Most of these deadlines aren’t for mission-critical features of the law, and the document reads like a kind of caricature of bureaucratic busywork. For example, Section 10407(d) mandates that by March 23, 2012, the Secretary of Health and Human Services is required to “submit to Congress a report on the appropriate level of diabetes medical education.” To date, the report has not been located. Also on that date, the Secretary is required to “implement a 5-year national public education campaign on oral health care prevention and education.” She missed that one too.
But there are some more economically significant deadlines that the administration has missed. A requirement for the Secretary to “develop requirements for health plans to report on their efforts to improve health outcomes,” also due on March 23, 2012, has not been met to date. A number of rules that would safeguard the privacy of medical records have either yet to be developed, or have been meaningfully tardy in their arrival.
And, of course, if you follow the Obamacare news, you are aware of the high-profile delays that are not included in the CRS report, such as the delay in Obamacare’s caps on out-of-pocket insurance costs.
The administration has tried, almost comically, to make the case that the faulty implementation of Obamacare is Republicans’ fault. But blue states that have embraced the law are the ones having the most problems.