Wednesday, July 29, 2009

Blue Dogs were able to Water Down House Health Care Bill

From Jeff Muskus at Huffungton Post:
Conservative Blue Dog Democrats on the House Energy and Commerce Committee are celebrating their success in delaying a full floor vote on health care legislation past the August recess and in weakening two key provisions during their negotiations with committee Chairman Henry Waxman.

"We have successfully pushed a floor vote to September," Mike Ross (D-Ark.) told reporters Wednesday afternoon. "The American people want us to slow down, and that's what we're doing here."

The Blue Dogs wrestled major concessions out of Waxman (D-Calif.), particularly related to a public health care option and employer mandates. The committee's current version of the public option now more closely resembles that of the health committee in the Senate, Ross proudly announced.

For instance, rather than linking the public option to the rates enjoyed by Medicare, the new language would require a separate agreement with significantly higher charges, Rep. Jerrold Nadler (D-N.Y.) said. Secretary of Health and Human Services Kathleen Sebelius would also have to sign off on any deal between the public option and service providers, while the plan would lack Medicare's bargaining power.

"The public option must go out and negotiate with providers, just like private health insurance companies do," Ross said. "It's strictly optional. It won't be mandated on anyone. It will not be based on Medicare rates."

Close to 86 percent of small businesses -- those with an annual payroll of $500,000 or less -- will be exempt from the mandate to provide employees with health insurance, according to the terms of the compromise. Those with an annual payroll between $500,000 and $750,000 must provide graduated partial assistance.

"That's as close as you can get to totally removing the mandate without removing it," Ross said. "Quite frankly, once you get up to three-quarter million a year in annual payroll, as a former small business owner myself, most of them are already providing health insurance, and if they're not, they should."

Under the original draft legislation, Ross said, barely one-fifth the number of businesses would have been exempted.

The Blue Dog negotiators -- Ross, Bart Gordon (D-Tenn.), Baron Hill (D-Ind.) and Zack Space (D-Ohio) -- account for a majority of the seven swing Blue Dogs on the Energy and Commerce Committee, and their approval marks a big step toward passing the bill out of committee and onto the floor, where it will be reconciled with the two other health reform bills from the Ways and Means and Education and Labor committees.

Ross said he and the other committee Blue Dogs are determined to keep the cost of the final bill under $1 trillion over 10 years. He stumbled a bit, however, on the question of how many Americans he expects a weaker bill to cover.

"As many as when we went into these -- our objective has always been to make health insurance affordable for as many people as we can in this country," he said, but estimated another 10 steps between the current bill and the one that will reach President Obama's desk. "There's going to be a lot of changes between now and then." more at link.

Lets hope there will be alot of changes for the better because we can't afford not to have a good bill with a good Public Option. I am hoping more people will demand that of their Senators and Reps. If not, we are doomed to a bad bill like Medicare part D.

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