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September 17, 2009 01:00 AM

Democrats, Republicans look to amend Baucus bill

Matthew DoBias
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    Democrats and Republicans alike are taking issue with affordability, funding and the physician pay fix found in a health reform package released Wednesday by Sen. Max Baucus (D-Mont.). Lawmakers from both sides of the aisle said they are readying a host of amendments due by week's end.

    The Baucus bill requires all individuals to carry some level of health insurance and offers federal subsidies to help offset the cost to individuals and families making up to 300% of the federal poverty level (or $66,150 for a family of four). The tax credit is based on the percentage of income the cost of premiums represent, rising from 3% for those at 100% of the federal poverty level (or $22,050 for a family of four) to 13% of those at 300%.

    Lawmakers of all stripes, however, worry that those credits won't go far enough to defray the cost for the average American.

    Other issues center on an excise tax on insurance plans that offer high-end plans valued at $8,000 for an individual and $21,000 for families. Lawmakers said they are concerned that the insurance companies would pass on the costs to middle-class workers.

    Sen. John Kerry (D-Mass.), who proposed the tax on so-called “Cadillac plans,” said he would offer an amendment to tweak the values to $9,000 for an individual and $24,000 for families.

    “What happens is that people with a lower level of income get dragged into potentially being affected in their current coverage,” Kerry told reporters. “And I don't want that to happen.”

    While the bill replaces a scheduled 21% pay cut to doctors with a 0.5% increase for 2010, it does so only for one year. The Congressional Budget Office said that under the Baucus proposal, physicians would be on the hook for about a 25% pay cut in 2011.

    Sen. Orrin Hatch (R-Utah), a member of the Finance Committee, told reporters that the lack of a permanent sustainable-growth-rate fix skews any savings being predicted over the next decade under the legislation.

    “We really ought to be honest about what it's going to cost,” Hatch said. “And we all know that when Washington says it's only going to cost $5, you can count on it costing $50.”

    What do you think? Post a comment on this article and share your opinion with other readers. Submit your letter to Modern Physician Online at [email protected]modernhealthcare.com. Please be sure to include your hometown and state, along with your organization and title.

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