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House Passes Repeal of ObamaCare, again

On Tuesday, the House voted, again, to repeal Obamacare. What makes this attempt notable, however, is that the measure contained instructions to the House Committees with jurisdiction to develop alternative policies and legislation in the absence of the health care law. This is the first time the House has coupled an ObamaCare repeal vote with instructions to write a replacement, but the legislation doesn’t impose any deadlines on committees to finish their work.

In addition, while the vote of 239-186 fell largely around party lines, this vote was the first time any Republicans have voted against repealing ObamaCare.  Every Democrat in the chamber opposed the measure and three Republicans: Reps. Robert Dold (R-IL), John Katko (R-NY) and Bruce Poliquin (R-ME) voted against repeal. The defectors cited a lack of a clear substitute was the cause for their vote against repeal; it was not due to their support of ObamaCare. Of note, these three Members sit in seats held by Democrats in the last Congress and districts which Obama carried in the last presidential election.

House Passes VA Conference Report

The conference report to accompany H.R. 3230 (reported earlier on the Federal Affairs Blog) was adopted by the House – 420 Yeas, 5 Nays.

The Senate is expected to pass it later this week.

House Considers VA Conference Report

Both the House and Senate intend to bring to the floor this week a conference agreement to reform the Veterans Health Administration (VHA) and increase transparency and services in the Department of Veterans Administration (VA). The House will be the first to consider, what has been a delicate and sometimes contentious agreement to create, the conference committee report this afternoon. 

The legislation (conference report to accompany H.R. 3230, the Veterans’ Access to Care through Choice, Accountability, and Transparency Act of 2014) primarily deals with care at veteran medical facilities.

Provisions of interest to UW include:

  • The conference report requires the VA to establish medical residency programs, or to ensure that sufficient residency positions exist at facilities with programs in specialties facing a shortage of physicians or located in a community that is designated as a health professional shortage area. It increases by up to 1,500 the number of graduate medical education residents over a five-year period, with a priority for primary care, mental health and other specialties as VA determines is appropriate.
  • It also expands certain educational benefits to the spouses of servicemembers who die in the line of duty, including those who died since the 9/11 terrorist attacks, and it requires colleges and universities to provide in-state tuition to veterans under the Post-9/11 GI Bill regardless of how long they have lived in the state.

After whistleblowers revealed that some employees of the Veterans Affairs (VA) Department were falsifying wait-time records for medical appointments and keeping many patients on unofficial waitlists to create the appearance that they were reaching wait time targets, there has been nearly universal Congressional support to make the VA more accountable.

A Congressional Budget Office estimate released late Tuesday stated the agreement would be a net increase to the deficit by about $10 billion through FY 2024.

The House is expected to pass the measure today and the Senate is expected to consider it later in the week.

This Week in Congress

Today the Senate reconvenes at 2 p.m. and is in a period of morning business until 6 p.m. No votes are expected.

In the other chamber, the House reconvenes at 2 p.m. for legislative business and is expected to begin consideration of a number of bills, including HR 5016, which would make appropriations for financial services in FY 2015. Roll call votes will be postponed until 6:30 p.m.

Here’s what we’ll be paying attention to in committee this week:

TUESDAY, JULY 15

Senate Appropriations Committee
Fiscal 2015 Appropriations: Defense
Subcommittee Markup
10 AM; 192 Dirksen Senate Building

House Appropriations Committee
Fiscal 2015 Appropriations: Interior-Environment
Full Committee Markup
9 AM; 2359 Rayburn Building

THURSDAY, JULY 17

Senate Appropriations Committee
Fiscal 2015 Appropriations: Defense
Full Committee Markup
10:30 AM; 106 Dirksen Senate Building

Senate Commerce, Science & Transportation Committee
Research and Development Investments
Full Committee Hearing
2 PM; 253 Russell Senate Buliding

House Energy & Commerce Committee
Technological Advancements in Health Care
Subcommittee Joint Hearing
9:30 AM; 2123 Rayburn House Building

House Science, Space & Technology
Innovative Medical Achievements
Subcommittee Hearing
9 AM; 2318 Rayburn House Building
 

Senate Confirms Burwell

Today, the Senate voted 78-17 to confirm Sylvia Mathews Burwell as secretary of Health and Human Services. Burwell replaces Kathleen Sebelius, who stepped down earlier this year.