By ROBERT PEAR

After a rare bipartisan agreement in the Senate to expand insurance coverage for low-income children, House Democrats have drafted an even broader plan that also calls for major changes in Medicare and promises to intensify the battle with the White House over health care.

President Bush has threatened to veto what he sees as a huge expansion of the children’s health care program, which he describes as a step “down the path to government-run health care for every American.” The House measure calls for changes that the administration will probably find even more distasteful, including cuts in Medicare payments to private health plans.

Like the bill approved last week 17 to 4 in the Senate Finance Committee, the House bill would increase tobacco taxes to help finance expansion of the Children’s Health Insurance Program.

House Democrats hope to portray the issue as a fight pitting the interests of children and older Americans against tobacco and insurance companies. The White House says the Democratic proposals would distort the original intent of the children’s program, cause a big increase in federal spending and adversely affect older Americans who are happy with the extra benefits they receive from private health plans.

By packaging Medicare with the children’s health program, Democrats say, they have built a strong intergenerational coalition that could help them overcome a presidential veto. The House bill has already drawn support from two powerful groups, AARP and the American Medical Association, in part because it would prevent cuts in Medicare payments to doctors. But the House bill is likely to meet fierce resistance from some Republicans because it is more costly than the Senate bill and could undermine private Medicare health plans, which have been championed by Republicans for a decade.

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