WASHINGTON – The second-ranking House Democrat predicted that historic health care legislation will be passed Saturday, extending coverage to tens of millions of uninsured and banning the industry from turning people away.
Rep. Steny Hoyer told reporters House leaders would have the 218 votes needed to pass the sweeping bill that President Barack Obama
has made the defining social goal of his young administration —
presuming a couple of final issues are resolved. Hoyer acknowledged
that the vote could be tight.
"I wouldn't refer to it as a squeaker, but I think it's going to be close," Hoyer said. "This is a huge undertaking."
The
Maryland Democrat said language on abortion and illegal immigrants was
still being worked out, but predicted those issues could be solved in
time for Saturday's scheduled debate and vote on the 10-year, $1.2
trillion legislation.
"We certainly have well
over 218 people who say they want to vote for the bill," Hoyer said in
an interview with wire service reporters.
"The
trick is making sure they have a comfort level with the provisions they
are particularly focused on to allow them to do so," he said. "So I
think that's what we're in the final stages of trying to get to."
Obama planned a rare trip to the House on Friday to try to win over wavering lawmakers.
Hoyer also said that the bill's endorsement by the powerful seniors' lobby AARP, announced Thursday, was a significant boost.
AARP
Senior Policy Adviser John Rother said the 40-million strong
organization favors the House bill because it closes the coverage gap
in Medicare prescription benefits, puts strict limits on what health insurers can charge older workers too young for Medicare and creates a voluntary, long-term care insurance program.
The American Cancer Society Cancer Action Network also announced its support for the legislation Thursday, and the American Medical Association, which had endorsed an earlier version of the bill, scheduled a midday press call to weigh in.
Action is slower on the other side of the Capitol, where senators are awaiting an analysis from the Congressional Budget Office on legislation written by Senate Majority Leader Harry Reid and others. The timeline there appears likely to spill into next year.
The AARP's backing is a big boost for the House effort. Support from this group proved a crucial stamp of approval when then-President George W. Bush pushed the Medicare prescription drug benefit through a closely divided Congress in 2003.
But strong opposition remains on Capitol Hill.
Republican
leaders were scheduled to appear outside the Capitol at a rally
opposing the legislation, a protest led by anti-big-government "tea
party" activists.
With no GOP backing,
Democrats will need overwhelming support from within their own caucus.
An intraparty disagreement over how to prevent federal funds from being
used to pay for abortion has not yet been entirely resolved, though
Hoyer said that language being circulated by one anti-abortion
Democrat, Rep. Brad Ellsworth of Indiana, seemed likely to be the basis for an agreement.
Ellsworth's
language aims to strengthen stipulations already in the bill against
federal money being used to pay for abortions. It would still allow
people to pay for abortion coverage with their own money.
That
distinction doesn't satisfy anti-abortion groups, which dismiss it as
an accounting gimmick. They say federal subsidies for insurance
coverage would not be clearly segregated from private funds used to pay
for abortions.
The National Right to Life
Committee issued a blistering press release Wednesday night calling
Ellsworth's proposal "a political fig leaf made out of cellophane."
Ellsworth said that didn't bother him: "I know what's in my
heart, I know what's in my head and I think the big guy upstairs
knows," he said.
House leaders are also still grappling with illegal
immigration, specifically whether illegal immigrants — who would be
barred from getting federal subsidies — should be able to purchase
insurance coverage within new government "exchanges," using their own
money.
The White House does not want this allowed, but some members of the Congressional Hispanic Caucus and other Democrats view that position as too extreme. Hispanic Caucus officials were scheduled to meet with Obama at the White House on Thursday.
The House bill would provide government subsidies
beginning in 2013 to extend coverage to millions who now lack it.
Self-employed people and small businesses could buy coverage through
the new exchanges, either from a private insurer or a new government
plan that would compete. All the plans sold through the exchange would
have to follow basic consumer protection rules.
Time to start getting REALLY loud.