Vital Healthcare Act

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A pro-life alternative to the healthcare bills that were being proposed at the time.

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Vital Healthcare Act

  1. 1. A BILL To provide affordable government funding for vital healthcare services to all legal American citizens while keeping intact market competitiveness and quality of care in both the public and private sectors, and preventing such healthcare services from funding, or participating with in any way abortions or abortion providers. ____________________________________1 Be it enacted by the Senate and the House of Representatives in2 the United States of America in Congress assembled,3 SECTION 1. SHORT TITLE; TABLE OF CONTENTS;4 GENERAL DEFINITIONS5 (a) SHORT TITLE.—This Act may be referred to as the "Vital6 Healthcare Act".7 (b) TABLE OF CONTENTS.—The table of contents for this8 Act is as follows: Sec. 1. Short title; table of contents; general definitions Sec. 2. General effective date TITLE I—ABORTION EXCLUSION Sec. 101. No Abortions Clause TITLE II—PUBLIC SECTOR Part A—Defining Basic Healthcare Rights Sec. 201. Definition of a Healthcare Recipient Sec. 202. Methodology for Determination of Essential Healthcare Services Sec. 203. Essential Healthcare Services Defined Sec. 204. Non-Essential Healthcare Services Defined Sec. 205. Reimbursed Healthcare Services Defined Sec. 206. Healthcare Service Restrictions Part B—Grant Process for Hospital Providers of Basic Healthcare Sec. 207. Vital Healthcare Agencies Sec. 208. Starting Grants Sec. 209. Process of Determining Starting Grant Allowances Sec. 210. Extended and Diminished Grants Sec. 211. Compiling Cumulative Rating Averages
  2. 2. 2 Sec. 212. Additional Fiscal Reimbursements to VHAs Part C—Forming of a Regulating Committee for Basic Healthcare Sec. 213. Design of the Committee on Vital Healthcare Sec. 214. Voting Process of the Committee on Vital Healthcare Sec. 215. Duties of the Committee on Vital Healthcare Sec. 216. Bureau of Vital Healthcare Sec. 217. Server for Vital Healthcare Sec. 218. Confidentiality Part D—Process of Providing Basic Healthcare Sec. 219. Medical Feedback Centers Sec. 220. Duties of the Feedback Center Representative Sec. 221. Healthcare Recipient Cards Sec. 222. Healthcare Entrance Machines Sec. 223. Healthcare Voting Machines Part E—Public Accountability Structure Sec. 224. Feedback Center Surveillance as Assurance of Proper Voting Process Sec. 225. Process of Making Video Surveillance Publicly Accessible Sec. 226. Encouragement of Citizen Watchdog Groups TITLE III—PRIVATE SECTOR Sec. 301. Maintaining the Current Private Sector TITLE VI—TORT REFORM Sec. 401. Hospital Lawsuits Sec. 402. Employee Hours Sec. 403. Accountability for Public Officials Sec. 404. Judicial Transparency Website TITLE V—PROVIDING SUBSIDIES FOR MEDICAL EDUCATORS Sec. 501. Subsidies for Medical Instructors Sec. 502. Subsidy Formulation for Medical Instructors Sec. 503. Cap On Subsidy-Increased Salaries Sec. 504. Federal Aid for Medicals Professionals Seeking To Become Educators TITLE VI—HEALTH INSURANCE REGULATION Sec. 601. Ban On Ownership in Tobacco and Nicotine Companies Sec. 602. Restrictions On Pre-Existing Conditions TITLE VII-APPROPRIATIONS Sec. 701. The Vital Healthcare Fund1 (c) GENERAL DEFINITIONS.—Except as otherwise provided,2 in this Act:
  3. 3. 3 1 (1) HOSPITAL.—The term "Hospital" as defined in this 2 Act has the meaning assigned in section 1861(e) of the Social 3 Security Act [42 U.S.C. 1395x]. 4 (2) VITAL HEALTHCARE AGENCY.—The term "Vital 5 Healthcare Agency" or "VHA" has the meaning given such term 6 under section 207(a). 7 (3) HEALTHCARE RECIPIENT.—The term "Healthcare 8 Recipient" has the meaning given such term under section 9 201(a).10 (4) BUREAU OF VITAL HEALTHCARE.—The term11 "Bureau of Vital Healthcare" as it is used in this Act refers to12 the regulating bureau overseeing Vital Healthcare Agencies,13 which has as its leadership the Committee of Vital Healthcare,14 and the purpose and duties of which are outlined in section 216.15 (5) HEALTHCARE SERVICES.—The term "healthcare16 services" as it is used in this Act refers specifically to the17 Essential Healthcare Services and Reimbursed Healthcare18 Services for which Vital Healthcare Agencies are federally19 funded by this Act to provide.20 (6) MEDICAL FEEDBACK CENTER.—The term21 "Medical Feedback Center" or "MFC" has the meaning given22 such term under section 219(a).23 (7) FEEDBACK CENTER REPRESENTATIVE.—The24 term "Feedback Center Representative" has the meaning given25 such term under section 220(a).26 (8) COMMITTEE OF VITAL HEALTHCARE.—The term27 "Committee of Vital Healthcare" as it is used in this Act refers28 to the leadership committee regulating and overseeing the29 Bureau of Vital Healthcare and established for the purposes30 listed in section 213(a).
  4. 4. 4 1 (9) SERVER FOR VITAL HEALTHCARE.—The term 2 "Server for Vital Healthcare" or "SVH" has the meaning given 3 such term under section 217(a). 4 (10) HEALTHCARE ENTRANCE MACHINE.—The term 5 "Healthcare Entrance Machine" or "HEM" has the meaning 6 given such term under section 222(a). 7 (11) HEALTHCARE VOTING MACHINE.—The term 8 "Healthcare Voting Machine" has the meaning given such term 9 under section 223(a).10 (12) ESSENTIAL HEALTHCARE SERVICES.—The term11 "Essential Healthcare Services" refers to those services12 specified in section 203(a).13 (13) NON-ESSENTIAL HEALTHCARE SERVICES.—14 The term "Non-Essential Healthcare Services" refers to those15 services specified in section 204(a).16 (14) REIMBURSED HEALTHCARE SERVICES.—The17 term "Reimbursed Healthcare Services" refers to those services18 specified in section 205(a).19 (15) HEALTHCARE RECIPIENT CARD.—The term20 "Healthcare Recipient Card" has the meaning given such term21 under section 221(a).22 (16) STARTING GRANT.—The term "Starting Grant" has23 the meaning given such term under section 208(a).24 (17) DIMINISHED GRANT.—The term "Diminished25 Grant" has the meaning given such term under section 210(a).26 (18) EXTENDED GRANT.—The term "Extended Grant"27 has the meaning given such term under section 210(a).28 (19) VHA DISTRICT.—The term "VHA District" has the29 meaning given such term under section 209(a).
  5. 5. 5 1 (20) CUMULATIVE RATING AVERAGE.—The term 2 "Cumulative Rating Average" or "CRA" has the meaning given 3 such term under section 211(a). 4 (21) VHA APPROVAL RATING.—The term "VHA 5 Approval Rating" has the meaning given such term under 6 section 210(b)(1). 7 (22) PUBLIC SECTOR.—The term "Public Sector" as used 8 in this Act refers specifically to U.S. Government-funded 9 healthcare services.10 (23) PRIVATE SECTOR.—The term "Private Sector" as11 used in this Act refers specifically to healthcare services that are12 not funded by the U.S. Government.13 (24) FEEDBACK CENTER SURVEILLANCE14 SYSTEM.—The term "Feedback Center Surveillance System"15 or "FCSS" has the meaning given such term under section16 224(a).17 (25) PERSONALLY IDENTIFIABLE INFORMATION.—18 The term "Personally Identifiable Information" or "PII" has the19 meaning given such term under section 218(b).20 (26) IDENTIFICATION NUMBER.—The term21 "identification number" refers to the unique system-assigned22 identification number for a given Healthcare Recipient upon23 receiving a Healthcare Recipient Card as specified in section24 221(b)(2).25 (27) BARCODE.—The term "barcode" refers to the unique26 system-assigned identification number for a given Healthcare27 Recipient upon receiving a Healthcare Recipient Card as28 specified in section 221(b)(3).29 (28) PUBLIC TRANSPARENCY WEBSITE.—The term30 "Public Transparency Website" refers to the publicly accessible31 website to be created for purposes of easy-access voting on
  6. 6. 6 1 received healthcare services and viewing FCSS video footage 2 for purposes of system accountability, as specified in section 3 225(a). 4 SEC. 2. GENERAL EFFECTIVE DATE 5 Except as otherwise specified within this act, all committees, 6 bureaus, services, grants, laws, etc. set forth within this act are to take 7 effect on the exact date on which this Act is enacted into law. 8 TITLE I—ABORTION EXCLUSION 9 SEC 101. NO ABORTIONS CLAUSE10 (a) IN GENERAL.—Nothing in this Act or this Acts language11 may be construed as providing additional government funding for12 abortion services. Abortion, for purposes of this Act alone, will not be13 considered healthcare for all of the reasons stated in section 202(a)(3).14 (b) STATED BOUNDARIES. —All committees, bureaus,15 services, grants, laws, etc. that are funded by, created by, or instituted16 by this Act are to remain free of and separate from abortion providers17 and abortion services. Hospitals and Vital Healthcare Agencies that18 choose to fund abortions must not do so in facilities or upon grounds19 funded by this Act. Under no conditions are any committees, bureaus,20 or grants instituted by this Act to coordinate with abortion groups.21 (c) EMPLOYEE RESTRICTIONS.—The following restrictions22 are to apply to all employees of the Bureau of Vital Healthcare and its23 departments, which Bureau excludes Vital Healthcare Agencies but not24 Medical Feedback Centers and Feedback Center Representatives:25 (1) No employees of the Bureau of Vital Healthcare may26 have in their work history employment by an organization27 whose primary purpose was to provide abortions, or have past28 affiliation with such an organization through volunteer activities29 for said organization or a daughter organization of such an30 organization whose primary purpose was to provide abortions,31 without signing the following statement: "I publicly denounce
  7. 7. 7 1 my former cooperation with organizations who provided 2 abortions and agree not to use my employment with the Bureau 3 of Vital Healthcare to support organizations who provide 4 abortions, or to endorse abortions or organizations whose 5 primary purpose is to provide abortions, while in representation 6 of or employment by the Bureau of Vital Healthcare." 7 Employees or potential employees of the Bureau of Vital 8 Healthcare Employees of the Bureau of Vital Healthcare 9 discovered with such past history who refuse to sign this10 statement are to be fired or not employed.11 (2) New employees of the Bureau of Vital Healthcare must12 sign the following statement prior to employment by the Bureau13 of Vital Healthcare: "I agree not to use my employment as a14 representative of the Bureau of Vital Healthcare to endorse15 organizations whose primary purpose is to provide abortions, or16 to endorse abortion to members of the general public while an17 employee of the Bureau of Vital Healthcare. I agree not to18 involve myself with organizations whose primary purpose is to19 provide abortions while I am employed by the Bureau of Vital20 Healthcare, either during work hours or outside of my21 workplace, and to disclose in writing to the Bureau of Vital22 Healthcare any such past instances of said involvement. I23 understand that violation of these terms will mean termination24 of my employment with the Bureau of Vital Healthcare."25 (3) Employees discovered to be supporting organizations26 that provide abortions either during work hours for the Bureau27 of Vital Healthcare or outside the Bureau of Vital Healthcare28 though employed by the Bureau of Vital Healthcare, or to be29 endorsing abortion activities to the general public during work30 hours for the Bureau of Vital Healthcare are to be immediately
  8. 8. 8 1 fired, with no provision for re-employment so long as evidence 2 of innocence in such matter is not clearly evidenced. 3 (d) CLAUSE INHERENT TO ACT AND NOT TO AFFECT 4 ROE V. WADE.—Nothing in this Act or this Acts language may be 5 construed as affecting Roe v. Wade outside of and apart from this Act 6 and the services, governing bodies, laws, etc. instituted by it. Federal 7 services, laws, governing bodies, etc. in place before the institution of 8 this Act shall remain unaffected by this Act. 9 (e) NECESSARY AND CONDITIONED SECTION.—10 Removal of, or changes to this section require that this entire Act11 become null and void, along with all committees, bureaus, services,12 grants, laws, etc. that are instituted and/or funded by this Act. This Act13 is to avoid all involvement with organizations that seek to provide14 abortions. The word all as used in the previous sentence refers to all15 points in time, past, present, and future.16 TITLE II—PUBLIC SECTOR17 PART A—DEFINING BASIC HEALTHCARE RIGHTS18 SEC. 201. DEFINITION OF A HEALTHCARE RECIPIENT19 (a) IN GENERAL.—For purposes of this Act, a Healthcare20 Recipient shall be defined as a legalized American citizen, and thus21 eligible to receive U.S. government-funded services from a Vital22 Healthcare Agency.23 (b) PROCESS OF PROVING CITIZENSHIP.—The process for24 establishing citizenship referred to in section 220(b)(1) shall use those25 forms required by the U.S. Census Bureaus BC-170D as of May 3,26 2006, namely the provision of one document from List A or List B, and27 one document from List C, as found within the section titled28 "Identification you need to bring to the testing site".29 (1) Upon presentation of the adequate documents by a30 prospective Healthcare Recipient to the Feedback Center31 Representative in a Medical Feedback Center, the Feedback
  9. 9. 9 1 Center Representative shall use electronic means to verify the 2 data provided and establish identity. 3 (2) Upon the establishment of a persons identity via 4 presentation of acceptable documents and electronic 5 verification, the Feedback Center Representative of a Medical 6 Feedback Center shall fingerprint the Healthcare Recipient; 7 which fingerprints shall then be scanned into the Server for 8 Vital Healthcare for future use with Healthcare Entrance 9 Machines.10 (c) RIGHT TO SERVICES.—All Healthcare Recipients shall11 have the rights to receive the medical services specified within this Act,12 and to provide feedback on said services so long as it does not13 constitute a violation of section 206 or section 224. Discrimination that14 results in a denial of healthcare services, or intentional tampering with15 a Healthcare Recipients right to receive said healthcare services and/or16 provide feedback about such services so long as it does not violate17 section 204 or section 206, shall be considered a violation of Federal18 law and punishable by a fine of up to $5,000 and/or up to 5 years in19 jail.20 SEC 202. METHODOLOGY FOR DETERMINATION OF21 ESSENTIAL HEALTHCARE SERVICES22 (a) METHODOLOGY FOR DETERMINING ESSENTIAL23 HEALTHCARE SERVICES DEFINED.—As defined by this Act, such24 vital healthcare services are based on the following principles (for25 purposes of this Act, these principles apply solely to the language of26 this Act, without affecting other U.S. law or federal services, including27 Roe v. Wade):28 (1) NO FAULT.—High-risk lifestyle choices such as29 alcoholism and smoking are controllable and thus whose30 consequence, i.e. related healthcare treatment, should be borne31 by the individual, and not the society.
  10. 10. 10 1 (2) ESSENTIAL RIGHTS.—To what degree does the 2 healthcare assist in the Constitutional, inalienable rights of the 3 individual, first life, then liberty, and finally the pursuit of 4 happiness? Healthcare that is based upon choice as opposed to 5 inalienable rights, e.g. cosmetic surgery, shall not be borne by 6 American taxpayers, for with choices must come personal 7 consequence and responsibility. 8 (3) NO HARM.—Healthcare that harms anothers 9 Constitutional, inalienable rights in the process apart from their10 consent should not be borne by society, but by the individual, if11 allowed at all (e.g. abortion). For purposes of this Act, the U.S.12 government shall err on the side of caution when potentially13 taking another human beings life, with the burden of proof14 upon the party seeking to potentially infringe upon another15 individuals inalienable rights that, as stated by the Declaration16 of Independence, are dependent upon a Creator and no other17 individuals opinion, desire for said individual, or estimation.18 (4) EFFICIENCY AND CONSISTENCY.—Essential19 services must have a proven track record of consistently20 providing measurable, consistent, and curative gains in the21 quality of a persons basic health; i.e. healthcare which is clearly22 beneficial. Rarely tested drugs of dubious, highly varying, or23 ill-tested effect, or whose outcome is difficult to quantify, e.g.24 medicinal depression treatments, are not reliably effective25 enough for cost sharing by American taxpayers until proven26 otherwise.27 SEC 203. ESSENTIAL HEALTHCARE SERVICES DEFINED28 (a) DEFINITION.—The term "Essential Healthcare Services"29 as defined in this Act refers to the following healthcare services which30 must be provided by all Vital Healthcare Agencies. Hospitals that31 cannot or will not provide such services to all legal American citizens
  11. 11. 11 1 will not be recognized as Vital Healthcare Agencies eligible for 2 Starting Grants: 3 (1) Vaccinations required by U.S. Law, recommended by 4 the Center for Disease Control and Prevention, or recommended 5 by the American Medical Association 6 (2) Basic medical checkups (maximum of 1 per fiscal year 7 per individual) 8 (3) Physicals as required by a public school 9 (4) Intensive Care10 (5) Well baby and well child exams (maximum of 3 visits11 per child)12 (6) Prenatal and Postnatal Care13 (7) Treatment of broken and fractured bones14 (8) Treatment of torn ligaments15 (9) Treatment of damaged tendons16 (10) Treatment for damaged muscles17 (11) Treatment for deafness/damaged hearing18 (12) Treatment for blindness/damaged eyesight19 (13) Treatment for hemorrhaging20 (14) Treatment for paralysis21 (15) Treatment for choking22 (16) Treatment for Stroke23 (17) Treatment for Epilepsy24 (18) Treatment for Fetal Alcohol Syndrome Disorders25 (19) Breast cancer treatment26 (20) Lung cancer treatment27 (21) Colorectal cancer treatment28 (22) Gynecologic cancer treatment29 (23) Skin cancer treatment30 (24) Prostate cancer treatment31 (25) Liver disease treatment
  12. 12. 12 1 (26) Heart disease treatment 2 (27) Arthritis treatment 3 (28) Diabetes treatment 4 (29) Hepatitis treatment 5 (30) Asthma treatment 6 (31) Bronchitis treatment 7 (32) Heart bypass surgery 8 (33) Treatment of Trichomoniasis (to consist of a maximum 9 of 2 separate dosages of prescription drugs for treatment each10 15 years)11 (34) Treatment of Chlamydia (to consist of a maximum of 212 separate dosages of prescription drugs for treatment each 1513 years)14 (35) Treatment of Gonorrhea (to consist of a maximum of 215 separate dosages of prescription drugs for treatment each 1516 years)17 (36) Treatment of Genital Herpes and Herpes Simplex Virus18 1 and 2 (to consist of a maximum of 2 separate dosages of19 prescription drugs for treatment each 15 years)20 (37) Treatment of Syphilis (to consist of a maximum of 221 separate dosages of prescription drugs for treatment each 1522 years)23 (38) Treatment of Pelvic Inflammatory Disease (to consist24 of a maximum of 2 separate dosages of prescription drugs for25 treatment each 15 years)26 (39) Treatment of Acanthomoeba infection27 (40) Treatment of African Trypanosomiasis28 (41) Treatment of Alveolar Echinococcosis29 (42) Treatment of Amebiasis30 (43) Treatment of Anaplasmosis31 (44) Treatment of Anisakiasis
  13. 13. 13 1 (45) Treatment of Arenaviruses 2 (46) Treatment of Ascariasis 3 (47) Treatment of Aspergillosis 4 (48) Treatment of Avian influenza virus 5 (49) Treatment of B Virus 6 (50) Treatment of Babesiosis 7 (51) Treatment of Bacterial Vaginosis 8 (52) Treatment of Balantidiasis 9 (53) Treatment of Baylisascaris infection10 (54) Treatment of Botulism11 (55) Treatment of Capillariasis12 (56) Treatment of Chronic Obstructive Pulmonary Disease13 (57) Treatment of Clonorchis Infection14 (58) Treatment of Clostridium Difficile15 (59) Treatment of Dipylidium Infection16 (60) Treatment for E. Coli17 (61) Treatment for Giardiasis18 (62) Treatment of H1N1 Flu19 (63) Treatment of Klebsiella Pneumoniae20 (64) Treatment of Lyme disease21 (65) Treatment for Meningitis22 (66) Treatment of Pneumoconioses23 (67) Treatment of Pneumonia24 (68) Treatment for Staphylococcus aureus and Healthcare-25 Associated Methicillin-Resistant Staphylococcus aureus26 (69) Treatment for Scabies27 (70) Treatment for Salmonella28 (71) Treatment of Tetanus29 (72) Treatment for Tuberculosis30 (73) Prescription drugs for the above approved purposes that31 have been approved by the FDA
  14. 14. 14 1 (b) PROVISION FOR UPDATING.—The list in section 203(a) 2 may be updated by the Committee on Vital Healthcare as outlined in 3 section 215(a)(2)(A). 4 (c) LIFE-SAVING CARE.—Emergency life-saving care is to 5 be provided on the assumption that an individual is a Healthcare 6 Recipient regardless of status of an individual as a Healthcare 7 Recipient, and as such will be federally reimbursed regardless of 8 whether an individual is a Healthcare Recipient or not. Use of 9 emergency vehicles for said purpose will also be considered an10 Essential Healthcare Service.11 SEC. 204. NON-ESSENTIAL HEALTHCARE SERVICES12 DEFINED13 (a) DEFINITION.—The following healthcare services will not14 be federally paid for using government funds distributed to Vital15 Healthcare Agencies:16 (1) In Vitro Fertilisation17 (2) Alcoholism treatment18 (3) Gastric Bypass Surgery19 (4) Cosmetic Surgery20 (5) Midwives21 (6) Depression treatment22 (7) Reconstructive Surgery23 (8) Treatment for Alzheimers Disease24 (9) Chronic Fatigue Syndrome25 (b) PROVISION FOR UPDATING.—The list in section 204(a)26 may be updated by the Committee on Vital Healthcare as outlined in27 section 215(a)(2)(B).28 (c) CONDITIONS.—In the cases of cancers/tumors and29 unintended appearance-altering emergencies (e.g. facial damage as the30 result of 3rd-degree burns) Reconstructive Surgery may be considered31 an aspect of treatment and in such event that it is necessary for
  15. 15. 15 1 reconstruction, to correct an abnormality caused by a cancer, tumor, or 2 accident, an Essential Healthcare Service and funded as such. 3 (d) REQUIREMENTS FOR CHANGE TO ESSENTIAL 4 HEALTHCARE SERVICE.—Treatments of Depression and 5 Alzheimers Disease may not be added to section 203(a) and the list of 6 Essential Healthcare Services, save for those treatments indisputably 7 shown to provide substantial curative effects within 2 months in at least 8 80% of cases diagnosed. 9 SEC. 205. REIMBURSED HEALTHCARE SERVICES DEFINED10 (a) DEFINITION.—The following healthcare services are not11 required for Vital Healthcare Agencies to provide, if said Vital12 Healthcare Agencies do not have the technology or personnel needed to13 perform such services, however, if provided, they are to be reimbursed14 in the same way that Essential Healthcare Services under section 20315 are reimbursed, including the provision of prescription drugs:16 (b) PROVISION FOR UPDATING.—This list in section 205(a)17 may be updated by the Committee on Vital Healthcare as outlined in18 section 213(a)(2)(C).19 (c) OBLIGATION TO PROVIDE.—A Vital Healthcare20 Agency that at any time after January 1st, 2011 provides any of the21 services specified in section 205(a) is required to afterwards make22 available such service(s) previously provided to a Healthcare Recipient23 to all Healthcare Recipients. By providing at any time after January 1st,24 2011, one of the section 205(b) Reimbursed Healthcare Services to a25 Healthcare Recipient, a Vital Healthcare Agency will demonstrate its26 capability of providing said service and have as its obligation to make27 said service available in the future, so that such a service will not be28 discriminatorily provided in select circumstances.29 SEC. 206. HEALTHCARE SERVICE RESTRICTIONS30 (a) PURPOSES.—The purpose for restricting treatment is to31 avoid an unnecessary burden upon American taxpayers and the
  16. 16. 16 1 American government in treating those who violate the section 2 202(a)(1) "NO FAULT" rule. The purpose for an effective date is to 3 allow those currently indulging in high-risk behaviors time to reform 4 their lifestyles and avoid the penalties of this section. 5 (b) EFFECTIVE DATE.—Beginning on January 1st, 2015, and 6 not before, the entirety of this section shall take effect. 7 (c) RESTRICTED TREATMENT FOR 8 TOBACCO/NICOTINE USERS.—Healthcare recipients determined to 9 be using tobacco or nicotine products by a Vital Healthcare Agency10 that are not for cessation purposes, as evidenced by clear symptoms11 during medical diagnosis, will not be eligible for the following12 healthcare services, that would otherwise be federally paid for using13 government funds distributed to Vital Healthcare Agencies, for a period14 of 3 years, beginning on the date which said determination was made,15 after which time tobacco/nicotine use will be re-evaluated upon request16 by the Vital Healthcare Agency:17 (1) Lung cancer treatment18 (2) Heart disease treatment19 (3) Heart bypass surgery20 (4) Diabetes treatment21 (5) Bronchitis treatment22 (6) Colorectal cancer treatment23 (7) Treatment of Chronic Obstructive Pulmonary Disease24 (d) RESTRICTED TREATMENT FOR ALCOHOL USERS.—25 Healthcare recipients determined to be drinking alcohol by a Vital26 Healthcare Agency will not be eligible for the following healthcare27 services, that would otherwise be federally paid for using government28 funds distributed to Vital Healthcare Agencies, for a period of 3 years,29 beginning on the date which said determination was made, after which30 time alcohol use will be re-evaluated upon request by the Vital31 Healthcare Agency:
  17. 17. 17 1 (1) Heart disease treatment 2 (2) Heart bypass surgery 3 (3) Prostate cancer treatment 4 (4) Liver disease treatment 5 (5) Treatment for Stroke 6 (6) Colorectal cancer treatment 7 (e) ALLOWANCE FOR CITIZENS TO DISPUTE 8 FINDINGS.—Healthcare recipients who wish to dispute such findings 9 may:10 (1) Ask the Vital Healthcare Agency who made the initial11 determination to re-evaluate them, which decision shall be up to12 the Vital Healthcare Agency in question, and/or13 (2) Choose evaluation via a different Vital Healthcare14 Agency (who must render testing and a decision within 315 months of the request).16 (f) LIMITATIONS UPON REQUESTS FOR RE-17 EVALUATION.—Vital Healthcare Agencies do not need to accept18 more than 1 re-evaluation request per Healthcare Recipients 3-year ban19 period. Healthcare Recipients may not request re-evaluations from20 more than 1 additional Vital Healthcare Agency during the 3 year21 period in which they are excluded from certain healthcare services.22 PART B—GRANT PROCESS FOR HOSPITAL PROVIDERS OF23 BASIC HEALTHCARE24 SEC. 207. VITAL HEALTHCARE AGENCIES25 (a) DEFINITION.—The term "Vital Health Agency" or "VHA"26 as defined in this Act refers to the U.S. Hospitals meeting the27 requirements for a VHA who, upon being approved by the Committee28 on Vital Healthcare, gain funding from the U.S. government in the29 form of a Starting Grant to provide basic healthcare services to30 Healthcare Recipients.
  18. 18. 18 1 (b) REQUIREMENTS FOR A VHA.—To become a 2 government-funded, Vital Healthcare Agency, a Hospital must certify 3 in writing to the Bureau of Vital Healthcare that it meets the following 4 requirements of a Vital Healthcare Agency: 5 (1) Be at all times partitioned/walled from all areas of the 6 Hospital not part of the Vital Healthcare Agency and meet all 7 specifications for Medical Feedback Centers stated in section 8 219. All points of public entry must be through Medical 9 Feedback Centers, save those allowed for emergency use as10 specified in section 219(c)(1)(A).11 (2) Meet the requirements of a Starting Grant as specified in12 section 208(b).13 (3) Provide the Essential Healthcare Services specified in14 section 203(a).15 (4) Provide any applicable Reimbursed Healthcare Services16 specified in section 205(c).17 (5) Submit on a yearly basis to the Bureau of Vital18 Healthcare the following information for the Hospital/VHA for19 the fiscal year:20 (A) Total Healthcare Recipients served.21 (B) Total expenses and operating expenses incurred,22 with treatment expenses classified as Essential, Non-23 Essential, or Reimbursed, as relating to sections 203,24 204, and 205 respectively.25 (C) Total grant monies received.26 (6) Require medical personnel to track the number of27 checkups, visits, or dosages for those items listed in section28 203(a) as having a maximum provision requirement, and29 ensure this data is recorded in the Server for Vital Healthcare as30 specified in section 216(b).
  19. 19. 19 1 (7) Comply with the re-evaluation requests of Healthcare 2 Recipients according to the process specified in section 205(e) 3 and section 205(f). 4 (8) Fulfill such additional duties as may be specified by the 5 Committee on Vital Healthcare. 6 (c) CERTIFICATION AS A VHA.—Upon being approved as a 7 VHA by the Bureau of Vital Healthcare the Bureau of Vital Healthcare 8 shall list the new VHA on the www.bvh.gov website as an approved 9 Vital Healthcare Agency, as specified in section 225(b)(3).10 (d) ALLOWANCE FOR CHARITY CARE.—A Vital11 Healthcare Agency is permitted to provide free healthcare services to12 non-Healthcare Recipients, provide the Non-Essential Healthcare13 Services listed in section 204(b) to Healthcare Recipients, and provide14 the Restricted Healthcare Services listed in section 206(c) and section15 206(d) to the respective Healthcare Recipients who, because of their16 lifestyle choices are according to said section denied Federally17 reimbursed treatment, so long as it is recognized that a Vital Healthcare18 Agency which does so will not be Federally reimbursed for such non-19 funded healthcare services, and does so wholly of its own accord.20 (e) ENDING STATUS AS A VHA.—A Vital Healthcare21 Agency reserves the right to end its status as a Vital Healthcare Agency22 at the end of any fiscal year, notwithstanding it shall still be23 accountable for any fiscal obligations relating to its term as a Vital24 Healthcare Agency.25 SEC. 208. STARTING GRANTS26 (a) DEFINITION.—The term "Starting Grant" as defined in this27 Act refers to the initial funding for a newly approved Hospital as a28 Vital Healthcare Agency, without which said Hospital may not become29 a Vital Healthcare Agency.
  20. 20. 20 1 (b) ELIGIBILITY FOR A STARTING GRANT.—A given 2 Hospital may only become eligible for a Starting Grant through the 3 following two methods: 4 (1) Receive certification by the Centers For Medicare and 5 Medicaid Services (CMS) as a Vital Healthcare Agency and 6 have said certification intact at the time of application for a 7 Starting Grant. 8 (2) Present a petition consisting solely of the following 9 language and signed by no less than 5% of the residents in the10 Hospitals district to the Committee on Vital Healthcare: "We,11 the residents of [name of Hospitals district] affirm our support12 for [name of Hospital] to become a government-funded Vital13 Healthcare Agency."14 (c) REAPPLICATION PROCESS FOR A STARTING15 GRANT.—Hospitals that had VHA status but lost it are not eligible to16 reapply for a 5-year period. Upon reapplying, a Hospital must obtain17 signatures from an additional 5% of district residents than in the18 previous 5-year period, e.g. 5% for the 1st attempt, 10% for the 2nd19 attempt, 15% for the 3rd attempt, etc. Previous signers of a petition20 must re-sign for each new petition for their support of a given21 Hospitals new petition to be recognized and counted by the Committee22 on Vital Healthcare.23 SEC. 209. PROCESS OF DETERMINING STARTING GRANT24 ALLOWANCES25 (a) DEFINITION OF VHA DISTRICT.—The term "VHA26 District" refers to the area occupied by a given Vital Healthcare27 Agency, and which it is considered to share with other Vital Healthcare28 Agencies. If a Vital Healthcare Agency is in a Metropolitan Statistical29 Area or a Micropolitan Statistical Area, the Metropolitan or30 Micropolitan Statistical Area shall be considered the VHA District for31 the Vital Healthcare Agencies that inhabit it. If a Vital Healthcare
  21. 21. 21 1 Agency does not occupy a Metropolitan or Micropolitan Statistical 2 Area the Congressional District will instead be considered the VHA 3 District. 4 (b) FORMULAIC PROCESS FOR VALUING A STARTING 5 GRANT.—The monetary value of a Starting Grant shall be provided to 6 a given VHA that has met the requirements of section 208(b), based on 7 the Bureau of Vital Healthcares application of the following formula to 8 a given Vital Healthcare Agency: 9 (1) Multiply the number of residents in the VHA District by10 $1,000. $1,000 is to be the base starting cost of healthcare for a11 given Healthcare Recipient in a VHA District.12 (2) Divide the result by the Total establishments in said13 Metropolitan or Micropolitan Statistical Area. The Total14 establishments can be found in the Census Bureaus County15 Business Patterns (NAICS) report for Industry Code 622;16 Hospitals. Dividing by Total establishments establishes the17 allotment share for a specific Hospital or VHA18 (3) If the VHA is not in a Metropolitan or Micropolitan19 Statistical Area, an estimation of residents and Hospital20 establishments within the Congressional district may instead be21 substituted. This effectually determines the average residents22 served by a Hospital in a given Metropolitan or Micropolitan23 Statistical Area.24 (b) PROCESS FOR CHANGING FORMULATION.—The25 Committee on Vital Healthcare shall have the power to change this26 formula after January 1st, 2013.27 (c) ADJUSTMENT FOR INFLATION.—The base starting cost28 for a given Healthcare Recipient, $1,000, is to be adjusted for inflation29 by the Bureau of Vital Healthcare for each fiscal year beginning30 January 1st, 2012.
  22. 22. 22 1 SEC. 210. EXTENDED AND DIMINISHED GRANTS 2 (a) IN GENERAL.—The Bureau of Vital Healthcare shall use 3 data collected from Medical Feedback Centers to re-define the levels of 4 what were originally Starting Grants, that either by increasing they 5 become Extended Grants, or by decreasing, Diminished Grants. 6 (b) FORMULAIC PROCESS FOR RE-DEFINING 7 GRANTS.—The following basic process shall be utilized by the 8 Bureau of Vital Healthcare as a framework to ultimately set new grant 9 levels as of January 1st, 2013, and every 2 years subsequent to this; e.g.10 January 1st, 2015, January 1st, 2017, etc:11 (1) The Bureau of Vital Healthcare shall determine the12 Cumulative Rating Averages for the three segments of a given13 Vital Healthcare Agency as specified in section 211. The14 separate CRAs are to be weighted by multiplying the CRA for15 Healthcare Recipients inside the VHA District by 65%, the16 CRA for Healthcare Recipients in adjoining VHA Districts by17 30%, and the CRA for all other Healthcare Recipients by 5%.18 The separate resulting totals, now weighted, are to be added19 together to attain the "VHA Approval Rating", which expresses20 the voting approval of Healthcare Recipients, primarily as21 relating to the immediate VHA District and surrounding area for22 the VHA in question.23 (2) The VHA Approval Ratings are to be compared among24 Vital Healthcare Agencies in the VHA District. For purposes of25 determining Extended and Diminished Grants, the formula used26 shall be identical to that specified in section 209(b) for valuing27 Starting Grants, but the value of the base starting cost of a given28 Healthcare Recipient in the VHA District specified in section29 209(b)(1) as $1,000 is to be changed; higher for Extended30 Grants, and lower for Diminished Grants. If not changed from
  23. 23. 23 1 the value of $1,000, the VHA with such a value shall be 2 esteemed to maintain the status of a Starting Grant. 3 (c) SPECIFIC SCENARIOS.— 4 (1) VHAs with VHA Approval Ratings at or above 3.75 5 and below 4.25 are to remain at Starting Grant status or 6 improve to receive Extended Grant status. If a given VHA, 7 which meets such a condition, has a VHA Approval Rating 8 above the average VHA Approval Rating of all VHAs in the 9 VHA District, that VHA is to receive an Extended Grant10 with a gain in the base starting cost of a Healthcare11 Recipient in the VHA District, for purposes of its grant12 funding formulation as specified in section 210(b)(2),13 equivalent to the difference between its own VHA Approval14 Rating and the average VHA Approval Rating of all VHAs15 in the VHA District, divided by 5.0, added to 1.0, and16 multiplied by $1,000 to receive the new Extended Grant17 value for the VHA. If a given VHA, which meets such a18 condition, has a VHA Approval Rating at or below the19 average VHA Approval Rating of all VHAs in the VHA20 District, it is to maintain its Starting Grant status. This new21 value shall be the base starting cost per Healthcare Recipient22 for the VHA.23 (2) VHAs with VHA Approval Ratings at or above 4.2524 are to receive Extended Grant status. A given VHA, which25 meets this condition, is to receive a gain in the base starting26 cost of a Healthcare Recipient in the VHA District, for27 purposes of its grant funding formulations as specified in28 section 210(b)(2), equivalent to the difference between the29 VHA Approval Rating of said VHA and 2.50, divided by30 5.0, added to 1.0, and multiplied by $1,000 to receive the31 new Extended Grant value for the VHA. This new value
  24. 24. 24 1 shall be the base starting per Healthcare Recipient for the 2 VHA. 3 (3) VHAs with VHA Approval Ratings below 3.75 are 4 to receive Diminished Grant status. A given VHA, which 5 meets this condition, is to receive a loss in the base starting 6 cost of a Healthcare Recipient in the VHA District, for 7 purposes of its grant funding formulations as specified in 8 section 210(b)(2), equivalent to the difference between its 9 VHA Approval Rating and the top VHA Approval Rating in10 its VHA District, divided by the number of VHAs in the11 VHA District, divided by 5.0, added to 1.0, and multiplied12 by $1,000 to receive the new Extended Grant value for the13 VHA. If such a VHA also meets the qualifications of14 section 210(d)(2), that formula shall instead take15 precedence.16 (d) EXCEPTIONS.—17 (1) A VHA with the best VHA Approval Rating in its18 VHA District is to always receive Extended Grant status19 unless it is the only VHA in its VHA District in which case20 the formula in section 210(d)(2) shall instead be used. If21 there are at least 2 VHAs in the VHA District, the VHA22 with the best VHA Approval Rating is to become an23 Extended Grant and receive a gain in the base starting cost24 of a Healthcare Recipient in the VHA District, for purposes25 of its grant funding formulation as specified in section26 210(b)(2), equivalent to the difference between the best27 VHA Approval Rating in the VHA District and the average28 VHA Approval Rating of the other VHAs in the VHA29 District, divided by 5.0, added to 1.0, and multiplied by30 $1,000 to receive the new Extended Grant value for the31 VHA (e.g. for a VHA with the top VHA Approval Rating of
  25. 25. 25 1 4.5, and all other VHAs in the VHA District whose average 2 VHA Approval Rating was 3.7, the difference would be .8 3 which when divided by 5.0 would equal .16, upon addition 4 to 1.0 would become 1.16, and then by multiplying by 5 $1,000 would result in a new base starting cost of $1,160 6 per Healthcare Recipient for the aforementioned VHA with 7 the best VHA Approval Rating in the VHA District). This 8 new value shall be the base starting cost per Healthcare 9 Recipient for the VHA. If such a VHA also meets the10 qualifications of section 210(c)(2), the formula in section11 210(c)(2) shall instead take precedence.12 (2) A VHA without other VHAs or Hospitals within a13 30-mile radius, or without another VHA in its VHA District,14 is not to receive a Diminished Grant for its first 5 years from15 the time of receiving its initial Starting Grant. If the VHA16 over those 5 years has VHA Approval Ratings averaging17 below 2.50 the Bureau of Vital Healthcare is to seek18 creation of a new VHA in a 15-mile radius of the VHA in19 question, whether by expansion by a present VHA to a20 second location, seeking relocation by another Hospital or21 VHA, or another method. Until such occurrence, the VHA22 shall receive a gain in the base starting cost of a Healthcare23 Recipient in the VHA District, for purposes of its grant24 funding formulation as specified in section 210(b)(2), only25 if either its VHA Approval Rating is above the average26 VHA Approval Rating of all VHAs in the state, in which27 case it shall receive an increase in the base starting cost of a28 Healthcare Recipient in the VHA District, for purposes of29 its grant funding formulations as specified in section30 210(b)(2), equivalent to the difference between the VHA31 Approval Rating of said VHA and the average VHA
  26. 26. 26 1 Approval Rating of all VHAs in the state, divided by 5.0, 2 added to 1.0, and multiplied by $1,000 to receive the new 3 Extended Grant value for the VHA. This new value shall be 4 the base starting per Healthcare Recipient for the VHA. 5 SEC. 211. COMPILING CUMULATIVE RATING AVERAGES 6 (a) DEFINITION.—The term "Cumulative Rating Average" 7 or "CRA" refers to the averaging of the ratings for the first two 8 questions asked on the Healthcare Voting Machines in the 9 Medical Feedback Centers for a given Vital Healthcare Agency,10 as specified in paragraphs (c)(5)(A) and (c)(5)(B) of section11 223. This shall result in three different CRAs for a given Vital12 Healthcare Agency, each for a different segment of the13 Healthcare Recipients who responded.14 (b) SEGMENTS OF HEALTHCARE RECIPIENTS TO BE15 TRACKED.—Cumulative Rating Averages are to be16 maintained for each Vital Healthcare Agency, and for each17 Vital Healthcare Agency, to be tracked for the following three18 segments of Healthcare Recipients:19 (1) Healthcare Recipients inside the VHA District.20 (2) Healthcare Recipients in VHA Districts adjoining the21 VHA District in question; not including the VHA District in22 question itself.23 (3) All other Healthcare Recipients; those Healthcare24 Recipients outside of both the VHA District in question and25 its adjoining VHA Districts.26 (c) PROCESS OF DETERMINING A CRA.—Cumulative27 Rating Averages are to be compiled for each segment, for each28 Vital Healthcare Agency, and account for voter ratings taken29 specifically over the 2-year periods specified in section 210(b),30 as follows:
  27. 27. 27 1 (1) Add the ratings that resulted from answers to the two 2 questions from paragraphs (c)(5)(A) and (c)(5)(B) of section 3 223 for Healthcare Recipients in the given segment, and 4 divide by the number of Healthcare Recipients who 5 provided ratings in that segment. This shall result in two 6 rating averages, one for ratings by Healthcare Recipient in 7 the given segment to the question in section 223(c)(5)(A), 8 and one for ratings by Healthcare Recipients in the given 9 segment to the question in section 223(c)(5)(B).10 (2) Add the two rating averages that resulted together, and divide by 2.11 This shall produce a Cumulative Rating Average for one of the12 segments of Healthcare Recipients specified in section 211(b), for a13 specific Vital Healthcare Agency.14 SEC. 212. ADDITIONAL FISCAL REIMBURSEMENTS TO15 VHAS16 (a) IN GENERAL.—VHAs that report additional costs for17 approved healthcare service expenses in a fiscal year such as for18 Essential Healthcare Services, Reimbursed Healthcare Services, or for19 a cost associated with necessary running of a Vital Healthcare Agency -20 which costs associated with necessary running of a Vital Healthcare21 Agency may be specified by the Committee on Vital Healthcare as well22 as the acceptable range as stated in section 215(b)(8), are to be23 reimbursed the additional amount specified, so long as there is a24 thorough accounting of the reason for the expense.25 (b) PROCESS FOR PAYMENT.—The additional costs for26 approved healthcare service expenses in a fiscal year specified in27 section 212(a) are to be provided each fiscal year in addition to the28 grant monies, as specified in section 216(b)(6).
  28. 28. 28 1 PART C—FORMING OF A REGULATING AGENCY FOR 2 BASIC HEALTHCARE 3 SEC. 213. DESIGN OF THE COMMITTEE ON VITAL 4 HEALTHCARE 5 (a) PURPOSES.—The Committee on Vital Healthcare shall be 6 created upon passage of this Act for purposes of oversight, regulation, 7 direction, and leadership of the Bureau of Vital Healthcare, and shall be 8 considered the leadership committee for the Bureau of Vital 9 Healthcare.10 (b) MEMBERSHIP.—The membership of the Committee on11 Vital Healthcare shall consist of representatives from recognized12 medical institutions and non-profit groups. The following groups, and13 specifically, the leaders afterwards indicated, shall choose their14 respective representatives by whatever method they see fit:15 (1) American Board of Medical Specialties - President and16 CEO of the American Board of Medical Specialties17 (2) American Medical Association – President of the18 American Medical Association19 (3) American College of Physicians – President of the20 American College of Physicians21 (4) American Dental Association – President of the22 American Dental Association23 (5) American Medical Student Association – National24 President of the American Medical Student Association25 (6) American Osteopathic Association – President of the26 American Osteopathic Association27 (7) AARP Foundation – President of the AARP Foundation28 (8) American Board of Medical Specialties – President and29 CEO of the American Board of Medical Specialties30 (9) American Board of Internal Medicine – President and31 CEO of the American Board of Internal Medicine
  29. 29. 29 1 (10) American College of Emergency Physicians – 2 President of the American College of Emergency Physicians 3 (11) American Academy of Family Physicians – President 4 of the American Academy of Family Physicians 5 (12) American Nurses Association – President of the 6 American Nurses Association 7 (c) MEMBERSHIP REGULATIONS.—The following bylaws 8 apply to the selection process for representatives serving on the 9 Committee on Vital Healthcare:10 (1) Each group indicated in section 213(b) shall have11 exactly one representative every 3 years. This representative is12 to be selected by the leader indicated and be a member of the13 group/organization involved.14 (2) The first representatives are to be chosen on January 1st,15 2011. The second round of representatives will be chosen by16 their respective organizations on January 1st 2014, the third17 round of representatives chosen by their respective18 organizations on January 1st, 2017, etc.19 (3) The organization leaders indicated in section 213(b)(1)20 as having the right to choose representatives for their respective21 organizations are free to select themselves.22 (4) The designated leaders of their respective organizations23 listed in section 213(b)(1), and who have the right to pick the24 representative for their organization, are to mail a signed letter25 stating their selections for their respective organizations26 representative on the Committee on Vital Healthcare to the27 Clerk of the House for archiving and evidentiary purposes.28 (5) No organization may elect the same individual as its29 representative for 2 consecutive terms, although that individual30 may be elected an unlimited number of times. However, no31 individual person may serve in 2 consecutive sessions for the
  30. 30. 30 1 Committee on Vital Healthcare, either by being elected twice in 2 a row by one organization, or via election by separate 3 organizations. 4 (6) A members views on any issue or issues may not 5 disqualify them from sitting on the Committee on Vital 6 Healthcare, as diversity of thought is welcomed, and the 7 primary concern for each organization should be the sufficiency 8 of the representative to represent their best interests, a choice 9 the designated leader of that organization will be free to make10 wholly within their own discretion.11 SEC. 214. VOTING PROCESS FOR THE COMMITTEE ON12 VITAL HEALTHCARE13 (a) VOTING.—The Committee on Vital Healthcare is to have14 as its leader the Chair of the Committee on Vital Healthcare, who shall15 take recommendations from Committee of Vital Healthcare members16 on issues and potential courses of action.17 (b) SELECTION OF THE CHAIR OF THE COMMITTEE ON18 VITAL HEALTHCARE.—The Chair of the Committee on Vital19 Healthcare shall be responsible for bringing up issues, as they are20 suggested by members of the Committee on Vital Healthcare, before21 the Committee on Vital Healthcare for a vote, as well as keeping order22 of the proceedings of the Committee on Vital Healthcare and ensuring23 all members are given equal rights to speak for their organizations. The24 selection process for the Chair on the first meeting shall be based upon25 the reverse alphabetical order of last names. The Chair for January of26 2011 will be the member with the last name in the alphabet. A27 different Committee of Vital Healthcare member shall hold the Chair28 each month of the fiscal year (January, February, March, etc.), with the29 order passing from the member with the last name ranked last via30 alphabetical ranking, to the member with the last name ranked 2nd to31 last via alphabetical ranking, to the member with the last name ranked
  31. 31. 31 1 3rd to last via alphabetical ranking, and so on until finally reaching the 2 member with the last name ranked 1st via alphabetical ranking. After 3 this happens, the order will begin once more with the member with the 4 last name ranked last via alphabetical ranking, and the process shall 5 repeat. In this way all Committee of Vital Healthcare members and 6 their respective organizations should hold the Chair at some time 7 during the 3-year period before new Committee of Vital Healthcare 8 members are chosen. 9 (c) ALLOWANCE FOR ADDING ORGANIZATIONS.—10 Additional organizations may be added to the list in 213(b) and as such11 have representatives on the Committee on Vital Healthcare only by12 vote by formal vote of the Committee on Vital Healthcare, and13 subsequent approval by 75% of all members.14 SEC. 215. DUTIES OF THE COMMITTEE ON VITAL15 HEALTHCARE16 (a) DUTIES.—The duties of the Committee on Vital Healthcare17 shall be as follows:18 (1) Provide Starting Grants to Hospitals who meet the19 qualifications of section 208(b).20 (2) Update the following lists annually on March 1st:21 (A) Essential Healthcare Services as specified in section22 203(a).23 (B) Non-Essential Healthcare Services as specified in24 section (204)(a).25 (C) Reimbursed Healthcare Services as specified in26 section 205(a).27 (3) Specify standards for:28 (A) Healthcare Entrance Machines as specified in29 section 222(b).30 (B) Healthcare Voting Machines as specified in section31 223(b).
  32. 32. 32 1 (4) Update the base starting cost for a given Healthcare 2 Recipient to account for inflation as specified in section 209(c). 3 (5) Begin work on authorizing the creation of a research 4 team as of January 1st, 2016, which team is to provide its 5 findings to Congress no later than January 1st, 2018, on the 6 impact of the Bureau of Vital Healthcare and related agencies, 7 departments, and laws upon the U.S. healthcare system, 8 including but not limited to, the impact on Medicaid and 9 Medicare costs and continuing necessity or lack thereof, the10 impact on SCHIP costs and continuing necessity or lack thereof,11 and the possibility and feasibility of merging other U.S.12 departments which provide healthcare services with the Bureau13 of Vital Healthcare or its related departments.14 (b) ADDITIONAL POWERS GRANTED.—The Committee on15 Vital Healthcare will have the capability, but not the obligation, to16 carry out the following tasks:17 (1) Designate a required room size for Medical Feedback18 Centers as specified in section 219(b)(1).19 (2) Meet with Healthcare Recipients and concerned parties,20 as well as hold meetings specifically for members of the21 Committee on Vital Healthcare.22 (3) Designate a new value formulation for Starting Grants as23 specified in section 209(b).24 (4) Oversee and regulate, unless otherwise specified, all25 aspects of the Bureau of Vital Healthcare mentioned in section26 216. The Committee on Vital Healthcare, unless otherwise27 specified, shall have the power to exercise all duties and powers28 of the Bureau of Vital Healthcare if it so chooses.29 (5) Specify changes to the standardized training process for30 Feedback Center Representatives mentioned in section
  33. 33. 33 1 216(b)(7), or creation of a new training process for any 2 employees or department of the Bureau of Vital Healthcare. 3 (6) Establish such departmental classifications as are 4 necessary to improve efficiency, simplicity, and transparency of 5 the Bureau of Vital Healthcare and its departments. 6 (7) Adapt the process for re-defining Starting Grants as 7 Extended or Diminished Grants specified in section 210(b) to 8 more accurately reflect new data pertaining to which Vital 9 Healthcare Agencies are performing well as opposed to poorly,10 so long as said process continues to be based upon the11 weighting of the Cumulative Rating Averages specified in12 section 211.13 (8) Specify necessary costs, or expenses, for Vital14 Healthcare Agencies that are essential to the upkeep of Vital15 Healthcare Agencies in general, or in that area or given16 circumstance, such as expenses resulting from building/property17 taxes or damage not covered by insurance due to disasters,18 maintenance and janitorial expenses, costs for Medical19 Feedback Centers, payroll, etc., as well as ranges for these20 different operating expenses to fall into, or be reimbursed for.21 These costs should in turn be tied to other variables, such as22 cost per Healthcare Recipient, or cost as a portion of the VHAs23 total operating expenses; rather than being inflexible.24 Furthermore, this is not to allow rationing of healthcare25 services, and to involve solely expenses that do not qualify as26 healthcare services; which expenses are to be reimbursed as per27 section 212.28 SEC. 216. BUREAU OF VITAL HEALTHCARE29 (a) PURPOSE.—The purpose of the Bureau of Vital Healthcare30 is to oversee the practical, day to day regulation of Vital Healthcare
  34. 34. 34 1 Agencies as well as the structure by which said VHAs exist, and to 2 enforce the statutes of the Committee on Vital Healthcare. 3 (b) DUTIES.—The following duties are to be fulfilled by the 4 Bureau of Vital Healthcare: 5 (1) Collect on an annual basis, for the year ending 6 December 31st, the following information for each Medical 7 Feedback Center, using the Server for Vital Healthcare: 8 (A) Total Healthcare Recipients served. 9 (B) Cumulative rating averages for the two questions10 evaluating VHA performance, collected for each VHA from11 the Server for Vital Healthcare, as specified in section12 217(b)(8).13 (2) Collect on an annual basis, for the year ending14 December 31st, the following information from each Vital15 Healthcare Agency:16 (A) Total expenses and operating expenses incurred.17 (B) Total grant monies provided.18 (3) Determine which Hospitals are eligible to receive19 Starting Grants according to the process enumerated in section20 208.21 (4) Specify grant allowances of Starting Grants to each new22 Vital Healthcare Agency as per section 209.23 (5) Specify new grant allowances, by which Starting Grants24 may become Extended or Diminished Grants, according to the25 process specified in section 210.26 (6) Send the grant amount allotted for a given Vital27 Healthcare Agency to it on an annual basis, no later than28 January 31st of each year, taking into account any additional29 fiscal reimbursements to be provided as stated in section 212.
  35. 35. 35 1 (7) Oversee a standardized, effective training process for 2 Feedback Center Representatives whereby each is 3 knowledgeable of: 4 (A) His or her duties, and how to perform them, as laid 5 out in section 220. 6 (B) The role of a Medical Feedback Center as specified 7 in section 219. 8 (C) The role of a Vital Healthcare Agency as specified 9 in section 207.10 (D) The operation of the Feedback Center Surveillance11 System, as specified in section 224.12 (E) Operation and maintenance of both Healthcare13 Entrance Machines and Healthcare Voting Machines.14 (F) General info about:15 (i) Starting Grants16 (ii) Diminished Grants17 (iii) Extended Grants18 (iv) The Bureau of Vital Healthcare19 (v) The Server for Vital Healthcare20 (vi) The Public Transparency Website21 (G) Confidentiality requirements as specified in section22 218.23 (H) Any security procedures the Committee of Vital24 Healthcare or Bureau of Vital Healthcare may adopt.25 (I) Definition of Healthcare Recipients as specified in26 section 201.27 (J) The signing of all applicable agreements pertaining28 to abortion specified in section 101(c).29 (K) Contact information necessary for assistance from30 the Bureau of Vital Healthcare.
  36. 36. 36 1 (8) Enforce, or aid in enforcing penalties specified in this 2 title in conjunction with all applicable federal agencies. 3 (9) Establish fact-checking processes to ensure funds for 4 Starting Grants, Diminished Grants, and Extended Grants are 5 going to the correct Vital Healthcare Agencies, and that all 6 federal monies funded to the Bureau of Vital Healthcare, 7 Committee of Vital Healthcare, and Vital Healthcare Agencies 8 are being properly used. 9 (10) Ensure proper accounting procedures are in place for10 Vital Healthcare Agencies, the Bureau of Vital Healthcare, and11 the Committee of Vital Healthcare.12 (11) Oversee regulations and duties of Vital Healthcare13 Agencies, Medical Feedback Centers, Feedback Center14 Surveillance Systems, and the Server for Vital Healthcare to15 ensure said regulations and duties are being fulfilled.16 (12) Ensure Medical Feedback Centers are provided with all17 materials necessary for operation, including working Healthcare18 Entrance Machines and Healthcare Voting Machines.19 (13) Regulate creation and distribution processes of20 Healthcare Entrance Machines and Healthcare Voting Machines21 to ensure quality.22 (14) Such other duties as the Committee on Vital Healthcare23 shall specify.24 SEC. 217. SERVER FOR VITAL HEALTHCARE25 (a) DEFINITIONS.—The term "Server for Vital Healthcare" or26 "SVH" refers to the online server(s) and the secure facility or facilities27 housing said server(s), as well as a backup server(s), used for housing28 and maintaining in all confidentiality the feedback records, Visit Status,29 and Personally Identifiable Information of Healthcare Recipients for30 purposes of evaluating grant monies of Vital Healthcare Agencies,31 coordinating information for use by HEMs and HVMs, and generally
  37. 37. 37 1 providing quality healthcare services to qualified Healthcare 2 Recipients. For purposes of oversight, this shall be considered a 3 department of the Bureau of Vital Healthcare. 4 (b) DATA COLLECTED, DEFINED.—The following minimal 5 data is to be collected and stored on the Server for Vital Healthcare for 6 purposes of verifying valid Healthcare Recipients and setting levels of 7 Extended Grants and Diminished Grants: 8 (1) Patient names as specified in section 218(b)(1), 9 219(b)(2), and section 220(b)(2).10 (2) Patient identification numbers as specified in section11 218(b)(2).12 (3) Barcodes for Healthcare Recipient Cards as specified in13 section 221(b)(3).14 (4) Patient Date of Births as specified in section 218(b)(4)15 and section 220(b)(2).16 (5) Patient Housing Addresses as specified in section17 218(b)(2) and section 220(b)(2).18 (6) Patient Fingerprint Records as specified in section19 201(b)(2).20 (7) Patient Visit Status as specified in section 220(b)(5).21 (8) Cumulative Average Ratings for the three segments of22 Healthcare Recipients that voted via Healthcare Voting23 Machines, as tracked for each and every Vital Healthcare24 Agency; which process is specified in section 211, and to be25 separated by the 2-year periods specified in section 210(b).26 (9) The number of basic checkups received per fiscal year,27 as specified in section 203(a)(2).28 (10) The number of Well baby and well child exams29 received per child, as specified in section 203(a)(5).30 (11) The number of dosage treatments provided for each31 individual Sexually Transmitted Disease over a 15-year period,
  38. 38. 38 1 as well as the data of the first dosage treatment, which shall 2 mark the beginning of the 15-year period, as specified in section 3 203(a)(33) through section 203(a)(38). 4 (c) DATA TRANSFER.—An important aspect of the Server for 5 Vital Healthcare will be its transmission of data to Healthcare Entrance 6 Machines, Healthcare Voting Machines, and reception areas of Medical 7 Feedback Centers. The Server for Vital Healthcare is to ensure to the 8 best of its ability the constant functioning and accessibility of its data 9 housing and transfer aspects.10 SEC. 218. CONFIDENTIALITY11 (a) IN GENERAL.—Any employee of the Bureau of Vital12 Healthcare or its departments, Committee of Vital Healthcare, Medical13 Feedback Centers, or any other person with access to the storage by14 such groups of Personally Identifiable Information of Healthcare15 Recipients, or who assists in the communication with the public on16 behalf of said organizations for purposes of receiving such Personally17 Identifiable Information of Healthcare Recipients, who is discovered to18 be unlawfully disclosing the information of said Personally Identifiable19 Information of Healthcare Recipients shall be subject to the penalties20 described in section 552(i) of the Privacy Act of 1974 [5 U.S.C. 552i].21 (b) DEFINITION OF PERSONALLY IDENTIFIABLE22 INFORMATION.—The term "Personally Identifiable Information" or23 "PII" refers to information that can be used to distinguish or trace an24 individuals identity and includes, but is not limited to, the following25 forms of data:26 (1) Names, as specified in section 219(b)(2) and section27 217(b)(1).28 (2) Housing addresses as specified in section 217(b)(5) and29 section 220(b)(2)..30 (3) Fingerprints as specified in section 201(b)(2) and section31 217(a)(6).
  39. 39. 39 1 (4) Date of births as specified in section 217(b)(4) and 2 section 220(b)(2).. 3 (5) Identification numbers as specified in section 221(b)(2). 4 (6) Barcodes as specified in 217(b)(3), section 221(b)(3) 5 (c) TRAINING REQUIREMENT.—All employees of the 6 Bureau of Vital Healthcare, Committee on Vital Healthcare, Server for 7 Vital Healthcare, and Medical Feedback Centers are to be trained on 8 the standards of the Privacy Act of 1974 [5 U.S.C. 552] as relating to 9 data confidentiality and protection of PII, including penalties for10 disclosure of PII as specified in section 215(b)(6)(G) of the Privacy Act11 of 1974. The training process shall be determined by the Committee on12 Vital Healthcare as specified in section 215(b)(5).13 PART D—PROCESS OF PROVIDING BASIC HEALTHCARE14 SEC. 219. MEDICAL FEEDBACK CENTERS15 (a) DEFINITION.—A "Medical Feedback Center" or "MFC" as16 defined in this Act refers to the public reception area separating a given17 Vital Healthcare Agency from entrances to the outside of the building.18 This reception area exists primarily to:19 (1) Provide Healthcare Recipient Cards to Healthcare20 Recipients21 (2) Ensure only eligible Healthcare Recipients receive22 services from the Vital Healthcare Agency in question, and23 (3) Provide voting services whereby Healthcare Recipients24 can evaluate the care received.25 (b) DESIGN OF A MEDICAL FEEDBACK CENTER.—The26 design for the Medical Feedback Centers is to have the following27 minimum features:28 (1) 4-sided as a room, and square or rectangular in shape,29 with only the opposing ends having accessible entrances. One30 end is to serve as entrance to the outside, and the other31 accessing that area of the building containing the Vital
  40. 40. 40 1 Healthcare Agency. There is to be no restriction on required 2 room size for a Medical Feedback Center unless so designated 3 by the Committee on Vital Healthcare. 4 (2) A reception desk area in the center of the room with at 5 least one working computer terminal, blank Healthcare 6 Recipient Cards, a device for generating names, identification 7 numbers, and barcodes on said Healthcare Recipient Cards, and 8 a fingerprint kit. 9 (3) An aisle or aisles on the left side of the reception desk10 area as looking towards the entrance adjoining the Vital11 Healthcare Agency. This aisle or aisles will be used for12 entering the Vital Healthcare Agency, and contain at least 213 working and publicly accessible Healthcare Entrance Machines14 during all operating hours for a given Medical Feedback Center.15 These machines are to be clearly visible in the entrance aisle(s)16 to Healthcare Recipients in the Medical Feedback Center.17 (4) An aisle or aisles on the right side of the reception desk18 area as looking towards the entrance adjoining the Vital19 Healthcare Agency. This aisle or aisles will be used for exiting20 the Vital Healthcare Agency, and contain at least 2 working and21 publicly accessible Healthcare Voting Machines during all22 operating hours for a given Medical Feedback Center. These23 machines are to be clearly visible in the exit aisle(s) to24 Healthcare Recipients in the Medical Feedback Center,25 although obscuring objects are allowed for placement between26 the HVMs and the Feedback Center Surveillance System, as27 specified in section 224(b)(2).28 (5) Posters stating in both English and Spanish, "Vote here29 on your Hospital experience with your Healthcare Recipient30 Card", are to be placed in plain view on the wall of a Medical31 Feedback Center beside each Healthcare Voting Machine.
  41. 41. 41 1 (c) ADDITIONAL SPECIFICATIONS.—The following 2 specifications must be met by Vital Healthcare Agencies: 3 (1) Medical Feedback Centers must be placed at all public 4 entrances, excluding those used for emergency room entrance 5 purposes. 6 (A) Additional entrances are allowed for emergency use, 7 so long as they are reserved for Healthcare Recipients 8 requiring ambulatory care, and those well enough to leave 9 through a Medical Feedback Center are directed to leave10 through a Medical Feedback Center, provided a Healthcare11 Recipient Card if they do not already have one, and12 informed of the voting booths on their way out.13 (2) A Medical Feedback Center may serve as both a lobby14 and a Medical Feedback Center so long as all requirements of15 section 207(b) are met.16 (A) Multiple entrances from the outside into a Medical17 Feedback Center are permitted so long as they are along the18 wall opposing the entrance into the Vital Healthcare19 Agency.20 (B) A Medical Feedback Center dually serving as a21 lobby for its Vital Healthcare Agency (it may not serve as a22 lobby or have inter-connecting access ways to for any area23 of the building serving as a Hospital, as opposed to a Vital24 Healthcare Agency) is free to ask additional questions of25 Healthcare Recipients for the intent of providing healthcare26 services.27 (3) A Medical Feedback Centers outside entrance or28 entrances are not required to directly access the outside part of29 the building. Up to one room is allowed between each entrance30 and the outside part of the building, provided that the only
  42. 42. 42 1 doorways in these rooms are to the outside part of the building 2 and to the Medical Feedback Center. 3 (4) Additional security personnel and/or security measures 4 may be utilized as necessary. 5 SEC. 220. DUTIES OF THE FEEDBACK CENTER 6 REPRESENTATIVE 7 (a) DEFINITION.—A "Feedback Center Representative" or 8 "FCR" as defined in this Act refers to an on-site representative of the 9 Bureau of Vital Healthcare overseeing a Medical Feedback Center for10 purposes of ensuring quality healthcare services are being provided.11 (b) DUTIES.—A Feedback Center Representatives desk is to12 be located in the center of a Medical Feedback Center, staffed by no13 less than one Feedback Center Representative and have all materials14 ascribed to it in section 219(b)(2). The job duties of the Feedback15 Center Representative or Representatives are as follows:16 (1) Check citizenship status for those without Healthcare17 Recipient Cards via the process stated in section 201(b)(1).18 Those who are verified as U.S. citizens are to be given a19 personalized Healthcare Recipient Card as specified in section20 221.21 (2) Record into the Server for Vital Healthcare the full22 Name, Date of Birth, and Housing Address of the Healthcare23 Recipient receiving a new Healthcare Recipient Card.24 (3) Fingerprint those who receive a Healthcare Recipient25 Card and have said fingerprints scanned into the Server for26 Vital Healthcare according to the process specified in section27 201(b)(2).28 (4) Provide Healthcare Recipient Cards to patients who29 entered through an emergency exit, and inform them of their30 right to vote with those cards as specified in section31 219(c)(1)(A).
  43. 43. 43 1 (5) If the patient will be receiving healthcare services during 2 the visit, record the Healthcare Recipients Visit Status as 3 Active as opposed to Inactive on the Server for Vital 4 Healthcare. 5 (6) If dually serving as a lobby, ask for and record/input any 6 additional information required by the Vital Health Agency, as 7 specified in section 219(c)(2)(B). 8 SEC. 221. HEALTHCARE RECIPIENT CARDS 9 (a) DEFINITION.—The term "Healthcare Recipient Card"10 refers to the card issued to a Healthcare Recipient entering a VHA11 through a Medical Feedback Center that will allow him or her to12 evaluate the services received upon leaving and quickly receive13 medical access in the future.14 (b) DESIGN.—Healthcare Recipient Cards are to be 3.5 inches15 long and 2 inches wide. Healthcare Recipient Cards are to have16 machine-inscribed upon them the following information for each17 individual patient:18 (1) The patients name,19 (2) A unique system-assigned identification number, and20 (3) A scannable barcode specific to each Healthcare21 Recipient.22 SEC. 222. HEALTHCARE ENTRANCE MACHINES23 (a) DEFINITION.—The term "Healthcare Entrance Machine"24 or "HEM" refers to those machines in the entrance aisle of a Medical25 Feedback Center allowing for rapid access to services via scanning of a26 Healthcare Recipient Cards and fingerprint scans.27 (b) DESIGN.—The Committee on Vital Healthcare shall no28 later than December 31st, 2012 specify a standard design for Healthcare29 Entrance Machines. The Committee on Vital Healthcare shall have the30 right to update this standard at any time.
  44. 44. 44 1 (c) STANDARD FEATURES.—All Healthcare Entrance 2 Machines are to have the following features: 3 (1) A user-friendly interface. 4 (2) Language selection upon startup. 5 (3) Card reading device for insertion and subsequent reading 6 of Healthcare Recipient Cards for purposes of verifying identity 7 as a Healthcare Recipient. 8 (4) Fingerprint-scanning device for purposes of verifying 9 identity as the valid bearer of said Healthcare Recipient Card.10 (5) Screen verification in the language selected upon startup11 of either accepted card verification and subsequent access to12 healthcare services, or rejected card verification and subsequent13 denial to healthcare services.14 (6) Data transfer capability for ready transfer of data to15 Healthcare Voting Machines of Visit Status and to the Server16 for Vital Healthcare for the time of visit.17 SEC. 223. HEALTHCARE VOTING MACHINES18 (a) DEFINITION.—The term "Healthcare Voting Machine" or19 "HVM" refers to those machines in the exit aisle of a Medical20 Feedback Center allowing for easy access to voting and feedback21 services via scanning of a Healthcare Recipient Card.22 (b) DESIGN.—The Committee on Vital Healthcare shall no23 later than December 31st, 2012 specify a standard design for Healthcare24 Voting Machines. The Committee on Vital Healthcare shall have the25 right to update this standard at any time.26 (c) STANDARD FEATURES.—All Healthcare Voting27 Machines are to have the following features:28 (1) A user-friendly interface.29 (2) Language selection upon startup.30 (3) Card reading device for insertion and subsequent reading31 of Healthcare Recipient Cards for purposes of verifying the
  45. 45. 45 1 bearer recently received healthcare services that warrant 2 feedback. 3 (4) Data transfer capability for ready transfer of collected 4 information to the Server for Vital Healthcare for the time of 5 visit and from Healthcare Entrance Machines for 6 acknowledgement of a Healthcare Recipients current Visit 7 Status. 8 (5) Upon verification of a valid Healthcare Recipient Card 9 for a Healthcare Recipient and selection of a language,10 submission of the following questions in the designated11 language:12 (A) "Did this Vital Healthcare Agency/Hospital provide13 you with good healthcare service?" This question is to be14 accompanied with the following voting options; each15 assigned a rating of 1-5, with (i) being 1 point and (v) being16 5 points, and is to be the first question asked:17 (i) "Definitely not, the VHA provided horrible18 healthcare service to me."19 (ii) "No, the VHA provided bad healthcare service to20 me."21 (iii) "I am not sure."22 (iv) "Yes, the VHA provided good healthcare service23 to me."24 (v) "Very much so, the VHA provided excellent25 healthcare service to me."26 (B) "Should this VHA/Hospital receive more or less27 government funding?" This question is to be accompanied28 by the following voting options; each assigned a rating of 1-29 5, with (i) being 1 point and (v) being 5 points, and is to be30 the second question asked:
  46. 46. 46 1 (i) "Yes, the VHA should receive more government 2 funding." 3 (ii) "No, the current funding level for this VHA is 4 appropriate." 5 (iii) "No, this VHA should have less government 6 funding." 7 (iv) "I am not sure." 8 (C) Any additional questions that the Bureau on Vital 9 Healthcare may choose to ask of all Healthcare Recipients10 across the United States or a given region, such as "Should11 illegal immigrants have access to healthcare services?" or12 "Should abortion be government-funded by this healthcare13 system?"14 (6) An additional form for purposes of allowing Healthcare15 Recipients to submit complaints and/or feedback to the Bureau16 of Vital Healthcare.17 PART E—PUBLIC ACCOUNTABILITY STRUCTURE18 SEC. 224. FEEDBACK CENTER SURVEILLANCE AS19 ASSURANCE OF PROPER VOTING PROCESS20 (a) DEFINITION.—The term "Feedback Center Surveillance21 System" or "FCSS" refers to the video camera or system of video22 cameras stationed within a Medical Feedback Center for purposes of23 ensuring Vital Healthcare Agencies, staff of said Vital Healthcare24 Agencies, or other obstacles are not interfering with the rights of25 Healthcare Recipients to medical access and feedback pertaining to that26 access.27 (b) CAMERA SYSTEM REQUIREMENTS.—The following28 requirements apply to Feedback Center Surveillance Systems:29 (1) Every Medical Feedback Center is required to have at30 least two video camera angled to view the reception desk, the
  47. 47. 47 1 Healthcare Entrance Machines, and the Healthcare Voting 2 Machines. 3 (2) There must not be visibility of Healthcare Voting 4 Machines such that the screens and thus information/feedback 5 of Healthcare Recipients is visible. The primary objective is 6 ensuring that Healthcare Recipients are able to access the HEMs 7 and HVMs, not to observe the HVM itself. If screens of HVMs 8 will otherwise be visible, either the camera locations should be 9 changed or an obscuring object placed between the camera and10 the screens of the Healthcare Voting Machines in question.11 (3) The FCSS is required to record footage of the designated12 area of the Medical Feedback System during all operating hours13 of the Vital Health Agency.14 (4) Camera footage must show the real-time info for the15 date and time of footage as it was being recorded.16 (c) PENALTIES.—Tampering of this system by a Vital17 Healthcare Agency, an employee of a Vital Healthcare Agency, or any18 other person may be subject to the fines and term of imprisonment19 specified in section 201(c).20 (d) WEBSITE UPLOAD.—All footage must be uploaded to the21 Server for Vital Healthcare no later than one month from the time of22 the oldest recorded footage yet to be uploaded.23 SEC. 225. PUBLIC TRANSPARENCY WEBSITE24 (a) IN GENERAL.—The Server for Vital Healthcare and25 Bureau of Vital Healthcare shall oversee creation of a new government26 website, www.bvh.gov, for purposes of allowing Healthcare Recipients27 to review FCSS video footage that the processes in this Act might be28 kept publicly transparent and accountable, of providing Healthcare29 Recipients with an additional, accessible voting option, and providing30 such other information sources as may prove beneficial for the public31 understanding of the Bureau of Vital Healthcare.
  48. 48. 48 1 (b) DESIGN.—The website is to have the following features: 2 (1) An online version of the Healthcare Voting Machines 3 format, with the language selection feature specified in section 4 223(c)(2), the questions specified in section 223(c)(5), and the 5 feedback form specified in section 223(c)(6). For verification 6 purposes, the website should require input by a Healthcare 7 Recipient of their name, identification number (which number is 8 specified in section 221(b)(2)), and date of visit to the Vital 9 Healthcare Agency.10 (2) Online storage of video surveillance footage for each11 Medical Feedback Center as specified in section 224(d). This12 footage is to be freely accessible to the public. Additionally,13 there is to be a search engine that will allow online users to14 easily locate their Vital Healthcare Agency, and thus its video15 footage archives, by zip code search.16 (3) An updated list of current Vital Healthcare Agencies,17 searchable by zip code and entering a given street address and18 search radius to receive a list of VHAs within that radius.19 (4) An updated list of the Hospitals currently applying to20 become Vital Healthcare Agencies that are not yet approved.21 SEC. 226. ENCOURAGEMENT OF CITIZEN WATCHDOG22 GROUPS23 Citizen watchdog groups and the general public are encouraged24 to provide oversight, comments on, and accountability for the public25 transparency website. As such, comments, opinions, and public26 participation are to be strictly protected from regulation apart from27 removing comments for purposes of profanity, pornography, racism,28 sexism, spamming, hacking, advertising/solicitation, and comments29 suggesting or supporting illegal activities.
  49. 49. 49 1 TITLE III. PRIVATE SECTOR 2 SEC. 301. MAINTAINING THE CURRENT PRIVATE SECTOR 3 All Hospitals and providers of healthcare or social services 4 currently authorized to operate under U.S. law are free to continue 5 offering medical services. Public sector/Private Sector Hospitals, as 6 defined in this Act, can operate in the same building, so long as both 7 areas are definitively separated from each other per section 207(b)(1). 8 TITLE VI—TORT REFORM 9 SEC. 401. HOSPITAL LAWSUITS10 (a) EFFECTIVE DATE.—Upon passage of this Act as law, the11 losing party in a lawsuit against a Hospital or Hospital employee will12 be required to pay the others legal fees in addition to any court13 sentencing, with such sum not to exceed $5,000.14 (b) SHARING OF RESPONSIBILITY FOR A VHA BASED15 UPON HOURS WORKED.—Employees of a Vital Healthcare Agency16 found at fault by a court of law for malpractice are to have the cost of17 such court-decided fees shared by the Vital Healthcare Agency they18 worked for at the time of the incident in the following manner:19 (1) 5% of the malpractice fees will be paid for by the VHA20 for whom the employee worked at the time of the incident if the21 employee at fault worked at least 60 hours in the 7 day period22 involving the incident (with the last day the day of the incident,23 and then counting the 6 days previous).24 (2) An additional 5% of the malpractice fees are to be paid25 by the VHA for whom the employee worked at the time of the26 incident for each additional 5 hours that the employee worked27 above 60 hours. 10% of the malpractice fees are to be paid if28 the employee worked 65 hours in the 7 day period, 15% if the29 employee worked 70 hours in the 7 day period, etc.30 SEC. 402. EMPLOYEE HOURS
  50. 50. 50 1 (a) RESTRICTION AGAINST OVERWORK 2 REQUIREMENTS.—To avoid overwork, and subsequent dangers to a 3 patient, no employee at a Vital Healthcare Agency may be required to 4 work more than 16 hours in a day. 5 (b) VIOLATION PENALTIES.—VHA supervisors/employers 6 found to be coercing and/or requiring VHA employees to work beyond 7 this time period will be subject to a $10,000-$100,000 fine and/or 1 8 year in prison if convicted by a court of law. 9 SEC. 403. ACCOUNTABILITY FOR PUBLIC OFFICIALS10 (a) BAN ON PUBLIC OFFICE FOR CONVICTED11 OFFICIALS.—Any judge, district attorney, or prosecutor henceforth12 found guilty of any crime above a misdemeanor shall be barred from13 running for public office for a period of 15 years, unless the decision is14 overturned.15 (b) HARSHER SENTENCING FOR CASE16 MISHANDLING.—Any judge, district attorney, or prosecutor found17 guilty of mishandling a case so that an innocent person is convicted18 will be subject to cumulative prison terms of those persons wrongfully19 convicted, and those found innocent pardoned and paid $50,000 per20 year of imprisonment. This monetary fee will be first exacted from the21 estate of the judge(s)/prosecutor(s)/district attorney(s) found guilty, and22 the remainder to be paid by the federal government.23 (c) ALLOWANCE FOR JUDGES TO SPEAK PUBLICLY ON24 BELIEFS.—Judges running for reelection will be henceforth allowed25 to speak publicly about their opinions on political issues and general26 mindset towards judicial decision-making for purposes of providing27 voters with the information necessary to make educated decisions about28 whether or not to re-elect them. No rule by the American Bar29 Association or any other organization outside of the U.S. government30 may be esteemed as punishing a judge for expressing their opinions on31 judicial philosophy or political or religious beliefs given the need for
  51. 51. 51 1 the American people to understand the nature of their judges, and the 2 simple facts that impartiality neither includes nor implies lack of 3 human opinions, and no purely human, judicial law is so thorough as to 4 remove the elements of interpretation and thus opinion and personal 5 conviction. 6 SEC. 404. JUDICIAL TRANSPARENCY WEBSITE 7 (a) NEW WEBSITE SECTIONS.—This section authorizes the 8 creation of new website pages on www.uscourts.gov, 9 www.uscourts.gov/judgelinks and www.uscourts.gov/prosecutorlinks,10 whereby citizens can search for a judge via name, court type, or11 geographic location, and for a prosecutor by name, court type, or12 geographic location. These website pages shall appear in substance13 similar to the page at www.uscourts.gov/courtlinks, but instead provide14 as search results links to the profiles of judges and prosecutors. This15 system is to have the following features:16 (1) Profiles for judges are to show hyperlinks to recent court17 decisions made by the judge and hyperlinks of all overturned18 court decisions in which that judge had made the initial decision19 only to have it later overturned in a retrial. Each case shown20 should be hyperlinked to the respective case summary for it on21 www.pacer.psc.uscourts.gov.22 (2) Profiles for prosecutors are to show as a percentage the23 number of cases won out of total cases, hyperlinks to recent24 cases, and hyperlinks to recently lost cases. Each case shown25 should be hyperlinked to the respective case summary for it on26 www.pacer.psc.uscourts.gov.

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