Schip, Medicare Dr. Fee Cuts, In Addition To Medicare Advantage--We're Getting Downwards To Mash Time

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Schip, Medicare Dr. Fee Cuts, In Addition To Medicare Advantage--We're Getting Downwards To Mash Time

Since September of 2006, I convey been pointing to this year-end every bit the fourth dimension that would take away or thence big budget decisions impacting SCHIP, the scheduled 10% Medicare physician fee cut, and corresponding Medicare Advantage cuts to wellness plans to pay for the doc fix.

Guess what? New Year's is but over half dozen weeks away.

For now, each of these issues is bogged downward inwards the overall budget stalemate betwixt Congress as well as the White House.

Work to larn plenty Republicans to assist the Democrats override the Bush veto of the SCHIP bill is stalled as well as is non going to live accomplished before Thanksgiving. The occupation directly is that the Democratic leadership has shown a willingness to toughen upward the neb over eligibility as well as citizenship requirements to delight the Republicans entirely to convey the "TriCaucus"--that includes the Congressional Black Caucus, Asian Pacific American Caucus, as well as Hispanic Caucus--say they won't vote for a SCHIP neb that has given upward also much.

Just before the Thanksgiving recess, Democratic leaders made a major force to larn an understanding amongst plenty Republicans to override the Bush veto but were non able to detect mutual ground. They volition attempt i time again inwards Dec but the fact that amongst such groovy attempt they were non able to larn it done this calendar week does non bode well.

As I convey told y'all before, the doc fee cut occupation as well as corresponding proposed Medicare Advantage insurer payment cuts are going to live worked out inwards the Senate Finance Committee. Ignore everyone else, that is where whatever bargain volition live done.

This week, Democratic Senate Finance Chair Max Baucus said he is getting ready to free a neb that fixes the 10% physician cutting for 2008 and the side past times side scheduled cut of 5% inwards 2009. To create so, he would cut Medicare Advantage payments past times virtually $20 billion. His neb would also spend to a greater extent than on rural seniors as well as cut abode oxygen providers as well as home wellness care.

On the Republican side, ranking Republican Senator Grassley said he would rather run across a one-year fix to the Medicare physician fee problem as well as a smaller Medicare Advantage cut----likely thinking it volition live easier to larn something that either the White House approves or tin live overridden if it is vetoed.

No consensus has all the same been achieved--and as well as thence at that topographic point is the White House to bargain with.

In the meantime, the SCHIP bill is operating nether a continuing resolution (CR) until Dec 14th--which tin live easily extended. However, the longer this goes on the to a greater extent than states that volition run curt of SCHIP coin as well as convey to cutting kids--all of which volition live on the forepart page of the local newspapers. The CR coin isn't plenty to sustain electrical flow enrollment levels for long.

The Medicare docs larn cutting 10% on New Year's day unless a bargain tin live reached.

There volition live a bargain inwards the Congress on the MD cuts as well as Medicare Advantage as well as it volition take away identify afterward inwards Dec than earlier. It mightiness fifty-fifty slide into the early on business office of the New Year's Day amongst a retroactive effective appointment to Jan 1.

Yesterday, the House savage but 2 votes curt of overriding the Bush veto of the Labor/HHS spending bill. It is clear that the Dems convey non all the same constitute the combination necessary to larn those last few Republican votes to larn a SCHIP or budget bill.

The Democrats are directly talking virtually combining all of the ten remaining spending bills into i giant bill. They are proverb they would "split the difference" inwards the full budget disagreement amongst Bush, move past times it, as well as and thence care it out. It is probable that whatever doc fix as well as Medicare Advantage cuts volition live caught upward inwards that.

On timing, the entirely affair that is surely is that no fellow member of Congress volition immature lady a vacation dinner. Kids mightiness lose their wellness insurance though.

The overnice affair virtually the 12-year Republican dominion of Congress is that they knew how to run a "railroad." Maybe they spent "like drunken sailors" as well as kept votes opened upward until four am spell they shell their people up, but they knew how to enforce dependent plain inwards their ranks as well as larn bills passed inwards fourth dimension to select grip of the terminal bird out of town.

I recall I immature lady Tom DeLay!


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