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Although the type of psychotherapy offered may vary by patient symptoms and desire, and insurance that limits payments and requires evidence of need, the field is wide, and given financial means, is readily accessible.
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It is not the first time that limiting payments based on discharge diagnoses has been proposed.
At the same time, health insurance companies and government agencies are working to limit payments to physicians.
The amendment was defeated after Ms. Stabenow said the farm bill would already limit payments to higher-income farmers.
The bills would have limited payments by individual doctors to $250,000 in malpractice cases and capped payments by health care institutions at $250,000.
The law, and the proposed rule, would also limit payments to state Medicaid agencies for the aggregate costs of prescription drugs when a generic substitute is available.
But beyond the internal pressures to limit payments to consultants, campaigns face increasing pressure from the Internet as an alternative for disseminating political videos.
Another measure already announced will curb the $32 billion annual cost of government housing subsidies, limiting payments to low-income families to a maximum of $640 a week.
Mr. Baumeister, who has known Mr. Feinberg for years, said he wondered if the Bush administration was encouraging the special master to go slow to limit payments and bolster tort reform efforts.
His proposal would also seek to limit payments made by recording companies to independent promoters to promote new songs to station programmers, something that has gone on for decades but is now being described as a new form of payola.
Under the proposal, states could limit payments for pain and suffering and other noneconomic damages, and the federal government would subsidize insurance for health care providers who promptly compensate patients for "avoidable injuries".
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com