Senate: The Deal Looks Done on Health Care

Multiple sources are now reporting that Nebraska’s Ben Nelson, the last Democratic holdout, is now saying he will support the latest version of the health care bill. That makes 60 votes, enough to overcome a fillibuster.

So what’s actually in this bill? And what did it take to get the last votes? I’m still going through it, and will file more as I figure that out, but you can see some highlights here. A senior Democratic aide says this:

The manager’s amendment builds upon the strong bill we already have.

Protects our good coverage, cost, and affordability numbers

· Reduces Deficits – estimated to save over $130 billion first ten and roughly $650 billion second ten

· Expands Coverage – over 94 percent of Americans under 65 years of age, including over 31 million uninsured

· Reduces Costs – most Americans will see their health care costs reduced relative to projected levels

Makes health care more affordable for Americans by expanding small business tax credits

· $12 billion increase

· Begins in 2010

· Expands wage thresholds for tax credits

Demands greater accountability from insurance companies/ creates more choice and competition

· Medical Loss Ratio 85/80 percent – Insurance companies will be forced to spend more money on care and less money padding their bottom line.

· Starting immediately children cannot be denied health coverage due to pre-existing conditions

· Insurance companies who jack up their rates will be barred from competing in the exchange.

· Give patients the right to appeal to an independent board if an insurance company denies a coverage claim

· Health insurers will offer national plans to Americans under the supervision of the Office of Personnel Management, the same entity that oversees health plans for Members of Congress.

· Provides significant resources for Community Health Centers

Related Topics: Ben Nelson, Congress, Democratic Party, Harry Reid, Health Care, Republican Party, Senate
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  • deconstructiva

    KT, how’s the snow? Huge congratulations on your WW guest hosting. Will you do more hosting / face time? Do you have a video for those who missed it? I was most interested in Bernanke discussion, but you didn’t get a proper introduction. It should’ve been, “…and now, here’s KT, TIME Magazine’s award-winning international media starlet.” You looked poised and elegant and kept the chat moving. I didn’t see quivering water glasses / puddles from shaking knees or gripping table edges, so hopefully you’re weren’t too nervous. Great job.

  • deconstructiva

    …as for Nelson, pardon my realpolitk cynicism but I wonder if Nelson gave in to NOT become a Liebermanesque pariah. Or perhaps there’s pressure to primary him out next elect., risk losing projects / funding for his state if he votes no, etc.? (I’m not a morning person but am up early with others to get final gifts soon. Is your shopping done, or will you buy yourself something for your excellent guest hosting?)

  • pintortwo

    Thanks KT. I Look forward to reading your comments after review.

  • henqiguai

    So, deconstructiva, what’s “WW” ? Both print and broadcast media have so thoroughly disgusted me with their pathetic performance that I have stopped reading/watching most of them (and I still claim to be a news/info junkie).

    As for Nelson, I’ll believe his support *after* his yea vote is tallied. I think he’s going to do a Lieberman.

  • deconstructiva

    “Washington Week”, Gwen Ifell’s PBS show. KT hosted it last night and was magnificent. Maybe the High Sheriffs can use CNN ties to create a swampwomen news hour – KT, Amy, Jay, and Kate each host a night on fave topics (to not take up too much time from reporting) and then all gather on friday for week review / gossipy stuff. It’ll wipe Beck off the air.

  • 53_3

    I’m just glad it will soon be over.
    .
    Fellow dems (particularly POTUS & co!):
    .
    Do you think, at some point in time, we can stop running from the dreaded F word?
    .
    Just imagine what could have been done had we not had to try for the big six-oh on every bill…

  • rustyreturns

    “Nelson gave in to NOT become a Liebermanesque pariah. Or perhaps there’s pressure to primary him out next elect., risk losing projects / funding for his state if he votes no, etc.? (I’m not a morning person but am up early with others to get final gifts soon. Is your shopping done, or will you buy yourself something for your excellent guest hosting?)
    deconstructiva
    December 19, 2009
    at 10:03 am

    .
    From my reading thus far, he “gave in” because Abortions are not allowed to be funded with Government Funds. It basically says, a woman can have an abortion, but funding from federal dollars must be kept separate by individual insurance companies. P. 41 Manager’s report
    .

  • http://theblindspotsofgod.wordpress.com lawyermommy

    Ms. Tumulty,

    This is good news. However this bill has been a study in the mecurial nature of politicians and their continued unpredictability in discussing this issue.

    Does it look like everything is working out, yes. However, when it is signed into law, I will finally take a much needed sigh of relief.

    Great piece. Thanks.

    PS: Now at last, maybe the press and country can focus on other pertinent issues that affect the American way of life– especially a needed
    pro activity on National Security issues.

    I wrote a comment on your article “Enemies as home”.

    _______
    Below is an excerpt from a comment I made on your “Enemies at Home” article:

    “Oh please, we keep reading about these US citizens and their plans to do harm to the government. My experience has shown me that the core problem is here at home.

    If Nigerian con men —Network Security specialists — have now sharpened their technology enough to orchestrate multi million payoffs from legitimate companies using the newest form of industrial espionage to orchestrate these deals, then I say the US government has way more to be concerned about that people they can track and see .

    I am not minimizing terror, I am simply stating that pointing out these “straw men” is as redundant as Sheriff Joe (whom I like, by the way) displaying 13 illegal Mexicans as his “catch”. These little feel good stories do not even begin to slice the surface of the endemic problem faced by individuals and the security services alike.

    Okay for ex., An IMSI catcher forces the a cellphone user to a “man in the middle” attack posing as a legitimate base station– AND provides the strongest signals in the vicinity to the phones searching for legitimate base stations (phones are programed to look for the strongest signals). The phone MUST authenticate its self to the network using its International Mobile Subscriber Identity (IMSI) but the network does NOT have to do the same.

    This loophole used by law enforcement is used by criminals as well.

    So am I to believe that with all the technology available and criminals who are so adroit in manipulating the Internet, this is really the best news we could be provided?? There are people whose sole job in life is to cover their tracks and exploit loop holes in our National security system for financial and even National security exploitation reasons.

    The discourse is still about email scams when the real scams are technologically COMPLEX, extensive, lengthy and in-depth– weaving uninformed targets into an abyss of confusion……..

    LM

    http://theblindspotsofgod.wordpress.com/2009/12/18/technology-savvy-criminals-are-the-greatest-threat-to-national-security/

  • http://twitter.com/ktumulty Karen Tumulty

    Thanks! It was very exciting to see what the world looks like from Gwen’s chair. I have a new appreciation for how very complicated it is to moderate a show on live TV, juggling the guests and the teleprompter and the instructions you are getting from the control room. It’s much easier to just sit there and wait to be asked a question. But the folks at Washington Week were incredibly nice and supportive and understanding. And my panelists–all pros at this–were terrific.

  • http://theblindspotsofgod.wordpress.com lawyermommy

    This is an excerpt from an article on my blog about the new Nigerian con man. I am also of Nigerian extraction.
    ——————-
    Yes, these technology savvy criminals are people who can crash planes and commit acts of terror against innocent citizens.

    While the FBI is running around warning people about Nigerian Scam artists, the new breed of Network technology Security Savvy Nigerian con men are infiltrating companies like “Apple Technology” and getting their company’s acquired by these legitimate organizations! Read here for one of the ways used by these con men >> HERE

    Nigerian con men are not just the fraud laden email senders anymore.. they hack, rob, break, wiretap and alter legitimate information reserves. The Department of Homeland Security and the NSA?? Where are they?? Your guess is as good as mine!

    These con men have given IDENTITY THEFT an absolutely new and UNBELIEVABLY CRIMINAL DEPTH. This depth includes extensive digital histories coupled with alteration of legitimate government records. They even create picture and video history for these fabricated persons they create….

    I was reading one of their sites recently complete with the designation of “Master of Cryptography” for one of their fraudulent con creations. A “man” who is widely published and renowned?????? Huh?

    The CEO, the initial so called “funding companies” for that group (acquired by Apple) and so many officials of the company most recently acquired by APPLE exist in extensive digital and other records but in real-time and life, they are the creations of these technology skilled con men.

    ————————————–

    “Until good old “gum shoe” FBI and police work is employed to scrutinize, prosecute and incarcerate these criminals, Americans are backing up the wrong horses. Sitting behind a computer and reading fabricated news releases to do some sort of fact checking is a waste of time…………”

    LM

    http://theblindspotsofgod.wordpress.com/2009/12/16/technology-savvy-criminals-are-the-greatest-threat-to-national-security/

  • deconstructiva

    I’m glad to know everything worked out well. I hope you get many more offers to host shows.

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  • deconstructiva

    …rusty, maybe that’s all he wanted, but I still believe something else is in play. I’ll look forward to either KT or Amy finding out and posting here (perhaps with an interview). Amy appeared to be skeptical about him in her 12/17 post.

  • kathy

    Reid speaking. Looks exhausted. The other senators seem to genuinely admire Reid and look to him as their “quarterback.” It sure is interesting how his colleagues and the public have such disparate views of him.

    Today’s amendment about insurance companies needing to spend a minimum amount of premiums on health care seems like a big deal. Is it?

    “You’ll find a number of states are treated differently from other states. That’s what legislation is all about…compromise.” Reid

    How ironic that they won’t be able to leave today even after they vote. I bet there are a lot of Republican senators that would just as soon bug out of there and not wait for the vote, now that Nelson is voting aye. (Nelson saying he reserves the right to vote against cloture if the conference bill is substantively different from this bill. well of course he does)

    KT – I’ll second deconstructiva about last night’s Washington week. You looked great and sounded as good.

    It reruns on many pbs station, so folks should check that out. It ran at 1:00am this morning and reruns at 6:30 Sunday morning on my local PBS World station. You might get PBS World too,

  • kryptik1

    Pardon my cynicism, but I can’t take this at face value just yet, because of one person: Lieberman. It’s like he waits for the moment where people think ‘FINALLY, we get this damn thing to a vote, it’s about time’, before running in like a spiteful ex charging in to object to the wedding on account of the bride being a whore.

    I’ll believe this thing is settled when we actually get to a vote.

  • kathy

    KT: McConnell is complaining that Nebraska and Vermont get special treatment. Vermont?? My guess is this is an easy target for conservatives, because we all know how terribly liberal we are up here. But we have also been pretty generous with Medicaid payments, and the bill as it was written wasn’t going to give us equivalent payments that other states were going to get because we wouldn’t be increasing our Medicaid coverage, since we’ve already done that. Is that what this is about? If we’re going to get the payments that other states are going to get, even though it took a special provision in the bill, that’s a very good thing.

  • kathy

    I’m going to have McConnell off. Can not take it. Not sure how he can look at himself in the mirror after saying some of these things.

    And kryptik: I’m with you on this. And then they have to pass it after conference.

  • http://aroundthesphere.wordpress.com/2009/12/19/the-haw-haws-have-it/ The “Haw, Haws” Have It « Around The Sphere

    [...] Karen Tumulty at Swampland at Time: Multiple sources are now reporting that Nebraska’s Ben Nelson, the last Democratic holdout, is now saying he will support the latest version of the health care bill. That makes 60 votes, enough to overcome a fillibuster. [...]

  • stuartzechman

    You were a total star, KT.
    .
    You looked, sounded great, were possessed of a wonderful enthusiasm that subtly infused the program, were professionalism incarnate as always.
    .
    Well done.
    .
    Do it again.
    .
    Honestly, I’d rather watch/listen/respond to you than Ifill…come to think of it, you might succeed as a moderator at debates, too.
    .
    I can’t tell you how much Ceci Connolly offends the senses as a news consumer. I just love, for example, how, after Howard Dean suggests a new Senate bill is in order, she immediately groans in campaign 2000 voce:

    You mean to say we just wasted a year of our lives covering this?!

    For people who’ve been as frustrated with the general press corps coverage the health care debate, in which copy from supposed professionals gets more and more nonsensical and convoluted as the months wear on, It makes one want to shout at the television:

    No, Ceci, you just wasted a year of our lives failing to make sense of anything except horse-race, gossip, he said/she said and Beltway personality-squabbles again! Fantastic job screwing up another truly important story that you had literally a year to get right, Ceci. I’m sure your paper’s subscription rates jumped through the roof after another such magnificent performance. There’s an award for you somewhere, I’m sure.

    How dare this person have the effrontery to be exhausted by this story! How dare Ceci Connolly be tired n’ bored having to come up with new stories about this monumentally significant process that will –for better or for worse– affect the lives of tens of millions of people to whom she supposedly has a duty to inform.
    .
    How dare the privileged, pampered Ceci roll her eyes, and do her very best Villager-at-the-end-of-her-ennui-stricken-rope routine! People’s lives are at stake: if she had any respect for the title “correspondent” at all, she would shut up and do her job like a gum-shoe reporter should.
    .
    Instead, we get the eye-rolling, sighing and barely concealed contempt of a bored courtier who has no new gossip to whisper.
    .
    But Dahlings…everybody is just too, too tired to even speak about it anymore…Can’t we just get on to something more exciting, Dahlings? Can’t we?
    .
    Villagers like Ceci truly have no self-awareness whatsoever; it’s incredible to witness –and offensive in the extreme to those not consumed with striking our best “objective reporter” pose for the cameras.
    .
    But I digress…
    .
    Lovely show, KT. Honestly, even the execrable Ceci Connelly couldn’t possible ruin this gig for you. I look forward to more of you running the conversation.
    .
    I hope the producers of WW realize what a talent they had in Ifill’s chair last evening!

  • stuartzechman

    Maybe the High Sheriffs can use CNN ties to create a swampwomen news hour

    .
    That’s an excellent idea.

  • stuartzechman

    kathy:

    If we’re going to get the payments that other states are going to get, even though it took a special provision in the bill, that’s a very good thing.

    That’s a very good question.
    .
    Anybody know?

  • stuartzechman

    This is the link to Washington Week in Review with Karen Tumulty from last evening: link to KT star power

  • stuartzechman

    For those who didn’t DVR, here is the link to Washington Week in Review with Karen Tumulty from last evening: link to KT star power

  • theotherjimmyolson

    “You mean we just……………”. when I heard that from Ceci I threw my slipper at the T.V.

  • Ivy_B

    Stuart, thanks for the links. In spite of my best efforts all the drama associated with getting my dinner party together made me forget to set the DVR.
    .
    Just watched and what a great job KT did! Look forward to seeing her more.

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  • xarchenko

    History of Ukraine contains all roads which pass through its state is the state of the Black and Caspian Sea states of Europe and the Russian Federation and Belarus and the Baltic States. In this environment, Ukraine was and will be, but you should know about the many communities of national minorities in Ukraine, which should assist the indigenous population to win the victory over Russian chauvinism and cynicism.
    Many professors from the science of physics know what the torsion fields, which affect the human brain, and at different frequencies program commands to perform the person will be in it in the brain. This experiment was prepared and holding extensive amount in Ukraine during the Orange Revolution, the square of the capital and major cities of Ukraine. During the Orange Revolution, where I took part in rallies, I was surprised by the behavior of a video camera operator, who runs a video camera on the faces of people actively speakers for Yushchenko and Ukraine’s future. Why people who participated in the election of President Yushchenko and the future of Ukraine, located in a large garden and joy (remember the first speech by President of Czechia) after the election. I am a former journalist was surprised not competent operator, because the video camera does not include dae signal on a video shoot. To me, at my invitation arriving Jaroslav Ksonzhek, Consul of Poland, where our conversation and confirmed abuse of the Moscow government. It turns out that Moscow is continuing research to control and possess the human brain. It turns out that Putin is in this regard will have the state not only Europe and America but to solve their business programs. Carrying gas pipe through the Baltic States. I want to thank the many Jew for their help when I conducted an investigation, rabbi warned their communities do not come to the square, then be bad for health and psychological disorder. In order to save not only the state president, people, foreign embassies are located in Ukraine, I send the mail letters and telegrams to the President, but in the presidential administration or the children sit or bureaucrats. I understand that Ukraine is very far from your country and therefore should be realistic and simple plan for withdrawal from such situations. You may be surprised by my feeling high torsion fields “But I believe in God and constantly attend Protestant church Evangelicals, Bible study, psychology, folklore, cultural studies, analytics, folk music and songs. Second great experience to travel by military enterprises of when I worked in a factory where assembly consisted of turbines in Krivoy Rog. So I like the saying: The wisdom of man checks only way direction and goals. To convey to the President of Ukraine is a question I have for the first time in its life wrote a letter to the USА Embassy Vil’yamu Taylor, knowing that letters to foreign embassies can check (I wrote the text of the letter to enter a deadlock that people check messages on Post Office in Kiev ) counting on professional psychologists embassy. Maybe my innocence and romanticism great kindness not give me a quiet life, so I thought that everything will be like in the movies. For example, Come from Kiev or the USА embassy good man, and on home phone inviting meeting in Dnipropetrovsk administration and great pity it is all fairy tale, which shows in the film. How can I feel a major role analysis on various issues when I sent a fax wife Ekaterina Yushchenko president and then president’s wife appealed to the USА Ambassador (because her aides have not read Catherine fax). So no one sees me as an expert, thinking that I am working with the USА Embassy, President of Ukraine in 2006, invited himself to the USА Ambassador and the Ambassador of Poland. Unfortunately there is not securing for copyrights. Very please note the danger, that Russia may give your country, and protect my copyright on intellectual property, to realize their potential to the benefit of our good relations. Now, please imagine if Russia can use the torsion field during military operations as well as in public (panic, revolution, rebellion and what you want) to be a civil war and chaos in the elections and other companies. If Russia will send a torsion field in the brain of miners from the city of Donetsk, what then will be in Kiev?. Why do I appeal to you Your Majesty, for help! Because you are a patriot of the United States Americas and the state can imagine that a person before the rally (The action darling) can drink tea or coffee active liquid, the influence of torsion fields resulting in a mutation of the body!. This is a question that I have studied, we save lives and you and the President of the United States Americas and many people! And the main thing that Ms. Catherine Chumachenko was born in the United States and was the square with the children. With great respect to you and hope for your tolerance and kindness, Your Majesty. And for me there will be enormous gladness when any man will arrive to me in guests that could make sure in veracity of my moral principles.

    Valeriy Kharchenko, son of Mary Chumachenko father Vladimir Kharchenko. Kirovograd region, Dolinsky district, village Vasylivka.

    city DNIPROPETROVSK 49029
    Street. Заміська 39-1
    phone mobile 380985052947
    home 38056 7166470

    UKRAINE xarchenko2009@meta.ua

  • http://frenched.wordpress.com/ frenchdm

    “Starting immediately children cannot be denied health coverage due to pre-existing conditions

    So, adults will continue to be denied health care based on pre-existing conditions. How can anyone call this legislation “reform” when we couldn’t even accomplish getting rid of pre-existing conditions prohibitions.

    Lobbyist rule our country and our lives. Our democracy is sick and will soon die. Greed is the cancer feeding on our nation’s body and soul.

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  • bobcn1

    ‘Lovely show, KT. Honestly, even the execrable Ceci Connelly couldn’t possible ruin this gig for you.’
    .
    I just saw a rebroadcast of the show. Congratulations on a fine job KT.
    .
    And yes, Ceci Connelly is truly execrable .

  • http://frenched.wordpress.com/ frenchdm

    Ben Nelson Sold Us Out

    Ben Nelson’s largest contributors are from these industries insurance-$1.3M, healthcare-$1.1M, finance $1.1M, and real estate-$363,561. So, it’s no wonder he doesn’t support true healthcare reform or regulating the finance and banking industries. Over his career has received over $13 million in campaign contributions from big business and corporate interests. In return those businesses and corporations make hundreds of billions of dollars, and sometimes trillions of dollars, off of the American taxpayers.

    I know we all have resigned ourselves to the fact that this is just the way politics works. But, it illustrates that Ben Nelson and most members of Congress are corrupt and organized money has corrupted the entire democratic process.

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  • douglas96

    As we understood it, the best thing about this bill, before today, was that it would prohibit insurance companies from denying coverage to all people on account of pre-existing conditions. Now, suddenly, this benefit is denied to adults until 2014. We hope that the House-Senate conference will make it immediately illegal for insurance companies to deny coverage to any American on account of a pre-existing condition.

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  • kathy

    It’s my understanding that adults can’t be denied coverage for preexisting conditions beginning in 2014, but the latest amendment changed that to immediately for children.

  • kathy

    Stuart – I did hear that this is in fact the special provision for Vermont. It really would have been penalizing Vermont for having “prematurely” raised the eligibility level for Medicaid, if this provision hadn’t gone in. And yes, it was the price paid for getting Bernie to play. (and/or, Bernie – realizing this was a need – said yoohoo I’m not going to play). Sort of makes you wonder how any legislation gets passed. What about all those poor saps who agreed to the legislation without holding out?
    .
    I hadn’t seen your link above (wasn’t red) (and I don’t have functional speakers, so I can’t catch it online.)

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