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VOL. 124 | NO. 112 | Wednesday, June 10, 2009

US Senate Dems to Start Work Next Week on Health Care

DAVID ESPO | Associated Press Writer

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WASHINGTON (AP) - Senate Democrats announced plans Tuesday to begin committee work next week on health care legislation designed to assure coverage for millions of Americans who now lack it, a key objective of the Obama administration.

But Sen. Chris Dodd, D-Conn., said the measure that goes before the Senate Health, Education, Labor and Pensions Committee would contain gaps rather than include several controversial features included in a draft that circulated only last week. Among them are a proposed government-run insurance plan to compete with private companies – vociferously opposed by nearly all Republicans – and a requirement for employers to pay a penalty if they fail to provide coverage for their workforce.

Dodd said he would preside over the sessions in the place of Sen. Edward M. Kennedy, D-Mass., the committee chairman, who was diagnosed more than a year ago with brain cancer and has not been in the Capitol in recent days. The committee work will take about three weeks, he said.

Sen. Mike Enzi, R-Wyo., the top Republican on the health committee, responded dismissively to Dodd's comments about leaving gaps for GOP lawmakers to debate.

He said Democrats did so "because they know we're not going to like what they've written and they don't want us to have any time to comment," he said in an interview.

Enzi also said Democrats would have behaved differently if Kennedy were present.

"I've never worked a process on any bill with him that went like this where there was absolutely no input taken from the other party," Enzi said. "And I never treated him that way either."

"What the question is, is Senator Dodd in charge or is he just running the meeting, and we don't know yet," Enzi said.

Dodd's announcement signaled a quickening pace of activity on health care legislation, and came as senior House Democrats disclosed they are considering a new tax on employer-provided health benefits to help pay for expanding coverage to the 50 million uninsured. President Barack Obama opposed a tax on benefits during last year's campaign and aired numerous television commercials criticizing the idea when his Republican rival, Sen. John McCain, proposed it.

Several officials also said an outline of emerging legislation in the House envisions a requirement for all individuals to purchase affordable coverage, with an unspecified penalty for those who refuse and a waiver for those who cannot cover the cost.

"There's no sense having a mandate unless you have a contribution," Rep. Charles Rangel, D-N.Y., chairman of the House Ways and Means Committee, said Monday. He referred to the suggestion as "play or pay."

Rangel and other senior Democrats arranged to bring members of the party's rank and file up to date at a midday session Tuesday on the effort to draft health care legislation at the top of President Barack Obama's agenda.

The officials spoke on condition of anonymity, saying they did not want to pre-empt the presentation to rank-and-file Democrats on Tuesday.

Under an outline of the House Democratic plan, individuals and small businesses would be able to purchase coverage from a "health exchange" and the government would require all plans to contain a minimum benefit. No applicant could be rejected for pre-existing conditions, nor could one be charged a higher premium.

The outline shows Democrats want to provide subsidies to families up to about $88,000 a year to help them pay for insurance, and to require new policies to limit out-of-pocket spending as a way to prevent personal bankruptcies.

House Democrats also are considering a wide-ranging change for Medicaid that would provide a uniform benefit across all 50 states and increase payments to providers, according to several officials. Medicaid is a joint state-federal program of health coverage for the poor.

The measure also envisions several changes to Medicare, the government program that provides health care to seniors, although details are lacking.

According to the outline, the gap between primary care physician fees and those of specialists would be narrowed, and beneficiaries would not incur out-of-pocket costs for preventive services. The outline also mentions unspecified improvements in the prescription drug benefit. Democrats vociferously opposed that benefit when Republicans passed it, saying it provided billions in unnecessary subsidies to pharmaceutical companies.

The outline does not include an overall cost for the legislation, which is expected to exceed the $1.2 trillion, 10-year price tag Obama's proposal carried last winter.

Part of the cost would be covered in the form of cuts in the government payments under Medicare plans run by private insurance companies, which receive more per patient than the cost of traditional coverage.

Strikingly, the outline made no mention of the possible tax on health benefits, or of the proposed penalty for those refusing to purchase affordable insurance.

Several officials stressed that no final decisions would be made for several days on the possible tax on health benefits.

The idea has been gaining currency in recent weeks as Congress intensifies its search for more than $1 trillion to help pay for a health care overhaul.


Associated Press writer Ricardo Alonso-Zaldivar contributed to this report.

Copyright 2009 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

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