TPMDC
Senate HELP Committee

Health Care

Carper: Conservative Democrats Not Likely To Support Senate Public Option


Sen. Thomas Carper (D-DE)

Sen. Tom Carper (D-DE) cast serious doubt tonight on whether conservative Democrats will ultimately vote for cloture on the Senate health care bill if it retains a public option with an opt-out clause, and gave new details on yet another compromise that he says might work for them.

Carper, who voted for a public option amendment during the Senate Finance Committee proceedings, first floated his idea last week as a potential alternative, in the event that Reid's public option proposal failed to muster enough Democratic support to overcome a filibuster. Now he says he doubts the support is there.

"We're concerned that a number of centrists aren't prepared to vote for a national public plan, even with an opt-out," Carper said in response to a question from TPMDC. "We're trying to find something that addresses their concern about government run, government-funded, but still addresses the need for the affordability needs and the need for more competition in states that don't have it."

"What we're asking centrists is, What concerns do you need to have addressed so that you can vote for cloture, either to bring the bill to the floor, or to take the bill off the floor and to go to conference? And the two concerns we keep hearing over and over again: government-run, government funded."

(The opt-out plan Reid has proposed would not be government funded, though it's not clear whether it would be run directly by the government, or outsourced to a non-governmental body accountable to Congress.)

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Topics: Harry Reid, Health Care, Public Option, Senate, Senate HELP Committee, Tom Carper, Tom Harkin

Chris Dodd

Dodd: I Fought For A Public Option


Sen. Chris Dodd (D-CT)

Sen. Chris Dodd (D-CT)--who lead the HELP committee's health care process, and supported the public plan behind the scenes--is a very big reason this compromise came to life. He wants you to know that: "I fought for a strong public option - in the HELP Committee and in this merger process - because it is the best way to keep costs low and insurance companies honest," said Dodd.

Majority Leader Reid has made a bold and right choice to endorse the HELP Committee public option, along with a provision allowing states to opt out. At its core, health care reform is about making insurance more stable and affordable for those who have it, and available to those who don't, while improving quality and lowering costs. I believe that the public option is a key component to successful reform, and I will continue to lead the fight for it on the Senate floor.

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Topics: Chris Dodd, Harry Reid, Health Care, Public Option, Senate, Senate HELP Committee

Health Care

Baucus: I Support Harry Reid And A Public Option


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.

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Topics: Harry Reid, Health Care, Max Baucus, Public Option, Senate, Senate Finance Committee, Senate HELP Committee

Health Care

Reid Hopes To Unveil Health Care Bill Details Next Week


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

These deadlines seem to be made to be broken, and with all the hoopla surrounding the public option still unfolding, it could happen. But a leadership source tells me that Senate Majority Leader Harry Reid hopes to unveil details of the Senate health care bill--the merged version of the Senate HELP and Finance Committee bills--early next week.

We know things are still changing. We know Reid has been leaning toward incorporating an opt-out public option in the final package. We know that other public option compromises are under consideration. We know that the White House has been trying to push back against Reid on this. What we don't know yet is what the outcome of all this sturm und drang will be. We may find out sooner than later.

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Topics: Harry Reid, Health Care, Public Option, Senate, Senate Finance Committee, Senate HELP Committee, White House

Health Care

Sources: White House Pushing Back Against Senate Public Option Opt Out Compromise


President Barack Obama

Multiple sources tell TPMDC that Senate Majority Leader Harry Reid is very close to rounding up 60 members in support of a public option with an opt out clause, and are continuing to push skeptical members. But they also say that the White House is pushing back against the idea, in a bid to retain the support of Sen. Olympia Snowe (R-ME).

"They're skeptical of opt out and are generally deferential to the Snowe strategy that involves the trigger," said one source close to negotiations between the Senate and the White House. "they're certainly not calming moderates' concerns on opt out."

This new development, which casts the White House as an opponent of all but the most watered down form of public option, is likely to yield backlash from progressives, especially those in the House who have been pushing for a more maximal version of reform.

It also suggests, for perhaps the first time, that the White House's supposed hands off approach, to ostensibly allow the two chambers in Congress to craft their own bills, has been discarded.

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Topics: Harry Reid, Health Care, Jay Rockefeller, Olympia Snowe, Public Option, Senate, Senate Finance Committee, Senate HELP Committee, White House

Health Care

How High Will Public Option Trial Balloon Fly In The Senate?

For days there was silence. And then this morning and afternoon, the floodgates opened. Senators began saying, on the record, that Democratic leadership was leaning toward putting a public option--with an opt out clause--in the base Senate health care bill.

But, as a source close to the negotiations told me, there's more to leadership's inclination than meets the eye. Part of the play here is to see whether this news causes Senate centrists to flip out. A classic trial balloon. So far, only Sen. Olympia Snowe (R-ME) has said it will likely cost Harry Reid her cloture vote. Conservative Democrats might not be pleased, but so far they're keeping it fairly bottled up. Sen. Ben Nelson (D-NE) voiced some displeasure, but nobody's gone into revolt.

Assuming the calm endures, chances seem pretty good that this is the direction Reid will take. But it won't be set in stone...until it's set in stone. As Greg Sargent has noted, the votes aren't there yet for a straightforward public option like the level-playing-field plan in the Senate HELP Committee's bill. In other words, negotiations will continue.

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Topics: Ben Nelson, Health Care, Olympia Snowe, Public Option, Senate, Senate Finance Committee, Senate HELP Committee

Tom Carper

Carper: Senate Bill Will Include A National Public Plan With An Opt Out


Sen. Thomas Carper (D-DE)

After a meeting with Democrats on the Senate Finance Committee, Sen. Tom Carper (D-DE) discussed the status of the public plan in the Senate health care bill with reporters. Here's what he said:

"I think at the end of the day there will be a national plan probably put together not by the federal government but by a non-profit board with some seed money from the federal government that states would initially participate in because of lack of affordability. The question is should there be an opportunity for states to opt out later on and if so, within a year, within two years, within three years?"

How would this plan work? "Among the things that's important," Carper said, "is, one, that this not be a government run, government funded enterprise, two, that there be a level playing field so that this non-profit entity that would be stood up would have to play by same rules basically as for-profit insurance companies--the idea that secretary of Health and Human Services [will be] running or directing the operation of this--no way.

We ought to have a non-profit board--it could be appointed by the President but a non profit board. They'd have to retain earnings, create a retained earnings pool, so that if they run into financial problems later on the financial needs of the plan could be met by the retained earnings, not by the federal government.

Carper suggested that a state's ability to opt out could be determined by the effectiveness and competitiveness of its insurance market. "There should be some standard--how do we say to a state, 'No you've got to participate in it right from day one,' and if so should there be an opportunity later on for you to say, 'Well, it's not working, we don't want to continue to be a part that,' and to opt out."

I pressed Carper on whether this entity would be accountable to taxpayers. He didn't answer directly--clearly there's some interest in de-emphasizing the government's role in the insurance market--he did sugest that the public option, though run by a non-government entity, would answer to the government.

And that would appear to bring it into line with the demands of the largest health care reform campaign in the country.

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Topics: Health Care, Public Option, Senate, Senate Finance Committee, Senate HELP Committee, Tom Carper

Health Care

Pelosi Prepares To Move Ahead With Robust Public Option


Rep. Nancy Pelosi (D-CA)

New CBO numbers may have sealed the deal. Speaker Nancy Pelosi is preparing to move ahead with a "robust" public option--one that reimburses hospitals and providers at Medicare rates, plus five percent--in the House's health care bill. She is briefing her caucus about the plan's savings tonight, and, pending the approval of a sufficient majority of members, will adopt the measure as part of the complete reform package.

The analysis finds the reconstituted House proposal to be deficit neutral, and require less than $900 billion (reportedly around $870 billion) in new spending, over ten years.

The bill remains nominally more expensive than the Senate Finance Committee proposal, but would cover 96 percent of all Americans, providing greater bang for each federal dollar spent. And, aides note, the bill that comes to the floor of the Senate will be a hybrid of the Finance and more expensive HELP Committee bills, so the price is expected to rise.

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Topics: Health Care, House of Representatives, Nancy Pelosi, Public Option, Senate, Senate Finance Committee, Senate HELP Committee

Health Care

Dems Keep Quiet As Leaders Hash Out Key Health Care Details


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.

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Topics: Chris Dodd, Harry Reid, Health Care, Max Baucus, Nancy-Ann DeParle, Public Option, Rahm Emanuel, Senate, Senate Finance Committee, Senate HELP Committee, White House

Chris Dodd

Health Care Negotiations Between Senate, White House Continue Tonight


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.

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Topics: Chris Dodd, Harry Reid, Health Care, Max Baucus, Public Option, Senate, Senate Finance Committee, Senate HELP Committee, White House

Health Care

Pelosi Aims to Squeeze Skeptics on Public Option With Cheaper Bill Than Senate


Rep. Nancy Pelosi (D-CA) with Sen. Harry Reid (D-NV)

The House health care bill is getting cheaper, but Democrats aren't boasting just yet. Because when they ultimately break silence the hope is to present conservative Democrats in both chambers with a bill that will walk the walk of fiscal responsibility--including a public option, which is projected to save the government billions.

As always, the legislative process is unpredictable, and the Senate is operating in isolation from the House. But with the public option potentially in the balance, Speaker Pelosi's goal is this: present conservative Democrats in both chambers with a Hobson's choice between a public option bill and a potentially more expensive Senate bill that may have no public option at all.

On Friday, the Washington Post ran with leaked CBO numbers, showing that House health care leaders have reduced the price tag of their bill by at least $100 billion. The numbers were preliminary--not reflective of the current state of the legislation, which is changing constantly--but they showed a definite downward trajectory in the overall cost of its reform plan.

Still, leadership was not pleased.

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Topics: Blue Dogs, Health Care, House of Representatives, Nancy Pelosi, Public Option, Senate, Senate Finance Committee, Senate HELP Committee

Health Care

Progressive Group Unveils Public Option Ad Asking 'Is Harry Reid Strong Enough'

The Progressive Change Campaign Committee, which has been ramping up its campaign for a public option in the last several weeks, will run the below ad in Nevada this week, urging Senate Majority Leader Harry Reid to fight for the public option as he takes the lead in designing a health care bill to bring to the Senate floor.

PCCC is raising funds this week in the hope of running the ad 200 times in Las Vegas on cable and broadcast networks. It will begin airing on Wednesday. You can read a letter from PCCC to its supporters below the fold.

Reid's staff has scoffed at similar efforts in recent weeks, saying that while Reid is working to build consensus for a public option, he will not likely respond to strong-arm tactics.

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Topics: Harry Reid, Health Care, PCCC, Progressive Community, Progressives, Public Option, Senate, Senate Finance Committee, Senate HELP Committee

Health Care

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


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:

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Topics: Barack Obama, Harry Reid, Health Care, Max Baucus, Public Option, Rahm Emanuel, Senate, Senate Finance Committee, Senate HELP Committee, Tom Harkin, White House

Health Care

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

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.


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Topics: Chuck Grassley, Health Care, Max Baucus, Senate, Senate Finance Committee, Senate HELP Committee

Health Care

Progressives Prepare to Pressure Reid to Include Public Option in Senate Health Care Bill


Sen. Harry Reid (D-NV)

Major progressive organizations see a golden opportunity to resurrect the public option, and are preparing a campaign, which will include television ads in Nevada, to pressure Senate Majority Leader Harry Reid to get on board.

As I've noted a number of times, the public option will not be in the Senate Finance Committee's health care bill, but it can re-emerge at three key points in the legislative process. Among those, one of the most important is the next step, when Reid merges the Finance bill with a more liberal proposal from the Senate HELP Committee. If he adopts the latter panel's public option, it would dramatically alter the nature of the legislative battle, shifting the onus from liberals, who have been doggedly fighting to include the public option in the Senate bill, on to conservative Democrats, who would have to decide whether their opposition to the popular measure is so strong that they'd be willing to join the GOP in a health care filibuster and tank the entire reform effort.

Such a move would likely alienate Sen. Olympia Snowe (R-ME), the only Republican working with Democrats on health care reform, and require Democratic leaders, including Reid and President Obama to make sure all 60 Democrats stand united when Republicans try to block the bill--a tall order, and one Reid doesn't seem prepared to meet.

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Topics: Harry Reid, Health Care, Olympia Snowe, Progressives, Public Option, Senate, Senate HELP Committee

Health Care

Reid Cancels Columbus Day Recess to Focus on Health Care


Sen. Harry Reid (D-NV)

Senate Majority Leader Harry Reid has made good on a threat to cancel a week-long October recess to continue work on health care.

"I talked to the Republican leader about this last week," Reid said on the Senate floor this morning. "But the Columbus day is fast approaching. It's the week after next. And with all the things going on here, it just would not be right for us to take that week off. So what we're going to do, as I explained to the Republican leader last week, we'll be off that Monday, which is the holiday, Columbus day, and the following Friday."

Once the Finance Committee finishes work on its health care legislation, Reid will merge it with a different bill, and then bring it to the Senate floor. The week of October 12 seems a bit early for the floor debate to have kicked off, but this could at least prevent any further delays.

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Topics: Harry Reid, Health Care, Senate, Senate Finance Committee, Senate HELP Committee

Health Care

HCAN: Snowe Still Important, But in the End the Public Option's Up to Democrats


Sen. Olympia Snowe (R-ME)

A lot of the most pressing political questions about health care reform will soon be answered, and reformers and pols alike are grappling with the fact that Democrats now have enough votes to pass a public option without any Republican votes.

"Hopefully when push comes to shove, Democrats will support a strong public option, and do the right thing," said Jacki Schechner of the reform campaign Health Care for America Now.

"We're in a good spot right now," added Schechner. "We'll see where we are after tomorrow.

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Topics: HCAN, Harry Reid, Health Care, Olympia Snowe, Public Option, Senate, Senate Finance Committee, Senate HELP Committee

Health Care

Reid Supports a Public Option, But Will He Include One in the Senate Health Care Bill?

Two telling indicators suggest that, despite a true 60 vote majority, the public option may nonetheless face an uphill climb in the Senate. On Friday, during a tele-townhall, Senate Majority Leader Harry Reid told an audience of constituents that he thinks a "triggered" public option is a "pretty doggone good idea"--not as good as a robust public option, but better than the private co-op proposal that for a time was regarded as a likely compromise between Democrats, who support a public option, and Republicans, who do not support health care reform.

Today, citing anonymous Democratic sources, the New York Times reports that Reid will likely not include a public option in a final legislative proposal when he merges the Finance and HELP committee bills.

Officially, Reid says it's too early to have decided what will and will not be included in the package he introduces on the Senate floor--the public option will get more than one vote in the Finance Committee this week, and only if it fails (as is expected) will Reid have to decide whether to incorporate it from the HELP bill, or to drop it.

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Topics: Chuck Schumer, Harry Reid, Health Care, Jay Rockefeller, Public Option, Senate, Senate Finance Committee, Senate HELP Committee

Health Care

Three Public Option Amendments to Baucus Bill Put Conservative Democrats on the Spot

By my count, Democrats have offered three different amendments that, if approved, would result in the adoption of a public health insurance plan. The first, proposed by Sen. Jay Rockefeller (D-WV) calls for the creation of a fairly robust public option much like the plan originally drafted by the House of Representatives. It would pay providers Medicare rates plus a small bonus for those practitioners who already take Medicare patients.

That will be a telling vote, but more telling will be the votes on the other two public option proposals. The first, sponsored by Sen. Chuck Schumer (D-NY) would create a so-called "level playing field" public option, which wouldn't be permitted to set rates. The second, offered by Schumer and Sen. Maria Cantwell (D-WA), would create a very similar public option, this one imported from the Senate HELP committee's bill.

Rockefeller's plan would please reformers and liberals, and substantively makes more sense on a cost control level. But what makes the other two amendments more politically interesting is that they put conservative Democrats--particularly Sens. Max Baucus (D-MT), Kent Conrad (D-ND), and Blanche Lincoln (D-AR)--on the spot. No longer will they be able to simply dismiss the public option by saying it doesn't have the votes to pass the Senate. And they won't be able to honestly oppose these plans on big government grounds.They'll actually have to go on the record one way or another. And a lot of eyes will be on them when they do.

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Topics: Blanche Lincoln, Chuck Schumer, Health Care, Jay Rockefeller, Kent Conrad, Max Baucus, Public Option, Senate, Senate Finance Committee, Senate HELP Committee

Health Care

A Roadmap To The Health Care Fight Ahead

All the news coverage these last few days has focused on the developments in the Senate Finance Committee. And for good reason! That's where all the news is. But that may obscure the fact that there's another health care bill that's been voted out of the Senate Health, Education, Labor, and Pensions Committee, and a final package emerging in the House of Representatives, and each of these will help shape the bill President Obama hopes to sign.

Before August recess, each of the three House committees with jurisdiction over health care reform approved different versions of the same so-called "tri-committee bill". Over the break, the chairmen of those committees, working with leadership and the Democratic caucus, made progress on stitching those bills together into a package that will be voted on by the entire chamber. That work continues, and yesterday, Speaker Nancy Pelosi said the House will pass a bill "when we're ready," but that she's not waiting for the Senate to move ahead first.

Things haven't matured quite that much in the Senate. The Finance Committee will hold hearings on its bill next week, and the current thinking is that the legislation will likely pass with only Democrats (or Democrats plus Republican Olympia Snowe of Maine). When that's done, Senate Majority Leader Harry Reid--working with Finance Chair Max Baucus, HELP Comittee leaders, and the White House--will take the lead merging the two bills into a final product that he thinks can overcome a filibuster, and then pass with at least 51 votes. This will mostly happen behind closed doors.

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Topics: Barack Obama, Harry Reid, Health Care, House of Representatives, Max Baucus, Nancy Pelosi, Public Option, Senate, Senate Finance Committee, Senate HELP Committee

Health Care

Baucuscare: The Good, The Bad, and The Ugly


Sen. Max Baucus (D-MT)

Sen. Max Baucus' health care reform proposal doesn't have any friends on the right or left, and most of the support it does have comes from industry, and industry-backed House Blue Dogs. But though the skepticism of the Baucus plan is borne out of a number of flawed policy proposals, there are some genuinely good aspects to it, too. Herewith, the good, the bad, and the ugly sides of Baucuscare:

THE GOOD:

Fiscal responsibility: Yes, calls for "fiscal responsibility" seem to rear their ugly heads only when conservatives and conservative Democrats oppose the policy changes at stake. But liberal experts also agree: it's crucial that the costs of health care reform be covered, and that the reforms themselves address the problem of health care inflation. Baucus' bill succeeds on both scores. The Center for Budget and Policy Priorities concludes "The proposed offsets in the Baucus plan are sound policies that would use resources in the health care system more efficiently.... [W]eakening or eliminating these offsets would not only result in a less efficient health care system but also make it more difficult to provide low- and moderate-income Americans with sufficient subsidies to afford health coverage." And the CBO finds that, via it's main financing mechanism and other measures, Baucus care would be a deficit reducer over both 10 and 20 year windows.

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Topics: Health Care, House of Representatives, Max Baucus, Medicaid, Medicare, Public Option, Senate, Senate Finance Committee, Senate HELP Committee

Health Care

CBO Says Baucus Bill a Big Money Saver


Sen. Kent Conrad (D-ND) and Sen. Max Baucus (D-MT)

Following on Sen. Kent Conrad's request, the Congressional Budget Office has analyzed the Finance Committee's draft bill--not just for a 10 year window, but for a 20 year window--and concluded that it would be a big money saver. From 2010 through 2019, the legislation, if enacted as is, would reduce the federal deficit by $49 billion. And, in a rough projection, CBO found that the bill would continue to provide savings relative to current law, for the 10 years thereafter. Though there's a tremendous amount of uncertainty, from 2020 through 2029 the legislation would save on the order of .5 percent of GDP

As I noted yesterday, Conrad requested an extended outlook, likely with the intent of giving this bill a political boost. Conrad and the "Gang of Six" worked closely with CBO chief Doug Elmendorf while crafting the bill, and almost certainly knew that it would score favorably, particularly in comparison to the Senate HELP bill and House legislation, which do less to control the rate of health care inflation.

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Topics: Congressional Budget Office, Health Care, Kent Conrad, Senate Finance Committee, Senate HELP Committee

Health Care

Key Reform Group Calls Baucus Bill a "Failure"


Sen. Max Baucus (D-MT)

Last week, when Sen. Max Baucus (D-MT) circulated an outline of the bill he released today, the reform campaign Health Care for America Now pointed me to letters they'd written to leading Democrats urging Baucus to include a public option in his legislation. Ultimately, he didn't.

Now, HCAN says the Baucus bill is a "failure."

"The Baucus bill is a gift to the insurance industry that fails to meet the most basic promise of health care reform: a guarantee that Americans will have good health care that they can afford," says HCAN's campaign director Richard Kirsch.

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Topics: HCAN, Health Care, Max Baucus, Senate, Senate Finance Committee, Senate HELP Committee

Health Care

Harkin: Mark My Word, Health Care Reform Will Have a Strong Public Option


Sen. Tom Harkin (D-IA)

In taking up Ted Kennedy's mantle as chairman of the Senate Health, Education, Labor, and Pensions Committee, Sen. Tom Harkin (D-IA) is leaving no doubt that he plans to fight hard for a politically contentious feature of his panel's health care reform bill.

"That bill -- mark my word, I'm the chairman -- is going to have a strong public option," Harkin told constituents at his annual Steak Fry in Iowa.

He made it clear, too, that he views a strong fight for the public option as part of his role in carrying on Kennedy's legacy. "We lost a great progressive, a great leader on so many issues," Harkin said. "It now falls to me to pick up the torch."

Harkin's ability to impact the fight over public option will be determined in no small part by whether he's selected as a negotiator if and when House and Senate health care legislation are merged in a conference committee. Though he now chairs the HELP committee, the panel's health care process was overseen by Sen. Chris Dodd (D-CT) who acted as chairman until shortly after Kennedy's death.

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Topics: Health Care, Public Option, Senate, Senate HELP Committee, Tom Harkin

Health Care

Experts: Baucuscare Would Leave Poor Out of Work

While the liberal policy community in Washington mostly acknowledges that the health care plan put forward by Sen. Max Baucus (D-MT) falls short of its counterparts in the House and Senate, they also believe it would be an improvement over the status quo. But at least one of the measures, reportedly supported by Sen. Olympia Snowe (R-ME), is so poorly designed that it has some critics downright worried.

"The Baucus plan is going to create all kinds of incentives to avoid hiring low income people," says Edwin Park of the Center for Budget and Policy Priorities. Shortly after Baucus unveiled his proposal, CBPP--a respected policy shop that tilts liberal--released a report warning about this very possibility.

"It's the one [measure] that we've been worried about in the Finance Committee discusions or months now," Park warned.

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Topics: Health Care, House of Representatives, Max Baucus, Senate, Senate Finance Committee, Senate HELP Committee

Barack Obama

Obama: My Plan Will Cost $900 Billion, Could Save $4 Trillion in Long Term

House health care legislation is expected to cost in the neighborhood of $1 trillion over 10 years. So is the Senate HELP Committee's bill. The Senate Finance Committee's bill, by contrast, will likely cost around $900 billion--and it looks like President Obama's siding with Baucus et al.

"Add it all up, and the plan I'm proposing will cost around $900 billion over ten years - less than we have spent on the Iraq and Afghanistan wars, and less than the tax cuts for the wealthiest few Americans that Congress passed at the beginning of the previous administration," Obama says. "Most of these costs will be paid for with money already being spent - but spent badly - in the existing health care system. The plan will not add to our deficit. The middle-class will realize greater security, not higher taxes. And if we are able to slow the growth of health care costs by just one-tenth of one percent each year, it will actually reduce the deficit by $4 trillion over the long term."

Some experts are concerned that a bill that costs $900 billion will not be enough to provide sufficient subsidies to middle class, uninsured consumers to purchase health care. But it appears to be the consensus price tag in Washington.

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Topics: Barack Obama, Health Care, House of Representatives, Max Baucus, Senate Finance Committee, Senate HELP Committee

Chris Dodd

Dodd Chooses Not to Take Kennedy's HELP Committee Gavel


Sen. Chris Dodd (D-CT)

In a move that comes as a fairly big surprise, Sen. Chris Dodd (D-CT) will reportedly announce today that he is not taking over the chairmanship of the Help, Education, Labor and Pensions Committee, which became vacant upon the death of Ted Kennedy. Dodd had been expected to take up Kennedy's mantle, leaving a vacancy on the Banking Committee, which he currently chairs.

The HELP chairmanship will instead go to Sen. Tom Harkin (D-IA), who is next in line after Dodd. Dodd had been the focus of much attention, because if he had taken the HELP chairmanship then Banking would have gone to Sen. Tim Johnson (D-SD), whose home state is a major base for the credit-card industry.

To round out the game of musical chairs, Harkin will have to vacate the Agriculture Committee chairmanship, which will likely be filled by Sen. Blanche Lincoln (D-AR)--the only senior member of that committee who doesn't already have a chairmanship.

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Topics: Blanche Lincoln, Chris Dodd, Senate, Senate HELP Committee, Ted Kennedy

Sherrod Brown

Brown to White House: "Congress is Writing the Bill, the President's Not"

Despite several indications that the White House will ultimately not go to bat for a public option, Sen. Sherrod Brown (D-OH) says he's seen no signs that the White House will change course--but if they do, he's not budging.

"I know that the White House is debating it internally," Brown said in an interview with TPMDC. "But Congress is writing the bill, the President's not."

"The White House should not take progressives for granted," an animated Brown told me. "It's not just the conservatives he needs to be in the fold. It's the progressives who've been in the vineyards fighting for reform for years."

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Topics: Barack Obama, Health Care, Public Option, Senate, Senate HELP Committee, Sherrod Brown, White House

Health Care

Kay Hagan Signals Willingness to Support Public Option Alternative

As a member of the Senate Health, Education, Labor, and Pensions Committee, Sen. Kay Hagan (D-NC) voted in favor of a health care reform bill with a public option. But she's also interested in a compromise that would scrap the public option in favor of system of private, state-based, non-profit health-care cooperatives. "Having been a state senator for 10 years," she said, "I think states can do a good job at that."

Kay Hagan's vote for the public option wasn't easily won, so it's little surprise that she's open to alternatives. But has her level of support dropped? I've placed a call to her office to check, but just last month, she defended her vote for the public option, describing it as "a back-stop option for those without access," that "competes with the private insurance companies."

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Topics: Health Care, Kay Hagan, Public Option, Senate, Senate HELP Committee

Health Care

Schumer Says Reconciliation Still An Option, Confident That Public Option (Or Something Like It) Will Prevail

Breaking his silence today, Sen. Chuck Schumer (D-NY) told reporters that Democrats won't hesitate to pass reform legislation as part of October's filibuster-proof budget reconciliation bill--if, that is, Max Baucus and Senate Finance Committee negotiators don't come to agreement on a bipartisan package before their new September 15 deadline. Schumer said he wants a bipartisan agreement, but if that proves impossible, "it is not going to stop us from moving forward with health care."

"[W]e will have contingencies in place," Schumer said "Health reform is just too important to let this window pass by."

Schumer's been the public face for the idea of creating a public option on a level playing field with private insurers. But he's also the chairman of the Rules Committee, and in that regard his affirmation of the reconciliation process should carry a great deal of weight.

Still, he says, he'd prefer a bipartisan solution. And on the question of those negotiations, Schumer says that despite the fact that the Senate Finance Committee is likely to endorse a co-op system instead of a public option, he's confident that the final bill will contain the latter.

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Topics: Chuck Schumer, Health Care, Public Option, Senate, Senate Finance Committee, Senate HELP Committee

Health Care

Has A Conservative Republican From Wyoming Taken Over The Health Care Debate In The Senate?

If it was up to reformers, Sen. Mike Enzi (R-WY) probably wouldn't be anywhere near the heart of health care negotiations. But unfortunately for them, he's right in the middle of the action. Yesterday he said he'd vote against the legislation he's helped craft in the Senate Finance Committee unless Democratic leaders in both the House and Senate guaranteed they wouldn't make it any more liberal. And now he's suggesting that, after months of delay, the committee probably won't settle on a final product before adjourning for August recess at the end of next week.

Enzi's access infuriates liberals--but in a way his presence at the negotiating table is emblematic of the Finance Committee's entire process.

If after the Democrats' historic election in November, I had suggested that one of the Senate's most conservative Republicans would stand a chance of hijacking President Obama's health care proposal, you might have waved off the threat, and rightly so. But thanks to Finance Committee chairman Max Baucus--who has insisted on passing a consensus bill at the expense of a number of liberal goals--that's basically what's happening.

Enzi, the ranking member on the Health, Education, Labor, and Pensions Committee, isn't without health care knowledge--but he's also not the sort of Republican who comes to mind when Democrats need a few Republicans to pass a major piece of legislation. He probably less in common with Sens. Olympia Snowe (R-ME) and Susan Collins (R-ME) than do most Democrats. In fact, he vociferously opposed the HELP Committee's reform bill, and is basically insisting that that bill, and House legislation, be completely scrapped before he and other conservatives hop on board. But despite that distinctly GOP-first outlook, Baucus gave him a seat at the table.

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Topics: Health Care, Max Baucus, Mike Enzi, Senate Finance Committee, Senate HELP Committee

Health Care

The Mark-Up, 07-15-2009

TPMDC's roundup of the biggest initiatives on Capitol Hill.

  • Health Care: The Senate HELP Committee passed its health care reform bill on a party line vote this morning. Now all eyes are on the Senate Finance Committee, which, according to Sen. Kent Conrad (D-ND), will mark up its bill next week. Then the bills can be merged and debated and, hopefully, voted on. Meanwhile, members of the House Education and Labor Committee offered opening statements in their first mark-up hearing of the House's health care reform draft bill.
  • Nominations: Sonia Sotomayor's Supreme Court confirmation hearings continued today. I'm told by reliable sources that she may have been asked to explain the "wise Latina woman" comment that's caused her so much grief, but I've been unable to confirm.
  • Nominations: Sen. George Voinovich (R-OH) has placed a hold on Robert Perciasepe, who's been nominated to serve as deputy EPA administrator. Voinovich doesn't seem to have any beef with Perciasepe per se--he just wishes the EPA would cough up a Waxman-Markey bill analysis to his liking.
  • Studen Loan Reform: House Education and Labor Committee Chairman George Miller has introduced student loan reform legislation. President Obama is pleased: "I applaud Chairman Miller for introducing an education reform bill that will cut giveaways to special interests, invest in our children's future, and save taxpayer's money," he said. "Chairman Miller and I are working to end the wasteful subsidies that are given to banks and private lenders for student loans." You can read the whole statement below the fold. Interestingly, Congress' budget included reconciliation instructions on this issue, so if it meets too much resistance in the Senate, it may have a path around a filibuster.

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Topics: George Miller, Health Care, Kent Conrad, Senate Finance Committee, Senate HELP Committee, Sonia Sotomayor, Supreme Court

Barack Obama

Obama: HELP Committee Success A Reminder Of Urgency Of August Deadline

President Obama has issued a statement congratulating the Senate Health, Education, Labor, and Pensions Committee for finishing work on their health care reform bill--but, he says, it should serve as a reminder of just how important it is for the House and Senate to pass health care legislation before the August recess.

"The HELP committee's success should give us hope, but it should not give us pause," Obama said. "It should instead provide the urgency for both the House and Senate to finish their critical work on health reform before the August recess."

You can read the entire statement below the fold. This is just the latest in a series of steps Obama has taken to up the pressure on Congress to pick up the pace on health care reform. With a recess looming, Obama is confronted with the possibility that either or both chambers won't pass legislation before closing up shop for a month--and there are a number of reasons he'd rather avoid that.

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Topics: Barack Obama, Health Care, Senate, Senate HELP Committee

Harry Reid

Reid: I Will Consider HELP and Finance Bills Before August Recess

Senate Majority Leader Harry Reid remarks on the HELP Committee's passage of their health care reform bill, the Affordable Health Choices Act.

"I want to thank Chairmen Kennedy and Dodd for their tireless work to gain final passage of the Affordable Health Choices Act before the Senate HELP Committee," Reid says.

Americans called for Congress to reform our health care system and this action is a positive step toward quality and affordable health care that Americans need and deserve. Along with my colleagues in the Senate, I will continue to examine all proposals in the spirit of lowering costs, improving health outcomes and preserving choice for Americans when it comes to their health care. I look forward to considering this legislation along with the Finance Committee product before the August recess. Health care reform is now one step closer to reality because of the diligent work of the members of the HELP Committee.

Senate leaders will have to merge the Finance Committee and HELP Committee bills before a floor debate and vote can happen--but here Reid seems to be saying that he may only be able to get past that first step before the August recess. If that's right, it stands in contrast to his outlook Monday, when he said "We are going to do health care before we leave."

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Topics: Harry Reid, Health Care, Senate, Senate HELP Committee

Health Care

After Accepting Scores Of GOP Amendments, Senate HELP Committee Moves Health Care Legislation On Party Line Vote

The Senate Health, Education, Labor, and Pensions Committee has voted along party to move its health care reform legislation out of committee. The panel has been in mark-up for weeks now, and along the way, has approved 160 Republican amendments--and for all that largesse, not a single member of the minority voted in its favor. I'll pass along more details as they become available.

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Topics: Health Care, Senate, Senate HELP Committee

Health Care

The Mark-Up, 07-09-2009

TPMDC's update on the biggest legislative initiatives on the Hill:

  • Health Care: The marathon mark-up of the Senate Health, Education, Labor, and Pensions Committee's health care reform bill continued. Meanwhile, with the idea of capping the health insurance tax exclusion now on ice, a Finance Committee staffer unveiled some of the other funding schemes the panel is considering.
  • Climate Change: Looks like the Senate action on climate change legislation has been pushed back to September.
  • Nominations: The Senate Judiciary Committee released the witness list for Sonia Sotomayor's confirmation hearing. The hearing will begin on Monday, stretching on for days. And the GOP has invited a few doozies to testify.

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Topics: Climate Change, Health Care, Senate Finance Committee, Senate HELP Committee, Senate Judiciary Committee, Sonia Sotomayor, Supreme Court

MoveOn

Hagan Comes Out In Support Of Public Option

As I reported yesterday, the Senate Health, Education, Labor, and Pensions Committee unveiled its plan for a public health insurance option after a weeks-long delay, and leaders announced that it had the support of every Democrat on the panel...including Sen. Kay Hagan (D-NC).

Last night, Hagan made it official in a joint statement with committee members. "My colleagues and I on the Health, Education, Labor and Pensions Committee have been working on a plan to reform the health care system in this country," Hagan said. "We have crafted a plan that will stabilize health care costs and includes a Community Health Insurance Option, which I support."

This clears the path for the legislation to be moved out of committee. Until now, her objections to the public option were blocking it. That raised the ire of liberal groups like MoveOn, which targeted her directly. Now, everyone's friends again. "MoveOn commends Senator Hagan for deciding to support the health care reform bill that the Senate Health, Education, Labor, and Pensions Committee released today, which includes a national public health insurance option," MoveOn Executive Director Justin Ruben said in a statement.

A public health insurance option will lower the cost of insurance and medical care for everyone, and put an end to many of the predatory practices of private insurers. This measure is the heart of health care reform and is supported by MoveOn's five million members as well as the majority of the American people. With the support of legislators like Senator Hagan, we can come closer to our goal of making quality health insurance accessible and affordable for everyone.

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Topics: Health Care, Kay Hagan, MoveOn, Senate HELP Committee

Senate HELP Committee

HELP Committee Circulates Health Care Legislation--Public Option And All

Fast on the good news from the Congressional Budget Office, the Health, Education, Labor, and Pensions Committee has circulated its finalized language on the two key issues that had slowed progress on its health care reform bill to a crawl: The public option and the employer mandate. You can see the new language of the bill--if that sort of thing appeals to you--here (PDF).

HELP chairman Sen. Ted Kennedy (D-MA) and his chief deputy Sen. Chris Dodd (D-CT) sent a letter to committee colleague touting the provisions and urging them to support the full bill. You can read that letter here.

One reason for the delay has been the objections of Sen. Kay Hagan (D-NC). I have a call out to her office to see if she's now on board with the public option.

Late update: Committee leaders seem confident that every Democrat will vote to move the bill forward. That would include Sen. Hagan.

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Topics: Chris Dodd, Health Care, Kay Hagan, Senate HELP Committee, Ted Kennedy

Health Care

Health Reformers Get The CBO Score They Want

After an embarrassing miscue, the Senate Health, Education, Labor, and Pensions Committee can now say near-universal should be achievable at a relatively low cost. Last month, HELP Democrats asked the Congressional Budget Office to score an incomplete version of its health care reform bill--one that had been voided of its most controversial provisions. The results were embarrassing. They suggested that the bill--which lacked an employer mandate and a public option--would leave many uninsured, at a nonetheless tremendous cost.

Now, the committee has received a new CBO score--this one of the complete bill--and the results are much, much better. At a glance, they imply that the HELP bill will cover most Americans at a cost of just over $600 billion, but as TNR's Jon Cohn explains, the results are actually a bit more complicated than that. His conclusion? As experts expected, a comprehensive reform package will likely cost about a trillion dollars over 10 years. That may sound like an unholy amount of money, but as a percentage of the next 10 years worth of overall health care spending, it's a drop in the bucket.

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Topics: Health Care, Senate, Senate HELP Committee

Health Care

HELP Committee Leak Details Likely Outline Of Public Option; Andy Stern Pleased

A source has leaked details to Politico of what reporters there describe as a "draft of HELP's likely public option proposal." Here are the key details:

The option would be one of the Gateway choices. It would follow the same rules as private plans for defining benefits, protecting consumers, and setting premiums that are fair and based on local costs....

The payment rates paid by the option would be no more than the local average private rates - but could be less. The Secretary would negotiate these rates.

Initial reports of the Health, Education, Labor, and Pensions process suggested that the committee's draft would call for a public option that paid providers Medicare rates plus about 10 percent--a robust plan which would have left a wide middle ground on the issue between that committee and the Senate Finance Committee. This leak doesn't rule that configuration out explicitly--but if it's accurate, then the committee's kicking the issue back over to the executive branch, and insisting only that the public plan operate on at least a level playing field with private insurers.

It's unclear whether this language will please freshman Sen. Kay Hagan (D-NC)--the HELP Democrat whose reservations about the public option have forced the committee to modify their plan and delay it's roll out.

Still, the developments on that committee seem to have pleased SEIU president Andy Stern who last night wrote, "HELP Committee working hard on solid public option," on his Twitter feed.

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Topics: Andy Stern, Health Care, Senate, Senate HELP Committee

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