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January 16th, 2010

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Health Insurance Reform Exchange Weekly EasyToInsureME

23rd December 2009

This week in health

Senate Majority Leader, Harry Reid (D-NV), can only achieve its goal, a health reform package approved by the Senate before Christmas. Last week, Senator Reid has secured the 60th Voting is necessary, the legislation. As this communication, he has the final vote of the Senate scheduled for 7 clock on Christmas Eve day. In an effort to rescue the votes, Senator Reid and his colleagues taken to this one, the hot-button issues like abortion to overcome financing.

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Senate negotiations

Senate Eyes Finish Line: After weeks of rancorous debate and more than 20 straight days and nights spent Negotiating position on Capitol Hill conceded that the legislature senate, all three major procedural hurdles before a final vote on the legislation.

* The first step motion passed on a 60-40 vote Monday morning, ending debate on the proposed amendments to Sen. Reid, the so-called "Package Manager", and the performance of the Republican filibuster. The "Manager's package represented" a series of last-minute deals and compromises to sustain support for the legislation.
* The second point of order on the manager's package approve passed "60-39 on Tuesday morning.
* The third movement began on Wednesday and ended debate on the final act in a 60-39 vote, setting up the bill to reform for a final vote just in time for Sen. Reid's Christmas period.

Sen. Reid carves state-specific offers to secure the 60 votes: Close Saturday Senator Reid secured the 60 votes necessary to adopt rules for the historic win Sen. Ben Nelson (D-NE) is to prevent a change of federal subsidies, that are used for abortions. Under the new provisions abortion, states can allow for the abortion from coverage represents. When states provide coverage do, enrollees must pay separately for abortion coverage – a compromise that has triggered criticism from both sides of the abortion divide. Sen. Nelson also secured other benefits for the State Nebraska, including:

* Million dollars from the federal government for the costs of the planned expansion of Medicaid in his state to pay, and
* An exemption for Blue Cross Blue Shield of Nebraska from an annual fee imposed on insurers.

During its review Package include Sen. Reid to secure several other state-specific offers of 60 votes. Such last-minute deals have been criticized by Republicans, including:

* For Sen. Max Baucus (D-MT), contained a provision that the parcel to 2,900 residents to help by Libby, Mont, sign up for Medicare benefits. Many residents have asbestos-related Diseases;
* For Senator Christopher Dodd (D-CT), they included a measure to provide $ 100,000,000 for the construction of a hospital at a state university;
* Sen. Patrick Leahy (D-VT), for 600 million U.S. dollars in additional Medicaid benefits for his state negotiated over 10 years;
* Sen. Bernie Sanders, (I-VT), got a 10 billion U.S. dollars increase for community health centers over several years;
* Sen. Mary Landrieu (D-LA), procured at least $ 100,000,000 in 2011 by the federal government for help with Medicaid and
* For Sen. Bill Nelson (D-FL), the package included a measure allowing some 800,000 Florida Seniors currently enrolled in private to keep their Medicare Advantage to additional benefits.

Sen. Reid's negotiations also include:

* The distance from a 5 percent tax on elective cosmetic surgery, and the inclusion of 10 per cent tax on indoor tanning services;
* 12 years of patent protection for manufacturers of branded biotech drugs;
* An increase in the percent Medicare payroll tax, an additional 0.9 percent of income for those $ 200,000 to an individual and $ 250,000 for married couples;
* An exemption from taxes on high-quality insurance plans for people with certain professions such as firefighters, Police officers, construction workers, emergency first responders and port workers;
* A provision of doctors and hospitals in Montana, North Dakota, South Dakota, Utah and Wyoming, more than anywhere else get paid provider, and
1000000000 * About $ extra in Medicaid payments for visiting nurses and other in-home or community services.

CBO estimates Updates on Health Care Bill's Impact: In a letter to Senator Reid, the Congressional Budget Office (CBO), said it was overrated At the latest Senate bill's impact on health care deficit reduction in the second decade of adoption. The original estimate would be given the overhaul Reduce the deficit by half a percent yield of the GDP, the revised estimates indicate a reduction of between one quarter and one-half percent of GDP. The CBO confirmed that their estimate is accurate over the first 10 years, the deficit decreased by up to 132 billion U.S. dollars by 2019.

However, in a Wednesday letter to Senator Jeffery Sessions (R-AL), the CBO that the current Senate bill could possibly double count savings from Medicare as a means for the Senate Health Care to pay a bill. writes in the letter CBO Director Doug Elmendorf: "The point is that the savings (Hospital Insurance) trust fund under the (patient Protection Act, and affordable care) would receive from the government only once, it can not be set aside to pay for future Medicare spending and at the same time, pay for the running costs to other parts of the legislation or other programs. "Republicans quickly jumped on the letter as evidence that the Senate is the bill itself will not reduce the deficit over time, but rather, to add it.

Late last week estimated the CBO that cost the revised Senate bill 871 billion U.S. dollars in the next ten years, extend the supply of the insured. It would drastically Medicaid expand and offer federal subsidies for those who lack affordable coverage through employers. The nation is for the overhaul of about 400 billion U.S. dollars in new taxes and about $ 500 billion to pay cuts in programs such as Medicare.

Sen. Snowe, "Is No": Despite many weeks of negotiations with the republican Senator Olympia Snowe of Maine and several one-on-one meeting with President Barack Obama, Sen. Snowe indicated that they vote against the Senate legislation without significant changes. Sen. Snowe has a central figure in the health reform debate were the only Republicans on the Senate finance committee the bill, the vote passed in October. The loss Sen. Snowe of support came as a blow against democratic leaders, who hoped to reach a certain level of bipartisan support.

Other activities

AMA, AHA, AARP and FAH Show Support, AHIP contrary: On Monday, both the American Medical Association (AMA) and the American Hospital Association (AHA) Letter to Senator Reid indicates that emphasize support for the latest version of the Senate health care bill, while the requests for changes. The AMA, for example, hopes to change the independent board created for the growth of Medicare costs would be slow to see. Among other adjustments, called the AHA a change would lower Medicare payments to hospitals with high readmission rates. Endorsements also came from AARP and the American Federation of Hospitals (FAH). In contrast, a statement Friday from America's Health Insurance (AHIP) objections voiced against the bill, citing cuts with Medicare Advantage programs and caps on insurance administrative costs as a problem.

Public opinion

December polls show Americans Reject: "As a final vote on the Senate health care reform package is approaching, Americans are increasingly cautious their effects. The December Kaiser Health Tracking Survey found that:

* Only 35 percent of Americans said they would personally be better off if the health care reform, – a decline of 42 percent last month;
* Only forty-five percent of voters said the country would be better off with health care reform – a decline of 54 percent last month.

The latest survey results released Tuesday by Quinnipiac University showed that:

* Americans "reject the most part" (53 percent to 36 Percent) of the Senate's plan;
* A majority (56 percent to 38 percent lean) President Obama's handling of health care reform;
* Voters reject (72 Percent to 23 percent) with public money in the health care overhaul to pay for abortions;
* American support (56 per cent by 38 percent), people with the possibility of coverage through a national health insurance and
* A majority (64 percent to 30 percent) support enables young people buy into Medicare.

As years go passing health care reform to the end, the average of the monthly surveys since April shows that 82 percent of Americans say, a revision of the nation's health care system is important for boosting the economy. But taken in the recent Robert Wood Johnson Foundation survey in November, 60 percent said an overhaul will not affect their personal access to medical care or their family finances, and only about 40 percent, said a transformation is to improve access to health care throughout the nation. Further, only about 30 percent believe health care reform the church's financial status will help.

Search Ahead

Senate lawmakers are expected to vote on their last health care reform legislation early Thursday morning, the stage for reconciliation with the House Bill passed in November. If the legislature from holiday break in January, the Conference Committee between the two chambers return is expected that discussions begin to merge the two bills. Leaders of the House and the Senate had hoped for a final statement approved by Congress and to President Obama scheduled before the State of the Union address in late January or early February. But officials of the White House now show that, given tight legislative calendar in January this time frame unlikely.

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