Kaiser Daily Health Policy Report

Monday, November 17, 2008

Capitol Hill Watch

      A "broad-based stimulus favored by Democrats" that includes additional federal Medicaid funds for states "seems highly unlikely" to pass this week during a lame-duck session of Congress amid opposition from Republicans, CQ Today reports (CQ Today, 11/14). According to Roll Call, Democrats "now acknowledge that passage of an economic stimulus plan or automaker bailout will likely have to wait until next year" (Pierce/Dennis, Roll Call, 11/17). Whether either the Senate or the House will hold a vote on a stimulus package remains uncertain, according to CongressDaily (Bourge/Schneider, CongressDaily, 11/14).

Senate Democrats could attempt to pass a stimulus package that the House approved in September, but Senate Majority Leader Harry Reid (D-Nev.) has acknowledged that Republicans likely would object to his request for unanimous consent on the bill (Roll Call, 11/17). In the House, which plans to return to session on Wednesday, any stimulus package that reaches the floor would include additional federal Medicaid funds for states, although the increase would remain small in an effort to prevent a veto by President Bush, according to Energy and Commerce Committee Health Subcommittee Chair Frank Pallone (D-N.J.) (Sanchez et al., CongressDaily 11/17).

Assistance for Automakers
As early as Wednesday, the Senate plans to vote on a bill that would provide automakers with $25 billion in loans from the recently enacted $700 billion bailout for Wall Street firms, CongressDaily reports. The House also could vote on the legislation, although the prospects for passage remain uncertain in both chambers, according to CongressDaily (Goode, CongressDaily, 11/14).

Executives from United Auto Workers, General Motors, Chrysler and Ford earlier this month in a meeting with House Speaker Nancy Pelosi (D-Calif.), Reid and other congressional leaders asked for $25 billion in additional federal loans for health care payments for retirees. The loans would help cover the contributions from the companies to a voluntary employees' beneficiary association for UAW retirees. Executives for the companies also asked for $25 billion in loans to maintain operations (Kaiser Daily Health Policy Report, 11/14).

Additional Developments
Summaries of several developments related to the new Congress appear below.

Opinion Piece
GM "should be allowed to go bankrupt," a move that would allow the company to renegotiate health benefits and make other needed changes, Michael Levine, a research scholar and a senior lecturer at New York University School of Law, writes in a Wall Street Journal opinion piece. In addition, a "GM bankruptcy will make addressing health care coverage more urgent, which is probably a good thing," according to Levine (Levine, Wall Street Journal, 11/17).