Democratic Senators Tell White House of Concerns About Health Care Law Rollout
Published: April 25, 2013 - New York Times
WASHINGTON — Democratic senators, at a caucus meeting
with White House officials, expressed concerns on Thursday about how the Obama
administration was carrying out the health care law they adopted three years ago.
Democrats in both houses of Congress said some members
of their party were getting nervous that they could pay a political price if the
rollout of the law was messy or if premiums went up significantly.
President
Obamafs new chief of staff, Denis R. McDonough, fielded questions on the
issue for more than an hour at a lunch with Democratic senators.
Senator Jeanne Shaheen, Democrat of New Hampshire, who
is up for re-election next year, said, gWe are hearing from a lot of small
businesses in New Hampshire that do not know how to comply with the law.h
In addition, Mrs. Shaheen said, grestaurants that
employ people for about 30 hours a week are trying to figure out whether it
would be in their interest to reduce the hoursh of those workers, so the
restaurants could avoid the lawfs requirement to offer health coverage to
full-time employees.
The White House officials gacknowledged that these are
real concerns, and that wefve got to do more to address them,h Mrs. Shaheen
said.
Senator Tom
Harkin, Democrat of Iowa and chairman of the appropriations subcommittee on
health care, said he was extremely upset with Mr. Obamafs decision to take money
from public health prevention programs and use it to publicize the new law,
which creates insurance marketplaces in every state.
gI am greatly disappointed — beyond upset — that the
administration chose to help pay for the Affordable Care Act in fiscal year 2013
by raiding the Public Health and Prevention Fund,h Mr. Harkin said.
The administration said it had transferred $332
million from the prevention fund to pay for geducation and outreachh activities
publicizing the new insurance markets, or exchanges.
To express his displeasure, Mr. Harkin has blocked
Senate action on Mr. Obamafs nominee to be administrator of the Centers for Medicare and Medicaid Services,
Marilyn B. Tavenner. By putting a gholdh on the nomination, aides said, Mr.
Harkin hopes to draw the White House into negotiations on the future of the
prevention fund, which he has championed.
At Congressional hearings this week, Kathleen
Sebelius, the secretary of health and human services, said it was necessary to
tap the prevention fund because Congress had refused to provide money requested
by the president for outreach and education activities.
Senator Max Baucus, Democrat of Montana and chairman
of the Finance Committee, said last week that the administration deserved ga
failing gradeh for its efforts to explain the law to the public.
gI just see a huge train wreck coming down,h Mr.
Baucus said then.
But after hearing White House officials on Thursday,
Mr. Baucus said he was encouraged, and he praised the administrationfs efforts
to get healthy young people to sign up for insurance coverage.
Senator Benjamin L. Cardin, Democrat of Maryland, said
he told White House officials on Thursday that he was concerned about big rate
increases being sought by the largest health insurer in his state. The company,
CareFirst BlueCross BlueShield, has sought increases averaging 25 percent for
individual insurance policies that will be sold in the state insurance exchange,
and it is seeking increases of about 15 percent for small businesses. The
company said the higher premiums reflected costs of complying with the new law.
Senator Cardin said he was also distressed by the
administrationfs failure to require health insurers to provide affordable
coverage of dental services for children. The law lists pediatric dental care as
one of 10 categories of gessential health benefitsh to be provided by all health
plans.
Under a rule issued by the administration, Mr. Cardin
said, gthere is no guarantee or requirement that families have pediatric dental
coverage, and the coverage could be provided in a stand-alone plan with a
separate deductible, so that a family with two children might have to pay as
much as $1,400 in out-of-pocket costs for dental coverage.h
In that case, he said, many families would go without
dental coverage.
Congressional leaders wrestled at the same time with a
more parochial concern, health insurance for members of Congress and their
aides.
A provision of the 2010 law, sought by a Republican
senator, says members of Congress and many of their aides must get their health
benefits through the new insurance exchanges. Some lawmakers and their aides are
worried that the government may not continue to pay its share of the premiums.
Michael Steel, a spokesman for Speaker John A.
Boehner, said this was the gDemocratsf problem to solve.h
But Adam Jentleson, a spokesman for Senator Harry Reid
of Nevada, the Senate Democratic leader, said, gNo legislative fix is
necessary.h