Mr. President, this is indeed a great day because we are passing real health care reform for American families, for American workers, for American small business, for seniors, and our communities. Health care reform will save lives. No…
Mr. President, this is indeed a great day because we are passing real health care reform for American families, for American workers, for American small business, for seniors, and our communities. Health care reform will save lives. No longer will dreams and lives be endangered because people lost their health care insurance when they got sick, lost a job or had an accident.
I listened to the other side which says they listen to the people. You heard the old saying, ``Men are from Mars, women are from Venus.'' I think that party is from Mars and we are from planet Earth. I think they have been out in orbit. The planet Earth that I am on tells me to pass health insurance reform.
One of the reasons I am voting for this bill, the main reason I am voting for this bill, is the stories I heard from my constituents in Maryland--roundtables, townhalls, hearings, lots of letters, phone calls, e-mails. They told me about the situation in their lives, where they were terrified that one big health care incident could lead them into bankruptcy. They were terrified that if they had changed a job to one in our new high-tech communities that would have offered great opportunity for them--they didn't take it because they were not going to have health insurance.
When I listen to people, I think about the lady in Cumberland who works full time, but her employer does not provide health insurance and she is terrified that she is one sickness away from a catastrophic situation, or from Karen, in Kensington, whose father had to quit work because he had Crohn's disease. He was making payments on his insurance. He was two payments short, and they canceled his insurance. It took him 6 months to try to get it back. He lost his coverage, and he was only 59 years old when he passed away.
Then there were the breast cancer survivors, the wonderful women and the men they love who are out there raising money for the cure. But even in a prosperous community such as Annapolis, a woman told me how she lost her job and with it her family's health insurance, and when her insurance ran out, she was terrified she would lose her cancer treatment.
Walking around the diners--and I love diners. I see myself as a diner Democrat. In every diner it is usually multigenerational people. What do they tell me? Barb, don't forget the old people. Senator Barb, no matter what, keep Medicare stable. If you are 50 years old, you are terrified your parents can lose their Medicare and it is going to fall on you. The sandwiches they are eating are eaten by the sandwich generation, worried about the oldtimers' health care, worried about keeping their own, and then trying to figure out how they were going to pay for college. Medicare has multigenerational implications.
This is why in this bill I am so proud of the fact that we are going to stabilize Medicare for another 10 years and do very important reforms in Medicare.
I am also pleased to respond to the people who said no matter what, make health care available and affordable. For every parent who has ever worried about covering a child with a chronic illness, whether autism or cerebral palsy or juvenile diabetes, they will always be able to get health insurance. The small business owner, such as my own father who once had a grocery store or my grandmother who had the best bakery shop, worried about how they were going to provide individual
health care for themselves--this generation will not have to worry about that.
This bill is an exceptional one. We save Medicare, expand its solvency for another nearly a decade. We end the punitive practices of insurance companies. We expand uniform access, and we pay for it with an emphasis on wellness and quality, saying goodbye to quantity medicine and emphasizing quality medicine; goodbye to volume medicine and getting value for our dollar.
For our seniors, one of the most important things we will do is close that doughnut hole. The doughnut hole has been hard to swallow ever since this bill was passed. We are going to provide a $250 rebate for seniors who hit the gap in the prescription drug benefit and also offer a better discount on prescription drugs.
I am also very excited and honored because of the role I played in making sure we ended the punitive practices of insurance companies toward women. For too long, in too many ways, they treated simply being a woman as a preexisting condition. First of all, they charged us 30 percent to 40 percent more just simply to be able to get insurance. Then they would have the punitive practices of denying us health insurance for a preexisting condition. In eight States, domestic violence was viewed as a preexisting condition. You talk about being abused--you were abused by your husband, then you were abused by your insurance company. We are not going to be battered anymore by these companies. We ended that in this bill.
Then there was the hearing that shocked and chilled me, a hearing on gender discrimination in insurance. A woman told a compelling story, Peggy from Colorado, that after she had a C-section and a premature baby, the costs were high. She lost her health insurance and when she went to apply they told her in order to get health insurance, because she had a premature baby, because she had a C-section, they would not give her health insurance unless she was sterilized.
I couldn't believe it. That is what fascist countries do. That is what authoritarian regimes do. It was not the Taliban in Afghanistan, it was an insurance company in Colorado. We took up that fight and ended those abusive practices in this bill. Never again will a woman be able to be denied health insurance because of any preexisting condition. We ended gender discrimination in charging women more.
But as the debate went forward, they wanted to take the mammograms away from us and they didn't want to put mammogram and preventive services for women in the bill. They said it costs too much money.
I didn't want to hear that. I asked the women to suit up and come to the floor and we offered an amendment. The good men of the Senate also joined us. Many remember we wore pink that day. Today we are in the pink as well. We offered our amendment to ensure preventive services for women so that if your doctor says you need a mammogram, you are going to get one. If you need screening for cervical cancer or a Pap smear, you are going to get one and you are not going to have to pay a copay and a deductible. But like the old song ``Bread and Roses,'' we fight not only for women, but we fight for men too. Because for us it is not gender, it is about the agenda, and the biggest agenda is to make sure we provide health care to as many Americans as we can in the most affordable way, with value, quality, and prevention as their underpinnings.
We were able to make significant changes in this bill. But affordability is an issue. I believe we dealt with that by emphasizing quality. At Senator Kennedy's request, I led the quality task force. Because of proven ways that we are going to be able to offer in these initiatives, we are going to be able to increase the affordability of this bill to make people healthier. We want to prevent disease and manage chronic disease. By the emphasis on the management of chronic disease, we are going to save lives and save money.
First of all, we are getting more value for the dollar. Yes, we will be looking at comparative effectiveness, so when you go for a treatment or you buy a drug, you know we are getting value for the dollar.
The other is, we are going to emphasize the reduction of medical errors and also medical infections in hospitals by introducing quality initiatives that reward hospitals for being able to do that. But I also listen to the providers. I represent iconic international institutions such as Johns Hopkins medical institution and the University of Maryland.
I listen to my primary care doctors as well. They said: Senator Barb, please reduce the hassle factor; too much paperwork and not enough time to be with patients; too many contradictory rules from the insurance companies and not enough of a clear path on what we can do to be able to help people.
So we made sure we are going to save money by reducing the hassle factor by simplifying administrative costs, by emphasizing medical health information technology. We are going to promote evidence-based medicine through this comparative effectiveness research. We are going to also reward, following the recommendations of the Finance Committee, the encouragement of medical homes in order to be able to manage chronic disease.
These are the many reforms that are in this bill and that I am very proud of. I am also, as the daughter of a small business owner, excited about how we are going to be able to help small business be able to provide health care to their employees. The fact that we are going to offer tax breaks for small business and be able to have health exchanges where they can buy those health care policies at a better cost is indeed important.
So, again, the other party might be Mars, but I am glad my feet were planted in planet Earth, by listening to the people I represent, by listening to their concerns and then listening to the excellent ideas that came from both the people themselves and, I must say, the people who are the providers who could help us lead the way.
I am going to vote for this bill. I know there is much to reform in it in the years ahead. But this is more than a beginning, this is a leap into the future. It is a leap we can take with confidence that when this bill passes with reconciliation, we will have won a major historic advance for the American people.
Our job is about creating opportunity and opportunity to have health care is one of the greatest benefits we can provide.
I yield the floor.
Mr. President, I am proud today to support the student loan reform provisions in the Health Care and Education Affordability Reconciliation Act of 2010. I've said this often, we in this country enjoy many freedoms: the freedom of speech, the freedom of the press, the freedom of religion. But there is an implicit freedom our Constitution doesn't lay out in writing, and its promise has excited the passions, hopes, and dreams of people in this country since its founding. The freedom to take whatever talents God has given you, to fulfill whatever passion is in your heart, to learn so you can earn and make a contribution--the freedom to achieve.
When I was a young girl at a Catholic all-girls school, my mom and dad made it clear they wanted me to go to college. But, right around graduation, my family was going through a rough time because my dad's grocery store had suffered a terrible fire. I offered to put off college and work at the grocery store until the business got back on its feet. My dad said, ``Barb, you have to go. Your mother and I will find a way because no matter what happens to you, no one can ever take that degree away from you. The best way I can protect you is to make sure you can earn a living all of your life.'' My father gave me the freedom to achieve. And the provisions in this bill will give millions of
Americans that same freedom without adding a dime to the deficit.
For too long, banks have gotten a free ride from the U.S. Department of Education by offering federally guaranteed student loans. The provisions in this bill will stop wasteful and unnecessary subsidies to lenders and put that money where it is needed most--in students' pockets. By reforming the Federal student loan program, we will save over $60 billion in the next 10 years. Many of those savings will go to increase the Pell grant, which has made college a reality for students of modest means for nearly half a century. But we also make critical investments in institutions that help our most underserved students: community colleges and Minority Serving Institutions, particularly Historically Black Colleges and Universities, HBCUs.
I have fought alongside my colleagues for years to increase funding for these programs and there was a point where Democrats had to fight tooth-and-nail just to keep Pell funding from being cut. Now we are in a position where we can guarantee increases in the Pell grant, which helps more than 90,000 students in my home State of Maryland. My colleagues have spoken eloquently about the importance of the much- needed investments in this bill, but I would like to take a moment to highlight the investments in HBCUs. I am the only senior Democrat on the HELP committee that has HBCUs in their State, and I have been a long-standing champion for these schools in both my work as an authorizer on the HELP committee and as an appropriator through my chairmanship of the Commerce, Justice, and Science Appropriations Subcommittee.
I am proud that Maryland has four public HBCUs which provide an incredible benefit to African-American students and the communities they serve. Few people know, but HBCUs produce nearly a quarter of our Nation's African-American public school teachers. They also produce almost 40 percent of African-American graduates in physics, math, biology, and environmental sciences.
Some of my colleagues might argue that HBCUs shouldn't be getting Federal funding based primarily on the racial makeup of their student bodies and, further, that there is no longer any place for these institutions in this day and age. What I would tell them is that Congress has been providing direct Federal support for HBCUs for more than 50 years mainly for two reasons. First, Congress recognizes the historical and cultural importance of HBCUs and their benefit to students who are often the first in their families to go to college. Second, the emergence of these institutions was a direct result of Federal action permitting the segregation of students in public education based on race.
During those dark days, HBCUs were often the only pathways to college for African Americans; they were able to open the doors of opportunity that were so often shut. But these institutions are historically under- resourced, and their students are by and large underserved. For that reason they have had to fight for representation, respect, and recognition since they were established. They've had to urge lawmakers to act ``now'' on behalf of their students when so many have told them to ``wait.'' So I am here to make sure that the more than 20,000 students at Maryland's HBCUs get the resources they deserve by supporting the $850 million investment in HBCUs over 10 years enabled through this reconciliation bill. Maryland is slated to get $65 million, and I am confident that the presidents of Morgan State University, Coppin State University, the University of Maryland Eastern Shore, and Bowie State University will be good stewards of this landmark Federal investment.
Our work isn't done when it comes to equity in access for higher education, but this bill helps us get there.