Mr. Speaker, pursuant to House Resolution 601, I call up the bill (H.R. 3922) to extend funding for certain public health programs, and for other purposes, and ask for its immediate consideration in the House. Mr. Speaker, I yield myself…
Mr. Speaker, pursuant to House Resolution 601, I call up the bill (H.R. 3922) to extend funding for certain public health programs, and for other purposes, and ask for its immediate consideration in the House.
Mr. Speaker, I yield myself such time as I may consume.
Mr. Speaker, we are here today to consider a very, very important public health bill, H.R. 3922, the CHAMPIONING HEALTHY KIDS Act. This legislation funds a 5-year extension of the Children's Health Insurance Program, known as CHIP, along with a 2-year extension of community health centers and numerous other critically important public health programs.
This bill will deliver quality healthcare and peace of mind to millions of Americans. The patients and families helped by this legislation are our neighbors and our friends. More than 8 million children receive CHIP-funded coverage, and more than 25 million patients are served by our community health centers and other important programs.
This 5-year funding of CHIP marks one of the longest extensions of the program since it was created 20 years ago. The policy we are considering mirrors the bipartisan policy that has been introduced and voted out of our sister
committee in the United States Senate.
Funding for these important programs expired September 30. The committee worked on a bipartisan basis well before this deadline to try and reach a bipartisan agreement on a range of policies to offset the costs of this very critically important funding extension.
Three times, at the request of the Democrats, we delayed committee action--three times. We tried to find offsets that were agreeable as we have always been able to do before. Unfortunately, that was not the case this time. These delays meant Congress went past the deadline of September 30.
While States still have rollover CHIP funds available and the next wave of community health center funds won't go out until next year, we cannot wait any longer. Patients cannot wait any longer. Patients need care, these critical programs need funding, and we must move forward.
In my district alone, there are 12 federally qualified health center organizations, with 63 delivery sites. They leverage $41 million in Federal money in order to serve more than 240,000 patients in Oregon's Second District. These health centers--and I have visited many of them--are prevention and public health in action, often serving as the main provider of care for people for hundreds of miles around.
We are also extending the National Health Service Corps and the Teaching Health Center Graduate Medical Education program. Now, Mr. Speaker, these are really important workforce programs that place qualified providers into some of the most underserved areas of our country.
In addition to community health centers and the workforce programs, this bill extends the funding for the Special Diabetes Program and the Family-to-Family Health Information centers, the Personal Responsibility Program, and the Youth Empowerment Program. These locally based, patient-centered organizations provide comprehensive services to those most in need.
Moreover, this legislation eliminates 2 years of the across-the-board cuts to Medicaid allotments called for under the Affordable Care Act, ObamaCare. We delay those cuts for disproportionate share hospitals for 2 years. Medicaid DSH funding represents an important component of many State Medicaid programs and is particularly relied upon by many States to help provide additional resources to key safety net providers.
Now, while this relief is only temporary and does not address the larger structural challenges under ObamaCare, it would give Congress time to explore what budget-neutral approaches there might be to allocate existing DSH dollars on a more equitable and fair basis. In my State alone of Oregon, hospitals have told me this relief in this bill, just for them, represents $6.8 million over the next 2 years that they can use to help low-income people get access to hospital care.
Now, in paying for this package--and this is the area where we have the most disagreement with the Democrats--we have taken a fiscally responsible approach, like using existing funding streams for prevention and public health efforts, ensuring high-dollar lottery winners are removed from the Medicaid program so its limited resources can be prioritized for the most vulnerable, and stopping individuals on the Affordable Care Act's exchanges from gaming the system.
The bill also asks Medicare's wealthiest 1 percent, people who are retired and making $40,000 a month--not a year, a month--to pay about $135 more for their Medicare just on parts B and D that is already subsidized by 75 percent, just a little more so we can fund children's health insurance for 5 years.
While it was not ultimately possible, unfortunately, to reach consensus on some of the policies to offset the new funding in this bill, there is broad bipartisan agreement on the core policies contained in this legislation, and I believe there is bipartisan support for many of the reasonable and fiscally responsible offsets contained in H.R. 3922.
Mr. Speaker, this is good legislation. This is long-overdue legislation. It reflects the good work done by your House Energy and Commerce Committee, and I urge my colleagues to put politics aside today and ensure these vital programs get the funding extensions they need. We are over the deadline. It is time to act.
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, before I call on my next person to say something here, there are 17,000 children in Mr. Pallone's district and 14 health centers that, if he votes ``no,'' he will be voting against.
By the way, the offset he recommended, people who are watching this need to know, would violate statute and it would be a PAYGO violation. That is why it was not acceptable.
See, this is the problem we faced. We delayed three times at their request only to be offered up a pay-for that violates statute and violates our PAYGO rules. We could not accept that. We have to operate within the law like everyone else in America.
Mr. Speaker, I yield 4 minutes to the gentleman from Texas (Mr. Burgess).
Mr. Speaker, I yield myself such time as I may consume to respond.
Mr. Speaker, my friend, and she is my friend from California, obviously was not aware of the fact that it was her party, her leader, who asked us on three occasions to delay bringing this to the floor, including you could look at the CQ article from October 23 where Mr. Pallone says he hopes it doesn't come to the floor.
This was a bipartisan agreement not to bring it until we could try to work these things out. We were all trying to figure out how to get this done.
When it comes to Medicare, remember, we are talking about people making $40,000 a month paying $135 a month more. We can fully fund children's health insurance for millions of children.
Mr. Speaker, I yield 1\1/2\ minutes to the gentlewoman from Washington (Mrs. McMorris Rodgers), the conference chairwoman.
Mr. Speaker, I would point out there are about 50,000 kids that Mr. Green may be voting against today in the Houston area if this goes down and we can't get this over to the Senate and work it out with them. Twice he has voted to cut the Prevention Fund and use it for other purposes.
Mr. Speaker, I yield 1\1/2\ minutes to the gentleman from New Jersey (Mr. Lance).
Mr. Speaker, I yield 1\1/2\ minutes to the gentleman from Texas (Mr. Olson), a very important member of our committee.
Mr. Speaker, I yield 1\1/2\ minutes to the gentleman from Florida (Mr. Bilirakis), an incredible advocate for children and healthcare in America.
Mr. Speaker, I yield myself such time as I may consume.
Before I call on my next colleague, I just want to point out that, in Ms. Schakowsky's district, all we are talking about here is seniors making $41,000 a month--a month--would pay an extra 135 bucks so we can fully fund children's health insurance, community health centers. All these programs in here are funded. We use the Prevention Fund, which is not allocated out in the out-years. It is just a pot of money you can use for prevention and wellness. We actually use that to fund this as well.
This is why we have been unable to reach agreement with the Democrats. It is sad they have made this partisan.
I yield 1 minute to the gentleman from California (Mr. Costa).
Mr. Speaker, there they go again: delay, delay, delay; and vote against kids, vote against their hospitals, and vote against their doctors. That is why we couldn't get agreement.
I yield 1\1/2\ minutes to the gentleman from Indiana (Mr. Bucshon).
Mr. Speaker, I yield myself such time as I may consume.
I appreciate the gentleman's sincerity. We work well together on lots of issues. He has also voted to use this Prevention Fund for other purposes in the past, as have I.
We don't touch the Prevention Fund for 2018, and there is $400 million left in 2019, and billions thereafter for the very important programs the gentleman has articulated. We don't use all the money. We leave money behind for these other purposes.
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, I do think it is important to note that my friend, and he is my friend from New Jersey, has twice voted to use this Prevention Fund for other purposes, including the 2012 middle class tax cut.
I yield 1\1/2\ minutes to the gentleman from Texas (Mr. Barton).
(Mr. BARTON asked and was given permission to revise and extend his remarks.)
Mr. Speaker, before I yield to the gentleman from Michigan, I would just point out that when Democrats joined Republicans in voting for the 2012 middle class tax cut, we used $6.3 billion out of the Prevention Fund they now say they never touched, yet they have.
Mr. Speaker, I yield 1\1/2\ minutes to the gentleman from Michigan (Mr. Walberg).
Mr. Speaker, once again, my dear friend from California has twice voted to use these Prevention Funds for other things. By the way, when we use them for community health centers, they are doing this work on the ground, helping people with opioid addictions and other healthcare issues.
Mr. Speaker, I yield 1\1/2\ minutes to the gentleman from Georgia (Mr. Carter).
Mr. Speaker, I yield myself such time as I may consume.
Mr. Speaker, sabotaging the Affordable Care Act; what we are doing is putting off planned cuts to our hospitals that take care of low-income people that those cuts called for under the Affordable Care Act. We are putting those off so they can serve these low-income people. That, in their language, is sabotaging the Affordable Care Act.
On the issue of using the Prevention Fund, my friend from California who just spoke, has twice voted to use the Prevention Fund, including for tax cuts in 2012 and for the 21st Century Cures Act last year. Now we are using it for community health centers and children's health insurance programs. This is an appropriate use of a fund that gets replenished by law every year.
Mr. Speaker, I yield 1\1/2\ minutes to the gentlewoman from Puerto Rico (Miss Gonzalez-Colon), whose constituents and herself have suffered such damage, such destruction as a result of the hurricanes.
Mr. Speaker, I yield myself such time as I may consume.
How cynical what we just heard. How cynical.
Ms. Velazquez has 43,000 children in CHIP, $2 billion in DSH cuts in her district, 43 health centers, and she is going to vote against $1 billion for the citizens of Puerto Rico and the Virgin Islands because that is not enough.
Yes, we need to do more, so her answer is vote ``no'' today and deny $1 billion.
Mr. Speaker, I yield 1\1/2\ minutes to the gentleman from South Carolina (Mr. Norman).
Mr. Speaker, I yield myself such time as I may consume.
Wow. We are fully funding CHIP for 5 years. We are fully funding our community health centers for 2 years. We are taking care of programs for our citizens who have diabetes. And the pay-for that they are objecting to most is we are asking the wealthiest seniors in America, those making $40,000 a month, to pay $135 more for their Medicare so we can do this work that is so important.
How ironic. How cynical. This is a pay-for that has been used before for other programs. President Obama himself suggested in a budget that, instead of the top earners, the $480,000 a year, a couple making over $800,000 a year pay a little more as we do here, take it all the way down to $80,000 a year.
We didn't do that. We just said, if you are making $480,000 a year, roughly $40,000 a month, you will pay $135 more. They will not vote for that cut to fund children's healthcare. We will.
That is what is going on here. This is where we could never get them off dead center to make this bipartisan. It is a tragedy this is not a bipartisan bill as it always has been. I, three times, delayed moving this forward, including crossing the deadline of September 30, to try to find common ground that would be bipartisan, and we could never get there because they would never yield in a way where we could find common ground.
So we must go to the Senate from here and we must get our work done for the American people.
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, may I get a time count, please, on how much each side has remaining?
Mr. Speaker, I will just point out that the gentleman who just spoke has voted to cut the Prevention Fund before to use it for other purposes.
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, let's get this back where it belongs. We are fully funding the Children's Health Insurance Program for 5 years and community health centers for 2 years. The only sabotage of the Affordable Care Act going on here today is stopping cuts for hospitals in our districts that serve low-income people that would otherwise occur under the Affordable Care Act. We do that for 2 years.
The Democrats don't think seniors making $40,000 a month--$40,000 a month--should pay an extra $135 for their part B and part D Medicare so we can take care of our community health centers and children who need health insurance.
We delayed this bill coming to the floor at a bipartisan request to find a bipartisan solution that was elusive, sadly. We have never had this problem before, but we have it today. We must act.
Mr. Speaker, I urge a ``yes'' vote on this legislation, and I yield back the balance of my time.
Mr. Speaker, I reserve a point of order against the motion to recommit.
Mr. Speaker, I withdraw my reservation of a point of order.
Mr. Speaker, I claim the time in opposition to the motion to recommit.
Mr. Speaker, today, Members of this House can deliver peace of mind to parents of over 8 million low-income children who depend on the Children's Health Insurance Program. The House can extend funding for important public health programs, including resources for the critical work community health centers do in our communities and in my district and yours. This bill will help deliver much-needed healthcare resources to our friends and fellow citizens in the Virgin Islands and in Puerto Rico.
Yet we have heard complaints about how this package is paid for. Well, let us be clear how this bill funds healthcare for kids and important public health priorities like community health centers.
In paying for this package, we have taken a fiscally responsible and reasonable approach. Our bill funds kids' healthcare by allowing States to dis-enroll lottery winners--these are winners making $80,000 or above--from the low-income Medicaid program. We ensure high-dollar lottery winners are removed from the Medicaid program so that those resources can go to Medicaid-eligible, low-income people in our districts.
Our bill directs funding from the Prevention and Public Health Fund to finance important prevention and public
health needs, like funding the National Health Service Corps, Teaching Health Center Graduate Medical Education, Family-to-Family Health Information Centers, and community health centers. If these are not important programs for prevention, wellness, and public health, I don't know what are.
Our bill before us today, which I predict will have bipartisan support, directs funds from the Prevention Fund for important public health priorities that have long had bipartisan support. We are using a bipartisan fund to pay for bipartisan healthcare support for health and wellness, which was its intent from the beginning.
Most recently, nearly every House Republican and Democrat supported this idea just a year ago. Just a year ago, when we passed the 21st Century Cures Act, we said: Here is a health and wellness fund and a Prevention Fund that makes sense for cures, make sense for, we believe today, our community health centers, and for Children's Health Insurance.
Our bill also asks the wealthiest among us, the 1 percent of beneficiaries, those making $40,000 a month, over half-a-million dollars a year--that is an individual--to pay a little more to help fund health insurance for low-income children. I think they are willing to do that, and I think we should be as well.
On multiple budgets, President Obama said this is a reasonable way to pay for other priorities. That was bipartisan. It is bipartisan today.
These reasonable pay-fors have been opposed by some in the Democratic leadership. Some House Democrats want to use children's healthcare and funding for community health centers as a bargaining chip for a bigger end-of-the-year goulash, yet kids and our frontline providers can't wait any longer.
In just a few weeks, States like Minnesota run out of funding for the Children's Health Insurance Program. At the request of my colleagues on the other side of the aisle, we have agreed to postpone it time and again, but time has run out. The negotiations did not end as we all hoped they would.
But we can't wait any longer. It is time for this House to deliver peace of mind to the families that rely on these critical programs. It is time to vote ``yes.''
Mr. Speaker, I urge my colleagues to vote ``no'' on the motion to recommit and to approve the underlying bill, and I yield back the balance of my time.