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Amidst the wrangling over Obamacare, reauthorization of the State Children’s Health Insurance Program (SCHIP) expired on September 30, the end of the federal government’s fiscal year. The two committees of jurisdiction—energy and commerce in the House, and finance in the Senate—each marked up their reauthorization bills last week. But House Energy and Commerce Committee Chairman Greg Walden (R-OR) said Monday the bill would not come to the House floor this week.
What’s the holdup? Why the delays in bringing to the floor for votes a bill whose authorization has already expired?
Republicans - Conservatives - Generous—reauthorization - SCHIP - House
Even though Republicans proposed a generous—some conservatives might argue too generous—reauthorization of SCHIP, House Democrats object because they don’t want millionaires and billionaires to pay for the new spending on children’s health insurance, and Senate Democrats object because they want to attach tens of billions of dollars in taxpayer subsidies to insurance companies. I swear to you: I’m not making this up.
The SCHIP reauthorization text varies little between the House and the Senate versions. On that front, conservatives may have qualms with supporting little more than a straight extension of the status quo. The bill extends—albeit for only one year, as part of a more gradual phase-out—enhanced funding to state SCHIP programs. The full 23 percent match increase would end in 2019, as under current law, while states would receive an additional 11.5 percent increase in 2020. Some states have received a 100 percent federal match for their child enrollees due to this Obamacare provision, which is a clear disincentive for states to fight fraud and improper spending.
Bill - Obamacare - Maintenance - Effort - States
Moreover, the bill extends Obamacare’s maintenance of effort requirement—limiting states from making changes to their programs—by an additional three years in most cases, from 2019 to 2022. The bill also does not include reforms the House proposed two years ago, which would require states...
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