G.O.P. to Use Children’s Health Insurance as Lure for Averting Shutdown

“This is just buying time,” said Representative Mark Sanford, Republican of South Carolina. “I think it’s the best of the available bad choices.”

House Democrats, most of whom voted against the last stopgap measure in December, are not likely to embrace this bill either, given the impasse on immigration — especially after President Trump was said to have made vulgar remarks in a meeting on immigration last week.

The drama over immigration continued to play out Tuesday in a hearing of the Senate Judiciary Committee, where Democrats castigated the homeland security secretary, Kirstjen Nielsen, for refusing to confirm Mr. Trump’s vulgarity. At one point, Senator Richard J. Durbin of Illinois, the No. 2 Democrat, had young undocumented immigrants protected by the Obama-era program known as Deferred Action for Childhood Arrivals, or DACA, stand in the hearing room as he recited their impressive résumés.

In the meantime, Dreamers and those who support them protested at Republican lawmakers’ offices.

“We want to keep the government open,” Representative Steny H. Hoyer of Maryland, the Democratic whip, said on Tuesday. “But we’re not going to be held hostage to do things that we think are contrary to the best interests of the American people.”

If Republican leaders can push the bill through the House this week, the Senate — where at least nine Democratic votes will be needed — is no sure bet. Some Democrats in that chamber — especially those considering a White House run — are expected to oppose any spending measure that does not protect the young undocumented immigrants.

But Democrats up for re-election this year may be reluctant to oppose the bill and risk being blamed for a shutdown.

Mr. Trump moved in September to end DACA but gave Congress until early March to come up with a legislative replacement. Last week, a federal judge ruled that, for now, the administration could not end the program, and the government has now resumed accepting renewal requests for it.

As a result, Senator Tom Cotton, Republican of Arkansas, argued on Tuesday that there was “no urgency right now to try to ram through a major change in immigration law by Friday.”

Mr. McConnell said lawmakers have “at least until March, at a minimum, and possibly even longer” to reach a DACA agreement.

In the bill to be passed this week to avoid a shutdown, Republicans would also suspend a tax imposed by the Affordable Care Act on medical devices, as well as a tax on providers of health insurance. In addition, it would delay the law’s tax on high-cost employer-sponsored health coverage, known as the Cadillac tax.

Having dithered for months, Congress has suddenly discovered a painless, cost-free way to extend the Children’s Health Insurance Program, or CHIP. The bill would extend the program’s funding for six years.

“I cannot see the Democrats voting against the Children’s Health Insurance Program,” said Representative Mo Brooks, Republican of Alabama, “but they’ll be given that option in this funding bill.”

Lawmakers were able to break a partisan deadlock on the program, started under President Bill Clinton, after they received a new estimate from the Congressional Budget Office showing that the cost would shrink over time and that extending the program for eight to 10 years could actually save money.

Members of Congress responsible for the program said the new estimate should clear the way for a swift renewal of the program.

The solution results almost entirely from a curious quirk in the way costs are estimated by the Congressional Budget Office — and from the unforeseen consequences of Congress’s decision to eliminate a pillar of the Affordable Care Act, the penalties for people who go without health insurance.

“Thanks to the repeal of the individual mandate tax, C.B.O. updated its score and gave us the momentum to push a long-term CHIP extension across the finish line,” said Senator Orrin G. Hatch, Republican of Utah and the chairman of the Finance Committee. “We must stop holding CHIP hostage.”

Funds for the program lapsed at the end of September. Congress provided a short-term infusion of money last month, and the Trump administration has shuffled money among states to help those with the most urgent needs. Nevertheless, some states have informed families that their children could lose coverage because of delays and inaction by Congress.

Extending CHIP for six years “may have no cost” to the federal government, said Representative Greg Walden, Republican of Oregon and the chairman of the House Energy and Commerce Committee.

Senator Ron Wyden of Oregon, the senior Democrat on the Finance Committee, said that extending the program for 10 years would save $6 billion, according to the budget office. “With this news,” he said, “securing kids’ health care for the long-term should be a no-brainer.”

The Children’s Health Insurance Program, created in 1997 with bipartisan support, is given credit for a big increase in the proportion of children who have coverage. But Republicans and Democrats have squabbled for months over how to pay for it.

In the tax bill signed last month by Mr. Trump, Congress eliminated the penalties for people who go without health insurance, starting in 2019. The Congressional Budget Office, like many health policy experts, believes that healthier people will be less likely to obtain insurance, so that people who remain in the health law’s marketplace — including children — will face higher premiums than they otherwise would.

Extending CHIP saves money, the budget office said, because it would be less expensive for the government than the alternatives — if many of those children enroll in Medicaid or in government-subsidized marketplace coverage.

The taxes on medical devices, health insurance providers and high-cost employer-sponsored health plans were all imposed by the Affordable Care Act, to help pay for the expansion of coverage under the law. All three would have been repealed under the bill passed last year by the House to dismantle that law.

Many Democrats have joined Republicans in opposing the device tax, which they describe as a threat to innovative medical technology. The bill would suspend it during two years, 2018 and 2019.

Health insurance companies have strenuously opposed the tax on insurance providers, saying the additional costs are generally passed on to consumers, businesses, state governments and taxpayers. The bill would suspend it for 2019.

The “Cadillac tax” is meant to help rein in the cost of employee health benefits. Instead of taking effect in 2020, it would be delayed until 2022.

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