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Copyright 2000 Newsday, Inc.  
Newsday (New York, NY)

July 1, 2000, Saturday NASSAU AND SUFFOLK EDITION

SECTION: NEWS; Page A04

LENGTH: 622 words

HEADLINE: CONGRESS AT IMPASSE ON HEALTH MATTERS

BYLINE: By Elaine S. Povich. WASHINGTON BUREAU 


BODY:
Washington-With medical care topping most lists of voter concerns, Congress hastily dealt with patient and doctor issues Friday before breaking for the Independence Day vacation. But the actions were more symbolic than substantive.

The Senate approved a bill aimed at protecting patients in managed care programs. The Republican amendment, approved 51 to 47, would give some managed care patients limited rights to sue their providers. Democrats said it was too weak and preferred a version that would let all 169 million patients who belong to managed care programs sue the providers for malpractice or denial of care. The vote was symbolic because the House and Senate already are trying to resolve differences between so-called "patients bill of rights" bills passed last year by both chambers. To date, the House-Senate conference has made no progress despite months of consultations.

Democrats hoped to prod the conferees with another vote, but Senate Majority Leader Trent Lott (R-Miss.) suggested it wouldn't be helpful. "We want patients bill of rights reform, but we want it done right," Lott said Friday, indicating he felt the Democrats' bill is not the "right" way. "How many times do we have to vote on this issue?"

Senate Minority Leader Thomas Daschle (D-S.D.) said Republicans were hoping to "get well" with the voters on this issue by their votes. "But they are not going to get well at all," he said, calling the Republican version of the bill "a sham."

On the House-passed bill to give doctors the right to collectively bargain with HMOs, which was approved in the early-morning hours Friday, Lott was equally pessimistic about the chances the Senate would deal with the issue this year.

"You know, I don't think we need more lawsuits in America. And I don't think we need more, you know, labor unions in America," Lott told reporters. "And I won't be trying to find a way to pass it, I'll tell you that." The measure, approved by the House 276-136, was backed by the American Medical Association but opposed by the managed care industry, which argues it would drive up medical costs. It was sponsored by Rep. Tom Campbell (R-Calif.), who is running for the Senate in California.

The apparent impasse on the health issues gives politicians plenty to talk about during the week-long Fourth of July recess next week, and if nothing is done by the end of the summer, there will be still more talk on the campaign trail this fall.

Another medical issue hung up between Congress and the White House is Medicare coverage of prescription drugs. While insisting that prescription drug coverage is important, Lott cautioned against the idea that it was on a " fast track." "We're trying to deal with it now, but there's a lot of doubt in my mind about whether there's a desire in a lot of camps in this city, Democrats in the House, and in the White House to get the issue done," he said.

Democrats want a broad plan to cover most Medicare recipients. Republicans and much of the prescription drug industry prefer a slimmer bill. The House approved a prescription drug bill last week, but the outlook in the Senate is uncertain.

In other areas, congressional action is equally uncertain. For example, a bill to overhaul bankruptcy laws is stuck in conference and under a veto threat from President Bill Clinton over several areas. Clinton has written that he will not accept the bill unless a provision, sponsored by Sen. Charles Schumer (D-N.Y.), is included that would prohibit those arrested protesting at abortion clinics from declaring bankruptcy to avoid paying fines. Republicans adamantly oppose that provision.





LOAD-DATE: July 1, 2000




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