Bowing to pressure, President Barack Obama on Thursday announced changes
to his health care law to give insurance companies the option to keep
offering consumers plans that would otherwise be canceled.
The administrative changes are good for just one year, though senior
administration officials said they could be extended if problems with
the law persist. Obama announced the changes at the White House.
"This fix won't solve every problem for every person, but it's going to help a lot of people," the president said.
He acknowledged that "we fumbled the rollout of this health care law"
and pledged to "just keep on chipping away at this until the job is
done."
Obama has been under enormous pressure from congressional Democrats to
give ground on the cancellation issue under the health care overhaul, a
program likely to be at the center of next year's midterm elections for
control of the House and Senate.
It's unclear what the impact of Thursday's changes will be for the
millions of people who have already had their plans canceled. While
officials said insurance companies will now be able to offer those
people the option to renew their old plans, companies are not required
to take that step.
Insurance companies will be required to inform consumers who want to
keep canceled plans about the protections that are not included under
those plans. Customers will also be notified that new options are
available offering more coverage and in some cases, tax credits to cover
higher premiums.
Under Obama's plan, insurance companies would not be allowed to sell
coverage deemed subpar under the law to new customers, marking a
difference with legislation that House Republicans intend to put to a
vote on Friday.
Only last week, Health and Human Services Secretary Kathleen Sebelius
told a Senate panel she doubted that retroactively permitting insurers
to sell canceled policies "can work very well since companies are now in
the market with an array of new plans. Many have actually added
consumer protections in the last three-and-a-half years."
Republicans were unimpressed with the changes.
House Speaker John Boehner, speaking in advance of the president's
announcement, insisted it was time to "scrap this law once and for all."
"You can't fix this government-run health care plan called Obamacare ," he said. "It's just not fixable."
Obama, for his part, made clear he would continue to fight ongoing
attempts to sink the whole program, saying, "I will not accept proposals
that are just a brazen attempt to undermine or repeal" the entire law.
"We're going to solve the problems that are there, we're going to get it
right, and the Affordable Care Act is going to work for the American
people," he pledged.
While the White House deals with the cancellation issue, the
administration is also promising improvements in a federal website so
balky that enrollments totaled fewer than 27,000 in October in 36 states
combined. The administration had said in advance the enrollment numbers
would fall far short of initial expectations. After weeks of highly
publicized technical woes, they did.
Adding in enrollment of more than 79,000 in the 14 states with their own
websites, the nationwide number of 106,000 October sign-ups was barely
one-fifth of what officials had projected — and a small fraction of the
millions who have received private coverage cancellations as a result of
the federal law.
Adding in enrollment of more than 79,000 in the 14 states with their own
websites, the nationwide number of 106,000 October sign-ups was barely
one-fifth of what officials had projected — and a small fraction of the
millions who have received private coverage cancellations as a result of
the federal law.
The administration said an additional 1 million people have been found
eligible to buy coverage in the markets, with about one-third qualifying
for tax credits to reduce their premiums. Another 396,000 have been
found eligible for Medicaid, which covers low-income people.
Administration officials and senior congressional Democrats expressed
confidence in the program's future. "We expect enrollment will grow
substantially throughout the next five months," said Sebelius, who is in
charge of the program.
"Even with the issues we've had, the marketplace is working and people are enrolling," she added.
Despite the expressions, the White House worked to reassure anxious
Democrats who are worried about the controversial program, which they
voted into existence three years ago over Republican opposition as
strong now as it was then.
Obama said he regretted the political grief he'd caused members of his own party who'd backed him on the health care law.
"There is no doubt that our failure to roll out the Affordable Care Act
smoothly has put a burden on Democrats, whether they're running or not,
because they stood up and supported this effort through thick and thin,"
he said.
Senate Democrats arranged a closed-door meeting for midday Thursday in
the Capitol with White House officials, who held a similar session
Wednesday with the House rank and file. Ahead of that meeting, Obama
planned to speak from the White House about new efforts to help
Americans receiving insurance cancellation notices.
So far, five Senate Democrats are on record in support of legislation by
Sen. Mary Landrieu, D-La., to make sure everyone can keep their present
coverage if they want to. The bill would require insurance companies to
continue offering existing policies, even if they fall short of minimum
coverage requirements in the law.
The measure has little apparent chance at passage, given that it imposes
a new mandate on the insurance industry that Republicans will be
reluctant to accept.
At the same time, a vote would at least permit Democrats to say they
have voted to repair some of the problems associated with the Affordable
Care Act, as many appear eager to do.
In a statement, Landrieu said Sens. Jeff Merkley of Oregon, Kay Hagan of
North Carolina and Mark Pryor of Arkansas were now supporting the
legislation, as is Sen. Dianne Feinstein of California. All but
Feinstein are on the ballot next year.
Across the Capitol, majority Republicans in the House set a vote for
Friday on legislation to permit insurance companies to continue selling
existing policies that have been ordered scrapped because they fall
short of coverage standards in the law.
While House passage of the measure is assured, each Democrat will be
forced to cast a vote on the future of a program that Republicans have
vowed to place at the center of next year's campaign.
Democratic Rep. Mike Doyle of Pennsylvania, who voted for the initial
Obama health care bill, said Thursday that members of his caucus want an
opportunity to go on the record in support of allowing people to keep
the insurance they had.
Doyle told MSNBC in an interview that at a White House meeting
Wednesday, House Democrats told Obama about "the frustration level that
many of us have" with the health care roll-out.
Doyle said Democrats warned Obama that "if you don't give us something
by Friday" to fix the insurance cancellation problem, then many
Democrats are likely to vote for the pending House bill sponsored by
Republican Rep. Fred Upton of Michigan, which would accomplish that
goal.
The promise of keeping coverage was Obama's oft-stated pledge when the
legislation was under consideration, a calling card since shredded by
the millions of cancellations mailed out by insurers.
Obama apologized last week for the broken promise, but aides said at the
time the White House was only considering administration changes,
rather than new legislation.
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