Blog Watch

Posts Tagged ‘employer mandate’

Handicapping The Health Bill Negotiations

Bloggers are mulling over Democratic leaders’ terms of negotiation for merging the House and Senate health overhaul bills.

Wonk Room’s Igor Volsky eyes stories on whether the “ping pong” strategy is working, and thinks the talks have hit some obstacles: “But now, House negotiators are suggesting that the Senate’s excise tax, state-based exchanges, poor affordability standards and preservation of insurers’ anti-trust exemption may not have enough votes to pass the House.”

The American Spectator’s Philip Klein reacts to news that collectively-bargained agreements might be exempt from the so-called ‘Cadillac tax’: “If this policy is adopted, it would mean that there could be two Americans receiving the exact same benefits, but one American may be taxed and one wouldn’t, and the only difference would be one of them being a member of a union. This is unseemly and unfair, even by the standards of Obamacare.”

Austin Frakt mulls over what the ultimate employer “responsibility” (i.e mandate) could be in the health overhaul proposals, and concludes: “I don’t like the Senate’s employer provisions relative to those of the House, but how bad is it in absolute terms? I don’t think it is that bad. The minimum benefit standard is lower than the House’s but not tremendously lower (60% vs. 70% of actuarial value). Though there are loopholes that afford employers some wiggle room, it is a lot less wiggle room than they have now.”

Heritage’s Kathryn Nix argues that the Office of Personal Management, which oversees the Federal Employee Health Benefit Program, shouldn’t  take on the added responsibility of “sponsoring health plans to compete against private health plans in every state in the nation” in the Senate proposal.  She says that the FEHBP’s responsibilities shouldn’t change as proposed under the Senate bill: “[it] works because OPM plays the neutral role of an umpire: federal employees choose the private plan they like from a wide variety of different plans, all of which compete against each other to attract the most enrollees. The federal government provides its employees with a defined contribution towards their health costs, and it doesn’t micromanage their choices.”

A special election in Massachusetts has some worried about losing a long-time Democratic vote in Congress: the late Edward Kennedy held the Senate seat for decades. 

The Washington Post’s Ezra Klein predicts that it won’t matter for the final health reform vote if Martha Coakley, the Democratic candidate, loses the election. According to Klein, even if she loses, it would take a while for Scott Brown, her opponent, to be confirmed and sworn in.

And Hot Air’s Ed Morrissey, looking at reports that longtime Senator Russ Feingold, D-Wisc., was heckled over the issue of health care at a recent constituent meeting in Wisconsin, says: “The town hall meeting phenomenon has not dissipated at all.  Perhaps the media isn’t giving it quite as much coverage as before — and perhaps Democrats aren’t holding town-hall meetings because of the certainty of this kind of reception.  But that is bigger news than whether Harry Reid retains his position as Majority Leader, at least in terms of policy and governance.”

Wednesday, January 13th, 2010

Will Obama agree to drop a public plan and employer mandate? Should he?

Another day, another health reform timeline.  The newest is courtesy of the Wall Street Journal, which takes on a stealth veener using a black background and short descriptions:

wsj-timeline

But the spotlight is back on Obama as the President is on the road again, stumping for his health care overhaul. ABC New’s Jake Tapper reports that Obama will lay out “eight specific consumer protections that he wants to be part of reform” in today’s event, including: no preexisting condition exclusions, no gender discrimination in pricing and no lifetime or annual caps. 

Time’s Karen Tumulty scored an interview with Obama yesterday. He explained the basics of how he defined a public plan — that it ought to be a taxpayer-subsidized system, self-sustaining through premiums, competing with private insurers. And she pressed the President on whether a nonprofit cooperative would be a sufficient stand-in for a public plan option:

And would a co-op fit that definition?

[Obama]: Well, I think in theory you can imagine a co-operative meeting that definition. Obviously sort of the legal structure of it is less important than practically how can it operate. There are concerns that in the past, attempts at setting up co-ops have not been successful because they just haven’t been able to get off the ground; sort of the start-up energy involved may not exist if you’re doing a state-by-state co-op effort as opposed to a broad national plan.

The Washington Post’s Ezra Klein would probably agree with the President — Klein devotes an entire post to progressives’ emphasis on a public plan, arguing:

The public option is not now, and has not ever, been the core of the argument for heath-care reform. It is the core of the fight in Washington, D.C. It is an important policy experiment. But it was not in Howard Dean or John Kerry or Dick Gephardt’s plans, and reformers supported those. It was not in Bill Clinton’s proposal, and most lament the death of that. It is not what politicians were using in their speeches five years ago. It is a recent addition to the debate, and a good one. But it is not the reason were are having this debate.

Klein stresses the rare opportunties for significant reform (perhaps he’s been brushing up on his timelines), and concludes: “There are many themes in the sad and frustrating history of health-care reform. But one of the central ones is that there were many points when Democrats could have accepted a compromise and did not. … Put more sharply, the question should be whether this bill is better or worse than another 19.5 years of the deteriorating status quo.”

What about the other item the Senate Finance Committee might drop –  the employer mandate? John Tozzi of Business Week’s The New Entrepreneur tracks recent comments and concludes that Obama and lawmakers are moving toward nixing the mandate to provide health insurance to employees: “It sure sounds like Obama’s signaling that he’d sign a bill without an employer mandate, and that would help bring moderate Republicans like Snowe on board.”

Would such a move satisfy Michael Cannon? His article in the new National Review argues that employer (and individual) mandates are “socialized medicine with a private façade.” Cannon surmises: “We’ll know by watching Senator Grassley whether conservatives have learned that lesson.”

James Capretta of Diagnosis isn’t convinced — he calls the proposal to enact a free-rider clause in place of a mandate “a distinction without a difference.”  Capretta continues:

Businesses not offering insurance today would still be forced to pay a hefty fine for all of their workers who got newly subsidized insurance through the so-called “exchanges.”  That’s the exact same concept behind the House’s “pay or play” employer mandate.  Employers either get their workers into job-based plans — or else.   How is that not a mandate? 

But Gerald Seib, the Wall Street Journal’s executive Washington editor, thinks the stalemate on Capitol Hill would have been eased if not for “the absence on the front lines of four big personalities — Rep. John Dingell, Sen. Ted Kennedy, former Sen. Tom Daschle and Sen. John McCain — that helps explain why Congress and the Obama administration are having such a hard time getting something done.”

Either way, it’s July 29th, and the clock is ticking.

Wednesday, July 29th, 2009

Action Swirls Around CBO Director

Congressional Budget Office Director Douglas Elmendorf, the man at the center of renewed uproar about the cost of health reform, gives readers the dirt on his meeting with President Obama and others at the White House:

I was invited to the White House to meet with the President, his key budget and health advisers, and some outside experts.  The President asked me and the outside experts for our views about achieving cost savings in health reform.  I presented CBO’s assessment of the challenges of reducing federal health outlays and improving the long-term budget outlook while simultaneously expanding health insurance coverage–just as we had explained these challenges in a letter to Senator Conrad and Senator Gregg last month.  I also described CBO’s view of the effects of the health legislation we have seen so far, as I did last Thursday in a hearing at the Senate Budget Committee and a mark-up at the House Ways and Means Committee.  In addition, I discussed various policy options that could produce budgetary savings in the long run, drawing on CBO’s Budget Options for Health Care released in December, our letter to Senators Conrad and Gregg last month, and my comments last Thursday.  Other participants in the meeting expressed their own views on these various topics.

Also, an intriguing post from Andrew Biggs at AEI asks if changing Peter Orszag’s job from head of CBO to director of the Office of Management and Budget was Obama’s “worst personnel move.”  According to Biggs:

The problem isn’t with Peter himself, who has both strong technical abilities and (rarer still) the ability to make complex points understandable to the press. As an advocate for his positions, he is extremely effective. The problem is that Obama’s health plans need a favorable CBO score a lot more than they need another effective advocate, and right now they’re not getting much joy from the CBO under current director Doug Elmendorf.

Related, Politico Pulse this morning reports:

Want to make (Budget Commitee Chairman Kent) Conrad speechless? Ask him about Peter Orszag’s comment Tuesday that the so-called doc fix — a $245 billion proposal to raise fees for doctors treating Medicare patients — would not be covered by Obama’s pledge to fully pay for health care reform. Orszag told reporters on a conference call that the administration always assumed the money would need to be spent to avoid a scheduled 21 percent reduction in doctor’s fees. … “That is an interesting concept,” Conrad said. So is fair to say you don’t agree with him? “Just call the CBO,” Conrad said as he booked out of an exit off the Senate floor. “I’m advising you to talk to others, you know. Call objective third parties and ask them.”

Meanwhile, Obama is scheduled to hold a prime-time news conference this evening to discuss his goals for a health overhaul as what appears to be part of a broader effort to pressure Congress.  Time’s Karen Tumulty reports, “With Congress looking less and less likely to make Obama’s deadline for House and Senate passage by the August recess, however, there are signs that he is shifting into a different gear. One close Obama ally predicted to me: ‘He’s going to become increasingly specific–and increasingly persistent–about the things he does and doesn’t want’ in the health care bill.”

Keith Hennessey has “20 questions” for Obama’s presser, like “Experts across the policy and political spectrum say that repealing or limiting the tax exclusion for employer-provided health insurance is a good way to bend the health cost curve down.  Some powerful unions oppose this change.  Your position has so far been ambiguous.  Do you think this change would be good policy?  Are you willing to support it if it attracts Republican votes?”

Elsewhere, the Heritage Foundation has a new paper from James Sherk and Robert Book that argues “Congressional rhetoric to the contrary, much of the burden of paying for an employer mandate will fall on ordinary Americans, and lower-income workers will be hit the hardest.”

Think Progress says that insurer lobby AHIP is recycling the strategy used against Michael Moore’s SiCKO documentary to stake out their position on the current overhaul legislation.

The Washington Post’s Ezra Klein looks at Republican National Committee Chairman Michael Steele’s speech Monday opposing Democratic health reform efforts.  Klein notes, “At one point, a questioner asked whether Republicans support covering everybody. ‘I don’t do policy,’ replied the leader of the Republican Party.”

Wednesday, July 22nd, 2009