On page 432 of the Reid bill, there is a section increasing federal Medicaid subsidies for “certain states recovering from a major disaster.” The section spends two pages defining which “states” would qualify, saying, among other things, that it would be states that “during the preceding 7 fiscal years” have been declared a “major disaster area.” The section applies to exactly one state: Louisiana, the home of moderate Democrat Mary Landrieu, who has been playing hard to get on the health care bill. In other words, the bill spends two pages describing would could be written with a single world: Louisiana. (This may also help explain why the bill is long.) senator harry reid, who drafted the bill, cannot pass it without the support of Louisiana’s Mary Landrieu. How much does it cost? According to the Congressional Budget Office: $100 million.Here’s the incredibly complicated language:
- SEC. 2006. SPECIAL ADJUSTMENT TO FMAP DETERMINATION FOR CERTAIN STATES RECOVERING FROM A MAJOR DISASTER.
- Section 1905 of the Social Security Act (42 U.S.C. 1396d), as amended by sections 2001(a)(3) and2001(b)(2), is amended— (1) in subsection (b), in the first sentence, by striking ‘‘subsection (y)’’ and inserting ‘‘subsections (y) and (aa)’’; and (2) by adding at the end the following new subsection:‘‘(aa)(1) Notwithstanding subsection (b), beginning January 1, 2011, the Federal medical assistance percentage for a fiscal year for a disaster-recovery FMAP adjustment State shall be equal to the following:
- ‘(A) In the case of the first fiscal year (or part of a fiscal year) for which this subsection applies to the State, the Federal medical assistance percentage determined for the fiscal year without regard to this subsection and subsection (y), increased by 50 percent of the number of percentage points by which the Federal medical assistance percentage determined for the State for the fiscal year without regard to this subsection and subsection (y), is less than the Federal medical assistance percentage determined for the State for the preceding fiscal year after the application of only subsection (a) of section 5001 of Public Law 111–5 (if applicable to the preceding fiscal year) and without regard to this subsection, subsection (y), and subsections (b) and (c) of section 5001 of Public Law 111–5.
- ‘‘(B) In the case of the second or any succeeding fiscal year for which this subsection applies to the State, the Federal medical assistance percentage determined for the preceding fiscal year under this subsection for the State, increased by 25 percent of the number of percentage points by which the Federal medical assistance percentage determined for the State for the fiscal year without regard to this subsection and subsection (y), is less than the Federal medical assistance percentage determined for the State for the preceding fiscal year under this subsection.
- ‘‘(2) In this subsection, the term ‘disaster-recovery FMAP adjustment State’ means a State that is one ofthe 50 States or the District of Columbia, for which, at any time during the preceding 7 fiscal years, the President has declared a major disaster under section 401 of the Robert T. Stafford Disaster Relief and Emergency Assistance Act and determined as a result of such disaster that every county or parish in the State warrant individual and public assistance or public assistance from the Federal Government under such Act and for which—
- ‘‘(A) in the case of the first fiscal year (or part of a fiscal year) for which this subsection applies to the State, the Federal medical assistance percentage determined for the State for the fiscal year without regard to this subsection and subsection (y), is less than the Federal medical assistance percentage determined for the State for the preceding fiscal year after the application of only subsection (a) of section 5001 of Public Law 111–5 (if applicable to the preceding fiscal year) and without regard to this subsection, subsection (y), and subsections (b) and (c) of section 5001 of Public Law 111–5, by at least 3 percentage points; and
- ‘‘(B) in the case of the second or any succeeding fiscal year for which this subsection applies to the State, the Federal medical assistance percentage determined for the State for the fiscal year without regard to this subsection and subsection (y), is less than the Federal medical assistance percentage determined for the State for the preceding fiscal year under this subsection by at least 3 percentage points.
- ‘‘(3) The Federal medical assistance percentage determined for a disaster-recovery FMAP adjustment State under paragraph (1) shall apply for purposes of this title (other than with respect to disproportionate share hospital payments described in section 1923 and payments under this title that are based on the enhanced FMAP described in 2105(b)) and shall not apply with respect to payments under title IV (other than under part E of title IV) or payments under title XXI.’’.
- Representative "Baby" Slaughter (D-NY) celebrates today. The co-chair of the Pro Choice Caucus knows taxpayer funded abortions survived and is in the bill. Her nemesis and the hero of this story, Bart Stupak (D-MI) still fights to ensure tax payers aren't going to be forced to pay to "slaughter" babies through abortion.
- Line 7, p. 118, section 1303 under “Voluntary Choice of Coverage of Abortion Services” gives the Health and Human Services Secretary the authority of when abortion is covered in the Senate bill. harry reid's Senate Bill requires on insurance coverage plan to cover abortions.
- Line 11, page 122, section 1303, under “Actuarial Value of Optional Service Coverage” creates a fund in the Treasury to pay for abortions. Part of these fees will be paid from the minimal premiums that will be charged for the government plan.
- Section 1303(a)(2)(C) says that a minimum of a $1 a month will be added to the premium to provide abortion coverage. Of course there is a subsidy for those who can't afford the dollar premium. It's called the affordability credit, which means many women won't be paying for their abortions all all--taxpayers will.
- This may be the one issue that divides Congress. obama made the promise he would not approve of a healthcare plan that will include federal funding of abortion, but like most things obama says, you only take it with a grain of salt. Still, there will be pressure on him from both sides. There are democRATs threatening to vote against it if it includes abortion coverage, and there are democRATs who are threatening to vote against it if it excludes abortion coverage. Let's hope this is the issue that defeats this bill.
- Call your Senator today. Hey Claire McCaskill, this bill isn't deficit neutral. I expect you to live up to your promise and vote against it, but I know you lied to your constituents.
Til Nex'Time....
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