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Government Affairs Home > Washington Highlights > October 17, 2003

Oct. 17 Deadline for Medicare Conferees Slips; Discussions Continue

October 17, 2003 - With the Senate returning from their week-long recess, Medicare conferees continued to meet the week of Oct. 13 and focused on ways to means-test and prevent employers from dropping health care coverage for retirees. With many issues still undecided, the self-imposed Oct. 17 deadline for completion of conference talks will not be met. Some Members of Congress suggest that the end of the month (Oct. 31) may now be the new goal.

While conferees were originally scheduled to discuss provider provisions this week, such discussions have been postponed. The conferees focused their attention on ways to allow wealthy seniors to pay more for their Part B premium. Conferees have reportedly agreed in principle that wealthier seniors should indeed pay more for doctor visits and other outpatient care, but details have not yet been released. Recently, Sens. Don Nickles (R-Okla.) and Dianne Feinstein (D-Calif.) put forward a proposal to require Medicare beneficiaries to pay higher share of premiums based on a sliding scale.

The conferees have also been discussing giving employers a tax credit to help ensure they do not drop Medicare beneficiaries from their health plans. According to Sen. Charles Grassley (R-Iowa), chairman of the Senate Finance Committee, a tax credit would encourage pre-funded employer health care plans and would provide a benefit to companies that currently receive funding for retirement plans. Such employer tax credits are reportedly being scored based on different numbers of employees.

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

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