Senate Proceeding on Oct 1st, 2009 :: 1:03:55 to 1:06:50
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1:03:37 to 1:03:56( Edit History Discussion )

Lamar Alexander: integral part and a very difficult problem for state governments. and i'm wondering if the senator from georgia thinks there might be opportunity for more bipartisan suppo reid's amendment to have the federal government pay

1:03:55 to 1:06:50( Edit History Discussion )
Speech By: Johnny Isakson

1:03:57 to 1:04:18( Edit History Discussion )

Johnny Isakson: of medicaid costs if medicaid is expanded? mr. isakson: i think the majority leader is exactly rhode island there is a prime k example of what happens -- is exactly right. just take no child left behind or take elementary and secondary education act and "idea." in 1978 we mandated funds appropriated for the individuals

1:04:19 to 1:04:39( Edit History Discussion )

Johnny Isakson: with disabilities in america. in fact, we spend 40% per f.t.e. more on a special-needs child than on a regular we never sent them a dime for about 20 years. we finally in 1999 started paying part of that 40%. now we're only paying half of it. now medicaid is a program, for the

1:04:40 to 1:05:00( Edit History Discussion )

Johnny Isakson: people out there who are listening today, the states pay about a third of medicaid and about it changes a little bit, but that's about right. the state runs the program. the federal government mandates the program. now when i was first senator alexander, to the georgia legislature, the expenses for medicaid the year i

1:05:01 to 1:05:21( Edit History Discussion )

Johnny Isakson: was elected in the state budget was $20,000, 1% of the state's $2 billion budget. now today, this year, even with all the cuts that have taken place, medicaid is 12% of georgia's budget. so it's grown from 1% of the budget to 12% of the budget in about 30 years. plans in the health care bill

1:05:22 to 1:05:42( Edit History Discussion )

Johnny Isakson: being talked about in finance and have been talked about in the house would mandate an increase by poverty to 150% of poverty for medicaid eligibility. it's said the states will be held harmless until 2013 or 2014, but no promises after that. let me tell you what would happen to my state of

1:05:43 to 1:06:05( Edit History Discussion )

Johnny Isakson: we raised eligibility man to 150% of poverty and the state paid its third of that one-third, the federal government. it would raise georgia's medicaid budgeted expenses annually from 12% of our bget to 20% $3.32 billion. states can't afford to do

1:06:06 to 1:06:27( Edit History Discussion )

Johnny Isakson: as the governor of nevada said, if 43 of our states can't de 43 of our states must balance their medicaid has been carved on and worked on as it is to try and preserve it under the existing law, with a 50% increase in eligibility and no funds from the federal government guaran put in a position of spending

1:06:28 to 1:06:48( Edit History Discussion )

Johnny Isakson: one penny out of every five on medicaid, which is abo my state's that's disproportionate, and it's not and i think senator reid is exactly right. our states should be held harmless on any mandated increase on medicaid. your point, about or those of us who have

1:06:49 to 1:06:52( Edit History Discussion )

Johnny Isakson: been a governor or in the legislature, in fact i've said