[Congressional Record Volume 140, Number 34 (Wednesday, March 23, 1994)]
[House]
[Page H]
From the Congressional Record Online through the Government Printing Office [www.gpo.gov]


[Congressional Record: March 23, 1994]
From the Congressional Record Online via GPO Access [wais.access.gpo.gov]

 
                           HEALTH CARE REFORM

  The SPEAKER pro tempore. Under a previous order of the House, the 
gentleman from Illinois, [Mr. Michel], is recognized for 5 minutes.
  Mr. MICHEL. Mr. Speaker, I request permission to insert at this point 
in the Record the votes on health care reform which took place in the 
Committee on Ways and Means on March 21 and 22, 1994.
       The following recorded votes were taken on March 21, 1994, 
     in the Subcommittee on Health of the Committee on Ways and 
     Means during consideration of Chairman Stark's substitute 
     proposal for H.R. 3600, the Health Security Act of 1994:
       An amendment of Mrs. Johnson (CT) striking (1) the 
     requirement that the HHS Secretary develop a national 
     workforce plan under which 53 percent of residents be trained 
     in primary care specialities, develop a method of accrediting 
     residency positions, limit the number of residency positions 
     in accordance to the national workforce plan; and striking 
     (2) the section that limits reimbursement to academic medical 
     centers only for residents in positions accredited by the 
     Secretary in accordance with the national workforce plan. The 
     amendment was defeated 6-5.


                               Democrats

       Mr. Stark, ``nay.''
       Mr. Levin, ``nay.''
       Mr. Cardin, ``nay'' by proxy.
       Mr. Andrews (TX), ``yea.''
       Mr. McDermott, ``nay.''
       Mr. Kleczka, ``nay.''
       Mr. Lewis (GA), ``nay.''


                              republicans

       Mr. Thomas (CA), ``yea.''
       Mrs. Johnson (CT), ``yea.''
       Mr. Grandy, ``yea'' by proxy.
       Mr. McCrery, ``yea'' by proxy.

       An amendment by Mr. Thomas (CA) to guarantee adequate year-
     by-year financing of benefits to low income individuals. The 
     expansion of subsidies could be accelerated or delayed (but 
     never reduced) depending on whether the savings in federal 
     health expenditures were available. The Director of OMB must 
     certify each year whether proposed savings in federal 
     expenditures are adequate to fund or accelerate the subsidy 
     schedule. If the savings are inadequate, the Director 
     notifies Congress of the short falls and recommends 
     reductions in benefits or other federal programs savings to 
     meet the shortfall. Congress can either take action or allow 
     the phase-in to be limited to the percentage increase that 
     can be afforded. The amendment was defeated 7-4.


                               democrats

       Mr. Stark, ``nay.''
       Mr. Levin, ``nay.''
       Mr. Cardin, ``nay.''
       Mr. Andrew (TX), ``nay.''
       Mr. McDermott, ``nay.''
       Mr. Kleczka, ``nay.''
       Mr. Lewis (GA), ``nay.''


                              republicans

       Mr. Thomas (CA), ``yea.''
       Mrs. Johnson (CT), ``yea.''
       Mr. Grandy, ``yea'' by proxy.
       Mr. McCrery, ``yea'' by proxy.

       An amendment by Mr. Thomas (CA) that limits malpractice 
     non-economic damage awards to not more than $350,000 per 
     case. The amendment was adopted 6-5.


                               democrats

       Mr. Stark, ``nay.''
       Mr. Levin, ``nay.''
       Mr. Cardin, ``yea.''
       Mr. Andrews (TX), ``yea.''
       Mr. McDermott, ``nay.''
       Mr. Kleczka, ``nay.''
       Mr. Lewis (GA), ``nay'' by proxy.


                              republicans

       Mr. Thomas (CA), ``yea.''
       Mrs. Johnson (CT), ``yea.''
       Mr. Grandy, ``yea'' by proxy.
       Mr. McCrery, ``yea'' by proxy.

       An amendment by Mr. McCrery striking the establishment of 
     global budgets for private sector health spending and the 
     establishment of maximum payment rates for services if 
     private sector spending exceeds annual targets. The amendment 
     would replace the cost containment mechanism with a limit on 
     the employer deduction and the employer exclusion of health 
     care plan premiums to the average cost of benefit plans 
     offered in the geographic area. The amendment was defeated 6-
     5.


                               democrats

       Mr. Stark, ``nay.''
       Mr. Levin, ``nay.''
       Mr. Cardin, ``nay.''
       Mr. Andrews (TX), ``yea.''
       Mr. McDermott, ``nay.''
       Mr. Kleczka, ``nay.''
       Mr. Lewis (GA), ``nay.''


                              republicans

       Mr. Thomas (CA), ``yea.''
       Mrs. Johnson (CT), ``yea.''
       Mr. Grandy, ``yea'' by proxy.
       Mr. McCrery, ``yea.''

       An amendment by Mr. McCrery striking the provision that 
     prohibits administrative or judicial review of any decision 
     by the Secretary of HHS to control costs or regulate rates in 
     the private sector. The amendment was defeated 7-4.


                               democrats

       Mr. Stark, ``nay.''
       Mr. Levin, ``nay.''
       Mr. Cardin, ``nay.''
       Mr. Andrews (TX), ``nay.''
       Mr. McDermott, ``nay.''
       Mr. Kleczka, ``nay.''
       Mr. Lewis, ``nay.''


                              republicans

       Mr. Thomas (CA), ``yea.''
       Mrs. Johnson (CT), ``yea.''
       Mr. Grandy, ``yea'' by proxy.
       Mr. McCrery, ``yea.''

       An amendment by Mr. Thomas (CA) to delete the requirement 
     that all non-low-cost services must be provided in a single 
     centralized location in each MSA. The amendment failed 5-5.


                               Democrats

       Mr. Stark, ``nay.''
       Mr. Levin, ``nay.''
       Mr. Cardin, Not voting.
       Mr. Andrews (TX), ``yea.''
       Mr. McDermott, ``nay.''
       Mr. Kleczka, ``nay.''
       Mr. Lewis (GA), ``nay.''


                              republicans

       Mr. Thomas (CA), ``yea.''
       Mrs. Johnson (CT), ``yea.''
       Mr. Grandy, ``yea'' by proxy.
       Mr. McCrery, ``yea.''

       An amendment by Mr. Thomas (CA) to add outpatient drugs to 
     clinical labs. X-ray and ultra sound services as services 
     that all physician offices are permitted to provide under the 
     exception for in-office ancillary services. The amendment 
     passed 6-4.


                               Democrats

       Mr. Stark, ``nay.''
       Mr. Levin, not voting.
       Mr. Cardin, ``nay.''
       Mr. Andrews (TX), ``yea'' by proxy.
       Mr. McDermott, ``yea.''
       Mr. Kleczka, ``nay'' by proxy.
       Mr. Lewis (GA), ``nay'' by proxy.


                              Republicans

       Mr. Thomas (CA), ``yea.''
       Mrs. Johnson (CT), ``yea.''
       Mr. Grandy, ``yea'' by proxy.
       Mr. McCrery, ``yea.''

       The following recorded votes were taken on March 22, 1994, 
     in the Subcommittee on Health of the Committee on Ways and 
     Means during consideration of Chairman Stark's substitute 
     proposal for H.R. 3600, the Health Security Act of 1994:
       A motion by Mr. Thomas (CA) appealing the ruling of the 
     Chair that ruled out of order Mr. Thomas' amendment to strike 
     Title XII, the revenue section. The motion was defeated 7-4.


                               Democrats

       Mr. Stark, ``nay.''
       Mr. Levin, ``nay.''
       Mr. Cardin, ``nay.''
       Mr. Andrews (TX), ``nay.''
       Mr. McDermott, ``nay.''
       Mr. Kleczka, ``nay'' by proxy.
       Mr. Lewis (GA), ``nay.''


                              Republicans

       Mr. Thomas (CA), ``yea.''
       Mrs. Johnson (CT), ``yea.''
       Mr. Grandy, ``yea'' by proxy.
       Mr. McCrery, ``yea.''

       An amendment by Mr. Thomas (CA) striking the 0.8 percent 
     payroll tax and financing the lost revenue by delaying the 
     100-200 percent of poverty subsidies until they can be 
     financed through spending cuts. The amendment failed 6-5.


                               Democrats

       Mr. Stark, ``nay.''
       Mr. Levin, ``nay.''
       Mr. Cardin, ``yea.''
       Mr. Andrews (TX), ``nay.''
       Mr. McDermott, ``nay.''
       Mr. Kleczka, ``nay.''
       Mr. Lewis, ``nay.''


                              republicans

       Mr. Thomas (CA), ``yea.''
       Mrs. Johnson (CT), ``yea.''
       Mr. Grandy, ``yea'' by proxy.
       Mr. McCrery, ``yea.''

       An amendment by Mr. Andrews (TX) to raise the tobacco tax 
     $.50 per pack more than Chairman's increase of $.75. The 
     money would fund subsidies through the tax code for small 
     business (to be completed at full committee) and new public 
     health spending for Academic Health Centers, a lead abatement 
     program, essential community provider programs, teen 
     pregnancy and smoking cessation programs and education and 
     retraining programs for farmers. The amendment was adopted 6-
     5.


                               democrats

       Mr. Stark, ``yea.''
       Mr. Levin, ``yea.''
       Mr. Cardin, ``yea.''
       Mr. Andrews (TX), ``yea.''
       Mr. McDermott, ``nay.''
       Mr. Kleczka, ``nay'' by proxy.
       Mr. Lewis (GA), ``yea.''


                              republicans

       Mr. Thomas (CA), ``nay.''
       Mrs. Johnson (CT), ``yea.''
       Mr. Grandy, ``nay'' by proxy.
       Mr. McCrery, ``nay.''

       An amendment in the nature of a substitute was offered by 
     Mrs. Johnson (CT), H.R. 3080, the Affordable Health Care NOW 
     Act of 1993 sponsored by Representative Michel. The amendment 
     was defeated 7-4.


                               democrats

       Mr. Stark, ``nay.''
       Mr. Levin, ``nay'' by proxy.
       Mr. Cardin, ``nay'' by proxy.
       Mr. Andrews (TX), ``nay'' by proxy.
       Mr. McDermott, ``nay.''
       Mr. Kleczka, ``nay.''
       Mr. Lewis (GA), ``nay'' by proxy.


                              republicans

       Mr. Thomas (CA), ``yea.''
       Mrs. Johnson (CT), ``yea.''
       Mr. Grandy, ``yea'' by proxy.
       Mr. McCrery, ``yea.''

       An amendment in the nature of a substitute offered by Mr. 
     McCrery, Health Savings and Security Act of 1994. The 
     amendment was defeated 7-4.


                               democrats

       Mr. Stark, ``nay.''
       Mr. Levin, ``nay.''
       Mr. Cardin, ``nay.''
       Mr. Andrews (TX), ``nay'' by proxy.
       Mr. McDermott, ``nay.''
       Mr. Kleczka, ``nay'' by proxy.
       Mr. Lewis (GA), ``nay'' by proxy.


                              republicans

       Mr. Thomas (CA), ``yea.''
       Mrs. Johnson (CT), ``yea.''
       Mr. Grandy, ``yea'' by proxy.
       Mr. McCrery, ``yea.''

       

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