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Congressional Action: Health Care, Climate Change, Financial Services Regulation

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U.S. Chamber of Commerce
Congressional Action
October 29, 2009

For months now, health care has dominated the discussion in Washington and around the country. Here's the latest on that and on the other things going on in Congress.

ISSUE:  health care
STATUS:  what type of public option?

Health CareDemocratic leaders in both the House and Senate are huddled behind closed doors in negotiations over what type of government-run "public option" they can move through their respective chambers. In the House, Speaker Nancy Pelosi (D-CA) and her allies have come up short in the vote count for their preferred plan, a "robust" public option that would pay most health care providers Medicare reimbursement rates (doctors would get five percent more). They claim this would insure more people at lower cost to the government. Moderate Democrats say this would underpay the providers and encourage more cost shifting to Americans covered by private insurance. At the least, moderates want the government to negotiate reimbursement rates with health care providers. Other differences - most notably over the proposed surtax on upper income individuals - remain but are getting less attention. Speaker Pelosi is looking for the strongest public option that can attract 218 votes.

Senate Majority Leader Harry Reid (D-NV), Finance Committee Chairman Max Baucus (D-MT), and Sen. Chris Dodd (D-CT) face a different challenge, at least on the details. They've agreed to include a public option in the bill they bring to the floor, but how far can they go and still get the 60 votes they need? Reid has publicly announced that he will include a public plan that will include a state "opt-out" provision. If that fails to attract the necessary 60 votes, other potential options include a state opt-in, a trigger, or whether to also offer state-run coops.

In both chambers, leaders are taking their time because they want their bills to have as much support as possible before they are released. Substantive changes will be hard to make once the bills are on the House and Senate floors, especially in the Senate, with its 60-vote threshold.

What Majority Leader Reid most wants to avoid is what happened last week, when he brought the Medicare "doc fix" (S. 1776) to the Senate floor. The doc fix would have ended the annual ritual where Congress overrides Medicare cost controls by overturning scheduled cuts in payments to physicians. Instead of a 21.5% payment cut next year doctors would have gotten a small increase, with the reimbursement rate held flat after that. The 10-year cost of $245 billion would not have been offset, and it would have conveniently been outside the main health care reform bill, allowing supporters to claim that that bill doesn't add to the deficit. The cloture vote came up 13 short of the required 60 when 12 Democrats and one Independent joined all 40 Republican in voting "no." Deficit concerns trumped pleasing a key constituency, at least for the day.


ISSUE:  climate change
STATUS:  hearings begin on new Senate bill

climate_ga115x98Hearings began yesterday in the Senate Environment and Public Works Committee on the new cap-and-trade bill (S. 1733) offered by Chairwoman Barbara Boxer (D-CA) and Sen. John Kerry (D-MA). The bill is modeled on the Waxman-Markey bill (H.R. 2454) that passed the House on a tight 219-212 vote in late June, but with an important difference. The authors left key sections - like the allocation of emissions allowances - blank, so that they could negotiate terms with senators they'd need for passage, notably coal-state Democrats. One thing 10 of them have already demanded in a letter to President Obama: a "carbon tariff" to keep the bill's huge costs from sending manufacturers overseas. The U.S. Chamber agrees that they've focused on a real problem - the need for an international solution - if not the means to solve it.

The path to an international accord on climate change will be rocky. Last week, China signaled that the December talks in Copenhagen will fail unless developed countries change course. Lu Xuedu, deputy director of China's National Climate Center, finds it "shocking" that developed countries are seeking binding cuts from developing countries - like China, the world's largest source of carbon dioxide.


ISSUE:  financial services regulation
STATUS:  House committee markup improves but doesn't fix bad bill

key_etFive days of debate and amendments in the House Financial Services Committee have clarified important provisions in Chairman Barney Franks' (D-MA) bill (H.R. 3126). The committee approved the bill last week on a 39-29 vote. But it's still not clear why a new Consumer Financial Protection Agency is necessary or what exactly it will cover. The new CFPA will compete with existing federal regulatory agencies, which are flawed themselves. Better to fix the regulatory structure that abetted last year's financial crisis than simply throw another layer of bureaucracy atop an already shaky foundation. The House may pass Chairman Franks' handiwork without further significant changes but the Senate is likely to give the whole concept much more scrutiny, probably early next year.

SHORT TAKES

Card check.  Nothing new to report on the Employee Free Choice Act or possible compromises that might bring it to the Senate floor. The bill is in limbo, short of the 60 votes needed to move it through the chamber. But there may be another way: packing the National Labor Relations Board with card check supporters and writing it into law through the administrative process. Former SEIU attorney Craig Becker has written that the NLRB has the authority to implement card check without further action by Congress. President Obama nominated Becker to serve on the NLRB, where he'd have the chance to put his ideas into practice. Requests by the U.S. Chamber and others for a hearing on the Becker nomination prior to a confirmation vote have been ignored.

Highway and transit funding.  The first extension of SAFETEA-LU highway funding expires at the end of this week and the only sure thing is that it won't be the last. House and Senate leaders are trying to work out the length of the next extension, with the senators pushing for six months. The long-term problem remains and will bedevil committees with jurisdiction over transportation and revenues when they focus on writing a long-term bill: the Highway Trust Fund isn't raising anywhere near the money needed to fund our surface transportation needs. Two short-term infusions from general revenues were required last year just to meet existing obligations. We hope it won't take several more extensions before lawmakers develop enough imagination and political courage to take us where we need to go.

Taxes, spending, and deficits. Fiscal year 2009 ended with a budget deficit of more than $1.4 trillion, roughly a trillion dollars more than the year before. Voters are concerned, and members of Congress are responding. Exhibit A was the Senate's vote on Medicare reimbursements for doctors last week. Deficit concerns are complicating efforts by House Democrats to permanently extend the estate tax at current levels (a $3.5 million exemption per person with a 45% top rate). Without action, the estate tax goes to zero next year but then rebounds to well above current levels in 2011. The proposal would cost more than $200 billion. Proponent are considering pairing it with a goal of Blue Dogs and other deficit hawks: writing House "pay-as-you-go" rules into law, so that they couldn't be so easily ignored. Finally, the tax "extenders" expire once again at the end of this year. These provisions include the R&D tax credit, incentives to invest in depressed areas, the option to deduct state and local sales taxes, and more. The biggest - the annual alternative minimum tax (AMT) "patch" - isn't part of the usual group but faces the same problem. All are likely to be extended for another year after much hand wringing.

Immigration.  Supporters of comprehensive reform want to believe President Obama when he says the issue is a high priority. Rep. Luis Gutierrez (D-IL) plans to introduce a bill next month. The pace is slower in the Senate, where Immigration Subcommittee Chairman Charles Schumer (D-NY) has been meeting with Sen. Lindsey Graham (R-SC) on the issue. What's holding them up? Graham cites the need to "get health care done first." One thing has happened: since last month, federal contractors have been required to use E-Verify to ensure that their workers are eligible for employment in the U.S. Other jurisdictions including Los Angeles County are considering a similar mandate.

Trade.  Were the "Buy American" provision in the economic stimulus bill and the 35% tariff on Chinese tire imports harbingers of our new trade policy? Maybe. U.S. Trade Representative Ron Kirk says he sees his primary job as enforcing existing trade agreements, not opening new markets for American exports. The three long-stalled free trade agreements with Colombia, Panama, and South Korea will continue to languish without leadership from the administration. Some administration officials talk about restarting the Doha world trade talks but the many countries that take their cues on trade from U.S. attitudes are unlikely to make concessions based on what they've seen.

More union workers = cleaner air?  As part of a plan to clear the air over the Port of Los Angeles, the mayor announced a ban on older and dirtier trucks. He also planned to ban independent truckers from the port, allowing in only "employee drivers," all of them eligible to join the Teamsters Union (the independent truckers aren't). Just one problem: federal law prohibits most state and local regulation of interstate trucking. Answer: amend federal law to allow port authorities more control over trucking in their domains. That's just what Los Angeles Mayor Villaraigosa is lobbying for. In the name of clean air, of course, says the former union organizer. He's joined by New York Mayor Bloomberg and Oakland Mayor Dellums. For the sake of air quality, it's important to note that right next door the Port of Long Beach has accomplished as much without banning independent truckers. For everyone's sake, do we want to give the Teamster Union control over what moves in and out of U.S. ports?


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Congressional ACTION is produced by the U.S. Chamber of Commerce.
Send your questions or comments to us at action@uschamber.com or
contact one of the U.S. Chamber's regional offices.

Midwest Doug Loon dloon@uschamber.com 952-832-9151
Great Lakes Ben Taylor btaylor@uschamber.com 312-983-7113
Eastern Geoff O'Hara gohara@uschamber.com 401-831-8885
  James DeChene jdechene@uschamber.com  
Southeastern Moore Hallmark mhallmark@uschamber.com 770-951-9864
  Debbie Carrothers dcarrothers@uschamber.com  
Southwest &
South Central
Pete Havel phavel@uschamber.com 972-387-1099
  John Gonzales jgonzales@uschamber.com  
Western Dick Castner dcastner@uschamber.com 818-884-0702
Northwestern Renee Sinclair rsinclair@uschamber.com 425-774-8094

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