WASHINGTON (AP) — The Senate Democratic leader indicated
Tuesday that lawmakers may not complete health care legislation this
year, missing President Barack Obama's deadline on his signature issue
and pushing debate into a congressional election year.With just
eight weeks left, the Senate is running out of time to finish a
comprehensive bill to extend coverage to millions of Americans and
control rising medical costs. Senate Majority Leader Harry Reid,
D-Nev., emerged from a closed-door meeting of rank-and-file Democrats
signaling that delay was likely. Asked if he could pass health
care this year, Reid said: "We're not going to be bound by any
timelines. We need to do the best job we can for the American people.
We want quality legislation, and we're going to do that." Reid
said he was awaiting a final analysis of the legislation from the
Congressional Budget office, a time-consuming process that makes it
unlikely the Senate would begin debate before Veterans' Day, Nov. 11.
With scores of amendments, Senate debate could take weeks. "We're
going to do this legislation as expeditiously as we can, but we're
going to do it as fairly as we can, also," Reid told reporters. Pushing
the work into early next year could prove politically dicey as all of
the House and a third of the Senate face elections in November.
Lawmakers may be reluctant to cast votes that could be their undoing at
the polls. Obama has pressed Congress for a bill by year's end.
Across the Capitol, the House is expected to vote on its version of
legislation later this week. Lawmakers from both chambers then would
have to meld the two bills and cast final votes in the House and Senate
before the legislation could be sent to the president.
In the
House, Republicans produced a draft health care bill that focuses on
bringing down costs rather than extending coverage to nearly all
Americans. A 230-page draft was obtained Tuesday by The
Associated Press. A spokeswoman for Minority Leader John Boehner,
R-Ohio, said changes were still being made before the bill would be
finalized in time to offer as an alternative when Democrats begin floor
debate on their bill, possibly at the end of this week. The bill
leaves out a number of the key features of the Democrats' 1,990-page
legislation, such as new requirements for employers to insure their
employees and for nearly all Americans to purchase insurance. It also
doesn't block insurers from denying coverage to people with
pre-existing health conditions, as Democrats would do. Instead,
the Republican plan increases incentives for people to use health
savings accounts, caps non-economic jury awards in medical malpractice
cases at $250,000, provides various incentives to states with the aim
of driving down premium costs and allows health insurance to be sold
across state lines. "As Leader Boehner has made clear, our
proposal will focus on the No. 1 concern of the American people —
reducing health care costs, and we do it at a price tag our nation can
afford," said spokeswoman Antonia Ferrier, though Republicans have not
said how much their bill would cost. Democrats immediately dismissed the Republican plan as insubstantial.
The
GOP alternative "does little to provide security and stability to all
Americans, doesn't provide insurance availability for all Americans,
does little to expand access to coverage," House Majority Leader Steny
Hoyer, D-Md., told reporters. "Ours is vastly superior and we think the American public will think that," Hoyer said. The GOP draft bill obtained by The AP was dated Monday. House
Democrats, meanwhile, were working overtime to put the finishing
touches on their 10-year, $1.2 trillion bill, which they released last
week. Leaders were trying to resolve lingering concerns over language
to bar federal funding of abortions and ensure that illegal immigrants
don't receive government health benefits. The Republican bill
includes a permanent ban on any federal funding for abortions except in
cases of rape, incest or threat to the life of the mother, stronger
language than the Democratic bill.
Associated Press Writer Andrew Taylor contributed to this report.
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