The
Bush administration is planning to tie any prescription drug
benefit to an overall reform of the program.
Proposed
reforms Republicans have backed in the past include a proposal
made by Senate Majority Leader Bill Frist of Tennessee and Democrat
John Breaux of Louisiana in 2000 that would have established
a competitive system through which private health plans would
compete based on price and benefits for Medicare recipients,
with seniors who enroll in cheaper plans keeping some of the
savings.
In
2001, President Bush used the Federal Employees Health Benefits
Program as an example of how Medicare could work. Under that
program, the government negotiates premium and benefit packages
with private health plans and then contributes a set amount
of money for each person enrolled. Those covered by the plan
are then able to choose among a number of options, with those
who want more expensive plans paying more for their coverage.
In 2002, House Republicans passed a $320 billion plan to offer
prescription drug coverage to seniors through subsidies to private
insurance companies. The Democratic-led Senate rejected that
plan.
The
Bush administration and Congress have tentatively agreed to
halt a 4.4 percent cut in the fees doctors are paid for treating
Medicare patients that is scheduled for March 1, 2003. Doctors,
whose fees were decreased 5.4 percent in 2002, should now be
able to avoid another cut. Payments to nursing homes, home care
agencies and hospitals may not receive the same protection from
the White House and Congress.