The House “Middle Class Tax Relief and Job Creation Act of 2011” contains a number of health related provisions. The bill includes a two year relief from the upcoming Medicare provider cuts but pays for it with a series health care spending cuts. It makes several changes to provisions in the Affordable Care Act including a change in the low income subsidy for health insurance and an $8 billion dollar reduction in the Prevention and Public Health Fund. It raises the Medicare Part B and D premiums for high income beneficiaries (individuals earning more than $80,000) beginning in 2017. It also makes changes to the payments to hospitals in low income areas in order to save $4 billion over 10 years. A number of these proposals are not likely to be supported in the Senate or by President Obama but will likely be passed by the House early this week.