[Congressional Record Volume 153, Number 26 (Monday, February 12, 2007)]
[Senate]
[Pages S1835-S1837]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
SCHIP
Mr. ISAKSON. Madam President, I rise to wholeheartedly endorse an
amendment filed today prior to the 2:30 deadline, authored by Senator
Chambliss and coauthored by myself. The amendment relates to SCHIP,
State Children's Health Insurance Program, and a crisis that exists
right now, this minute, in 17 States in the United States of America.
As the occupant of the chair knows, SCHIP is a program where our most
needy children are able to get health insurance. It is a 71-percent
Federal Medicaid match. But unlike Medicaid, it is not an entitlement;
it is an appropriated amount annually that is derived by a formula as
the States get their benefit. What has happened this year is that a
number of States, with a number of children eligible for the program,
have run out of their Federal match and it is capitated.
Also, a number of States have a significant surplus. What Senator
Chambliss has proposed, and what I am advocating, is an amendment we
want to propose to the CR which would take that amount of surplus SCHIP
money in States with more than 200 percent of their estimated need--
take that amount above 200 percent and put it into a pool and
reallocate it to those States that are falling short, so that through
this fiscal year every child in America who has been promised
children's health insurance can in fact get it.
It doesn't penalize any State that has a surplus because that is
money they have not and will not use. It doesn't benefit any State who
has abused the system. It is just that we have a number of States that
have grown rapidly in their numbers. In Georgia alone, in the aftermath
of Hurricane Katrina, we added 43,000 children immediately into our
State's population, most all of whom remain today.
I know the CR amendment tree has been filled as of now. The
distinguished majority leader has filled the tree, so there will be no
room for amendments to the continuing resolution. I intend to vote
tomorrow for cloture to allow us to complete this resolution and
continue appropriations for this year. I hope the distinguished
majority leader will think about the value of saving the SCHIP program
this year.
I ask unanimous consent to have printed in the Record a letter that
was distributed by the majority leader and the Speaker, written to the
President of the United States, on February 2.
There being no objection, the material was ordered to be printed in
the Record, as follows:
Congress of the United States,
Washington, DC, February 2, 2007.
The President
The White House,
Washington, DC.
Dear Mr. President: We understand you plan to submit a
request for emergency supplemental appropriations soon, which
news reports indicate could exceed $100 billion. As you
consider the emergency needs of our nation, we respectfully
request that you not forget the millions of low-income
Americans who are insured under the State Children's Health
Insurance Program (SCHIP). We ask that you submit a separate
spending proposal to cover shortfalls in SCHIP for Fiscal
Year 2007 which have been estimated to be $745 million.
Unless we act quickly to provide additional funds to this
important program, we are putting the health coverage of
thousands of Americans in jeopardy.
As you know, over 46 million Americans are without health
insurance. We can ill afford to increase the rolls of the
uninsured for failure to adequately fund a successful and
efficient insurance program such as SCHIP. Yet we know that
at least fourteen states will face a shortfall of SCHIP funds
within months. The Governor of Georgia has written to us
stating that ``It is vitally important to our most needy
citizens that Congress act expeditiously.''
At the end of the last Congress, we were successful in
including a provision to avert a
[[Page S1836]]
similar crisis, but unfortunately, we are again in need of
another short-term solution. While we plan to work in
Congress later this year to reauthorize SCHIP and address
longer-term issues, it is essential that you work with us to
again provide a short-term fix. The cost of filling the
funding shortfall is minor in comparison to your other
emergency requests.
SCHIP has become a vital part our safety net, providing
health care coverage to millions of Americans who otherwise
would be uninsured. Including funds to address fully the
looming SCHIP shortfall would assure that states can continue
to provide this important coverage while we work to address
the longer-term success of the program.
Sincerely
Harry Reid,
Senate Majority
Leader.
Nancy Pelosi,
Speaker.
Mr. ISAKSON. Madam President, they made my case better than I make it
in this letter. Speaker Nancy Pelosi and Majority Leader Harry Reid say
we must fix the SCHIP program and suggested that the President add that
to the emergency supplemental on Iraq, which we are going to take up in
April.
The problem with that is, my State of Georgia runs out of SCHIP money
at the end of this month--maybe, at the latest, at the end of March. We
are having to cut off new enrollees now and will soon send out the
notices to 273,000 children. There will be no money for the remainder
of the year after March to meet the obligations of SCHIP. That will
take place in States around the country, North, South, East and West.
Think about it. If you have enough money here and everybody who had
that money allocated has used all they need, and you don't have enough
money over here, it is a simple accounting measurement to fix that in
this interim time. Senator Grassley and Senator Baucus have already
committed, and Senators Rockefeller and Reid--all of us on both sides
have all said we have to fix the formula; we will get to it toward the
end of the year. But we can fix it in the interim to see to it that no
child with health care under SCHIP loses that before we make the
permanent fix.
I commend Senator Chambliss, who is on the floor, on his leadership
and this amendment. I ask the majority leader to give close thought to
this issue that was referenced in his own letter of February 2. If
there was one amendment that could go on the continuing resolution and
would receive unanimous support in the Congress and in the Senate, it
is the amendment authored by Senator Chambliss and cosponsored by
myself. I ask the leadership to seriously consider allowing an opening
on the amendment tree so that amendment can be passed and adopted, and
children in Georgia and around the country will end up having the
health care that they have been promised and that they deserve.
I yield the floor.
The PRESIDING OFFICER. The Senator from Georgia is recognized.
Mr. CHAMBLISS. Madam President, first, I thank my dear friend from
Oregon for letting us have some time here to talk about this issue that
is so critical to 17 States, which my colleague so eloquently stated. I
appreciate that.
I say to my colleague from Georgia, he and I have worked on this
issue so closely together, and the authorship is a combination between
the two of us. He has been very generous with his time on this issue
and, most importantly, very generous with the thought process he always
puts into the most difficult issues we face up here. Without Senator
Isakson, we would not be where we are today on this amendment.
Today I wish to speak to a critical piece of legislation. It is my
hope that this legislation will remedy a situation currently facing
hundreds of thousands of hard-working families in Georgia who depend on
the State Children's Health Insurance Program--or what we know as
SCHIP.
In Georgia, some 273,000 previously uninsured children are now
receiving health insurance provided by our State's Peachcare Program.
Georgia is one of several States facing a projected funding shortfall
for fiscal year 2007.
Last week, the Georgia Department of Community Health that runs
Peachcare announced that it will stop enrolling new children into the
program effective March 11, 2007.
Senator Isakson, Congressman Nathan Deal, and I have been working
relentlessly with our Governor, the Centers for Medicare and Medicaid
Services, Senator Grassley, and the Finance and Budget Committees to
find a short-term solution for the children of Georgia who are
dependent upon this program. Unfortunately, to this point there has
been no resolution.
Senator Isakson would like to introduce an amendment today to the
continuing resolution that would redistribute fiscal year 2005 and 2006
funds from States that have an excess of more than 200 percent in
Federal SCHIP funds to cover the shortfall for States in need for the
remainder of fiscal year 2007.
Congress has already passed legislation in an attempt to continue to
cover children in States that are running out of funding for SCHIP.
H.R. 6164, which became public law on January 15, 2007, required a
redistribution of SCHIP funds in an attempt to delay State shortfalls
until May of 2007. The estimated remaining shortfall is approximately
$750 million for 14 States. According to recent estimates there is
about $4 billion in unspent funds which have accumulated in other
States.
Hard-working Georgians who qualify for this program don't need to
wonder how they are going to pay for their children's health care. We
must bridge the gap so that these children can continue to be insured,
and I hope the Democratic leadership will allow this amendment to be
considered.
Time is running out on this funding issue for Georgia's children and
children in other States. The continuing resolution is an important
funding vehicle that will allow us to solve this problem for the
remainder of the year until Congress can reauthorize this program.
Georgia's Peachcare Program is providing health insurance to the
children of hardworking Americans. They are the kids of the mechanic
who works on your car at the local service station, the woman who
checks you out every week at the grocery store, or the teacher who is
providing your children with the basic knowledge they will use
throughout their life. SCHIP programs are for the men and women who
make too much money to receive Medicaid yet cannot afford to provide
premium insurance for their children at the level of care that they
need.
I read in the Atlanta Journal-Constitution recently about Sylvia
Banks, a mother of 3 from Ringgold, GA, who is a parent that is
concerned the Peachcare Program will soon run out of money. Her 13-
year-old son, Benjamin, wears a $7,000 insulin pump, and supplies for
him are around $300 a month, paid for by Peachcare. In a recent news
article, Ms. Banks, whose husband is a minister, states, ``We can't do
without the insurance. We are taxpayers trying our best to earn an
honest living. We are not trying to suck up the government's money. We
see this as a benefit and blessing.''
Peachcare, and other programs funded through SCHIP throughout the
country, allow families to bridge the gap between Medicaid and high
priced premium insurance that many families cannot afford.
The importance of this program is too vital to our country's working
class not to find a solution to this problem, and find a solution soon.
Mr. President, let me just briefly read some excerpts from a letter
written to President Bush from Majority Leader Reid and Speaker Nancy
Pelosi, who have echoed our sentiments about this critical funding
issue:
As you consider the emergency needs of our Nation, we
respectfully request that you not forget the millions of low-
income Americans who are insured under the State Children's
Health Insurance Program (SCHIP). We ask that you submit a
separate spending proposal to cover shortfalls in SCHIP for
fiscal year 2007 which have been estimated to be $745
million. Unless we act quickly to provide additional funds to
this important program, we are putting the health coverage of
thousands of Americans in jeopardy.
As you know, over 46 million Americans are without health
insurance. We can ill afford to increase the rolls of the
uninsured for failure to adequately fund a successful and
efficient insurance program such as SCHIP. Yet we know that
at least fourteen States will face a shortfall of SCHIP funds
within months. The Governor of Georgia has written to us
stating that ``it is vitally important to our most needy
citizens that Congress act expeditiously.''
The letter goes on to say:
SCHIP has become a vital part of our safety net, providing
health care coverage to millions of Americans who otherwise
would
[[Page S1837]]
be uninsured. Including funds to address fully the looming
SCHIP shortfall would assure that States can continue to
provide this important coverage while we work to address the
longer-term success of the program.
So again, we have introduced our amendment today because Georgia's
children are waiting. This is about them--our children. They are our
Nation's future--and their health care needs must be met. The people in
Georgia want a solution to this problem. Hard working Georgians and
Americans across the U.S. don't need to wonder how they are going to
pay for their children's health care. These are our middle class
citizens who work to find a solution and that is what we have been
doing and what we will continue to do.
I urge the Democratic leadership to allow consideration of this
amendment, and I urge my colleagues to support this amendment.
I yield the floor.
The PRESIDING OFFICER. The Senator from Oregon is recognized.
____________________