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Barack Obama
President Barack Obama speaks about his signature health care law, Thursday, Nov. 14, 2013, in the Brady Press Briefing Room of the White House in Washington. Bowing to pressure, President Barack Obama intends to permit continued sale of individual insurance plans that have been canceled because they failed to meet coverage standards under the health care law, officials said Thursday. (AP Photo/Charles Dharapak)

Policy Cancellations: Obama Will Allow Old Plans



WASHINGTON (AP) -- President Barack Obama says health insurance companies can continue to sell policies canceled under his health care law for at least one more year to existing customers.

Obama is trying to head off a political furor created by a wave of cancellation notices hitting people who buy their coverage individually, as well as some small businesses. Their current plans don't meet requirements of the new health care law.

White House officials say a letter going out to state insurance commissioners will specify that current plans sold to existing customers will not be considered out of compliance with the health care law in 2014.

While the administration is granting new flexibility, it remains to be seen if state regulators and insurance companies will exercise the option.

Obama has been under enormous pressure from congressional Democrats to give ground on the cancellation issue under the health care overhaul, a program likely to be at the center of next year's midterm elections for control of the House and Senate.

It's unclear what the impact of Thursday's changes will be for the millions of people who have already had their plans canceled. While officials said insurance companies will now be able to offer those people the option to renew their old plans, companies are not required to take that step.

Insurance companies will be required to inform consumers who want to keep canceled plans about the protections that are not included under those plans. Customers will also be notified that new options are available offering more coverage and in some cases, tax credits to cover higher premiums.

Under Obama's plan, insurance companies would not be allowed to sell coverage deemed subpar under the law to new customers, marking a difference with legislation that House Republicans intend to put to a vote on Friday.

Only last week, Health and Human Services Secretary Kathleen Sebelius told a Senate panel she doubted that retroactively permitting insurers to sell canceled policies "can work very well since companies are now in the market with an array of new plans. Many have actually added consumer protections in the last three-and-a-half years."

Republicans were unimpressed with the changes.

House Speaker John Boehner, speaking in advance of the president's announcement, insisted it was time to "scrap this law once and for all."

"You can't fix this government-run health care plan called Obamacare . ... It's just not fix-able."

While the White House deals with the cancellation issue, the administration is also promising improvements in a federal website so balky that enrollments totaled fewer than 27,000 in October in 36 states combined. The administration had said in advance the enrollment numbers would fall far short of initial expectations. After weeks of highly publicized technical woes, they did.

Adding in enrollment of more than 79,000 in the 14 states with their own websites, the nationwide number of 106,000 October sign-ups was barely one-fifth of what officials had projected - and a small fraction of the millions who have received private coverage cancellations as a result of the federal law.

The administration said an additional 1 million people have been found eligible to buy coverage in the markets, with about one-third qualifying for tax credits to reduce their premiums. Another 396,000 have been found eligible for Medicaid, which covers low-income people.

Administration officials and senior congressional Democrats expressed confidence in the program's future. "We expect enrollment will grow substantially throughout the next five months," said Sebelius, who is in charge of the program.

"Even with the issues we've had, the marketplace is working and people are enrolling," she added.

Despite the expressions, the White House worked to reassure anxious Democrats who are worried about the controversial program, which they voted into existence three years ago over Republican opposition as strong now as it was then.

Senate Democrats arranged a closed-door meeting for midday Thursday in the Capitol with White House officials, who held a similar session Wednesday with the House rank and file. Ahead of that meeting, Obama planned to speak from the White House about new efforts to help Americans receiving insurance cancellation notices.

So far, five Senate Democrats are on record in support of legislation by Sen. Mary Landrieu, D-La., to make sure everyone can keep their present coverage if they want to. The bill would require insurance companies to continue offering existing policies, even if they fall short of minimum coverage requirements in the law.

The measure has little apparent chance at passage, given that it imposes a new mandate on the insurance industry that Republicans will be reluctant to accept.

At the same time, a vote would at least permit Democrats to say they have voted to repair some of the problems associated with the Affordable Care Act, as many appear eager to do.

In a statement, Landrieu said Sens. Jeff Merkley of Oregon, Kay Hagan of North Carolina and Mark Pryor of Arkansas were now supporting the legislation, as is Sen. Dianne Feinstein of California. All but Feinstein are on the ballot next year.

Across the Capitol, majority Republicans in the House set a vote for Friday on legislation to permit insurance companies to continue selling existing policies that have been ordered scrapped because they fall short of coverage standards in the law.

While House passage of the measure is assured, each Democrat will be forced to cast a vote on the future of a program that Republicans have vowed to place at the center of next year's campaign.

Democratic Rep. Mike Doyle of Pennsylvania, who voted for the initial Obama health care bill, said Thursday that members of his caucus want an opportunity to go on the record in support of allowing people to keep the insurance they had.

Doyle told MSNBC in an interview that at a White House meeting Wednesday, House Democrats told Obama about "the frustration level that many of us have" with the health care roll-out.

Doyle said Democrats warned Obama that "if you don't give us something by Friday" to fix the insurance cancellation problem, then many Democrats are likely to vote for the pending House bill sponsored by Republican Rep. Fred Upton of Michigan, which would accomplish that goal.

The promise of keeping coverage was Obama's oft-stated pledge when the legislation was under consideration, a calling card since shredded by the millions of cancellations mailed out by insurers.

Obama apologized last week for the broken promise, but aides said at the time the White House was only considering administration changes, rather than new legislation.


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