February 6, 2006
HOUSE. The chamber will only meet for one day this week to consider six measures under suspension, as well as a motion to send the tax reconciliation package to conference (H.R. 4297) and name conferees. The Senate passed its version of H.R. 4297 last week. The Senate measure totals $70 billion in tax cuts over five years because the FY 2006 budget resolution allowed the figure to grow once the budget reconciliation package passed. After the House acts, the Senate will name its conferees. There are several differences within the two bills that still need to be resolved. If an agreement cannot be reached on H.R. 4297 before the adoption of a conference report on a FY 2007 budget resolution, the measure will no longer be afforded the procedural protections allowed under the reconciliation process.
Tax Reconciliation Bill Passes Senate
Last week the Senate passed a $70 billion tax reconciliation package by a vote of 66-31. Since the Constitution requires that revenue-related legislation originate in the House, the Senate adopted H.R. 4297, but substituted the language from the Senate bill (S. 2020, originally passed in November) after adopting several amendments.
Several expiring tax provisions were extended to meet the new $70 billion level of the package (over five years), which was enhanced due to passage of the budget reconciliation package on Wednesday, February 1, and the removal of hurricane tax breaks that were dealt with in separate legislation.
SENATE HOLDS HEARING ON MEDICARE PART D IMPLEMENTATION
The Senate Aging Committee held the first hearing on Medicare Part D implementation since the new drug benefit began on January 1, 2006. Centers for Medicare and Medicaid Services (CMS) Administrator Mark McClellan testified before the committee, giving a progress report on implementation. He also discussed the temporary coverage that states are funding for the dual eligibles and plans to reimburse states for these costs through the Medicare demonstration waiver. The template for the waiver was released late last week. Secretary of Health and Human Services, Mike Leavitt also announced details on the process by which states will be reimbursed for the costs they have incurred for providing temporary coverage for the duals. For more information, please visit the CMS website: www.cms.gov
Last week Secretary Leavitt also released a one-month progress report on the Medicare Prescription Drug benefit, on what is working and what needs improvement within the program. The report details steps undertaken by HHS and health plans, such as extending transition coverage for a beneficiary's current drugs to 90 days and reducing call wait times. The report also includes new estimates showing the costs of the Medicare drug benefit are significantly less than expected. Call wait times for pharmacists and customers according to the Secretary have been "unacceptable" and so he announced efforts to get them reduced. HHS will increase monitoring and reporting of drug plan wait times and will take corrective steps in the specific cases where plans do not improve. Other areas where they will continue to work on include: dealing with late enrollment problems/issues, data translation, pharmacy support (including claims issues), state reimbursement, compliance issues (transition plans as suggested above); and future problems.
HOUSE PASSES DEFICIT REDUCTION ACT
The House passed the Deficit Reduction Act (S. 1932) by a vote of 216-214 last week, clearing the measure for the President' signature. The vote was the second time the House passed the conference report but was necessary because the Senate stripped three minor provisions from it before passage last December. The bill is estimated to decrease spending by $39 billion over five years.
HEALTH CARE FUNDING FOR VETERANS GIVEN EMERGENCY DESIGNATION
The President designated $1.2 billion in funding for veterans' health care as emergency spending, which allows the funds to be expended in the current fiscal year and outside of the caps on discretionary spending. In passing the FY 2006 appropriations for Military Construction/Veterans Affairs, Congress designated funding for veterans' health as contingent emergency spending, which required the President to designate the funds as emergency spending.
PATRIOT ACT EXTENDED IN THE SENATE
The Senate last week passed a five week extension of the Patriot Act (H.R. 3199) until March 10, 2006. The House passed the extension last week as well. The President is expected to sign.