Baucus Plan Would Cost $856B over 10 Years

Democratic Senator's Health Care Bill Not Likely to Gain Bipartisan Support

(CBS/ AP)  Updated at 10:53 a.m. Eastern

Senate Finance Committee Chairman Max Baucus has released his long-awaited health overhaul bill, moving forward with a landmark, $856 billion bill even though no Republicans are on board.

The measure would make major changes to the nation's $2.5 trillion health care system including requiring all individuals to purchase health care or pay a fine. It also would bar insurance company practices like charging more to people with grave health problems.

A press release from Baucus says the bill would cost roughly $856 billion over the next 10 years.

"This is a unique moment in history where we can finally reach an objective so many of us have sought for so long," Baucus said. "The Finance Committee has carefully worked through the details of health care reform to ensure this package works for patients, for health care providers and for our economy."

Consumers would be able to shop for and compare insurance plans in a new purchasing exchange. Medicaid would be expanded, and caps would be placed on patients' yearly health care costs. The plan would be paid for with $507 billion in cuts to government health programs and $349 billion in new taxes and fees.

The bill fails to fulfill President Barack Obama's aim of creating a new government-run insurance plan - or option - to compete with the private market. It proposes instead a system of nonprofit member owned cooperatives, somewhat akin to electric co-ops that exist in many places around the country. That was one of many concessions meant to win over Republicans.

Baucus is still holding out hope for GOP support when his committee actually votes on the bill, probably as early as next week.

The bill represents the most moderate health care proposal in Congress so far, compared to legislation approved by three committees in the House and the Senate's health panel.

Democratic leaders are aiming for votes in the full House and Senate this fall.

The Senate Finance Committee chairman insisted Tuesday that he'll keep negotiating with the three Republicans and two fellow Democrats who've been in closed-door talks with him for months on the bill. Baucus, D-Mont., said he hopes that by the time the committee votes on the bill, as early as next week, Republicans will be there.

This is the last of five health care bills, reports CBS News correspondent Nancy Cordes, who notes that Baucus's plan has taken so many months longer to release because it is the only bill born out of hundreds of hours of bipartisan negotiations. And as a result it looks much different than the other proposals.

But for now, despite numerous gestures to Republicans, Baucus has fallen short in his quest to assemble a coalition of senators from both parties behind his proposal. Mr. Obama also hoped for bipartisan support behind plans for reshaping the nation's $2.5 trillion health care system to hold down costs and cover the uninsured.

"The door's always open - always hoping that somebody, all six, will be on the bill," Baucus told reporters Tuesday evening after the latest meeting of his so-called Gang of Six senators. "We're just going to keep the door open, keep working, keep discussing."

Read more of CBSNews.com's complete coverage of the health care debate

Many of the details in the Baucus' bill were already known. Unlike more liberal versions passed by three committees in the House and by the Senate's Health Committee, it shunned liberals' call for the government to sell insurance and relied instead on co-ops to offer coverage in competition with private industry.

Baucus' approach includes a requirement for individuals to buy insurance, with financial penalties for those who don't. Rather than a mandate for larger businesses to provide coverage for employees, they would be required to defray the cost of any government subsidies for which their employees would qualify.

Baucus has been working for months with his committee's top Republican, Sen. Chuck Grassley of Iowa, along with GOP Sens. Mike Enzi of Wyoming and Olympia Snowe of Maine. In the end, Democrats believe Snowe may be the only one to support the bill, though she wasn't committing to that Tuesday night.

Baucus' Health Bill Just the Beginning
Baucus: Health Bill Can Get Some GOP Support
Mostly Negative Reaction to Baucus Bill on Capitol Hill

"Hopefully at some point through the committee process we can reach an agreement," she said.

Enzi said he was not yet ready to declare his position. Grassley applauded Baucus' effort at bipartisanship, but contended that Senate Democratic leaders and the White House had imposed an "artificial deadline" on the negotiators and that Democratic leaders "haven't made a commitment to back a broad bipartisan bill through the entire process."

"It looks like we're being pushed aside by the Democratic leadership so the Senate can move forward on a bill that, up to this point, does not meet the shared goals for affordable, accessible health coverage that we set forth when this process began," Grassley said in a statement.

He cited Republican concerns over cost, taxpayer funding for abortion services, medical malpractice lawsuits and subsidies for illegal immigrants in any health care bill.

"We've been clear from the start that we're willing to stay at the table," Grassley added. "There's no reason not to keep working until we get it right."

Even as he's failed to win over Republicans, Baucus also faces opposition from liberals on his committee. Some of them want a public plan in place of co-ops, and several have also expressed concerns about whether Baucus, in his effort to keep his bill's price tag down, has done enough to make health coverage affordable for working-class and low-income Americans.

"The way it is now there is no way I can vote for the package," Sen. Jay Rockefeller, D-W.Va., said Tuesday on a conference call with reporters, becoming the first Finance Committee Democrat to voice outright opposition.

Release of Baucus' bill sets the stage for what could be a lengthy and contentious drafting and voting session to begin next week, with numerous amendments expected both from the right and from the left. Following that, Democratic leaders in the House and the Senate are aiming for floor action in the fall.

[IrishWench01]

Now people will be fined for being poor. Interesting turn of events for this fine country of ours. Next it will be a crime.

[suncat13]

I have health insurance through my employer, but I cannot afford the copay and the deductible. So, for those of us in this situation, what good is is having employer-based health insurance that we cannot afford to use? We need universal health care!!

[ahrats]

What now there will be 3 things you can count on in life, death, taxes and the new Health Insurance tax. Once you make manditory and pay a penalty for not having it, it becomes a TAX. There are only 4 groups that will benefit from this new legisaltion, Doctors, Lawyers,Insurance Companies and any Legisaltor voting for this with the kick backs from the other 3 groups. As an american now the U.S. government tells me I MUST pay to keep Doctors, Lawyers and Insurance Companies going, which in my opion is un-constitutional, it goes against my pursuit of happiness, I have the RIGHT not to give money too or go see the above groups.

[book134]

This Bill needs to die the death of a thousand cuts.

There are two major problems with this Bill.

1 - It requires the working poor to purchase health insurance from the private insurance industry or pay an annual fine. Many of the working poor simply don't have the money for that & forcing them into this type of abomination would be an additional abuse of them simply for being poor.

2 - As is the case with the utterly corrupt Medicare Prescription Drug Program, it would provide another annual gift of hundreds of Billions of dollars per year to the utterly corrupt insurance industry for which they would have to do little to earn.

No reform would be better than this illusion of reform. Congress should allow this Bill to die.

[jxknowles]

MAX=TAX. Democrats and Republicans can finally agree on one thing. This bill stinks to high heaven. Max, please resign, go directly to jail and do not collect $200.

America needs affordable healthcare for all. Businesses need relief from the burden of employer-based healthcare. We are a third world country when it comes to managing our insurance companies. They are running roughshod over the policyholders. Someone in Congress who cares, please stand up!

[searingtruth]

"Everything companies demanded.

And nothing the people needed."
SearingTruth

A Future of the Brave

[kevjustice]

What goes around comes around. Use reconciliation now!(Republicans used it when they were in power).

[robinspp]

Baccus is an insurance company agent. He should be fired.

[stuart-johns]

by hungry1968-16 September 16, 2009 6:56 PM EDT

hungry...I have always enjoyed your posts.

[kevjustice]

Why would anyone say NO to health care reform.Do Republicans like high insurance premiums? It seems so.

[hungry1968-16]

by stn_sage September 16, 2009 6:53 PM EDT
skyk-2009:

skepticalJM is basically correct, both parties are representing the HAVES and NOT the HAVE NOTS of this country!







It's not "the parties" that are hurting America.

It's the CONSERVATIVES from BOTH parties, that are doing EVERYTHING they can to protect big businesses.

[hungry1968-16]

by wdh3007 September 16, 2009 6:42 PM EDT
They should leave it alone you don't fix what's not broken it's not perfect but we have the best system in the world. What we should do is make politicians pay into the same social security we all do and charge one barrel of oil for every illegal that crosses into the border to receive our health treatments.







Brilliant plan, genius: a barrel of oil is currently trading for what, $70 a barrel?

So charge Mexico $70 to allow a Mexican to legally cross the border for free health care?



With such stupid and illogical thinking, it's no wonder you think we have the "best system in the world"

[hungry1968-16]

by rhs648 September 16, 2009 5:00 PM EDT







More of the same nonsense; relying on speculation alone to shoot down a much needed, and very good idea (health insurance reform).

We got the same thing during the election:

"Obama's going to put Rev Wright in his cabinet!!"

"Obama's going to convert us into a muslim nation!!"

"Obama's going to taker our guns!!"

"Obama's going to....!!"
"Obama's going to....!!"
"Obama's going to....!!"



Geez. You would think that after being PROVEN wrong 100 times, that at some point you clowns would learn to quit relying on speculation and guesswork.

[wdh3007]

They should leave it alone you don't fix what's not broken it's not perfect but we have the best system in the world. What we should do is make politicians pay into the same social security we all do and charge one barrel of oil for every illegal that crosses into the border to receive our health treatments.

[AOCGUY]

Congress does pay into social security has has so for at least 25 years.

[hungry1968-16]

"It also would bar insurance company practices like charging more to people with grave health problems."






Son instead of charging a "healthy" family $15,000 per year for coverage, and $50,000 per year for a family with a sick family member, the insurance companies will now charge EVERYONE $50,000 for health insurance to conform with this law.

Obviously Baucus is a conservative. Only conservatives are THIS short sighted.

[rhs648]

reveal5 - This is just the beginning. Once the government has its hands in health care, they will expand it to a single payer plan. That is the real intent. To believe otherwise is fantasy. The real goal is to have a nationalized universal health care plan similar to those in countries like Canada and England. The government realizes the American people aren't ready for socialized medicine. It will eventually be forced down our throats.

[rhs648]

reveal5 - He may not have signed up for Medicare. There have been articles in the newspapers about how some people don't sign up for government programs even when they are free and the people qualify. Some people earn their money illegally or as part of the underground economy. Some of these people are afraid that the government will ask too many questions or become aware of their activities. There is a whole subculture of people who don't follow the rules or have things to hide. Of course, that may not be the case with this guy.

[aubfmet]

Medicare is not free. If you sign up it is about $100 per month off of your social security payment. Younger people don't know what they are getting into, and that is where all the problems lie.

[aubfmet]

I'm 65. I don't have insurance and I don't have the money to pay for it. I am prepared to die when the time comes and I am not worried about it. If you want to fine me $700 because I don't have insurance, I will fight you for that $700. Maybe we can go down together.

[reveal5]

aubfmet, you state that you are 65, and have no insurance. Medicare is insurance. You must have Medicare. You are 65.

[jrssr]

The Health industry pulled out all the stops when Hillary first proposed a NHC. I mean they really trashed her. Why arent they doing the same to Obama?? Or are they and we are to stupid to see it??
Where can someone go online and see political contributions? I would be interested to see who is getting health care money and who is not and then compare positions on this.

[rhs648]

mumma11 - The health care reform will be a huge boom for the United States Treasury. Billions of dollars of insurance premium will flow to the government. Not only will government get larger, the government will be able to use the money to expand social programs and help pay for wars. This is what the government did with Social Security money. The only reason Social Security is running out of money is because the government spent the Social Security money on things not related to Social Security. That fact doesn't discourage people who still want to trust the government with health care. An alternative would be for Congress to pass laws eliminating preexisting condition clauses and not allowing anyone to be turned down for insurance. However, tweaking the system would not put any more money in the treasury.

[reveal5]

rhs, just one thing, you are fantasizing as to a tremendous influx of capital to the fed. The public insurance option will only cover 3 to 5% of Americans who are uninsured, work in very small business, and the unemployed. Period. 3 to 5%, that's it. Period. Comprendo...