Yesterday I read an article in The NY Times about something unexpected in Obamacare, and one term jumped out at me (emphasis mine):
About one-third of employers subject to major requirements of the new health care law may face tax penalties because they offer health insurance that could be considered unaffordable to some employees, a new study says…. It suggests that a little-noticed provision of the law could affect far more employers than Congress had assumed.
That term, “little-noticed,” sure sounded familiar. It seems that we hear that term a lot.
I didn’t intend on this post being so long, but the examples are so numerous:
- “Tucked inside the huge health reform bill signed into law last week were many surprising and little-noticed provisions that will affect consumers in ways large and small.”
- “Deep within the massive health-care overhaul legislation, a few little-noticed provisions have quietly reignited one of the bitterest debates in medicine: how to balance the right of doctors, nurses and other workers to refuse to provide services on moral or religious grounds with the right of patients to get care.”
- “A little-noticed provision of the health legislation has rescued federal support for a controversial form of sex education: teaching youths to remain virgins until marriage.”
- “A little-noticed provision in the health reform bill will shed significant light on the payments drug and device companies make to doctors and teaching hospitals in California and the rest of the nation.”
- “A little-noticed provision in the new health care law may not only dramatically increase paperwork for small businesses, but also put them at a disadvantage against their larger competitors.”
- “In the manager’s amendment Senate Leader Harry Reid added to the Senate health care bill, HR 3590, a little noticed provision allowed $7 billion in funding for Community Health Centers buried deep in Section 10503 of the 383-page amendment.”
- “Effective for plan years beginning after Sept. 23, 2010, health plans that cover dependent children must continue to cover adult kids until they turn age 26. This little-noticed new requirement is a sure way to increase health insurance costs, which is exactly what Obama-care was supposed to prevent.”
- “The Obama administration is trying to encourage people to buy annuities to ensure that they don’t outlive their savings. But a little-noticed provision of the new health care reform law will slap a 3.8% tax on payouts from annuities purchased by high-income earners outside their workplace.”
- “A little noticed provision added over the weekend to the Senate health bill earmarked $500 million this year for a “cures acceleration program.”
- “Little-noticed (well, except by me) is the fact that Congress has repealed the anti-trust exemption for health insurance and that the reform plan sets up the basics of a federal infrastructure for insurance regulation. The federal government doesn’t just drop by and visit, they move in. Memo to state insurance regulators: the feds are outside, and they have a HUGE moving van.
- “[Jeff] Masters, who lives in Fort Lauderdale, is part of a growing number of Americans who are members of faith-based “health sharing ministries” where members directly pay for each others’ medical bills. Members also pray for each other, and a “get well” card from a stranger isn’t uncommon. National healthcare reform will force millions of Americans to buy insurance or face fines, but a little-noticed provision excludes people like Masters who belong to such groups.”
- “As well as these and other major job-killing provisions, two little-noticed tax changes would also affect employment.”
- “Drug and device companies will soon have to report payments to physicians in a national database, thanks to a little noted section of the health care reform bill called the Physician Payments Sunshine Act.”
- “The new law also takes steps to keep doctors’ doors open for Medicare patients. Physicians will get bonus payments for primary care, a little-noticed strategy to promote access for seniors.”
- “A little-noticed provision of the new health care reform law requires employers to provide new mothers with “reasonable break time” to express breast milk for nursing children who are up to 12 months old. “
- “A little noticed national calorie labeling rule tucked into the legislation assures that within a couple of years, everyone who walks into a chain restaurant will see calories counts displayed alongside the price of a meal.”
- All U.S. Hospitals Must Publicize “Standard Charges” – Hidden among the amendments to a section of the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act (the “Health Reform Legislation”), is the following little-noticed provision ….”
- “UV or not UV? A little-noticed provision in the new healthcare package adds a 10% levy to the cost of tanning sessions.”
- “A little-noticed provision in the House-passed health-care plan would strip billions of dollars out of privately run Medicare plans that emphasize wellness and are increasingly popular among retirees in Ohio and nationally.”
- “The health care reform legislation President Obama signed into law last week takes a little-noticed but precedent-setting swipe at executive pay excess.”
If there was anything else that was little-noticed, let me know.
Of course, not all of these things were little-noticed to those of us who followed the health care legislation, but some were true after-the-fact revelations.
The big picture items — massive spending, phony CBO scoring, government intrusion further into our lives, and the likely destruction of the best health care system in the world — were well-noticed.
And those big picture items we will Remember in November.