The Clinton Herald, Clinton, Iowa

Top News

November 20, 2012

With health-care law set, now come the new rules

With the national health law's political future now entrenched, a deluge of new rules is expected in the coming days and weeks as the Obama administration fleshes out the law's complex components.

Most of the anticipation has been focused on rules that determine how the new state-based insurance marketplaces, or "exchanges," will operate. Also closely awaited are decisions about how the government will tax medical devices, allot the shrinking pool of money for hospitals that treat the uninsured, and determine how birth-control insurance coverage can be guaranteed for employees of religious institutions.

"We knew right after the election, this is all coming out," said Blair Childs, an executive at the Premier health alliance, which advises hospitals.

Some of the rules have been in the works for nearly a year.

Other key decisions will be determined outside the rulemaking process, as the Obama administration selects participants in several experimental programs, including a new payment method for doctors, hospitals and other providers.

Here are summaries of some of the significant decisions on the health law that the administration is expected to announce shortly:

Medical device excise tax

In February, the Internal Revenue Service proposed a rule on how to apply this 2.3 percent tax, which kicks in at the start of January. The major unresolved issues concern which devices will be included and how the tax is applied and collected.

Among the questions: Should the tax apply to devices commonly used by veterinarians if the device is also used in human medicine? What about items sold in retail settings but also used in medical procedures, such as dental instruments and latex gloves? Does the tax apply to kits — two or more medical tools packaged and sold together — even if the manufacturer of each component had already collected the tax when it was sold to the kit maker?

Text Only
Top News
  • Screen shot 2014-04-18 at 4.44.15 PM.png Paint, doodle and sketch: 3 apps for art lovers

    In the absence of a palette of watercolors and a sketchpad, these three apps can fill in as your art supplies of choice.

    April 19, 2014 1 Photo

  • Smartphone kill switches are coming

    Smartphones need kill switches. It's a relatively easy solution to the pricey (and irritating) problem of smartphone theft. But who would have thought that the big carriers would team up with Apple, Google, Microsoft, Nokia, Samsung and lots of other manufacturers to voluntarily begin adding the technology by July 2015? The cooperative spirit! It makes so much sense!

    April 19, 2014

  • Way of the Cross photo The Way of the Cross By Amy Kent Herald Staff Writer The Way of the Cross

    April 19, 2014 1 Photo

  • John Hood A year after 'chaos'

    It happened two hours after John Hood finished his run. Like many, he thought the loud boom was just the sound of cannons going off, something that shook the ground. It was odd, but Hood — a 1989 Clinton High School graduate — tried to make it logical, associating the noise with another good happening at the Boston Marathon.

    April 18, 2014 1 Photo

  • Why do wolves howl?

    Of all the myths that dog the wolf, none is more widely accepted than the idea that wolves howl at the moon. Images of wolves with their heads upturned, singing at the night sky, are as unquestioned as a goldfish's three-second memory or a dog's color-blindness (both also myths).

    April 18, 2014

  • Biggest student loan profits come from grad students

    This week, the Congressional Budget Office projected that the federal government would earn roughly $127 billion from student lending during the next 10 years.

    April 18, 2014

  • AGENDA: 4-22-14 Clinton City Council

    The Clinton City Council will meet Tuesday at 7 p.m. followed by a committee of the whole.

    April 18, 2014

  • Judge asks pointed questions in gay marriage case

    A judge in Colorado who will play a pivotal role deciding whether gays should be allowed to wed in the United States asked pointed questions Thursday about whether Oklahoma can legally ban the unions.

    U.S. Circuit Judge Jerome Holmes is seen as the swing vote on the three-judge panel that heard the Oklahoma appeal and a similar case from Utah last week.

    April 18, 2014

  • NASA's moon-orbiting robot crashes down as planned

    April 18, 2014

  • Eyewitness testimony no longer a gold standard

    The American legal system offers few moments as dramatic as an eyewitness to a crime pointing his finger across a crowded courtroom at a defendant.

    The problem is that decades of studies show eyewitness testimony is only right about half the time — a reality that has prompted a small vanguard of police chiefs, courts and lawmakers to toughen laws governing the handling of eyewitnesses and their accounts of crimes.

    April 18, 2014

AP Video