Monday, November 30, 2009

Senate Amendments to the (amendment) Health care bill

   SA 2788. Mr. COBURN submitted an amendment intended to be proposed to amendment SA 2786 proposed by Mr. Reid (for himself, Mr. Baucus, Mr. Dodd, and Mr. Harkin) to the bill H.R. 3590, to amend the Internal Revenue Code of 1986 to modify the first-time homebuyers credit in the case of members of the Armed Forces and certain other Federal employees, and for other purposes; which was ordered to lie on the table; as follows:

    At the appropriate place, insert the following:

   SEC. __X. INCREASED TRANSPARENCY.

    (a) Scoring and Summary.--It shall not be in order in the Senate or the House of Representatives to vote on final passage on a bill, resolution, or conference report unless a final Congressional Budget Office score and Congressional Research Service summary report on policy changes in the bill, resolution, or conference report has been posted online on the public website of the body 72 hours before such final vote.

    (b) Additional Requirements.--The information required to be posted by subsection (a) shall also include--

    (1) an affidavit that the policy summary of the Congressional Research Service adequately reflects the measure signed by the Majority and Minority Leaders; and

    (2) signed affidavits from every member of the body attesting that they have read the measure.

    (c) Waiver and Appeal.--

    (1) WAIVER.--This section may be waived or suspended in the Senate or House of Representatives only by an affirmative vote of 3/5 of the members, duly chosen and sworn.

    (2) APPEAL.--An affirmative vote of 3/5 of the members of the Senate or House of Representatives, duly chosen and sworn, shall be required to sustain an appeal of the ruling of the Chair on a point of order raised under this subsection.

    (d) Public Availability of Amendments.--Each amendment offered in the Senate or House of Representatives shall to be posted online on the public website of the body as soon as practicable after the amendment is offered.

   

   SA 2789. Mr. COBURN (for himself, Mr. Vitter, Mr. Burr, and Mr. Hatch) submitted an amendment intended to be proposed to amendment SA 2786 proposed by Mr. Reid (for himself, Mr. Baucus, Mr. Dodd, and Mr. Harkin) to the bill H.R. 3590, to amend the Internal Revenue Code of 1986 to modify the first-time homebuyers credit in the case of members of the Armed Forces and certain other Federal employees, and for other purposes; which was ordered to lie on the table; as follows:

    On page 156, line 4, strike all through page 157, line 7, and insert the following:

    (D) REQUIREMENT OF MEMBERS OF CONGRESS TO ENROLL IN THE PUBLIC OPTION.--

    (i) REQUIREMENT.--Notwithstanding any other provision of law, all Members of Congress shall be enrolled in the community health insurance option when established by the Secretary.

    (ii) INELIGIBLE FOR FEHBP.--Effective on the date on which the community health insurance option is established by the Secretary, no Member of Congress shall be eligible to participate in a health benefits plan under chapter 89 of title 5, United States Code.

    (iii) EXCEPTION.--Notwithstanding clauses (i) and (ii), if a Member of Congress resides in a State which opts out of providing a community health insurance option, that Member may be enrolled in a health benefits plan under chapter 89 of title 5, United States Code, during any period which that State has opted out.

    (iv) EMPLOYER CONTRIBUTION.--

    (I) IN GENERAL.--The Secretary of the Senate or the Chief Administrative Officer of the House of Representatives shall pay the amount determined under subclause (II) to the appropriate community health insurance option.

    (II) AMOUNT OF EMPLOYER CONTRIBUTION.--The Director of the Office Of Personnel Management shall determine the amount of the employer contribution for each Member of Congress enrolled in a community health insurance option. The amount shall be equal to the employer contribution for the health benefits plan under chapter 89 of title 5, United States Code, with the greatest number of enrollees, except that the contribution shall be actuarially adjusted for age.

    (v) DEFINITIONS.--In this subparagraph:

    (I) COMMUNITY HEALTH INSURANCE OPTION.--The term ``community health insurance option'' means the health insurance established by the Secretary under section 1323.

[Page: S11974]  GPO's PDF

    (II) MEMBER OF CONGRESS.--The term ``Member of Congress'' means any member of the House of Representatives or the Senate.

 

Tuesday, November 24, 2009

Some Healthcare Thoughts

I read an interesting article today. Two thoughts struck me about this:

1. 11 Let’s not be hasty to dismiss patients as “vegetative” without more extensive testing.

Belgian doctors who treated him early on said that Rom had gone from a coma into a vegetative condition.

Coma is a state of unconsciousness in which the eyes are closed and the patient can't be roused, as if simply asleep. A vegetative state is a condition in which the eyes are open and can move, and the patient has periods of sleep and periods of wakefulness, but remains unconscious and unaware of him or herself or others. The patient can't think, reason, respond, do anything on purpose, chew or swallow.

. . .

The case came to light after Laureys published a study in the journal BMC Neurology this year showing that about four out of ten patients with consciousness disorders are wrongly diagnosed as being a vegetative state. Houben, although not specifically mentioned, was part of the study.

2. 2. Advanced technology saved the day here.

More searching finally got her in touch with Laureys, who put Houben through a PET scan that indicated he was conscious. The family and doctors then began trying to establish communication.

A breakthrough came when he was able to indicate yes or no by slightly moving his foot to push a computer device placed there by Laureys' team.

Then came the spelling of words using his finger and a touch-screen attached to his wheelchair.

Houben has started writing a book on his experiences.

Monday, November 23, 2009

Sleight of Hand in Health Care

This is the cautionary tale of two bills:

1. H.R. 3590 - To amend the Internal Revenue Code of 1986 to modify the first-time homebuyers credit in the case of members of the Armed Forces and certain other Federal employees, and for other purposes. Entered IN THE HOUSE OF REPRESENTATIVES on September 17, 2009 by Charlie Rangel.

2. H.R. 3962 - Affordable Health Care for America Act. Entered IN THE HOUSE OF REPRESENTATIVES on October 29, 2009 by John Dingell.

H.R. 3950, when in the House, had the short title of Service Members Home Ownership Tax Act of 2009. The bill was six pages long and primarily affected the tax treatment and first time home buyer credit for US Military. It passed on Oct 8, 2009 with 416 Yes votes and 16 not voting. After all, it was a good thing to help our heroes fighting in the War on Terror. Good going House guys in passing it virtually unanimously.

As you probably know, H.R. 3962 was voted on a late Saturday night (Nov 7) and squeaked by 220 – 215 with one Republican voting yes. It was placed on the Senate calendar on Nov 16, 2009. Some pundits said it was dead on arrival in the Senate and would never pass in its current form (2,016 pages).

Now here’s the tricky thing: H.R. 3590 was amended in the Senate (by replacement) by Harry Reid. The original six page bill suddenly became 2,076 pages and acquired the new title of Patient Protection and Affordable Care Act. This bill, remember, started as a Revenue bill. Now it is the health care bill, but it can be reconciled by simple majority vote in both chambers. This sleight of hand was accomplished with these words:

AMENDMENT NO. 2786

Purpose: In the nature of a substitute.

IN THE SENATE OF THE UNITED STATES—111th Cong., 1st Sess.

H. R. 3590

To amend the Internal Revenue Code of 1986 to modify

the first-time homebuyers credit in the case of members

of the Armed Forces and certain other Federal employees,

and for other purposes.

November 19, 2009

Ordered to lie on the table and to be printed

Amendment in the nature of a substitute intended to be

proposed by Mr. REID (for himself, Mr. BAUCUS, Mr.

DODD, and Mr. HARKIN)

Viz:

1 Strike all after the enacting clause and insert the following:

Now, some on the left will think this was clever of the Democratic leadership. Some on the right will think it is chicanery. What do you think?

I think I’m going to vomit.

Friday, November 13, 2009

Blue Dogs in Name Only

The following so-called Blue Dog Democrats failed to join the other 39 to defeat the Health Care bill:

Mike Arcuri (N.Y.)
Joe Baca (Calif.)
Marion Berry (Ark.)
Sanford Bishop (Ga.)
Leonard Boswell (Iowa)
Dennis Cardoza (Calif.)
Christopher Carney (Penn.)
Jim Cooper (Tenn.)
Jim Costa (Calif.)
Henry Cuellar (Texas)
Kathy Dahlkemper (Penn.)
Joe Donnelly (Ind.)
Brad Ellsworth (Ind.)
Gabrielle Giffords (Ariz.)
Jane Harman (Calif)
Baron Hill (Ind.)
Mike Michaud (Maine)
Harry Mitchell (Ariz.)
Dennis Moore (Kan.)
Patrick Murphy (Penn.)
Earl Pomeroy (N.D.)
John Salazar (Colo.)
Loretta Sanchez (Calif.)
Adam Schiff (Calif.)
David Scott (Ga.)
Zack Space (Ohio)
Mike Thompson (Calif.)
Charles Wilson (Ohio)

 

Should they be called BDINO’s?  or maybe BINO’s?  Or how about “outta there!”.

In case you missed it

It seems that NY-23 was prematurely conceded by Hoffman. Had he not conceded, Pelosi would have been one vote shorter from passing the Health Care Monstrosity. Then maybe the Republican would not have voted for it either. Ah, well.