Personal Responsibility, Work, And Family Promotion Act Of 2003
Mr. Chairman, today, we are debating the re- authorization of the welfare program. It is a repeat of the debate we had last Congress, when Republican ideology prevented a common-sense reauthorization. I believe that we have a…
Mr. Chairman, today, we are debating the re- authorization of the welfare program. It is a repeat of the debate we had last Congress, when Republican ideology prevented a common-sense reauthorization. I believe that we have a responsibility to help families transition into the workforce and provide essential support to make work play. The Cardin substitute will do that. Regrettably, the Republican bill will not.
Two provisions within this re-authorization are in the jurisdiction of the Committee on Energy and Commerce: transitional medical assistance (TMA) and abstinence-only education. The Republican versions are inadequate; the Cardin substitute fixes both.
First, TMA is a program that provides health insurance coverage for families leaving welfare to go back to work. It is a program that makes good sense. Individuals moving off welfare often wind up in jobs that do not offer health insurance coverage or find that employer-sponsored coverage is too costly on the family's limited budget. TMA allows these families to keep their health insurance coverage in Medicaid so that getting a job doesn't mean losing health coverage. The Republican bill, however, only extends this program for one year; many of us prefer making this common-sense program permanent, as the Cardin substitute provides. In addition, the Republican bill does not include the simplifications that would help families get coverage and keep coverage. These provisions were in the President's budget this year, and are in the Cardin substitute. They should also be in H.R. 4, but they are not.
Of added concern, Republicans would cut other parts of the Medicaid program in order to pay for this extension. For some reason, Republicans believe the only way they can afford to help working families is if they cut other
parts of safety net programs that truly allow the poor to work. This is illogical and I oppose it.
Second, the bill extends the Title V abstinence-only sex education program, but locks states into an inflexible curriculum; it is controversial, and rights to. The Cardin substitute to this bill provides states with the flexibility to offer programs that are best suited to the needs and desires of their citizens and to ensure that Federal funds are spent on effective programs that provide medically accurate information. State flexibility allows each state to use Federal funds to support the abstinence-based comprehensive sex education program it determines will be most effective in protecting its young people's health. Many leading public and private sector health experts, including the National Institutes of Health, the American Medical Association, the American Academy of Pediatrics, and the American Public Health Association, recommend school-based comprehensive sex education programs, yet states are unable to fund these types of programs with Federal dollars.
The Cardin substitute also contains a requirement that Title V programs provide information that is determined to be ``medically accurate'' by leading medical, psychological, psychiatric, and public health organizations. Some abstinence-only programs are actually harmful to teenagers because they provide incomplete, inaccurate, and misleading information with regard to contraceptives, pregnancy, and sexually transmitted diseases. Depriving teens of medically accurate information will not protect them; it will only make them more vulnerable.
The Cardin substitute also requires Title V programs be based on models that have demonstrated effectiveness in reducing teen pregnancies or the transmission of sexually transmitted diseases or HIV/AIDS, and calls for a comparative evaluation of programs so policymakers can determine the relative merits of abstinence-only programs versus comprehensive school-based, age-appropriate, sex education curricula. Advocates of abstinence-only programs oppose any realistic and objective look at those programs, apparently content to waste Federal dollars in the name of ideology.
The Cardin substitute maintains state flexibility, helps welfare recipients to find real work, helps families escape poverty, removes the sunset on TMA, and makes important changes in the abstinence education provisions. I support it.