Baucus to Boost Aid for Uninsured, May Trim Plan Tax (Update1)
Sept. 22 (Bloomberg) -- Senate Finance Committee Chairman Max
Baucus will seek to make insurance more affordable for low- income
people and may scale back a proposed tax on high-end health plans to win
support for an overhaul of the system.
The Montana Democrat, whose health-care proposal drew fire last week
from both parties, will expand subsidies for people trying to obtain
coverage through an online exchange, said Senator Kent
Conrad, a finance panel member. He is also likely to cut back an
excise tax on so-called Cadillac plans so fewer people would be affected,
a critical issue for labor unions.
Baucus discussed other amendments with fellow Democrats last night,
including one to lower penalties for those who fail to buy insurance.
Conrad said he is likely to cut in half a $3,800 fine on families that
donft meet the insurance mandate.
gThis is our opportunity to make history,h Baucus said today as his
committee began meeting to amend the proposal. He recalled failed efforts
to overhaul the health-care system in the past and said his plan is
tempered, avoiding too much government intervention in an attempt to win
bipartisan support.
The top Republican on the panel, Senator Charles
Grassley of Iowa, said he canft support the proposal as put forth, in
part because itfs too costly. He blamed the White House and Senate
Democratic leaders for pushing for speedy action rather than lengthier
talks with Republicans for compromise.
Democrats, he said, gwould like to see it done now, rather than to see
it done right.h
Affordability Concern
Baucus plans to present a revised proposal gthat addresses a lot of the
individual concerns of members,h he told reporters after the meeting in
his office on Capitol Hill yesterday. gAnd the most frequent concern Ifm
hearing about is affordability.h
Democrats in Congress are struggling to meet President Barack
Obamafs call for legislation that curbs the rising cost of health care
and expands coverage to most of the 46 million Americans who lack health
insurance.
The finance panel is drafting the legislation this week, making it the
fifth and final congressional committee to deal with the issue. The
modifications present a challenge to Baucus in his bid to get a measure
before the Senate that can get the 60 votes needed to block Republican
delaying tactics. Democrats control 59 votes, making some bipartisan
support necessary.
564 Amendments
Members of the committee, split between 13 Democrats and 10
Republicans, have filed 564 amendments for consideration. The changes
would add to the cost of the proposal, which Baucus last week placed at
$856 billion. Baucus will build in other cost cuts to make way for the
changes.
His legislation would require almost all Americans to have insurance or
pay a penalty. It would also expand Medicaid and provide subsidies to help
millions of people get coverage.
The plan uses nonprofit cooperatives rather than a government program
to compete against Hartford, Connecticut- based and other insurers. The
government program, or gpublic option,h is favored by many Democrats,
including Obama, as the best way to lower prices. The Baucus proposal also
drops a mandate that employers provide insurance for workers.
Both provisions are designed to make the measure more attractive to
Republicans, although no Republican in the chamber has yet signed on.
Medicare Savings
To pay for his plan, Baucus seeks savings in programs such as Medicare,
the federal insurance plan for the elderly. In addition to the levy on the
costliest health plans, he wants to impose about $13 billion in fees on
insurers, medical-device manufacturers, drugmakers and clinical
laboratories.
Most of the toughest criticism of his plan has been in the area of
affordability. Under his original proposal, beginning in 2013, tax credits
would be available on a sliding scale to individuals and families earning
between 134 and 300 percent of the federal poverty level, based on the
percentage of income spent on health premiums. The scale ranges from 3
percent to 13 percent of income.
Additionally, those at between 300 percent and 400 percent of the
poverty level can get a tax credit to help pay for their insurance once
theyfve spent 13 percent of their income on coverage.
Some senators, including Democrat Ron
Wyden of Oregon, say 13 percent is too high, and Conrad, a North
Dakota Democrat, said the cap on income would probably be brought down.
The penalties for people who fail to get insurance also face criticism.
Baucus proposed last week imposing fines of $750 per person and $1,500 per
family for those between 100 percent and 300 percent of the poverty level,
and $950 for individuals and $3,800 for families for those at higher
income levels.
Penalty for Families
The penalty for families at the higher income levels is likely to be
cut in half to $1,900, Conrad said. The individual levy will probably stay
at $950.
As the panel weighs in, other key changes lawmakers want to make
include a plan by Senator Olympia
Snowe, a Maine Republican, to create a nonprofit government entity to
provide insurance if private coverage proves too expensive for some
people. Her amendment would establish the program in any state unless
coverage is deemed affordable to at least 95 percent of the residents.
To contact the reporters on this story: Laura
Litvan in Washington at llitvan@bloomberg.net
Last
Updated: September 22, 2009 09:54 EDT