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Congress Returns To Tackle Health Care Reform

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Congress Returns To Tackle Health Care Reform

President Obama To Address Joint Session Of Congress On Health Care Wednesday

View Bill H.R. 3200: America's Affordable Health Choices Act Of 2009

WASHINGTON (CBS News) ― President Obama and Congress are both back from vacation, and this morning everyone will hit the ground running.

It's no exaggeration, reports CBS News senior White House correspondent Bill Plante, to say that President Obama's political future is riding on the appeal he will make for healthcare reform tomorrow. CBS' Bob Schieffer said yesterday that "this may well be the biggest week of the Obama administration so far." If Mr. Obama fails to get a health care reform package, Schieffer said, "he'll be in trouble from here on."

But first, the talk he'll give today to schoolchildren as they head back to school raised some alarms - conservative critics charged that the president was trying to "indoctrinate" a captive audience of kids to his political agenda. But the White House published the speech on its Web site yesterday, showing his remarks were about inspiring children to stay in school and excel in class - while removing a reference in a study guide asking students how they could "help" the president.

"It seems like, you know, pretty much anyone except some real crazy wouldn't support this," said parent Peter Levy.


First Assignment: Health Care Reform

But it is Mr. Obama's speech on health care reform before a joint session of Congress tomorrow that is really crucial - and the President previewed his arguments to union members at a Labor Day rally in Cincinnati.

"It's time to do what's right for America's working families, to put aside partisanship, to come together as a nation, to pass health insurance reform now," he said.

The nation currently spends $2.5 trillion on health care, but an estimated 46 million Americans have no health insurance.

The president reiterated his support for government-run public insurance program - even though White House officials have made it clear that he's willing to sign a bill without it.

Some analysts believe Wednesday's speech will be President Obama's last chance to regain control of the debate.


"It's important for the president to remind people what's in this reform for them, and also to be a little bit more specific," said CBS News political analyst John Dickerson.

The address to Congress will be the topic of discussion today at the White House when the president meets with House Speaker Nancy Pelosi, D-Calif., and Senate Majority Leader Harry Reid, D-Nev.

Saying Americans voice have been heard, Sen. Bob Corker, R-Tenn., said on "The Early Show" today he does not believe a public option will be part of a final health care reform package. "While I think certainly the president will mention that in a speech Wednesday night, I do not think it's going to be a part of a plan that passes unless it's done through reconciliation, which to me is not the route to go."

Sen. Amy Klobuchar, D-Minn., said that there is a consensus among the public: "People want to get more affordable health care. They want to have stability, so if their kid gets sick, they don't lose their health care."

Klobuchar told "Early Show" anchor Harry Smith, "You're starting to see some people talking about coming together here. I think that there are many things we can do. First of all, we need to put strong regulations on insurance companies so they can't punish people just because their family member gets sick. You have to be able to take your insurance with you when you go someplace, if you change jobs or you lose your job." She also said that because small businesses pay 20% more than large corporations for health care, a public option would allow them to buy into a pool like the federal employee health care plan.

"People like Amy I know want to work to solve this problem," Corker said, "but my hope is what we'll do is move away from those things that separate us, let's take an incremental step, let's do no harm, let's do something that will stand the test of time, increase competition, create more access, and let's move away from those things that have been the issues that have separated our country and caused so many people around our country to be concerned about their own health situation."

Klobuchar said President Obama's speech is "incredibly important. This is his moment put some meat on the bones with these proposals. I think Americans have learned so much in the last month, so they are ready to hear from him."

Despite all of the heated exchanges of the summer, Klobuchar said, "people are ready to listen and to learn and I think it's very important [Obama] focus on the affordability issue, the cost, how we can make this system work. The Mayo Clinic in Minnesota, if the hospitals in the country use the same protocol they used for chronic diseases, we'd save $50 billion - $50 billion in taxpayer money every five years. That's just one example."

[Klobuchar was referencing a December 2008 white paper by the Dartmouth Institute for Health Policy & Clinical Practice which said adopting the Mayo Clinic's organized practices strategy would save 30 percent of the nation's health care costs for acute and chronic illnesses.]

At stake in the current debate, beyond the future of health care, is an accomplishment that Democrats need, to convince voters they deserve to remain in power.

But lawmakers will also be working on other pressing issues, including energy policy and new rules for the financial industry.

More on the To-Do List

Democrats can point to major accomplishments in the first eight months of this year, including the $787 billion stimulus package; a law to curb smoking, particularly among teens; expanding subsidized child health care; measures to protect women workers; and the "cash for clunkers" program.

Reid is presenting an aggressive agenda upon Congress' return: "Delivering on health insurance reform and clean energy, providing jobs by improving our infrastructure, and reining in the behavior on Wall Street that contributed to the economic downturn."

Financial legislation is also on the table. The House Financial Services Committee is expected to consider a bill this month on Mr. Obama's proposals to protect consumers from financial industry excesses. The Senate is likely to follow later in the year.

The death of Sen. Edward Kennedy, D-Mass., has added a twist. Sen. Christopher Dodd, D-Conn., now chairman of the banking committee, could become chairman of the Health, Education, Labor and Pensions Committee, formerly headed by Kennedy.

That would give Dodd a chance at a high-profile victory as he heads into a tough 2010 re-election campaign. It could also result in leadership of the banking committee - and the financial overhaul effort - going to Sen. Tim Johnson, a moderate Democrat from South Dakota, a center for the credit card industry.

President Obama wants to create a government agency to protect consumers from abuses in such areas as credit cards and mortgages. Johnson voted against credit card protection legislation pushed through by Dodd earlier this year, saying it could limit access to credit and jeopardize thousands of jobs in his home state.

And then there's the issue of clean energy. The House in June narrowly passed a bill based on a "cap-and-trade" system in which companies would get pollution allowances that they could sell if they went below emissions limits, or buy if they could not meet the requirements.

But prospects are uncertain in the Senate, where Republicans and coal-state Democrats oppose it. The leading Senate proponents, Democrats Barbara Boxer of California and John Kerry of Massachusetts, plan to delay introducing their bill until late September. They cited Kennedy's death, Kerry's August hip surgery and the Finance Committee's focus on health care.

Meanwhile, the Senate will spend much of its floor time on annual spending bills that are supposed to be passed before Oct. 1, the start of the new fiscal year. The House has passed all 12 bills that provide the $1.2 trillion to operate federal agencies in the coming year - that's the "discretionary" part of the $3.6 trillion federal budget.

But the Senate has acted on only four, and the House and Senate have yet to reach common ground on any. That means Congress, as has become the custom in recent years, will have to approve a resolution to keep the government running after this budget year ends Sept. 30.

Other chores for Congress include:

Raising the current debt limit of $12.1 trillion, which the Treasury Department says is close to being exceeded.

Looking at the estate tax. Under a 2001 tax cut law, the current tax rate of 45 percent for assets above $3.5 million will expire in 2010 if Congress doesn't act. In 2011, the old exclusion of $1 million returns, and the top rate for holdings above that amount would jump back to 55 percent, where it was in 2001.

Legislation boosting Pell Grants for low-income college students.

Congress could also turn to food safety, swine flu, or troop strength in Afghanistan.

Other Democratic priorities, such as legislation making it easier for unions to organize and an overhaul of immigration laws, will probably have to wait until next year.

(© 2010 CBS Broadcasting Inc. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed. The Associated Press contributed to this report.)

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