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Summary of SFC 9/24 Amendments

Editor’s note: The following is provided to give you a flavor of the proceedings of the Senate Finance Committee as they debate and amend Chairman Baucus’ Mark.

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Hatch C2:  If the Secretary of HHS certifies that more than 1 million individuals will lose the coverage of their choice because of the provisions in the bill, then the bill will not take effect.  Rejected, 10-13.

Lincoln C2:  Modifies wage threshold (from $30,000 to $40,000) for determining the value of the credits a business qualifies for.  WIthdrawn.
Will work with staff.

Crapo D1 as modified: Prohibit MA competitive bidding in ares where bidding would result in decreased choice and competition.  Ruled non gemane, ruling upheld.

Nelson D10: To provide drugs to dual eligible beneficiaries at Medicaid rate and close the Part D donut hole, paid for by increasing Medicaid rebates.  Rejected, 10-13.

Cornyn C1:  Any individual covered by an ERISA plan is deemed to have met the individual coverage requirement.  Rejected, 10-13.

Stabenow C7: Dental plans.  Agreed to (later a point of contention because initially thought to have no score, ended up scoring $600 million)

Grassley C15: To give states flexibility to pursue alternatives to individual mandate.  Withdrawn.

Cornyn C7: Would require the Secretary of Health and Human Services to annually submit to Congress for
consideration the flat dollar amount required of employers under Subtitle D.   In order to take
effect, Congress must enact and the President must sign the penalty into law. Ruled non-germane, and ruling upheld.

Nelson D10.  Further grandfather MA plans (beyond Nelson provisions already in the the mark) and offset with increase in insurance and brand drug manufacturer fees.  Laid aside.

Stabenow C6:  Therapeutic foster care.  Accepted.

Bunning C3:  Requires taxpayers who request exemption from personal responsibility penalty to be granted such an exemption.  Rejected, 9-14.

Rockefeller D10:  Medicare Commission.  Accepted, 15-3.

Grassley C9:  Additional $10 billion in grants to states to make additional Medicaid payments to pediatric providers, children’s hospitals, and dentists.  Defeated, 10-13.

Kerry/Bingaman/Schumer C1:  Strike free rider, and replace with employer pay or play requirement.  Withdrawn, will offer on Senate floor.

Nelson D3:  HHS OIG study comparing prices paid for prescription drugs under Medicare Part D and Medicaid.  Accepted.

Nelson C1:  Strike provisions allowing states to form health care choice compacts.  Withdrawn, promise to clarify that state legislatures must act affirmatively to enter into such compact.

Enzi C3 as modified:  Prior to implementation of the Act, the Secretary of Labor must certify that implementation of the Act would not reduce workers’ wages or an increase in the unemployment rate as determined by certain national data.  Agreed to, 21-0.

Enzi C9:  Exempt any state whose revenues have declined for two consecutive fiscal quarters from having to expand Medicaid eligibility.  Rejected, 10-13.

Crapo C2 as modified: Prohibit Medicaid expansions that would result in any additional costs for the states.  Rejected, 10-13.

Schumer C8:  Include Puerto Rico in all aspects of the bill. Withdrawn pending score.

Cornyn C23:  Prohibit committee from reporting bill until 24 hours after score of bill and each amendment made available.  Allow Committee to reconsider any amendment that has revised score after its adoption.  Withdrawn, to be revisited.

Menendez C9:  Behavioral health treatment.  Accepted.

Ensign C14:  Allow states to opt out of Medicaid expansion if the state’s Medicaid spending would increase by more than one percentage point.  Rejected, 10-13.

Enzi C6:  Allow individuals who would be otherwise covered by Medicaid to choose Medicaid or a qualified private plan.

Menendez C4:  Child only health option in the exchange.  Accepted.

Cornyn C24:  To require Members of Congress to enroll in their respective state’s Medicaid program.  Rejected 6-16 (1 pass)

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September 25, 2009 - Posted by | Federal Government, healthcare | ,

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