And.... enact a law preventing states from shipping off their homeless and deadbeats to other states (See: Hawaii).
Okay, here is an anecdotal topic:
Item E. Provides for substance addiction treatment and recovery. One of the essential ten areas.
Southern California is getting clobbered. The beautiful weather, scenery, abundance of legitimate treatment and recovery, PLUS federal "disability" laws dating to GHW Bush, PLUS California's own "Group Living" home laws and regulations provide a wide open pathway for billions of scams, fraudulent billings, etc.
"Providers" recruit across the country, among addicts and alcoholics. "Hey do you want to go to the California beach plus get addiction treatment, etc.? We can get you enrolled in insurance, and on an airplane by tomorrow."
From Malibu to the Mexican border, most coastal towns have 12 step meeting halls, to take their "patients" to attend. The "companies get an MD on their better head, bus their patients around to meetings, to urine tests, to the gym, to the "sober living "houses that they rent.
The $ dollar amounts which Obamacare permits to be billed, would make us all very, very angry. Fact: 40 federal law enforcement agents raided a provider in San Clemente last week.
After recycling the "addicts/alcoholics" through a couple of time, to whatever the allowed maximum is, they do NOT transport them home. They "curb" them, meaning dump them in SoCal. We have an enormous and growing homeless population, in part due to this.
I called my Congressman this morning, and learned he is involved, and his staffer really knows her stuff.
Because he is impacted personally I think it is likely the Republicans will try reforming this fraud. Not solve it entirely but make significant progress.
It is categorized as an $8 billion industry.