Close Close

Life Health > Health Insurance

Senate budget sets up clash with U.S. House on Defense, Medicare

Your article was successfully shared with the contacts you provided.

(Bloomberg) — Senate Republicans unveiled a spending plan Wednesday that sets up a confrontation between their party’s defense and budget hawks and omits a politically polarizing Medicare overhaul championed by Rep. Paul Ryan.

The first Senate budget proposal authored by Republicans since 2006 calls for $430 billion in unspecified savings from Medicare, the health care program for seniors, as part of a plan to trim $5.1 trillion in spending and balance the budget in 10 years without raising taxes. It doesn’t include partially privatizing Medicare as does the House plan put forth Tuesday.

See also: House Republicans seek Medicare cuts

Another difference that will make it difficult to reconcile the two chambers’ budget plans is that the Senate proposal contains $58 billion in war funding, which President Barack Obama requested for next year, in contrast to the $94 billion House Republicans want.

Instead, the Senate budget plan contains a reserve fund placeholder that allows for a deal later in the year to increase defense spending if offsets can be found.

The House plan uses an accounting maneuver to exceed Pentagon spending limits set by a 2011 bipartisan budget agreement. Tea Party-aligned lawmakers will fight to keep those caps in place while those advocating for more defense spending such as Sen. John McCain of Arizona say they’ll oppose any plan that maintains the limits.

Islamic State

The rise of the Islamic State and terrorism concerns have led more lawmakers from both parties to back increased Pentagon spending. Yet doing so would unravel budget cuts the Republican Party considers its biggest legislative accomplishment unless Congress can find other budget cuts to make.

Democrats in the Senate will block attempts to find savings from entitlement programs or domestic agencies. With the federal budget deficit easing and entitlement cuts unpopular with voters, a number of Senate Republicans also worry that scaling back entitlements would damage them politically in 2016.

The bulk of the Senate plan’s savings, totaling $4.2 trillion, come from cuts to entitlement programs.

“Let’s face it, these solutions will not be popular,” Sen. Ron Johnson, a Wisconsin Republican whose seat is up in 2016, said regarding cuts to entitlement programs. “President Obama is not even close to being on board.”

That leaves no clear path to avoiding $35 billion in Pentagon cuts set to take effect beginning Oct. 1.

Unraveling PPACA

The budget blueprint also makes clear that Republicans plan to try to unravel the Patient Protection and Affordable Care Act (PPACA) — Obamacare — if the Supreme Court rules against its health insurance subsidies in most states later this year.

See also: PPACA subsidy case divides U.S. Supreme Court justices

Both the House and Senate proposals assume $2 trillion in savings from a full repeal of PPACA — a measure the president has said he would veto. The Senate plan keeps the $1 trillion in tax increases from PPACA under the assumption Congress will find a way to replace the lost revenue.

Both plans make deep cuts to Medicaid and food stamps. The Senate budget would save $400 billion by creating block grants for Medicaid and combining that with the Children’s Health Insurance Program (CHIP). Another $600 billion in savings would come from creation of a trust fund for states to manage the programs.

Yet such cuts aren’t enough to bring the budget into balance over 10 years. Groups that advocate fiscal restraint accused the House plan of pursuing a number of “gimmicks” in order to achieve their goal.

House plan

For instance, the proposal by House Budget Chairman Tom Price includes about $94 billion for a special war-funding account that isn’t subject to the spending limit — the Overseas Contingency Operations account, which funds military activities in Iraq and Afghanistan.

Another criticism Republican must address is that their budget doesn’t say how they would replace revenue from the PPACA taxes they propose to repeal. The House plan would provide the government with $41.7 trillion in revenue over the next decade, about $77 billion less than what the government would collect if Congress did nothing.

“While the goals put forward by the budget resolution are praiseworthy, the details are in some ways unrealistic and unspecified,” Maya MacGuineas, president of the Committee for a Responsible Federal Budget, said in a statement.

It’s unclear whether Republicans can reach a consensus among themselves amid divisions between party members seeking more military spending and others looking to maintain hard-fought spending cuts.

‘Come together’

Rep. Jeff Denham, a California Republican, told Bloomberg reporters and editors Wednesday that the House will “come together on a budget,” although “getting the Senate to agree to that I think will be a big challenge.”

Earlier this month, 70 House Republicans signed a letter saying they’d block the budget if military spending wasn’t increased. Yet many of them insist on paying for those cuts.

Both budgets are viewed as being largely symbolic.

Stan Collender, executive vice president of Qorvis MSL Group, a communications strategy firm in Washington, said Republicans in Congress “don’t really care about passing a budget this year” anyway because of political concerns.

The spending reductions it would take to balance the budget are “far more than most Republicans are willing to do,” Collender said. That is particularly true when it comes to entitlement cuts.

Price’s budget would cut Medicare by $148 billion through 2025. Starting in 2024, Medicare beneficiaries would choose from a range of options, including standard Medicare and private coverage. The government would issue fixed payments directly to the plan.

2016 election

It’s a policy change the Senate did not embrace as many Senate Republicans seeking re-election in 2016 don’t want to cut entitlement programs such as Medicare and Medicaid. The Senate budget chairman, Mike Enzi of Wyoming, is proposing to find $430 billion in unspecified savings in Medicare, the amount Obama says can be found from lowering health costs.

About 60 Tea Party-aligned House Republicans insist on addressing such programs, which are major sources of the federal deficit.

The defense and domestic spending limits were enacted as part of the 2011 Budget Control Act, intended to cut $1.2 trillion in spending through 2021. Congress voted to ease the spending reductions for the past two fiscal years, and the question is whether lawmakers will do the same for 2016.

Obama has called for an end to the automatic cuts. His budget plan offered a $38 billion increase for national security programs over current budget caps, and $37 billion more for domestic programs.