Fair Competition for Hospitals Act of 2011

Mr. President, today I am introducing legislation, along with my colleague from Connecticut, Senator Blumenthal, which will strengthen the content knowledge and instructional skills of our present K-12 teacher workforce. Our goal with this legislation, like any education legislation I support, is to ultimately raise student achievement.

The Teachers Professional Development Institutes Act would establish up to eight new Teachers Professional Development Institutes throughout the nation each year over the next 5 years based on the successful model that has been operating at Yale University for over thirty years. Every Teachers Institute would consist of a partnership between an institution of higher education and the local public school system in which a significant proportion of the students come from low-income households. These Institutes will strengthen the present teacher workforce by giving each participant an opportunity to gain more sophisticated content knowledge and a chance to develop curriculum units with other colleagues that can be directly applied in their classrooms. We know that teachers gain confidence and enthusiasm when they have a deeper understanding of the subject matter that they teach and this translates into higher expectations for their students and an increase in student achievement.

The Teachers Professional Development Institutes are based on the Yale-New Haven Teachers Institute model that has been in existence since 1978. For over 30 years, the Institute has offered, five or six 13 session seminars each year, led by Yale faculty, on topics that teachers have selected to enhance their mastery of the subject areas they teach. The subject selection process begins with representatives from the Institutes soliciting ideas from teachers throughout the school district for topics on which teachers feel they need to have additional preparation, topics that will assist them in preparing materials they need for their students, or topics that will assist them in addressing the standards that the school district requires. As a consensus emerges about desired seminar subjects, the Institute director identifies university faculty members with the appropriate expertise, interest and desire to lead the seminar. University faculty members, especially those who have led Institute seminars before, may sometimes suggest seminars they would like to lead, and these ideas are circulated by the representatives as well. The final decisions on which seminar topics are offered are ultimately

made by the teachers who participate. In this way, the offerings are designed to respond to what teachers believe is needed and useful for both themselves and their students.

The cooperative nature of the Institute seminar planning process ensures its success. Institutes offer seminars and relevant materials on topics teachers have identified and feel are needed for their own preparation, as well as what they know will motivate and engage their students. Teachers enthusiastically take part in rigorous seminars they have requested, and practice using the materials they have obtained and developed. This helps ensure that the experience not only increases their preparation in the subjects they are assigned to teach, but also their participation in an Institute seminar gives them immediate hands- on active learning materials that can be used in the classroom. All of this is a very empowering experience for teachers.

The Yale-New Haven Teachers Institute conducted a National Demonstration Project from 1999-2002 that showed that similar Institutes could be created rapidly at diverse sites with large concentrations of disadvantaged students. After 2 years of research and planning, and based on the success of that project, the Institute in 2005 launched the Yale National Initiative to strengthen teaching in public schools, a long-term endeavor to assist with the establishment of Teachers Institutes of this specific type in most states. As a result, new Institutes already have been established in Philadelphia, Pennsylvania, Charlotte, North Carolina, and New Castle County, Delaware. Nine other school districts in 6 states, including California, Arizona, Oklahoma, Illinois, Virginia, and Georgia, are currently participating in the Initiative to learn how to develop a new Institute.

The teachers surveyed for the National Demonstration Project reported that student motivation, student interest, and student mastery were higher during the Institute-developed unit than during other work. Subsequently, the findings of a 2009 Report on Teachers Institute Experiences found that teachers participated out of desires to obtain curricula that suited their needs, increased subject mastery, and motivated students. Mr. President, 96 percent of the teachers rated the Institute seminars as useful, partly due to the reported increase in knowledge and in raising expectations for their students.

A retrospective study showed that over 5 years, Teachers Institute participants were almost twice as likely as non-participants to remain teaching in the district 5 years later. Research has shown that longevity in a district leads to increased teacher effectiveness.

Many agree that teacher quality is the single most important school- related factor in determining student achievement. High-quality teacher professional development programs that focus on subject and pedagogy knowledge are a proven method for enhancing the effectiveness of a teacher in the classroom. A recent review of professional development studies by the Department of Education's Institute of Education Sciences found that, and I quote ``teachers who receive substantial professional development, an average of 49 hours in the 9 studies, can boost their students' achievement by about twenty-one percentile points.''

The Yale-New Haven Teachers Institute model enhances teachers' basic writing, math, and presentation skills. It increases expectations of student achievement and enthusiasm for teaching while developing skills for motivating students. These are key features that research suggests are effective in producing gains in both teacher knowledge and practice and student achievement. The Teachers Institutes lead to student achievement gains through a proven approach distinguished from both conventional professional development offerings of school districts and from traditional continuing education and outreach programs of colleges and universities.

Education Secretary Arne Duncan said recently, and I quote, ``the practices of high-performing countries show clearly that America in particular has to do much more to elevate the teaching profession, from the recruitment and training of teachers to their evaluation and professional development.''

This is precisely what the Teachers Professional Development Institutes Act strives to accomplish. The need for effective teachers with deep content knowledge is most apparent and urgent in schools and school districts that enroll a high proportion of students from low- income families, exactly the schools and school districts that Teachers Institutes serve.

The Yale-New Haven Teachers Institute has already proven to be a successful model for teacher professional development as demonstrated by the high caliber curriculum unit plans that teacher participants have developed and placed on the web, and by the evaluations that support the conclusion that virtually all the teacher participants felt substantially strengthened in their mastery of content knowledge and their teaching skills. The finding that Institute participants were almost twice as likely as non-participants to remain teaching in high- need schools is especially encouraging. Our proposal would open this opportunity to many more teachers in high-need schools throughout the nation.

I urge my colleagues to act favorably on this measure.

Mr. President, I ask unanimous consent that the text of the bill be printed in the Record.

Mr. President, I am pleased to reintroduce a very important piece of legislation to accelerate job growth across America, the American Manufacturing Efficiency and Retraining Investment Collaboration Achievement Works Act, also known as the AMERICA Works Act. This bill is part of the solution to the Nation's economic and unemployment problem.

We all know that American families, as well as the manufacturing industry, have faced difficult times over the last few years. But the truth is that the manufacturing industry will always be a vital part of our Nation's economy.

The national unemployment rate has stabilized somewhat, but almost 14 million Americans remain out of work. We still have a long way to go. In my home

State of North Carolina, unemployment hovers at 9.7 percent, with several counties facing double-digit unemployment rates. Job creation is my number one priority and this legislation is an innovative way to get Americans back into the workforce.

The United States needs a strong technical workforce. The AMERICA Works Act would encourage national industries, such as biotechnology, construction, and machinery, to come together and agree on the skill sets they most value in prospective employees. Community colleges would participate, creating the appropriate curricula to meet those needs. Students who complete the programs would receive an industry-recognized credential. Workers who carry these industry-backed credentials would be able to market themselves in any area of the country. Businesses could count on the fact that workers with these credentials have the expertise and skills they are looking for.

The AMERICA Works Act would require certain Federal job training and career development education programs to give priority to programs that provide an industry-recognized and nationally portable credential. This credentialing system starts out with basic competencies that prepare individuals for the workplace. Once basic competencies are completed, individuals can work toward high performance technical competencies and then progress further to highly skilled technical and management competencies. The credentialing levels are stackable, allowing workers flexibility along their career tracks. Stackable credentials provide straightforward paths, with clear entry and exit points, for workers to advance their careers and attain high quality jobs.

In North Carolina, we have an advanced manufacturing skills program at Forsyth Technical Community College in Winston-Salem. Forsyth Tech is participating in the National Association of Manufacturers' Manufacturing Skills Certification System, which offers credit programs toward nationally recognized, stackable credentials. They have had hundreds of students enroll in their programs. Forsyth Tech has already collaborated with state and local businesses to begin the process of incorporating their credentials into job descriptions. They believe that introducing graduates with skill certifications into the local workforce will help improve the hiring process, and the nationally recognized credentials will improve employment opportunities.

When the President's Jobs Council met earlier this month in North Carolina, a leading topic of discussion, and something the President himself mentioned, is the need to improve job training for American industries so that our workers can be competitive in the global economy.

The AMERICA Works Act will help job seekers and employers keep America competitive in every industry, from textiles to aerospace, high-tech to biotech, and connect programs like those offered at Forsyth Tech with employers in the community, region, and across the United States.

As I mentioned before, job creation is my number one priority. I want to do everything I can to create jobs and make sure our workers have the skills necessary to help our businesses grow and thrive. By incentivizing industry-recognized, nationally portable, stackable credentials, we can ensure that America has the best businesses, with the best-trained workers leading the world.

I urge my colleagues to join me in supporting this important bill to expand employment opportunities for hardworking Americans.

Mr. President, today I am proud to stand with my friend from Florida, Senator Rubio, as he introduces an important piece of legislation, the Child Interstate Abortion Notification Act. This bill, which today is being introduced in the House by Representative Ileana Ros-Lehtinen of Florida, is based on the belief that children should not make profound life-changing decisions by themselves and that parents are generally in the best and most responsible position to help them.

One of the many disturbing ironies in the abortion debate is that parental consent is needed for such things as tattoos or school fieldtrips but not always for abortions that will end one life and change another forever. Abortion advocates say that abortion should be treated as any other surgical procedure, but many of them oppose requiring the same parental consent for abortion that is required for any other procedure.

What is worse, there are individuals and organizations out there who appear to care more about money an about kids. They are willing to help young girls get abortions by any means necessary, including taking them to other States without the knowledge or consent of their parents. Mind you, those same parents will be responsible for the aftermath, for the physical, emotional, and spiritual consequences of the abortion. If parents are to be responsible at the end, they have the right to be there at the beginning.

If it were possible, just for a moment, to take the abortion politics out of the picture, every parent knows that kids have to develop over time the judgment and maturity to make decisions. No one is more committed to them, no one has more love for them, no one has more responsibility for them than their parents.

This bill has two parts. First, it prohibits taking a minor across State lines for an abortion if doing so evades the parental involvement law in her home State. In the 109th Congress, this portion of our bill passed the Senate with 65 bipartisan votes. More than 80 percent of our fellow Americans support it. Second, this bill requires abortionists to notify parents of an out-of-State minor before performing an abortion. Fifty-seven Senators voted for cloture on this combined bill in 2006.

I urge my colleagues to read the bill. It does not apply when an abortion is necessary to save a girl's life or if the girl is a victim of abuse or neglect. Again, please read the bill. It is carefully drafted with the appropriate exceptions and safeguards in order to focus on what unites the vast majority of Americans, that parents should be involved before their child has an abortion. The majority of States have laws requiring parental involvement and, with its interstate component, this bill is a legitimate and constitutional way for Congress to help protect children and support parents.

Mr. President, I, along with my colleague Senator Manchin, rise today to introduce the Fair Competition for Hospitals Act of 2011, legislation that will level the playing field for a handful of hospitals in the Northern Panhandle of West Virginia who are burdened by a payment disparity as compared to hospitals in neighboring States serving the same patient population. This legislation will adjust the wage index determination for these hospitals to make sure they are treated the same as the nearby facilities in other States. It will also help hospitals in other areas of the country facing a similar situation.

Medicare's hospital wage index system was created to reflect the variation in the price of labor across the country. Usually, hospitals in different States are located far enough apart that they do not compete for the same patients or workforce, within the same labor market. However, the geography in the Northern Panhandle of West Virginia presents a unique situation; with a geographic area as little as 6 miles wide, hospitals in West Virginia are much more akin to hospitals in Ohio and Pennsylvania, on either side of the panhandle. Therefore, this small group of hospitals is competitively disadvantaged because of wage index differences across state borders. This competitive disadvantage is causing these hospitals to struggle under the weight of providing the same care for a lower payment and making it more difficult to continue the high level of care for which they have become known.

These hospitals are vital cornerstones to the people in their communities. They employ more than 4,000 people and provide health care for tens of thousands more. As an essential part of the community, they should not be significantly disadvantaged by a payment structure that does not take into account the unique makeup of this area.

The solution I am introducing today is budget neutral and fair. It will make sure that these hospitals in my State are treated on a level playing field with their competitors and not disadvantaged by an economically meaningless State border. I urge my colleagues to support this legislation.

Mr. President, I, along with my colleague Senator Manchin, rise today to introduce the Fair Competition for Hospitals Act of 2011, legislation that will level the playing field for a handful of hospitals in the Northern Panhandle of West Virginia who are burdened by a payment disparity as compared to hospitals in neighboring States serving the same patient population. This legislation will adjust the wage index determination for these hospitals to make sure they are treated the same as the nearby facilities in other States. It will also help hospitals in other areas of the country facing a similar situation.

Medicare's hospital wage index system was created to reflect the variation in the price of labor across the country. Usually, hospitals in different States are located far enough apart that they do not compete for the same patients or workforce, within the same labor market. However, the geography in the Northern Panhandle of West Virginia presents a unique situation; with a geographic area as little as 6 miles wide, hospitals in West Virginia are much more akin to hospitals in Ohio and Pennsylvania, on either side of the panhandle. Therefore, this small group of hospitals is competitively disadvantaged because of wage index differences across state borders. This competitive disadvantage is causing these hospitals to struggle under the weight of providing the same care for a lower payment and making it more difficult to continue the high level of care for which they have become known.

These hospitals are vital cornerstones to the people in their communities. They employ more than 4,000 people and provide health care for tens of thousands more. As an essential part of the community, they should not be significantly disadvantaged by a payment structure that does not take into account the unique makeup of this area.

The solution I am introducing today is budget neutral and fair. It will make sure that these hospitals in my State are treated on a level playing field with their competitors and not disadvantaged by an economically meaningless State border. I urge my colleagues to support this legislation.