The House Rules Committee released a nine-page “manager’s amendment” incorporating a series of changes to the reconciliation text that came out earlier this week. It looks mainly technical in nature, and my Congress-speak isn’t perfect, so I’m delving into this a bit more and will report back anything worth reporting.
…Page 5 talks about $400 million dollars available for “qualifying hospitals” in fiscal years 2011 and 2012. What is a “qualifying hospital”?
The term ‘‘qualifying hospital’’ means a subsection (d) hospital (as defined for purposes of section 1886(d) of the Social Security Act) that is located in a county that ranks, based upon its ranking in age, sex, and race adjusted spending for benefits under parts A and B under title XVIII of such Act per enrollee, within the lowest quartile of such counties in the United States.
Low-income hospitals (and that probably goes to more rural hospitals than you think) getting some $.





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Can’t compare what is being amended to the changes but it all seems to revolve around Medicare.
two hours debate for Reconciliation Bill and vote
then consideration for a vote on the Senate Bill, no debate
- Hoyer
I was listening to the debate about on CSPAN this morning, and evidently there’s $100 million for Connecticut hospitals.
That’s from the Senate bill.
The Plum Line is reporting that DeGette is open to the EO idea.
And she heads the pro-choice caucus? Where was she when Stupak was debated and voted on?
Interesting. Who are the senators from Connecticut again?
Book Salon up at the Mothership with Catherine Lutz and Anne Lutz Fernandez’s Carjacked: The Culture of the Automobile and Its Effect on Our Lives hosted by Katie Alvord
this IS the dem “base” at work – idiotic inane arcane processes employing all these assholes who think their college degrees make them smart, hence their processes are smart, NOT idiotic, inane and arcane.
my wife’s dad, near 80, could barely read road signs with his cataracts (sp?) he gets 1 fixed, now he can see, now medi-fuck won’t pay to fix the other.
I understand why fascists ruin everything – I grew up on welfare, they want us all to be serfs.
this 2000 pages of bullshit will employ all kinds of parasites interpreting it and changing it and screwing with it … and WHERE is the health care? Does anyone really really wonder why idiotic shit like Prop 13 passes?
other than fascist lies, the assholes who run gov’t programs to NOT make them f’king work, but they do make excuses and they do make good salaries.
ugh.
rmm.
Slightly OT, but CNN just reported one of the Teabaggers invading the Capitol today called Rep James Clyburn the N-word.
I’m surprised the Manager’s Amendment left this poison pill in the reconciliation bill…
Sec. 2301 Insurance Reforms
(a) Extending certain insurance reforms to grandfathered plans
…
(b) Clarification regarding dependent coverage
This is an amendment to a Section 1251 of the Senate bill, “Preservation Of Right To Maintain Existing Coverage”.
As non-budgetary insurance regulationn, its going to trigger a Byrd Rule Point of Order? When the bill gets to the Senate floor, Judd Gregg is going to be out of his seat offering a Point of Order before Harry Reid has finished talking.
Also, Kagro X wrote about Motions to Recommit today. Interesting stuff, apparently GOP may offer Stupak Amendment as their Motion to Recommit to either the Reconciliation Bill vote or the Senate bill vote. A pity they won’t add the Plan B Medicaid expansion and/or the Grayson Medicare buy-in. They don’t even have to provide a funding source for the Medicaid buildout, Motions to Recommit don’t go through CBO scoring.
With a motion to recommit, however, the minority — the out of power party! — gets to come to the floor with an amendment that need not be printed beforehand, need not be shown to anyone, need not be carefully combed-over and debated in committee, nor subjected to any of the rigors which a member of the majority must overcome to get this privilege, and then gets a vote after just 10 minutes of trading prepared speeches on the floor, which almost no one who watches C-SPAN still thinks passes for debate.
http://www.congressmatters.com/storyonly/2010/3/20/12133/8139
Sorry for the typos, I copied from something I had written on one of Jon’s threads and I’m still mastering this “cut and paste” technology. :o)
Anyway, the ideal situation for the Republicans is for HCR to pass on a party-line vote. They’re going to crush the Democrats this fall on the issue. So they have no real incentive to win a victory tomorrow by offering a “last, best offer” Motion to peel off enough Democrats to win a majority.
If they offered a Motion to provide starting Jan.1 2011 (as opposed to the Senate bill’s 2014 start) the Plan B Medicaid expansion, Grayson’s buy-in and for good measure the Stupak Amendment (which would be redundant because of the Hyde Amendment already covers Medicare/Medicaid), there’s no way Pelosi could hold her caucus together.
But since good policy today hurts the Republicans in November, they’ll just put up the Stupak Amendment… but only they’re certain it won’t cost Pelosi her “victory”.
The quoted passage actually sounds like incentive payments to hospitals that have low spending per patient. It doesn’t read like hospitals with low income patients.
If I’m correct, this is part of the ‘spending less on health care is good’ bullshit from Gruber, DeParle, and Orszag.
edit: note that it doesn’t include INCOME as a patient variable. This is because, as people like Buz Cooper note, most of the huge variation (between say Rochester, MN and Miami, FL) in Medicare spending is based on populations living in poverty.
Maybe you guys already saw this, reps are just waitin to pull a motion to recommit.
http://www.dailykos.com/storyonly/2010/3/20/848245/-On-Motions-to-Recommit-and-their-danger-to-health-care
“Perhaps a good campaign strategy, but a terrible strategy for governance.”; from your link.
One of the complaints against the Obama WH is that they have never got out of campaign mode into governance mode; not surprising given that Rahm is CoS.
Forget Rahm, Obama is the captain of the WH ship. Rahm is Obama’s bad cop.