ThinkProgress Logo

Health

Pelosi: Bill Will Prevent Insurers From Imposing Unreasonable Premiums Before Reforms Begin

This morning, during a discussion about health reform with progressive bloggers, I asked House Speaker Nancy Pelosi (D-CA) if the Senate health care bill did enough to prevent insurers from jacking up health care rates between now and 2014, (when the exchanges become operational). Noting that insurers could circumvent President Obama’s proposed national rate review authority by shifting more costs into deductibles and co-payments, I pressed Pelosi on whether the reconciliation package strengthened the President’s language or included new provisions to prevent insurers from increasing rates in anticipation of the new regulations.

Pelosi explained that the Senate bill prevents insurers from excessively increasing rates in three ways:

PELOSI: The biggest lever is to prevent them from participating in the exchange. That’s what they want more than anything. Because it’s 40 million new people who will have access. By and large, mostly new people have access to health insurance, subsidized by the taxpayer. I mean, this is a big deal for them. And I think that is the biggest lever. [...] We have the rate review. We have three things I mentioned before. We have rate review, we have the depriving of the opportunity to participate, and the rate review is related to depriving them of participating, and also fining them and all that goes with that for depriving people of insurance because of a health condition, health discrimination issues that we can bring against them.

Listen:

The effectiveness of the national rate review board and the threat of excluding insurers from participating in the exchange (if they significantly increase rates in the interim period) will depend on the oversight capabilities of these institutions and what constitutes an “unreasonable” rate hike. For example, several states have used their rate review authority to avoid sudden premium increases, but it’s unclear if rate review has succeeded in significantly lowering insurer rates. In some cases, industry friendly commissioners have failed to enforce state regulations, allowing issuers to circumvent consumer protections.

This close relationship between insurers and their regulators could also undermine states’ ability to exclude insurers from the exchange. Under the Senate bill, the Secretary of Health and Human Services, in consultation with the states, will develop a plan to look for “unreasonable increases.” Insurers are required to submit “a justification for an unreasonable premium increase” to the state insurance commission authority, who then makes the appropriate recommendations “to the State Exchange about whether particular health insurance issuers should be excluded from participation in the Exchange based on a pattern or practice of excessive or unjustified premium increases.” But the legislation does not appear to set any firm standards or definitions and could allow insurers to take advantage of weak state regulators.

Today, the House Budget Committee also approved a motion (by a vote of 24-15) instructing the Committee chair to ask the rules committee to allow an amendment establishing a national rate review authority.

Politics

Armey Accuses ‘Destructive’ Tancredo Of ‘Alienating’ Hispanics

tancredoarmeyToday, at a luncheon at the National Press Club on the future of the Republican Party in Washington, FreedomWorks chairman and tea party strategist Dick Armey slammed former Rep. Tom Tancredo (R-CO) and other anti-immigration activists for “alienating a ‘natural’ constituency [Latinos] that could help the party win elections.” Armey admitted that as House leader, he made sure Tancredo didn’t have a stage to speak on. The Daily Caller reports:

Former Republican House leader Dick Armey said staunch anti-immigration opponents such as Rep. Tom Tancredo are destructive to Republicans — and are alienating a “natural” constituency that could help the party win elections. “Who in the Republican Party was the genius that said that now that we have identified the fastest-growing voting demographic in America, let’s go out and alienate them?” Armey said, referencing Hispanics, during a luncheon in Washington at the National Press Club.

“When I was the majority leader, I saw to it that Tom Tancredo did not get on the stage because I saw how destructive he was,” Armey said of the Colorado congressman and 2008 Republican presidential candidate known for his opposition to illegal immigration. [...]

Armey also said “the Republican Party is the most naturally talented party at losing its natural constituents in the history of the world.” “This party was born with the emancipation proclamation and can’t get a black vote to save its life. How do they do that?”

In an interview with Charlie Rose that aired earlier this month, Armey listed Tancredo (R-CO) as representing part of the “tea party tent” that he feels “uncomfortable” with. In 2006, Armey referred to Tancredo as the “cheerleader of jerkiness in the immigration debate.”

Armey’s remarks have clearly made “nativist-extremist” groups that are trying to exploit the momentum of the tea party movement nervous. Americans for Legal Immigration (ALIPAC) quickly came to Tancredo’s defense and started urging its members to attack Armey’s immigration position. According to ALIPAC, Armey has been fighting to “keep the illegal immigration issue out of the Tea Party movement.” On an organizing conference call hosted by NumbersUSA, callers dismissed Armey as not being a “true tea party patriot,” but also sought tips on how to translate their anti-immigrant views to fit the tea party narrative. “We’ll be a whole lot better off if when [sic] we talk about illegal immigrants we leave off the Hispanic-Latino stuff,” advised NumbersUSA executive director Roy Beck.

More on The Wonk Room.

Climate Progress

Sole “Strategic Partner” of landmark geo-engineering conference is Australia’s “dirty coal” state of Victoria

Sponsorship of “Asilomar International Conference on Climate Intervention Technologies” is as controversial as its subject matter

Climate Progress is beginning a multipart series on what has been called the “Woodstock” of geo-engineering.   This historic but controversial event will take place March 22 – 26 in Asilomar, CA. Details can be found here on the website of the conference “developer,” Dr. Margaret Leinen of the Climate Response Fund.

http://www.houghtonmifflinbooks.com/assets/product/9780618990610.gifI have been interviewing leading experts on geo-engineering about this conference, including journalist Jeff Goodell, author of the forthcoming book, How to Cool the Planet.

This conference proclaims its lofty goal “to develop norms and guidelines for controlled experimentation on climate engineering or intervention techniques.”  That’s one reason why, as Goodell put it to me, it “needs to be purer than pure.”  It appears to fail that test in a number of respects, as we will see.

Read more

Health

Will The Senate’s Abortion Language Undermine Access To Abortions?

420abortion-420x0The Washington Post had an interesting article this morning examining the consequences of requiring insurers to collect a separate premium for abortion coverage. It turns out that when people need to send in a separate check for their abortion coverage, nobody really wants it:

In North Dakota, where insurers can cover abortions if customers pay a separate premium, the state’s largest provider says it sells no abortion policies because no one has asked to buy one. [...] “There’s not a lot to tell. We have no member who elected to have abortion riders,” said Denise Kolpack, vice president of Blue Cross Blue Shield of North Dakota, which covers about 80 percent of the North Dakota market. “We would be legally bound to provide an offering, but we have no groups that have requested it.” Similar policies are in place in Kentucky, Missouri, Idaho and Oklahoma. “It is rare that we hear in the market that an employer would request a rider for this coverage,” said Anthem Blue Cross and Blue Shield spokesman Tony Felts, whose territory includes Kentucky.

Part of the problem is that most women either don’t know that their plan doesn’t cover abortion services or don’t think they’ll ever have an abortion. Women don’t ask, and carriers don’t tell. After all, we always assume the best. A young, strapping, blogger purchasing coverage in the individual health insurance market doesn’t think he needs cancer coverage at 24 until he is diagnosed with melanoma and has to pay out of pocket for his treatments. In the same way, a young woman in North Dakota thinks she’s playing it safe by sticking to the pill and so she doesn’t bother to ask if her insurance carrier provides abortion coverage and may not be the wiser until the need arises.

In some ways, this kind of structure undermines the purpose of insurance — which we purchase to protect ourselves from life’s little surprises — and could even discourage insurers from offering abortion coverage. After all, the abortion language in the Senate bill no longer guarantees that at least once carrier in the exchange will provide abortion coverage and some health care wonks have argued that the extra administrative burden of processing a separate payment may encourage carriers to opt out providing abortion services. Plan that offer abortion services within the exchange may attract a very small clientele (because of the problem described above) or even worse, appeal to sicker women — both of which would increase costs for the carrier and dissuade plans from offering abortion services.

All of this would disadvantage poorer women. An abortion in the first trimester carries a price tag of some $400 dollars — a relatively pricey, but not prohibitive procedure for middle class women. Poorer women who don’t ask about their plans’ abortion coverage provisions, however, or can’t find affordable abortion coverage within the exchange, may be priced out their right to choose.

Politics

Rove: Obama ‘let a cowboy president…violate a fundamental principle of the Constitution.’

Today on ABC’s Topline, former top aide to President Bush Karl Rove provided one of the more bizarre attacks on the Obama administration regarding the recent U.S.-Israeli diplomatic spat, claiming that the cause of the dispute arose because White House aides didn’t do “their homework in advance.” If they had, Rove said, they wouldn’t “get caught by surprises like this.” Rove did not explain however, how doing more homework would have prevented a decision that was made by the Israeli government. But as another example of the alleged sluggish work ethic of White House staffers, Rove cited the administration’s handling of the Honduran military coup, which, ironically, he described in terms that one might ascribe to his former boss:

ROVE: We saw it in Honduras. Where rather than monitoring the situation, they [the Obama administration] let a cowboy president try to act in an extra-constitutional way to violate a fundamental principle in the Constitution, all without having done their homework in advance.

Watch it:

Update

Editor’s note: The original headline to this post claimed that Rove called Obama a “cowboy president.” However, Rove was actually referring to the Honduran president. The headline has been changed accordingly.

Security

Armey Accuses Tancredo Of Being ‘Destructive,’ ‘Alienating’ Hispanics

tancredoarmeyToday, at a luncheon at the National Press Club on the future of the Republican Party in Washington, FreedomWorks chairman and tea party strategist Dick Armey slammed former Rep. Tom Tancredo (R-CO) and other anti-immigration activists for “alienating a ‘natural’ constituency [Latinos] that could help the party win elections.” Armey admitted that as House leader, he made sure Tancredo didn’t have a stage to speak on. The Daily Caller reports:

Former Republican House leader Dick Armey said staunch anti-immigration opponents such as Rep. Tom Tancredo are destructive to Republicans — and are alienating a “natural” constituency that could help the party win elections. “Who in the Republican Party was the genius that said that now that we have identified the fastest-growing voting demographic in America, let’s go out and alienate them?” Armey said, referencing Hispanics, during a luncheon in Washington at the National Press Club.

“When I was the majority leader, I saw to it that Tom Tancredo did not get on the stage because I saw how destructive he was,” Armey said of the Colorado congressman and 2008 Republican presidential candidate known for his opposition to illegal immigration. [...]

Armey also said “the Republican Party is the most naturally talented party at losing its natural constituents in the history of the world.” “This party was born with the emancipation proclamation and can’t get a black vote to save its life. How do they do that?”

Tancredo has long been a target of Armey’s criticism. In an interview with Charlie Rose that aired earlier this month, Armey went as far as to list former Rep. Tom Tancredo (R-CO) as representing part of the “tea party tent” that he feels “uncomfortable” with. In 2006, Armey referred to Tancredo as the “cheerleader of jerkiness in the immigration debate.”

Armey’s remarks have clearly made “nativist-extremist” groups that are trying to exploit the momentum of the tea party movement nervous. Americans for Legal Immigration (ALIPAC) quickly came to Tancredo’s defense and started urging its members to attack Armey’s immigration position and make their voices heard. According to ALIPAC, Armey has been fighting to “keep the illegal immigration issue out of the Tea Party movement.” On an organizing conference call hosted by NumbersUSA, callers dismissed Armey as not being a “true tea party patriot,” but also sought tips on how to translate their anti-immigrant views to fit the tea party narrative. “We’ll be a whole lot better off if when [sic] we talk about illegal immigrants we leave off the Hispanic-Latino stuff,” advised NumbersUSA executive director Roy Beck.

While Armey’s remarks might delegitimize nativist tea bagger-wannabes in the eyes of those who value his funding and leadership, he’s ultimately the one responsible for giving their voices a megaphone. Armey may have kicked Tancredo off the stage in the House, but now he’s built a platform that’s open to any wingnut who wants to capitalize off of the anger and frustration that the tea party movement encapsulates.

Finally, while critiquing the GOP, Armey himself falls into another trap of the Republican Party: failing to offer workable solutions on immigration. While Armey is quick to critique the federal government’s immigration agency, the only solution he has offered is to privatize the U.S. immigration system. Currently, Sen. Lindsey Graham (R-SC) is the lone Republican working on comprehensive immigration reform. A second Republican co-sponsor is, so far, nowhere to be found.

Yglesias

Endgame

Shed some light on things:

— TABOR strangling Colorado K-12 spending.

— Detailed breakdown of this week’s health care legislative calendar.

— Ornstein & Mann say the failure of health reform would spell political doom for Democrats.

— Will Saletan at Slate says the real issue is that Congress should just do the right thing and worry less about the election.

— I remember a time when I read Slate to get helpful summaries of giant magazine articles.

— Brad DeLong calculates that Slate ought to offer me $8 million a year to blog for them.

Grizzly Bear’s remix of Feist’s hit “My Moon My Man” brightened up a cloudy DC day.

Politics

REPORT: A Closer Look At Consumer Protections In Dodd’s Financial Reform Bill

This post was co-written by David Min, Associate Director for Financial Markets Policy at the Center for American Progress Action Fund, and Pat Garofalo.

After months of intractable negotiations with Republicans that went nowhere, and growing impatience from Americans irate that regulatory reforms for Wall Street still had not been completed, Sen. Chris Dodd (D-CT) today introduced his latest financial reform bill. Consumer advocates are approaching the bill with caution, as the proposal lacks a stand-alone Consumer Financial Protection Agency (CFPA), such as was proposed by the Obama administration and passed by the House of Representatives.

The Dodd bill instead creates a Bureau of Consumer Protection inside of the Federal Reserve, which has been heavily criticized for its past regulatory failures and for a culture that is seen as apathetic or even antagonistic to the concerns of consumer protection. Much like West Berlin during the Cold War, the Dodd Bureau would be surrounded by a hostile culture, and the loss of even one element of its independence could cause its downfall.

So the key is whether the new Bureau will it be sufficiently empowered and isolated from that hostile culture to be effective. Longtime consumer protection advocate Elizabeth Warren has listed four criteria for an effective consumer financial protection regulator: 1) an independent director appointed by the President and confirmed by the Senate; 2) independent budget authority so it is not prone to the whims of the appropriation process; 3) independent rule-making authority; and 4) independent enforcement powers.

A close reading of the Dodd bill shows that his Bureau largely meets these tests (and, in fact, Warren has cautiously praised the new bill). Here is how Dodd’s Bureau compares to the CFPA included in the financial reform bill passed by the House last year and the Obama administration’s initial financial reform proposal.


Provision Senate Bureau of Consumer Protection House Consumer Financial Protection Agency Administration Consumer Financial Protection Agency
Presidentially Appointed Director Yes, confirmed by the Senate. Yes, confirmed by the Senate. Yes, confirmed by the Senate.
Independent source of funding Yes, from the Federal Reserve Board budget. Yes, from the Federal Reserve Board budget. Yes, with fees on “entities and transactions” within the financial system.
Rule-making Authority Writes rules, but rules can be vetoed by a two-thirds vote of a newly created council of bank regulators. Full rule-making authority. Full rule-making authority.
Covering Non-Bank Financial Firms Rules apply to all banks, non-bank home lenders, and other “significant” non-banks. Rules apply to all banks and non-banks, with some select exemptions (auto dealers, for example) Rules apply to all banks and non-banks
Enforcement Authority Only enforces rules for banks with more than $10 billion in assets. All others are overseen by their current regulator. Only enforces rules for banks with more than $10 billion in assets. All others are overseen by their current regulator. Full enforcement responsibilities.

Unfortunately, because the Bureau is going to be housed in the Fed, it is going to need every single one of those robust independence measures to ensure that it is not co-opted by a larger regulatory body that hasn’t historically been sympathetic to consumer concerns, and which is already dealing with a number of other major missions, including being designated the primary systemic risk regulator. In this environment, it is easy to see how a Fed-dominated Bureau would be ineffective.

Dodd’s Bureau as currently constructed is a good one, but if any of its key features are watered down, even a tiny bit, it will quickly become a bad proposal. So why go through all of these bells and whistles to establish independence for a Bureau within the Fed? Why not just establish a stand alone agency? And at the end of the day, how many Republican votes have been won by putting the Bureau within the Fed?

Update

President Obama said Dodd’s bill “provides a strong foundation to build a safer financial system,” and Treasury Secretary Tim Geithner called it a “strong bill.”

Yglesias

Race, Gender, and Political Office

CBC Chair Rep Barbara Lee (D-CA)

CBC Chair Rep Barbara Lee (D-CA)

Dayo Olopade’s article on cultivating the next generation of black women political leaders is excellent. But since I’m an egomaniac, I thought I would just respond to the part that briefly mentioned me:

Matthew Yglesias of the Center for American Progress has pointed out that black women–comprising 30 percent of the Congressional Black Caucus–are overrepresented as compared to the rest of the Congress which is 17 percent female. But this doesn’t mean women of color are moving up as easily as men. According to statistics from the Gender and Multicultural Leadership Project, black men still outnumber black women at the federal, state and county level–including local school boards–at times at a ratio approaching four to one. Of the 100 largest U.S. cities, only one has an African-American woman mayor. This isn’t a battle of the black sexes, but the status quo seems to sell short black women whom countless studies show are achieving more than black men in college and in professional life.

That seems about right. Basically if you look at the woman:man ratio among black politicians it’s higher than among white politicians. But it’s still quite low.

One point I like to drive home about this is that when you limit your recruiting pool of candidates to white men, you’re looking at a pool that contains very few progressives. Now there are still a bunch of progressive white men out there, but if you assume that political talent and charisma are reasonably rare traits this means that when you’re looking for outlier political talent the right is going to have a huge advantage when you’re wishing in the white male pool. Expanding the pool poses some challenges—women are often not as well-supported by their family in running for office, black candidates have trouble in majority-white districts—but working on it steadily is vital to making sure that there’s adequate overall political talent on the progressive side.

Economy

How Does Dodd’s Latest Financial Reform Bill Measure Up On Consumer Protection?

This post was co-written by David Min, Associate Director for Financial Markets Policy at the Center for American Progress Action Fund, and Pat Garofalo.

After months of intractable negotiations with Republicans that went nowhere, and growing impatience from Americans irate that regulatory reforms for Wall Street still had not been completed, Sen. Chris Dodd (D-CT) today introduced his latest financial reform bill. Consumer advocates are approaching the bill with caution, as the proposal lacks a stand-alone Consumer Financial Protection Agency (CFPA), such as was proposed by the Obama administration and passed by the House of Representatives.

The Dodd bill instead creates a Bureau of Consumer Protection inside of the Federal Reserve, which has been heavily criticized for its past regulatory failures and for a culture that is seen as apathetic or even antagonistic to the concerns of consumer protection. Much like West Berlin during the Cold War, the Dodd Bureau would be surrounded by a hostile culture, and the loss of even one element of its independence could cause its downfall.

So the key is whether the new Bureau will it be sufficiently empowered and isolated from that hostile culture to be effective. Longtime consumer protection advocate Elizabeth Warren has listed four criteria for an effective consumer financial protection regulator: 1) an independent director appointed by the President and confirmed by the Senate; 2) independent budget authority so it is not prone to the whims of the appropriation process; 3) independent rule-making authority; and 4) independent enforcement powers.

A close reading of the Dodd bill shows that his Bureau largely meets these tests (and, in fact, Warren has cautiously praised the new bill). Here is how Dodd’s Bureau compares to the CFPA included in the financial reform bill passed by the House last year and the Obama administration’s initial financial reform proposal.


Provision Senate Bureau of Consumer Protection House Consumer Financial Protection Agency Administration Consumer Financial Protection Agency
Presidentially Appointed Director Yes, confirmed by the Senate. Yes, confirmed by the Senate. Yes, confirmed by the Senate.
Independent source of funding Yes, from the Federal Reserve Board budget. Yes, from the Federal Reserve Board budget. Yes, with fees on “entities and transactions” within the financial system.
Rule-making Authority Writes rules, but rules can be vetoed by a two-thirds vote of a newly created council of bank regulators. Full rule-making authority. Full rule-making authority.
Covering Non-Bank Financial Firms Rules apply to all banks, non-bank home lenders, and other “significant” non-banks. Rules apply to all banks and non-banks, with some select exemptions (auto dealers, for example) Rules apply to all banks and non-banks
Enforcement Authority Only enforces rules for banks with more than $10 billion in assets. All others are overseen by their current regulator. Only enforces rules for banks with more than $10 billion in assets. All others are overseen by their current regulator. Full enforcement responsibilities.

Unfortunately, because the Bureau is going to be housed in the Fed, it is going to need every single one of those robust independence measures to ensure that it is not co-opted by a larger regulatory body that hasn’t historically been sympathetic to consumer concerns, and which is already dealing with a number of other major missions, including being designated the primary systemic risk regulator. In this environment, it is easy to see how a Fed-dominated Bureau would be ineffective.

Dodd’s Bureau as currently constructed is a good one, but if any of its key features are watered down, even a tiny bit, it will quickly become a bad proposal. So why go through all of these bells and whistles to establish independence for a Bureau within the Fed? Why not just establish a stand alone agency? And at the end of the day, how many Republican votes have been won by putting the Bureau within the Fed?

Older

Switch to Mobile
ThinkProgress Signup Overlay Skip and Continue to ThinkProgress Skip and Continue to ThinkProgress

Sign Up