House Dems unveil 'managers amendment,' setting stage for health bill votes

"House Democrats have cleared the way for a pivotal floor vote on health care overhaul as early as the weekend, after tweaking their 1,990-page bill to crack down harder on insurance companies," The Associated Press reports. "Speaker Nancy Pelosi, D-Calif., said Americans are ready for comprehensive reform in a statement accompanying dozens of last-minutes changes to the 10-year, $1.2 trillion bill. Publication of the changes — released late Tuesday — started a 72-hour legislative clock, meaning that a floor vote could take place as early as Saturday" (11/4).

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Read the 'Manager's Amendment'

Modern Health Care: The document is also known as a "manager's amendment." Pelosi said some of the "key improvements" to the bill include "providing $1 billion in new resources to states to rein in 'price gouging' by insurance companies, and expanding on a provision that would remove insurance companies' anti-trust exemption." Meanwhile, "a yet-to-be resolved issue on abortion that has held up proceedings on the bill did not appear to be addressed in the manager's amendment. Democrats have been grappling with language to ensure that federal funds would not be used for abortion" (Lubell, 11/4).

The Wall Street Journal: "'Now that the amendment is posted, the clock has started,' House Majority Leader Steny Hoyer (D., Md.), said in a statement. The amendment includes a provision to raise $24 billion by shutting down a biofuels tax credit that some pulp and paper companies wanted to claim. The provision from Rep. Chris Van Hollen (D., Md.) helps fill a revenue hole to keep the bill deficit-neutral in the first 10 years" (Yoest and Vaughan, 11/4).

The Hill adds more detail on the "not so anticipated section on biofuel credits" found among a whole slew of more expected, and more health care oriented, amendments. "Fourteen pages into [the] amendment package... is a proposal that would restrict paper producers from claiming their share of a $1.01-per-gallon biofuel tax credit. The effort -- derived from a bill first introduced by Rep. Chris Van Hollen's (D-Md.) -- could save the United States about $24 billion over 10 years, according to his office." The idea is that these funds could help off set some of the costs generated by the Democrats' sweeping health overhaul proposal. But the provision "might infuriate congressional Republicans, who have fought their own battle with amendments this year. Although GOPers have charged Democrats with ignoring their proposed revisions, majority party leaders have routinely responded that they would consider those amendments if only they were germane to the legislation at hand" (Romm, 11/4).

The text of the "manager's amendment" is available on Kaiser Health News (11/4).


Kaiser Health NewsThis article was reprinted from khn.org with permission from the Henry J. Kaiser Family Foundation. Kaiser Health News, an editorially independent news service, is a program of the Kaiser Family Foundation, a nonpartisan health care policy research organization unaffiliated with Kaiser Permanente.

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