[Congressional Record Volume 150, Number 74 (Tuesday, June 1, 2004)]
[House]
[Pages H3578-H3584]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
THE FIRST STEP TO A BETTER MEDICARE: DISCOUNT PRESCRIPTION DRUG CARDS
FOR OUR SENIORS
The SPEAKER pro tempore (Mr. Feeney). Under the Speaker's announced
policy of January 7, 2003, the gentlewoman from Connecticut (Mrs.
Johnson) is recognized for 60 minutes as the designee of the majority
leader.
Mrs. JOHNSON of Connecticut. Mr. Speaker, I rise with pride and
pleasure to recognize this June 1 as the first time in history that the
seniors of America have had the opportunity to purchase a Medicare drug
discount card as the first step, but only the first step, in reducing
the cost of their prescription drugs.
My colleagues have heard a lot here tonight. We have heard some very
sharp things from the speaker who just preceded me. But listen to this:
this is a widow in my hometown of New Britain who takes Zithromax; and
because of this discount card at a local pharmacy in New Britain,
instead of paying $46.50 for her Zithromax, she will now pay $39.44.
She takes Nystatin. Instead of paying $35 for Nystatin, she will now
pay $15 for Nystatin. And so it goes. One of the other drugs she takes
costs $40 and now will cost $11.50.
Mr. Speaker, this widow for whom every dollar is precious will save
$730 on her prescription drugs every year, including this year. Now,
that may not be a lot to my colleagues, but for someone spending $2,000
on drugs a year, a little over $2,000 on drugs a year, that is a lot.
That is 29 percent, almost 30 percent, of her drug costs.
So this is a good day for seniors, and I and my colleagues are going
to talk about a lot of the things we have been told tonight about this
prescription drug program. But we are here to say, you be the judge. We
are here to say, do not let nay-sayers, do not let others rob you of
the hundreds of dollars of savings on the prescription drugs on which
your health and well-being depend. You be the judge. You find out the
facts. You be the judge. It is real simple.
But to start off tonight, let me turn to the gentleman from
Pennsylvania (Mr. English), a very good friend of mine on the Committee
on Ways and Means.
Mr. ENGLISH. Mr. Speaker, I want to thank the gentlewoman. I want to
rise today not only to mark this historic day for Medicare
beneficiaries because today, for the first time since the program's
inception, Medicare, through a discount card, will be providing real
relief to seniors who struggle to pay for their prescription medicines.
I want to acknowledge that, but I also want to especially acknowledge
the efforts of the gentlewoman as chairman of the Subcommittee on
Health for making this legislation possible. I am very proud to have
been part of the team that helped put this legislation together and see
it through to the end; and I am also glad to be on the floor tonight,
having heard some of the extraordinary claims from a number of Members
who consistently voted against prescription drug benefits for seniors.
They are now trying to run down the program that we put together, we
fit into a budget, and we got passed in the House. The record shows
that they did not offer a credible alternative, they did not offer a
budget that they could fit it into, and they were talking a lot about
seniors, but not delivering.
The discount card program that was created under the Medicare reform
bill that we passed will also ultimately create a prescription drug
program that will be available by 2006 for every Medicare beneficiary.
But what we have done, which is so important, is offer an interim
program to provide immediate relief for seniors. Because I know, as the
gentlewoman found in her district in Connecticut, in my district in
Pennsylvania, what seniors wanted was some help that would be available
quickly. And when I brought the head of CMS into my district for a town
meeting and he said it would take a couple of years to ramp up a
prescription drug program, they made it very clear, that group of
seniors in Mercer County, Pennsylvania, they wanted to see something
quicker, and that is what we have been able to do.
These discount cards are meant to provide a transitional program,
especially for the approximately 10 million Medicare beneficiaries who
have no drug coverage. Seniors have been enrolling in the numerous
discount cards in their area since May 3; and today, many seniors will
begin to enjoy savings on their medicines. CMS, the Center For Medicare
and Medicaid Services which administers the Medicare program, estimates
that seniors will save between $3.8 billion and $5.1 billion over the
2-year duration of the program. This is a substantial amount of money.
For an annual enrollment fee of no more than $30, seniors will enjoy
savings on drugs of up to 30 to 60 percent on generic drugs, 16 to 30
percent or more on usual retail prices, and 11.5 to 17 percent off
average retail prices with significantly larger discounts available on
mail order drugs. This is in real contrast with the message we have
heard from some of the critics. These are real savings.
Even better, beneficiaries can choose the card that gets them the
lowest prices; and if they wish, they can also get help finding low or
no-fee cards, cards that include specific neighborhood pharmacies and/
or cards from specific sponsors. But the important thing is, this drug
card, I think appropriately, provides additional assistance to low-
income seniors through a direct subsidy. This is a big benefit to
seniors in my district.
Today, seniors with limited means are eligible for a $600 annual
credit that goes a long way toward paying for their medication. In my
home State of Pennsylvania, we have had a great program for low-income
seniors called the PACE program, which provides a prescription drug
benefit for low-income seniors who do not otherwise have such a
benefit. This has been, I think, the hallmark of Pennsylvania State
government for many years and an extraordinary success for those who
are eligible.
With this new Medicare legislation, the $600 credit will go directly
to PACE and allow them to automatically enroll about 150,000 low-income
seniors, lower PACE's costs, and allow PACE to waive some $6 co-pays
which low-income seniors would otherwise have had to pay to get their
medicines.
PACE beneficiaries will continue to use the card PACE issues them to
receive the benefits of the new program, and seniors enrolled in a
Medicare Advantage plan like Security Blue in my district will receive
a drug discount card from that plan.
Other eligible Pennsylvania seniors can choose between 43 drug cards
to find the benefit that is best for them. And as I think the
gentlewoman is about to point out, they have one number that they can
call to get the information that they need.
Mr. Speaker, signing up for the drug discount card and getting
information on the plans offered in their area could not be easier.
Seniors who want help in selecting a card should call 1-800-MEDICARE or
visit the Medicare Web site at www.medicare.gov; and there it is, right
there. There are 3,000 customer service representatives available 24
hours a day, 7 days a week to answer these questions. To enroll in a
particular card, beneficiaries should contact that card and receive an
application. There is a standard enrollment form that will be accepted
by all cards.
Mr. Speaker, what is interesting to me is some politicians and
special interest groups with their own narrow agendas have run down the
prescription drug benefit as ineffective. But I
[[Page H3579]]
would ask them how guaranteeing savings ranging from 11 to 60 percent
is ineffective, especially considering the enormous credit for low-
income seniors.
After many years, and after the House of Representatives, having
acted in two prior sessions, Congress has finally acted to give our
seniors an affordable, flexible, and dependable Medicare program.
Today, we ring in a new era of better prescription drug coverage.
Tomorrow, we will broaden that benefit and work to make sure seniors
continue to get the benefits they have earned.
As one of the earlier speakers noted, perhaps indeed people will
remember this on Election Day. But I think as they look at this
program, they are going to decide that this is a very substantial
benefit. This is a remarkable accomplishment. This is a massive moving
of the Medicare program in the right direction, and I think it is going
to provide substantial benefits for a lot of seniors that need it.
Again, I want to thank the gentlewoman for her extraordinary efforts.
Mrs. JOHNSON of Connecticut. Mr. Speaker, I thank the gentleman from
Pennsylvania for his comments. It is absolutely true that this was the
first bill ever passed by the House that provided a discount card.
Every other bill passed or proposed, whether by the Republicans or a
bipartisan group or the Democrats, waited 2 years to provide any senior
with any benefit. That was just too long. And while my colleague from
the other side who spoke just before we took our time said some seniors
will not benefit at all, he pointed to those seniors who have very good
employer-provided coverage. That is about 30 percent of seniors. What
he did not say was that no low-income senior, now that we are at June
1, will ever again pay more than $5 for a drug, a prescription drug.
All low-income seniors in America, no more than $5 for a generic; and
much less than that that many will pay, $1 per prescription.
Now, that matters to our seniors, I say to my colleagues. That is
important in their lives, and I am proud that we have brought that to
them.
I am very proud to have another colleague of mine from the Committee
on Ways and Means, the gentleman from Arizona (Mr. Hayworth), join us
as we talk about this prescription drug discount card now available to
our seniors across America on this day, June 1.
Mr. HAYWORTH. Mr. Speaker, I thank the gentlewoman from Connecticut
for reserving this hour for some straight talk with the American
people, and I appreciate her efforts and the efforts of a majority of
Members of this House, working with a majority of members of the other
body, to have our President sign into law prescription drug benefits as
a part of Medicare, now the law and now the reality.
{time} 2030
And I share, I do not know the best way to describe it, Mr. Speaker,
my colleagues, I guess bemusement in one sense, serious concern in
another very real sense, to hear the double-talk, the deception, the
incredible mischaracterization of something good for the American
people and for our seniors, updating Medicare, bringing it into the
21st century, offering real results and real savings, with drug
discount cards now available to seniors on Medicare.
Mr. Speaker, my colleagues, it has been amazing to look at the
coverage in the last month. My friend from Connecticut pointed out the
real results for a widow in her hometown of New Britain. We had our
colleague from Pennsylvania, another member of the Committee on Ways
and Means, talk about his constituents in one of the counties he
represents welcoming real savings.
I can tell you, this is what really is amazing, Mr. Speaker, my
colleagues, those who come to this Chamber time and again and purport
to have the interest of the poorest seniors in mind and in their heart,
these same people say to our seniors do not bother to sign up.
Mr. Speaker, my colleagues, we need to reiterate this for the
American people to hear and understand in Arizona, 106,000 seniors,
single seniors with incomes under $12,500, married seniors, with
incomes of under $16,800, those seniors are eligible right now for $600
to pay for their drugs, to take a serious bite out of the situation
where seniors have to choose between medicine and food on the table.
Here is money to help them now; and yet there are Members of this House
who say, well, it is just too confusing. They should not sign up for
it. Nothing could be further from the truth.
We held meetings in the district. We spoke with over 1,000 seniors.
My colleague has brought to the floor the telephone number, 1-800-
MEDICARE. She will provide the steps necessary. Very simple:
Medications you take, your zip code, the other information you can
actually find out how to do this.
And something else that is very troubling, and again, ironically, we
heard it from the other side, one speaker from the other side would
come and talk about America's greatest generation, the generation that
won World War II, the generation that put a man on the moon, the
generation that helped to end racial discrimination and fight for civil
rights, and now we are told that members of this generation are
incapable of making decisions, are incapable of shopping, when we know,
we serve these people.
They compare candidates, they go to the store, Mr. Speaker, my
colleagues. When people turn 65, and my own parents will turn 72 this
year, but when they turned 65 nobody showed up at their front door
saying, hi, I am your federally appointed shopper, and I am going to
take you to the one Federal store down the street and you are going to
pick up Federal flakes for breakfast. We did not do that in any other
part of our economy.
Yet the same folks who purport to be friends of the most economically
challenged in our society want us to believe that our greatest
generation is incapable of making decisions.
Mr. Speaker, I know it may come as a shock to the other side, but I
love my parents. They will turn 72 this year. They make decisions all
the time. Other seniors have the gift of health and health care and the
ability to evaluate make decisions all the time. We are simply saying
let us offer choices to seniors. That is what this drug discount card
does. That is the opportunity we have.
My colleagues have pointed out 3,000, upwards now of 4,000, call
center experts, 24 hours a day, 7 days a week, 400 new workers hired in
the Phoenix area alone to deal with these calls at a call center. The
seniors we met with understood the card program. They want to take
advantage of the program because they understand we are talking real
money.
And, again, I would point out it is interesting how this town can
take a term like compassion and fold it and spindle it and mutilate it
when, in fact, we have something that delivers for seniors.
The good news is we celebrate one month of a milestone today for
signing up and putting this in action. The other news we point out is
that the program does not go away. It continues. We encourage our
seniors, Mr. Speaker, my colleagues, to take advantage of the program,
to call 1-800-MEDICARE or check the Web site www.Medicare.gov, take
advantage of what is available, because you can utilize savings and
realize savings in some cases on generic drugs up to 60 percent
discounts. That is real money.
And it may not be much to the command and control guys who believe
one size fits all or have this grand vision of socializing medicine and
having government as they measure compassion delineated by a
dictatorial one-size-fits-all program from Washington that takes away
choice, that takes away personal incentive, that robs people of the
very intellect that helped take our society to such great
accomplishments as mentioned earlier. Hate to think it comes down to
politics, Mr. Speaker, my colleagues, but what else can you be left
with? What other conclusion can we draw?
To hear speaker after speaker from the other side saying it is bad,
it is complicated, it is confusing, friends, about the only thing they
are confused about is the notion that people can save real money and
this can have a positive impact on the lives of those who, in many
cases, in the cases of 106,000 Arizonans, have a tough situation at
home choosing between their prescription drugs they need, putting food
on the table. This Congress, working with this administration, has
offered real results.
[[Page H3580]]
Let the others carp and complain, Mr. Speaker, my colleagues. I would
put them on notice that when you deal in deception and double-talk and
disinformation, Mr. Speaker, do not be surprised if those who do so are
headed for defeat in November trying to pull these political stunts,
trying to offer spin to counter the facts and, ultimately, literally
costing the seniors who are looking for solutions, costing them
prescription drug coverage all because we deign to let those seniors
have the same freedom of choice they exercise in every other sector of
the economy.
Mr. Speaker, I thank my colleague from Connecticut for the time. I
salute her efforts.
Mrs. JOHNSON of Connecticut. Mr. Speaker, I thank the gentleman from
Arizona (Mr. Hayworth). I must say that some of the statements made by
my colleagues from the other side in preceding times do need to be
answered.
Mr. Speaker, let me say that it is disconcerting and unfortunate,
frankly, that Members will get up and say things that are so distantly
related to the bill. For instance, someone said, why do not we have a
prescription drug benefit that is part of traditional Medicare? That is
what we should have passed.
Folks, that is what we did pass. The bill we passed made prescription
drugs a benefit under Medicare. Just like part B is a benefit under
Medicare through which you get access to doctors' care in their office,
to the costs of tests and things like that, MRIs, all those things,
part D will give you access to prescription drugs. It is a part of
Medicare. The discount card is a part of the prescription drug benefit.
It is a part of Medicare.
I appreciate that the gentleman who used that phrase did not vote for
the bill, but that does not excuse misleading the public about it. If
Jeanne had not been a self-starter, my widow friend in New Britain, if
she had not been so thoughtful, she would not now be able to pay $11.50
for a drug she used to pay $40 for.
Let me just show you here a minute how easy this is. Because this
word ``confusion,'' ``confusion,'' ``this is so hard, our seniors will
not be able to follow, they will not be able to understand,'' you see
how easy it is.
First of all, write down your zip code. Very important. Write down
your zip code. Because Medicare is going to tell you the price of your
drugs at various pharmacies in your area, and they can decide that
through using your zip code. If you want to know about two zip code
areas because you live near a border, fine, use two zip code areas. But
have your zip code written down so you will be ready to say it
accurately when the question is asked.
Then write down your medications. Write down the name of each drug
you are taking. Write down the dose. Because you do not want to find
out the price for the right drug but the wrong dose. You want to find
out the discount price for the right drug, the right dose, taken so
many times a day.
So get all your facts laid out: The names of all the drugs you take
and the dosage of those drugs, and the cost that you pay, just so you
know. When you have that information, your drugs, the dose, the cost,
and your zip code, then, easy as pie, call 1-800-MEDICARE. We are going
to put that back up in a minute. Call 1-800-MEDICARE; and one of the
now 4,000 operators who are available 24 hours a day, 7 days a week,
and, of course, remember to call in the evening, call in the early
morning so you will not have to wait, call on the weekend you will not
have to wait. Call Monday or Tuesday, the wait will be longer. You know
that from many sales activities you have done throughout your life.
Call 1-800-MEDICARE.
Or go have your daughter your son or your grandchild, if you do not
feel comfortable doing it. Go to the computer and go into
www.Medicare.gov. So it is easy to get to a person or to a program in
the computer that will then ask you for the information I have told you
about, your zip code, the names of every one of your drugs, the dosage,
and then for your information also what you pay per drug. And then you
should have your income. That is the next bit of information you need
to have. Because by telling the operator your income that operator will
know whether or not you are one of the people that qualify for this
$600 credit.
Low-income seniors that do not have any readily available cash have a
hard time just buying those antibiotics they may desperately need to
get over an illness. We understand that. So this discount card is not
just a discount card. It is a $600 cash benefit for those who need it,
those below 100 percent of poverty income; and then using that cash
credit and the discount, you see, they will pay a lower price and
stretch out that $600 available to them.
{time} 2045
So as one of the columnists that I read said, a low-income senior who
has an income less than $12,500 a year for a single person or for less
than 16,000, almost 17,000 for a married couple, they should not walk
to the discount card. They should run to get this discount card,
because they will pay no more than $1 for generics or up to $5 for
prescription drugs, an extraordinary benefit for them.
Finally, look for this label on the discount card: Medicare approved.
That is why it is part of Medicare, because it has gone through the
process of being approved by the government and being, consequently, if
it does not perform fairly, if it says it is going to charge you one
thing and it charges you a lot more, the government is there enforcing
the rules, penalizing them and forcing them to comply what it promised
to you.
There is a lot more to this program, but I did want to run through
how easy it is to sign up, how easy it is to figure out which card is
for you, but I will not go into any further details because I want to
hear from my colleague, the gentleman from Georgia (Mr. Gingrey), who
is also a physician, who therefore has a very tangible and real
understanding of the terrible hardships that patients, who cannot
afford the drugs they need, face in our communities and what an
important first step, only a first step, this discount card will be.
Mr. GINGREY. Mr. Speaker, I would like to thank the gentlewoman from
Connecticut (Mrs. Johnson) for putting this time together for us
tonight to make sure the Members of this body understand how important
this new benefit is. And the gentlewoman's mention, of course, that I
am a physician by profession, and I did that job for 30 years and
certainly had lots of seniors, lots of Medicare patients and understand
some of the hardships that they are going through, as she points out.
She knows as well as I do, because her husband was also an OB-GYN
physician for many years.
Mr. Speaker, I wanted to mention something. I could not help as I
came to this Chamber hearing one of my colleagues from the other side
of the aisle, the gentleman from Ohio, talking about how bad this
program is and how the bill was passed in the dark of night after hours
of debate. Mr. Speaker, as the gentlewoman said, I am an OB-GYN
physician. I can tell you right now that my patients, they might have
come in in the dark of night and delivered in the bright of day or they
came in the bright of day and delivered in the dark of night. It does
not matter. Just like an obstetrician, the Members of this body work 24
hours a day; and when we finally delivered a product, it was a
beautiful baby. Just because it came at 5 o'clock in the morning, for
the gentleman to suggest that we were trying to put something over on
somebody.
And he also said, that gentleman from Ohio, talked about the pressure
that the leadership on our side of the aisle put on three freshmen
Members, freshmen Republicans, Mr. Speaker. I want to remind the
gentleman from Ohio that there were about five freshmen on his sides of
the aisle sitting in that front row just waiting until that vote
changed so they could switch their no votes to a yes.
It is also important, Mr. Speaker, for the Members of this body and
anybody who happens to have the opportunity to be paying attention, I
hope the whole Nation is, that this bill, although in the House when it
passed, December of last year, it was a close vote, absolutely a very
close vote, but it was not a partisan vote. They are suggesting that
this is a Republican bill. Well, certainly the Republican leadership
had the guts to bring it forward, as did this President, the courage
[[Page H3581]]
to deliver on a promise, but this was a bipartisan bill. In fact, on
our side of the aisle there was some 25 Republicans who voted no.
So certainly for them to suggest and to try to play this class
warfare game, it goes back in fact to the elections of 2000, the old
sorry loser man crowd, weeping and gnashing their teeth over the fact
that they could not get the job done.
Mr. Speaker, people talk about how much you can get done, what a
group of people or an organization can get done if nobody cares who
gets the credit. It would seems to me that this harping and carping
that we hear constantly from the other side of the aisle would suggest
that they do care about who gets the credit or discredit. They are
trying to discredit this program.
Mr. Speaker, I cannot think of any reason, none whatsoever, why a
senior would not sign up for this prescription drug discounts card
program that is going to be available to them over the next 18 months.
In fact, when I do my town hall meetings, and I just came from
Columbus, Georgia, in my district, the 11th of Georgia, this morning we
had a great town hall meeting at the senior center there. I talked to
my seniors and said, look, if you can think of any reason, I want you
to let me know. Because I want to bring that information back to the
Committee on Ways and Means, back to the gentleman from California (Mr.
Thomas) back to the Subcommittee on Health, the gentlewoman from
Connecticut (Mrs. Johnson), and I want to tell them about it. I want to
make sure we have not missed anything. But I can tell my colleagues
with a straight face, Mr. Speaker, that I can think of no reason.
Now when we get to the part D, the new Medicare prescription drug
insurance program, optional program under traditional, as you know it,
Medicare, or the Medicare advantage, seniors have a choice of that. And
there will be maybe 40, 50 percent of them who will find that they
already have something that is better, whether that is Medigap
insurance coverage or they have health insurance coverage with a
prescription drug benefit from a previous employer that they worked for
for 30 or 40 years or whether they have TRICARE for life. There will be
a number of seniors who decide that they already have something that is
serving them perfectly well, and they decline this optional Medicare
prescription drug benefit.
But to decline this card today, as the gentlewoman from Connecticut
(Mrs. Johnson) points out, if you are low income, and we estimate that
a third of the 41 million seniors who are on Medicare will be eligible
for this credit, this $600 credit plus the discount that will be
affected on their medications up to 15 to 20 percent, why in the world
would the other side of the aisle, the minority leader, tell her
Members, go out and tell your constituents, tell your seniors not to
sign up for the prescription drug card?
Well, I am going to tell you what. If they do that, let them do that.
That is fine. When their constituents find out that their friends and
neighbors and other seniors across this country are getting this
discount, and many of them are getting the $600 credit, not just for 1
year but for 2 years, then I am telling you they are going to charge
their Members with malfeasance of office is what they are going to do.
I think it is so unfair to suggest to just block something because
they are so concerned about who gets the credit. I do not care who gets
the credit. As I say, this was a Republican and a Democratic bill, a
bipartisan bill, both in this Chamber and in the other Chamber. So let
us get over that. Let us get over this sore loser man stuff and let us
try to bring the benefits to the seniors. Because they have been
waiting a long time. In fact, they have waiting 39 years. That is how
long it has been since the original Medicare, when the first person to
sign up for part B was former President Truman.
There is so much and the gentlewoman from Connecticut is so kind to
give me some time, and I do not want to abuse that opportunity. I
appreciate her letting me speak on this tonight. It is very, very
important for people to understand that this discount card can only
help you.
As the gentlewoman pointed out, you go to 1-800-Medicare, and the
Secretary, Mr. Thompson, has hired 1,200 new people to man those phone
lines, or go on line at www.Medicare.gov. It is simple as she said. You
put in the zip code. And the most important thing is when you go on
line or on the telephone is to know what medications you are on, know
that price, know how often you take it, what the strength is. And then
you see what cards are available to you and what cards give you the
best discount. It is that simple.
I really appreciate the gentlewoman giving me the opportunity, Mr.
Speaker, tonight to talk about this. It is so important. There are a
few of us physician Members in this body. We do not have all the
answers. In fact, I think the gentlewoman from Connecticut has a whole
lot more answers than we do, as all the members of the Committee on
Ways and Means and the Committee on Energy of Commerce, I commend them
for the work they have put in to giving us this interim program as we
wait for the full Medicare prescription drug benefit in 2006.
Mrs. JOHNSON of Connecticut. Mr. Speaker, I thank the gentleman. When
you call up that 1-800-Medicare number and you tell them your zip code,
your income and the drugs you take, they send you a printout. It has
the pharmacy's name on it and the address and another pharmacy and that
address right near you and another pharmacy and that address and the
price that each of those pharmacies charges for each of the drugs that
you take.
Now, then you can go on and you can get more. But you can tell them
my favorite pharmacy is this. I want to know which card gives me the
lowest price at my favorite pharmacy, and they will tell you that. Or
you can say, I want to know where the lowest price is in all the
surrounding towns; and they will tell you that.
So never have we brought the service of technology to our seniors as
we have in this program, not just in advertising it but in having
people there to assist seniors in deciding what card is best for them.
And, of course, it is true, if you are in a program where your employer
pays all of your drug costs, you will not need a discount card, but
that is a very small percentage of our retired seniors. And if you are
very, very poor, on Medicaid and the taxpayers are paying all of your
drug costs, that is true, you will not benefit from a prescription drug
discount card, although your State will. Your State will save some
money, and that will help them carry the burden of other programs.
So, ironically, if you are on Medicaid, you will not feel the
benefit. But in my State that has had to kill some Medicaid benefits,
they are going to use the money we save them on Medicaid to strengthen
another part of the Medicaid benefit for other Medicaid groups. So it
is a good thing for everybody.
Now, just before we go on to some of my colleagues, I do want to say
one other thing. First of all, year after year, we have failed in the
House and Senate to be able to pass a bill. Year after year, seniors
have waited. Year after year, seniors have begun to doubt whether we
were as good as our word, whether we did care. This was the third time
the House passed the bill. The first year the Senate passed the bill;
the first session the Senate passed the bill. But together now we have
a bill.
In the Senate, it was an extremely bipartisan vote. In the House, it
was less bipartisan because of the nature of the House. But, in the
end, it delivers to seniors a generous drug benefit that will result in
half of America's retired seniors having no more than $1 for generic
costs and $5 for brand name costs all across America. That is when the
full program is implemented, the discount and the subsidy. So this is a
giant step forward.
One of the gentlemen earlier talked about price, how the cards do
change its price. Now, yes, it can; and we wanted them to. It is too
bad really that we do not have more Members stop and remember their
basic economics. There is not a senior out there that does not watch
the sales. There is not a senior out there that does not go out and buy
things regularly when they are on sale at whatever grocery store they
are cheapest. And we know that, so we put all the discount cards out,
and look what happened.
The first week they could advertise themselves. See these two cards
had very high prices. For the bundle of 10 drugs that one of my
colleagues from
[[Page H3582]]
the other side defined, they were going to charge a total of $1,300 for
just those 10 drugs. Well, they began to see, you see, what the other
cards were going to charge; and they figured out, they figured out that
even though it cost them a million dollars probably to put that card
out there, they were not going to get any customers and they would lose
all the money then put into developing their cards. They knew that a
customer would be more likely to choose a card that was going to cost
them only $930 for the same group of drugs that this card was going to
charge $1,300.
There is not a senior I know that does not get it. $930 is a lot less
than $1,300. You are going to sign up for this card. You are not going
to sign up for these.
So what happened? Well, let us see. It only took one week, one week.
Look what happened. Those cards brought their prices down to just about
the same as the others. And each week there was change.
In other words, if you put a new product on the market, it costs you
money. You invest in that product. And if you do not get customers to
buy your product, I do not care whether it is drug card or an
automobile or new shoes, you lose because nobody is buying your
product. So if you want people to buy your discount cards, you better
be sure you drive those discount prices low, and that is what we have
been seeing happening. And I am proud of it, and we are going to see it
happening more and more because this is the first time in history that
prices have been out there on the Internet for everybody to see. Before
that, you had to go store by store and then only you knew. Now
everybody knows.
Let us turn now to my colleague, the gentleman from Texas (Mr.
Burgess), another physician in the House.
{time} 2100
Mr. BURGESS. Mr. Speaker, I thank the gentlewoman for bringing this
hour to the House of Representatives this evening, and I am so glad
that she brought that chart because that chart really is so powerful in
describing just what we are trying to do, what is available to seniors
with this card, and that is by the free and full dissemination of
information.
We live in the information age, and that information now being
readily available on the telephone or the Internet, with the free
availability of information, we have driven the cost of commonly
prescribed drugs down a significant amount in the first 2 or 3 weeks
that this discount program has been around.
I need to say again that the Medicare prescription drug benefit that
we passed in this House last November 21 and was signed into law by the
President in December will occur in two phases. The first phase begins
today, begins June 1, and is a prescription discount drug card that is
going to be available to every senior, but low-income seniors will
receive an additional $600 benefit.
What is important about that $600 benefit, you might say. Well, gosh,
we are halfway through the year, so what is going to happen if I have
not used all of my $600? It rolls over until the next year. So my good
friend, the gentleman from Georgia (Mr. Gingrey), who pointed out there
is not one good reason not to buy or not to avail yourself of one of
the Medicare prescription drug discount cards, there is even more
reason to look at that card because essentially a low-income senior
gets a $1,200 benefit over the next 18 months' time until the full
prescription drug benefit rolls out January 1, 2006.
The card will be voluntary. The prescription drug benefit program in
2006 will be voluntary, and no one locks themselves into purchasing
that part B Medicare in 2006 if they take the discount card that is
available to them today; and, again, what is so powerful about taking
that prescription drug discount card today is we are likely to see
prices change even more over the next month, over the next year,
indeed, over the next 18 months until the full prescription drug
benefit kicks in.
Now, in the interest of full disclosure, I did go on the Medicare Web
site, and I did log in myself and put in my own ZIP code. I am
fortunate enough not to be on any medications on a regular basis, but I
made some up and put them in. Indeed, you can get information about
your pharmacy or your mail order pharmacy if you use one. Some of the
prescription drug cards do cost money, and perhaps that would be a
reason where one of the gentleman from Georgia's (Mr. Gingrey)
constituents would not buy into the program because the card costs $30;
but I submit to you the savings are going to be a great deal more than
$30 over the course of the next 18 months' time; and even more
importantly, some of those cards do not cost anything at all. They are
available simply from filling out the form, and no expenditure is
necessary up front at all.
So if you are not hooked onto the Internet, your child or grandchild
undoubtedly is; and, again, one of the other powerful things about this
program is that we may even see physicians use this program and compare
prices for their patients. If their patient comes in and says I would
love to be on that Fosamax so my bones do not get so brittle, but
doggone, it costs so much money, I do not know that I can afford it,
perhaps their physician will even take the time and trouble to go on to
that Medicare Internet drug site and find the best bargain for that
senior so that they can take their medicine so they are not forced to
choose between a life-saving medication and food on the table.
But for the first time, seniors are going to have highly competitive
pricing available and readily available at their fingertips. They can
shop for what is best for them; and most importantly, they can make an
informed choice, but the choice will be up to them. It will not be up
to someone sitting on the other side of this House who wants to do
everything for them.
If you like this system, you can stay with this system after 2006,
but the program will be voluntary. The prescription drug benefit
program will be voluntary, and no one locks themselves into a future
benefit by taking advantage of the prescription drug benefit card this
month.
I submit again that the prescription drug discount card benefit that
is available in 2006 will be even better because of the work that the
gentlewoman from Connecticut (Mrs. Johnson) has been doing on bringing
the prices down by making the information free and available and
readily available to anyone who cares to look it up.
I thank the gentlewoman.
Mrs. JOHNSON of Connecticut. Mr. Speaker, I thank my colleague, who
is also a physician, for joining us this evening; and I am pleased to
yield to the gentleman from South Carolina (Mr. Wilson), my colleague,
this evening as we move toward the end of our Special Order.
Mr. WILSON of South Carolina. Mr. Speaker, I appreciate the
gentlewoman's leadership on this issue. She has truly in the House of
Representatives, working with our President, been the leader to
establish the prescription drug benefit for the people of the United
States; and I have seen firsthand how this is going to be helpful to
the people in the district that I represent.
I have had the opportunity to travel the district, and I have heard
criticisms tonight that are confusing.
We, as Congressmen, have a duty when a new law is passed to go and
explain to our constituents the law and how it can be beneficial; and
as the gentlewoman has so correctly pointed out, this is a law which
can be easily understood which is so beneficial to the people of our
districts.
Additionally, I heard criticism that it was so confusing they could
not understand, but I agree very much with the gentleman from Arizona
(Mr. Hayworth) that, indeed, this is the generation that survived the
Depression; that won World War II; that protected our country's freedom
in the Cold War. We know that the people who are affected by this law
are very bright, very capable. I have faith that they will see through
the confusion.
Additionally, I heard criticism that you might have 53 options. Well,
how wonderful. That is not negative. That is positive. The gentlewoman
has really explained it so well today and tonight by using the 1-800
number, by going to the Internet and how simply by providing your ZIP
code and then you receive the information by having pharmacies in your
immediate area specifically on the pharmaceuticals that you need, and
so this is so easily understood, and I appreciate the gentlewoman's
efforts to promote the bill.
[[Page H3583]]
I know that personally again as a Member of Congress, with her
leadership, helped prepare mass mailings. I have had district meetings.
I have had Medicare forums. We will have our district open house next
week to provide information.
We have had meetings with the AARP, which provides an excellent
brochure. I urge everyone to see the AARP brochure. It is very easy to
understand, explains the full benefit; but today, June 1, 2004, is a
crucial day because the discount drug card comes into effect.
My experience in traveling the district, when I was in Bluffton,
South Carolina, at Palmetto Electric Co-Op, I was pleased to be with
the Healthcare Leadership Council, Darren Katz, who gave a very
authoritative presentation. We had wonderful people there from Sun
City. They really were terrific, asking wonderful questions, and it
came out a very positive experience.
Then in Aiken, at the Aiken County Commission on Aging with the Aiken
County Community Hospital. We then found worksheets from the AARP which
were so easy to understand.
At Hilton Head Island, which is one of the leading and most beautiful
retirement centers and communities in the whole world. I was very
fortunate to be at Tidepoint Community with Thom Jones and with the
Golden Rule Company for a presentation and the Cypress Retirement
Community and I met people, and it was extraordinary to me. I was
talking to people who would come up to me and say, I was 90 last week.
They were so much fun, and they were just such a delight to be with and
an inspiration to me.
Additionally, in Orangeburg, South Carolina, I was there at
Orangeburg County Aging Commission with the Orangeburg County Regional
Hospital. This is a lower income area, and we had a real cross-section
of the community, and it was wonderful to see them understand the
availability of this card and what it would mean to them.
In Columbia, the capital of South Carolina, I had the opportunity to
be at the senior citizen center at Maxcy Gregg Park; and, again, we had
a cross-section of community leaders who came to find out about the
program, and it was very, very encouraging.
Finally, I will be at the Gilbert Community Center in Gilbert, South
Carolina, next week promoting the legislation, explaining the bill with
the Lexington County Recreation and Aging Commission and also the
Lexington Medical Center. I know that the people of Gilbert and the
people famous for the 4th of July Peach Festival will be enthusiastic
to get information about this and how it means so much to the senior
citizens of our community.
Another part about the confusion, it is really my point, and what I
have discovered at these meetings is the AARP is so helpful. We have
chapters all over the United States. If you have got a question,
obviously we have got the 1-800 number, we have got the Internet
connection which is easily available to everyone, but the AARP has the
information. They have got wonderful and capable people who would be
happy to meet with you. We know that these brochures are also at senior
citizens centers throughout America. At every senior citizen center
they are available, and people can find out and cut through the
confusion.
I know personally that it has been my experience that when I worked
with insurance and I was a real estate closing attorney for 25 years, I
did not try to understand the insurance policy. I went to an agent that
I trusted and I go to him or her and get the policy and I have faith in
that. As a real estate closing attorney, I did not even imagine that
people would understand a 20-page mortgage sometimes written in old
English using English common law. You find a good attorney that you
trust and you go to them; and it has been my experience, and you have
referenced this earlier, and that is, go to a pharmacist that you
trust. These are dear people. They really do care about their patients,
their customers.
I know my next-door neighbor Bobby Perry and his daughter Roberta
Vining are two of the finest pharmacists you can ever find. These
pharmacists care about their patients. These are people who really make
your heart warm; and so I would urge anyone, if politicians are
confusing, do not get discouraged. Listen, first of all, to the
gentlewoman from Connecticut (Mrs. Johnson), but after that, if you are
confused, go to your pharmacist, talk with them, find out what they
recommend.
Again, I want to thank the gentlewoman for her leadership. It has
been inspiring to me as a relatively new Member of Congress, and I am
just so appreciative of her persistence and her understanding of the
issue and her devotion to promoting a real prescription drug benefit to
the people of America.
Mrs. JOHNSON of Connecticut. Mr. Speaker, I have served in Congress a
long time; and when there is a real problem in the lives of the people
you represent, I believe your job is to solve it. I believe your job is
to take action, to do something; and I know that this is the most
important health care bill we have passed for seniors since Medicare
was founded.
It not only offers them prescription drugs. As I showed you earlier,
it is absolutely voluntary. It is simple. You just use your ZIP code.
You give us the pharmacist you like the best. You give us the names of
your drugs, and we will tell you how much money you can save. It is not
for everyone, if people already have very good coverage through their
employers, but particularly important to those seniors who have no
prescription drug coverage. It is real savings in their lives, and that
is important to me.
When the whole bill goes into effect, we will pay 75 percent of the
costs of their drugs, a gigantic step forward. Just as we pay 80
percent of the cost of their visits to the doctor, we will pay 75
percent of the cost of their drugs. In the bill I wrote, it was 80
percent. We will get it up to 80 percent, but you have to act. You have
to do something, and all these nay-sayers who voted against doing
anything one more year, this would have been the fourth year we would
have done nothing. What a record. All those nay-sayers are now telling
you do not bother, do not bother.
Listen, take a minute, bother, call 1-800-MEDICARE. Do what Jean did
and find out that you can save $30 on one drug she has to buy every
month, $20 on another drug. It all adds up to hundreds of dollars.
That, in my estimation, is a good thing. That helps our seniors.
I am proud of the bill we passed because it brings prescription drugs
to seniors; but you know what else, not a senior I know does not have
chronic illnesses. Twenty percent of our seniors have five or more
chronic illnesses. Medicare does not pay for chronic illness care. The
rest of the world knows about it.
Many, many employer-provided plans do a lot more for people with
diabetes or heart conditions. Do you understand that in this
prescription drug and Medicare reform bill, for the first time we are
going to provide chronic disease management for our seniors? We are
going to give them the kind of state-of-the-art support that means that
people with chronic disease do not have to end up in the hospital, do
not have to end up on dialysis if they have diabetes, do not have to
fear going to the emergency rooms. I mean, it is going to be a
revolution. It is bringing preventive health care right to those who
have chronic disease and are going to suffer the most serious health
consequences.
So this is about prescription drugs. This is about a discount card
today, about a full prescription drug card subsidy in 2006 and about
Medicare offering state-of-the-art care to people with chronic
illnesses in a way it never has.
I am proud to have helped write this bill. I am proud that I was the
only woman on the conference committee, because I think that is
important.
{time} 2115
Women and men both need to be present to make our laws, and do not
any one of the young people watching tonight forget that.
But this is a big step forward, and do not let naysayers rob you of
the very considerable savings this discount card could bring to you.
And, remember, you be the judge of your interests. You alone can make
that judgment. We here in Medicare have made it very easy, and I urge
you to take advantage of the Medicare prescription drug discount card,
which starts today, June 1.
[[Page H3584]]
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