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What it Means for Health Care Alliance for Health Reform September 12, 2011 Katherine Hayes The George Washington University School of Public Health and.

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Presentation on theme: "What it Means for Health Care Alliance for Health Reform September 12, 2011 Katherine Hayes The George Washington University School of Public Health and."— Presentation transcript:

1 What it Means for Health Care Alliance for Health Reform September 12, 2011 Katherine Hayes The George Washington University School of Public Health and Health Services Department of Health Policy

2 Budget Control Act of 2011: Overview Debt Ceiling Balanced Budget Amendment Vote Joint Select Committee on Deficit Reduction Enforcement Sequestration (of discretionary spending in a given FY) Sequestration of up to $1.2 billion if no deficit reduction enacted and revision of discretionary spending caps Education Provisions (not addressed today)

3 Debt Ceiling Increase: Three-steps $2.1 (or up to $2.4 trillion) $400 billion – Presidential certification (August 2, 2011) $500 billion – 50 calendar days after initial certification (September 21, 2011) $1.2 t0 $1.5 trillion $1.2 billion – $0 to 1.2 billion in deficit reduction enacted $ billion – Actual deficit reduction amount enacted $1.5 billion – Constitutional amendment on balanced budget passes

4 Balanced Budget Amendment Congress must vote on a balanced budget amendment to the Constitution September 30 – December 31, 2011 If both Houses approve, debt ceiling can be increased by $1.5 trillion Expedited procedures for 2 nd chamber consideration

5 Limits on Discretionary Spending 10 year adjustable statutory limits (appropriations caps) for FY FY 2012 and FY Equally split between Security (DoD, DHS, DVA, NNSA, intelligence, international affairs) Non-security (everything else) FY – no split between security and non- security Enforcement

6 Annual Enforcement of Discretionary Spending Caps 15 days after end of a Congressional session If appropriations within a category is exceed, sequestration is triggered in nonexempt accounts. President issues sequestration order within category breached (security v. non-security) in FY Congress can modify sequestration order (expedited procedure)

7 Joint Select Committee on Deficit Reduction Deficit reduction target of at least $1.5 trillion FY Expedited procedure for consideration of legislation (if any) reported by Super Committee If no deficit reduction legislation enacted by January 15, 2011, (minimum of $1.2 trillion) automatic spending reductions go into effect on January 2, 2013 (unless there is intervening legislation).

8 Super Committee Deadlines August 16, 2011 – Appointment of Members September 16, 2011 – Committee must begin meeting October 14, 2011 – House and Senate Committees may make recommendations November 23, 2011 – Committee must vote on proposed deficit reduction legislation and report December 2, 2011 – If adopted, transmit to President, VP and House and Senate leaders December 9, 2011 – Committees of jurisdiction report December 23, 2011 – Final passage January 15, 2012 – Sequestration fallback if no law enacted January 31, 2012 – Committee dissolved

9 Joint Select Committee on Deficit Reduction – House Members House Speaker Boehner (R-OH) Jeb Hensarling (R-TX) – Committee co-chair Dave Camp (R-MI) Fred Upton (R-MI) Minority Leader Pelosi Chris Van Hollen (D-MD) Jim Clyburn (D-SC) Xavier Becerra (D-CA)

10 Joint Select Committee on Deficit Reduction – Senate Members Senate Majority Leader Reid (D-NV) Patty Murray (D-WA) – Committee co-chair Max Baucus (D-MT) John Kerry (D-MA) Minority Leader McConnell (R-KY) Pat Toomey (R-PA) John Kyl (R-AZ) Rob Portman (R-OH)

11 Deficit Reduction Fallback If Super Committee bill is passed by January 15, 2012: Automatic spending reductions of amount full $1.2 billion or any shortfall Discretionary caps revised: equally split between security and non-security (note) Proportional division between discretionary and direct spending Certain direct spending exempt or limited (Social Security, Medicaid, and others, Medicare – 2%) Spending reductions beginning January 2, 2013


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