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Details of Senate HCR Bill Emerge, Reconciliation on the Table (updated w/link to full text of bill)

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ProSense Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Nov-18-09 08:01 PM
Original message
Details of Senate HCR Bill Emerge, Reconciliation on the Table (updated w/link to full text of bill)
Edited on Wed Nov-18-09 08:12 PM by ProSense

Details of Senate HCR Bill Emerge, Reconciliation on the Table

by mcjoan

Word is leaking out from the Hill about the Senate's HCR bill. The bill will be posted sometime this evening online at democrats.senate.gov. In the meantime, these are the rough outlines that have appeared as various senators spoke with reporters after their caucus meeting this evening.

The bill comes in at $849 billion over the next ten years, and is projected to cut the budget deficit by $127 billion over 10 years and by $650 billion in the second decade; it will extend guaranteed coverage to more than 94% of Americans -- including a 31 million person reduction in the uninsured. (Update: In a briefing now with leadership staff: the CBO numbers aren't the official score, just the initial report. The full score still isn't available.) It's not universal coverage, but it's what we're getting for now. The bill contains both an excise tax on high-value insurance plans and a 1.95% increase in the Medicare payroll tax for high-income earners. It also includes a public option with a state opt-out.

Now on to some of the key issues.

On Stupak, The Hill reports that the bill "includes new language designed to prevent taxpayer money from financing abortions," according to Ben Nelson, who also said 'he received assurances that his concerns about abortion had been met." Pro-choice Senators, including Kerry, are supportive of what they've heard so far.

Sen. John Kerry (D-Mass.), who supports abortion rights, said Reid's new provisions would preserve the Hyde amendment while enabling people to buy insurance plans with abortion coverage on the exchange.

"We're basically going to keep current law, which is what we ought to do," Kerry said after the Democratic caucus meeting.

In an e-mailed statement, Kirsten Gillibrand adds

"While this bill is not perfect, the anti-choice measure that was included in the House bill is not contained in the Senate bill. The House's Stupak amendment would have resulted in grave risk to women and girls, particularly to low-income women. Denying a full range of reproductive services is not only discriminatory, but also dangerous, and puts the lives of women and girls at risk.


More details on financing comes from Kent Conrad who talked numbers:

Sen. Kent Conrad (D-N.D.) told reporters outside a caucus briefing that the bill includes a national public option with an opt-out provision for states, a tax on health insurance plans that exceed $8500 for individuals and $23,000 for families and language on abortion that does not go as far as Bart Stupak's amendment in the House. Conrad seemed supportive of the bill but would not fully commit to voting for it, saying he'd like to see amendments added.

Senate Majority Whip Dick Durbin, meanwhile, told reporters a cloture vote to bring the bill to the floor for debate (and amendments) is expected on Saturday.

more



Full Text Now Available, 11/18/2009
Download the complete text of the Patient Protection and Affordable Care Act, the Senate health insurance reform bill. (Click for PDF)



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jenmito Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Nov-18-09 08:05 PM
Response to Original message
1. K&R. Excellent! n/t
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and-justice-for-all Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Nov-18-09 08:05 PM
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2. The opt-out should not be left up to the states, but to the individual..
Glad to hear the stupak crap is not in this bill and we all would like to see those amendments that were added.
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CaliforniaPeggy Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Nov-18-09 08:10 PM
Response to Original message
3. I am cautiously optimistic.
This looks promising.

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jenmito Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Nov-18-09 08:25 PM
Response to Original message
4. kick
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Clio the Leo Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Nov-18-09 08:39 PM
Response to Original message
5. Dancing around the room with glee....
.... at the possibility of FINALLY being able to read the thing.

But I have a short attention span ....... can someone read it and give me the highlights? Have the Republicans told us how many pages are in it yet?
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babylonsister Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Nov-18-09 08:42 PM
Response to Original message
6. YAY! Rec'd! I love how they shut down the Stupak nonsense, too.
It will be interesting to hear how Hatch plans on getting around that.
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jenmito Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Nov-18-09 09:11 PM
Response to Original message
7. Maxine Waters was on The Ed Show when Reid made the announcement. She pointed out
(falsely, accidentally, I'm sure) that there were no women in Reid's group standing behind him, which concerned her re: the Stupak amendment. Sen. Stabenow was there. And Stupak is out. :D
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NYC_SKP Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Nov-18-09 09:16 PM
Response to Original message
8. Thanks, prosense... K&R n/t
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NYC_SKP Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Nov-18-09 09:56 PM
Response to Original message
9. The Full Text is now Available ONLINE:
Thanks again!!!

:applause:
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AllentownJake Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Nov-18-09 10:16 PM
Response to Original message
10. Summary of differences at this link
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BlooInBloo Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Nov-18-09 10:21 PM
Response to Original message
11. Also available from opencongress.org...
http://www.opencongress.org/articles/view/1364-Senate-Health-Care-Bill-Released-

And what Yglesias said about reconciliation is just right:

"Progressive members are being asked to support a bill that contains provisions they don’t necessarily like on the grounds that the overall package is better than the alternative. That needs to be a two-way street in which moderate members are, likewise, prepared to vote for a bill even if they don’t get there way on every single point."

http://yglesias.thinkprogress.org/archives/2009/11/reconciliation-is-in-the-vicinity-of-the-table.php
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AllentownJake Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Nov-18-09 10:43 PM
Response to Original message
12. Like the Senate mandate provision better
Like the House Pre-Existing Condition better upon quick read.

The 60% coverage for the minimum acceptable plan is also pretty shitty in the Senate Bill. A 40% co-pay is still going to bankrupt a lot of people and it might be the minimum coverage they can afford.
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BlooInBloo Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Nov-18-09 11:07 PM
Response to Original message
13. Opt-out implementation appears to be flawed...
182
20 (3) STATE OPT OUT.—
21 (A) IN GENERAL.—A State may elect to
22 prohibit Exchanges in such State from offering
23 a community health insurance option if such
24 State enacts a law to provide for such prohibi
25 tion.

183
1 (B) TERMINATION OF OPT OUT.—A State
2 may repeal a law described in subparagraph (A)
3 and provide for the offering of such an option
4 through the Exchange.

223
6 (2) STATE OPT-OUT.—A State may, by specific
7 reference in a law enacted after the date of enact
8 ment of this title, provide that this subsection shall
9 not apply to that State. Such opt-out shall be effec
10 tive until such time as the State by law revokes it.


It's legislature-based, rather than idiot-governor based, which is good.

But there needs to be a 3-5 year incubation period before dumbasses states should be permitted to opt out - like Wiener says. Hopefully that gets fixed in conference, or somewhere else en route to Obama's desk.
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ProSense Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Nov-18-09 11:11 PM
Response to Reply #13
14. It may take that long
just to get a legistlature to come to consensus about opting out. I still don't believe any states will. Some will posture as they did with the stimulus, but they'll fold to public pressure.

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BlooInBloo Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Nov-18-09 11:13 PM
Response to Reply #14
15. I don't think they will either. But regardless, the incubation period should be there...
I.e., plan for the stupidest, hope for something better.
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