American College of Cardiology

 
 
Disability Bill Moves in House; Stalls in Senate
(JULY 1999) The House Commerce Committee approved a bill on May 19 that would enable individuals with disabilities to return to the workforce without losing critical benefits. The American College of Cardiology (ACC) has been closely monitoring this bill as it relates to uninsured adults with congenital heart disease. Specifically, the bill (H.R. 1180), sponsored by Reps. Rick Lazio (R-N.Y.) and Henry Waxman (D-Calif.), contains a demonstration project that would enable states to extend a Medicaid buy-in program to working "less severely" disabled individuals. Supporters in Congress hope this demonstration will provide new information on the cost effectiveness of early health care interventions in keeping people with disabilities from becoming too disabled to work. The ACC has been working with key committee staff to ensure that states could consider adults with congenital or childhood disease in the context of that demonstration.

The Senate Finance Committee approved a similar bill earlier this year; however, key senators have blocked its consideration on the Senate floor. Most recently, Sen. Phil Gramm, R-Texas, refused to support a unanimous consent agreement that would have brought the bill to the floor for easy passage. His reported disagreement is not with the intent of the bill but with its financing mechanism, which would call for a reduction in the foreign tax credit. Sen. Gramm has said such a "tax increase to pay for a new entitlement" would set a dangerous precedent. Nevertheless, the bill enjoys broad bipartisan support and is expected to move to the floor within the next few weeks.


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