Mark Larson, chair of the House Health Care Committee

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Itโ€™s official. The Vermont House passed H.202, the landmark universal health care bill on third reading Thursday. The vote, 90-49, was along party lines, and so was the running set of arguments that occupied a second day of interrogations, amendments, roll call votes and speeches.

The Republicans in the House are on record: There is nothing about H.202 they could learn to love. The GOP oratory, delivered with decorum, was a let-me-count-the-ways-we-hate-it recitation. After grilling Rep. Mark Larson, D-Burlington, the chair of the House Health Care Committee, for 15 hours, Republican members wrapped up their protest of the bill with a member by member explanation of each vote cast against it.

In a repeat performance of the night before, the GOP members, who didnโ€™t have the numbers to scuttle the bill, made their displeasure known to the rest of the body over the course about 15 hours of House debate.

Indeed, the only point on which the right and left agreed regarding this issue is the indisputable fact that health care costs are rising too quickly, at a rate of $1 million a day.

As it became clear that the speechifying and inquisition was nearing an end, the two parties held dueling press conferences. The Dems declared victory; the GOP demanded that self-insured employers in Vermont be exempted from participation in the universal health care bill.

House Speaker Shap Smith called the legislation a โ€œbold step forwardโ€ and praised both sides for carrying on a civil and substantive debate. The tenor of the discussion on the House floor, he said, is a โ€œtestament to the way we do things in Vermont.

โ€œThis bill puts us on a path to meet the challenge (of creating) a structure for cost containment, for putting together a universal plan and puts us on a path when we have a benefit package we can be sure to pay for it,โ€ Smith said.

Larson, who was heralded by the Dems for his leadership on the issue, said the bill would enable the state to โ€œtackle a problem that has nagged us for decades.โ€

As for the GOPโ€™s criticism that the bill is โ€œan empty shellโ€ and that it raises more questions than it answers, Larson said in reference to the extensive questioning over the last two days: โ€œIโ€™m not sure there are questions that havenโ€™t been answered several times.โ€

The bill now goes to the Senate.

Senate President Pro Tem John Campbell declared the senators will โ€œdo due diligenceโ€ and will ensure that medical coverage is extended to all Vermonters. He described the bill as the first step toward building a sustainable health care system.

As for the criticism leveled by Republicans that the legislation has been created in haste, Campbell declared: โ€œWe are not moving too fast.โ€

In a press conference, Rep. Oliver Olsen, R-Jamaica, told reporters that the new bill creates uncertainty for business, particularly large self-insured entities that he said would have to pay twice under the new bill. Olsen said the companies would be obliged, as proposed in the Hsiao plan, to pay a payroll tax, in addition to maintaining insurance benefits their workers expect. This is the crux of the โ€œuncertaintyโ€ businesses are concerned about, he said.

โ€œOne thing weโ€™ve heard about our fragile recession is that uncertainty delays hiring,โ€ Olsen said. โ€œThis bill creates great uncertainty, particularly for the 106,000 Vermonters who are part of self-insured plans.โ€

Olsen said the stateโ€™s biggest employers โ€“ IBM, General Electric, General Dynamics โ€“ have made it clear that the โ€œuncertaintyโ€ in this bill will be a great risk to their employees.

โ€œWe call on the governor and legislative leaders to promise these employers they will not have to pay for a system they will not use,โ€ Olsen said.

Rep. Anne Donahue, R-Northfield, said her party had offered many amendments that were rejected by the Democratic majority. โ€œUnlike Congress, I hoped to see (us) working together,โ€ Donahue said.

Donahue is concerned that insurers will leave the state.

โ€œThis is where the rubber hits the road,โ€ Donahue said. โ€œWe are going beyond the point of no return.โ€

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