Democratic leaders are moving ahead with plans to expand the two massive U.S. public health insurance programs even as their rank and file have yet to unite over how to do so.
House Budget Committee Chair John Yarmuth (D-Ky.) told reporters he isnāt sure thereās widespread support in his own party for lowering the age to qualify for Medicare, the federal health insurance program for the disabled and those aged 65 years or older. Democrats are considering that provision as part of major legislation designed to ride on a budget bill this year.
āThat has about 75% support in the caucus,ā Yarmuth said, adding heās readying a budget reconciliation package for coming weeks.
Democratic leaders are eyeing the budget bill as a vehicle to pass their partyās major priorities without depending on support from Republicans. Failing to find agreement on health priorities could leave Democrats without major wins to bring to their constituents ahead of next yearās midterms.
House Energy and Commerce Committee Chair Frank Pallone (D-N.J.) said his panel is crafting a bill aimed at extending āguaranteed coverageā to people in the 12 states that havenāt elected to expand their Medicaid programs under the Affordable Care Act.
āI want to provide coverage for those people that are in red states that have not expanded,ā Pallone said about coverage for Medicaid, the federal health insurance for low-income people.
Pallone declined to offer details. Some Democrats in the 12 holdout states are proposing a new tier of the ACA marketplace plan, or government-run insurance, available to people who make too much to qualify for Medicaidābut too little to qualify for subsidies for private insurance.
Others are suggesting allowing counties or cities to expand access within their boundaries, a move that could help major population centers.
Obamacare Ruling Leaves Parties Searching for 2022 Pitches
Getting āCreativeā
One major concern with using the budget process to extend insurance to those in this āMedicaid gapā is a potential limit on how long the coverage would last, Rep. Colin Allred (D-Texas) said.
āI donāt know how we could get something long-term, but weāre trying to get creative,ā he said. āThis pandemic has highlighted the need to give people coverage.ā
Progressives in the House have pushed to include Medicare expansionāboth lowering the age and adding dental, vision and hearing coverageābut not closing the Medicaid gap. Rep. Mark Pocan (D-Wis.), whose home state hasnāt expanded its Medicaid program, said the issue is most pressing for only a minority of Democrats.
āLets face it: most of these states donāt have a lot of Democratic members of Congress,ā he said.
Top Democrats to Craft Bill on Public Health Insurance Option
Pocan said expanding Medicare to more Americans and bolstering its benefits would help people in every state, making it an easier sell for the caucus.
Moderate Democrats have championed Medicaid expansion over growing Medicare. Members of the centrist New Democrat Coalition have been advocating for new incentives to encourage states to take the added federal dollars to extend their public health insurance, a congressional aide familiar with their discussions said.
In the Senate, progressives are also pushing to expand Medicare.
Sen. Bernie Sanders (I-Vt.), chairman of the Senate Budget Committee, has been rallying Democratic senators around adding benefits to Medicare this year.
Democrats Seek to Bridge Gaps Over Medicare, Medicaid Expansion
Bloomberg
July 2, 2021 2:14 pm
Democratic leaders are moving ahead with plans to expand the two massive U.S. public health insurance programs even as their rank and file have yet to unite over how to do so.
House Budget Committee Chair John Yarmuth (D-Ky.) told reporters he isnāt sure thereās widespread support in his own party for lowering the age to qualify for Medicare, the federal health insurance program for the disabled and those aged 65 years or older. Democrats are considering that provision as part of major legislation designed to ride on a budget bill this year.
āThat has about 75% support in the caucus,ā Yarmuth said, adding heās readying a budget reconciliation package for coming weeks.
Democratic leaders are eyeing the budget bill as a vehicle to pass their partyās major priorities without depending on support from Republicans. Failing to find agreement on health priorities could leave Democrats without major wins to bring to their constituents ahead of next yearās midterms.
House Energy and Commerce Committee Chair Frank Pallone (D-N.J.) said his panel is crafting a bill aimed at extending āguaranteed coverageā to people in the 12 states that havenāt elected to expand their Medicaid programs under the Affordable Care Act.
āI want to provide coverage for those people that are in red states that have not expanded,ā Pallone said about coverage for Medicaid, the federal health insurance for low-income people.
Pallone declined to offer details. Some Democrats in the 12 holdout states are proposing a new tier of the ACA marketplace plan, or government-run insurance, available to people who make too much to qualify for Medicaidābut too little to qualify for subsidies for private insurance.
Others are suggesting allowing counties or cities to expand access within their boundaries, a move that could help major population centers.
Obamacare Ruling Leaves Parties Searching for 2022 Pitches
Getting āCreativeā
One major concern with using the budget process to extend insurance to those in this āMedicaid gapā is a potential limit on how long the coverage would last, Rep. Colin Allred (D-Texas) said.
āI donāt know how we could get something long-term, but weāre trying to get creative,ā he said. āThis pandemic has highlighted the need to give people coverage.ā
Progressives in the House have pushed to include Medicare expansionāboth lowering the age and adding dental, vision and hearing coverageābut not closing the Medicaid gap. Rep. Mark Pocan (D-Wis.), whose home state hasnāt expanded its Medicaid program, said the issue is most pressing for only a minority of Democrats.
āLets face it: most of these states donāt have a lot of Democratic members of Congress,ā he said.
Top Democrats to Craft Bill on Public Health Insurance Option
Pocan said expanding Medicare to more Americans and bolstering its benefits would help people in every state, making it an easier sell for the caucus.
Moderate Democrats have championed Medicaid expansion over growing Medicare. Members of the centrist New Democrat Coalition have been advocating for new incentives to encourage states to take the added federal dollars to extend their public health insurance, a congressional aide familiar with their discussions said.
In the Senate, progressives are also pushing to expand Medicare.
Sen. Bernie Sanders (I-Vt.), chairman of the Senate Budget Committee, has been rallying Democratic senators around adding benefits to Medicare this year.