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NEWS FLASH

GOP-Controlled Virginia House Passes Personhood Bill | The Virginia House of Delegates “gave preliminary approval Monday to a so-called personhood bill” and rejected an amendment that would have ensured contraception can remain legal. The measure sates that “unborn children at every stage of development enjoy all the rights, privileges, and immunities available to other persons, citizens, and residents of the commonwealth, subject only to the laws and constitutions of Virginia and the United States, precedents of the United States Supreme Court, and provisions to the contrary in the statutes of the commonwealth.” The House is expected to formally approve the bill tomorrow and lawmakers expect that it can also pass in the Republican-controlled senate.

Economy

Ten Facts About The Obama Budget

President Obama unveiled his budget for fiscal year 2013 this morning in Virginia, touting it as a budget that took a balanced approach toward investing in American economic growth now while reducing the nation’s deficit over the long-term. The budget is a step in the right direction, using both tax increases and spending cuts to cut the deficit and investing in infrastructure and other job creation measures to continue the economic recovery.

Like any budget, Obama’s is complicated, containing investments and cuts to various programs. With that in mind, ThinkProgress compiled 10 facts about the Obama budget based on the White House fact sheet and other reports:

1. The budget includes $350 billion in short-term measures to encourage job growth, including $50 billion in immediate infrastructure investment, $30 billion to rebuild schools, and year-long extensions of the payroll tax holiday and unemployment insurance.

2. The implementation of the Buffett Rule and the repeal of the Bush tax cuts for the wealthy helps reduce the deficit by $1.5 trillion over the next 10 years.

3. For every $1 in new revenue from those making more than $250,000 per year and from closing corporate loopholes, the budget has $2.50 in spending cuts including the deficit reduction enacted over the last year.

4. The total budget reduces the deficit by $4 trillion over the next decade.

5. Obama preserves the maximum Pell Grant award, a key difference from the GOP budget, and makes permanent then Americans Opportunity Tax Credit, which helps 9 million families afford the costs of college.

6. Unlike the last two GOP budgets, Obama’s budget protects Medicare and Medicaid from structural changes, and through small tweaks, saves $360 billion from those programs.

7. States will receive $30 billion in aid to prevent further layoffs of firefighters, teachers, and police officers, some of the hardest-hit workforces in the nation.

8. The budget eliminates 12 tax breaks to oil, gas, and coal companies, saving $41 billion over 10 years.

9. Obama preserves planned cuts to the Defense Department negotiated in the debt limit deal last August.

10. The budget maintains goals of putting one million electric vehicles on the road by 2015; doubling share of electricity from clean energy sources by 2035; and reducing buildings’ energy use by 20 percent by 2020.

As the Center for American Progress’ Michael Linden notes, Obama’s budget is far from perfect. It’s spending caps are too low, it’s defense cuts are too small, and it contains less new revenue than bipartisan plans like Simpson-Bowles and Rivlin-Domenici. But it prioritizes job creation and economic development and keeps America on the path to recovery, something Republican plans, unfortunately, fail to do.

Hannity’s Conservative Faith Leaders Ready To Go To Jail, Die Before Providing Birth Control

Ready for the bighouse

A panel of conservative religious leaders assembled by Fox News host Sean Hannity Friday night had increasingly apocalyptic responses to President Obama’s new contraception policy, saying they were eager to go to jail or even die before violating their conscious by providing birth control to women.

Rich Land of the Southern Baptist Convention hit the two poles of overly emphatic rhetoric in one breath, first invoking the Holocaust by reciting Martin Niemöller famous poem “First they came…,” before comparing himself to Martin Luther King Jr. by saying he was ready to “follow in the footsteps” of the civil rights giant by dispatching letters from jail, if need be.

Hannity responded by asking the baker’s dozen religious leader, “how many of you would be willing to go to jail over this?” — all but three or four raised their hands.

But Father Jonathan Morris, a Fox News contributor and Catholic priest in New York City, one upped Land, saying he was ready to put his life on the line. “It’s very clear, people have died for those things that are absolutely essential for their faith. It’s not a question of are you willing to go to jail, it’s if I’m asked to do something that goes against my conscious, I’d better be willing to die for that.” He continued, “If I’m not willing to die for that, what am I standing up for?” Watch it:

Conservative commentator Michele Malkin also reached for the Holocaust invocation on this issue, and pastor Rick Warren, who spoke at Obama’s inauguration said he would be willing to go to jail.

But this is a silly offer of self-sacrifice, as there is no actual threat of jail time. While the final regulations have yet to be written, the penalty will be financial — not criminal — and regulated by the IRS, likely about $1,000 per violation, according to an expect contacted by ThinkProgress. As Andrew Sullivan notes, by their, Rick Warren should already be in jail, as he’s a resident of California, which has a stricter contraception mandate than the new federal one.

Obama’s Budget Health Care Savings In One Chart

This morning, President Obama unveiled a $3.8 trillion budget plan that eschews any dramatic reforms to entitlement programs but would still produce $360 billion in savings from Medicare, Medicaid, and other health care programs over 10 years. Obama avoids Rep. Paul Ryan’s approach “to turn Medicare into a voucher or Medicaid into a block grant,” but does adopt several Republican-backed ideas that would increase means testing for higher-income seniors and discourage overuse of care by penalizing beneficiaries.

Under Obama’s approach, for instance, higher-income seniors would pay more for doctors visits and prescription coverage beginning in 2017 and all new enrollees will pay a $25 deductible as part of their Part B premiums. But for the most part, the budget is similar to the administration’s September 2011 deficit reduction plan and recoups the greatest savings from drug rebates and modernizing provider payments to achieve greater efficiency. Here is a chart showing where all the savings come from:

Given that Ryan’s Medicare savings don’t kick in until 2022, it’s hard to make a direct comparison with Obama’s proposal. But suffice it to say, Ryan would cut about 1.4 trillion from Medicaid alone and another $30 billion in net Medicare savings using last year’s 10-year budget window.

Republican Women Senators Breaking Ranks With Party, Come Out In Favor Of Obama Contraception Rule

While GOP senate minority leader Mitch McConnell (R-KY) has pledged to fight the Obama’s administration’s modified regulation requiring health insurers and busnisses to offer contraception coverage without additional cost sharing, the revised rule “appears to have won over” two of the five Republican women senators.

Sens. Olympia Snowe (ME) and Susan Collins (ME) — both of whom have sponsored legislation requiring insurers to offer contraception benefits in all health plans — are in favor of the new compromise, which would allow religiously affiliated colleges, universities, and hospitals to avoid providing birth control. Their employees will still receive contraception coverage at no additional cost sharing directly from the insurer:

It appears that changes have been made that provide women’s health services without compelling Catholic organizations in particular to violate the beliefs and tenets of their faith,” Snowe said in a statement. “According to the Catholic Health Association, the administration ‘responded to the issues [they] identified that needed to be fixed,’ which is what I urged the president to do in addressing this situation.

“While I will carefully review the details of the president’s revised proposal, it appears to be a step in the right direction,” Collins said in a statement. “The administration’s original plan was deeply flawed and clearly would have posed a threat to religious freedom. It presented the Catholic Church with its wide-ranging social, educational, and health care services, and many other faith-based organizations, with an impossible choice between violating their religious beliefs or violating federal regulations. The administration has finally listened to the concerns raised by many and appears to be seeking to avoid the threat to religious liberties posed by its original plan.”

Republicans in the senate seem determined to oppose the compromise and have introduced legislation that would allow employers or individuals to opt out of any benefit that undermines their moral beliefs. “They don’t have the authority under the First Amendment of the United States Constitution to tell someone in this country or some organization in this country what their religious beliefs are,” McConnell told “Face the Nation” on Sunday. “This issue will not go away until the administration simply backs down,” he said.

Sen. Kelly Ayotte (R-NH), who led the GOP’s opposition to the original rule, has yet to issue a statement on the measure and did not respond to ThinkProgress’ query about her position. Sen. Lisa Murkowski (R-AK) also did not respond. Sen. Kay Bailey Hutchison (R-TX) co-sponsored a 1999 bill requiring contraception equity in insurance coverage and has not yet to weigh in on the current debate.

Update

Ayotte tells the Washington Post’s Greg Sargent that she still opposes Obama’s proposal:

“The president’s proposal leaves religious institutions vulnerable to federal coercion. This debate has always been about religious freedom. As I fight for a full repeal of Obamacare, I will continue to push for a legislative solution that protects conscience rights.”

NEWS FLASH

Study: Extending Coverage To Young People Improves Health Outcomes | A new study to be published in the March issue of Pediatrics finds that young people have “greater rates of insurance, were more likely to identify a personal physician and receive a physical exam and were less likely to forgo care due to cost,” in states that allow those up to age 26 to join their parents’ policies. “These research findings will inform our understanding of what to expect from the federal health reform provision that allows those up to age 26 to join their parents’ policy,” said Alex Blum, lead author of the study. “Our results predict that many more young people will have a personal doctor and regular checkups, and no longer have to go without care due to cost. These are critical components to provide health security to young people just when they are starting out on their own.” The Obama administration reports that at least 2.5 million younger Americans now have health insurance as a result of the provision, which is already in effect.

Romney Shows He Hasn’t Read Obama’s Modified Birth Control Reg During Rowdy Maine Town Hall

Mitt Romney doubled down on his new-found objection to contraception coverage during a town hall in Maine on Friday. Romney — who remained mum as Massachusetts implemented a measure requiring insurance companies to cover contraception in 2003, signed into law a health care reform bill that has greatly expanded access to state-funded birth control, and required Catholic hospitals to provide emergency contraception to rape victims — told a rowdy crown in Portland, Maine that President Obama’s modified contraception rule does not go far enough:

At the event, Romney also waded into the political fray over the decision by the Obama administration today to require insurers, rather than private employers, to pay for coverage of contraception. The move reversed an earlier decision that would have required religious-affiliated organizations, such as Catholic hospitals, to provide the coverage, prompting an outcry from across the political spectrum.

“Today he did the classic Obama retreat all right, and what I mean by that is, it wasn’t a retreat at all. It’s another deception,” Romney said, arguing that that religious organizations still will have to pay for contraception after insurance companies pass the costs along to employers.

“Companies consist of people, and someone has to pay — the owners, the employees or the customers, and they pass those costs on to the customers,” he said.

But it’s Romney who is being devious here. Actuaries and real world experiences in covering contraception in the Federal Employees Health Benefits Plan (FEHBP) have found that contraception coverage is at the very least cost neutral within the context of the benefits of the health care plan. And in announcing its compromise on Friday, the administration pledged to work with insurers to issue future regulations that would specifically stipulate that if a religiously affiliated nonprofit chooses to avoid offering contraception in its health care plan, “there be no charge for the contraceptive coverage” for the employer or the employee.

As a senior administration official explained to the Washington Post’s Sarah Kliff, “Our policy is saying that the Catholic hospital doesn’t want to cover contraceptives, and they don’t include that in their policy. It also says that Aetna needs to provide contraceptive services for free to workers in the plan. Aetna sets the premium, but it cannot be higher than it would have been without birth control. The premium does not include contraception.” “There is a sort of bank account,” says the official. So, in this particular hypothetical, “Aetna is sucking it up.”

In other words, providing contraception without additional cost sharing will become “a legitimate cost of doing business” for health insurers who work with religious nonprofits, and while they may not be all too thrilled at the prospect, administration officials expect them to agree “that this is going to be a cost-neutral benefit.”

Morning CheckUp: February 13, 2012

Obama budget to cut $360 billion from health care: “President Barack Obama’s 2013 budget proposal will cut more than $360 billion from Medicare, Medicaid and other healthcare programs over the next 10 years, according to a brief summary of the plan (PDF) the president will submit to Congress on Monday.” [Modern Healthcare]

Republicans continue to battle administration on contraception: “The Republican battle against the President Obama’s new birth-control mandate will continue until the policy is reversed, the top GOP senator warned Sunday. Senate Minority Leader Mitch McConnell said Obama’s rule requiring employer-based healthcare plans – even those sponsored by faith-based groups – to cover contraception infringes on the religious freedoms guaranteed by the Constitution.” [The Hill]

Administration sticking with the rule: “I have to say that the solution that we came up with puts no religious institution in a position where it either has to pay for or facilitate the provision of benefits they find objectionable,” Mr. Lew said on CNN’s State of the Union with Candy Crowley. Mr. Lew said the president put out a solid plan, and when asked whether there is more room for compromising said, “No. This is our plan.” [WSJ]

Catholic bishops still oppose it: “The U.S. Conference of Catholic Bishops said the administration’s plan still includes a “nationwide mandate of insurance coverage of sterilization and contraception, including some abortifacients.” … they made it clear that a “lack of clear protection for key stakeholders — for self-insured religious employers; for religious and secular for-profit employers; for secular non-profit employers; for religious insurers; and for individuals — is unacceptable and must be corrected.” [Politico]

Michigan presses for anti-abortion legislation: “Rallied by the approval last fall of a state law banning so-called “partial birth” abortion, Michigan abortion opponents are pushing for more in 2012 — from a “Choose Life” fundraising license plate to a ban on abortions after 20 weeks of pregnancy.” [AP]

DOJ says states are overacting to Medicaid expansion: “The Department of Justice told the Supreme Court Friday that the 26 states alleging the health reform law’s Medicaid expansion is unconstitutional are exaggerating the burden they will feel from the expansion, and noted that the federal government will pay the large majority of the expansion’s incremental costs.” [Inside Health Policy]

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