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GOP helps expand health care law choices

Move a departure from repeal efforts

FILE - In this April 1, 2014, photo, President Barack Obama, waves to the audience as he leaves the Rose Garden of the White House in Washington, Tuesday, April 1, 2014, after speaking about the Affordable Care Act. At the behest of business groups, congressional Republicans quietly sought and won a recent change in Obama's health care overhaul that expands coverage options under the law, a striking departure from their customary high-decibel attempts to repeal or dismember the law. (AP Photo/Carolyn Kaster)

FILE - In this April 1, 2014, photo, President Barack Obama, waves to the audience as he leaves the Rose Garden of the White House in Washington, Tuesday, April 1, 2014, after speaking about the Affordable Care Act. At the behest of business groups, congressional Republicans quietly sought and won a recent change in Obama's health care overhaul that expands coverage options under the law, a striking departure from their customary high-decibel attempts to repeal or dismember the law. (AP Photo/Carolyn Kaster)

At the prodding of business organizations, House Republicans quietly secured a recent change in President Obama’s health law to expand coverage choices, a striking, one-of-a-kind departure from dozens of high-decibel attempts to repeal or dismember it.

Democrats describe the change involving small-business coverage options as an improvement of the type they are eager to make, and Obama signed it into law. Republicans are loath to agree, given the strong sentiment among the rank and file that the only fix the law deserves is a burial.

“Maybe you say it helps (Obamacare), but it really helps the small businessman,” said Rep. Phil Roe, a Republican from Tennessee and one of several physician-lawmakers among Republicans and an advocate of repeal.

No member of the House GOP leadership has publicly hailed the fix, which was tucked, at Republicans’ request, into legislation preventing a cut in payments to doctors who treat Medicare patients.

It is unclear how many members of the House rank and file knew of it because the legislation was passed by a highly unusual voice vote without debate.

Several lobbyists and Republican aides who monitored the issue said the provision reflects a calculation that no matter how hard the party tries, the earliest the law can be repealed is 2017. In the meantime, according to this line of thinking, small-business owners need all the flexibility they can get.

One repeal-favoring Republican lawmaker took a similar view. “I was brought up in a family of 12. My mother taught me to be patient,” said Rep. Tom Reed of New York, who backed a stand-alone bill to make the same change.

The provision was relatively minor. It eliminated a cap on deductibles for small group policies offered inside the health care exchanges as well as outside; the cap was set at $2,000 for individuals and $4,000 for families.

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