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Supporters of a proposal to levy an excise tax on insurance companies that offer high-end health care plans, often called "Cadillac" plans are picking up support from the White House and key members of Congress. The proposal, offered by Sen. John F. Kerry, D-Mass., would help pay for an estimated $1 trillion health care reform bill. White House Press Secretary Robert Gibbs, at a press briefing on July 27, said the White House is evaluating the insurance tax option that is under consideration by the Senate Finance Committee (SFC) as they craft legislation for a mark-up before the August recess.
David Axelrod, senior advisor to the president, gave the idea a plug during an appearance July 26 on CBS's "Face the Nation." "The president actually was asked this the other day by Jim Lehrer and what he said was that this was, you know, that this was an intriguing idea to put an excise tax on high-end health care policies, like the ones that the executives at Goldman Sachs have, the $40,000 policies." said Axelrod.
One member of the Finance Committee, Senate Budget Committee Chairman Kent Conrad, D-N.D., endorsed the plan while appearing on ABC's "This Week." Conrad said there is little choice but to end the insurance subsidy in some form. "I think we've got to. Again, virtually every economist that has come before us has said, you've got to reduce that tax subsidy as part of an overall strategy to really contain costs."
As the Senate Finance Committee continues struggling to seek a solution to filling a $320-billion gap in revenue needed to cover the estimated $1 trillion cost of health care reform, the Congressional Budget Office on July 25 released a report downplaying the savings hoped for under the administration's proposal for an Independent Medicare Advisory Council (IMAC), which would make recommendations to the president for changing federal payments for Medicare services. The CBO estimated the plan would create savings of only $2 billion, which does little to help the SFC. In addition, lawmakers are loath to give up control of Medicare payments to the White House.
The House Energy and Commerce Committee is expected to complete its markup of its health reform legislation during the week beginning July 27 but it is doubtful whether they will manage to hold a floor vote before breaking for a long summer recess on July 31. "I don't believe so next week, "said Rep. Jim Cooper, D-Tenn., on "Face the Nation." He added, "We have agreement on 70 or 80 percent of the legislation, but it is important we get the other details right too." Cooper said he does not believe House Speaker Nancy Pelosi, D-Calif., has the votes at this point to ensure passage.
Gibbs also emphasized that the administration and Congress have reached agreement on 80 percent of reform issues and acknowledged the remaining 20 percent "won't be easy." Areas of consensus are greater access to affordable health care coverage, a deficit-neutral health care reform plan over 10 years and an end to insurance companies denying coverage due to pre-existing medical conditions, Gibbs notes.
President Obama maintains final legislation will reach his desk in the fall. Gibbs said there are "no intermediate deadlines" for getting the bill through Congress, although Obama initially called on the House and Senate to pass health care reform bills before they started their August recess. "The president is encouraged that we're making progress and I think is satisfied with the path we're on," Gibbs said.
By Jeff Carlson and Paula Cruickshank, CCH News Staff
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