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View Full Version : US Senate, following House, votes to expand kids' health insurance, defying veto thre


Pitt Gorilla
08-04-2007, 10:27 PM
http://www.iht.com/articles/ap/2007/08/03/america/NA-GEN-US-Congress-Childrens-Health.php

WASHINGTON: The Senate passed legislation to add 3 million lower-income children to a popular health insurance program in bipartisan defiance of President George W. Bush's threatened veto.

The 68-31 vote Thursday, one day after the House of Representatives passed a more ambitious and expensive version over bitter Republican opposition, handed Democrats a solid achievement to trumpet as they leave Washington for a summer break.

The Senate measure now must be reconciled with the House-passed $50 billion expansion, which would be paid for partly by cutting government payments to health maintenance organizations under the Medicare program for the elderly and disabled.

Both bills include hefty tax increases on tobacco products to pay for the spending increase.

The bill also gave Democrats, who secured a veto-proof margin in the Senate, a chance to draw a stark distinction between their priorities and Bush's on an issue that resonates with voters.

"For the life of me, I can't understand why the president would want to veto this legislation," said Democratic Sen. Max Baucus, the Finance Committee chairman. "It's moderate, it's bipartisan, it helps low-income kids. ... It's just the right thing to do for the country."

Bush has proposed spending $5 billion to extend the State Children's Health Insurance Program. He says the Senate's $35 billion expansion would balloon the decade-old program beyond its original mission of covering working poor children and would move more people toward government-run health care.

The program expires Sept. 30.

Architects of the legislation "have seized the reauthorization of SCHIP as a license to raise taxes, increase spending and take a giant leap forward into the land of government-run health care," said Republican Sen. Mitch McConnell, the minority leader.

He was one of 31 Republicans to oppose the measure, while 18 Republicans joined 48 Democrats and two independents to support it.

The health program is designed to subsidize the cost of insurance for children whose families earn too much to participate in Medicaid the government health care program for the poor but not enough to afford private health insurance.

Through federal waivers, the program has expanded in many states to include middle-income children and adults. That has led Republicans to argue that it has become a backdoor way to extend government-provided health care to an increasing number of people.

National polls show overwhelming majorities of voters support expanding the children's health program and are more likely to support candidates who back it.

Logical
08-04-2007, 11:10 PM
Seems like a no win veto for the Republicans. That is if the President actually follows through and does veto this bill.

recxjake
08-04-2007, 11:32 PM
Is this the same bill that counts 25 year olds as kids?

banyon
08-04-2007, 11:49 PM
I think he will definitely veto (http://www.americanprogress.org/issues/2004/06/b84766.html) this bill.

banyon
08-04-2007, 11:57 PM
Is this the same bill that counts 25 year olds as kids?


No.

http://thomas.loc.gov/cgi-bin/query/F?c110:5:./temp/~c1105Va4cW:e6901:

`(B) EXPENDITURES DESCRIBED- For purposes of subparagraph (A), the expenditures described in this subparagraph are expenditures made after the date of the enactment of this paragraph and during the period in which funds are available to the qualifying State for use under subparagraph (A), for the provision of medical assistance to individuals residing in the State who are eligible for medical assistance under the State plan under title XIX or under a waiver of such plan and who have not attained age 19 (or, if a State has so elected under the State plan under title XIX, age 20 or 21), and whose family income equals or exceeds 133 percent of the poverty line but does not exceed the Medicaid applicable income level.'.

trndobrd
08-06-2007, 06:50 PM
Is this the same bill that counts 25 year olds as kids?


No, this is the one that covers every child in families making up to 300% of of the poverty line (2007 poverty line is $20,685 for a family of four x 3 = incomes up to $61,950 are eligible), with presumptive eligibility and no assets testing or face to face interview allowed.

Sec 101
...

`(b) Eligibility Expansions- The condition described in this subsection is that the State agrees to do the following:

`(1) COVERAGE UNDER MEDICAID OR SCHIP FOR CHILDREN IN FAMILIES WHOSE INCOME DOES NOT EXCEED 300 PERCENT OF THE POVERTY LINE-

`(A) IN GENERAL- The State agrees to provide medical assistance under this title or child health assistance under title XXI to children whose family income exceeds the medicaid applicable income level (as defined in section 2110(b)(4) but by substituting `January 1, 2007' for `March 31, 1997'), but does not exceed 300 percent of the poverty line.

`(B) STATE OPTION TO EXPAND COVERAGE THROUGH SUBSIDIZED PURCHASE OF FAMILY COVERAGE- A State may elect to carry out subparagraph (A) through the provision of assistance for the purchase of dependent coverage under a group health plan or health insurance coverage if--

`(i) the dependent coverage is consistent with the benefit standards under this title or title XXI, as approved by the Secretary; and

`(ii) the State provides `wrap-around' coverage under this title or title XXI.

`(C) DEEMED SATISFACTION FOR CERTAIN STATES- A State that, as of January 1, 2007, provides medical assistance under this title or child health assistance under title XXI to children whose family income is 300 percent of the poverty line shall be deemed to satisfy this paragraph.

`(2) COVERAGE FOR CHILDREN UNDER AGE 21- The State agrees to define a child for purposes of this title and title XXI as an individual who has not attained 21 years of age.

`(3) OPPORTUNITY FOR HIGHER INCOME CHILDREN TO PURCHASE SCHIP COVERAGE- The State agrees to permit any child whose family income exceeds 300 percent of the poverty line to purchase full or `wrap-around' coverage under title XXI at the full cost of providing such coverage, as determined by the State.

`(4) COVERAGE FOR LEGAL IMMIGRANT CHILDREN- The State agrees to--

`(A) provide medical assistance under this title and child health assistance under title XXI for alien children who are lawfully residing in the United States (including battered aliens described in section 431(c) of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996) and who are otherwise eligible for such assistance in accordance with section 1903(v)(4) and 2107(e)(1)(F); and

`(B) not establish or enforce barriers that deter applications by such aliens, including through the application of the removal of the barriers described in subsection (c).

`(c) Removal of Enrollment and Access Barriers- The condition described in this subsection is that the State agrees to do the following:

`(1) PRESUMPTIVE ELIGIBILITY FOR CHILDREN- The State agrees to--

`(A) provide presumptive eligibility for children under this title and title XXI in accordance with section 1920A; and

`(B) treat any items or services that are provided to an uncovered child (as defined in section 2110(c)(8)) who is determined ineligible for medical assistance under this title as child health assistance for purposes of paying a provider of such items or services, so long as such items or services would be considered child health assistance for a targeted low-income child under title XXI.

`(2) ADOPTION OF 12-MONTH CONTINUOUS ENROLLMENT- The State agrees to provide that eligibility for assistance under this title and title XXI shall not be regularly redetermined more often than once every year for children.

`(3) ACCEPTANCE OF SELF-DECLARATION OF INCOME- The State agrees to permit the family of a child applying for medical assistance under this title or child health assistance under title XXI to declare and certify by signature under penalty of perjury family income for purposes of collecting financial eligibility information.

`(4) ADOPTION OF ACCEPTANCE OF ELIGIBILITY DETERMINATIONS FOR OTHER ASSISTANCE PROGRAMS- The State agrees to accept determinations (made within a reasonable period, as found by the State, before its use for this purpose) of an individual's family or household income made by a Federal or State agency (or a public or private entity making such determination on behalf of such agency), including the agencies administering the Food Stamp Act of 1977, the Richard B. Russell National School Lunch Act, and the Child Nutrition Act of 1966, notwithstanding any differences in budget unit, disregard, deeming, or other methodology, but only if--

`(A) such agency has fiscal liabilities or responsibilities affected or potentially affected by such determinations; and

`(B) any information furnished by such agency pursuant to this subparagraph is used solely for purposes of determining eligibility for medical assistance under this title or for child health assistance under title XXI.

`(5) NO ASSETS TEST- The State agrees to not (or demonstrates that it does not) apply any assets or resources test for eligibility under this title or title XXI with respect to children.

`(6) ELIGIBILITY DETERMINATIONS AND REDETERMINATIONS-

`(A) IN GENERAL- The State agrees for purposes of initial eligibility determinations and redeterminations of children under this title and title XXI not to require a face-to-face interview and to permit applications and renewals by mail, telephone, and the Internet.

`(B) NONDUPLICATION OF INFORMATION-

`(i) IN GENERAL- For purposes of redeterminations of eligibility for currently or previously enrolled children under this title and title XXI, the State agrees to use all information in its possession (including information available to the State under other Federal or State programs) to determine eligibility or redetermine continued eligibility before seeking similar information from parents.

`(ii) RULE OF CONSTRUCTION- Nothing in clause (i) shall be construed as limiting any obligation of a State to provide notice and a fair hearing before denying, terminating, or reducing a child's coverage based on such information in the possession of the State.

`(7) NO WAITING LIST FOR CHILDREN UNDER SCHIP - The State agrees to not impose any numerical limitation, waiting list, waiting period, or similar limitation on the eligibility of children for child health assistance under title XXI or to establish or enforce other barriers to the enrollment of eligible children based on the date of their application for coverage.

memyselfI
08-06-2007, 07:17 PM
Wow, they show they have stones on one issue while selling the country down the river on another. :rolleyes:

memyselfI
08-06-2007, 07:18 PM
Is this the same bill that counts 25 year olds as kids?

Uh, most insurance policies count up persons up to 25 years old, unmarried, and students as 'kids.'

Mi_chief_fan
08-06-2007, 09:03 PM
Uh, most insurance policies count up persons up to 25 years old, unmarried, and students as 'kids.'

I'm an insurance agent, and i've never seen one go to 25 (might be different in other states), here the limit is 23, but MUST be enrolled as a full-time student.

And i'm all for expanding coverage for children, but not at the expense of taking away from the elderly. Hopefully, this part of it will be fixed.

Brock
08-06-2007, 10:04 PM
save the children

Adept Havelock
08-06-2007, 10:24 PM
save the children

I dub thee Sally "Brock" Struthers.

Cochise
08-06-2007, 10:29 PM
Is this the one that applies to illegal aliens, or did they allow it to be amended?

Garcia Bronco
08-07-2007, 10:34 AM
Awesome...our congress continues to give away money...while not addressing the tax code, nor addressing illegal aliens and their access to free health care.

Taco John
08-07-2007, 10:41 AM
Well that's to be expected. This is a Democrat congress. If people wanted the congress to address the tax code, and illegal aliens, they should be electing Republicans.

But they were just in office for 6 years and didn't address the tax code, nor illegal aliens and their access to free health care. We did get a tax cut out of them, but we'll end up having to give that back to pay down the enormous debt we're borrowing from China to fight this war.

Garcia Bronco
08-07-2007, 10:50 AM
Well that's to be expected. This is a Democrat congress. If people wanted the congress to address the tax code, and illegal aliens, they should be electing Republicans.

But they were just in office for 6 years and didn't address the tax code, nor illegal aliens and their access to free health care. We did get a tax cut out of them, but we'll end up having to give that back to pay down the enormous debt we're borrowing from China to fight this war.

68-31 doesn't make this a left-right issue. We are already over taxed and the President has repeatedly asked Congress to fix the tax code and they refuse to do it.

Cochise
08-07-2007, 11:59 AM
68-31 doesn't make this a left-right issue. We are already over taxed and the President has repeatedly asked Congress to fix the tax code and they refuse to do it.

It's also pretty lame to say that because the people elected one party they don't want action on issue X. Look at polling data on the last immigration bill, or on the issue as a whole and see what they say.

Adept Havelock
08-07-2007, 03:29 PM
68-31 doesn't make this a left-right issue. We are already over taxed and the President has repeatedly asked Congress to fix the tax code and they refuse to do it.


Well, he had 6 years of his own party running the show. If they had wanted it "fixed", it would have been fixed. ;)

Garcia Bronco
08-07-2007, 03:47 PM
Well, he had 6 years of his own party running the show. If they had wanted it "fixed", it would have been fixed. ;)

He asked them too

Adept Havelock
08-07-2007, 04:17 PM
He asked them too

He asked them for many things. He got them. I guess he didn't push hard enough, which tells me he really didn't want it either. But it looks good for the cameras, and that is the main reason for the request, innit?