By Sam Baker and Elise Viebeck - 12/06/12 11:00 PM EST
"To the best of our recollection, the possibility that those subsidies would only be available in states that created their own exchanges did not arise during the discussions CBO staff had with a wide range of Congressional staff when the legislation was being considered," CBO said. "Nor was the issue raised during consideration of earlier versions of the legislation in 2009 and 2010, when CBO had anticipated, in its analyses, that the credits would be available in every state."
Rural hospitals: A powerful group of senators wants to extend a program for rural hospitals as part of an end-of-year bill on Medicare payments to doctors. Sens. Charles Schumer (D-N.Y.) and Chuck Grassley (R-Iowa) are spearheading a "Dear Colleague" letter asking the Senate Finance Committee to renew the Medicare Dependent Hospital and Low-Volume Hospital programs as part of a bill to avert scheduled cuts in doctors' Medicare payments.
“Rural hospitals deliver health care to more than 60 million Americans and are the health and economic backbone for communities across our nation," te letter states. "These small, hardworking hospitals are often the sole source of comprehensive health care in their area, and are typically the largest employer, and economic engine, in the communities they serve. Yet, rural hospitals face a wide array of financial difficulties and operational challenges under the current Medicare Prospective Payment System."
In addition to Schumer and Grassley, 29 senators have signed the letter.
State by state
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Tennessee Gov. Bill Haslam won't rule out state healthcare exchange
Calif. experiment aims to save on care for poorest, sickest patients
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