Bureaucracies Established by Sanders’ Health Care Bill (Part 2 of 3)

by Angela Chagnon

In addition to the all-powerful “American Health and Standards Security Board” and the “American Health Security Advisory Council” established to create and oversee the proposed healthcare system, the bill requires that many more bureaucracies be established to implement the new system.

Each state must create a “fraud unit” to prevent fraud and abuse of the health care system. The requirements and duties of this unit are found on pages 85-89.

Each state must also set up a “State Health Security Advisory Council” consisting of “at least 11 individuals”. The requirements and duties for these Councils are outlined on pages 82-84.

Pages 89-97 outlines the establishment of an “American Health Security Quality Council” to monitor the quality and outcomes of health services being provided. This Council will have 10 members, all appointed by the President. The bill proposes that the Council be in working order by January 1, 2012.

One aspect of this Council’s duties will be to develop “certain methodologies, guidelines, and standards” for medical practice (pp. 93-97).

The bill establishes yet another institution–a “Center for American Health Security Innovation” within the Dept. of Health and Human Services (pp. 97-99). The purpose of this Center is to “improve patient care, improve population health, and lower costs in a manner consistent with the requirements of such Program.” (p.98)

Title 5, starting on page 100, deals with the financial aspect of the proposed health care system. It requires that the Board “establish a national health security budget” by September 1, beginning in 2012. It also includes a provision to keep tabs on anyone eligible to be covered under the health care system:

C) “POPULATION INFORMATION.-The Bureau of the Census shall assist the Board in determining the number, place of residence, and risk group classification of eligible individuals. (p.104)”

Page 148, Part G, Section 486E establishes the “Office of Primary Care and Prevention Research.” The section identifies the purpose, duties and responsibilities of this office. The next section on page 150, section 486F, sets up a “National Data System” for “information regarding primary care and prevention research”. The section also establishes a “clearinghouse” for this information for research purposes.

Look for the next and final piece in this series in the next edition of TrueNorthReports.com. Read Part 1 HERE.