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Capitol Hill Watch | Sen. Grassley Calls for Preconference Discussions To Limit Scope of Debate Over SCHIP Legislation
[Aug 06, 2007]

Senate Finance Committee ranking member Chuck Grassley (R-Iowa) during the August recess would like to begin preconference committee talks with the House on SCHIP reauthorization and expansion legislation, according to an aide, CongressDaily reports (Johnson, CongressDaily, 8/3).

The Senate legislation, approved on Thursday, would reauthorize SCHIP and increase the federal cigarette tax by 61 cents per pack to boost funding for the program by $35 billion over five years. The House version, approved on Wednesday, would reduce payments to Medicare Advantage plans and increase the federal cigarette tax by 45 cents per pack to increase funding for SCHIP by $50 billion over five years. The House bill also would make a number of revisions to Medicare (Kaiser Daily Health Policy Report, 8/3). Grassley wants a preconference committee to assure Republicans "about the size and scope of the conference product," according to the aide.

Senate Republicans might block a conference committee until they have assurances that the conference bill will resemble the Senate SCHIP bill, Senate Minority Whip Trent Lott (R-Miss.) said. Lott added that the veto-proof 68-31 vote for SCHIP legislation in the Senate puts that chamber in a stronger position to reduce the size of the House bill. President Bush has threatened to veto both bills. Lott said that if the conference report "goes one iota beyond" the provisions of the Senate bill, Republicans will withdraw their support and the Senate will not be able to override a veto (CongressDaily, 8/3).

Prescription Benefit Deadline
A provision of the House SCHIP legislation, which was approved on Wednesday, permanently would eliminate a penalty for low-income elderly people who miss the Dec. 31 enrollment deadline for the Medicare prescription drug benefit, the Pittsburgh Post-Gazette reports.

The provision, sponsored by Rep. Jason Altmire (D-Pa.), would eliminate a 1% increase in premium costs that accumulates monthly after the deadline until the person enrolls in a drug plan. The measure would apply to beneficiaries with incomes less than 150% of the federal poverty level (Sherman, Pittsburgh Post-Gazette, 8/4).

Larger Debate
The New York Times on Sunday examined how the "scale of government's role" in providing health care coverage "remains a source of deep conflict for many Americans," as evidenced by the debate over SCHIP. With primaries for the 2008 presidential election approaching, "candidates are talking to the most partisan audiences, the activists likely to vote in the primaries and caucuses," according to the Times.

Republicans "are focused on conservatives who long for a return to the small-government, reduced-spending philosophy that many of them believe was abandoned," while Democrats "are talking to liberals who have hungered for a big universal health care program and a return to activist government," the Times reports (Toner, New York Times, 8/5).

Editorial, Opinion Pieces

  • Robert Novak, Chicago Sun-Times: Republican votes for SCHIP legislation suggest the party "has wandered on tax policy," columnist Novak writes in a Sun-Times opinion piece. According to Novak, debate over an amendment introduced by Sen. Richard Burr (R-N.C.) that would "balance tax increases with a refundable tax credit for lower bracket taxpayers ... reflects not only a failed Republican reaction to big government but also a weakening of GOP resolve to hold down taxes." In addition, approval of the legislation indicates that Democrats "have figured out how to market a government-financed plan," Novak writes (Novak, Chicago Sun-Times, 8/6).

  • Washington Post: "One of the most disappointing recent developments has been the [Bush] administration's apparent decision ... that there was not much to be gained from working with this Congress -- and something to be gained by taking it on," according to a Post editorial. The editorial continues, "This new belligerence has manifested itself in a blizzard of veto threats -- Democrats counted up 31 between May 1 and Aug. 1 -- the most regrettable of which involves the children's health insurance bill" (Washington Post, 8/5).

  • David Broder, Washington Post: "No rational human being could explain why a program that both parties support and both want to continue could ignite such a fight," Post columnist Broder writes in an opinion piece. When Congress "had an opportunity to take a relatively simple, incremental step to extend health insurance to a vulnerable group, the members managed to make a mess of it," Broder continues, concluding, "It's no wonder the approval ratings of Congress are so dismal" (Broder, Washington Post, 8/5).

Broadcast Coverage
Several broadcast programs recently reported on SCHIP. Summaries appear below.

For more news and video coverage of health policy, visit kaisernetwork.org

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