Sahil Kapur

Sahil Kapur is TPM's senior congressional reporter and Supreme Court correspondent. His articles have been published in the Huffington Post, The Guardian and The New Republic. Email him at sahil@talkingpointsmemo.com and follow him on Twitter at @sahilkapur.

Articles by Sahil

As expected, the House Energy & Commerce health subcommittee on Wednesday approved a GOP bill by a 17-5 margin to repeal the health care reform law's Independent Payment Advisory Board.

Rep. Frank Pallone (NJ), the top Democrat on the subcommittee, voted with Republicans after expressing his opposition to IPAB, but also said he was disenchanted with the GOP's broad motive to derail the Affordable Care Act. Democratic Rep. Ed Towns (NY) joined Pallone in voting for repeal.

They aren't the only House Dems to back repeal of the panel, which is designed to rein in Medicare spending over time by holding down reimbursements to providers. It does not have the authority to cut payments to beneficiaries.

All the Republicans on the panel voted to repeal IPAB. The White House defended the provisions in a blog post hours before the vote.

Rep. David Dreier (R-CA), the Rules Committee chairman who has served in the House since 1981, will not seek reelection this year, he announced Wednesday in a floor speech.

Republicans are poised to advance repeal Wednesday of a critical provision in the health care reform law designed to preserve traditional Medicare -- and they've enlisted a number of key House Democrats for the cause. Victory isn't imminent, as Senate Dems aren't biting, but the growing defections help the GOP's long-term push to privatize Medicare.

With Medicare's trust fund set to be empty by about 2024, dramatic cost-cutting measures will ultimately be required. Republicans want to achieve this by transforming Medicare into a "premium support" program in which seniors are given a voucher to buy their own private insurance. President Obama has a different idea, and has already enacted the framework for it: a panel called the Independent Payment Advisory Board (IPAB), set to take effect in 2014, comprising 15 appointed experts tasked with holding down Medicare payments to providers -- without cutting benefits.

Read More →

On the day that IPAB repeal is set to clear the House Energy & Commerce Committee, the White House defending the provision and contrasting it with the GOP's Paul Ryan plan as a way to save Medicare.

An excerpt from Nancy-Ann DeParle's post at the White House blog:

Today, Congressional Republicans are working to repeal and dismantle the Independent Advisory Board before it even gets started even though experts like former Bush Administration Medicare Official Mark McClellan called for “[strengthening] and [clarifying] the authority and capacity of the Independent Payment Advisory Board (IPAB).”  And a coalition of economists including Nobel Prize Winners said “…the Affordable Care Act contains essentially every cost-containment provision policy analysts have considered effective in reducing the rate of medical spending. These provisions include…An Independent Payment Advisory Board with authority to make recommendations to reduce cost growth and improve quality within both Medicare and the health system as a whole”

At the same time, House Republicans passed a plan for Medicare last year that does nothing to reduce overall health care costs.  Instead, the Republican plan shifts costs to seniors and empowers insurance companies.

The post includes a chart drawing out the differences between IPAB and the Ryan plan, essentially the two options on the table for keeping Medicare solvent in the long run.

In their ongoing attempt to portray the Obama administration's birth control rule as infringing on religious freedom, House Republicans invited a Muslim witness to a hearing who pointed out that such a precedent could permit the government to make laws that violate Islamic code.

Asma Uddin, editor-in-chief of the Muslim-American website altmuslimah.com and an attorney at the Becket Fund for Religious Liberty, argued in her testimony Tuesday that the contraception mandate is a violation of the free exercise of religion under the First Amendment. Later, under questioning from House Judiciary Chairman Lamar Smith (R-TX), Uddin explained how the regulation's precedent could infringe upon the rights of Muslims.

"If the government mandated everything that had positive health benefits, it could possibly mandate that everyone drink red wine for heart health even though it violates the religious beliefs of Muslims," Uddin said.

Read More →

House Democrats gathered Tuesday in the Capitol to defend the Supplemental Nutritional Assistance Program (SNAP) -- better known as food stamps -- and push back on Republicans for using the program as a political football. 

"It is in our economic best interest to maintain strong SNAP funding and I am shocked by the contempt Republicans have directed at many struggling Americans," said Rep. Jan Schakowsky (D-IL).

Newt Gingrich, for instance, often calls Barack Obama the "food stamp president."

Said Rep. Jim McGovern (D-MA): "I know it’s fashionable among Republicans to demonize the poor, but the fact is that SNAP is one of the most effective programs we have."

Behind the Dems' defense of SNAP is an important point: studies have found that food stamps are among the most stimulative economic measures available during a recession, a conclusion corroborated by the Congressional Budget Office.

House Republicans, seeking not repeat an embarrassing mistake, invited three female witnesses for a four-person panel at a Judiciary Committee hearing Tuesday about the Obama administration's birth control rule.

The witness list, according to the majority staff on committee:

The Most Reverend William Lori
Chairman, Ad Hoc
Committee for Religious Liberty
U.S. Conference of Catholic Bishops

Mrs. Asma Uddin
Becket Fund for Religious Liberty

Dr. Linda Rosenstock, M.D., M.P.H
Dean, School of Public Health
Univeristy of California, Los Angeles

Ms. Jeanne Monahan
Director, Center for Human Dignity
Family Research Council 

Senate Majority Leader Harry Reid (D-NV) told reporters that the Senate will vote Thursday on the Blunt amendment, which permits all employers to exclude health care services from their insurance plans that they find morally objectionable. It was drafted in response to the Obama administration's birth control rule.

House Republicans are poised to advance legislation this week to repeal President Obama's Medicare cost-cutting board, a provision enacted in the health care reform law. The Energy & Commerce Committee is set to mark it up this Wednesday, and the repeal bill already has enough cosponsors to pass the House. It's not expected to survive the Senate or Obama's veto pen, but the debate over this provision cuts to the heart of the battle over how to save Medicare in the long run.

Some background: The Independent Payment Advisory Board (IPAB) is set to take effect in 2014, and would comprise 15 President-appointed and Senate-confirmed experts charged with holding down Medicare per-beneficiary spending by restricting reimbursements to providers. It is forbidden from cutting payments to beneficiaries. Congress can override the panel is by passing an alternate way to save the same amount of money, or with a three-fifths Senate majority. The health care industry has been outspoken in its hatred for IPAB. Republicans are united in their effort to kill it, and even some House Dems are on that page.

The question now is: Why is the party that's hell-bent on reining in Medicare pushing to repeal this powerful tool for doing just that? Part of it is to score political points by slicing off a key piece of the Affordable Care Act. But more importantly, Republicans don't want to keep Medicare in its current form. Many of them don't think that's feasible. They want to transition it to a privatized model a la the Paul Ryan plan, where seniors get a fixed subsidy -- or "premium support" -- to buy their own insurance on a private exchange.

Read More →

For a moment there, President Obama apparently forgot Maryland Gov. Martin O'Malley's name during a Monday speech about education to the National Governors Association.

Seeking to praise the governor for his efforts on education, Obama mistakenly referred to him as "Jack O'Malley" -- before correcting himself a few seconds later.

Politico's Byron Tau notes that "Jack O'Malley is a former Chicago prosecutor and a lecturer at the University of Chicago, where Obama also lectured."