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President Obama assured members of the House Energy and Commerce Committee that health care reform legislation must be deficit-neutral in order for him to sign it, according to Committee Chairman Henry A. Waxman, D-Calif., following a White House meeting on July 21. Rep. Mike Ross, D-Ark., a leading member of the fiscally conservative Blue Dog Coalition, said the president wants final legislation to be deficit-neutral, reduce the rate of health care inflation, cover as many people as possible, make health care coverage affordable and include insurance reform so that pre-existing conditions can no longer preclude coverage.
Ross said the focus of the White House meeting was on reining in health care costs, but no final decisions were made on cost containment. He said rising health care costs must be brought down to the rate of inflation and that the first priority is to squeeze as many health care savings as possible before taking revenue-raising measures.
The president, in separate television interviews, indicated that the August deadline for the House and Senate to pass health care bills could slip under certain conditions and that he might be open to penalizing insurance companies that offer Cadillac, gold-plated health insurance plans. He also signaled his possible support for imposing additional taxes on those earning above $250,000.
"I think that ultimately what we're going to have is a package which will probably include some additional revenue from well-to-do people who can afford to pay a little more so that working families can have a little more security on their health care," Obama said in an interview on NBC's "Today Show" on July 21. On setting an August deadline, the president said that "if you don't set a deadline in this town, nothing happens."
White House Press Secretary Robert Gibbs, at a press briefing on July 21, said the August deadline was necessary to keep the process moving forward. However, when pressed about the issue in a July 20 interview on PBS's "News Hour With Jim Lehrer," Obama said, "If somebody comes to me and says, "It's basically done. It's going to spill over by a few days or a week," you know, that's different."
SFC Progress
Senate Finance Committee Chairman Max Baucus, D-Mont., and his team of negotiators spent the day discussing offsets, bringing in Joint Committee on Taxation (JCT) Chief of Staff Thomas A. Barthold to help with determining costs. Sen. Olympia J. Snowe, R-Maine, said discussions were productive and all involved were determined to produce a bipartisan bill. She said there was no talk of deadlines. Baucus described a discussion earlier in the day with President Obama as agreeable, and also pointed out that there was no mention of a timetable or the pace of negotiations. "He seemed very encouraged that progress was taking place," said Baucus.
Obama has not endorsed Senate Finance Committee financing options to change the exclusion on employer-sponsored health plans, but indicated that he was interested in measures to penalize insurance companies offering overly generous health care packages. "What's being talked about now, I understand, is the possibility of penalizing insurance companies who are offering super, gold-plated, Cadillac plans. I haven't seen the details of this yet, but it may be an approach that doesn't put additional burdens on middle-class families," Obama said in the "Newshour" interview.
PAYGO
Separately, the administration said it supports House passage of the Statutory Pay-As-You-Go (PAYGO) Bill of 2009 (HR 2920), in the form of a substitute that is expected to be considered by the House Rules Committee. "Statutory PAYGO would hold the federal government to a simple but important principle: new tax or entitlement legislation should be paid for," according to an administration-written policy statement.
By Jeff Carlson and Paula Cruickshank, CCH News Staff
SAP on HR 2920 --Statutory Pay-As-You-Go Act of 2009
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