Head Scratchers
1. Pre-Exisiting Condition Exclusion: The legislation bars insurers immediately from denying coverage to children based on a pre-existing condition. However, they are still free to do it to adults until 2014. Besides being a blatant exception to immediate consumer protections, this one is a true head-scratcher. Except for expensive risk pools, adults in the individual insurance market with pre-existing conditions have nowhere to go until 2014. Yet the coverage mandate begins in the 2013 tax year. So what are folks supposed to do in 2013? Take out a second mortgage to pay for health plan coverage that won't cover their pre-existing conditions (the risk pool requires going bare for 6 months, activating a 12-month pre-exisiting condition coverage exclusion) or pay a fine, just because lawmakers wanted a better CBO score?
Gut Checks
1. State Anti-Abortion Opt-In: Until now, federal money wasn’t allowed to be used for abortions except in life-threatening cases, rape, or incest. Now, in addition to that firewall, states can opt to pass a law barring abortion coverage within their insurance exchanges. So now it’s not just those who can least afford abortion services that are being denied them, it’s potentially every woman buying coverage within an exchange.
Also Nelson's reward for screwing up women's rights:
Nebraska’s Federal Medicaid Subsidy: Nelson bargained his state out of shouldering any costs from the expanded Medicaid program. Other states’ senators are probably not going to roll over on this one, as state budgets are already strapped due to the economy and Medicaid is chronically under-funded. So did we gain one more senator just to lose a few more?
http://healthcare.change.org/blog/view/7_features_in_the_new_filibuster-proof_senate_healthcare_bill