Super Committee Struggles to Find Budget Cuts – Ask Congress to Oppose Home Health Copays and Further Cuts!

Last month, HCAF called on Florida home care professionals to contact Congress in opposition to home health copayments and more cuts to Medicare home health, as recommended to Congress’ super committee by President Obama.

The AP article below highlights the challenges the super committee has had in agreeing on $1.2 trillion in cuts without raising revenue (as the Democrats would like to do) or reforming entitlement programs, such as Medicare and Medicaid (as the Republicans would like to do). If the committee fails to agree on cuts by Thanksgiving, Medicare providers are subject to automatic 2% cuts.

The committee is currently considering potentially bigger cuts to home health, in addition to copayments (the President recommended $100, MedPAC recommended $150).

The home care industry must not relent on calling on Congress to oppose home health copays and more cuts! Click here to contact Senators Bill Nelson (D) and Marco Rubio (R) and your U.S. representative with the message that the home care industry and Florida’s seniors cannot afford a home health copayment!

Deficit supercommittee struggles to find budget cuts

WASHINGTON (The Associated Press) — The supercommittee is struggling.

After weeks of secret meetings, the 12-member deficit-cutting panel established under last summer’s budget and debt deal appears no closer to a breakthrough than when talks began last month.

While the panel members themselves aren’t doing much talking, other lawmakers, aides and lobbyists closely tracking the committee are increasingly skeptical, even pessimistic, that the panel will be able to meet its assigned goal of at least $1.2 trillion in deficit savings over the next 10 years.

The reason? A familiar deadlock over taxes and cuts to major programs like Medicare and the Medicaid health care program for the poor and disabled.

Democrats won’t go for an agreement that doesn’t include lots of new tax revenue; Republicans are just as ardently antitax. The impasse over revenues means that Democrats won’t agree to cost curbs on popular entitlement programs like Medicare.

“Fairness has to be a prerequisite for it,” said House Minority Leader Nancy Pelosi, D-Calif. “We have just come through passing a bill that was (all spending) cuts, no revenue.” Pelosi was referring to the August debt limit bill, which set tight “caps” on agency budgets but didn’t contain revenue increases pressed by Democrats.

Asked last week whether she is confident that the panel can hit its $1.2 trillion goal, co-chairman Sen. Patty Murray, D-Wash., sidestepped the question.

“I am confident that the public is watching us very closely to see if we can show this country that this democracy can work,” Murray told reporters. “I carry that weight on my shoulders every day and so does every member of this committee.”

The two parties have equal strength on the panel, which has until Thanksgiving to come up with a plan to submit for up-or-down House and Senate votes in December. That means bipartisan compromise is a prerequisite for a successful result.

Thus far, say aides to panel members and other lawmakers, neither side has demonstrated the required flexibility in the super-secret talks.

The $1.2 trillion target evolved after efforts by President Barack Obama and House Speaker John Boehner, R-Ohio, to strike a so-called grand bargain on taxes and spending fell apart in July.

Those discussions and earlier talks led by Vice President Joe Biden identified options for cutting the deficit, which included requiring federal workers to contribute more to their retirement and curbing payments to Medicare providers like skilled nursing facilities, rural hospitals and home health care services.

The supercommittee could scoop up these relatively easy-to-generate savings but still fall short of the $1.2 trillion target. Interest groups like the powerful farm lobby might be willing to accept cuts when everybody else is getting hit, too, but are likely to fight back if they feel singled out for sacrifice.

“Once you start taking things off the table or you pick a deal that only hits some parts of the budget, then you have some people who get hit who say, ‘Well, why me? Why not other people?'” said Maya MacGuineas, president of the Committee for a Responsible Federal Budget.

The supercommittee still has time. A more optimistic scenario is that in coming days and weeks, members of the panel will become more flexible as the deadline nears — and as pressure builds.

What if they fail?

Failure to produce a measure would trigger painful across-the-board cuts to the Pentagon budget and a big slice of domestic programs, including Medicare, food stamps and Medicaid. The cuts, however, wouldn’t take effect until the beginning of 2013, which is already fueling speculation that Congress would simply revisit the issue after the elections next year.

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