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Category: Budget

Budgets, Doc Fix, and Reid Retiring

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Breaking News: Senate Minority Leader Harry Reid will not run for reelection in 2016, he said in a video message released this morning.

Budget: GOP leaders in the House and Senate have achieved a major goal of approving their fiscal 2016 budget resolutions this week. The House approved their proposal on Wednesday with the Senate following suit in the early morning hours Friday. The two chambers now face the task of reconciling their two bills before the April 15th deadline, which would establish the framework for annual appropriations bills and set the direction for other legislation through the privileged reconciliation process. The last time lawmakers adopted a budget conference report was in 2009. Both budgets push more funding to the military while laying the groundwork to dismantle the health care overhaul.

Doc Fix: On Thursday the House approved a package to replace Medicare’s oft-criticized physician payment formula in an overwhelming bipartisan vote. The legislation (HR 2) passed 392-37, with 212 Republicans and 180 Democrats joining to support the deal negotiated by Speaker John Boehner (R-OH) and Minority Leader Nancy Pelosi (D-CA).

If it clears the Senate, the bill will put an end to a cycle of 17 short-term “doc fix” bills that temporarily averted cuts to Medicare doctors dictated by the sustainable growth rate formula, or SGR. In addition to replacing the formula, the bill includes a two-year extension of funding for the Children’s Health Insurance Program (CHIP) and Teaching Health Centers for another two years, and would require wealthier seniors to pay more for their Medicare outpatient and prescription drug coverage to help offset the cost. The measure is only partially paid for, with the Congressional Budget Office projecting that it would increase the federal deficit by $141 billion over 11 years.

Unfortunately, the Senate left for a two-week recess early this morning without taking any action on the bill. Instead they have vowed to make it their first order of business when they return to the Capitol on April 13th.

The current one-year payment patch expires in four days and CMS has said it doesn’t have any plans to hold off on processing claims as it has done in the past to buy Congress time. But in an email to health professionals, the agency noted that electronic claims aren’t paid until at least 14 calendar days after they’re received, providing something of a cushion before doctors feel the scheduled cut. CMS also said it would provide an update by April 11 about whether Congress has acted.

Busy Budget Week in Congress

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It’s shaping up to be a busy week as Capitol Hill continues its efforts to finally pass a repeal and replacement of the much-maligned Sustainable Growth Rate (SGR) or “Doc Fix.” While a group of bipartisan legislative leaders released the broad outlines of a proposal last week, we are sure to see more detailed legislative language as early as today – and the official cost of the proposal. A vote could take place later this week, just a few days before the increased rates are to take effect (March 31st) if Congress takes no action.

In addition to impending action on the SGR proposal, Congressional leaders from both chambers continue to debate their respective budget resolutions. Unlike the potential SGR fix, the budget debate will be largely partisan and include attempts (again) to repeal the Affordable Care Act. The result of these budget negotiations could go a long way toward setting up their overall strategy — and the tone for what they accomplish — heading into the heart of the legislative year.

Congress will then recess for a two-week Easter break, returning to the Capitol on April 13th.

 

House Budget Bill — Update

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After a marathon markup that ran late into the evening, the House Republicans passed the bill out of the Budget Committee along a party line vote this morning. Late last night, the House Republican caucus seemed sharply divided between defense hawks and those committed to cutting spending.

According to an analysis from the Committee for Education Funding, the House Republicans’ proposed 2016 budget would make cuts to student aid that are deeper than meets the eye and would hurt funding for major education programs. The budget would eliminate expansions to the income-based repayment program, public sector loan forgiveness and in-school interest subsidies for undergraduate Stafford loans. The three changes, in addition to cuts to the Pell Grant program, would add up to tens of billions of dollars in federal savings.

The House budget also plans changes to non-defense discretionary spending in future years that will squeeze other education programs, which will more than likley lead to cuts to Head Start, Title I, IDEA and other programs.

Senate Introduces Budget Resolution

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Senate Budget Committee Chairman Mike Enzi (R-WY) introduced the Senate Budget today, whihc differs in big ways from a House GOP blueprint introduced yesterday. Both aim to balance the budget (the Senate in 10 years, the House in nine) and both cut over $5 billion in spending (the Senate cuts $5.1 trillion and the House would cut $5.5 trillion).  It proposes an additional $236 billion in cuts to non defense discretionary spending from FY2017-FY2025 and it would leave the defense discretionary caps at the sequester levels.

Most importantly, and a point that goes directly to the contention in the House Republicans, the Senate GOP budget only provides $58 billion for a war funding account known as the Overseas Contingency Operations (OCO) fund — much less than the $90 billion included in the House GOP budget. In a move to appease House defense hawks, the House Budget had a huge increase in the OCO, which is not subject to the Sequester caps. The budget resolution effectively draws a line in the sand over war funding by creating a point of order against raising Overseas Contingency Operations account funding above $58 billion next year. Points of order require 60 votes to pass. That means any move to boost the OCO funding would need the support of Senate Democrats. Obama has proposed $51 billion in war funds for the military.
As for policy directives, the Senate proposal includes reconciliation instructions for the Senate Finance and Senate Health, Education, Labor, and Pensions (HELP) Committees to each find no less than $1 billion of savings over 10 years to put toward deficit reduction by no later than July 31, 2015. It also creates a Deficit-Neutral Reserve Fund (DNRF), a budget gimmick that allows Committee chairs to break budget constraints and will not result in a budget point of order, for the HELP Committee to reauthorize the Higher Education Act (HEA).  The budget proposal also creates a DNRF for improvements in medical research, innovation and safety, among other health reforms.  The budget also calls for a DNRF for energy legislation, which could include reforms to research programs at the Department of Energy.
Similar to the House Republican Budget, the Senate budget would cut Pell — and cut $90 billion from the Pell grant program over 10 years. Additionally, the  proposal would set non-defense discretionary spending at $493 billion for 2016.
To read about the Senate Budget, click here. 
The Senate is marking up the budget Wednesday and Thursday, and it is expected that the full Senate will consider the proposal next week.

The Office of Federal Relations is currently monitoring the legislation and will make more information known as it becomes available.

House Budget Released

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US Capitol (AOC)

House Budget Committee Chairman Tom Price (R-GA) released the House Republican budget draft today, which in recent years has been largely a political document. The House Democrats are expected to release a competing draft soon. The federal budget, while it does not become law, does have to pass both chambers of Congress and will guide the House and Senate on federal spending. In addition, the budget typically charges the respective legislative bodies on sweeping policy initiatives, such as tax reform, which is what then-Chairman Paul Ryan (R-WI) suggested last year. This year, Chairman Price includes the repeal of Dodd-Frank and Obamacare, proposes a premium support system for Medicare, asks for a bipartisan study and report to Congress on the problems facing the Social Security program, and would eliminate the Alternative Minimum Tax.

Additionally, the final budget will guide the respective House and Senate Appropriations Committees on how much funding is available to begin work on the 12 annual appropriations bills.

The details are not yet clear, but at first blush, the bill would aim to balance the budget in nine years and create a surplus by 2025.  The measure would also cut $5.5 trillion over the next decade.  This would be achieved by eliminating duplicative programs and eliminating programs within agencies that are not “core functions” of the federal government. Examples of these duplicative, beyond the scope or “corporate welfare” programs cited include, job training programs, and eliminating the Hollings Manufacturing Extension Program  and Trade Promotion Activities at the International Trade Administration.

Redundancies and misuse of tax dollars called out include:

  • There are 92 different anti-poverty programs.
  •  There are 17 food aid programs.
  •  There are 22 housing assistance programs
  • An Inspector General report revealed that employees at the Environmental Protection Agency are taking paid leave after work-related violations.
  • The Department of Defense and the Central Intelligence Agency, two of the most important agencies in our national security apparatus, currently spend part of their budget studying climate change.

For higher education, the legislation proposes a new framework to use “federal dollars more efficiently” in higher education — but details on what that framework would be are thin. Pell grant awards would both be capped for next decade and limited to the neediest borrowers.

The bill would also replace or prevent Sequester cuts — although how is unclear. The measure would keeping the 2011 budget ceilings, and would impose a $1.017 trillion ceiling on spending in the fiscal year beginning on Oct. 1. Domestic discretionary programs would get $493 billion, with $523 billion allotted for the Pentagon’s base budget. The GOP budget ignores Obama’s request for $74 billion in additional spending.

Already, the GOP members of the House Armed Services Committee has been less than committal to the measure. It remains to be seen if the measure will enjoy unified Republican support.

An overview of the House Budget Committee draft can be found here.

The Office of Federal Relations will continue to update on this issue as more information becomes available.