The shoe elves sneak in and made the cobbler's shoes.
Provisions like this don't 'sneak' in. Especially when the President's Chief of Staff, Rahm Emmanuel admits that the administration has been involved with the entire process.
Somehow, this will be used to blame Bush and the Republicans for not 'helping' out with the Health Care Bill. And by 'helping' I mean voting lockstep with the Democrats in voting for the bill.