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Senate Proceeding on Jan 27th, 2009 :: 1:50:10 to 2:16:30
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Richard Burr

1:49:51 to 1:50:11( Edit History Discussion )

Richard Burr: game, so to speak, to get the kind of preventive care or to mitigate a probl. so for a lost families right now, this isn't a question of choices between options. they have no choice, because they have n and i'll come back to this, but i wanted to yield to my colleague from north carolina. mr. burr: mr. president? senator from north carolina.

Richard Burr

1:50:12 to 1:50:33( Edit History Discussion )

Richard Burr: . burr: mr. president, i thank my colleague from pennsylvania, and i don't want to dwell on things that he said, but let me just make this point: he said we're not here to talk about the bigger health care piece. androm a standpoint of the bill, he's exactly right. this is another attempt to grow

Richard Burr

1:50:34 to 1:50:54( Edit History Discussion )

Richard Burr: the size of a government program to include more americans into it without taking on the tough task of debating how in the d -- how in the hell do we fix health care so that every american has

Richard Burr

1:50:55 to 1:51:18( Edit History Discussion )

Richard Burr: the some facts will the baucus bill. the baucus bill spends 4 billion actually, might spend more than that based upon c.b.o. it increases the number of enrollees in schip by 5.7 million children.

Richard Burr

1:51:19 to 1:51:40( Edit History Discussion )

Richard Burr: by the way, 2 million of those children are currently under their parent's insurance. let me we're spending 4 billion five years to increase enrollment in schip million children who 2 million of t under their parents' health care insurance. when our benefit gets bigger,

Richard Burr

1:51:41 to 1:52:02( Edit History Discussion )

Richard Burr: when it becomes more inclusive, what happens? we say to the american people, why should you pay for it? we've got a program to cover your children. now, there is an alternative, and it's already been offered in one of the three it is the mcconnell amendment, "kids first." it

Richard Burr

1:52:03 to 1:52:24( Edit History Discussion )

Richard Burr: same five years. it enrolls 3.1 million new kids. now, if for 9.3 billion we get 3.1 million kids and for 4 billion over five, we only get 3.7 million new kids, then the taxpayer ought to ask us, for

Richard Burr

1:52:25 to 1:52:45( Edit History Discussion )

Richard Burr: e 600,000 kids that are uninsured tod pulling in under this program, what does it cost them per child? the answer is ,000. now, having just had a son who reached an age in he could no longer be under my insurance, i was amazed when i went out to try to college senior insurance.

Richard Burr

1:52:46 to 1:53:08( Edit History Discussion )

Richard Burr: because naturally i turned to e federal government, who work forks and i said, surely you've got a plan already in place for my child. and the government workers that might fall in a this classification. and they said, we certainly dovment we've negotiated with the same insurance coverage for the same

Richard Burr

1:53:09 to 1:53:29( Edit History Discussion )

Richard Burr: was under covered by he said, what's the coverage for that. ,400 per year. ,4 negotiated for my 22-year-old healthy-as-a-bull son to be covered under the same insurance program he had b what did i do? i picked up the phone and call

Richard Burr

1:53:30 to 1:53:53( Edit History Discussion )

Richard Burr: the yiewvment i said, shiewferl a got plans for kids whose insurance runs out. we certainly dovment we've got it with this company, it's this plan. it was the exact same coverage that i had as a federal employee. i asked that i would ask much does it cost a year? the answer, ,500. one phone call.

Richard Burr

1:53:54 to 1:54:15( Edit History Discussion )

Richard Burr: i saved ,000 for a 22-year-old healthy-as-a-bull college senior because i no longer let the federal government be a par of his health caimplet i took him out. for ,500, they covered my sofnlt for every year under that 22, an amazing thing happened.

Richard Burr

1:54:16 to 1:54:36( Edit History Discussion )

Richard Burr: every year children get cheaper because they're less likely with to have a serious illness. the most likely is the first year. that's why we make sure that in the first the exams they need to make sure that they're on the chart to not only a successful life but a healthy life.

Richard Burr

1:54:37 to 1:54:58( Edit History Discussion )

Richard Burr: so, one shouldn't be amazed to find out tt the average for people under 18 is about ,200 a year to have full health coverage. but what are we here debating? this was the if we allow discussions and debate this is a huge mistake was what

Richard Burr

1:54:59 to 1:55:20( Edit History Discussion )

Richard Burr: was just we're having a discussion and a debate about what the american taxpayers are willing to pay for a benefit. we all agree should be expanded. some of us believe we ought to have the bigger debate now about

Richard Burr

1:55:21 to 1:55:41( Edit History Discussion )

Richard Burr: how it affects the -- do we fix the american health care system? how do we fix it wherever american has the opportunity to have a health insurance policy? but, no, we've decided not to do that. we've decided to take one little piece -- i hads can. why? because kids, every american wants to do something for children.

Richard Burr

1:55:42 to 1:56:03( Edit History Discussion )

Richard Burr: i want to do it. but i'm also inclined to do the right thing for kids and not just anything for kids. now, it was said earlier that this was a bipartisan bill. let me point out for my colleagues and those paying attention to this debate, when this committee, it got one republican vote.

Richard Burr

1:56:04 to 1:56:24( Edit History Discussion )

Richard Burr: i'm not sure bipartisan measurement tool that president obama said he needed when heas sworn in as our 44th president. as a matter of fact, he's aggressively coming to the nil about one hill to meet dissh to the hill in about one hour to meet with republicans because he

Richard Burr

1:56:25 to 1:56:48( Edit History Discussion )

Richard Burr: doesn't want just a stimulus package to pass; he wants yoampling bipartisan support. but bipar defined as one republican voted with every democrat and passed a bill. amazing thing. if you look back to 2007, excuse me, 2008, i think it was, when a bipartisan bill did come out of the finance committee, the

Richard Burr

1:56:49 to 1:57:10( Edit History Discussion )

Richard Burr: ranking member voted for it the second-highest ranking republican in seniority voted for it. they came to the floor and spoke on chairman baucus -- it was his bill. there was bipartisan spowmplet what happened this why didn't we start with the bill we had last year? they took everything that senator grassley, erything

Richard Burr

1:57:11 to 1:57:32( Edit History Discussion )

Richard Burr: that senator hatch incorporated in the bipartisan bill and they ran right over. they threw it out. if you see something on the floor in the united states senate today, it's road kill. it's where senator grassley and senator hatch were thrown not in an effort to reach

Richard Burr

1:57:33 to 1:57:53( Edit History Discussion )

Richard Burr: bipartisanship be prescriptive as to exactly what schip said and to covered. when chuck grassley comes to the floor -- and every senator in this chamber understands it -- and says, when you strike

Richard Burr

1:57:54 to 1:58:14( Edit History Discussion )

Richard Burr: ability to hold the five-year have now opened the insurance program up to individuals who are here, new legal immigrants to america, but who have a responsibility by their sponsor to make sure that they don't accept federal government benefits.

Richard Burr

1:58:15 to 1:58:36( Edit History Discussion )

Richard Burr: in other words, they're not at the taxpayer trough for at least five years. and what did we do? we discarded it. we said, no, we will let you at at the taxpayer trough. we will let you there on day one even though when you came in, you said i will not do that for five years. not only did we do

Richard Burr

1:58:37 to 1:58:59( Edit History Discussion )

Richard Burr: actually threw away the verification that they're legal. we no longer under schip will require a photo i.d. of somebody that walks schip. all we say is you have to have a name and you have to have a social security number. one of which can be made up, the

Richard Burr

1:59:00 to 1:59:20( Edit History Discussion )

Richard Burr: other of which can be bought. the amazing thirntion we see it we've had every sort of immigration great on this floor. we're building a wall today because there is a problem. yet for the federal taxpayers let's forget about sponsorship when you come here legally. let's forget about the

Richard Burr

1:59:21 to 1:59:42( Edit History Discussion )

Richard Burr: obligation that your sponsor had to make sure for five years they were substance that you needed. and,oh, by the way, in case there are folks out there that might not be here legally, let's not require them to show a photo i.d. so we know the person who's in they gave us, matches the social security number that was

Richard Burr

1:59:43 to 2:00:04( Edit History Discussion )

Richard Burr: provided. what we've done is we've opened up a tremendous loophole. now, i'm all for making sure, as i said earlier -- and dr. coburn has said -- we want to make sure every american has insurance. i'm not trying to cut owvment i'm not trying to target those people who are here legally but under five years or

Richard Burr

2:00:05 to 2:00:25( Edit History Discussion )

Richard Burr: those people, for sakes, that are here illegal. i want to make sure they have health care and prevention/emergency care. but i want to a system that works. today cost-shifting alon costs 00 billion a year. we're really having a debate

Richard Burr

2:00:26 to 2:00:46( Edit History Discussion )

Richard Burr: let's talk about how to eliminate that 00 billion that doesn't go to prevention, doesn't go to wellness, doesn't go to insurance coverage. it goes in a big black hole that doesn't deliver care to any american. well, as i started, this is not reform.

Richard Burr

2:00:47 to 2:01:07( Edit History Discussion )

Richard Burr: it's a debate about growing a federal program. p mr. president, the k schip statistics, were enrolled in 2008, a 4% increase over 2007. yet, if you look at the devil in

Richard Burr

2:01:08 to 2:01:28( Edit History Discussion )

Richard Burr: the details, there were 5.5 million on the monthly average. 7.4 total enrolled, throughout the year. 5.4 are

Richard Burr

2:01:29 to 2:01:51( Edit History Discussion )

Richard Burr: for schip in this country. exactly what was said earlier to my good friend from pennsylvania. we have 5.4 mlion children who today are eligible for medicaid or for schip. well, i remember when dr. coburn and i held up the president's pepfar bill, where we were targeting an increase from 5

Richard Burr

2:01:52 to 2:02:13( Edit History Discussion )

Richard Burr: billion to 0 billion for aids treatment in africa. there was only one thing, that when they increased substantially is amount of money, they dropped the requirement that 50% of the enrollees actually be treated for the aids or h.i.v. disease they had. they said we'll leave that up to the n.g.o.'s that are implementing the program.

Richard Burr

2:02:14 to 2:02:34( Edit History Discussion )

Richard Burr: in other words, the n.g.o.'s said to get any further into t population of people who have h.i.v. and aids, that's going to be really, really tough. so rather than attempt to do something really, really tough, we lifted the requirement that 50% of the money had to be spent on delivering a service. what are we doing

Richard Burr

2:02:35 to 2:02:56( Edit History Discussion )

Richard Burr: now we've gotten to the population that's really, really tough -- 5.4 million kids eligible for for schip. and what are we stphaeug states, we know -- what are we saying? states, we're going to allow you able to solicit for this program.

Richard Burr

2:02:57 to 2:03:18( Edit History Discussion )

Richard Burr: we're going to increase the percentage of federal poverty that you're going to be include in this program. a program -- and i phaoeud say this to my -- and i might say this to my good friend ben cardin, i helped craft the first schip bill. i remember the sat in trying to figure out exactly how to structure it, a

Richard Burr

2:03:19 to 2:03:41( Edit History Discussion )

Richard Burr: bill that by concept was designed for states to run, for us to target those kids america have enough income to afford health care for them, but had too much income to be eligible for medicaid. it was targeted

Richard Burr

2:03:42 to 2:04:03( Edit History Discussion )

Richard Burr: the families that were over 100% of the federal poverty level but under 200% of poverty level. that may be greek to a lot of folks, but let me point out at 200% of the federal poverty level for a family of four, a person earns 4,000 a

Richard Burr

2:04:04 to 2:04:28( Edit History Discussion )

Richard Burr: now we're up to 300% of poverty in schip. 300% of poverty is?p 6,000 a year. there's an exception, because new jersey currently has a waiver to go federal poverty level in

Richard Burr

2:04:29 to 2:04:51( Edit History Discussion )

Richard Burr: so that puts them at 7,175 for a family of four. what about the baucus bill? the baucus jersey and new york the ability to go to 400% of poverty. 400% of poverty. 8,200 a year for a family of four.

Richard Burr

2:04:52 to 2:05:12( Edit History Discussion )

Richard Burr: for god's sakes, do not lecture me on what schip was designed to try to do in this country, leaving 5.4 million kids behind today that currently are eligible, and tell me that there's some rational reason as to why we should roll over and pass something without

Richard Burr

2:05:13 to 2:05:37( Edit History Discussion )

Richard Burr: that increases from where i had targeted 44,100 dollars a year to now 8,200 a year. why do we need to eligibility? it's simple. because it's hard to reach the 5.4 million children that are

Richard Burr

2:05:38 to 2:05:59( Edit History Discussion )

Richard Burr: below 200% or country. mr. president, the medicaid fmap ranges in this country range from 50% to 75.9% with a ceiling of 83%, meaning that's how much the federal government gives to the states for our porti

Richard Burr

2:06:00 to 2:06:20( Edit History Discussion )

Richard Burr: their medicaid payment. now, schip offers a higher federal match than and, the schip map 65 to 83.1 with a ceiling of 85%. if you listen to me do the nu

Richard Burr

2:06:21 to 2:06:42( Edit History Discussion )

Richard Burr: out what's going on on the senate floor. why do you want to increase the eligibility limits? it's because for some states, under medicaid, they get 50% match. but under schip, they match. you want to increase the universe because the federal

Richard Burr

2:06:43 to 2:07:03( Edit History Discussion )

Richard Burr: government picking up 15% more of the why wouldn't you want the parameters of schip to in fact increase if you're letting the states off the hook of # 15% of what they're obligat to do. let me say, mr. president, in north carolina our

Richard Burr

2:07:04 to 2:07:24( Edit History Discussion )

Richard Burr: rate is 78.4%. our north carolina medicaid match rate is 64.6%. and i think it's important also to remind my colleagues that in the baucus bill, even though it limits schip match rate to

Richard Burr

2:07:25 to 2:07:45( Edit History Discussion )

Richard Burr: children and of poverty, it still does allow medicaid to in fact wrap around that. i call it the medicaid sandwich. medicaid goes to 100%, schip goes right here, and medicaid

Richard Burr

2:07:46 to 2:08:06( Edit History Discussion )

Richard Burr: goes on top. i'm not sure that there is a rational, sane person in the world that would design the system that yet, we're on the senate floor today and we'll be and we'll be here the next day, and we'll probably entire week, because we're trying to rationalize why this program needs to be reauthorized

Richard Burr

2:08:07 to 2:08:27( Edit History Discussion )

Richard Burr: in its current form, why we need to tkop things that bipartisan -- drop things that have been bipartisan in the past so we can increase the enrollment size to include people who are here under s-p's sponsorship people who are here illegally and want to be covered. we're here to debate whether the

Richard Burr

2:08:28 to 2:08:48( Edit History Discussion )

Richard Burr: eligility parameters should be increased. now, i pennsylvania, to another one of his quotes. he said all this stuff doesn't rise to the level. i believe it does. everybody's entitled to their opinion, but i believe this stuff d senate debate.

Richard Burr

2:08:49 to 2:09:09( Edit History Discussion )

Richard Burr: i believe it rises to the level of public disclosure. the american people look at schip -- and mr. president, we had this debate last year as we got ready for reauthorization, where all of a sudden schip dropped the "s." and before we ce to the floor, schip was back to schip.

Richard Burr

2:09:10 to 2:09:30( Edit History Discussion )

Richard Burr: two speakers on the majority side today, that everything refers to the chip program. so i assume that i haven't picked up the part in the langill is eliminated this as a state program and it's going to be children's health insurance program only run by the federal government, administed by the federal government.

Richard Burr

2:09:31 to 2:09:52( Edit History Discussion )

Richard Burr: and the states won't have diddly to do with it. i just haven't found that yet but then again we haven't had the bill long enough to read all the different nuances of it. we have had it long enough to read the i think dr. coburn alluded to that very effectively.

Richard Burr

2:09:53 to 2:10:15( Edit History Discussion )

Richard Burr: the c.b.o. says the baucus bill spends in fy

Richard Burr

2:10:16 to 2:10:37( Edit History Discussion )

Richard Burr: rather than continue the schip allocation increases into 2013, the bill drastically reduces the allocation to .7 let me cover that again. 2012, we allocate 4.98 billion to schip, almost 5 billion.

Richard Burr

2:10:38 to 2:10:58( Edit History Discussion )

Richard Burr: and under the bill's structure, in 2013, we allocate .7 billion for the health care of that same population. somehow we're either going lose are under the program or we're miraculously going to find another billion.

Richard Burr

2:10:59 to 2:11:19( Edit History Discussion )

Richard Burr: well, you know what? billion appears frequently up here. it's called debt. it's called debt on our children and our grandchildren. we make it up. we print it. we fund it. it goes into place. i might add that i'm not sure i'm the only one that caught on to this. i think senator baucus caught on

Richard Burr

2:11:20 to 2:11:40( Edit History Discussion )

Richard Burr: to it too when he wrote it, because the next year, in 2013, he has a onetime charge of billion, not counting the 2013 allocation. you know, i was worried that i might not have read

Richard Burr

2:11:41 to 2:12:03( Edit History Discussion )

Richard Burr: right the first time until i looked at 2013 and i found the onetime charge. he just doesn't want it included as a score under the five-year program. why? because of exactly what dr. coburn said. we're being less than honest with the american taxpayer. we're suggesting that this program can

Richard Burr

2:12:04 to 2:12:26( Edit History Discussion )

Richard Burr: we know it's going to cost now, how in the world can we take something up as seriously as children's health insurance and lie about the numbers? if we lie about the numbers, how do we expect the american people to believe us when we say, well, we're only poverty. well, we're only doing

Richard Burr

2:12:27 to 2:12:48( Edit History Discussion )

Richard Burr: we're only doing kids. i know it will be shocking to some, probably not to all, to find out that we currently cover 334,316 adults under the schip

Richard Burr

2:12:49 to 2:13:10( Edit History Discussion )

Richard Burr: program. 334,616 adults under the state children's health insurance program. why? because we allowed sta increase waivers because it was too tough to

Richard Burr

2:13:11 to 2:13:31( Edit History Discussion )

Richard Burr: were eligible under the original structure of the schip bill that we wrote and passed in 1996, conceived a plan -- 0

Richard Burr

2:13:32 to 2:13:52( Edit History Discussion )

Richard Burr: billion for ten years. 0 billion -- excuse me. went for ten years, billion a year, before we'd ever gotten to the end of the ten years, we had already changed the parameters. we already changed the eligibility. we already put we knew 10 years ago, now 11 years ago, soon to be 12 years

Richard Burr

2:13:53 to 2:14:13( Edit History Discussion )

Richard Burr: ago, we needed to fix our health care system. we didn't do it under the clinton administration. we didn't do it under the bush administration. we didn't do it in the 104th, 105th, 106th, 107th, 108th, 109th, 111th -- maybe in the 111th.

Richard Burr

2:14:14 to 2:14:34( Edit History Discussion )

Richard Burr: we're in the the assertion we shouldn't have this debate, we should have this debate. we should fix it. for once the united states senate ought to step up and say let's quit continuing to do something that we know is broken and let's fix it. les not just increase eligibility of a broken program. let's fix the program. let's just not talk

Richard Burr

2:14:35 to 2:14:56( Edit History Discussion )

Richard Burr: supplying an insurance phrubgt to a certain -- product to a certain segment of america. let's do it to everybody. let's have an honest debate that every american ought to be insured, and let's have a debate as to how we get there. mr. president, over the next two days, we're going to talk extensively about

Richard Burr

2:14:57 to 2:15:18( Edit History Discussion )

Richard Burr: today already a grassley amendment has been it strikes the ability for legal immigrants to be brought into the program for those five years. a hatch amendment which, what senator hatch does is real clear. if you want to bring

Richard Burr

2:15:19 to 2:15:41( Edit History Discussion )

Richard Burr: people, then you have to reach a threshold of 95% of kids having been on the program. 95% of all the eligible kids have to be in the program for this to be expanded. i think that' reasonable. if you're really concerned with children, i think this is dunk amendment. and i might add it was part of the bill last year.

Richard Burr

2:15:42 to 2:16:02( Edit History Discussion )

Richard Burr: the last one is kids first, offered by leader mcconnell. and i might reiterate one more time, it spends 9.3 billion over five years. it increases the enrollment in schip by as opposed to the baucus bill at

Richard Burr

2:16:03 to 2:16:24( Edit History Discussion )

Richard Burr: 4 billion over five years that increases enrollment by 5.7 but does kids that are currently under their parents insurance, meaning that our additional cost, the cost to the amecan taxpayer, is ,000 per the 600,000 kids that will have health insurance

Richard Burr

2:16:25 to 2:16:31( Edit History Discussion )

Richard Burr: for the first time because they were we've got options. we'll have more amendments.

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