Mr. Speaker, I rise today in strong support of H.R. 3162, the Children's Health and Medicare Protection Act (CHAMP Act). This important legislation will provide health care to 11 million children by reauthorizing and strengthening the…
Mr. Speaker, I rise today in strong support of H.R. 3162, the Children's Health and Medicare Protection Act (CHAMP Act).
This important legislation will provide health care to 11 million children by reauthorizing and strengthening the Children's Health Insurance Program (CHIP).
Insuring America's children is an affordable goal. It costs less than $3.50 a day--about the cost of a Starbucks Frappuccino--to cover a child through CHIP. Certainly we can all agree that this is an investment worth making.
In addition to providing health coverage to children, this bill strengthens Medicare to ensure beneficiaries have access to their doctors and improves benefits to cover preventative and mental health services.
This bill lays the groundwork for a long-term solution to the physician payment system.
Medicare physician payment rates are set to be cut by 10 percent in 2008 and a 5 percent cut each year thereafter under current law. This bill eliminates pending cuts and enacts a .5 percent increase in both 2008 and 2009.
Congress has a responsibility to protect our children's access to affordable health care and strengthen Medicare for patients and physicians.
This bill accomplishes both these goals.
I urge my colleagues to support this important legislation.
Mr. Bishop of Georgia. Mr. Speaker, since its inception in 1997, I have been a steadfast proponent of SCHIP. This was perhaps most evident in January of this year when PeachCare, Georgia's SCHIP funded program, faced a $131 million shortfall. I hosted a bi-partisan delegation of Georgia lawmakers and public health officials who came to Washington to persuade the House leadership to fix the problem. In May, Congress approved and the President signed into law legislation which eliminated this shortfall faced by Georgia and other states.
While my support of children's health care has never been in question, my vote today in favor of the bill was a difficult choice. I'm very uncomfortable with voting for any excise tax, especially one as regressive as a tobacco tax. The CHAMP Act presents a dilemma: improve access to health insurance for our youngest and most vulnerable citizens, or oppose the legislation to avoid causing harm to the many retailers and employees whose livelihoods depend upon the sale of tobacco, as well as the state and local governments that depend upon revenues generated from tobacco sales.
This is not a perfect bill. But let us not let the ``perfect'' be the enemy of the ``good.'' This bill will ensure our children grow up healthy and strong, save millions of dollars for the taxpayers who pick up the tab for indigent care in emergency rooms, strengthen access to health care in rural America, and protect our nation's seniors by giving them the healthcare they deserve
Mr. Latham. ``Mr. Speaker, I rise today in opposition to R.R. 3162. First, I fully support reauthorizing the SCHIP program and preserving this important program intended to provide health insurance to low- income children.
Having said that, I cannot support a bill that robs America's seniors of their Medicare benefits in order to give taxpayer-financed health care to illegal immigrants. The bill before us eliminates requirements that applicants show proof of citizenship, potentially allowing millions of illegal immigrants access to Medicaid and SCHIP.
Furthermore, there is no requirement to ensure that eligible children from low-income families are enrolled before expanding coverage to children from middle-class or wealthier families. No limits on income eligibility are included, allowing a virtually open-ended expansion of the program to children that already have private health insurance. Meanwhile, 70 percent of uninsured children are already eligible for Medicaid or SCHIP and most of these are in the low-income category. The original intent of SCHIP was to cover low-income children, and we need to give these kids priority.
To pay for the expansion of SCHIP, Democrats are cutting over $157 billion from Medicare Advantage, which provides enhanced benefits like prescription drug, vision and dental coverage, as well as lower out-of- pocket costs, for almost 51,000 Iowa seniors. This will result in a reduction of benefits for seniors enrolled in Medicare Advantage, and an increase in their costs. These drastic cuts will even force 3 million current beneficiaries out of the program.
Pitting grandparents against their grandchildren is simply wrong. I urge my colleagues to reject this bill. Let's go back to the drawing board to produce a more responsible bill focused on providing health insurance to children from low-income families.''
Mrs. Bono. Mr. Speaker, I would like to express my strong support for the State Children's Health Insurance Program, or SCHIP, and the need for this program to be reauthorized. But, unfortunately, I must also state my opposition to the proposals that we have before us on the floor today.
Since its enactment in 1997, SCHIP has been a tremendous success. SCHIP has been adopted in one form or another in every state across the nation. In my own state of California, we have enacted a combination of the SCHIP and Medicaid program to optimize coverage in the state. This program is better known as Healthy Families and currently provides coverage to more than 800,000 children. I strongly support the coverage that currently exists in California and voice my continued commitment to maintaining that coverage.
I was heartened to see the bipartisan compromise that emerged from the Senate Health, Education, Labor, and Pensions (HELP) Committee earlier this month and that is currently being debated on the Senate floor. This legislation ensures that states will have adequate federal funding to continue their existing programs, while allowing others to expand coverage to more children. The bill also allows states to cover pregnant women and includes provisions to transition childless adults into Medicaid. The Congressional Budget Office (CBO) estimates that this bill will lead to the coverage of three and a half million new children. And all this was done at $15 billion less than the SCHIP portion of the proposal that we have before us today. While I recognize that the Senate proposal is still a work in progress, I am supportive of many of the principles laid forth in this legislation and appreciate the flexibility with which states are allowed to continue operating this program.
This CHAMP Act that is before us includes many provisions that are positive and attempt to address some very real and very serious problems facing the health care community. I know that my own state would benefit greatly from the Adult Day Health Care Services provision within the bill and would allow California and 7 other states to continue operating their long standing and successful programs. There
are provisions that will amend Medicare Part D to aid patients relying on the AIDS Drug Assistance Program or ADAP to pay for their drugs. Perhaps most importantly, this legislation also includes a two year update for payments to physicians under the Medicare fee schedule. If current law is allowed to move forward doctors will be forced to absorb a nearly 10% cut in reimbursements. As the daughter of a doctor, I am sympathetic to this cause and have been supportive of efforts to stave off devastating cuts that have been pending in years past. I strongly believe that the problems we face as a result of the Sustainable Growth Rate (SGR) deserve our full and careful attention. I do not, however, believe that this is the vehicle to do so.
While I support many, if not most of the provisions in this bill, I have a responsibility to vote for programs and policies that are necessary for the public and affordable for the taxpayer. This bill is typical of what we have come to expect from a Congress that refuses to put limits on what they are willing to support and ask the taxpayers to fund.
I joined with several of my colleagues in co-sponsoring H.R. 3269, the Children's Health Insurance Program Reauthorization Act of 2007, which was introduced by Representative Heather Wilson yesterday afternoon. I am proud to have co-sponsored this legislation that will do what needs to be done in an affordable and responsible manner. It would be a tragedy if this bill, that has bipartisan support in the Senate, were to lose and so many important projects pushed off track because this Congress refuses to deal with everyday realities of taxpayers struggling to make ends meet. I am deeply disappointed in the decision made by my colleagues on the Rules Committee to not only allow rejection of this amendment but every other amendment that may have helped to improve and reign in this irresponsible bill.
To help pay for the obscene $90 billion price tag of this legislation, cuts have been proposed to hospital payments, inpatient rehabilitation services, skilled nursing facilities, and home health care services to name a few. I am very alarmed that a lion's share of these cutbacks will be felt by Medicare Advantage and the 8 million Medicare beneficiaries currently enrolled. In Riverside County alone, nearly 50 percent of Medicare beneficiaries have chosen to participate in a Medicare Advantage plan, more than 100,000 seniors. The bill that we have before us today will put each of us in the position of having to choose between children and seniors.
As I have often stated, SCHIP must be reauthorized; 6.6 million children who are currently enrolled will find their coverage jeopardized if Congress does not act. We have long known that September 30th was looming and instead of acting, the leadership of the various Committee's of jurisdiction have chosen to wait until the 11th hour, and not just act on SCHIP, but to create a veritable Christmas tree of major health care policy reforms with no legislative hearings. We can and should act on behalf of SCHIP. I encourage my colleagues in the House to follow the example of the Senate and consider a bill that is clean and focused and allows members to vote their conscience on coverage for children.
I will not be voting for the CHAMP Act today for these reasons. I hope that my colleagues on both sides of the aisle will come together during Conference, put aside partisanship, put aside a grab bag of legislation and bring back a bill that is truly for our children.