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Originally posted by Rockpuck
No one will do a damn thing from either party because no one wants to loose the Latino vote --- something I never understood, considering they can't vote.
Originally posted by Rockpuck
We both know Illegals will be covered by the new plan.
Originally posted by kinda kurious
(I use the term person loosely.)
Originally posted by kinda kurious
Latinos can't vote?
Originally posted by Alxandro
Originally posted by kinda kurious
Latinos can't vote?
I know you are referring to illegals but be careful how you phrase that, I vote all the time.
Originally posted by Rockpuck
No one will do a damn thing from either party because no one wants to loose the Latino vote --- something I never understood, considering they can't vote.
Originally posted by Rockpuck
.. because I know you know what I mean...
Originally posted by FlyersFan
What you said is VERY clear. So is the meaning -the woman shouldn't have said anything about 'nazi policies' because Frank is a gay jew.
The billions spent on illegal health care isn't a problem of simply 'falling through the cracks'. The laws DEMAND that the hospitals take care of the illegals.
No matter how many times you try to use that word, that fact doesn't change.
Originally posted by milesp
Barney Frank certainly lives up to his name.
(D) enable the real-time (or near real-time) determination of an individual’s financial responsibility at the point of service and, to the extent possible, prior to service, including whether the individual is eligible for a specific service with a specific physician at a specific facility, which may include utilization of a machine-readable health plan beneficiary identification card
‘(F) provide for timely acknowledgment, response, and status reporting applicable to any electronic transaction deemed appropriate by the Secretary;
‘(H) harmonize all common data elements across administrative and clinical transaction standards
‘(4) REQUIREMENTS FOR SPECIFIC STANDARDS- The standards under this section shall be developed, adopted and enforced so as to--
1 ‘(A) clarify, refine, complete, and expand, as needed, the standards required under section 1173;
1 ‘(B) require paper versions of standardized transactions to comply with the same standards as to data content such that a fully compliant, equivalent electronic transaction can be populated from the data from a paper version;
10 ‘(C) enable electronic funds transfers, in order to allow automated reconciliation with the related health care payment and remittance advice;
1 ‘(D) require timely and transparent claim and denial management processes, including tracking, adjudication, and appeal processing;
2 ‘(E) require the use of a standard electronic transaction with which health care providers may quickly and efficiently enroll with a health plan to conduct the other electronic transactions provided for in this part; and
1 ‘(F) provide for other requirements relating to administrative simplification as identified by the Secretary, in consultation with stakeholders.
‘(6) IMPLEMENTATION AND ENFORCEMENT- Not later than 6 months after the date of the enactment of this section, the Secretary shall submit to the appropriate committees of Congress a plan for the implementation and enforcement, by not later than 5 years after such date of enactment, of the standards under this section. Such plan shall include--
‘(A) a process and timeframe with milestones for developing the complete set of standards;
‘(B) an expedited upgrade program for continually developing and approving additions and modifications to the standards as often as annually to improve their quality and extend their functionality to meet evolving requirements in health care;
‘(C) programs to provide incentives for, and ease the burden of, implementation for certain health care providers, with special consideration given to such providers serving rural or underserved areas and ensure coordination with standards, implementation specifications, and certification criteria being adopted under the HITECH Act;
‘(D) programs to provide incentives for, and ease the burden of, health care providers who volunteer to participate in the process of setting standards for electronic transactions;
‘(E) an estimate of total funds needed to ensure timely completion of the implementation plan; and
‘(F) an enforcement process that includes timely investigation of complaints, random audits to ensure compliance, civil monetary and programmatic penalties for non-compliance consistent with existing laws and regulations, and a fair and reasonable appeals process building off of enforcement provisions under this part.
Nothing in this subtitle shall allow Federal payments for affordability credits on behalf of individuals who are not lawfully present in the United States.
B) TYPE OF SERVICES-
(i) IN GENERAL- Subject to clause
(ii), payments shall be provided under this section only to grantees that utilize competent bilingual staff or competent interpreter or translation services which--
(I) if the grantee operates in a State that has statewide health care interpreter standards, meet the State standards currently in effect; or
(II) if the grantee operates in a State that does not have statewide health care interpreter standards, utilizes competent interpreters who follow the National Council on Interpreting in Health Care’s Code of Ethics and Standards of Practice.
(ii) EXEMPTIONS- The requirements of clause
(i) shall not apply--
(I) in the case of a Medicare beneficiary who is limited English proficient (who has been informed in the beneficiary’s primary language of the availability of free interpreter and translation services) and who requests the use of family, friends, or other persons untrained in interpretation or translation and the grantee documents the request in the beneficiary’s record; and
(II) in the case of a medical emergency where the delay directly associated with obtaining a competent interpreter or translation services would jeopardize the health of the patient.
Nothing in clause (ii)(II) shall be construed to exempt emergency rooms or similar entities that regularly provide health care services in medical emergencies from having in place systems to provide competent interpreter and translation services without undue delay.
‘(5) CHAIRMAN; VICE CHAIRMAN- The Secretary shall designate a member of the Commission, at the time of appointment of the member, as Chairman and a member as Vice Chairman for that term of appointment, except that in the case of vacancy of the Chairmanship or Vice Chairmanship, the Secretary may designate another member for the remainder of that member’s term. The Chairman shall serve as an ex officio member of the National Advisory Council of the Agency for Health Care Research and Quality under section 931(c)(3)(B) of the Public Health Service Act.
‘(7) COORDINATION- To enhance effectiveness and coordination, the Secretary is encouraged, to the greatest extent possible, to seek coordination between the Commission and the National Advisory Council of the Agency for Healthcare Research and Quality.
PART 2--TARGETING ENFORCEMENT
‘(I) AMOUNT- Subject to subclause (II), the Secretary may impose a civil money penalty in an amount not to exceed $10,000 for each day or each instance of noncompliance (as determined appropriate by the Secretary).
Originally posted by FlyersFan
We ALL know illegals will be continue to receive free health care at our expense.
REALITY: House bill stipulates that those "not lawfully present" may not receive subsidies to purchase insurance.