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Show !'..(!! 1.4 - I HI DMI V III KM 1) IW.v 'l.ih Sun.l.iv I luK HI I'l'H program By Bil l. SAI.ISBl'KY kniyhl RhIiKt Ni'sp,ivis WASHINGTON ivdintricinnB dt ai daily with children who did not rweivo needed care becaune their parents couldn't afford health innurance. "We Hoe children whose have led to chronic infection, hearing Iohm and failure in school," says Irwin Hedlem-r- a "We doctors and hospitals who arc on the front lines are united in feeling that the first order of business is nrovidini!n aDDronriate insurance for uninsured kids." IViliiiiriciiin Irwin Redlcncr ear-uche- , New York pediatrician. "We know that children are missing school and their parents are missing work" because their asthma is not under control. The idea of helping the 10 million uninsured children has become politically irresistible. Both the House and Senate have passed bills intended to offer health care or insurance to half of those children over the next five years; President Clinton supports the effort and wants to do even more. Plans different In their zeal to jump on a politically popular issue, however, lawmakers have rushed through widely varying plans A quick comparison of the two plans shows the divergence: The Senate proposes spending $24 billion over the next five years to provide health insurance for children; the House set aside $l(i billion. Senators want to dictate what benefits kids will receive under the program; House members prefer giving the states wide leeway to design their own programs. The Senate bill limits the costs amount of that could be charged to e parents; the House bill doesn't. The funding formula in the House plan penalizes states that already provide health care to uninsured children and rewards those that have done nothing; the Senate version parcels out money to states without regard to need. containing provisions that are poorly understood and probably won't cover nearly as many children as promised. Health-carproviders and Negotiators meeting House and Senate negotiastate officials worry that the plans were slapped together tors are meeting to iron out without the usual scrutiny, and their differences. The "kid care" reconciling the two chambers' proposals are part of a larger incompatible approaches is budget package designed to likely to result in politically balance the federal budget in expedient compromises that five years. Congressional leadmay require remedial surgery ers hope to send the final bill to the president by early August. later. "These differences are deep The uncertainties in the and wide," said Sen. John debate are illustrated by the chief sponsor of question of just how many chilChafee, dren the Senate plan. would be covered. e According to the nonpartisan Congressional Budget Office, the House plan would extend coverage to Ki.r,0)() children who lack insurance, while the Senate version would cover 1.7 both figmillion youngsters ures far below the goal of 5 million. Disappointed legislators said the estimates were far loo pessimistic, and predicted the measures would benefit far more children. One dispute that need to be settlerl is the issue of money. Under the budget agreement Clinton and congressional leaders hammered out last month, $lfi billion was set aside for children's health care. The Senate added $8 billion by dedicating part of a cigarette tax increase to kids' health insurance. "The additional $8 billion ... will allow us to cover over 1 million more children." asserted Sen. Jay Rockefeller, Tobacco tax Clinton supports the tobacco tax increase, but he wants to spend all the additional revenue on children's health insurance, providing $.'H billion 20-ce- over five years. But many House members who supported that chamber's "kid care" plan adamantly oppose the tax increase and probably would vote against a bill that included it. That could jeopardize the leginlation. Lawmakers also will face a contentious philosophical dispute over what strings the federal government should attach to the children's health program. Health-carproviders and includchildren's advocates the American ing College of Physicians, American Academy of American Pediatrics, Association, Hospital Children's Health Mind and Children's Defense Fund prefer the Senate plan. "We doctors and hospitals who are on the front lines are united in feeling that the first order of business is, providing appropriate insurance for uninsured kids," said podiatrician Redlcncr, president) of the Children's Health Hind and professor of pediatrics at the Albert Einstein College of "The more expensive the federal government makes the cost of providing care to one child, the fewer children that can be served." Nevada Gov, Bob Millcraiul and Ohio Gov. George Voinovich. in a statement e Medicine. Equal benefits The Senate plan would require states to provide children the same benefits that federal employees receive under the government's standard insurance ipackage, including dental, vision and hearing services. A state could used federal funds to buy the insurance from a private provider, expand its Medicaid program to cover the working e poor, or offer a combined public-privat- e benefit package Asked why they need to mandate all the benefits, Senate sponsor Chafee replied: "A child goes to school, gets a vision test and the teacher sends a note home saying that child cannot see the blackboard. What is a family sup- - services for children, such as posed to do if they cannot afford to pay for those glasses? Under the Senate bill, these very children would be sure regular physical and dental and exams, immunizations low-inco- well-bab- care, y to get those eyeglasses and Opixmonts say the House version aids." gives the states too much hearing But critics warn that manflexibility They could use the money to replace federal cuts in dating a rigid package of benefits would limit the number of Medicaid, finance their current children covered under the new children's health programs, or divert it to other purposes. program. "The more expensive the fedMichigan Rep. John Dingell, eral government makes the cost the ranking Democrat on the of providing care to one child, the Commerce Committee, called fewer children that can be the House bill a "political insurserved," Democratic Gov. Bob ance program for governors." Miller and Nevada of Gov. Governors divided George Republican Governors are divided on the . Voinovich of Ohio said in a statement on behalf of the National House plan. While they like the " Governors' Association. flexibility it offers, some of the The governors endorsed the 28 states that offer their own children's health programs fear! structure of the House bill, saythey will be shortchanged ing it would give them flexibilito benefit ty design packages under the House formula for that meet the unique needs of distributing funds to the states. That formula allocates the children in their states, money based on the number of uninsured children in each No red tape The chief sponsor of the state. States that have created House Commerce programs to cover those chilplan, Tom dren would get smaller shares Committee Chairman wants to cut as of federal funding, while states Bliley, much red tape as possible and that provide no health prolet the states devise innovative grams for uninsured children children's health programs. The would receive the most. States with existing chilstates could buy private health insurance to expand Medicaid, dren's program prefer a Senate as in the Senate plan, but they distribution formula based on could also spend the federal the number of children living in poverty in a state. money on direct health-car- e Boston mayor's missing desk mystery may have been solved - BOSTON AP) The case of Mayor Curley's missing desk, one of Boston's enduring mysteries, may have been solved. A mahogany desk found in a suburban garage may be the one used by four-terpopulist Mayor James Michael Curley until he leR office in 1950. The desk couldn't be found when Raymond L. Flynn, now U.S. ambassador to the Vatican, succeeded Mayor Kevin White in 1984 and wanted to use it. City Councilor All)ert O'Neill, a onetime driver for the late mayor, has seen police photographs of the newly found desk. "The minute I saw those photos, I said, 'That's the desk,'" he said. "I must have been in Curley's office about 200 times. Positively, absolutely, that's the desk." ( The ornately carved desk has become something of a cause celebre in Boston. It was rumored to be hidden in White's Beacon Hill townhouse. T Woods Cros$ Shopping Confor Q)rjtn fm Curley. who also served as Massachusetts governor and in Congress, died in 1958. An general's attorney spokesman said the desk was seized from the garage of restaurateur George Toecc Jr., who said he grabbed it off a Cyrix 6x86 PR200 'Includes sidewalk in front of a city building 25 years ago as workers prepared to throw it away. "I had no idea the thing belonged to Curley. 1 use it as a work table. I've cut wood on it. I paint on it. 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