U.S. President Joe Biden will speak in Pittsburgh, Pennsylvania on March 31, 2021.
Jim Watson | AFP | Getty Images

While President Joe Biden is trying to steer his new mammoth infrastructure plan through Congress, his administration is planning the next phase of economic recovery.

As the White House prepares to unveil another proposal related to education, paid leave and health care, it has given a few clues as to whether it includes Biden’s core campaign: a public insurance option.

The president continued to expand health care coverage by letting Americans choose a Medicare-type plan. Although the White House has said it will address health care in a new proposal that will be announced later this month, it has not yet committed to include a public option.

“Health care will certainly be part of it, focusing on efforts to lower costs for most Americans, especially prescription drugs, and efforts to also expand affordable health care,” White House HR Director Ron Klain told Politico on Thursday when asked if the proposal includes a Medicare-type insurance plan.

Biden came to the White House with democratic congressional control and the opportunity to make the most important pieces of his platform. Biden took office during the pandemic and economic downturn and had to oppose the GOP’s opposition to many of his goals in the Senate, where the filibuster still exists, and Biden had to make difficult decisions about what to do and when.

Democrats began Biden’s term with three options to use budget reconciliation, a process that allows bills to be approved by a simple majority in the Senate. That means Democrats can pass legislation without GOP votes in an evenly distributed chamber.

As Republicans oppose efforts to increase government involvement in health care, Democrats are likely to pass the public option alone. But health care reform has faced some of Washington’s biggest political parties for decades.

Democrats should still get all their members involved in the health plan. It can prove difficult in a party where popular models range from a modified version of Obamacare to a complete single-payer system that covers all Americans.

CNBC policy

Read more about CNBC’s policy coverage:

  • There is still a big gap in infrastructure negotiations, the key, according to Republicans
  • Biden ordered a more specific Covid origin
  • Democrats are working to create an alternative to public health care

Democrats used their first shot at reconciliation to approve a $ 1.9 trillion coronavirus treatment bill – a larger aid package than they could have accepted if Republicans had signed. Democrats may also decide to use the process to approve a more than $ 2 trillion infrastructure plan unveiled by Biden on Wednesday. Senate minority leader Mitch McConnell, R-Ky., Said Republicans oppose it because it raises taxes on businesses.

Bypassing the infrastructure through mediation will leave the Democrat one more attempt to approve the bill by a simple majority by next year, although Senate Majority Leader Chuck Schumer, DN.Y., has said he hopes to find a way to use the process in overtime. Senators have already asked Biden to use his next recovery plan to expand health care coverage.

Sens. Michael Bennet, D-Colo. And Tim Kaine, D-Va., Have urged Biden to include his health care expansion plan in a future conciliation law. They believe their legislation reflects the presidential goal he set out on the campaign path.

It would establish a public Medicare option for individuals and small businesses nationwide by 2025. The law would also introduce cost-saving measures, such as allowing the government to negotiate drug prices and extending subsidies and tax credits to purchase coverage.

Senator Bernie Sanders, I-Acting, has his own idea of ​​how Biden should approach health care in mediation law. He wants to reduce the Medicare eligibility age to 60 or 55, from the current 65, and expand coverage to dental and vision.

He seeks to fund the change by allowing Medicare to negotiate prices directly with pharmaceutical companies.

It is now unclear whether Bide will include a public option in the Conciliation Act or how he would otherwise use the plan to cut costs and expand coverage. He is under political pressure to take action in the field of health during his first term, as in 2020 voters consistently placed the issue at the top of their agenda.

The pandemic also highlighted weaknesses in the U.S. health care system. Millions of people who lost their jobs as the virus spread across the country lost employer-sponsored insurance.

To combat the loss of coverage, the Biden administration opened a particularly favorable registration period for the Nursing Act. As part of the Covid grant package, Congress also made millions more people eligible for premium subsidies to buy plans.

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