The Senate Democratic caucus is unified following a Saturday meeting and poised to pass a much-weakened health care reform proposal before Christmas day. "The mood was great," said Sen. Al Franken (D-Minn.) of the party gathering earlier Saturday. "It was a very, very good mood, even [among] those of us who have disappointments about what is and isn’t in."
Though it’s far from what progressives and, according to surveys, most voters wanted in a final bill, Franken, in an interview with the Huffington Post, said that it’s "an enormous step forward."
"I’m convinced this will pass. I believe we have the 60 votes," he said. Franken was encouraged that he and Sen. Jay Rockefeller (D-W.Va.) were able to insert into the final bill a provision that would require insurers, for individual and small group plans, to spend 80 percent of the money they take in on health care. Large plans would be required to spend 85 percent.
"This is something that a lot of states have tried unsuccessfully to put on medical loss rations and insurance companies fight them and they fight this for a reason. So I’m very, very happy with this. I think it’s a big, big way to keep them in check," said Franken. "I think it’s one of the biggest tools."
Insurers refer to spending on health care as a "medical loss." The medical loss ratio currently averages 70 percent across the nation. Minnesota law sets it at 91 percent.
The Congressional Budget Office, however, determined that the 90 percent requirement that Franken and Rockefeller had pushed for amounted to nationalization of the industry. The CBO didn’t explain how it came to the seemingly arbitrary figure of 90 percent. Franken said he and Rockefeller met with the CBO chief Doug Elmendorf about his determination and came away uncertain of the reasoning. Elmendorf, who is not an elected official, deemed that 80 percent for small groups and 85 for large didn’t amount to nationalization. In the American system of government, what Elmendorf says, goes, so regardless of the rationale, the bill includes the figures he dictated.
Franken: Dems Unified Behind ‘Historic’ Health Reform Legislation