Senate Finance Commission Reaches Bipartisan Understanding To Fund S-Chip Expansion Amongst A Tobacco Tax--No Cuts To Medicare Advantage

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Title : Senate Finance Commission Reaches Bipartisan Understanding To Fund S-Chip Expansion Amongst A Tobacco Tax--No Cuts To Medicare Advantage
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Senate Finance Commission Reaches Bipartisan Understanding To Fund S-Chip Expansion Amongst A Tobacco Tax--No Cuts To Medicare Advantage

The Senate Finance Committee has reached a tentative understanding to expand the State Children’s Health Insurance Program (S-CHIP) past times increasing the tobacco tax past times or therefore other 61 cents—for a full per pack federal taxation of $1. With patch taxes, the average per pack taxation would rising to nearly $1.68.

Under the agreement, the Senate would non larn forrad alongside whatever Medicare Advantage cuts to fund S-CHIP.

While 2 meg kids would last added to the vi meg already covered, the computer program would last tightened upwardly inwards other places. The tentative bargain reportedly includes excluding all adults except important women in addition to moving whatever adults currently covered to Medicaid.

Democrats get got called for an increase to S-CHIP spending of every bit much every bit $50 billion over 5 years. This compromise would increase the program’s spending past times nearly $35 billion over 5 years.

It appears the House is nonetheless interested inwards putting Medicare Advantage cuts on the tabular array every bit business office of their parallel legislation that would increase S-CHIP spending past times $50 billion. However, without Senate back upwardly it volition last real difficult for the House to larn to a greater extent than than the Senate compromise. It is specially of import that at that topographic point are enough of Senate Republicans onside alongside the Senate Finance compromise.

President Bush has called for an increase inwards S-CHIP spending of exclusively $5 billion over 5 years disputation that the computer program has been every bit good ofttimes expanded inwards the states beyond its master copy low-income objectives. The President would similar to limit eligibility to children inwards households below 200% of the poverty rank in addition to render access assistance to person plans for the uninsured inwards a higher house the 200% level.

The President has relatively few allies inwards this opinion.

When a final House/Senate nib is worked out afterward this summer—most probable looking similar this Senate compromise, it volition ready a major showdown alongside the President who could good veto it. Just what activity the President volition accept volition get got a lot to practise alongside precisely how many Senate Republicans come upwardly onside. The terminal compromise could easily larn 60-votes inwards the Senate only it would accept two-thirds inwards both houses to override a Bush veto.

So steep a tobacco taxation is non a slam-dunk.

Would this tentative bargain hateful the threat to Medicare Advantage cuts is past?

Not at all.

The Congress still needs enough of coin to get-go pending physician in addition to hospital Medicare cuts. It makes to a greater extent than feel for Democrats to bargain alongside potential Medicare Advantage cuts inwards the terminal omnibus budget locomote at year-end where a unproblematic Senate majority is necessary in addition to a Bush veto of a comprehensive budget nib it a lot harder.

There is also a feel of inevitability hither inwards Washington that private Medicare Advantage plans are going to sustain cuts--particularly the Private Fee For Service product.

What this understanding would practise is movement into virtually impossible for the Congress to deport on 2008 Medicare Advantage funding—the earliest a year-end understanding would deport on person Medicare Advantage payments would last Jan 1, 2009.

But, none of this is final in addition to it volition last of import to follow the Senate’s terminal negotiations in addition to the reconciliation that volition get got to happen alongside the House during the summer.

This compromise could also ready a remarkable show-down betwixt the Congress, which looks similar it volition come upwardly to a bipartisan agreement, in addition to a "lame-duck" President opposed to it on ideological grounds who has been severely weakened politically.

If the President is able to block the deal, in addition to then everything shunts forrad to the year-end budget negotiations in addition to Medicare Advantage cuts every bit a way to fund S-CHIP come upwardly dorsum on the table.

This volition last a fascinating procedure to watch!


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