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Senate health bill negotiators discussing, debating versions of public option

Published on October 21, 2009 at 12:06 AM · No Comments

Senator Max Baucus says there is still the possibility for some sort of public option in the Senate health bill, though he doubts it can get 60 votes, as Majority Leader Harry Reid negotiates to shape the final legislation. 

Kaiser Health News reports that Baucus told reporters Monday that he views it as unlikely that Democrats could get to 60 votes — a filibuster majority — to pass a public option. "I don't know if there are 60 votes for the pure kind of" public option proponents are demanding," Baucus told reporters during a conference call sponsored by Families USA, a liberal health care advocacy group. He also said he favors any mechanism that "keeps the insurance industry's feet to the fire" (Pianin, 10/19).

The Wall Street Journal: "So far, no one is talking about a nationwide Medicare-like plan of the sort sought by many liberals, but several variations short of a national plan are being considered." One idea is to include a trigger that would create a public option if insurers fail to rein in costs, another would allows states to opt out of a public plan or create their own." Even as these considerations continue, the Journal reports that "conservatives warn that even a watered-down public plan would give the government too much control over health care and won't help lower costs." Reid's negotiators are considering what plan to put in the final merged Senate bill (Hitt and Adamy, 10/20).

Roll Call reports that, meanwhile, negotiators made no major decisions Monday on the legislation. They will meet again Tuesday evening. "The negotiators did not speak to reporters following the meeting, which lasted about an hour. Asked if progress was made, (White House chief of staff Rahm) Emanuel said 'yep' as he quickly exited Reid's office and headed out of the Capitol" (Drucker, 10/19).

The New York Times has an analysis story on the different tenets of the bill merger. Aides said they are aiming to have a merged bill "mostly baked" by the end of the week. The CBO will then score the bill again and Senate floor debate can begin (Herszenhorn, 10/19).

The Hill has a similar story on how the two Senate measures might be merged: "White House officials and Senate Democratic leaders are attempting a balancing act. They want to meet the goal of extending health insurance to nearly all Americans while reforming the system to rein in runaway costs. But they can't burst the budget in doing so." The Hill also looks at tenets such as affordability and the public option and the particulars of what lawmakers are likely to decide on in the Senate bill merger (Young, 10/20).

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