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Politics : A US National Health Care System? -- Ignore unavailable to you. Want to Upgrade?

To: skinowski who wrote (14917)	3/20/2010 12:32:09 PM
From: Sdgla	Read Replies (1) \| Respond to of 42652

those are precisely the things which are to be outlawed in our "reform" (at least, the way I read it). Reading the 2 450 page docs and then the 2409 page bill now. Looks like the Government will be creating an IRS type agency staffed around 16K strong to police this reform. How could any sane person believe this is what is needed when we are already circling the financial abyss ? (b) PROMOTING ACCOUNTABILITY.— (1) IN GENERAL.—The Commissioner shall undertake activities in accordance with this subtitle to promote accountability of QHBP offering entities in meeting Federal health insurance requirements, regardless of whether such accountability is with respect to qualified health benefits plans offered through the Health Insurance Exchange or outside of such Exchange. (2) COMPLIANCE EXAMINATION AND AUDITS.— (A) IN GENERAL.—The commissioner shall, in coordination with States, conduct audits of qualified health benefits plan compliance with Federal requirements. Such audits may include random compliance audits and targeted audits in response to complaints or other suspected non-compliance. (B) RECOUPMENT OF COSTS IN CONNECTION WITH EXAMINATION AND AUDITS.— The Commissioner is authorized to recoup from qualified health benefits plans reimbursement for the costs of such examinations and audit of such QHBP offering entities. (c) DATA COLLECTION.—The Commissioner shall collect data for purposes of carrying out the Commissioner’s duties, including for purposes of promoting quality and value, protecting consumers, and addressing disparities in health and health care and may share such data with the Secretary of Health and Human Services. (d) SANCTIONS AUTHORITY.— (1) IN GENERAL.—In the case that the Commissioner determines that a QHBP offering entity violates a requirement of this title, the Commissioner may, in coordination with State insurance regulators and the Secretary of Labor, provide, in addition to any other remedies authorized by law, for any of the remedies described in paragraph (2). (2) REMEDIES.—The remedies described in this paragraph, with respect to a qualified health benefits plan offered by a QHBP offering entity, are— VerDate Nov 24 2008 03:04 Mar 18, 2010 Jkt 055104 PO 00000 Frm 00015 Fmt 6601 Sfmt 6621 E:\HR\OC\HR443P2.XXX HR443P2 dcolon on DSK2BSOYB1PROD with REPORTS 912 (A) civil money penalties of not more than the amount that would be applicable under similar circumstances for similar violations under section 1857(g) of the Social Security Act; (B) suspension of enrollment of individuals under such plan after the date the Commissioner notifies the entity of a determination under paragraph (1) and until the Commissioner is satisfied that the basis for such determination has been corrected and is not likely to recur; (C) in the case of an Exchange-participating health benefits plan, suspension of payment to the entity under the Health Insurance Exchange for individuals enrolled in such plan after the date the Commissioner notifies the entity of a determination under paragraph (1) and until the Secretary is satisfied that the basis for such determination has been corrected and is not likely to recur; or (D) working with State insurance regulators to terminate plans for repeated failure by the offering entity to meet the requirements of this title rules.house.gov