Mr. President, today I am reintroducing legislation entitled the Children's Dental Health Improvement Act of 2007, along with several of my colleagues. This legislation is designed to improve the access and delivery of dental health…
Mr. President, today I am reintroducing legislation entitled the Children's Dental Health Improvement Act of 2007, along with several of my colleagues. This legislation is designed to improve the access and delivery of dental health services to our Nation's children through Medicaid, through the State Children's Health Insurance Program, SCHIP, through the Indian Health Services, or IHS, and also through our Nation's safety net of community health centers.
The oral health problems facing children in this country are widespread. They are closely associated with poverty. Tooth decay remains the single most common childhood disease nationwide. Although poor children are more than twice as likely to have cavities as wealthier children, experts report that they are far less likely to receive treatment. The dramatic consequences of this lack of oral health care were underscored yesterday in the Washington Post article discussing the death of 12-year-old Deamonte Driver from complications arising from a lack of dental care. I know Senator Cardin has spoken on this same tragic incident.
A little over a month ago, Deamonte Driver came home complaining of a toothache. Today, that young man is dead. What began as a simple toothache developed into an abscessed tooth and, eventually, a brain infection that killed him. Although his family attempted to access care, they could not acquire meaningful oral health services either when they were on the Medicaid Program or while they were uninsured.
While this young man's death is shocking, the lack of access to dental care that it reflects is not unusual. The inspector general of the Department of Health and Human Services reported that only 18 percent of the children who are eligible for Medicaid actually received even a single preventive dental service. The inspector general also reports that there is no State in the Union that provides preventive services to more than 50 percent of the eligible children. The factors are complex, but the primary one is due to the limited participation by dentists in the Medicaid Program because of the very low reimbursement rates that are provided. Such issues played a central role in the death of this young man.
The Children's Dental Health Improvement Act of 2007 provides a comprehensive strategy to address the underlying oral health issues that led to Deamonte's death. First, the legislation provides grants to States to improve dental services to children enrolled in Medicaid and SCHIP. Such grants will not only assure improved delivery of dental services to children but also improved payment rates for dental services that are provided through those two programs. The bill will also include grants to federally qualified health centers, to county and local public health departments, to dental schools, Indian tribes, tribal corporation organizations, and others to increase the availability of primary dental care services in underserved areas.
The bill also provides critical bonus payments to dentists within the Indian Health Service who commit to work there for 2, 3, or 4 years. The legislation also ensures SCHIP funds will be utilized to provide coverage for dental services for low-income children who have access to limited health insurance coverage that does not include dental services. This is known as wraparound coverage, and it is crucial that we provide for this.
In addition, the bill would make important changes to the way in which dental residents are counted for Medicare graduate medical education or GME purposes to incentivize dental schools to train a larger number of dentists.
Finally, the legislation also creates a comprehensive oral health initiative aimed at reducing oral health disparities for vulnerable populations such as low-income children and children with developmental disabilities. Such activities will be administered through the Department of Health and Human Services, the Centers for Disease Control, and a newly established chief dental officer for Medicaid and SCHIP. Such activities will also include school-based dental sealant programs as well as basic oral health promotion.
I introduce the legislation in the hope that this Congress will act this year to ensure that Deamonte's death does not repeat itself, that no more of America's children will suffer needlessly or even, as in this case, die as a result of a lack of access to meaningful oral health care. I urge my colleagues in the Senate to join me in supporting this important legislation.
I would like to thank the American Dental Association, the American Dental Education Association, the American Academy of Pediatric Dentistry, the National Association of Community Health Centers, Inc., the National Association of Children's Hospitals, the American Dental Hygienists' Association, and the Children's Dental Health Project for their outstanding support and/or their technical advice on this legislation. This bill is a result of their outstanding work.
In particular, I want to thank Dr. Burt Edelstein, Libby Mullin, and Ann De Biasi of the Children's Dental Health Project for their vast knowledge and technical assistance on this issue. I want to thank Judy Sherman of the American Dental Association, Myla Moss and Jack Bresch of the American Dental Education Association, Dr. Herber Simmons and Scott Litch of the American Academy of Pediatric Dentistry, Karen Sealander of the American Dental Hygienists' Association, Dr. Jim Richeson and Judy Kloss Bynum of the Academy of General Dentistry, Dr. Stephen Corbin of Special Olympics, Inc., and Dan Hawkins, Chris Koppen, and Roger Schwartz of the National Association of Community Health Centers, Inc., for their valuable insight, technical advice, and continued support for this legislation. I look forward to working with them all to ensure that we achieve increased access to oral health care for our children.
In addition to those organizations, I would like to thank the following groups for their support of the bill, whether in the past session of Congress or this year. They include: the Academy of General Dentistry, American Academy of Child and Adolescent Psychiatry, American Academy of Oral and Maxillofacial Pathology, American Academy of Periodontology, American Association of Dental Examiners, American Association of Dental Research, American Association of Endodontists, American Association of Public Health Dentistry, American Association of Oral and Maxillofacial Surgeons, American Association of Orthodontists, American Association of Women Dentists, American College of Dentists, American College of Preventive Medicine, American Dental Trade Association, American Public Health Association, American Society of Dentistry for Children, American Student Dental Association, Association of Clinicians for the Underserved, Association of Maternal and Child Health Programs, Association of State and Territorial Dental Directors, Dental Dealers of America, Dental Manufacturers of America, Inc., Family Voices, Hispanic Dental Association, International College of Dentists--USA, March of Dimes, National Association of City and County Health Officers, National Association of Local Boards of Health, National Dental Association, National Health Law Program, New Mexico Department of Health, Partnership for Prevention, Society of American Indian Dentists, Special Care Dentistry, and United Cerebral Palsy Associations.
I ask unanimous consent that the Washington Post article and the text of the bill be printed in the Record.
Mr. President, I rise today to introduce the Invest USA Act of 2007 with my colleague from Indiana, Senator Lugar.
Our legislation creates a United States Direct Investment Administration, USDIA, within the Department of Commerce, to be led by an Under Secretary of Commerce for United States Direct Investment. This new agency will coordinate efforts to attract more foreign direct investment in the United States, thereby making our economy more competitive by encouraging multinational businesses to open new facilities or expand existing operations here, rather than elsewhere.
Specifically, our legislation tasks the new agency with five principal duties. First, USDIA will collect and analyze data concerning direct investment flows into both the United States and other countries.
Second, USDIA will publish an annual direct investment report for Congress. This report sets forth the data that USDIA collects and analyzes in the course of its work, identifying best practices in attracting direct investment at the Federal, State, and regional levels, as well as those used by other advanced industrialized countries.
Third, USDIA will publish an annual direct investment agenda to make strategic policy recommendations based on the direct investment report. It will also act as the lead agency within a broader interagency Direct Investment Promotion Committee, which will advocate and implement USDIA's strategic policy recommendations. For example, as part of this work, it will create and maintain an internet-accessible database of direct investment opportunities in the United States.
Fourth, the legislation requires USDIA to focus on direct investment in critical high-technology industries throughout the course of its work.
The United States continues to be the premier place in the world to locate a business. However, in an increasingly globalized world, where the factors of production can easily migrate from country to country, we can no longer passively rely on our inherent competitive advantages alone. We must actively publicize them.
Many countries, particularly those in Europe, have committed significant resources to recruiting foreign direct investment. For example, in many cases, our competitors maintain offices in the United States, where they regularly meet with American business leaders, encouraging them to consider locating facilities in their country.
Currently, the United States lacks any comparable program to entice multinational businesses to invest and create jobs here. Instead, we relegate direct investment promotion to economic development agencies at the State, regional, and local level. Although these local economic development agencies make valiant efforts to attract direct investment, our lack of a national strategy creates two problems.
First, too often, these local economic development agencies suffer from limited resources, which dwindle even further if the locality is suffering from an economic downturn due to a plant closing or for other reasons. Second, the dominance of State and local agencies creates the impression of an uncoordinated patchwork in the minds of foreign business executives. Consequently, State and local economic development agencies are too often unable to perform their recruitment missions effectively. The Invest USA Act addresses these flaws by creating and funding USDIA, which can act as a one-stop shop for multinational businesses seeking to establish new operations or expand existing ones.
Of course, we need to continue to focus on persuading U.S. businesses to stay in this country. But we also need to launch a concurrent, robust effort to encourage multinational businesses to establish or move facilities to our country. The end result is the same: more jobs for U.S. workers.
According to the Organization for International Investment, direct investment in the U.S. totaled $128.6 billion in 2005, an increase of 20 percent from the previous year, and according to the latest available Government data, as of December 31, 2004, U.S. subsidiaries of foreign multinationals employed approximately 5.1 million American workers, or 4.7 percent of the workforce. Moreover, according to the latest available Department of Commerce data, average per-worker compensation paid by U.S. subsidiaries of foreign multinationals in 2004 was $63,428, over 32 percent higher than compensation at U.S. companies as a whole.
Senator Lugar and I believe that with a proactive, strategically focused effort at the Federal level, we can do even better at attracting the best jobs to our country. The Invest USA Act of 2007 will allow us to do just that.
I ask unanimous consent that the text of the bill be printed in the Record.