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The Biden administration believes the resulting legislation will still be transformative, but it is far less than what the president originally proposed.
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When Medicare began in 1965, its backers expected benefits to expand over time, but politics have mostly stymied that. Congressional Democrats are trying again as part of a $3.5 trillion budget plan.
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Chiquita Brooks-LaSure, the new head of the Centers for Medicare & Medicaid Services, says she'll focus her time in charge on getting more Americans insured.
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The huge spending bill Congress passed last month included aid to rural hospitals, training for new doctors, new rules regarding mental health coverage and requirements for billing transparency.
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The rule would require health officials to review about 2,400 regulations on everything from Medicare benefits to prescription drugs approvals. Those not analyzed within two years would become void.
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Rep. Ro Khanna, D-Calif., sees room for the party to find common ground. And he says progressive Democrats plan to push for "Medicare for All" and a bold climate change plan.
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Hospitals, a powerful political force in health care, fear lowering the eligibility age for Medicare will cost them billions of dollars because federal reimbursements are less than private insurance.
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The Trump administration has been marked by a scaled-back federal investment and involvement in U.S. health care. Biden's team has plans to change that — even if Republicans retain Senate control.
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Tuesday's lineup featured Jill Biden, who gave personal and hopeful remarks. Other speakers Tuesday touted health care, and a remote roll call vote featured diverse voices.
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With millions of people out of work because of the coronavirus pandemic, fewer payroll taxes are coming in to help keep Medicare's trust fund intact.