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  December 10, 2010, 3:52 pm

Healthcare reform supporters tout California union's implementation efforts

By Jason Millman

Healthcare reform law supporters are pointing to a new letter from the California Public Employees' Retirement System (CalPERS) detailing how the new law is already benefiting its members.

CalPERS said that by next year, 27,000 young adults will be covered under a reform law provision allowing them to stay on their parents' health insurance until they turn 26.

"That's not only good news for those young people, but imagine what a relief it is to their parents and other family members who worried that their sons, daughters, brothers and sisters were going to be uninsured," Health and Human Services Secretary Kathleen Sebelius said in a statement Friday afternoon.

CalPERS also said that it reduced premium increases by more than 3 percent for its non-Medicare plans, estimating it will save almost $200 million for more than 115,000 early retirees and their spouses.

"This letter is good news for California families, and we’re seeing similar signs of progress across the country," Sebelius said. "Just nine months after it was signed into law, the Affordable Care Act is already fulfilling its promise to help working Americans get and keep insurance, and to slow rising costs for those who have coverage, while ending some of the worst practices of the insurance industry with a new Patient’s Bill of Rights."

A number of California Democrats issued statements Friday afternoon touting the CalPERS letter.

“I commend CalPERS for working to implement the key benefits of the new healthcare reform law," said House Energy and Commerce Committee Chairman Henry Waxman. "Their efforts show that the law is containing costs for employers and already extending coverage to tens of thousands of people.”

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  December 10, 2010, 2:59 pm

Committee adds new GOP members to repeal team

By Jason Millman

The incoming chairman of the House Energy and Commerce Committee announced 12 new Republican members will join him in his effort to repeal the new healthcare reform law.

Fred Upton (R-Mich.), who won the contentious chairmanship race for the next Congress, also announced that Rep. Greg Walden will return to the committee.

The committee will "immediately" work to repeal and replace the healthcare reform law, Upton said in a Dec. 1 blog for The Hill. 

The new GOP members on the committee include:

Charlie Bass (N.H.)
Brian Bilbray (Calif.)
Bill Cassidy (La.)
Cory Gardner (Colo.)
Morgan Griffith (Va.)
Brett Guthrie (Ky.)
Gregg Harper (Miss.)
Adam Kinzinger (Ill.)
David McKinley (W. Va.)
Cathy McMorris Rodgers (Wash.)
Pete Olson (Texas)
Mike Pompeo (Kan.)
Greg Walden (Ore.)

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  December 10, 2010, 1:02 pm

Liberal group presses new GOP congressman to drop health coverage

By Jason Millman

A liberal advocacy organization is giving heck to an incoming congressman in his hometown because of his campaign to repeal the new healthcare reform law.

Americans United for Change, which has been singling out newly elected Republican congressmen who campaigned on repealing the reform law, put up a new billboard Friday in Las Vegas to call on incoming Rep. Joe Heck (R-Nev.) to drop healthcare benefits available to him as a member of Congress.

“Heck has repeatedly said he would come to Washington to repeal the Affordable Care Act, so it’s time for Heck to show he’ll stay true to his values and reject his government-subsidized health plan or stop trying to deny 32 million Americans access to the same kind of quality, affordable healthcare choices he’ll gets as a member of Congress,” the group said in a statement.

In the past month, the advocacy group also has targeted newly elected Reps. Andy Harris (R-Md.) and Bill Johnson (R-Ohio) over their opposition to healthcare reform.

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  December 10, 2010, 11:24 am

Keep entitlements intact, Bloomberg poll says

By Jason Millman

The public wants Congress to slash the federal deficit — but not at the expense of entitlements, including health programs and Social Security, according to a Bloomberg National Poll released Friday morning.  

Eighty-two percent of respondents opposed Medicare cuts, but there was some support for reforming the system. About half of Republicans said they want to see Medicare and Social Security preserved in their current states.

Almost three-fourths (72 percent) opposed reducing Medicaid benefits for low-income people. Even 66 percent of Tea Party supporters, despite their passion for smaller government, opposed Medicaid reductions.

Support for retaining the Social Security structure was less strong, at 55 percent. Lower-income earners, in particular, favored the current system, the poll said.

The poll was taken Dec. 4-7, just after President Obama's debt commission released its final report recommending reductions in Medicare and Social Security to achieve long-term financial stability.

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  December 10, 2010, 9:42 am

GOP rep. says MLR regs will 'wreck' insurance market

By Jason Millman

A Republican congressman voiced his disapproval Thursday of new healthcare reform regulations requiring health insurers to spend most premium dollars on health services.

Rep. John Carter (R-Texas) said the medical loss ratio (MLR) regulations, which require health insurers to spend at least 80 percent of premium payments on providing care (85 percent for large group plans), will “wreck the individual and small group market.”

“Our national goals should be to increase health coverage for all Americans,” Carter said in a statement. “This regulation is heading in the exact opposite direction, and must be stopped before it becomes effective.”

The regulations, “Health Insurance Issuers Implementing Medical Loss Ratio (MLR) Requirements Under the Patient Protection and Affordable Care Act,’’ were issued Dec. 1. Carter introduced H.J. Resolution 103 on Thursday to make his disapproval official.

The Department of Health and Human Services said the MLR provisions will make the insurance market more transparent and prevent insurers from channeling their premium dollars toward administrative costs and profits.

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  December 9, 2010, 6:22 pm

OVERNIGHT HEALTH: GOP blocks 9/11 health benefits bill

By Jason Millman

Welcome to The Hill's evening roundup of the day's health policy news and advance look at tomorrow's schedule.

Thursday’s health news:

GOP blocks 9/11 health benefits: Senate Republicans filibustered legislation to monitor and treat first responders and emergency workers who suffered illnesses related to the Sept. 11, 2001, terrorist attacks.The cloture vote on the $7.4 billion bill failed 57-42, making it less likely the Senate will approve the measure before the end of Congress's lame-duck session.

The bill’s passage was in doubt for many months and, in the end, no Senate Republican voted to save the bill. Even before the cloture vote failed, dozens of members signed a letter urging Speaker Nancy Pelosi (D-Calif.) to include the bill in legislation extending the Bush tax cuts.

"We feel that we must seize every opportunity possible to ensure that this bill become law," the members wrote. http://bit.ly/fKsw57

Congress passes doc fix: One day after the Senate approved the yearlong "doc fix" by unanimous consent, the House of Representatives approved the deal, 409-2, to avoid a scheduled 25 percent cut in Medicare physician payments.

The paid-for, $19.2 billion bill now goes to President Obama’s desk, one day after he voiced his support for the agreement, even though it borrows from healthcare reform funding.

This marks the fifth time Congress has enacted a stopgap measure in the past year to avoid rate cuts to Medicare doctors. Obama and physician groups have urged Congress to come up with a more permanent fix to the rate formula next year. http://bit.ly/eggCa1

HHS Secretary approves: Health and Human Services Secretary Kathleen Sebelius hailed the doc fix in a Thursday afternoon statement, but said more work needs to be done. “I look forward to working with the new Congress on a permanent solution to fix Medicare’s physician payment system once and for all,” she said.

Mini-meds forced to come clean: Health insurers offering so-called "mini med" plans must notify customers in plain language and within 60 days that their insurance plans offer extremely limited benefits, according to new HHS guidance. However, more than 200 plans have already been exempted from annual coverage dollar limits required by the healthcare reform law.
   
Sen. Jay Rockefeller (D-W.Va.), Congress’s biggest critic of the mini-med plans, said the guidance will provide some help to consumers.

"These 'mini med' policies have gaping holes in coverage and do not help with serious health problems," he said in a statement. "I am encouraged by HHS taking this step to begin to improve consumer protections as we transition to a fully reformed insurance market in 2014." http://bit.ly/gRszFU

GOP senator says CR funds reform: Sen. Tom Coburn (R-Okla.) criticized the continuing resolution to fund the government through next year as a “Trojan horse” for funding the healthcare reform law. Coburn said the CR includes funding for a number of provisions in the law, and he urged other members who campaigned on defunding healthcare reform to oppose the measure. http://bit.ly/hG15OO

Rising hospital costs: Transaction prices for a day in a California hospital paid by private insurers jumped more than 150 percent over the past 10 years, according to a new America’s Health Insurance Plans (AHIP) report. Meanwhile, the same report found that hospital prices for common hospital services increased about 10 percent above the rate of inflation in Oregon from 2005 to 2009.

AHIP chief executive Karen Ignagni told reporters Thursday that the report shows that costly services, and not insurers, are driving up healthcare spending.

“We are 4 percent of total healthcare expenses,” Ignagni said. “You don’t need to have a degree in advanced mathematics to say, 'what about the other 96?' ”

Tobacco smoke an 'immediate' danger: Exposure to tobacco smoke, even occasional smoking or secondhand smoke, inflicts immediate damage to a person’s body that can cause serious illness or death, according to a new surgeon general's report. Even brief exposure to secondhand smoke can cause cardiovascular disease and trigger a heart attack, the report said.

Quitting smoking has become harder than ever because today’s cigarettes deliver nicotine more quickly and efficiently than in the past, according to the report. http://bit.ly/i2ymH2

States' rights bill introduced: Sen. Roger Wicker (R-Miss.) introduced a bill that would allow state officials to challenge federal regulations before they go into effect. Wicker said the bill was inspired by the new healthcare reform law.

The Restoring the 10th Amendment Act would allow certain state officials to file a legal brief challenging the constitutionality of proposed regulations during the comment period. Wicker said he introduced the legislation to start drumming up support for the next Congress. http://bit.ly/eQkWdI

R-E-C-A-L-L: Johnson & Johnson announced a voluntary recall of three Rolaids products after customers complained about the presence of metal and wood particles. J&J’s pharmacy division, McNeil Consumer Healthcare, announced the recall for Rolaids Extra Strength Softchews, Rolaids Extra Strength Plus Gas Softchews and Rolaids Multi-Symptom Plus Anti-Gas Softchews. This is just the latest in a chain of recalls for J&J, whose safety protocols are being investigated by the House Committee on Oversight and Government Reform.



On the agenda for Friday:

Lessons for healthcare reform: The National Academy for State Health Policy will host a discussion panel on the Robert Wood Johnson Foundation's Maximizing Enrollment for Kids national program. http://bit.ly/hUsG6P

Innovative healthcare: The Hope Street Group will host a discussion panel on the Using Open Innovation to Reinvent Primary Care project. http://bit.ly/fDo06M



Around the Web: 

Searching for influence: Five major health insurers are trying to build their own Washington-based lobby shop, according to NPR and Kaiser Health News. http://n.pr/dE3o25

Florida challenges reform: The Florida Senate revived a proposed constitutional amendment that would block a healthcare reform provision requiring individuals to buy health insurance. http://bit.ly/efSD1v

Failing grades for women's health: The United States has missed almost every goal to improve women’s health over the past decade, The New York Times reports. http://nyti.ms/eLbYOE

Younger people in nursing homes: People ages 31 to 64 account for 14 percent of the nation’s nursing home population, up from 10 percent a decade ago, NPR reports. http://n.pr/dPMIi3

Higher mortality rate at for-profit dialysis chains: Patients treated at dialysis clinics in the largest for-profit chains have a higher risk of death than those at the largest nonprofit chains, ProPublica reports. http://bit.ly/fvIja0

Defending healthcare reform: The New York Times profiles the Justice Department lawyer responsible for defending healthcare reform. http://nyti.ms/e4suDQ

Comments / complaints / suggestions? Please let us know:

Julian Pecquet: This e-mail address is being protected from spambots. You need JavaScript enabled to view it / 202-628-8527

Jason Millman: This e-mail address is being protected from spambots. You need JavaScript enabled to view it / 202-628-8351

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  December 9, 2010, 6:06 pm

GOP senator: Funding bill a 'Trojan horse' for healthcare reform

By Administrator

Sen. Tom Coburn (R-Okla.) criticized the continuing resolution (CR) to fund the government through next year.


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  December 9, 2010, 3:59 pm

Mini-med plans must notify customers of limited coverage

By Jason Millman

Health insurers offering so-called “mini med” plans must notify customers in plain language and within 60 days that their insurance plans offer extremely limited benefits, according to new Department of Health and Human Services guidance released Thursday.

“Guidance issued today ensures that consumers in plans with low annual limits are notified of the quality of their health plan so that they can make informed decisions about whether mini-med coverage is right for them,” HHS said.

Many chain restaurants and retailers offer low-cost, low-benefit plans — some worth just $2,000 per year — that will be phased out by the 2014 because their annual limits fall well below requirements included in the healthcare reform law. However, HHS has granted more than 200 waivers exempting these plans from new annual limit requirements under the idea that limited coverage is better than no coverage at all.

However, Sen. Jay Rockefeller (D-W.Va.) criticized the mini-med plans during a Senate Commerce Committee hearing last week, saying that they are falsely advertised as insurance.

“It gives people a false sense of security,” Rockefeller said. “It lets them think they have health insurance when they really don't. By the time they realize they don't have real health insurance, it's too late."

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  December 9, 2010, 2:20 pm

House passes Obama-backed doc fix

By Jason Millman

The House approved a one-year "doc fix" Thursday afternoon that will prevent a dramatic cut in Medicare physician payments.

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  December 9, 2010, 1:14 pm

Senate GOP blocks 9/11 first responders health plan bill

By Alexander Bolton and Jason Millman

A vote to quash the filibuster failed by a vote of 57 to 42, dampening chances for this year.

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