’ Access To Care.”  “IPAB is fatally flawed, structured to punish innovative health care providers and threaten seniors’ access to care       while leaving the largest sources of Medicare spending untouched.  It continues Washington’s obsession with price-fixing in Medicare’s separate ‘silos’ rather than changing the incentives that have led to rampant overspending, fraud and uneven care quality.” (Paul Howard & Douglas Holtz-Eakin, Op-Ed, “Repeal And Replace IPAB,” Politico, 7/12/11)

IPAB BUREAUCRATS WILL HAVE NO ACCOUNTABILITY
Membership To The IPAB Is Not Limited To Health Care Professionals.  “The Act requires the appointed membership of the IPAB to include individuals who enjoy ‘national recognition’ in several stated aspects of health policy, including health finance and economics, and further stipulates occupations which should be represented on the Board including physicians and ‘experts in pharmaco-economics.’ The Act specifies that the appointed IPAB members have broad geographic representation and that the Board be balanced between urban and rural representatives. In order to preclude conflicts of interest, the Act stipulates that a majority of the appointed members of the IPAB are not be persons ‘directly involved’ in the provision or management of the delivery of items and services covered by Medicare.” (Congressional Research Service, Memo To Senator Coburn, 3/18/11)


ObamaCare Gives Obama The Power To Appoint Members To IPAB During Recess.  “Because the President’s recess appointment authority is unqualified, it appears that he could fill member positions on the IPAB by recess appointment during any period when he could otherwise make such appointments. Under certain circumstances, such appointments might be subject to pay restrictions, but the analysis of such a possibility is beyond the scope of this memorandum.” (Congressional Research Service, Memo To Senator Coburn, 3/18/11)

The American Medical Association Opposes IPAB On The Ground That The Board Has Little “Accountability.” “The AMA has consistently expressed its opposition to the IPAB on several grounds.  The IPAB puts important health care payment and policy decisions in the hands of an independent body that has far too little accountability.” (James L. Madara, American Medical Association CEO, Letter To Representatives Joe Pitts, 2/27/12)

NEARLY ALL HEALTH CARE GROUPS CONTINUE TO OPPOSE IPAB
The American Medical Association Supports Repeal Of IPAB. “On behalf of the physician and medical student members of the American Medical Association (AMA), I am writing to express our strong support for H.R. 452, which was introduced by Representative Phil Roe, and would repeal the Independent Payment Advisory Board (IPAB).  Accordingly, we strongly support the advancement of this important legislation through the Energy and Commerce Committee.” (James L. Madara, American Medical Association CEO, Letter To Representatives Joe Pitts, 2/27/12)
  • Nearly Every Segment Of The Health Care Industry Opposes IPAB.  “An independent panel authorized by President Barack Obama’s health care law to control excessive Medicare costs increases is drawing heavy fire from Republicans.  Nearly every health industry lobbying group is pushing for its repeal, as are some consumer advocates.  GOP lawmakers call it a rationing panel, and at least one has suggested seniors will die from its decisions.” (Ricardo Alonso-Zaldivar, “Accusations Fly Over Obscure Medicare Board,” The Associated Press, 7/18/11)
    • The IPAB Is So Unpopular That 270 Health Care Groups Support Repeal.  “All told, some 270 stakeholder groups signed a letter to members of Congress urging them to repeal the Independent Payment Advisory Board. The IPAB is a panel of experts, appointed by the president, that will have the power to cut Medicare payments.” (Sam Baker, 270 Health Care Groups Back IPAB Repeal,” The Hill’s Health Watch,” 6/24/11)
EVEN OBAMA’S ALLIES SUPPORT REPEAL OF IPAB
The Tampa Tribune: “There Is Bipartisan Consensus … That IPAB Is A Mistake.” “There is bipartisan consensus on Capitol Hill that IPAB is a mistake. Physicians groups don’t like it, hospital lobbies don’t like it, and even the American Medical Association, whose support helped pass ObamaCare into law, has called for its repeal. Some Democrats, including U.S. Rep. Kathy Castor of Tampa, have signed on to Tennessee Republican U.S. Rep. Phil Roe’s repeal bill.” (Editorial, “Return Control To The Patient,” The Tampa Tribune, 10/15/11)
Twenty Democrats Have Co-Sponsored Legislation To Repeal IPAB. (H.R. 452, Introduced 1/26/11)
  • Both Democrats And Republicans Agree That IPAB “Could Arbitrarily Cut Services To Medicare Patients And Payments To Providers.” “But some Democrats, as well as most Republicans and health care providers argue the panel could arbitrarily cut services to Medicare patients and payments to providers with little congressional oversight.” (Jennifer Haberkorn, “Democrats Split On Independent Payment Advisory Board,” Politico, 7/10/11)
Both The House Ways And Means And The House Energy And Commerce Committees Passed IPAB Repeal Legislation With Unanimous Bipartisan Support. “A second House committee agreed by voice vote Thursday to repeal a key cost-cutting board in President Obama’s healthcare law. The Ways and Means Committee voted to repeal the Independent Payment Advisory Board (IPAB), a 15-member panel tasked with cutting Medicare payments. The Energy and Commerce Committee passed the same repeal bill earlier this week.” (Sam Baker, “Second House Panel Clears Bill To Repeal Medicare Board,” The Hill’s Health Watch,” 3/8/12)

Rep. Pete Stark, (D-CA): Setting Low Payment Rates “Could Endanger Patient Care.” “But, in its effort to limit the growth of Medicare spending, the board is likely to set inadequate payment rates for health care providers, which could endanger patient care.” (Robert Pear, “Obama Panel to Curb Medicare Finds Foes In Both Parties,” The New York Times, 5/19/11)
  • Rep. Pete Stark (D-CA): IPAB Is A “Mindless Rate Cutting Machine … That Will Endanger The Health Of America’s Seniors And People With Disabilities.” “I oppose the inclusion the Independent Payment Advisory Commission, called IPAB.  Some of my colleagues support this Commission because it shields them from having to take tough votes when it comes to cutting Medicare provider payments. It’s my experience that Congress always does what is needed to protect and strengthen the Medicare program.  IPAB is a dangerous provision.   By statute, this Commission would be required to hold Medicare spending to an arbitrary and unrealistic growth rate.  It is a mindless-rate cutting machine that sets the program up for unsustainable cuts. That will endanger the health of America’s seniors and people with disabilities.  It is an unprecedented abrogation of Congressional authority to an unelected, unaccountable body of so-called experts.  I intend to work tirelessly to mitigate the damage that will be caused by IPAB.” (“Statement of Congressman Pete Stark Supporting Health Care Reform,” Office of Rep. Pete Stark, 3/21/10)
Rep. Allyson Schwartz (D-PA) Says IPAB “Could Lead To Arbitrary Cuts To Doctors, Hospitals And Other Providers.” “In fact, Schwartz will be one of the GOP’s star witnesses at the Energy and Commerce Committee hearing. She says IPAB puts Congress’s responsibility in the hands of an outside panel and could lead to arbitrary cuts to doctors, hospitals and other providers.” (Jennifer Haberkorn, “Democrats Split On Independent Payment Advisory Board,” Politico, 7/10/11)

Rep. Frank Pallone (D-NJ) Says He Strongly Opposes IPAB And It Must Be Stopped. “I am very strongly opposed to the Independent Payment Advisory Board, or IPAB, created under the Affordable Care Act. I’ve never supported it and I would certainly be in favor of abolishing it…It’s not the job of an independent commission to get involved in congressional matters, in this instance, healthcare policies for Medicare beneficiaries…It’s about a growing, imperialistic presidency…We have to stop it. We have to reverse it. We can’t be a part of an effort to let that continue.” (Committee On Energy And Commerce, U.S. House, Hearing, 7/13/11)

Rep. Lois Capps (D-CA) “Favors Getting Rid” Of IPAB But Voted Against Repeal Due To No Alternatives Being Offered. “And Rep. Lois Capps (D-Calif.) said she favors getting rid of the board but wouldn’t because the repeal bill offered no alternative for controlling Medicare costs and wasn’t paid for.” (Julian Pecquet, “House Panel Repeals Health Law’s Cost-Cutting Board With Bipartisan Support,” The Hill’s “Health Watch,” 2/29/12)

Former Democrat House Majority Leader Dick Gephardt:  IPAB’s Cuts Will Cause “Devastating Consequences.” “It will propose cuts to Medicare that Congress can override only with supermajority votes, an unnecessarily high and unrealistic bar. Just as important, these cuts are likely to have devastating consequences for the seniors and disabled Americans who are Medicare’s beneficiaries because, while technically forbidden from rationing care, the Board will be able to set payment rates for some treatments so low that no doctor or hospital or other healthcare professional would provide them.” (Dick Gephardt, Op-Ed, “Medicare Must Remain A Responsibility Of Congress,” Huffington Post, 6/21/11)

YET THE WHITE HOUSE CONTINUES TO SUPPORT ITS BOARD OF BUREAUCRATS
The White House: “H.R. 5 would repeal and dismantle the IPAB even before it has a chance to work. … The Administration strongly opposes legislation that attempts to erode the important provisions of the Affordable Care Act. … If the President is presented with H.R. 5, his senior advisors would recommend that he veto the bill.” (Statement Of Administration Policy, H.R. 5 – Protecting Access To Health Care Act, Executive Office Of The President, 3/20/12)

Which Is Not Surprising Since Obama Has Recently Called For Strengthening IPAB
Obama Has Continually Pushed For Strengthening IPAB Through His Deficit Reduction Plan. “The plan calls for strengthening a controversial piece of the healthcare reform law, and it includes proposals state governments have strongly opposed. It also would require seniors to pay more for certain Medicare benefits, according to a summary of the proposal, which would cut $248 billion in Medicare funding and $73 billion to Medicaid and other health programs.” (Sam Baker, “Obama Health Cuts To Spark Fights With States, GOP, Industry Groups,” The Hill’s Health Watch,” 9/19/11)
  • IPAB Will “Kick In” Earlier According To Obama’s Deficit Reduction Plan. “The plan proposes strengthening the Independent Payment Advisory Board (IPAB) — a cost-cutting panel created by healthcare reform that Republicans have said will ‘ration’ care. Obama’s proposal would allow the IPAB to kick in earlier.” (Sam Baker, “Obama Health Cuts To Spark Fights With States, GOP, Industry Groups,” The Hill’s Health Watch,” 9/19/11)
Obama’s 2013 Budget: “Strengthen the Independent Payment Advisory Board (IPAB) to Reduce Long-Term Drivers of Medicare Cost Growth.” (OMB, 2/13/12)
  • Obama’s Budget Lowers The Threshold For IPAB To Make Payment Changes To Medicare And Provides IPAB With “Additional Tools” To Control Spending. “To further moderate the rate of Medicare growth, this pro­posal would lower the target rate from the GDP per capita growth rate plus 1 percent to plus 0.5 percent. Additionally, the proposal would give IPAB additional tools like the ability to consider value-based benefit design.” (OMB, 2/13/12)
SOURCE: GOP

Howard Dean: “The IPAB is essentially a health-care rationing body”

Howard Dean wrote in the Wall Street Journal that ObamaCare’s IPAB needs to be “removed.”  He explains why in terms that will be familiar to those of us who have opposed the ObamaCare Tax nightmare from the beginning:
One major problem is the so-called Independent Payment Advisory Board. The IPAB is essentially a health-care rationing body. By setting doctor reimbursement rates for Medicare and determining which procedures and drugs will be covered and at what price, the IPAB will be able to stop certain treatments its members do not favor by simply setting rates to levels where no doctor or hospital will perform them.

There does have to be control of costs in our health-care system. However, rate setting—the essential mechanism of the IPAB—has a 40-year track record of failure.

What ends up happening in these schemes (which many states including my home state of Vermont have implemented with virtually no long-term effect on costs) is that patients and physicians get aggravated because bureaucrats in either the private or public sector are making medical decisions without knowing the patients. Most important, once again, these kinds of schemes do not control costs. The medical system simply becomes more bureaucratic.

The nonpartisan Congressional Budget Office has indicated that the IPAB, in its current form, won’t save a single dime before 2021. As everyone in Washington knows, but less frequently admits, CBO projections of any kind—past five years or so—are really just speculation. I believe the IPAB will never control costs based on the long record of previous attempts in many of the states, including my own state of Vermont.

If Medicare is to have a secure future, we have to move away from fee-for-service medicine, which is all about incentives to spend more, and has no incentives in the system to keep patients healthy. The IPAB has no possibility of helping to solve this major problem and will almost certainly make the system more bureaucratic and therefore drive up administrative costs.

To date, 22 Democrats have joined Republicans in the House and Senate in support of legislation to do away with the IPAB. Yet because of the extraordinary partisanship on Capitol Hill and Republican threats to defund the law through the appropriations process, it is unlikely that any change in the Affordable Care Act will take place soon.

The IPAB will cause frustration to providers and patients alike, and it will fail to control costs. When, and if, the atmosphere on Capitol Hill improves and leadership becomes interested again in addressing real problems instead of posturing, getting rid of the IPAB is something Democrats and Republicans ought to agree on.
The IPAB is “essentially a health-care rationing body”?  You don’t say!  Back when Sarah Palin was warning about health-care rationing and death panels (what the IPAB essentially is because that’s what health-care rationing essentially is), Dean said such accusations were “made up” because, apparently, you can’t have a death panel without reference to “euthanasia” or something “like” it.  Now, suddenly, you can have health-care rationing without direct reference to rationing.  Or something.

He’s arguing that rate-setting itself is doomed to failure, and that’s quite an admission from a big bigger biggest government pol like Dean, though I don’t think we can expect him to admit that the same principle he outlines here actually applies in other areas, as well.  He’s certainly not suddenly becoming an advocate for the free market.

But he’s finally got it right: the IPAB is essentially a health-care rationing body, and we should all be able to agree that there is nothing good — no improved health care, no decreased costs — that can come of it.
SOURCE: Legal Insurrection

Saturday, November 16, 2013

Louie Gohmert Exposes Obamacare Secret Security Force






Representative Louie Gohmert (Republican – Texas – 1st District) dropped his bombshell last week on The Janet Mefferd Show.

Paul Joseph Watson reports: 

Referring to a section of the gargantuan Obamacare law which discusses "the president's own commissioned and non-commissioned officer corps," Gohmert drew attention to the notion that under the pretext of a "national emergency," such individuals could be used to impose some form of medical martial law.


Under the Affordable Care Act, the Ready Reserve Corps is directed to "assist full-time Commissioned Corps personnel to meet both routine public health and emergency response missions."


"It says it is for international health crises, but then it doesn't include the word 'health' when it talks about national emergencies," said Gohmert.


"I've asked, what kind of training are they getting….I want to know are they using weapons to train, or are they being taught to use syringes and health care items?" asked the Congressman, adding that "no clear answers" had been forthcoming on the issue."


Combined with the continued DHS arms build up along with the federal agency's hiring of armed guards with "Top Secret" security clearances, Gohmert characterized the issue as "very disturbing".

I first reported on this in August after reading a sobering article in The Daily Mail. Why does Obamacare need its own police force? The IRS already has agents trained with a multitude of weapons including AR-15s. 

In the wake of Jeff Duncan's reporting of IRS agents being trained with AR-15s I think we should be at least somewhat concerned with a breaking news story about the new "ObamaCare" Police. It would seem that the IRS implementation will not be the only strong arm of ObamaCare but that Health and Human Services will have a substantial number of investigative storm troopers as well.


The Daily Mail reports:
More than 1,600 new employees hired by the U.S. Department of Health and Human Resources in the aftermath of Obamacare's passage include just two described as 'consumer safety' officers, but 86 tasked with 'criminal investigating' – indicating that the agency is building an army of detectives to sleuth out violations of a law that many in Congress who supported it still find confusing.


On the day President Obama signed the Affordable Care Act into law in 2010, HHS received authority from the Office of Personnel Management (OPM) to make as many as 1,814 new hires under an emergency 'Direct Hiring Authority' order.


We are going to need more hollow point bullets it would seem. Is anyone really shocked by the fact that we have a brand new enforcement branch of HHS? I doubt it. This seems to be the norm in Washington these days. Last week we featured the story of a retired Marine Colonel who claims that a domestic army is being built. And who could blame anyone for thinking that? It is happening right in front of us.


Folks I made the comment at the beginning of this article about being validated because sometimes I feel really beat up by the "tin foil hat haters." 

Do you think I wake up each day and want to write about things that will leave me labeled as a lunatic? No I do not. I really don't like people calling me crazy. That's not my goal in life. I try to report these things to you because they are the truth and very few others seem to want to report such stories.
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RELATED DHS Target Maker Providing Pregnant Women and Children Targets to Law Enforcement

Thursday, November 14, 2013

Judge Napolitano: Obama Unconstitutional Obamacare Fix - Insurance Industry Group: Fix Could Destabilize Market


Obamacare Will Be Going Back To Supreme Court!
Obama Unconstitutional Obamacare Fix - Insuarance Industry Group Fix Could Destabilize Market Judge Napolitano

Wednesday, November 13, 2013

Rep. Trey Gowdy Questions Tech Advisors on Healthcare.gov Rollout

Gowdy Questions Tech Advisors on Healthcare.gov Rollout



November 13, 2013
Congressional hearings into healthcare.gov's flawed rollout continues Wednesday before the House Oversight & Government Reform Committee. Rep. Darrell Issa (R-CA) chairs the committee while White House's Chief Technology Officer and others testify.

Thursday, November 7, 2013

Children's Hospital Sues After Obamacare Cuts Children's Access



As millions lose their insurance nation wide and are forced into plans with significantly higher premiums, the reality of rationed care, initially denied by adamant supporters of the bill, has now hit the country’s most vulnerable, with doctors at Seattle Children’s Hospital speaking out.

Seattle Children’s Hospital filed suit against Washington State’s Office of the Insurance Commissioner this week, after Obamacare implementation caused the hospital to be cut from four of the six insurance plans offered by the new Washington Health Benefit Exchange.

“There becomes a point when if you start denying access to care, that you can hurt children and children’s health and that’s what we believe is at risk here,” said Dr. Sandy Melzer, the hospital’s chief strategy officer and senior vice president.

Although the hospital was originally included in many of the state’s commercial market health plans, Group Health Cooperative and Community Health Plan of Washington will now be the only providers including Seattle Children’s Hospital. According to the lawsuit filed in King County Superior Court, the legal obligation to provide access to “essential community providers” has been breached.

Struggling Washington families, especially those among the 49.7 million American’s in poverty, whose children currently receive care from the hospital, fear they will no longer be able to see their doctor once they are forced into one of the five insurance plans that excludes Seattle Children’s.

“The notion that a major insurance plan is going to exclude us from their network is truly precedent-setting and represents a new level of degradation in children’s access to care,” Melzer told the Seattle Times.

Local resident Anne Guadagno is afraid her two young granddaughters will lose their favorite doctor like many others already have, despite President Obama’s promise that everyone would be able to keep their doctors.

“I would want my grandchildren to have the doctor they’ve become accustomed to and are comfortable with. A child that’s been with a certain doctor and nurse and an office needs to stay there,” Guadagno told King 5 News.

The lawsuit also points to Molina Healthcare, one of the state’s new insurers. Although the group was originally denied by Insurance Commissioner Mike Kreidler, pointing to the “inadequacy of their provider networks,” the decision was later overturned. Insurance Commissioner spokeswoman Stephanie Marquis said the suit would be examined and resolved through the proper legal channels if necessary.

“We are reviewing Children’s petition to see what lies at the heart of their concerns and will see how it gets resolved through the legal process,” Marquis said.

With millions more set to lose their current insurance, “inevitable” healthcare rationing and an impending shortage of doctors, the future of the nation’s healthcare appears to be anything but affordable for millions of children and adults alike.