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Report of Massive Deficit in Bush Budget Sets Off New Alarms for Medicare

Senate, House budget leaders say they are ready to cut entitlements more

March 6, 2006 – An analysis by the Congressional Budget Office says the 2007 budget proposed by President Bush will increase the federal deficit by $35 billion this year and $1.2 trillion over ten years. This has raised new alarm that entitlement programs, like Medicare, Medicaid and Social Security, may be in for additional reductions by the Congress – in particular the House - as they consider the budget. The CBO reports shows the Bush proposal already includes five year reductions for Medicare of $37 billion and all entitlement programs by $56 billion, according to KaiserNet.org.

Capitol Hill Watch | Bush FY 2007 Budget Proposal Would Raise Federal Deficit by $35B, CBO Estimates

Click here to the Daily Health Policy Report - KaiserNetwork.orgThe fiscal year 2007 budget that President Bush has proposed would increase the federal deficit by $35 billion this year, with proposed spending reductions for Medicare, Medicaid and other programs expected to offset about one-third of the cost of his other proposals, according to a Congressional Budget Office report released on Friday, the New York Times reports (Andrews, New York Times, 3/4).

 

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Defense of Medicare Budget Cuts Takes Spotlight in Washington

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Feb.8, 2006 – Today President Bush defended his proposed $36 billion reduction for Medicare spending in his budget proposal  for FY 2007 and prepared to sign legislation already passed that cuts another $39 billion from Medicare and Medicaid. Yesterday, members of his administration were busy defending the $2.77 trillion budget and the Medicare cuts.  Read more...

Medicare Budget Cuts May Not be Welcomed in Congress

KaiserNet.org provides more detail on specific proposals, reactions

Feb. 7, 2006 – Although the President's budget for 2007 that was released yesterday has cuts of $36 billion for Medicare ($105 billion over 10 years), reportedly the biggest in the budget, many are predicting it will be a hard sell to Congress... Read more...

Social Security Investment Accounts, Indexing in Bush Budget

Reform ideas that never caught on in 2006 are back in the 2007 budget

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Bush 2007 Budget Cuts $36 Billion from Medicare, $12 Billion from Medicaid

Feb. 6, 2006 – President Bush today released his budget proposal for 2007, which includes proposals to "save an estimated $36 billion over five years in Medicare." The statement on Medicare and Medicaid says, "The key to preserving the promise of Medicare for America's seniors and disabled is to enhance the long-term fiscal solvency of the program." The cuts proposed for Medicaid reduce costs by $12 billion. Major new expenditures in Health Care are aimed at fighting the flu pandemic. Read more...

Read more on Politics

 

According to CBO, the budget proposal over five years would reduce spending for Medicare by $37 billion and for all entitlement programs by $56 billion.

Over 10 years, the budget proposal would reduce spending for Medicare by $138 billion and for all entitlement programs by $184 billion, according to CBO (Cohn, CongressDaily, 3/6).

The CBO report also estimates that the budget proposal would increase the federal deficit by $1.2 trillion over the next 10 years. The report does not include military costs for Afghanistan and Iraq after 2006 and "assumes that Congress freezes or cuts the vast majority of discretionary government programs outside of military and domestic security ones," the Times reports (New York Times, 3/4).

Congressional Prospects
Senate Budget Committee Chair Judd Gregg (R-N.H.) and House Budget Committee Chair Jim Nussle (R-Iowa) have said that they support additional spending reductions for entitlement programs, and the committees are expected to mark up the budget proposal on Thursday. However, spending reductions for Medicare "are particularly difficult in the Senate" because Sens. Gordon Smith (R-Ore.) and Olympia Snowe (R-Maine), both moderates, "hold sway" on the Senate Finance Committee, CQ Today reports (Dennis, CQ Today, 3/3).

Some Senate Republicans also are "balking" at spending reductions for Medicare, in part because of concerns about their "prospects in this fall's midterm elections," the Times reports (New York Times, 3/4). As a result of expected opposition in the Senate, the House might "opt for a slimmed-down version to preserve negotiating room in conference with the Senate" (CongressDaily, 3/6).

Medical Imaging Services Reimbursements
In related news, 31 groups that represent medical imaging service providers, patients and manufacturers maintain provisions of the FY 2006 budget reconciliation law enacted
last month will limit access to care and discourage the development of new technologies, CQ HealthBeat reports.

The law caps the technical component reimbursement for medical imaging services provided in physician offices to the lesser of the Hospital Outpatient Prospective Payment System and the Medicare physician fee schedule, according to the American College of Radiology.

In a letter to congressional leaders, the groups write, "This provision singles out imaging services to absorb over one-third of all the Medicare reductions" in the law. CBO estimates that the law will reduce Medicare reimbursements for medical imaging services by $2.8 billion over five years, but ACR estimates that the law will reduce reimbursements by $6 billion over the same period. ACR officials said that the law "will stifle research and development of new technologies that are increasingly replacing more invasive, and often more costly, procedures."

In addition, ACR officials said that the law might increase out-of-pocket costs for Medicare beneficiaries. Congress should revise the law before the legislation takes effect in January 2007, ACR officials said (Carey, CQ HealthBeat, 3/3).

"Reprinted with permission from kaisernetwork.org You can view the entire Kaiser Daily Health Policy Report, search the archives, and sign up for email delivery at www.kaisernetwork.org/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork.org, a free service of The Henry J. Kaiser Family Foundation. © 2006 Advisory Board Company and Kaiser Family Foundation. All rights reserved.”

 

 

 

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