Senate Finance Committee To Vote On Public Option Tomorrow

by: Chris Bowers

Thu Sep 24, 2009 at 20:21


Tomorrow is a big day in the fight for a public option, as the Senate Finance Committee will vote on adding a public option to the Baucus bill:

The public option is headed for a vote in the Senate Finance Committee on Friday.

Sen. Jay Rockefeller (D-W.Va.) lamented on a conference call Thursday evening that the debate Friday would be the first time that the committee, since it began negotiating health care reform months ago, would be debating the public option.

There are two public option amendments on the table. One, proposed by Senator Rockefeller, is very similar to the "robust public option" pushed by House Progressives:

Rockefeller #C7 (Amendment 187)--establishes a public option that is tied to Medicare plus 5% rates with the ability to negotiate drug prices, and has an "opt-out" provider network. self-insured market effective in 2013

Should this amendment fail, 80 amendments down the road, Senator Cantwell has proposed adding the weaker, but still extent, Senate HELP public option:

4. Schumer-Cantwell #C2 (Amendment 267)--Public option as passed by HELP Committee

No guarantee they will get to that one tomorrow, so we might be waiting until Monday or Tuesday.

All 10 Republicans on the Finance Committee, including Olympia Snowe, are expected to vote against both public option amendments. Eight Democrats are highly likely to be yes votes: Bingaman (NM), Cantwell (WA), Kerry (MA), Menendez (NJ), Schumer (NY), Stabenow (MI), Rockefeller (WV), and Wyden (OR). It took a lot of organizing to even get that far, given the reluctance of Bingaman, Cantwell, Kerry and Wyden at times.

The other five members of the committee are difficult to predict, given that they have been all over the map on the public option this year. To pass a public option through the committee, four of the following five will need to vote in favor:

  1. Baucus (MT). Should be a yes given his stated and past support for the public option. However, he could be a no to defend the draft of the bill he released, and out of a continuing belief that the public option can't pass the Senate.

  2. Carper (DE): Has said that he opposes a non-trigger public option. I expect him to vote that way, even though he is from a pretty blue state.

  3. Conrad (ND): Has assiduously avoided taking a position on the public option, instead stating over and over again that there are not 60 votes for it. Well, now we finally will learn if Conrad was just talking about himself all along. As chairman of the Budget committee that will merge the Senate Finance and HELP bills, how Conrad votes will be huge. I am suspicious Conrad might vote "yes" to save face and seem like a good-faith negotiator on the co-op.

  4. Lincoln (AR): Blanche Lincoln appears to have recently flipped from supporting the public option to opposing it. She really has been all over the map during this entire debate. I think about the best we can hope for is that she votes yes on the public option in committee, and yes on the cloture vote, but then no on the floor vote.

  5. Nelson (FL): Perhaps more silent on the public option than any member of the Senate. He has, however, called public option supporters idiots, and said that he believes a public option can't pass. I am not confident on this vote.
My bet is that these five split 3-2 one way or the other. In both cases, it means the public option won't pass the committee, but will have at least one more vote in the overall public option whip count.  
Chris Bowers :: Senate Finance Committee To Vote On Public Option Tomorrow

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Schumer and Rockefeller had a conference call today... (4.00 / 1)
...predicting a strong public option in the final bill.

What do they know that we don't?

REID: Voting against us was never part of our arrangement!
SPECTER: I am altering the deal! Pray I don't alter it any further!
REID: This deal keeps getting worse all the time!


Is this the end of the road? (0.00 / 0)
For a public option?  If it doesnt pass the finance committee, does it die?

[ Parent ]
No... only if it doesn't pass the house.... (0.00 / 0)
But, if it passes the Senate Finance committee, then it's in for good!

REID: Voting against us was never part of our arrangement!
SPECTER: I am altering the deal! Pray I don't alter it any further!
REID: This deal keeps getting worse all the time!


[ Parent ]
Wait a minute (0.00 / 0)
What if it passes the House and not the Senate.  Can it be merged into the final bill in conference and then voted on via reconciliation?

[ Parent ]
re: merged in conference (4.00 / 1)
yes, yes it can be merged

'it will be merged' is a hell of a lot different though...


[ Parent ]
There are three public option amendments (0.00 / 0)
Cantwell HELP public option

Schumer level playing field public option

Rockefeller Medicare plus public option

http://campaignsilo.firedoglak...


I wonder if having the weaker public options introduced might have been counterproductive (4.00 / 1)
if there are any Senators who definitely want a public option, but would prefer the weaker one in Schumer/Cantwell.  Had the weaker one not been on the agenda then those Senators might have just "settled on" voting for the stronger one.

Then again, there are probably no Senators who fit that description.  All the Senators who for sure want a public option are probably going to vote for the stronger one anyway.


[ Parent ]
Conrad offically does not support a public option (0.00 / 0)
http://voices.washingtonpost.c...

Do you support the public option?

No.  


He doesn't support the Ways and Means/Education and Labor one (0.00 / 0)
that has rates tied to Medicare's, since he doesn't like the way Medicare reimburses his state.

Meaning he's an almost sure No vote on the Rockefeller option, but might be willing to vote Yes on the Schumer/Cantwell amendments.  I think Chris should put Conrad in the No column on this one.


[ Parent ]
Medicare Reimbursement rates (0.00 / 0)
It sounds like fixing the reimbursement rates between urban and rural doctors could go a long way in getting votes.  While that would cost money, it might be a pretty good compromise, depending on how everything else worked out.  In exchange for a strong public option, Medicare compensation is leveled out.

[ Parent ]
Hear hear. (0.00 / 0)
I hope they can make this deal.

[ Parent ]
Set the PO to Medicare Median (0.00 / 0)
in the 50% of places that Medicare rates are less the PO should be tied to the Median (or average) Medicare reimbursment rates. In the 50% where it is higher use the local Medicare rate. Saves a bit less, but small change is worth it if it is really the sticking point.

[ Parent ]
Not only about rural/urban divide (0.00 / 0)
Its also about the financial disincentives for new physicians to choose family practice, or general medicine, as opposed to the higher paying specialties.


"It sounds wrong...
     ...but its right."


[ Parent ]
what about the wyden free choice amendment? (4.00 / 1)


I don't understand how something with 65-75% support.... (0.00 / 0)
...has this much trouble getting into a bill. It defies common sense.  

Yeah no kidding (4.00 / 2)
Pretty much everything about the way health care legislation has been done this year defies common sense.

[ Parent ]
Because that 25-35% (4.00 / 2)
that opposes it includes the corporate elite. The Dogs know who their masters are.

Montani semper liberi

[ Parent ]
Sure, but congress critters don't work for the citizens (4.00 / 1)
they work for the folks who write them checks, host parties, and turn over the keys to a corporate jet or two.


"It sounds wrong...
     ...but its right."


[ Parent ]
I hope I'm wrong (0.00 / 0)
but I doubt any of those five "undecided" centrist Democrats will vote for this public option.  They're almost certainly No votes.

Baucus (oddly enough) is probably the most likely of the five to vote Yes.  He probably won't though.

Of course, I'd be thrilled if they prove me wrong and vote Yes.  Even if it's just to spite us liberal doubters.


We cant kill this if it doesnt have a public option (4.00 / 1)
We cannot go into the 2010 elections with no healthcare bill.  We will be locked out of control of the House for a generation.  

More than that... (0.00 / 0)
...even a non-public option bill will still be extremely helpful to millions of Americans.

REID: Voting against us was never part of our arrangement!
SPECTER: I am altering the deal! Pray I don't alter it any further!
REID: This deal keeps getting worse all the time!


[ Parent ]
Well, ok, but when the standard is losing both legs... (0.00 / 0)
..losing only one leg is "extremely helpful", too, Mike. This doesn't mean anyone should advocate this when there's a way to help people keep all their legs!

[ Parent ]
See it this way: Any "extremely helpful" reform... (0.00 / 0)
...that falls short of what's possible reduces the public pressure on the lawmakers, and prolongs the waiting period for the next run at improvements. This came up recently when we talked about Bismarck, who successfully hijacked social reforms from the socialists in order to reduce the pressure. So, compromising for some half baked stuff may not be the best idea. If the problem is left unsolved, there is much more steam in the boilers to allow a second run at the target.

Not that I stubbornly advocate the "public option or bust" course, naturally it has to be considered if the immediate benefits for the people outweigh other considerations. I'm really torn...


[ Parent ]
Exactly how will it be helpful? (4.00 / 1)
"We are about to force at least 30 million people into an insurance market where the sharks are circling," said California Lt. Gov. John Garamendi, a Democrat who served as the state's insurance commissioner for eight years. "Without effective protections, they will be eaten alive."

Soaring premiums coupled with millions of new customers forced to buy policies would likely mean higher costs for taxpayers to cover government subsidies for lower-income families and individuals.
http://www.latimes.com/news/na...

The only people that will be helped by having mandates without effective price controls is the insurance industry. Forcing people to purchase insurance when they cannot afford either the premiums even with subsidies or the co-pays or deductibles does nothing to provide health care.  


[ Parent ]
re: 2010 (4.00 / 3)
go with an individual mandate to buy health insurance from big health at unchallenged prices and things will be even worse

[ Parent ]
Going into 2010 with a shit bill (4.00 / 4)
is even worse. If Obama doesn't get that he's hopeless.

Montani semper liberi

[ Parent ]
What is the plan doesn't solve the problems? (0.00 / 0)
I'll admit, there are other ways to reform the system that are not based on a PO, but have any of those been discussed?

There is a real danger in passing a bill only serves to maintain the staus quo, is there not?


"It sounds wrong...
     ...but its right."


[ Parent ]
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