Enacted (subject to revision)


While we all watch and wait to see if the Reconciliation Bill passes the Senate, I’m going to focus on what’s in the legislation that has been enacted so far — H.R. 3590 (formerly called the “Senate Bill”), which has passed both chambers of Congress.

At the risk of  verging into the political sphere,  it seems to me at this point that we are going to end up very soon with one of just two alternative pieces of legislation.  First, there’s Reform Law #1, the House version, which will consist of H.R. 3590 , as amended by H.R. 4872 (the Reconciliation Bill).  If the Senate fails to enact the Reconciliation Bill, there is still Reform Law #2 — H.R. 3590 (Cornhusker Kickback and all).

President Obama signed H.R. 3590 into law on March 23, 2010.  (That means that where I refer elsewhere on this blog to a provision becoming effective so much time after the date of enactment, March 23, 2010 is where you start counting.)

Since there’s nothing in the Reconciliation Bill that would amend H.R. 3590’s substantial provisions affecting long-term care, I’ve focused first on those, which are now law regardless of whether we end up with Reform Law #1 or Reform Law #2.

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