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FOIA Number:
2006-0885-F
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Health Care Task Force
Series/Staff Member:
Health Care Interns
Subseries:
OA/ID Number:
4712
FolderlD:
Folder Title:
Back-Ups Senate and House
Stack:
Row:
Section:
Shelf:
S
53
7
7
Position:
�STATUS
REQUEST BY
DATE
#1.
H:Education and
Labor
6/15
Provide language for the school
health related provisions in
Title VIII.
PHS Rejected
#2.
H:Education and
Labor
6/1 :JL
Benefit package reduction to
bring their premiums down to
"reality" starting with 5%, 7%,
and 10%.
JK
#3.
H:Education &
Labor/Owens
6/9:JL
Cost-sharing alternative to Ed.
& Labor Benefits Pkg.
JK
#4.
H:Education &
Labor
6/9:JL
Analysis of UAW low-wage
worker policy
—no firewalls
— i f in pools, then no subsidy
and no cap on employer
contribution
Larry
#5.
H:Gephart/
WiUiams
6/1 :JL
Gephart spreadsheet for
Williams pkg.
larry
#6.
H:Gephart/E&C
6/l:JL
1. Trigger options to univ.
coverage
2. Phase-in premium caps
3. Subsidies(how) at front-end
Len with policy group
Due by end of this
week.
#7.
H: Levin, Sandy
6/6: KP
Amount of small employer
subsidy money provided for in
the HSA, per year
KT/Iarry
#8.
H: Levin, Sandy
6/6: KP
The amount of GME and AHC
pool money that is generated
by the premium assessment and
how that amount compares to
the Medicare IME/GME
savings we propose in the HSA
KT/Larry
11:59am:
Jun 14,
ASSIGNMENTS
1994
DONE
In
progress
�6/6: KP
Justification of the 1%
assessment on large employers
(note, Sandy mentioned that
Jack and Larry mentioned to
him a statistic indicating the
percent or the assessment that
was attributable to the financial
advantage large employers gain
from self insuring; it is that
statistic he is seeking in the
justification)
KT/Larry
#10.
H:Levin, Sandy
6/6: KP
The value of the amount of
uncompensated care that is
currently reflected in private
premiums/provider rates (I
believe Ken said in a Hilley
meeting that it is $25 billion
per year?) and options for a
windfall-recoupment-type-tax
that Ways and Means might
consider in the context of their
markup. For example, in light
of the W&M approach to rate
regulation (ie, imposed
immediately on Medicare Part
C but not for several years in
the private sector), could the
committee reasonably impose a
windfall tax to try to recapture
the whole $25 billion? Or
would the Medicare Part C
regulation have the effect of
already recouping some of that
amount?
KT/Larry
#17.
H:Veterans
Affairs:Subcom. on
Hospitals & Health
Care
6/13
Post Hearing Q&As from
March 8, 1994, HVAC hearing
on Subcomm. on Hospitals and
Health Care
HHS
#19.
H:Ways and Means
6/16
L.T.C. benefit under the House
Ways and Means reform
proposal.
VA
#18.
H:Ways and Means
6/15
Impact of HSA on Hospitals
HHS
#11.
H:Ways and Means
6/14:
Urgent
Adminsistrative Issues with
MEDCO/Merck Proposal
Peter Hickman
m.
H: Levin, Sandy
11:59am:
J u n 14,
1994
�#12.
H:Ways and
Means:
Abemathy
6/1 :JL
ASAP: Chafee —
premium/subsidies winners and
losers, (needed for
amendments)
Linda/Len
#13.
H:Ways and
Means:
Abemathy for
Levin
6/1 :JL
Minor: Cost out new early
retiree provision: limit
contribution to 4% of payroll.
(JL has paper on this).
KT: waiting for Stark
premium to do this
estimate.
#14.
H:Ways and
Means/Ellen
Magrini
6/10:DD
Wanted an amendment for the
Chairman's Mark, Title X Quality Consumer Protection
which shows a gradual phase in
of the program's (about 10
years).
Amie
#15.
H:Ways and
Means:
Abemathy
6/1 :JL
National expenditure under
HSA with and w/o premium
caps; impact on employer and
household subsidies, (time
period— what ever is most
convenient)
KT
11:59am:
Jun 14,
1994
Assign.
�REQUEST BY
DATE
ASSIGNMENTS
STATUS
#1. ?
6/3:
LL
Evaluation of
potential risks i n
Kennedy mark f o r
premium cap
scoring.
L a r r y and Gary
#2.
S:Baucus/
Maureen
Testoni
5/24
1. How much
Ken
savings would be
acieved i f you
a p p l i e d a premium
target t o current
b a s e l i n e , b u t had
i t k i c k i n two,
three or four
years o u t .
2. What i f
targets only
applied t o States
whose h e a l t h care
spedning c o s t s
p l a c e d them i n t h e
upper q u a r t i l e o f
a l l states.
#3.
S:Bradley
6/3:
LL
Alternative t o
Premium Caps: Why
t a x on w i n d f a l l
p r o f i t s doesn't
work w e l l .
Larry: f i r s t
d r a f t being
requested o f
Treasury by
C h r i s and
Larry.
#4.
S:Bradley
6/3:
LL
Alternative t o
Premium Caps:
M o d e l l i n g (Ask
Chris)
Larry
#5.
S:Bradley
6/3:
LL
Alternative t o
Premium Caps:
Description of
high cost plan
surcharge.
Larry
10:25am:
Jun 13, 1994
�#6.
S:Finance/
Democratic
LAs.
6/10
:BT
They would l i k e t o
see t h e s t a t e
impact #'s f o r
these FMAP changes
& t o know what
these amendments
would do t o t h e
HSA.
Ken
#7.
S:Finance
6/13
Mental C o n d i t i o n s
/ Substance Abuse
B e n e f i t s / FEHB
Programs.
0PM /
Ralph P i e r c e
#8.
S:Finance
6/13
Senate Finance
Cost Share
Request: Options
f o r r e d u c i n g HSA
benefits.
Ken & J i m
Done
#25.
S:Finance
6/14
Lowering t h e
Threshold f o r
Corporate
Alliances.
Labor
OMB
#10.
S:Finance/
Jane
Horvath
6/14
FMAP r u n s . Run
o p t i o n s 2, 6,. 7,
8, 9 and 10.
Ken
#11.
S:Finance/
Kathy K i n g
6/10
Medicare Reduction
Proposals (HSA) K.
King requested
this info i n a
meeting on 6/6.
HCFA prepared i t
f o r clearance.
Ken
OMB
#12.
S:Finance/
Kathy K i n g
Sue
Philstrom
& Sen.
Durenberger
6/14
Two documents f o r
clearance
regarding
Durenberger's
Medicare Choice
Legislation
HCFA
Done
10:25am:
Jun 13,
1994
�#14.
S:Finance,
(Podaff,
David)
6/8:
CJ
Loosening on t h e
f o l l o w i n g two
f a c t o r s on t h e i r
20/10 - 2 - 1 model
(1) Costcontainment: CPI
+ 4, 3.5, 3, 2.5,
2 (assuming
enforceability.)
(2) [ a ] reduce
s u b s i d i e s : 3.9%
t o 5% o f income,
[ b ] f o r carve o u t :
cap from 4-6% t o
5-7% f o r
individuals with
incomes below
$30,000.
Gary; L a r r y ;
Ken; and Len.
#15.
S:Finance
6/3:
JK
P o s s i b l e 10% and
15% r e d u c t i o n s i n
b e n e f i t s package:
fee f o r s e r v i c e ,
HMOs and subsidy
impact.
JK
#16.
S:Finance/
Mitchell
6/6:
(8.3
0
Meet
ing
FEHBP T r i g g e r :
The c o s t o f
adverse s e l e c t i o n
from a l l o w i n g
experience r a t i n g
f o r f i r m s over 50
and 1000.
L a r r y and Gary
10:25am:
Jun 13, 1994
Done
�#17.
S:Finance:
Kathy K i n g
and C h a r l e s
Buck
6/3:
BT
What t h e community
r a t e would be i f
you c r e a t e d a
separate
purchasing pool
for the individual
market
(unemployed/self
employed) and
compared t h a t r a t e
to the rate f o r
each o f t h e
f o l l o w i n g groups:
1) 2 t o 100
2) 2 t o 500
3) 2 t o 1000
I n b o t h mandatory
and a v o l u n t a r y
market.
Ken?
Due: 6/6 COB
#18.
S:Finance/
Kathy K i n g
6/8
Request f o r
i n f o r m a t i o n on
Medicare P h y s i c i a n
Savings Proposals
i n HSA.
CJ/Ken
Done
#19.
S:Finance
6/9
Medicaid Match
Alternative:
( 1 ) L.T.C.
Ken
Done
#20.
S:Heflin
6/3:
JK
Presentation of
the b e n e f i t s
reductions that
have been
discussed w i t h
committees.
JK
Done
#21.
S:Labor:
David Nexon
6/3:
CJ
Rate shock as a
r e s u l t o f pure
community r a t i n g
Gary
Oral
ly
#22.
S:Labor/
David Nexon
6/9:
CJ
Revenue f o r t h e
committee mark.
Eric
Toder/Treasury
Done
6/10
10:25am:
Jun 13, 1994
�#23.
S:Mitchell
6/3:
JK
P o s s i b l e 10, 15,
and 20% r e d u c t i o n s
i n package beyond
5% r e d u c t i o n
already
considered.
B e n e f i t s w i l l be
phased-in over 5
year p e r i o d t o
reach 5% r e d u c t i o n
level.
I n process
of developing both
fee-for-service
and HMO r e d u c t i o n s
as w e l l as
a p p r o p r i a t e phasei n schedule.
Considering both
cost sharing
changes and
elimination of
b e n e f i t s . On t o p
o f a Breaux l i k e
trigger:
100+ - 1998 -- 85%
cov.
100-25 - 1999 -80% cov.
<24 -- 2000 -- 75%
cov.
On t o p o f Bradleyl i k e cost
containment
mechanism "assess
high costs plan
f o r c o s t s above
government
liability.
JK
#24.
S:Mitchell
6/8:
CJ
Gephart l i k e
alternative to
premium caps
during t r a n s i t i o n
t o hard t r i g g e r s .
Gary
10:25am:
Jun 13, 1994
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care Task Force Records
Creator
An entity primarily responsible for making the resource
White House Health Care Task Force
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="https://catalog.archives.gov/id/10443060" target="_blank">National Archives Catalog Description</a>
Description
An account of the resource
<p>This collection contains records on President Clinton’s efforts to overhaul the health care system in the United States. In 1993 he appointed First Lady Hillary Rodham Clinton to be the head of the Health Care Task Force (HCTF). She traveled across the country holding hearings, conferred with Senators and Representatives, and sought advice from sources outside the government in an attempt to repair the health care system in the United States. However, the administration’s health care plan, introduced to Congress as the Health Security Act, failed to pass in 1994.</p>
<p>Due to the vast amount of records from the Health Care Task Force the collection has been divided into segments. Segments will be made available as they are digitized.</p>
<p><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0885-F+Segment+1"><strong>Segment One</strong></a><br /> This collection consists of Ira Magaziner’s Health Care Task Force files including: correspondence, reports, news clippings, press releases, and publications. Ira Magaziner a Senior Advisor to President Clinton for Policy Development was heavily involved in health care reform. Magaziner assisted the Task Force by coordinating health care policy development through numerous working groups. Magaziner and the First Lady were the President’s primary advisors on health care. The Health Care Task Force eventually produced the administration’s health care plan, introduced to Congress as the Health Security Act. This bill failed to pass in 1994.<br /> Contains 1065 files from 109 boxes.</p>
<p><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0885-F+Segment+2"><strong>Segment Two</strong></a><br /> This segment consists of records describing the efforts of First Lady Hillary Rodham Clinton to get health care reform through Congress. This collection consists of correspondence, newspaper and magazine articles, memos, papers, and reports. A significant feature of the records are letters from constituents describing their feelings about health care reform and disastrous financial situations they found themselves in as the result of inadequate or inappropriate health insurance coverage. The collection also contains records created by Robert Boorstin, Roger Goldblatt, Steven Edelstein, Christine Heenan, Lynn Margherio, Simone Rueschemeyer, Meeghan Prunty, Marjorie Tarmey, and others.<br /> Contains 697 files from 47 boxes.</p>
<p><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0885-F+Segment+3"><strong>Segment Three</strong></a><br /> The majority of the records in this collection consist of reports, polls, and surveys concerning nearly all aspects of health care; many letters from the public, medical professionals and organizations, and legislators to the Task Force concerning its mission; as well as the telephone message logs of the Task Force.<br /> Contains 592 files from 44 boxes.</p>
<p><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0885-F+Segment+4"><strong>Segment Four</strong></a><br /> This collection consists of records describing the efforts of the Clinton Administration to pass the Health Security Act, which would have reformed the health care system of the United States. This collection contains memoranda, correspondence, handwritten notes, reports, charts, graphs, bills, drafts, booklets, pamphlets, lists, press releases, schedules, newspaper articles, and faxes. The collection contains lists of experts from the field of medicine willing to testify to the viability of the Health Security Act. Much of the remaining material duplicates records from the previous segments.<br /> Contains 590 files from 52 boxes.</p>
<p><strong><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0885-F+Segment+5">Segment Five</a></strong><br /> This collection of the Health Care Task Force records consists of materials from the files of Robert Boorstin, Alice Dunscomb, Richard Veloz and Walter Zelman. The files contain memoranda, correspondence, handwritten notes, reports, charts, graphs, bills, drafts, booklets, pamphlets, lists, press releases, schedules, statements, surveys, newspaper articles, and faxes. Much of the material in this segment duplicates records from the previous segments.<br /> Contains 435 files from 47 boxes.</p>
<p><strong><a href="http://clinton.presidentiallibraries.us/items/browse?advanced%5B0%5D%5Belement_id%5D=43&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=2006-0885-F+Segment+6">Segment Six</a></strong><br /> This collection consists of the files of the Health Care Task Force, focusing on material from Jack Lew and Lynn Margherio. Lew’s records reflect a preoccupation with figures, statistics, and calculations of all sorts. Graphs and charts abound on the effect reform of the health care system would have on the federal budget. Margherio, a Senior Policy Analyst on the Domestic Policy Council, has documents such as: memoranda, notes, summaries, and articles on individuals (largely doctors) deemed to be experts on the Health Security Act of 1993 qualified to travel across the country and speak to groups in glowing terms about the groundbreaking initiative put forward by President Clinton in his first year in the White House. <br /> Contains 804 files from 40 boxes.</p>
Publisher
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William J. Clinton Presidential Library & Museum
Identifier
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2006-0885-F
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
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Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Back-Ups Senate and House
Creator
An entity primarily responsible for making the resource
Task Force on National Health Care
White House Health Care Task Force
Health Care Interns
Identifier
An unambiguous reference to the resource within a given context
2006-0885-F Segment 2
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 15
<a href="http://clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0885-F-2.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/12093075" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
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Adobe Acrobat Document
Medium
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Preservation-Reproduction-Reference
Date Created
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2/6/2015
Source
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42-t-12093075-20060885F-Seg2-015-004-2015
12093075