It’s certainly been a big news week for lady parts, as some of my lady colleagues at TNR have pointed out today. But while the conservative fear-mongering about “government rationing” is an obvious political ploy, some vital questions about how much women will have to pay for preventative care in the Democratic health-care bill have yet to be resolved.
Reid’s merged Senate bill left out part of an amendment that Barbara Mikulski had successfully introduced into the Senate HELP legislation, which requires insurance companies to include women’s preventative services as part of all minimum benefit packages, for little or no cost. Mikulski argued that women of child-bearing age end up paying an average of 68 percent more in out-of-pocket costs, partly due to reproductive health needs, and often ended up delaying or forgoing care (like mammograms) because of the expense. The provision—which was in neither the House nor Finance Committee legislation—was slated to be in Reid’s bill this week, but “CBO decided at the last minute there was a problem and it was removed until that is resolved,” Mikulski spokesperson Rachel MacKnight said in an email today.
The problem, according to sources familiar with the issue, was that the Mikulski’s amendment wasn’t specific enough in terms of how it would determine which services would be covered, simply saying that it would be it up to the discretion of HHS to set the guidelines for coverage. As such, the provision was so broad that CBO ended up having to give it a very high—i.e. expensive—score, and Reid ended up leaving the language out of the bill.