After this weekend’s developments, it now appears the Senate will have an opportunity to take an up or down vote on the genuine health reform the American people deserve – reform that offers security to those who have health insurance and affordable options for those who don’t.  This is the type of reform that we worked for when we elected Barack Obama President.

Although there is still much work left to do, last night’s vote is major step forward for the American people.  Does the bill do everything that we wanted, no. But last night’s vote is the first major step to reforming our broken system – an effort that progressives have been working toward for nearly a century. Now, we are on the cusp of making health care reform a reality in America.

As with any piece of legislation, compromise is part of the process.  However, some of the changes that have been made to bill are good additions that will make this historic bill even stronger:

• Between the time the bill passes and the time the insurance exchanges are up and running, insurance companies that try to jack up their rates will be punished.  Insurance companies that hike their prices may be barred from selling plans on the exchange.
• Starting immediately, insurers would not be able to deny children coverage due to pre-existing conditions. Discrimination on the basis of pre-existing conditions for everyone would be banned once the exchanges are open in 2014 – in the meantime, the bill creates a high-risk pool where adults with pre-existing conditions can buy affordable coverage.
• The bill includes explicit language that will protect a patient’s choice of doctors.
• Health insurers would be required to spend more of their revenue on providing you health care (between 80% and 85%) rather than on administrative costs and salaries.
• Small businesses will also receive additional assistance

These protections are in addition to the ones President Obama and Congressional Democrats have been talking about for months including, no longer will insurance companies be able to drop someone’s coverage if they become sick and no longer will anyone be subject to unlimited out of pocket costs. These types of out of pocket expenses are one of the major contributors to personal bankruptcy.

The bill will save families and small businesses money on their premiums, significantly reduce the national deficit, and add years to the life of the Medicare Trust Fund.  And perhaps most importantly, it will make coverage affordable for more than 30 million Americans who currently do not have it.

Are they items that we all would want in the health care reform package that did not make it in the Senate bill – yes, but know that we still have to merge the Senate and House bills in Conference and the final version of the bill is not yet clear.  Things in the bill might improve, or if we are not vigilant, may get worse.  The bottom line is this:  We are standing at the precipice of a historic policy shift in our country; we have move this policy farther in a shorter time than anyone since the 1960’s.  We need to continue to support President Obama, House and Senate leaders as they move toward final passage.  And then we need to stay engaged to make sure we get more Senators and Reps elected in the next cycle to improve on what the President and this Congress will have accomplished.

– Brian Wahby, Chairman