[Congressional Record Volume 144, Number 51 (Thursday, April 30, 1998)]
[Senate]
[Pages S3919-S3940]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
STATEMENTS ON INTRODUCED BILLS AND JOINT RESOLUTIONS
By Mr. CLELAND:
S. 2009. A bill to require the Secretary of Defense and the Secretary
of Veterans Affairs to carry out joint reviews relating to
interdepartmental cooperation in the delivery of medical care by the
departments; to the Committee on Armed Services.
military health care legislation
Mr. CLELAND. Mr. President, I am particularly honored to serve as the
[[Page S3920]]
ranking Democratic member of the Senate Armed Services Personnel
Subcommittee, a charge I have embraced to its fullest. In the first
session of the 105th Congress, I pledged my commitment to improving
military health care. Today, I am here to discuss proposals to offer
both immediate assistance and a time phased legislative strategy to
fulfill this commitment.
The Fiscal Year 1998 Defense Authorization Act (P.L. 105-85) included
a Sense of the Congress Resolution which provided a finding that ``many
retired military personnel believe that they were promised lifetime
health care in exchange for 20 or more years of service,'' and
expresses the sense of Congress that ``the United States has incurred a
moral obligation'' to provide health care to members and retired
members of the Armed Services and that Congress and the President
should take steps to address ``the problems associated with the
availability of health care for such retirees within two years.'' I
authored that resolution, and today in year one of my two-year
challenge, I stand ready to take the first of many necessary steps to
fulfill this obligation.
I call this obligation ``K-P Duty''--K-P as in KEEPING PROMISES. As a
disabled veteran and retiree, as former head of the Veterans
Administration, and as the Ranking Member on the Personnel
Subcommittee, I am seeking to draft Congress and the entire nation and
put us all on K-P Duty.
Back when I was in the Army, some saw K-P or ``kitchen police'' as
punishment. If a soldier was derelict in his duties, or if he broke the
rules, he went on KP, where he served his fellow soldiers by working in
the messhall.
The K-P Duty I'm talking about is not about punishment, however. Yes,
we as a nation have been derelict in our duties to our military
personnel, active duty and retired. Yes, we have broken our promises.
But the K-P Duty I'm talking about is a sacred honor. It is about a
grateful nation paying respect to those soldiers who made tremendous
sacrifices for our Country. The soldiers who won World War II, who won
the Cold War--the soldiers that have made it possible for the United
States to be the world's only super power. It is our time, indeed it is
past time, to serve these soldiers and fulfill our obligation.
As with any draft in an army, the first order of business is
bootcamp. As long as I have taken the liberty of drafting the entire
Congress, I might as well serve as drill instructor. Let me take this
time to ``drill'' the Senate on the basics of this challenge.
Not only do we have to fulfill our promise, we also have to
reconsider the way in which the military and veterans health care
systems work. It is the change in the demographics of military health
care beneficiaries that necessitates a change in the way that we
administer health care.
When I went on active duty, the military was made up of mostly single
male soldiers. Looking at the all-volunteer, totally-recruited force
today, the picture is much different. Now, 57 percent of all enlisted
members and 73 percent of all officers are married. Not surprisingly,
the number of young dependents has also risen. In terms of recruitment,
quality health care is cited as a major incentive for young men and
women who join the military. It is that same health care for soldiers
and their families that helps retain these soldiers in the military.
Recently, I heard the adage, ``the military recruits a soldier, but
retains a family.''
Since the time I was a U.S. Army Captain 30 years ago, the number of
active duty personnel has undergone a 58 percent reduction.
Concurrently, the number of retirees has more than doubled. The
Government Accounting Office reports that approximately 48 percent of
the beneficiaries of the Department of Defense Military Health System
are active duty members and dependents. The remaining 52 % are retirees
and dependents. 71% of military retirees are under the age of 65, while
29% of military retirees are over the age of 65.
As we consider options for improving the DoD and VA health care
systems, we need to be mindful of some basic facts. About 60% of
retirees under the age 65 live near a military treatment facility but
only about 52% the retirees aged 65 and older live near such a
facility. About two thirds of retirees under age 65 used the military
health system. In comparison, only about a quarter of the retirees aged
65 and older used military medical facilities on a space available
basis primarily for pharmacy services.
According to a 1994-95 survey of DoD beneficiaries, over 40 percent
of military retirees, regardless of age, had private health insurance
coverage. About a third of retirees aged 65 and older also reported
having additional insurance to supplement their Medicare benefits.
Approximately 14% of retirees under age 65 had insurance to supplement
their CHAMPUS coverage.
In this same dynamic environment of the past 30 years, the medical
portion of the DoD budget has increased dramatically from approximately
two percent to six percent. In part, this can be attributed to cost
growth from technology and intensity of treatment in the private and
public sectors. It is interesting to note the converse relationship
between the increase in health care dollars as the number of active
duty personnel decreases and the number of retirees increases.
The Military Health System (MHS) and the Veterans Health
Administration are well established institutions that collectively
manage over 1500 hospitals, clinics, and health care facilities world-
wide, providing services to over 11 million beneficiaries. Overseeing
these systems requires a well-planned and executed effort.
The Veterans Health Administration is a system in transition. In the
past two years, the VA has replaced its structure of four regions, 33
networks, and hundreds of clinics with a new system geared to
decentralizing authority into 22 Veterans Integrated Service Networks.
The purpose of the reorganization was to improve the access, quality
and efficiency of care provided to the Nation's veterans. The hallmark
of the network structure is that the field has been given control over
functions which were previously located in Washington. The majority of
quality-related activities were transferred closer to the site of
patient care.
The Military Health System has also changed. During the Cold War,
that system was designed to support full-scale, extremely violent war
with the Soviet Union and its allies in Europe. The collapse of the
Soviet Union and the end of the Warsaw Pact led to a major reassessment
of the U.S. defense policy. The overall size of the active duty force
has been reduced by one-third since the mid-1980s.
The DoD health care system changes have included the establishment of
a managed care program, numerous facility closures, and significant
downsizing of military medical staff. In the last decade, the number of
military medical personnel has declined by 15 percent and the number of
military hospitals has been reduced by one-third. The National Defense
Authorization Act for Fiscal Year 1994 directed DoD to prescribe and
implement a nationwide managed health care benefit program modeled on
health maintenance organization plans and in 1995, beneficiaries began
enrolling in this new program called TRICARE. With over 8 million
beneficiaries, it is the largest health maintenance organization plan
in the Nation.
One of the problems with TRICARE is what happens to retirees when
they reach the age of 65. They are ineligible to participate in
TRICARE. The law currently provides for transition from military health
care to Medicare for these beneficiaries. This is not the right
solution, especially given the fact that Medicare does not currently
reimburse the DoD for health care services, although Congress recently
authorized a test of this concept. In addition, as the military begins
to close and downsize military treatment facilities, retirees over 65
are unable to seek and obtain treatment on a space available basis. The
retirees over 65 are, in effect, being shut out of the medical
facilities promised to them.
The changing health care environment has created its own set of
unique challenges. To assess these varied and special requirements, I
formed a Military Health Care Reform Working Group of senior officials
in government and the private sector to explore innovative solutions to
improve the military and veterans health care systems. During the past
few months this group analyzed the array of military and veterans
health care issues and recently provided a comprehensive report of
[[Page S3921]]
their findings and recommendations to me.
In March, I hosted a military health care roundtable at Fort Gordon,
Georgia. The positive and supportive working relationship between the
Eisenhower Army Medical Center and the Veterans Administration Medical
Center in Augusta, Georgia was highlighted by the panel speakers and
audience members. These facilities have established a sharing agreement
which allows each to provide certain health care services to the
beneficiaries of the other. This type of joint approach has the
potential to alleviate a significant portion of the accessibility
problem faced by military retirees, especially given the reduction in
DoD medical treatment facilities. In spite of these benchmarked efforts
in cooperative care, beneficiaries who were in the audience still
attested to insufficient accessibility to resources to meet their
needs.
Public Law 97-174, ``The Veterans Administration and Department of
Defense Health Resources Sharing and Emergency Operations Act,'' was
enacted in 1982 specifically to promote cost-effective use of federal
health care resources by minimizing duplication and underuse of health
care resources while benefitting both VA and DoD beneficiaries. Under
this law, VA and DoD pursue programs of cooperation ranging from shared
services to joint venture operations of medical facilities. Sharing
agreements are developed on a local basis, whereas, joint ventures are
developed at the highest levels within an organization or command.
In 1984, there were a combined total of 102 VA and DoD facilities
with sharing agreements. By 1997, that number had grown to 420. In five
years, between FY 1992 and FY 1997, shared services increased from
slightly over 3,000 to more than 6,000 services ranging from major
medical and surgical services, laundry, blood, and laboratory services
to unusual speciality care services. VA and DoD currently have four
joint ventures in operation in New Mexico, Nevada, Texas, Oklahoma, and
four more in planning for Alaska, Florida, Hawaii, California.
In my opening remarks, I suggested that there are things that we can
do immediately and others that can be accomplished through a near term
time phased legislative strategy to fulfill our moral obligation to
active duty and retired service personnel. Let me first discuss some of
the options.
There has been an overwhelming outpouring of support for offering
Federal Employee Health Benefits Program (FEHBP) to military retirees.
Although this program has achieved a successful reputation among
federal employees, it is a costly alternative which necessitates close
scrutiny, along with other health care options. I appreciate the fact
that there are many advantages to FEHBP. Furthermore, I share the view
that health care for military retirees should be at least as good as
the health care we in the Congress afford ourselves. I am committed to
working closely on the FEHBP option.
The Medicare Subvention demonstration project that is scheduled to
begin enrollment in the near future involves TRICARE Prime.
Unfortunately, it will only benefit retirees who live near military
treatment facilities--which is only about half of all retirees. Those
retirees living outside catchment areas won't benefit from subvention.
Additionally, there are ongoing efforts to initiate a Veterans Affairs
Subvention test. The limiting criteria of these tests is that they
require beneficiaries to live near the respective treatment facilities.
To accommodate those beneficiaries that do not live near treatment
facilities or within the catchment area, we must explore other
alternatives, including, as I mentioned, the FEHBP option.
Today, I am announcing two initiatives. The first is a bill to
require the Department of Defense and the Department of Veterans
Affairs to significantly enhance their cooperative efforts in the
delivery of health care to their respective beneficiaries. Several
measures to enhance military health care efficiencies are already being
explored, and the initiative I am proposing would complement these
efforts without any direct impact on current spending. Let me just
highlight some of the elements of my plan.
The first element directs DoD and the VA to conduct a comprehensive
survey to determine the demographics of their beneficiaries, their
geographic distribution, and their preferences for health care. A
second survey would review the range of existing DoD and VA facilities
and resources and the capacity available for cooperative efforts. The
purpose of these reviews is simple. We need to accurately determine who
we are serving, what they want, and what resources we currently have to
provide to them.
The second element directs DoD and the VA to provide to the Congress
a report on any and all impediments which preclude optimal cooperation
and/or integration between DoD and VA in the area of health care
delivery. We need to know what statutory restrictions, regulatory
constraints, and cultural issues stand in the way of full and complete
cooperation between the two departments. They would be directed to
recommend to the Congress what changes should be made in the law.
Furthermore, they would be directed to eliminate any regulatory and
cultural impediments.
The third element addresses several projects that have been
undertaken by the Departments of Defense and Veterans Affairs that can
be accelerated for near term implementation. The Electronic Transfer of
Patient Information, a collaborative effort by DoD and VA which would
provide for immediate transfer of and access to patient records at the
time of treatment is a project which merits Congressional support. The
DoD and VA have also established the DoD/VA Federal Pharmaceutical
Steering Committee. I believe this committee should perform a
comprehensive examination of existing pharmaceutical benefits and
programs, including current management and utilization of mail order
pharmaceuticals. Finally, the initiative directs DoD to review the
extent of VA participation in TRICARE networks and to take steps to
ensure optimal participation by the VA.
The second initiative I am announcing today is legislation which is
being crafted to respond to the tremendous outcry to provide health
care for military retirees over 65. Mr. President, as you know, S.
1334, a bill to provide for a test of the FEHBP plan has 60 cosponsors.
It is my plan to work with my friend and colleague Senator Kempthorne
in the Senate Armed Services Committee to include in the National
Defense Authorization bill a proposal that addresses this matter this
year.
I recognize that there is a perception that our military benefits are
eroding but I am here today to say that we can change this perception
if we all do our share on K-P Duty. Greater cooperation among the DoD
and VA will yield greater choices for the beneficiaries of these
systems. Developing a viable health care alternative for our retirees
over 65, a group that has been largely disenfranchised, will ensure
that now all beneficiaries have access to the health care to which they
are entitled because of their service to this Nation.
We made a promise, now let's keep it. It is as simple as that.
Mr. President, I ask unanimous consent that the full text of the bill
be printed in the Record.
There being no objection, the bill was ordered to be printed in the
Record, as follows:
S. 2009
Be it enacted by the Senate and House of Representatives of
the United States of America in Congress assembled,
SECTION 1. FINDINGS.
Congress makes the following findings:
(1) The military health care system of the Department of
Defense and the Veterans Health Administration of the
Department of Veterans Affairs are national institutions that
collectively manage more than 1,500 hospitals, clinics, and
health care facilities worldwide to provide services to more
than 11,000,000 beneficiaries.
(2) In the post-Cold War era, these institutions are in a
profound transition that involves challenging opportunities.
(3) During the period from 1988 to 1998, the number of
military medical personnel has declined by 15 percent and the
number of military hospitals has been reduced by one-third.
(4) During the two years since 1996, the Department of
Veterans Affairs has revitalized its structure by
decentralizing authority into 22 Veterans Integrated Service
Networks.
(5) In the face of increasing costs of medical care,
increased demands for health care services, and increasing
budgetary constraints, the Department of Defense and the
[[Page S3922]]
Department of Veterans Affairs have embarked on a variety of
dynamic and innovative cooperative programs ranging from
shared services to joint venture operations of medical
facilities.
(6) In 1984, there was a combined total of 102 Department
of Veterans Affairs and Department of Defense facilities with
sharing agreements. By 1997, that number had grown to 420.
During the six years from fiscal year 1992 through fiscal
year 1997, shared services increased from slightly over 3,000
services to more than 6,000 services ranging from major
medical and surgical services, laundry, blood, and laboratory
services to unusual speciality care services.
(7) The Department of Defense and the Department of
Veterans Affairs are conducting four health care joint
ventures in New Mexico, Nevada, Texas, Oklahoma, and are
planning to conduct four more such ventures in Alaska,
Florida, Hawaii, and California.
SEC. 2. SENSE OF CONGRESS.
It is the sense of Congress that--
(1) the Department of Defense and the Department of
Veterans Affairs are to be commended for the cooperation
between the two departments in the delivery of medical care,
of which the cooperation involved in the establishment and
operation of the Department of Defense and the Department of
Veterans Affairs Executive Council is a praiseworthy example;
(2) the two departments are encouraged to continue to
explore new opportunities to enhance the availability and
delivery of medical care to beneficiaries by further
enhancing the cooperative efforts of the departments; and
(3) enhanced cooperation is encouraged for--
(A) the general areas of access to quality medical care,
identification and elimination of impediments to enhanced
cooperation, and joint research and program development; and
(B) the specific areas in which there is significant
potential to achieve progress in cooperation in a short term,
including computerization of patient records systems,
participation of the Department of Veterans Affairs in the
TRICARE program, pharmaceutical programs, and joint physical
examinations.
SEC. 3. JOINT SURVEY ON POPULATIONS SERVED.
(a) Survey Required.--The Secretary of Defense and the
Secretary of Veterans Affairs shall jointly conduct a survey
of their respective medical care beneficiary populations to
identify, by category of beneficiary (defined as the
Secretaries consider appropriate), the expectations of,
requirements for, and behavior patterns of the beneficiaries
with respect to medical care. The two Secretaries shall
develop the protocol for the survey jointly, but shall obtain
the services of an entity independent of the Department of
Defense and the Department of Veterans Affairs for carrying
out the survey.
(b) Matters To Be Surveyed.--The survey shall include the
following:
(1) Demographic characteristics, economic characteristics,
and geographic location of beneficiary populations with
regard to catchment or service areas.
(2) The types and frequency of care required by veterans,
retirees, and dependents within catchment or service areas of
Department of Defense and Veterans Affairs medical facilities
and outside those areas.
(3) The numbers of, characteristics of, and types of
medical care needed by the veterans, retirees, and dependents
who, though eligible for medical care in Department of
Defense or Department of Veterans Affairs treatment
facilities or other federally funded medical programs, choose
not to seek medical care from those facilities or under those
programs, and the reasons for that choice.
(4) The obstacles or disincentives for seeking medical care
from such facilities or under such programs that veterans,
retirees, and dependents perceive.
(5) Any other matters that the Secretary of Defense and the
Secretary of Veterans Affairs consider appropriate for the
survey.
(c) Report.--The Secretary of Defense and the Secretary of
Veterans Affairs shall submit a report on the results of the
survey to the appropriate committees of Congress. The report
shall contain the matters described in subsection (b) and any
proposals for legislation that the Secretaries recommend for
enhancing Department of Defense and Department of Veterans
Affairs cooperative efforts with respect to the delivery of
medical care.
SEC. 4. REVIEW OF IMPEDIMENTS TO COOPERATION.
(a) Review Required.--The Secretary of Defense and the
Secretary of Veterans Affairs shall jointly conduct a review
to identify impediments to cooperation between the Department
of Defense and the Department of Veterans Affairs regarding
the delivery of medical care. The matters reviewed shall
include the following:
(1) All laws, policies, and regulations, and any attitudes
of beneficiaries of the health care systems of the two
departments, that have the effect of preventing the
establishment, or limiting the effectiveness, of cooperative
health care programs of the departments.
(2) The requirements and practices involved in the
credentialling and licensure of health care providers.
(3) The perceptions of beneficiaries in a variety of
categories (defined as the Secretaries consider appropriate)
regarding the various Federal health care systems available
for their use.
(b) Report.--The Secretaries shall jointly submit a report
on the results of the review to the appropriate committees of
Congress. The report shall include any proposals for
legislation that the Secretaries recommend for eliminating or
reducing impediments to interdepartmental cooperation that
are identified during the review.
SEC. 5. PARTICIPATION OF DEPARTMENT OF VETERANS AFFAIRS IN
TRICARE.
(a) Review Required.--The Secretary of Defense shall review
the TRICARE program to identify opportunities for increased
participation by the Department of Veterans Affairs in that
program. The ongoing collaboration between Department of
Defense officials and Department of Veterans Affairs
officials regarding increasing the participation shall be
included among the matters reviewed.
(b) Semiannual Report.--The Secretary of Defense and the
Secretary of Veterans Affairs shall jointly submit to the
appropriate committees of Congress a semiannual report on the
status of the review and on efforts to increase the
participation of the Department of Veterans Affairs in the
TRICARE program. No report is required under this subsection
after the submission of a semiannual report in which the
Secretaries declare that the Department of Veterans Affairs
is participating in the TRICARE program to the extent that
can reasonably be expected to be attained.
SEC. 6. PHARMACEUTICAL BENEFITS AND PROGRAMS.
(a) Examination Required.--(1) The Federal Pharmaceutical
Steering Committee shall--
(A) undertake a comprehensive examination of existing
pharmaceutical benefits and programs for beneficiaries of
Federal medical care programs, including matters relating to
the purchasing, distribution, and dispensing of
pharmaceuticals and the management of mail order
pharmaceuticals programs; and
(B) review the existing methods for contracting for and
distributing medical supplies and services.
(2) The committee shall submit a report on the results of
the examination to the appropriate committees of Congress.
(b) Report.--The committee shall submit a report on the
results of the examination to the appropriate committees of
Congress.
SEC. 7. STANDARDIZATION OF PHYSICAL EXAMINATIONS FOR
DISABILITIES.
The Secretary of Defense and the Secretary of Veterans
Affairs shall submit to the appropriate committees of
Congress a report on the status of the efforts of the
Department of Defense and the Department of Veterans Affairs
to standardize physical examinations administered by the two
departments for the purpose of determining or rating
disabilities.
SEC. 8. APPROPRIATE COMMITTEES OF CONGRESS DEFINED.
For the purposes of this Act, the appropriate committees of
Congress are as follows:
(1) The Committee on Armed Services and the Committee on
Veterans' Affairs of the Senate.
(2) The Committee on National Security and the Committee on
Veterans' Affairs of the House of Representatives.
SEC. 9. DEADLINES FOR SUBMISSION OF REPORTS.
(a) Report on Joint Survey of Populations Served.--The
report required by section 3(c) shall be submitted not later
than January 1, 2000.
(b) Report on Review of Impediments to Cooperation.--The
report required by section 4(b) shall be submitted not later
than May 1, 1999.
(c) Semiannual Report on Participation of Department of
Veterans Affairs in TRICARE.--The semiannual report required
by section 5(b) shall be submitted not later than January 1
and June 1 of each year.
(d) Report on Examination of Pharmaceutical Benefits and
Programs.--The report on the examination required under
section 6 shall be submitted not later than 60 days after the
completion of the examination.
(e) Report on Standardization of Physical Examinations for
Disabilities.--The report required by section 7 shall be
submitted not later than June 1, 1999.
______
By Mr. CAMPBELL:
S. 2010. A bill to provide for business development and trade
promotion for Native Americans, and for other purposes; to the
Committee on Indian Affairs.
the native american business development, trade promotion, and tourism
act of 1998
Mr. CAMPBELL. Mr. President, today I am pleased to introduce a
measure to help Indians and tribal businesses foster entrepreneurship
and vigorous reservation economies. Indian tribes face many challenges,
but the greatest priority is in building stronger economies and
providing jobs to tribal members. With this bill, I intend to unshackle
Indian entrepreneurship to provide jobs and revenues for reservation
economies.
When the Europeans landed in the New World to explore and build
settlements, they were greeted by Native
[[Page S3923]]
people with a long tradition of inter-tribal and regional trade. The
tribes traded pelts and furs, hand-woven baskets, blankets, virtually
limitless arts and crafts, weapons, and a variety of Native grown and
gathered foods.
Unrestrained by bureaucrats and free to roam their own lands, the
tribes enjoyed a standard of material well-being that, while not ideal,
was a far cry from the Third World conditions most Indian people live
in today.
Over the course of 200 years this tradition has been replaced by
rules and regulations that continue to stifle Indian entrepreneurship
and instead promise cradle-to-grave ``security'' based on federal
transfer payments. The practical results of federal domination is
predictable: lifeless reservation economies and the absence of a
private sector to create wealth and sustain employment for Indian
people.
The current statistical profile of Indian people is poor and shows
little sign of improvement. Despite the popular belief that gaming has
made millionaires of all Indians, the reality is otherwise as most
Indian gaming revenues are more like church bingo than like Las Vegas
or Atlantic City.
In the Great Depression, the national unemployment rate was 20
percent and it was called a ``national crisis.'' Indian country has an
unemployment rate running at 50 percent, and there are no comments, no
sense of urgency and little attention being paid.
There are other reasons job opportunities are needed. In 1996, the
Congress enacted a welfare reform law that provides transition
assistance to welfare recipients and rightly requires able-bodied
Americans to get and keep jobs. In rural areas, particularly on Indian
reservations, the welfare reform will hit hard because employment
opportunities are scarce.
The goal of this and future efforts is to increase value-added
activities on reservations in such fields as manufacturing, energy,
agriculture, livestock and fisheries, high technology, arts and crafts,
and a host of service industries.
The United States has the responsibility to preserve, protect and
maximize tribal assets and resources, and an obligation to improve the
standards of living of Indian people. In this legislation, that
responsibility is primarily in removing the barriers to success the
federal government itself has created over the years.
The bill aims to make best use of and streamline existing programs to
provide the necessary tools to enable tribes to attract outside capital
and technical expertise. This model has proven highly successful in the
self governance arena and in the Indian job training program, known as
the ``477'' program. The bill would provide better coordination of
existing business development programs in the Commerce Department and
maximize the resources made available to tribes.
The tribes have a responsibility as well. As a matter of Indian self
determination, the tribes are increasingly administering federal
services, programs, and activities in lieu of the federal government.
This has led to more capable and accountable tribal governments. A
fundamental precept of self-government is a reduction in the dependence
on the federal bureaucracy and federal funds and by assuming a greater
role in funding their own self government.
The Committee on Indian Affairs recently held a hearing on economic
development and one of the findings was that the tribes need to provide
governance infrastructure and friendly business environments if they
want to attract and retain investment. Whether by adopting commercial
codes, or tribal courts that can address business issues, or
regulations that do not repel the private sector, tribal efforts are
critical if this effort is to succeed.
Under the bill, the Native American Business Development Office in
the Commerce Department will coordinate existing programs, including
those for international business and tourism, aimed at development on
Indian lands. This bill does not create any new programs but rather is
intended to achieve more efficiency in those that already exist within
existing budget authority. The bill also prohibits assistance under the
act from being used for gaming on Indian lands.
In addition, the bill directs the Secretary to create a task force on
regulatory reform and business development to analyze existing laws and
regulations that are restraining business and economic development on
Indian lands. Again, the bill is not intended to create a new entity,
but recognizes that there is great need to strip away the layers of
unnecessary rules and regulations that stifle Indian businesses.
I urge those that are critical of Indian gaming to join me in
providing alternatives to build strong and diversified tribal economies
for the benefit of tribes, tribal members, and surrounding communities.
Mr. President, I ask unanimous consent that the provisions of the
bill and an article written by James Gwartney for the Wall Street
Journal dated April 10, 1998, entitled ``Less Government, More Growth''
be printed in the Record.
There being no objection, the items were ordered to be printed in the
Record, as follows:
S. 2010
Be it enacted by the Senate and House of Representatives of
the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Native American Business
Development, Trade Promotion, and Tourism Act of 1998''.
SEC. 2. FINDINGS; PURPOSES.
(a) Findings.--Congress finds that--
(1) clause 3 of section 8 of article I of the United States
Constitution recognizes the special relationship between the
United States and Indian tribes;
(2) beginning in 1970, with the inauguration by the Nixon
Administration, of the Indian self-determination era of the
Federal Government, each President has confirmed the special
government-to-government relationship between Indian tribes
and the United States;
(3) in 1994, President Clinton issued an Executive
memorandum to the heads of departments and agencies that
obligated all Federal departments and agencies, particularly
those that have an impact on economic development, to
evaluate the potential impacts of their actions on Indian
tribes;
(4) consistent with the principles of inherent tribal
sovereignty and the special relationship between Indian
tribes and the United States, tribes retain the right to
enter into contracts and agreements to trade freely, and seek
enforcement of treaty and trade rights;
(5) Congress has carried out the responsibility of the
United States for the protection and preservation of Indian
tribes and the resources of Indian tribes through the
endorsement of treaties, and the enactment of other laws,
including laws that provide for the exercise of
administrative authorities;
(6) the United States has an obligation to guard and
preserve the sovereignty of Indian tribes in order to foster
strong tribal governments, Indian self-determination, and
economic self-sufficiency among Indian tribes;
(7) the capacity of Indian tribes to build strong tribal
governments and vigorous economies is hindered by the
inability of Indian tribes to engage communities that
surround Indian lands and outside investors in economic
activities on Indian lands;
(8) despite the availability of abundant natural resources
on Indian lands and a rich cultural legacy that accords great
value to self-determination, self-reliance, and independence,
American Indians and Alaska Natives suffer higher rates of
unemployment, poverty, poor health, substandard housing, and
associated social ills than those of any other group in the
United States;
(9) the United States has an obligation to assist Indian
tribes with the creation of appropriate economic and
political conditions with respect to Indian lands to--
(A) encourage investment from outside sources that do not
originate with the tribes; and
(B) facilitate economic ventures with outside entities that
are not tribal entities;
(10) the economic success and material well-being of
American Indian and Alaska Native communities depends on the
combined efforts of the Federal Government, tribal
governments, the private sector, and individuals;
(11) the lack of employment and entrepreneurial
opportunities in the communities referred to in paragraph (8)
has resulted in a multigenerational dependence on Federal
assistance that is--
(A) insufficient to address the magnitude of needs; and
(B) unreliable in availability; and
(12) the twin goals of economic self-sufficiency and
political self-determination for American Indians and Alaska
Natives can best be served by making available to address the
challenges faced by those groups--
(A) the resources of the private market;
(B) adequate capital; and
(C) technical expertise.
(b) Purposes.--The purposes of this Act are as follows:
(1) To revitalize economically and physically distressed
Indian reservation economies by--
(A) encouraging the formation of new businesses by eligible
entities, the expansion of existing businesses; and
(B) facilitating the movement of goods to and from Indian
reservations and the provision of services by Indians.
[[Page S3924]]
(2) To promote private investment in the economies of
Indian tribes and to encourage the sustainable development of
resources of Indian tribes and tribal and Indian-owned
businesses.
(3) To promote the long-range sustained growth of the
economies of Indian tribes.
(4) To raise incomes of Indians in order to reduce poverty
levels and provide the means for achieving a higher standard
of living on Indian reservations.
(5) To encourage intertribal, regional, and international
trade and business development in order to assist in
increasing productivity and the standard of living of members
of Indian tribes and improving the economic self-sufficiency
of the governing bodies of Indian tribes.
(6) To promote economic self-sufficiency and political
self-determination for Indian tribes and members of Indian
tribes.
SEC. 3. DEFINITIONS.
In this Act:
(1) Board.--The term ``Board'' has the meaning given that
term in the first section of the Act entitled ``To provide
for the establishment, operation, and maintenance of foreign-
trade zones in ports of entry in the United States, to
expedite and encourage foreign commerce, and for other
purposes'', approved June 18, 1934 (19 U.S.C. 81a).
(2) Eligible entity.--The term ``eligible entity'' means an
Indian tribe, tribal organization, Indian arts and crafts
organization, tribal enterprise, tribal marketing
cooperative, or Indian-owned business.
(3) Federal agency.--The term ``Federal agency'' means an
agency, as that term is defined in section 551(1) of title 5,
United States Code.
(4) Foundation.--The term ``Foundation'' means the Rural
Development Foundation.
(5) Indian.--The term ``Indian'' has the meaning given that
term in section 4(d) of the Indian Self-Determination and
Education Assistance Act (25 U.S.C. 450b(d)).
(6) Indian arts and crafts organization.--The term ``Indian
arts and crafts organization'' has the meaning given that
term under section 2 of the Act of August 27, 1935 (49 Stat.
891, chapter 748; 25 U.S.C. 305a).
(7) Indian goods and services.--The term ``Indian goods and
services'' means--
(A) Indian goods, within the meaning of section 2 of the
Act of August 27, 1935 (commonly known as the ``Indian Arts
and Crafts Act'') (49 Stat. 891, chapter 748; 25 U.S.C.
305a);
(B) goods produced or originating within an eligible
entity; and
(C) services provided by eligible entities.
(8) Indian lands.--The term ``Indian lands'' has the
meaning given that term in section 4(4) of the Indian Gaming
Regulatory Act (25 U.S.C. 2703(4)).
(9) Indian-owned business.--The term ``Indian-owned
business'' means an entity organized for the conduct of trade
or commerce with respect to which at least 50 percent of the
property interests of the entity are owned by Indians or
Indian tribes (or a combination thereof).
(10) Indian tribe.--The term ``Indian tribe'' has the
meaning given that term in section 4(e) of the Indian Self-
Determination and Education Assistance Act (25 U.S.C.
450b(e)).
(11) Secretary.--The term ``Secretary'' means the Secretary
of Commerce.
(12) Tribal enterprise.--The term ``tribal enterprise''
means a commercial activity or business managed or controlled
by an Indian tribe.
(13) Tribal marketing cooperative.--The term ``tribal
marketing cooperative'' shall have the meaning given that
term by the Secretary, in consultation with the Secretary of
the Interior.
(14) Tribal organization.--The term ``tribal organization''
has the meaning given that term in section 4(l) of the Indian
Self-Determination and Education Assistance Act (25 U.S.C.
450b(l)).
TITLE I--TASK FORCE ON REGULATORY REFORM AND BUSINESS DEVELOPMENT
SEC. 101. ESTABLISHMENT OF TASK FORCE.
(a) In General.--In order to identify and subsequently
remove obstacles to the business development and the creation
of wealth in the economies of Indian reservations, the
Secretary, in consultation with the Secretary of the Interior
and other officials whom the Secretary determines to be
appropriate, shall, not later than 90 days after the date of
enactment of this Act, establish a task force on regulatory
reform and business development in Indian country (referred
to in this title as the ``task force'').
(b) Membership.--The task force established under this
section shall be composed of 16 members, of which 12 members
shall be representatives of the Indian tribes from the areas
of the Bureau of Indian Affairs and each such area shall be
represented by such a representative.
(c) Initial Meeting.--Not later than 120 days after the
date of enactment of this Act, the task force shall hold its
initial meeting.
(d) Review.--Beginning on the date of the initial meeting
under subsection (b), the task force shall conduct a review
of laws relating to activities occurring on Indian lands
(including regulations under title 25 of the Code of Federal
Regulations).
(e) Meetings.--The task force shall meet at the call of the
chairperson.
(f) Quorum.--A majority of the members of the task force
shall constitute a quorum, but a lesser number of members may
hold hearings.
(g) Chairperson.--The task force shall select a chairperson
from among its members.
SEC. 102. REPORT.
Not later than 1 year after the date of enactment of this
Act, the task force shall prepare and submit to the Committee
on Indian Affairs in the Senate, and the Committee on
Resources in the House of Representatives, and to the
governing body of each Indian tribe a report that includes--
(1) the findings of the task force concerning the review
conducted pursuant to section 101(d); and
(2) such recommendations concerning the proposed revisions
to the regulations under title 25 of the Code of Federal
Regulations and amendments to other laws relating to
activities occurring on Indian lands as the task force
determines to be appropriate.
SEC. 103. POWERS OF THE TASK FORCE.
(a) Hearings.--The task force may hold such hearings, sit
and act at such times and places, take such testimony, and
receive such evidence as the task force considers advisable
to carry out the duties of the task force.
(b) Information From Federal Agencies.--The task force may
secure directly from any Federal department or agency such
information as the task force considers necessary to carry
out the duties of the task force.
(c) Postal Services.--The task force may use the United
States mails in the same manner and under the same conditions
as other departments and agencies of the Federal Government.
(d) Gifts.--The task force may accept, use, and dispose of
gifts or donations of services or property.
SEC. 104. TASK FORCE PERSONNEL MATTERS.
(a) Compensation of Members.--Members of the task force who
are not officers or employees of the Federal Government shall
serve without compensation, except for travel expenses, as
provided under subsection (b). Members of the task force who
are officers or employees of the United States shall serve
without compensation in addition to that received for their
services as officers or employees of the United States.
(b) Travel Expenses.--The members of the task force shall
be allowed travel expenses, including per diem in lieu of
subsistence, at rates authorized for employees of agencies
under subchapter I of chapter 57 of title 5, United States
Code, while away from their homes or regular places of
business in the performance of services for the task force.
(c) Staff.--
(1) In general.--The chairperson of the task force may,
without regard to the civil service laws, appoint and
terminate such personnel as may be necessary to enable the
task force to perform its duties.
(2) Procurement of temporary and intermittent services.--
The chairperson of the task force may procure temporary and
intermittent service under section 3109(b) of title 5, United
States Code, at rates for individuals that do not exceed the
daily equivalent of the annual rate of basic pay prescribed
under GS-13 of the General Schedule established under section
5332 of title 5, United States Code.
SEC. 105. TERMINATION OF TASK FORCE.
The task force shall terminate 90 days after the date on
which the task force has submitted, to the committees of
Congress specified in section 102, and to the governing body
of each Indian tribe, a copy of the report prepared under
that section.
SEC. 106. EXEMPTION FROM FEDERAL ADVISORY COMMITTEE ACT.
All of the activities of the task force conducted under
this title shall be exempt from the Federal Advisory
Committee Act (5 U.S.C. App.).
TITLE II--NATIVE AMERICAN BUSINESS DEVELOPMENT
SEC. 201. OFFICE OF NATIVE AMERICAN BUSINESS DEVELOPMENT.
(a) In General.--
(1) Establishment.--There is established within the
Department of Commerce an office known as the Office of
Native American Business Development (referred to in this
title as the ``Office'').
(2) Director.--The Office shall be headed by a Director,
appointed by the Secretary, whose title shall be the Director
of Native American Business Development (referred to in this
title as the ``Director''). The Director shall be compensated
at a rate not to exceed level V of the Executive Schedule
under section 5316 of title 5, United States Code.
(b) Duties of the Secretary.--
(1) In general.--The Secretary, acting through the
Director, shall ensure the coordination of Federal programs
that provide assistance, including financial and technical
assistance, to eligible entities for increased business, the
expansion of trade by eligible entities, and economic
development on Indian lands.
(2) Activities.--In carrying out the duties described in
paragraph (1), the Secretary, acting through the Director,
shall ensure the coordination of, or, as appropriate, carry
out--
(A) Federal programs designed to provide legal, accounting,
or financial assistance to eligible entities;
(B) market surveys;
(C) the development of promotional materials;
(D) the financing of business development seminars;
(E) the facilitation of marketing;
[[Page S3925]]
(F) the participation of appropriate Federal agencies or
eligible entities in trade fairs;
(G) any activity that is not described in subparagraphs (A)
through (F) that is related to the development of appropriate
markets; and
(H) any other activity that the Secretary, in consultation
with the Director, determines to be appropriate to carry out
this section.
(3) Assistance.--In conjunction with the activities
described in paragraph (2), the Secretary, acting through the
Director, shall provide--
(A) financial assistance, technical assistance, and
administrative services to eligible entities to assist those
entities with--
(i) identifying and taking advantage of business
development opportunities; and
(ii) compliance with appropriate laws and regulatory
practices; and
(B) such other assistance as the Secretary, in consultation
with the Director, determines to be necessary for the
development of business opportunities for eligible entities
to enhance the economies of Indian tribes.
(4) Priorities.--In carrying out the duties and activities
described in paragraphs (2) and (3), the Secretary, acting
through the Director, shall give priority to activities
that--
(A) provide the greatest degree of economic benefits to
Indians; and
(B) foster long-term stable economies of Indian tribes.
(5) Prohibition.--The Secretary may not provide under this
section assistance for any activity related to the operation
of a gaming activity on Indian lands pursuant to the Indian
Gaming Regulatory Act (25 U.S.C. 2710 et seq.).
SEC. 202. NATIVE AMERICAN TRADE AND EXPORT PROMOTION.
(a) In General.--The Secretary, acting through the
Director, shall carry out a Native American export and trade
promotion program (referred to in this section as the
``program'').
(b) Coordination of Federal Programs and Services.--In
carrying out the program, the Secretary, acting through the
Director, and in cooperation with the heads of appropriate
Federal agencies, shall ensure the coordination of Federal
programs and services designed to--
(1) develop the economies of Indian tribes; and
(2) stimulate the demand for Indian goods and services that
are available to eligible entities.
(c) Activities.--In carrying out the duties described in
subsection (b), the Secretary, acting through the Director,
shall ensure the coordination of, or, as appropriate, carry
out--
(1) Federal programs designed to provide technical or
financial assistance to eligible entities;
(2) the development of promotional materials;
(3) the financing of appropriate trade missions;
(4) the marketing of Indian goods and services;
(5) the participation of appropriate Federal agencies or
eligible entities in international trade fairs; and
(6) any other activity related to the development of
markets for Indian goods and services.
(d) Technical Assistance.--In conjunction with the
activities described in subsection (c), the Secretary, acting
through the Director, shall provide technical assistance and
administrative services to eligible entities to assist those
entities with--
(1) the identification of appropriate markets for Indian
goods and services;
(2) entering the markets referred to in paragraph (1);
(3) compliance with foreign or domestic laws and practices
with respect to financial institutions with respect to the
export and import of Indian goods and services; and
(4) entering into financial arrangements to provide for the
export and import of Indian goods and services.
(e) Priorities.--In carrying out the duties and activities
described in subsections (b) and (c), the Secretary, acting
through the Director, shall give priority to activities
that--
(1) provide the greatest degree of economic benefits to
Indians; and
(2) foster long-term stable international markets for
Indian goods and services.
SEC. 203. INTERTRIBAL TOURISM DEMONSTRATION PROJECTS.
(a) In General.--
(1) Demonstration projects.--The Secretary, acting through
the Director, shall conduct a Native American tourism program
to facilitate the development and conduct of tourism
demonstration projects by Indian tribes, on a tribal,
intertribal, or regional basis.
(2) Projects.--
(A) In general.--Under the program established under this
section, in order to assist in the development and promotion
of tourism on and in the vicinity of Indian lands, the
Secretary, acting through the Director, shall, in
coordination with the Foundation, assist eligible entities in
the planning, development, and implementation of tourism
development demonstration projects that meet the criteria
described in subparagraph (B).
(B) Projects described.--In selecting tourism development
demonstration projects under this section, the Secretary,
acting through the Director, shall select projects that have
the potential to increase travel and tourism revenues by
attracting visitors to Indian lands and in the vicinity of
Indian lands, including projects that provide for--
(i) the development and distribution of educational and
promotional materials pertaining to attractions located on
and near Indian lands;
(ii) the development of educational resources to assist in
private and public tourism development on and in the vicinity
of Indian lands; and
(iii) the coordination of tourism-related joint ventures
and cooperative efforts between eligible entities and
appropriate State and local governments that have
jurisdiction over areas in the vicinity of Indian lands.
(3) Grants.--To carry out the program under this section,
the Secretary, acting through the Director, may award grants
or enter into other appropriate arrangements with Indian
tribes, tribal organizations, intertribal consortia, or other
tribal entities that the Secretary, in consultation with the
Director, determines to be appropriate.
(4) Locations.--In providing for tourism development
demonstration projects under the program under this section,
the Secretary, acting through the Director, shall provide for
a demonstration project to be conducted--
(A) for Indians of the Four Corners area located in the
area adjacent to the border between Arizona, Utah, Colorado,
and New Mexico;
(B) for Indians of the northwestern area that is commonly
known as the Great Northwest (as determined by the
Secretary);
(C) for the Oklahoma Indians in Oklahoma; and
(D) for the Indians of the Great Plains area (as determined
by the Secretary).
(b) Studies.--The Secretary, acting through the Director,
shall provide financial assistance, technical assistance, and
administrative services to participants that the Secretary,
acting through the Director, selects to carry out a tourism
development project under this section, with respect to--
(1) feasibility studies conducted as part of that project;
(2) market analyses;
(3) participation in tourism and trade missions; and
(4) any other activity that the Secretary, in consultation
with the Director, determines to be appropriate to carry out
this section.
(c) Infrastructure Development.--The demonstration projects
conducted under this section shall include provisions to
facilitate the development and financing of infrastructure,
including the development of Indian reservation roads in a
manner consistent with title 23, United States Code.
SEC. 204. REPORT TO CONGRESS.
(a) In General.--Not later than 1 year after the date of
enactment of this Act, and annually thereafter, the
Secretary, in consultation with the Director, shall prepare
and submit to the Committee on Indian Affairs of the Senate a
report on the operation of the Office.
(b) Contents of Report.--Each report prepared under
subsection (a) shall include--
(1) for the period covered by the report, a summary of the
activities conducted by the Secretary, acting through the
Director, in carrying out this title; and
(2) any recommendations for legislation that the Secretary,
in consultation with the Director, determines to be necessary
to carry out this title.
SEC. 205. FOREIGN-TRADE ZONE PREFERENCES.
(a) Preference in Establishment of Foreign-Trade Zones in
Indian Enterprise Zones.--In processing applications for the
establishment of foreign-trade zones pursuant to the Act
entitled ``To provide for the establishment, operation, and
maintenance of foreign-trade zones in ports of entry of the
United States, to expedite and encourage foreign commerce,
and for other purposes'', approved June 18, 1934 (19 U.S.C.
81a et seq.), the Board shall consider, on a priority basis,
and expedite, to the maximum extent practicable, the
processing of any application involving the establishment of
a foreign-trade zone on Indian lands, including any Indian
lands designated as an empowerment zone or enterprise
community pursuant to section 1391 of the Internal Revenue
Code of 1986.
(b) Application Procedure.--In processing applications for
the establishment of ports of entry pursuant to the Act
entitled ``An Act making appropriations for sundry civil
expenses of the Government for the fiscal year ending June
thirtieth, nineteen hundred and fifteen, and for other
purposes'', approved August 1, 1914 (19 U.S.C. 2), the
Secretary of the Treasury shall, with respect to any
application involving the establishment of a port of entry
that is necessary to permit the establishment of a foreign-
trade zone on Indian lands--
(1) consider on a priority basis; and
(2) expedite, to the maximum extent practicable, the
processing of that application.
(c) Application Evaluation.--In evaluating applications for
the establishment of foreign-trade zones and ports of entry
in connection with Indian lands, to the maximum extent
practicable and consistent with applicable law, the Board and
Secretary of the Treasury shall approve the applications.
[From the Wall Street Journal, Apr. 10, 1998]
Less Government, More Growth
(By James Gwartney)
Propelled by a confidence that politicians could solve
problems, government spending has soared in the U.S. and
other Western
[[Page S3926]]
countries since 1960. Has wise ``government planning''
improved economic performance? Quite the opposite. Robert
Lawson, Randall Holcombe and I recently completed a study on
the size and functions of government for Congress's Joint
Economic Committee. Here are some of our findings:
As the size of government has expanded in the U.S., growth
of real gross domestic product has steadily fallen. Even
though the U.S. economy is now moving into the eighth year of
an expansion, the growth of real GDP during the 1990s is only
about half what it was during the 1960s and well below even
that of the turbulent 1970s. Likewise, as the size of
government in other nations has increased, economic growth
has declined. On average, government expenditures in the
Organization for Economic Cooperation and Development's 23
long-standing members rose to 48% of GDP in 1996 from 27% in
1960. The average economic growth rate fell from 5.5% in the
1960s to 1.9% in the 1990s.
As the chart nearby shows, there has is a striking
relationship between the size of government and economic
growth. When government spending was less than 25% of GDP,
OECD countries achieved an average real growth rate of 6.6%.
As the size of government rose, growth steadily declined,
plunging to 1.6% when government spending exceeded 60% of
GDP.
While growth has declined in all of the OECD countries,
those countries with the least growth of government have
suffered the least. Between 1960 and 1996, the size of
government as a share of GDP increased by less than 15
percentage points in the U.S., Britain, Iceland, Ireland
and New Zealand. The average growth rate for these five
countries was 1.6 percentage points lower in the 1990s
than in the 1960s. In contrast, the size of government
increased by 25 percentage points or more in Denmark,
Finland, Greece, Portugal, Spain and Sweden. The growth
rate of these six countries fell by 5.2 percentage points.
In the world's fastest-growing economies, furthermore, the
size of government is small, and there is no trend toward
bigger government. On average, government expenditures in
1995 consumed only 20% of GDP in the five economies with the
most rapid real economic growth rates during 1980-95: Hong
Kong, Singapore, South Korea, Taiwan and Thailand. In these
countries, the size of government in 1995 was virtually the
same as in 1975. When we looked at a diverse group of 60
nations, we found that the negative relationship between
bigger government and economic growth is present in all types
of economies.
Many policy-makers seem oblivious to these facts. Even
though the evidence clearly shows that excessive government
expenditures are retarding economic growth, politicians
continue to focus on how to spend a possible surplus. What
the U.S. and other nations need instead is a long-range
strategy to reduce the size and scope of government.
Had the public-sector expansion of the past four decades
accelerated economic growth, politicians would be rushing to
take credit. Since the opposite has occurred, how can we fail
to hold them accountable?
______
By Mr. LEAHY (for himself, Mr. Daschle, Mr. Kohl, Mrs. Feinstein,
and Mr. Cleland):
S. 2011. A bill to strengthen the Federal prosecution and seizure of
illegal proceeds of international drug dealing and criminal activity,
and to provide for the drug testing and treatment of incarcerated
offenders and reduce drug trafficking in correctional facilities, and
for other purposes; to the Committee on the Judiciary.
The Money Laundering Enforcement Act and the Combating Drugs in Prisons
Act
Mr. LEAHY. Mr. President, today, joined by Senators Daschle, Kohl,
Feinstein, and Cleland, I am introducing legislation which will provide
state and federal governments with additional tools to fight drug
trafficking, money laundering and drug use in prisons. This legislation
is intended to complement the Administration's comprehensive 10-year
National Drug Control Strategy by providing federal prosecutors with
additional means to seize assets linked to illegal criminal and drug
activity and prevent drug kingpins and others from engaging in money
laundering. In addition, this legislation will allow states to use
federal prison grant funds to test and treat drug-addicted inmates and
parolees.
I note that the Speaker of the House today is hosting a Republican
rally to proclaim fault with the Administration's comprehensive drug
control strategy. Mr. President, the bill that we are introducing today
is not the easy rhetoric that some have to offer in this crucial area
of public policy. Here is a chance to actually make a difference. I do
not find constructive the efforts of the other body's Republican
leadership over the past few years to slash assistance for drug
enforcement, prevention and treatment programs. Twice, in fact, they
tried to cut the extremely effective Safe and Drug-Free Schools funding
by 50 percent, just as they significantly reduced support for drug
prevention and treatment programs when they assumed leadership of the
Congress in 1995.
Nor do I consider it constructive for Speaker Gingrich, as he did in
his February radio address, to fault the Administration while at the
same time claiming credit for such Administration strategies as a
national youth-oriented anti-drug campaign and added support for
community programs and schools. These are key components of the
Administration's 1998 National Drug Control Strategy, including the
highly effective radio and TV ads now airing in 12 pilot cities. To
really make a difference in more than just the headlines, we need to
work together to reduce the quantity of drugs coming into this country
and the number of drug addicts both in prison and walking our streets.
Money Laundering Act of 1998
This act will help prosecutors force international criminals out of
the darkness and into the light by greatly reducing their ability to
hide behind foreign banking laws or other procedural tricks. It will
also ensure that defendants arrested overseas are no longer able to use
the U.S. courts to their benefit while fighting against being
extradited to the United States.
Another provision in this bill which allows federal prosecutors to
temporarily seize U.S. assets owned by individuals arrested overseas
will greatly enhance law enforcement's ability to shut down drug
trafficking operations based outside the United States. National
boundaries mean less and less to drug kingpins and other criminals
today and this legislation will help us reform our Nation's laws to
reflect this reality.
This bill would allow a brief ex parte seizure of assets while any
arrest papers are in transit to prevent individuals arrested in another
country from moving the fruits of their crimes from the United States
to another country. Currently, foreign defendants often move their
assets virtually instantaneously via electronic transfers while our
prosecutors are waiting for the arrest records. In addition, defendants
would no longer be able to hide behind foreign bank secrecy laws while
they claim seized property in United States courts.
This bill makes important procedural changes for federal prosecutors:
it extends U.S. jurisdiction over foreign banks; updates evidentiary
rules regarding foreign records; allows federal prosecutors to charge
defendants who engage in multiple illegal acts with course of conduct
claims; and allows prosecutors to charge criminals with conspiracy to
violate the laws.
This legislation also adds several new crimes to the list triggering
asset forfeiture, including crimes of violence, additional foreign
crimes, and crimes committed by or against foreign governments. While I
believe that these provisions are necessary for prosecutors to carry
out their important work, I realize that some of these provisions may
need to be fine-tuned to accomplish their intended goal. I pledge to
work with members on both sides of the aisle to ensure that this
legislation is broad enough to meet these goals without being overly
intrusive.
In drafting this bill, I have purposely avoided including several
domestic asset forfeiture provisions. While we may have to face these
thorny issues down the road, I decided to craft a bill which I believe
can be supported by the majority of Senators. We can then bring up
these more complicated issues after a fuller discussion has taken
place.
The Combating Drug Abuse in Prisons Act
This act will allow states to use any of the funds they receive under
the Violent Offender Incarceration and Truth in Sentencing grant
programs to provide drug testing and treatment for inmates and other
court-supervised individuals, such as probationers and parolees. With
80 percent of inmates reportedly linked to drug and alcohol activity
and with a requirement in place that states develop and implement a
drug testing and treatment plan for these individuals by September 1,
1998, it is critical that this federal funding be made available for
these purposes.
According to a study recently released by the National Center on
Addiction and Substance Abuse (CASA) based at Columbia University, 80
percent of individuals currently incarcerated either ``violated drug or
alcohol
[[Page S3927]]
laws, were intoxicated at the time they committed their crimes, stole
property to buy drugs, or are `regular drug users'.'' This study also
found that inmates who are illegal drug or alcohol abusers are the most
likely to be repeat offenders. In fact, this study concluded that 61
percent of state prison inmates who have two prior convictions are
regular drug users. Another recent study, conducted by the Bureau of
Justice Statistics, found that over half of all convicted jail inmates
in 1996 reported having used drugs in the month prior to their offense.
Sixty percent of these inmates also reported using drugs or alcohol or
both at the time of the offense for which they were charged.
If we want to stem the increase in our Nation's prison population, we
must determine which inmates are addicted to drugs or alcohol, reduce
the availability of drugs in prisons and ensure inmates have access to
the treatment they need while incarcerated. This bill will help states
meet all these goals by allowing them to use as much as they choose--or
as little--of the federal prison funds they receive for drug testing
and intervention and to develop strategies to reduce drug trafficking
into prisons. As Joseph Califano, former Secretary of Health, Education
and Welfare and president of CASA, noted when the CASA study was
released: ``Releasing drug-addicted inmates without treatment helps
maintain the market for illegal drugs and supports drug dealers.''
I realize some of my colleagues may be concerned about funds
originally designated for prison construction costs being used for drug
testing and treatment. Let me assure you that states will retain
complete flexibility under this bill as to how they allocate their
Truth in Sentencing and Violent Offender Incarceration grant funds.
But, I'd also like to point out that according to the CASA study, it
would cost states approximately $6,500 per year to provide
comprehensive and effective residential drug treatment services to an
inmate. While this figure may seem high, the study further determined
that society will see an economic return of $68,800 for each inmate who
successfully completes such a program and returns to the community
sober and with a job. This figure represents the savings in the first
year based on the much lower likelihood that the former inmate will be
arrested, prosecuted or incarcerated and includes health care savings
and the potential earnings of a drug-free individual.
James Walton, Vermont's Commissioner of Public Safety, wholeheartedly
supports this legislation, and I have always valued his counsel. As the
head of Vermont's law enforcement agency, he has first-hand knowledge
of what the real needs are in my state. Clearly, he believes that this
legislation will have a positive effect on ongoing law enforcement and
drug control strategies in Vermont. I'm certain it will have the same
effect across the country. I urge my colleagues to support this bill so
our federal and state officials have the resources they need to combat
our Nation's drug problems--both overseas and in our nation's prisons.
Mr. President, I ask unanimous consent that the text of the bill be
printed in the Record.
There being no objection, the bill was ordered to be printed in the
Record, as follows:
S. 2011
Be it enacted by the Senate and House of Representatives of
the United States of America in Congress assembled,
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
(a) Short Title.--This Act may be cited as the ``Money
Laundering Enforcement and Combatting Drugs in Prisons Act of
1998''.
(b) Table of Contents.--The table of contents for this Act
is as follows:
Sec. 1. Short title; table of contents.
TITLE I--INTERNATIONAL MONEY LAUNDERING
Sec. 101. Short title.
Sec. 102. Illegal money transmitting businesses.
Sec. 103. Restraint of assets of persons arrested abroad.
Sec. 104. Access to records in bank secrecy jurisdictions.
Sec. 105. Civil money laundering jurisdiction over foreign persons.
Sec. 106. Laundering money through a foreign bank.
Sec. 107. Specified unlawful activity for money laundering.
Sec. 108. Criminal forfeiture for money laundering conspiracies.
Sec. 109. Fungible property in foreign bank accounts.
Sec. 110. Subpoenas for bank records.
Sec. 111. Fugitive disentitlement.
Sec. 112. Admissibility of foreign business records.
Sec. 113. Charging money laundering as a course of conduct.
Sec. 114. Venue in money laundering cases.
Sec. 115. Technical amendment to restore wiretap authority for certain
money laundering offenses.
TITLE II--DRUG TESTING AND INTERVENTION FOR INMATES AND PROBATIONERS
Sec. 201. Short title.
Sec. 202. Additional requirements for the use of funds under the
violent offender incarceration and truth-in-sentencing
incentive grant programs.
Sec. 203. Use of residential substance abuse treatment grants to
provide for services during and after incarceration.
TITLE I--INTERNATIONAL MONEY LAUNDERING
SEC. 101. SHORT TITLE.
This title may be cited as the ``Money Laundering
Enforcement Act of 1998''.
SEC. 102. ILLEGAL MONEY TRANSMITTING BUSINESSES.
(a) Civil Forfeiture for Money Transmitting Violation.--
Section 981(a)(1)(A) of title 18, United States Code, is
amended by striking ``or 1957'' and inserting ``, 1957, or
1960''.
(b) Scienter Requirement for Section 1960 Violation.--
Section 1960 of title 18, United States Code, is amended by
adding at the end the following:
``(c) Scienter Requirement.--For the purposes of proving a
violation of this section involving an illegal money
transmitting business--
``(1) it shall be sufficient for the Government to prove
that the defendant knew that the money transmitting business
lacked a license required by State law; and
``(2) it shall not be necessary to show that the defendant
knew that the operation of such a business without the
required license was an offense punishable as a felony or
misdemeanor under State law.''.
SEC. 103. RESTRAINT OF ASSETS OF PERSONS ARRESTED ABROAD.
Section 981(b) of title 18, United States Code, is amended
by adding at the end the following:
``(3) Restraint of assets.--
``(A) In general.--If any person is arrested or charged in
a foreign country in connection with an offense that would
give rise to the forfeiture of property in the United States
under this section or under the Controlled Substances Act,
the Attorney General may apply to any Federal judge or
magistrate judge in the district in which the property is
located for an ex parte order restraining the property
subject to forfeiture for not more than 30 days, except that
the time may be extended for good cause shown at a hearing
conducted in the manner provided in Rule 43(e) of the Federal
Rules of Civil Procedure.
``(B) Application.--An application for a restraining order
under subparagraph (A) shall--
``(i) set forth the nature and circumstances of the foreign
charges and the basis for belief that the person arrested or
charged has property in the United States that would be
subject to forfeiture; and
``(ii) contain a statement that the restraining order is
needed to preserve the availability of property for such time
as is necessary to receive evidence from the foreign country
or elsewhere in support of probable cause for the seizure of
the property under this subsection.''.
SEC. 104. ACCESS TO RECORDS IN BANK SECRECY JURISDICTIONS.
Section 986 of title 18, United States Code, is amended by
adding at the end the following:
``(d) Access to Records Located Abroad.--
``(1) In general.--In any civil forfeiture case, or in any
ancillary proceeding in any criminal forfeiture case governed
by section 413(n) of the Controlled Substances Act (21 U.S.C.
853(n)), the refusal of the claimant to provide financial
records located in a foreign country in response to a
discovery request or take the action necessary otherwise to
make the records available, shall result in the dismissal of
the claim with prejudice, if--
``(A) the financial records may be material--
``(i) to any claim or to the ability of the government to
respond to such claim; or
``(ii) in a civil forfeiture case, to the ability of the
government to establish the forfeitability of the property;
and
``(B) it is within the capacity of the claimant to waive
his or her rights under such secrecy laws, or to obtain the
financial records himself or herself, so that the financial
records may be made available.
``(2) Privilege.--Nothing in this subsection shall be
construed to affect the rights of a claimant to refuse
production of any records on the basis of any privilege
guaranteed by the Constitution of the United States or any
other provision of Federal law.''.
SEC. 105. CIVIL MONEY LAUNDERING JURISDICTION OVER FOREIGN
PERSONS.
Section 1956(b) of title 18, United States Code, is
amended--
(1) by redesignating paragraphs (1) and (2) as
subparagraphs (A) and (B), respectively,
[[Page S3928]]
and indenting each subparagraph appropriately;
(2) by striking ``(b) Whoever'' and inserting the
following:
``(b) Civil Penalties.--
``(1) In general.--Whoever''; and
(3) by adding at the end the following:
``(2) Jurisdiction.--For purposes of adjudicating an action
filed or enforcing a penalty ordered under this section, the
district courts of the United States shall have jurisdiction
over any foreign person, including any financial institution
authorized under the laws of a foreign country, that commits
an offense under subsection (a) involving a financial
transaction that occurs in whole or in part in the United
States, if service of process upon such foreign person is
made in accordance with the Federal Rules of Civil Procedure
or the laws of the foreign country in which the foreign
person is found.
``(3) Satisfaction of judgment.--In any action described in
paragraph (2), the court may issue a pretrial restraining
order or take any other action necessary to ensure that any
bank account or other property held by the defendant in the
United States is available to satisfy a judgment under this
section.''.
SEC. 106. LAUNDERING MONEY THROUGH A FOREIGN BANK.
Section 1956(c)(6) of title 18, United States Code, is
amended to read as follows:
``(6) the term `financial institution' includes--
``(A) any financial institution described in section
5312(a)(2) of title 31, or the regulations promulgated
thereunder; and
``(B) any foreign bank, as defined in section 1(b)(7) of
the International Banking Act of 1978 (12 U.S.C. 3101(7));''.
SEC. 107. SPECIFIED UNLAWFUL ACTIVITY FOR MONEY LAUNDERING.
(a) In General.--Section 1956(c)(7) of title 18, United
States Code, is amended--
(1) in subparagraph (B)--
(A) by striking clause (ii) and inserting the following:
``(ii) any act or acts constituting a crime of violence;'';
and
(B) by adding at the end the following:
``(iv) fraud, or any scheme to defraud, committed against a
foreign government or foreign governmental entity;
``(v) bribery of a public official, or the
misappropriation, theft, or embezzlement of public funds by
or for the benefit of a public official;
``(vi) smuggling or export control violations involving
munitions listed in the United States Munitions List or
technologies with military applications as defined in the
Commerce Control List of the Export Administration
Regulations; or
``(vii) an offense with respect to which the United States
would be obligated by a multilateral treaty either to
extradite the alleged offender or to submit the case for
prosecution, if the offender were found with the territory of
the United States;'';
(2) in subparagraph (D)--
(A) by inserting ``section 541 (relating to goods falsely
classified),'' before ``section 542'';
(B) by inserting ``section 922(l) (relating to the unlawful
importation of firearms), section 924(m) (relating to
firearms trafficking),'' before ``section 956'';
(C) by inserting ``section 1030 (relating to computer fraud
and abuse),'' before ``1032''; and
(D) by inserting ``any felony violation of the Foreign
Agents Registration Act of 1938 (22 U.S.C. 611 et seq.),''
before ``or any felony violation of the Foreign Corrupt
Practices Act''; and
(3) in subparagraph (E), by inserting ``the Clean Air Act
(42 U.S.C. 6901 et seq.),'' after ``the Safe Drinking Water
Act (42 U.S.C. 300f et seq.),''.
SEC. 108. CRIMINAL FORFEITURE FOR MONEY LAUNDERING
CONSPIRACIES.
Section 982(a)(1) of title 18, United States Code, is
amended by inserting ``or a conspiracy to commit any such
offense,'' after ``of this title,''.
SEC. 109. FUNGIBLE PROPERTY IN FOREIGN BANK ACCOUNTS.
Section 984(d) of title 18, United States Code, is amended
by adding at the end the following:
``(3) In this subsection, the term `financial institution'
includes a foreign bank, as defined in section 1(b)(7) of the
International Banking Act of 1978 (12 U.S.C. 3101(7)).''.
SEC. 110. SUBPOENAS FOR BANK RECORDS.
Section 986(a) of title 18, United States Code, is
amended--
(1) by striking ``section 1956, 1957, or 1960 of this
title, section 5322 or 5324 of title 31, United States Code''
and inserting ``section 981 of this title'';
(2) by inserting ``before or'' before ``after''; and
(3) by striking the last sentence.
SEC. 111. FUGITIVE DISENTITLEMENT.
(a) In General.--Chapter 163 of title 28, United States
Code, is amended by adding at the end the following:
``Sec. 2467. Fugitive disentitlement
``Any person who, in order to avoid criminal prosecution,
purposely leaves the jurisdiction of the United States,
declines to enter or reenter the United States to submit to
the jurisdiction of the United States, or otherwise evades
the jurisdiction of a court of the United States in which a
criminal case is pending against the person, may not use the
resources of the courts of the United States in furtherance
of a claim in any related civil forfeiture action or a claim
in any third-party proceeding in any related criminal
forfeiture action.''.
(b) Conforming Amendment.--The analysis for chapter 163 of
title 28, United States Code, is amended by adding at the end
the following:
``2467. Fugitive disentitlement.''.
SEC. 112. ADMISSIBILITY OF FOREIGN BUSINESS RECORDS.
(a) In General.--Chapter 163 of title 28, United States
Code, is amended by adding at the end the following:
``Sec. 2468. Foreign records
``(a) Definitions.--In this section--
``(1) the term `business' includes business, institution,
association, profession, occupation, and calling of every
kind whether or not conducted for profit;
``(2) the term `foreign certification' means a written
declaration made and signed in a foreign country by the
custodian of a record of regularly conducted activity or
another qualified person, that if falsely made, would subject
the maker to criminal penalty under the law of that country;
``(3) the term `foreign record of regularly conducted
activity' means a memorandum, report, record, or data
compilation, in any form, of acts, events, conditions,
opinions, or diagnoses, maintained in a foreign country; and
``(4) the term `official request' means a letter rogatory,
a request under an agreement, treaty or convention, or any
other request for information or evidence made by a court of
the United States or an authority of the United States having
law enforcement responsibility, to a court or other authority
of a foreign country.
``(b) Admissibility.--In a civil proceeding in a court of
the United States, including a civil forfeiture proceeding
and a proceeding in the United States Claims Court and the
United States Tax Court, unless the source of information or
the method or circumstances of preparation indicate lack of
trustworthiness, a foreign record of regularly conducted
activity (or a duplicate of such record), obtained pursuant
to an official request, shall not be excluded as evidence by
the hearsay rule if a foreign certification, also obtained
pursuant to the same official request or subsequent official
request that adequately identifies such foreign record,
attests that --
``(1) the foreign record was made, at or near the time of
the occurrence of the matters set forth, by (or from
information transmitted by) a person with knowledge of those
matters;
``(2) the foreign record was kept in the course of a
regularly conducted business activity;
``(3) the business activity made such a record as a regular
practice; and
``(4) if the foreign record is not the original, the record
is a duplicate of the original.
``(c) Foreign Certification.--A foreign certification under
this section shall authenticate a record or duplicate
described in subsection (b).
``(d) Notice.--
``(1) In general.--As soon as practicable after a
responsive pleading has been filed, a party intending to
offer in evidence under this section a foreign record of
regularly conducted activity shall provide written notice of
that intention to each other party.
``(2) Opposition.--A motion opposing admission in evidence
of a record under paragraph (1) shall be made by the opposing
party and determined by the court before trial. Failure by a
party to file such motion before trial shall constitute a
waiver of objection to such record, except that the court for
cause shown may grant relief from the waiver.''.
(b) Conforming Amendment.--The analysis for chapter 163 of
title 28, United States Code, is amended by adding at the end
the following:
``2468. Foreign records.''.
SEC. 113. CHARGING MONEY LAUNDERING AS A COURSE OF CONDUCT.
Section 1956(h) of title 18, United States Code, is
amended--
(1) by striking ``(h) Any person'' and inserting the
following:
``(h) Conspiracy; Multiple Violations.--
``(1) Conspiracy.--Any person''; and
(2) by adding at the end the following:
``(2) Multiple violations.--Any person who commits multiple
violations of this section or section 1957 that are part of
the same scheme or continuing course of conduct may be
charged, at the election of the Government, in a single count
in an indictment or information.''.
SEC. 114. VENUE IN MONEY LAUNDERING CASES.
Section 1956 of title 18, United States Code, is amended by
adding at the end the following:
``(i) Venue.--
``(1) In general.--Except as provided in paragraph (2), a
prosecution for an offense under this section or section 1957
may be brought in any district in which the financial or
monetary transaction is conducted, or in which a prosecution
for the underlying specified unlawful activity could be
brought.
``(2) Exception.--A prosecution for an attempt or
conspiracy offense under this section or section 1957 may be
brought in the district in which venue would lie for the
completed offense under paragraph (1), or in any other
district in which an act in furtherance of the attempt or
conspiracy took place.''.
[[Page S3929]]
SEC. 115. TECHNICAL AMENDMENT TO RESTORE WIRETAP AUTHORITY
FOR CERTAIN MONEY LAUNDERING OFFENSES.
Section 2516(1)(g) of title 18, United States Code, is
amended by striking ``of title 31, United States Code
(dealing with the reporting of currency transactions)'' and
inserting ``or 5324 of title 31 (dealing with the reporting
and illegal structuring of currency transactions)''.
TITLE II--DRUG TESTING AND INTERVENTION FOR INMATES AND PROBATIONERS
SEC. 201. SHORT TITLE.
This title may be cited as the ``Combatting Drugs in
Prisons Act of 1998''.
SEC. 202. ADDITIONAL REQUIREMENTS FOR THE USE OF FUNDS UNDER
THE VIOLENT OFFENDER INCARCERATION AND TRUTH-
IN-SENTENCING INCENTIVE GRANT PROGRAMS.
Section 20105(b) of the Violent Crime Control and Law
Enforcement Act of 1994 (42 U.S.C. 13705(b)) is amended--
(1) by striking ``(b) To be eligible'' and inserting the
following:
``(b) Additional Requirements.--
``(1) Eligibility for a grant.--To be eligible'';
(2) by striking ``a State shall provide assurances'' and
inserting the following: ``a State shall--
``(A) provide assurances'';
(3) by striking the period at the end and inserting ``;
and''; and
(4) by adding at the end the following:
``(B) not later than September 1, 1998, have established
and implemented, consistent with guidelines issued by the
Attorney General, a program of drug testing and intervention
for appropriate categories of convicted offenders during
periods of incarceration and criminal justice supervision,
with sanctions (including denial or revocation of release)
for positive drug tests.
``(2) Use of funds.--Notwithstanding section 20102, amounts
received by a State pursuant to section 20103 or section
20104 may be--
``(A) applied to the cost of offender drug testing and
appropriate intervention programs during periods of
incarceration and criminal justice supervision, consistent
with guidelines issued by the Attorney General;
``(B) used by a State to pay the costs of providing to the
Attorney General a baseline study, which shall be consistent
with guidelines issued by the Attorney General, on the prison
drug abuse problem in the State; and
``(C) used by a State to develop policies, practices, or
laws establishing, in accordance with guidelines issued by
the Attorney General, a system of sanctions and penalties to
address drug trafficking within and into correctional
facilities under the jurisdiction of the State.''.
SEC. 203. USE OF RESIDENTIAL SUBSTANCE ABUSE TREATMENT GRANTS
TO PROVIDE FOR SERVICES DURING AND AFTER
INCARCERATION.
Section 1901 of part S of the Omnibus Crime Control and
Safe Streets Act of 1968 (42 U.S.C. 3796ff) is amended by
adding at the end the following:
``(c) Additional Use of Funds.--Each State that
demonstrates that the State has established 1 or more
residential substance abuse treatment programs that meet the
requirements of this part may use amounts made available
under this part for drug treatment and to impose appropriate
sanctions for positive drug tests, both during incarceration
and after release.''.
____
Mr. DASCHLE. Mr. President, drug trafficking, money laundering and
drug use in prisons are significant problems that will continue to
worsen unless local, state and federal governments can work more
closely together to determine viable solutions. Drug trafficking and
money laundering can negatively affect our society in many different
ways, and the use of illegal drugs by prison inmates dramatically
deceases any chance they have of getting their lives back on track
after their release. Local, state and federal governments are already
hard at work to determine solutions to these corrosive problems, and I
am very pleased to join Senators Leahy, Cleland, Feinstein, and Kohl in
introducing The Money Laundering Enforcement and Combating Drugs in
Prison Act of 1998, which will provide state and federal governments
with additional tools to fight drug trafficking, money laundering and
drug use in prisons.
This legislation will complement the Administration's comprehensive
10-year National Drug Control Strategy by providing federal prosecutors
with additional means to seize assets linked to illegal criminal and
drug activity and prevent drug kingpins and others from engaging in
money laundering. Initiatives such as the Safe and Drug Free Schools
Act, and the Administration's highly effective radio and TV ads
currently airing in 12 pilot cities are sending the kind of anti-drug
messages that must reach our young people. The Money Laundering
Enforcement and Combating Drugs in Prison Act of 1998 adds to these
efforts by reducing the demand for drugs by allowing states to use
federal prison grant funds to test and treat drug-addicted inmates and
parolees.
This legislation will greatly enhance the efforts of prosecutors to
force international criminals out of hiding by reducing their ability
to shield themselves behind foreign banking laws or use other
procedural tricks. Moreover, the bill will ensure that defendants
arrested overseas will no longer be able to take advantage of U.S.
courts to fight against extradition to this country. It would allow
federal prosecutors to temporarily seize U.S. assets owned by
individuals arrested overseas and thus dramatically improve the ability
of law enforcement agencies to shut down drug trafficking operation
based outside the United States. Drug kingpins have little regard for
nation boundaries, and our nations laws must provide us with the
flexibility necessary to combat them.
Studies prove that an overwhelming majority of incarcerated
individuals have been heavily influenced by drugs or alcohol, and those
who are illegal drug or alcohol abusers are the most likely to be
repeat offenders. If we want to stem the increase in our nation's
prison population, we must determine which inmates are addicted to
drugs or alcohol, reduce the availability of drugs in prisons and
ensure inmates have access to the treatment they need while
incarcerated. This legislation will help states meet all these goals by
allowing them to use as much--or as little--of the federal prison funds
they receive for drug testing and intervention and to develop a
strategy to reduce drug trafficking in prisons.
State and federal governments are waging a battle against drug
kingpins, and the Money Laundering Enforcement and Combating Drugs in
Prison Act of 1998 will provide much-needed assistance to these ongoing
efforts. By enacting this bill, I believe we will make great strides
toward removing dangerous criminals and illegal drugs from our
neighborhoods. I urge my colleagues to join me in support of this
important legislation.
______
By Mr. GRAHAM (for himself and Mr. Mack):
S. 2012. A bill to name the Department of Veterans Affairs medical
center in Gainesville, Florida, as the ``Malcolm Randall Department of
Veterans Affairs Medical Center''; to the Committee on Veterans
Affairs.
malcolm randall department of veterans affairs medical center
Mr. GRAHAM. Mr. President, I rise today, joined by my esteemed
colleague Senator Mack, to introduce legislation to rename the
Gainesville, Florida Veterans Affairs Medical Center after its
distinguished and long-time Director: Malcolm Randall.
After thirty-two years as Director of the Gainesville VAMC, and a
total of fifty-nine years in federal service, Mr. Randall retires
today. He leaves behind a long list of accomplishments and an even
longer list of admirers--myself included.
Mr. President, allow me to take a few minutes to highlight the career
of this visionary person--a man who has redefined the term ``public
servant'' over the last half-century.
Malcolm Randall's accomplishments are far-reaching and are a
testament to the loyalty and devotion he has shown the United States
throughout his lifetime.
His extensive service to our nation began when he enlisted in the
Navy in July of 1942 and was sent off to the South Pacific in the midst
of World War II. While courageously fighting on PT boats and
battleships in the first battle of the Phillipine Sea, Mr. Randall was
injured in the line-of-duty. After four years of valiant active
military service, Mr. Randall continued serving his country through his
dedicated work in the Veterans' Administration. His outstanding
accomplishments and achievements during his tenure at the VA have been
recognized with the two highest awards that the VA offers: the
Meritorious Service Award, and the Exceptional Service Award, both of
which recognize his outstanding performance and exceptional
contributions to the improvement of health care for veterans.
In 1984, President Reagan paid homage to Mr. Randall with the
Presidential Rank Award for his extraordinary accomplishments in the
administration of VA programs in Florida,
[[Page S3930]]
and for exemplifying the highest standards in leadership. Most
flattering to Mr. Randall was that this award was recommended by
dedicated public servants and local leadership from his own community.
Indeed, it was this innovative and thoughtful style of leadership that
allowed Mr. Randall to foresee the challenges and obstacles that the VA
would face in the 21st Century.
Mr. Randall's dogged determination to serve the veterans of Florida,
coupled with his visionary leadership, led to his most significant
contribution to our nation's veterans: VA restructuring. As Chairman of
the Florida Network of VA Hospitals and Outpatient Clinics, Malcolm
Randall realized that the VA had to undergo a major transformation to
continue to serve veterans well. He understood that the VA health care
system needed to modernize, become more efficient with its resources,
and adapt to a new method for health care delivery.
Mr. Randall saw the future--that the VA was moving towards a ``no-
new-starts'' policy for major hospital construction--and he became an
early advocate for a new model of VA health care: a strong network of
outpatient clinics and hospitals, designed to serve veterans in remote
areas more effectively. As a result, 7 new outpatient clinics were
built in Florida, a development which has allowed many thousands of
Florida veterans to get the health care they deserve but were
previously denied.
Throughout his long and successful tenure as Director of the
Gainesville VAMA, Malcolm Randall has also been a leader in introducing
new medical technology to improve the quality of care for the heroes of
our country. His responsibility for VA health planning throughout the
entire state enabled Mr. Randall to initiate affiliations with three
major teaching hospitals--the University of South Florida, the
University of Florida, and the University of Miami--and several
community colleges. These partnerships have allowed veterans to receive
the finest care available from institutions renowned throughout the
country.
Mr. Randall's excellence has not been limited to his professional
service. His community service throughout the state of Florida, and
especially in his hometown of Gainesville, has resulted in several
tributes and distinctions being bestowed upon him, including being
named Gainesville's Citizen of the Year in 1977. The University of
Florida also recognized his lifetime devotion to public service by
awarding him an honorary doctorate of Public Service.
Mr. President, it has been one of the great treasures of my life to
have shared the friendship of Malcom Randall. As governor and now as a
United States Senator from Florida, Malcom has allowed me to enter his
classroom on health care policy and his heart, which is full of
compassion for American veterans. All he has done has emanated from his
depth of concern for American veterans, firmly attached to his rigorous
mind and dedicated spirit to put ideas into action. Florida and America
are fortunate to have had him as a fellow citizen.
Mr. President, I salute Malcom Randall for all that he has done on
behalf of all of our veterans. It is fitting that one of the best
medical centers in the country bear his name.
Mr. MACK. Mr. President, I am proud to support my friend and
colleague from Florida, Mr. Graham, as we introduce legislation to
commemorate the retirement and life's work of Mr. Malcom Randall. Mr.
Randall has served his country for 59 years, 55 of which were spent
with the Department of Veterans Affairs.
A native of East St. Louis, Illinois, Mr. Randall graduated from St.
Louis University with a master's degree in hospital administration. He
was among a handful of medical leaders who began to transform the
health care system for veterans at the end of World War II. Mr. Randall
is the founding Director of the VA Medical Center in Gainesville, and
he has served in that post for 32 years. During that time, he has also
helped establish VA hospitals and outpatient clinics in other Florida
cities. The VA Medical Center in Gainesville now serves 10,000
inpatients and handles 250,000 outpatient visits per year.
Mr. Randall is America's longest serving administrator of veterans'
health care services. He has won numerous awards for his exceptional
service, including recognition for ``most outstanding performance'' on
two occasions. He is retiring today, and while I am pleased that he
will be able to take some time off to enjoy his years, I am saddened
that the Department and the Center will be losing one of its greatest
champions, and one of its most dedicated public servants.
In further recognition of Mr. Randall's dedication to serving the
needs of America's veterans, Bob Graham and I are proposing legislation
to rename the Veterans Affairs Medical Center in Gainesville, Florida
as the ``Malcom Randall Department of Veterans Affairs Medical
Center''. Our legislation is identical to legislation offered by
Representative Karen Thurman in the House of Representatives, which is
supported by most of the Florida Congressional delegation. I look
forward to working with my Senate colleagues to recognize and honor the
work and service of Malcom Randall, and I wish Mr. Randall well in his
future pursuits.
______
By Mrs. FEINSTEIN:
S. 2013. A bill to amend title XIX of the Social Security Act to
permit children covered under private health insurance under a State
children's health insurance plan to continue to be eligible for
benefits under the vaccine for children program; to the Committee on
Finance.
children's health insurance program legislation
Mrs. FEINSTEIN. Mr. President, today I am introducing a bill to
clarify that children receiving health insurance under the new
Children's Health Insurance Program (CHIP) are eligible for free
vaccines under the 1993 federal Vaccines for Children (VFC) program.
I want to especially commend the leadership of Congresswoman Jane
Harman who is introducing an identical bill in the House today.
We are introducing these bills because the U.S. Department of Health
and Human Services has apparently interpreted the law so narrowly that
as many as 580,000 children in California will lose their current
eligibility to receive free vaccines, under California's new Healthy
Families program.
The federal Vaccines for Children program, created by Congress in
1993 (P.L. 105-33), provides vaccines at no cost to poor children. In
1997, as many 775,000 poor children in my state, who were uninsured or
on Medicaid, received these vaccines. California received $60 million
from the federal government to provide them.
Mr. President, what can be so basic to public health than
immunization against disease? Do we really want our children to get
polio, measles, mumps, chicken pox, rubella, and whooping cough--
diseases for which we have effective vaccines, diseases which we have
practically eradicated by widespread immunization? Every parent knows
that vaccines are fundamental to children's good health.
Congress recognized the importance of immunizations in creating the
program, with many Congressional leaders at the time arguing that
childhood immunization is one of the most cost-effective steps we can
take to keep our children healthy. It makes no sense to me to withhold
them from children who (1) have been getting them when they were
uninsured and (2) have no other way to get them once they become
insured.
According to an Annie E. Casey Foundation report, 28 percent of
California's two-year old children are not immunized. Add to that the
fact that we have one of the highest uninsured rates in the country.
Our uninsured rate for non-elderly adults is 22 percent, the third
highest in the U.S., while the national uninsured rate is 17 percent.
As for children, 1.7 million or 18 percent of our children are without
health insurance, compared to 13 percent nationally, according to
UCLA's Center for Health Policy Research. Clearly, there is a need.
In creating the new children's health insurance program in
California, the state chose to set up a program under which the state
contracts with private insurers, rather than providing eligible
children care through Medicaid (Medi-Cal in California). Unfortunately,
HHS appears to be interpreting this method of providing these children
health insurance as making them ``insured,'' as
[[Page S3931]]
defined in the vaccines law, and thus ineligible for the federal
vaccines. I disagree.
It is my view that in creating the federal vaccines program, Congress
made eligible for these vaccines children who are receiving Medicaid,
children who are uninsured, and native American children. I believe
that in defining the term ``insured'' Congress clearly meant private
health insurance plans. Children enrolled in California's new Healthy
Families program are participating in a federal-state, subsidized
insurance plan. Healthy Families is a state-operated program. Families
apply to the state for participation. They are not insured by a
private, commercial plan, as traditionally defined or as defined in the
Vaccine for Children's law (42 U.S.C. sec. 1396s(b)(2)(B). On February
23, the California Medical Association wrote to HHS Secretary Donna
Shalala, ``As they are participants in a federal and state-subsidized
health program, these individuals are not ``insured'' for the purposes
of 42 U.S.C. sec. 1396s(b)(B).''
The California Managed Risk Medical Insurance Board, which is
administering the new program with the Department of Health Services,
wrote to HHS on February 5, ``It is imperative that states like
California, who have implemented the Children's Health Insurance
Program (CHIP) using private health insurance, be given the same
support and eligibility for the Vaccines for Children (VFC) program at
no cost as states which have chosen to expand their Medicaid program.''
The San Francisco Chronicle editorialized on March 10, 1998, ``More
than half a million California children should not be deprived of
vaccinations or health insurance because of a technicality. . . ,''
calling the denial of vaccines ``a game of semantics.''
Children's health should not be a ``game of semantics.'' Proper
childhood immunizations are fundamental to a lifetime of good health. I
urge my colleagues to join me in enacting this bill into law, to help
me keep our children healthy.
Mr. President, I ask unanimous consent that the text of the bill be
printed in the Record.
There being no objection, the bill was ordered to be printed in the
Record, as follows:
S. 2013
Be it enacted by the Senate and House of Representatives of
the United States of America in Congress assembled,
SECTION 1. PERMIT CHILDREN COVERED UNDER PRIVATE HEALTH
INSURANCE UNDER A STATE CHILD HEALTH PLAN TO
CONTINUE TO BE ELIGIBLE FOR BENEFITS UNDER THE
VACCINE FOR CHILDREN PROGRAM.
(a) In General.--Section 1928(b)(2)(A)(ii) of the Social
Security Act (42 U.S.C. 1396s(b)(2)(A)(ii)) is amended by
inserting ``, except that for purposes of this paragraph a
child who is only insured under title XXI shall be considered
as being not insured'' after ``not insured''.
(b) Effective Date.--The amendment made by subsection (a)
shall take effect as if included in the enactment of the
Balanced Budget Act of 1997.
______
By Mr. BIDEN:
S. 2014. A bill to authorize the Attorney General to reschedule
certain drugs that pose an imminent danger to public safety, and to
provide for the rescheduling of the date-rape drug and the
classification of certain ``club'' drug; to the Committee on the
Judiciary.
THE NEW DRUGS OF THE 1990s CONTROL ACT
Mr. BIDEN. Mr. President, the best time to target a new drug with
uncompromising enforcement pressure is before abuse of that drug has
overwhelmed our communities.
That is why I introduced legislation last Congress to place tight
federal controls on the date rape drug Rohpynol--also known as
Roofies--which was becoming known as the Quaalude of the Nineties as
its popularity spread throughout the United States.
My bill would have shifted Rohpynol to schedule 1 of the Federal
Controlled Substances Act. Rescheduling is important for three simple
reasons:
First, Federal re-scheduling triggers increases in State drug law
penalties, and since we all know that more than 95 percent of all drug
cases are prosecuted at the State level, not by the Federal Government,
it is vitally important that we re-schedule.
Second, Federal re-scheduling to schedule 1 triggers the toughest
Federal penalties--up to a year in prison and at least a $1,000 fine
for a first offense of simple possession.
And, third, re-scheduling has proven to work. In 1984, I worked to
reschedule Quaaludes, Congress passed the law, and the Quaalude
epidemic was greatly reduced. And, in 1990, I worked to re-schedule
steroids, Congress passed the law, and again a drug epidemic that had
been on the rise was reversed.
Despite evidence of a growing Rohpynol epidemic, some argued that my
efforts to re-schedule the drug by legislation were premature.
Accordingly, I agreed to hold off on legislative action and wait for a
Drug Enforcement Administration decision on whether to schedule the
drug through the lengthy and cumbersome administrative process.
As I predicted, the DEA report on Rohpynol--handed down in November--
correctly concludes that despite the rapid spread of Rohpynol
throughout the country, DEA cannot re-schedule Rohpynol by rulemaking
at this time.
The report notes, however, that Congress is not bound by the
bureaucratic re-scheduling process the DEA must follow. Congress can--
and in my view should--pass legislation to reschedule Rohpynol.
Specifically the report states: ``This inability to reschedule
[Rohpynol] administratively . . . does not affect Congress' ability to
place [the drug] in schedule 1 through the legislative process''--as we
did with Quaaludes in 1984 and Anabolic Steroids in 1990.
Let me also note that the DEA report confirmed a number of facts
about the extent of the Rohpynol problem:
DEA found more than 4,000 documented cases--in 36 States--of sale or
possession of the drug, which is not marketed in the United States and
must be smuggled in.
``In spite of DEA's inability to reschedule [Rohypnol] through
administrative proceedings, DEA remains very concerned about the
abuse'' of the drug.
``Middle and high school students have been known to use [Rohypnol]
as an alternative to alcohol to achieve an intoxicated state during
school hours. [The drug] is much more difficult to detect than alcohol,
which produces a characteristic odor.''
``DEA is extremely concerned about the use of [Rohypnol] in the
commission of sexual assaults.''
``The number of sexual assaults in which [Rohypnol] is used may be
underreported''--because the drug's effects often cause rape victims to
be unable to remember details of their assaults and because rape crisis
centers, hospitals, and law enforcement have only recently become aware
that Rohypnol can be used to facilitate sex crimes.
Nonetheless, ``DEA is aware of at least 5 individuals who have been
convicted of rape in which the evidence suggests that [the Rohypnol
drug] was used to incapacitate the victim.'' ``The actual number of
sexual assault cases involving [the drug] is not known. It is difficult
to obtain evidence that [the Rohypnol drug] was used in an assault.''
I would also note that my efforts to re-schedule this drug have
already had beneficial results: The manufacturer of Rohypnol recently
announced that it had developed a new formula to minimize the potential
for abuse of the drug in sexual assaults.
This is an important step. But pills produced under the old Rohypnol
formula are still in circulation, and pills made by other manufacturers
can still be smuggled in. Furthermore, the new formula will not prevent
kids from continuing to ingest this dangerous drug voluntarily for a
cheap high.
In short, stricter, Federal controls remain necessary; and DEA is
powerless to respond to Rohypnol abuse until the problem gets even
worse.
Therefore, I am reintroducing my bill to re-schedule Rohypnol in
schedule 1 of the Controlled Substances Act. I urge my colleagues to
support this effort to take action against this dangerous drug now,
rather than waiting for the problem to develop into an epidemic.
My bill also places ``Special K''--ketamine hydrochloride--a
dangerous hallucinogen very similar to PCP, on schedule III of the
Controlled Substances Act. Despite Special K's rising popularity as a
``club drug'' of choice among kids, the drug is not even illegal in
most States. This has crippled State
[[Page S3932]]
authorities' ability to fight ketamine abuse.
For example, in February 1997, two men accused of stealing ketamine
from a Ville Platte, Louisiana veterinary clinic and cooking the drug
into a powder could not be prosecuted under State drug control laws
because ketamine is not listed as a Federal controlled substance.
Similarly, a New Jersey youth recently found to be with possessing
and distributing ketamine could be charged with only a disorderly
persons offense.
Prosecutors are trying to combat increased Ketamine use by seeking
lengthy prison terms for possession of the drugs--like marijuana--that
users mix with Ketamine, but if it is just Special K, there's nothing
they can do about it.
I am convinced that scheduling Ketamine will help our effort to fight
the spread of this dangerous drug by triggering increases in State drug
law penalties.
Without Federal scheduling, many States will not be able to address
the Ketamine problem until it is too late and Special K has already
infiltrated their communities.
Medical professionals who use Ketamine--including the American
Veterinary Medical Association and the American Association of Nurse
Anesthetists--support scheduling, having determined that it will
accomplish our goal of ``preventing the diversion and unauthorized use
of Ketamine'' while allowing ``continued, responsible use'' of the drug
for legitimate purposes. [Letter from Mary Beth Leininger, D.V.M.,
President of the American Veterinary Medical Association]
And the largest manufacturer of Ketamine has concluded that ``moving
the product to schedule III classification is in the best interest of
the veterinary industry and the public.'' [Letter from E. Thomas
Corcoran, President of Fort Dodge Animal Health, a Division of American
Home Products Corporation].
Scheduling Ketamine will give State authorities the tools they
desperately need to fight its abuse by young people--and end the legal
anomaly that leaves those who sell Ketamine to our children beyond the
reach of the law--even when they are caught ``red-handed''. I urge my
colleagues to support this legislation.
In addition to raising controls on Rohypnol and Ketamine, the
legislation I am introducing today would increase the ability of the
Attorney General to respond to new drug emergencies in the future.
Our Federal drug control laws currently allow the Attorney General
limited authority to respond to certain new drugs on an emergency
basis--by temporarily subjecting them the strictest Federal control
while the extensive administrative procedure for permanent scheduling
proceeds.
But the Attorney General has not been able to use this authority to
respond to the Rohypnol and Special K emergencies--because she does not
have authority to--move drugs from one schedule to another, or to
schedule drugs that the Food and Drug Administration has allowed
companies to research but not to sell.
This amendment would grant the administration this important
authority by--authorizing the Attorney General to move a scheduled
drug--like Rohypnol--to schedule I in an Emergency; by applying
emergency rescheduling authority to ``investigational new drugs''--like
Special K--that the Food and Drug Administration has approved for
research purposes only, but not for marketing.
And by providing that a rescheduling drug remains on the temporary
schedule until the administrative proceedings reach a final conclusion
on whether to schedule.
This legislation would give the Attorney General the necessary tools
to respond quickly when evidence appears that a drug is being abused. I
urge my colleagues to support the bill.
______
By Mr. BIDEN:
S. 2015. A bill to amend the Public Health Service Act and the
Federal Food, Drug, and Cosmetic Act to provide incentives for the
development of drugs for the treatment of addiction to illegal drugs,
and for other purposes; to the Committee on Labor and Human Resources.
THE NEW MEDICINES TO TREAT ADDICTION ACT OF 1998
Mr. BIDEN. Mr. President, today I am introducing the New Medicines to
Treat Addiction Act of 1998, legislation that builds upon my efforts in
previous Congresses to promote research into and development of new
medicines to treat the ravages of hard core drug addiction.
Since the first call to arms against illegal drugs in 1989, we have
learned just how insidious hardcore drug addiction is, even as the
ravages of substance abuse--on both the addict and his victims--have
become ever more apparent. The frustration in dealing with a seemingly
intractable national problem is palpable, most noticeably in the heated
rhetoric as politicians blame each other for the failure to find a
cure. What gets lost underneath the noise is the recognition that we
have not done everything we can to fight this problem and that, like
all serious ills, we must take incremental steps one at a time, and
refuse to be overwhelmed by the big picture.
Throughout my tenure as Chairman of the Senate Judiciary Committee, I
called for a multifaceted strategy to combat drug abuse. One of the
specific steps I advocated was the creation of incentives to encourage
the private sector to develop medicines that treat addiction, an area
where promising research has not led--as one would normally expect--to
production of medicines. The bill I am introducing today, the New
Medicines To Treat Addiction Act of 1998, will hopefully change that.
It takes focused aim at one segment of the drug-abusing population--
hardcore addicts, namely users of cocaine and heroin--in part because
these addicts are so difficult to treat with traditional methods, and
in part because this population commits such a large percentage of
drug-related crime.
In December, 1989, I commissioned a Judiciary Committee report,
``Pharmacotherapy: A Strategy for the 1990's.'' In that report, I posed
the question, ``If drug use is an epidemic, are we doing enough to find
a medical `cure' for this disease?'' The report gave the answer ``No.''
Unfortunately, almost a decade later, the answer remains the same.
Developing new medicines for the treatment of addiction should be among
our highest medical research priorities as a nation. Until we take this
modest step, we cannot claim to have done everything reasonable to
address the problem, and we should not become so frustrated that we
effectively throw up our hands and do nothing.
Recent medical advances have increased the possibility of developing
medications to treat drug addiction. These advances include a
heightened understanding of the physiological and psychological
characteristics of drug addition and a greater base of neuroscientific
research.
One example of this promising research is the recent development of a
compound that has been proven to immunize laboratory animals against
the effects of cocaine. The compound works like a vaccine by
stimulating the immune system to develop an antibody that blocks
cocaine from entering the brain. Researchers funded through the
National Institute of Drug Abuse believe that this advance may open a
whole new avenue for combating addiction.
Despite this progress, we still do not have a medication to treat
cocaine addiction or drugs to treat many other forms of substance
abuse, because the private sector is unsure of the wisdom of making the
necessary investment in the production and marketing of such medicines.
Private industry has not aggressively developed pharmacotherapies for
a variety of reasons, including a small customer base, difficulties
distributing medication to the target population, and fear of being
associated with substance abusers. We need to create financial
incentives to encourage pharmaceutical companies to develop and market
these treatments. And we need to develop a new partnership between
private industry and the public sector in order to encourage the active
marketing and distribution of new medicines so they are accessible to
all addicts in need of treatment.
While pharmacotherapies alone are not a ``magic bullet'' that will
solve our national substance abuse problem, they have the potential to
fill a gap in
[[Page S3933]]
current treatment regimens. The disease of addiction occurs for many
reasons, including a variety of personal problems which pharmacotherapy
cannot address. Still, by providing a treatment regimen for drug
abusers who are not helped by traditional methods, pharmacotherapy
holds substantial promise for reducing the crime and health crisis that
drug abuse is causing in the United States.
The New Medicines to Treat Addiction Act would encourage and support
the development of medicines to treat drug addiction in three ways.
It reauthorizes and increases funding for the Medications Development
Program at the National Institute of Health, which for years has been
at the forefront of research into drug addiction.
The bill also creates two new incentives for private sector companies
to undertake the difficult but important task of developing medicines
to treat addiction.
First, the bill would provide additional patent protections for
companies that develop drugs to treat substance abuse. Under the bill,
pharmacotherapies could be designated ``orphan drugs'' and qualify for
an exclusive seven-year patent to treat a specific addiction. These
extraordinary patent rights would greatly enhance the market value of
pharmacotherapies and provide a financial reward for companies that
invest in the search to cure drug addiction. This provision was
contained in a bill introduced by Senator Kennedy and me in 1990, but
was never acted on by Congress.
Second, the bill would establish a substantial monetary reward for
companies that develop drugs to treat cocaine and heroin addiction but
shift the responsibility for marketing and distributing such drugs to
the government. This approach would create a financial incentive for
drug companies to invest in research and development but enable them to
avoid any stigma associated with distributing medicine to substance
abusers.
The bill would require the National Academy of Sciences to develop
strict guidelines for evaluating whether a drug effectively treats
cocaine or heroin addiction. If a drug meets these guidelines and is
approved by the Food and Drug Administration, then the government must
purchase the patent rights for the drug from the company that developed
it. The purchase price for the patent rights is established by law:
$100 million for a drug to treat cocaine addiction and $50 million for
a drug to treat heroin addiction. Once the government has purchased the
patent rights, then it is responsible for producing the drug and
distributing it to clinics, hospitals, state and local governments, and
any other entities qualified to operate drug treatment programs.
This joint public/private endeavor will correct the market
inefficiencies that have thus far prevented the development of drugs to
treat addiction and require the government to take on the
responsibilities that industry is unwilling or unable to perform.
America's drug problem is reduced each and every time a drug abuser
quits his or her habit. Fewer drug addicts mean fewer crimes, fewer
hospital admissions, fewer drug-addicted babies and fewer neglected
children. The benefits to our country of developing new treatment
options such as pharmacotherapies are manifold. Each dollar we spend on
advancing options in this area can save us ten or twenty times as much
in years to come. The question isn't ``Can we afford to pursue a
pharmacotherapy strategy?'' but rather, ``Can we afford not to?''
Congress has long neglected to adopt measures I have proposed to
speed the approval of and encourage greater private sector interest in
pharmacotherapy. We cannot let another Congress conclude without
rectifying our past negligence on this issue. I urge my colleagues to
join me in promoting an important, and potentially ground breaking,
approach to addressing one of our nation's most serious domestic
challenges.
______
By Mr. D'AMATO (for himself, Ms. Mikulski, Ms. Snowe, Mr.
Moynihan, Mr. Chafee, Mr. Daschle, Mr. Inouye, Mr. Bingaman,
Mr. Johnson, Mr. Dodd, Mr. Kennedy, Ms. Moseley-Braun, Mrs.
Feinstein, and Mrs. Boxer):
S. 2017. A bill to amend title XIX of the Social Security Act to
provide medical assistance for breast and cervical cancer-related
treatment services to certain women screened and found to have breast
or cervical cancer under a Federally funded screening program; to the
Committee on Finance.
The Breast and Cervical Cancer Treatment Act of 1998
Mr. D'AMATO. Mr. President, I rise today to introduce bi-partisan
legislation which will allow states the option of providing Medicaid
coverage to women who have been diagnosed with breast and cervical
cancer through the federal government's breast and cervical cancer
early detection program.
Currently, the CDC breast and cervical cancer program provides low-
income, uninsured women with coverage for cancer screening, covering
mammographies and pap smears. While this program begins to fill a
crucial need, this legislation allows Congress to make this program
even better. The result has often been that uninsured women are
diagnosed with cancer and then left to scramble to find treatment.
In 1990 Congress passed a bill that was a breakthrough for the early
detection of breast and cervical cancer in women. The Breast and
Cervical Cancer Mortality Prevention Act of 1990 authorized the Center
for Disease control to increase screening services for women who are
low-income. From July of 1991 to March of 1997, CDC's program provide
mammography screening to over 500,000 women and diagnosed nearly 3,500
cases of breast cancer. During this same period, the program provided
over 700,000 Pap tests and found more than 300 cases of invasive
cervical cancer. This is good news for the early detection of cancers
in women.
But the bad news is that all women are not getting treated for
cancer. Screening does not prevent cancer deaths; it must be coupled
with treatment. Congress tried to ensure that women would get
treatment, by requiring that state programs seek out services for the
women they screen. But wherever I've traveled in New York, I've been
hearing reports that programs are over burdened. Volunteers are working
over time. Program administrators are having to rely on public
hospitals and charity care. Women are having to hold bake sales to get
treatment. This is wrong. It's not what Congress intended when it
passed the Cancer Prevention Act in 1990.
Now, a newly published study of the program documents that approaches
for delivering treatment services are fragmented, and in danger of
breaking down. I am very concerned, Mr. President, that the program is
over burdened and needs help. The women of America need this program.
Early detection saves lives. However, Mr. President, if we are unable
to treat the women who are diagnosed with breast cancer, we have failed
them.
I commend the local programs that are working hard to line up
treatment services for women. These programs are doing whatever they
can to see that women with cancer get care. But the fact is that these
solutions are labor-intensive and have long-range consequences of the
program itself. The CDC study shows that programs are having a hard
time recruiting new providers and must limit the number of women
screened. Today the program serves only 12 to 15% of all women who are
eligible nationally. And this percentage is likely to decrease. The
study also shows that fewer physicians will be able to offer free or
reduced-fee services in the future, because of changes in the health-
care system. My point is, and the study shows, that whatever fragile
delivery systems for treatment are in place now are in jeopardy and
overburdened. Women are not getting the treatment they need.
In June 1997, Senator Moynihan and I were successful in including an
amendment in the Budget Resolution that addressed this and would have
solved this problem. Unfortunately, that amendment was passed by the
Senate but later died in conference. Mr. President, we must not let
these women fall through the cracks any longer. This legislation
provides a mechanism to fix the problem that these under served women
face.
Mr. President, I began the fight in 1992 for more research funding
for breast cancer. With the help of the National Breast Cancer
Coalition and the
[[Page S3934]]
women of New York--women like Barbara Balaban, Geri Barish, and Doctor
Susan Love, Senator Harkin and I started a research program in the Army
that has grown to over $750 million and continues to provide research
dollars for the latest, cutting edge technologies and research.
We must not abandon the women of America who are diagnosed with
breast and cervical cancer, only to find that there is no way to pay
for their treatment. Congress has responded to the call for more
research money for breast cancer, we must now continue that fight to
provide increased treatment for every woman diagnosed with breast and
cervical cancer.
The National Breast Cancer Coalition has made me very aware of the
problems that women are facing regarding treatment after diagnosis
under the CDC program. And I am concerned that the problem is getting
worse.
We make speeches and wear pink ribbons to show our commitment to
fight breast cancer--but now is the time to act to support a simple
amendment that will make real contribution to the fight against breast
cancer. It will save lives and ensure that women, when diagnosed
through the federal program, will not have to hold bake sales to get
treatment.
I join my colleagues, Senator Moynihan, Senator Snowe, and Senator
Mikulski, in sponsoring legislation that will establish a mechanism for
women's treatment. This is a targeted measure that will allow states
the option of providing Medicaid to women who have participated in the
CDC program and have been diagnosed with breast and cervical cancer. I
am determined to solve this problem before Congress is adjourned this
year. It is irresponsible of the federal government to do otherwise.
Mr. President, I ask unanimous consent that the text of the bill be
printed in the Record.
There being no objection, the bill was ordered to be printed in the
Record, as follows:
S. 2017
Be it enacted by the Senate and House of Representatives of
the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Breast and Cervical Cancer
Treatment Act of 1998''.
SEC. 2. OPTIONAL MEDICAID COVERAGE OF CERTAIN BREAST OR
CERVICAL CANCER PATIENTS.
(a) Coverage as Optional Categorically Needy Group.--
Section 1902(a)(10)(A)(ii) of the Social Security Act (42
U.S.C. 1396a(a)(10)(A)(ii)) is amended--
(1) in subclause (XIII), by striking ``or'' at the end;
(2) in subclause (XIV), by adding ``or'' at the end; and
(3) by adding at the end the following:
``(XV) who are described in subsection (aa)(1) (relating to
certain breast or cervical cancer patients);''.
(b) Group and Benefit Described.--Section 1902 of the
Social Security Act (42 U.S.C. 1396a) is amended by adding at
the end the following:
``(aa)(1) Individuals described in this paragraph are
individuals who--
``(A) are not described in subsection (a)(10)(A)(i);
``(B) have not attained age 65;
``(C) satisfy income and resource requirements to be
treated as a low-income woman for purposes of being given
priority under section 1504 of the Public Health Service Act
(42 U.S.C. 300n); and
``(D) are not otherwise covered under creditable coverage,
as defined in section 2701(c) of the Public Health Service
Act (45 U.S.C. 300gg(c)).
``(2) For purposes of this title, the term `breast or
cervical cancer-related treatment services' means services
that are medically necessary or appropriate for the treatment
of breast or cervical cancer and complications arising from
such treatment and for which medical assistance is made
available under the State plan to individuals described in
subsection (a)(10)(A)(i).''.
(c) Presumptive Eligibility.--
(1) In general.--Title XIX of the Social Security Act (42
U.S.C. 1396 et seq.) is amended by inserting after section
1920A the following:
``presumptive eligibility for certain breast or cervical cancer
patients
``Sec. 1920B. (a) State Option.--A State plan approved
under section 1902 may provide for making medical assistance
for breast or cervical cancer-related treatment services
available to an individual described in section 1902(aa)(1)
(relating to certain breast or cervical cancer patients)
during a presumptive eligibility period.
``(b) Definitions.--For purposes of this section:
``(1) Presumptive eligibility period.--The term
`presumptive eligibility period' means, with respect to an
individual described in subsection (a), the period that--
``(A) begins with the date on which a qualified entity
determines, on the basis of preliminary information, that the
individual is described in section 1902(aa)(1), and
``(B) ends with (and includes) the earlier of--
``(i) the day on which a determination is made with respect
to the eligibility of such individual for services under the
State plan, or
``(ii) in the case of such an individual who does not file
an application by the last day of the month following the
month during which the entity makes the determination
referred to in subparagraph (A), such last day.
``(2) Qualified entity.--
``(A) In general.--Subject to subparagraph (B), the term
`qualified entity' means any entity that--
``(i) is eligible for payments under a State plan approved
under this title and provides breast or cervical cancer-
related treatment services; and
``(ii) is determined by the State agency to be capable of
making determinations of the type described in paragraph
(1)(A).
``(B) Regulations.--The Secretary may issue regulations
further limiting those entities that may become qualified
entities in order to prevent fraud and abuse and for other
reasons.
``(C) Rule of construction.--Nothing in this paragraph
shall be construed as preventing a State from limiting the
classes of entities that may become qualified entities,
consistent with any limitations imposed under subparagraph
(B).
``(c) Administration.--
``(1) In general.--The State agency shall provide qualified
entities with--
``(A) such forms as are necessary for an application to be
made by an individual described in subsection (a) for medical
assistance under the State plan, and
``(B) information on how to assist such individuals in
completing and filing such forms.
``(2) Notification requirements.--A qualified entity that
determines under subsection (b)(1)(A) that an individual
described in subsection (a) is presumptively eligible for
medical assistance for breast or cervical cancer-related
treatment services under a State plan shall--
``(A) notify the State agency of the determination within 5
working days after the date on which determination is made,
and
``(B) inform such individual at the time the determination
is made that an application for medical assistance under the
State plan is required to be made by not later than the last
day of the month following the month during which the
determination is made.
``(3) Application for medical assistance.--In the case of
an individual described in subsection (a) who is determined
by a qualified entity to be presumptively eligible for
medical assistance for breast or cervical cancer-related
treatment services under a State plan, the individual shall
apply for medical assistance under such plan by not later
than the last day of the month following the month during
which the determination is made.
``(d) Payment.--Notwithstanding any other provision of this
title, medical assistance for breast or cervical cancer-
related treatment services that--
``(1) are furnished to an individual described in
subsection (a)--
``(A) during a presumptive eligibility period,
``(B) by a entity that is eligible for payments under the
State plan; and
``(2) are included in the care and services covered by the
State plan;
shall be treated as medical assistance provided by such plan
for purposes of section 1903(a)(5)(B).''.
(2) Presumptive eligibility conforming amendments.--
(A) Section 1902(a)(47) of the Social Security Act (42
U.S.C. 1396a(a)(47)) is amended by inserting before the
semicolon at the end the following: ``and provide for making
medical assistance for breast or cervical cancer-related
treatment services available to individuals described in
subsection (a) of section 1920B during a presumptive
eligibility period in accordance with such section''.
(B) Section 1903(u)(1)(D)(v) of such Act (42 U.S.C.
1396b(u)(1)(D)(v)) is amended--
(i) by striking ``or for'' and inserting ``, for''; and
(ii) by inserting before the period the following: ``, or
for medical assistance for breast or cervical cancer-related
treatment services provided to an individual described in
subsection (a) of section 1920B during a presumptive
eligibility period under such section''.
(d) Enhanced Match.--Section 1903(a)(5) of the Social
Security Act (42 U.S.C. 1396b(a)(5)) is amended--
(1) by striking ``an'' and inserting ``(A) an'';
(2) by adding ``plus'' after the semicolon; and
(3) by adding at the end the following:
``(B) an amount equal to 75 percent of the sums expended
during such quarter which are attributable to the offering,
arranging, and furnishing (directly or on a contract basis)
of breast or cervical cancer-related treatment services;
plus''.
(e) Limitation on Benefits.--Section 1902(a)(10) of the
Social Security Act (42 U.S.C. 1396a(a)(10)) is amended in
the matter following subparagraph (F)--
(1) by striking ``and (XIII)'' and inserting ``(XIII)'';
and
[[Page S3935]]
(2) by inserting before the semicolon at the end the
following: ``, and (XIV) the medical assistance made
available to an individual described in subsection (aa)(1)
who is eligible for medical assistance only because of
subparagraph (A)(ii)(XV) shall be limited to medical
assistance for breast or cervical cancer-related treatment
services''.
(f) Conforming Amendments.--Section 1905(a) of the Social
Security Act (42 U.S.C. 1396d(a)) is amended in the matter
preceding paragraph (1)--
(1) in clause (x), by striking ``or'' at the end;
(2) in clause (xi), by adding ``or'' at the end; and
(3) by inserting after clause (xi) the following:
``(xii) individuals described in section 1902(aa)(1),''.
(g) Effective Date.--The amendments made by this section
apply to medical assistance furnished on or after October 1,
1998, without regard to whether or not final regulations to
carry out such amendments have been promulgated by such date.
Ms. MIKULSKI. Mr. President, I rise today as an original cosponsor of
a bill that will put an end to the half-promise the federal government
has made to women screened under the National Breast and Cervical
Cancer Protection Program. When Congress first passed this program as
the Breast and Cervical Cancer Mortality Prevention Act in 1990, it was
a breakthrough for early detection of breast and cervical cancer. And I
was proud to be its chief Senate sponsor. There is still good reason to
be proud of this program. By March of 1997, the program had provided
mammography screening to over 500,000 women and Pap tests to over
700,000. Nearly 3,500 women have been diagnosed with breast cancer and
an additional 300 women with invasive cervical cancer. In Maryland
alone, by December 1996, the state had provided more than 35,000
mammograms and 21,000 Pap tests, and diagnosed nearly 300 women with
breast cancer and 13 women with invasive cervical cancer.
But when we passed that program we expected--and demanded--assurances
that women who are found to have breast cancer be provided the
necessary diagnostic services, including breast biopsies and treatment
services. The program has not lived up to the promise. While a variety
of innovative strategies have emerged across the country at the state
and local levels to help women get treatment, the reality is that the
system is overloaded. Some state programs require providers to arrange
for treatment before they can participate in the program; a very few
like Maryland have been able to come up with a small pool of general
revenues, but generally these funds are available for breast diagnostic
services, not treatment. In others, program administrators have to rely
on public hospitals, donated services and charity care. In the end,
thousands of women who run local screening programs are spending
countless hours finding treatment services for women diagnosed with
breast cancer.
This is not what we had in mind. Not at all. The system for
obtaining treatment services--which at its best was an ad-hoc
patchwork--has broken down. Of those women diagnosed with cancer in the
United States, nearly 3,000 women have no way to afford treatment--they
have no health care insurance coverage or are underinsured. These women
want to pay for their services, but they often simply don't have the
financial resources on their own.
It's a cruel and heart breaking irony for the federal government to
promise to screen low-income women for breast and cervical cancer, but
not to establish a program to treat those women who have been diagnosed
with cancer through a federal program. Screening alone does not prevent
cancer deaths; but treatment can.
A recent study of the program done for the Centers for Disease
Control and Prevention found that while treatment was eventually found
for almost all of the women screened, some women did not get treated at
all, some refused treatment, and some experienced delays. The study
also underscores the terribly labor intensive efforts that go into
finding treatment for these women--often at the expense of screening.
The lack of coverage for diagnostic and treatment services has also had
a very negative impact on the program's ability to recruit providers,
further restricting the number of women screened. It is sad that 8
years after enactment, the program serves only 12 to 15 percent of all
women who are eligible nationally. And this is likely to get worse. The
study shows there are already additional stresses on the program as
increasing numbers of physicians do not have the autonomy in today's
ever increasing managed care system to offer free or reduced-fee
services.
Breast cancer advocates from across the country are reporting that
local programs are so badly strained that they have resorted to holding
bake sales and community lunches to raise money for treatment services
for the women they serve. Others have cobbled together the funds at
great effort--when they are sickest--and most in need of taking care of
their health. One woman in Massachusetts reported that she cashed in
her life insurance policy to cover the costs of her treatment.
It is clear that the short-term, ad-hoc strategies of providing
treatment have broken down: for the women who are screened; for the
local programs that fund the screening program; and for the states that
face increasing burdens. Because there is no coverage for treatment,
state programs are having a hard time recruiting providers, volunteers
are spending a disproportionate amount of time finding treatment for
women, and fewer women are receiving treatment. We can't grow the
program to serve the other 78 percent of eligible women if we can't
promise treatment to those we already screen.
Women shouldn't have to hold a bake sale to get treated for breast
cancer--especially if the federal government has held out the promise
of early detection. It is an outrage that women with cancer must go
begging for treatment. That's why I'm cosponsoring this bill. It will
establish a mechanism for women to be treated. It will guarantee
Medicaid coverage for necessary treatment services to women who are
eligible for the CDC program, and found to have breast cancer or
cervical cancer. Although I wish the bill would require the States to
provide the benefit, the reality is such that we have made this program
for now, an optional benefit, and place the responsibility on the
States to choose to participate. By doing so, states would in effect,
extend the federal-state partnership that exists for the screening
services in the CDC program to treatment services.
This bill is the best long-term solution. It is strongly supported by
the National Breast Cancer Coalition representing over 400
organizations and 100,000's of women across the nation. I urge my
colleagues to join in and cosponsor this critical piece of legislation
and make good on the promise of early detection.
Mr. MOYNIHAN. Mr. President, I rise today to introduce with my
colleague Senator D'Amato, and with Senators Mikulski and Snowe,
legislation important to ensuring that women with breast cancer and
cervical cancer will receive coverage for their treatment. The Centers
for Disease Control and Prevention (CDC) has a successful nationwide
program--National Breast and Cervical Cancer Early Detection program--
that screens low-income uninsured women for breast and cervical cancer.
However, CDC's program does not have funding to treat these women after
they are diagnosed.
The women eligible for cancer screening under the CDC program are
low-income individuals and yet are not poor enough to qualify for
Medicaid coverage. They do not have health insurance coverage for these
screenings and for subsequent cancer treatment.
From July of 1991 to March of 1997, the CDC program provided
mammography screening to almost 600,000 women and diagnosed nearly
3,500 cases of breast cancer. During this same period, the program also
provided over 700,000 pap smears and found more than 300 cases of
invasive cervical cancer.
The CDC screening program has had to divert a significant amount of
time and funding in order to find treatment opportunities for the women
found to have breast and cervical cancer. The lack of subsequent
funding for treatment has, therefore, jeopardized the programs' primary
function: to screen low-income uninsured women for breast and cervical
cancer. Currently, the program screens about 12 to 15 percent of all
eligible women.
A recent study conducted at Battelle Centers for Public Health
Research and Evaluation and the University of Michigan School of Public
Health on treatment funding for women screened
[[Page S3936]]
by the CDC program found that, although funding for treatment services
were found for most of these women, they often experienced time delays.
In addition, during the search for treatment funding, the CDC program
lost contact with several women. The study also found that the sources
of treatment funding are uncertain, tenuous and fragmented. The burden
of funding treatment often fell upon providers themselves. The
uncertainty and delays worsen the stress of coping with cancer. Some
women, upon learning that they have cancer, must hold lunches and bake
sales to raise funds to cover their needed treatment.
Our legislation would provide treatment coverage for the women
screened and diagnosed through the CDC program and who are uninsured.
States will have the option to provide this coverage through its
Medicaid program. If a state chooses this option, they will receive an
enhanced match for the treatment coverage, similar to the federal match
provided to the sate for the CDC screening program.
Mr. President, the Senate has approved this proposal in the past. A
similar provision was included in the Senate version of last year's
Balanced Budget bill. It is my hope that the Senate will again support
this important legislation.
______
By Mr. JOHNSON:
S. 2018. A bill to amend the Internal Revenue Code of 1986 to extend
the work opportunity tax credit to employers providing employment in
economically distressed communities; to the Committee on Finance.
The Reemployment Tax Credit Act of 1998
Mr. JOHNSON. Mr. President I am pleased to introduce legislation
today that will foster job growth and job creation in distressed
communities. This important legislation, the ``Reemployment Tax Credit
Act of 1988,'' will provide needed assistance to communities when they
are impacted by significant job losses.
Twice in the last year, communities in my state have suffered the
difficult repercussions of massive job losses in the area. The
circumstances in Huron and those in the Northern Hills region differed
considerably, however, in both instances the job losses affected far
reaching elements of the local economy. I proudly introduce this
legislation to enhance the ability of distressed communities to address
the challenges of sudden economic dislocation.
This bill will extend the existing Work Opportunity Tax Credit to
include dislocated workers affected by plant closings or other events
resulting in extensive job losses. This tax credit accelerates
opportunities for business growth and expansion in distressed
communities therefore decreasing unemployment insurance expenditures,
reducing the flight of dislocated workers, allowing families to remain
in their community and in their homes. It serves to stabilize the local
economy and minimize the negative impacts on other local businesses.
The most successful and immediate action to address economic
dislocation is to reemploy workers. The Reemployment Tax Credit Act of
1998 will make a serious and positive impact on the growth and
prosperity of our communities. I urge my colleagues to support this
effort to provide distressed communities with this critical assistance
to help them recover from extraordinary economic hardship.
______
By Mr. ASHCROFT:
S. 2019. A bill to prohibit the use of Federal funds to implement the
Kyoto Protocol to the United Nations Framework Convention on Climate
Change unless or until the Senate has given its advice and consent to
ratification of the Kyoto Protocol and to clarify the authority of
Federal agencies with respect to the regulation of the emissions of
carbon dioxide; to the Committee on Environment and Public Works.
the economic growth and sovereignty protection act
Mr. ASHCROFT. Mr. President, I rise to introduce legislation to
protect the strength and future growth of the American economy, and to
uphold the system of checks and balances that is central to our
government. The Clinton Administration's irresponsibility at the Kyoto
Summit makes it necessary for Congress to act. On December 11, 1998,
this administration agreed to an amendment to the United Nations
Framework Convention on Climate Change.
An amendment that clearly did not meet the standards for ratification
established by this body in the Byrd-Hagel Resolution by a vote of 95-
0. The administration simply ignored the Senate's resolution--thereby
ignoring the will of the American people. The resolution was clear and
unmistakable it in its criteria. It stated that the administration
should not agree to binding emission targets unless developing
countries also were bound by the targets and that the administration
must not agree to anything that severely damages the economy of the
United States. The Kyoto Protocol fails both tests.
On the first criteria, the Kyoto Protocol does not include a single
developing nation. One hundred and thirty-four developing nations,
including China, Mexico, India, Brazil, and South Korea, many of whom
compete with the United States for trade opportunities, are completely
exempt from any obligations or responsibilities for reducing greenhouse
gas emissions.
The Kyoto Protocol would legally bind the United States to reduce our
greenhouse gas emissions to 7 percent below 1990 levels by the years
2008 to 2012. It even goes much further than President Clinton's own
bottom line that he personally announced last October pledging would
not accept a baseline below 1990 levels in greenhouse gas emissions. He
also said there must be ``meaningful participation'' from all
developing countries.
It is clear that the Protocol fails the second criteria. Numerous
independent economic studies predicted serious economic harm even if
the administration had held to its position that it enunciated last
October. These studies found 2.4 million job losses, significant
increases in energy costs, a 50-cent increase in gas prices per gallon,
a drop in economic growth rates of more than 1 percent a year, and
major American industries being driven out of business or driven out of
the United States--industries like steel, aluminum, petroleum refining,
chemicals, iron, paper products, and cement.
That is why American agriculture, American labor, American business
and industry and many consumer groups have all united in opposition to
this treaty. Yet, our negotiators in Kyoto--the ones who were supposed
to be looking out for the American people--cut a deal that would have
had an even more devastating and extreme impact on the U.S. economy and
on the lives of the American people.
The administration's recent attempt to develop an economic analysis
showing ``minimal'' harm to the U.S. economy clearly are flawed. No
models, no numbers, no percentages, no economics. It is based on
fabrication and vapor, on what Senator Hagel called ``wildly optimistic
assumptions'' such as China, India and Mexico agreeing to the binding
commitments in this treaty.
This is what one observer in Kyoto--the leader on this issue in the
United States Senate, along with Senator Byrd--Senator Hagel, had to
say about the administration's activities in Kyoto. ``After Vice
President Gore came to Kyoto and instructed our negotiators to show
`increased flexibility' the doors were thrown open and the objective
became very clear. The objective was: Let us get a deal at any cost.
The clear advice of the U.S. Senate and the economic well-being of the
American people were abandoned under pressure from the U.N.
bureaucrats, international environmentalists and the 134 developing
countries that were not even included--not even included--in the
treaty. The United States of America was the only Nation to come out of
these negotiations worse than it came in. In fact, there was no
negotiation in Kyoto; there was only surrender.''
From an environmental standpoint, the Kyoto ``deal'' is completely
inadequate. The treaty is so flawed that it will do virtually nothing
to slow the growth of manmade greenhouse gasses in the atmosphere. Even
if one accepts the validity of the science on global warming, which is
still uncertain and at best contradictory, this treaty would do nothing
to stop any of these emissions. The Kyoto ``deal'' excludes the very
developing nations who will be responsible for more than 60 percent of
the world's manmade greenhouse gas emissions early in the next century.
[[Page S3937]]
In fact, as more and more American scientists review the available
data on global warming, it is becoming increasingly clear that the vast
majority believe the commitments for reduction of greenhouse gas
emissions made by the Administration in the Kyoto ``deal'' is an
unnecessary response to an exaggerated threat--``to an exaggerated
threat'' that the Vice President himself is caught up in making. Last
week, more than 15,000 scientists, two-thirds with advanced academic
degrees, released a petition they signed urging the United States to
reject the Kyoto ``deal.'' The petition, expressly states that:
There is no convincing scientific evidence that human
release of carbon dioxide, methane, or other greenhouse gases
is causing or will cause catastrophic heating of the Earth's
atmosphere and disruption of the Earth's climate.
The administration understands that the Kyoto ``deal'' does not meet
these standards because they have made it clear that the President will
not send this document to the Senate for ratification.
However, not only did the administration ignore the Senate when
agreeing to this deal, they are continuing to ignore it even today. A
number of my constituents, particularly farmers and small business
owners, have come to me with grave concerns over the administration's
``back door'' implementation of the Protocol's requirements.
For example, the Administration has requested $6.3 billion in its
1999 budget in order to begin meeting its obligations under the Kyoto
Protocol. This money would go to a number of federal agencies and
departments including the Department of Energy, the Environmental
Protection Agency, Housing and Urban Development, the Commerce
Department, and the Department of Agriculture.
The administration, in a document relating to electricity
restructuring, which was circulating through the Environmental
Protection Agency, referenced reducing emission to ``meet our
greenhouse gas emission budget under the Kyoto Protocol.'' The
memorandum further states that electricity restructuring also should
take environmental concerns into account in order to ``deliver on the
President's commitments.''
Many federal agencies are in the process of establishing Kyoto
implementation offices. The Environmental Protection Agency currently
is discussing whether the agency has the power under the Clean Air Act
or the Energy Policy Act to regulate carbon dioxide emissions--a key
emission limited under the Kyoto Protocol.
In the news conference after cutting the deal in Kyoto,
administration officials seemed to indicate that since the U.S. has ten
years to meet the greenhouse gas emission targets established at
Kyoto--the administration has ten years to involve the Senate in its
activities.
Mr. President, the Constitution clearly states that while the
Executive Branch has the authority to negotiate international treaties,
that only the United States Senate has the authority to ratify such
treaties. We cannot allow the Executive Branch to usurp the power of
Congress by implementing the treaty--a treaty that will have such a
devastating impact on the United States--without the Senate first being
ratified by this body.
A treaty is the most solemn international obligation that can be
entered upon by sovereign people. The sovereignty of the United States
was purchased with the blood of patriots, and the Constitution defined
the treaty making power with great care. The blood and treasure of our
nation may not be placed at hazard by a treaty unless the President and
Congress are in agreement. The Framers created this shared power in
part because the United States intended to reject utterly the European
tradition that invested the monarch with unfettered power to conduct
foreign policy--even to the extremity of spending the lives of citizens
in wars conducted to satisfy his vanity or dynastic ambition. Under our
Constitution, the President may not on his own bind the sovereignty of
the United States to the terms of a treaty unless that treaty has been
ratified by two-thirds of the Senate.
The treaty making power, then is not only shared and checked, but
ratification must meet the high standard of a two-third vote. The
Administration's Kyoto agenda is constitutionally offensive in several
respects. First, the President is not to behave like a pre-democratic
ruler who makes commitments at will that bind the nation. Second, the
Executive branch is proceeding to inflict severe damage on our economy
and our people, without deliberation by the Congress. Finally, the
Administration is proceeding to impose an unratified--and therefore
meaningless--treaty, a treaty so badly flawed that it would, on its
face, be rejected by the Senate.
Unfortunately, it is unlikely that the administration's activities
will stop merely because members of the Senate, members of the House of
Representatives, or citizens of the United States point out the
Constitutional implications. Therefore, today I am offering the
Economic Growth and Sovereignty Protection Act. This act simply would
prohibit any federal agency from spending federal funds on implementing
the treaty until such time that it is ratified by the United States
Senate.
In addition, since the EPA has raised the issue of whether it has the
ability to regulate carbon dioxide emissions, this act would make it
clear that no federal agency has such power without the express
authority from the Congress.
Mr. President, the Constitution cannot be ignored. It established a
system of checks and balances which must be preserved and protected.
The interests and the sovereignty of this great Nation cannot be
ignored. To allow other nations' interests to become more important--to
dictate our domestic policy--would be unconscionable. The will of the
American people cannot be ignored. To do so would crush the very
foundation on which this democracy was established.
______
By Mr. HOLLINGS:
S. 2020. A bill to amend title 10, United States Code, to permit
beneficiaries of the military health care system to enroll in Federal
employees health benefits plans; to improve health care benefits under
CHAMPUS and TRICARE Standard, and for other purposes; to the Committee
on Armed Services.
the military health care equality act
Mr. HOLLINGS. Mr. President, I rise today to introduce the Military
Health Care Equality Act. Mr. President, it may come a surprise to many
that the Department of Defenses has reneged on its promise to those who
have honorably served in our military forces. That, Mr. President, is
the promise of lifetime, quality healthcare for the military retiree
and his family. I now introduce legislation that will offer all
Senators the opportunity to join with me in righting this
unconscionable wrong.
Today our military retirees feel betrayed. Before joining, and while
serving, they were promised quality, lifetime healthcare. However, that
promise is being broken. Military health care facilities have closed
because of the downsizing of our military forces. Those military health
facilities that remain can treat fewer and fewer retirees. The TRICARE
system has high overhead and its provider fees are so low that many
health care providers will not participate. In addition, in some areas,
retirees do not have access to provider networks. Finally, the TRICARE
system will not treat Medicare eligible retirees. Mr. President, it is
just not right that the military retiree is the only Federal retiree
who is prevented from using his employer provided health care when
reaching Medicare age.
This legislation requires the DOD to provide all military retirees
with health care that is comparable to the care provided by the Federal
Employees Health Benefits Plan, or failing that, to make the FEHBP
available. In addition, this legislation would require that TRICARE be
improved to the FEHBP level. This Legislation will not prevent a
retiree from using a military health care facility. However, it will
improve and increase the health care choices for our retirees.
Our military men and women have given much to protect our country in
time of peace and war. We must acknowledge this by providing them the
available, affordable, quality health care that they were promised. No
lesser measure will suffice.
Therefore, I urge my colleagues to join me in immediately enacting
this
[[Page S3938]]
legislation so that we can now begin to care for military retirees, as
promised, in a manner they so richly deserve for their service to our
great Nation.
______
By Mr. SARBANES (for himself and Mr. Lieberman):
S. 2021. A bill to provide for regional skills training alliances,
and for other purposes; to the Committee on Labor and Human Resources.
the technology skills partnership act of 1998
Mr. SARBANES. Mr. President, today, joined with Senator Lieberman, I
am introducing legislation to provide our nation's workforce with the
information technology and computer skills it needs to meet the
emerging and rapidly changing requirements in our various technology
sectors. I am delighted to have my distinguished colleague from
Connecticut--whose efforts on behalf of the high technology sector and
its workforce have been second to none--join as an original co-sponsor
of the Technology Skills Partnership Act of 1998. The purpose of the
Technology Skills Partnership Act is to establish regional initiatives
to provide the skills that industry and workers require to remain
competitive in the global, high technology marketplace.
The United States is currently the world's science and technology
leader. Technical innovation, which according to a 1995 report by the
President's Council of Economic Advisors has been responsible for more
than half of America's productivity growth over the past fifty years,
has positioned us at the forefront of the global economy. In my view,
we could not have achieved this status without the most skilled,
innovative, and competitive workforce in the world. The high tech
global economy is evolving at such a rapid pace however, that if we
fail to keep our workforce honed and highly skilled --whether in
advanced computer programming or computer based manufacturing
technology --we risk losing this edge.
A growing number of industries throughout the country are reporting
serious difficulties in hiring workers with appropriate computer and
information technology skills. Recent reports have estimated up to
190,000 unfilled information technology jobs in the United States due
to a shortage of qualified workers. Many businesses point to the lack
of skilled workers as a primary reason for their limited
competitiveness and growth.
In my own State of Maryland, the high technology sector currently
faces an estimated lack of 10-12,000 workers with appropriate
technology skills. A recent Maryland Department of Business and
Economic Development survey indicates that 80% of firms which hire
manufacturing or skilled trades workers, reported significant
difficulty in finding applicants with the required skills for
technology intensive jobs. The same survey indicates that more than two
thirds of businesses hiring computer technicians, engineers, analysts,
or other technical or laboratory personnel experienced difficulty
finding qualified workers. It also mentions that fifty-five percent of
firms that hire college-level scientist or technical program graduates
reported the same difficulty and that 62% of these firms reported that
their need for hiring these types of graduates is expected to increase
over the next five years.
Without the appropriate skills for the new economy, hundreds of
thousands of American workers face stagnation in their jobs or worse.
While well intentioned, most existing training programs are not
structured in a way which addresses this problem from the perspective
of industry and directly prepares our workers for these types of
positions. To help meet the demand in this regard, a unique approach
which is flexible enough to address the fluctuations and transitions of
our high technology economy is required. In order to train and educate
new entrants to the workforce, workers dislocated by economic change,
and workers already in the workplace facing increased demands for
higher levels of technology related skills, we must establish an
industry driven framework which recognizes and addresses this need on a
continuum. Without such a framework, this country and its workers stand
to lose significant ground in the global economy.
While some post-secondary training institutions have reached out to
industry and become more customer-focused, more still must identify
ways to respond directly to the changing skills and needs of employers.
Many community colleges, and even four-year colleges and universities,
lack the resources to purchase up-to-date equipment on which to train
workers in relevant knowledge and skills. In addition, while some
colleges and universities have been able to establish partnerships with
some larger firms that have human resource departments, building
partnerships and a two-way dialogue with small and medium-sized firms
has proven more difficult.
Relevant, focused and systematic training and upgrading of infotech
skills is essential to linking and transitioning our supply of skilled
American workers to the powerful and emerging demand of today's high
tech economy. Without direct participation by industry, however, and an
understanding of regional dynamics which help us identify specific
solutions to address specific industry and regional needs, a
significant portion of the U.S. workforce will be left behind.
Mr. President, having the appropriate information technology skills
is becoming more and more important in all sectors of our economy, not
only in high and biotech industries and the manufacturing sector, but
also in the so-called low-tech industries. More than half of the new
jobs created between 1984 and 2005 require or will require some
education beyond high school. The percentage of workers who use
computers at work has risen from 25% to 46% between 1984 and 1993.
Moreover, firms today are not only using more technology, but are also
reorganizing production processes in new ways, such as cellular
production, use of teams, and other high performance structures and
methods requiring higher levels and new kinds of skills.
According to the American Society for Training and Development,
company spending on training has not kept up with today's evolving
needs. In 1995, American businesses spent $55 billion a year upgrading
the skills of their employees, 20 percent more than a dozen years ago.
However, the number of employees has increased by 24 percent, meaning
that private-sector spending hasn't kept pace. In order to bridge this
gap, we need to pool our resources and coordinate our perspectives on
this matter.
Most firms, but particularly small and medium-sized enterprises, have
limited capacity to engage in significant and sustained workforce
development efforts. Managers and owners of most firms are simply too
busy running their business to develop training systems, especially for
new or dislocated workers. Firms also often lack information on what
kind of training their firms need and where to get it. As a result,
most firms forego training initiatives and instead try to hire workers
away from other companies in related fields.
Moreover, because workers are so transient, individual employers are
reluctant to bear the burden of training employees, be they new or
incumbent workers, simply due to the likelihood is that the employee
will leave and go to work for a competitor. In light of this
possibility, many firms simply cannot envision an adequate return on
the investment for paying to train their employees. This, coupled with
an increasingly competitive global marketplace, is one reason why many
larger companies that once supported in-house training programs have
since eliminated these efforts.
The legislation I am introducing would establish regional working
groups across the country in which employers, public agencies, schools,
and labor unions can pool resources and expertise to train workers for
emerging job opportunities and jobs threatened by economic and
technological transition. It will help develop targeted consortia of
industry, workers and training entities across the country to assess
where and what gaps in this regard exist and provide the skills that
industry and workers require to remain competitive and get ahead.
Specifically, it would authorize a grants program--to be overseen by
the Department of Commerce's National Institute of Standards and
Technology--and provide up to a $1 million federal match, for every
dollar invested by state and local governments and the private sector
for these working
[[Page S3939]]
groups. The Department would budget $50 million annually for this
purpose and funds would be allocated through a competitive grants
process, with each consortia of firms as applicants.
Through a sector based approach, this legislation would direct
meaningful participation in building an alliance by ensuring that each
consists of at least 10 firms. These alliances would allow for
participation from state and local officials, educational leaders,
regional chapters of trade associations and union officials. However,
each would be predominantly made up of industry, and as I have
mentioned, would be industry driven. Indeed, if we are going to address
the skills crisis in this country, industry must have a leadership role
in establishing the means by which we continue to build and upgrade the
skills of workers in technology related fields.
Smaller scale versions of the types of skills alliances which my
legislation proposes to develop have already shown promise. In
Wisconsin, metal-working firms got together with the AFL-CIO in a
publicly sponsored effort that used an abandoned mill building as a
teaching facility, teaching workers essential skills on state-of-the-
art manufacturing equipment. Rhode Island helped develop a skills
alliance among plastics firms, who then worked with a local community
college to create a polymer training laboratory linked to an
apprenticeship program that guarantees jobs for graduates. In
Washington, DC telecommunications firms donated computers, and helped
to set up a program to train public high school students to be computer
network administrators and are now hiring graduates of the program at
an entry-level salary of $25,000-30,000.
Each of these initiatives is an investment in our workforce for the
21st Century. If we are to truly transition the U.S. worker to a
technology based economy, we must ensure that these best practice
examples become standard practice. I urge my colleagues to join me in
ensuring the swift enactment of this legislation. I ask that a copy of
this legislation be printed in the Record.
There being no objection, the bill was ordered to be printed in the
Record, as follows:
S. 2021
Be it enacted by the Senate and House of Representatives of
the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Technology Skills
Partnership Act of 1998''.
SEC. 2. DEFINITION.
For purposes of this Act, the term ``Secretary'' means the
Secretary of Commerce.
TITLE I--SKILL GRANTS
SEC. 101. AUTHORIZATION.
(a) In General.--The Secretary of Commerce, acting through
the Director of the National Institute of Standards and
Technology, and in consultation and coordination with the
Secretary of Labor, shall provide grants to eligible entities
described in subsection (b) to assist such entities to aid
workers in improving job skills necessary for employment in
specific industries.
(b) Eligible Entities Described.--
(1) In general.--An eligible entity described in this
subsection is a consortium that--
(A) shall consist of representatives from not fewer than 10
businesses (or nonprofit organizations that represent
businesses) in a common industry; and
(B) may consist of representatives from 1 or more of the
following:
(i) Labor organizations.
(ii) State and local government.
(iii) Education organizations.
(2) Majority of representatives.--A majority of the
representatives comprising the consortium shall be
representatives described in paragraph (1)(A).
(3) Additional requirement.--To the maximum extent
practicable, each of the businesses, organizations, and
governments whose representatives form an eligible entity
under paragraph (1) shall be located in the same geographic
region of the United States.
(c) Priority for Small Businesses.--In providing grants
under subsection (a), the Secretary shall give priority to an
eligible entity if a majority of representatives forming the
entity represent small-business concerns, as described in
section 3(a) of the Small Business Act (15 U.S.C. 632(a)).
(d) Maximum Amount of Grant.--The amount of a grant
provided to an eligible entity under subsection (a) may not
exceed $1,000,000 for any fiscal year.
SEC. 102. APPLICATION.
(a) Certain States With Multiple Consortia.--In a State in
which 2 or more eligible entities seek grants under section
101 for a fiscal year, as determined by the Governor of the
State, the Governor may solicit proposals from the entities
concerning the activities to be carried out under the grants.
If the Governor solicits such proposals, based on the
proposals received, the Governor shall submit an application
on behalf of 1 or more of the entities to the Secretary at
such time, in such manner, and containing such information as
the Secretary may reasonably require. The provisions of this
title relating to eligible entities shall apply to each of
the entities for which the Governor applies.
(b) Other States.--In a State in which only 1 eligible
entity seeks a grant under section 101 for a fiscal year, as
determined by the Governor of the State, or in which the
Governor does not solicit proposals as described in
subsection (a), the Secretary may not provide a grant under
section 101 to the eligible entity unless such entity submits
to the Secretary an application at such time, in such manner,
and containing such information as the Secretary may
reasonably require.
SEC. 103. USE OF AMOUNTS.
(a) In General.--The Secretary may not provide a grant
under section 101 to an eligible entity unless such entity
agrees to use amounts received from such grant to aid workers
in improving job skills (which may include skills related to
computer technology, computer-based manufacturing technology,
telecommunications, and other information technologies)
necessary for employment by businesses in the industry with
respect to which such entity was established.
(b) Conduct of Program.--
(1) In general.--In carrying out the program described in
subsection (a), the eligible entity may provide for--
(A) an assessment of training and job skill needs for the
industry;
(B) development of a sequence of skill standards that are
correlated with advanced industry practices;
(C) development of curriculum and training methods;
(D) purchase or receipt of donations of training equipment;
(E) identification of training providers;
(F) development of apprenticeship programs;
(G) development of training programs for dislocated
workers;
(H) development of the membership of the entity;
(I) provision of training programs for workers; and
(J) development of training plans for businesses.
(2) Additional requirement.--In carrying out the program
described in subsection (a), the eligible entity shall
provide for development and tracking of performance outcome
measures for the program and the training providers involved
in the program.
(c) Administrative Costs.--The eligible entity may use not
more than 10 percent of the amount of a grant to pay for
administrative costs associated with the program described in
subsection (a).
SEC. 104. REQUIREMENT OF MATCHING FUNDS.
The Secretary may not provide a grant under section 101 to
an eligible entity unless such entity agrees that--
(1) it will make available non-Federal contributions toward
the costs of carrying out activities under section 103 in an
amount that is not less than $2 for each $1 of Federal funds
provided under a grant under section 101; and
(2) of such non-Federal contributions, not less than $1 of
each such $2 shall be from businesses with representatives
serving on the eligible entity.
SEC. 105. LIMIT ON ADMINISTRATIVE EXPENSES.
The Secretary may use not more than 5 percent of the funds
made available to carry out this title to pay for Federal
administrative costs associated with making grants under this
title.
SEC. 106. AUTHORIZATION OF APPROPRIATIONS.
There are authorized to be appropriated to carry out this
title $50,000,000 for each of the fiscal years 1999, 2000,
and 2001.
TITLE II--PLANNING GRANTS
SEC. 201. AUTHORIZATION.
(a) In General.--The Secretary of Commerce, acting through
the Director of the National Institute of Standards and
Technology, and in consultation with the Secretary of Labor,
shall provide grants to States to enable the States to assist
businesses, organizations, and agencies described in section
101(b) in conducting planning to form consortia described in
such section.
(b) Maximum Amount of Grant.--The amount of a grant
provided to a State under subsection (a) may not exceed
$500,000 for any fiscal year.
SEC. 202. APPLICATION.
The Secretary may not provide a grant under section 201 to
a State unless such State submits to the Secretary an
application at such time, in such manner, and containing such
information as the Secretary may reasonably require.
SEC. 203. REQUIREMENT OF MATCHING FUNDS.
The Secretary may not provide a grant under section 201 to
a State unless such State agrees that it will make available
non-Federal contributions toward the costs of carrying out
activities under this title in an amount that is not less
than $1 for each $1 of Federal funds provided under a grant
under section 201.
SEC. 204. AUTHORIZATION OF APPROPRIATIONS.
There are authorized to be appropriated to carry out this
title $5,000,000 for fiscal year 1999.
Mr. LIEBERMAN. Mr. President, I am pleased to rise in support as an
[[Page S3940]]
original cosponsor of my colleague Senator Sarbanes' bill, the
Technology Skills Partnership Act of 1998. I am delighted that Senator
Sarbanes has taken the initiative in developing this innovative
approach to help solve one of the biggest problems this country is
facing--an insufficiently skilled workforce. This bill has the bold but
achievable goal of trying to change the mindset of U.S. companies in
this country in favor of collaborating on training skilled workers for
their industry.
We are facing a shortage of skilled workers in this country.
Estimates are as high as 190,000 unfilled jobs in the information
technology industry alone. But it isn't just the high-tech industry
that needs workers with high-tech skills. All industries now need
workers with computer literacy, including what we might consider
``lower-tech'' manufacturing and services such as auto repair shops.
In the long-term, we need to improve our students' education in the
math and sciences and attract more students into these areas.
Universities need to attract more college students into scientific,
engineering, and technical fields. Ultimately, a large part of the
responsibility will lie with industry to attract workers into these
careers by creating attractive career paths and financial rewards that
can compete for the best students.
In the short term, high-tech industry would like to raise H1-B visa
caps. But we need to do something more than let foreign workers fill
the gap in high-tech workers that now exists. We need to train our
workforce with skills that fit industry's needs today. Industry must be
a large part of the solution. Only with industry leading the skills
training can we be sure that workers are being trained for jobs that
actually exist. That is why this bill creates an industry-drive
training program.
Why does the federal government need to be involved? Because industry
does not normally cooperate in training workers. Small companies, and
90% of firms in the United States are small businesses, don't have the
resources to invest in lengthy training. Larger companies used to
provide training programs, but in the high-tech field, workers move
quickly from one job to another chasing higher salaries. Many companies
are reticent to invest in long-term training for employees that may
quickly move on. Cooperation within an industry provides a solution to
this problem.
The government's role in this bill would be to provide the catalyst
to bring the companies together to cooperate on training. The federal
funds are matched dollar for dollar by, first, funds from the state
and, second, funds from a consortium of 10 or more companies. The
federal funds are meant only to start the process--federal funding ends
after three years--and then the states and industry continue the
cooperative training programs alone.
Let me give you an example from my home state: Connecticut. A recent
report prepared by Connecticut's Industry Cluster Advisory Board found
that:
. . . the demand for skilled manufacturing workers far
exceeds the number of students graduating from manufacturing
programs.'' There is a ``negative perception of manufacturing
as a career choice.'' People ``still think of manufacturing
as a dirty, low-paying environment with no hope for
advancement. Today, manufacturing is clean, and typically a
computer-based environment which pays an average annual wage
in the $30,000 range or more with appropriate skills and
training.''
The report continues:
Substantial investment in training is necessary for
companies to compete in this new environment. However, since
most precision manufacturing companies are small businesses--
of the 750 in the Hartford region only 7.4% have more than
100 employees--companies that are dependent upon their
skilled workers for success are not prepared to support
worker training.
The report says further:
While Connecticut has a wealth of public technical training
resources, these traditional programs cannot meet the current
demand fast enough and do not have a direct link from
training to employment.
By stimulating industry-led training, we can guarantee a direct link
from training to employment that is missing is traditional public
sector training programs. In addition, most public sector training
programs are focused on unemployed, dislocated, or disadvantaged
workers. This program is open to all workers, including incumbent
workers who want to improve their skills and increase their
opportunities for higher wages and advancement. Further, this program
is specifically created to allow participation by small and medium-
sized companies.
In the last few years, a small number of regional and industry-based
training alliances in the United States have emerged, usually in
partnership with state and local governments and technical colleges. In
Rhode Island, with help from the state's Human Resource Investment
Council, plastics firms developed a skills alliance. The Wisconsin
Regional Training Partnership, metal-working firms in conjunction with
the AFL-CIO, set up a teaching factory to train workers. While some
partnerships have emerged around the country, there are documented
difficulties in fostering this kind of collective action without some
federal backing. Without some kind of support to create alliances,
small- and medium-sized firms just don't have the time or resources to
collaborate with anybody on training. In fact, almost all the existing
regional skills alliances report that they would not have been able to
get off the ground without an independent, staffed entity to operate
the alliance. Widespread and timely deployment of these kinds of
partnerships is simply not likely to happen without the incentives
established by a federal initiative. This can help create successful
models and templates that others can replicate across the nation.
I am proud to support the Technology Skills Partnership Act of 1998
and urge my colleagues to join me in taking this step toward an
immediate, short-term solution to the shortage of skilled workers in
our country.
______
By Mr. DeWINE (for himself, Mr. Hatch, Mr. Leahy, Mr. Abraham,
and Mr. Daschle):
S. 2022. A bill to provide for the improvement of interstate criminal
justice identification, information, communications, and forensics; to
the Committee on the Judiciary.
____________________