Kathleen Sebelius

  • Aired:  01/23/12
  •  | Views: 25,006

Secretary of Health and Human Services Kathleen Sebelius explains that 2.5 million previously uninsured American children now have health insurance under the Affordable Care Act. (7:11)

>> Jon: MY GUEST TONIGHT

SERVES IN THE PRESIDENT'S

CABINET AS SECRETARY OF THE

DEPARTMENT OF HEALTH AND HUMAN

SERVICES.

PLEASE WELCOME BACK TO THE

PROGRAM SECRETARY KATHLEEN

SEBELIUS.

( APPLAUSE )

>> Jon: THANK YOU FOR BEING

HERE.

>> GLAD TO BE HERE.

>> Jon: THANK YOU FOR BEING

HERE.

I WANTED TO GIVE YOU AN

OPPORTUNITY.

IN THE TIME THAT WE ARE

ALLOTTED TO BEGIN, IF YOU

COULD, TELL US HOW AGAINST ALL

ODDS THE AFFORDABLE CARE ACT

OF AMERICAN OBAMAS HAS SAVED

AMERICA.

GO.

>> WELL, TWO-AND-A-HALF

MILLION YOUNG AMERICANS NOW

HAVE HEALTH INSURANCE WHO

DIDN'T HAVE IT BEFORE.

( APPLAUSE )

>> Jon: THAT SEEMS LIKE A VERY

GOOD THING.

>> THAT'S VERY GOOD.

WE HAVE THOUSANDS OF PEOPLE

ALL OVER THIS COUNTRY WHO

ACTUALLY MAY BE IN LIFE-SAVING

SITUATIONS BECAUSE OF THE HIGH-

RISK POOLS, PEOPLE WHO BECAUSE

OF THEIR MEDICAL CONDITION

ABSOLUTELY COULD NOT GET

COVERED.

I'VE MET A COUPLE OF TIME.รงรณ

GAIL IN NEW HAMPSHIRE HAS

TREATMENT NOW FOR HER CANCER

THAT SHE ABSOLUTELY DIDN'T

HAVE AND WAS DENIED.

>> Jon: WHEN DOES THE BIG

STUFF KICK IN?

THE WHOLE DEAL?

>> THE WHOLE PROGRAM WILL BE

LIVE COME 2014, BUT PIECES OF

THE PROGRAM ARE....

>> Jon: COMING LIVE.

>> YOU BET.

>> Jon: IS THE HEALTH CARE

PROGRAM MTV, KATHLEEN?

WE'LL BE LIVE ON NEW YEAR'S

EVE.

>> WE HOPE PEOPLE START TUNING

IN TO HAVE FIND OUT WHAT THEY

HAVE.

HEALTHCARE DOT-GOV.

>> Jon: IT'S GOING TO BE

HOPPING TONIGHT.

>> WE HOPE SO.

>> Jon: I WAS CONFUSED, IT

SEEMED LIKE YOU HAVE ASKED THE

STATES NOW TO SET THE

BENCHMARKS?

OR IS THAT INCORRECT?

ORIGINALLY I THOUGHT THAT YOU

THE SECRETARY, THE ORIGINAL

BILL, WOULD SET THE BENCHMARKS

FOR WHAT THE INSURANCE PLAN

WOULD INCLUDE.

NOW IT SEEMS THAT THEY'RE

SAYING, WELL, NO, ACTUALLY THE

STATES WILL DO IT.

>> ACTUALLY IT'S A

COMBINATION.

CONGRESS IN THE LAW SAID AN

ESSENTIAL HEALTH PLAN HAS TO

HAVE TEN CATEGORIES.

FOR THE FIRST TIME

COMPREHENSIVE COVERAGE.

IT HAS TO COVER MATERNITY CARE,

60% OF THE PLANS SOLD TO

INDIVIDUALS DON'T HAVE ANY

MATERNITY.

IT HAS TO COVER MENTAL HEALTH

TREATMENT.

ABOUT A THIRD OF THE FOLKS

DON'T HAVE SUBSTANCE

TREATMENT.

IT HAS TO COVER PRESCRIPTION

DRUGS.

THE TEN CATEGORIES LAID OUT.

WHAT WE SAID TO GET IT UP AND

RUNNING A STATE-BASED EXCHANGE

SHOULD HAVE THOSE TEN

CATEGORIES AND THEN THE STATE

CAN LOOK TO THEIR MOST POPULAR

SMALL BUSINESS PLAN, A FEDERAL

EMPLOYEE PLAN IN THAT AREA, A

STATE EMPLOYEE PLAN, TO CHOOSE

A PLAN THAT'S ALREADY MARKETED

UP AND RUNNING AND USE THAT AS

THE BENCHMARK PLAN FOR NEW

JERSEY.

>> Jon: NOW WHY WOULD YOU DO

THAT?

>> WELL, IT'S BECAUSE THE

FLEXIBILITY SHOULD BE AT THE

STATE LEVEL.

I'M A FORMER GOVERNOR.

A FORMER INSURANCE

COMMISSIONER.

INSURANCE MARKETS ARE

DIFFERENT.

WE WANT TO GIVE STATES WITHIN

A FRAMEWORK THE SAME WAY WE

DID WITH CHILDREN'S HEALTH

INSURANCE.

>> Jon: SECRETARY SEBELIUS.

>> YOU WANT ME TO TAKE IT

OVER?

I'M NOT GOING TO.

>> Jon: THIS IS NOT HOW THE

RUSSIANS WOULD DO IT.

>> THAT IS TRUE.

>> Jon: WHAT'S SURPRISING IS I

THOUGHT ONE OF THE REASONS WHY

THE PRESIDENT AND YOU WERE

AGAINST ALLOWING PEOPLE TO

SHOP INTER-STATE PLANS LIKE TO

BUY A PLAN IN ANOTHER STATE

WAS THAT CERTAIN STATES, THE

REGULATIONS WERE NOT

CONSISTENT.

>> THAT'S TRUE.

>> Jon: IT WOULD BE LIKE

CREDIT CARDS.

>> THAT'S TRUE.

THERE ARE SOME STATES WHO ARE

VIRTUALLY NO CONSUMER

PROTECTIONS AND OTHER STATES

WHO HAD STRONG CONSUMER

PROTECTIONS.

THIS WILL BE... WE WILL SET

THE FRAMEWORK.

EVERY STATE NOW HAS INSURANCE

OVERSIGHT.

EVERY STATE WILL HAVE CONSUMER

PROTECTIONS.

WE WILL SORT OF BE THE....

>> Jon: I WAS UNDER THE

IMPRESSION THAT ABOUT HALF THE

STATES HAD THE ABILITY TO HAVE

INSURANCE OVERSIGHT AND ABOUT

HALF OF THEM DID NOT.

>> A BUNCH OF THEM NOW HAVE

TAKEN ADVANTAGE OF THE

FINANCING STREAM FROM THE

AFFORDABLE CARE ACT, ARE

PUTTING NEW REGULATIONS IN

PLACE.

WE NOW HAVE AN EXTRA

OVERSIGHT.

SO EVERYONE DOESN'T HAVE THE

FULL AUTHORITY YET.

WE HOPE THEY'LL GET IT SOON.

>> Jon: DO YOU HAVE THE

AUTHORITY?

HOW DO YOU KEEP LIKE... I'VE

NOTICED THAT PREMIUMS TEND TO

GO UP NOW.

>> YOU THINK?

YES, THEY DO.

(LAUGHING) I'M GLAD YOU'RE

NOTICING.

>> Jon: I'VE BEEN CONCERNED

ABOUT IT BECAUSE I LOVE

AMERICA.

>> YES.

I'M WITH YOU ON THAT.

>> Jon: THANK YOU SO MUCH.

>> BOTH OF US LOVE AMERICA.

>> Jon: WE REALLY DO.

YET IT'S NOT LEGAL FOR US TO

MARRY AMERICA.

I DON'T KNOW WHY.

IF YOU GIVE THE OVERSIGHT TO

THE STATES THAT WE DIDN'T

THINK HAD THE ABILITY TO

REGULATE THEIR INSURANCE

COMPANIES ENOUGH TO LET US

SHOP THERE, WHY DO WE THINK

THAT THEY'LL HAVE THE ABILITY

TO REGULATE IT ENOUGH TO

CREATE REASONABLE PLANS FOR

PEOPLE?

WON'T THAT PUT THOSE STATES AT

A DISADVANTAGE?

>> THEY'RE KIND OF TWO

DIFFERENT THINGS.

FIRST OF ALL, THERE WILL BE

GROUND RULES FOR ALL INSURANCE

COMPANIES.

NEWS THAT'S ALREADY NOW BEING

CALCULATED.

THE NEW 80/20 RULE SAYS THAT

EVERY COMPANY, EVERY PLAN HAS

TO SPEND 80 CENTS OUT OF EVERY

DOLLAR COLLECTED ON HEALTH

BENEFITS NOT ON CEO SALARIES,

NOT ON OVERHEAD.

WE'RE COLLECTING THAT DATA

THIS YEAR.

( APPLAUSE )

YES, VERY GOOD.

NEXT YEAR CONSUMERS....

>> Jon: HOLD ON ONE SECOND.

REALLY?

>> YES.

>> Jon: EXPLAIN TO US VERY

QUICKLY IF THEY CAN'T DO THAT

AND THEY DON'T WANT TO, THEY

GET A WAIVER.

>> NO, NO.

HERE'S WHAT'S GOING TO HAPPEN.

INSURANCE COMPANIES ARE

ACTUALLY GOING TO START

SENDING CHECKS BACK TO

CONSUMERS.

WE'RE COLLECTING THE DATA THIS

YEAR IN 2012.

>> Jon: HOW ARE YOU GOING TO

ENFORCE THAT?

>> WELL, BECAUSE WE....

>> Jon: DO YOU HAVE THE

ENFORCEMENT ABILITY?

>> WE DO.

IN THE LAW WE HAVE THE ABILITY

AND THEY'RE TURNING THEIR

DATA... WHAT THEY ASKED US TO

DO IN A NUMBER OF CASES IS

GIVE THEM A PASS.

WELL, WE'LL BE AT 60 CENTS TO

THE DOLLAR OR 70 CENTS TO THE

DOLLAR.

BY AND LARGE WE HAVE SAID NO.

THERE ARE A COUPLE OF

COMPANIES WHERE THE CONSUMERS

HAD NO OTHER CHOICE.

WE SAID YOU HAVE TON ON A

PATHWAY TO 80 CENTS.

WE'LL GIVE YOU AN EXTRA YEAR.

BASICALLY PEOPLE ARE GOING TO

BE GETTING CHECKS ACROSS THIS

COUNTRY BACK.

>> Jon: IT IS, YOU KNOW, I'VE

STARTED READING ABOUT IT.

IT'S SO CONFUSING.

JUST AS YOU DESCRIBE IT AS A

PATHWAY TO 80 CENTS.

JUST SAYS TO ME WE NEED TO GET

YOU OUT ON WEEKENDS TO LIKE

MOVIES.

THEY'RE KILLING YOU DOWN THERE

IN WASHINGTON.

WILL YOU STICK AROUND FOR A

SECOND?

WE'LL TALK MORE ABOUT IT.

WE'LL GO TO COMMERCIAL AND

THROW IT UP ON THE WEBB-E-WEBB.

YOU KNOW WHAT CAN HAPPEN

THERE?

IT CAN GET PIE RATED.

SECRETARY KATHLEEN SEBELIUS.

WE'LL COME RIGHT BACK AND

WE'LL TALK ABOUT IT.

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