[Congressional Record Volume 150, Number 57 (Thursday, April 29, 2004)]
[Senate]
[Page S4631]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
MEDICARE PRESCRIPTION DRUGS
Mr. THOMAS. Madam President, we also have issues at home about which
we ought to be talking. One of them is health care, of course. We have
great health care in this country, the best in the world. We have some
limited access, however, because of the costs, and we need to address
that issue.
There are many reasons for the costs. One reason is liability and
malpractice, which we do not seem to be able to deal with. Another
reason, I suppose, is overutilization. There is a difference between
health care and health. We have some responsibility to take care of
ourselves as well. Modern equipment is the biggest cost increase. We
all want the modern equipment. We have to find the system in which the
costs can be reduced.
In any event, what we are talking about today is the opportunity to
make it much better for Medicare folks through a Medicare drug discount
card in which seniors will soon be able to enroll. All Medicare
beneficiaries, except those who have medication paid for by Medicaid,
will be eligible. While seniors may enroll in only one Medicare-
approved discount card, they can keep the other discount cards if they
have them, if they like. There are going to be 40 official discount
cards available. It is surprising there has been that much involvement.
It shows we are moving in the right direction and doing what needs to
be done.
This is the first time in Medicare's history that seniors will have a
discount for pharmaceutical drugs. Quite frankly, it is the first thing
in about 30 years we have done to bring Medicare more into the modern
world and give some options to seniors. I want to emphasize what is
going to happen. In 2006, there are going to be options for seniors.
They can stay with what they now have. It is also the first time that
low-income seniors will receive additional assistance from the Federal
Government for the cost of their medications. It is a great step
forward for seniors to deal with the high cost of drugs.
This is more of a temporary program. When we put this together in the
Finance Committee, of which I am a member, we knew changes were going
to be difficult. We knew it would take some time to prepare for those
changes, not only on the part of seniors but on the part of people who
have a program. This program will be implemented and in place until
2006, when there will be a broad system put into place. We need to take
advantage of this card system as quickly as possible so we get the
benefits from it.
I commend the hard work of Secretary Tommy Thompson and CMS
Administrator Mark McClellan. There has been an overwhelming response
to this program. As I mentioned, 40 drug discount cards will be
available from which seniors can choose. I believe there are an
additional 33 that will be available on a regional basis. So there is a
lot of interest for doing something in this area.
Drug card sponsors are required to provide information to
beneficiaries, the annual enrollment fee cannot be more than $30 per
year, and the people who are putting out the cards will have to show
what their discount prices will be. The transparency will give an
opportunity for people to choose what will work best for them.
We are trying to make this as simple as possible. Medicare's Web site
will be the best opportunity for people to get an update on drug
prices. The Web site is www.medicare.gov. The information will be
there. In my home State of Wyoming, AARP is holding seminars to help
people understand the benefits, what the options are, and how you can
take advantage of them. It is very important for seniors in the next
couple of weeks to take advantage of the informational efforts being
put forth. The easiest one, of course, is for seniors to call 1-800-
Medicare, and a live person in this country will answer and help them
figure out the card that meets their needs the best.
CMS has already received a lot of calls. They received 112,000 calls
on Monday, as a matter of fact--isn't that amazing?--and 94,000 on
Tuesday from seniors seeking information. It is the right thing to do
to call that 1-800-Medicare number.
The average wait is only a very short 22 seconds, I believe. This is
a huge accomplishment for a Federal bureaucracy to be able to put this
into place to deal with that many people in that short a time.
By mid-May, seniors should make a decision so they can receive a
card, and the benefits are to begin on June 1. I think it is great to
take advantage of this information. Our own offices in Wyoming will
have the information as to where people can go to get the information
and find out the choices that are available.
Contrary to what some people have said on the other side of the
aisle, this discount card will provide for significant savings. There
was a study that was done which shows there will be an approximate 17-,
18- to 25-percent reduction in the cost. The average beneficiary will
probably spend $1,500. This is a significant amount of saving over
where we are today.
It is expected that the overall savings to seniors would be probably
about a billion dollars over the next year, and that is very useful.
The card provides immediate help to the most needy Medicare
beneficiaries. Low-income seniors who do not currently have
prescription drug coverage or do not qualify for Medicaid will be given
additional help. Low-income beneficiaries will be helped by receiving
$600 annually to help them buy the medicine right from the
pharmaceutical companies.
To qualify for that additional assistance, they must have an income
of 135 percent of the Federal poverty level. That is about $12,000 per
individual or $16,000 for couples. If they qualify for Medicaid, of
course, they get their assistance there and will not get it from the
card.
Further, the Federal Government will pay the annual enrollment fees
for low-income seniors. Major card companies have told HHS that they
will continue to provide the drugs that are already given free or at a
steeply discounted rate for those people who qualify for the $600 use.
So low-income people will reap a great benefit from this.
In Wyoming, of course, we know that our AARP chapter and the Senior
Health Insurance Information Program have been working hard. I think
that is the case in all States. So I guess the point we are trying to
make today is, here is a program that has the potential to be
beneficial to all Medicare recipients. It is a choice program. If they
have other cards that are not in this official brand, they may keep
those. They do not need to get into it if they choose not to, but it is
beneficial, and they need to know what is required to get the
information and then have an opportunity to make choices among several
things that can indeed happen.
So we want to urge everyone to take advantage of this potential new
change and the opportunities available to reap some savings and to make
pharmaceuticals even a stronger part of their health care program by
making them less expensive through this program.
I yield to my friend from Wyoming.
The PRESIDING OFFICER. The Senator from Wyoming.
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