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Hooah Fmr. Zia
12/18/15 3:39 pm

It is unfair that members of Congress are exempt from the Affordable Care Act, while they themselves receive taxpayer-funded Healthcare for life. This bill would allow those who are eligible to sign up for the same health care that members of Congress get. This is not force them to sign up for this program, they're allowed to opt in or remain on Medicare, or remain on their private insurance. This would greatly reduce the deficit of Medicare and other entitlements. This does not deal with Medicare Part C & D that deal with prescription coverage. This bill should provide the health care of seniors need for several decades, while setting up a framework for the slow and gradual removal of Medicare, and transferring seniors to the FEHBP plan or to private insurance. I urge a YES vote.

Reply
VirtualCongress Speaker NDAmerican
12/18/15 2:32 pm

Summary: Allows access to the Federal Employees Health Benefits Program (FEHBP) for persons who would have been entitled to, or could have enrolled in part A (Hospital Insurance) Medicare benefits, or who could have enrolled in part B (Supplementary Medical Insurance) Medicare. Does not change Medicare part C or D. This should cut $1 trillion over 25 years and cut Medicare’s $38 trillion unfunded liability nearly in half. Without benefit cuts, and without government rationing or government vouchers.

osouless Whats Next
12/18/15 2:26 pm

Too long, didn't read.

Reply
RebelProud Bungholio
12/18/15 2:32 pm

If you can't take the time to read the bills, don't bother voting.

osouless Whats Next
12/18/15 2:34 pm

Well i have to vote to see the bill soooooo what do u propose i do?

osouless Whats Next
12/18/15 2:34 pm

The summary has sold me big time. Big yea!

CollinN
12/18/15 2:50 pm

Sorry for not posting the summary at first

political Georgia
12/18/15 3:42 pm

Maybe I misread the bill, but I just don't see how it does all the things you claimed.

Hooah Fmr. Zia
12/18/15 4:58 pm

In FY 2015, Medicare Part A & B spending combined was about 0.3 trillion and set to increase with the ACA. Transferring those were eligible for Medicare Part A & B to the congressional health care plan should in theory reduce the overall medicare deficit. When it sunsets medicare, in 2040, that should save several more trillion in spending.

VirtualCongress Speaker NDAmerican
12/18/15 2:19 pm

1. States that a covered individual who elects to enroll in such program shall enroll as an individual and not as self and family.
a. Bases monthly premiums on adjusted gross income.
2. Requires the Office of Personnel Management (OPM) to establish procedures to ensure that health benefits plans coordinate with state Medicaid programs regarding cost-sharing and other medical assistance for covered individuals enrolled in health benefit plans who are also eligible for medical assistance and enrolled in a state Medicaid program.
a. The Director shall establish the deadline by which a covered individual shall elect to

VirtualCongress Speaker NDAmerican
12/18/15 2:19 pm

i. enroll in a health benefits plan under this chapter based on the status of the individual as a covered individual; with the concurrence of the employer or former employer of the covered individual, receive payments to assist in paying for health insurance provided through the employer or former employer of the covered individual; or not enroll in a health benefits plan or receive payments under this chapter.
ii. Failure to make a timely election under this subsection shall be deemed as an election to not enroll in a health benefits plan or receive payment under this chapter.

3. A covered individual— may elect to enroll in a health benefits plan as an individual; and may not enroll in a health benefits plan for self and family.
4. A covered individual who elects to enroll in a health benefits plan under this chapter based on the status of the covered individual as a covered individual shall pay a monthly individual premium payment determined in accordance with the following:

VirtualCongress Speaker NDAmerican
12/18/15 2:20 pm

a. The individual premium payment under subparagraph (A) shall be determined based on income, as follows:
i. For an individual with an adjusted gross income (as defined under section 62 of the Internal Revenue Code of 1986) of not more than $85,000, the individual premium payment shall be in an amount equal to the employee contribution for the health benefits plan, as determined under section 8906.

VirtualCongress Speaker NDAmerican
12/18/15 2:20 pm

ii. For an individual with an adjusted gross income of more than $85,000 and not more than $107,000, the individual premium payment shall be in an amount equal to the sum.

5. A covered individual who elects not to enroll, or who elects not to continue enrollment, in a health benefits plan under Medicare may subsequently enroll in a health benefits plan outlined in this act based on the status of the covered individual as a covered individual in accordance with such procedures, and after paying such fees, as the Director of the Office of Personnel Management may establish.

VirtualCongress Speaker NDAmerican
12/18/15 2:21 pm

6. Requires OPM, at the end of each contract year, to identify high risk individuals and pay to a carrier contracting to provide a health benefits plan to a high risk individual 90% of the benefits paid by the carrier for such individual.
a. Defines "high risk individual" as an enrolled individual who, of all individuals enrolled in a health benefits plan for the contract year, is in the highest 5% in terms of benefits paid by a carrier for the contract year.
7. Those enrolled may be exempt from the health benefits plans from specified insurance requirements of the Patient Protection and Affordable Care Act.
8. Amends the Social Security Act to incrementally increase the Medicare qualifying age from 65 years to 70 years, by 2035, plus the number of months in a specified age increase factor.

VirtualCongress Speaker NDAmerican
12/18/15 2:21 pm

9. Sunsets Medicare by 2040 with a transition to FEHBP coverage.
10. Directs the Secretary of Health and Human Services to make available to states recommendations with respect to specified requirements for health care entities and individuals under Medicare that will no longer apply but that should be considered on the state level