From TPMDC: "In a letter delivered to House Majority Leader Eric Cantor Sunday, Sens. Chuck Schumer (D-NY) and Robert Menendez (D-NJ) demand an answer to a question now at the center of the Republican party's top legislative priority: Will repealing the health care law force seniors to reimburse the government for the $250 check they received in 2010 to help them pay for prescription drugs?
'We are particularly concerned that repeal would reverse the course of making prescription drugs more affordable for seniors,' Schumer and Menendez write. 'The [repeal] legislation approved by the House could require seniors to repay the government.'
One of the major goals of the Affordable Care Act is to close the Medicare prescription drug coverage gap, better known to most as the 'donut hole.' The law will fill that hole over a decade, and in 2010, that meant many seniors received a $250 rebate check."
Reid says he’s moving forward with a Senate bill that has a public option with an opt-out in it "with the support of the White House, and Senators Dodd and Baucus." He says that the Senate bill will also have co-ops included - which confuses me a bit. My hope is that he is not considering the co-ops a public option. And of course, just who will be allowed to participate in the Public Option is still fuzzy. So while we don't know just what the Public Option will look like, the best news is that we don't have the "trigger" deeply disappointing Olympia Snowe.
From the Los Angeles Times:
Fueling the push for a new government insurance plan, Senate Majority Leader Harry Reid (D-Nev.) said today that his chamber's healthcare bill would include a compromise that would create a nationwide public option but give states the right to opt out.
"The public option is not a silver bullet, [but] I believe it's an important way to ensure competition and to level the playing field for patients with the insurance industry," Reid said. "Under this concept, states will be able to decide what works for them."
Reid sent the proposal to the nonpartisan Congressional Budget Office to be analyzed today, a key step before he can bring a bill to the floor for debate.
His decision does not settle the debate roiling Democratic ranks over how to create a government plan that would give consumers who don't get coverage through their employers an alternative to plans offered by commercial insurers.
The "opt-out" compromise is still two votes shy of the 60 Reid needs to overcome a Republican filibuster, according to a senior Democratic aide on Capitol Hill who requested anonymity when discussing the plan.
Reid and House Speaker Nancy Pelosi (D- San Francisco) are advancing separate healthcare bills in the Senate and House, which would have to be reconciled later this year before they are sent to the White House for President Obama's signature.
But Pelosi indicated Friday that the opt-out alternative could be included in a reconciled bill.
For now, House Democrats are poised to pass a bill that would create a nationwide government plan, although there is still disagreement about how much such a plan should pay doctors, hospitals and other medical providers.
Liberals, including Pelosi, favor a proposal that would link those payments to the existing Medicare program, which often pays providers less than commercial insurers. Proponents believe such an arrangement would save money and help drive down costs.
But many conservative Democrats, particularly from rural areas where Medicare typically pays less, want the government plan to negotiate its rates with providers, as commercial insurers do.
Pelosi hopes to settle those differences in time to unveil a bill later this week, according to her office.
Now that the primary responsibility for health reform has shifted to Senate Majority Leader Harry Reid, progressives are pushing him to get tough with conservative Democrats looking to delay progress of a unified Senate reform bill.
Progressive Caucus member Rep. Alan Grayson (D-Fla.) and representatives from the Progressive Change Campaign Committee delivered their respective petitions to Reid's office Wednesday afternoon. With some 87,000 signatures collected in the past week, the PCCC urged Reid to strip leadership powers from members of the Democratic Caucus who do not vote for cloture to prevent a Republican filibuster -- a clear shot at Sen. Joseph Lieberman (I-Conn.), who chairs the Homeland Security committee and said Monday he "wouldn't rule out" allowing a filibuster to proceed.
Reiterating the urgent need for reform outside the Hart Senate office building Wednesday afternoon, Grayson didn't single out any congressmen or senators, but said he was baffled by continued delays given the Democratic supermajority and the cost of delay.
"Every single day in America, 122 more Americans die for lack of health insurance. That means that as we stand here in front of you right now, one or two or three more Americans have died because we have not acted yet," Grayson said. "I apologized to the dead and their loved ones for our inaction. Now it's time to move beyond that and get the job done."
Reid's deputy, Sen. Dick Durbin (D-Ill.), said the PCCC and Grayson ought to "count to 60 and understand we need to be together, and there are times when we need to work out our differences."
Grayson wasn't sympathetic to that argument Wednesday, noting that other Americans are paying the price while the Senate tries to work out its differences. Pulling a large American Journal of Public Health study from his jacket pocket, he said, paraphrasing the study authors, "You take two Americans who are otherwise identical in every single way -- same age, same gender, same race, same smoking habits, same weight -- you put them side by side, if one has insurance and one does not, the one without insurance is 40 percent more likely to die."
Read it all at Huffington Post
Update:
Reid pushed back Wednesday afternoon against the consensus that health reform is on him -- after Sen. Chuck Schumer (D-N.Y.), laid the fate of the public option in the Majority Leader's hands Tuesday night. "He would rather say anything so it wasn't up to him," Reid snapped Wednesday, en route to a meeting with White House Chief of Staff Rahm Emanuel and Sens. Chris Dodd (D-Conn.) and Max Baucus (D-Mont.).
Dodd said he expects the Senate finance and health bills to be reconciled by the end of next week. "The Leader will set the agenda," he said.
Here is Schumer with the best plan:
SCHUMER: "Well, first, Leader Reid has the option of putting it in the final bill. If he puts it in the final bill, in the combined bill, then you would need 60 votes to remove it. And there clearly are not 60 votes against the public option."
Senate Majority Leader Harry Reid (D-Nev.) and Finance Committee Chairman Max Baucus (D-Mont.), once in polite disagreement over the idea of a public option component in healthcare legislation, are approaching a breaking point over the issue.
Reid and Baucus have staked out opposing positions on the central question of a government role in health reform — Reid has consistently stood in favor, but Baucus has consistently said the idea doesn’t have enough Senate support. Having deferred the issue to Baucus this summer, Reid signaled on Thursday that he is prepared to join Sens. Charles Schumer (D-N.Y.) and John Rockefeller (D-W.Va.), who both pushed a public option amendment that failed in a committee vote last Tuesday.
“We are going to have a public option before this bill goes to the president's desk," Reid said in a conference call with constituents on Thursday, as reported by the Las Vegas Sun. “I believe the public option is so vitally important to create a level playing field and prevent the insurance companies from taking advantage of us.”
On the same day, Harkin gave The Des Moines Register the same message, suggesting clearly that he will side with Reid against Baucus.
Read it all at TheHill.com
I am told that Senators Chuck Schumer and Jay Rockefeller will force a roll-call vote tomorrow morning in the Senate Finance Committee on two amendments that would create a government-run insurance program – a top priority for liberal Democrats that was left out of the bill drafted by Finance Chairman Max Baucus. Read it all in The Note
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