The Deficit Reduction Act of 2005 [1] is a United States Act of Congress concerning the federal budget that became law in 2006.
The Senate's version passed after a tie-breaking vote was cast by Vice President Dick Cheney. The bill passed the chamber with all Democrats and five Republicans voting against the bill. [2] The House version passed by a vote of 217-215, with all Democrats, fourteen Republicans, and one Independent voting against. [3] The Senate bill was signed by President George W. Bush on February 8, 2006. [4]
A dispute arose over whether both houses of Congress had approved the same bill.
As argued by Public Citizen in a lawsuit over the Act, [5] the Senate clerk had mistakenly changed a clause related to Medicare reimbursements when transmitting the engrossed bill to the House. So when the House voted [6] to accept the Senate's version of the bill, the House clerk had different text than the Senate had approved. When the bill was returned to the Senate the clerk there restored the text as previously voted on by the Senate. That version was signed by the presiding officers of Congress and by the President.
Many argued that the document signed by the President did not have the force of law because the enacting process bypassed the Bicameral Clause of the U.S. Constitution. For example, Representative Henry Waxman (D-CA) wrote a letter to Minority Leader (later Speaker) Nancy Pelosi on February 14, 2006 saying three experts he consulted (Professor Gerhardt, Professor Dorf, Professor Raskin) said the law was clearly unconstitutional. [7] At least five individuals or organizations sued to overturn the act, or parts of it they disagreed with, including Public Citizen, attorney James Zeigler, and education finance company OneSimpleLoan. [8]
Congressional leaders and administration officials cited the enrolled bill rule in defense of the Act. An 1892 Supreme Court case, Field v. Clark (143 U.S. 649 (1892)) said disputes over differing versions of a bill that were certified by both chambers were not for the courts to decide. [9] All courts to consider the question, including the Federal District Court of Eastern Michigan in Conyers v. Bush , ruled that the Act was valid notwithstanding the controversy or that opponents did not have standing to sue. [5] [10] [11] The Supreme Court declined invitations to reconsider or overrule the enrolled bill rule. [12] [13]
The difference between the two versions is the provision regarding the length of time that Medicare would be required to pay for durable medical equipment such as wheelchairs and oxygen equipment like CPAP machines. The Senate version of the bill restricted payments to 13 months while the House version provided for 36 months, a $2 billion difference. [9] Just prior to the filing of the bill in the House, a change was required to alter these time periods, in three places the number 13 was changed to 36, by hand in the offices controlled by the Speaker.[ citation needed ] The change was needed to assure the requisite number of votes for passage in the Senate. This hand written drafting change gave rise to the error made by the Senate clerk later in the process.[ citation needed ]
The Act purported to save nearly $40 billion over five years from mandatory spending programs through slowing the growth in spending for Medicare and Medicaid, changing student loan formulas [ citation needed ], and other measures.
The reauthorization of the Temporary Assistance for Needy Families program was also contained in the bill, as was the provision for the Digital Transition and Public Safety Act of 2005. Part of the TANF reauthorization reduces the threshold for passport denial for child support arrearages under 42 USC 652(k) to $2,500.
Section 3005 of the Act also provided one and a half billion dollars for the Digital Transition and Public Safety Act of 2005 and defined in detail what comprised a coupon-eligible converter box for Digital Television broadcasts in the United States.
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The law extends Medicaid's "lookback" period for all asset transfers from three to five years and changes the start of the penalty period for transferred assets from the date of transfer to the date when the individual transferring the assets enters a nursing home and would otherwise be eligible for Medicaid coverage. In other words, the penalty period does not begin until the nursing home resident is out of funds, meaning she cannot afford to pay the nursing home. In states that have filial responsibility laws, nursing homes may seek reimbursement from the residents’ children. The Act also makes any individual with home equity above $500,000 ineligible for Medicaid nursing home care, although states may raise this threshold as high as $750,000. It also establishes new rules for the treatment of annuities, including a requirement that the state be named as the remainder beneficiary, allows Continuing Care Retirement Communities (CCRCs) to require residents to spend down their declared resources before applying for medical assistance, sets forth rules under which an individual's CCRC entrance fee is considered an available resource, requires all states to apply the so-called “income-first” rule to community spouses who appeal for an increased resource allowance based on their need for more funds invested to meet their minimum income requirements, extends long-term care partnership programs to any state, [14] and authorizes states to include home and community-based services as an optional Medicaid benefit when they previously had to obtain a waiver to provide such services.
In addition, the legislation incorporates provisions in the original budget bill passed by the Senate closing certain asset transfer "loopholes," among them: [14]
While the federal law applies to all transfers made on or after the date of enactment (February 8, 2006), it also gives the states time to come into compliance. This gives many people in most states a little time to plan. The deadline for states to enact their own laws varies from state to state, but generally is the first day of the first calendar quarter beginning after the end of the next full legislative session.
In the United States, Medicaid is a government program that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a significant portion of their funding.
Fortney Hillman Stark Jr., known as Pete Stark, was an American businessman and politician who was a member of the United States House of Representatives from 1973 to 2013. A Democrat from California, Stark's district—California's 13th congressional district during his last two decades in Congress—was in southwestern Alameda County and included Alameda, Union City, Hayward, Newark, San Leandro, San Lorenzo, and Fremont, as well as parts of Oakland and Pleasanton. At the time he left office in 2013, he was the fifth most senior Representative, as well as sixth most senior member of Congress overall. He was also the dean of California's 53-member Congressional delegation, and the only openly atheist member of Congress.
The Children's Health Insurance Program (CHIP) – formerly known as the State Children's Health Insurance Program (SCHIP) – is a program administered by the United States Department of Health and Human Services that provides matching funds to states for health insurance to families with children. The program was designed to cover uninsured children in families with incomes that are modest but too high to qualify for Medicaid. The program was passed into law as part of the Balanced Budget Act of 1997, and the statutory authority for CHIP is under title XXI of the Social Security Act.
The Tax Equity and Fiscal Responsibility Act of 1982, also known as TEFRA, is a United States federal law that rescinded some of the effects of the Kemp-Roth Act passed the year before. Between summer 1981 and summer 1982, tax revenue fell by about 6% in real terms, caused by the dual effects of the economy dipping back into recession and Kemp-Roth's reduction in tax rates, and the deficit was likewise rising rapidly because of the fall in revenue and the rise in government expenditures. The rapid rise in the budget deficit created concern among many in Congress. TEFRA was created to reduce the budget gap by generating revenue through closure of tax loopholes; introduction of tougher enforcement of tax rules; rescinding some of Kemp-Roth's reductions in marginal personal income tax rates that had not yet gone into effect; and raising some rates, especially corporate rates. TEFRA was introduced November 13, 1981 and was sponsored by US Representative Pete Stark of California. After much deliberation, the final version was signed by President Ronald Reagan on September 3, 1982.
The United States budget comprises the spending and revenues of the U.S. federal government. The budget is the financial representation of the priorities of the government, reflecting historical debates and competing economic philosophies. The government primarily spends on healthcare, retirement, and defense programs. The non-partisan Congressional Budget Office provides extensive analysis of the budget and its economic effects. It has reported that large budget deficits over the next 30 years are projected to drive federal debt held by the public to unprecedented levels—from 98 percent of gross domestic product (GDP) in 2020 to 195 percent by 2050.
The Balanced Budget Act of 1997 was an omnibus legislative package enacted by the United States Congress, using the budget reconciliation process, and designed to balance the federal budget by 2002. This act was enacted during Bill Clinton's second term as president.
The United States federal budget is divided into three categories: mandatory spending, discretionary spending, and interest on debt. Also known as entitlement spending, in US fiscal policy, mandatory spending is government spending on certain programs that are required by law. Congress established mandatory programs under authorization laws. Congress legislates spending for mandatory programs outside of the annual appropriations bill process. Congress can only reduce the funding for programs by changing the authorization law itself. This normally requires a 60-vote majority in the Senate to pass. Discretionary spending on the other hand will not occur unless Congress acts each year to provide the funding through an appropriations bill.
A continuing care retirement community (CCRC), sometimes known as a life plan community, is a type of retirement community in the U.S. where a continuum of aging care needs—from independent living, assisted living, and skilled nursing care—can all be met within the community. These various levels of shelter and care may be housed on different floors or wings of a single high-rise building or in physically adjacent buildings, such as garden apartments, cottages, duplexes, mid- and low-rise buildings, or spread out in a campus setting. The emphasis of the CCRC model is to enable residents to avoid having to move, except to another level of care within the community, if their needs change.
The Affordable Health Care for America Act was a bill that was crafted by the United States House of Representatives of the 111th United States Congress on October 29, 2009. The bill was sponsored by Representative Charles Rangel. At the encouragement of the Obama administration, the 111th Congress devoted much of its time to enacting reform of the United States' health care system. Known as the "House bill,” HR 3962 was the House of Representatives' chief legislative proposal during the health reform debate.
The Affordable Care Act (ACA), formally known as the Patient Protection and Affordable Care Act and colloquially known as Obamacare, is a landmark U.S. federal statute enacted by the 111th United States Congress and signed into law by President Barack Obama on March 23, 2010. Together with the Health Care and Education Reconciliation Act of 2010 amendment, it represents the U.S. healthcare system's most significant regulatory overhaul and expansion of coverage since the enactment of Medicare and Medicaid in 1965.
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