{"id":14598,"date":"2018-02-08T06:28:00","date_gmt":"2018-02-08T14:28:00","guid":{"rendered":"http:\/\/associatednews.info\/content\/senate-budget-deal-would-give-a-boost-to-health-programs\/"},"modified":"2018-02-08T06:28:00","modified_gmt":"2018-02-08T14:28:00","slug":"senate-budget-deal-would-give-a-boost-to-health-programs","status":"publish","type":"post","link":"https:\/\/associatednews.info\/content\/senate-budget-deal-would-give-a-boost-to-health-programs\/","title":{"rendered":"Senate Budget Deal Would Give A Boost To Health Programs"},"content":{"rendered":"<p><span style=\"font-style:italic;font-size:16px\">By  <a target=\"_blank\" href=\"https:\/\/www.npr.org\/sections\/health-shots\/2018\/02\/08\/584081469\/senate-budget-deal-would-give-a-boost-health-programs?utm_medium=RSS&amp;utm_campaign=healthcare\">Julie Rovner<\/a><\/span>  <\/p>\n<div class=\"ftpimagefix\" style=\"float:left\"><a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.npr.org\/sections\/health-shots\/2018\/02\/08\/584081469\/senate-budget-deal-would-give-a-boost-health-programs?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2018\/02\/07\/gettyimages-915438534-b73a08394ccdb1113322f4c4d11182f56ef57109-s1100-c15.jpg\" alt><\/p>\n<div><a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2018\/02\/07\/gettyimages-915438534-b73a08394ccdb1113322f4c4d11182f56ef57109-s1200.jpg\"><\/a><\/div>\n<div>\n<div>\n<div><a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2018\/02\/07\/gettyimages-915438534-b73a08394ccdb1113322f4c4d11182f56ef57109-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                &#8220;This bill represents a significant bipartisan step forward,&#8221; Senate Majority Leader Mitch McConnell said Wednesday.<\/p>\n<p>                <b><\/p>\n<p>                    Alex Wong\/Getty Images<\/p>\n<p>                <\/b><b><b>hide caption<\/b><\/b><\/p>\n<\/div>\n<p><b><b>toggle caption<\/b><\/b><\/div>\n<p><span><\/p>\n<p>        Alex Wong\/Getty Images<\/p>\n<p>    <\/span><\/div>\n<\/div>\n<p>In a rare show of congressional cooperation, Republican and Democratic leaders in the Senate announced a two-year budget deal Wednesday that would increase federal spending for defense as well as key domestic priorities, including many health programs.<\/p>\n<p>Not in the deal, for which the path to the president&#8217;s desk remains unclear, is any bipartisan legislation aimed at shoring up the Affordable Care Act&#8217;s individual health insurance marketplaces. Senate Majority Leader Mitch McConnell, R-Ky., <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.washingtonpost.com\/business\/economy\/sen-susan-collins-takes-huge-leap-of-faith-with-tax-bill-critics-say-shes-getting-played\/2017\/12\/15\/e3b4d342-e1d1-11e7-8679-a9728984779c_story.html?utm_term=.b84179ead3a8\">promised Sen. Susan Collins<\/a>, R-Maine, a vote on health legislation in exchange for her vote for the GOP tax bill in December. So far, that vote hasn&#8217;t materialized.<\/p>\n<p>The deal does appear to include almost every other health priority Democrats have been pushing the past several months, including two years of renewed funding for community health centers and a <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/khn.org\/news\/stalled-health-programs-await-a-green-light-on-the-hill\/\">series of other health programs<\/a> Congress failed to provide for before they technically expired last year.<\/p>\n<p>&#8220;I believe we have reached a budget deal that neither side loves but both sides can be proud of,&#8221; said Senate Minority Leader Chuck Schumer, D-N.Y., on the Senate floor. &#8220;That&#8217;s compromise. That&#8217;s governing.&#8221;<\/p>\n<aside>\n<div><\/div>\n<\/aside>\n<aside>\n<div><\/div>\n<\/aside>\n<p>McConnell said, &#8220;This bill represents a significant bipartisan step forward.&#8221;<\/p>\n<p>Senate leaders are still negotiating details of the accord, including the size of a cut to the <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.hhs.gov\/open\/prevention\/index.html\">Prevention and Public Health Fund<\/a>, which would help offset the costs of this legislation.<\/p>\n<p>According to documents circulating on Capitol Hill, the deal includes $6 billion in funding for treatment of mental health issues and opioid addiction, $2 billion in extra funding for the National Institutes of Health, and an additional four-year extension of the Children&#8217;s Health Insurance Program, which builds on the six years approved by Congress <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/khn.org\/news\/chip-renewed-for-six-years-as-congress-votes-to-reopen-federal-government\/\">last month<\/a>.<\/p>\n<p>In the Medicare program, the deal would accelerate the closing of the &#8220;doughnut hole&#8221; <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.medicare.gov\/part-d\/costs\/coverage-gap\/part-d-coverage-gap.html\">in Medicare drug coverage<\/a> that requires seniors to pay thousands of dollars out-of-pocket before catastrophic coverage kicks in. It would also repeal the controversial <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.kff.org\/medicare\/issue-brief\/faqs-whats-the-latest-on-ipab\/\">Medicare Independent Payment Advisory Board<\/a>, which is charged with holding down Medicare spending for the federal government if it exceeds a certain level.<\/p>\n<p>Members have never been appointed to the IPAB, however, and its use hasn&#8217;t so far been triggered by Medicare spending. Both the closure of the doughnut hole and creation of the IPAB were part of the Affordable Care Act.<\/p>\n<p>The agreement would also fund a host of more limited health programs \u2014 some of which are known as &#8220;extenders&#8221; because they often ride along with other, larger health or spending bills.<\/p>\n<p><!-- END ID=\"RES584215261\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>Those programs include more than $7 billion in funding for the nation&#8217;s federally funded community health centers. The clinics serve 27 million low-income people and saw their funding lapse last fall \u2014 a delay advocates say had <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.kff.org\/medicaid\/fact-sheet\/how-are-health-centers-responding-to-the-funding-delay\/\">already complicated<\/a> budgeting and staffing decisions for many clinics.<\/p>\n<p>And in a victory for the physical therapy industry and patient advocates, the accord would permanently repeal a limit on Medicare&#8217;s coverage of physical therapy, speech-language pathology and outpatient treatment. Previously, the program <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.cms.gov\/Outreach-and-Education\/Medicare-Learning-Network-MLN\/MLNMattersArticles\/Downloads\/MM10341.pdf\">capped coverage<\/a> after $2,010 worth of occupational therapy and another $2,010 for speech-language therapy and physical therapy combined. But Congress had long taken action to delay those caps or provide exemptions \u2014 meaning they had never actually taken effect.<\/p>\n<p>According to an analysis by the <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.cbo.gov\/system\/files\/115th-congress-2017-2018\/costestimate\/divisionfhousecr.pdf\">nonpartisan Congressional Budget Office<\/a>, permanently repealing the caps would cost about $6.47 billion over the next decade.<\/p>\n<p>Lawmakers would also forestall cuts mandated by the ACA to reduce the payments made to what are called <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.medicaid.gov\/medicaid\/financing-and-reimbursement\/dsh\/index.html\">Disproportionate Share Hospitals<\/a>, which serve high rates of low-income patients. Those cuts have been delayed continuously since the law&#8217;s 2010 passage.<\/p>\n<p>Limited programs are also affected. The deal would fund for five years the Maternal, Infant and Early Childhood Home Visiting Program, a program that helps guide low-income, at-risk mothers in parenting. It served about 160,000 families in fiscal year 2016.<\/p>\n<p>&#8220;We are relieved that there is a deal for a 5-year reauthorization of MIECHV,&#8221; says Lori Freeman, CEO of advocacy group the Association of Maternal &amp; Child Health Programs, in an emailed statement. &#8220;States, home visitors and families have been in limbo for the past several months, and this news will bring the stability they need to continue this successful program.&#8221;<\/p>\n<p>And the budget deal funds programs that encourage doctors to practice in medically underserved areas, providing just under $500 million over the next two years for the <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.nhsc.hrsa.gov\/\">National Health Service Corps<\/a> and another $363 million over two years to the Teaching Health Center Graduate Medical Education program, which places medical residents in Community Health Centers.<\/p>\n<p><em>Kaiser Health News correspondent Emmarie Huetteman contributed to this report.<\/em><\/p>\n<p><strong><a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/acceptable.html\">(Why?)<\/a><\/p>\n<p>Source:: <a href=\"https:\/\/www.npr.org\/sections\/health-shots\/2018\/02\/08\/584081469\/senate-budget-deal-would-give-a-boost-health-programs?utm_medium=RSS&amp;utm_campaign=healthcare\" target=\"_blank\" title=\"Senate Budget Deal Would Give A Boost To Health Programs\" rel=\"nofollow\">https:\/\/www.npr.org\/sections\/health-shots\/2018\/02\/08\/584081469\/senate-budget-deal-would-give-a-boost-health-programs?utm_medium=RSS&amp;utm_campaign=healthcare<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"ftpimagefix\" style=\"float:left\"><a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.npr.org\/sections\/health-shots\/2018\/02\/08\/584081469\/senate-budget-deal-would-give-a-boost-health-programs?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2018\/02\/07\/gettyimages-915438534-b73a08394ccdb1113322f4c4d11182f56ef57109-s1100-c15.jpg\" alt><\/p>\n<div><a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2018\/02\/07\/gettyimages-915438534-b73a08394ccdb1113322f4c4d11182f56ef57109-s1200.jpg\"><\/a><\/div>\n<div>\n<div>\n<div><a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2018\/02\/07\/gettyimages-915438534-b73a08394ccdb1113322f4c4d11182f56ef57109-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                &#8220;This bill represents a significant bipartisan step forward,&#8221; Senate Majority Leader Mitch McConnell said Wednesday.<\/p>\n<p>                <b><\/p>\n<p>                    Alex Wong\/Getty Images<\/p>\n<p>                <\/b><b><b>hide caption<\/b><\/b><\/p>\n<\/div>\n<p><b><b>toggle caption<\/b><\/b><\/div>\n<p><span><\/p>\n<p>        Alex Wong\/Getty Images<\/p>\n<p>    <\/span><\/div>\n<\/div>\n<p>In a rare show of congressional cooperation, Republican and Democratic leaders in the Senate announced a two-year budget deal Wednesday that would increase federal spending for defense as well as key domestic priorities, including many health programs.<\/p>\n<p>Not in the deal, for which the path to the president&#8217;s desk remains unclear, is any bipartisan legislation aimed at shoring up the Affordable Care Act&#8217;s individual health insurance marketplaces. Senate Majority Leader Mitch McConnell, R-Ky., <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.washingtonpost.com\/business\/economy\/sen-susan-collins-takes-huge-leap-of-faith-with-tax-bill-critics-say-shes-getting-played\/2017\/12\/15\/e3b4d342-e1d1-11e7-8679-a9728984779c_story.html?utm_term=.b84179ead3a8\">promised Sen. Susan Collins<\/a>, R-Maine, a vote on health legislation in exchange for her vote for the GOP tax bill in December. So far, that vote hasn&#8217;t materialized.<\/p>\n<p>The deal does appear to include almost every other health priority Democrats have been pushing the past several months, including two years of renewed funding for community health centers and a <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/khn.org\/news\/stalled-health-programs-await-a-green-light-on-the-hill\/\">series of other health programs<\/a> Congress failed to provide for before they technically expired last year.<\/p>\n<p>&#8220;I believe we have reached a budget deal that neither side loves but both sides can be proud of,&#8221; said Senate Minority Leader Chuck Schumer, D-N.Y., on the Senate floor. &#8220;That&#8217;s compromise. That&#8217;s governing.&#8221;<\/p>\n<aside>\n<div><\/div>\n<\/aside>\n<aside>\n<div><\/div>\n<\/aside>\n<p>McConnell said, &#8220;This bill represents a significant bipartisan step forward.&#8221;<\/p>\n<p>Senate leaders are still negotiating details of the accord, including the size of a cut to the <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.hhs.gov\/open\/prevention\/index.html\">Prevention and Public Health Fund<\/a>, which would help offset the costs of this legislation.<\/p>\n<p>According to documents circulating on Capitol Hill, the deal includes $6 billion in funding for treatment of mental health issues and opioid addiction, $2 billion in extra funding for the National Institutes of Health, and an additional four-year extension of the Children&#8217;s Health Insurance Program, which builds on the six years approved by Congress <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/khn.org\/news\/chip-renewed-for-six-years-as-congress-votes-to-reopen-federal-government\/\">last month<\/a>.<\/p>\n<p>In the Medicare program, the deal would accelerate the closing of the &#8220;doughnut hole&#8221; <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.medicare.gov\/part-d\/costs\/coverage-gap\/part-d-coverage-gap.html\">in Medicare drug coverage<\/a> that requires seniors to pay thousands of dollars out-of-pocket before catastrophic coverage kicks in. It would also repeal the controversial <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.kff.org\/medicare\/issue-brief\/faqs-whats-the-latest-on-ipab\/\">Medicare Independent Payment Advisory Board<\/a>, which is charged with holding down Medicare spending for the federal government if it exceeds a certain level.<\/p>\n<p>Members have never been appointed to the IPAB, however, and its use hasn&#8217;t so far been triggered by Medicare spending. Both the closure of the doughnut hole and creation of the IPAB were part of the Affordable Care Act.<\/p>\n<p>The agreement would also fund a host of more limited health programs \u2014 some of which are known as &#8220;extenders&#8221; because they often ride along with other, larger health or spending bills.<\/p>\n<p><!-- END ID=\"RES584215261\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>Those programs include more than $7 billion in funding for the nation&#8217;s federally funded community health centers. The clinics serve 27 million low-income people and saw their funding lapse last fall \u2014 a delay advocates say had <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.kff.org\/medicaid\/fact-sheet\/how-are-health-centers-responding-to-the-funding-delay\/\">already complicated<\/a> budgeting and staffing decisions for many clinics.<\/p>\n<p>And in a victory for the physical therapy industry and patient advocates, the accord would permanently repeal a limit on Medicare&#8217;s coverage of physical therapy, speech-language pathology and outpatient treatment. Previously, the program <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.cms.gov\/Outreach-and-Education\/Medicare-Learning-Network-MLN\/MLNMattersArticles\/Downloads\/MM10341.pdf\">capped coverage<\/a> after $2,010 worth of occupational therapy and another $2,010 for speech-language therapy and physical therapy combined. But Congress had long taken action to delay those caps or provide exemptions \u2014 meaning they had never actually taken effect.<\/p>\n<p>According to an analysis by the <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.cbo.gov\/system\/files\/115th-congress-2017-2018\/costestimate\/divisionfhousecr.pdf\">nonpartisan Congressional Budget Office<\/a>, permanently repealing the caps would cost about $6.47 billion over the next decade.<\/p>\n<p>Lawmakers would also forestall cuts mandated by the ACA to reduce the payments made to what are called <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.medicaid.gov\/medicaid\/financing-and-reimbursement\/dsh\/index.html\">Disproportionate Share Hospitals<\/a>, which serve high rates of low-income patients. Those cuts have been delayed continuously since the law&#8217;s 2010 passage.<\/p>\n<p>Limited programs are also affected. The deal would fund for five years the Maternal, Infant and Early Childhood Home Visiting Program, a program that helps guide low-income, at-risk mothers in parenting. It served about 160,000 families in fiscal year 2016.<\/p>\n<p>&#8220;We are relieved that there is a deal for a 5-year reauthorization of MIECHV,&#8221; says Lori Freeman, CEO of advocacy group the Association of Maternal &amp; Child Health Programs, in an emailed statement. &#8220;States, home visitors and families have been in limbo for the past several months, and this news will bring the stability they need to continue this successful program.&#8221;<\/p>\n<p>And the budget deal funds programs that encourage doctors to practice in medically underserved areas, providing just under $500 million over the next two years for the <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.nhsc.hrsa.gov\/\">National Health Service Corps<\/a> and another $363 million over two years to the Teaching Health Center Graduate Medical Education program, which places medical residents in Community Health Centers.<\/p>\n<p><em>Kaiser Health News correspondent Emmarie Huetteman contributed to this report.<\/em><\/p>\n<p><strong><a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/acceptable.html\">(Why?)<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20],"tags":[],"class_list":["post-14598","post","type-post","status-publish","format-standard","hentry","category-health"],"_links":{"self":[{"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/posts\/14598","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/comments?post=14598"}],"version-history":[{"count":0,"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/posts\/14598\/revisions"}],"wp:attachment":[{"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/media?parent=14598"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/categories?post=14598"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/tags?post=14598"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}