Mr. Speaker, it is my honor this evening to anchor an hour for the Congressional Black Caucus on health care reform. I have several of my colleagues here to join me. Interestingly enough, three are from three of the relevant committees…
Mr. Speaker, it is my honor this evening to anchor an hour for the Congressional Black Caucus on health care reform. I have several of my colleagues here to join me. Interestingly enough, three are from three of the relevant committees that put the bill together in the House.
When I left my private practice of 21 years, I promised my patients that I would continue to do everything I could to ensure that they got the health care they needed, even though I was leaving the practice. Too many were uninsured. Too many had several chronic diseases. Too many could not afford even 1 month's supply of medicine. And our low- capped Medicaid funding was of very little help.
Last night our Democratic leadership and my Democratic colleagues helped me make good on that promise. Because of the landmark legislation that we passed last night, the most momentous piece of legislation since Social Security, Medicare and the civil rights bills, not only my constituents but all Americans will have access to affordable, quality, and comprehensive health care. And African Americans and other minorities will benefit because of the provisions that are included to reduce the disparities that Surgeon General Heckler called an affront to American ideals and to the genius of American medicine.
So tonight some of my colleagues will help to explain the many benefits of the bill we passed last evening and the way that our communities will be able to be helped by the legislation.
I would like to first call on the gentleman from North Carolina (Mr. Butterfield) a member of the Energy and Commerce Committee and the Health Subcommittee who played a very important role in developing the bill as it went through Energy and Commerce.
I thank Congressman Butterfield, and thank you for going through the process that we have gone through over the past year because it has been a little difficult, I think, for the American people to understand, and I think you helped to clarify how we got to where we were last night, and also you were able to clarify what some of those exchange subsidies and Medicaid would mean to the average family.
I just wanted to say before I recognize Congressman Scott, when you look at the uninsured that are going to be helped in this country--10.8 percent of non-Hispanic whites are uninsured. The uninsured rate for African Americans is 19.1 percent; for Asian Americans, 17.6 percent; and for Hispanics, the Latino Americans, the uninsured rate is 30.7 percent. So just providing coverage for the 32 million Americans that will be covered for the first time by this legislation will make a big difference in the lives of people of color and their families. But insurance is not enough, and there are other provisions that we will talk about a little later.
But at this time, I'd like to yield such time as he might consume to the gentleman from Virginia, Congressman Bobby Scott, who not only is on the Education and Labor Committee, which played a major role in crafting the original House bill, but also on the Budget Committee, a senior member of the Budget Committee, which had a major role in preparing and reporting out the reconciliation bill that we voted on last night.
Thank you, Congressman Scott. And thank you for going over the provisions and those that come into play this year, when the President signs the bill, when the reconciliation bill is signed, and which provisions start perhaps in a year or so, because it's very important to understand that as this bill is passed, within 6 months, many of the provisions that provide, that stop the exclusion for children with preexisting disease, for example, is already in place, that the doughnut hole will start to be closed, that we'll start to build our primary care workforce to meet the needs of the 32 million newly insured, and that the small business tax credits will begin, all within 2010.
I would like to now yield such time as he might consume to my co- chair of the Congressional Black Caucus Health Task Force and also a valued member of the Ways and Means Committee--again, one of the committees that had a major responsibility for crafting the bill and the pay-fors in the bill that we passed in the House and the bills that we worked on and passed last night.
Thank you, Danny, for joining us.
I am pleased to yield to Mr. Butterfield.
I yield to Mr. Davis.
I thank you for those kind words, but I can say without any hesitation that each one of us here this evening, in our own capacities, and in the committees that we serve, and in the subcommittees that we serve, have really put in a lot of hours and have really helped to shape the final product that we are so proud of having voted on last night. And the Congressional Black Caucus played a major role in shaping that.
Congressman Butterfield mentioned Medicaid and the expansion of Medicaid, and we talk a lot about food desserts, but in many of the poor communities around this country we have provider desserts. The low reimbursement rates that have traditionally been paid and for Medicaid providers has caused hospitals and many health care providers not to be able to sustain practices or keep their doors open in poor communities.
This bill will change that. We will be increasing the reimbursement to Medicaid providers at the same level as Medicare and hopefully that that will encourage more physicians and providers to come into the poor neighborhoods where many of the patients are Medicaid beneficiaries and provide the care that they need.
You know, the turn of the 19th century one of our great intellectuals, W.E.B. Du Bois, spoke about the peculiar indifference to the poor health of African Americans in this country. And I am so grateful to be a part of a group of 42 individuals in the Congressional Black Caucus who have worked over the years, over the 40 years of our existence, but particularly in this last year as we have shaped this bill, to begin to end that peculiar indifference to the state of our health.
Some of the other areas besides the Medicaid expansion and the improved reimbursement to providers to encourage them to come back into poor communities is the expansion of the workforce. We know that as the 32 million people begin to come into the health care system that we are going to need so many more providers. But we are also an increasingly diverse society here in the United States, and so there is great emphasis on diversifying that workforce. I am talking here about some of the disparity provisions, the provisions in the health care reform bill that are targeted at reducing those health disparities that African Americans and other people of color have suffered from for so long. And part of reducing those disparities is making sure that we have a diverse workforce to work within those communities.
So in addition to encouraging, through programs like the health care opportunities program and increasing funding for that, increasing funding for the National Health Service Corps program, which pays individuals 4 years of their medical tuition, in addition to increasing loan repayments, especially for individuals who practice in poor and rural areas, we also have included provisions that provide additional support to institutions, minority-serving institutions, as Congressman Davis spoke of, the HBCUs, the Hispanic-serving institutions and the tribal colleges, but also any institution that has a history of training underrepresented minorities.
Those professions would be for physicians, for nurses, for nurse educators, and there is a specific section that deals with increasing the public health workforce, a very important part of the workforce when we talk about the emphasis that we are now going to be putting on prevention. In addition to that, there are mental health workers for our communities.
We also have grants to community-based organizations to train community health workers who, I think, will
be the backbone of the new health infrastructure, especially in communities that are poor, that have not had good health over the years, where people from within those same communities will be trained to be able to do outreach and support to people in their communities.
There is a provision that expands and strengthens the Office of Minority Health in the Department of Health and Human Services and adds two new offices, one in the Food and Drug Administration and the other one in the Substance Abuse and Mental Health Services Administration, two important agencies that do not have a specific office focus on minority health.
And at the National Institutes of Health, where we have had a Center For Minority Health and Disparity Research, we now will elevate that, with the signing of the Senate bill tomorrow, to an institute where that institute will have more, more funding, to begin with, but also more influence over the research that's done at NIH in every area to ensure that the concerns and the interest and the impact on minority populations or any population that is experiencing health disparities will be considered.
Data collection is another area that we have been able to insert provisions on, and not only to collect data on disease but to also talk about and collect data on racial ethnic minorities, gender, and to follow the disparities in Medicare and Medicaid, to monitor those disparities and to report on those disparities so that they can be corrected.
I want to speak lastly about the issue of the territories. This was something that, of course, the delegates from all over the offshore areas of the United States worked very hard on, and we were very lucky, blessed, to have the full support of the Congressional Black Caucus, Hispanic Caucus and Asian Caucus, and of our leadership. We would not have had the inclusion in this monumental landmark legislation were it not for the support of our colleagues in those caucuses and the support of our leadership.
So I want to especially thank our Speaker again, she has been thanked many times here this evening, but for her strong support and for her strong leadership; our Majority Leader, Steny Hoyer; our Majority Whip; the chairs of the committees, the relevant committees here in the House, Chairman Rangel and also Chairman Levin, Chairman Waxman, Chairman Emeritus Dingell, Chairman Miller, and all of the entire leadership team for giving us the support, and really the entire Democratic Caucus, for encouraging us and supporting us and ensuring that, no, we don't have full State-like treatment, as the 50 States, but we do have a significant increase in Medicaid and the ability to be included into the exchange, and I want to thank our leadership for that.
We are coming close to the end of our time, and if there is no other issue that my colleagues want to raise, I want to thank them for joining me here this evening and helping to explain to the American people what is actually in the bill, clearing up some of the misconceptions and some of the misunderstandings that are out in the public.
Again, we are very proud to have been a part of this process and to have passed the bill that we did last evening, and we look forward to the President signing it tomorrow.
General Leave
Mr. Speaker, I would like to ask unanimous consent that all Members may have 5 legislative days in which to revise and extend their remarks and include extraneous material under the Congressional Black Caucus Special Order on health care reform this evening.
Mr. Speaker, I yield back the balance of my time.