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THE PROGRESSIVE REVIEW - March 29, 2010
Congress Approves Final Piece of Health Care Overhaul
by: David Lightman
McClatchy Newspapers
Washington - Congress Thursday passed and sent to President
Barack Obama the final piece of landmark health care
legislation intended to change dramatically how most
Americans buy, use and maintain insurance coverage.
The House approved the bill by a vote of 220 to 207
Thursday night, hours after the Senate passed the measure
by a vote of 56 to 43. No Republicans in either chamber
voted for either bill.
This legislation, combined with the bill signed into law
on Tuesday, will bring the most significant change in
health care policy since Medicare was created in 1965 to
provide health insurance coverage for seniors and the
disabled.
The new laws will extend health insurance coverage to
32 million people who currently are uninsured. They will
expand coverage to 94 percent of eligible Americans.
Consumers will find a host of changes in how they deal
with doctors, insurers, hospitals and the rest of the
health care system.
Most people will have to obtain coverage by 2014 or face
penalties. Most employers will have to offer policies by
then, and consumers will be able to shop for coverage
through new exchanges, or marketplaces.
Several provisions will take effect within the next year.
Some Medicare prescription drug beneficiaries will get a
$250 rebate this year.
By fall, insurers will no longer be able to put lifetime
caps on coverage, and must allow young people to remain on
their parents' policies until they turn 26. Insurers also
will be barred from dropping coverage when people get sick
and from refusing to cover children with pre-existing
conditions.
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Starting in January 2011, insurers in the individual and
small group market will be required to spend 80 percent of
their premium dollars on medical services. Those in larger
group markets would have to spend 85 percent. If they don't
comply, they'd have to give consumers rebates.
The reconciliation bill approved Thursday contains fixes
to the big health care bill that Obama signed into law
Tuesday, and was part of a political deal needed to get
both measures through Congress.
House Democrats had objected to several provisions in the
new law, notably an excise tax on high-end insurance
policies that labor unions fought, as well as a series of
special deals for individual lawmakers. The reconciliation
bill delayed the tax until 2018, and some of the
controversial deals were eliminated.
The bill will give more government help with insurance
premiums for lower and middle class families and aid to
states for Medicaid, the state-federal health program for
lower-income people.
To help pay for the changes, wealthier people will pay more
Medicare payroll tax starting in 2013.
Single people who earn more than $200,000 a year, and joint
filers who make more than $250,000, will see the tax
increase by 0.9 percentage points in 2013, to 2.35 percent,
and will pay a new 3.8 percent tax on dividends, interest
and other unearned income.
The reconciliation bill's passage has been assured all
week. Republicans tried to insert changes, forcing votes
on 40 amendments or procedural points, but Democrats
rejected each on party line votes Wednesday and Thursday.
The GOP's effort seemed to lose steam as the "vote-a-rama,"
a series of nonstop votes that lasted until 2:45 a.m.
Thursday, progressed.
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Then, GOP opponents turned their attention to November's
elections. Their floor speeches and statements outlined
themes they're likely to stress as they return home this
weekend and throughout the year.
Senate Republican leader Mitch McConnell of Kentucky called
the health care vote "a turning point in our politics and
our nation."
He called the measure "a vast expansion of the entitlement
state that we can't afford, massive cuts to Medicare,
higher taxes, higher health care costs, worse care,
taxpayer-funded abortions and don't believe the spin: This
wasn't a party line vote. A whole lot of Democrats voted
against it."
Thirty-four Democrats opposed the main bill in the House,
and 33 opposed the reconciliation measure. Three Senate
Democrats ? Mark Pryor of Arkansas, Ben Nelson of Nebraska
and Blanche Lincoln of Arkansas ? voted no Thursday.
Democrats insisted, however, that they now have strong
arguments to make, claiming the bill will provide more
jobs, more peace of mind and reduce the federal deficit.
The nonpartisan Congressional Budget Office estimates the
$938 billion measure will reduce deficits by $143 billion
over the next 10 years.
"As we start the spring by closing a chapter in health
reform's long history, it's really a new beginning for all
America," said Senate Majority Leader Harry Reid of Nevada.
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