Mr. Speaker, I rise with pride and pleasure to recognize this June 1 as the first time in history that the seniors of America have had the opportunity to purchase a Medicare drug discount card as the first step, but only the first step, in…
Mr. Speaker, I rise with pride and pleasure to recognize this June 1 as the first time in history that the seniors of America have had the opportunity to purchase a Medicare drug discount card as the first step, but only the first step, in reducing the cost of their prescription drugs.
My colleagues have heard a lot here tonight. We have heard some very sharp things from the speaker who just preceded me. But listen to this: this is a widow in my hometown of New Britain who takes Zithromax; and because of this discount card at a local pharmacy in New Britain, instead of paying $46.50 for her Zithromax, she will now pay $39.44. She takes Nystatin. Instead of paying $35 for Nystatin, she will now pay $15 for Nystatin. And so it goes. One of the other drugs she takes costs $40 and now will cost $11.50.
Mr. Speaker, this widow for whom every dollar is precious will save $730 on her prescription drugs every year, including this year. Now, that may not be a lot to my colleagues, but for someone spending $2,000 on drugs a year, a little over $2,000 on drugs a year, that is a lot. That is 29 percent, almost 30 percent, of her drug costs.
So this is a good day for seniors, and I and my colleagues are going to talk about a lot of the things we have been told tonight about this prescription drug program. But we are here to say, you be the judge. We are here to say, do not let nay-sayers, do not let others rob you of the hundreds of dollars of savings on the prescription drugs on which your health and well-being depend. You be the judge. You find out the facts. You be the judge. It is real simple.
But to start off tonight, let me turn to the gentleman from Pennsylvania (Mr. English), a very good friend of mine on the Committee on Ways and Means.
Mr. Speaker, I thank the gentleman from Pennsylvania for his comments. It is absolutely true that this was the first bill ever passed by the House that provided a discount card. Every other bill passed or proposed, whether by the Republicans or a bipartisan group or the Democrats, waited 2 years to provide any senior with any benefit. That was just too long. And while my colleague from the other side who spoke just before we took our time said some seniors will not benefit at all, he pointed to those seniors who have very good employer-provided coverage. That is about 30 percent of seniors. What he did not say was that no low-income senior, now that we are at June 1, will ever again pay more than $5 for a drug, a prescription drug. All low-income seniors in America, no more than $5 for a generic; and much less than that that many will pay, $1 per prescription.
Now, that matters to our seniors, I say to my colleagues. That is important in their lives, and I am proud that we have brought that to them.
I am very proud to have another colleague of mine from the Committee on Ways and Means, the gentleman from Arizona (Mr. Hayworth), join us as we talk about this prescription drug discount card now available to our seniors across America on this day, June 1.
Mr. Speaker, I thank the gentleman from Arizona (Mr. Hayworth). I must say that some of the statements made by my colleagues from the other side in preceding times do need to be answered.
Mr. Speaker, let me say that it is disconcerting and unfortunate, frankly, that Members will get up and say things that are so distantly related to the bill. For instance, someone said, why do not we have a prescription drug benefit that is part of traditional Medicare? That is what we should have passed.
Folks, that is what we did pass. The bill we passed made prescription drugs a benefit under Medicare. Just like part B is a benefit under Medicare through which you get access to doctors' care in their office, to the costs of tests and things like that, MRIs, all those things, part D will give you access to prescription drugs. It is a part of Medicare. The discount card is a part of the prescription drug benefit. It is a part of Medicare.
I appreciate that the gentleman who used that phrase did not vote for the bill, but that does not excuse misleading the public about it. If Jeanne had not been a self-starter, my widow friend in New Britain, if she had not been so thoughtful, she would not now be able to pay $11.50 for a drug she used to pay $40 for.
Let me just show you here a minute how easy this is. Because this word ``confusion,'' ``confusion,'' ``this is so hard, our seniors will not be able to follow, they will not be able to understand,'' you see how easy it is.
First of all, write down your zip code. Very important. Write down your zip code. Because Medicare is going to tell you the price of your drugs at various pharmacies in your area, and they can decide that through using your zip code. If you want to know about two zip code areas because you live near a border, fine, use two zip code areas. But have your zip code written down so you will be ready to say it accurately when the question is asked.
Then write down your medications. Write down the name of each drug you are taking. Write down the dose. Because you do not want to find out the price for the right drug but the wrong dose. You want to find out the discount price for the right drug, the right dose, taken so many times a day.
So get all your facts laid out: The names of all the drugs you take and the dosage of those drugs, and the cost that you pay, just so you know. When you have that information, your drugs, the dose, the cost, and your zip code, then, easy as pie, call 1-800-MEDICARE. We are going to put that back up in a minute. Call 1-800-MEDICARE; and one of the now 4,000 operators who are available 24 hours a day, 7 days a week, and, of course, remember to call in the evening, call in the early morning so you will not have to wait, call on the weekend you will not have to wait. Call Monday or Tuesday, the wait will be longer. You know that from many sales activities you have done throughout your life. Call 1-800-MEDICARE.
Or go have your daughter your son or your grandchild, if you do not feel comfortable doing it. Go to the computer and go into www.Medicare.gov. So it is easy to get to a person or to a program in the computer that will then ask you for the information I have told you about, your zip code, the names of every one of your drugs, the dosage, and then for your information also what you pay per drug. And then you should have your income. That is the next bit of information you need to have. Because by telling the operator your income that operator will know whether or not you are one of the people that qualify for this $600 credit.
Low-income seniors that do not have any readily available cash have a hard time just buying those antibiotics they may desperately need to get over an illness. We understand that. So this discount card is not just a discount card. It is a $600 cash benefit for those who need it, those below 100 percent of poverty income; and then using that cash credit and the discount, you see, they will pay a lower price and stretch out that $600 available to them.
So as one of the columnists that I read said, a low-income senior who has an income less than $12,500 a year for a single person or for less than 16,000, almost 17,000 for a married couple, they should not walk to the discount card. They should run to get this discount card, because they will pay no more than $1 for generics or up to $5 for prescription drugs, an extraordinary benefit for them.
Finally, look for this label on the discount card: Medicare approved. That is why it is part of Medicare, because it has gone through the process of being approved by the government and being, consequently, if it does not perform fairly, if it says it is going to charge you one thing and it charges you a lot more, the government is there enforcing the rules, penalizing them and forcing them to comply what it promised to you.
There is a lot more to this program, but I did want to run through how easy it is to sign up, how easy it is to figure out which card is for you, but I will not go into any further details because I want to hear from my colleague, the gentleman from Georgia (Mr. Gingrey), who is also a physician, who therefore has a very tangible and real understanding of the terrible hardships that patients, who cannot afford the drugs they need, face in our communities and what an important first step, only a first step, this discount card will be.
Mr. Speaker, I thank the gentleman. When you call up that 1-800-Medicare number and you tell them your zip code, your income and the drugs you take, they send you a printout. It has the pharmacy's name on it and the address and another pharmacy and that address right near you and another pharmacy and that address and the price that each of those pharmacies charges for each of the drugs that you take.
Now, then you can go on and you can get more. But you can tell them my favorite pharmacy is this. I want to know which card gives me the lowest price at my favorite pharmacy, and they will tell you that. Or you can say, I want to know where the lowest price is in all the surrounding towns; and they will tell you that.
So never have we brought the service of technology to our seniors as we have in this program, not just in advertising it but in having people there to assist seniors in deciding what card is best for them. And, of course, it is true, if you are in a program where your employer pays all of your drug costs, you will not need a discount card, but that is a very small percentage of our retired seniors. And if you are very, very poor, on Medicaid and the taxpayers are paying all of your drug costs, that is true, you will not benefit from a prescription drug discount card, although your State will. Your State will save some money, and that will help them carry the burden of other programs.
So, ironically, if you are on Medicaid, you will not feel the benefit. But in my State that has had to kill some Medicaid benefits, they are going to use the money we save them on Medicaid to strengthen another part of the Medicaid benefit for other Medicaid groups. So it is a good thing for everybody.
Now, just before we go on to some of my colleagues, I do want to say one other thing. First of all, year after year, we have failed in the House and Senate to be able to pass a bill. Year after year, seniors have waited. Year after year, seniors have begun to doubt whether we were as good as our word, whether we did care. This was the third time the House passed the bill. The first year the Senate passed the bill; the first session the Senate passed the bill. But together now we have a bill.
In the Senate, it was an extremely bipartisan vote. In the House, it was less bipartisan because of the nature of the House. But, in the end, it delivers to seniors a generous drug benefit that will result in half of America's retired seniors having no more than $1 for generic costs and $5 for brand name costs all across America. That is when the full program is implemented, the discount and the subsidy. So this is a giant step forward.
One of the gentlemen earlier talked about price, how the cards do change its price. Now, yes, it can; and we wanted them to. It is too bad really that we do not have more Members stop and remember their basic economics. There is not a senior out there that does not watch the sales. There is not a senior out there that does not go out and buy things regularly when they are on sale at whatever grocery store they are cheapest. And we know that, so we put all the discount cards out, and look what happened.
The first week they could advertise themselves. See these two cards had very high prices. For the bundle of 10 drugs that one of my colleagues from
the other side defined, they were going to charge a total of $1,300 for just those 10 drugs. Well, they began to see, you see, what the other cards were going to charge; and they figured out, they figured out that even though it cost them a million dollars probably to put that card out there, they were not going to get any customers and they would lose all the money then put into developing their cards. They knew that a customer would be more likely to choose a card that was going to cost them only $930 for the same group of drugs that this card was going to charge $1,300.
There is not a senior I know that does not get it. $930 is a lot less than $1,300. You are going to sign up for this card. You are not going to sign up for these.
So what happened? Well, let us see. It only took one week, one week. Look what happened. Those cards brought their prices down to just about the same as the others. And each week there was change.
In other words, if you put a new product on the market, it costs you money. You invest in that product. And if you do not get customers to buy your product, I do not care whether it is drug card or an automobile or new shoes, you lose because nobody is buying your product. So if you want people to buy your discount cards, you better be sure you drive those discount prices low, and that is what we have been seeing happening. And I am proud of it, and we are going to see it happening more and more because this is the first time in history that prices have been out there on the Internet for everybody to see. Before that, you had to go store by store and then only you knew. Now everybody knows.
Let us turn now to my colleague, the gentleman from Texas (Mr. Burgess), another physician in the House.
Mr. Speaker, I thank my colleague, who is also a physician, for joining us this evening; and I am pleased to yield to the gentleman from South Carolina (Mr. Wilson), my colleague, this evening as we move toward the end of our Special Order.
Mr. Speaker, I have served in Congress a long time; and when there is a real problem in the lives of the people you represent, I believe your job is to solve it. I believe your job is to take action, to do something; and I know that this is the most important health care bill we have passed for seniors since Medicare was founded.
It not only offers them prescription drugs. As I showed you earlier, it is absolutely voluntary. It is simple. You just use your ZIP code. You give us the pharmacist you like the best. You give us the names of your drugs, and we will tell you how much money you can save. It is not for everyone, if people already have very good coverage through their employers, but particularly important to those seniors who have no prescription drug coverage. It is real savings in their lives, and that is important to me.
When the whole bill goes into effect, we will pay 75 percent of the costs of their drugs, a gigantic step forward. Just as we pay 80 percent of the cost of their visits to the doctor, we will pay 75 percent of the cost of their drugs. In the bill I wrote, it was 80 percent. We will get it up to 80 percent, but you have to act. You have to do something, and all these nay-sayers who voted against doing anything one more year, this would have been the fourth year we would have done nothing. What a record. All those nay-sayers are now telling you do not bother, do not bother.
Listen, take a minute, bother, call 1-800-MEDICARE. Do what Jean did and find out that you can save $30 on one drug she has to buy every month, $20 on another drug. It all adds up to hundreds of dollars. That, in my estimation, is a good thing. That helps our seniors.
I am proud of the bill we passed because it brings prescription drugs to seniors; but you know what else, not a senior I know does not have chronic illnesses. Twenty percent of our seniors have five or more chronic illnesses. Medicare does not pay for chronic illness care. The rest of the world knows about it.
Many, many employer-provided plans do a lot more for people with diabetes or heart conditions. Do you understand that in this prescription drug and Medicare reform bill, for the first time we are going to provide chronic disease management for our seniors? We are going to give them the kind of state-of-the-art support that means that people with chronic disease do not have to end up in the hospital, do not have to end up on dialysis if they have diabetes, do not have to fear going to the emergency rooms. I mean, it is going to be a revolution. It is bringing preventive health care right to those who have chronic disease and are going to suffer the most serious health consequences.
So this is about prescription drugs. This is about a discount card today, about a full prescription drug card subsidy in 2006 and about Medicare offering state-of-the-art care to people with chronic illnesses in a way it never has.
I am proud to have helped write this bill. I am proud that I was the only woman on the conference committee, because I think that is important.
Women and men both need to be present to make our laws, and do not any one of the young people watching tonight forget that.
But this is a big step forward, and do not let naysayers rob you of the very considerable savings this discount card could bring to you. And, remember, you be the judge of your interests. You alone can make that judgment. We here in Medicare have made it very easy, and I urge you to take advantage of the Medicare prescription drug discount card, which starts today, June 1.