Mr. President, I am honored to introduce the Standing with Our Troops Act of 2005. This bill addresses the needs of the Soldiers, Sailors, Airmen, and Marines who have responded so bravely to the call of our Nation. We owe it to them and…
Mr. President, I am honored to introduce the Standing with Our Troops Act of 2005. This bill addresses the needs of the Soldiers, Sailors, Airmen, and Marines who have responded so bravely to the call of our Nation. We owe it to them and their families to ensure that they are properly trained and equipped for the hazardous duties they are performing, that they are fairly compensated for their service, and that they receive their pay in the correct amount, on time.
We start with the recognition that we have cut our troop strength too far to sustain current military operations. This bill would authorize increases of up to 40,000 additional active duty Soldiers and Marines over the next two years. The bill authorizes an increase in the active duty Army end strength by up to 20,000 Soldiers in 2006 and an additional 10,000 in 2007, and it authorizes an increase in the Marine Corps' active duty end strength by up to 5,000 Marines in 2006 and an additional 5,000 Marines in 2007.
The Department of Defense currently reports numbers of service members killed or seriously wounded in action in our ongoing combat operations in Iraq and Afghanistan. This bill would require a formal monthly report that includes the numbers of Soldiers, Sailors, Airmen and Marines who are killed in action; killed as a result of non-combat injuries incurred during combat operations; killed as a result of self- inflicted wounds or suicide; wounded in action, when the injuries prevent the service member from returning to duty within 72 hours; wounded in action when the service member returns to duty within 72 hours, insofar as this data is currently maintained; and the total number of service personnel evacuated from theater for medical reasons.
To ensure that awards and decorations are expeditiously and fairly awarded to deserving military personnel, this bill would establish an Advisory Panel on Military Awards and Decorations to review the policies and practices of each of the Services for awarding medals and decorations and to report to Congress. This Panel would compare the different Service policies and practices for decorating its military personnel, and make a recommendation as to whether individual service practices should be continued or a single standard adopted that applies to all Services; recommend measures that can be taken to ensure that service members serving in combat are at least as likely to receive medals as those not exposed to combat, and enlisted personnel are just as likely as officers to be decorated for their service.
This bill would create an Office of Mobilization Planning and Preparedness within the National Security Council to ensure that all of our national resources are assembled and organized to respond to a national security emergency. National resources include our military, labor, transportation, industry and financial resources.
We know that current military operations are wearing out military equipment faster than we are replacing it. To address this, this bill would require the Secretary of Defense to report to Congress on the needs of our military forces for reconstituting stocks of equipment and material damaged, destroyed, and worn out in Operation Iraqi Freedom and Operation Enduring Freedom. The report will include the needs of each military service, including the reserve components, for repair and replacement of equipment; and authorize appropriation of $8.5 billion for the Army and $2.1 billion for the Marine Corps for repair, refurbishment, and replacement of equipment used in OIF and OEF.
The Government Accountability Office (GAO) found, and I agree, that the Department of Defense's mobilization and deployment policies were implemented in a piecemeal fashion not linked to a strategic framework. We owe it to our service men and women to have clear policies regarding lengths of deployments. The Department of Defense must clearly communicate these policies and other deployment related information to service members and their families. This bill would require the Secretary of Defense to report to Congress on DoD policies on lengths of mobilization and deployment periods and on the use of stop-loss to keep military personnel in the service beyond their service commitments.
In two separate reports, the GAO has found that more than 90 percent mobilized reserve component personnel experienced pay problems. The GAO found that ``These pay problems often had a profound adverse impact on individual soldiers and their families.'' This bill would require the designation of a senior official to ensure implementation of GAO recommendations to correct these pay problems.
Representation of our reserve component personnel at the highest levels in the Department of Defense has not kept pace with the increased role of our Guard and Reserve personnel. Accordingly, this bill creates a new position, a Deputy Under Secretary of Defense for Reserve Affairs, to speak for the Reserve Components.
This bill would give tax relief to mobilized service members and employers who make up for pay lost to service members who are ordered to active duty. It would amend the Internal Revenue Code to authorize activated National Guard and Reserve personnel to make penalty free withdrawals from qualified retirement plans; allow employers a tax deduction for making up the difference between military pay and civilian income of mobilized reservists; and authorize a tax credit to small business employers who continue to compensate members of the Ready Reserve ordered to active duty and for costs of hiring a replacement employee.
We know that the military pay of about a third of our mobilized National Guard and Reserve personnel is less than the pay they received from their civilian jobs. Many private employers already pay a wage differential to those who lose money, and we will encourage more to do so with the tax incentives I have just described. The biggest employer of our Guard and Reserve personnel is the Federal Government, and the Federal Government should do as much as the private employers do for those who lose money while serving our Nation. This bill would require Federal Agencies to make up the pay differences for Federal employees who are ordered to active duty.
Studies have shown that 40 percent of our junior enlisted members in the reserve components have no health insurance except when they are on active duty. This bill would provide access to the military's TRICARE health care program for all members of the Selected Reserve and their families. They would pay a subsidized premium similar to the premium charged Federal Employees for health care. This will help to ensure that members of the National Guard and Reserves are medically ready when called to serve in the military.
When a Soldier, Sailor, Airmen or Marine dies on active duty, his survivors currently receive a death gratuity of just over $12,000. This is simply not enough. This bill would raise the death gratuity to $100,000, and would allow survivors to receive Dependency and Indemnity Compensation from the VA as well as a Survivor Benefit Plan annuity from the Department of Defense.
United States taxpayers have borne a disproportionate share of the cost for the reconstruction of Iraq. The support of the international community for this reconstruction is critical. This bill would require the President to report to Congress on U.S., Iraqi, and foreign contributions to Iraq's reconstruction before any new U.S. reconstruction funds are appropriated. The bill would also require any U.S. funds for reconstruction in Iraq be in the form of a collateralized loan which the U.S. would guarantee unless the President reports to Congress that it is in the U.S. national security interest to provide the funds other than in the form of a loan.
I again want to compliment the service of the young men and women serving in our military forces for their magnificent and unselfish service to our Nation. I trust that the measures included in this bill will serve as a token of the Nation's sincere appreciation for their great sacrifices and service.
Mr. President, the legislation I am introducing today along with my colleagues Senator Hatch and Senator Biden, addresses an unintended effect of a provision in the original Drug Abuse and Treatment Act of 2000 (DATA) that hinders access to a revolutionary new treatment for thousands of individuals who seek it.
When Congress passed DATA as Title XXXV of the Children's Health Act of 2000, it allowed for the dispensing and prescribing of Schedule III drugs, like buprenorphine/naloxone, in an office-based setting, for the treatment of heroin addiction. As a result of DATA, access to treatment is significantly expanded; patients no longer are restricted to receiving treatment in a large public clinic, usually at a great distance, but now may receive such care in the private, nearby office of qualified physicians.
DATA limits individual physicians to treating no more than 30- patients at a time. Unfortunately, the law results in the same 30- patient limit on physician group practices. The difficulties that have arisen, including the dashed hopes for treatment of many, have resulted in the underutilization of this proven therapy all across this country, including my home state of Michigan.
One of the authors of DATA, I can tell you that it clearly was not our intention that individuals seeking this new treatment have less access simply because they receive care from a physician practicing in a group, or from a group-based or mixed-model health plan. Nevertheless, this is the effect and it is having a severe effect.
The problem is addressed by removing the 30-patient aggregate limit on medical groups. This is achieved in the bill we are introducing today. Our bill simply removes the statutory limit on physician group practices, while maintaining the 30-patient limit on each physician. I am pleased that the Senate has already gone on record in support of this modification to DATA. On October 11, 2004, the Senate Passed S. 2976, to remove the 30-patient limit on the group practices. However, the House adjourned before acting on the legislation. It is our hope that the bill we are introducing today will receive speedy action in both the Senate and House in the very near future.
Mr. President, I would like to share some of the sentiments that have been expressed in support of the group practice modification, as well as some first hand accounts of individuals who are being successfully treated with buprenorphine/naloxone. Dr. Charles Schuster, a former director of the National Institute on Drug Abuse who currently heads the Addiction Research Institute at Wayne State University, writes:
We have three physicians in a group, all of whom have been
trained and granted waivers by the U.S. Department of Health
and Human Services to prescribe Suboxone and Subutex for the
treatment of opiate addiction. All are specialists in the
treatment of addictive disorders. Rather than being able to
bring this potentially life saving therapy to 90 members of
our community, they are restricted to a total of thirty.
This situation is particularly heart breaking in places
where there are a few or only one provider. This situation
will only get worse as physicians and practice plans reach
their 30-patient limitation.
I have been involved in the development of Suboxone and
Subutex for the treatment of opiate addiction for many years.
It is a safer medication with less abuse potential than
methadone. It allows people who fear public knowledge of
their addictive disease to more discreetly seek help from a
private physician. It is a medication that can be used for a
short period with adolescents who have become addicted to
opiates because it is easier to taper them off of this drug
than methadone. In short, office-based practice with Suboxone
and Subutex is a major addition to our country's treatment
system for opiate addiction. It is essential that we remove
the impediment of limiting Physician Practice Plans to 30
patients so that each of the physicians in such Practice
Plans who are trained to use this medication can bring their
services to those in need.
Peter DeMarco, in an article in the May 30, 2004 Boston Globe, writes:
When buprenorphine became available as a treatment for
OxyContin and heroin addiction 18 months ago, many medical
professionals and addicts hailed it as a miracle drug,
bringing addicts back from the brink and helping them lead
normal lives when all else had failed. But for many addicts,
buprenorphine remains one of the hardest drugs to obtain. . .
. (B)prenorphine doesn't cloud the minds of patients,
allowing them to work or study as if they're not on any drug
at all. Nearly all who take buprenorphine, meanwhile, say
they lose all physical cravings for street drugs.
But a combination of federal limits on the distribution of
buprenorphine . . . has kept thousands of opiate addicts from
receiving the drug in Massachusetts and across the country.
At the heart of the issue is federal legislation passed in
2000--two years before the drug was approved by the FDA--that
restricts individual clinical practices from treating more
than 30 patients with buprenorphine at a time.
While many substance-abuse experts say the 30-patient
figure is too low for some practices, their main quarrel with
the Drug Addiction Treatment Act of 2000 is its failure to
differentiate single-physician practices, hospitals, and
health care organizations. For example, all the doctors who
work for Tufts Health Plan can treat a combined 30 patients--
the same total as can be seen by a physician practicing
alone.
Boston health officials, along with their counterparts in
the State and Federal governments, say the Federal
legislation erred on the side of caution, and needs to be
changed to allow wider access to buprenorphine.
``Boston Medical Center's main practice has 200 or more
general internal-medicine doctors, and within that practice,
we can only treat 30 people. It's the craziest loophole,''
said Colleen Labelle, nurse-manager of the hospital's Office-
Based Opioid Treatment Program. ``We get 20 calls a day from
across the state. People are begging, desperate to get
treated, who we can't treat.''
The Federal Substance Abuse and Mental Health Services
Administration has begun an internal process to increase the
30-patient cap. But because any proposed change would be
subject to the public-review process, approval could take as
long as two years, said Nick Reuter, a senior public health
analyst with the agency.
Timothy Tigges says his addiction began after he wrenched
his back and bummed a few Percocet pills, a prescription
analgesic, from a friend to dull the pain. Before he knew it,
he was hooked on opiates, alternating between OxyContin and
shooting up heroin as his life went to pieces.
In October, Tigges, a 27-year-old East Boston carpet
installer, began taking buprenorphine, placing an orange pill
the size of a dime under his tongue until it dissolves, four
times daily. He hasn't touched an illegal drug since the day
he started the program, has put on 80 pounds from lifting
weights at the gym, and has yet to miss a day of work. For
the first time in three years, Tigges hopes to see his 5-
year-old daughter, whose mother has refused to let him visit.
``I've had clean urines, 100 percent, for nine months now.
There's nothing I'm prouder of than that,'' he said, choking
back emotion. ``What I read on the front page of the paper
every day is 18- and 20-year-old kids dying of garbage drugs.
There's just no need for it. I would take every ounce of
heroin off the street and give them this stuff. You watch the
crime rate go down.''
Mr. President, I ask unanimous consent that the text of the legislation be included at the end of my remarks.
Mr. President, today I introduce with my colleague, Senator Lugar, a bill to grant normal trade treatment to the products of Ukraine. My brother, Congressman Sander Levin and other members are introducing a similar bill in the House. It is our hope that enactment of this legislation will help to build stronger economic ties between the United States and Ukraine.
The Cold War era Jackson-Vanik trade restrictions that deny most favored nation trade status to imports from former Soviet-Bloc countries are outdated and, when applied to Ukraine, inappropriate. Those restrictions were established as a tool to pressure Communist nations to allow their people to freely emigrate in exchange for favorable trade treatment by the United States.
Ukraine does allow its citizens the right and opportunity to emigrate. It has met the Jackson-Vanik test. In fact, Ukraine has been found to be in full compliance with the freedom of emigration requirements under the Jackson-Vanik law. Ukraine has been certified as meeting the Jackson-Vanik requirements on an annual basis since 1992 when a bilateral trade agreement went into effect.
It is time the United States recognizes this reality by eliminating the Jackson-Vanik restrictions and granting Ukraine normal trading status on a permanent basis. Our bill does this as well as addressing traditional Jackson-Vanik issues such as emigration, religious freedom, restoration of property, and human rights. It also deals with the important trade issues that must be considered when granting a country permanent normal trade relations (PNTR), such as making progress toward World Trade Organization (WTO), accession and tariff and excise tax reductions.
Since reestablishing independence in 1991, Ukraine has taken important steps toward the creation of democratic institutions and a free-market economy. As a member state of the Organization for Security and Cooperation in Europe (OSCE), Ukraine is committed to developing a system of governance in accordance with the principles regarding human rights that are set forth in the Final Act of the Conference on Security and Cooperation in Europe, the Helsinki Final Act.
On December 26, 2004, Ukraine took another historic step in its pursuit of democracy with the legitimate election of its new President Viktor Yuschenko. This election showed the world that Ukraine has joined the family of democracies. The United States can help advance this young democracy by repealing our Cold War-era laws that should no longer apply to them and welcoming them to the international economic community as a full partner. This bill will accomplish these goals.
In addition to welcoming the Ukrainian government to the family of democracies, we must also take a moment to honor the Ukranian people for their commitment to democratic institutions in civil society through peaceful demonstrations. Free and fair elections were conducted only because of the courage and hard work of the Ukranian people. Without their persistence Ukraine was in danger of moving forward with an illegitimately elected president.
By drawing Ukraine into normal trade relations, the international community will be helping Ukraine to achieve greater market reform and continue its commitment to safeguarding religious liberty and enforcing laws to combat discrimination. PNTR status will hopefully do more than increase bilateral trade between the United States and Ukraine and encourage increased international investment in Ukraine. Hopefully it will also stimulate the reform we all want and the Ukrainian people deserve on their way to achieving a more mature and stable democracy.
It's time we recognize Ukraine's accomplishments and status as an emerging democracy and market economy by lifting the Jackson-Vanik restrictions. I hope my colleagues will support this important bill.
I ask unanimous consent that the text of the bill be printed in the Record.