Madam Speaker, pursuant to House Resolution 774, I call up the bill (H.R. 3963) to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for…
Madam Speaker, pursuant to House Resolution 774, I call up the bill (H.R. 3963) to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes, and ask for its immediate consideration.
Madam Speaker, I ask unanimous consent that all Members may have 5 legislative days in which to revise and extend their remarks and to include extraneous material on the bill under consideration.
Madam Speaker, I yield myself 3 minutes.
Madam Speaker, I rise in support of H.R. 3963, the Children's Health Insurance Program Reauthorization Act of 2007.
Madam Speaker, this is not a perfect bill, but it is an excellent bipartisan compromise. I would observe that it meets the concerns expressed both in the President's veto message and also in the comments raised by our Republican colleagues as we debated the bill at earlier times.
I will note that the bill protects health insurance coverage for some 6 million children who now depend on CHIP. I will observe that it provides health coverage for 3.9 million children who are eligible, yet remain uninsured. Together, this is a total of better than 10 million young Americans who, without this legislation, would not have health insurance, and it is to be noted that those same young people will be losing their health insurance shortly if we do not act expeditiously on this matter.
As mentioned, the bill makes changes to accommodate the President's stated concerns.
First, it terminates the coverage of childless adults in 1 year.
Second, it targets bonus payments only to States that increase enrollments of the poorest uninsured children, and it prohibits States from covering children in families with incomes above $51,000.
Third, it contains adequate enforcement to ensure that only U.S. citizens are covered.
Fourth, it encourages States to help low-income families to secure health insurance provided through their private employer.
The bill is focused on the private marketplace. The evidence of that is the bill has strong support from the private health insurance industry. It is supported by the medical community, AMA, children's advocates, educators, advocates for people with disabilities, health professionals, hospitals, the AARP and others.
It is solid, bipartisan legislation worked out in careful meetings with Members from both parties, including Senator Hatch and others on the Senate side who have done such important work on this matter in times past, and that includes also our dear friend, Senator Grassley.
It is solid, bipartisan legislation that addresses the concerns expressed by the President and by our colleagues in the House on the Republican side. I urge an ``aye'' vote on H.R. 3963.
Madam Speaker, I reserve the balance of my time.
Madam Speaker, at this time, it is a privilege for me to yield 3 minutes to the distinguished chairman of the subcommittee, my good friend from New Jersey (Mr. Pallone) who has been a great leader in these matters.
Madam Speaker, at this time, I yield 1 minute to the distinguished gentleman from Texas (Mr. Gene Green).
I would be happy to oblige my good friend.
The answer to the question is yes.
That would be a matter to be determined by the State in which the transaction and the events occurred.
Well, it's a ``yes'' if the State so decides. It's a ``no'' if they decide not.
Again, the response is that that is up to the State, and there is nothing in the legislation to preclude that.
Again, the answer is if that is so determined by the States, the answer is yes.
Well, I would certainly hope so, but I can't guarantee.
Madam Speaker, I submit for the Record the disregards for children's coverage that have been submitted to us by the Congressional Research Service.
The point here is that the money needs to continue to flow to working families so that we can keep them working rather than staying on welfare.
Within the Medicaid and SCHIP programs, states are
permitted to disregard or not count certain types of amounts
of family income as decided by the State in determining
eligibility for the program.
This bill maintains this long-standing flexibility to allow
States to disregard certain legitimate costs like child care
and child support costs, recognizing that this income is not
available for a family to spend on health coverage.
Allowing States to disregard these costs ensures that
working families have the money they need to pay for work-
related expenses to ensure that low-income families can keep
their jobs. This is important to keep families from having to
go on welfare to get health coverage for their children.
The following are the monthly disregards applied by States
in 2006.
The state of Alabama disregards $90 of earnings, $200 or
$175 of childcare expenses and $50 of child support received
for a family in its Medicaid program when determining
eligibility for an individual for Medicaid. It disregards $90
of earnings, $200 or $175 of childcare expenses and $50 of
child support received for a family in its SCHIP program when
determining eligibility for an individual in SCHIP.
The state of Alaska disregards $90 of earnings, $200 or
$175 of childcare expenses, $50 of child support received and
the full amount of child support paid for a family in its
Medicaid program when determining eligibility for an
individual for Medicaid. It does not disregard income when
determining eligibility for an individual in SCHIP.
The state of Arizona disregards $90 of earnings, $200 or
$175 of childcare expenses, and $50 of child support received
for a family in its Medicaid program when determining
eligibility for an individual for Medicaid. It does not
disregard income when determining eligibility for an
individual in SCHIP.
The state of Arkansas disregards $90 of earnings, $200 or
$175 of childcare expenses and $50 of child support received
for a family in its Medicaid program when determining
eligibility for an individual for Medicaid. It disregards $50
of child support received for a family in its ARKids B
Medicaid program when determining eligibility for an
individual for Medicaid. It does not disregard income when
determining eligibility for an individual in SCHIP.
The state of California disregards $90 of earnings, $200 or
$175 of childcare expenses, $50 of child support received and
the full amount of child support paid for a family in its
Medicaid program when determining eligibility for an
individual for Medicaid. It disregards $90 of earnings, $200
or $175 of childcare expenses, $50 of child support received
and the full amount of child support paid for a family in its
SCHIP program when determining eligibility for an individual
in SCHIP.
The state of Colorado disregards $90 of earnings, $200 or
$175 of childcare expenses and $50 of child support received
for a family in its Medicaid program when determining
eligibility for an individual for Medicaid. It disregards all
childcare and medical expenses, including health insurance
premiums paid in the last 90 days for a family in its SCHIP
program when determining eligibility for an individual in
SCHIP. Note: Child support received is not counted as income
in SCHIP.
The state of Connecticut disregards $90 of earnings, $200
or $175 of childcare expenses and $100 of child support
received for a family in its Medicaid program when
determining eligibility for an individual for Medicaid. It
disregards $90 of earnings, $200 or $175 of childcare
expenses and $50 of child support received for a family in
its SCHIP program when determining eligibility for an
individual in SCHIP.
The state of Delaware disregards $90 of earnings, $200 or
$175 of childcare expenses and $50 of child support received
for a family in its Medicaid program when determining
eligibility for an individual for Medicaid. It disregards $90
of earnings, $200 or $175 of childcare expenses and $50 of
child support
received for a family in its SCHIP program when determining
eligibility for an individual in SCHIP.
The District of Columbia disregards Under poverty-level,
the full amount of child care expenses may be disregarded for
families under the federal poverty level, and disregards $100
in earnings and the full amount of child care expenses for
those under the SCHIP-funded expansion when determining
eligibility for an individual for Medicaid. It does not
disregard income when determining eligibility for an
individual in SCHIP.
The state of Florida disregards $90 of earnings, $200 or
$175 of childcare expenses and $50 of child support received
for a family in its Medicaid program when determining
eligibility for an individual for Medicaid. It disregards
either Medicaid disregards or gross income (whichever is more
beneficial to the family) when determining eligibility for an
individual in SCHIP.
The state of Georgia disregards $90 of earnings, $200 or
$175 of childcare expenses and $50 of child support received
for a family in its Medicaid program when determining
eligibility for an individual for Medicaid. It disregards $90
of earnings, $200 or $175 of childcare expenses and $50 of
child support received for a family in its SCHIP program when
determining eligibility for an individual in SCHIP.
The state of Hawaii disregards $90 of earnings for a family
in its Medicaid program when determining eligibility for an
individual for Medicaid. It does not disregard income when
determining eligibility for an individual in SCHIP.
The state of Idaho does not disregard income for a family
in its Medicaid program when determining eligibility for an
individual for Medicaid. It does not disregard income when
determining eligibility for an individual in SCHIP.
The state of Illinois disregards $90 of earnings, $200 or
$175 of childcare expenses, $50 of child support received and
the full amount of child support paid for a family in its
Medicaid program when determining eligibility for an
individual for Medicaid. It disregards $90 of earnings, $200
or $175 of childcare expenses, $50 of child support received
and the full amount of child support paid for a family in its
SCHIP program when determining eligibility for an individual
in SCHIP.
The state of Indiana disregards $90 of earnings, $200 or
$175 of childcare expenses and $50 of child support received
for a family in its Medicaid program when determining
eligibility for an individual for Medicaid. It disregards $90
of earnings, $200 or $175 of childcare expenses and $50 of
child support received for a family in its SCHIP program when
determining eligibility for an individual in SCHIP.
The state of Iowa disregards 20 percent of earnings, $200
or $175 of childcare expenses, $50 of child support received
and the full amount of child support paid for a family in its
Medicaid program when determining eligibility for an
individual for Medicaid. It disregards 20 percent of earnings
and $50 of child support received for a family in its SCHIP
program when determining eligibility for an individual in
Madam Speaker, I yield to a Member for whom I have great personal affection and respect, Mr. Andrews of New Jersey, for 1 minute.
(Mr. ANDREWS asked and was given permission to revise and extend his remarks.)
Madam Speaker, it's a privilege for me to yield at this time 1 minute to a very valuable Member of this body, our friend and colleague, Mr. Altmire of Pennsylvania.
Madam Speaker, at this time I reserve.
Madam Speaker, at this time I yield 1 minute to the very distinguished gentleman from North Carolina (Mr. Butterfield).
Madam Speaker, at this time I reserve the balance of my time.
Madam Speaker, at this time I yield 2 minutes to the distinguished gentleman from New Jersey, the chairman of the Subcommittee on Health, my friend (Mr. Pallone).
Madam Speaker, I yield to my distinguished friend, the majority leader, the balance of my time for purposes of closing.
I object. I reserve a point of order.
Madam Speaker, I withdraw my point of order.
Madam Speaker, I rise in opposition to the motion to recommit.
Madam Speaker, I begin with an expression of my affection and respect for my good friend from Texas (Mr. Barton). In most matters he is an extraordinarily fine legislator, except on occasions when he offers these motions to recommit.
I begin by pointing out that my good friend's motion to recommit is the same tax about which there have been such prodigious complaints by my Republican colleagues, but that fewer kids are covered, and that there are many impediments inserted into the bill by the motion to recommit to covering the number of kids.
Having said that, my colleagues on the other side say they want to ensure that lowest-income States are covered, but they strike the bonus payments that CBO says will get 1.9 million of the lowest-income children covered who would not otherwise be covered.
Second, they say they are for working families. But it is interesting to note that they are forcing, by this, many of the working families who would receive coverage under the bill before us are forced to go onto welfare in order to get health care because they strike the provisions which would discourage that kind of unfortunate event. My colleagues, I would observe, still have the wrong medicine for the problem.
Now, in addition to this, the recommit would prohibit States looking to expand coverage to a family of three at $52,000 from doing so unless they meet arbitrary enrollment targets. The result of that is, of course, again harder for people who deserve and need this kind of relief to get this kind of benefit.
The last point I want to make here is their proposal does not remedy the current problem that has caused thousands of children to lose health coverage due to Republican bureaucratic requirements. I would point out something else, and that is my good friends have essentially in this, as near as I can figure, reenacted the President's proposal, which would set forth a directive to the States as to how they will administer this, something that has caused a huge outrage amongst the States, amongst persons affected and amongst advocates for the poor and the unfortunate. This is perhaps the worst part of what the proposal to recommit does.
Let's look at what the bill does. The bill increases the number of children who are eligible for coverage, for health insurance, from 6.6 to 10 million young Americans. It must be observed that we are doing this amidst a circumstance where we have seen significant increases in the number of our children joining the ranks of the uninsured.
The bill does more. It sees to it that we take care of the problem. Nearly 70 percent of all uninsured children are from families below $41,300 for a family of four. Of the 9 million uninsured children, nearly two-thirds are either preschool or elementary school age. This is the time when health care becomes singularly precious and important to them.
I would remind my colleagues that a Nation is judged by how it treats and cares for those who are most vulnerable and least able to help themselves. The bill sees to it that we amplify and include greater numbers of those who are most dependent upon others for their survival.
But in addition to that, I would remind my colleagues that this legislation is something which is of great importance because we are talking about the future of the kids. Giving them health care now when they have need of it is something that ensures that Americans in the future will be the kind of productive, valuable citizens who are able to carry forward the competition of this Nation in some of its most difficult, competitive times.
Now, this bill would significantly increase and improve access for needed health care to children. The proposal in the motion to recommit significantly cuts back on that.
I urge my colleagues to vote ``no'' on the motion to recommit and vote for the bill.