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DOCTOR IN NEW YORK INFECTED WITH EBOLA VIRUS

24 Oct

The Ebola virus is now in the concrete jungle…

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A doctor in New York City who recently returned from treating Ebola patients in Guinea became the first person in the city to test positive for the virus Thursday, setting off a search for anyone who might have come into contact with him.

The doctor, Craig Spencer, was rushed to Bellevue Hospital Center and placed in isolation at the same time as investigators sought to retrace every step he had taken over the past several days.

At least three people he had contact with in recent days have been placed in isolation. The federal Centers for Disease Control and Prevention, which dispatched a team to New York, is conducting its own test to confirm the positive test on Thursday, which was performed by a city lab.

While officials have said they expected isolated cases of the disease to arrive in New York eventually, and had been preparing for this moment for months, the first case highlighted the challenges involved in containing the virus, especially in a crowded metropolis. Dr. Spencer, 33, had traveled on the A and L subway lines Wednesday night, visited a bowling alley in Williamsburg, and then took a taxi back to Manhattan.

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Police officers stood outside the apartment of Dr. Craig Spencer on West 147th Street in Harlem on Thursday. Credit Jennifer S. Altman for The New York Times

The next morning, he reported having a fever, raising questions about his health while he was out in public. The authorities have interviewed Dr. Spencer several times and are also looking at information from his credit cards and MetroCard to determine his movements.

Health officials initially said that Dr. Spencer had a 103-degree fever when he reported his symptoms to authorities at around 11 a.m. on Thursday. But on Friday, health officials said that was incorrect and that Dr. Spencer reported having a 100.3-degree fever. They said the mistake was because of a transcription error.

People infected with Ebola cannot spread the disease until they begin to display symptoms, and it cannot be spread through the air. As people become sicker, the viral load in the body builds, and they become increasingly contagious.

Mayor Bill de Blasio, speaking at a news conference at Bellevue on Thursday night, sought to reassure New Yorkers that there was no reason to be alarmed.

“Being on the same subway car or living near a person with Ebola does not in itself put someone at risk,” he said.

Dr. Spencer’s work in Africa and the timing of the onset of his symptoms led health officials to dispatch disease detectives, who “immediately began to actively trace all of the patient’s contacts to identify anyone who may be at potential risk,” according to a statement released by the health department.

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Bellevue Hospital Center, where the first person in the city to test positive for Ebola has been quarantined. Credit Joshua Bright for The New York Times

Dr. Spencer’s fiancée has also been quarantined at Bellevue. Two other friends, who had contact with him on Tuesday and Wednesday, have been told by the authorities that they too will be quarantined but whether they will isolate themselves in their homes or be relocated was still under discussion, according to a person briefed on the investigation. None of the three were showing signs of illness.

The driver of the taxi, arranged through the online service Uber, did not have direct contact with Dr. Spencer and was not considered to be at risk, officials said.

Speaking at the news conference, city officials said that while they were still investigating, they did not believe Dr. Spencer was symptomatic while he traveled around the city on Wednesday and therefore had not posed a risk to the public.

“He did not have a stage of disease that creates a risk of contagiousness on the subway,” Dr. Mary Bassett, the city health commissioner, said. “We consider it extremely unlikely, the probability being close to nil, that there will be any problem related to his taking the subway system.”

Still, out of an abundance of caution, officials said, the bowling alley in Williamsburg that he visited, the Gutter, was closed on Thursday night, and a scheduled concert there, part of the CMJ music festival, was canceled. Health workers were scheduled to visit the alley on Friday.

At Dr. Spencer’s apartment building, his home was sealed off and workers distributed informational fliers about the disease.

What the New York City Ebola Patient Was Doing Before He Was Hospitalized

Locations visited by Craig Spencer, a Manhattan doctor who has tested positive for Ebola.

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Dr. Spencer had been working with Doctors Without Borders in Guinea treating Ebola patients, and completed his work on Oct. 12, Dr. Bassett said. He flew out of the country on Oct. 14, traveling via Europe, and arrived in New York on Oct. 17.

Since returning, he had been taking his temperature twice a day, Dr. Bassett said.

He told the authorities that he did not believe the protective gear he wore while working with Ebola patients had been breached but had been monitoring his own health.

Doctors Without Borders, in a statement, said it provides guidelines for its staff members to follow when they return from Ebola assignments, but did not elaborate on the protocols.

“The individual engaged in regular health monitoring and reported this development immediately,” the group said in a statement.

Dr. Spencer began to feel sluggish on Tuesday but did not develop a fever until Thursday morning, he told the authorities. At 11 a.m., he found that he had a 100.3-degree temperature and alerted the staff of Doctors Without Borders, according to the official.

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Mayor Bill de Blasio and Gov. Andrew Cuomo spoke during a press conference at Bellevue Hospital in New York on Thursday. Credit Joshua Bright for The New York Times

The staff called the city’s health department, which in turn called the Fire Department.

Emergency medical workers, wearing full personal protective gear, rushed to Dr. Spencer’s apartment, on West 147th Street. He was transported to Bellevue and arrived shortly after 1 p.m.

He was placed in a special isolation unit and is being seen by the designated medical critical care team. Team members wear personal protective equipment with undergarment air ventilation systems.

Bellevue doctors have been preparing to deal with an Ebola patient with numerous drills and tests as well as actual treatment of suspected cases that turned out to be false alarms.

A health care worker at the hospital said that Dr. Spencer seemed very sick, and it was unclear to the medical staff why he had not gone to the hospital earlier, since his fever was high.

Dr. Spencer is a fellow of international emergency medicine at NewYork-Presbyterian Hospital/Columbia University Medical Center, and an instructor in clinical medicine at Columbia University.

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“He is a committed and responsible physician who always puts his patients first,” the hospital said in a statement. “He has not been to work at our hospital and has not seen any patients at our hospital since his return from overseas.”

I agree with Robert Koorse – why did Dr. Spencer not voluntarily quarantine himself, after having such intimate contact with Ebola patients?…

Doesn’t it seem reasonable to expect that licensed medical professionals like Dr. Spencer Craig and Nurse Amber Vinson would have the…

If Dr. Spencer survives, he should be prosecuted. He knew the risks, he knew the danger to others if he wandered out of isolation . . . and…

Before Thursday, more than 30 people had gone to city hospitals and raised suspicions of Ebola, but in all those cases health workers were able to rule out the virus without performing blood tests.

While the city has stepped up its laboratory capacity so it can get test results within four to six hours, the precautions required when drawing blood and treating a person possibly sick with Ebola meant that it took until late in the evening to confirm Dr. Spencer’s diagnosis.

Doctors said that even before the results came in, it seemed likely that he had been infected. Symptoms usually occur within eight to 10 days of infection. Dr. Spencer stopped working with Ebola patients 11 days ago and returned home six days ago.

Ebola is transmitted through bodily fluids and secretions, including blood, mucus, feces and vomit.

Because of its high mortality rate — Ebola kills more than half the people it infects — the disease spreads fear along with infection.

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Mark Caserta: Should we be concerned about Ebola outbreak

23 Oct

Or does “O” have it under control?

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Oct. 23, 2014 @ 06:57 AM

MARK CASERTA

The deadly Ebola virus is now in the United States. So how concerned should we be?

In September, the Obama administration told Americans we had little to fear about an Ebola outbreak in the U.S., like the one occurring in certain West African countries.

“The CDC has concluded that there is no significant risk in the United States from the current Ebola outbreak,” said White House Press Secretary Josh Earnest.

“And while it is unlikely that the disease would spread if the virus were detected in the United States, the CDC is taking action to alert health care workers in the U.S. and remind them how to isolate and test suspected patients while following strict infection control procedures.” Ebola virus disease is a rare and deadly affliction caused by infection with one of the Ebola virus strains. It’s spread through the transmission of bodily fluids or contaminated surfaces and causes an acute, serious illness which can be fatal if untreated. There are currently no licensed vaccines. The menacing nature of the virus has sparked fear that it could spread from West Africa to other regions or continents.

“This epidemic is without precedent,” said Bart Janssens, director of operations for Medecins Sans Frontieres. “It’s absolutely not under control, and the situation keeps worsening … There are many places where people are infected but we don’t know about it.” CNN recently reported the current Ebola outbreak is “running much faster” than the international response to it, according to the co-discoverer of the virus.

“This is the first Ebola epidemic where entire nations are involved, where big cities are affected,” Peter Piot, a microbiologist and former undersecretary general of the United Nations, said. “And I continue to be worried that the response to the epidemic is really running behind the virus.” Three weeks ago, Barack Obama took to the podium along with CDC Director, Dr.

Tom Frieden, to “calm” the nation regarding the Ebola outbreak.

“First and foremost, I want the American people to know that our experts, here at the CDC and across our government, agree that the chances of an Ebola outbreak here in the United States are extremely low,” Obama said. “In the unlikely event that someone with Ebola does reach our shores, we’ve taken new measures so that we’re prepared here at home.” But despite the president’s “reassurance,” recent events make one question just how prepared we truly are for an Ebola outbreak.

As of last Friday, eight confirmed cases of Ebola have now been or are being treated in the United States while 125 other people are being monitored or are in some form of quarantine, according to the CDC.

So, how concerned should Americans be about a potentia Ebola outbreak in the U.S.?

The same president who told us there wasn’t a “smidgen” of corruption in the IRS, “you can keep your health care plan if you like it” and the Benghazi attack was the result of an anti-Muslim video is now telling us not to worry about Ebola. You tell me.

Mark Caserta is a conserva tive blogger, a Cabell County resident and a regular contributor to The Herald-Dispatch editorial page.

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WE ARE BUILDING AN ARMY!

22 Oct

The time has come to take back our country!

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We are building an army of God-fearing, patriotic individuals who still believe America is the greatest nation on earth.

“We (are) The People” who believe the citizens of the United States are invested in American “exceptionalism” not only by the blood spilled by our brave men and women in harm’s way, but by the blood spilled by our Lord and Savior, Jesus Christ on Calvary.

I can only imagine God speaking to us now as He did to Jerusalem.

“O Jerusalem, Jerusalem…how often would I have gathered thy children together, as a hen doth gather her brood under her wings, and ye would not!

God is speaking to America through the signs and wonders among His people.  He is calling us to make a difference for the future of our children and our children’s children.

But God made us a people of choice!  He demands that we make the choices as to how we will live our lives and to whom we will make ourselves available – to Him or the enemy.

The time has come for us to take back our country and end this failed liberal experiment which has compromised our strength, our respect and our safety around the globe.

America is better than this!  We are better than this!  I refuse to stand idly by while tyrants destroy our nation and the nation of Israel.

And should we win the day, the 4th of November will no longer be known as just another day, but as the day when America declared in one voice:

“We will not go quietly into the night!

We will not vanish without a fight!

We’re going to live on!

We’re going to survive!”

Today, we celebrate our Independence Day!

God Speed my fellow patriots!  Go to the polls on November 4th!

And subscribe to join the fight at www.freestatepatriot.com

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OBAMA POLITICIZES FIGHT AGAINST EBOLA

17 Oct

So Obama names an Ebola Czar, charged with supervising the fight against this dangerous virus. This “czar” has zero experience in the medical field. He’s a politician. You can’t make this stuff up. Such is the wisdom of this president.
Don’t forget what Obama’s former Chief of Staff, Rahm Emmanuel said, “Never let a crisis go to waste,” he said. “Because you can do things you otherwise wouldn’t be able to do.”
Americans must pay attention to this.

RON KLAIN

Obama to Tap Former VP Chief of Staff Ron Klain as Ebola ‘Czar’

President Barack Obama will appoint Ron Klain to head up efforts to address the Ebola threat, a senior administration official tells NBC News.

Klain is a former chief of staff to both Vice President Joe Biden and former Vice President Al Gore. He left the vice president’s office in 2011. He is now the president of Case Holdings and serves as the general counsel for Revolution, an investment organization.

 “It’s not solely a medical response,” White House press secretary Josh Earnest said. “That’s why somebody with Mr. Klain’s credentials — somebody that has strong management experience both inside government but also in the private sector; he is somebody who has strong relationships with members of Congress; and obviously strong relationships with those of us who worked with him here at the White House earlier in the administration. All of that means that he is the right person.”

Obama signaled his openness to appointing an Ebola “czar” Thursday night, telling reporters that it “may be appropriate” to elevate an additional person to coordinate the U.S. response. (White House press secretary Josh Earnest said Friday that Klain’s official title is not czar, but Ebola Response Coordinator.)

Klain will report directly to White House National Security Advisor Susan Rice and the president’s Homeland Security Advisor Lisa Monaco. He is tasked with protecting Americans from the disease and making sure the response is coordinated with the U.S. effort to stop Ebola in West Africa.

The White House had previously resisted the idea of a czar, saying that the administration had already established clear lines of responsibility for handling the threat.

But Obama faced pressure from critics who argue that the nation’s hospitals are not prepared for an outbreak of the virus.

 

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NEW MOST WANTED, FUTURE DEAD TERRORIST

25 Aug

TERRORISTS

 

http://www.news.com.au/world/london-hiphop-artist-abdelmajed-abdel-bary-key-suspect-in-hunt-for-killer-of-american-journalist-james-foley/story-fndir2ev-1227034541900

Yesterday, British security services MI5 and MI6 reportedly identified a British hip-hop artist as the key suspect in the hunt for the killer who beheaded Foley.

The Sunday Times newspaper said Abdel-Majed Abdel Bary, from Maida Vale in West London, had become a crucial part of the investigation.

The paper attributed the information to “senior government sources.”

Bary, 23, is the son of an Egyptian-born militant who is awaiting trial on terror charges in New York tied to the deadly 1998 bombings of embassies in Kenya and Tanzania.

Former hostages held by ISIS have said he is one of several jihadists they nicknamed “the Beatles” due to their British accents, with two of his cronies referred to as “George” and “Ringo.”

Bary — who recently tweeted a photo of himself holding up a severed head — was among three Brits identified as possibly being the masked killer known as “John”.

In June, The Sunday Times revealed a threat made by Bary on Twitter. “The lions are coming for you soon you filthy kuffs (infidels),” he wrote. “Beheadings in your own backyard soon.”

Bary, who went to Syria last year to fight in its bloody civil war, has a build, skin tone and ­accent all similar to those of “John,” according to The Telegraph.

Before becoming a jihadist, he was an aspiring rapper known as “L Jinny,” whose music was played on BBC Radio 1.

 

KENDALL RICE: Progressives should practice the “tolerance” they preach.

7 Aug

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Progressives are the true class of freedom haters who preach tolerance while being intolerant of all other views. The only votes they receive have been bought and paid for through corporate or public welfare. They have marginalized blacks within urban public school ghettos as the new form of segregation. They follow the model built upon the backs of Native Americans placed on reservations which created a culture of addiction with gambling as a way of life.

If any wish to verify the racist origins of the Progressive era just google Buck v. Bell, a 1928 Supreme Court decision to see for yourself.

The entire welfare nanny state shows how Progressives have created a permanent underclass by chaining them with their permanent safety nets. After breeding dependency among millions they prey upon them by dictating the terms of their existence by creating penalties for anyone of this class who wishes to explore opportunities to better oneself. The last thing they want is their victims escaping the hold of the poverty pimps for that would require cutting the budgets of their beloved bureaucratic agencies. These agencies never eliminate poverty, they breed it to justify their growth.

Instead of just teaching people how to fish Progressives want to give them fish, paid for only by the middle class, for the rest of their lives to make them dependent upon their benevolence. The welfare state is the prime ministry of their Sharia type theology carved, not out of private charity, freedom, or opportunity, but codified by statute within their legalistic tradition. Therefore we get 70K pages of new federal regulations year in and out.

CS Lewis had their number a long time ago:

Of all tyrannies, a tyranny sincerely exercised for the good of its victims may be the most oppressive. It would be better to live under robber barons than under omnipotent moral busybodies. The robber baron’s cruelty may sometimes sleep, his cupidity may at some point be satiated; but those who torment us for our own good will torment us without end for they do so with the approval of their own conscience

Proving that their ideas are in decline the Progressives quickly replaced Global Warming with Climate Change, which shows that all they have left is rhetoric and Chicken Little tactics. Most forget that they first tried this 40 years ago with end of the world as we know it Global Cooling.

So where is Phil Jones? Have they found him yet?

All Progressives know how to do is raise new taxes to buy new votes. That is the essence of global warming fear mongering, meanwhile in the midst of the summer, the temp. today is but 74 degrees; which demonstrates that facts don’t sway the zealots among us.

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A must watch! I’m sure the woman wished she’d never asked the question!!!

22 Jul

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DEMOCRAT RIPS OBAMA FOR NOT VISITING THE BORDER

9 Jul

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Instead, He chose to drink a beer and shoot some pool…

Democratic congressman Henry Cuellar ripped President Obama for being “aloof” and “detached” by not visiting the Texas border to see first hand the immigration crisis. Cuellar made the comments on MSNBC:

“He’s so close to the border. And let me say this: when I saw, and I hate to use the word bizarre, but under the circumstances, when he is shown playing pool in Colorado, drinking a beer, and he can’t even go 242 miles to the Texas border, and plus, if he doesn’t want to go down to the border, there’s the Air Force Base where HHS is holding some of the young kids from the border. He could at least make that trip to San Antonio, but again, border community leaders wants to see him down there on the border, and I think the optics and the substance of it is that he should show up at the border,” said Cuellar.

And he had some advice for the White House.”If they are worried about putting a face, the president’s face, to this human crisis, humanitarian crisis, I think it’s worse if he doesn’t even show up. Either way, he’s going to be tied into this humanitarian crisis. he either can roll up his sleeves and go down to the border, or he can just look aloof and detached and not go to the border, send surrogates down there, and say that he’s got everything under control.”

He adds, “It Just floored me, because if he’s saying he’s too busy to go to the border but you have time to drink beer, play pool.”
The president was in Colorado last night — drinking beer and playing pool.

(THE WEEKLY STANDARD)

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Bergdahl release arrangement could threaten the safety of Americans, Republicans say

1 Jun

G BAY

By Karen Tumulty, Published: May 31

Amid jubilation Saturday over the release of U.S. Army Sgt. Bowe Bergdahl from captivity by the Taliban, senior Republicans on Capitol Hill said they were troubled by the means by which it was accomplished, which was a deal to release five Afghan detainees from the military prison in Guantanamo Bay, Cuba.

Top Republicans on the Senate and House armed services committees went so far as to accuse President Obama of having broken the law, which requires the administration to notify Congress before any transfers from Guantanamo are carried out.

“Trading five senior Taliban leaders from detention in Guantanamo Bay for Bergdahl’s release may have consequences for the rest of our forces and all Americans. Our terrorist adversaries now have a strong incentive to capture Americans. That incentive will put our forces in Afghanistan and around the world at even greater risk,” House Armed Services Committee Chairman Howard P. McKeon (R-Calif.) and the ranking Republican on the Senate Armed Services Committee, James M. Inhofe (Okla.), said in a joint statement.

Lawmakers were not notified of the Guantanamo detainees’ transfer until after it occurred.

The law requires the defense secretary to notify relevant congressional committees at least 30 days before making any transfers of prisoners, to explain the reason and to provide assurances that those released would not be in a position to reengage in activities that could threaten the United States or its interests.

Before the current law was enacted at the end of last year, the conditions were even more stringent. However, the administration and some Democrats had pressed for them to be loosened, in part to give them more flexibility to negotiate for Bergdahl’s release.

A senior administration official, agreeing to speak on the condition of anonymity to explain the timing of the congressional notification, acknowledged that the law was not followed. When he signed the law last year, Obama issued a signing statement contending that the notification requirement was an unconstitutional infringement on his powers as commander in chief and that he therefore could override it.

“Due to a near-term opportunity to save Sergeant Bergdahl’s life, we moved as quickly as possible,” the official said. “The administration determined that given these unique and exigent circumstances, such a transfer should go forward notwithstanding the notice requirement.”

Sen. John McCain (R-Ariz.) said that the detainees transferred from Guantanamo to Qatar, where they are to stay for at least a year, “are hardened terrorists who have the blood of Americans and countless Afghans on their hands. I am eager to learn what precise steps are being taken to ensure that these vicious and violent Taliban extremists never return to the fight against the United States and our partners or engage in any activities that can threaten the prospects for peace and security in Afghanistan.”

Beyond this individual instance, some raised the larger question of whether it is sound policy for the United States to have, in the words of House Intelligence Committee Chairman Mike Rogers (R-Mich.), “negotiated with terrorists.”

Rogers said the action marked a “fundamental shift in U.S. policy.”

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IRS BARS EMPLOYERS FROM DUMPING EMPLOYEES INTO HEALTH EXCHANGES

26 May

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WASHINGTON — NYT

The Storm is brewing. And when it hits, everyone will feel the impact, but mostly the middle class.

Many employers had thought they could shift health costs to the government by sending their employees to a health insurance exchange with a tax-free contribution of cash to help pay premiums, but the Obama administration has squelched the idea in a new ruling. Such arrangements do not satisfy the health care law, the administration said, and employers may be subject to a tax penalty of $100 a day — or $36,500 a year — for each employee who goes into the individual marketplace.

The ruling this month, by the Internal Revenue Service, blocks any wholesale move by employers to dump employees into the exchanges.

Under a central provision of the health care law, larger employers are required to offer health coverage to full-time workers, or else the employers may be subject to penalties.

David Cordani of Cigna said the insurer planned to expand beyond the five states where it offers coverage on the exchanges.

Insurers Once on the Fence Plan to Join Health Exchanges in ’15MAY 25, 2014

Many employers — some that now offer coverage and some that do not — had concluded that it would be cheaper to provide each employee with a lump sum of money to buy insurance on an exchange, instead of providing coverage directly.

But the Obama administration raised objections, contained in an authoritative question-and-answer document released by the Internal Revenue Service, in consultation with other agencies.

The health law, known as the Affordable Care Act, builds on the current system of employer-based health insurance. The administration, like many in Congress, wants employers to continue to provide coverage to workers and their families.

“I don’t think that an employer-based system is going to be, or should be, replaced anytime soon,” President Obama said recently, when asked if the law might speed the erosion of employer-sponsored insurance.

When employers provide coverage, their contributions, averaging more than $5,000 a year per employee, are not counted as taxable income to workers. But the Internal Revenue Service said employers could not meet their obligations under the health care law by simply reimbursing employees for some or all of their premium costs.

Christopher E. Condeluci, a former tax and benefits counsel to the Senate Finance Committee, said the ruling was significant because it made clear that “an employee cannot use tax-free contributions from an employer to purchase an insurance policy sold in the individual health insurance market, inside or outside an exchange.”

If an employer wants to help employees buy insurance on their own, Mr. Condeluci said, it can give them higher pay, in the form of taxable wages. But in such cases, he said, the employer and the employee would owe payroll taxes on those wages, and the change could be viewed by workers as reducing a valuable benefit.

Andrew R. Biebl, a tax partner at CliftonLarsonAllen, a large accounting firm based in Minneapolis, said the ruling could disrupt arrangements used in many industries.

“For decades,” Mr. Biebl said, “employers have been assisting employees by reimbursing them for health insurance premiums and out-of-pocket costs. The new federal ruling eliminates many of those arrangements by imposing an unusually punitive penalty.”

When an employer reimburses employees for premiums, the arrangement is known as an employer payment plan. “These employer payment plans are considered to be group health plans,” the I.R.S. said, but they do not satisfy requirements of the Affordable Care Act.

Under the law, insurers may not impose annual limits on the dollar amount of benefits for any individual, and they must provide certain preventive services, like mammograms and colon cancer screenings, without co-payments or other charges.

But the administration said employer payment plans do not meet those requirements.

Richard K. Lindquist, the president of Zane Benefits in Park City, Utah, a software company that helps employers reimburse workers for health insurance costs, said, “The I.R.S. is going out of its way to keep employers in the group insurance market and to reduce the incentives for them to drop coverage.”

The ruling came as the Obama administration rushed to provide guidance to employers and insurers deciding what types of coverage to offer in 2015.

In a new regulation, the Department of Health and Human Services said it would provide financial assistance to certain insurers that experience unexpected financial losses this year. Administration officials hope the payments will stabilize premiums and prevent rate increases that could embarrass Democrats in this year’s midterm elections.

Republicans want to block the payments, which they see as a bailout for insurance companies that supported the president’s health care law.

In a separate rule, the administration prohibits states from imposing onerous restrictions on insurance counselors, who educate consumers and help them enroll in health plans. Under the rule, states cannot establish standards that impair the counselors’ ability to help consumers or to perform other tasks required by federal law.

In January, a federal district judge in Missouri found that the state was illegally obstructing the activities of insurance counselors, including those known as navigators. The state has appealed the decision.

A version of this article appears in print on May 26, 2014, on page A12 of the New York edition with the headline:

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