Proposals include:
Find Savings in the Agricultural Sector.
“The Administration remains committed to a strong safety net for farmers, one that protects them from revenue losses that result from low yields or price declines, and strong crop insurance programs. But there are programs and places where current support is unnecessary or too generous. To reduce the deficit, the Administration proposes to eliminate or reduce those programs, while strengthening the safety net for those that need it most.”
The proposal would eliminate direct payments to farmers, for a savings of $23-billion over 10 years.
The proposal would reduce crop insurance subsidies: “… the program continues to be highly subsidized and costs the Government approximately $10 billion a year to run: $3 billion per year for the private insurance companies to administer and underwrite the program and $7 billion per year in premium subsidy to the farmers. “ Reducing this subsidy, capping insurance administrative costs, and changing the premiums for catastrophic coverage policies would save $4.3 billion over 10 years.
“In addition, the Administration is proposing to reduce producers’ premium subsidy by 2 basis points for all but catastrophic crop insurance … expected to save $3.3 billion over 10 years.”
“… the Administration proposes to reduce conservation funding by $1.8 billion over 10 years by better targeting conservation funding to the most cost-effective and environmentally-beneficial programs and practices.“
Better Align Federal Worker and Military Retirement Programs.
$12.1 billion can be saved by increasing deductibles, capping benefits, and increasing enrollment fees for retirees.
“To recommend improvements to the military retirement system, the Administration is proposing to establish a Military Retirement Modernization Commission. Under the proposal, the President would appoint the Commissioners; DOD would transmit to the Commission initial recommendations to change the military retirement system; the Commission would hold hearings, make final recommendations, and draft legislation to implement its recommendations …“
“The Administration believes that any major military retirement reforms should include grandfathering provisions for current retirees and those currently serving in the military.“
Reform the Aviation Passenger Security Fee to Reflect the Costs of Aviation Security More Accurately.
“The Administration proposes to replace the current “per-enplanement” fee structure with a “per one-way trip” fee structure … remove the current statutory fee limit and replace it with a … minimum of $5.00 … annual incremental increases of 50 cents from 2014 to 2018, … allow the Secretary of Homeland Security to adjust the fee … through regulation when necessary. The proposed fee would collect an estimated $9 billion in additional fee revenue over five years, and $25.5 billion over 10 years. Of this amount, $18 billion will be deposited into the General Fund for debt reduction.”
Share Payments More Equitably for Air Traffic Services.
“To reduce the deficit and more equitably share the cost of air traffic services across the aviation user community, the Administration proposes to create a $100 per flight fee, payable to the Federal Aviation Administration, by aviation operators who fly in controlled airspace.”
There are some exemptions to this fee, including exemptions for military aircraft.
This fee would generate $7.4 billion over 10 years.
Provide Postal Service Financial Relief and Undertake Reform.
“the President is proposing a … reform package that would: 1) restructure Retiree Health Benefit pre-funding … 2) provide USPS with a refund over two years of the $10.9 billion positive credit balance … 3) … reduce delivery from six days to five days starting in 2013; 4) allow USPS to increase collaboration with State and local governments; and 5) … better align the costs of postage with the costs of mail delivery … and … increase in postage rates …”
“…would produce savings of $25 billion over 11 years.”
Strengthen the Safety Net for Workers’ Retirement Benefits.
The Pension Benefit Guaranty Corporation “is responsible for paying current and future retirement benefits to more than 1.5 million workers and retirees. PBGC receives no taxpayer financing and relies primarily on premiums paid by insured plans. PBGC premiums are currently much lower than what a private financial institution would charge for insuring the same risk and are insufficient for PBGC to meet its long-term obligations. As of the end of September 2011, PBGC faced a $26 billion deficit. The Administration proposes to encourage companies to fully fund their pension benefits and ensure PBGC’s continued financial soundness by giving the PBGC Board the authority to adjust premiums …”
“This proposal … the single-employer flat-rate premium that will raise approximately $4 billion by 2022; … the single-employer variable-rate premium to raise $12 billion by 2022. This proposal would save $16 billion over the next decade.”
Restore the Solvency and Financial Integrity of the Unemployment Insurance System by Helping Employers Now and Restoring State Fiscal Responsibility.
“Currently, 28 States owe more than $37 billion to the Federal UI trust fund. As a result, employers … now facing automatic Federal tax increases, …States have little prospect of paying these loans back ... State UI programs … improper payment rates—12 percent in fiscal year 2011. The Administration proposes to put the UI system back on the path to solvency and financial integrity by providing immediate relief to employers to encourage job creation now, reestablishing State fiscal responsibility going forward, and working closely with States to eliminate improper payments.”
“…employers in indebted States would receive tax relief for two years.”
“the proposal would also raise the minimum level of wages subject to unemployment taxes”
Reform Abandoned Mine Lands (AML) Payments.
“The coal industry … is currently held responsible for cleaning up abandoned coal mines by paying a fee that finances grants to States and Tribes for reclamation”
“… regular reclamation funds are not … targeted at the highest priority abandoned mine lands, … amounts are distributed by a production-based formula …funding goes to the States with the most coal production, not the greatest reclamation needs …”
“…the Administration proposes to terminate unrestricted payments [that] do not contribute to reclaiming abandoned coal mines…”
“Through a competitive grant program, a new AML Advisory Council will review and rank the abandoned mine lands sites, so that the Department of the Interior, in coordination with States and Tribes, can distribute grants to reclaim the highest priority coal sites each year.”
“The Administration proposes to create a parallel AML program for abandoned hardrock sites. … hardrock reclamation would be financed by a new AML fee on the production of hardrock minerals on both public and private lands.”
“…this proposal will save $1.6 billion over the next 10 years.”
Provide a Better Return to Taxpayers from Mineral Development.
“The public received about $10 billion in 2011 from fees, royalties, and other payments related to oil, gas, coal, and other mineral development on Federal lands and waters.”
“… taxpayers could earn a better return through more rigorous oversight and policy changes…”
“The Budget proposes … charging a royalty on … hardrock minerals (such as silver, gold, and copper); extending net receipt sharing … charging user fees to oil companies for processing oil and gas drilling permits and inspecting operations on Federal lands and waters… establishing fees for new non-producing oil and gas leases (both onshore and offshore) … making administrative changes to Federal oil and gas royalties[i.e.] adjusting royalty rates and terminating the royalty-in-kind program. … these changes are expected to generate approximately $3 billion in savings over 10 years.”
Health Savings
“Health care comprises one-quarter of non-interest Federal spending, and is the major driver of future deficit growth.
“Affordable Care Act (ACA) which, according to the Congressional Budget Office’s latest analysis, will reduce the deficit by more than $1 trillion over the next two decades.”
And then there is this warning to the GOP: “Repealing or failing to implement health care reform would return the Nation to a path of rapidly increasing health care costs, and add trillions to deficits over the long run. The President is putting forward $364 billion in health savings that build on the ACA to strengthen Medicare, Medicaid, and other health programs by reducing wasteful spending and erroneous payments, and supporting reforms that boost the quality of care.”
“… Medicare …reimburses 70 percent of bad debts resulting from beneficiaries’ non-payment of deductibles and copayments …”
“the Budget proposes … reducing bad debt payments to 25 percent … over three years starting in 2013. This proposal will save approximately $36 billion over 10 years.”
“This proposal would reduce the IME adjustment by 10 percent beginning in 2014, and save approximately $10 billion over 10 years.” The IME adjustment evidently reimburses teaching hospitals for inefficiencies caused by interns.
“payment system is better targeted [in rural hospitals] will save approximately $2 billion over 10 years.”
“… the Administration supports policies that will save approximately $63 billion over 10 years … These include adjusting payment updates for certain post-acute care providers, equalizing payments for certain conditions commonly treated in IRFs and SNFs; encouraging appropriate use of inpatient rehabilitation hospitals; and adjusting SNF payments to reduce unnecessary hospital readmissions.”
By allowing Medicare to negotiate price with drug manufacturers “This proposal is estimated to save $156 billion over 10 years.”
“Beginning in 2017, the Administration proposes to increase income-related premiums under Medicare Parts B and D by 15 percent”
“… the Administration proposes … a $25 increase in the Part B deductible in 2017, 2019, and 2021 for new beneficiaries … save approximately $2 billion over 10 years.”
“This proposal would create a home health copayment of $100 per home health episode… This proposal will save approximately $350 million over 10 years.”
“… the Administration proposes a Part B premium surcharge equivalent to about 15 percent of the average Medigap premium (or about 30 percent of the Part B premium) for new beneficiaries that purchase Medigap policies with particularly low cost-sharing requirements, starting in 2017. Current beneficiaries and near-retirees would not be subject to the surcharge. This proposal will save approximately $2.5 billion over 10 years.”
Fraud prevention is expected to save nearly $5 billion over the next 10 years.
By changing how states are allowed to tax health care providers, this proposal is projected to save $21.8 billion over 10 years.
By changing how states are reimbursed for Medicare, Medicaid and CHIP programs this proposal is projected to save $17.9 billion over 10 years.
“The Medicare program … through the DME Competitive Bidding Program… is expected to save the Medicare program more than $25 billion and Medicare beneficiaries approximately $17 billion over 10 years.”
“The Administration proposes to increase the availability of generic drugs and biologics by authorizing the Federal Trade Commission to stop companies from entering into anti-competitive deals, known also as “pay for delay” agreements, intended to block consumer access to safe and effective generics.”
“… greater access to lower-cost generics and will generate $11 billion over 10 years in savings to Federal health programs including Medicare and Medicaid.”
“Beginning in 2013, this proposal would award brand biologic manufacturers seven years of exclusivity rather than 12 years … prohibit additional periods of exclusivity … due to minor changes in product formulations… The proposal will result in $4 billion in savings over 10 years to Federal health programs including Medicare and Medicaid.”
The last section in this part of the budget proposal deals with tax reform. We’ll save that for another day.
FYI, this blog reviewed pages 13 to 37 of the budget document.
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