*GOP Aims for a Multifaceted Strike on Obamacare*

Posted By *Bill Straub* On September 19, 2013 ****

WASHINGTON – With a nasty showdown looming, congressional Republicans are
broadening their assault on Obamacare, offering up their own less costly
plan as an alternative while insisting the massive healthcare program
championed by the White House presents a golden opportunity for scammers.***
*

Implementation of critical aspects of the Affordable Health Care Act are
slated to occur on Oct. 1, the beginning of the federal fiscal year, and
GOP lawmakers are pulling out all the stops in a last-ditch effort to see
that it never happens.****

House Speaker John Boehner (R-Ohio), who consistently maintained it would
be a mistake for Republicans to initiate a confrontation that could force a
shutdown of the federal government, has acquiesced to House conservatives
and will now move ahead with a plan to defund the broad healthcare reform
program as a part of negotiations over a continuing resolution to fund the
entire government.****

Several committees controlled by the GOP are now contributing to that
defunding effort.****

- The House Oversight & Government Reform Committee released a report
asserting that the opportunities for fraud in a significant part of the
AHCA dealing with navigators are rampant. Navigators, also known as
assisters, are those individuals hired to encourage and facilitate
enrollment in health insurance exchanges.****

- The Republican Study Committee, a conservative caucus composed of House
Republicans, released a competing healthcare measure — the American Health
Care Reform Act — that would attempt to expand health insurance coverage
through tax deductions and a program to provide federal assistance for
those with pre-existing conditions.****

- The House Subcommittee on Regulatory Reform, Commercial and Antitrust Law
held a hearing on the anti-trust issues involving Obamacare, with several
witnesses maintaining that the ACHA will worsen the already problematic
issue of monopolies within the healthcare market place, thus permitting
costs to rise.****

Rep. Elijah Cummings (D-Md.), ranking member of the House Oversight &
Government Reform Committee, said recent GOP efforts are not “designed to
improve implementation of the law at all, but rather to bring it down.
Worse, this appears to be part of a broader, coordinated campaign by House
Republicans to take the unprecedented step of shutting down the federal
government unless the Affordable Care Act is completely defunded through
the continuing resolution.”****

“We will not be complicit in efforts to throw sand in the gears of this
program as part of a broader campaign to take away health insurance
coverage for tens of millions of Americans,” Cummings said.****

But Boehner counters that the American public “continues to adamantly
oppose the healthcare law,” citing several recent surveys showing
disapproval at a record high. With Obamacare’s implementation set to begin
in just two weeks, Boehner said, families and small-business owners are
right to be concerned.****

“We’re going to continue to do everything we can to repeal the president’s
failed healthcare law,” Boehner said.****

On the fraud front, the House Oversight & Government Reform Committee
contends in its report that the navigator and assister programs lack basic
safeguards against fraud and abuse.****

The navigator program was created by Obamacare as an outreach program to
encourage and facilitate enrollment in health insurance exchanges.
Navigators were intended to be funded through the operating funds of state
exchanges but several states objected, leading the Obama administration to
create a twin program — the In-Person Assistance Program — which fulfills
the same function but uses federal monies and identifies its
representatives as assisters.****

The report notes that neither navigators nor assisters are required to
undergo background checks and/or be fingerprinted, meaning those utilizing
the program have no basis to determine if they are seeking help from a
trained and certified personnel or a scam artist.****

It also reports that in some states navigators and assisters are paid based
on the number of persons they enroll, creating a conflict of interest.****

“With this kind of pay structure, navigators and assisters have a financial
incentive to persuade people to enroll,” the report said.****

In conclusion, the report said, “Given the stories about how scammers are
gearing up to take advantage of the tremendous confusion caused by
Obamacare, Americans are at an increased risk of being the victim of fraud
and identity theft because of the administration’s poor development of its
outreach program.”****

Meanwhile, the Republican Study Committee released its AHCA alternative,
according to Rep. Steve Scalise (R-La.), the panel chairman, because “it is
also important to lay out the reforms we stand behind and support.”****

“American families and businesses deserve and demand real solutions to the
serious problems that exist in our healthcare system,” he said. “The RSC’s
American Health Care Reform Act is a common-sense bill that will lower
costs using conservative, free-market solutions which give American
families more choices without the unworkable mandates and billions in taxes
included in President Obama’s healthcare law.”****

The 200-page bill offers $20,000 in tax deductions to families and a $7,500
deduction to individuals to purchase insurance from vendors in any state —
thus, supporters say, allowing people to save money by selecting lower-cost
providers.****

The measure also offers altered proposals to some of the more popular
aspects of Obamacare – creation of a $25 billion fund to lower costs for
those afflicted with pre-existing conditions, permitting people to carry
their insurance from job to job and permitting coverage for adult children
up to age 26.****

“By allowing people to buy health insurance across state lines and pool
together so small businesses and families can get the same buying power as
large corporations, we can lower costs and increase choices while removing
Washington bureaucrats from your healthcare decisions,” Scalise said.****

Supporters maintain the cost of the program will be paid through “savings.”*
***

And testifying before the House Judiciary Committee, Thomas P. Miller,
resident fellow in Health Policy Studies at the American Enterprise
Institute, noted that healthcare providers with market power enjoy more
pricing freedom than monopolists in other markets – providing them with the
ability to sometimes charge a lot of money for relatively inexpensive goods
and services.****

Traditional antitrust enforcement has done little to halt consolidation in
local hospital markets over the last two decades. ACHA, Miller said, does
little to address the monopoly problem and may even worsen it by favoring
entrenched interests, thus hindering innovative start-ups and encouraging
additional consolidation to increase market share.****

“Heavily regulated healthcare providers and insurers increasingly will have
to focus more on dealing with the mandates, rules, and payment incentives
of their main customers — government administrators, and less on the needs
and wants of their patients and other private payers,” Miller said.****
------------------------------

Article printed from PJ Media: *http://pjmedia.com*****

URL to article: *
http://pjmedia.com/blog/gop-aims-for-a-multifaceted-strike-on-obamacare/****
*

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