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OVERNIGHT HEALTH: Tavenner tapped for CMS (again)
The White House formally renominated Marilyn Tavenner on Thursday to lead the Centers for Medicare and Medicaid Services (CMS). She's already working in the role, but only on an acting basis, because the Senate hasn't taken up her initial nomination.
CMS has only had acting directors for the better part of the past decade, and it would be an uphill climb for Tavenner to be the nominee who breaks the trend — any Obama nominee for any healthcare post will be a hard sell in the deeply divided Senate. But Tavenner has a lot of allies, including House Majority Leader Eric Cantor (R-Va.), who worked with Tavenner when she ran Virginia's Medicaid program and praised her initial nomination.
Sen. Orrin Hatch (R-Utah) — the top Republican on the Finance Committee, which would handle Tavenner's confirmation hearings — praised her personally on Thursday, and said he'll work with Chairman Max Baucus (D-Mont.) on a hearing.
"I’ve met with Ms. Tavenner and found her to be smart and diligent," Hatch said in a statement. "With Medicare and Medicaid on an unsustainable fiscal path, the cost of health care continuing to rise, and with the implementation of the health law moving forward, there are many questions she’ll need to fully answer before I decide whether or not to support her nomination."
Sen. Charles Grassley (R-Iowa) also said he hopes Tavenner gets a hearing before the Finance Committee.
Healthwatch's story on the nomination is here.
Bishops weigh in: The U.S. Conference of Catholic Bishops (USCCB) said Thursday that it remains opposed to the Obama administration's contraception mandate, arguing Catholic institutions will have "second-class status" under the policy despite recent tweaks to its rules.
The Health and Human Services Department announced slight changes to the contraception mandate last week, but did not change the substance of the requirement that most employers offer contraception in their healthcare plans.
Healthwatch has more on Dolan's reaction.
Déjà vu: Some of the measures proposed by President Obama following December’s Newtown massacre bear a striking resemblance to recommendations made after the 2007 Virginia Tech shooting spree, a bipartisan group of House lawmakers said Thursday. The group of six members of the Energy and Commerce Committee wants to know what became of the George W. Bush-era proposals to better identify and treat people with mental health problems. Read the rest of the story at The Hill's RegWatch.
About that CBO report: The leading Republican on the Senate Health, Education, Labor and Pensions Committee slammed healthcare reform as a failure Thursday, citing Tuesday's Congressional Budget Office (CBO) report that predicted that 7 million people will lose employer-based healthcare coverage as a result of the law. Sen. Lamar Alexander (Tenn.) urged President Obama to "work with Congress to repeal" the Affordable Care Act and "accept that this law isn't the right solution." Democrats note that anybody who loses employer-based healthcare coverage will have the opportunity to purchase new insurance through the law's exchanges. Read The Hill's write-up of the CBO report here.
Subsidy fight: Republican senators are pushing the White House not to allow subsidies under healthcare reform for plans jointly run by employers and unions. The Wall Street Journal previously reported that labor leaders were preparing to ask the Obama administration to expand subsidies in order to benefit union workers.
"Concerns about rising premiums are driven by policies in [the Affordable Care Act]," senators wrote. "Rather than considering a diversion of subsidies not remotely contemplated in the statute, perhaps the concerns being raised by union plans should be cause to revisit the taxes, fees and other policies that drive premium increases."
Read the story and the WSJ follow-up here and here [subscription req'd].
More on mental health: House Democrats' task force on preventing gun violence also released a series of policy principles Thursday, including universal background checks and "closing the holes in the mental-health system" to ensure access to treatment for anyone who needs it. Read the statement here. The move came on the same day that a bipartisan group of senators introduced a mental health bill alongside "Silver Linings Playbook" director David O. Russell. Healthwatch covered the bill here.
Don't forget the deductible: A new study found that about 40 percent of U.S. health plans are not prepared to comply with the Affordable Care Act because they do not include deductibles in calculations for annual out-of-pocket limits. HealthPocket, Inc., a consumer resource on health insurance, found that 36 percent of all health plans had higher costs than will be permitted under healthcare reform.
"While the average out-of-pocket costs limit nationwide falls within [Affordable Care Act] guidelines," said HealthPocket head of research Kev Coleman, "there are still thousands of plans that need to improve their out-of-pocket costs for 2014."
Read more about the report here.
State by state
Congressmen ask NC House to reject Medicaid bill
ND Senate OKs bill regulating abortion providers
Michigan's House Speaker rules out transvaginal ultrasound bill
Q&A with Neb. governor on tax cuts, Medicaid
Lobbying registrations
Crossroads Strategies / WH Interactive
Reading list
Rural hospitals face challenges in changing environment
Pfizer breakup talk stoked by discount to drug stocks
Southern diet, fried foods, may raise stroke risk
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House Republicans push for long-term 'doc fix'
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