[Congressional Record Volume 143, Number 75 (Wednesday, June 4, 1997)]
[House]
[Pages H3438-H3440]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
{time} 2300
Mr. PALLONE. I want to thank the gentleman from Ohio Mr. Strickland
for his comments. He brought up a number of things that I think are
very important. I have tried and sometimes I am partisan, sometimes I
am not. On this particular occasion, I tend to be very partisan.
Really, for a long time, the Republican leadership was essentially
ignoring this issue of kids' health insurance, the 10 million uninsured
children that my colleague mentioned. Now that it is in the budget
agreement, and presumably there is a pot of money, I think about $16
billion over 5 years, that is available for this.
It is not likely that that amount of money would cover, as my
colleague said, more than about half of the 10 million children. But,
obviously, what we want to do as Democrats is to make sure, on the one
hand, that the $16 billion that is available covers as many kids as
possible. Then we also feel very strongly as a group, and I know the
Democratic task force does on health care, that we need to go beyond
that and try to find a way to insure the other kids that are not
currently insured.
There are obviously various ways to go about this. The gentleman from
Ohio mentioned the Medicaid program, which is of course our primary
program now for those who are below the poverty level or close to the
poverty level. One of the things that we have noticed in the task force
in some of the hearings and meetings that we have had is that there are
actually 3 million children who are now eligible for the Medicaid
program that do not sign up for one reason or another.
After meeting with some of the families and talking with some of the
health care professionals, what we found is that there are a lot of
reasons why those 3 million kids are not covered. First of all, as my
colleague mentioned, a lot of times the parents are both working and
they just do not have the time to be bothered. They are not aware or
they just find that the bureaucracy of having to sign the kids up, I do
not mean they do not want to be bothered in the sense they do not want
to help, but they are just not aware, for whatever bureaucratic
reasons, they just do not know to sign the kids up.
There is also an extreme element of pride. I know a lot of people,
unfortunately, I think see Medicaid as a welfare program. And if they
are working, which most of these people that are eligible that are not
signing up are overwhelmingly working, they are reluctant to sign up
for Medicaid, they say they see it as some sort of Government handout.
What we have done in our Democratic task force proposal is to, at
least initially, and the President has talked about this as well, try
to find a way to get these 3 million children who are eligible for
Medicaid signed up. And our
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plan, basically, provides grants to States to help local communities in
the outreach programs to basically reach out in a flexible way to try
to find ways in the community to do that.
The other problem with the Medicaid program is right now many kids
are not covered for the full year. In other words, what they do is they
determine eligibility every three months or so. And so, a kid can be on
Medicaid for one or two months and then off Medicaid again. So one of
the things that we have said in our plan is that we want to make sure
kids are covered year round; in other words, if they are enrolled
initially in Medicaid, that they at least stay on the rolls for 1 year.
I think that that allows a certain amount of continuity and probably
also would encourage people who are eligible for Medicaid but have not
signed up to do so.
The other thing that my colleague mentioned is obviously we have the
Medicaid program and we can find ways to expand it to stay just above
the poverty level or a certain percentage above the poverty level, but
I think we also need to go beyond the Medicaid program. Many people are
simply not going to be eligible because they have a little higher
income, but if their income is just a little higher than the so-called
poverty level, they are still competing for this resource with the
rent, with food, with clothes, and if they have to make a choice, a lot
of times the choice cannot be to pay for health insurance because of
the circumstances. They may not be eligible for a group policy. They
may not be offered through their employment.
So what we have talked about, basically, is what we call Medikids,
which is sort of a matching grant program. That is, you provide a
certain amount of money to the States with a matching grant, and they,
again in a flexible way, try to find ways to expand health care
coverage for people that are not eligible for Medicaid and cover people
possibly up to maybe 300 percent of the poverty level. I think that
will take us up to, depending on the situation, maybe up to something
like 35 or 40,000 for a family of 4.
Now, the other thing that we have talked about in the task force and
as part of the legislation we put forward was a proposal or a component
actually developed by another one of our colleagues on the Committee on
Commerce, the gentlewoman from Washington Ms. Furse. What she has
pointed out is that many times families are eligible for a group plan,
which of course means lower costs than if they have to buy health
insurance individually. But many group plans do not offer kids-only
insurance, and the parents may find that they cannot afford to pay for
the whole family but they would like to pay for the kids. So what we
are doing in this proposal is mandating that they be able to buy kids'
health insurance only if they want, if they are eligible for a group
policy.
The other thing is that under the Federal law, the COBRA legislation,
which people who, for example, if they lose their employment or they
want to take advantage of the COBRA law, oftentimes they also cannot
buy a health insurance policy just for the kids. So we are saying also
to mandate the COBRA provide kids-only health insurance.
I believe very strongly with our task force proposal that we could
get at almost all the 10 million children, because essentially what we
are doing is expanding Medicaid, we are then providing a matching grant
program for those above the Medicaid level, and then for those who get
to the level of maybe 40, 45 thousand and above, who can afford private
insurance, we are making those changes in the insurance law so that
they would be able to buy kids-only insurance. These are the ways that
we have talked about over the last 6 months of trying to enroll as many
of these 10 million kids as possible.
The last thing I want to mention, too, is that the number continues
to grow. The estimate that I have seen from some of the advocacy groups
is that by the year 2000, this number is going to be 12 million. So if
we do not act now or do not act in a way that is going to provide as
many kids as possible, we may cover five million and find out we have
another 7 million by the year 2,000 that are not eligible.
Mr. STRICKLAND. I would just like to point out that this is an issue
that I would hope and I believe cuts across the political spectrum of
different political philosophies. I really do not believe that if we
were to search the hearts of any Member of this body that there is any
Member in this body that would believe that we should have children in
this country without health care coverage. The question is how to
achieve it and how to achieve it in a way that is acceptable to
conservatives and liberals and those of us who try to make up the
middle ground.
I think what my colleague is describing, what he has described
tonight, is a plan that is efficient, that does not create a new
program as such but simply builds on what we already have, something
that is already working, but that gives the individual States greater
resources and some flexibility in choosing how best to provide this
kind of coverage.
So I know that we do a lot of arguing and debating in this Chamber
and sometimes it is nonsense and sometimes it is serious, but I would
hope that this is an issue that would rise above all others in terms of
its ability to pull together both sides of the Chamber, Democrats and
Republicans, as well as trying to find an agreement with the
Administration.
I think if this 105th Congress were to achieve health care coverage
for America's children in spite of whatever failures that we may find
ourselves having to admit to, that we would truly be able to say we had
accomplished something that was of very significant importance to the
entire country.
I think my colleague the gentleman from New Jersey Mr. Pallone is
right when he indicated that if we do not do it now, the problem is
going to get worse and that it will be more difficult perhaps in the
months and years to come if we continue to let this number escalate and
mushroom.
I guess I would end by saying it is the right thing to do. It is
absolutely the right thing to do, and I cannot believe that, given the
resources of this rich country, we cannot do this. It may require us to
make some choices. It may require us to say that children are more
important than something else. But we ought to be willing to do that.
If we are not willing to do that, then I would suggest that some of my
Members who use children as a way to express their values, we see a lot
of Members, myself included, who walk around this Chamber with ``save
the children'' ties on, with images of children hanging around their
neck, and I assume that is in order to make a public display of their
commitment to children.
I think if we as a Congress do not take this step and make the
decisions that are necessary to set our priorities such that children
come first, we talk about families coming first, but I really believe
that we ought to get even more specific than that, we ought to say that
children come first. They are the most vulnerable, defenseless part of
our society, and we need to commit ourselves to this effort. I commit
myself, as I know my colleague does and the Members of the Democratic
task force, and I also believe that there are a number of our
Republican colleagues who share our concerns.
So, hopefully, as this budget scenario plays itself out, we will find
that we do what we need to do here. I thank my colleague for the
opportunity to share these comments with him.
Mr. PALLONE. I really could not have said it any better, so I am
going to pretty much stop here as well. But I wanted to just reiterate
one of the things that my colleague said before we end, and that is
that what we really are trying to do here is build upon the existing
system.
That is, we know that most people get their health insurance through
an employer-based system; and we want to build upon that with some of
these private health care reforms. Medicaid generally has worked and it
can be expanded and made better.
Lastly, with the matching grant programs, there are a lot of State
private-public partnerships that are out there. A lot of States have
done some very innovative things with private-public partnerships. I
hope the matching grant program, if we can get that into effect, will
build upon those various States' activities as well.
So, idealogically, this really is something that can cross party
lines because it does not really have any
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idealogy, it builds upon existing programs and it is something that I
believe can be supported on a bipartisan basis.
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