Promise Kept rulings on The Obameter
"Expand eligibility for the Medicaid and SCHIP programs and ensure that these programs continue to serve their critical safety net function."
"Phase in requirements for full implementation of health IT and commit the necessary federal resources."
"Require health plans to disclose the percentage of premiums that actually goes to paying for patient care as opposed to administrative costs."
"Establish an independent institute to guide reviews and research on comparative effectiveness to provide accurate and objective information."
Implement and fund "evidence-based interventions, such as patient navigator programs." A patient navigator is someone specifically designated to guide patients and their families through the complexities of the health care system.
In non-competitive markets, force insurers to pay out a reasonable share of their premiums for patient care
In markets where the insurance business is not competitive, "force insurers to pay out a reasonable share of their premiums for patient care instead of keeping exorbitant amounts for profits and administration."
"Eliminate the excessive subsidies to Medicare Advantage plans and pay them the same amount it would cost to treat the same patients under regular Medicare."
"Work with schools to create more healthful environments for children, including assistance with contract policy development for local vendors, grant support for school-based health screening programs and clinical services, increased financial support for physical education, and educational programs for students."
Government "at all levels should lead the effort to develop a national and regional strategy for public health … government must invest in workforce recruitment."
Government "must invest in ... modernizing our physical structures, particularly our public health laboratories."
"Will seek to increase participation in clinical trials to 10 percent of adult cancer patients by requiring coverage of patient clinical trial costs in the new public and private plans offered through the National Health Insurance Exchange, increasing NCI reimbursement for patient participation in clinical research and requesting the NCI Director to identify regulatory barriers that prevent the timely implementation and completion of successful clinical trials."
"There has not been a comprehensive study of evaluating access to higher education or transition to the workforce by students with disabilities. As president, Barack Obama will initiate such a study and task his Secretary of Education with researching: the barriers that keep students with disabilities from seeking and completing higher education; the barriers that prevent students from making a direct transition to work; the extent to which students with disabilities are able to access loans and grants; reasons college students with disabilities drop out at a higher rate; and best practices from schools that have effectively recruited and graduated students with disabilities that can be implemented more widely."
Reinstate executive order to hire an additional 100,000 federal employees with disabilities within five years.
"Obama will reinstate Executive Order No. 13173 which President Clinton issued just before he left office. Executive Order No. 13173 failed to achieve its mandate of hiring an additional 100,000 federal employees with disabilities within five years. Obama will issue this executive order early in his first term and designate a senior White House official to assure that all federal departments and agencies meet the mandate."
"Section 503 of the Rehabilitation Act requires the federal government and employers who are federal contractors to 'take affirmative action to employ and advance in employment qualified individuals with disabilities.' Yet, affirmative action in employment for adults with disabilities is not enforced with goals and timetables like the affirmative action requirements for people of color and women found in Executive Order No. 11246 and its progeny. As a result, affirmative action under the Rehabilitation Act is largely ineffective. Barack Obama will direct his Secretary of Labor to make changes to the regulations implementing Section 503 so that they more closely resemble those implementing Executive Order No. 11246."
"As president, Barack Obama will direct his Secretary of Labor, the Labor Department's Office of Disability Employment Policy, and its Job Accommodation Network to bring together employers, employer associations, human resources professionals, disability advocates, service providers, and the labor movement to identify, promote, and disseminate best practices in accommodating workers with disabilities."
"The tax code already contains several provisions designed to encourage employers to hire employees with disabilities, including the Disabled Access Tax Credit, a Tax Deduction for Architectural and Transportation Barrier Removal, and the Work Opportunity Tax Credit. Yet, very few employers actually take advantage of these credits. Barack Obama and Joe Biden will launch an aggressive effort to educate employers about these tax benefits so that more employers use them to hire greater numbers of employees with disabilities."
Increase "the VA budget to recruit and retain more mental health professionals."