| 00:01:02 |
Harkin, Thomas "Tom" - U.S. Senator, [D] Iowa
INSURANCE PREMIUMS EMPOWERING STATES. IN THE DECADE BEFORE THE AFFORDABLE CARE ACT WAS PASSED, RELENTLESSLY INCREASING HEALTH INSURANCE PREMIUMS...
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| 00:07:31 |
Enzi, Michael "Mike" B. - U.S. Senator, [R] Wyoming
TO THE PASSAGE OF THE HEALTH CARE LAW. AS MANY OF MY COLLEAGUES AND I PREDICTED THE NEW HEALTH LAW IS ALREADY DRIVING UP HEALTH INSURANCE PREMIUMS....
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| 00:10:51 |
Harkin, Thomas "Tom" - U.S. Senator, [D] Iowa
CALIFORNIA, CHAIR OF THE INTELLIGENCE COMMITTEE WHO DOES SUCH A SUPERB JOB THERE KEEPING US ADVISED AS TO TERRORIST THREATS. WE THANK YOU VERY MUCH...
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| 00:11:55 |
Feinstein, Dianne - U.S. Senator, [D] California
OF YEARS NOW HAVE BEEN CONCERNED ABOUT AFFORDABILITY OF HEALTH INSURANCE. OF COURSE AS YOU LOOK AT HEALTH INSURANCE AROUND THE WORLD THAT NO COUNTRY...
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| 00:25:59 |
Harkin, Thomas "Tom" - U.S. Senator, [D] Iowa
ELSE? TWO COMPANIES HAVE OVER 80% OF ALL OF THE MARKET IN IOWA. AND IN SOME PLACES IN IOWA ONLY ONE COMPANY, UNITED HEALTH CARE. THERE ARE NO OTHER...
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| 00:26:34 |
Enzi, Michael "Mike" B. - U.S. Senator, [R] Wyoming
THOSE GROUPS WE WOULD HAVE ENCOURAGED -- WE WOULD HAVE HAD SOME PEOPLE THAT WOULD HAVE BEEN ON A PAR WITH THE INSURANCE COMPANIES WERE DOING ANY OF...
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| 00:26:54 |
Feinstein, Dianne - U.S. Senator, [D] California
SWITZERLAND. AND HE FOUND THE CARE PRETTY GOOD THERE. HE FOUND -- SO -- >> IN SWITZERLAND I READ THE BOOK -- IN SWITZERLAND HE INTERVIEWED -- THEY...
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| 00:27:14 |
Franken, Al - U.S. Senator, [D] Minnesota
TO REGULATE THE INSURANCE COMPANIES. AND THE CONSERVATIVES FOUGHT IT BUT NOW THEY'RE VERY HAPPY WITH IT AND THEY INTERVIEWED A CONSERVATIVE AND SAID...
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| 00:28:18 |
Harkin, Thomas "Tom" - U.S. Senator, [D] Iowa
PANEL. STEVE LARSON -- WE HAVE TWO PANELS, RIGHT? JUST STEVE LARSON ON THE FIRST PANEL. MR. LARSON'S DIRECTOR OF THE CENTER FOR CONSUMERS INFORMATION...
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| 00:29:13 |
Larsen, Steve - Deputy Director
RANKING MEMBER ENZI AND MEMBERS OF THE COMMITTEE. THANK YOU FOR DISCUSSING THE POSSIBLE IMPACT OF THE AFFORDABLE CARE ACT ON THE AFFORDABILITY OF...
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| 00:35:30 |
Harkin, Thomas "Tom" - U.S. Senator, [D] Iowa
FIVE-MINUTE QUESTIONS. MR. LARSON I MENTIONED IN MY OPENING STATEMENT SEVERAL INSURANCE COMPANIES HAVE REPORTED THEIR SECOND QUARTER EARNINGS. ALL INDICATION...
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| 00:40:33 |
Enzi, Michael "Mike" B. - U.S. Senator, [R] Wyoming
THE AVERAGE PREMIUMS WOULD BE 7% TO 10% LOWER BECAUSE OF HEALTHIER PEOPLE GETTING COVERAGE. I COME UP WITH 13% INCREASE. SO WOULD YOU AGREE THAT CBO...
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| 00:41:28 |
Larsen, Steve - Deputy Director
MARKETS. SO WITH RESPECT TO THE SMALL GROUP MARKET, THERE WERE FACTORS THAT COULD LEAD TO INCREASES AND FACTORS THAT THEY THOUGHT WOULD LEAD TO DECREASES....
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| 00:46:15 |
Franken, Al - U.S. Senator, [D] Minnesota
COSTS IN OUR COUNTRY ARE UNSUSTAINABLE FOR THE FEDERAL GOVERNMENT, FOR STATES AND FOR CONSUMERS. DURING THE HEALTH REFORM DEBATE I LOOKED TO MINNESOTA...
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| 00:47:53 |
Larsen, Steve - Deputy Director
OF REVIEWING REQUESTS FROM THE STATES TO ADJUST THE MLR STANDARD BETWEEN NOW AND 2014, THERE IS A PROCESS -- YOU KNOW, SOME STATES ARE STARTING AT 50...
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| 00:52:59 |
Murkowski, Lisa - U.S. Senator, [R] Alaska
VERY, VERY HARSH WAY. WE CURRENTLY HAVE NO CHILD ONLY POLICIES SINCE THE AFFORDABLE CARE ACT WENT INTO EFFECT. IT'S NOT ONLY BEEN HARMFUL TO MY STATE,...
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| 00:55:33 |
Larsen, Steve - Deputy Director
WE'VE GIVEN THEM A NUMBER OF TOOLS THAT THEY CAN USE TO MANAGE THE RISK. THEY CAN CHARGE HIGHER RATES, THEY CAN HAVE THEIR OWN OPEN ENROLLMENT PERIODS....
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| 00:59:27 |
Blumenthal, Richard - U.S. Senator, [D] Connecticut
AS ATTORNEY GENERAL IN CONNECTICUT HAVING ACTUALLY PARTICIPATED IN A NUMBER OF HEARINGS ON RATE REVIEW ISSUES, HEARINGS THAT WERE NOT REQUIRED UNDER...
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| 01:00:54 |
Larsen, Steve - Deputy Director
YOU'VE GOT STATES THAT HAD USER FILE WHERE RATES COULD GO INTO EFFECT WITHOUT ANY REVIEW, AND THEN YOU'VE GOT A REVIEW PROCESS WITH PUBLIC EXPOSURE...
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| 01:05:18 |
Hatch, Orrin - U.S. Senator, [R] Utah
REDUCE PREMIUMS FOR FAMILIES, CHILDREN AND BUSINESSES. THE EXPENDITURE REPORT SHOWS AS A RESULT OF THE HEALTH LAW, PREMIUMS WILL INCREASE BY 9.4%...
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| 01:06:38 |
Larsen, Steve - Deputy Director
LAST YEAR WAS AT THE LOWEST THAT IT HAD BEEN IN MANY, MANY YEARS. IN FACT, THE RATE WAS MODERATING. AND I THINK THAT'S A SIGNIFICANT POINT. I APOLOGIZE,...
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| 01:12:05 |
Hagan, Kay R - U.S. Senator, [D] North Carolina
A REGULAR BASIS ABOUT HOW FRUSTRATED AND CONCERNED THEY ARE THAT THEIR INSURANCE PREMIUMS OBVIOUSLY CONTINUE TO RISE. IN YOUR EXPERIENCE, CAN YOU TELL...
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| 01:12:27 |
Larsen, Steve - Deputy Director
REASONS. THE INSURANCE COMPANIES WOULD SAY THEY'RE SIMPLY PASSING ALONG HEALTH CARE AND THAT'S WHAT IT COSTS, AND HOW MANY OF THESE SERVICES THEY'RE...
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| 01:15:37 |
Harkin, Thomas "Tom" - U.S. Senator, [D] Iowa
SOME AREAS OF MY STATE, ONLY ONE CARRIER. THIS IS A MONOPOLY PRACTICE AND WHY ARE THE RATES GOING UP? BECAUSE THEY CAN. I USE THAT CHART THERE TO SHOW...
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| 01:17:10 |
Murkowski, Lisa - U.S. Senator, [R] Alaska
WELL. AND THAT THEY MIGHT BE TAKING THEM OVER -- HHS IS TAKING THEM OVER IN SEPTEMBER IF THEY DON'T GET IT FIXED. YOU ALSO MENTIONED THE FACT THAT...
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| 01:18:35 |
Larsen, Steve - Deputy Director
WE'RE CAUGHT IN THE SWOOSHES OF THE DATE AND THE DATE YOUR LAW GOES INTO EFFECT. I CAN CERTAINLY GO BACK AND TALK TO MY STAFF. WE WANTED TO MAKE SURE...
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| 01:21:24 |
Merkley, Jeffery "Jeff" - U.S. Senator, [D] Oregon
SHE JOINED THE DIVISION IN 2008, BRINGING A BACKGROUND OF LEGISLATIVE AND POLICY ISSUES, PREVIOUSLY HAVING WORKED AS CITY DIRECTOR TO TED GULINOWSK. ...
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| 01:22:29 |
Harkin, Thomas "Tom" - U.S. Senator, [D] Iowa
WELCOME AND PLEASE PROCEED. >> THANK YOU. MR. CHAIRMAN, RANKING MEMBERS AND MEMBERS OF THE COMMITTEE. I AM PLEASED TO BE HERE
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| 01:22:37 |
Dicken, John - Director
TODAY TO DISCUSS THE STATE OVERSIGHT OF HEALTH INSURANCE PREMIUMS. AS THE COST OF HEALTH INSURANCE COVERAGE CONTINUES TO RISE, POLICYMAKERS HAVE...
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| 01:27:36 |
Harkin, Thomas "Tom" - U.S. Senator, [D] Iowa
MORNING. CHAIRMAN HARKEN, RANKING MEMBERS AND DISTINGUISHING MEMBERS OF THE COMMITTEE. FOR THE RECORD, MY NAME IS TERESA MILLER AND I'M THE ADMINISTRATOR...
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| 01:27:48 |
Miller, Teresa - Administrator
AND BUSINESS SERVICES. I'M HONORED TO BE HERE TODAY AND ANXIOUS TO TALK ABOUT HOW FEDERAL GRANTS ARE IMPROVING OUR RATE REVIEW PROCESS IN OREGON. ...
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| 01:33:24 |
Harkin, Thomas "Tom" - U.S. Senator, [D] Iowa
CHAIRMAN HARKEN, RANKING MEMBER, THANK YOU FOR INVITING ME TODAY TO TESTIFY ON HEALTH CARE, THE EFFORTS TO EMPOWER THE STATES.
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| 01:33:33 |
Withrow, Daniel - President
MY NAME IS DAN WITHROW. I'M THE PRESIDENT OF CSS DISTRIBUTION GROUP HEADQUARTERED IN KENTUCKY. BEHIND ME OPPOSITES MY BEAUTIFUL DAUGHTER, HOLLY GRACE...
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| 01:37:47 |
Harkin, Thomas "Tom" - U.S. Senator, [D] Iowa
A SERIES OF FIVE MINUTES OF QUESTIONS. I WAS REVIEWING YOUR TESTIMONY LAST NIGHT, AND YOU'RE TALKING ABOUT WHAT YOU DID. YOU USED $100,000 TO MAKE...
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| 01:39:32 |
Miller, Teresa - Administrator
TALK TO THE INSURERS IN OREGON, ONE OF THE THINGS I HEARD FOR YEARS WAS THAT THEY HAVE A DIFFICULT TIME NEGOTIATING WITH PROVIDERS, PARTICULARLY HOSPITALS,...
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| 01:43:05 |
Withrow, Daniel - President
I CAN'T REALLY COMMENT ON WHAT THE EXCHANGES WILL DO FOR ME. I'VE DONE MY BEST TO TRY TO RESEARCH THAT, AND EVEN WORKING THROUGH THE CHAMBER OF COMMERCE,...
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| 01:43:27 |
Harkin, Thomas "Tom" - U.S. Senator, [D] Iowa
THE LAW BASICALLY SETS OUT HOW THOSE EXCHANGES ARE TO OPERATE. AGAIN, I DON'T KNOW KENTUCKY. I CAN ONLY TELL YOU IN OUR STATE WHERE WE HAVE TWO INSURANCE...
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| 01:45:00 |
Enzi, Michael "Mike" B. - U.S. Senator, [R] Wyoming
MR. DICKEN, I WANT TO THANK YOU FOR THE WORK THAT GAO DOES. IT'S A TREMENDOUS HELP AND I APPRECIATE THE REPORTS THAT COME OUT. IN LOOKING AT THE STATE'S...
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| 01:45:56 |
Dicken, John - Director
THE MARKET SHARES OF CARRIERS IN THE SMALL GROUP MARKET, AND MANY STATES ONLY HAVE ONE CARRIER THAT MAY REPRESENT HALF OF THE MARKET OR MORE. MANY STATES,...
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| 01:47:01 |
Miller, Teresa - Administrator
ACTUARIES ON STAFF TO DO STUDIES. WE HIRED AN ACTUARIAL FIRM TO DO THAT STUDY, WHICH IS REALLY SEPARATE FROM OUR STUDY PROCESS, JUST TO BE CLEAR. WE...
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| 01:47:25 |
Enzi, Michael "Mike" B. - U.S. Senator, [R] Wyoming
ARE SELLING A PRODUCT FOR LESS THAN WHAT THE PEOPLE PAY, THAT WOULDN'T BE A SUSTAINABLE BUSINESS MODEL. SO IF THEIR COSTS ARE HIGHER THAN THE ACTUALAL...
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| 01:49:38 |
Withrow, Daniel - President
THE LAST 30 DAYS THAT THE ONLY WAY WE CAN STEM THE INCREASING COST IS BY RACING THE DEDUCTIBLE. IF WE HAVE A CAP OF $2,000 AND $4,000, OUR MONTHLY...
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| 01:50:20 |
Franken, Al - U.S. Senator, [D] Minnesota
SHE IS VERY, HAVE HE HARD AT WORK IN SETTING UP THAT EXCHANGE. THE FACT THE FINAL RULES AREN'T IN HASN'T SLOWED THAT DOWN. >> IS THE INFORMATION OUT...
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| 01:51:20 |
Withrow, Daniel - President
OLD. THE INSURANCE COMPANIES HAVING TO COVER FOR ANYONE WHO DOES NOT GET INSURANCE BECAUSE OF A PRE-EXISTING CONDITION IF WE ADD COSTS TO THE SYSTEM,...
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| 01:54:20 |
Miller, Teresa - Administrator
LOSS RATIO WILL MAKE A BIG DIFFERENCE IN OREGON. I AM NOT AS FAMILIAR WITH WHAT'S HAPPENING IN OTHER STATES. IT CERTAINLY COULD HAVE AN IMPACT IN...
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| 01:54:36 |
Franken, Al - U.S. Senator, [D] Minnesota
90% MEDICAL LOSS RATIO, BECAUSE OREGON AND MINNESOTA ARE HIGH VALUE STATES. ONE THING THAT I BELIEVE THAT IS GOING TO BRING DOWN THE BEND IN THE COST...
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| 01:57:20 |
Merkley, Jeffery "Jeff" - U.S. Senator, [D] Oregon
WAS IN 2007 THAT THE HEALTH INSURANCE FILING PROCESS WAS PUBLIC. IN 2009, THEY, PANDED BY CREATING MORE PROTOCOLS FOR THE INTERACTION OF THE PUBLIC. IT...
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| 01:58:00 |
Miller, Teresa - Administrator
BY LAW TO DA THAT. >> IF I RECALL RIGHT, YOU WERE A LITTLE SKEPTICAL ABOUT HOW IT WOULD UNFOLD. HOW DID IT UNFOLD? WAS IT VALUABLE? >> SENATOR, I HAVE...
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| 02:03:19 |
Franken, Al - U.S. Senator, [D] Minnesota
THAT'S A GREAT THING. I HAVE BEEN ON A USO TOUR WHERE THEY PALLETIZE EVERYTHING ON THE BACK OF THAT PLANE AND I LOVE PALLETS. IT IS A GOOD BUSINESS....
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| 02:03:53 |
Withrow, Daniel - President
NEVER FORGET IT AGAIN. THE AREAS THAT I MENTIONED THE ADDITIONAL COST IS WHAT'S CONCERNING ME BUT ALSO THE PREVENTATIVE PREVENTATIVE COSTS AND THE ADDITION...
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| 02:04:45 |
Franken, Al - U.S. Senator, [D] Minnesota
PREVENTATIVE KICKS IN UNTIL 2014. I THINK WHEN YOU ATTRIBUTE THE -- I DON'T KNOW WHAT'S GOING ON IN KENTUCKY. WHEN YOU ATTRIBUTE THE COST GOING UP...
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| 02:06:11 |
Harkin, Thomas "Tom" - U.S. Senator, [D] Iowa
SUBMISSIONS, FOR QUESTIONS AND SENATOR MERKLEY? >> CAN I INSERT ONE LAST QUESTION. I WANTED TO FOLLOW UP ON YOUR LACTATION POINT, MR. WITHROW? I WAS...
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| 02:06:27 |
Merkley, Jeffery "Jeff" - U.S. Senator, [D] Oregon
SPACE AT WORK AND THE FLEXIBILITY AND THE SPACE FOR WOMEN TO EXPRESS MILK. IT WAS BASICALLY NO COST, IN FACT, ACTUALLY, IT TURNED OUT FROM THE EXPERIMENT...
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| 02:07:10 |
Withrow, Daniel - President
RENTALS. HAVING HAD FOUR KIDS, I CERTAINLY KNOW THE COST WE HAD TO PAY TO BUY OR RENT BREAST PUMPS AND ALSO BIRTH CONTROL. THOSE COSTS ARE WHAT CONCERN...
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| 02:08:35 |
Harkin, Thomas "Tom" - U.S. Senator, [D] Iowa
BEING THE BASIC AUTHOR OF THE PREVENTION SECTION OF THE HEALTH CARE BILL, I WILL SAY AGAIN THAT WE KEEP PAYING AND PAYING AND PAYING AND PAYING, TO...
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| 02:12:20 |
Merkley, Jeffery "Jeff" - U.S. Senator, [D] Oregon
ASSUME A NUMBER OF COMPANIES WOULD TAKE ADVANTAGE OF THAT. WHAT TRANSPIRED WAS THAT NOT A SINGLE OREGON COMPANY HAVE ASKED FOR THAT EXEMPTION. SOME...
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NOTE: The transcript for this program was compiled from uncorrected Closed Captioning.