The Senate bill pushes back implementation of major parts of the reform to 2014 -- a change from 2013 under the Finance Committee bill.The pain starts now, but the benefits come later. And that is how they get a good rating for the next decade. And then what happens when we go into the second decade and we have a full 10 years of benefits to pay for? Guess.
This is bad news for lawmakers who will need to explain to constituents why the elements that have attracted the most attention -- the public plan, the Medicaid expansion and the insurance exchanges -- won't be available for four years.
Some reforms would kick in earlier, Senate aides explained, but the big pieces would still be a ways off.
Thursday, November 19, 2009
If you want a hint of why the new Senate bill could get a good evaluation from the CBO, consider this.