The
Bush Administration's Health Policy Agenda
Other
Articles
Calmes
J, VandeHei J. White House, Congress Shift Agenda after Attack. Wall
Street Journal. 2001 September 26: A22.
This article summarizes how the terrorist attacks have changed the
policy agenda for the White House and Congress, shifting power balances
and putting foreign affairs before domestic issues.
Coombs
J, White E. Bush Proposes SCHIP Expansion, COBRA Coverage Plan for
Displaced Workers. BNA's Health Care Policy Report. 2001 October 15:
1524-1526.
This article outlines President Bush's proposal to allow states to
use unspent State Children's Health Insurance Program (SCHIP) money
to expand coverage to laid-off workers and their families, and to
use National Emergency Grants to help displaced workers afford Consolidated
Omnibus Budget Reconciliation Act health coverage. It describes what
SCHIP funds might be available, concerns about what the proposal might
mean for the SCHIP program, and if the dollars could be distributed
fairly among the states. Other quoted sources questioned whether COBRA
subsidies would be adequate to the task of helping displaced workers
maintain health coverage.
Economy:
Bush Offers Compromise in Stimulus Bill Debate. American Health Line.
2001 December 12.
Hoping to break an impasse in negotiations over an economic stimulus
bill, President Bush offered a compromise that would expand unemployment
benefits by 13 weeks and provide tax credits to help displaced workers
buy health insurance beyond the funds that he had previously proposed.
This article describes the various proposals and counterproposals
that have been developed to address the health coverage issue since
October.
Goldreich
S. Bush Plan to Phase in Medicaid Changes Faces Fierce Resistance
from States that Will Lose Health Care Payments. CQ Weekly. 2001 November
24: 2787.
The Bush administration hopes to close a loophole in the Medicaid
payment system. Many states pay excessive fees to public hospitals,
then average those payments with lower payments to private hospitals
to claim a larger share of federal matching funds. This means that
states technically stay under the upper payment limit cap, which cannot
exceed the rates paid for similar Medicare services. Public hospitals
then return the bulk of the funds to the states, which use them for
other purposes. The Bush administration plan would phase out the current
system, giving states time to adjust. Many in Congress, however, support
a delay in changing the current system to provide more time to close
the loophole without undermining the Medicaid program. Groups such
as the National Governors' Association and the American Hospital Association
are also pressing for a moratorium on changing the upper payment limit.
Isenstein
H. Altered Agenda: Congress' Focus on Terrorism Reprioritizes Health
Issues. Modern Physician. 2001 November; 5(1): 14.
The terrorist strikes have changed the emphasis of health policy to
public health, specifically to bioterrorism preparedness. Meanwhile,
physicians are still working on other issues, such as Medicare reimbursement
and reform.
Kirchoff
S. Congress Renews Focus on Healthcare: Economic Downturn Leaves More
Uninsured. Boston Globe. 2001 October 16: D1.
As the economy weakens, concern about the growing number of uninsured
has put health care back at the top of the health policy agenda. This
article describes the partisan differences in approach to this problem,
and the attitudes of the business community to the various proposals.
McGill
K. A Break from Anti-Terrorism: Bush Pushes Medical Agenda in Video
Speech. Associated Press Newswires. 2001 October 14.
In a videotaped speech to a medical convention, President Bush took
the opportunity to discuss domestic policy, specifically his proposed
Medicare reforms and the administration-backed version of the patients'
rights bill.
Politics
& Policy - Bioethics: Bush Formally Creates Advisory Council.
American Health Line. 2001 November 29.
On November 28, 2001, President Bush created a President's Council
on Bioethics by executive order. It is an advisory commission that
will study the ethical and scientific issues involved in stem cell
research, cloning, and other biomedical research and technology. University
of Chicago boethicist Dr. Leon Kass was selected to chair the council.
Kass has historically been opposed to human cloning, and proponents
of in vitro fertilization and human cloning have expressed concern
about his appointment. The council is set to expire in two years unless
the president extends the executive order before that time.
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