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2018年1月19日 星期五

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Children's health funding in the balance

By Peter Sullivan

Funding for the federal government was up in the air Friday afternoon — as well as help for the Children's Health Insurance Program (CHIP).

Republicans are pressuring Democrats to support a short-term funding bill that includes a six-year extension of CHIP, touting the program's importance for children. But Democrats say Republicans attached CHIP as a political ploy, and should have extended the program months ago.

Senate Democrats are also threatening to reject the short-term spending measure unless they get assurances on a fix for protecting young immigrants, known as Dreamers, who were brought to the country illegally as children.

The standoff has Washington on the brink of a shutdown at midnight Friday with a number of health care related issues unresolved.

The federal Centers for Medicare and Medicare and Medicaid Services, which helps oversee the children's health program, has said they can only guarantee funds through Jan. 19 without additional action from Congress. It is unclear when the first state will actually start to run out of money, though.

The fate of the government spending bill also will determine whether a range of ObamaCare taxes get delayed.

The bill includes delays of the medical device tax and Cadillac tax on high-cost health insurance plans for two years, as well as a one-year lifting of the Health Insurance Tax in 2019.

Other healthcare issues will have to wait for a long-term government funding deal to be reached. Those include a possible drug pricing measure that could be included to help pay for a deal to lift budget caps.

The most likely measure, known as the CREATES Act, is intended to prevent branded drug companies from using tactics to delay competition from cheaper generic drugs.

Sens. Lamar Alexander (R-Tenn.) and Susan Collins (R-Maine) are also still pushing to get a pair of bipartisan measures aimed at providing funding to stabilize ObamaCare markets passed.

Sen. Patty Murray (D-Wash.), Alexander's partner on one of the bills, is calling for changes, though, but has not yet said what those changes are.

Speaker Paul Ryan (R-Wis.), meanwhile has expressed some openness to something along the lines of the second of the two bills, from Collins and Sen. Bill Nelson (D-Fla.), which would provide funding known as reinsurance aimed at bringing down premiums.

Both bills face resistance from conservatives, though, so their fate is in doubt.


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Send tips and comments to Jessie Hellmann, jhellmann@thehill.com; Peter Sullivan, psullivan@thehill.com; Rachel Roubein, rroubein@thehill.com; and Nathaniel Weixel, nweixel@thehill.com.

Follow us on Twitter: @thehill@jessiehellmann@PeterSullivan4@rachel_roubein, and @NateWeixel.

 
 
 
 
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