Mr. President, this morning the Senate returns to work on its bill creating and saving millions of jobs. As the leader said, and we all know, our work has rarely been more urgent. Initial jobless…
Mr. President, this morning the Senate returns to work on its bill creating and saving millions of jobs. As the leader said, and we all know, our work has rarely been more urgent.
Initial jobless claims have hit a 26-year high. I repeat: Initial jobless claims, 26-year high. Last week, 626,000 people, each of them mothers and fathers, sisters and brothers, lost their jobs. That is two-thirds of the entire State of Montana--626,000 people in 1 week. The number of claims by people continuing to apply for unemployment benefits reached a new record. With 4.8 people applying for unemployment benefits, we need to respond. We need to complete this jobs bill.
This past November, our Nation conducted a historic and meaningful election. America voted for a new era. America voted for change. In keeping with the call of our new President, the Senate has, this week, conducted itself with levels of openness and accommodation not seen for years. I would like to underline that. This has been a very open Senate process. We have not seen this in a long time and I hope it continues and even grows. The managers have not filled the amendment tree. We have not sought to blur issues with second-degree amendments. No tree, no second-degree amendments. Senators have gotten votes on their amendments. The Senate has put in a long, full week and worked late nights. Yesterday, the Senate conducted six rollcall votes and adopted five amendments with voice votes and we considered and processed numerous other amendments.
We have now reached the point in this debate, in the adage familiar to most Senators, that everything has been said but not everyone has said it. I might underline that everything has been said many times but not everyone has said it. I now call on my colleagues to show restraint. I urge my colleagues to forgo offering amendments. I urge my colleagues to allow the Senate to bring this matter to a close.
Pending now are seven amendments: The underlying Finance- Appropriations substitute amendment; the Murray amendment, No. 110, to strengthen infrastructure investments; the Dodd amendment, No. 145, mitigating home foreclosures; the Coburn amendment, No. 176, on competitive bidding; the Udall amendment, No. 359, to expand the number of veterans eligible for the employment tax credit; the Coburn amendment, No. 309, on particular spending prohibitions; and the Sanders-Grassley amendment, No. 306, as modified, to require recipients of TARP funding to meet strict H-1B worker hiring standards.
I hope that in short order the Senate will be able to come to an arrangement that will allow us to process the remaining Coburn, Udall and Grassley-Sanders amendments. After that, I hope the Senate will be able to address amendments by Senators Feingold and Conrad as well as the pending Dodd amendment on our side, as well as equal numbers of amendments on the Republican side. Then I hope the Senate will be able to address amendments by Senators Wyden and Menendez, as well as an equal number of amendments on the Republican side.
After that, we will seek, as much as possible, to allow a fair system for the consideration of other Senators' amendments. We will address, first, amendments of Senators who are here and willing to offer their amendments. But I renew my call for Senators to resist the temptation to offer their amendments. We are getting to that point where it is becoming a point of diminishing returns. The amendments are coming to the point where they do not need to be offered on this bill at this time. This is just February. There will be plenty of other opportunities for Senators to offer amendments on other bills. We have to get this bill finished today. There will be a conference committee. The managers will work with Senators in the conference to address their concerns. Not everything needs to be said by everyone on the Senate floor today. I urge Senators to forbear offering their amendments as much as possible.
We will continue to try to give Senators notice of what will be coming up. Abraham Lincoln appealed to the ``better angels of our nature.'' I renew that appeal today. Let us work together today in the spirit of comity and cooperation that reflects the better angels of the Senate. Let us finish this bill today. I thank all Senators for their cooperation.
So we can work out an orderly procedure, I now suggest the absence of a quorum.
Mr. President, I ask unanimous consent that the order for the quorum call be rescinded.
Mr. President, I ask unanimous consent that the time between now and 11:30 be for debate only, to be equally divided and controlled between the two leaders or their designees.
Mr. President, the idea is then to have votes on pending amendments.
Well, obviously Senators can speak on those amendments, which includes the underlying bill. But I would hope we process those amendments and then do the next set of amendments after that.
Mr. President, I suggest the absence of a quorum.
I renew my request and ask unanimous consent that the time between now and 11:30 be equally divided and controlled between the two leaders or their designees.
Mr. President, I object. We are under an agreement where we speak on both sides and offer amendments later. So I respectfully object.
Under the agreement, we are going to alternate sides for speakers. I want to ask the Senator from New Hampshire how much time she wishes to speak.
I yield 3 minutes to the Senator from New Hampshire.
Amendment No. 528
I yield 5 minutes to the Senator from North Dakota.
Mr. President, I yield the Senator 30 seconds.
Mr. President, I yield 7 minutes to the Senator from Hawaii.
Mr. President, I ask unanimous consent that the time for debate equally divided be extended until 12 noon and add in the other time to be equally divided, so on that basis, there is more on this side.
Mr. President, I yield 5 minutes to the Senator from New Mexico.
Mr. President, I yield 4 minutes to the Senator from Minnesota.
Mr. President, it is my understanding that we may have to put off votes until 1 o'clock. That is not determined yet, but there is a high probability of that. Around noon, we will ask for an agreement to speak for another hour.
That will be the case.
Mr. President, I want everybody to remember these two numbers: 99 percent, 79 percent; 99 percent, 79 percent. What are those two numbers? If you take the Finance Committee bill, the bill that is in this stimulus bill that the Senate Finance Committee wrote--the Senate Finance Committee wrote the tax portion of the underlying bill and also the aid to States portion.
Ninety-nine percent of the spending and the taxes combined in the Finance Committee portion of the bill will be spent out in the first 2 years. Ninety-nine percent of the Finance Committee bill will be spent in the first 2 years.
For those who didn't quite get it, it didn't quite compute, I will say it again. Ninety-nine percent of the Finance Committee bill is spent in the first 2 years--99 percent. Actually, if you want to break it down, it is a little more than that for taxes only because some reach to future years. Ninety-nine percent of the Finance Committee bill is spent in the first 2 years.
What is my authority on that? Some economists? It is the Joint Committee on Tax and CBO, if you look at their numbers and combine them, the Joint Committee on Tax and the Congressional Budget Office, that is what it calculates to: 99 percent of the Finance Committee bill is spent in the first 2 years, according to the Joint Committee on Tax and according to the CBO, combining the two.
That is my first figure, 99 percent. What is my second figure? Does anybody remember it? What was my second figure? It was 79 percent. What does 79 percent represent? Seventy-nine percent represents the total spending of this bill in the first 2 years. The total spending, if you take the Appropriations Committee and the Finance Committee and add them together--79 percent of the total spending--in this bill is in the first 2 years, 79 percent. Now, what is my authority? The Congressional Budget Office and the Joint Committee on Taxation. So I ask Senators to go look at the Joint Committee on Taxation data, go to the Congressional Budget Office data. It is right there.
There are a lot of allegations and a lot of statements that are made on the Senate floor by lots of Senators on both sides, and one of our goals, clearly, is to try to get the facts. One of our goals is to listen to the music as well as the words, to separate the wheat from the chaff, and to get to what is really going on. What are the right numbers?
Now, of course, no numbers are perfect, but what is close to being right or as close as we can tell as we seek the truth? I will tell you, the Joint Committee on Taxation is probably one of the most unbiased, most reputable bodies here. Now, some don't like their numbers. They wish their calculations would be different. But, clearly, they try their best. They do their best. It is a bipartisan organization that works for both bodies of Congress, and they work for both political parties. They work for the Congress. It is not biased.
The Congressional Budget Office is not biased, and the Joint Committee on Taxation is not biased. For those who are not familiar with Washington speak, the Joint Committee on Taxation is an independent professional group which advises the Congress on tax matters and does tax calculations for the Congress on tax matters. The Congressional Budget Office basically issues lots of reports and advises the Congress on spending items that are nontax items and calculations and so forth. Again, it is bipartisan. It serves both bodies--the Congressional Budget Office. It is a very reputable body, as is the Joint Committee on Taxation.
So, again, I want to repeat those numbers so it sinks in a little more. The Congressional Budget Office and the Joint Committee on Tax, add the figures together, 99 percent of the Finance Committee bill, which is a large portion of the bill--I think it is about 60 percent of the bill--is spent in the first 2 years. That is 99 percent--almost all in the first 2 years. If you take it all together, the Finance Committee bill and add in the appropriations portion of the bill, 79 percent--almost 80 percent or almost four-fifths--is spent in the first 2 years.
Now, Mr. President, we have to get moving. Our country is in deep, deep, deep trouble. The American people want us to do something responsible about all of this. We all know there are three parts to the problem. One is the credit crisis--that is, credit is all frozen; banks aren't lending--and there are lots of ways to address that. The second part of the problem is housing. We are struggling to get even more stimulus to housing. But a third major part of the problem is demand and spending. There is about a $1 trillion gap between our potential economy in America and the real economy--$1 trillion. If we don't address that gap between spending and demand, we are going to find ourselves in such deep difficulty, with so many jobs lost, it may be equal to the Great Depression. We are not there yet, clearly, but we could get pretty close if we don't take some pretty important actions here.
Now, I have heard all kinds of speeches on this matter, whether the roughly $800 billion stimulus package is right or not right. I have been in rooms with conservative economists and liberal economists and middle-of-the-road economists, and they all agree $800 billion is about right, and it is needed--and it is needed. Some may quibble about some parts, and there have been a lot of Senators on the floor, respectfully, Mr. President, who have been quibbling. They have not been seeing
the forest for the trees. But I submit, if we keep our eye on the ball and keep our eye on the forest, we can get this bill passed and get it passed pretty quickly.
I just want to urge those Senators who say not very much is being spent out in the first years to go look at the Joint Committee on Taxation and the Congressional Budget Office and do the calculations. Again, 99 percent of the Finance Committee package is spent in the first 2 years, and 79 percent of the total underlying bill is spent in the first 2 years. I think that is pretty good. It is not perfect, but it is pretty good.
Mr. President, I yield the floor, and I ask unanimous consent that the time during the quorum call, if there is a quorum call, be equally divided.
Frankly, I see the Senator from Tennessee is seeking recognition.
Mr. President, I wonder if anybody on our side is seeking time?
The Senator from Connecticut, Mr. Lieberman, seeks 5 minutes.
Would the Senator be OK with 2?
It is compromising toward the intentions of the other side.
Mr. President, I yield time to the Senator from Michigan, 5 minutes to the Senator from Michigan.
Mr. President, I apologize, I think Senator Lincoln was here earlier. I didn't turn around far enough.
Mr. President, 5 minutes to the Senator from----
Unless Senator Alexander seeks recognition. We want to go back and forth to even things out.
I yield to the Senator on his time, on Republican time.
I understand Senator Enzi has comments regarding the provisions for comparative clinical effectiveness research included in The American Recovery and Reinvestment Act of 2009 which is being considered in the Senate this week.
I thank the Senator for his support of these principles. I agree with the Senator's summary of S. 3408, the Comparative Effectiveness Research Act of 2008, which would create a permanent institute to prioritize and provide for comparative clinical effectiveness research for the U.S. I support including short-term funds for such research in the American Recovery and Reinvestment Act. I applaud the Appropriations Committee for clarifying that research should evaluate comparative clinical effectiveness, not cost- effectiveness. And I agree that the $1.1 billion should be used consistently with the principles in S. 3408 from the 110th Congress. Senator Conrad and I plan to reintroduce our bill because we still need a long-term framework for this type of research in the U.S.
I thank Senator Feinstein for pointing that out. I agree. The coordinating council should look across agencies to coordinate resources and activities of the federal government with respect to comparative effectiveness research. Its charge should not go beyond that. The language of the bill could be clarified to make that point clear. And I will support clarification of it in conference.
Workforce training
I agree with my distinguished colleagues that as we work to reform our health care system it is important to consider how the health care workforce fits into these efforts. Creating a strong, well- trained workforce is a critical part of adequately addressing the needs of older adults and individuals with disabilities. An estimated 69 percent of people turning 65 years old will need some form of long-term assistance as they age. Most individuals that need long-term care services and supports prefer to receive assistance in their homes or communities. This demand and the need for direct care professionals will only grow as the baby boom population turns 65.
Various studies suggest present and future shortages of paraprofessionals and health care professionals. Effective recruitment and retention strategies are needed. Training programs should be designed that address the competencies required of a 21st century
workforce. As part of this effort we also should look at the skills of those currently delivering long term care services.
The purpose of health reform is to achieve a high-performing health system. Achieving this goal requires an investment in our health professional and paraprofessional workforce.
Mr. President, I ask unanimous consent that at 1 p.m. today, the Senate proceed to vote in relation to the following amendments in the order listed; that no amendments
be in order to these amendments prior to the vote; with 2 minutes of debate prior to each vote, equally divided and controlled; with 10- minute vote limitations after the first vote in the sequence: Sanders amendment No. 330, as modified; Coburn amendment No. 309; Udall amendment No. 359; Coburn amendment No. 176.
Further, that upon disposition of the above-listed amendments, the Senate then consider the following amendments and that they be considered in rotating fashion back and forth to each side; that no amendments be in order to these amendments prior to a vote in relation to the amendments: Conrad-Graham No. 501; Dodd No. 145, and that when a vote is scheduled in relation to amendments Nos. 501 and 145, the vote would occur first on 501; Cantwell amendment No. 274, with the modification which is at the desk; Feingold amendment No. 485; Grassley amendment No. 297; Enzi amendment No. 293; Vitter amendment No. 107; Bunning amendment No. 531; Wyden amendment No. 468; and Thune amendment No. 538.
I thank my good friend from Mississippi for that kind statement.
Absolutely.
Mr. President, I suggest that we agree to 5 minutes in rotating fashion for each side and that Senator Kerry be first recognized after the votes.
I will say 10 minutes. I want to hold it to four speakers until we get a better handle on what is going on.
Mr. President, I yield 5 minutes to the Senator from Arkansas.
Mr. President, how much time is remaining?
Mr. President, I yield 4 minutes to the Senator from California.
Mr. President, I yield 1 additional minute.
Mr. President, in order to clarify some confusion that may exist as to what the proceedings are after the first group of votes, let me ask unanimous consent that the request I further propounded with respect to that period be vitiated. Instead, I ask unanimous consent that following the next group of votes, there be 20 minutes available, equally divided in the usual form, for debate only.
Mr. President, the Senator from Iowa questioned State aid provisions in our substitute so I wish to take a few moments to explain them. When our country was founded, there was a great debate about the roles of the Federal and State governments, and our Founding Fathers debated which should be more powerful. Should it be the States or the Federal Government? Which should retain what privileges and how to ensure an effective union of the States? Alexander Hamilton, the first Secretary of the Treasury, advocated for the Federal Government to buy the States' Revolutionary War debt. The idea was controversial, but the merits of the proposal have proven sound.
In the year 1790, there were two main reasons he suggested the Federal Government assume State debt. First, the Federal Government was in a better position to issue and sell bonds to satisfy the debt. Second, the assumption of State debt would serve to rally local economic interests to promote broader national goals.
Many things have changed since 1790, but some things remain the same. During recessionary periods, State revenue suffers. Unlike the Federal Government, States must balance their budgets. Just as in 1790, the Federal Government was still in a better position to assume the debt.
These difficult times also call for unity among the States. Every State is suffering, but we must band together to help those among us who are worse off. We need to hold back our personal interests and focus instead on our national interests.
In addition to the arguments set forth by Hamilton over 200 years ago, modern economists tell us that State fiscal relief is an effective means to stimulate the economy. Economists also advise that targeted relief to those most in need--not based on circumstances of States' own making but based on true measures of distress--is the best measure of distribution. The bill before us today provides much-needed relief to every State with a temporary increase in the Federal match rate for Medicaid expenses. The bill also provides additional aid targeted to States facing the most precarious fiscal situations, measured by an increase in unemployment. This temporary assistance will help States avoid having to make tough choices, like whether to make significant budget cuts or raise taxes, both of which could make this economic crisis worse.
It is important we strike a balance in this bill between spending too little and too much. Some of my colleagues are worried that we are spending beyond what is needed and will end up passing along too much debt to future generations. This package is significant, but the risk of doing too little has been overlooked. In fact, I think the risk of too little is worse than the risk of too much. During times of economic distress, Medicaid suffers from the blows of a one-two punch; that is, when State revenues are lowest, the demand for Medicaid is the highest. If we do not give States enough money, States won't be able to protect their Medicaid programs against the blows thrown by the economy. That means fewer services will be available to fewer people at a time when the need is increasing. We are talking about low-income health care. This is about people who are thrown off Medicaid because States are finding that is the best way to balance their budgets. That is not right.
Giving States more money than they need won't stimulate the economy. In order to stimulate the economy, this money must be spent quickly, and it must go toward job creation or protection of vulnerable populations. To be stimulative and get the economy moving again, State fiscal relief must prevent any exacerbation of an already bad situation. By preventing Medicaid cuts, this bill does that.
This bill makes sure we will not see a big increase in the number of Americans without health insurance. We must remember that having so many uninsured Americans is not without cost, let alone the personal tragedy. Instead, the cost of caring for the uninsured has shifted to the insured. It is in all our best interests to prevent more Americans from losing their health insurance. This package, I believe, has the right balance--it is not perfect, but it is pretty close--giving States enough support without giving them too much.
The State fiscal relief provisions will not eliminate State budgetary difficulties. That is for sure. But they will provide a cushion, not a full cushion but a partial cushion. This package will not fix everything, but it is a big step in the right direction.
While not all States have responded to the economic downturn in the same way, no State is immune to the impact of a national recession. Looking back on past recessionary periods, we can see that some States, often those with large commerce-based economies, feel the blow faster and earlier than others. The impact on States with commodity-based economies, on the other hand, is often delayed. The difference between commerce-based States and commodity-based States is more delay in commodity-based States. Because no two States will experience the impact of the recession at precisely the same time or to exactly the same extent, it is important the relief be targeted to those States that are most in need and when they need it.
In 1790, some States had already paid off their Revolutionary War debt. But it was important to the Nation as a whole that all States be relieved. On top of a generous across-the-board increase for all States, this package provides additional aid to those States with high unemployment. The basic formula is based upon the wealth of the State, but the bonus on top of it is based on unemployment.
If a State's unemployment continues to increase, the State may qualify for even more relief. Unemployment is an effective measure of a State's fiscal condition. Often when people lose their jobs, they also lose their health insurance. This places a higher demand on Medicaid. It is estimated that a 1-percent increase in unemployment increases enrollment in Medicaid and the Children's Health Insurance Program by 1 million people. Let me repeat that. A 1-percent increase in unemployment increases enrollment in Medicaid and the Children's Health Insurance Program by 1 million people. Increasing the FMAP percentages--that is the Federal share--is the quickest way to get relief to the States. In addition to preventing cuts to Medicaid, this aid will provide for much-needed economic activity. People will be more productive. Jobs will be saved. Industries that rely on and contribute to the strength of our health care system will remain sound. This provision will not only improve the health of Medicaid beneficiaries, but it will also improve the fiscal health of each State. This is a key element of any attempt to pull the national economy out of its recession.
We have done this before, and we know it is effective. In the year 2003, we provided $20 billion in State fiscal relief, evenly split between grants and an FMAP increase. That is the Federal Medicaid share. The FMAP increase proved successful in preventing planned Medicaid cuts and restoring some previous cutbacks. However, an analysis by the Urban Institute found we could have done a better job back in the year 2003.
I ask unanimous consent to proceed for an additional 2 minutes.
I ask unanimous consent for 5 more minutes, evenly divided.
However, an analysis by the Urban Institute found we could have done a better job back in the year 2003. Despite the immediacy and complexity of the situation, the fiscal relief was delayed and uniform. Some States were forced to take action before relief was available. Because the economic downturn of each State varied, some States didn't get enough assistance, and some States got assistance at the wrong time.
Let's learn from our mistakes. The partially targeted approach of this package will be better. It will give all States some assistance, a method that is effective and simple. But it will also give more money to States with the greatest need, which will help ensure we get the biggest bang for our buck.
These are difficult times, but our country is resilient. We are proud as Americans of our resiliency. We must draw on the wisdom of our Founding Fathers and stick together. We are more than a country. We are a union of States. Let us remember the good judgment of Alexander Hamilton and come together as a nation to help each of our States.
Over the Presiding Officer is our national motto, ``e pluribus unum.'' It could not be more appropriate than at this moment.
Mr. President, I do not see any speakers here. I will yield back that time, unless the Senator from Vermont wishes to speak.
I yield back that time so we can get to the vote.
I yield back the time.
Amendment No. 306, as Modified
Mr. President, I urge Senators to accept this amendment.
Mr. President, I yield back the time.
Mr. President, we have looked at this amendment and think it is a good one. We are prepared to accept it.
Mr. President, I yield back the remainder of our time.
Mr. President, the next Senator to speak is on his way here, Senator Kerry of Massachusetts. Is there someone on the other side who wishes to speak? We have 10 minutes equally divided.
After the 20 minutes, there then is a period during which Senators can call up their amendments, but they are only amendments that have been agreed to by an earlier UC.
Mr. President, I yield 10 minutes to the Senator from Massachusetts. Actually, I prefer they use the remaining 5 minutes on the other side.