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  Hispanic Groups Working to Ensure Immigrants are Given Coverage  
 

The Washington Post (11/12, Thompson) reports, "The nation's Hispanic lawmakers and largest advocacy groups are scrambling to develop a strategy to counter what they see as efforts to shortchange immigrants in health bills on Capitol Hill. ... With the current bills excluding more than a million Hispanics -- mostly legal immigrants -- the debate runs into the issue of immigrants' rights." According to the Post, "Under the health bill passed in the House on Saturday, illegal immigrants would be allowed to buy insurance on a newly created exchange with their own money and without government subsidies," but "the bill expected in the Senate would bar illegal immigrants from the exchange altogether. In both the Senate and House, all legal immigrants are eligible for government subsidies to buy insurance on the exchange, but immigrants who have been in the country for less than five years would remain barred by existing law from enrolling in Medicaid and Medicare."

 

USA Today debates including undocumented immigrants in health overhaul. USA Today (11/12) editorializes that uninsured, undocumented immigrants "will continue to get sick" and continue to receive hospital and clinic care -- "both of which are supported directly or indirectly by taxpayers, the insured population, or both." Hence, it is illogical to exclude them when doing so could help "defray the costs" of insurance premiums and taxes. Moreover, data from the Migration Policy Institute show that "of the estimated 12 million unauthorized people in this country, about 3.7 million have insurance through an employer"; approximately 7 million are uninsured; and about 362,000 buy individual insurance. "Only the last group, plus the small segment of uninsured who have the means to buy insurance, would be" affected by health reform.

In an "Opposing View" column in USA Today (11/12), Dan Stein, president of the Federation for American Immigration Reform, argues that extending insurance to unauthorized immigrants would make healthcare "even more expensive." According to Stein, "uncompensated care for illegal aliens already costs taxpayers $11 billion" annually. He cites a CBO analysis, which concluded that "expanded utilization" often leads to higher medical spending; and adds that greater utilization by undocumented immigrants would also "impact healthcare quality," by increasing physician wait times and reducing "access to services." Stein also contends that allowing unauthorized immigrants to purchase insurance under exchanges would create a "powerful magnet" for increased "illegal immigration."

Obama's reference to $900 billion price tag said to have complicated reform efforts.

In his Washington Post (11/12) blog, Ezra Klein writes that Obama "has not given much in the way of specifics for healthcare reform," but "the exception is a number that was neither nonnegotiable nor dictated, but was received on the Hill as if it was both, and has come to dominate the healthcare reform process: $900 billion," which "sprang from Obama's September speech laying out his own plan on healthcare reform." Rep. George Miller (D-CA) is quoted as saying, "It made things complicated. We were working off of one track and then we had to switch." According to Klein, Senate Majority Leader Harry Reid's (D-NV) office is waiting for the CBO "to return an official score of their healthcare reform bill" and "if it's under $900 billion, they will move forward with it," but "if it's over $900 billion, they will revise it, and send it back to CBO for a new, and hopefully lower, score." Klein wonders "how the Obama administration came up with the $900 billion estimate...why they included it in their speech, after so relentlessly avoiding specifics until that moment" and "why the Hill embraced it as a hard limit rather than a general proposal."

 

Reid may raise payroll taxes for wealthy to help finance health reform. The AP (11/12, Espo) reports that Senate Majority Leader Harry Reid (D-NV) "is considering a plan for higher payroll taxes on the upper-income earners to help finance healthcare legislation he intends to introduce in the Senate in the next several days, numerous Democratic officials said Wednesday." One of the options Sen. Reid is considering "would raise the payroll tax that goes to Medicare, but only on income above $250,000 a year. Current law sets the tax at 1.45 percent of income, an amount matched by employers." Still, "it was not known how large an increase Reid...was considering, or whether it would also apply to a company's portion of the tax."

 

New House schedule could allow for final passage of health reform bill this year. The Hill (11/12, Fabian, Swanson) reports that House Majority Leader Steny Hoyer (D-MD) "outlined the new schedule on Wednesday, saying he is prepared to keep the House working until Dec. 22 in order to pass the keystone issue of President Barack Obama's first year in office." The Hill notes that "Hoyer's move follows" Senate Majority Leader Harry Reid's (D-NV) "decision late Tuesday night to file a motion that could allow the Senate to begin debate on healthcare next week. The actions by Reid and Hoyer appear designed to meet a goal of sending a healthcare bill to Obama's desk by the end of the year, though that task will be difficult given divisions among Democrats in both chambers." White House chief of staff Rahm Emanuel, Vice President Biden, and President Obama "have recently touted the year-end deadline." Hoyer "said the House would be in session for the first three weeks of December, but that could be extended to the week of Christmas. 'The House could also be in session on Monday, Dec. 21, and Tuesday, Dec. 22, if needed,' Hoyer said in a statement."

 

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