Establish the Community First Choice Option in Medicaid to provide community-based attendant support services to certain people with disabilities.

Develop a national quality improvement strategy that includes priorities to improve the delivery of health care services, patient health outcomes, and population health.

Establish the Community-based Collaborative Care Network Program to support consortiums of health care providers to coordinate and integrate health care services, for low-income uninsured and underinsured populations.

Establish a new trauma center program to strengthen emergency department and trauma center capacity.

Improve access to care by increasing funding by $11 billion for community health centers and the National Health Service Corps over five years; establish new programs to support school-based health centers and nurse-managed health clinics.

Establish Teaching Health Centers to provide payments for primary care residency programs in community-based ambulatory care providers.

Impose new annual fees on the pharmaceutical manufacturing sector.

Require insurers to raise the age limit for dependents up to age 26 on all policies.

The federal government will begin to regulate the “medical-loss ratio” of individual and group plans to guarantee they spend a certain percentage of premium costs on medical care instead of administrative costs. This will lead to insurers cutting back on customer benefits like managing provider networks and facilitating the coordination of care.

“In fact—if we may use that term without PolitiFact’s seal of approval—at the heart of ObamaCare is a vast expansion of federal control over how U.S. health care is financed, and thus delivered. The regulations that PolitiFact waves off are designed to convert insurers into government contractors in the business of fulfilling political demands, with enormous implications for the future of U.S. medicine. All citizens will be required to pay into this system, regardless of their individual needs or preferences. Sounds like a government takeover to us.”