W3vina.COM Free Wordpress Themes Joomla Templates Best Wordpress Themes Premium Wordpress Themes Top Best Wordpress Themes 2012

Tag Archive | "reconciliation"

Capital Thinking Podcast

House Passes Health care Reform Legislation

A historic 219-212 vote in the House of Representatives late last night sent the health care reform bill to the President’s desk for his signature. John Jonas, head of the health care policy group at Patton Boggs, discusses:

  • The mechanics of last night’s House passage
  • Challenges involved in Senate passage this week of the “sidecar” reconciliation package
  • The implementation challenges of the bill
  • Prospective next steps on more reform legislation, and
  • What last night means for the political capital of President Barack Obama and Congressional Democrats.

Posted in Capital Check-Up, PodcastsComments Off on Capital Thinking Podcast

Tick Tock – Has Time Run Out for Health Reform?

During his State of the Union address, the President did not give any insight into the best path forward for moving comprehensive health care reform. Congress continues to mull over how to pass legislation, and reform advocates are holding out hope that Members can refocus and revive the debate. Meanwhile, it has become clear that creation of new jobs will be the President’s number one priority in 2010.

The New York Times reports that Democrats are considering splitting up the bill and moving smaller pieces separately but Politicoconfirms that option may not be a simple and expeditious process.

The Washington Post reports that Democrats are still contemplating on how to proceed but lawmakers remain steadfast in their commitment to passing legislation and maintain that reconciliation is still on the table.  We anticipate that Democratic leaders will continue to caucus over the next couple of weeks to work on developing a sustainable path forward.

In other health news, while the Democrats still maintain a filibuster proof majority before Republican Senator-elect Scott Brown is seated, the Senate managed to pass a resolution that increases the debt ceiling to $14.3 trillion, which greases the wheels for a potential five-year Medicare physician payment fix that would be exempt from the pay-as-you-go rules.  Congress is still required to pass legislation to stop the 21 percent cuts from going through on March 1, 2010.

Posted in Legislation, ReformComments Off on Tick Tock – Has Time Run Out for Health Reform?

Capital Thinking Radio Show

CT_radio1 Join us this week on Capital Thinking this week as host Kevin O’Neill examines the political impact of the recent House approval of the most sweeping piece of social legislation in decades. John Jonas and Martha Kendrick provide strategic analysis of the bill and what to expect next.

Tune in every Thursday at NOON EST and 9:00 am PST on VoiceAmerica Business

Posted in Legislation, ReformComments Off on Capital Thinking Radio Show

Capital Thinking Podcast

CT_radio1 With great fanfare, President Obama signed into law the Patient Protection and Affordable Care Act last Tuesday. By a vote of 56-43, the Senate passed an amended version of H.R. 4872, the Reconciliation Bill of 2010 last Thursday. Sens. Lincoln, Pryor, and Ben Nelson joined Republicans in voting against the legislation. Later that evening, by a vote of 220-207, the House passed the amended Reconciliation bill. The bill now goes to President Obama for his signature.

The passage of the Patient Protection and Affordable Care Act and the Reconciliation Bill of 2010 brings to a close the legislative work on comprehensive health care reform that began in November 2008 when Senate Finance Committee Chairman Max Baucus released his “Call to Action” white paper on health care reform.

House and Senate Republicans have already introduced legislation to amend the Patient Protection and Affordable Care Act to require the President, Vice President, Members of Congress and their staff to purchase health care insurance through the Exchange. At least four other pieces of legislation that amend the health care reform law have been introduced, and we expect that Republicans, in particular, will continue to seek changes through legislative action. Republicans are also expected to mount challenges to reform by opposing funding for the newly authorized entities and programs in the Fiscal Year 2011 appropriations bills. Congress will at some point certainly consider technical, if not policy, changes to the newly enacted legislation.

The challenges of implementation now loom large. For example, the Department of Health and Human Services must develop a number of new insurance regulations. The government will also establish a temporary risk-pool for uninsured individuals who have pre-existing conditions and create the health care exchanges in 2014.

The buzz about a Presidential nomination for the Center for Medicare and Medicaid Services Administrator were kicked up again late last week. It is thought that the President could nominate Donald Berwick, a pediatrician and professor at Harvard University, as early as sometime this week. A CMS official has acknowledged that Dr. Berwick has been under consideration for the position, which would require confirmation by the Senate. Charlene Frizzera has served as Acting Administrator since President Obama took office in January 2009.

The Senate adjourned for recess without passing an extension of the Medicare physician fee fix to prevent a 21 percent payment cut from going into effect on April 1. Earlier this month, the House passed the Continuing Extension Act of 2010 to extend the physician fee fix through April 30. The Senate attempted to pass the legislation by unanimous consent, but Senator Tom Coburn of Oklahoma objected. He opposed consideration of the legislation on the basis that the bill is not paid for and would increase the deficit by $9.2 billion. We expect that CMS will issue a notice this week instructing Medicare physicians to hold their claims for some time.

While many are breathing a sigh of relief that the debate on health care reform legislation is done, the difficult work of implementation is just about to begin.

Following House passage of the Senate health care reform legislation, Representative Nathan Deal resigned so he can focus on the Georgia’s governor’s race. Representative John Shimkus of Illinois has been tapped as the new House Energy and Commerce Health Subcommittee Chairman.

Posted in Legislation, Podcasts, ReformComments Off on Capital Thinking Podcast