Health Care Summit Time

The Week In Health Reform

The Week in Health Reform—Federal Legislative Overview

The White House
On March 3, President Obama continued his push for Members of Congress to complete health insurance reform legislation within the upcoming weeks.  He delivered a statement to a group of medical professionals in the East Room of the White House, in which he said that he has asked Senate and House leaders to finish work on health reform and schedule final votes in the next few weeks.  The President went on to say that the issues have been debated thoroughly and that now is the time to make a decision.  Although he did not specifically mention the budget reconciliation process, the President said that the American people deserve an “up or down” vote on health reform in the same way that welfare reform and tax cuts were approved by Congress in the past under reconciliation rules.

The President said that health insurance reform would change three things:

* End the “worst practices” of health insurance companies
* Give individuals and small businesses the same kind of choices members of Congress have
* Bring down health care costs for families, businesses and the government

The President made numerous references to the health insurance industry and stated that there is a fundamental disagreement between Republicans and Democrats about whether there should be more or less regulation of health insurance companies.  The President concluded by emphasizing that he will do everything in his power to make the case for health reform in the coming weeks, and he also urged the American people to make their voices heard.

In addition, the President said he is open to exploring policy priorities identified by Republicans at the bipartisan summit such as:

* Conducting undercover investigations of health care providers that receive reimbursement from federal programs.
* Appropriating funds for state-based demonstration programs to test alternative approaches, including health courts, to resolving medical malpractice suits.
* Linking Medicaid eligibility expansions to higher Medicaid reimbursement for physicians.

* Clarifying that Health Savings Accounts (HSAs) may be offered through the proposed health insurance exchanges.

On March 4, Health Care Service Corporation President and CEO Pat Hemingway Hall attended a meeting at the White House, along with CEOs from other leading health insurance companies and officials from the National Association of Insurance Commissioners.  The group met with Health and Human Services Secretary Kathleen Sebelius and President Obama to discuss premium issues in the individual market.

House and Senate
Congressional leaders are now focused intensely on developing legislative language that could be supported by a majority of members in both chambers.  The President’s comments last week send a strong signal that such legislation, once finalized, would move through Congress under budget reconciliation procedures.

Under reconciliation rules, the House first would have to pass the Senate version of the health care reform bill, H.R. 3590, which passed on Christmas Eve last year.  After that, the House would then be required to pass a separate “corrections” bill incorporating specific changes to that bill that will likely be negotiated among White House officials and House and Senate leaders.  After the House passes the “corrections” bill, under budget reconciliation procedures, the Senate would need at least 50 senators to vote for the “corrections” bill.  Under reconciliation rules, only a simple-majority vote of 51 votes are needed for passage (Vice President Joe Biden would be the 51st vote if only 50 senators vote for the bill) and filibusters are banned.

In order to meet the goal of sending a final health reform bill to the President’s desk before the Easter recess (which is scheduled to begin on March 29), congressional leaders would need to send legislative language to the Congressional Budget Office (CBO) for cost analysis in the very near future. On March 4, White House Press Secretary Robert Gibbs said that President Obama hopes the House of Representatives will pass the health reform bill by March 18, so the rest of the process can move swiftly.
Speaker Nancy Pelosi (D-CA) is now tasked with trying to corral votes in the House, while trying to assure those who are wary that the Senate will be willing to support the same measures. Some House members are worried about being left “holding the bag,” if the Senate decides it will not support some of the same legislative language.

In order to ensure the Democrats have enough votes, President Obama invited two groups of the Democratic Caucus to the White House on March 4 to continue to push for health reform passage.  Members from the Congressional Progressive Caucus were:
Caucus Chairs Raúl Grijalva (AZ) and Lynn Woolsey (CA), Congressional Asian Pacific American Caucus Chairman Mike Honda (CA), Congressional Black Caucus Chairwoman Barbara Lee (CA), Congressional Hispanic Caucus Chairwoman Nydia Velázquez (NY), Reps. Dennis Kucinich (OH), Lucille Roybal-Allard (CA) and Jan Schakowsky (IL), as well as delegates Madeleine Bordallo (Guam) and Donna Christensen (Virgin Islands).

Afterward, Obama met with key members of the New Democrat Coalition.   The New Democrats, like the Blue Dogs, are a group of fiscally conservative Democrats.  Attendees of this meeting included:  Reps. Jason Altmire (PA), Melissa Bean (IL), Lois Capps (CA), Joe Crowley (NY), Ron Kind (WI), Allyson Schwartz (PA) and Adam Smith (WA).

Overview: Extension of Physician Payment “Fix” and COBRA Provisions
On March 2, the Senate passed H.R. 4691, the “Temporary Extensions Act of 2010″ and President Obama signed it into law.  This legislation includes a one-month extension of the Medicare physician payment “fix,” premium assistance for unemployed workers with COBRA and state continuation coverage, unemployment insurance and several other legislative provisions that expired on February 28.  Before voting on passage of the bill, the Senate first voted on an amendment by Senator Jim Bunning (R-KY) that would have offset the $10 billion cost of the “extenders” package.  This amendment was defeated and therefore no further legislative action was needed.  The bill was later signed by the President.

Overview:  The “Health Insurance Industry Fair Competition Act” – H.R. 4626
In a letter dated March 3, 22 Democratic Senators wrote to Majority Leader Harry Reid (D-NV) urging him to bring H.R. 4626, the “Health Insurance Industry Fair Competition Act, to the Senate floor at its earliest opportunity.  In the letter they state that “[this legislation] is an important step toward bringing competition to the health insurance market, and would ensure that anticompetitive abuses such as price fixing and monopolization are policed in the health insurance industry.”  America’s Health Insurance Plans (AHIP) CEO Karen Ignagni maintains the position on the legislation saying, “The rhetoric surrounding repeal [anti-trust exemptions] does not match the reality of the situation.  Health insurance is one of the most regulated industries in America at both the federal and the state levels. The Act is extremely limited in scope and has nothing to do with competition within the health insurance industry.  In fact, a wide range of insurer activities, including mergers and many types of business practices, are and always have been subject to federal antitrust laws and to enforcement by the Department of Justice.”

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Untold Secrets: Lost in Time – Windows $19.99 SynopsisGet ready to get Lost in Time with this exciting collection of five hidden object games. Help young journalist Lina Woodberry find objects, spot the difference and win mini games in Unexpected Journey as she meets famous people from the arts and culture world on a lively cruise ship. Discover a rich tropical setting with ancient temples and steamy jungles as you follow adventurer Marcus Jones in Relic Hunt and attempt to decipher mysterious maps and unearth fantastic treasures. Stop the dreaded prophecy of the evil wizard Balaak from coming true as you help Selena save the kingdom of Rosefal The Lost Kingdom Prophecy. Enjoy relaxing gameplay with idyllic scenery as you join Jack on a fanciful trip to a bird sanctuary, an amusement park, a movie studio, a magic tent, an aquarium and more in My Beautiful Vacation. Earn bonuses for finding hidden jewels and solving clever riddles as you attempt to unravel the mystery surrounding a beautiful mansion in Time Riddles: The Mansion. Untold Secrets: Lost in Time features various mini games, including gem matching, spot the difference, solving puzzles and riddles and more. Whether you’re a hardcore gamer or a casual seeker, you can choose between relaxed and challenging timed gameplay. Experience the rich scenery, novelistic back stories, challenging searches and more in this enormous collection of five enchanting hidden object games.

Game Time Tampa Bay Rays Tube Watch $13.99 Show around-the-clock support for your team with this Game Time Tampa Bay Rays tube watch made from soft, silicone rubber material for a comfortable fit. Your team’s logo shows off your loyalty, while the digital display helps you stay on time.

Game Time San Francisco Giants Tube Watch $13.99 Show around-the-clock support for your team with this Game Time San Francisco Giants tube watch made from soft, silicone rubber material for a comfortable fit. Your team’s logo shows off your loyalty, while the digital display helps you stay on time.

Game Time Detroit Tigers Tube Watch $13.99 Show around-the-clock support for your team with this Game Time Detroit Tigers tube watch made from soft, silicone rubber material for a comfortable fit. Your team’s logo shows off your loyalty, while the digital display helps you stay on time.

The Legend of Zelda: Ocarina of Time 3D – Nintendo 3DS $39.99 SynopsisOne of the most critically acclaimed titles ever made returns, this time with the stunning realism of glasses-free 3D visuals. In The Legend of Zelda: Ocarina of Time 3D, Link embarks on a heroic adventure through time to prevent Ganondorf from seizing the ultimate power granted by the Triforce. Solve puzzles, travel through the expansive land of Hyrule and more as you explore this immersive world on your epic quest. Will you be able to put a stop to the Gerudo King of Thieves before he can reach this holy relic? The Nintendo 64 classic, The Legend of Zelda: Ocarina of Time, returns with amazing 3D visuals and a compete graphical overhaul to bring Hyrule to life. Explore the immersive world, solve puzzles, travel through time and more on your adventure to stop Ganondorf from seeking the Triforce, a holy relic that grants its holder ultimate power. Retaining the analog control of the original with the 3DS’ Circle Pad, Ocarina of Time 3D improves the ease of use with a touch-based inventory system for swift and simple item switching. Use the 3DS’ gyro sensor to take advantage of the camera-controlled first-person shooting. Revamped for the 3DS, The Legend of Zelda: Ocarina of Time 3D provides a brand-new adventure whether you’re a first-time visitor to Hyrule or a regular denizen of the legendary world.

Game Time Cincinnati Reds Tube Watch $13.99 Show around-the-clock support for your team with this Game Time Cincinnati Reds tube watch made from soft, silicone rubber material for a comfortable fit. Your team’s logo shows off your loyalty, while the digital display helps you stay on time.

Game Time San Diego Padres Tube Watch $13.99 Show around-the-clock support for your team with this Game Time San Diego Padres tube watch made from soft, silicone rubber material for a comfortable fit. Your team’s logo shows off your loyalty, while the digital display helps you stay on time.

Game Time Colorado Rockies Tube Watch $13.99 Show around-the-clock support for your team with this Game Time Colorado Rockies tube watch made from soft, silicone rubber material for a comfortable fit. Your team’s logo shows off your loyalty, while the digital display helps you stay on time.

Game Time Boston Red Sox Tube Watch $13.99 Show around-the-clock support for your team with this Game Time Boston Red Sox tube watch made from soft, silicone rubber material for a comfortable fit. Your team’s logo shows off your loyalty, while the digital display helps you stay on time.

Game Time Los Angeles Dodgers Tube Watch $13.99 Show around-the-clock support for your team with this Game Time Los Angeles Dodgers tube watch made from soft, silicone rubber material for a comfortable fit. Your team’s logo shows off your loyalty, while the digital display helps you stay on time.

Game Time Milwaukee Brewers Tube Watch $13.99 Show around-the-clock support for your team with this Game Time Milwaukee Brewers tube watch made from soft, silicone rubber material for a comfortable fit. Your team’s logo shows off your loyalty, while the digital display helps you stay on time.

Game Time Miami Marlins Tube Watch $13.99 Show around-the-clock support for your team with this Game Time Miami Marlins tube watch made from soft silicone rubber material for a comfortable fit. Your team’s logo shows off your loyalty, while the digital display helps you stay on time.

Game Time St Louis Cardinals Tube Watch $13.99 Show around-the-clock support for your team with this Game Time St. Louis Cardinals tube watch made from soft, silicone rubber material for a comfortable fit. Your team’s logo shows off your loyalty, while the digital display helps you stay on time.

Game Time Minnesota Twins Tube Watch $13.99 Show around-the-clock support for your team with this Game Time Minnesota Twins tube watch made from soft, silicone rubber material for a comfortable fit. Your team’s logo shows off your loyalty, while the digital display helps you stay on time.

Game Time Atlanta Braves Tube Watch $13.99 Show around-the-clock support for your team with this Game Time Atlanta Braves tube watch made from soft, silicone rubber material for a comfortable fit. Your team’s logo shows off your loyalty, while the digital display helps you stay on time.

Game Time Chicago White Sox Tube Watch $13.99 Show around-the-clock support for your team with this Game Time Chicago White Sox tube watch made from soft, silicone rubber material for a comfortable fit. Your team’s logo shows off your loyalty, while the digital display helps you stay on time.

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