The Department of Labor's fiduciary-standard proposal will be reviewed by the White House, which might make tweaks. After that, the department will seek public comment. Finalization might not come until 2017. Meanwhile, critics are expected to continue opposing the proposal.
Premier hailed some provisions of the CMS' recently released accountable care organization proposal, such as allowing ACOs to adopt different payment schemes and giving providers access to Medicare data. The provider group, however, called on the CMS to add to its final ACO rule a policy to reduce disincentives for participating teaching facilities and other hospitals serving low-income populations, among other recommendations.
The bill by Sen. Richard Lugar, R-Ind., proposes to raise energy efficiency and curb greenhouse-gas emissions without having to impose carbon limits or raise business costs. The measure is meant to attract the support of legislators who are concerned about the economic impact of the broader climate-and-energy bill by Sens. John Kerry, D-Mass., and Joe Lieberman, I-Conn.
The Obama administration's proposed budget for fiscal year 2011 calls for a "comprehensive market-based policy" to curb global warming, but it omits projected revenues from a carbon-trading market. Last year's budget projected $646 billion in revenue between 2012 and 2019 from a proposed cap-and-trade program. The assumed income from cap and trade is not shown in the new budget proposal because "the exact nature of the legislation remains in flux," according to a source in the administration.