Updated: Dems Threaten Budget Deal Over ‘Doc-Fix’, Unemployment Insurance

Left balks at proposal to take care of doctors but drop support for unemployed.

Hastings: Calls allegations lies.
National Journal
Clara Ritger
Add to Briefcase
Clara Ritger
Dec. 11, 2013, 11:04 a.m.

House Demo­crats don’t want to pass a “doc fix” without ex­tend­ing un­em­ploy­ment in­sur­ance, and they’re threat­en­ing to sink the budget deal over it.

“If we’re go­ing to provide re­im­burse­ment to phys­i­cians, and I fa­vor that, I think we need to be sure we don’t leave 1.3 mil­lion people out in the cold,” said Rep. Sander Lev­in of Michigan at the House Rules Com­mit­tee meet­ing Wed­nes­day af­ter­noon.

The pro­posed doc fix would delay for three months a 20 per­cent cut in re­im­burse­ments to phys­i­cians who provide ser­vices for Medi­care be­ne­fi­ciar­ies, as in­sti­tuted by the Sus­tain­able Growth Rate for­mula. Con­gress had tried for a bi­par­tis­an, bicam­er­al per­man­ent fix in 2013, but with two com­mit­tees set to mark up the le­gis­la­tion Thursday, will not com­plete it un­til the be­gin­ning of the year.

But by re­open­ing the deal to in­clude a fix to phys­i­cian re­im­burse­ment, the budget pact’s shep­herds open them­selves to a host of re­quests to ac­com­mod­ate oth­er pri­or­it­ies.

“I per­son­ally am con­flic­ted as to wheth­er I will vote on this” budget deal, said Rep. Al­cee Hast­ings, D-Fla. “I can’t leave that many people by the way­side un­less I have a bet­ter un­der­stand­ing about what’s hap­pen­ing here.”

Un­em­ploy­ment in­sur­ance pay­ments to ap­prox­im­ately 1.3 mil­lion people will ex­pire Dec. 28 without con­gres­sion­al ac­tion. Demo­crats hope to fore­stall that by pro­pos­ing a three-month ex­ten­sion of the be­ne­fits along with the three-month doc-fix pro­pos­al.

“The fail­ure to act on UI and hav­ing to do so on [phys­i­cian re­im­burse­ment] puts the en­tire bill at risk,” Lev­in said. “It’s not a cut of 25 per­cent — it’s 100 per­cent elim­in­a­tion of their be­ne­fits. It’s his­tor­ic­ally high.”

The com­mit­tee met Wed­nes­day to mark up the Medi­care meas­ure along with the Bi­par­tis­an Budget Act of 2013, the deal hammered out by Rep. Paul Ry­an, R-Wis., and Sen. Patty Mur­ray, D-Wash. and an­nounced late Tues­day.

Up­date 7 p.m.: The three-month SGR pro­pos­al was re­por­ted out of com­mit­tee on a vote of 9-3.

What We're Following See More »
MORE FALLOUT FROM “SHITHOLE” COMMENT
CBC, Judiciary Committee Dems Move to Censure Trump
15 hours ago
THE LATEST
WOULD ALSO DELAY OBAMACARE TAXES
GOP Leaders Dangle CHIP Fix to Avert Shutdown
1 days ago
THE LATEST

"House GOP leaders on Tuesday night pitched a new strategy to avert a looming government shutdown that includes children's health funding and the delay of ObamaCare taxes. Lawmakers need to pass a short-term stopgap bill by midnight Friday, when money for the federal government runs out. The latest GOP plan would keep the government’s lights on through Feb. 16, and be coupled with a six-year extension of funding for the popular Children's Health Insurance Program (CHIP). The continuing resolution or CR would also delay ObamaCare's medical device and Cadillac taxes for two years, and the health insurance tax for one year starting in 2019."

Source:
NO DACA DEAL = NO SPENDING DEAL?
With Deadline Approaching, Lawmakers Sounding Notes of Pessimism
1 days ago
THE LATEST

"A key Senate negotiator and White House official on Tuesday expressed little hope for an immigration deal this week but nonetheless predicted that Congress can avoid a government shutdown." Marc Short, the White House Capitol Hill liaison, said he's optimistic about a deal on DACA overall, but not this week. Senate Majority Whip John Cornyn also said he doubts an agreement can be made before week's end.

Source:
WON’T SAY WHETHER NORWAY IS PREDOMINATELY WHITE
Nielsen Defends Trump Before Senate Judiciary
1 days ago
THE LATEST

"Homeland Security Kristjen Nielsen confirmed that President Trump used 'tough language' in an Oval Office meeting last week over immigration policy, but she said she did not hear him describe some African countries and Haiti as 'shithole countries,' as has been reported." When pressed she, also said she "didn't know" whether Norway was a predominately white country.

Source:
DEMOCRATS STILL INSISTING ON DACA
Wednesday Meeting May Be Last Chance to Avoid Shutdown
2 days ago
THE LATEST

"Chances of a government shutdown grew Monday as Republicans concluded that they would be unable to reach a long-term spending accord by the Friday deadline. GOP leaders are now turning to a short-term funding measure in hopes of keeping agencies open while talks continue, but Democratic leaders say they are unlikely to support any deal that does not protect young illegal immigrants. Aides to key negotiators from both parties planned to meet Tuesday in an effort to rekindle budget talks, setting up a Wednesday meeting of the leaders themselves. If they cannot agree, the government would shut down at midnight Friday for the first time since 2013."

Source:
×
×

Welcome to National Journal!

You are currently accessing National Journal from IP access. Please login to access this feature. If you have any questions, please contact your Dedicated Advisor.

Login