Healthcare

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GOP’s ‘Repeal Health Care’ Plan Faces High Hurdles

The Washington Independent

As soon as the Senate passed the Patient Protection and Affordable Care Act on Dec. 24, Republicans and conservative activists started making a promise to voters. Give them a victory in the 2010 midterm elections, and they’ll repeal the bill.

“Every Republican in 2010 and 2012 will run on an absolute pledge to repeal this bill,” said Newt Gingrich, the former speaker of the House who remains a key strategic thinker for the party, on the Dec. 27 episode of “Meet the Press.”

“This has an unusual ability to be repealed, and the public is on that side,” said Max Pappas, the vice president of public policy at FreedomWorks, in a Dec. 28 interview with Avi Zenilman. “The Republicans are going to have to prove that they are worthy of their votes.”

Ala. Dem defects to GOP over health care, policy

Associated Press

A U.S. House Democrat who opposes the health care overhaul announced Tuesday he is defecting to the GOP, another blow to Democrats ahead of the midterm elections.

U.S. Rep. Parker Griffith spoke to reporters at his home in northern Alabama, a region that relies heavily on defense and aerospace jobs.

"I believe our nation is at a crossroads and I can no longer align myself with a party that continues to pursue legislation that is bad for our country, hurts our economy, and drives us further and further into debt," Griffith said as his wife Virginia stood by his side.

Audit Says State Wasted $92 Million on Medicaid

The New York Times

New York’s Medicaid system, the state’s largest single expense, lost at least $92 million to improper payments, billing errors and poor recordkeeping during the last five years, according to several audits released Tuesday by State Comptroller Thomas P. DiNapoli.

In one instance, a Medicaid recipient in Poughkeepsie was provided with $300 round-trip daily taxi service to visit her child in a long-term care facility in Albany, which cost the state roughly $196,000 before the authorization was revoked.

Health bill money for hospital sought by Dodd

Associated Press

A $100 million item for construction of a university hospital was inserted in the Senate health care bill at the request of Sen. Christopher Dodd, D-Conn., who faces a difficult re-election campaign, his office said Sunday night.

The legislation leaves it up to the Health and Human Services Department to decide where the money should be spent, although spokesman Bryan DeAngelis said Dodd hopes to claim it for the University of Connecticut.

GOP senator: Democratic health care deals 'sleazy'

Associated Press

A Republican senator who has opposed President Barack Obama's health overhaul effort said Tuesday that the deals Democratic leaders have cut to round up the votes they need to push the measure through the Senate have been "sleazy."

Speaking Tuesday on NBC's "Today" show, GOP Sen. Lindsey Graham of South Carolina cited concessions won by Nebraska Democratic Sen. Ben Nelson, whose support gave Democrats the 60th and final vote they need. Among other things, Nelson won an agreement that the federal government will pay to expand Medicaid services in Nebraska.

Said Graham: "That's not change you can believe in. That's sleazy."

Window closing for healthcare reform: Biden

Washington Post

If the U.S. Congress fails to agree on a healthcare bill soon, the opportunity for a sweeping overhaul of the $2.5 trillion system will be lost for a generation, Vice President Joe Biden warned on Tuesday. Biden was speaking just hours before Democratic lawmakers were to meet at the White House with President Barack Obama, who is pressing them to reach agreement and pass a bill on his signature domestic policy issue.

Health care loophole would allow coverage limits

Associated Press

A loophole in the Senate health care bill would let insurers place annual dollar limits on medical care for people struggling with costly illnesses such as cancer, prompting a rebuke from patient advocates.

The legislation that originally passed the Senate health committee last summer would have banned such limits, but a tweak to that provision weakened it in the bill now moving toward a Senate vote.

As currently written, the Senate Democratic health care bill would permit insurance companies to place annual limits on the dollar value of medical care, as long as those limits are not "unreasonable." The bill does not define what level of limits would be allowable, delegating that task to administration officials.

Adding to the puzzle, the new language was quietly tucked away in a clause in the bill still captioned "No lifetime or annual limits."

Senators Strike Health Deal

www.wsj.com: Senate Democrats reached tentative agreement to abandon government-run insurance plan

WASHINGTON -- Senior Senate Democrats reached tentative agreement Tuesday night to abandon the government-run insurance plan in their health-overhaul bill and to expand Medicare coverage to some people ages 55 to 64, clearing the most significant hurdle so far in getting a bill that can pass Congress. Liberals dropped the public insurance plan that was a central plank of the Democrats' health bill in favor of a more limited alternative, following intense pressure from a small group of Democrats who had insisted for months that it was a deal-breaker. While disputes over abortion coverage and other issues remain, Democrats appeared a whisker away from having enough votes to overcome Republican opposition and pass a sweeping health overhaul in the Senate. The Senate bill -- including the lack of a public plan -- is likely to form the core of any final legislation, though it will have to be reconciled with a health bill passed by the House last month.

Senate rejects Nelson amendment on abortion

Washington Post

The Senate narrowly rejected an amendment that would have restricted abortion coverage in the pending health-care bill, leaving in question whether Majority Leader Harry Reid (Nev.) has the 60 votes needed to move the bill toward final passage.

The measure, which failed 54-45, addressed the scope of restrictions on coverage of abortion services for people who receive subsidies to buy insurance. The outcome was expected, but could cost the support of Sen. Ben Nelson (D-Neb.), who has threatened to filibuster the $848 billion bill unless abortion restrictions are tightened.

Senate turns to health bill's major obstacles

Washington Post

Seeking to resolve two contentious issues blocking health-care reform in the Senate, lawmakers began consideration Monday of an amendment to restrict abortion coverage, while Democrats closed in on alternatives to the public-insurance option.

The abortion provision, co-sponsored by Sens. Ben Nelson (D-Neb.) and Orrin G. Hatch (R-Utah), would bar individuals who receive federal insurance subsidies from purchasing private policies that cover elective abortions. It also would ban coverage under a government plan -- an issue that could become moot if the public option is dropped.

HHS would become federal giant under Senate plan

Washington Examiner

A quick search of the Senate health bill will bring up "secretary" 2,500 times.

That's because Health and Human Services Secretary Kathleen Sebelius would be awarded unprecedented new powers under the proposal, including the authority to decide what medical care should be covered by insurers as well as the terms and conditions of coverage and who should receive it.

"It's a huge amount of power being shifted to HHS, and much of it is highly discretionary," said Edmund Haislmaier, an expert in health care policy and insurance markets at the Heritage Foundation, a conservative think tank

Doctors Ask: What Do You Mean, Cosmetic Tax?

ABC News

Tucked into the last hundred pages of Sen. Harry Reid's proposed health care bill is a 5 percent tax on cosmetic surgery that has doctors from various specialties wondering if they will soon become tax collectors who must also interpret the tax code.

If the bill passes as it was proposed Nov. 18, doctors will be asked to collect tax on surgical procedures that fall under the bill's definition of "cosmetic," regardless of whether the procedure is covered by insurance. If the doctors don't collect the tax, they are responsible for paying it.

Improper US Government Payments Hit $98 Billion

Reuters

Improper payments by the U.S. government to people, firms and contractors rose sharply to $98 billion in fiscal 2009 and President Barack Obama plans new rules to clamp down, the White House said Tuesday.

Over half the mistakes were made in the Medicare and Medicaid programs, and although some of the deterioration reflected stricter measurement, it also showed the need for healthcare reform, Office of Management and Budget Director Peter Orszag told reporters.

Improper payments in the Medicare and Medicaid programs totaled $55 billion in fiscal 2009, according to documents provided by OMB.

Bullet 333Barry Asmus, Senior Economist, National Center for Policy Analysis
Bullet 333Michael Barry, Director of Pastoral Care, Cancer Treatment Centers of America in Phila.
Bullet 333Karl Benzio, Founder and Executive Director , Lighthouse Network
Bullet 333David Bossie, President, Citizens United
Bullet 333Twila Brase, President and Co-founder, Citizens' Council on Health Freedom
Bullet 333Dan Celia, Host, "Financial Issues Live" Radio Program
Bullet 333Phil Clements, Managing Director, Center for Christian Business Ethics Today, LLC.
Bullet 333Ward Connerly, Author/Founder and Chairman, American Civil Rights Institute
Bullet 333Marjorie Dannenfelser, President and Chairman of the Board, Susan B. Anthony List
Bullet 333William Devlin, Senior Pastor-Manhattan Bible Church
Bullet 333James Edwards, Cofounder, Olive, Edwards, & Cooper, LLC
Bullet 333Joseph Farah, CEO, Founder, WorldNetDaily
Bullet 333James Gelfand, Senior Manager of Health Policy, U.S. Chamber of Commerce
Bullet 333Lou Giuliano, Chairman, President and Chief Executive Officer (r, ITT Corporation
Bullet 333Colin Hanna, Colin Hanna, President, Let Freedom Ring USA
Bullet 333Lowman Henry, Chairman & CEO, Lincoln Institute of Public Opinion Research, Inc.
Bullet 333Larry Hunter, President, The Social Security Institute
Bullet 333Phillip Kim, Assistant Professor of Management and Human Resour, University of Wisconsin-Madison School of Business
Bullet 333Joe Murray, Columnist, The Bulletin
Bullet 333Grover Norquist, President, Americans for Tax Reform (ATR)
Bullet 333Chuck Stetson, Co-founder and Managing Director, PEI Funds
Bullet 333Tony Strickland, Taxpayer Advocate
Bullet 333John Weiser, Board Member, Westminster Theological Seminary , In Medias Res

Health reformers prepare for Senate hurdle

FinancialTimes.com

The first thing Barack Obama did late on Saturday night following the passage of the healthcare bill in the House of Representatives was to phone the heads of three industry lobby groups to thank them for their support. Not included on the list was the largest insurance lobby group, American Health Insurance Plans, which doggedly continues to oppose Democratic reform efforts. Amid all the late night celebrations after the razor-thin 220-215 vote for the bill, Karen Ignagni, head of AHIP, warned that it would be a much tougher battle to push reform through the Senate in the weeks ahead. “The current House legislation fails to bend the healthcare cost curve and breaks the promise that those who like their current coverage can keep it,” she said. “The result will be increased costs and massive disruptions in the quality of coverage individuals and families rely on today.”

Democrats' concerns over abortion may imperil health bill

The Washington Post

While House leaders are moving toward a vote on health-care legislation by the end of the week, enough Democrats are threatening to oppose the measure over the issue of abortion to create a question about its passage. House leaders were still negotiating Monday with the bloc of Democrats concerned about abortion provisions in the legislation, saying that they could lead to public funding of the procedure. After an evening meeting of top House Democrats, Majority Leader Steny H. Hoyer (Md.) said, "We are making progress," but added that they had not reached an agreement.

House health bill clocks in at 1,990 pages

Politico

It runs more pages than War and Peace, has nearly five times as many words as the Torah, and its tables of contents alone run far longer than this story. The House health care bill unveiled Thursday clocks in at 1,990 pages and about 400,000 words. With an estimated 10-year cost of $894 billion, that comes out to about $2.24 million per word. . And for some members, that may not be enough.

In Massachusetts, Obama won't promote state's plan

Washington Post

President Obama will travel Friday to Massachusetts, one of only two states to implement a universal health-care program similar to his ambitions for the entire country. But he does not plan to use the trip to make his case for far-reaching reform. The president's critics say his reluctance to spotlight the Massachusetts model is real-world evidence that his vision would not work on a national scale. High costs have forced the state to trim benefits for legal immigrants and prompted one safety-net hospital to sue over a $38 million shortfall.

Bullet 333Barry Asmus, Senior Economist, National Center for Policy Analysis
Bullet 333Michael Barry, Director of Pastoral Care, Cancer Treatment Centers of America in Phila.
Bullet 333Karl Benzio, Founder and Executive Director , Lighthouse Network
Bullet 333David Bossie, President, Citizens United
Bullet 333Twila Brase, President and Co-founder, Citizens' Council on Health Freedom
Bullet 333Dan Celia, Host, "Financial Issues Live" Radio Program
Bullet 333Phil Clements, Managing Director, Center for Christian Business Ethics Today, LLC.
Bullet 333Ward Connerly, Author/Founder and Chairman, American Civil Rights Institute
Bullet 333Marjorie Dannenfelser, President and Chairman of the Board, Susan B. Anthony List
Bullet 333William Devlin, Senior Pastor-Manhattan Bible Church
Bullet 333James Edwards, Cofounder, Olive, Edwards, & Cooper, LLC
Bullet 333Joseph Farah, CEO, Founder, WorldNetDaily
Bullet 333James Gelfand, Senior Manager of Health Policy, U.S. Chamber of Commerce
Bullet 333Lou Giuliano, Chairman, President and Chief Executive Officer (r, ITT Corporation
Bullet 333Colin Hanna, Colin Hanna, President, Let Freedom Ring USA
Bullet 333Lowman Henry, Chairman & CEO, Lincoln Institute of Public Opinion Research, Inc.
Bullet 333Larry Hunter, President, The Social Security Institute
Bullet 333Phillip Kim, Assistant Professor of Management and Human Resour, University of Wisconsin-Madison School of Business
Bullet 333Joe Murray, Columnist, The Bulletin
Bullet 333Grover Norquist, President, Americans for Tax Reform (ATR)
Bullet 333Chuck Stetson, Co-founder and Managing Director, PEI Funds
Bullet 333Tony Strickland, Taxpayer Advocate
Bullet 333John Weiser, Board Member, Westminster Theological Seminary , In Medias Res

Medicaid, S-CHIP expansion plan could hurt states' budgets

USA Today

The government programs that provide health care to the poor would expand to cover nearly one in five Americans under health insurance legislation pending in Congress, putting pressure on federal and state budgets. Medicaid, one of the fastest-growing government programs for two decades, and the State Children's Health Insurance Program would grow from about 50 million people today to more than 60 million in 2019, according to data from the Congressional Budget Office and Kaiser Family Foundation. That would be the biggest single expansion since Medicaid was created in 1965.

Read the health bill! Not as easy as you think

Associated Press

Read the bill! It was a rallying cry at angry health care town halls this summer and has evolved into something of a political movement. Many Americans are demanding that lawmakers actually read the comprehensive legislation they've written — or at least make it publicly available — before voting on it. The push for transparency has become a running side debate in Congress, with lawmakers — often minority Republicans, but some Democrats too — pressing leaders to post measures online for 72 hours before a vote. "People became outraged when they discovered that the norm was for legislators to vote on legislation they hadn't read," said Colin Hanna, head of a group, Let Freedom Ring, that is asking lawmakers to pledge to read health overhaul legislation before voting.

Health Overhaul Is Drawing Close to Floor Debate

The New York Times

With the Senate Finance Committee set to approve its health care bill this week, Democrats are tantalizingly close to bringing legislation that would make sweeping changes in the nation’s health care system to the floor of both houses of Congress. As Senate Democrats try to secure the 60 votes needed to overcome a possible Republican filibuster, intricate details and big hurdles stand in their way. Republicans have said they will fight the legislation at every turn. The policy challenges are also daunting. In the space of one year, the Democrats are trying to restructure one-sixth of the economy, writing a bill that will affect almost every American, every business and every doctor and hospital in the country.

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