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Today's Health Insurance Topic:: Understand Child Health Insurance Bill

JANUARY 22, 2009 -- This new plan set forth by Democrats against the Bush team last year now appears is heading for a full pass – but with your Florida's senators splitting their votes in two.

Democratic Sen. Bill Nelson expects to vote for the State Children's Health Insurance Program bill – commonly called "SCHIP." Republican Sen. Mel Martinez, according to a spokesman, hasn't firmly decided but voted against the bill last year. "There's no excuse for American children not getting health care," Nelson said.

The bill uses tobacco taxes, including an extra 61 cents a pack on cigarettes, to expand an existing program providing health insurance for children of the working poor. It's one of the most divisive issues Congress has considered recently. The Democratic majority passed it in 2008 but couldn't muster the votes to override former President George W. Bush's veto. This year, President Barack Obama says he'll sign the bill. The House passed it Jan. 14, and it's expected to come up for a Senate vote this week.

Republicans say the bill has real problems; Democrats, including Rep. Kathy Castor of Tampa, say those problems are "red herrings," in her words. But even some Republicans worry that if they vote against it, they could be tarred in political campaigns as opposing health care for poor children. Three Florida GOP House members who voted against the bill in 2008 voted for it this year: Reps. Ileana Ros-Lehtinen and brothers Mario and Lincoln Diaz-Balart, all from the Miami area. All three experienced strong re-election challenges in the 2008 election. Spokesmen didn't return calls for comment on why they switched.

Castor has a particular interest in the bill: The program grew from an idea instituted in Florida by former Education Commissioner Betty Castor – her mother – and the late Gov. Lawton Chiles, who sold the idea to former President Bill Clinton. Among the GOP arguments against the bill are:

  • It doesn't require strict documentation to prevent children of illegal immigrants from receiving benefits, only a verbal statement of a Social Security number; and it allows states to cover children of recent legal immigrants.
  • Increasing tobacco taxes will put the burden of paying for the program on lower-income people, who are more likely to smoke.
  • It raises income eligibility levels too high, allowing states to cover families up to three times the $22,050 federal poverty level for a family of four.

That, Republicans charge, would cut business for insurance companies because those families can buy insurance, and leave less money for benefits for the truly needy. "This bill will transform SCHIP from a health insurance program for disadvantaged children to a taxpayer-funded entitlement for adults and children from more affluent families … imperiling care for the very children for which it was created," said Rep. Gus Bilirakis, R-Palm Harbor.

But not all Florida Republicans agreed. Besides Ros-Lehtinen and the Diaz-Balarts, Reps. Bill Young of Indian Shores, Vern Buchanan of Longboat Key and Alan Grayson of Orlando voted for the bill along with the Democrats. Besides the cigarette tax, last year's bill also imposed huge increases on cigar taxes - a major concern in Tampa - but those increases have been lessened in the new bill. The goal of the program is to provide benefits for children in working families who make too much money to qualify for Medicaid but not enough to have insurance.

Salud Infantil Bill - Ronda 2

Un cuidado de la salud de los niños de ley que establecen los Demócratas del Congreso contra el gobierno de Bush el año pasado aparece ahora encabezada por paso - pero con dos senadores de la Florida dividir sus votos.

Democrática Senador Bill Nelson espera que voten a favor del Estado Children's Health Insurance Program factura - comúnmente llamado "SCHIP". El senador republicano Mel Martinez, de acuerdo con un portavoz, no ha decidido con firmeza, pero votó en contra del proyecto de ley el año pasado. "No hay excusa para que los niños americanos no recibe la atención de la salud", dijo Nelson.

El proyecto utiliza los impuestos sobre el tabaco, incluyendo un paquete de 61 centavos por sobre los cigarrillos, para ampliar un programa ya existente proporcionar seguro de salud para los hijos de los trabajadores pobres. Es uno de los principales temas del Congreso ha examinado recientemente. La mayoría demócrata que pasó en 2008 pero no pudo lograr los votos para anular el ex Presidente George W. Bush 's veto. Este año, el Presidente Barack Obama dice que va a firmar el proyecto de ley. La Cámara aprobó que el 14 de enero, y se espera que para obtener una votación del Senado esta semana.

Los republicanos dicen que el proyecto de ley tiene problemas reales, los Demócratas, incluyendo Rep. Kathy Castor de Tampa, por ejemplo, los problemas son "pistas falsas", en sus palabras. Pero incluso algunos republicanos temen que si votan en contra de ella, podrían ser de alquitrán en las campañas políticas que se oponen a la atención de la salud para los niños pobres. Florida GOP tres miembros de la Cámara que votaron contra el proyecto de ley en 2008 votó a favor de este año: Los representantes Ileana Ros-Lehtinen y los hermanos Mario y Lincoln Díaz-Balart, todos de la zona de Miami. Los tres experimentaron fuertes desafíos reelección en las elecciones de 2008. Voceros no devolver las llamadas para comentar sobre la razón por la que encienda.

Castor tiene un interés especial en el proyecto de ley: El programa creció a partir de una idea en la Florida instituido por el ex Comisionado de Educación Betty Castor - su madre - y el difunto gobernador Lawton Chiles, que vendió la idea al ex presidente Bill Clinton. Entre los argumentos en contra de GOP el proyecto de ley son • No requiere documentación rigurosa para evitar que los niños de inmigrantes ilegales desde la recepción de beneficios, sólo una declaración verbal de un número de Seguro Social, y permite a los estados para cubrir los niños de los últimos inmigrantes legales. • El aumento de los impuestos sobre el tabaco hará que la carga de pagar por el programa en las personas de bajos ingresos, que son más propensos a fumar. • Plantea los niveles de elegibilidad de ingreso muy alto, lo que permite a los Estados a las familias cubrir hasta tres veces los $ 22.050 a nivel federal de pobreza para una familia de cuatro.

Que, los republicanos cargo, reduciría de negocios para las compañías de seguros, porque las familias pueden comprar seguros, y dejar menos dinero para los beneficios para los que verdaderamente los necesitan. "Este proyecto de ley SCHIP de transformar un programa de seguro de salud para los niños desfavorecidos a un contribuyente el derecho a financiación adultos y niños de familias más acomodadas ... imperiling asistencia a los niños para los que fue creada ", dijo el Rep. Gus Bilirakis, R-Palm Harbor.

Pero no todos los republicanos de la Florida de acuerdo. Además de Ros-Lehtinen y los Díaz-Balarts, representantes Bill Young de la India Shores, Vern Buchanan de Longboat Key y Alan Grayson de Orlando votado a favor del proyecto de ley junto con los demócratas. Además del impuesto sobre los cigarrillos, el año pasado del proyecto de ley también impone enormes aumentos en cigarro de impuestos - una de las principales preocupaciones en Tampa - pero los aumentos se han reducido en el nuevo proyecto de ley. La meta del programa es proporcionar beneficios para los niños de familias trabajadoras que ganan demasiado dinero para calificar para Medicaid pero no lo suficiente como para tener un seguro.

Los previstos en el nivel federal de pobreza son elegibles para Medicaid. Castor dijo a la Cámara proyecto de ley prevé beneficios hasta el doble de ese nivel, o $ 44,100 - por lo general no es suficiente para comprar un seguro privado o incluso el empleador que ofrece la cobertura familiar en algunos casos, dijo.

Los Estados pueden aumentar dicho límite sólo por la obtención de una exención federal, dijo. Aquellos con alto costo de la vida puede querer, pero no ha de Florida. Castor dijo que el proyecto de ley permite a los Estados fijar sus propios requisitos de ciudadanía, incluida la de si los inmigrantes legales son elegibles para el programa. Florida tiene normas estrictas, dijo. Dijo que los impuestos sobre el tabaco son un natural a pagar por el programa debido a los efectos en la salud del tabaco. El programa, dijo, "ha sido un gran éxito" y debe ser ampliado ". No es gobierno la atención de la salud ", dijo. "Ellos van a las clínicas privadas y hospitales privados y de ver los médicos."

 

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