Special deals still on Obama's proposal

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					Special Deals STILL in Obamacare
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                    Circulated by the Office of Congressman John Shadegg

                    Despite the White House's public repudiation of Ben Nelson's Medicaid
                    deal for Nebraska, the Democrats' health care bill is still full of special
                    backroom deals. Will the President continue to ignore America's
                    outrage against self-dealing in Washington, or will he finally renounce
                    the deals cooked up by Congressional Democrats?

1) "The Louisiana Purchase"
Who: Mary Landrieu (Louisiana)
Cost: $300 million
Section 2006 provides a "Special Adjustment" for states recovering from a major disaster.
Though the state is not named specifically, this provision appears to help only Louisiana -
providing $300 million to the state Medicaid program. As the request of Senator Mary
Landrieu, this provision was inserted into the Senate bill shortly before it was brought to the
floor for a vote.
Source: Sweeteners for the South:The Washington Post (November 22, 2009)

2) Special Funding For Local Connecticut Hospital
Who: Chris Dodd (Connecticut)
Cost: $100 million
Section 10502 provides $100 million in funding for "a health care facility that provides
research, inpatient tertiary care, or outpatient clinical services." The AP has reported that
the funding was inserted at the request of Chris Dodd and will likely go to a University of
Connecticut hospital.
Source: Health Bill Money for Hospitals Sought by Dodd: Politico (December 20, 2009)

3) Millions of Medicaid Dollars for Vermont and Massachusetts
Who: Bernie Sanders (Vermont) and John Kerry (Massachusetts)
Cost: $1.1 billion
Section 10201 adjusts federal payment to states for their Medicaid program. This section
provides Vermont ($600 million) and Massachusetts ($500 million) in extra federal Medicaid
funds.
Source: Democrats Protect Backroom Deals: Politico (February 3, 2010)

4) Cash for New Jersey Drug Companies
Who: Bob Menendez (New Jersey)
Cost: $1 billion
Senator Bob Menendez (D-NJ) secured a $1 billion research subsidy for drug companies in
the Senate health care bill. According to Menendez' website, 86 percent of New Jersey's
biotech companies would qualify for the subsidy contained in Section 9023.
Source: States of Personal Privilege: The Wall Street Journal (October 15, 2009)

5) Extra Cash for Union Health Care Plans
Who: John Kerry (Massachusetts) and Debbie Stabenow (Michigan)
Cost: $5 billion
Section 1102 provides $5 billion for a reinsurance program to defray the medical costs of
union members. This provision was added at the behest of Michigan Democrat Debbie
Stabenow, and Massachusetts Democrat John Kerry, and will benefit union donors in their
states.
Source: States of Personal Privilege: The Wall Street Journal (October 15, 2009)


6) No Medicare Advantage Cuts for Florida Seniors
Who: Bill Nelson (Florida)
Cost: ???
The Senate bill cuts billions from the Medicare Advantage program - forcing millions of
seniors off of their current health care plan. However, Senator Bill Nelson negotiated a
special deal that protects Florida seniors from these cuts. Nelson inserted this amendment
during the Senate Finance Committee's markup.
Source: White House Cuts Special Help for Nebraska, but Other Deals Remain in Reform
Bill: ABC News Blog (February 22, 2010)

7) Special Funding for Montana Coal Miners
Who: Max Baucus (Montana)
Cost: ???
Section 10323 provides Medicare coverage for workers exposed to "environmental health
hazards." Thought not named specifically in the bill, the provision was added by Senator
Max Baucus to provide special health coverage to miners in Libby, Montana.
Source: Deep In Health Bill, Very Specific Beneficiaries: The New York Times (December 20,
2009)

8) Fee Exemption for Politically Connected Insurers
Who: Ben Nelson (Nebraska) and Debbie Stabenow (Michigan)
Cost: ???
Section 10905 of the Senate bill levies a new annual fee on health insurers. However, the
bill provides an exemption to a narrow group of companies. This section will exempt Blue
Cross Blue Shield of Nebraska and Blue Cross Blue Shield of Michigan.
Source: Concessions Lawmakers Won in the Health Bill: The Boston Globe (December 22,
2009)

9) Higher Medicare Payments for North Dakota Providers
Who: Kent Conrad and Byron Dorgan (North Dakota)
Cost: ???
Section 10324 generously provides higher Medicare payments to hospitals and doctors in
"frontier counties." Though not named specifically, providers in North Dakota counties
would qualify for higher Medicare payments.
Source: On Health-care Bill, Democratic Senators are in States of Denial: The Washington
Post (December 22, 2009)

10) Hawaii Hospitals Exempt From Cuts
Who: Dan Inouye and Daniel Akaka (Hawaii)
Cost: ???
The Senate bill reduces payments to hospitals for treating uninsured patients under the
federal Disproportionate Share Hospital (DSH) program. However, Hawaii's two Democrat
Senators inserted a special deal for their state hospitals. Section 10201 shields Hawaii
facilities from proposed cuts in DSH payments.
Source: On Health-care Bill, Democratic Senators are in States of Denial: The Washington
Post (December 22, 2009)
11) Longshoreman Exempt from Tax on Health Plans
Who: Jeff Merkley (Oregon)
Cost: ???
The Senate health care bill imposes a new tax on employer-sponsored health plans. Yet Jeff
Merkley was able to secure a special deal for longshoremen. Section 10901 of the Senate
bill shields longshoremen from the full impact of the new tax.
Source: Concessions Lawmakers Won in the Health Bill: The Boston Globe (December 22,
2009)

				
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