

BREAKING: Read the Baucus healthcare proposal
In an 18-page document,
Senate Finance Committee Chairman Max Baucus (D-Mont.) lays out a
framework for reforming the healthcare system in a way that could win a
few GOP votes, calm nervous centrist Democrats and present President
Barack Obama and congressional Democratic leaders with a pathway to
victory.
As previously reported--
and similar to measures already passed by three House committees and
one other Senate committee -- the framework outlines sweeping health
insurance market reforms designed to make coverage more available, provides tax
credits for low- and middle-income individuals and those employed by
small businesses and expands Medicaid eligibility. Medicare
beneficiaries would receive a 50 percent discount on their medications
during the so-called coverage gap in the program's prescription drug
benefit.
Unlike the other pending bills, however, Baucus's
proposal does not include a government-run public option insurance
program that would compete with private insurance companies in the
individual and small-business market. Instead, the measure would
establish federally chartered, not-for-profit, member-owned healthcare
cooperatives as an alternative to traditional private insurers.
The
bill would require new federal spending of about $900 billion over 10
years, a few hundred billion dollars less than the other measures,
partly because of less generous subsidies for insurance. Baucus would
fully pay for his measure, in part by levying an excise tax on health
insurance companies when they sell high-cost insurance plans.
Not-for-profit hospitals, drug companies, medical device manufacturers,
health insurers and clinical laboratories would be assessed new fees.
In addition, the proposal would raise money by limiting the tax
advantages for health savings accounts and flexible spending accounts.
The
document, which is the first summary ever issued by Baucus's office of
the legislation he and his "gang of six" bipartisan negotiators have
been developing for months, closely matches a verbal description Baucus offered in July before the Senate recessed for the summer.
Baucus
has been working on the bill with Finance Committee ranking member
Chuck Grassley (R-Iowa), Democratic Sens. Jeff Bingaman (N.M.) and Kent
Conrad (N.D.) and GOP Sens. Mike Enzi (Wyo.) and Olympia Snowe (Maine).
Baucus
will meet with the "gang" Tuesday afternoon to apply pressure on them
to accept the framework. If they do not, Democrats are expected to go
it alone on healthcare reform, though the White House has been heavily
courting Snowe.











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