The health care reform debate is fast becoming a thrilling political drama with non-stop action. As Democrats in Congress and the White House push for passage of reform legislation by the end of the year, some by August, the breakneck pace is hitting some significant roadblocks.
As reported in last week’s issue of Capitol Report, the Congressional Budget Office estimated that the initial bill proposed by Senator Edward M. Kennedy’s (D-MA) Health, Education, Labor and Pension Committee would cost over $1 trillion, and leave more than 37 million Americans uninsured after ten years. Since that report, the Senate Committee on Finance has delayed the release of its bipartisan bill in an effort to trim the costs of the plan before it is made public. The White House has been working very closely with Senator Max Baucus (D-MT) and the Finance Committee, as many observers believe that it is the best chance to produce bi-partisan support.
White House Chief of Staff Rahm Emmanuel, HHS Secretary Kathleen Sebelius, and White House health reform director Nancy-Ann DeParle meet on Tuesday with Democratic Senators, from both committees to discuss the issue. Later today, President Obama will host a town hall meeting on health care at the White House after holding a meeting with five governors that hosted regional health care forums.
Meanwhile, the House held numerous hearings on health care reform this week. Introduced last Friday, the House legislation is the work of three House Committees. The bill lacks funding sources and has not yet been reviewed by the CBO.
- Breanne McGahey
Thursday, June 25, 2009
Wednesday, June 24, 2009
Teen Fitness Connection - Empower a Teen This Summer
As the nation waits this summer for long-anticipated health care reform and for prevention to play a critical role, you may be asking what more you can do to have your voice heard and how to play a part in keeping Americans healthy this summer. You should, of course, write or call your Congressional representative and ask for their support of Workforce Health Improvement Program (WHIP) Act and the Personal Health Investment Today (PHIT) Act. If you submitted a video for IHRSA’s Campaign for a Healthier America, we thank you and encourge you to invite your staff to do the same. If you are looking for a program to make a difference in a young person’s life this summer, I would ask you to consider running the Teen Fitness Connection (TFC) in your club.
The TFC is a nationwide initiative designed to introduce exercise to teens by offering free summer matinee memberships. Now in its second year as an IHRSA program, it is designed as a community outreach initiative that invites club owners and operators to fight teen obesity and physical inactivity on a local level. Geoff Dyer, Founder of Lifestyle Family Fitness health clubs and the TFC, began the program three years ago with the intent to provide an outlet for teenagers to raise their self-esteem, get in control of their physical health, and to fight teenage obesity.
Adopting a healthy lifestyle begins at an early age, and needs to be reinforced in order to become habit. The TFC gives teens a fun activity to engage in during the summer months and to explore the offerings and support health clubs give. Clubs can modify and adjust the program as they see fit.
The program takes place at IHRSA clubs across the country from July 1 - August 31, 2009. Please visit http://www.ihrsa.org/teenfitnessconnection for more information and enrollment.
I urge you to consider implementing this program in your club and join in empowering teens with fitness this summer!
- Rosemary Lavery
Thursday, June 18, 2009
Costs, Including Prevention, Come Under Fire in Health Care Debate
The Senate Committee on Health, Education, Labor and Pension (HELP) held its first meeting yesterday on proposed health care reform legislation. The meeting, led by Senator Chris Dodd (D-CT) in Chairman Edward Kennedy’s (D-MA) absence due to illness, comes amid increasing talk of costs and implications on the federal deficit.
Earlier this week the Congressional Budget Office (CBO) reviewed the HELP bill in response to inquiries from Senators Kent Conrad (D-ND) and Judd Gregg (R-NH). The CBO estimated the plan currently being considered by the Committee would leave 37 million Americans uninsured and cost more than $1 trillion over ten years.
One of the areas addressed in the report is the cost for preventative care and wellness in health care reform. Overall, the report concludes that increasing access to preventative services and wellness could decrease costs by making people healthier but may not materialize savings because long-term empirical evidence is lacking for the broad array of services considered under this category, including programs to decrease obesity. One scenario presented is that while reducing chronic disease through healthy lifestyles would help people live longer, it could cost the government more in Social Security benefits.
In April, IHRSA along with the Partnership to Fight Chronic Disease called on House leadership to update how the CBO produces estimates for health care bills. It made several recommendations for how the CBO can accurately estimate the fiscal impact of prevention legislation, such as including the deteriorating health of the population its estimated impact in the future, scoring beyond ten years to capture the long-term value of prevention, and incorporating broader economic impact, such as worker productivity. "The inability of the CBO to accurately account for savings created by prevention and wellness further demonstrates the lack of historical support for wellness initiatives in Washington," says Helen Durkin, J.D. IHRSA Executive Vice President of Global Public Policy. "With Congress and the White House calling on prevention as a key component of reform, the CBO needs to reevaluate its outdated modeling."
Meanwhile, the Senate Finance Committee and House Democrats are preparing to introduce their own reform bills shortly. Early estimates on the not yet public Finance Committee bill are $1.6 trillion over ten years. It is unclear how many Americans would be covered under the plan. Reportedly Chairman Max Baucus (D-MT) wants the bill under $1 trillion. One thing that does seem apparent is that all options remain on the table. Despite some partisan banter, both sides seem willing to address health care reform. Costs and impact on the deficit will likely remain major points of contention throughout the debate.
- Breanne McGahey
Earlier this week the Congressional Budget Office (CBO) reviewed the HELP bill in response to inquiries from Senators Kent Conrad (D-ND) and Judd Gregg (R-NH). The CBO estimated the plan currently being considered by the Committee would leave 37 million Americans uninsured and cost more than $1 trillion over ten years.
One of the areas addressed in the report is the cost for preventative care and wellness in health care reform. Overall, the report concludes that increasing access to preventative services and wellness could decrease costs by making people healthier but may not materialize savings because long-term empirical evidence is lacking for the broad array of services considered under this category, including programs to decrease obesity. One scenario presented is that while reducing chronic disease through healthy lifestyles would help people live longer, it could cost the government more in Social Security benefits.
In April, IHRSA along with the Partnership to Fight Chronic Disease called on House leadership to update how the CBO produces estimates for health care bills. It made several recommendations for how the CBO can accurately estimate the fiscal impact of prevention legislation, such as including the deteriorating health of the population its estimated impact in the future, scoring beyond ten years to capture the long-term value of prevention, and incorporating broader economic impact, such as worker productivity. "The inability of the CBO to accurately account for savings created by prevention and wellness further demonstrates the lack of historical support for wellness initiatives in Washington," says Helen Durkin, J.D. IHRSA Executive Vice President of Global Public Policy. "With Congress and the White House calling on prevention as a key component of reform, the CBO needs to reevaluate its outdated modeling."
Meanwhile, the Senate Finance Committee and House Democrats are preparing to introduce their own reform bills shortly. Early estimates on the not yet public Finance Committee bill are $1.6 trillion over ten years. It is unclear how many Americans would be covered under the plan. Reportedly Chairman Max Baucus (D-MT) wants the bill under $1 trillion. One thing that does seem apparent is that all options remain on the table. Despite some partisan banter, both sides seem willing to address health care reform. Costs and impact on the deficit will likely remain major points of contention throughout the debate.
- Breanne McGahey
Tuesday, June 9, 2009
The Personal Health Investment Today Act (H.R. 2105)
The following is detailed information on the Personal Health Investment Today (PHIT) Act (H.R. 2105). This bill is currently before the U.S. House of Representatives Committee on Ways & Means. If you would like to support this bill, join the virtual march on Washington by visiting http://campaign4health.org.
The PHIT Act (H.R. 2105) would eliminate a federal policy barrier and create a financial incentive for Americans to engage in physical fitness and exercise.
Americans could utilize up to $1,000 annually from their tax-favored accounts (such as FSAs and MSAs) to make expenditures related to organized individual and team sports, fitness and exercise, recreation and other physical activities. The PHIT Act would not increase the total contribution limits to those pre-tax accounts.
Why is the PHIT Act necessary?
The PHIT Act would eliminate a federal policy barrier and create a financial incentive to engage in physical fitness and exercise.
What will the PHIT Act do?
The PHIT Act would change the types of expenditures that could be payable out of tax-favored investment accounts (such as FSAs and MSAs). Under the current set-up, Americans predominantly use pre-tax accounts to pay for treatment and detection of illnesses: prescription drugs, doctor visits, examinations and screenings.
The PHIT Act would allow consumers to set aside up to $1,000 ($2,000 per family) annually from their tax-favored accounts to make expenditures related to prevention in the form of increased physical activity, allowing fitness center dues, payments for some exercise equipment, and other fees associated with physical activity programs to be paid with pre-tax dollars.
What will the PHIT Act cost?
IHRSA has met with the Congressional Joint Committee on Taxation and has requested an immediate “score” for the PHIT Act, which will determine the total cost of implementing the bill over a ten year period.
Who is supporting the PHIT Act?
IHRSA has gathered broad support for the PHIT Act during previous sessions of Congress. The PHIT Act was re-introduced in the U.S. House of Representatives on April 27, 2009 by Representative Ron Kind (D-WI) and referred to the House Committee on Ways and Means. Co-sponsors, at the time of introduction, include Representatives Earl Blumenauer (D-OR), Kevin Brady (R-TX), and Zach Wamp (R-TN). (Full co-sponsor list.)
The PHIT Act (H.R. 2105) would eliminate a federal policy barrier and create a financial incentive for Americans to engage in physical fitness and exercise.
Americans could utilize up to $1,000 annually from their tax-favored accounts (such as FSAs and MSAs) to make expenditures related to organized individual and team sports, fitness and exercise, recreation and other physical activities. The PHIT Act would not increase the total contribution limits to those pre-tax accounts.
- 64% of American adults and 34% of American children suffer from overweight, obesity, and physical inactivity. These rising rates of obesity and Americans’ proclivity for inactivity are resulting in double digit annual increases in healthcare costs to the government and business.
- The Centers for Disease Control and Prevention (CDC) estimates that healthcare costs directly associated with inactivity were $76.6 billion in 2000; roughly one-third of those costs ($25 billion) fall directly on U.S. taxpayers since approximately one in three Americans is covered by a taxpayer-funded health plan.
- The PHIT Act would help to reverse the trend of increasing physical inactivity and obesity by eliminating a federal policy barrier and providing an important tax incentive to promote exercise.
- Public health experts agree that regular physical activity substantially reduces the risk and symptoms of numerous chronic diseases and medical conditions, resulting in fewer hospitalizations, physician visits, medications and lower health care costs.
- The PHIT Act would change the types of expenditures that could be payable out of tax-favored investment accounts: flexible spending accounts (FSAs), medical savings accounts (MSAs) and/or medical reimbursement arrangements.
- Under the current set-up, Americans predominantly use pre-tax accounts to pay for treatment and detection of illnesses: prescription drugs, doctor visits, examinations and screenings.
- The PHIT Act would allow consumers to to pay with pre-tax dollars for prevention in the form of increased physical activity, including:
- fitness center dues
- group exercise classes
- youth sports league fees
- some exercise equipment
- other fees associated with physical activity programs
- Depending upon their income tax bracket, the PHIT Act could help Americans save 20-30% on the cost of physical activities, exercise programs and related expenses.
- The PHIT Act tax incentive represents an important tangible benefit that the federal government can provide to promote healthier lifestyles and reverse the rising costs of treating obesity-related chronic diseases.
- Fitness-related tax savings would provide a great incentive for Americans to take an important first step toward reversing their sedentary lifestyles and lowering healthcare costs.
Why is the PHIT Act necessary?
The PHIT Act would eliminate a federal policy barrier and create a financial incentive to engage in physical fitness and exercise.
What will the PHIT Act do?
The PHIT Act would change the types of expenditures that could be payable out of tax-favored investment accounts (such as FSAs and MSAs). Under the current set-up, Americans predominantly use pre-tax accounts to pay for treatment and detection of illnesses: prescription drugs, doctor visits, examinations and screenings.
The PHIT Act would allow consumers to set aside up to $1,000 ($2,000 per family) annually from their tax-favored accounts to make expenditures related to prevention in the form of increased physical activity, allowing fitness center dues, payments for some exercise equipment, and other fees associated with physical activity programs to be paid with pre-tax dollars.
What will the PHIT Act cost?
IHRSA has met with the Congressional Joint Committee on Taxation and has requested an immediate “score” for the PHIT Act, which will determine the total cost of implementing the bill over a ten year period.
Who is supporting the PHIT Act?
IHRSA has gathered broad support for the PHIT Act during previous sessions of Congress. The PHIT Act was re-introduced in the U.S. House of Representatives on April 27, 2009 by Representative Ron Kind (D-WI) and referred to the House Committee on Ways and Means. Co-sponsors, at the time of introduction, include Representatives Earl Blumenauer (D-OR), Kevin Brady (R-TX), and Zach Wamp (R-TN). (Full co-sponsor list.)
Thursday, June 4, 2009
Obama Urges Congress to Pass Health Care Reform by August
Makes Economic Case for Reform, Includes Prevention
President Barack Obama has asked Congress to pass health care reform legislation before their August recess and called this a “make or break period.” The move comes as health care reform is increasingly a key issue for the White House. Yesterday, a major report was released and Obama met with Senate Democrats on key Committees to discuss reform.
The report, released early in the day, presented the economic case for health care reform from the White House Council of Economic Advisers. It covers the current economic impact of health care on the nation’s economy and a forecast of what could happen without reform. It then discusses key components of reform that would have major economic impacts, including slowing health care cost growth and expanding coverage.
The role of healthier lifestyles was noted as a key element of successful health care reform. “It will also be important to encourage individuals through education and incentives to make healthier lifestyle choices, such as exercising and healthy eating,” the report stated. “This is important because healthier lifestyle choices have positive, direct benefits on lowering costs.”
Yesterday afternoon, President Obama met with about two-dozen Democrats on the Senate Committee on Finance and the Senate Committee on Health, Education, Labor and Pensions. Both Committees are working to create their own health care reform bills. Obama’s message to them coincided with the report from earlier in the day, that it is a major imperative for the White House that long-term costs are driven down. In addition, the group discussed how to fund immediate changes to the nation’s health care system. According to reports, there was talk about the taxation of health benefits, which Senator Max Baucus of Montana claims will raise $250 billion annually. A White House statement said that Obama prefers funding methods outlined in earlier reports that do not include such taxes.
Underscoring the days events was the sense of urgency being conveyed by Obama. "We can't afford to put this off," Obama said at the start of a meeting the Senate Democrats. "This window between now and the [Senate's] August recess I think is going to be the make-or-break period. This is the time where we've got to get this running."
President Barack Obama has asked Congress to pass health care reform legislation before their August recess and called this a “make or break period.” The move comes as health care reform is increasingly a key issue for the White House. Yesterday, a major report was released and Obama met with Senate Democrats on key Committees to discuss reform.
The report, released early in the day, presented the economic case for health care reform from the White House Council of Economic Advisers. It covers the current economic impact of health care on the nation’s economy and a forecast of what could happen without reform. It then discusses key components of reform that would have major economic impacts, including slowing health care cost growth and expanding coverage.
The role of healthier lifestyles was noted as a key element of successful health care reform. “It will also be important to encourage individuals through education and incentives to make healthier lifestyle choices, such as exercising and healthy eating,” the report stated. “This is important because healthier lifestyle choices have positive, direct benefits on lowering costs.”
Yesterday afternoon, President Obama met with about two-dozen Democrats on the Senate Committee on Finance and the Senate Committee on Health, Education, Labor and Pensions. Both Committees are working to create their own health care reform bills. Obama’s message to them coincided with the report from earlier in the day, that it is a major imperative for the White House that long-term costs are driven down. In addition, the group discussed how to fund immediate changes to the nation’s health care system. According to reports, there was talk about the taxation of health benefits, which Senator Max Baucus of Montana claims will raise $250 billion annually. A White House statement said that Obama prefers funding methods outlined in earlier reports that do not include such taxes.
Underscoring the days events was the sense of urgency being conveyed by Obama. "We can't afford to put this off," Obama said at the start of a meeting the Senate Democrats. "This window between now and the [Senate's] August recess I think is going to be the make-or-break period. This is the time where we've got to get this running."
Monday, June 1, 2009
Legislating a Healthier Future for Our Children
The following is an excerpt from the June 2009 issue of Club Business International, IHRSA's monthly magazine reaching almost 25,000 fitness professionals around the world.
The children of America are on the verge of a health crisis—and, ultimately, so, too, is the nation’s healthcare system. About one in three children and youth are already overweight or obese. In fact, today’s kids could be the first generation of Americans to live shorter lives than their parents.
Across the spectrum, it’s widely agreed that a lack of physical activity and poor nutrition are two of the leading culprits. According to the Alliance for a Healthier Generation, an initiative of the William J. Clinton Foundation, 92% of elementary schools do not offer daily physical education classes year-round, and only about 20% of high school students report eating fruits and green vegetables five or more times a day.
Fortunately, there’s a growing awareness of the issue. Congress, many state legislators, the Centers for Disease Control and Prevention (CDC), the Surgeon General, and political leaders are actively working to improve the health of America’s kids.
So far this year, 26 states have introduced physical education (PE) legislation. Many of the bills seek to impose specific requirements on PE programs’ weekly duration, standards, and implementation requirements, or create an assessment mechanism. In Illinois, House Bill 2291 proposes requiring each school board to have an annual assessment on the physical fitness levels of all students in grades five, seven, and nine. The results would be available in report cards, along with the average number of minutes of exercise PE students receive per week at each grade level.
Legislators in Mississippi are taking a different approach. They’re currently considering House Bill 791, which would require that children’s Body Mass Index (BMI) be measured starting in kindergarten and then every other year through tenth grade. The results, including percentile and an explanation, would be provided to parents. Montana is also considering a similar bill.
During these tough economic times, three states are currently weighing the merits of tax credits to encourage physical activity among youth. In Illinois and Maryland, families could be eligible for $500 tax credits for qualified youth physical fitness programs. The Maryland bill is part of a broader legislation that also includes tax credits for adults and seniors, including $500 tax credits for health club membership dues.
In 2007, the Canadian government began providing parents with a $500 children’s fitness tax credit for eligible expenses for children under age 16. While the U.S. federal government doesn’t offer such an incentive, the Personal Health Investment Today (PHIT) bill, one of IHRSA’s signature pieces of proposed federal legislation, would allow parents to pay for children’s physical fitness expenses with money from their family’s pre-tax savings account. These accounts are typically used for such health-related costs as doctor visits and prescription drug co-pays. This bill would allow parents to pay for exercise expenses that could prevent diseases associated with obesity. The pre-tax savings would grant many families access to youth fitness activities, such as little league and soccer. [Advocate for passage of the PHIT Act on campaign4health.org.]
It’s not just legislators who are taking aim at childhood obesity. Acting Surgeon General Rear Admiral Steven K. Galson, M.D., M.P.H., has launched an initiative called Healthy Youth for a Healthy Future. The goal of the program is to highlight local communities that are coming together to motivate kids to exercise and eat nutritious foods as well as teaching them to make healthy choices.
“Teaching our children the importance of eating well and being physically active at a young age is crucial to reversing the trend of obesity in this country,” said Galson. “Everyone has a role to play in this fight to prevent childhood obesity.”
IHRSA actively supports efforts to improve the health of children through physical activity and proper nutrition. In 2008, via work with the National Coalition for Promoting Physical Activity, IHRSA supported the addition of PE requirements in the Elementary and Secondary Education Act in Congress.
For more information, visit www.ihrsa.org/publicpolicy.
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