Madam President, I ask unanimous consent to address the Senate up to 10 minutes in morning business. This past week, President Bush submitted to Congress his last budget for the Federal Government. It is a revealing document that pretty…
Madam President, I ask unanimous consent to address the Senate up to 10 minutes in morning business.
This past week, President Bush submitted to Congress his last budget for the Federal Government. It is a revealing document that pretty clearly demonstrates the priorities of this administration. It used to be that budgets were designed to rein in the Federal deficit. Under this administration, budget after budget has been submitted that would, if enacted, widen the deficit.
We know 7 years ago, when President Bush took the oath of office in January 2001, we had a huge Federal surplus. Today, we have a huge Federal deficit that will be a burden on the backs of our children and grandchildren.
While funding for programs to help middle-class families hard hit by stagnant wages would be slashed by the President's budget, he gives enormous tax cuts to people who don't need them--and generally didn't ask for them--the wealthiest 1 percent of the population. They simply don't need a tax cut.
In 2009, the President will give tax cuts of $51 billion to those people making over $1 million a year--again, that is $51 billion for those making over $1 million a year. Yet he is cutting $15 billion from many of the programs that I am going to mention.
Perhaps most disconcerting are the President's cuts in Federal programs that serve rural America. The President has failing grades on his budget and what it does. He gets an F in health care, an F in education, an F in law enforcement, and an F in economic development. With faltering infrastructure, such as roads and bridges, disappearing jobs, underfunded schools, and spotty access to health care, rural areas in Ohio, southeast Ohio--and
northwest Ohio especially--and across our Nation, these areas are fighting an uphill battle without anywhere near the Federal support they used to get or that they need now.
More than one-half of Ohio's counties are rural as defined by the U.S. Department of Agriculture. Of the top 10 counties in Ohio--and there are 88 counties--with the highest unemployment, every 1 of them is rural. Of the top 10 counties in Ohio with the highest proportion below the poverty line, 9 out of 10 are rural. Of the top 10 counties in Ohio with the highest percentage of residents eligible for Medicaid, 9 are rural.
Seven rural Ohio counties make all three of these lists: Vinton Pike, Scioto, Adams, Meigs, Jackson, and Morgan--all counties in southeast Ohio. Citizens of this counties need our help, and they need it today.
Yesterday, I spoke with about two dozen officials and activists in those counties in southern Ohio--people from the chamber of commerce, the county commissioners, the mayors, health department directors, community development people--and the stories they told about the President's failure on health care, education, law enforcement, and economic development will be devastating and are devastating for southeast Ohio.
Despite the alarming statistics and the crucial role rural America plays in our Nation's self-sufficiency and in our cohesiveness and culture, the President chose to slash funding for rural economic programs, slash funding in rural health care, in rural law enforcement, in rural education--all so that he could give a tax cut of $51 billion in 2009 to people making over $1 million a year and look what happens to health care, education, law enforcement, and economics development.
While communities in rural Ohio struggle to keep jobs, President Bush proposes to wipe away established rural development programs that these people with whom I talked yesterday--Republicans and Democrats alike, conservatives and liberals alike, public health people, chamber of commerce people, mayors, commissioners, community development people-- these programs matter to their well-being, to the economic vitality of these rural areas. These housing programs, for instance, support the construction, purchase, and rehabilitation of single-family homes, giving struggling rural Ohioans a chance to own their own homes. With all the problems we have with foreclosures, they are not just urban problems, suburban problems, or rural problems; they are every year. But the President takes special attention to wiping out rural programs that can make a big difference in people's lives.
These programs encourage rural business expansion, job creation, and grants to extend broadband access across Ohio.
These are critical programs that provide water and sewer infrastructure. The EPA comes in and says to these communities: You need major renovation--major replacement in some cases--of a lot of these water and sewer systems, and then they simply do not help them do that. It means higher sewer and water rates for unemployed people and higher sewer and water rates for people struggling, middle-class families who are proud and struggling to stay above water.
In places such as Vinton County in southeast Ohio, a third of the people are on Medicaid. Medicaid is not a luxury; it is a crucial support system for children, the disabled, and the elderly living in poverty. Medicaid covers about one in every three nursing home residents. What is to be become of seniors under the President's Medicaid cuts? Medicaid cuts: F in health care. What is to become of the seniors without this successful insurance program? The President's budget cuts $18.2 billion from Medicaid over 5 years. These cuts touted by the administration as ``savings'' will be primarily achieved by shifting costs to States, regardless of whether States can actually shoulder these costs. Again, these $18 billion cuts to Medicaid are to pay for a tax cut for people making over $1 million a year.
The Bush budget slashes other programs designed to help rural communities address unique health care challenges. People who have to go to the emergency room have to drive 30 minutes, 45 minutes. A lot of people go to emergency rooms in southeast Ohio because they cannot afford any other care, and they go in hoping to get charity care. These are not people who are lazy. These are not people without a decent work ethic. These are people who work hard, have jobs, are barely making it, they go to food banks, in too many cases, they are on Medicaid, and they have to rely on the Government because they are struggling, working hard, working a couple of jobs, and simply cannot make it.
Rural Ohio is experiencing unprecedented challenges in law enforcement as meth labs multiply and threaten families and communities. Yet, since 2001, President Bush has cut funding for State and local law enforcement programs by over 50 percent. Law enforcement: The President gets an F in rural Ohio for his budget. This year's budget would slash funding 63 percent for all State and local law enforcement programs in the Department of Justice. That is $1.6 billion, again, so the President can give tax cuts to people making over $1 million a year.
The budget also eliminates funding for the COPS Program. Talk to people in Windham, Athens, Gallipolis, Chillicothe or Blair, communities that need the COPS Program to keep these communities safe. It is a program that has worked for 10 years. So the President wants to eliminate it so he can give tax breaks to people making over $1 million.
I sound like a broken record, but it is morally outrageous to do tax cuts for people making over $1 million a year and then earn an F on health care, F on education, F on law enforcement, and F on economic development for these struggling communities, the same kind of rural areas in the Preside Officer's State of Missouri, rural areas where I know she has spent a lot of time, rural areas where I have spent a lot of time, where people are struggling, trying to stay in the middle class, trying to support their kids, and trying to just get along.
The President's proposal shortchanges overall education funding by $826 million. This budget would cut or eliminate programs to support educational opportunities for rural Ohio families, particularly programs such as career and technical education, for elementary school counseling, for Safe and Drug-Free Schools--the kinds of jobs many of these people, young people in southeast Ohio, want to get--career education, tech education, elementary school education. They want to teach, they want to be nurses, they want to be occupational therapists, they want to be physical therapists. They want to work in their communities. They don't want to go off to big cities and leave home. They want to raise their children where their parents are so their parents can see their grandchildren. And they need jobs in Chillicothe, in Zanesville, in Cambridge, and all over southern Ohio.
Our Nation's future depends on our actions now. We can either address barriers to our children's success in education, we can address the issues of law enforcement, we can address the needs of health care, or we can abdicate responsibility and watch our rural areas continue to decline. If our rural areas decline--and we know the strength of our rural areas in building our country in the last 200 years--if they decline in Missouri, Ohio, and around this country, it means our country declines, and we cannot stand for that.
As my State's first Senator to serve on the Agriculture Committee in four decades and a member of the HELP Committee, which has jurisdiction over health and education programs, I will continue to fight to ensure that our Nation invests in rural America. It is the smart thing to do for our future. It is the right thing to do for our families.
I suggest the absence of a quorum.
Mr. President, I rise today in support of amendment No. 4023, which would halt draconian new rules that would hamstring cost- effective case management services under the Medicaid Program.
In March of this year, the Centers for Medicare and Medicaid Services plans to implement a regulation designed to limit case management services: For children in foster care; for the elderly, who, if not for case management, would be in nursing homes; for Americans with disabilities; and or individuals with severe mental illness.
These are Americans who not only live with severe health or mental disabilities, they live in poverty.
This administration is nothing if not consistent.
This administration consistently woos those with wealth and neglects those in need.
Ohio has worked over the past 24 years to develop and fine tune an effective system for providing case management to Medicaid beneficiaries who meet a nursing home level of care but want to remain in their homes.
Enabling these Ohioans, most of whom are elderly, to live independently is not only right, it is smart.
Per capita nursing home care is more expensive than per capita home health care.
And home and community-based care fosters independence, self- determination, and rehabilitation.
Case managers are the foundation of this system of care. It cannot work without them.
But case managers cannot do their jobs if they are hung up by rules that just do not make sense.
CMS is attempting to chop the case management system into pieces, wrap it in red tape, and sit back as it withers on the vine.
They are limiting case management, as if the lack of it is in some way a reasonable solution to rising health care costs. Nothing could be further from the truth.
At a time when our health care system is overburdened and our economy is in a slump, why would we introduce chaos into cost-effective, coordinated care?
If the administration hamstrings effective case management, Medicaid costs will not drop, they will likely balloon. Without solid case management grounded in seamless administration and service delivery, state Medicaid Programs will lose ground.
They will forsake precious progress they have made toward eliminating duplicative or unnecessary care, reducing hospitalizations, and improving outcomes.
This rule is bad for Ohio and bad for the nation.
It is misguided, and frankly, it is cruel.
Whether your vote arises from compassion or common sense, I urge every Member to support this amendment.