Senate Dems Vote To Keep Sweetheart Deals

McCain Amendment: Remove Sweetheart Deals
Senator McCain has offered an amendment (#3570 – link) to strike the “sweetheart deals” included in the health care law and the reconciliation bill.


  • The amendment repeals the following “sweetheart deals” included in the health care law and the reconciliation bill:
    1. Increase in Medicaid disproportionate share hospital (DSH) payments just for Tennessee (Section 1203, page 71 of H.R. 4872);
    2. Increase in Medicaid DSH payments just for Hawaii (Section 10201, page 2132 of H.R. 3590);
    3. The “Louisiana Purchase” to increase Medicaid funding just for Louisiana (Section 2006, page 428 of H.R. 3590);
    4. Increased Medicare reimbursement just for frontier states (Section 10324, page 2237 of H.R. 3590);
    5. Medicare coverage just for Libby, Montana residents exposed to environmental hazards (Section 10323, page 2222 of H.R. 3590);
    6. A $100 million hospital funding provision intended to benefit Connecticut (Section 10502, page 2354 of H.R. 3590); and
    7. Extension of Section 508 hospital reimbursement provisions just to Michigan and Connecticut (Section 10905, pages 2205-06 of H.R. 3590)
Arguments in Favor:
  • Citizens in other states should not be asked to see their taxpayer dollars funding special “backroom deals” for certain locales.
  • The public outrage over the “Cornhusker Kickback” included in H.R. 3590 may lead many to believe it is long past time for Congress to strip out ALL of the “backroom deals” included in the Senate bill – rather than using the reconciliation measure to add more of them.
  • Given President Obama’s campaign promises of transparency – including his famous pledge to televise negotiations on C-SPAN – the American people deserve action consistent with Democrats’ rhetoric.
  • If Democrats support this government takeover of health care, they should be willing to support the legislation on its own merits – without the need to add on extraneous “backroom deals” in order to win votes.

RESULTS:  54 Democrats Voted To Keep The Special Deals In Health Reconciliation Bill.





Full Medicaid Disproportionate Share Payment (DSH) For Tennessee.

“EXTENSION OF DSH ALLOTMENT.—Section 1923(f)(6)(A) of the Social Security Act (42 U.S.C. 1396r-4(f)(6)(A)) is amended by adding at the end the following: ‘‘(v) ALLOTMENT FOR 2D, 3RD, AND 4TH QUARTERS OF FISCAL YEAR 2012 AND FOR FISCAL YEAR 2013.—Notwithstanding the table set forth in paragraph (2): ‘‘(I) 2D, 3RD, AND 4TH QUARTERS OF FISCAL YEAR 2012.—In the case of a State that has a DSH allotment of $0 for the 2d, 3rd, and 4th quarters of fiscal year 2012, the DSH allotment shall be $47,200,000 for such quarters. ‘‘(II) FISCAL YEAR 2013.—In the case of a State that has a DSH allotment of $0 for fiscal year 2013, the DSH allotment shall be $53,100,000 for such fiscal year.’’”

(“Amendment In The Nature Of A Substitute To H.R. 4872,” 3/18/2010, P. 67)


“Obama’s New Health Care Proposal Keeps Louisiana Medicaid Provision.”
(“Obama’s New Health Care Proposal Keeps Louisiana Medicaid Provision,” New Orleans Times-Picayune, 2/22/10)

“Obama’s Plan Is Silent On Two Other High-Profile Legislative Deals In The Senate Bill. The First Provision Sends $300 Million In Additional Medicaid Funding To Louisiana And Was Widely Viewed As A Sweetener To Win Moderate Democratic Sen. Mary Landrieu’s Vote Last Fall.” (“Deals Remain In Obama’s Plan,” Politico, 2/22/10)

“…There Are Controversial Special Provisions Of The Senate Health Reform Bill That President Obama Leaves Untouched. First Up, The ‘Louisiana Purchase.’ … [Sen. Mary] Landrieu Said In A Speech On The Senate Floor Feb. 4th That Critics Should ‘Shut Their Mouth.’” (“White House Cuts Special Help For Nebraska, But Other Deals Remain In Reform Bill,” ABC News, 2/22/10)

•    “And Reid Already Has Established A Dangerous Precedent, By Dangling $300 Million In Medicaid Funding For Louisiana To Win Landrieu’s Support For Bringing The Bill To The Senate Floor. Months Earlier, Reid Had Carved Out His Own Medicaid Exemption For Nevada. One addition he made to the Senate bill, an increase in the Medicare payroll tax for high earners, has raised concerns with Sen. Olympia J. Snowe (Maine). Snowe, the only Republican who has been at least somewhat supportive of Democratic reform efforts, cited its potential to harm small businesses.” (“Reid’s Recipe For Getting Health-Care Deal Done,” The Washington Post, 12/4/09)



“There Is Also Not Specific Mention In The President’s List Of Fix-It, Of A Special Proposal Aimed At A Connecticut Research Hospital, But Open To Other Hospitals… So Those Provisions Apparently Still Remain.” (“White House Cuts Special Help For Nebraska, But Other Deals Remain In Reform Bill,” ABC News, 2/22/10)

•    $100,000,000 For “Health Care Facility” “At A Public Research University In The United States That Contains A State’s Sole Public Academic Medical And Dental School.” “(a) APPROPRIATION.—There are authorized to be appropriated, and there are appropriated to the Department of Health and Human Services, $100,000,000 for fiscal year 2010, to remain available for obligation until September 30, 2011, to be used for debt service on, or direct construction or renovation of, a health care facility that provides research, inpatient tertiary care, or outpatient clinical services. Such facility shall be affiliated with an academic health center at a public research university in the United States that contains a State’s sole public academic medical and dental school.” (Manager’s Amendment To H.R. 3590, Pg. 328)



“The Secretary Shall Establish A Pilot Program In Accordance With This Subsection To Provide Innovative Approaches To Furnishing Comprehensive, Coordinated, And Cost-Effective Care Under This Title To Individuals Described In Paragraph … [An Individual] Is An Environmental Exposure Affected Individual Described In Subsection (E)(2) Who Resides In Or Around The Geographic Area Subject To An Emergency Declaration Made As Of June 17, 2009.” ‘‘(A) PRIMARY PILOT PROGRAM.—The Secretary shall establish a pilot program in accordance with this subsection to provide innovative approaches to furnishing comprehensive, coordinated, and cost-effective care under this title to individuals described in paragraph (2)(A). … ‘‘(2) INDIVIDUAL DESCRIBED.—For purposes of paragraph (1), an individual described in this paragraph is an individual who enrolls in part B, submits to the Secretary an application to participate in the applicable pilot program under this subsection, and— ‘‘(A) is an environmental exposure affected individual described in subsection (e)(2) who resides in or around the geographic area subject to an emergency declaration made as of June 17, 2009.” (Manager’s Amendment To H.R. 3590, Pg. 195-196)

•    “On June 17, 2009, EPA Administrator Lisa Jackson Issued A Public Health Emergency (PHE) Finding At The Libby Asbestos Superfund Site In Northwest Montana. Over The Past Several Years, Hundreds Of Cases Of Asbestos-Related Disease Have Been Documented In The Communities Of Libby And Nearby Troy.” (EPA Website, Accessed 12/19/09)

“Another Provision The President Has Asked Reid To Consider Removing Was Promoted By Senate Finance Committee Chairman Max Baucus (D-Mont.) On Behalf Of Residents Of Libby, Mont.” (“Obama Presses Reid To Cut Special Deals From Health Bill,” Politico, 3/11/10)

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9 Responses to “Senate Dems Vote To Keep Sweetheart Deals”

  1. ObamaCare Passage IS Obama’s Waterloo « VotingFemale Says:

    […] 57 Dems Vote Against Keeping Premiums Affordable and Senate Dems Vote To Keep Sweetheart Deals and Facts of Congress and New Medical […]

  2. LisaInTX Says:

    Well done Belle.
    I wished we could go back to the time when congress FIRST start giving themselves special deals and strike each and everyone of them.
    Every bill should be a LINE vote—-look at the time they have wasted with this heathscare and in that time, I bet they could have gone thru each and every line to vote yeah or nea PLUS they would damn well KNOW what is in the monster!

    • AFVET Says:

      Well said Lisa, and the automatic raise they get every year during the Christmas season while they are home and no-one is there to vote it down.
      The American People never get an automatic raise. We have to work for it.

      These people are going to be introduced to the American People in 2010.

  3. ohiobelle Says:

    Hello Lisa!!

    I’ve been so busy posting today that my head is spinning. I still have about 5 more I want to get up!

  4. LisaInTX Says:

    Right on! I even heard that even a one term senator gets life time benefits? If this is true, what employer has EVER done that?? Egads, the corruption is immeasurable!

  5. LisaInTX Says:

    I noticed…..You are ONE BUSY PATRIOT today!!!
    Keep’em coming!!! lol

  6. ohiobelle Says:

    Lisa wrote: Belle
    I noticed…..You are ONE BUSY PATRIOT today!!!
    Keep’em coming!!! lol

    Lisa, I am so glad you noticed… lol This was the post that really pissed me off today. I started chewing Benicar by the 3rd or 4th post… lol

    I am just so sick and tired of Obama & Co running our country into the ground. It should mean something to everybody. This is still our country.

  7. LisaInTX Says:

    I feel ya. It is disheartening to the extreme. But we must maintain the goodness in our heart and not allow these hateful outrageous Constitution and America destroyers to turn us against each other. That is what they want IMO.
    Being aware of their tactics is wise and good, but we also must understand that these “People” are in both parties and need to be ferreted/called out as they are found out.
    Google the term Protectionism….it is what Lincoln did and brought about the Civil War. I personally hope the American people understand this part of history and do NOT repeat it.

  8. LisaInTX Says:

    BTW: I ADORE the photo for this post!!! hahahaaa…too cute

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