December 2, 2021
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Eight months after President Biden released his domestic agenda, the social spending package included in the Build Back Better Act is now being considered in the Senate, after a version of it passed the House on Nov. 19 by a vote of 220 to 213.
The Senate is likely to change the bill before holding a vote, and some of the key sections still being debated pertain to issues of healthcare access and affordability. Senate Majority Leader Chuck Schumer said recently that Democrats aim to have the bill on Biden’s desk by the December holidays.
One question for Senate Democrats on the budget reconciliation bill is whether to expand Medicare benefits to include dental, vision, and hearing coverage. The health insurance industry lobbied behind the scenes this year against expanding Medicare because it could reduce their competitive advantage, and the House-passed version of the bill only included a hearing benefit. Independent Sen. Bernie Sanders laid down a marker in late October that dental and vision must be included, but Sen. Joe Manchin has said he is reluctant to expand the program because he is concerned about its solvency, and Sen. Kyrsten Sinema has sought to bring down the bill’s 10-year spending total.
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