Waiver-mania: Now, nursing homes lobby for Obamacare pardon; Update: San Francisco’s escape hatch
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On Friday, the White House quietly unveiled more Obamacare waivers.
The CMMS website noted: “As of the end of April 2011, a total of 1372 one-year waivers have been granted. This update includes 221 new approvals.”
Among the new recipients:
Local 485 Health and Welfare Fund
Detroit and Vicinity Trowel Trades Health and Welfare Fund
CWA Local 1182 Security Benefits Fund
CWA Local 1183 Health and Welfare Fund
Bakers Union and FELRA Health and Welfare Fund
SEIU Healthcare IL Home Care & Child Care Fund
UFCW San Diego Employers Health & Welfare Trust
Welfare Fund of the International Union of Operating Engineers Local 15, 15A, 15C, 15D AFL-CIO
USW Local 1-0318 Health and Welfare Trust Fund
United Association of Journeymen and Apprentices Local 198 AFL-CIO Health and Welfare Trust
Teamsters Local 617 Welfare Fund
Local 734 Welfare Fund
Plumbers and Steamfitters Local 60 Health and Welfare Fund
The Hill reminds us that the GOP is still seeking answers on the get-out-of-Obamacare process: “‘The fact that over 1,000 waivers have been granted is a tacit admission that the healthcare law is fundamentally flawed,’ Energy and Commerce Chairman Fred Upton (R-Mich.) said in March. Upton is one of three House committee chairmen who has used new oversight powers to investigate the annual limit waivers.”
As I pointed out during the last waiver go-around in April, HHS is already plotting more waivers for 2012-2013.
Meanwhile, nursing homes are gearing up for their own battle to carve out a new loophole to spare them the ravages of the Obamacare mandate.
It is an oddity of American health care: Many nursing homes and home care agencies do not provide health insurance to their workers, or they pay wages so low that employees cannot afford the coverage that is offered.
The numbers are stark. Among workers who provide hands-on care to nursing home residents, one in four has no health insurance. Among those who provide care to people living at home, one in three is uninsured.
The new health care law is supposed to fix the problem by guaranteeing access to affordable coverage for all. But many nursing homes and home care agencies, alarmed at the cost of providing health insurance to hundreds of thousands of health care workers, have started a lobbying effort seeking some kind of exemption or special treatment.
Mark Parkinson, president of the American Health Care Association, the largest trade group for nursing homes, says the problem is that reimbursement rates for Medicaid and Medicare, set by government agencies, do not pay them enough to offer their employees medical coverage. “We do not have much ability to increase prices because we are so dependent on Medicaid and Medicare” for revenue, he said.
Mr. Parkinson acknowledged that when nursing homes do offer health insurance to employees, the benefits are often limited. The coverage “is probably not up to what will be required” by the federal law, he said.
Medicaid covers about two-thirds of nursing home residents. States set Medicaid rates, and many states, facing severe budget problems, have reduced payments for nursing homes.
Starting in 2014, the law will require employers with 50 or more full-time employees to offer affordable coverage or risk paying a penalty. For a midsize nursing home, that penalty could easily exceed $200,000 a year. Nursing home executives are urging Congress and the Obama administration to spare them from the penalties.
Dude, where’s your waiver?
***
Update: Matthew Boyle breaks down all of San Francisco’s special passes. Nancy Pelosi is unavailable for comment.
Related: Jamie Dupree first shed light on the San Fran waiver frenzy on Sunday.
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Its just an immediate means to continue to reap union political support, but the eventual end will be single-payer government run healthcare.
My wife just read Animal Farm again. When she had read it in high school she had no idea is was a political allegory. Now she goes “2 legs better than 4″
BTW:, anyone go to the doctor lately and all his time is spent typing away on his laptop, doing no doubt the requirements of ObamaCare? My doctor ended up so distracted by this requirement he forgot to order tests, provide me with prescriptions and set up a follow up appointment. My response was to just switch to a different type of doctor. Of course even that cholce will go away soon.
I had a history class in high school in which our teacher read Animal Farm to us and explained its meaning of political allegory. Enlightening.
I ask the exact same question every single time. I’ve sort of taken it on as a personal crusade to push this because it is too often neglected.
To me, it says something about the character of the Left that they go silent when the post is about something indefensible. You’ll note that when the Right does something whacked, MM is the first or one of the very first out of the gate to call foul on her own side–and so are many on the Right (think Dubai ports, Harriet Myers, spending, Medicare Prescrip, lack of opposition against Sotomayer, and on and on).
That’s why I never understand the chum-chummy grins, giggles and hugs routine whenever someone from the Left posts on here who isn’t foaming at the mouth. The cry goes up, “Aha! A REASONABLE person on the Left!” and the world is “OK” for a moment. Really?
For my part, I don’t have much respect for folks intellectually or morally who make a habit of ONLY commenting on things that they think make their side look wonderful. If you are committed to principle, you will celebrate the vindication of your principle as well as call out the violation of your principle no matter which side is doing it.
To be fair, I have seen Chapoutier do that a few times abut I’m not sure about RSS. The rest certainly not.
We know that they are either paid or volunteers of Media Matters. They are just wasting their time and money in my opinion, because they just are not very good.
Anyone feeling particularly Amish? They seem to be the one religious group qualified for an exemption in that they do not contribute to nor receive any social security benefits, and have been in existence since 1950 (another qualifier).
In this article (http://www.ohiofreepress.com/financial/2010/religious-exemption-obamacare-mandate/)
it talks about Native Americans, the Amish and those participating in faith based health-care sharing ministries as potentially qualifying for exemptions.
Having said all this, my best hope is that the entire crap sandwich is challenged and defeated in court.
Well my 40 years of claiming to be an eskimo may finally be paying off.
Here’s my take on the waiver process:
It’s not about having a (D) as a requirement. In order to obtain a waiver, the applicant MUST promise to contribute a portion of the expenses saved to the Obama Re-election campaign, or to the general fund of the DNC.
I think this makes more sense than thinking the Democrats are trying to help businesses cope with expanding healthcare costs. Democrats ALWAYS help themselves first! Always!
Prove me wrong….
Hello Major O ~ Sorry I missed being able to respond to your post (kind of along the same lines as this) on another thread. I went back to comment but seem to have lost that particular discussion.
Anyways, I agree. They’re nowhere to be seen. Well to be fair, ILMC is probably still sleeping in.
O/T but did anyone else see where Government Motors sponsored a Communist China propaganda movie?
So seeing that they took taxpayer money, that they still have not paid back, one could make the argument that taxpayer money was used to promote Communist Chineese propaganda….
Each of these articles fails to mention the Healthy San Francisco program. These establishments get waivers because they already participate in SF’s universal health care plan.
Pelosi’s office responds here:
FIFY
Well put. Those who have obtained “waivers” have only succeeded in putting off the day – unless they keep the Dane-Geld coming via campaign contributions.
Ah yes, Animal Farm, one of my favorite classics. Time to pull it off the bookshelf, dust it off, and enjoy another good read tonight.
Meanwhile, all of these jokers, Pelosi, Obama, Reid, et al, they all share one thing in common: They all think that they are better than the common riff-raff and thus they are entitiled to special treatment. Just look at the record. It’s all there. Special VIP jet service squandered on Pelosi. Constitution is a floor mat for the demi-god Obama. Reid fumes at “smelly tourists”. They all think that they are beyond reproach.
I guess that Granny Botox’s constituents finally read the bill for her. It looks like the waiver recipients are unions and other Democrat cronies. The idiots in San Francisco still worship the crap she walks on too.
Go figure…
So the whole state of Nevada got a waiver? Wow, go to a meeting then come back and check the news…… Hairy Reed has struck again.
OT: I wonder who struck Hairy? A pic on Drudge showed quite a shiner he had.
This is just one of the major flaws of the healthcare compromise. Obama was correct as a candidate: The individual mandate just isn’t feasible for many Americans. He fought Hillary hard on it. As president, he should have pushed for the public-option, and rammed it through, instead.
This new healthcare reform law will look radically different in Obama’s 2nd term. No, not repeal. There will be some form of a public option, and the individual mandate will be done away with. It will be paid for by raising taxes on the wealthy. That’s my prediction.
It can be tried, but it won’t work by merely raising taxes on the wealthy. They don’t have nearly that much money to cover the laughable underprojection of what it will really cost, and the rich will underproduce as much as possible to avoid as much taxation as possible, and the uberrich have the means to shield much of their cash from taxation. The “tax the rich” scheme always sounds great to the envious public at large and is generally counterproductive. That’s my prediction.
If this doesn’t prove the case that Obamacare is unconstitutional, there’s always at least 2 courts of law who have deemed it so…Oh yea, there’s the American People too; I almost forgot.
For those of you who read Atlas Shrugged, you’ll remember that Ayn Rand wrote about eerily similar laws that were virtually unenforceable because of the convoluted maze of BS that they created…I hope that we don’t have to let America crumble completely before we rebuild it–the foundation is still good.
Right, so far acting in accordance with constitutional constraints has carried a lot of weight with this admin, so I’m sure the WH is sure react to the court decisions by backing off.
Oh, yeah, those of whose concerns the WH shrugs off regularly.
Pipedream: n. A fantastic notion or vain hope
Reality: n. The totality of real things and events
Not.going.to.happen. My prediction.
Healthcare compromise? This is just too funny. What GOP votes are did they get with the “compromise” ? What did get is pack full of lies, so many you mean the morals were compromised.
S
Approved of by the entire Democratic Party we can be sure.
What ever happened to equal
destructionprotection under the law?