Mr. President, I ask unanimous consent that the order for the quorum call be rescinded. Mr. President, I rise today to speak in support of legislation that is long overdue, the reauthorization of the Children's Health Insurance Program,…
Mr. President, I ask unanimous consent that the order for the quorum call be rescinded.
Mr. President, I rise today to speak in support of legislation that is long overdue, the reauthorization of the Children's Health Insurance Program, known as CHIP.
For those of us who have children who are young, in school, bringing home all kinds of unbelievable colds, sniffles, and all the other sickness, we realize our children today need health care. How wonderful it is, as a nation, that we have gathered to put together a comprehensive package that will help increase the number of children who can be covered.
As a mother myself, as a daughter, as a wife, as the wife of a physician, better understanding the opportunity we have as a nation to do this makes me extremely proud because I see other mothers at school who cannot afford to provide health insurance for their children.
A close friend of my boys was injured on the playground the other day and was taken by emergency vehicle to the hospital. He was OK. But the mother came up to me later and said: You know, I am working as hard as I can, but I can't afford health insurance. What am I going to do? I can't pay for this.
We have the opportunity in this job in the Senate to make an impact on the lives of working families across this great country.
This is a bipartisan program that for the last 12 years has allowed us to make health care coverage more accessible for millions of children, coverage that is critical to the lifelong health of a child and to a family's peace of mind.
In conjunction with Medicaid, CHIP has been tremendously successful in reducing the number of uninsured children in my State and across this country. We have done much work on this bill over the course of the last couple of years to improve upon it, to talk about what we can do to make it a better bill. And here we now come to the floor of the Senate with an opportunity to pass something that will be monumental in the lives of working families.
Since the program's inception, the number of children without health care coverage has dropped by one-third. I am proud that Arkansas has become a national leader in reducing its number of uninsured children from 21 percent in 1997 to 9 percent today. Now more than 70,000 of Arkansas's children currently receive coverage through CHIP which we know in Arkansas as Our Kids First, a great program that helps working families all across our State. Unfortunately, passage of SCHIP had been held hostage for the past 2 years due to President Bush's two vetoes which we tried to override and were unsuccessful.
At this critical time in our Nation's history, when working families are struggling, they are faced with economic crisis all over this country, I believe we have a moral obligation to extend this program and provide health care coverage to millions of children who are now uninsured.
Can you think of anything more important to the households of these working families than to ease their minds, to create peace of mind by saying to them: You are now eligible for a program that can help you provide health insurance for your children.
It is interesting, when we talk about things that make us happy or things that make us feel fulfilled, as we grow older, we realize it is less and less about us and it is more and more about our children. It is no different from my family to any other family across this great land, to parents across this country who want desperately to be able to provide for their children. Here is our opportunity to help them.
As parents, we are no different. Whether you are unemployed or whether you are a Senator, what gives you that fulfillment is to be able to see your children fulfilled, to see them healthy with access to the kind of health care that will help them reach their potential because we know that unhealthy children are less likely to learn, they are less likely to become healthy adults. They are certainly going to be more costly to the system if they depend on emergency services, not to mention the chronic diseases that can occur because they are neglected from getting the health care that they need early on.
There are so many good things in this bill and so many good things this bill does. Peace of mind comes to mind, first, because I think of those parents who are unable to provide that health insurance.
The bipartisan SCHIP bill provided by the Senate Finance Committee is essentially the same bill that passed overwhelmingly in the last Congress. As I mentioned before, we have discussed this bill, and we have tried to work out compromises. Is it 100 percent of what everybody in this body wants?
No, it is not. But no bill ever is. Are we going to miss an opportunity to help working families across this country because it is not 100 percent of what every one of us wants? I hope as Senators, as parents, we are not so blind that we would let that happen. It builds tremendously upon the success of the program by giving States more of the tools they need while preserving their flexibility to strengthen their programs and, ultimately, cover more children.
I would remind you, Mr. President, and I would remind all my colleagues, that we all have worked to keep flexibility in this bill. We also must keep in mind that many of the provisions in this bill are options to the States. Not a mandate that the State must cover but an option that gives States the flexibility to be what they are and to address the specific needs they may have in addressing both the chronic conditions of their children and, more importantly, covering the population of children who need coverage most in their States.
CHIP reauthorization will allow States to preserve coverage for the children currently enrolled while reaching an additional 4.1 million low-income children. I don't know of a greater way, quite frankly, that we could show other countries who we are and what our value system is than to reach out and cover 4.1 million more low-income children; to express to the world where we put our values, where we want to make an investment--an investment in future leaders, a future workforce, the future leaders not just of our country but in the global community as well.
This proposal would also provide much-needed funding to States for outreach and enrollment efforts to enroll many of those who are currently uninsured. This is critically important to me in my State of Arkansas, where two out of three uninsured children are eligible for ARKids First or Medicaid but are not enrolled. We need the resources to reach out and ensure that these children and their families understand what these great programs are and what they would mean to their children.
It also takes additional steps to ensure infants and toddlers get a healthy start by providing care for expectant mothers. At the age I was when I delivered my twins, people thought I was Methuselah, but nobody ever missed the opportunity to tell me how very important it was to care for myself if I loved my children, and I did. I did everything I possibly could to ensure that I could bring those children into this world as healthy and happy as possible. It was a blessing to me. There are other mothers out there--expectant mothers--who want desperately to ensure that they can do everything possible to bring their children into this world healthy and happy, and the key is prenatal care.
I have long been a supporter of improving access to health care coverage for expectant mothers. I understand how important it is, both as a mother myself but, more importantly, looking at what it means to us as a country to ensure that we bring as many children into this world as healthy and happy as we possibly can--not only because it is vital to the health of both the mother and the infant but also because it often reduces future health care costs, which we know can be high in premature births. In fact, it was reported in 2005 that the socioeconomic costs associated with preterm birth in the United States were at least $26.2 billion. Every year, more than 500,000 infants are born prematurely, and that is nearly one out of every eight babies.
I can remember delivering my children in the Medicaid section of the University Hospital where my husband worked, and I remember going upstairs to the NIC unit, and I took my dad with me. My dad was a dirt farmer. He is no longer with us, but he is here in spirit with me today, as he always is. But he was a dirt farmer in east Arkansas, and I took him with me to the NIC unit. I had never seen my daddy cry before then. But he looked at those premature babies, and he said: What is their life going to be like?
The more we can provide the kind of health care that expectant mothers need, we will not have to ask that question. We can ensure that babies will be born healthy and happy.
As I mentioned before, it is of particular concern for me because also, in recent reports, more than 14 percent of our births in Arkansas are premature, ranking it among the States with the highest incidence of preterm births. By taking these needed steps to improve access to care for expectant mothers, I am confident we can make strides to improve health outcomes for them and for their children.
The Finance Committee proposal also includes incentives to ensure that States reach out to the lowest income kids first and phase out the adult waivers that have been existent under the previous administration.
In addition, the bill provides the Federal authority and resources to invest in the development and testing of quality measures for children's health care. This provision will help ensure that States and other payers, providers, and consumers have the clinical quality measures they need to assess and improve the quality and performance of children's health care services. Making determinations on children's health care based on studies that have been done on adults doesn't make sense. It is critical that we focus on those quality measures based on our research and study of children and applying it in the appropriate way.
Additionally, it allows some States to use income eligibility information from other Federal programs, such as school lunch programs, to speed the enrollment of eligible children into the CHIP program or into Medicaid. We have the income information about these families for the school lunch program, which is critically important to the well- being of our children, so why wouldn't we want to ensure that those same families, meeting those same eligibility requirements, could move quickly into the CHIP program to get the other health care needs of their children met? This would certainly simplify the administrative process for States, and it would reduce paperwork burdens that are put upon hard-working, low-income families.
This bill would also provide greater access to much-needed dental care for lower income children and would ensure that children enrolled in CHIP would have access to mental health care that is on par with the level of medical and surgical care that they are currently provided.
The dental portion, the wraparound, is twofold. I can remember when I first visited one of the very first Head Start Programs in my community, and I saw these children lined up with little Styrofoam cups they had decorated. They had a donated toothbrush and a free sample of toothpaste. They were so proud each day to be able to walk to the community sink there in the Head Start facility and brush their teeth.
Dental care is essential. It is absolutely essential. All you have to do is look at children of low-income families whose teeth are rotten, who aren't getting dental care, who aren't getting supervision or not being taught the life skills they need. When those teeth are rotten, they hurt, they make those children sick, they are unable to eat, they get no nutrition, and then we wonder why they cannot focus in the classroom or why they cannot learn. This dental wraparound program is excellent for ensuring not only that children will get the dental care they need, but the wraparound portion of it ensures that we will not see crowding out; that families who have private insurance which doesn't cover dental can then get their dental coverage in a wraparound package and maintain the other private insurance they have. Those are critical needs and critical sensitivities we have looked at in this bill to ensure that we are doing the most we possibly can for the children of our country.
As you can see, this bipartisan bill is a step in the right direction to provide care and coverage for our most precious resource--our most precious asset in this great country--and that is our Nation's children. We have to look no further than the children of this country to understand that all of what we do today means nothing if we have not given them the ability to carry on the great lessons of this great country we are blessed to be a part of. And if they do not reach their potential, whether it is because they haven't gotten dental care, they haven't gotten immunizations, they haven't gotten the proper kind of health care they need to be able to learn and flourish and reach their potential, we will have done an injustice to our country.
As we move forward, I wish to encourage my colleagues to support this important piece of legislation in the same bipartisan spirit that was demonstrated when it was created 12 years ago. We are not here to create a work of art. We are here to create a work in progress. After 12 years, we have come to understand the importance of what has changed in our communities, what has changed in our economy, what has changed among our working families, and to meet the needs that exist in today's world. After 2 years of waiting, we cannot fail our Nation's children yet again.
I hope every one of us in this body will think of a child who was born 2 years ago, unable to access CHIP coverage--a family with a child born 2 years ago. If we fail to do it now, and they have to wait 2 more years, they have missed 4 years of critical development in their life without health care. We will never, ever be able to reverse that.
This is the time. Now is the time. We have talked and talked, we have reached out to one another to come up with the best possible solutions we could, but now is the time to pass this bill. In a time when more and more Americans are struggling to find affordable health care, it is up to us to put politics aside, not only for the future of our Nation but for the well-being of millions of our children across this great Nation. It is not just our future. Most importantly, it is their future. They are depending on us, and it is time we fulfill our commitment to them.
Mr. President, I yield the floor.