I do not know who is yielding the time. Not yet. I plan to speak now. Mr. President, 9 weeks ago yesterday, Hurricane Katrina hit the gulf, killing over 1,000 people, displacing over 1 million people, leaving the region with a cleanup bill…
I do not know who is yielding the time.
Not yet. I plan to speak now.
Mr. President, 9 weeks ago yesterday, Hurricane Katrina hit the gulf, killing over 1,000 people, displacing over 1 million people, leaving the region with a cleanup bill that might reach $200 billion. Katrina left a gaping need in health care in the affected States and those that are hosting States. I do not know how to say it any other way but that the devastation is biblical.
I visited the area 5 or 6 weeks ago. Other Senators did, too. I do not think there is any Senator who actually visited who would come up with any other feeling or belief that it is biblical. Unfortunately, very few Members of this body have actually been there. Unfortunately, very few Members of this body have actually seen the area, seen what is left, and it is not much, whether it is in Louisiana, New Orleans or the Gulf States. It is incredible how much the area has been destroyed. People who are alive do not have jobs, do not have homes, do not have schools, do not have their lives. It is absolutely incredible, and it is devastating. It is biblical. I do believe firmly, if every Senator in this institution were to see the areas affected, see the people, see what is happening, there would be a different result.
We have become too academic around here. We read too many memos. We talk too much among ourselves. There is too much sort of theory, not enough actual on the ground, what really is going on. If Senators were to see it, feel it, taste it, smell it, there is no doubt in my mind that this amendment offered by the Senator from Arkansas would pass, it would pass unanimously, and we would not be debating it. We would be probably asking how could we help some more.
So in the meantime, how has this Congress responded? To be fair, it has not. Incredibly, it has not. In the hurricane's wake, the chairman of the Finance Committee and I drafted a bill to cover evacuees under Medicaid for a short period of time, 5 months, to help provide health care to low-income people who do not have their jobs anymore, who do not have health insurance anymore, who do not have a place to put their kids in school, do not have homes--just temporary health care, 5 months. That was the bill we offered, a bill that Senator Grassley and I put together.
Who supported it? Everybody in the affected States, Republicans, Democrats, Senators, Governors, supported it. Did we get it passed? No. We cover evacuees below the poverty level of $9,500. Think of that. People who earn that low income need help, particularly in the circumstances faced by the people in the aftermath of this destruction of the hurricane.
Our amendment also would cover pregnant women and kids at twice that income level. That is not a lot of money. That is about $19,000 a year. That is all. Pregnant women and kids with incomes above that much would not get covered by our amendment but up to that level, $19,000 a year, that is all, pregnant women who only earn $19,000 a year. We say let's help them out for 5 months but at least help them out. That bill did not pass.
What else did Senator Grassley and I provide for? Well, an $800 million fund for health care providers' uncompensated care cost. What is that all about, uncompensated care? What does that mean? That means help to those hospitals, those doctors, who gave free medical care out of the goodness of their hearts. Free medical care to people, regardless of what it cost, they just gave it; it is uncompensated care. Because those folks did not have insurance coverage, they did not have ways to pay the bills. It was free care. So we are saying, those hospitals are Good Samaritans, those doctors are Good Samaritans. They were not compensated at all for their care, so let us give them a little bit, $800 million--that is all. I know that the true uncompensated care cost is many times that. We are saying, let's help those Good Samaritans and show them that we care.
And who is ``we''? We are the American people who pay taxes. We are Members of the Senate saying, OK, we represent our people back home. Those of us offering this amendment say we believe that our people in our States want to help out. They want to help these people who do not have health care, who have lost their jobs, lost their health insurance, help people who are in desperate need of help.
Indefinitely? No, for 5 months. For a long time? No. For a huge amount? No, a little bit. We think the American people want to help give some care to those people who need it and who are good Samaritans. But this body so far has said we are not going to help those good Samaritans. We are going to leave them out in the cold.
Senator Grassley and I also suggested giving 16 months of full Federal funding to the beleaguered Federal programs of the affected States. What does that mean? That means for 16 months
we, as Americans, are going to help those States meet their Medicaid bills--for 16 months. But our bill has been blocked. It has been blocked by a small group of Senators on the other side of the aisle.
What do these Senators on the other side of the aisle say? What is their reason for blocking this bill, this little, small bill that helps some people for a short period of time? What do they say? That our bill provides an open-ended expansion of Medicaid. It is the camel's nose under the tent. It is a theoretical, ideological argument.
They argue also that the Government, that is HHS, Department of Health and Human Services, can take care of this crisis without congressional action. They say you don't need that, Congress. We, the administration, can take care of this. That is what they say. They also argue that our legislation is unnecessary spending. They keep those same arguments in effect today.
Let me take those points on one by one. On the first, the amendment before us provides, as did the bill Senator Grassley and I offered, temporary 5-month Medicaid coverage. It is not indefinite; it is temporary, 5 months. We also suggest the President can renew that coverage for an additional 5 months, but that is it. It is not an open- ended Medicaid expansion. It is getting help to those who need it; not down the road, not forever, but now, because people need health care now. That is not something they can postpone. When you need health care, you need it right now. What about the argument that the administration, HHS, can take care of this problem without congressional action, that the administration can take care of Katrina health needs through something called Medicaid waivers?
Simply put, that is not true. It is simply not true. They cannot do that under the law. They need a change in the law to do that. They cannot do that on their own. Last week in the Finance Committee, HHS testified they do need legislation to provide additional funds for the States to meet Katrina health needs. They admitted it before the Finance Committee. They also said the plan to provide only $100 million for new funds for uncompensated care costs--that $100 million is a paltry pittance compared to what is needed in the State of Louisiana alone.
I might say, too, legislation is needed to address these needs, but the President still has not asked Congress to pass the legislation to make that happen. We provide it in this amendment, but they do not.
Finally, Senators on the other side of the aisle argue that this bill constitutes wasteful spending; since we have already appropriated $60 billion through FEMA, two-thirds unspent, we should use those funds first. These same Senators argue we should scale back the bill's pricetag.
I have listened to my colleagues on the other side of the aisle. Senator Lincoln has listened to them. Senator Landrieu has listened to them. We want to get legislation passed. We want to help people in some way.
Guess what. In the spirit of compromise we scaled back our bill, offsetting it with unspent FEMA funds. That is, we are doing what the Senators wanted us to do. The amendment before us reduces the cost of the Katrina health package by giving 12 months of State Medicaid relief instead of 16 months; it removes the reductions in 29 State Medicaid programs--that bothered them, we removed that part--and by using unspent FEMA funds to offset its costs, the amendment does what the White House advocated last week.
As you know, last week the White House proposed redirecting $17 billion in unspent FEMA funds to help rebuild the gulf coast. Let's look at that $17 billion. Of that $17 billion, $3.3 billion would go to reconstruct military bases--not health care needs but military bases-- and $2.3 will be spent on highways and bridge construction.
I am speaking perhaps out of place here, but I visited the military bases that have been the subject of this amendment here. Yes, there is damage there, but it does not begin to compare with the other damage, the damage to the homes and the roads and the bridges, the lost jobs and health care needs. There is no comparison. I don't know why we are spending $3.3 billion to reconstruct a military base but not spending the money to help people with their health care needs.
Mr. President, $410 million would help farmers remove debris and rehabilitate the land. Those are good causes. But the President's request doesn't ask for increased health care funding. It does not help those hospitals or doctors who were Good Samaritans by providing uncompensated care relief. It does not help States care for evacuees through their overburdened health care programs, and it doesn't help patients now.
As I say, this amendment, to remind my colleagues what one of the opponents on the other side argued for a moment ago--it does it. What is that? When trying to move this bill through the Senate, a Senator on the other side, on September 30, said, and I quote him:
The question is not whether we should or want to provide
assistance. But we want to make sure we do it in a way that
ensures that resources get where they are most needed and in
a way that takes advantage of the $45 billion or so that has
already been appropriated but has not been committed yet.
Guess what. That is what this amendment does. It uses unspent funds to meet the urgent health care needs of Katrina victims. More than 9 weeks after this major national disaster hit our shores, we are still waiting for this Congress and the President to act on Katrina health care needs. The reconciliation bill we are considering provides some help for victims, but the $1.8 billion in the bill is not enough. It has been called a downpayment. It is not a downpayment; it is an end payment in the minds of the administration and those on the other side of the aisle. It is a last payment; it is not a downpayment. Why is it not a downpayment? Because they are saying no to extra funds being suggested here. So it is not a downpayment. That is flat inaccurate. It sounds nice, but it is inaccurate.
We need to provide more Federal funds to help the affected States. Louisiana is in very dire financial straits. It will have to cut its Medicaid program by an estimated 40 percent if that State doesn't get funds by the end of this year. Think of that. It has to cut Medicaid by huge amounts if it does not get the needed funds.
We also need to provide the funds for uncompensated health care costs to ensure providers--doctors, hospitals, health centers, the Good Samaritans--are recognized. And we need to ensure that low-income survivors get the health care they need, whether or not they meet Medicaid's rigid eligibility rules.
In Louisiana alone, half of those who have applied for Medicaid have been turned away because they don't meet those standards. Think of that. Half the people in Louisiana have been turned away. They have health care needs. It is diabetics, cancer patients, people with dire needs who are turned away. We are not talking about high-income levels. Currently, a single mom who makes more than $2,500 a year would not get covered. Think of that. We are raising that to $9,500 a year. Right now, in the view taken by the other side of the aisle, a single mom who makes more than $2,500 a year would not get coverage. She would not get any help.
What are we saying? Let's raise it up to $9,500 at least. That is not a lot of money; $9,500 a year. That is not a lot of money. If she makes more than that, she doesn't get help, but if she makes up to that level, she does get some help.
This is not right, that this amendment is not being passed. It will not be agreed to. It is clear by the tone of this debate here. The Senator from Louisiana said we are going to keep working until we get something passed. Why? Because it is the right thing to do.
I see the chairman of the Budget Committee is sitting there, deeply pondering, his chin on his hand there. I am saying to the chairman: There is a way to do this. The way to do it is to pay for it out of unspent Katrina appropriated dollars. There is a way to do this.
I know the chairman is very concerned about total costs. He should be concerned about total costs. That is his job. But there is a way to do this and that is through this amendment. It is through the already appropriated dollars that are unspent. It does not add
to the deficit, does not add to the budget woes the chairman is worrying about. There is a way of doing this.
I am calling upon all of us as Senators to find a way to do this. We all know it is the right thing to do. We all know it is the right thing to give temporary health care assistance to people in the affected areas. We all know that. We all know it is the right thing to do to help some of those hospitals and doctors who have been Good Samaritans get a little bit of help because all America wants to help. We all know that. All America wants to help those doctors and those hospitals a little bit.
I say to my good friend from New Hampshire, find it in his head and in his heart to help make this thing work because it is so important to so many people who are counting on us to recognize them, give them a little bit of hope--that is the very least we can do--and support the amendment offered by the Senator from Arkansas.
I yield the floor.