Departments Of Labor, Health And Human Services, And Education, And Related Agencies Appropriations Act, 2020
Madam Chair, I have an amendment at the desk. Madam Chair, I rise to offer an amendment to the fiscal year 2020 appropriations bill that would increase funding for the Senior Medicare Patrol program. Every year, we lose more than $60…
Madam Chair, I have an amendment at the desk.
Madam Chair, I rise to offer an amendment to the fiscal year 2020 appropriations bill that would increase funding for the Senior Medicare Patrol program.
Every year, we lose more than $60 billion to fraud and abuse in Medicare. Money lost to fraud means fewer dollars available for needed services and a decreased quality of care for all.
Senior Medicare Patrol supports both Medicare and Medicaid beneficiaries by helping them to detect and report healthcare fraud. Each year, this program helps both seniors and the Federal Government recover or avoid losing billions of dollars.
I am proud to say that California's Senior Medicare Patrol program is based in my district and in my hometown of Irvine. The program is administered there by California Health Advocates.
CHA recently received its performance measure numbers from the Office of the Inspector General for 2018. Through the program, it reached 200,000 California beneficiaries, families, and caregivers with fraud prevention messages; hosted nearly 3,000 outreach events; and recruited over 600 volunteers across the State to fight for seniors and families.
I thank those 600 volunteers in California and more than 5,000 across the country, many of whom are retired and are on Medicare themselves, for their tireless efforts.
Last year, the Office of the Inspector General of HHS investigated a case in Los Angeles in which a doctor and a recruiter were found guilty for their roles in frequently billing Medicare for clinic, hospice services, and durable medical equipment that patients either didn't need or didn't receive. This fraud cost Medicare and patients $33 million.
Senior Medicare Patrol helps stop fraudulent actors, saving the system money.
Rising as well are lab schemes in which labs are offering cancer screens using genetic testing, but really, these labs are collecting Medicare numbers for potential medical identity theft or billing Medicare for expensive genetic tests that no one needs. These costs are passed on to Medicare, taxpayers, or to the patients themselves.
Recently, California Health Advocates issued an alert in nine languages about these fraudulent tests. Because of this alert, senior centers that have been approached by those executing these schemes have shut them out, armed with the knowledge they need to protect their patients from fraud.
I am proud to be here today to ensure that this program receives the funding it needs. As a consumer protection advocate, keeping seniors and taxpayers safe from fraud is a top priority.
Madam Chair, I yield 1 minute to the gentlewoman from Connecticut (Ms. DeLauro).
Madam Chair, I thank the chairwoman for her remarks, and I reserve the balance of my time.
Madam Chair, I yield back the balance of my time.
Madam Chair, I have an amendment at the desk.
Madam Chair, I rise today to offer an amendment to the fiscal year 2020 appropriations bill that would provide essential funding to the Health Resources and Service Administration, HRSA, for its critical research to create a strategy to address intimate partner violence.
Intimate partner violence is a critical public health issue that affects millions of women, men, children, and families. The HRSA strategy uses research to help partners identify and address key social determinants of health and their interactions with the impacts of intimate partner violence through awareness, screening, and treatment.
Building on studies from the VAWA health program, HRSA has used this funding to couple the strategy with a program known as Project Catalyst to foster intimate partner violence response and health collaboration at the State level.
More than 25 percent of women and 11 percent of men have experienced sexual violence, physical violence, or stalking by an intimate partner in their lifetimes, and I am one of them.
My three children and I were able to move forward with our lives, staying in our community and our home. I found help to heal our family and let us rebuild our lives, and I relied on essential healthcare resources in this process. That rebuilding brought me here to advocate for survivors who escaped the cycle of violence and to speak on behalf of those who haven't.
Each year, millions suffer in silence. Our healthcare workforce needs the tools and knowledge necessary to support every single victim of intimate partner violence. The funding through HRSA's strategy to address intimate partner violence includes the integration of intimate partner violence responses into HIV, home healthcare, and numerous other women's programs.
This fiscal year 2020 request will create dedicated funding under programs at HRSA specifically focusing on community health centers that provide essential local primary and mental healthcare.
My district in Orange County is home to eight community health centers. I hope that with the growth of this program, more of these providers will have the opportunity to address intimate partner violence.
We need funding to complete the work necessary to implement HRSA's strategy and for the growth of Project Catalyst to add more States to this initiative.
Madam Chair, I yield 1 minute to the gentlewoman from Connecticut (Ms. DeLauro).
Madam Chair, it is not eating cake to want women to be safe in their homes and from their partners.
I know a lot about tough decisions and about priorities, and I have faced tough decisions about how to protect my own family. And I am proud that it is a priority of mine and of my Democratic colleagues to support full funding to stop intimate partner violence.
Madam Chair, I respectfully ask for the support of all of my colleagues in this amendment, and I yield back the balance of my time.
Madam Chair, I have an amendment at the desk.
Madam Chair, I rise today to offer an amendment to the fiscal year 2020 appropriations bill which would require the Secretary of Health and Human Services to provide the Appropriations Committee with detailed monthly State enrollment figures.
My amendment requires that these figures include State enrollment numbers, disaggregated by race, ethnicity, preferred language, age, and sex.
It is important to get detailed information on who is enrolling and who isn't in ACA coverage. By understanding trends, we can look for populations that are being missed or underserved.
In particular, under this administration, progress that we had made in reducing the uninsured population has stalled. According to the latest census data, in 2017, for the first time since the passage of the ACA, the Asian American uninsured rate remained virtually flat at 6.4 percent, while the Native Hawaiian and Pacific Islander uninsured rate increased from 7.7 percent to 8.3 percent.
Previously, disparities in uninsurance rates among these communities had been eliminated because of coverage expansion from the ACA.
Groups engaging in enrollment work have fewer resources because of this administration and, therefore, must engage in more targeted and limited outreach.
Even further, this data is from 2017, before the administration launched even more aggressive attacks to dismantle our healthcare system after they failed to repeal it without a replacement.
Our next census will show how the attacks of 2018 and 2019 will affect enrollment numbers, but we need the information that essential monthly enrollment data can tell us long before the census is published.
By better understanding where gaps exist and in which groups we are seeing negative trends in insurance enrollment, we can better focus essential outreach and education. In particular, this will help organizations serving hard-to-reach populations and communities of color.
While CMS has provided an annual detailed enrollment report, it has failed to provide more regular updates on enrollment during the year and also has failed to provide detailed enrollment data showing enrollment for race subgroups or data to show how people are enrolling.
This amendment would provide the necessary transparency into enrollment trends.
I am proud to represent a diverse district, and I came to Congress to serve and represent their needs. I hope this amendment will be an essential step forward to helping Congress and the country better understand how we are failing communities of color and how we can provide more accessible care.
Madam Chair, I yield 1 minute to the gentlewoman from Connecticut (Ms. DeLauro).
Madam Chair, this amendment would ultimately save dollars, as explained by Chairwoman DeLauro. It would reduce uninsurance rates, particularly in populations that are receiving less care.
This is, ultimately, a bill that will reduce the costs of our healthcare system by making all of our communities healthier. It is a bill about equity, but it is also a financially responsible bill.
I urge my colleagues to support it, and I yield back the balance of my time.