Madam President, I rise to say a word about my friend Thad Cochran, who is retiring from the U.S. Senate. In 1968, I had the job of recruiting State chairman for Citizens for Nixon-Agnew. I was a very young, wet-behind-the-ears former…
Madam President, I rise to say a word about my friend Thad Cochran, who is retiring from the U.S. Senate.
In 1968, I had the job of recruiting State chairman for Citizens for Nixon-Agnew. I was a very young, wet-behind-the-ears former legislative assistant to Senator Howard Baker. We were working in the Willard Hotel in the fall of 1968. The idea was to try to find outstanding citizens who weren't necessarily Republicans because in the southern part of our country, there weren't a lot of Republicans, especially in the State of Mississippi.
So I called around the State of Mississippi to find out who might be willing to head up this Nixon-Agnew campaign. Everybody I called said: Well, there are two young men here who are just the most outstanding young men, both are cheerleaders at Ole Miss, or had been, and both are going to grow up to be the Governor of Mississippi, which was, at that time, I guess, the nicest thing one could say about some aspiring young man because nobody thought the two U.S. Senators, Eastland and Stennis, would ever retire. So growing up to be the Governor of Mississippi was really a great compliment to a young man in Mississippi at the time. One of those young men was named Trent Lott, and one of those young men was named Thad Cochran.
I telephoned Thad Cochran, and I invited him to become chairman of the Citizens for Nixon-Agnew. He was a Democrat, but he agreed to do that. We met in October of that year in Indianapolis. The mayor of Indianapolis then was Richard Lugar, a young mayor at that time and later a Member of this body. That was the beginning of Thad Cochran's Republican Party activity.
He and that other young man--who were so promising--both ran for U.S. Congress in 1972, and to the surprise of a great many people, they were elected, the first Republicans since Reconstruction, I suppose, from Mississippi--Thad Cochran and Trent Lott.
In 1978, Thad Cochran did something nobody had done from his State since the Reconstruction; he became a Republican who was elected to the U.S. Senate, and he has been here ever since.
The reason he was able to be successful is not surprising. Thad was and is an engaging, pleasant person. His parents were educators. He learned to play the piano. He was a terrific baseball player--good enough to play professional baseball. He joined the Navy. He was, in every respect, an outstanding young man, just as he has been a distinguished public servant throughout his life.
He has been widely respected here by his colleagues, elected to be chairman of the Republican conference, and most recently he has been chairman of the Appropriations Committee, which is as important as any position in this body.
In an era where not everybody seems to think it is important to act like a gentleman, Thad Cochran is a gentleman, and we respect that and the example he has set.
So he has been a pioneer for the Republican Party, he has been a good example for young people, and for all of us, really, in terms of what we should expect and try to emulate in public life, and, to me, he has been a great friend.
So my wife Honey and I would like to say to him and to Kay, his wife, that we respect him, we look forward to the next chapter in his life, and we honor his service to this country.
Mr. President, the Senator from Maine will arrive in just a moment, and I ask unanimous consent for up to an hour for us and Senator Graham and Senator Rounds to address the Senate within that hour--the four of us, and others who wish--to speak on the health insurance issue within that hour.
Mr. President, I am here today to talk about the plumber making $60,000 whose health insurance is $20,000 and he pays for all of it and about the fact that the bill we are about to vote on today could have had in it bipartisan legislation--supported by the President of the United States, the majority leader, and the Speaker of the House--that would have reduced that plumber's health insurance bill from $12,000 to $8,000, according to the Oliver Wyman health consulting experts, who have evaluated the bipartisan legislation that we have proposed.
The only reason it doesn't have that in there is because Democrats have objected to putting on this bill we are voting on today the traditional Hyde amendment that governs how dollars are spent when an abortion is involved. The traditional Hyde amendment is a compromise that has been on every appropriations bill--and this is an appropriations bill--since 1976 and that Democrats have voted for hundreds of times and Republicans have voted for hundreds of times. On this very bill that we are voting on today, more than 100 times the Hyde language applies to other programs.
So Democrats are scrambling and embarrassed, coming up with excuse after excuse, trying to explain to the self-employed businessperson-- the farmer, the songwriter, the plumber--who might be making $60,000 or $70,000 and paying $20,000 for their insurance, and paying it all, with no government subsidy--why they are blocking a 40-percent reduction in their health insurance and why they will not apply the Hyde language to the health insurance rate reduction and they will apply it to 100 other programs. Not just in past voting but today, every single Democrat today who votes for the omnibus bill will be voting to apply the Hyde language restricting abortion to at least 100 other programs.
For example, how will they explain this to the plumber, the farmer, and the self-employed businesswoman: I will apply the Hyde language and restrict Federal funding for abortions to the National Institutes of Health but not to reduce your health insurance rates by 40 percent. I will apply the Hyde language to community health centers today, but I am going to block the bipartisan proposal to reduce your health insurance by 40 percent that is supported by the President, the majority leader, and the Speaker of the House. I will vote today to apply the Hyde language to the Federal Employment Health Benefits Program, which provides health insurance to 3 million or so employees, but I will not vote for a health insurance program to reduce your rates by 40 percent because I will not apply the Hyde language to it?
How are they going to explain today and next October, when the insurance rates are announced for 2019, 2020, and 2021, that they had an opportunity in March of this year to reduce rates in 2019, 2020, and 2021 by 40 percent and they refused to do it because they said: We will not apply the traditional Hyde language to health insurance, even though we are going to apply it to the Indian health programs, to the VA, to women's medical care, to global health programs, to the Ryan White HIV/AIDS program--to 100 programs that Democrats will be voting on today to apply the Hyde language to. They will do that, but they are going to block bipartisan legislation--supported by the President, the majority leader, and the Speaker--that will reduce the health insurance rates of the plumber making $60,000 from $20,000 to $12,000?
I want to speak about that plumber. I want to speak ahead to October 1, when the rates for 2019 are announced. I want to talk about Marty, the farmer in Tennessee who I met at the Chick-fil-A, who came up to me and said: I was paying $300 a month for my health insurance, and over the last 5 years it has gone up to $1,300, and I can't afford it.
I said: I have a Christmas present for you. Then, I thought I had a Valentine card for it. Then, I thought I had an Easter present for it, because we got bipartisan legislation, supported by the President, the majority leader, and the Speaker. I said: We can put that in the omnibus bill, we can pass it by the end of March, and we can reduce your rates.
There are 9 million Americans who don't get insurance on the job. They don't get insurance from the government. They buy it themselves. They are hardworking Americans. They are the plumber, the farmer, the small businessperson. They are making $60,000, $70,000, $80,000, $90,000 a year. Their insurance bills are $15,000, $20,000, $25,000 a year. They are rapidly approaching a point, if they haven't already, that they have to go without insurance because they can't afford it, and we have a way to do something about that.
It is happening in my State of Tennessee. Rates went up another 57 percent last year for those people. That is thousands of dollars. Yet we could have today reduced their rates by thousands of dollars. Here is how:
We have developed two bipartisan bills, beginning in the fall. Our committee--the Health, Education, Labor and Pensions Committee--held four hearings. We had roundtables to which we invited all the Senators. Senator Murray, the ranking Democrat, and I presided over this.
We talked about all of the issues and tried to see what we could do, and we came up with what we call the Alexander-Murray bill. It had two parts to it. The first part was regulatory reform. We took something already in the Affordable Care Act--the 1332 innovation waivers--and we made it possible for States to streamline it and use it.
We also added a few other things. We changed the law so that Minnesota and New York could use the basic health plan and could tap into the subsidies in the way that those States wanted to do
it. That is $130 million a year in Minnesota and $1 billion in New York. Democrats are blocking that today--$130 million in Minnesota and $1 billion in New York, and Democrats are saying no to that today. Why? Because they will not apply the Hyde language to the health insurance rate decrease, even though they are going to vote to apply it to 100 other pieces of legislation in this very bill.
We did the regulatory reform, and then we did something many Republicans didn't want to do and the President didn't want to do to start with. We extended the cost-sharing subsidy payments for 3 more years. These are payments to reduce rates for low-income people on their copays and deductibles. We agreed to do that.
Then, Senator Collins and Senator Nelson, a Republican and a Democrat, came up with a plan--the House did, too, with Representative Costello--to add reinsurance. Reinsurance is something about which, in our hearings and in our meetings, virtually every Senator in both parties said: We really need to do that, because the reason the individual market is in such trouble is that it has so many of the sickest Americans in it and they are soaking up all the money.
The reinsurance program that we suggested and have in Senator Collins and Senator Nelson's bill--3 years, $10 billion a year--would give States funds as well as planning money to set up those invisible risk pools, those reinsurance programs, that were meant for the sickest Americans to have their needs taken care of, and you lower the rates for everybody else.
So we have regulatory reform, 3 years of cost-sharing subsidies, 3 years of reinsurance, $10 billion a year. The Congressional Budget Office says: If you score it based on real spending, it actually saves the government money by reducing the premiums that taxpayers have to pay for--a $1 billion advantage for New York for each of the next 3 years, $130 million for Minnesota for each of the next 3 years. We fix the problem in New Hampshire, to allow both Democratic Senators and the Republican Governor to say: Please do this; we want to be able to mix our ObamaCare and Medicaid savings.
We said: Yes, you can do that, and so can every State.
Within the Affordable Care Act, we did what Democrats have been saying to do ever since we couldn't repeal and replace it last August and said: We will work with you to fix it.
The part that needs fixing is the part causing the plumber who makes $60,000 to pay $20,000 for his health insurance, and we have a way to fix it--to reduce it by 40 percent, according to Oliver Wyman consulting; by 20 percent, according to the Congressional Budget Office. Yet the Democrats are blocking it today because they will not apply the traditional Hyde language that they voted for every single year since 1976 in the omnibus bill and that they will be voting on today for 100-plus times.
How do you explain that to the plumber? How do you explain that to the farmer? How do you explain that to the 9 million Americans who see their health insurance rates going through the roof?
Let's not make any mistake about who is doing this. We are big boys and girls in the Senate. When we take a stand, we ought to admit it. What the Democrats are doing is they are blocking a 40-percent rate decrease for one single reason--one single reason. The President of the United States supports it, the Speaker supports it, the majority leader supports it, and we are ready to put it in the bill, and they say no.
Let's look down the road to October. All of the insurance companies will announce their rates for 2019, and we will be looking ahead to 2020 and 2021. Rates will be going up instead of going down. The farmer, the self-employed person, the songwriter are going to be saying: How am I going to be able to afford this?
Nothing is more important to Americans than healthcare. Nothing is more frightening to Americans than the prospect of not being able to afford to buy healthcare. That is what we are doing here.
I am disappointed by this. I have spent hundreds of hours on this since September. We had a piece of legislation introduced on this floor by 12 Republicans and 12 Democrats that the Democratic leader said every single Democrat would vote for and the national Democratic chairman said was great bipartisan legislation. That is two-thirds of our bill.
What is the other third? The other third is the Collins-Nelson bill, which adds $10 billion a year for reinsurance. The Governors like this. The State insurance commissioners like this. The plumber and the songwriter like it. Who doesn't like it? A few Democrats who are saying that the Hyde language, which says--let's be specific about what it says--you can't use Federal funds for elective abortions, but you may use any other funds. That is exactly the law that we have in our bill.
The Hyde language is in the bill we are going to be voting on later today. It was put there in 1976. It is adopted year after year. It is on page 1036, if anybody wants to look it up. Then, there is language in the bill that we are going to be voting on today restricting Federal employee health benefits with Hyde-like language, which is on page 588. You will be voting for it today. Then, there is the title X family planning legislation. That is in the bill you are going to be voting for, as well, today. That is Hyde language. Then, there is the Mexico City legislation. You are going to vote for that today.
But you are going to tell the farmer, the songwriter, and the employer that they are not allowed to have a 40-percent health insurance decrease. They are going to have to not be able to afford health insurance for their family. As to Federal funding for the DC government, you are going to vote for that today. Using funds for elective abortions is restricted in the bill that we are voting on today.
Senator Collins from Maine is here, and the Senator from South Carolina is here. They have worked hard on this. We are a group of Senators who I think are fairly, usually seen as trying to get results around here. We are greatly disappointed by this--not just for this institution but for the people we serve because the hard, simple fact is that we have legislation that could be in this bill that will reduce your health insurance rates by 40 percent starting in 2019 and continuing for the next 2 years, until it gets up to 40.
We have the support of the President. We have the support of the Speaker. We have the support of the majority leader. But the Democratic leader says: You can't have it in the bill. We are going to vote 100 times to apply the Hyde language to everything from the National Institutes of Health to community health centers, but we are not going to let you reduce healthcare rates.
That is why Democrats are scrambling, coming up with excuse after excuse. They are going to have to really come up with scrambling and excuse after excuse on October 1, when the rates are announced.
I yield the floor.
Mr. President, I want to thank the Senator from Maine for her lucid and heartfelt description of what is before us. She has been an exceptional leader, and she continues to be. She looks for ways to get results.
She sees people--the plumber I talked about making $60,000, the stylist, a farmer--the person who is working and paying all of his or her insurance with no subsidy help and who sees the real prospect coming that when the rates are announced October 1, they may not be able to afford any insurance, and they can see we have a solution for that.
Now, this isn't a Republican solution or a Democratic solution. This is a solution that began to be developed almost the day Republicans failed to repeal and replace ObamaCare. I walked across the aisle to see if we could do what the Democrats were asking. Let's fix what we have temporarily so nobody is hurt. As we have explained this afternoon, we did that.
We have a proposal that is the original Alexander-Murray proposal, developed in four hearings, in which more than half the Senate participated, which at one point the Democratic leader said every single Democrat would vote for. It takes an existing part of the Affordable Care Act and makes it work--that is the innovation waiver-- gives States more flexibility to create more choices and lower cost choices without changing the essential health benefits, without changing the guarantee for preexisting conditions. It is really a modest change, but it is a significant change. Then it has 3 years of cost-sharing subsidies--remember, the President said he did not want to pay those, but he supports this--and then 3 years of reinsurance so we can help the sickest people who are in the individual market, take them out, pay their needs, and reduce rates for everybody else. These are the best Republican and Democratic ideas that have been put together in a package and, as Senator Collins has said, virtually everyone who has looked at this--starting with the Oliver Wyman Health consultants who say it reduces rates up to 40 percent, the Congressional Budget Office says 20. That is thousands of dollars.
If you are paying $20,000 for your insurance, if we do nothing, you might be paying $24,000. If we do this, you might be paying $16,000. That is a lot of money. If we do this, you might be paying $12,000. That is thousands of dollars less. That is a big tax cut for you, and it is a big tax increase. Why are we not doing this?
Let's not kid ourselves. There is a lot of scrambling and embarrassed running around over on the other side of the aisle to come up with an excuse for this, but let's be honest about it. The Democrats are blocking this for one reason. They have convinced themselves they do not want to apply to the health insurance rate reduction in the omnibus bill the same law that applies to more than 100 other programs in this omnibus bill. So every single Democrat over here who says: I can't vote for a 40-percent rate reduction for you, Mr. Plumber or Ms. Hairstylist or Ms. Farmer. I can't do that because I can't put the Hyde amendment on it, but I am going to vote to put the Hyde amendment on the National Institutes of Health, I am going to vote to put the Hyde amendment on community health centers, I am going to vote today to put it on Federal employee health benefits and family planning grants under title X and 100 other programs Democrats are going to vote to put the Hyde language on--yet they say we can't put the same language on a 40-percent health insurance reduction that is composed of three sections of bipartisan legislation that the Democratic leader has said, at least on two-thirds of it, that every single Democrat supported. Now, what is that? What is that?
I mean, this should not be a partisan issue. I am not surprised there is
scrambling and embarrassment on the other side of the aisle. I don't know how they are going to explain this to the American people. I know a lot of people in Tennessee are desperately hoping we succeed. I hear it every time I go home.
Health insurance is the No. 1 concern of the people in my State, and the most frightening prospect is, if they can't pay their bills, then they can't buy insurance. They might get sick and have no way to take care of it.
Mr. President, I will ask consent to put into the Record a few items. The first is a list of 20 programs that are included in the omnibus bill we are likely to vote on today that have Hyde protection.
Now, remember what the Hyde protection is. It is a compromise that was created in 1976 that said Federal funds may not be used for elective abortions, but basically you may use any other funds, and you may create a contract or arrangement to do that. So that is what we do with Medicare. That is what we do with Medicaid. That is what we are voting today to do at the National Institutes of Health, in the community health centers, voting today for the Federal Employee Health Benefits Program, for family planning grants, for the Indian health programs, for the VA women's health medical care, for global health programs, for the Ryan White HIV/AIDS Program, and school-based health centers. We are voting to put the Hyde protection on area health education centers, on maternal and childcare block grants, on the National Health Service Corps, but we can't put Hyde protection on health insurance--a 40-percent rate reduction on health insurance, a bipartisan proposal that has the support of the President, the majority leader, and the Speaker. They are all willing to put it in this bill, but you say no. You say no, and there is no good reason for that. There is no good reason whatsoever.
We are going to vote to put the Hyde amendment on childcare community development block grants.
I ask unanimous consent that a list of 20 of those programs be printed in the Record, although, there are more than 100 we will be voting on today.
Mr. President, I ask unanimous consent also to have printed in the Record a short summary of the three-part, bipartisan proposal that will produce the 40-percent rate decreases in the individual market, according to Oliver Wyman, and up to 20 percent, according to the Congressional Budget Office, over the next 3 years.
Mr. President, I ask unanimous consent to have printed in the Record the Oliver Wyman analysis entitled ``A Proposal to Lower ACA Premiums by More than 40% and Cover 3.2 Million More'' Americans.
Mr. President, the Congressional Budget Office estimate looks at this proposal two different ways, but it says that if we base it on real spending--that is, as if Congress actually passed this bill--the Alexander-Murray-Collins-Nelson proposal that reduces insurance rates 40 percent saves the Federal taxpayer money. In other words, it doesn't cost anything.
As a U.S. Senator who came here to get results, who enjoys more than anything working across party lines to cause that to happen--because it takes 60 to get a result--who admires Senators like Senator Collins, who spends her time doing that, I am very disappointed, not just for me, not just for Senator Collins, who has spent hundreds of hours on this, not just for the Senate as an institution, but I think of people who come up to me like Marty at the Chick-fil-A, who said: I was paying $300 a month, and now I am paying $1,300 a month. I can't afford it; I am a farmer.
I said: I have a Christmas present for you. And then I thought, well, I have a Valentine's present for you, and then I thought maybe I could say I have an Easter present for you, and now I can say I can't do it because the Democratic Party voted to put the Hyde protection on more than 100 programs today--as it has done every year since 1976--but it refused to put the Hyde protection on a 40-percent rate decrease that was developed across party lines, in long hearings that were attended by more than half the Senators--all of them coming in and saying: Oh, this is a wonderful thing.
They came up to me and said: Chairman Alexander, this is so good. We wish the Senate would act like this more. We like the fact that you are having open hearings. Democrats are coming. You are letting us all come without being a member of the committee.
Why are we not doing more of this? This is why we don't do more of it. We come to a result. We come up to a partisan end that hurts people.
I yield the floor.