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| TIME | SPEAKER | TEXT |
|---|---|---|
| 01:03:06 |
|
I APPRECIATE YOU FOR THAT CONSIDERABLE ASSISTANCE THAT'S THERE AND I THINK WE CAN IMPROVE UPON IT... |
| 01:03:28 |
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MR. CHAIRMAN? |
| 01:03:29 |
|
SENATOR SNOWE? |
| 01:03:31 |
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I WANT TO APPLAUD THE SENATOR FROM ARKANSAS FOR OFFERING THIS AMENDMENT BECAUSE TRULY, WE HAVE TO... |
| 01:05:20 |
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MR. CHAIRMAN, I WANT TO THANK MY COLLEAGUE FROM MAINE BECAUSE SHE HAS JUST BEEN TIRELESS IN WORKING,... |
| 01:05:54 |
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THANK YOU, SENATOR. OKAY. I HAVE -- |
| 01:05:57 |
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MR. CHAIRMAN? |
| 01:05:58 |
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THANK YOU. I JUST WANTED TO ADD AS WELL, THANKING SENATOR LINCOLN FOR THIS AMENDMENT. WE KNOW THAT... |
| 01:06:28 |
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THANK YOU, SENATOR. OKAY. I HAVE A PROPOSED LIST OF AMENDMENTS HERE. I WILL READ THEM, GIVE SENATORS... |
| 01:07:01 |
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THANK YOU VERY MUCH, MR. CHAIRMAN. THIS IS MY AMENDMENT NUMBER D-1 AS MODIFIED. WE SENT AROUND THE... |
| 01:13:47 |
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FURTHER DEBATE? |
| 01:13:53 |
|
WOULD THE SENATOR YIELD FOR A QUESTION? |
| 01:13:57 |
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THANK YOU, MR. CHAIRMAN. WE'VE HAD A LOT OF DISCUSSION THE LAST COUPLE DAYS ON MEDICARE ADVANTAGE.... |
| 01:16:34 |
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MR. CHAIRMAN, COULD I RESPOND? |
| 01:16:39 |
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I'M NOT AGAINST COMPETITIVE BIDDING. I LIKE COMPETITION. WHAT MY AMENDMENT SAYS IS I LIKE THE FACT... |
| 01:17:12 |
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WOULD THE SENATOR YIELD? |
| 01:17:13 |
|
YES. |
| 01:17:15 |
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I WOULD SUGGEST THAT YOU'RE SUPPORTING THE WRONG AMENDMENT, THAT WHAT YOU OUGHT TO CONSIDER IS NOT... |
| 01:18:15 |
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TO RESPOND, FIRST OF ALL, I WILL CAREFULLY REVIEW YOUR AMENDMENT, SENATOR, WHEN YOU BRING IT. I NEED... |
| 01:19:35 |
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WHY IS WHY I WANT TO GRANDFATHER. |
| 01:19:38 |
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I UNDERSTAND. |
| 01:19:41 |
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MR. CHAIRMAN, I'D LIKE TO FIRST ASK THE SENATOR -- IS |
| 01:19:48 |
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YES. IT'S INTERESTING. THE BILL, AS I UNDERSTAND IT, HAVE BEEN SCORED, MY AMENDMENT AND SCORED AT... |
| 01:20:27 |
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THE CBO SCORE IS $130 BILLION? |
| 01:20:32 |
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$133 BILLION. |
| 01:20:33 |
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HOW DO YOU PROPOSE -- |
| 01:20:36 |
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MY PROPOSAL IS TO OFFSET THAT IN CORRESPONDING REDUCTIONS IN UNSPENT AND UNALLOCATED SPENDING FROM... |
| 01:20:59 |
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WITH SOME RELUCTANCE AND CONCERN, AND ALMOST SADNESS, I MUST INFORM THE SENATOR THIS AMENDMENT IS... |
| 01:21:19 |
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IS THERE NO WAY FOR THIS COMMITTEE TO REACH, THROUGH ITS JURISDICTION, THE UNSPENT DOLLARS IN THE... |
| 01:21:29 |
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THIS IS NOT THE APPROPRIATIONS COMMITTEE. THIS IS THE FINANCE COMMITTEE. WE DON'T HAVE JURISDICTION... |
| 01:21:38 |
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WELL, I WOULD LIKE TO CHALLENGE THAT RULING AND ASK FOR A VOTE ON IT. |
| 01:21:44 |
|
MR. CHAIRMAN -- |
| 01:21:52 |
|
SENATOR SCHUMER. TWO CHUCKS. |
| 01:21:54 |
|
I WILL BE BRIEF. I WANT TO MAKE A POINT ON THE SUBSTANCE OF THE AMENDMENT. IT'S NOT RELATED TO THE... |
| 01:24:20 |
|
MR. CHAIRMAN, COULD I DEFEND MY NAME IN ONE SENSE. |
| 01:24:22 |
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ABSOLUTELY. YOU DESERVE A RESPONSE. GO AHEAD. |
| 01:24:27 |
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LET ME SAY ONCE AGAIN, READ MY AMENDMENT. IT DOES NOT SAY THAT COMPETITION IS NOT GOING TO WORK BECAUSE... |
| 01:25:35 |
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I'D LIKE TO REMIND MY COLLEAGUETION, THIS IS AN INTERESTING DISCUSSION, BUT IT'S MOOT. THIS AMENDMENT... |
| 01:25:50 |
|
YES, I DO. |
| 01:25:53 |
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CALL A VOTE ON A MOTION TO OVERRULE THE CHAIR. |
| 01:25:57 |
|
NO. |
| 01:25:59 |
|
MR. CONRAD? |
| 01:26:00 |
|
NO. |
| 01:26:02 |
|
NO. |
| 01:26:06 |
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MR. SCHUMER? |
| 01:26:08 |
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MS. DAB NOW SHH. |
| 01:26:09 |
|
NO. |
| 01:26:11 |
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NO. |
| 01:26:13 |
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MR. MENENDEZ? |
| 01:26:17 |
|
NO. |
| 01:26:18 |
|
MR. GRASSLEY? |
| 01:26:20 |
|
A. |
| 01:26:21 |
|
MR. HATCH. |
| 01:26:22 |
|
OOI. |
| 01:26:24 |
|
MS. SNOW? |
| 01:26:26 |
|
NO. |
| 01:26:32 |
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MR. BUNNING? |
| 01:26:33 |
|
AYE |
| 01:26:56 |
|
THE FINAL TALLY IS EIGHT AYES AND NINE NAYS. |
| 01:26:58 |
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TWO-THIRDS OF THOSE PRESENT NOT HAVING VOTED IN THE AFFIRMATIVE AFFIRMATIVE, IT WILL NOT CHANGE. ... |
| 01:27:28 |
|
THANK YOU, MR. CHAIRMAN. THE TWO ISSUES WHICH I THINK WE HAVE IN COMMON -- SENATOR, COULD YOU MAYBE... |
| 01:27:37 |
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I'LL DO MY BEST. |
| 01:27:42 |
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THE TWO ISSUES THAT I THINK DEFINE THE PROBLEM THE BEST WHEN IT COMES TO HEALTH CARE REFORM ARE LACK... |
| 01:31:48 |
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SENATOR ROCKEFELLER. |
| 01:31:50 |
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THANKS, MR. CHAIRMAN. THIS IS A VERY, VERY IMPORTANT AMENDMENT AND IT'S A VERY, VERY BAD AMENDMENT.... |
| 01:33:26 |
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WITH ALL DUE RESPECT, SENATOR, I DON'T KNOW WHAT AMENDMENT YOU'RE REFERRING TO. |
| 01:33:30 |
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I'M REFERRING TO YOUR AMENDMENT. |
| 01:33:35 |
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CERTAINLY NOT REFERRING TO MY AMENDMENT. |
| 01:33:37 |
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I AM. |
| 01:33:38 |
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BECAUSE WHAT YOU PROPOSING BY IMPOSING NEW MANDATES ON EMPLOYER PROVIDED -- WE'RE NOT TALKING ABOUT... |
| 01:35:13 |
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FIRST OF ALL, I DON'T HAVE MY PROPOSAL YET, SO IT'S A LITTLE DIFFICULT FOR YOU TO REFER TO IT. MY... |
| 01:36:34 |
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I UNDERSTAND YOUR POSITION. AND I WOULD SAY THAT THAT IS A EXCEEDINGLY PATERNALISTIC VIEW OF WHAT... |
| 01:36:45 |
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I DON'T WANT TO HEAR THE FEDERAL GOVERNMENT KNOWS BETTER |
| 01:36:47 |
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ARE WE GOING TO KEEP THE PRESIDENT'S PROMISE OR IS THIS COMMITTEE GOING TO BREAK IT BY NOT ALLOWING... |
| 01:37:01 |
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SEE, YOU ALWAYS COME BACK TO THAT. EVERYTHING IS -- NOT JUST YOU, BUT GENERALLY WITH CERTAIN EXCEPTIONS,... |
| 01:37:25 |
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AGAINST THEIR WILL AND AGAINST THEIR DESIRES. IF THEY HAVE WHAT THEY LIKE NOW YOU'RE GOING TO PROTECT... |
| 01:37:36 |
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LET ME SEE IF I CAN STRAIGHTEN THIS OUT A LITTLE BIT. I MAY BE WRONG. BUT BASICALLY UNDER THE MARK,... |
| 01:40:06 |
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MR. CHAIRMAN, READING ON PAGE 28 OF THE CHAIRMAN'S MARK. IT SAYS IN BEGINNING IN 2013, ALL U.S. CITIZENS... |
| 01:40:23 |
|
I'M SORRY, SENATOR. I GOT DISTRACTED. COULD YOU SAY IT AGAIN. |
| 01:40:28 |
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I'M READING THE MARK ON PAGE 28 UNDER THE PERSONAL RESPONSIBILITY REQUIREMENT. IT SAYS BEGINNING IN... |
| 01:41:30 |
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NO, NO, NO, NO, NO. UNDER THE MARK, NO ONE WILL LOSE ANY COVERAGE THAT HE OR SHE NOW HAS. THOSE ARE... |
| 01:41:40 |
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MR. CHAIRMAN, THAT'S NOT WHAT THE LANGUAGE SAYS. IT SAYS BEGINNING IN 2013, ALL U.S. CITIZENS AND LEGAL... |
| 01:41:57 |
|
LET ME SEE IF WE CAN CLEAR THIS UP. EVETTE, IF I'M WRONG, TELL ME. WE WANT THE FACTS. WHAT'S IN THE... |
| 01:42:01 |
|
I JUST WANT TO DIRECT YOU TO PAGE 12 OF THE MARK. THAT IS ACTUALLY THE PROVISION THE CHAIRMAN IS REFERRING... |
| 01:42:28 |
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ISN'T IT TRUE THAT AFTER FIVE YEARS, EVEN THE GRANDFATHERED PLANS, THE RATINGS REFORMS WILL APPLY... |
| 01:42:41 |
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IN TERMS OF THE SMALL GROUP MARKET, THE RATING REFORMS DO PHASE IN OVER FIVE YEARS, BUT THAT DOESN'T... |
| 01:42:55 |
|
ADJUSTED UPWARD, RIGHT? |
| 01:42:57 |
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UPWARD FOR SOME. DOWNWARD FOR OTHERS ARE YOU TELLING ME THAT INCREASED MANDATES AND REQUIREMENTS WILL... |
| 01:43:07 |
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I'M TELLING YOU THAT THE INCREASED BENEFIT MANDATES TO THE EXTENT THAT THERE THERE ARE SOME ANTI DON'T... |
| 01:43:23 |
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SOUNDS TO ME LIKE IT'S THE OLD STORY ABOUT A FROG IN THE POT OF WATER ON THE STOVE. PRETTY SOON THE... |
| 01:43:47 |
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WHAT I'M SAYING, IN OTHER WORDS, IS IF YOU'RE A SMALL EMPLOYER AND YOU'RE CURRENTLY OFFERING A BENEFIT... |
| 01:46:23 |
|
OKAY. |
| 01:46:27 |
|
SENATOR STABENOW. |
| 01:46:31 |
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THANK YOU. AS SOMEONE WHO HAS A LARGE NUMBER OF LARGE EMPLOYERS IN MY STATE, ONE OF THE THINGS I APPRECIATE... |
| 01:49:38 |
|
SENATOR KYLE. |
| 01:49:39 |
|
THANK YOU, MR. CHAIRMAN. I WA JUST WANT TO CORRECT ONE THING THAT THE SENATOR FROM MICHIGAN SAID.... |
| 01:50:32 |
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WOULD MY COLLEAGUE ALLOW ME TO JUST -- |
| 01:50:34 |
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LET ME JUST CONCLUDE THIS. I HAVE SEEN ABSOLUTELY NO DATA, AND I WOULD BE INTERESTED IF THE STAFF... |
| 01:50:48 |
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WE HAVE ACTUALLY -- I'VE HEARD TESTIMONY, WE'VE ALL HAD DISCUSSIONS. COLLEAGUES HAVE TALKED ABOUT... |
| 01:51:18 |
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IF YOU WOULD YIELD, I'LL CLARIFY THAT. I PROBABLY HAD MORE DISCUSSIONS WITH STEVE THAN ANYBODY ON... |
| 01:52:25 |
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I WOULD RECLAIM MY TIME JUST A SECOND TO SAY IT REALLY IS BOTH. |
| 01:52:29 |
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HOLD ON. PREVENT FIRST-DOLLAR COVERAGE AND PREVENTION FROM AN ECONOMIC STANDPOINT, CBO DOESN'T SCORE... |
| 01:52:54 |
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I UNDERSTAND HAVING WORKED EXTENSIVELY IN THIS AREA MYSELF; I UNDERSTAND EXACTLY WHAT YOU'RE SAYING.... |
| 01:53:04 |
|
MR. CHAIRMAN? |
| 01:53:05 |
|
WE'RE GOING TO HAVE TO VOTE. |
| 01:53:07 |
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SENATOR CORNYN IN MY VIEW IS RAISING A VERY IMPORTANT ISSUE, BECAUSE THERE ARE A LOT OF VERY GOOD... |
| 01:54:23 |
|
WOULD THE SENATOR YIELD? |
| 01:54:24 |
|
BE HAPPY TO. |
| 01:54:25 |
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I APPRECIATE AND UNDERSTAND I THINK WHAT THE SENATOR FROM OREGON SAID. I WOULD JUST BE CURIOUS HOW... |
| 01:55:20 |
|
SENATOR ROCKEFELLER. |
| 01:55:23 |
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I BELIEVE THAT SENATOR WIDEN HAD THE FLOOR. HE YIELDED FOR A QUESTION. |
| 01:55:27 |
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OKAY. |
| 01:55:31 |
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I'LL BE VERY BRIEF. I THINK THE SENATOR FROM TEXAS IS RAISING A VALID POINT. EVERYTHING I WANT TO... |
| 01:56:09 |
|
SENATOR ROCKEFELLER. |
| 01:56:11 |
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A SHORT CLOSE TO THE ARGUMENT I HOPE. SO, AS I UNDERSTAND IT, SELF-INSURED PLANS GET TO KEEP OPERATING... |
| 01:56:22 |
|
THAT'S CORRECT. |
| 01:56:24 |
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THEY ARE UNTOUCHED. |
| 01:56:25 |
|
THAT'S CORRECT. |
| 01:56:27 |
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THE ARGUMENT IS THAT WE ARE SAVING MONEY FOR EMPLOYERS, BUT WE'RE NOT PROVIDING EMPLOYEES WITH A BENEFIT... |
| 01:56:41 |
|
OKAY. READY TO VOTE? |
| 01:56:48 |
|
ALL THOSE IN FAVOR OF THE AMENDMENT VOTE OOI, THOSE OPPOSED NO. CALL THE ROLL. |
| 01:56:54 |
|
ROCKEFELLER? |
| 01:56:55 |
|
NO. |
| 01:56:57 |
|
MR. CONRAD? |
| 01:56:58 |
|
NO. |
| 01:57:00 |
|
MR. BING MAN? |
| 01:57:01 |
|
NO. |
| 01:57:03 |
|
MR. KERRY? |
| 01:57:04 |
|
NO BY PROXY. |
| 01:57:07 |
|
MRS. LINCOLN? |
| 01:57:08 |
|
NO. |
| 01:57:11 |
|
NO. |
| 01:57:14 |
|
MR. SCHUMER? |
| 01:57:15 |
|
NO. |
| 01:57:19 |
|
NO. |
| 01:57:21 |
|
MS. CAN'T WELL? |
| 01:57:23 |
|
NO. |
| 01:57:24 |
|
MR. NELSON? |
| 01:57:27 |
|
NO BY PROXY. |
| 01:57:33 |
|
MR. MENENDEZ? |
| 01:57:38 |
|
NO BY PROXYBLEMSPROBLEMSY. |
| 01:57:39 |
|
MR. CARPER. |
| 01:57:40 |
|
MR. GRASSLEY? |
| 01:57:42 |
|
AYE. |
| 01:57:47 |
|
MR. HATCH? PASS FOR NOW. |
| 01:57:52 |
|
MS. SNOWE? |
| 01:57:53 |
|
AYE. |
| 01:57:55 |
|
MR. KYL? |
| 01:57:56 |
|
EYE. |
| 01:57:58 |
|
MR. BUNNING? |
| 01:58:00 |
|
AYE. |
| 01:58:02 |
|
MR. CRAPO. |
| 01:58:03 |
|
AYE. |
| 01:58:05 |
|
MR. ROBERTS? |
| 01:58:10 |
|
AYE BY PROXY. |
| 01:58:13 |
|
MR. ENSING. |
| 01:58:14 |
|
EYE. |
| 01:58:16 |
|
MR. ENZI? |
| 01:58:18 |
|
AYE. |
| 01:58:22 |
|
NO. |
| 01:58:26 |
|
I HAVE A VOTE FOR SENATOR HATCH. AYE BY PROXY. THE FINAL TALLY IS TEN AYES, 13 NOS. |
| 01:58:48 |
|
THE AMENDMENT FAILS. THE NEXT AMENDMENT IS OFFERED BY SENATOR ENZI. |
| 01:58:55 |
|
THANK YOU, MR. CHAIRMAN. I'D CALL UP ENZI AMENDMENT C-3 AS MODIFIED. AND WHAT THIS SAYS IS PRIOR TO... |
| 02:01:21 |
|
MR. CHAIRMAN? |
| 02:01:22 |
|
YES. SENATOR ENZI RECOGNIZED. |
| 02:01:28 |
|
I THINK SENATOR ENZI IS MAKING VERY IMPORTANT POINTS THAT NEED TO BE STRESSED. OVER THE LAST MANY... |
| 02:03:30 |
|
MR. CHAIRMAN? |
| 02:03:32 |
|
SENATOR CONRAD. |
| 02:03:36 |
|
MR. CHAIRMAN, THE MARK IS BASED ON THE NOTION OF SHARED RESPONSIBILITY. IF E WE LOOK AROUND THE WORLD... |
| 02:05:58 |
|
MR. CHAIRMAN? |
| 02:06:00 |
|
SENATOR KYL. |
| 02:06:01 |
|
I WANT TO REMIND MY COLLEAGUES OF SOMETHING DR. EL MEN DOOR OF CONFIRMED DURING THE WALK THROUGH. ... |
| 02:07:35 |
|
I MIGHT SAY HERE, AND IT'S A POINT UNDERLYING THIS MARK. THAT IS, WE'RE ALL IN THIS TOGETHER; ALL... |
| 02:10:09 |
|
THAT REFER TOSS THE EMPLOYEES. THAT'S WHO THE DEPARTMENT OF LABOR IS SUPPOSED TO TAKE CARE OF. YOU... |
| 02:10:37 |
|
NOW WORKERS' WAGE, DO YOU MEAN WORKERS NATIONWIDE. DO YOU MEAN WORKERS, JUST THAT ONE FIRM? WHAT --... |
| 02:10:52 |
|
NATIONWIDE. |
| 02:10:53 |
|
SO YOU'RE SAYING -- |
| 02:10:56 |
|
I'M NOT EXPECTING HER TO GO TO EVERY EMPLOYER AND FIGURE OUT WHETHER THEY'RE GOING TO REDUCE THE WAGES... |
| 02:11:18 |
|
I JUST WONDER BECAUSE WAGES GO UP, GO DOWN, ONE PART OF THE ECONOMY VERSUS ANOTHER PART OF THE ECONOMY.... |
| 02:11:56 |
|
IT APPLIES TO THE ECONOMY GENERALLY BUT DOESN'T HAVE ANYTHING TO DO WITH WHETHER IT'S SUBSTANTIAL... |
| 02:12:06 |
|
IS THIS -- ARE YOU TALKING ABOUT -- |
| 02:12:08 |
|
I'M A LOW INCOME AND I GET A $1 REDUCTION, THAT MIGHT BE SUBSTANTIAL TO ME. IF I'M IN A HIGHWAY WAGE... |
| 02:12:24 |
|
I JUST WANT KNOW HOW THIS WORKS. BECAUSE SOME SECTOR OF THE ECONOMY, THE WAGES GO UP. SOME SECRETARYTOR... |
| 02:12:46 |
|
WAGES ARE BASED ON GROSS. |
| 02:12:48 |
|
THE SECRETARY'S ACCESS TO THE DATA TO DO THIS WOULD BE APPROXIMATELY THE SAME THAT THE CBO WOULD HAVE.... |
| 02:13:12 |
|
I JUST DON'T SEE HOW YOU IMPLEMENT THIS. BUT IF YOU WANT TO WORK WITH ME TO GET MORE SPECIFIC LANGUAGE,... |
| 02:13:22 |
|
I'M JUST WORK ON THE WORD "SUBSTANTIAL." I THINK THAT SOLVES IT. |
| 02:13:24 |
|
WHAT DOES SUBSTANTIAL MEAN? |
| 02:13:28 |
|
THAT'S A GOOD QUESTION. |
| 02:13:29 |
|
I DIDN'T TRY TO PUT THAT DIFFICULT OF A REQUIREMENT ON THE SECRETARY. I THINK YOU'RE PUTTING A MUCH... |
| 02:13:37 |
|
I THINK IT'S UNWORKABLE. LET'S TRY TO WORK THIS OUT. LESS TRY TO FIND SOME OTHER LANGUAGE. |
| 02:13:41 |
|
MR. CHAIRMAN? |
| 02:13:43 |
|
SENATOR? |
| 02:13:45 |
|
I THINK THAT FIRST OF ALL, THERE'S BEEN A COUPLE OF STATEMENTS INCLUDING SENATOR CONRAD AND SENATOR... |
| 02:16:37 |
|
OKAY. I'D LIKE TO TURN TO OTHER MEMBERS. SNAERKTS I UNDERSTAND YOU'RE WILLING TO WORK OUT SOME LANGUAGE.... |
| 02:16:44 |
|
MR. CHAIRMAN, I'M NOT TRYING TO DELAY THINGS. AND THIS JUST DOESN'T SEEM THAT DIFFICULT. I'M LEAVING... |
| 02:17:12 |
|
SENATOR, WE DON'T HAVE A CBO SCORE ON THIS AMENDMENT? I DON'T KNOW WHAT CBO -- |
| 02:17:18 |
|
I'M NOT ASKING FOR THE CBO, I'M ASKING FOR THE SECRETARY OF LABOR TO MAKE THIS DETERMINATION. |
| 02:17:23 |
|
I'M ASKING FOR THE SCORE ON YOUR AMENDMENT. IT MIGHT COST. I JUST DON'T KNOW. THE CBO HAS NOT LOOKED... |
| 02:17:34 |
|
WHY WOULD THERE BE ANY COST? TAKE A FEW MINUTES FOR THE SECRETARY OF LABOR I SUPPOSE DO THIS AND THAT'S... |
| 02:17:38 |
|
IF SAVINGS ARE NOT IMPLEMENTED, THE BILLING WOULD BE A COST. I DON'T THINK THERE WOULD BE ANY COST... |
| 02:17:45 |
|
IF THAT'S THE CASE, THE AMENDMENT IS NOT NEEDED. THE AMENDMENT IS NOT NEEDED. |
| 02:17:50 |
|
I THINK IT IS NEEDED. IT IS NEEDED. HOW CAN YOUR SIDE NOT SAY THAT THE SECRETARY OF LABOR OUGHT TO... |
| 02:18:00 |
|
IT'S JUST IMPLEMENT AFGS SOMETHING SOMETHING. |
| 02:18:04 |
|
IF IT SAID IT WAS THE CBO HAVING TO MAKE THE DECISION, I CAN UNDERSTAND YOUR UNWILLINGNESS DO THIS,... |
| 02:18:12 |
|
I JUST URGE THE SENATOR TO WITHDRAW HIS AMENDMENT SO WE CAN WORK IT OUT. |
| 02:18:17 |
|
MR. CHAIRMANY, I WOULD I HOPE THAT WE COULD WORK IT OUT BECAUSE IT IS A FUNDAMENTAL ISSUE AND I THINK... |
| 02:20:40 |
|
SIR, AGAIN, I URGE YOU TO WITHDRAW, SENATOR SNOWE HAS SOME GOOD POINT, I WOULD LIKE TO -- IT JUST... |
| 02:20:48 |
|
I DON'T KNOW HOW I CAN MAKE IT ANY SIMPLER THAN I'VE ALREADY MADE IT. |
| 02:20:54 |
|
LET'S GET OUR STAFFS TALKING, MAYBE WE CAN TRY AND ANSWER THAT QUESTION. |
| 02:20:57 |
|
BUT I WILL GET A VET ON THIS LATER. |
| 02:21:01 |
|
SO IT CAN BE ACCEPTED. |
| 02:21:03 |
|
SO I CAN GET A VOTE LATER. |
| 02:21:06 |
|
YOU'LL ALWAYS HAVE YOUR RIGHT TO BRING IT UP. |
| 02:21:07 |
|
OKAY. THANK YOU. THE SENATOR HAS WITHDRAWN HIS AMENDMENT. OKAY. WE GO TO THE NEXT AMENDMENT, SENATOR... |
| 02:21:44 |
|
MR. CHAIRMAN, THIS IS AN AMENDMENT THAT WILL PRODUCE $106 BILLION OF REVENUE. IT WILL ALLOW US TO... |
| 02:27:18 |
|
OKAY. |
| 02:27:20 |
|
SENATOR GRASSLEY. |
| 02:27:21 |
|
WELL, FIRST OF ALL, YOU ALL TO KNOW PHARMA WELL ENOUGH IF THEY'RE GOING TO BE INVOLVED IN THE DEAL,... |
| 02:42:50 |
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MR. CHAIRMAN, I NEED TO RESPOND. |
| 02:42:57 |
|
OKAY, SENATOR NELSON, THEN SENATOR ROCKEFELLER HAS BEEN SEEKING RECOGNITION, TOO. |
| 02:43:02 |
|
I CERTAINLY WANT TO HEAR FROM OTHERS. I'M NOT SURE I FOLLOWED SENATOR GRASSLEY'S COMMENTS. BECAUSE... |
| 02:46:48 |
|
SENATOR ROCKEFELLER? |
| 02:46:49 |
|
TWO SEGMENTS. TO THIS. FIRST OF ALL, I STRONGLY SUPPORT THE NELSON AMENDMENT AND HIS EXPRESSION OF... |
| 02:47:42 |
|
AND I DID NOT VOTE FOR THAT. WHEN THAT CAME UP. I DID NOT VOTE FOR THAT. BUT YOUR AMENDMENT WOULD HELP... |
| 02:49:40 |
|
SENATOR, YOU GO RIGHT AHEAD. YOU DO WHAT YOU WANT TO DO. |
| 02:49:44 |
|
NO, NO, SENATOR GRASSLEY IS A GOOD FRIEND OF MINE, HE'S JUST ON THE WRONG SIDE OF THIS ISSUE. |
| 02:49:49 |
|
I'D LIKE TO HAVE A VOTE ON THIS BEFORE WE BREAK UP FOR OUR CAUCUS LUNCHES. IT'S ABOUT 12:30 NOW. ... |
| 02:49:58 |
|
MR. CHAIRMAN? |
| 02:49:59 |
|
YES. |
| 02:50:02 |
|
COULD WE ASK THE STAFF OR SOMEBODY -- I'M TOLD THAT THERE IS NO DOUGHNUT HOLE FOR DUAL ELIGIBLES.... |
| 02:50:22 |
|
MS. BISHOP. |
| 02:50:25 |
|
AND IF THEY DO, COULD YOU DESCRIBE IT. |
| 02:50:26 |
|
WE'RE ALL POINTING TO YOU, YOU'RE THE PERSON. |
| 02:50:33 |
|
SO THE WAY THE BENEFIT IS STRUCTURED IS THE FOLKS WHO ARE ELIGIBLE FOR MEDICARE AND MEDICAID, THEIR... |
| 02:50:48 |
|
SO THEY DON'T FACE A DOUGHNUT HOLE? |
| 02:50:50 |
|
THEY DON'T EFFECTIVELY HAVE A DOUGHNUT HOLE. |
| 02:50:53 |
|
SO THE FACTS IS DUAL ELIGIBLES DO NOT HAVE A DOUGHNUT HOLE. |
| 02:50:59 |
|
WOULD MY COLLEAGUE YIELD? ON THAT ONE POINT? |
| 02:51:04 |
|
WOULD MY COLLEAGUE YIELD? |
| 02:51:06 |
|
SENATOR SNOWE IS RECOGNIZED. |
| 02:51:08 |
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I'LL YIELD FOR A QUESTION. |
| 02:51:10 |
|
ISN'T IT ALSO TRUE THAT THOSE ON MEDICARE AND MEDICAID LOW LOW-INCOME SENIORS DIDN'T HAVE A DOUGHNUT... |
| 02:51:22 |
|
RIGHT. |
| 02:51:24 |
|
THIS NOT ABOUT WHETHER OR NOT THEY HAVE A DOUGHNUT HOLE. |
| 02:51:25 |
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RECLAIMING MY TIME. THE POINT TO SENATOR NELSON WAS MAKING IS THAT DUAL ELIGIBLES FACE A DOUGHNUT... |
| 02:51:33 |
|
NO, NO, NO, NO. WILL THE SENATOR YIELD? |
| 02:51:36 |
|
GOOD, GOOD, NOW THAT WE HAVE THAT CLEAR, I JUST WANTED TO MAKE SURE OF THAT POINT. MAYBE I MISHEARD... |
| 02:51:50 |
|
THE QUESTION IS -- |
| 02:51:51 |
|
LET ME MAKE MY POINT. |
| 02:51:54 |
|
DO YOU GET -- A REBATE IN MEDICARE LIKE YOU GET IN MEDICAID. |
| 02:51:59 |
|
SENATOR ENSIGN HAS THE FLOOR. |
| 02:52:00 |
|
LET ME MAKE MY POINTS. MY POINT IS HERE SEVERAL. ONE IS THAT IF YOU REQUIRE NOW THROUGH MEDICAID OR... |
| 02:53:43 |
|
IT IS, I UNDERSTAND NOW, WHAT YOU'RE TRYING TO DO AND I THINK THAT WE AT LEAST NEED TO BE FAIR IF... |
| 02:53:57 |
|
MR. CHAIRMAN, IF I COULD HAVE A MOMENT. |
| 02:53:58 |
|
SENATOR MENENDEZ. |
| 02:54:00 |
|
THANK YOU, MR. CHAIRMAN. MR. CHAIRMAN, I APPRECIATE AND UNDERSTAND WHAT SENATOR NELSON IS TRYING TO... |
| 02:59:15 |
|
MR. CHAIRMAN? |
| 02:59:18 |
|
SENATOR STABENOW |
| 02:59:20 |
|
MR. CHAIRMAN, WE'VE TALKED BOTH ABOUT THE SENATOR'S AMENDMENT FROM THE FLOOR BUT ALSO ABOUT THE PRESCRIPTION... |
| 03:03:07 |
|
MR. CHAIRMAN. |
| 03:03:10 |
|
SENATOR SCHUMER. |
| 03:03:11 |
|
THANK YOU, MR. CHAIRMAN. AND I THANK ALL MY COLLEAGUES FOR THE ARGUMENT HERE WHICH I THINK IS A GOOD... |
| 03:08:42 |
|
SENATOR CARPER. |
| 03:08:43 |
|
THANK YOU, MR. CHAIRMAN. LET ME MAKE THREE POINTS, I THINK WE HAD A REBUST DEBATE HERE AND I DON'T... |
| 03:09:42 |
|
NO, THE MEDICARE COVERAGE THEY HAD AND DAVID PLEASE CHIME IN, STATES HAD MINIMAL COST SHARING OF A... |
| 03:10:05 |
|
SIMILAR, THANK YOU. THE OTHER POINT I DON'T KNOW IF IT'S BEEN MADE, MR. CHAIRMAN, IN THE DISCUSSION... |
| 03:10:39 |
|
THAT'S TRUE. BEFORE THE DRUG BENEFIT, THERE WAS A TREND THAT STARTED IN THE MEDHIICAID PROGRAM THAT... |
| 03:10:52 |
|
I THINK MY COLLEAGUES, IT'S NOT UNCOMMON FOR PEOPLE -- MY MOM DIED WHEN IN THE EARLY 80s, FOR PEOPLE... |
| 03:14:13 |
|
OKAY. ABOUT READY TO BOLT. I THINK SENATOR BINGAMAN -- OKAY. SENATOR MENENDEZ. |
| 03:14:21 |
|
VERY BRIEFLY. I LISTEN TO MY COLLEAGUES I HAVE A GREAT DEAL OF RESPECT FOR. A COUPLE POINTS I WOULD... |
| 03:14:41 |
|
THAT'S CORRECT. |
| 03:14:44 |
|
SO IN ESSENCE, THOSE WHO WERE MOVED INTO MEDICARE PART D GOT A VERY SIGNIFICANT BENEFIT BECAUSE THERE... |
| 03:14:53 |
|
SENATOR MENENDEZ, PRESCRIPTION DRUG COVERAGE IS OPTIONAL UNDER MEDICAID AND IT HAS BEEN SINCE BEFORE... |
| 03:15:14 |
|
WAS THERE NOT IN MANY CASES |
| 03:15:17 |
|
YES. THAT VARIES BY STATES. STATES HAVE THE ABILITY TO SET THEIR OWN. |
| 03:15:22 |
|
WHEN I GO TO SENATOR SCHUMER'S COMMENTS, WE ARE THE PURCHASERS BUT IF WE LOOKED AT THE MEDICAID PROCESS... |
| 03:16:11 |
|
OKAY. |
| 03:16:12 |
|
NO. I WOULD LIKE TO -- |
| 03:16:15 |
|
MOST SENATORS AGREED TO VOTE. GO AHEAD. |
| 03:16:16 |
|
I AGREE. BUT YOU'RE GOING TO LET ME CLOSE ON MY AMENDMENT, AREN'T YOU, MR. CHAIRMAN? |
| 03:16:21 |
|
I'LL CERTAINLY RECOGNIZE YOU. |
| 03:16:22 |
|
LET ME SAY SOMETHING BEFORE HE CLOSES. |
| 03:16:24 |
|
CAN I SAY SOMETHING BEFORE HE |
| 03:16:26 |
|
YES. |
| 03:16:28 |
|
SENATOR GRASSLEY. |
| 03:16:30 |
|
FIRST OF ALL, FOR THE SENATOR FROM NEW YORK, I'M NOT A PHARMACIST OR A DOCTOR BUT TEN YEARS AGO THEY... |
| 03:16:49 |
|
THANK YOU. |
| 03:16:51 |
|
IF YOU WANT ME TO GET, I'LL BRING THE PILLS FOR YOU TOMORROW. |
| 03:16:57 |
|
GRAPEFRUIT MIGHT DO THE SAME THING FOR YOU. |
| 03:16:59 |
|
OKAY. |
| 03:17:00 |
|
THAT'S THE OTHER -- |
| 03:17:01 |
|
THE OTHER THING IS, IF I COULD JUST -- |
| 03:17:05 |
|
PA STRAM MY SANDWICH, HOW WOULD THAT DO? . |
| 03:17:08 |
|
I WOULD JUST SAY THAT -- I SUPPOSE I'M JUST POINTING TO SENATOR SCHUMER, BUT SEVERAL OTHER PEOPLE... |
| 03:17:48 |
|
OKAY. I THINK ABOUT READY TO VOTE BEFORE I TURN TO SENATOR NELSON. LET ME SAY, I WANT TO CLOSE THE... |
| 03:18:58 |
|
MAY I CLOSE ON MY AMENDMENT? |
| 03:19:00 |
|
ABSOLUTELY. |
| 03:19:03 |
|
WELL, I COULD REBUT EACH ONE OF THESE ARGUMENTS AND I WON'T GO INTO IT WITH GREAT DETAIL. I MEAN WHEN... |
| 03:21:27 |
|
OKAY. THE CLERK WILL CALL THE ROLL ON THE NELSON AMENDMENT. |
| 03:21:31 |
|
MR. ROCKEFELLER. |
| 03:21:32 |
|
I. |
| 03:21:35 |
|
PASS. |
| 03:21:37 |
|
MR. CONRAD PASS. |
| 03:21:38 |
|
AYE. |
| 03:21:44 |
|
MR. PERRY? |
| 03:21:45 |
|
BY PROXY. |
| 03:21:47 |
|
AYE BY PROXY. |
| 03:21:48 |
|
PASS. |
| 03:21:50 |
|
MRS. LINCOLN PASS. |
| 03:21:53 |
|
MR. WYDEN. MR. WYDEN AYE MR. SCHUMER. |
| 03:21:57 |
|
AYE. |
| 03:21:59 |
|
MISS CANTWELL. |
| 03:22:00 |
|
AYE. |
| 03:22:02 |
|
MR. NELSON, AYE. |
| 03:22:04 |
|
NO. |
| 03:22:05 |
|
NO. |
| 03:22:07 |
|
MR. CARPER NO. |
| 03:22:09 |
|
NO. |
| 03:22:11 |
|
MR. GRASSLEY NO, MR. HATCH. |
| 03:22:12 |
|
NO. |
| 03:22:13 |
|
MR. HATCH NO. |
| 03:22:15 |
|
MISS SNOWE. |
| 03:22:16 |
|
MR. KYL. |
| 03:22:18 |
|
NO BY PROXY. |
| 03:22:20 |
|
MR. KYL NO BY PROXY. |
| 03:22:21 |
|
MR. BUNNING. |
| 03:22:22 |
|
NO. |
| 03:22:23 |
|
NO. |
| 03:22:25 |
|
MR. ROBERTS? |
| 03:22:27 |
|
NO BY PROXY. |
| 03:22:28 |
|
MR. ROBERTS NO BY PROXY. |
| 03:22:29 |
|
MR. ENSIGN. |
| 03:22:32 |
|
VOTE NO. |
| 03:22:33 |
|
MR. ENSIGN NO. |
| 03:22:36 |
|
MR. ENZI. |
| 03:22:38 |
|
THAT'S NO BY PROXY. |
| 03:22:40 |
|
NO BY PROXY. |
| 03:22:42 |
|
MR. CHAIRMAN. |
| 03:22:43 |
|
NO. |
| 03:22:47 |
|
VOTES NO. |
| 03:22:51 |
|
MRS. LINCOLN. |
| 03:22:52 |
|
NO RECORDED. |
| 03:22:54 |
|
AYE. |
| 03:22:56 |
|
MRS. LINCOLN, AYE. |
| 03:22:59 |
|
I WOULD LIKE TO VOTE SENATOR CONRAD, AYE BY PROXY. |
| 03:23:03 |
|
AYE BY PROXY. |
| 03:23:15 |
|
10 TO 13. MR. CHAIRMAN, THE FINAL TALLY IS 10 AYES, 13 NEYS. |
| 03:23:24 |
|
THE AMENDMENT DOES NOT PASS. I HAVE ONE PIECE OF HOUSEKEEPING. LAST NIGHT THE COMMITTEE ADOPTED THE... |
| 03:23:53 |
|
OKAY. WE WILL RECESS. |
NOTE: The transcript for this program was compiled from uncorrected Closed Captioning.
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Bingaman, Jeff
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