NU Online News Service, Oct. 26, 4:00 p.m. EDT

WASHINGTON–Health care reform legislation that will go to the Senate floor next week will include a government insurance plan, Senate Majority Leader Harry Reid, D-Nev., announced today.

Sen. Reid said the plan will allow states to opt out from offering a public option for health insurance.

At the same time, in a significant concession by unions, Richard Trumka, the president of the AFL-CO, said he is willing to consider a tax on high-end health insurance plans to help pay for health care reform, as long as middle-class workers aren't hurt.

The version of health care reform legislation drafted by the Senate Finance Committee would levy a tax on insurance companies that would be equal to 40 percent of total premiums paid on insurance plans costing more than $8,000 annually for individuals and $21,000 for families.

Under the Senate Finance plan, retirees over age 55 and people in high-risk professions would be allowed to have somewhat more valuable plans before they're taxed.

That is different than the revenue-raising proposal favored by the House. Legislation being drafted in the House would raise income taxes on individuals earning more than $500,000 a year and households making more than $1 million.

As envisioned by Sen. Charles Schumer, D-N.Y., the Senate bill would include a provision allowing the federal government to set up an insurance plan that he believes would create a level playing field with private insurers in states, such as having the same negotiated rates with providers and the same requirements.

It will be different than the one expected to be unveiled by House Democratic leaders later in the week.

The House version of a public option would require the secretary of the Department of Health and Human Services to negotiate rates with providers. The House bill will also include a provision expanding to cover anyone making 150 percent of the
federal poverty level or less, insurance industry sources said.

According to Ira Loss, an analyst at Washington Analysis, Washington, D.C., the Senate leadership is aiming to have a bill ready to send to the Congressional Budget Office for a cost evaluation by midweek.

According to Mr. Loss, the public option will likely be some version of a proposal by Sen. Olympia Snowe, R-Maine, which envisions a public option with a trigger. Her proposal would be twinned with a proposal from Senator Tom Carper, D-Del., that would allow states to opt out of the federal plan and create their own alternatives to private plans.

Once the Congressional Budget Office receives the bill, it is expected to take a week to score it, Mr. Loss said.

Republicans have asked that the Senate be given 72 hours after the CBO evaluation to review the bill before it goes to the Senate floor, but it is unclear whether this request will be granted, he said.

He expects the House leadership is hoping to finish its health care reform legislation and unveil it by the end of the week so as to bring it to the House floor by November 6.

Want to continue reading?
Become a Free PropertyCasualty360 Digital Reader

Your access to unlimited PropertyCasualty360 content isn’t changing.
Once you are an ALM digital member, you’ll receive:

  • Breaking insurance news and analysis, on-site and via our newsletters and custom alerts
  • Weekly Insurance Speak podcast featuring exclusive interviews with industry leaders
  • Educational webcasts, white papers, and ebooks from industry thought leaders
  • Critical converage of the employee benefits and financial advisory markets on our other ALM sites, BenefitsPRO and ThinkAdvisor
NOT FOR REPRINT

© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.