Baucus Warns Of 'Huge Train Wreck' Enacting ObamaCare Provisions

Sen. Max Baucus (D-Mont.) said Wednesday he fears a "train wreck" as the Obama administration implements its signature healthcare law.

Baucus, the chairman of the chamber's powerful Finance Committee and a key architect of the healthcare reform law, said he fears people do not understand how the law will work.

"I just see a huge train wreck coming down," he told Health and Human Services Secretary Kathleen Sebelius at a Wednesday hearing. "You and I have discussed this many times, and I don't see any results yet."

Baucus pressed Sebelius for details about how the Health Department will explain the law and raise awareness of its provisions, which are supposed to take effect in just a matter of months.

"I'm very concerned that not enough is being done so far — very concerned," Baucus said.

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He pressed Sebelius to explain how her department will overcome entrenched misunderstandings about what the healthcare law does. 

"Small businesses have no idea what to do, what to expect," Baucus said.

Citing anecdotal evidence from small businesses in his home state, Baucus asked Sebelius for specifics about how it is measuring public understanding of the law.

"You need data. Do you have any data? You've never given me data. You only give me concepts, frankly," he said.

Sebelius said in response that the administration is not independently monitoring public awareness of specific provisions but will be embarking on an education campaign beginning this summer.

Baucus is facing a competitive reelection fight next year, and Republicans are sure to attack him over his role as the primary author of the healthcare law. 

A messy rollout of the law's major provisions, months before Baucus faces voters, could feed into the GOP's criticism.

Wednesday's hearing wasn't the first time Democrats, including Baucus, have raised concerns about the implementation. But while other lawmakers have toned down their public comments as they've gotten answers from the Health secretary, Baucus said Sebelius has not addressed his fears.

"I'm going to keep on this until I feel a lot better about it," Baucus told Sebelius.

A recent Kaiser Family Foundation poll found deep and persistent misconceptions about the healthcare law. Public awareness was highest for the most politically unpopular provisions, and many people wrongly believed the law contains provisions like a "death panel" to make decisions about end-of-life care.

Enrollment in the healthcare law's insurance exchanges is slated to begin in October, for coverage that begins in January. Baucus, though, said he's worried exchanges won't be ready in time.

"For the marketplaces to work, people need to know about them," he said. "People need to know their options and how to enroll."

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Bloomberg Warns: ‘Price To Pay’ For Lawmakers Who Ignore Popular Opinion And Oppose Background Checks

New York City Mayor Michael Bloomberg appeared on Meet the Press on Sunday and warned lawmakers in Washington that there would be a political price to pay if they vote against popular gun regulation proposals like universal background checks and a new assault weapons ban:

GREGORY: You made it very clear this week you’re paying attention to the vote in the Senate, in Congress, and you’re taking names. Will you target people, Republicans and Democrats, who do not support a weapons ban, an assault weapons ban, who do not vote for background checks — will you spend money, lots of money, to target them in 2014, in a midterm race?

BLOOMBERG: Well let me phrase it this way. I think I have a responsibility, and I think you and all of your viewers have responsibilities, to try and make this country safer for our families and for each other. And if I can do that by spending some money and taking the NRA from being the only voice to being one of the voices, so the public can really understand the issues, then I think my money would be well spent and I think I have an obligation to do that…If 90 percent of the public wants something and their representatives vote against that, common sense says they are going to have a price to pay for that.

Yesterday, the New York Times reported that Bloomberg has plans to spend $12 million to finance ads from his pro-gun regulation group Mayors Against Illegal Guns in 13 key states whose senators are thought to be on the fence over new legislation on an assault weapons ban and universal background checks.

The ads will begin airing this week, Bloomberg told Gregory, and will crescendo over the Easter break when most legislators host events back in their home districts.

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American Action Forum Survey Of Insurance Companies Warns Of 2014 Premium Sticker Shock

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WASHIGNTON – A new survey of major health care insurers, representing the vast majority of covered individuals in the U.S., conducted by the American Action Forum (AAF) answers the question: what impact will the Affordable Care Act (ACA) have on premiums in 2014? This survey aimed to illustrate real cases in a variety of regulatory environments, representing the spectrum of rate changes cross any given geographic area, rather merely average changes across demographics.

The findings highlight the sticker shock in health care premiums that awaits the relatively young and healthy in both the small group and individual markets as the ACA is fully implemented. The survey finds cost of premiums for this group will increase by an average of 169 percent. Conversely, the survey found that the premiums of older and sicker individuals in these markets will be relatively subsidized by the ACA, with that group seeing an average decrease in premium costs of just under 25 percent.

Summary Table: Average Premium Impacts for Individual and Small Group in 2014

Younger and Healthier Individuals and Small Employers

Older and Less Healthy Individuals and Small Employers

Note: Changes due to insurance market reforms alone and do not include annual medical trend increases.  It also does not include the fact that some individuals and small employers experiencing these changes will be eligible for taxpayer subsidies through insurance exchanges.

Read the complete results and survey methodology here.

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