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	<title>Coalition on Human Needs &#187; Medicare</title>
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		<title>CHN: The President’s FY 2014 Budget: Important Initiatives Face Uphill Battle</title>
		<link>http://www.chn.org/human_needs_report/chn-the-presidents-fy-2014-budget-important-initiatives-face-uphill-battle/</link>
		<comments>http://www.chn.org/human_needs_report/chn-the-presidents-fy-2014-budget-important-initiatives-face-uphill-battle/#comments</comments>
		<pubDate>Tue, 16 Apr 2013 13:26:19 +0000</pubDate>
		<dc:creator>Danica Johnson</dc:creator>
				<category><![CDATA[Budget and Appropriations]]></category>
		<category><![CDATA[Disabilities]]></category>
		<category><![CDATA[Early Childhood Education]]></category>
		<category><![CDATA[Education and Youth Policy]]></category>
		<category><![CDATA[Food and Nutrition]]></category>
		<category><![CDATA[Health]]></category>
		<category><![CDATA[Housing and Homelessness]]></category>
		<category><![CDATA[Medicare]]></category>
		<category><![CDATA[Poverty and Income]]></category>
		<category><![CDATA[SNAP]]></category>
		<category><![CDATA[Social Security]]></category>
		<category><![CDATA[Tax Policy]]></category>

		<guid isPermaLink="false">http://www.chn.org/?post_type=human_needs_report&#038;p=6340</guid>
		<description><![CDATA[<p>President Obama released his FY 2014 budget on April 10 in a Rose Garden speech whose audience included many who strongly support one of the budget’s key initiatives:  Preschool for All four-year olds and other investments in the development of the youngest children.   The historic preschool initiative would be paid for by an increase in the tobacco tax.  But the chasm of difference between the extreme cuts in the House budget and the Senate’s and President’s combination of revenues and cuts underscore the difficulty of agreeing upon worthy new initiatives.</p><p>The post <a href="http://www.chn.org/human_needs_report/chn-the-presidents-fy-2014-budget-important-initiatives-face-uphill-battle/">CHN: The President’s FY 2014 Budget: Important Initiatives Face Uphill Battle</a> appeared first on <a href="http://www.chn.org">Coalition on Human Needs</a>.</p>]]></description>
				<content:encoded><![CDATA[<p>President Obama released his FY 2014 budget on April 10 in a Rose Garden speech whose audience included many who strongly support one of the budget’s key initiatives:  Preschool for All four-year olds and other investments in the development of the youngest children.   The historic preschool initiative would be paid for by an increase in the tobacco tax.  But the chasm of difference between the extreme cuts in the House budget and the Senate’s and President’s combination of revenues and cuts underscore the difficulty of agreeing upon worthy new initiatives.</p>
<p><b><i>The Politics.</i></b>  The President’s budget includes $166 billion in job creation initiatives, investing in infrastructure improvements, clean energy, and a comprehensive re-building approach in 20 poor communities.  It commits modest funding towards all levels of education in addition to the early childhood initiative.  But by using the budget as a platform to put forward a deficit reduction offer already made to Speaker Boehner (R-OH) and rejected by him, it makes cuts in Social Security strongly opposed by most Democrats and raises less revenue than the Senate budget plan.  As a gambit to demonstrate his willingness to compromise and to smoke out Republican unwillingness, the budget seems to have worked.  Pundits praised the elements of compromise and Republicans scrambled away from previous support for the Social Security change in order to stay firmly opposed to the President.  (Last December, <a href="http://www.bloomberg.com/news/2012-12-17/both-parties-in-congress-may-have-reason-for-january-deal.html" target="_blank">Bloomberg News</a> reported that Speaker Boehner was “pressing harder for the CPI revision than for other entitlement changes…”  Senate Minority Leader <a href="http://online.wsj.com/article/SB10001424127887323751104578151322684021276.html" target="_blank">McConnell</a> (R-KY) was looking for higher Medicare premiums for upper-income retirees, raising the age to become eligible for Medicare, and reducing Social Security benefits by shrinking the adjustment for inflation (the “chained CPI”) in order to consider new revenue last winter.)  But although the President included the reduced inflation adjustment and higher Medicare payments for upper-income retirees, his budget was rejected out of hand by the Republican leaders.</p>
<p>The President has said that he will only agree to cut Social Security as part of an overall deal that increases revenues and includes some economic investments.  But many strong advocates for Social Security and other vital safety net programs strongly oppose the Social Security cut under any circumstances.  Even those who could imagine it as part of a plan with healthy doses of revenue and job creation are worried now that the Social Security cut will find its way into a far less helpful budget plan.</p>
<p><b><i>The Math.</i></b>  The President proposes $3.78 trillion in spending and $3.03 trillion in receipts for FY 2014, leaving a deficit of $744 billion, down from a deficit of $973 billion this year.  The deficit will decline from 6 percent of GDP now, to 4 percent in FY 2014, and down to 1.7 percent of GDP in 2023.</p>
<p><b><i>Revenues.</i></b>  The budget includes $583 billion in revenue increases over 10 years from limiting high-income deductions to 28 percent and from increasing taxes on millionaires.  It adds another $100 billion in revenues from the chained CPI proposal’s effects on tax payments, and adds $78 billion in tobacco taxes to pay for the early childhood initiative.  In a move disappointing to many human needs advocates, the President’s budget lists a large number of corporate tax loophole-closings, but holds them in reserve to pay for an unspecified reduction in corporate tax rates.  Advocates are seeking a net increase in revenues from any corporate tax reform agreement, but the President would make reform revenue-neutral.</p>
<p><b><i>Spending Overview:</i></b>  The President’s budget would replace the multi-year cuts that started this year with sequestration with the new revenue, plus about $400 billion in health care savings (largely Medicare), $130 billion from spending cuts due to the chained CPI reduced inflation adjustment, another $200 billion in savings in other mandatory programs (such as farm subsidies), and $200 billion in appropriations cuts, split evenly between the Pentagon and other programs.  By reducing the deficit, interest payments will decline by $210 billion over the same 10-year period.  Together, the revenues and spending cuts will reduce the deficit by $1.8 trillion.  The Administration estimates prior deficit reduction at $2.5 trillion; adding in his new budget proposal, deficit reduction would total $4.3 trillion over 10 years.</p>
<p><b><i>Budget Comparisons:</i></b>  The President’s budget raises less revenue than the Senate’s $975 billion from progressive sources over 10 years.  The President’s plan cuts mandatory spending more ($600 billion in health care and other savings); the Senate’s mandatory savings total $350 billion.  The President cuts discretionary spending (appropriations) less than the Senate.  The Senate cuts $240 billion from the Pentagon, compared with $100 billion in the President’s budget.  The Senate cuts domestic and international appropriations by $142 billion, compared with the President’s $100 billion.</p>
<p>The Administration’s and Senate’s plans both differ starkly from the House budget, which includes no net revenue increases, and cuts spending by about $5 trillion, plus another $700 billion in interest savings.  The Pentagon is not cut.  About two-thirds of the cuts affect low-income programs, including deep cuts in Medicaid and SNAP/food stamps.  (For more details about the House and Senate budgets see the March 18 <a href="http://www.chn.org/human_needs_report/chn-starkly-different-house-and-senate-budget-plans-offered-for-fy-2014/"><i>Human Needs Report</i></a>.)</p>
<p><b><i>Details on Low-Income Programs in the President’s Budget:</i></b></p>
<p><b>Early Childhood:</b>   The $75 billion 10-year Preschool for All proposal to ensure that every low- and moderate-income four year old gets pre-kindergarten education is joined by $1.4 billion next year for Early Head Start and child care partnerships to increase high quality early learning programs for infants and toddlers through age three.  Further supporting young families, the budget would expand voluntary home visiting services for families with newborns, with $15 billion over ten years, starting in FY 2015.</p>
<p><b>Aid to Poor Communities:</b>  The President’s budget attempts a comprehensive approach, putting together resources from multiple government agencies to attack both the causes and toxic by-products of poverty.  It would create 20 Promise Zones, coordinating housing, education, anti-violence, and other economic development initiatives.  The Choice Neighborhoods Initiative would provide $400 million to improve distressed HUD-assisted housing in very poor communities (up from $120 million this year).  Homelessness Assistance Grants are increased by about $350 million, not counting the extra across-the-board cuts now being made.  Apart from the early childhood education expansions, there are initiatives to improve high schools and to invest in community colleges, both targeted to low-income community needs.  Related to the Administration’s push to reduce gun violence, the budget includes $160 million in new funds for Project AWARE, providing for more trained mental health providers able to work with children and youth in school, as well as more public safety support in poor communities.</p>
<p>The budget repeats the President’s $12.5 billion Pathways Back to Work proposal, which would fund summer and year-round jobs and training for low-income youth and provide subsidized jobs and training for the long-term unemployed.  This initiative was part of the President’s unsuccessful American Jobs Act proposal last year.  In part, it builds on the success of subsidized jobs funded through a now-expired Temporary Assistance for Needy Families emergency fund, in which hundreds of thousands of temporary jobs were created.</p>
<p>There are broader job creation initiatives, with funding to rebuild infrastructure, invest in clean energy, and create manufacturing hubs.  These are not specially targeted to help the poor, but overall efforts to create jobs will be a help, especially if the Administration connects job training for low-income workers to these new plans.</p>
<p><b>Reverses SNAP Cuts:</b>  Millions of poor people are now facing a <a href="http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=3899" target="_blank">reduction in SNAP/food stamp benefits</a> scheduled to start in November.  The President’s budget would cancel that loss in food assistance, estimated to cost a family of three $20-$25 a month.  In another critical area where the budget at least partially reverses cuts to low-income programs, rental housing vouchers for low-income families are increased by more than $1 billion.  The automatic cuts now in effect could reduce the number of vouchers going to low-income families by 140,000, out of 2.2 million households now benefiting from this form of housing assistance.  The President’s budget would end these cuts.</p>
<p><b>Makes Low-Income Tax Credits Permanent:</b>  While the last deficit reduction deal made the Bush tax cuts permanent for all but the richest 1 percent, the low-income tax credits were only extended for five years.  The Obama budget makes the current levels permanent for the Child Tax Credit, Earned Income Tax Credit, and the American Opportunity Tax Credit (the latter for college students).  The Child Tax Credit and EITC lifted more than 9 million people out of poverty in 2011.  However, the chained CPI proposal will reduce the value of the Earned Income Tax Credit over time.</p>
<p><b>Protects Health Coverage:</b>   The budget protects Medicaid and the Children’s Health Insurance Program.  It continues implementation of the Affordable Care Act, showing states that they can count on the promised federal support for expanding their Medicaid programs.</p>
<p><b>Cuts to Low-Income Programs:</b>  Unaccountably, despite the Administration’s emphasis on interconnected programs to maximize effectiveness, the budget repeats its proposal to slash the Community Services Block Grant to $350 million (down from $682 million this year, not counting the across-the-board cuts).  These funds support community action agencies nationwide, which administer Head Start, home energy assistance, emergency food, and local economic development and other anti-poverty initiatives.  These agencies leverage private dollars and do the kind of coordination of services the Administration is counting on.  The budget also cuts the Low Income Home Energy Assistance Program (LIHEAP) by more than $500 million, counting this year’s across-the-board cuts.</p>
<p><b><i>Scope:</i></b>  By choosing to stick to the deficit reduction offer made and rejected last year, the budget cannot support enough job creation and economic development to meet the needs of the current weak economy.  There is no doubt that there is strong opposition to making the needed investments.  But just as President Obama’s leadership has maximized public support for gun legislation and helped to shape public support for immigration reform, his leadership in pressing for jobs and shared prosperity will matter.</p>
<p>The post <a href="http://www.chn.org/human_needs_report/chn-the-presidents-fy-2014-budget-important-initiatives-face-uphill-battle/">CHN: The President’s FY 2014 Budget: Important Initiatives Face Uphill Battle</a> appeared first on <a href="http://www.chn.org">Coalition on Human Needs</a>.</p>]]></content:encoded>
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		<title>CHN: The House Goes Home for Christmas</title>
		<link>http://www.chn.org/human_needs_report/the-house-goes-home-for-christmas/</link>
		<comments>http://www.chn.org/human_needs_report/the-house-goes-home-for-christmas/#comments</comments>
		<pubDate>Fri, 21 Dec 2012 17:52:53 +0000</pubDate>
		<dc:creator>Angela Evans</dc:creator>
				<category><![CDATA[Budget and Appropriations]]></category>
		<category><![CDATA[Child Nutrition]]></category>
		<category><![CDATA[Economy]]></category>
		<category><![CDATA[Food and Nutrition]]></category>
		<category><![CDATA[Health]]></category>
		<category><![CDATA[Medicaid]]></category>
		<category><![CDATA[Medicare]]></category>
		<category><![CDATA[Military Spending]]></category>
		<category><![CDATA[SNAP]]></category>
		<category><![CDATA[Social Security]]></category>
		<category><![CDATA[Tax Policy]]></category>

		<guid isPermaLink="false">http://www.chn.org/?post_type=human_needs_report&#038;p=5678</guid>
		<description><![CDATA[<p>The House Goes Home for Christmas: Its Top Priorities: Slash Health Care, Nutrition, and Federal Pay, Raise Taxes on Working Families, Preserve Pentagon Spending, and No Fingerprints on Tax Increases Even for the Very Rich</p><p>The post <a href="http://www.chn.org/human_needs_report/the-house-goes-home-for-christmas/">CHN: The House Goes Home for Christmas</a> appeared first on <a href="http://www.chn.org">Coalition on Human Needs</a>.</p>]]></description>
				<content:encoded><![CDATA[<p>Article from the <a href="http://www.chn.org/human-needs-report/2012/12/21/">December 21, 2012</a> edition of the <a href="http://www.chn.org/publications/human-needs-report/">CHN Human Needs Report</a>:</p>
<p>The House Goes Home for Christmas: <em>Its Top Priorities: Slash Health Care, Nutrition, and Federal Pay, Raise Taxes on Working Families, Preserve Pentagon Spending, and No Fingerprints on Tax Increases Even for the Very Rich</em></p>
<p>If you are reading this, the world did not come to an end on December 21.  Congressional action did, though, at least through Christmas.  Despite predictions by Speaker Boehner (R-OH) and Majority Leader Cantor (R-VA) that there would be enough Republican votes for Boehner’s plan to raise tax rates on income over $1 million, their caucus rebelled.  Without enough votes for passage, Speaker Boehner cancelled the vote, and the House went home.  They might come back before New Year’s, if a deal can be put together to avert the spending cuts, tax increases, and loss of unemployment benefits for 2 million long-term jobless people that will mark the start of 2013.</p>
<p>The House did cast votes on Thursday evening.  They re-adopted a bill they had passed last spring, which replaced the $110 billion in automatic spending cuts scheduled to start January 1 with a large number of domestic cuts.  That bill went nowhere last spring, and the <a href="http://www.whitehouse.gov/sites/default/files/sap_on_h.r._6684.pdf">President</a> and Senate Majority Leader Reid (D-NV) confirmed its fate will be the same now.  The new-old bill, The Spending Reduction Act of 2012 (H.R. 6684), passed <a href="http://clerk.house.gov/evs/2012/roll644.xml">215-209</a>, with no Democrats voting for it and 21 Republicans joining all 188 Democrats to oppose.</p>
<p>The bill was not originally part of Speaker Boehner’s plan for Thursday.  He had hoped there would be enough support to pass an amendment he called “Plan B”, continuing the current tax rates for everybody except millionaires, whose income tax rates would rise to where they were before the Bush tax cuts were enacted.  Because other favorable treatment for millionaires and multi-million dollar estates would remain, those with incomes over $1 million would still get tax cuts averaging $50,000 each.  Treatment of 25 million low-income working families with children was not so favorable – they would see their taxes rise by an average of $1,000 each.  (For more detail, see below.)  Even Grover Norquist, originator of the anti-tax pledge that has a stranglehold on most Republicans, said that passing Boehner’s “Plan B” would be okay, because it would be preventing a tax increase on everybody else.  But that wasn’t enough to gather the near-unanimity among Republicans necessary to pass Boehner’s bill with little or no Democratic support.</p>
<p>Republican House members either objected to raising any taxes on anyone, balked at passing something that did nothing to stop the looming Pentagon and domestic spending cuts, or both.  To mollify enough of them, the Speaker agreed to let the House vote again on the bill to replace the “sequester,” or automatic spending cuts.  In voting for this, the majority made its priorities clear.  The bill would eliminate all the $55 billion in Pentagon sequestration cuts in 2013 and would replace about $38.5 billion in across-the-board cuts to domestic appropriations, in part by substituting $19.1 billion in spending reductions to be achieved by lowering the total cap on appropriations for FY 2013.  Medicare cuts of about $16 billion that were originally included in sequestration would stay in place.   The money lost by stopping the Pentagon cuts and some of the domestic reductions would be made up (and then some) by more than $217 billion in cuts over 10 years  to SNAP/food stamps, Medicaid, premium subsidies and other funding for the new health care law, the Child Tax Credit, and several consumer protection measures.  It also raised nearly $88 billion in revenues over 10 years by requiring federal employees to pay more of their retirement costs.  (More details about these provisions below.)</p>
<p>But although the House passed these spending cuts, it did not win over enough Republicans to get a majority for the Plan B increase in millionaire tax rates.</p>
<p><strong><em>So what’s next?</em></strong>  Despite repeated assertions on the House floor by House Budget Committee Chair Ryan (R-WI) and others that President Obama has not come out with specific spending cut proposals in his deficit reduction plan, the President has put forth several offers in his negotiations with Speaker Boehner.  The President’s most recent proposal includes tax cuts for everyone, but reduces the tax breaks at the top, for a new revenue total of $1.2 trillion over ten years, and cuts spending by $930 billion, plus another $290 billion in debt interest savings.  Some of the savings are highly controversial among Democrats (see below).  If a solution is to be found, either before or soon after the beginning of the new year, it appears less likely to be achieved by legislation that can draw majority Republican support in the House.  Another option – passing a plan in the House with bipartisan support (lots of Democrats and some Republicans.  It remains to be seen whether Speaker Boehner will exercise leadership in pressing for that, or leave it to others to work around him.  In announcing the House’s departure, the Speaker did not seem to be signing up for a renewed battle to win over his caucus.  Instead, he <a href="http://thehill.com/homenews/house/274187-house-gop-pulls-plan-b">said</a> “Now it is up to the president to work with Sen. Reid on legislation to avert the fiscal cliff.”</p>
<p><strong><em>Taxes</em></strong></p>
<p>Taxes were a major issue during the Presidential campaign with a focus on the ’01 and ’03 Bush-era income tax rates set to expire at the end of this year.  On November 14, newly off an election victory where he campaigned for higher taxes on incomes over $250,000 and with opinion polls solidly favoring his position, the President at his first post-election news conference reiterated his position on income tax rates and pressed for $1.6 trillion in revenue as part of a comprehensive deficit reduction deal.  Democrats were buoyed by the President’s approach.  Republicans had strongly resisted any increase in personal income tax rates but some conceded that the election results would likely mean rates for high-income taxpayers would go up.  Others pressed for no rate increases and instead talked in vague terms about tax reform that included closing unspecified tax loopholes and ending some tax deductions.  In return they also wanted deep cuts in spending.</p>
<p>The President presented a more detailed deficit reduction plan on November 29, outlining nearly $1.6 trillion in addition tax revenue over 10 years.   Tax rates for income of less than $250,000 would remain the same while the two top rates of 33 and 35 percent would revert back to 36 and 39.6 percent; the rate on capital gains would increase from 15 percent to 20 percent and dividends from 15 percent to the ordinary income tax rate; the maximum value of tax deductions would be lowered to 28 percent (someone in the 35 percent tax bracket can currently deduct up to 35 cents for every dollar in deductions) and additional limits would be placed on itemized deductions for higher-income taxpayers; and the estate tax would revert back from its current $5 million exemption level and maximum rate of 35 percent to its 2009 exemption level of $3.5 million and 45 percent maximum rate .  The tax package would also continue the expansions made in the 2009 economic recovery act to the refundable Child Tax Credit and Earned Income Tax Credit (EITC) for low-income working families; extend for one year the 2 percent payroll tax cut for individuals; provide a one-year fix to the Alternative Minimum Tax (ATM), keeping new taxpayers from being hit with an average income tax increase of $2,250 according to the Tax Policy Center; and extend a number of business tax breaks.</p>
<p>In response to the President’s plan Speaker Boehner, the Republicans’ lead negotiator in deficit reduction talks with the President, offered $800 billion in revenue through limiting tax expenditures in tax reform that would occur next year.  His plan did not specify which tax expenditures would be limited.  Many of the most costly expenditures in terms of lost revenue are very popular and have powerful lobby shops supporting them, for example the home mortgage interest deduction, making them politically difficult to reduce significantly.</p>
<p>Under earlier House Republican tax proposals and plans proposed by Speaker Boehner, the 2009 improvements in the Child Tax Credit and EITC would be allowed to expire.  This means that 12 million families benefiting from the Child Tax Credit would see their taxes go up by $800, on average.  Six million families would pay an average $500 tax increase because of cuts to the EITC.</p>
<p>In early December deficit reduction talks between Speaker Boehner and the President continued.  On December 17, the President presented a new proposal containing both new savings on the spending side and a reduction in revenue.  The proposal reduced revenue by increasing from $250,000 to $400,000 the income threshold at which the lower tax rates would be extended.   The 33 percent income tax rate would be extended rather than reverting back to 36 percent.</p>
<p>Speaker Boehner seemed to be making a significant move toward the President on revenue when he indicated that he would let tax rates on income over $1 million expire.  However, coupled with extending the Bush-era tax rates on income up to $1 million, extending limits on certain tax deductions set to end on January 1, taxing dividends at 20 percent rather than at the rate of regular income, and continuing the current generous estate tax provisions, people with incomes of over $1 million would receive an average tax cut of $108,500 according to the Tax Policy Center.</p>
<p>In a high-risk strategy Speaker Boehner decided to take this so-called “Plan B” to floor of the House for a vote on December 20.  When conservative Republicans revolted, Speaker Boehner pulled the bill knowing that it would not pass.  It is not yet clear what the impact of his failure to pass the bill will have on future talks with the President.  Democrats and the White House are urging him to return to the negotiating table with the President.</p>
<p>See Citizens for Tax Justice report from December 20 comparing Speaker Boehner’s “Plan B” and the President’s original and December 17 proposals at: <a href="http://www.ctj.org/pdf/latestfiscalcliff.pdf">http://www.ctj.org/pdf/latestfiscalcliff.pdf</a>.<br />
<strong><em><br />
The Real Cliff:  Unemployment Insurance About to Expire, Leaving 2 Million With No Help</em></strong></p>
<p>The House spectacle before the abrupt departure was remarkable both in showing what the majority wanted to do and what it didn’t care to tackle.  Although 4 in 10 of the unemployed today have been out of work for more than six months (most for more than a year), and have run out of state unemployment benefits, the House took no action to continue the federal Emergency Unemployment Compensation program for the long-term jobless.  It will expire at the end of December.  <a href="http://unemployedworkers.org/page/-/UI/2012/Fact-Sheet-Unemployment-Insurance-Long-Term-Unemployment.pdf?nocdn=1">Two million</a> will be denied unemployment benefits right away, followed by another million by the end of the March in 2013.  The proportion of the long-term unemployed has risen dramatically over the years.  After the 1980’s recession, 26 percent of the unemployed were out of work six months or more.  The President’s plan includes the extension of unemployment benefits for a year, at a cost of $33 billion.</p>
<p><strong><em>Shrinking the Adjustment for Inflation:  “The Chained CPI”</em></strong></p>
<p>One of the most controversial provisions in President Obama’s deficit reduction package is a change in the way the Consumer Price Index (CPI) would be calculated for purposes of calculating benefits for Social Security, and also affecting many other low-income programs that rely on annual inflation adjustments for eligibility or benefit levels.  In what ultimately turned out to be abortive negotiations with Speaker Boehner, the President responded to the demand that benefits to entitlement programs be cut by agreeing to this change, which is called the “chained CPI.”  It reduces the inflation rate by assuming that when certain prices go up, consumers are likely to switch to other comparable but cheaper products.  Some research questions whether the elderly, or low-income people generally are able to make such substitutions as easily as the population as a whole.  According to the <a href="http://www.cepr.net/index.php/publications/reports/the-chained-cpi-a-painful-cut-in-social-security-benefits-and-a-stealth-tax-hike">Center for Economic and Policy Research</a>, after 10 years, the Chained CPI would result in a 3 percent cut in Social Security benefits, about 6 percent after 20 years, and nearly 9 percent after 30 years.  For an average worker retiring at 65, this reduced measure of inflation would result in benefits being cut $1,130 a year at age 85.  <a href="http://www.nwlc.org/sites/default/files/pdfs/socialsecuritychainedcpiupdate.pdf">Women</a> would be disproportionately affected, because they live longer and are more likely to be poor.  The Administration’s Chained CPI proposal, which is estimated to save $130 billion over 10 years, does provide exemptions for low-income elderly and disabled making use of Supplemental Security Income (SSI), but that alone does not offer adequate protection to low-income people.  If the revised calculation is applied to the federal poverty guidelines, it will lower the annual increases in the poverty line, which would be likely to reduce benefits or shrink eligibility for means-tested programs.  Many progressive groups, including labor, have strenuously opposed making use of the Chained CPI.<br />
<strong><em><br />
SNAP in Farm Bill and House Bill</em></strong><span style="text-decoration: underline;"> </span></p>
<p>Prospects for a 5-year reauthorization of a farm bill including the Supplemental Nutrition Assistance Program (SNAP, formerly known as food stamps) before this Congress ends on January 2 has all but disappeared. There is not time for action on a separate bill and prospects for attaching it to the elusive larger deficit reduction package are fading.  The full Senate passed a 5- year farm bill extension in June with $23 billion in savings over 10 years, including $4.5 billion in cuts to SNAP.  In July the House Agriculture Committee approved bipartisan farm bill legislation with $35 billion in savings over 10 years, including $16 billion in cuts to SNAP.  The House Republican leadership has refused to allow a floor vote to happen because some Republicans want deeper cuts to SNAP while many Democrats do not support any cuts to the program.  The commodities provisions in the two bills that subsidize farmers also split members, more along geographic than party lines.  The Senate bill tends to favor northern commodities like corn and soybeans and the House bill rice, peanuts and wheat grown in the southern states.</p>
<p>Absent a full reauthorization, there is faint hope that a shorter-term extension of the current farm bill might pass.  The SNAP program will continue to operate uninterrupted without an extension of the full bill because the rules governing the program will not expire and funding was included in the continuing resolution through March 2013.  However, some programs would be affected.  Dairy subsidies would revert back to a 1949 law, likely doubling milk prices.  Dairy products are a large portion of the Women, Infants and Children (WIC) federally-funded nutrition program, and the price increase would lessen the buying power of WIC recipients.</p>
<p>The Spending Reduction Act passed by the House on Thursday night included $32.3 billion in cuts to SNAP/food stamps.  The House majority would return SNAP benefits to their old level of about $1.30 per meal, an amount judged by nutrition experts to be inadequate.  While current law would have started that reduction in November of 2013, this bill moves it up to February.  Recent analysis estimates that this cut will result in a loss of <a href="http://www.offthechartsblog.org/snap-benefits-scheduled-to-be-cut-next-november/">$8 &#8211; $10 per person per month</a><span style="text-decoration: underline;">.</span>  The House will also deny SNAP to 2 million people who now get benefits because their low incomes qualify them for programs such as Temporary Assistance for Needy Families.  This change will also result in <a href="http://www.chn.org/humanneeds/120430a.html">280,000 low-income children</a> losing free school meals.  In addition, the House agreed to make it harder to streamline eligibility for SNAP benefits, which now can be received without additional documentation if certain households already qualify for Temporary Assistance for Needy Families (expected to cut assistance to 1.8 million individuals).  This change will also result in <a href="http://www.chn.org/humanneeds/120430a.html">280,000 low-income children</a> losing free school meals.  These restrictions were estimated last spring to save $11.7 billion over 10 years.  Further, this bill would reduce SNAP benefits to people who now receive a small benefit from the Low Income Home Energy Assistance Program, said last spring to reduce SNAP spending by over $14 billion.  Despite this time of high unemployment, the House would drop certain federal spending for SNAP employment and training programs (saving about $3.1 billion over 10 years) and would end federal bonus payments to states to encourage good performance in administering SNAP.<br />
<strong><em><br />
Health Care Spending Reductions</em></strong></p>
<p>The President’s most recent offer calls for $400 billion in savings in health care programs over 10 years, said to come mainly from Medicare, with relatively little from Medicaid (although details were not available).  The House Spending Reduction Act keeps the $16 billion in Medicare cuts scheduled to take place as part of the automatic FY 2013 cuts imposed by the Budget Control Act ( 2011 legislation that set up the “sequestration” cuts to start in January 2013 if Congress could not agree on a deficit reduction plan).  In addition, the House bill slashes health care premium subsidies under the Affordable Care Act for <a href="http://www.chn.org/humanneeds/120430a.html">350,000 people</a>, and cut Medicaid funding to Puerto Rico and other <a href="http://www.chn.org/humanneeds/120430a.html">territories</a> even though Puerto Rico, despite its disproportionate poverty, receives far lower federal Medicaid payments than any state (a high of 35 percent in 2010; states receive no less than 50 percent of Medicaid costs).  The amendment also allows states to make cuts in their Medicaid programs below the levels in place when the Affordable Care Act passed, which could reduce eligibility or benefits for millions of people.  Further, it includes a number of funding cuts aimed at undermining the Affordable Care Act (the major new health care legislation now being implemented).  These savings are estimated at $47.3 billion over ten years by the <a href="http://www.cbo.gov/sites/default/files/cbofiles/attachments/hr6684_Dreier.pdf">Congressional Budget Office</a>.</p>
<p>The President’s plan is said to assume at least one-year funding for continued higher payment levels to physicians under Medicare.  Their payments were supposed to be cut by Sustainable Growth Rate (SGR) reductions passed by Congress some years ago, but Congress has not been willing to implement these cuts.<br />
<strong><em><br />
Debt Ceiling</em></strong></p>
<p>President Obama has been emphatic in not wanting to undergo another crisis negotiation in which Republicans insist on spending reductions commensurate with increases in the debt ceiling.  The debt ceiling is expected to be reached within the next month or two.  If Congress does not authorize continued borrowing, the crisis would stall spending, spook federal bond-holders, with threats of <a href="http://www.huffingtonpost.com/2011/02/03/bernanke-debt-ceiling-catastrophe_n_818510.html">catastrophe</a> for our economy, according to people like Federal Reserve Chair Ben Bernanke.  Holding spending on domestic priorities hostage to deeper and deeper cuts to get the debt ceiling increased would be very dangerous to human needs programs.  Obama’s position initially would have reduced Congress’ role in debt ceiling increases permanently; more recent proposals have called for a two-year debt ceiling increase.<br />
<strong><em><br />
Appropriations</em></strong></p>
<p>The President’s most recent offer called for cuts of $100 billion to defense and $100 billion to non-defense appropriations over 10 years, beyond the $1.5 trillion in cuts to these programs already set in motion over the next decade.  These cuts are much lower than the approximately $1 trillion in additional Pentagon, domestic, and international program cuts that are now scheduled to start in January and continue over 10 years.  Still, domestic appropriations are being <a href="http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=3869">cut deeply</a> already, affecting education, housing, child care, WIC, Head Start, home energy assistance, and much more, and many groups oppose any further cuts.  On the other hand, many military spending experts believe that much more could be cut from military spending than the $100 billion called for in the President’s plan.</p>
<p>As noted above, the House spending reduction bill cuts appropriations by another $19.1 billion in FY 2013 by lowering the appropriations cap by that amount.  The bill also prohibits further military cuts.</p>
<p>The post <a href="http://www.chn.org/human_needs_report/the-house-goes-home-for-christmas/">CHN: The House Goes Home for Christmas</a> appeared first on <a href="http://www.chn.org">Coalition on Human Needs</a>.</p>]]></content:encoded>
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		<title>CHN: House Votes to Replace 2013 Across-the-Board Cuts With Deep Slashes at Low-Income Programs</title>
		<link>http://www.chn.org/human_needs_report/house-votes-to-replace-2013-across-the-board-cuts-with-deep-slashes-at-low-income-programs/</link>
		<comments>http://www.chn.org/human_needs_report/house-votes-to-replace-2013-across-the-board-cuts-with-deep-slashes-at-low-income-programs/#comments</comments>
		<pubDate>Mon, 14 May 2012 23:10:36 +0000</pubDate>
		<dc:creator>Matt</dc:creator>
				<category><![CDATA[Budget and Appropriations]]></category>
		<category><![CDATA[Medicare]]></category>

		<guid isPermaLink="false">http://www.chn.org/?post_type=human_needs_report&#038;p=807</guid>
		<description><![CDATA[<p>Neither the President nor the House like the cuts to military, domestic, and international appropriations slated to take effect starting next January.  Those reductions are part of a ten-year deficit reduction plan enacted in the Budget Control Act.  They were meant to be unpalatable, to push Congress towards a more balanced plan including new revenues</p><p>The post <a href="http://www.chn.org/human_needs_report/house-votes-to-replace-2013-across-the-board-cuts-with-deep-slashes-at-low-income-programs/">CHN: House Votes to Replace 2013 Across-the-Board Cuts With Deep Slashes at Low-Income Programs</a> appeared first on <a href="http://www.chn.org">Coalition on Human Needs</a>.</p>]]></description>
				<content:encoded><![CDATA[<p>Neither the President nor the House like the cuts to military, domestic, and international appropriations slated to take effect starting next January.  Those reductions are part of a ten-year deficit reduction plan enacted in the Budget Control Act.  They were meant to be unpalatable, to push Congress towards a more balanced plan including new revenues and health care savings in Medicare and Medicaid.  The House Republican majority is unwilling to swallow the appropriations cuts, finding the $55 billion defense reduction particularly distasteful.  But their alternative, <a href="http://www.rules.house.gov/Media/file/PDF_112_2/LegislativeText/CPRT-112-HPRT-RU00-SRR2012_xml.pdf" target="_blank">H.R. 5652</a>, the Sequester Replacement Act of 2012, places the burden of deficit reduction squarely on low-income people and federal workers.  The bill prompted a veto threat by the President and has been rejected by the Senate Democratic leadership.</p>
<p>H.R. 5652 combined the recommendations for cuts required of six different committees under the House-passed budget resolution.  There were no revenue increases and no tapping of farm subsidies, both strategies to share deficit reduction among people with high-incomes.  Instead, millions of low-income people would lose some or all of their SNAP/food stamp benefits, Medicaid coverage, Child Tax Credit, and/or social services.  In addition, 350,000 low- and middle-income people would go without health insurance because of restrictions placed on the new health care reform law.  Federal workers, already subject to two years of frozen pay, would see their earnings cut further by requiring them to pay a greater share of their retirement benefits.  (For a full description of low-income cuts in the bill, see the April 30 <strong><em><a href="http://www.chn.org/humanneeds/120430a.html">Human Needs Report</a></em></strong>).</p>
<p>The Sequester Replacement Act stops the military and other appropriations cuts scheduled for 2013, but allows the automatic cuts to Medicare to go forward.  It does not replace the remaining nine years of cuts required by the Budget Control Act.  The bill replaces an estimated $98 billion in FY 2013 cuts, but its reductions would total between $310 billion and $315 billion over ten years, depending on whether the legislation is assumed to be enacted in July or October of this year.  (See CBO estimate <a href="http://www.cbo.gov/sites/default/files/cbofiles/attachments/HouseRulesReconSequester.pdf" target="_blank">here</a>). The bill passed the House on party lines, 218 – 199, with 1 voting present and 13 not voting (<a href="http://clerk.house.gov/evs/2012/roll247.xml" target="_blank">read more here</a>).  No Democrats voted in favor; 16 Republicans voted no.</p>
<p>Democrats attempted to offer a substitute bill, but were rebuffed in the Rules Committee, which adopted a closed rule (no amendments or substitutes allowed on the floor).  Their alternative also only replaced one year of cuts (but replaced the Medicare and other mandatory cuts as well as the cuts to appropriations), and proposed revenue increases and an end to certain farm subsidies instead.  Revenue increases would come from limiting tax breaks for oil and gas companies ($38 billion over ten years) and applying a minimum tax on annual income over $1 million ($47 billion over ten years).  Ending direct payments to farms was estimated to produce a net $26.5 billion in savings over the next decade.  (For the CBO analysis of the Democratic substitute, <a href="http://www.cbo.gov/sites/default/files/cbofiles/attachments/43235-HouseBudgetMinorityAmendmentMay9.pdf" target="_blank">click here</a>).</p>
<p>Senate Majority Leader Harry Reid (D-NV) was firm in announcing that he would allow the across-the-board cuts to take effect rather than adopt the House alternative.  That suggests, as many observers have surmised for some time, that replacing the Budget Control Act’s version of deficit reduction will be delayed, most likely until after the election.</p>
<p>The post <a href="http://www.chn.org/human_needs_report/house-votes-to-replace-2013-across-the-board-cuts-with-deep-slashes-at-low-income-programs/">CHN: House Votes to Replace 2013 Across-the-Board Cuts With Deep Slashes at Low-Income Programs</a> appeared first on <a href="http://www.chn.org">Coalition on Human Needs</a>.</p>]]></content:encoded>
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		<title>CHN: Federal Budget Next Steps: House Budget Resolution Expected This Week</title>
		<link>http://www.chn.org/human_needs_report/federal-budget-next-steps-house-budget-resolution-expected-this-week/</link>
		<comments>http://www.chn.org/human_needs_report/federal-budget-next-steps-house-budget-resolution-expected-this-week/#comments</comments>
		<pubDate>Mon, 19 Mar 2012 23:15:31 +0000</pubDate>
		<dc:creator>Matt</dc:creator>
				<category><![CDATA[Budget and Appropriations]]></category>
		<category><![CDATA[Economy]]></category>
		<category><![CDATA[Health]]></category>
		<category><![CDATA[Medicaid]]></category>
		<category><![CDATA[Medicare]]></category>

		<guid isPermaLink="false">http://www.chn.org/?post_type=human_needs_report&#038;p=812</guid>
		<description><![CDATA[<p>Two questions emerged as disputes were reported last week among House Republicans over their budget resolution:  (1) would differences over appropriations levels scuttle the budget? and (2) how much difference will it make anyway? Most budget-watchers believe the answer to the first question is “no” – House Budget Committee Chairman Paul Ryan (R-WI) is expected</p><p>The post <a href="http://www.chn.org/human_needs_report/federal-budget-next-steps-house-budget-resolution-expected-this-week/">CHN: Federal Budget Next Steps: House Budget Resolution Expected This Week</a> appeared first on <a href="http://www.chn.org">Coalition on Human Needs</a>.</p>]]></description>
				<content:encoded><![CDATA[<p>Two questions emerged as disputes were reported last week among House Republicans over their budget resolution:  (1) would differences over appropriations levels scuttle the budget? and (2) how much difference will it make anyway?</p>
<p>Most budget-watchers believe the answer to the first question is “no” – House Budget Committee Chairman Paul Ryan (R-WI) is expected to unveil his proposal at a speech before the American Enterprise Institute on Tuesday, with Committee action expected the next day.  As for the second question, while the full House would be expected to pass the budget in a party-line vote, Senate Majority Leader Reid (D-NV) has already announced the Senate will not vote on a budget resolution.  So there is no chance that the Ryan budget will be adopted by Congress.</p>
<p>Still, elements of Chairman Ryan’s proposal may prove influential.  In order to accommodate the House’s restive right wing, it is likely that the House budget will call for FY 2013 appropriations levels set lower than the caps already agreed to by Congress in the Budget Control Act.  That deficit reduction law limited FY 2013 appropriations to $1.047 trillion.  Some of the more right-wing members want the total reduced to $1.028 trillion.  Others, in the more extreme Republican Study Committee, have proposed slashing FY 2013 spending to $931 billion, or $116 billion less than the level Congress previously approved.   Republicans on the House Appropriations Committee, however, would prefer to stick with the cap already enacted.  Washington’s best guessers are expecting the Ryan budget to wind up at the $1.028 trillion level.</p>
<p>Senate Budget Committee Chair Kent Conrad (D-ND) plans to adhere to the $1.047 trillion spending limit.  If the House goes $19 billion or more below the enacted levels, the House and Senate will eventually have to negotiate the difference in the appropriations bills that must pass by September 30 (or be temporarily extended at that time).</p>
<p>The House Budget Resolution will do more than set appropriations totals.  It will also make other sweeping recommendations for cuts in mandatory programs such as Medicaid and SNAP (food stamps).  Last year, the Ryan budget proposed turning these two basic entitlements into block grants with fixed funding levels.  The Medicaid cut alone would be $1.4 trillion over 10 years.  The commonplace wisdom is that this year’s budget will repeat these proposals.</p>
<p>Last year’s House budget also made substantial reductions and structural changes in Medicare.  The new budget is expected to propose major changes to Medicare once again, but the proposal may be different.  Chairman Ryan has recently teamed up with Senator Ron Wyden (D-OR) to recommend a new system of “premium supports” that would subsidize insurance costs, allowing Medicare beneficiaries to opt for the current fee for service approach or other private insurance coverage.  Last year’s version did not allow beneficiaries to continue in the current program.  However, analysts are skeptical about whether the subsidies provided will really be enough to allow retirees to afford the current program, thereby forcing them into more limited insurance packages while also increasing their costs.  Last year’s plan would have doubled the individual’s costs (from $6,150 in 2022 under current law to $12,500 under the proposed plan).  The shifting of costs from the federal government to individuals in Medicare will be something to watch for in the new version of Medicare in this year’s House budget plan.  Last year’s plan featured such a shift, with modest federal savings (federal costs would be $8,000 for a 65-year old entering Medicare in 2022 under the new plan versus $8,600 under current law) but dramatically higher total costs ($20,500 in the new proposal as compared to $14,750 under current law) because of the reliance on more expensive private insurance.</p>
<p>With automatic across-the-board cuts in annually appropriated programs scheduled to begin in January 2013 unless Congress acts to reduce the deficit by other means, the expected massive cuts in the Ryan budget (last year totaling $4.3 trillion over ten years) would serve as one blueprint for avoiding the across-the-board cuts.  Two elements likely to be missing from any Ryan plan are a revenue increase and increased military savings.  While the President’s budget also seeks to replace the automatic January 2013 cuts with other forms of deficit reduction, his plan includes $1.5 trillion in revenue increases and nearly $500 billion in defense cuts over the next ten years.  Such a balanced package makes it possible to minimize the cuts to human needs programs.  The Ryan budget, if it lacks such balance, will inflict deep cuts in needed services.</p>
<p>The post <a href="http://www.chn.org/human_needs_report/federal-budget-next-steps-house-budget-resolution-expected-this-week/">CHN: Federal Budget Next Steps: House Budget Resolution Expected This Week</a> appeared first on <a href="http://www.chn.org">Coalition on Human Needs</a>.</p>]]></content:encoded>
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		<title>CHN: Congress Not Anxious to Raise Working Families’ Taxes in January</title>
		<link>http://www.chn.org/human_needs_report/congress-not-anxious-to-raise-working-families-taxes-in-january/</link>
		<comments>http://www.chn.org/human_needs_report/congress-not-anxious-to-raise-working-families-taxes-in-january/#comments</comments>
		<pubDate>Fri, 16 Dec 2011 23:21:21 +0000</pubDate>
		<dc:creator>Matt</dc:creator>
				<category><![CDATA[Budget and Appropriations]]></category>
		<category><![CDATA[Labor and Employment]]></category>
		<category><![CDATA[Medicare]]></category>
		<category><![CDATA[Tax Policy]]></category>
		<category><![CDATA[Unemployment Insurance]]></category>

		<guid isPermaLink="false">http://www.chn.org/?post_type=human_needs_report&#038;p=820</guid>
		<description><![CDATA[<p>Congress wants to go home.  But they don’t want to leave without ensuring that workers’ payroll taxes don’t go up with the new year.  Nor do they want to let federal unemployment benefits expire altogether, although the prospects for preserving the current level of assistance seemed problematic as the negotiations wore on.  Preventing a 27</p><p>The post <a href="http://www.chn.org/human_needs_report/congress-not-anxious-to-raise-working-families-taxes-in-january/">CHN: Congress Not Anxious to Raise Working Families’ Taxes in January</a> appeared first on <a href="http://www.chn.org">Coalition on Human Needs</a>.</p>]]></description>
				<content:encoded><![CDATA[<p>Congress wants to go home.  But they don’t want to leave without ensuring that workers’ payroll taxes don’t go up with the new year.  Nor do they want to let federal unemployment benefits expire altogether, although the prospects for preserving the current level of assistance seemed problematic as the negotiations wore on.  Preventing a 27 percent cut in Medicare physician payments is another priority.  How to pay for these and perhaps some expiring business tax breaks remained a sticking point as of Friday morning, the day Congress had wanted to leave for the holidays.  But their departure time may not have to be delayed too many days.  If the House and Senate cannot agree on a year-long solution, they may pass two months’ worth.</p>
<p>The House passed a bill Tuesday, December 13, extending the current payroll tax cut for a year, continuing unemployment insurance (UI) but cutting it back by 40 weeks and making other restrictive changes, and preventing the drop in Medicare physician payments.  The House bill (H.R. 3630) passed <a href="http://clerk.house.gov/evs/2011/roll923.xml">234-193</a>, with 14 Republicans voting no and 10 Democrats voting yes.  It was opposed by most Democrats because it offset the bill’s costs in part by cutting funding under the new health care law and freezing federal worker pay for another year, and also because of environmental concerns over building the Keystone oil pipeline and reducing the Environmental Protection Agency’s authority.  Many Democrats also opposed the substantial reductions in unemployment insurance called for in the bill.</p>
<p>The President and many Democrats had favored paying for expanded payroll tax cuts and continued unemployment insurance by increasing taxes on incomes over a million dollars.  That was a non-starter for Republicans, who also favored continuing the existing payroll tax cut for workers but did not want to expand it.</p>
<p>A year-long payroll tax cut and UI extension, plus the Medicare “doc fix” and preventing some business tax cuts from expiring would cost over $210 billion; a temporary 2-month bill would cost $40 billion.  It seems likely at this writing that Congress will take the short-term option if all the differences cannot be resolved in time.</p>
<p>The Senate has scheduled a vote on the House bill on Saturday, December 17, the earliest possible time under Senate rules without bipartisan agreement to speed things up.  If that vote is held, it will fail.  At that point, some negotiated alternative is expected to emerge that will prevent a sudden loss of tax cuts, unemployment benefits, or Medicare payments to doctors.</p>
<p><strong>House makes many UI cuts.</strong>  It was not clear how many of the unemployment insurance provisions in the House bill would make it into a final deal.   H.R. 3630 slashed the maximum number of weeks of UI by 40 (instead of a maximum 99 weeks of state and federal benefits, the jobless would not receive assistance for more than 59 weeks; in states with unemployment rates less than 6 percent the total would be smaller ), with states with the highest unemployment rates hit the hardest.  In addition, the House bill included many other restrictive measures.  It would allow states to require drug testing of every UI applicant, even though most states do not approve payment of benefits for workers let go because of drug use on the job.  The bill requires high school completion (or participation in a GED program) as a condition of receiving benefits, even though there is a nationwide waiting list of about 160,000 to get into GED programs.   H.R. 3630 gives states the authority to divert federal UI funds to pay for employment counselors or other employment programs, even though the clear mission of the federal UI program is to provide cash benefits while jobless individuals are looking for work.  The bill even charges UI recipients $5 a week (out of their meager UI benefits, which average $300 a week) to pay for reemployment services, whether or not the recipient is actually receiving these services.  In another attack on benefit levels, the bill removes the current prohibition against reducing the size of state benefits as a condition of states’ utilizing federal UI payments.  (For more information about the House UI provisions, see analyses by the <a href="http://unemployedworkers.org/page/-/UI/2011/Leg_Update_House_UI_Bill.pdf?nocdn=1" target="_blank">National Employment Law Project</a> and the <a href="http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=3643" target="_blank">Center on Budget and Policy Priorities</a>).</p>
<p>The National Employment Law Project had estimated that if UI were allowed to expire, nearly 2 million of the unemployed would lose benefits in January alone, with more left out in each succeeding month.  UI has multiple good outcomes.  The spending by families who have assistance creates about $2 of economic activity for every dollar spent.  Failure to continue federal benefits would pull $22 billion out of the economy, costing 140,000 jobs.  Unemployment compensation also lifted nearly 8 million people out of poverty between 2007 and 2010, of whom more than 2.3 million were children.  (<a href="http://www.nelp.org/page/-/UI/2011/NELP_UI_Extension_Report_2011.pdf?nocdn=1" target="_blank">See National Employment Law Project analysis</a><em>).</em></p>
<p>Senator Tom Harkin (D-IA) was quoted <strong><em>in CQ.com</em></strong> as saying that some of the House UI provisions were “off the table” as the final deal-making progressed.  Allowing states to divert UI money away from financial assistance was on that list; so was drug-testing.  But Harkin pointedly did not reject the notion of reducing the number of weeks of benefits.  However, a final agreement might include waivers to allow the 10 states with unemployment rates currently above 10 percent to have more weeks of benefits than other states.<a name="_GoBack"></a></p>
<p><strong>No millionaires’ surtax; tapping the poorest children instead.</strong>  It is highly unlikely that a surtax on income above $1 million will be used as a source of funds to pay for extending the payroll tax cut, UI, or the Medicare “doc fix,” since most Republicans remain intransigently opposed.  (One exception is Senator Susan Collins (R-ME), who has co-sponsored legislation that would include such a surtax.)  A partial replacement of that income put forward by the House bill would restrict payment of the Child Tax Credit only to families in which a working parent supplies a Social Security Number, rather than an Individual Taxpayer Identification Number (ITIN).  Immigrant families make use of the ITIN.  Children of immigrants now make up one-quarter of all U.S. children; nearly 30 percent of children with foreign born parents are poor.  Eliminating ITIN eligibility for the refundable portion of the Child Tax Credit would take an average of $1,800 from very low-income working families, according to the <a href="http://www.treasury.gov/tigta/auditreports/2011reports/201141061fr.pdf">U.S. Treasury</a>.  Denying this income to low-income children in immigrant families would save $9.4 billion.</p>
<p><strong>Other ways to pay for the package.</strong>  While the House bill included $31 billion in cuts to health care reform provisions to offset some of the costs, Democrats are unlikely to agree.  They are also expected to remain opposed to another year of frozen salaries for federal workers, estimated by the Congressional Budget Office as saving $1.8 billion in the House bill.  Other funding sources more likely to be agreed to include $16.5 billion from the auction and use of broadband spectrum and $35.7 billion in guarantee fees from Fannie Mae and Freddie Mac.  Those are not enough to pay for a full year of the spending and tax cut provisions.  There were reports that the negotiators may tap other sources of savings identified by the deficit reduction “super committee” to get the rest of the way.  If the package once again pays for its provisions with other spending cuts and no fair tax increases, human needs advocates will wonder under what circumstances the Administration and Senate leadership will ever be able to negotiate a deal that increases revenues.</p>
<p>The post <a href="http://www.chn.org/human_needs_report/congress-not-anxious-to-raise-working-families-taxes-in-january/">CHN: Congress Not Anxious to Raise Working Families’ Taxes in January</a> appeared first on <a href="http://www.chn.org">Coalition on Human Needs</a>.</p>]]></content:encoded>
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		<title>CHN: Congress Unveils More Health Reform Proposals</title>
		<link>http://www.chn.org/human_needs_report/congress-unveils-more-health-reform-proposals/</link>
		<comments>http://www.chn.org/human_needs_report/congress-unveils-more-health-reform-proposals/#comments</comments>
		<pubDate>Wed, 01 Jul 2009 22:13:03 +0000</pubDate>
		<dc:creator>Matt</dc:creator>
				<category><![CDATA[Health]]></category>
		<category><![CDATA[Housing and Homelessness]]></category>
		<category><![CDATA[Medicare]]></category>

		<guid isPermaLink="false">http://www.chn.org/?post_type=human_needs_report&#038;p=2085</guid>
		<description><![CDATA[<p>Congress continued to work on health reform and made some progress before adjourning for the July 4 recess. Still, the bulk of the work awaits them in July. The Senate Health, Education, Labor and Pensions (HELP) Committee, after introducing the Affordable Health Choices Act began the process of marking up the bill. Dozens of amendments</p><p>The post <a href="http://www.chn.org/human_needs_report/congress-unveils-more-health-reform-proposals/">CHN: Congress Unveils More Health Reform Proposals</a> appeared first on <a href="http://www.chn.org">Coalition on Human Needs</a>.</p>]]></description>
				<content:encoded><![CDATA[<p>Congress continued to work on health reform and made some progress before adjourning for the July 4 recess. Still, the bulk of the work awaits them in July.</p>
<p>The Senate Health, Education, Labor and Pensions (HELP) Committee, after introducing the Affordable Health Choices Act began the process of marking up the bill. Dozens of amendments have been voted on thus far and many more still await consideration. (For a brief overview of what is included in the HELP bill see <a title="Congress Readies to Debate Details of Health Reform" href="http://www.chn.org/human_needs_report/congress-readies-to-debate-details-of-health-reform/" target="_blank"><em>Human Needs Report, June 16 </em></a>.)The Committee will resume debate on the bill when Congress returns the week of July 6. Some of the issues the Committee will have to take up at that time include some of the more contentious ones like inclusion of a new public health plan option and an employer responsibility provision.</p>
<p>On June 19, the Chairmen of the three committees with jurisdiction over health reform in the House released a discussion draft of their joint bill and last week held a series of hearings on the draft. The discussion draft has many components similar to those in the Senate HELP bill. Like the HELP bill it would establish an insurance exchange market where the uninsured could shop for affordable health plans. A new public health plan would be among the plans offered in the exchange. Like the HELP bill there would be a basic benefit package that all health plans would have to provide as a minimum. The essential benefits package would be established based on recommendations from an independent Advisory Committee and would include such things as preventative services with no cost-sharing, mental health services, and dental and vision care for children. People participating in the exchange with incomes between 133 and 400 percent of the federal poverty line (FPL) would receive subsidies or affordability credits on a sliding scale to help pay for  coverage.  Medicaid would be expanded so that all individuals with incomes below 133 percent of FPL would be eligible, effective in 2013. The expansion would be financed fully by federal funds.</p>
<p>Similar to the HELP bill, insurance market reforms are included to diminish discriminatory practices and better protect consumers. For one, there will be caps on out of pocket payments and prohibitions on lifetime and annual limits on benefits. The plan would do away with exclusions of pre-existing conditions and would limit the ability of insurance companies to charge higher rates due to health status, gender, or other factors. Premiums will only be allowed to vary based on age (at a ratio no more than 2:1), geography, and family size.</p>
<p>Shared responsibility provisions are also included. Everyone will be required to have health insurance. Those who opt out will face a modest penalty based on income. The penalties are not to exceed the average cost of a health plan in the exchange. Some exceptions will be made for individuals who encounter certain hardships, (such as affordability), or who have religious objections. Employers also share in the responsibility. They must either provide coverage for their workers, cover part of the cost of premiums, or contribute to the exchange on behalf of their workers. Like individuals who choose not to get basic coverage, employers who do not offer coverage to their employees will be subject to a penalty which will be based on the size of their payroll. Exceptions are made for small businesses with a payroll under a certain limit.</p>
<p>There are also provisions to strengthen Medicare and improve the health benefits for the elderly and people with disabilities participating in the program. Currently there is a coverage gap in prescription drug benefits; this gap is usually called the donut hole. In 2009, individuals in Medicare Part D have to pay the full cost of their prescription drugs after their total drug spending reaches $2,700 and must incur almost $3,454 in out of pocket costs before receiving more benefits.  The House draft bill proposes eliminating the donut hole over 15 years, starting with an additional $500 in coverage in 2011 and further increases over time.   Also included are improvements to Medicare’s low-income subsidy programs. Asset limits for programs that help Medicare beneficiaries pay premiums and cost-sharing would be increased and the Qualified Individuals program, which assists low-income elderly and people with disabilities with premium payments, would be permanently extended. Another helpful provision is the elimination of patient co-payments for preventative procedures.</p>
<p>One area in which the draft bill falls short is in restoring equity in Medicaid coverage for lawfully residing immigrants. Currently, there is a 5-year waiting period that prevents most recent legal immigrants from using Medicaid if they fall on hard times, even though they pay taxes just like citizens. The House draft bill does not remove this unfair and arbitrary waiting period.</p>
<p>The Senate Finance Committee originally planned to release its bill by the week of June 22. However, it received some preliminary estimates from the Congressional Budget Office that set the cost of their reform plan at over $1.5 trillion and sent some Members of Congress into sticker shock. As a result, Chairman Max Baucus (D-MT) and Ranking Chair Charles Grassley (R-IA) have renegotiated a plan that scales back the cost of the package to the $1 trillion range. Senator Baucus has been very intent on developing a bipartisan proposal. Advocates hope the changes will not negatively affect low- and middle-income people. Senator Baucus is expected to release the bill after the July 4 recess.</p>
<p>The post <a href="http://www.chn.org/human_needs_report/congress-unveils-more-health-reform-proposals/">CHN: Congress Unveils More Health Reform Proposals</a> appeared first on <a href="http://www.chn.org">Coalition on Human Needs</a>.</p>]]></content:encoded>
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		<title>CHN: Premium Assistance for Low-Income Seniors Awaits President&#8217;s Signature</title>
		<link>http://www.chn.org/human_needs_report/premium-assistance-for-low-income-seniors-awaits-presidents-signature/</link>
		<comments>http://www.chn.org/human_needs_report/premium-assistance-for-low-income-seniors-awaits-presidents-signature/#comments</comments>
		<pubDate>Thu, 09 Oct 2008 13:00:07 +0000</pubDate>
		<dc:creator>Matt</dc:creator>
				<category><![CDATA[Health]]></category>
		<category><![CDATA[Medicare]]></category>

		<guid isPermaLink="false">http://www.chn.org/?post_type=human_needs_report&#038;p=2284</guid>
		<description><![CDATA[<p>Legislation to assist low-income seniors with their Medicare Part B premiums made its way quietly to the President&#8217;s desk this fall. S. 3560, introduced by Senate Finance Committee Chairman Max Baucus (D-MT) and ranking member Senator Charles Grassley (R-IA), would increase funding for Medicare&#8217;s Qualifying Individuals (QI) program by $45 million. QI provides payment of</p><p>The post <a href="http://www.chn.org/human_needs_report/premium-assistance-for-low-income-seniors-awaits-presidents-signature/">CHN: Premium Assistance for Low-Income Seniors Awaits President&#8217;s Signature</a> appeared first on <a href="http://www.chn.org">Coalition on Human Needs</a>.</p>]]></description>
				<content:encoded><![CDATA[<p>Legislation to assist low-income seniors with their Medicare Part B premiums made its way quietly to the President&#8217;s desk this fall. S. 3560, introduced by Senate Finance Committee Chairman Max Baucus (D-MT) and ranking member Senator Charles Grassley (R-IA), would increase funding for Medicare&#8217;s Qualifying Individuals (QI) program by $45 million.</p>
<p>QI provides payment of Medicare Part B monthly premiums for seniors and people with disabilities with incomes between 120 and 135 percent of the federal poverty line.  Congress established the program in 1997 but it only appropriated a limited amount of funds to each state to pay for the program. Earlier this year Congress enacted a Medicare law (<a title="Medicare Improvements Become Law" href="http://www.chn.org/human_needs_report/medicare-improvements-become-law/" target="_blank">see </a><em><a title="Medicare Improvements Become Law" href="http://www.chn.org/human_needs_report/medicare-improvements-become-law/" target="_blank">HNR Report)</a></em> that included an extension of the program through December 2009 and authorized $400 million in spending for the benefit in 2008. S. 3560 would increase QI spending to $445 million, bringing much needed help for seniors living near the poverty level. <em>CQ </em> reports that without assistance, Medicare Part B premiums, which stand at $96.40 per month in 2008 and 2009, would consume about 10 percent of the monthly income of low-income seniors.</p>
<p>In addition to increasing QI funding, the bill also includes a provision to expand education activities under the Medicaid Integrity Program and incentives for some drug manufacturers to get FDA approval for their antibiotics. S. 3560 would be paid for by requiring states to participate in a federal computer system used to determine eligibility for Medicaid.</p>
<p>The bill passed the Senate by Unanimous Consent on September 25. Two days later the House approved the bill by voice vote and sent it to the White House. The President is expected to sign the bill, though at the time of writing he had not yet done so.</p>
<p>The post <a href="http://www.chn.org/human_needs_report/premium-assistance-for-low-income-seniors-awaits-presidents-signature/">CHN: Premium Assistance for Low-Income Seniors Awaits President&#8217;s Signature</a> appeared first on <a href="http://www.chn.org">Coalition on Human Needs</a>.</p>]]></content:encoded>
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		<title>CHN: Medicare Improvements Become Law</title>
		<link>http://www.chn.org/human_needs_report/medicare-improvements-become-law/</link>
		<comments>http://www.chn.org/human_needs_report/medicare-improvements-become-law/#comments</comments>
		<pubDate>Mon, 21 Jul 2008 12:59:52 +0000</pubDate>
		<dc:creator>Matt</dc:creator>
				<category><![CDATA[Health]]></category>
		<category><![CDATA[Medicare]]></category>

		<guid isPermaLink="false">http://www.chn.org/?post_type=human_needs_report&#038;p=2283</guid>
		<description><![CDATA[<p>To the surprise of many, a Medicare bill canceling a scheduled 10.6 percent pay cut to Medicare physicians and which included various improvements for low income Medicare beneficiaries became law on July 15. The House passed H.R. 6331, the Medicare Improvement for Patients and Providers Act of 2008, with an overwhelming majority, 355-59, on June</p><p>The post <a href="http://www.chn.org/human_needs_report/medicare-improvements-become-law/">CHN: Medicare Improvements Become Law</a> appeared first on <a href="http://www.chn.org">Coalition on Human Needs</a>.</p>]]></description>
				<content:encoded><![CDATA[<p>To the surprise of many, a Medicare bill canceling a scheduled 10.6 percent pay cut to Medicare physicians and which included various improvements for low income Medicare beneficiaries became law on July 15. The House passed H.R. 6331, the Medicare Improvement for Patients and Providers Act of 2008, with an overwhelming majority, 355-59, on June 24. However, support in the Senate was not as strong. The Senate tried to pass the bill on June 26 before the July 4th recess but fell one vote short of the 60 votes needed to move to debate the bill and vote on final passage.   The vote was 59-39, with all Democrats present voting for the bill.</p>
<p>Democratic leaders planned to bring the bill up for a second vote after recess and began wooing a short list of Republicans to support it, hoping that one of them would switch their vote. On July 9, with the likelihood of passage still very uncertain, the Senate held the second vote on H.R. 6331. Passage still seemed doubtful until Senator Kennedy (D-MA), who is recovering from brain-tumor surgery and was absent during the previous vote, surprised many and appeared to cast the much-needed 60th vote. When it became clear that the bill was destined for passage a number of Republicans switched their votes to be on the winning side. In the end 69-30 Senators voted for cloture. The bill subsequently passed by a voice vote.</p>
<p>H.R. 6331 was sent to the President’s desk on July 15. In spite of the broad support for the bill, President Bush vetoed it citing his opposition to cuts to private Medicare plans, known as Medicare Advantage. The cost of H.R. 6331 was offset by cutting bonus payments to Medicare Advantage. These private plans have been paid at higher rates than traditional Medicare. Congress quickly moved to override the President’s veto. That same afternoon of July 15 both the House (383-41) and Senate (70-26) overrode the veto making the bill law.</p>
<p>Though the main impetus for H.R. 6331 was preventing scheduled physician pay cuts, the bill also included a number of provisions for low-income individuals.  For starters, it extended the Qualified Individuals (QI) program through December 31, 2009 and increased funding for the program. QI provides payment of Medicare Part B monthly premiums for individuals with incomes between 120 and 135 percent of the federal poverty line.  It is an expansion of the Specified Low Income Medicare Beneficiary Program. When Congress established the program in 1997 it only appropriated a limited amount of funds to each state to pay for the expansion. The bill also placed a limit on the out-of-pocket expenses that beneficiaries who are dually eligible for Medicare and Medicaid and are enrolled in Special Needs Plans must pay. Effective 2010, the asset test for the Medicare Savings Program (MSP), which assists qualified low-income individuals with Medicare premium payments and cost-sharing requirements, will be increased to $11,710 for individuals and $23,410 for couples. The MSP asset test will also be indexed to keep up with inflation for the first time since the program was authorized in 1986. The late enrollment penalty for Part D will be eliminated for certain low-income individuals and the MSP application will have to be translated to languages most commonly used by Medicare beneficiaries.</p>
<p>Another important provision in the bill is that it sets prohibitions and limitations on marketing schemes for Medicare Advantage and prescription drug plans.</p>
<p>For a more detailed analysis of the bill please see the Center for Medicare Advocacy, Inc.’s summary at: <a href="http://www.medicareadvocacy.org/Reform_08_07.10.HR6331.htm" target="_blank">http://www.medicareadvocacy.org/Reform_08_07.10.HR6331.htm</a>.</p>
<p>The post <a href="http://www.chn.org/human_needs_report/medicare-improvements-become-law/">CHN: Medicare Improvements Become Law</a> appeared first on <a href="http://www.chn.org">Coalition on Human Needs</a>.</p>]]></content:encoded>
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		<title>CHN: House Examines Medicare Advantage Program</title>
		<link>http://www.chn.org/human_needs_report/house-examines-medicare-advantage-program/</link>
		<comments>http://www.chn.org/human_needs_report/house-examines-medicare-advantage-program/#comments</comments>
		<pubDate>Thu, 29 Jun 2006 01:52:11 +0000</pubDate>
		<dc:creator>Matt</dc:creator>
				<category><![CDATA[Budget and Appropriations]]></category>
		<category><![CDATA[Health]]></category>
		<category><![CDATA[Health Care Reform]]></category>
		<category><![CDATA[Medicare]]></category>

		<guid isPermaLink="false">http://www.chn.org/?post_type=human_needs_report&#038;p=2178</guid>
		<description><![CDATA[<p>The House Energy and Commerce Subcommittee on Oversight and Investigations held a hearing this week to examine predatory practices in Medicare Advantage plans.  Under the Medicare program, beneficiaries may opt to receive care through private Medicare Advantage plans instead of the traditional fee-for-service Medicare program.  The Congressional Budget Office (CBO) finds that Medicare is paying</p><p>The post <a href="http://www.chn.org/human_needs_report/house-examines-medicare-advantage-program/">CHN: House Examines Medicare Advantage Program</a> appeared first on <a href="http://www.chn.org">Coalition on Human Needs</a>.</p>]]></description>
				<content:encoded><![CDATA[<p>The House Energy and Commerce Subcommittee on Oversight and Investigations held a hearing this week to examine predatory practices in Medicare Advantage plans.  Under the Medicare program, beneficiaries may opt to receive care through private Medicare Advantage plans instead of the traditional fee-for-service Medicare program.  The Congressional Budget Office (CBO) finds that Medicare is paying these private plans 12 percent more to treat comparable beneficiaries than it would in the traditional Medicare program.  The overpayments in the Medicare Advantage plans have resulted in adding $24 to the Part B premiums of seniors in traditional Medicare, and have shortened the life of the Medicare Hospital Insurance Trust Fund by two years.</p>
<p>The hearing uncovered growing abuses by unscrupulous agents in private companies marketing Medicare Advantage plans to unsuspecting seniors who are convinced to enroll in a plan they may not understand and that may be inappropriate for their situation.  Agents often receive bonuses and gifts based on their ability to increase enrollment in their company’s plans.  Marketing abuses include agents misrepresenting their association with Medicare, using scare tactics and tricking seniors into unknowingly signing application documents.  Currently, 8.5 million beneficiaries, or 19 percent of the Medicare population, are enrolled in Medicare Advantage plans.  As long as companies can pad profits through high subsidies and continue to engage in deceptive market practices, enrollment will increase in Medicare Advantage programs.  Some would go as far as to argue that this ultimately could lead to privatization of the Medicare program.</p>
<p>The debate over Medicare Advantage plans has come into focus in the context of the reauthorization of the State Children’s Health Insurance Program (SCHIP).  SCHIP is a program that provides affordable health care with a robust benefit package for low-income children and families unable to afford health insurance but not poor enough to be eligible for coverage under Medicaid.  In order to expand coverage to more children, advocates and many in Congress support increasing the federal government’s investment in SCHIP by $50 billion over the next 5 years.  The rules adopted by Congress this year require that spending increases in mandatory programs like SCHIP be paid for (offset) by comparable reductions in spending or increases in revenue.  CBO estimates that eliminating overpayments in Medicare Advantage would save $54 billion between 2009-2013, enough to offset $50 billion in new funding for SCHIP.</p>
<p>Many would argue that reducing or eliminating overpayments to private insurance companies in the Medicare Advantage plans is an excellent offset for increasing resources to the SCHIP program.   For advocates the choice is clear.  Funding windfalls for insurance companies that place traditional Medicare at a competitive disadvantage is not just a low priority; it is downright undesirable.  The nation’s interests are far better served by directing these funds to increase access to health care coverage for more children.</p>
<p>Both the House and Senate are expected to mark up SCHIP reauthorization bills in July.</p>
<p>The post <a href="http://www.chn.org/human_needs_report/house-examines-medicare-advantage-program/">CHN: House Examines Medicare Advantage Program</a> appeared first on <a href="http://www.chn.org">Coalition on Human Needs</a>.</p>]]></content:encoded>
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		<title>CHN: Senate Budget Resolution Squeaks Through, 51-49; Floor Action Rejects Some of the Cuts in Human Needs Services</title>
		<link>http://www.chn.org/human_needs_report/senate-budget-resolution-squeaks-through-51-49-floor-action-rejects-some-of-the-cuts-in-human-needs-services/</link>
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		<pubDate>Fri, 17 Mar 2006 19:31:16 +0000</pubDate>
		<dc:creator>Matt</dc:creator>
				<category><![CDATA[Budget and Appropriations]]></category>
		<category><![CDATA[Education and Youth Policy]]></category>
		<category><![CDATA[Health]]></category>
		<category><![CDATA[Housing and Homelessness]]></category>
		<category><![CDATA[Low Income Home Energy Assistance Program (LIHEAP)]]></category>
		<category><![CDATA[Medicaid]]></category>
		<category><![CDATA[Medicare]]></category>
		<category><![CDATA[Tax Policy]]></category>

		<guid isPermaLink="false">http://www.chn.org/?post_type=human_needs_report&#038;p=1202</guid>
		<description><![CDATA[<p>The Senate passed its version of a FY 2007 budget resolution on Thursday night, 51-49 . The budget debate exposed widening divisions among the Republican majority, with some members insisting on increases in spending beyond the President&#8217;s proposal, and others seeking further cuts. Those who rejected the service cuts in the President&#8217;s budget held sway,</p><p>The post <a href="http://www.chn.org/human_needs_report/senate-budget-resolution-squeaks-through-51-49-floor-action-rejects-some-of-the-cuts-in-human-needs-services/">CHN: Senate Budget Resolution Squeaks Through, 51-49; Floor Action Rejects Some of the Cuts in Human Needs Services</a> appeared first on <a href="http://www.chn.org">Coalition on Human Needs</a>.</p>]]></description>
				<content:encoded><![CDATA[<p>The Senate passed its version of a FY 2007 budget resolution on Thursday night, <a href="http://www.senate.gov/legislative/LIS/roll_call_lists/roll_call_vote_cfm.cfm?congress=109&amp;session=2&amp;vote=00074" target="_blank">51-49 </a>. The budget debate exposed widening divisions among the Republican majority, with some members insisting on increases in spending beyond the President&#8217;s proposal, and others seeking further cuts. Those who rejected the service cuts in the President&#8217;s budget held sway, and some important restorations were made.</p>
<p><strong>Victories in adding funds for human needs programs. </strong>Two amendments were especially important. The Specter (R-PA)-Harkin (D-IA) amendment added $7 billion to the total funding for annually appropriated (&#8220;discretionary&#8221;) programs in FY 2007, with the assurance that those funds would be made available for education, health, and labor programs. Specter-Harkin passed <a href="http://www.senate.gov/legislative/LIS/roll_call_lists/roll_call_vote_cfm.cfm?congress=109&amp;session=2&amp;vote=00058">73-27 </a>, showing widespread bipartisan rejection of the President&#8217;s cuts in these areas. The Reed (D-RI) amendment added $3.318 billion to the appropriations total for FY 2007, to be used to increase funding for the Low Income Home Energy Assistance Program (LIHEAP); it passed more narrowly, <a href="http://www.senate.gov/legislative/LIS/roll_call_lists/roll_call_vote_cfm.cfm?congress=109&amp;session=2&amp;vote=00057">51-49 </a>.</p>
<p>Senators not only were willing to increase funding for important priorities; they soundly rejected attempts to make further cuts. An amendment proposed by Senator Inhofe (R-OK) would have frozen annually appropriated domestic programs at the FY 2006 level, starting in FY 2007 and continuing indefinitely, unless overturned by a two-thirds vote. This draconian proposal was rejected <a href="http://www.senate.gov/legislative/LIS/roll_call_lists/roll_call_vote_cfm.cfm?congress=109&amp;session=2&amp;vote=00065">35-62 </a>.</p>
<p>Another unsuccessful amendment was an attempt to force the adoption of cuts in Medicare and other mandatory programs. Senators Cornyn (R-TX) and Graham (R-SC) co-sponsored an amendment to require the Senate Finance Committee to come up with $10 billion in cuts from FY 2008 through FY 2011. The expectation of the amendment was that at least half of these cuts would come from Medicare, although the Finance Committee could make the cuts from any program in its jurisdiction (including Medicaid, child welfare, child support, and Temporary Assistance for Needy Families). The amendment failed resoundingly, <a href="http://www.senate.gov/legislative/LIS/roll_call_lists/roll_call_vote_cfm.cfm?congress=109&amp;session=2&amp;vote=00062">43-57 </a></p>
<p>The Cornyn-Graham amendment would have imposed a &#8220;reconciliation directive&#8221; on the Senate Finance Committee &#8211; forcing the Committee to produce legislation that would achieve $10 billion in cuts. The reconciliation legislation, like legislation adopted last year making substantial cuts in Medicaid and other programs, would be subject to limited debate in the Senate, and could therefore pass with a simple majority vote. The Senate rejected a replay of the painful debate around a reconciliation bill, except that it retained stand-alone reconciliation instructions intended to force the later approval of drilling in the Arctic National Wildlife Refuge (ANWR), estimated to produce $3 billion in revenues.</p>
<p><strong>A failed attempt to drop a provision limiting spending for mandatory programs. </strong>Senator Bingaman (D-NM) attempted to delete a provision in the Senate Budget Committee&#8217;s resolution that would require cuts in all mandatory programs (aka entitlements, such as Medicaid, Food Stamps, student loans, etc.) if more than 45 percent of Medicare&#8217;s costs were projected to be paid for out of general revenues. His amendment failed on a <a href="http://www.senate.gov/legislative/LIS/roll_call_lists/roll_call_vote_cfm.cfm?congress=109&amp;session=2&amp;vote=00070">50-50 </a> tie, after Senator Coleman (R-MN) changed his vote from yes to no. Advocates objected to forcing cuts on a range of vital programs simply because more of Medicare&#8217;s costs were being paid for out of general revenues. Other sources of Medicare funding &#8211; the payroll tax and premiums or other fees for medical care &#8211; are borne far more by low- and middle-income people; general revenues are collected more according to ability to pay. This automatic trigger of spending cuts is a very one-sided approach to rising Medicare costs, leaving out solutions that might involve tax revenues.</p>
<p><strong>A close vote on more evenhanded budgetary controls. </strong>Senator Conrad (D-ND) narrowly missed with an amendment to restore the Senate&#8217;s now defunct controls on new spending or new tax cuts &#8211; known as &#8220;Pay as You Go&#8221; or &#8220;Pay-Go.&#8221; These rules would require loss of revenue from tax cuts as well as the costs of increased spending to be paid for by other revenue increases or cuts in spending. Now, Congress requires new spending to be paid for by cuts in programs, but new tax cuts can be passed even though they will increase the deficit. Right wing members of Congress have been extremely insistent on continuing to pay for tax cuts with borrowed money. The Conrad amendment also failed on a <a href="http://www.senate.gov/legislative/LIS/roll_call_lists/roll_call_vote_cfm.cfm?congress=109&amp;session=2&amp;vote=00038">50-50 </a> tie.</p>
<p><strong>Medicare. </strong>Senator Snowe (R-ME) introduced a successful amendment to ensure that any savings that would occur if legislation is adopted to require the federal government to negotiate Medicare prescription drug prices goes either to deficit reduction or to improving the Medicare prescription drug program. The impact of this amendment is of course contingent on the passage of such legislation. The Snowe amendment passed <a href="http://www.senate.gov/legislative/LIS/roll_call_lists/roll_call_vote_cfm.cfm?congress=109&amp;session=2&amp;vote=00050">54-44 </a>. Another provisional amendment successfully added was authored by Senator Grassley (R-IA), which provides a reserve fund to allow for deficit-neutral legislation to extend the enrollment period for the new Medicare prescription drug plan, should such legislation actually be adopted. That amended passed <a href="http://www.senate.gov/legislative/LIS/roll_call_lists/roll_call_vote_cfm.cfm?congress=109&amp;session=2&amp;vote=00048">76-22 </a>.</p>
<p><strong>Real Versus Suggested Restorations. </strong>The budget debate included a number of other amendments that purported to restore spending for certain purposes, but that did not increase total funding for annually appropriated programs. Without increasing the total, such amendments are just suggestions to the appropriators that, if followed, would require other programs to be cut still more deeply. The Specter-Harkin and Reed amendments, adding funds for education, labor, health, and energy assistance, added to the total funding available for FY 2007, and therefore are meaningful changes in the budget resolution. However, Specter-Harkin finds its funding by advancing appropriations from FY 2008, which deepens the funding hole for that year. Senator Specter acknowledged that this is a funding &#8220;gimmick&#8221; &#8211; but it is one that would prevent some cuts for the coming year and give advocates time to address the FY 2008 problems later.</p>
<p>Senator Specter defended his fight for more funding by recognizing that &#8220;health and education are the two major capital assets of this country.&#8221; The Senate budget still does not provide enough support for these essential assets. As Specter and Harkin acknowledged at a meeting with advocates before debate began on their amendment, the restoration of $7 billion would only bring the funding for education, health, labor, and social services back to their FY 2005 levels &#8211; not even adjusting for inflation. But some of the votes on the Senate floor were acknowledgements that Senators are getting the message from constituents that investments in such services are important, and that cuts are unpopular.</p>
<p>The post <a href="http://www.chn.org/human_needs_report/senate-budget-resolution-squeaks-through-51-49-floor-action-rejects-some-of-the-cuts-in-human-needs-services/">CHN: Senate Budget Resolution Squeaks Through, 51-49; Floor Action Rejects Some of the Cuts in Human Needs Services</a> appeared first on <a href="http://www.chn.org">Coalition on Human Needs</a>.</p>]]></content:encoded>
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