[Congressional Record Volume 159, Number 175 (Wednesday, December 11, 2013)]
[Senate]
[Pages S8779-S8783]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
NOMINATION OF DEBORAH LEE JAMES TO BE SECRETARY OF THE AIR FORCE--
Continued
This was also something that everybody who had anything to do with
this bill knew was going to be untrue. Insurance plans differ. Some
cover certain doctors, others cover other doctors. Since some plans
were certainly going to be canceled, inevitably some people were going
to lose the plans that covered their doctor. This was no great mystery,
and it was not some unintended and unforeseeable consequence. It was
part of the design of the bill. Yet people were told: If you like your
doctor, you will be able to keep your doctor.NOTICE
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[[Page S8780]]
I got this email from a woman who lives in Westmoreland County. She
says:
I have been self-employed for 13 years and have never been
without health insurance. 3 years ago I was diagnosed with
multiple sclerosis. Having an expensive preexisting condition
was not a problem for me as I had never let my insurance
lapse. My medications cost (without insurance) $4,000+ per
month. I received notice several weeks ago that they were
going to cancel my plan and were doing so as of Jan. 1 and I
had to sign up for new coverage through the health insurance
exchange.
My staff reached out to this woman to see if we could help. It turns
out that where she lives and given her circumstances there were two
different plans available to her. One plan covered her doctors, the
other plan covered the medicine she needed to treat her multiple
sclerosis. Neither plan would do both. What kind of a choice is it that
this woman is going to have to make?
I have another email that arrived last week:
I finally got to where I could compare plans on the
government website, only to find that my insurance premiums
would go from $512 per month for a plan with a $500
deductible/$2500 out of pocket plan to $799 for a plan with a
$500 deductible and a $2700 out of pocket expense.
Where is the savings? None of the plans include my current
doctor, whom I want to desperately keep. Obamacare is such a
disaster!!! Please stand firm and continue to work towards
REPEALING it.
Finally, there is one more false promise--I am going to give some
examples of responses I have gotten--and that is the promise that
premiums for a family would decrease by $2,500 per year. In fact, the
data I have seen suggests that on average premiums in the individual
market have been increasing. Consider the case of some of the people
who have reached out to my office from Pennsylvania.
This is a small business owner from Carbon County, PA, who sent me
this email last week. He said:
I have had an HSA high deductible plan . . . for several
years for my employees. I have paid 100% percent of the
premiums and contributed 50% of the deductible every year
that they paid the other 50% percent. I just received notice
that my insurance premiums are going up 100%.
What can be done to enforce the president's statements that
we can keep our current plans? There is no way I can pay this
new premium. My employees will be the ones hurt the most.
They loved the coverage they had and I hate that we can no
longer provide this benefit.
Here is an email I got from a father of two from Bucks County, PA.
I received notice last week that my healthcare will more
than triple. Currently I am paying $265 a month for me and my
two young sons . . . my monthly premium will go up to $836 a
month!!!
The president promised ``you can keep your plan'' and
``families will save $2500 per year'' . . . I can keep my
plan, I just can't afford it . . . I do qualify for subsidies
. . . $80 bucks a month.
I got this email from a man from Mercer County, PA, 2 days ago.
I just became another Obamacare victim. Because my
employer's health plan costs are going up almost 100% I will
have $400 less in my pocket each month. At 58 I will have to
cut way back on how much money I can put into my local
economy. Obamacare needs to be scrapped.
This email is from a man from Crawford County, PA:
I am a small business owner, and I speak with many vendors
in my field. One of said vendors says that his monthly cost
would increase to $9.00 an hour on insurance alone. Another
said he feared he would not even be able to stay in business
because of the insurance costs. My own situation is just as
dire. Currently, I personally pay about $1,500 a month for
insurance, and under Obamacare I have seen costs go up by
$375. On top of that, my wife, who is an insurance agent,
fears that she will lose her coverage next fall due to the
law.
Here is an email I got last week from a father from Luzerne County.
Please keep fighting the disaster that is happening to the
thousands of working men and women that will be losing their
health care along with some of us retired folks.
Our son is one of them and the alternative is unthinkable--
his plan cost doubled to $300 a month . . . but the
deductible is $4500. Now how can anyone say everyone will
have affordable health care insurance on top of the statement
no one will lose their plan or doctor if they are satisfied
with them? Your fight is hard, but our prayers are with you.
Here is an email I got from a small business owner from Cumberland
County, PA. He writes:
I am a small business in the Carlisle area. We have been in
business for 30 years . . . I offered insurance to the full
time employees for many years . . . If it weren't for the
rising costs of health care I could hire another employee
because we could use the help but with the anticipated
increases I won't be able to. I have been told by our
insurance carrier that we can expect up to 50% increases.
Finally, a small business owner from Chester County, PA, wrote this
email last week:
We just got our Insurance coverage options for my small
business. Previous rate was $470.00 per month with $0.00
deductible, a good plan. The new plan is $692.00 per month
with a $2,000.00 deductible, a bad plan. OK, I cannot keep my
plan. To get close to the one I need to pay more and incur a
ridiculous deductible.
This is not free market. I don't like the government
telling me what is best for me.
I have several older employees and their rates are up over
$1,000.00 per month each. I cannot pay for their insurance
and they cannot afford to either. I am forced to drop the
plan or remove them from employment.
This is out of control.
This is a small sample of the emails I have gotten. I am one Senator
from one State. The fact is the vast majority of people who experience
these problems don't send an email to their Senator.
So we have this tiny little sliver of the hundreds of thousands--
actually millions--of Americans who are suffering from the direct
consequences--and I would argue intended consequences--of this bill.
They are unable to keep their health insurance plan, unable to keep
their doctors, not experiencing savings but, rather, experiencing
increases in costs. These are just a few of the terrible consequences
of ObamaCare.
There are many others I could cite, but I was just focusing on broken
promises tonight. There are too many to list.
I do want to also stress that these are symptoms of a completely and
impossibly flawed bill. The real underlying problem of ObamaCare is
something that Friedrich Hayek warned us about; he called it the fatal
conceit. This is the idea that a small group of really smart people can
know more than the combined, accumulated knowledge and wisdom that is
disbursed across an entire population. It is an absurd notion. Yet it
is at the heart of all kinds of big government plans, socialism
everywhere, and it is clearly at the heart of ObamaCare.
The idea is that these Mandarins who are so smart and know so much,
they should be able to force their will on everyone else. It is an
extraordinarily insulting premise that this is based on, but it is.
The premise is that individual men and women across America are
certainly not qualified, they are certainly not smart enough to know
what is good enough for them. They should not be free to decide what
kind of health plan they want to buy for their family. There are
tradeoffs that you make when you buy something like a health insurance
plan, such as how important is a higher deductible versus lower
premiums or the importance of having maternity coverage or the
importance that someone might attach to a particular doctor.
All of those judgments, which are so personal, are taken away from
individuals in ObamaCare. That is not for Americans to decide. You will
take the plan that is available to you and approved by the government,
period. By the way, you are breaking the law if you don't, and you will
be assessed a fine.
This is outrageous. This is not the society we have always been, but
it is really just the most recent and egregious example of this warning
that Hayek gave us--this arrogance of big government. I would argue
that it is an offensive affront to the freedom of the American people,
and it is predictably and sensationally a failure.
I note the absence of a quorum.
The PRESIDING OFFICER (Mr. Booker). The clerk will call the roll.
The assistant bill clerk proceeded to call the roll.
(Mr. MURPHY assumed the Chair.)
(Mr. DONNELLY assumed the Chair.)
Mr. BARRASSO. Mr. President, I ask unanimous consent that the order
for the quorum call be rescinded.
The PRESIDING OFFICER (Mr. King). Without objection, it is so
ordered.
Mr. BARRASSO. Mr. President, I ask unanimous consent to speak until
the top of the hour.
[[Page S8781]]
The PRESIDING OFFICER (Mr. Pryor). Without objection, it is so
ordered.
Mr. BARRASSO. Mr. President, I come to the floor today, as I have
over the past several years, to talk about issues affecting this
country. I know there is a nomination we are discussing on the floor,
and I have concerns about the issues related to that nominee and the
way that nomination has been brought forward because it was done by
what I believe to be an abuse-of-power move in a way that resulted in
voting in the middle of the night, discussions in the middle of the
night--all, in my opinion, to distract from the disaster of the Obama
health care law.
The Obama health care law continues to affect people all across the
country. What we saw on October 1 in the great debacle of the rollout
of the Web site was really just about a Web site on October 1. But come
January 1, it will be about real people who have lost their insurance
who are going to be hurt personally in terms of their own health by
this terrible law.
So I come to the floor, as I have week after week since the law
passed, to talk about concerns I have as a doctor, someone who has
practiced medicine in Wyoming for 24 years as an orthopedic surgeon,
taking care of people from around the State, and someone who as a
medical doctor was director of a program called the Wyoming Health
Fairs aimed at giving people low-cost blood screens, having health
fairs people can attend from around the State where they can check
their blood results and visit with doctors and nurses and others in the
community about issues of heart disease, diabetes, all aimed at
preventing disease, early detection of problems, and lowering the cost
of their care.
So I had great interest when this health care law was proposed and
while watching it unfold. The concerns I had as it was passed continue
today, and I think more and more Americans are seeing that those
concerns are being realized in their own lives. And that is what it is
about--people's lives.
The Web site failures are just the tip of the iceberg. What people
are seeing now all across the country are higher premiums, and there
are stories rampant around the country.
I still recall the President of the United States saying that by the
end of his first term, insurance premiums would be down $2,500 per
family. Instead, families are paying much more for health insurance.
There are concerns, obviously, because of canceled coverage. Around the
country, over 5 million folks, I understand from recent accounts, have
received letters saying that they have lost their insurance, that their
insurance will be canceled effective January 1.
The President promised: ``If you like your doctor, you can keep your
doctor.'' But now we are seeing that many people aren't keeping their
doctors. Even though they like their doctors and want to keep their
doctors, they can't.
There are issues of fraud and identity theft that we are hearing
about on a daily basis. The chief of staff of one of the Members of the
Senate was applying on the Obama health care Web site, the government
Web site, trying to get insurance just this Monday, and it sure looked
like the Federal Web site and he thought he was on the Federal Web site
and was putting in information. Then it goes to a screen where they
wanted to know his bank account number and his PIN number.
He said: This can't be right.
He called the help line and spent over an hour on the phone, and they
ultimately said: No. Get off of that. It can't be the Federal
Government Web site. Get off of it.
He was focused enough to think, this can't be right, but the fraud is
going to be rampant, we know that, and identity theft as well.
And then we are seeing huge problems with higher copays and
deductibles.
I have with me a couple articles. Wednesday's Wall Street Journal has
their recent poll numbers. ``Health Law Hurts President Politically.''
The subheadline is that the disapproval rate of Obama's job performance
rises. ``The disapproval rate of the President's job performance now
rises to an all-time high of 54 percent,'' it says, ``even as Americans
are upbeat on the economy.'' So it is not the economy that has people
so disappointed and disapproving of the President.
Let me read a couple paragraphs because this is about the President
of the United States and what we would want in a President of the
United States in terms of credibility with the American people.
The Federal health-care law is becoming a heavier political
burden for President Barack Obama and his party, despite
increased confidence in the economy and the public's own
generally upbeat sense of well-being, a new Wall Street
Journal/NBC News poll suggests.
They go through how the poll was conducted, but people across the
country believe the NBC/Wall Street Journal poll is a true reflection
of what is happening nationwide.
It says:
Disapproval of Mr. Obama's job performance has hit an all-
time high in the poll, at 54 percent, amid the flawed rollout
of the health law. Half of those polled now consider the law
a bad idea, also a record high.
This is a big-time survey of 1,000 adults, and this is really a
disturbing part for us as a nation and should sadden all America:
The survey of 1,000 adults conducted between Dec. 4 and
Dec. 8 found a sharp erosion since January in many of the
attributes--honesty, leadership, ability to handle a crisis .
. .
These are abilities we want in a President. We want a President who
is honest and who is perceived by the public as honest. We want a
President who can handle a crisis and is perceived by the public as
being able to handle a crisis. But they say there has been ``a sharp
erosion since last January in many of the attributes--honesty,
leadership, ability to handle a crisis--that had kept Mr. Obama aloft
through the economic and political turmoil of his first term.''
The poll goes on and asks: In terms of the impact of the President's
health care law, is this going to have a positive impact on you and
your family? Fewer than one out of eight people in the country today
believes this health care law will have a positive impact on them and
their family. We are changing the entire health care system of the
country, and only one out of eight people believes it is actually going
to help them?
The performance of the President is considered to be very bad, a
significant disapproval, and it is because of the health care law.
People look at this and they say: What does this mean to me? How is
this going to affect my life? Those are the issues we talked about
here. People are being hit with the incredible increased costs. They
say: Well, there are some policies that may be a little bit cheaper,
the so-called bronze policies. So the New York Times took a look at
that. Again, these are articles from just this week.
This is from Monday, December 9: ``On Health Exchanges, Premiums May
Be Low, but Other Costs Can Be High.'' This is by Robert Pear this
Monday, a well-known writer who does his research and gets the facts.
He says, ``But as consumers dig into the details . . . ''--boy, that is
a key phrase because I believe that so many people who voted for this
health care law never looked into the details, didn't know what it
meant, didn't know what was going to be in it because Nancy Pelosi
famously said: First you have to pass it before you get to find out
what is in it. Well, Americans are now looking at it, digging into it.
Robert Pear in the New York Times said:
But as consumers dig into the details, they are finding
that the deductibles and other out-of-pocket costs are often
much higher than what is typical in employer-sponsored health
plans.
So what they actually have to pay out of their pockets is much higher
than in employer-sponsored health plans.
Well, people really care about what they have to pay personally for
things.
The same day, the Wall Street Journal, Monday, December 9, page 1.
``High Deductibles Fuel New Worries of Health-Law Sticker Shock''--
the same information that we have seen there in the New York Times.
It says the average individual deductible for what is called the
bronze plan on the exchange, the plan I was talking about a little
earlier, which is the lowest priced average deductible is $5,081 a
year, according to a new report on insurance offerings in 34 of the 36
States
[[Page S8782]]
that rely on the federally--Washington-run--online marketplace. That is
42 percent higher than the average deductible last year on plans that
were purchased. This is before the Federal law took place. ``High
Deductibles Fuel New Worries of Health-Law Sticker Shock.''
I heard the President say the States that have done it have done it
very well. It is astonishing. When you turn to the second part of this
article, page A6 says ``Deductibles Fuel New Worries of Health-Law
Sticker Shock.'' What about the States doing their own plan? The
headline above that: ``Health-Site Snafus Plague Maryland,'' a State
that has decided to do their own Web site.
This is from Monday:
Maryland is struggling to fix its troubled health-insurance
website more than two months after it opened, showing how
technology woes are affecting more than just the federal
system.
We see it is not just the Web site--one article about the bad Web
site, the next article is about higher copays and deductibles.
Interestingly, the official in charge of Maryland's insurance
marketplace resigned after criticism of her decision to take a vacation
in the Cayman Islands during Thanksgiving week. New statistics released
Friday showed just a trickle of customers signing up for private
coverage in the State.
It is interesting that States are having problems and the Federal
Government is having problems. People wanted to keep their insurance.
They wanted to keep their insurance. They liked their insurance.
I talked to a woman--a rancher in Wyoming--at the Farm Bureau
meeting. She lost her insurance. Her insurance worked very well for her
and her family, but she lost it because it didn't meet President
Obama's criteria of the 10 different standards that had to be met. She
knows me and called me Doc because I had known her, and I am a doctor
in Wyoming. She said it is interesting that the reason she lost her
insurance is because it didn't include maternity coverage.
She said, Doc, I had a hysterectomy. I don't need maternity coverage.
She said, I know I don't need maternity coverage, but apparently
President Obama believes she needs maternity coverage. The Democrats in
the Senate believe she needs maternity coverage.
The question is, Who is the best judge for you and your family? Is it
the government or the Democrats who believe they know better than you
do or the freedom-loving Americans who believe they can make their own
decisions about their lives and their families and what insurance they
want or do not want.
People wanted to keep their insurance. They weren't allowed to, but
the President said they could. Time and time again, the President said
people could keep their insurance if they liked their insurance. I
think that is one of the major reasons the President's credibility has
dropped.
As a matter of fact, there is a nonpartisan fact checker called
PolitiFact, and each year they go through lots of comments and lots of
statements that are made, and they came out last night with their lie
of the year. They do this every year--the lie of the year. The lie of
the year that came out from PolitiFact for the year 2013 was: If you
like your health care plan, you can keep it. We all know who said it--
the President of the United States.
They go on to say he didn't just say it once. We counted dozens of
times that President Barack Obama said if people like their health
plan, they can keep it. They go on to say:
It was a catchy political pitch and a chance to calm nerves
about his dramatic and complicated plan to bring historic
change to America's health insurance system. ``If you like
your health plan, you can keep it,'' President Barack Obama
said many times, but the promise was impossible to keep.
This fall, as cancellation letters were going out to approximately 4
million Americans, the public realized the President's breezy
assurances were wrong and, therefore, they have given it the lie of the
year.
People saw this coming. Republicans saw this coming. My colleague
from Wyoming, Senator Mike Enzi, saw this coming. That is why he came
to the floor years ago and said: People are going to lose their
coverage. People are going to lose it. He brought a resolution to the
floor because he actually reads the Federal Register, and he saw the
regulations that came out.
He came to this floor with legislation to say: Wait a second. If you
truly believe people can keep their coverage, you have to adopt this
piece of legislation so people truly can keep their coverage. Yet we
saw Republicans vote with Senator Enzi, saying let people keep their
coverage. We saw Democrats say, forget it, Senator Enzi, we don't
believe you are right.
The President was wrong; Senator Enzi was right.
There was a letter to the editor in the Powell Tribune in Powell, WY,
with the headline ``Enzi saw ACA impacts beforehand, shows value of
Senator Enzi.''
Dear Editor: Fox News had a very interesting and
informative program Tuesday evening Nov. 6 on ``The Kelly
Files with Megyn Kelly.''
As anyone who watches Fox News knows, they are covering the
beginning effects of the Affordable Care Act, also known as
ObamaCare, as it is being implemented. Megyn Kelly began her
program stating she had a special guest who had predicted
three-and-one-half years ago almost exactly what will happen
when the ObamaCare law guess into effect this October.
Her special guest was our own Wyoming senior Senator Mike Enzi and he
had made his predictions in a speech on the Senate floor three-and-one-
half years ago. He was then called a fearmonger by the Democrats and a
radical rightwinger. Senator Enzi was probably one of a very few
elected officials who had actually read the bill.
Senator Enzi reads all the bills. He understands the bills and the
implications and then reads the Federal Register so he knows what is in
them. He then brings to the floor thoughtful pieces of legislation to
actually make things better for the American people, not worse.
What we are now seeing is that people can't keep their insurance.
They are losing their insurance, their doctor, and losing their
hospitals. It is interesting in terms of being able to not even keep
your doctor, not being able to go to the hospital you prefer.
I would like to talk for a few seconds about the doctor-patient
relationship and why when the President says: ``If you like your
doctor, you can keep your doctor, period,'' that actually caused
comfort for people. But, again, that is another broken promise. It is
not necessarily ranked by PolitiFact to the level of, ``If you like
your coverage, you can keep your coverage,'' because people have gotten
the letters. Next year we will see more and more people who will not be
able to keep their doctor.
As a doctor, I wrote an article that appeared on Wednesday of this
week in Investors Business Daily called ``ObamaCare Disrupts the
Delicate Relationship Between Patient and Doctor.'' I would like to
share parts of it now specifically because this past weekend on one of
the Sunday talk shows Rahm Emanuel's brother Ezekiel Emanuel, who
was one of the architects of the President's health care law, which was
written behind closed doors, was on one of his talk shows responding to
a question about the President's comment, ``If you like your doctor,
you can keep your doctor.'' Can you really keep your doctor?
What I wrote in this column December 11 was:
A central architect of the President's health care law
admitted this week that the often repeated promise that ``if
you like your doctor, you can keep your doctor'' simply isn't
true.
Instead, Dr. Ezekiel Emanuel explained that if you like
your doctor, you will simply need to pay more to keep your
doctor.
As a physician, I know firsthand how this will hurt many
Americans.
I write about how families look to doctors as trusted friends,
confidants, counselors, and turn to them for advice in making life-and-
death decisions.
In Wyoming, patients have included me in graduations, weddings, and
asked me to serve as a pallbearer at funerals. They have asked me to
pray with them, referee family disputes, and provide reassurance when a
doctor they didn't know was called in to consult.
Norman Rockwell's painting ``Doctor and Doll'' tells the story. A
little girl holds up the doll as the trusted family doctor listens with
a stethoscope. A caring and compassionate physician takes the time to
reassure a concerned little girl.
The doctor-patient relationship is a very special bond. It requires
faith and trust for a patient to allow me to cut
[[Page S8783]]
into their body to remove a tumor, to replace a wornout joint, to fix a
broken bone, to repair a torn ligament, and above all else, to do no
harm.
The President knew of that special relationship between people and
their doctors. That is why when he was trying to gain support for the
health care law, he made a clear and simple promise to the American
people. The President said: ``If you like your doctor, you can keep
your doctor, period.''
Now people all across the country are finding out that they can't
keep their doctor. The same law that has caused millions of Americans
to lose the health insurance that worked for them is now causing them
to lose their doctor.
People who are shopping for insurance on government exchanges are
being forced to purchase insurance for things they don't want, don't
need, and will never use. To keep costs down, many of these policies
limit the doctors and hospitals that patients can use.
Some of the Nation's premier hospitals--including the Mayo Clinic and
Cedars-Sinai Medical Center--are excluded from many insurance exchanges
in their networks. Some of the best children's hospitals in the country
are also excluded from the exchanges. This means a child with cancer
may lose access to his or her doctor and their specialty hospital. Why?
Because of the law.
In New Hampshire, 10 of the State's 26 hospitals are excluded from
the only carrier that offers insurance in the exchange. The head of the
medical staff at one of the excluded hospitals in New Hampshire has
learned that her plan does not even let her, the chief of staff of the
hospital, seek treatment at her own hospital.
The situation can be equally bad for seniors on Medicare. Thousands
of doctors caring for seniors on Medicare Advantage have been dropped
from their networks. Those Medicare patients are now going to be
challenged to find a new doctor to take care of them.
The President's health care law is making it harder for doctors as
well as for patients. Doctors know their patients. They know their
health history, they know their lives, and doctors value the personal
relationship as much as the patient does.
People become doctors in the first place to take care of their
patients. Even if someone is able to keep their doctor, they will not
necessarily be able to spend as much time with them as they might like
to. That is because nearly two-thirds of doctors expect to have to
spend more time on paperwork under the requirements of the law.
This isn't at all what the President promised the American people.
People all across America put their faith and their trust in Barack
Obama when they elected him President. It is the same kind of faith and
trust they have in their own doctor. When patients lose trust in their
doctor, as citizens they are now losing faith in their President, it is
extremely difficult to regain that trust.
So I continue to hear from my patients in Wyoming. They have always
had my home phone number. They are anxious. They are angry. They know
what they want from the health care reform. They want access to quality
affordable care. That is not what they got with this law. Now many face
losing the doctor who has always been there for them.
If President Obama wants to regain the trust of the American people,
he will sit down with Republicans to deliver reforms that will help all
Americans and fully protect the doctor-patient relationship. After all,
President Obama has his own doctor at the White House, a doctor who is
dedicated to the President's care. I am sure the President values his
relationship just as much as other Americans value their relationship
with their doctor.
I continue to come to the floor. I see my colleagues are arriving. I
would call their attention to this issue, as they say we have to make
the coverage for all these things, they feel they know what is best for
American patients, we need to provide psychiatric insurance an
coverage, and I have voted to provide parity for psychiatric care, but
yesterday's New York Times article by Robert Pear, ``Fewer
Psychiatrists Seen Taking Health Insurance.'' So the insurance the
President is providing for people doesn't actually help them. It maybe
makes the President feel better, but it is not helping people get care.
The President has been very confused and used the word ``coverage''
when he should have been talking about actual health care for people,
providing physicians to take care of them so people can get what they
need in health care reform, the care they need, from a doctor they
choose, at lowers costs.
Thank you, Mr. President. I yield the floor.
The PRESIDING OFFICER. The question occurs on the nomination.
The question is, Will the Senate advise and consent to the nomination
of Deborah Lee James, of Virginia, to be Secretary of the Air Force?
Mr. BARRASSO. I ask for the yeas and nays.
The PRESIDING OFFICER. Is there a sufficient second?
There is a sufficient second.
The clerk will call the roll.
The assistant bill clerk called the roll.
Mr. DURBIN. I announce that the Senator from New Jersey (Mr. Booker),
the Senator from South Dakota (Mr. Johnson), the Senator from Maryland
(Ms. Mikulski), the Senator from West Virginia (Mr. Rockefeller), and
the Senator from Hawaii (Mr. Schatz) are necessarily absent.
Mr. CORNYN. The following Senators are necessarily absent: the
Senator from Tennessee (Mr. Alexander), the Senator from Missouri (Mr.
Blunt), the Senator from Indiana (Mr. Coats), the Senator from Oklahoma
(Mr. Coburn), the Senator from Tennessee (Mr. Corker), the Senator from
Idaho (Mr. Crapo), the Senator from South Carolina (Mr. Graham), the
Senator from Utah (Mr. Hatch), the Senator from Oklahoma (Mr. Inhofe),
and the Senator from Illinois (Mr. Kirk).
Further, if present and voting, the Senator from Tennessee (Mr.
Alexander) would have voted ``nay.''
The PRESIDING OFFICER (Mr. Levin). Are there any other Senators in
the Chamber desiring to vote?
The result was announced--yeas 79, nays 6, as follows:
[Rollcall Vote No. 270 Ex.]
YEAS--79
Ayotte
Baldwin
Barrasso
Baucus
Begich
Bennet
Blumenthal
Boozman
Boxer
Brown
Burr
Cantwell
Cardin
Carper
Casey
Chambliss
Cochran
Collins
Coons
Cornyn
Cruz
Donnelly
Durbin
Enzi
Feinstein
Flake
Franken
Gillibrand
Grassley
Hagan
Harkin
Heinrich
Heitkamp
Heller
Hirono
Hoeven
Isakson
Johnson (WI)
Kaine
King
Klobuchar
Landrieu
Leahy
Lee
Levin
Manchin
Markey
McCaskill
McConnell
Menendez
Merkley
Moran
Murkowski
Murphy
Murray
Nelson
Paul
Portman
Pryor
Reed
Reid
Rubio
Sanders
Schumer
Scott
Sessions
Shaheen
Shelby
Stabenow
Tester
Thune
Toomey
Udall (CO)
Udall (NM)
Warner
Warren
Whitehouse
Wicker
Wyden
NAYS--6
Fischer
Johanns
McCain
Risch
Roberts
Vitter
NOT VOTING--15
Alexander
Blunt
Booker
Coats
Coburn
Corker
Crapo
Graham
Hatch
Inhofe
Johnson (SD)
Kirk
Mikulski
Rockefeller
Schatz
The nomination was confirmed.
____________________