Health Care

Senate Debates Historic Health Care Bill

Brian Beutler | November 21, 2009, 10:14AM

Sen. McConnell (R-KY) Sen. Reid (D-NV)

We'll be following today's proceedings live from the U.S. Capitol, gavel-to-gavel. Check in all day for breaking updates.

Read more »

Ben Nelson

Tomorrow's Health Care Vote: A Cheat Sheet

Brian Beutler | November 20, 2009, 5:40PM

Senator Chris Dodd (D-CT), Senator Harry Reid (D-NV), Senator Max Baucus (D-MT)

With Ben Nelson now in the "yes" column, there are now two known Democratic hold outs on tomorrow's health care vote: Sen. Mary Landrieu (D-LA) and Sen. Blanche Lincoln (D-AR).

Landrieu told reporters today that she'll likely make an announcement tomorrow morning. Lincoln, on the other hand, has been unreachable, and it's unclear if, or when, she'll announce her intent publicly before the vote, which will come at 8 p.m. tomorrow night.

It's probably a safe guess that, if at the end of the day, there's something standing between Senate Majority Leader Harry Reid and 60 votes on the motion to debate to his bill, he won't hold the vote. As unlikely as that is, here are the potential hangups.

Read more »

Health Care

With Reid's Support Wyden And Baucus To Cosponsor 'Free Choice' Amendment

Brian Beutler | November 20, 2009, 2:33PM

Sen. Ron Wyden (D-OR), Sen. Harry Reid (D-NV), Sen. Max Baucus (D-MT)

If this amendment passes, it could significantly change--and most experts would say improve--the Senate health care reform bill.

As part of an agreement hashed out at the end of the Finance Committee mark up process, Sen. Max Baucus (D-MT) and Sen. Ron Wyden (D-OR) will join forces to amend the Senate health care bill with Wyden's "Free Choice Act." If it can attract 60 votes, it would give low- and middle-class Americans with employer-provided insurance the option of purchasing subsidized insurance in the exchanges.

Baucus and Wyden have the support of Senate Majority Leader Harry Reid (D-NV).

"Senator Wyden has worked tirelessly to reform our health system, and I am pleased to have his support for the Patient Protection and Affordable Care Act," Senator Reid said. "I will support the inclusion of his proposal for workers whose employer coverage is unaffordable but are not able to access the exchange."

Sixty is a tough climb. It would have likely been impossible under the original terms of the Wyden amendment, which would have opened the exchanges up to everybody. This is a scaled down version of that, and it will be a hard amendment for Democrats to vote against.

Abortion

Key Dem Senators Say Stupak Abortion Amendment Goes Too Far

Brian Beutler | November 10, 2009, 12:54PM

Senator Chris Dodd (D-CT), Senator Harry Reid (D-NV), Senator Max Baucus (D-MT)

A number of high-profile senators have come forward today to say that a controversial amendment to House health care legislation that would limit a woman's right to purchase insurance that covers abortions goes too far and should not be a part of the Senate.

At a Capitol Hill event this morning, Senate Majority Leader Harry Reid implied that the Stupak amendment exceeds the strictures of the years-old Hyde amendment which prohibits federal funds from financing abortions. "I expect that the bill that will be brought to the floor will ensure..no federal contribution to abortion, and that [the] rights of providers, health care facilities like Catholic hospitals, are protected," Reid said. "The one thing that we're certain to do is to maintain what we have had in the past. I had the good fortune, as did Senator Durbin to serve with Henry Hyde, the Hyde amendment has been a pretty good way to go through this last couple of decades."

Sen. Ben Cardin (D-MD) was more explicit. At a health care event this morning, Cardin said, "The right policy is to avoid coming down on one side or the other on the abortion issue and to handle health care reform as a separate issue."

Read more »

Cap-and-Trade

Climate Bill Passes Senate Committee Amid GOP Boycott, Baucus Opposition

Brian Beutler | November 5, 2009, 9:58AM

Senator Barbara Boxer (D-CA), the planet Earth

A major climate change bill passed out of the Senate Environment and Public Works Committee amid a Republican boycott this morning, setting the stage for other panels to amend the legislation. The final vote was 11-1. Sen. Max Baucus (D-MT)--whose Senate Finance Committee probably have its own crack at the bill--was the lone hold out. No Republicans showed up to vote.

Baucus says he wants near-term emissions targets softened, and to prevent the Environmental Protection Agency from stepping in to regulate carbon emissions on its own, pursuant to a 2007 Supreme Court ruling.

After the vote, ranking member James Inhofe (R-OK) appeared on Fox News and, in predictable fashion, lambasted the legislation, calling the committee's actions "unprecedented." He also claimed that the bill is "dead."

Chair Barbara Boxer wasn't nearly so glum.

"We found, after questioning the EPA extensively, that the Republicans' demand for another EPA analysis now would be duplicative and a waste of taxpayer dollars," Boxer said.

The absence of the Republicans during the EPA's presentation was a clear message that their criticism of the EPA analysis was not a substantive one....

We are pleased that despite the Republican boycott, we have been able to move the bill.

Read more »

Health Care

Baucus Calm In Face Of Lieberman Threat To Health Care Reform

Brian Beutler | October 27, 2009, 5:06PM

Senate Finance Committee Chairman Max Baucus (D-MT)

After a meeting of Senate Finance Committee Democrats in his office this afternoon, chairman Max Baucus sought to contain the fallout from Sen. Joe Lieberman's statement today that he'd be inclined to filibuster a health care bill with a public option in it.

"A lot of this now is in Sen. Reid's hands--I certainly would expect [for the bill to proceed to debate]," Baucus said.

I think he's quite close, and there's time yet. I think some senators are not definitely decided because they want to see the CBO report. They want to look at CBO's cost estimates, coverage estimates, effect on premiums, etc., before they make up their minds. Once the CBO report comes out--at some point, hopefully sooner rather than later--it's going to be positive. And once it's positive, I think we'll find a lot more senators inclined to get on the bill.

For a time line of conflicting Lieberman statements on the public option, see here. For a rundown of his previous willingness not to obstruct legislation, see here.

Health Care

Change Of Tune: Leadership, Progressives, Advocacy Groups Jump On The Opt-Out Train

Christina Bellantoni | October 27, 2009, 8:48AM

Senate Majority Leader Harry Reid (D-NV)

After Senate Majority Leader Harry Reid's big public option opt-out reveal yesterday, the major players are looking pretty unified.

Check out all the reactions we posted at TPMLiveWire yesterday and see what they have in common, as Senate leadership, progressives and advocacy groups appear to be rallying behind the new strategy.

Sen. Max Baucus (D-MT) was singing a different tune, reminding everyone in a statement that "I included a public option in the health reform blueprint I released nearly one year ago."

MoveOn, which was asking members to pressure Obama last week, is now shifting gears to make sure the Democratic Party gets in line and votes to block a filibuster.

Health Care for America Now was championing Reid for "standing up" and doing the right thing, collecting more than 20,000 signatures on a thank-you petition to the leader.

Read more »

Health Care

Baucus: I Support Harry Reid And A Public Option

Brian Beutler | October 26, 2009, 4:09PM

Sen. Max Baucus (D-MT) and Senate Majority Leader Harry Reid (D-NV)

Senate Finance Committee chairman Max Baucus, who was reportedly none too pleased when he learned that Harry Reid was leaning towards putting a public option in the Senate's health care bill, is now singing a much more positive tune. "It is time to make our system work better for patients and providers, for small business owners and for our economy. It is time for health care reform," Baucus said.

For more than a year, we've been working to meet the goals of reducing the growth of health care costs, improving quality and efficiency and expanding coverage. There are a tremendous number of complicated issues that go into reform and the public option is certainly one of them. I included a public option in the health reform blueprint I released nearly one year ago, and continue to support any provision, including a public option, that will ensure choice and competition and get the 60 votes needed to pass the Senate. Success should be our threshold and I am going to fight hard for the 60 votes we need to meet that goal this year.

There's still some wiggle room there. (Will Baucus help twist arms to get to 60?) But he seems to be implying that he thinks the public option plus opt-out can clear the threshold--and that's the first clear statement of his abstract support for the provision in quite some time.

Health Care

Gibbs: Obama Is 'Pleased' Public Option Included

Christina Bellantoni | October 26, 2009, 3:51PM

White House Press Sec. Robert Gibbs

White House Press Secretary Robert Gibbs issued a statement reacting to Senate Majority Leader Harry Reid's press conference on health care:

"The President congratulates Senator Reid and Chairmen Baucus and Dodd for their hard work on health insurance reform. Thanks to their efforts, we're closer than we've ever been to solving this decades-old problem. And while much work remains, the President is pleased that at the progress that Congress has made. He's also pleased that the Senate has decided to include a public option for health coverage, in this case with an allowance for states to opt out. As he said to Congress and the nation in September, he supports the public option because it has the potential to play an essential role in holding insurance companies accountable through choice and competition."

Health Care

HCAN's Kirsch: We're Glad To See Strong Support For Public Option...Let's Do It

Brian Beutler | October 21, 2009, 10:58AM

Health Care for America Now is the largest reform campaign in the country. It's also the group that set the parameters for the public option that have defined the debate over the provision for months. Today, HCAN campaign director Richard Kirsch sees Pelosi's push for a "robust" public option as a validation of both the politics and policy of the popular measure.

"We're glad to see, as the Speaker points out, strong support [for the robust public option] over 200 members," Kirsch says.

"This is not just an ideological battle," he adds. "At the heart this is a battle about quality of care...it's also about saving money, for making health care more affordable. A strong public option will save $110 billion."

Read more »

Health Care

Dems Keep Quiet As Leaders Hash Out Key Health Care Details

Brian Beutler | October 20, 2009, 6:35PM

Senator Harry Reid (D-NV); Chief of Staff Rahm Emanuel; Senator Max Baucus (D-MT); Senator Chris Dodd (D-CT)

Another day, and still a dearth of details. Senators and White House officials were almost comically tight-lipped throughout the afternoon on the progress of health care reform negotiations, even though it's clear by now that the people in the room hashing out the Senate's bill are getting down to the nitty gritty.

During a weekly caucus meeting, Democrats were briefed on the details of last night's health care powwow, yet, afterward, none were forthcoming with details.

"What I'm especially pleased about is that we're not rushing," said Sen. Tom Carper (D-DE). "I'm sure there's some who are impatient."

"It wasn't a townhall meeting at all. It was more like a prayer meeting," said Sen. Ben Nelson (D-NE), who declined to divulge any specifics.

"We got into it a little bit, not a lot," added Sen. Debbie Stabenow (D-MI). "[Leadership is] extremely open and working with everybody."

In a moment of coyness gone awry, Senate Majority Leader Harry Reid told reporters, "we're leaning towards talking about the public option." Last night his spokesman Jim Manley said, without going into detail, that Senate and White House negotiators discussed "the public option, affordability, and other key issues," during their evening scrum.

Read more »

Chris Dodd

Health Care Negotiations Between Senate, White House Continue Tonight

Brian Beutler | October 20, 2009, 10:06AM

Senator Chris Dodd (D-CT), Senator Harry Reid (D-NV), Senator Max Baucus (D-MT)

The intricate process of turning two very different health care bills into one will continue tonight, as Senate Majority Leader Harry Reid hosts Sens. Chris Dodd (D-CT), Max Baucus (D-MT), and a number of high-level White House officials in his offices tonight.

Last night, Reid spokesman Jim Manley said the health care bill will come to the floor just as soon as a CBO cost estimate is available. Before negotiations got under way in earnest, Reid suggested that the Senate would begin debate on a single piece of legislation on October 26, but aides now caution that we're more likely to see action in the first or second week of November.

Before that time, negotiators will have to make some potentially monumental decisions, including whether or not the bill that comes to the floor will include a public option. We'll keep tabs for you.

Health Care

White House, Senate Principals Discuss Public Option, But Reach No Decisions--Talks Continue Tuesday

Brian Beutler | October 19, 2009, 7:36PM

Senator Harry Reid (D-NV); Chief of Staff Rahm Emanuel; Senator Max Baucus (D-MT); Senator Chris Dodd (D-CT)

Senate health care leaders, and White House officials including Chief of Staff Rahm Emanuel, HHS Secretary Kathleen Sebelius, Office of Health Reform Director Nancy-Ann DeParle and Sens. Chris Dodd (D-CT), Max Baucus (D-MT), Harry Reid (D-NV), met behind closed doors for over an hour in a leadership office Monday night to discuss and negotiate the merging of two different health care bills.

A spokesman for Reid was mum about the details, except to say that the group discussed the public option, affordability and other issues at the heart of the plan to reform the nation's health care system.

The same officials are expected to huddle again Tuesday to continue the talks.

Health Care

The Big Huddle: Where Health Care Goes From Here

Christina Bellantoni | October 19, 2009, 6:30PM

Senator Chris Dodd (D-CT), Senator Harry Reid (D-NV), Senator Max Baucus (D-MT)

Top Senate Democrats are huddling behind closed doors this evening with key White House advisors in hopes of crafting a health care bill that hits one big magic number: 60.

Senate Majority Leader Harry Reid (D-NV) is the referee between Sen. Max Baucus' more conservative bill and Sen. Chris Dodd's more liberal one, and the White House deployed chief of staff Rahm Emanuel and presidential health care adviser Nancy-Ann DeParle.

It's a merger meeting extraordinaire.

The group has been quiet on goals for the evening, and the White House has taken a step back from official comments to let the Senate do its business. Aides know it's now in Reid's court to come up with a bill that can keep his caucus in line, though Hill staffers want President Obama to lay out his dealbreakers.

The group is under pressure to get a deal done quickly, but they also are attempting to avoid the media spotlight as dozens of reporters camp outside Reid's senate office.

Read more »

Health Care

Baucus: The Public Option Is Alive...We're Just Not Sure What Type

Brian Beutler | October 19, 2009, 2:52PM

Sen. Max Baucus (D-MT)

On a conference call with reporters moments ago, Senate Finance Committee chairman Max Baucus said that the public option is still alive, adding, in a familiar refrain, that the question for Democrats now is what kind of public option can get 60 votes.

The goal, Baucus said, was to include something in the bill that keeps premiums down and keeps insurance companies honest. "We just need to find ways to help reach that goal, in addition to the provisions in the bill," Baucus said.

Baucus cited several permutations of public option proposals under discussion, including what he described as "Medicare light [the robust public option], even playing field [proposed by Sen. Chuck Schumer (D-NY), there's co-ops--that's private, not public--there's opt in, opt out," Baucus said.

Read more »

Health Care

After Tense Health Care Discussion, Dems Predict Unanimity On Reform

Brian Beutler | October 15, 2009, 2:52PM

Sen. Harry Reid (D-NV)

After what Sen. Ben Nelson (D-NE) indicated was a tense health care discussion, Senate health care leaders declared, confidently, that the overhaul package that comes to the floor will earn every Democratic vote. However, they also made clear that the ultimate decision maker on key questions like the public option is Senate Majority Leader Harry Reid.

"Reid's making these decisions ultimately, and I think he's listening and...I feel good about it," said Sen. Sherrod Brown (D-OH).

"Conrad spoke out for co-ops," Brown said, "six or seven people spoke out for [the public option]," adding later that the pro-public option senators were articulating a policy preference, and not pressuring Reid to act one way or another as he weaves two competing Senate bills together. Nobody, he says, spoke out against a public plan.

Brown's confidence springs from a belief that conservative Democrats do not want to be held responsible for killing reform. "No Democrat wants to be on the wrong side of history and vote on a procedural vote to kill the most important domestic vote of their careers," Brown said.

But Senate Finance Committee chairman Max Baucus went even further and suggested that every Democrat would ultimately vote for the final bill.

Read more »

Health Care

Senate Health Care Leaders To Brief Caucus On Shape Of Reform Bill

Brian Beutler | October 15, 2009, 9:56AM

Senator Harry Reid (D-NV); Chief of Staff Rahm Emanuel; Senator Max Baucus (D-MT); Senator Chris Dodd (D-CT)

Yesterday's hour-long health care meeting between Senate Majority Leader Harry Reid, Sens. Chris Dodd (D-CT) and Max Baucus (D-MT), and a number of White House principles didn't yield too many noteworthy public developments. But what went on behind closed doors will be the focus of a Democratic caucus meeting today, where health care leaders will brief their colleagues on the early stages of negotiations as they merge two competing pieces of health care legislation.

At the meeting, Democrats will be given a chance to air their concerns, though none is expected to draw a line in the sand over any issue. One of the key questions the caucus faces is whether to heed the will of the party's majority and include a public option in the overall Senate bill, or to defer to the concerns of the party's conservatives, a few of whom join the Republican minority in opposing the idea of creating a government insurance plan.

On hand yesterday from the White House were Chief of Staff Rahm Emanuel, Legislative Adviser Phil Schiliro, HHS Secretary Kathleen Sebelius, and OMB Director Peter Orszag.

Health Care

Reid Dismisses Schumer's Insistence That Public Option Is In His Hands

Brian Beutler | October 14, 2009, 2:54PM

Senate Majority Leader Harry Reid (D-NV)

Speaking to reporters just outside the Senate chamber this afternoon, Senate Majority Leader Harry Reid scoffed at the suggestion--articulated last night by Sen. Chuck Schumer (D-NY)--that the public option is simply in his hands.

"He would rather say anything so it wasn't up to him," Reid said, before departing for a meeting with White House Chief of Staff Rahm Emanuel, and Sens. Max Baucus (D-MT) and Chris Dodd (D-CT). The four will hold the first meeting about how to shape a health care bill that will soon be introduced on the Senate floor.

Other senators have been significantly less vocal than Schumer (at least in public) with respect to what steps Reid should take to include the public option. I caught up with Senate Majority Whip Dick Durbin and asked him whether he agreed with Schumer. He said, "I'm definitely for the public option, I want it included in the final bill. I'm gonna leave it up to the Majority Leader's judgment and the vote of the Senate as to when that's going to take place."

Sen. Ben Nelson (D-NE) was less forthcoming. "I never second guess the leadership on what kind of procedural moves they make," he said. "I just vote as I choose. I don't comment on their decisions."

Health Care

Key Senators, Rahm, To Hold Inaugural Meeting On Senate Health Care Bill

Brian Beutler | October 14, 2009, 10:13AM

Chief of Staff Rahm Emanuel

At 2:30 this afternoon, Senate Majority Leader Harry Reid will host Sen. Chris Dodd (D-CT), Sen. Max Baucus (D-MT), and White House Chief of Staff Rahm Emanuel in the first of several meetings presaging the merger of two major health care bills. The foursome is expected to discuss key issues at the heart of the reform process--affordability, Medicare, the public option, revenues--but no decisions are expected today.

The meeting kicks off a process that may be the most important of the entire health care debate. Reid, in consultation with Senate health care leaders and White House officials will crib from the Senate HELP Committee's health care bill, and the more conservative Senate Finance Committee health care bill, which was voted favorably out of committee after multiple delays yesterday.

Reid and the White House will be the focus of a great deal of attention in the coming days from the liberal base, which is adamant that health care reform include a public option, and that party leaders prevent rank and file senators from joining Republicans in a filibuster of the final bill. If Reid decides that the legislation he brings to the floor will include a public option it would be a game changer--and public option supporters within his own party aren't being shy about their preference.

Additional reporting by Christina Bellantoni

Health Care

Finance Bill Passes With Snowe's Support--So What Does That Mean For Reform?

Brian Beutler | October 13, 2009, 5:10PM

There's no way around the fact that today's Senate Finance Committee vote was a major milestone in the five-month long health care reform saga. That much is not in doubt. But in a way, the outcome had been largely pre-determined, and the public focus--from pressure groups and pundits and reporters--has already turned to the next stage in the process: starting tomorrow, Senate Majority Leader Harry Reid, working with Finance chair Max Baucus, Sen. Chris Dodd (D-CT), Sen. Tom Harkin (D-IA), White House officials, and a handful of other people will begin the arduous and crucial task of merging the Senate's two competing bills.

That will likely be a crucial moment for the public option, and that means the story behind the story of the Finance bill's passage is still evolving. We learned today, in a moment of great political theatrics, that Sen. Olympia Snowe (R-ME) decided to support the Baucus bill. What we'll learn in the days and weeks ahead is what that decision means for the substance of the bill going forward.

Here's why it could have significant implications:

Read more »

Health Care

Key Senators React To Passage Of The Finance Committee Health Care Bill

Brian Beutler | October 13, 2009, 3:02PM

Sen. Max Baucus (D-MT)

In the wake of the successful vote on the Senate Finance Committee's health care bill, key senators weighed in on the most hot button issues at the heart of the reform fight: the public option and budget reconciliation. Both Sens. Jay Rockefeller and Chuck Schumer said during the hearing that the final package must include a public option.

But after the vote, in a response to a question from TPMDC, Schumer said, "I'm not drawing any lines in the sand." But, he added in response to a separate question, that the recent AHIP/PwC analysis make the ultimate inclusion of the public option "more likely."

On the separate issue of whether this means Democrats can avoid turning to the controversial budget reconciliation process, Finance chairman Max Baucus told reporters that he's "very confident" that the bipartisan vote today will be able to pass health care reform through the regular order.

We'll bring you more responses as they flow in.

Health Care

Prez Contender Pawlenty: Baucus Bill 'Bad For The Country'

Rachel Slajda | October 13, 2009, 2:23PM

Gov. Tim Pawlenty (R-MN)

Minnesota Gov. Tim Pawlenty, a likely contender for the Republican presidential nomination, wrote a column today criticizing the Senate Finance Committee bill as a "a tax and spending bill masquerading as a health reform bill."

Pawlenty has been upping his national visibility with a new PAC, a planned trip to Iowa and other comments on health care reform, including calling the Democrats' plans "a manure spreader in a windstorm."

Read more »

Health Care

LIVEBLOG: Senate Finance Committee Votes On Health Care Reform Bill

Brian Beutler | October 13, 2009, 10:01AM

Check in here for continuous updates until the vote, which may not come until the afternoon.

Read more »

Blanche Lincoln

Blanche Lincoln Mum On Opt-Out Public Option...For Now

Brian Beutler | October 9, 2009, 5:45PM

Sen. Blanche Lincoln (D-AR)

Only three Democrats voted against both "robust" and modest public option amendments to the Senate Finance Committee's health care bill: Kent Conrad (D-ND), Max Baucus (D-MT), and Blanche Lincoln (D-AR).

We caught up with Conrad and Baucus yesterday--but what about Lincoln?

For now, Lincoln isn't commenting on the plan--a common refrain on the Hill given the extremely fledgling nature of the proposal. We should know more next week, though. The Finance Committee will vote on its bill Tuesday, and on Wednesday, Majority Leader Harry Reid will kick off the process of merging the Finance and HELP Committee proposals. And the shape of the bill that reaches will have a tremendous bearing on the fate of this, or any number of other, potential changes to it.

Health Care

Conservative And Liberal Democrats Warm To Public Option Compromise

Brian Beutler | October 8, 2009, 3:25PM

Sen. Chuck Schumer (D-NY)

Both conservative and liberal Democrats seem to be open to a new public option proposal floated by Sens. Chuck Schumer (D-NY) and Tom Carper (D-DE) to allow states not to participate in the plan if they decide they don't want to.

A Baucus aide tells me "Senator Baucus will look closely at this proposal, as well as other proposals, and could consider supporting them as part of an overall package as long as it achieved his health care reform goals while getting 60 votes."

Along the same lines, Sen. Ben Nelson (D-NE) told Politico that he likes the idea of leaving the decision up to the states.

Read more »

Health Care

Finance Committee To Vote On Health Care Bill On Tuesday

Brian Beutler | October 8, 2009, 10:07AM

Sen. Max Baucus (D-MT)

Just confirmed: the Senate Finance Committee will vote on its health care reform bill this Tuesday. The news comes after Democrats and chairman Max Baucus got a boost from the Congressional Budget Office, which found that the legislation would require relatively little new spending, while reducing the deficit and bending the health care spending curve downward.

Health Care

Baucus Claims Victory For His Approach To Health Care Reform

Brian Beutler | October 7, 2009, 4:53PM

Sen. Max Baucus (D-MT)

Senate Finance Committee chairman Max Baucus is unsurprisingly cheered by the news out of the Congressional Budget Office. "Our balanced approach to health reform has paid off yet again with the news today that the America's Healthy Future Act remains fully paid for, begins to reduce the federal deficit within ten years and makes significant reductions in federal debt over the next several decades," he says.

Most importantly, it improves and expands health care coverage for tens of millions of American families. This legislation is a smart investment on the federal balance sheet, and it's an even smarter investment for American families, businesses and our economy. Health reform will modernize the health care system for the 21st century by reducing inefficiencies, focusing on quality and ensuring we are getting the best bang for our health care buck. Health reform should be fiscally responsible as it expands and improves coverage and these numbers reiterate that real reform can be just that.

Health Care

Major White House Players To Run Point On Senate Health Care Bill

Brian Beutler | October 6, 2009, 9:17AM

Chief of Staff Rahm Emanuel

We've known for a long time now that, as soon as the Senate Finance Committee reports out a health care bill, Majority Leader Harry Reid, along with Finance chairman Max Baucus (D-MT), Senate HELP Committee chairman Tom Harkin (D-IA), and White House officials will sit down to produce a single piece of legislation to bring to the floor.

And we've known for a long time now that the White House's role in the negotiations will be key. Already, Senate aides are letting it be known that the White House will have to lead on all the issues around which Democrats have been unable to find consensus--issues like the public option.

So which White House players are likely to be in the room? Roll Call reports:

Read more »

Health Care

Taking Their Time: Finance Committee May Delay Vote As It Awaits CBO Analysis

Brian Beutler | October 5, 2009, 12:16PM

The Senate Finance Committee was supposed to convene for a vote on its controversial health care bill tomorrow. Now, that's looking doubtful.

Early in the amendment process, the panel agreed not to hold a vote until a preliminary analysis on the legislation's cost-saving potential was available, and it appears as if the CBO will not complete its work until later in the week. That would touch off yet another delay--one that's likely to frustrate Democrats and liberal activists, who've grown impatient over the glacial pace of reform efforts.

Read more »

Health Care

Finance Committee Wraps Up Hearing on Health Care Bill--Vote Next Week

Brian Beutler | October 2, 2009, 8:43AM

The Senate Finance Committee worked until the wee hours of Friday morning to vote on amendments to its health care bill before adjourning until Tuesday when, after the Congressional Budget Office weighs in on the spending implications of the package, it will hold a final vote.

The delay was baked into the cake several days ago when the committee agreed not to hold a vote on a bill that hadn't received a preliminary analysis from the CBO.

The progress prompted a statement from the White House, which you can read here.

If the panel advances the legislation, Senate health care leaders, White House officials, and Majority Leader Harry Reid will meet to merge it with the more liberal HELP Committee bill, and introduced on the Senate floor later this fall.

Barbara Boxer

Kerry, Boxer Unveil Climate Bill Draft...So What's Next?

Brian Beutler | September 30, 2009, 11:57AM

Senator John Kerry (D-MA), Senator Barbara Boxer (D-CA)

Sens. John Kerry (D-MA) and Barbara Boxer (D-CA)--chairs of the Foreign Relations Committee, and Environment and Public Works Committee respectively--have unveiled a draft of a climate change bill calling for significant reductions in U.S. carbon dioxide emissions in both the near and short term. The Clean Energy Jobs and American Power Act.

Though the draft will change considerably over the coming weeks, it is the basis for the upper chamber's coming legislative push, which, if successful, will, when combined with an already-completed House climate bill, become the most significant piece of energy legislation in the nation's history.

But between now and then, it will meet the many machetes of the Senate--an institution that hasn't been too kind to previous, failed climate change bills.

Read more »

Health Care

Progressive Groups Turn Up Heat on Baucus, Snowe in Wake of Public Option Votes

Brian Beutler | September 30, 2009, 10:11AM

Moments after the Senate Finance Committee rejected two public option amendments yesterday, two groups that have been targeting the panel's chairman Max Baucus, and key Republican Olympia Snowe latched on to their votes in a fundraising bid to turn up the heat on both senators.

The Progressive Change Campaign Committee and Democracy for America have been running hard hitting ads in Montana, Maine, and Washington, DC, targeting Baucus and Snowe for failing to support a public option. With their votes registered, the groups are now seeking to extend the ad buys:

"Today, we are raising our fundraising goal to $200,000 to PUMMEL Baucus and Snowe with ads in their home states featuring the voices of their constituents," reads an email from PCCC to members.

You can see the ads here and here. And you can read the entire letter below the fold.

Read more »

Health Care

Schumer Public Option Amendment Fails in Finance Committee

Brian Beutler | September 29, 2009, 3:42PM

The Senate Finance Committee can't even endorse a modest public option like Chuck Schumer's. Citing his belief that a public option can't pass on the Senate floor "at this time," Finance chairman Max Baucus joined two Democrats and all Republicans in voting down the amendment, which failed 10 to 13.

Joining Baucus on the Democrats' side of the dais were Sen. Kent Conrad (D-ND) and, by proxy, Sen. Blanche Lincoln (D-AR) who wasn't present for the vote.

There will be no public option in the Finance Committee's health care bill.

Health Care

Rockefeller's Public Option Amendment Fails; Schumer's Public Option Up Next

Brian Beutler | September 29, 2009, 2:43PM

Sen. Jay Rockefeller (D-WV)

After debating all morning and well into the afternoon, the Senate Finance Committee voted against an amendment, written by Sen. Jay Rockefeller (D-WV) that would have added a public option to the panel's health care reform bill.

The final vote was 8-15 with 5 Democrats--Sens. Kent Conrad (D-ND), Blanche Lincoln (D-AR), Tom Carper (D-DE), Bill Nelson (D-FL), and Chairman Max Baucus (D-MT)--voting with all Republicans to kill the proposal.

Next up, Chuck Schumer's more modest public option proposal.

Health Care

Finance Committee Continues Consideration of Rockefeller's Public Option Amendment

Brian Beutler | September 29, 2009, 1:50PM

Sen. Rockefeller, Sen. Schumer, and Sen. Baucus

The Senate Finance Committee is back from lunch and picking up where it left off--debating an amendment by Sen. Jay Rockefeller (D-WV) that would add a public option to Max Baucus' health care proposal.

1:55 p.m.: Sen. Jim Bunning (R-KY) doesn't like the public option...but he thinks all government officials and their staffs should be on it if the Democrats create one. A lot of Democrats oppose this ("it's a public option, including for us). But for what it's worth, the Senate HELP committee adopted an amendment that institutes this requirement, but only to members of Congress and their staffs.

2:03 p.m. Sen. Maria Cantwell (D-WA) notes smartly that any public option tied to Medicare will be tied to a newer, better Medicare that will correct for rural disparities, and reward providers that provide cost-effective care, and move away from fee for service. That undermines Kent Conrad's objection to a pretty significant extent. More on this soon.

2:09 p.m.Cantwell also says she'll be offering an amendment that will allow private insurers to team with the government to negotiate lower rates. Your move, Kent!

Read more »

Health Care

Rockefeller Says His Public Option Would Save $50 Billion Over 10 Years

Brian Beutler | September 29, 2009, 10:25AM

Sen. Jay Rockefeller (D-WV) and Sen. Max Baucus (D-MT)

Sen. Jay Rockefeller (D-WV) has introduced his public option amendment before the Senate Finance Committee. In making the pitch to the panel's skeptics, he's noted that it will save the federal government about $50 billion over 10 years, and would be, as its name implies optional--i.e. it's not a "government takeover" of health care.

Late update: To the chagrin of chairman Max Baucus, Rockefeller is lambasting the insurance industry, and citing a number of ways other health care reform bills do a better job at reining in their excesses. He cited insurance industry whistleblower Wendell Potter, who said that, without a public option, health care reform legislation might as well be named the "Insurance Industry Profit Protection Act."

The House bill, Rockefeller noted, would place strict limits on the so-called medical-loss ratio (i.e. percentage of each premium dollar that can go to profits, administrative costs, and other non-health care related activities.)

Late, late update: It's worth mentioning that you can follow the hearing at this link.

Read more »

Health Care

Today's the Day: Public Option Votes in the Senate Finance Committee

Brian Beutler | September 29, 2009, 9:20AM

Sen. Chuck Schumer (D-NY), Sen. Max Baucus (D-MT) and Sen. Jay Rockefeller (D-WV)

As I laid out moments after the proposed amendments to the Baucus bill were announced, the public option will have its day on the Senate Finance Committee.

That day is today. The 23-member panel will consider amendments sponsored by Sen. Jay Rockefeller (D-WV) and Sen. Chuck Schumer (D-NY) that, if adopted, would add a public option into the panel's health care reform bill.

Two things to keep in mind if you're watching the hearing or reading news accounts about the developments: the two proposals are very different, and neither is expected to pass. The Rockefeller amendment is a version of what we've come to know as the "robust" public option. It would, for a time, be tied to Medicare, and, thereafter, be able to use the government's considerable leverage to bargain down payment rates with providers.

Read more »

Public Option

Baucus: We Won't Discuss Public Option Until Tuesday

Rachel Slajda | September 25, 2009, 11:21AM

Senate Finance Chairman Max Baucus (D-MT)

Although they were originally scheduled to do so today, Senate Finance Committee members won't discuss public option amendments until Tuesday.

"We don't have time today to bring that up," Chairman Max Baucus said, according to the Washington Independent.

Sens. Jay Rockefeller (D-WV) and Chuck Schumer (D-NY) are pushing for a public option in the Finance bill. On a conference call last night, Schumer said today would be "the opening day in our big fight."

The committee is adjourning early today and won't meet Monday due to Yom Kippur.