NASUA Health Care Reform Update

June 22, 2009


WASHINGTON, DC – The Senate Health Education Labor and Pensions (HELP) Committee began hearings on health care reform last week amid reports of preliminary cost estimates by the Congressional Budget Office (CBO). Senator Edward Kennedy’s (D-MA) bill, the “Affordable Health Choices Act” was estimated to cost $1 trillion and cover only 16 million out of 47 million uninsured Americans. The Senate Finance Committee’s bill was estimated to cost $1.5 trillion. Neither of those proposals was complete when scored.

Finance Committee Chairman Max Baucus (D-MT), who was planning to release his draft legislation last week, delayed the release of that committee’s proposal to look for further savings. The Senate Finance Committee’s markup will also be delayed until possibly after the July 4 recess. The Senate HELP Committee, led by Senator Chris Dodd (D-CT) in ailing Chairman Kennedy’s absence, will continue its daily hearings beginning at 3 p.m. today through the end of the week. The committee’s archived hearings are available at: http://help.senate.gov/Hearings/2009_06_17_E/2009_06_17_E.html

House Democratic leaders from three committees of jurisdiction released an 852-page draft bill last week. It excluded provisions on how to pay for the bill due to divisions between House and Senate Democrats. Some revenue proposals include taxing employer sponsored health benefits, increasing the Medicare payroll tax, adding a “value-added” tax, and taxing soda and alcoholic beverages. The House bill includes a mandate on consumers to carry health insurance, and a mandate on employers to provide a health insurance benefit. It also provides for a public insurance option that would compete with private insurance plans.

The House Energy and Commerce Health Subcommittee will hold hearings on health reform on Tuesday and Thursday. The House Ways and Means Committee, which oversees taxes, Medicaid and Medicare, will hold a hearing on Wednesday morning in which it is expected to release some of the first revenue details for the House Democratic approach.

The President has said he would like to sign health care legislation by October, setting an ambitious timeline for Congress. To have a bill to the President by October, Democratic leaders in Congress aim to complete their committee work and vote on the bills in their respective chambers before the August recess. Differences between the final House and Senate bills – on how to fund the measure and what a public option would look like, for instance – could then be worked out in a conference committee in September. With timelines slipping in both chambers, that is proving to be an elusive goal.

NASUA will provide ongoing information about the health reform debate, the evolving health reform proposals, and instructions for advocacy efforts in upcoming email alerts. Please also check out the Project 2020 blog for updates on our legislation and health care reform.

Surface Transportation Act of 2009

House Committee on Transportation and Infrastructure Chairman James L. Oberstar (D-MN) has released a white paper to outline plans for the new surface transportation authorization bill. The authorization bill is currently being drafted and will replace the current authorization, SAFETEA-LU, which is due to expire on September 30. Oberstar has promised that the new authorization will transform the way the federal government invests highway, safety, and transit funds.

The Surface Transportation Act of 2009 redefines the Federal role and restructures the Federal surface transportation by consolidating or terminating more than 75 programs. The consolidation creates Highway and Transit funding, each of which have four program categories.

Within transit funding, one of the program categories is providing mobility and access to transit-dependent individuals. Many of the current programs that assist aging Americans and individuals with disabilities are slated for consolidation into the access and mobility program or termination.

Programs slated for consolidation into the mobility and access program include:
• ADA Project Action
• Elderly Individuals and Individuals with Disabilities Program Section 5310
• Human Services Transportation Coordination
• Job Access and Reverse Commute Program
• National Technical Assistance Center for Senior Transportation
• New Freedom Program

Programs slated for termination include:
• Growing States and High Density States program
• Contracted Paratransit pilot program
• Elderly Individuals and Individuals with Disabilities pilot program
• Medical Transportation Demonstration Grants
• Over-the-Road Bus accessibility program

The news conference, originally set for Wednesday, June 17, occurred instead late in the afternoon on Thursday, June 18 at in the Rayburn House Office Building.

To view the executive summary of the white paper:
http://transportation.house.gov/Media/file/Highways/HPP/Surface%20Transportation%20Blueprint%20Executive%20Summary.pdf

To view a full list of the programs slated for consolidation or termination:
http://transportation.house.gov/Media/file/Highways/HPP/Surface%20Transportation%20Blueprint%20Program%20Consolidation.pdf

To view a video of the news conference:
http://transportation.house.gov/