US News and World report is lying?
"But HHS has turned that into 429 pages of new regulations and that's too much, says Republican Wyoming Sen. John Barrasso, a practicing doctor." More like John Barrasso is lying (or, perhaps, doesn't know how to read regs) and US News is being a shitty news outlet.
Again, the Medicare shared savings final regs take up 17 pages. Final regs come with an extended call-and-response in which virtually every comment made on the draft regs during the comment period (when the public and stakeholders get to weigh in with suggested changes to the proposed rule) is laid out and addressed; HHS explains its reaction to each public comment and how it incorporated it or why it chose not to. It walks through every line/section of the final regulations, offering that background and explaining its rationale for why that section came out the way it did. The document also includes things like an extended introduction that provides the context and legal authority for the regulation, as well as the required impact analysis of the regs conducted by HHS.
All that gets packaged together in the Federal Register and you come out with a few hundred pages. But those aren't hundreds of pages of regulations, the actual regulations are at the end of the document. And, in this case, the actual regulations take up about 17 pages.
I linked to them so you can see what this actually looks like.
When did Republicans propose this? Who sponsored the bill?
1993:
Bill Summary & Status - 103rd Congress (1993 - 1994) - S.1770 - THOMAS (Library of Congress)
Senator John Chaffee introduced it but the co-sponsors included the Senate Republican leadership (i.e. Bob Dole):
Sen Bennett, Robert F. [UT] - 11/22/1993
Sen Bond, Christopher S. [MO] - 11/22/1993
Sen Boren, David L. [OK] - 5/17/1994
Sen Cohen, William S. [ME] - 11/22/1993
Sen Danforth, John C. [MO] - 11/22/1993
Sen Dole, Robert J. [KS] - 11/22/1993
Sen Domenici, Pete V. [NM] - 11/22/1993
Sen Durenberger, Dave [MN] - 11/22/1993
Sen Faircloth, Lauch [NC] - 11/22/1993
Sen Gorton, Slade [WA] - 11/22/1993
Sen Grassley, Chuck [IA] - 11/22/1993
Sen Hatch, Orrin G. [UT] - 11/22/1993
Sen Hatfield, Mark O. [OR] - 11/22/1993
Sen Kassebaum, Nancy Landon [KS] - 11/22/1993
Sen Kerrey, J. Robert [NE] - 5/17/1994
Sen Lugar, Richard G. [IN] - 11/22/1993
Sen Simpson, Alan K. [WY] - 11/22/1993
Sen Specter, Arlen [PA] - 11/22/1993
Sen Stevens, Ted [AK] - 11/22/1993
Sen Warner, John [VA] - 11/22/1993
Sen Brown, Hank [CO] - 11/22/1993(withdrawn - 10/4/1994)
This was the Senate Republican alternative to the Clinton health plan. Notable features of the legislation include:
- Universal access to health insurance coverage, in part through premium assistance to low-income individuals who don't quality for Medicaid (ultimately up to 240% of the federal poverty line)
- A mandate on employers to provide health insurance plans to employees
- Requirements for qualified heath plans to meet standards of
- guaranteed eligibility, availability, and renewability of health insurance coverage
- nondiscrimination based on health status (i.e. eliminating pre-existing conditions)
- benefits offered
- insurer financial solvency
- enrollment process
- premium rating limitations (allowing variation in premiums based only on age and family)
- risk adjustment
- consumer protection
- The formation of individual and small employer purchasing groups
- Requirements that the Secretary of Health and Human Services, in consultation with the Secretary of Labor, establish standards for large employer plans similar to requirements applicable to small employer plans
- Formation of a Benefits Commission to develop a standard (minimum) benefits package that any qualified health benefits plan must offer
- Enumeration of state responsibilities in implementing state insurance market reforms
- An individual mandate requiring all citizens to be covered by a health plan
- Certain alterations to tax law, including an excise tax for excess contributions to medical care savings accounts
- Quality assurance programs, including the creation of a national health data system