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#Post#: 2587--------------------------------------------------
NeoConfederate Healthcare Act
By: david090366 Date: June 28, 2015, 3:40 am
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An Act relating to cash contributions by the Confederal
Government and relating to criteria and conditions in respect of
insured health services and extended health care services
WHEREAS the Congress of the NeoConfederate States recognizes:
葉hat it is not the intention of the Confederal Government that
any of the powers, rights, privileges or authorities
vested in it or the several
states under the provisions of the Constitution, or any
amendments thereto, or otherwise, be by reason of this Act
abrogated or derogated
from or in any way impaired;
葉hat the citizens of the NeoConfederate States, through their
system of insured health services, have made outstanding
progress in treating
sickness and alleviating the consequences of disease
and disability among all income groups;
葉hat the NeoConfederate States can achieve further
improvements in their well-being through combining individual
lifestyles that
emphasize fitness, prevention of disease and health promotion
with collective action against the social, environmental and
occupational
causes of disease, and that they desire a system of
health services that will promote physical and mental
health and protection against
disease;
葉hat future improvements in health will require the cooperative
partnership of governments, health professionals, voluntary
organizations and
individual citizens;
葉hat continued access to quality health care without financial
or other barriers will be critical to maintaining and
improving the health and
well-being of citizens of the NeoConfederate States;
AND WHEREAS the Congress of the NeoConfederate States wishes to
encourage the development of health services throughout the
NeoConfederate States by assisting the several States in
meeting the costs thereof;
NOW, THEREFORE, the Congress of the NeoConfederate States
enacts as follows:
NeoConfederate Healthcare Policy It is hereby declared that the
primary objective of NeoConfederate health care policy is to
protect, promote and restore the physical and mental well-being
of residents of the NeoConfederate States of America and to
facilitate reasonable access to health services without
financial or other barriers.
PURPOSE The purpose of this Act is to establish criteria and
conditions in respect of insured health services and extended
health care services provided under state law that must be met
before a full cash contribution may be made.
CASH CONTRIBUTION Subject to this Act, as part of the
NeoConfederate Health Transfer, a full cash contribution
is payable by the
Confederal Government to each State for each fiscal year.
PROGRAM CRITERIA In order that a state may qualify for a full
cash contribution for a fiscal year, the health care insurance
plan
of the state must, throughout the fiscal year, satisfy the
criteria described respecting the following matters: (a) public
administration;
(b) comprehensiveness; (c) universality; (d) portability; and
(e) accessibility.
(1) In order to satisfy the criterion respecting public
administration,
(a) the health care insurance plan of a state must be
administered and operated on a non-profit basis by a
public authority appointed or
designated by the government of the state;
(b) the public authority must be responsible to the state
government for that administration and operation; and
(c) the public authority must be subject to audit of
its accounts and financial transactions by such authority as
is charged by law with
the audit of the accounts of the state.
(2) The criterion respecting public administration is not
contravened by reason only that the public authority
referred to in subsection (1)
has the power to designate any agency
(a) to receive on its behalf any amounts payable under
the state health care insurance plan; or
(b) to carry out on its behalf any responsibility in connection
with the receipt or payment of accounts rendered for insured
health services,
if it is a condition of the designation that all
those accounts are subject to assessment and approval by the
public authority
and that the public authority shall determine the amounts
to be paid in respect thereof.
(3) In order to satisfy the criterion respecting
comprehensiveness, the health care insurance plan of a
state must insure all insured
health services provided by hospitals, medical
practitioners, psychiatric practitioners or dentists, and where
the law of the state so
permits, similar or additional services rendered by other
health care practitioners.
(4) In order to satisfy the criterion respecting
universality, the health care insurance plan of a state must
entitle one hundred per cent
of the insured persons of the state to the insured health
services provided for by the plan on uniform terms and
conditions.
(5) In order to satisfy the criterion respecting
portability, the health care insurance plan of a state
(a) must not impose any minimum period of residence in the
state, or waiting period, in excess of three months before
residents of
the state are eligible for or entitled to insured health
services;
(b) must provide for and be adSecretaryed and operated
so as to provide for the payment of amounts for the
cost of insured
health services provided to insured persons while
temporarily absent from the state on the basis that
(i)where the insured health services are provided in
the NeoConfederate States, payment for health services is at
the rate that is approved by
the health care insurance plan of the state in which
the services are provided, unless the states concerned
agree to apportion the
cost between them in a different manner, or
(ii) where the insured health services are provided out
of the NeoConfederate States, payment is made on the basis of
the amount that would have
been paid by the state for similar services rendered in
the state, with due regard, in the case of hospital
services, to the size
of the hospital, standards of service and other
relevant factors; and
(c) must provide for and be adSecretaryed and operated
so as to provide for the payment, during any minimum
period of residence,
or any waiting period, imposed by the health care
insurance plan of another state, of the cost of insured
health services provided
to persons who have ceased to be insured persons by reason
of having become residents of that other state, on the same
basis as though they
had not ceased to be residents of the state.
(6) The criterion respecting portability is not contravened by
a requirement of a state health care insurance plan that the
prior consent
of the public authority that adSecretarys and operates the
plan must be obtained for elective insured health services
provided to a resident of
the state while temporarily absent from the state if the
services in question were available on a substantially
similar basis in the
state.
(7) In order to satisfy the criterion respecting
accessibility, the health care insurance plan of a state
(a) must provide for insured health services on uniform terms
and conditions and on a basis that does not impede or
preclude, either
directly or indirectly whether by charges made to
insured persons or otherwise, reasonable access to those
services by insured
persons;
(b) must provide for payment for insured health services
in accordance with a tariff or system of payment authorized by
the law of the state;
(c) must provide for reasonable compensation for all
insured health services rendered by medical practitioners,
psychiatric practitioners,
or dentists; and
(d) must provide for the payment of amounts to
hospitals, including hospitals owned or operated by the
NeoConfederate States, in respect of
the cost of insured health services.
(8) In respect of any state in which extra-billing is not
permitted, the program criteria shall be deemed to be
complied with if the
state has chosen to enter into, and has entered into, an
agreement with the medical practitioners, psychiatric
practitioners and dentists of
the state that provides
(a) for negotiations relating to compensation for insured
health services between the state and state organizations
that represent
practising medical practitioners, psychiatric
practitioners, or dentists in the state;
(b) for the settlement of disputes relating to compensation
through, at the option of the appropriate state
organizations referred to in
paragraph (a), conciliation or binding arbitration by
a panel that is equally representative of the state
organizations and the
state and that has an independent chairman; and
(c) that a decision of a panel referred to in paragraph
(b) may not be altered except by an Act of the
legislature of the state.
CONDITIONS FOR CASH CONTRIBUTION
(1) In order that a state may qualify for a full cash
contribution the government of the state shall, at the times and
in the manner prescribed
by the regulations, provide the Secretary of the Treasury
with such information, of a type prescribed by the
regulations, as the Secretary
may reasonably require for the purposes of this Act.
DEFAULTS
(1) When the Secretary of the Treasury, after consultation with
the body responsible for health care in a state, is of the
opinion that
(a) the health care insurance plan of the state does
not or has ceased to satisfy any one of the criteria
described , or
(b) the state has failed to comply with any conditions
for cash contributions set out and the state has not given an
undertaking satisfactory to
the Secretary to remedy the default within a period
that the Secretary considers reasonable, the Secretary shall
refer the matter to the
President.
(2) Before referring a matter to the President under
subsection (1) in respect of a state, the Secretary shall
(a)send by registered mail to the body responsible for
health care in the state a notice of concern with respect
to any problem foreseen;
(b) seek any additional information available from the
state with respect to the problem through bilateral
discussions, and make a report
to the state within ninety days after sending the notice of
concern; and
(c) if requested by the state, meet within a reasonable period
of time to discuss the report.
(3) The Secretary may act without consultation under
subsection (1) if the Secretary is of the opinion that
a sufficient time has expired
after reasonable efforts to achieve consultation and that
consultation will not be achieved.
(4) Where, on the referral of a matter, the President is
of the opinion that the health care insurance plan of a state
does not or has ceased to satisfy
any one of the criteria described or that a state has failed
to comply with any conditions for cash contributions set, the
President may, by order,
(a) direct that any cash contribution to that state for a
fiscal year be reduced, in respect of each default, by an amount
that the President considers
to be appropriate, having regard to the gravity of the
default; or
(b) where the President considers it appropriate, direct
that the whole of any cash contribution to that state for a
fiscal year be withheld.
(5) The President may, by order, repeal or amend any order made
under subsection (4) where the President is of the opinion that
the
repeal or amendment is warranted in the circumstances.
(6) A copy of each order made under this section
together with a statement of any findings on which the
order was based shall be sent
forthwith by registered mail to the government of the
state concerned and the Secretary shall cause the order
and statement to be laid
before Congress after the order is made.
(7) An order made under subsection (4) shall not come
into force earlier than thirty days after a copy of the
order has been sent to
the government of the state concerned.
(8) In the case of a continuing failure to satisfy any of the
criteria described or to comply with any conditions for cash
contributions, any reduction
or withholding of a cash contribution to a state for a
fiscal year shall be reimposed for each succeeding fiscal
year as long as the
Secretary is satisfied, after consultation with the body
responsible for health care in the state, that the
default is continuing.
(9) Any reduction or withholding under of a cash contribution
may be imposed in the fiscal year in which the default that gave
rise to the reduction
or withholding occurred or in the following fiscal year.
EXTRA-BILLING AND USER CHARGES
(1) In order that a state may qualify for a full cash
contribution for a fiscal year, no payments may be permitted by
the state for that fiscal year
under the health care insurance plan of the state in
respect of insured health services that have been subject to
extra-billing by medical practitioners,
psychiatric practitioners, or dentists.
(2) In order that a state may qualify for a full cash
contribution for a fiscal year, user charges must not be
permitted by the state for that
fiscal year under the health care insurance plan of
the state.
(3) Subsection (2) does not apply in respect of user charges
for accommodation or meals provided to an in-patient who, in
the opinion of the attending
physician, requires chronic care and is more or less
permanently resident in a hospital or other institution.
(4) Where a state fails to comply with the condition set
out in section 1, there shall be deducted from the cash
contribution to the state for
a fiscal year an amount that the Secretary, on the basis of
information provided in accordance with the regulations,
determines to have been charged
through extra-billing by medical practitioners, psychiatric
practitioners, or dentists in the state in that fiscal year or,
where information is not
provided in accordance with the regulations, an amount that
the Secretary estimates to have been so charged.
(5) Where a state fails to comply with the condition set
out in section 2, there shall be deducted from the cash
contribution to the state for
a fiscal year an amount that the Secretary, on the
basis of information provided in accordance with the
regulations, determines to have been charged
in the state in respect of user charges to which section 2
applies in that fiscal year or, where information is not
provided in accordance with the
regulations, an amount that the Secretary estimates to have
been so charged.
(6) The Secretary shall not estimate an amount under
subsection (4) or (5) without first undertaking to consult the
body responsible for health care in
the state concerned.
(7) Any deduction from a cash contribution under sections (1) or
(2) may be made in the fiscal year in which the matter that
gave rise to the deduction occurred or in the following
two fiscal years.
REGULATIONS
(1)Subject to this section, the President may make
regulations for the administration of this Act and for
carrying its purposes and provisions into
effect, including, without restricting the generality of the
foregoing, regulations
(a) prescribing the services excluded from hospital
services;
(b) prescribing the types of information that the Secretary
may require and the times at which and the manner in which
that information shall be provided;
(2) No regulation may be made under paragraph (1)(a) or (b)
except with the agreement of each of the states.
REPORT TO CONGRESS
(1) The Secretary shall, as soon as possible after the
termination of each fiscal year and in any event not later
than December 31 of the
next fiscal year, make a report respecting the
administration and operation of this Act for that fiscal year,
including all relevant information
on the extent to which state health care insurance plans
have satisfied the criteria, and the extent to which the states
have satisfied the conditions,
for payment under this Act.
#Post#: 2672--------------------------------------------------
Re: NeoConfederate Healthcare Act
By: Caos Date: June 29, 2015, 4:08 pm
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I second this wonderful bill. It puts up a standard not seen in
other places. I congratulate the man who came up with this.
#Post#: 2742--------------------------------------------------
Re: NeoConfederate Healthcare Act
By: Amerikanisches Reich Date: June 30, 2015, 11:58 am
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Speaking in the name of the Reichsfuhrers, Reichstag, and Volk
of the AR, we have long been committed to ensuring the physical
fitness of the population of the Reich, which is essential to
the productivity of the state, as well as its businesses, and
its ability to defend itself, nor less to ensure that our
prospective mothers are fit to bear healthy children. While we
prefer the prevention of disease, congenital defects, obesity,
and other such problems to treatment, our goals and policy are
none the less in line with the proposed legislation, and I would
like to register our full support. A people may be born for
greatness, but to attain it requires constant vigilance and hard
work, with respect to public health as much as other matters.
Furthermore, I will applaud the careful language which does not
impose upon the several States a set regime, but rewards them
with a subsidy for compliance, making participation optional, if
I read correctly. This respects sovereignty to the utmost whilst
providing a powerful incentive to enact policy which benefits
the people.
Thus I join with my esteemed colleague from Die Erworbenen Namen
in seconding the act.
#Post#: 2749--------------------------------------------------
Re: NeoConfederate Healthcare Act
By: diddyland Date: June 30, 2015, 12:23 pm
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Diddyland seconds this act as well.
#Post#: 3251--------------------------------------------------
Re: NeoConfederate Healthcare Act
By: david090366 Date: July 5, 2015, 3:21 am
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The bill has been moved and seconded, is there any further
discussion on it?
#Post#: 3358--------------------------------------------------
Re: NeoConfederate Healthcare Act
By: david090366 Date: July 6, 2015, 3:41 am
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Since there seems to be no further discussion on this bill I
open the floor for voting. All those in favor please signify by
saying aye, those opposed nay.
#Post#: 3359--------------------------------------------------
Re: NeoConfederate Healthcare Act
By: diddyland Date: July 6, 2015, 3:50 am
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Aye
#Post#: 3367--------------------------------------------------
Re: NeoConfederate Healthcare Act
By: Wellsian Empire Date: July 6, 2015, 6:33 am
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nay
#Post#: 3376--------------------------------------------------
Re: NeoConfederate Healthcare Act
By: West Phoenicia Date: July 6, 2015, 9:29 am
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Nay
#Post#: 3389--------------------------------------------------
Re: NeoConfederate Healthcare Act
By: Caos Date: July 6, 2015, 10:14 am
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Aye
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