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Government Affairs Home > Washington Highlights > May 2, 2003

Frist Comments on Prospect of Medicare Reform

May 2, 2003 - In remarks given April 28 at the American Hospital Association's annual meeting, Senate Majority Leader Bill Frist (R-Tenn.) said that the Medicare reform plan likely to be taken up in the Senate Finance Committee this June will be an "assimilation" of previous proposals, including President Bush's reform framework, the tripartisan plan, the Breaux-Frist approach, and previous House plans.

Sen. Frist reported that Senate Finance Committee Republicans have been meeting and working on the reform proposal. Sen. Frist's challenge will be to oversee the development of a proposal that can pass the Senate Finance Committee and secure support from enough Democrats to ensure the 60 votes required to avoid filibuster. Critical to the proposal's support is whether the same prescription drug benefit will be offered in Medicare fee-for-service and the private-based plans that will be added to Medicare. Senate Democrats and Senate Finance Committee Chairman Chuck Grassley (R-Iowa) have reportedly expressed support for "equalization."

Sen. Frist offered the following characteristics of the proposal he envisions:

  • Flexibility to allow plans to respond to innovations;
  • Rewards for ongoing quality improvement;
  • Competition based on a level-playing field;
  • A prescription drug card;
  • A preferred provider option known as Medicare advantage;
  • A regionally based system; and
  • Subsidies for low-income beneficiaries.

Sen. Frist said he anticipated that the next four weeks would entail refining the plan with Democrats before marking up legislation in the Senate Finance Committee in June and bringing the bill to the Senate floor before the July 4 recess. He prognosticated that the House might act on a similar schedule.

The majority leader did not mention provider payment relief as a component of the reform proposal.

Information:
Lynne Davis Boyle, Assistant Vice President
AAMC Office of Governmental Relations
ldavisboyle@aamc.org
(202) 828-0526

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