The current House version of ObamaCare (H.R. 3200) goes much further. Section 225(A) grants Secretary of Health and Human Services Kathleen Sebelius tremendous discretionary authority to regulate health-care workers "under the public health insurance option." Monopoly bargaining and compulsory union dues may quickly become a required standard resulting in potentially hundreds of thousands of doctors and nurses across the country being forced into unions.
http://energycommerce.house.gov/Press_111/20090714/aahca.pdf Subtitle B—Public Health Insurance Option Sec. 221. Establishment and administration of a public health insurance option
as an Exchange-qualified health benefits plan.
Sec. 222. Premiums and financing.
Sec. 223. Payment rates for items and services.
Sec. 224. Modernized payment initiatives and delivery system reform.
Sec. 225. Provider participation. Sec. 226. Application of fraud and abuse provisions.
16 SEC. 225. PROVIDER PARTICIPATION.
17
(a) IN GENERAL.—The Secretary shall establish con- 18
ditions of participation for health care providers under the 19
public health insurance option. 20 (b) LICENSURE OR CERTIFICATION.—The Secretary
21 shall not allow a health care provider to participate in the
22 public health insurance option unless such provider is ap-
23 propriately licensed or certified under State law.
24 (c) PAYMENT TERMS FOR PROVIDERS.—
1 (1) PHYSICIANS.—The Secretary shall provide
2 for the annual participation of physicians under the
3 public health insurance option, for which payment
4 may be made for services furnished during the year,
5 in one of 2 classes:
6 (A) PREFERRED PHYSICIANS.—Those phy-
7 sicians who agree to accept the payment rate
8 established under section 223 (without regard
9 to cost-sharing) as the payment in full.
10 (B) PARTICIPATING, NON-PREFERRED
11 PHYSICIANS.—Those physicians who agree not
12 to impose charges (in relation to the payment
13 rate described in section 223 for such physi-
14 cians) that exceed the ratio permitted under
15 section 1848(g)(2)(C) of the Social Security
16 Act.
17 (2) OTHER PROVIDERS.—The Secretary shall
18 provide for the participation (on an annual or other
19 basis specified by the Secretary) of health care pro-
20 viders (other than physicians) under the public
21 health insurance option under which payment shall
22 only be available if the provider agrees to accept the
23 payment rate established under section 223 (without
24 regard to cost-sharing) as the payment in full.
1 (d) EXCLUSION OF CERTAIN PROVIDERS.—The Sec-
2 retary shall exclude from participation under the public
3 health insurance option a health care provider that is ex-
4 cluded from participation in a Federal health care pro-
5 gram (as defined in section 1128B(f) of the Social Sec-
6 rity Act).
7 SEC. 226. APPLICATION OF FRAUD AND ABUSE PROVI-
8 SIONS.
I dont see how this could cause Forced Unionization of Healthcare Workers.
this clearly only applies only to the Public Health Insurance Option.
IE: Subtitle B—Public Health Insurance Option
Sec. 225. Provider participation
17 (a) IN GENERAL.—The Secretary shall establish con-
18 ditions of participation for health care providers under the
19 public health insurance option.