Schedule
Madam President, following leader remarks, if any, there will be a period of morning business until 10 a.m., with Senators allowed to speak for up to 10 minutes each. The majority will control the first half, the Republicans will control…
Madam President, following leader remarks, if any, there will be a period of morning business until 10 a.m., with Senators allowed to speak for up to 10 minutes each. The majority will control the first half, the Republicans will control the final half.
Upon the conclusion of morning business, the Senate will resume consideration of the House message which accompanies H.R. 4213. There will be up to 2 hours for debate on the Thune amendment, which is numbered 4376, with the time equally divided and controlled between Senators Thune and Baucus or their designees. If all time is used, at approximately noon today, the Senate will proceed to a vote on the motion to waive the Budget Act with respect to the Thune amendment.
As a reminder, last night I filed cloture on the Baucus substitute amendment. The managers of the bill will work with Senators on agreements to consider amendments so that we can move toward completion of the bill as quickly as possible. Senators should expect additional votes today in relation to amendments to the bill. Senators will be notified when additional votes are scheduled.
I have spoken to the manager of the bill, Senator Baucus, and he has spoken to a number of his Republican colleagues, and we are going to try to arrange a number of votes as soon as we finish the Thune matter. There are at least three that I know the Republicans want to offer, and there are a number on our side, but we will try to get that done as quickly as possible. This is not a time for never-ending amendments. This is the seventh week we have been on this legislation. They have not been contiguous, but they have certainly been spent on this legislation. So we hope we can work out a reasonable agreement on the amendments that need to be debated and voted on. If we can't work something out tonight, this afternoon, we will have to have a cloture vote in the morning. I would hope that can be avoided. I don't know if it can be.
The problem we have is that we have asked the Secretary of Health and Human Services, Kathleen Sebelius, to work to extend the time administratively so that the 21-percent cut to Medicare doesn't go into effect. We think we have been able to do that, until tomorrow. But we are in very perilous times here. Unemployment compensation benefits have already expired. These tax extenders, which are so important to businesses, have expired. Therefore, it is essential that we get something done. Remember, Medicare reimbursement is not just for Medicare patients. Even though some doctors have already said they are going to drop Medicare patients, it is for more than Medicare patients because most reimbursement in our country is based upon Medicare levels--insurance companies, HMOs, and veterans programs. So everyone on both sides of the aisle should understand that the time to sit back and say: We will work something out later isn't going to be here. We have to do something today, or tomorrow at the latest, because of this 21 percent cut. We have cried wolf for the last time. It will go into effect over the weekend.
We also have an important element in this legislation that deals with
FMAP. The poorest of the poor in our country are able to get Medicaid through the State programs, and we assist at the Federal level. Those programs, in most States, are in a perilous state. They have cut a lot of the programs. A lot of people who are eligible for certain Medicaid procedures and office visits and things of that nature have been terminated already. I have received calls from at least 20 Governors-- and it is not just Democratic Governors--who are desperate for this money.
So everything in this bill is paid for except FMAP and the situation I related to regarding unemployment compensation extension. Everything else is paid for. The doctor fix is paid for in the amendment that is now before us where cloture has been filed. So I hope we can work through these amendments the Republicans have to have and we have to have on our side and, if possible, we can go ahead and set up a vote to get rid of this piece of legislation today; otherwise, we will have a cloture tomorrow, and 30 hours runs after that, and by that time the doctors and patients will be harmed significantly, notwithstanding the fact that the unemployed have already been hurt.