LABOR-HHS APPROPRIATIONS
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LABOR-HHS APPROPRIATIONS
(Senate - November 09, 1999)
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LABOR-HHS APPROPRIATIONS
Mr. SPECTER. Mr. President, I wish to make a brief comment, if I may,
on one of the items referred to in a statement by the majority leader
about the appropriations process, which I think will be of interest to
our colleagues and perhaps to others who may be watching on C-SPAN 2.
We had negotiations beginning at 4 o'clock on Sunday afternoon with
officials from the White House, and we are trying to resolve those
issues in a spirit of accommodation. With respect to the dollars
involved, the bill which came out of the Appropriations Committee was
$93.7 billion for the three Departments. That was $600 million more
than the President's figure, and it was $300 million more than the
President's figure on education.
I worked on a bipartisan basis with my distinguished colleague,
Senator Harkin. The bill was crafted with what we thought was the right
dollar amount--frankly, the maximum amount--to pass with votes in
substantial numbers from Republicans and an amount which would be
acceptable to Democrats and to the President because it was somewhat
higher than his figure and we emphasized increased funding for the
National Institutes of Health.
The administration has come back with a figure of $2.3 billion
additional, and Congressman Porter and I made an offer yesterday to add
$228 million, provided we could find offsets because it is very
important that we not go into the Social Security trust funds. So that
whatever dollars we add to accommodate the President's priorities--we
are going to have to have offsets on priorities which the Congress has
established. We are prepared to meet him halfway on priorities on
dollars--we are going to have to have offsets on priorities which the
Congress has established.
There is a much more difficult issue in this matter than the dollars,
although the dollars are obviously of great importance, and the issue
which is extremely contentious is what will be done on the President's
demand to have $1.4 billion to reduce classroom size to have additional
teachers.
The Senate bill has appropriated $1.2 billion which maintains the
high level of last year's funding. When it comes to the issue of the
utilization of that money, we are prepared to acknowledge the
President's first priority of reduction of classroom size for teachers.
But if the local school board makes a factual determination that is not
the real need of the local school board, then we propose that the
second priority be teacher training. If the local school board decides
that is not where the money ought to be spent, then we propose to give
it to the school board the discretion as to the spending to local
education, as opposed to a straitjacket out of Washington.
The White House Press Secretary has issued a statement this morning
saying that these funds could be used for vouchers, and that is not
true. That is a red herring. To allay any concern, we will make it
explicit in the bill that the President's concern about the use of
these funds for vouchers will be allayed. We are prepared to make that
accommodation, although there had never been any intent to use it for
vouchers. However, we will make that intent explicit in the bill.
Behind the issue of classroom size and the President's demand is a
much greater constitutional issue. That is the constitutional issue of
who controls the power of the purse. The Constitution gives the
authority to the Congress to establish spending priorities, and we have
seen a process evolve in the past few years which does not follow the
constitutional format. The Constitution is very specific that each
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House will decide on a bill, have a conference, and send that bill to
the President for his signature or for his veto; and if he vetoes it,
the bill then comes back to the Congress for reenactment. But what has
happened in the immediate past has been that executive branch officials
sit in with the appropriators and are a part of the legislative
process, which is a violation of the principle of separation of powers.
Now, I must say that I have been a party to those meetings because that
is what is going on. But I want to identify it as a process which is
not in conformity with the Constitution. It is something we ought to
change. When it comes to the power and the control, what we have seen
happen in the last 4 years is that the President has really made an
effort, and to a substantial extent a successful effort, to take over
the prerogative of the Congress on the power of the purse.
When the Government was closed in late 1995 and early 1996, the
Republican-controlled Congress was blamed for the closure. That,
candidly, has made the Congress gun-shy to challenge the President on
spending issues. Since that time there has been a concession to the
President on whatever it is that he wants, sort of ``pay a price to get
out of town'' when people are anxious to have the congressional session
adjourn.
Speaking for myself and I think quite a few others in the Congress
are not going to put on the pressure to get out of town. We are going
to do the job and do it right. Senator Lott held a news conference
yesterday and was asked about the termination time. He said he thought
it was possible to finish the public's business by the close of the
legislative session on Wednesday, which is tomorrow, but it was more
important, as Senator Lott articulated, to do it right than get it
finished by any arbitrary deadline. I concur totally with Senator Lott.
I think it is possible to get the business finished by the end of the
working day tomorrow. But it is more important to get it right than to
get it finished on any prescribed schedule. In modern times there is
too much concern about getting out of town, than perhaps getting the
job done right. But we are determined to get it done and to get it done
right. If we can get it done by the end of business tomorrow, that is
what our goal is. But we are not going to sacrifice getting it done
right in order to be able to finish up by Wednesday afternoon to get
out of town.
Mr. KENNEDY. Will the Senator yield for a question? Will the Senator
yield for a question?
Mr. SPECTER. No, I will not yield here, but I will in just a minute.
What we have seen is the President's ultimatum. He says this issue on
schoolteachers is nonnegotiable. That is hardly the way you get into a
negotiation session. Then his Chief of Staff, John Podesta, said on
Sunday that if the Congress wants to get out of town they are going to
have to accede to the President's demands on teachers, to do it his
way. I think that is not appropriate. Congress has the power of the
purse under the Constitution. It is our fundamental responsibility on
appropriations. We are prepared to negotiate, but we are not prepared
to deal with nonnegotiable demands. We are not prepared to deal with
ultimatums. We are going back into a session--I don't know whether I
should call it a negotiating session or not, because the President
talks about nonnegotiable demands. Frankly, I am prepared to meet that
with a nonnegotiable demand, not giving up on our prerogative to make a
determination as to how the money is to be spent and getting local
control over a Presidential straitjacket.
Now I would be delighted to yield to my distinguished colleague from
Massachusetts.
Mr. KENNEDY. I wanted to inquire of the desk what the Senate business
was supposed to be? I was under the impression we were supposed to be,
at 9:30, on the minimum wage.
The PRESIDING OFFICER. Does the Senator yield the floor?
Mr. SPECTER. I have concluded. I yield the floor.
The PRESIDING OFFICER. The Senator from Massachusetts.
Mr. KENNEDY. Mr. President, I ask we extend the time. How much time
did the Senator from Pennsylvania expend?
Mr. DOMENICI. What was the question?
Mr. KENNEDY. I asked how much time the Senator from Pennsylvania
used?
The PRESIDING OFFICER. The Republican side has 19 minutes left.
Mr. KENNEDY. Just as a matter of inquiry, were taken out of the time
of the debate. Is that correct?
The PRESIDING OFFICER. Taken out of the Republican time.
Mr. KENNEDY. OK. Mr. President, I yield myself 12 minutes.
The PRESIDING OFFICER. The Senator from Massachusetts.
Mr. KENNEDY. Mr. President, I listened to the Senator from
Pennsylvania's comments with great interest. I will mention very
briefly in defense of the administration, although they can make the
case quite well for themselves that if the Appropriations Committee had
finished their business on time we would not be in this particular
dilemma. Only four appropriations bills were actually completed on time
for the fiscal year. So with all respect to our friend on the other
side, if the appropriators had placed, particularly the HEW
appropriations, first rather than last, I do not think we would be
having these kinds of problems in the areas of negotiation between the
President and the Congress.
Second, the basic program which the President has been fighting for
in this negotiation is almost identical to what the Republicans
supported last year. With all respect to the comments we have just
heard, the fact is if the classes reach the goals, the 15 percent set-
aside for funding for smaller class sizes can be used to enhance the
teacher training. If the school had already achieved the lower class
size of 18, it would be used for special needs or other kinds of
professional purposes.
So it is difficult for me to understand the frustration of the
Senator from Pennsylvania when the Republican leaders all effectively
endorse what the President talked about last year. If their position is
not sustained, there are going to be 30,000 teachers who are teaching
in first, second, and third grades who are going to get pink slips. I
don't think the problem in education is having fewer schoolteachers
teach in the early grades but to have more.
I want to make clear I am not a part of those negotiations this year,
but I was last year. I know what the particular issue is. With all
respect to those who are watching C-SPAN II, I want them to know the
President is fighting for smaller class sizes as well as for better
trained teachers. We have seen Senator Murray make that presentation
and make it effectively time and again. I think it is something that
parents support, teachers understand, and children have benefited from.
No one makes that case more eloquently than the Senator from the State
of Washington. But I certainly hope the President will continue that
commitment. We have scarce Federal resources. They are targeted in
areas of particular need. That is the purpose of these negotiations. I
hope we can conclude a successful negotiation.
Mr. DOMENICI. Will the Senator yield on my time?
Mr. KENNEDY. On your time, yes.
Mr. DOMENICI. Just for an observation. He might want to answer it.
The PRESIDING OFFICER. The Senator from New Mexico.
Mr. DOMENICI. Mr. President, the truth of the matter is if schools
want the new teachers, under the proposal of the distinguished chairman
who just took to the floor to explain the obstinacy of the President,
they can have the money for teachers. That is what he is saying. It is
up to them. If they want all the money that comes from this
appropriation used for teachers, they can have it. If they say, we
don't need them, we don't want them, he is saying there is a second
priority.
Frankly, I think that is excellent policy with reference to the
schools of our country. I believe the Senator from Pennsylvania makes a
good point. For the President to continue to say we are not going to
get this bill unless we do it exactly his way leaves us with no
alternative. We have some prerogatives, too. The fact is, if you read
the Constitution, he doesn't appropriate; the Congress does.
I yield the floor.
Mr. KENNEDY addressed the Chair.
The PRESIDING OFFICER. The Senator from Massachusetts.
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Mr. KENNEDY. Mr. President, just to respond, we have a need for 2
million teachers. We have scarce Federal resources. If the States or
local communities want to do whatever the Senator from New Mexico says,
all well and good. But we are talking about scarce Federal resources
that are targeted in ways that have been proven effective in enhancing
academic achievement and accomplishment.
I am again surprised. The Republicans were taking credit for this
last year. I was in the negotiations. Mr. Goodling and Mr. Gingrich--as
we were waiting to find out whether the powers that be, the Speaker,
was going to endorse this, when we were waiting and having
negotiations--went out and announced it and took credit for it. They
took credit for this proposal of the President.
I find it a little difficult to understand this kind of frustration
that is being demonstrated here. But we will come back to this and
Senator Murray can address these issues at a later time. I certainly
hope the President will not flinch in his commitment to getting smaller
class sizes and better trained teachers and after school programs. That
is what this President has been fighting for. I hope he will not yield
at this time in these final negotiations, after we have only had four
appropriations that have met the deadline. Before we get all excited
about these negotiations, if our appropriators had completed this work
in time, we would not be here.
Mr. DURBIN. Will the Senator yield for a question?
Mr. KENNEDY. How much time do we have? I will be glad to yield.
The PRESIDING OFFICER. The Senator ha
s 24 minutes.
Mr. KENNEDY. Good. I am glad to yield.
Mr. DURBIN. Mr. President, briefly, I ask my colleague, is it not
true this appropriation for education was the last of the bills
considered by the Appropriations Committee? Is it not true that we
waited until the very last day to even bring up this issue of
education, the highest priority for American families? Now we find
ourselves trying to adjourn, stuck on an issue that could have been
resolved months ago had we made education as high a priority on Capitol
Hill as it is in family rooms across America.
Mr. KENNEDY. The Senator is absolutely correct. The Senator from
Illinois, the Senator from California, and I know the Senator from
Washington as well, had hoped--and I believe I can speak for our
Democratic leader--this would be the No. 1 appropriation and not the
last one. If we had this as the No. 1 appropriation on the issue of
education, we would not have these little statements we have heard this
morning. But it is the last one. That is not by accident; that is by
choice of the Republican leadership.
Mr. President, how much time do I have remaining?
The PRESIDING OFFICER. Twenty-three minutes.
Mr. KENNEDY. Mr. President, I yield myself 7 minutes.
In a few moments, we will be voting on the minimum wage issue that is
before the Senate. I want to review what the record has been over the
last 2 years.
In September of 1998, we brought up the minimum wage issue, and were
unable to bring that to a vote on the basis of the merits. The
Republican leadership said no.
In March of 1999, we tried to bring up this issue. Again, we were
denied an opportunity to vote on it.
In April of 1999, we brought it up again as an amendment on Y2K. We
were denied an opportunity to have a full debate.
In July of 1999, we brought it up again, and again we were turned
down.
Now we have the minimum wage legislation before us, and in a cynical
move, the Republican leadership said: Even if you get the passage of
the minimum wage, it ``ain't'' going to go any further; the President
isn't going to see it; it is going to end.
It is a sham. Their effort is basically a sham. That is the position
in which we find ourselves today.
We know Americans are working longer and harder. The working poor are
working longer and harder than at any time in the history of our
country. We know that over the last 10 years, women are working 3 weeks
longer a year in order to earn the minimum wage and men are averaging
50 hours a week. These are some of the hardest working men and women in
the country.
At the height of the minimum wage in the late 1960s, it had the
purchasing power that $7.49 would have today. If we are not able to
raise the minimum wage this year and next, its value will be at an all-
time low--in a time of extraordinary prosperity in this country. That
is fundamentally wrong.
A vote for the Republican amendment will not help working families.
It is, in fact, an insult to low-wage workers. It robs them of over
$1,200 as compared to the Democratic proposal, and it drastically
undermines the overtime provisions in the Fair Labor Standards Act
which has been the law for over 60 years.
The Republican proposal jeopardizes the overtime pay of 73 million
Americans. The Republicans did not water down their own pay increase of
$4,600. They are now watering down the increase in the minimum wage,
and they are watering down overtime. On the one hand, they are giving
an inadequate increase in the minimum wage and taking it back by
cutting back on overtime. That is a sham. That is a cynical attempt to
try to win support for working families from those who are trying to do
justice for those individuals.
We can ask, What difference does an increase in the minimum wage
make?
Cathi Zeman, 52 years old, works at a Rite Aid in Canseburg, PA. She
earns $5.68 an hour. She is the primary earner in the family because
her husband has a heart condition and is only able to work
sporadically. What difference would an increase in the minimum wage
mean to Cathi and her family? It would cover 6 months of utility bills
for Cathi's family.
Kimberly Frazier, a full-time child care aide from Philadelphia
testified her pay of $5.20 an hour barely covers her rent, utilities,
and clothes for her children. Our proposal would mean over 4 months of
groceries for Kimberly and her kids.
The stories of these families remind us that it is long past time to
raise the minimum wage by $1 over 2 years. We cannot delay it. We
cannot stretch it out. We cannot use it to cut overtime. And we cannot
use it as an excuse to give bloated tax breaks to the rich.
Members of Congress did not blink in giving themselves a $4,600 pay
raise. Yet they deny a modest increase for those workers at the bottom
of the economic ladder. I do not know how Members who voted for their
own pay increase but I do not know how Members who vote against our
minimum wage proposal will be able to face their constituents and
explain their actions.
It is hypocritical and irresponsible to deny a fair pay raise to the
country's lowest paid workers. Above all, raising the minimum wage $1
over 2 years and protecting overtime pay is about fairness and dignity.
It is about fairness and dignity for men and women who are working 50
hours a week, 52 weeks of the year trying to provide for their children
and their families.
This is a women's issue because a great majority of the minimum-wage
workers are women. It is a children's issue because the majority of
these women have children. It is a civil rights issue because the
majority of individuals who make the minimum wage are men and women of
color. And it is a fairness issue. At a time of extraordinary
prosperity this country ought to be willing to grant an increase to the
hardest working Americans in the nation--the day-care workers, the
teachers aides. They deserve this increase. Our amendment will provide
it, and the Republican amendment will not.
Mrs. BOXER. Will the Senator yield for a question?
Mr. KENNEDY. I yield for a question.
Mrs. BOXER. I thank my colleague for yielding. I say to the Senator
from Massachusetts how much I appreciate him pushing this forward and
how important it is to all of our States. I bring out an article that
ran in the paper yesterday and today about the status of children in my
home State of California, by far the largest State. I want my friend to
respond to these numbers because they really say it.
This is what it says:
Despite a booming economy that has seen a tide of
prosperity wash over California in
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recent years, nearly 1 in 4 children under 18 in the Golden
State lives in poverty. . . .
Although the annual ``California Report Card 1999'' laments
that so many children live in poverty, it paints an
especially bleak portrait of a child's first four years of
life.
Lois Salisbury, president of Children Now, says:
Among all of California's children, our littlest ones . . .
face the most stressful conditions of all. . . .
At a time when a child's sense of self and security is
influenced most powerfully, California deals them a
[terrible] hand.
I say to my friend, this issue he is raising is so critical. We all
say how much we care about the children. Every one of us has made that
speech. Today the rubber meets the road. If you care about children,
you have to make sure their parents can support them.
My last point is, and I will yield for the answer, I wonder if my
friend has seen the New York Times editorial that says:
The Senate will vote today on a Republican-sponsored
amendment to raise the minimum wage and they say sadly the
Republicans are not content to do this good deed and go home.
They have loaded the amendment with tax cuts that are
fiscally damaging and cynically focused on wealthy workers.
Almost all of the Republican tax cuts go to the wealthy.
One of the economists who looked at this said:
It would encourage the reduction of contributions made by
employers to the pensions of the lowest paid workers.
Can my friend comment on the importance of this proposal to children
and also this cynical proposal that our colleagues on the other side
are presenting?
Mr. KENNEDY. The Senator has raised an enormously important point.
Americans who are working in poverty, which is at the highest level in
20 years, are working longer and harder than ever. The men work 50
hours a week or more on average and the women work an average of 3
weeks more a year. They have less time--22 hours less--to spend with
their children than they did 10 years ago. That is why this is a
children's issue, as the Senator has pointed out.
On the issue the difference between the Republican and the Democratic
proposals, the Republicans say that their proposal makes some
difference for those individuals who are going to get an increase in
the minimum wage over 3 years.
This is a raw deal for them. On the one hand, they give them an
increase in the minimum wage, and on the other hand they take back the
overtime for 73 million Americans. It is a cynical sham, and it is a
cynical sham because the majority leader has said even if it passes, it
will never go out of this Chamber. That is the attitude toward hard-
working men and women who are trying to play by the rules and get along
at a time when they have the lowest purchasing power in the history of
the minimum wage and we have the most extraordinary prosperity. And
then they insult these workers even further by adding a $75 billion tax
break over 10 years. And then we just heard about the difficulty we are
having in conference about $1 billion on education because they say we
cannot afford to do things, but the same side is suggesting a $75
billion tax break. Where are they getting their money? So it is a
cynical play.
I reserve the remainder of my time.
The PRESIDING OFFICER (Mr. Crapo). Who yields time?
Mr. DOMENICI. Mr. President, I yield 5 minutes to the Senator from
Minnesota off our time.
The PRESIDING OFFICER. The Senator from Minnesota.
Mr. GRAMS. I thank the Senator from New Mexico.
Mr. President, I rise today to offer my enthusiastic support for the
package of tax proposals introduced by Senator Domenici. I'm
enthusiastic, in part, because it contains a provision that is very
important to me--above-the-line deductibility of health insurance for
individuals.
Over 40 million American workers didn't have health insurance in
1997. The number has increased in the last two years to 44 million.
This is disturbing, but I believe there is something Congress can do to
help without resorting to a national health care system.
Mr. President, when employers purchase a health plan for their
employees, he or she can fully deduct the costs of providing that
insurance, effectively lowering the actual costs of providing coverage.
However, when an employee purchases an individual policy on their
own, they must do so with after tax-dollars. They don't have the
ability or the advantage offered to employers to reduce the actual
costs of the policy by deducting premiums from their taxes every year.
Therefore, they often wind up without any health coverage at all.
Earlier this year, I introduced the Health Care Access Act, which
would have ended this discrimination within the Tax Code and make
health care available for many more Americans by allowing the full
deduction of health insurance for those without access to employer-
subsidized health coverage.
We have a tax code that discriminates against some, while favoring
others. Clearly, this results in fewer people being covered.
The amendment before us today takes a slightly different approach,
but its goal is the same--to level the tax-playing field. By allowing
individuals without access to employer-sponsored health insurance, or
those whose employers do not cover more than 50 percent of the cost of
coverage, to deduct those costs regardless of whether they itemize or
not, we can address a growing segment of our uninsured population by
doing this.
Under this amendment, from 2002 to 2004, eligible employees can
deduct 25 percent of costs, 35 percent in 2005, 65 percent in 2006, and
100 percent after that.
If there are no changes in the health care system and no significant
downturn of the economy, we can expect the number of uninsured to reach
53 million over the next ten years. This translates into 25 percent of
non-elderly Americans without coverage.
Forty-three percent of the uninsured are in families with incomes
above 200 percent of the federal poverty level. Twenty-eight percent of
the uninsured work for small firms and 18 percent of all uninsured are
between the ages of 18 and 24.
The question that comes to mind is, if we're experiencing record
growth in our economy and the unemployment rate is declining, why is
the number of uninsured continuing to rise? The answer is costs.
In the event a small business can offer a health plan to its
employees, many times it is at a higher cost to the employee than it
would be if the employee were to have a job at a larger firm. In this
instance, employees have to decide if they believe their health status
is such that they can go without health insurance, or if they should
spend after-tax dollars to pay for a larger portion of their health
insurance. Here is where we have the difficulty.
Individuals employed by small businesses which can't afford to pay
more than 50 percent of the monthly premiums for their employees should
be able to have the same tax advantage as the employer in paying for
their health insurance. Under our plan today, they will. In fact,
because the tax deduction is what we call ``above-the-line,'' meaning
if would be available to everyone--even if they don't itemize their
taxes--we attack the most significant barrier to health coverage again,
which is its costs, and move closer to eliminating all barriers to
health coverage.
In other words, get more Americans covered by allowing them the
deductibility of the costs.
I am also pleased that this amendment includes many other important
components such as pension reform and small business tax relief.
We are talking about tax relief for small businesses, not the
wealthiest as you hear from the other side of the aisle, but tax relief
pinpointed at the hard-working Americans in this country who are also
job providers.
Retirement income security is crucial for millions of American
workers. This amendment reforms and enhances current pension laws to
ensure workers will achieve income security upon retirement. It repeals
the unnecessary temporary FUTA surtax, which has become a burden to
many small businesses. The amendment allows millions of self-employed
Americans to deduct 100 percent of their health insurance costs. This
is a critical provision because 61 percent of the uninsured in this
country are from a family headed
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by an entrepreneur or a small business employee.
The PRESIDING OFFICER. The Senator's time has expired.
Mr. GRAMS. I ask for 2 more minutes.
Mr. DOMENICI. I yield the Senator 2 additional minutes.
Mr. GRAMS. In wrapping up, the amendment increases small business
expensing to $30,000. This change alone means an extra $3,850 in tax
savings for each small business in new equipment next year. This
amendment also allows small business to increase the meal and
entertainment expense tax deduction. The Work Opportunity Tax Credit
has helped millions of Americans leave welfare programs and become
productive workers in our economy. This amendment makes the WOTC
permanent, so small businesses and former welfare recipients will
continue to benefit from the Work Opportunity Tax Credit.
It seems unfair to me that in a time of prosperity we hear our
colleagues on the other side talking about tax increases. Again, in
their plan, they would impose new, even higher taxes. They talk about
minimum wage; they are taxing and taxing and taxing those people as
they enter the job market. What we need is a plan that will reduce
taxes, not increase taxes.
America's small business is the key to our economic growth and
prosperity. The health care, pension reform and tax relief measures
included in this amendment will help small business continue to work
for America and will allow millions of Americans to realize the
American Dream.
Again, that is why I rise today to enthusiastically offer my support
for the tax package proposed by Senator Domenici.
Mr. President, I yield the floor.
Mr. DOMENICI. Mr. President, how much time does each side have
remaining?
The PRESIDING OFFICER. The Senator from New Mexico controls 11
minute
s 40 seconds; the Senator from Massachusetts controls 13 minutes.
Mr. DOMENICI. How much time would you like, I ask Senator Nickles?
Mr. NICKLES. Four or 5 minutes.
Mr. DOMENICI. I yield 4 minutes to Senator Nickles.
The PRESIDING OFFICER. The Senator from Oklahoma is recognized.
Mr. NICKLES. Mr. President, first, I commend my colleague from New
Mexico for the work that he has done in providing a more realistic
substitute. But the first vote we are going to have today is voting on
a motion to table the Kennedy amendment. I urge my colleagues to vote
against the Kennedy amendment for a lot of different reasons, one of
which is that it dramatically increases the minimum wage--about 20
percent over the next 13\1/2\ months. That is a big hit for a lot of
small businesses. I am afraid it will prevent a lot of people, low-
income people, who want to get their first jobs--they may not be able
to get them. Estimates by some of the economists, CBO, and others, are
that it could be 100,000 people; it could be 500,000 people that lose
their jobs. It is a big hit.
There are a lot of other reasons to oppose the Kennedy amendment. How
many of our colleagues know it has a $29 billion tax increase, that it
extends Superfund taxes? We do not reauthorize the Superfund Program,
but we extend the taxes. Many of us agree we need to extend the taxes
when we reauthorize the program, but not before and that is in there
anyway.
There is a tax increase on business. I received a letter from all the
business groups opposing it. It is practically an IRS entitlement
program, so they can go after anything they want.
It deals with ``Noneconomic attributes,'' whatever that means, it is
a $10 billion tax increase. It may sound good and some people say that
it is just to close loopholes. But it is to give IRS carte blanche to
go after anything and everything they want. We reformed IRS and curbed
their appetite somewhat, and regardless of those efforts this would be
saying: Hey, IRS, go after anybody and everybody.
There is also a provision in the Democrat proposal that hits hospice
organizations right between the eyes.
I have put letters from outside organizations addressing this very
issue on Members' desks so they may see it for themselves. I ask
unanimous consent to print in the Record three letters from various
hospice organizations.
There being no objection, the letters were ordered to be printed in
the Record, as follows:
National Association for Home Care,
Washington, DC, November 8, 1999.
Dear Senator: The National Association for Home Care (NAHC)
represents home health agencies and hospices nationwide.
While generally speaking, NAHC is supportive of efforts to
maintain a reasonable minimum wage, a proposed amendment to
S. 625 creates serious concerns for hospices across the
country.
The proposed amendment would create a civil monetary
penalty for false certification of eligibility for hospice
care or partial hospitalization services. This proposal would
impose a civil monetary penalty of the greater of $5,000 or
three times the amount of payments under Medicare when a
physician knowingly executes a false certification claiming
that an individual Medicare beneficiary meets hospice
coverage standards. On its face, this provision is addressed
only to those physicians that intentionally and purposefully
execute false certifications. However, the impact of a
comparable provision on the access to home health services,
as added to the law as Section 232 of the Health Insurance
Portability and Accountability Act of 1996, should caution
Congress in expanding the provision to apply to hospice
services.
Immediately after the physician community became aware of
the 1996 amendment, physicians expressed to home health
agencies across the country great hesitancy to remain
involved in certifying the homebound status of prospective
home health patients. The vagueness of the homebound criteria
and the stepped up antifraud efforts of the Health Care
Financing Administration brought a chilling effect to
physicians. As a result, home health agencies reported that
physicians became less involved with homecare patients rather
than increasing their involvement as had been recommended by
the Office of Inspector General of the U.S. Department of
Health and Human Services.
We believe that a comparable physician reaction will occur
if this provision of law is extended to hospice services. A
recent study reported in the Journal of the American Medical
Association indicates that many eligible people may be denied
Medicare hospice benefits because the life expectancy of
patients with a chronic illness is nearly impossible to
predict with accuracy. Medicare requires that the patient's
physician and the hospice medical director certify that the
patient has no more than six months to live in order to
secure entitlement to the Medicare hospice benefit. The
foreseeable result of the proposed amendment would be to
further discourage physicians from utilizing hospice services
for terminally ill patients. The existing scientific and
clinical difficulties in accurately predicting the life
expectancy of a patient combined with the threat of
additional civil monetary penalties will adversely affect
access to necessary hospice services. The experiences with
home health services indicate that physicians distance
themselves from the affected benefit. While the standard of
applicability relates to a knowing and intentional false
certification, physicians will react out of fear of
inappropriate enforcement actions.
There are already numerous antifraud provisions within
federal law that apply to the exact circumstance subject to
the proposed civil monetary penalties. These existing laws
include even more serious penalties such as the potential for
imprisonment for any false claim.
We would encourage the Senate to oppose this provision,
generally, and in particular, because it is contained in a
non-germane legislative effort to increase the federal
minimum wage. There is no evidence that physicians engage in
any widespread abuse of the Medicare hospice benefit. To the
contrary, evidence is growing that hospice services are
underutilized as an alternative to more expensive care.
Thank you for all of your efforts to protect senior
citizens in our country.
Sincerely,
Val J. Halamandaris.
____
Hospice Association of America,
Washington, DC, November 8, 1999.
Dear Senator: On behalf of the Hospice Association of
America (HAA), a national association representing our member
hospice programs, thousands of hospice professionals and
volunteers, and those faced with terminal illness and their
families, I am requesting your support to reject a proposed
amendment to
S. 625 that would apply civil monetary penalties
for false certification of eligibility for hospice care.
It is often difficult to make the determination that a
patient is terminally ill (life expectancy of six months or
less if the terminal illness run its normal course), because
the course of terminal is different for each patient and is
not predictable. In some rare cases patients have been
admitted to hospice care and have improved so as to be
discharged from the program. The determination regarding the
terminal status of a patient is not an exact science and
should not be judged harshly in retrospect.
In a recent edition of JAMA, The Journal of American
Medical Association, researchers reported that the
recommended clinical prediction criteria are not effective in
a population with a survival prognosis of six
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months or less. According to Medicare survival data, only 15
percent of patients receiving Medicare hospice survive longer
than six months and the median survival of Medicare patients
enrolled in hospices is under 40 days. This information
demonstrates what has been well known by those working in the
hospice community, the science of prognostication is in its
infancy and physicians must use the tools that are available,
medial guidelines and local medical review policies developed
by the Health Care Financing Administration, as well as their
best medical judgment.
Physicians can not be punished for possible overestimation
of a terminally ill patient's life expectancy. The only ones
to be punished will be the patients in need of hospice
services whose physicians will be denied from enrolling
appropriate patients, thus denying access to this
compassionate, humane, patient and family centered care at
the end-of-their lives.
Please reject the proposed amendment to
S. 625.
Sincerely,
Karen Woods,
Executive Director.
____
Federation of
American Health Systems,
Washington, DC, November 8, 1999.
Hon. Don Nickles,
Assistant Majority leader, U.S. Senate, Washington, DC.
Dear Assistant Majority Leader: The Federation of American
Health Systems, representing 1700 privately-owned and managed
community hospitals has generally not taken a position on the
minimum wage bill. However, we find it necessary to object to
an amendment that will be offered today during consideration
of the bill.
Specifically, we are concerned with an amendment that will
apparently address ``partial hospitalization'' issues. While
the Federation supports the goal of improving the integrity
of the Medicare program by addressing concerns with partial
hospitalization, we oppose its attachment to non-Medicare
legislation. Clearly, any amendment that reduces Medicare
trust fund spending should either be used to enhance the
solvency of the trust fund, or for other Medicare trust fund
purposes.
We appreciate your consideration of our position.
Sincerely,
Thomas A. Scully,
President and CEO.
Mr. NICKLES. From the Hospice Association of America:
. . . . I am requesting your support to reject a proposed
amendment to
S. 1625 that would apply civil monetary
penalties for false certification of eligibility for hospice
care.
I have a letter from the Federation of American Health Systems urging
opposition to the Kennedy amendment. I have a letter from the National
Association for Home Care, also in opposition. It says:
We would encourage the Senate to oppose this provision,
generally, and in particular, because it is contained in a
nongermane legislative effort to increase the minimum wage.
The foreseeable result of the proposed amendment would be
to further discourage physicians from utilizing hospice
services for terminally ill patients.
Do we want to do that? I don't think so. Certainly we shouldn't do it
in this legislation. Let's have hearings to find out more about this.
Let's do it in Medicare reform. Let's do it when we have a chance to
know exactly what we are doing because this is strongly opposed by
hospice organizations.
I encourage my colleagues to oppose it for all the above reasons. I
urge them to vote yes to table the Kennedy amendment. We will move to
table it at the appropriate time.
The PRESIDING OFFICER. Who yields time?
Mr. KENNEDY. Mr. President, I yield 2 minutes to the Senator from
Washington.
The PRESIDING OFFICER. The Senator from Washington.
Mrs. MURRAY. Mr. President, I rise in support of the Kennedy
amendment that we will be voting on shortly. It is important to note
that 59 percent of the over 11 million workers who would receive a pay
increase as a result of this minimum wage are women--women, by and
large, with children; women who, because the minimum wage is so low
today, are working two, three, four jobs. Those losing out in the
country today because of the lack of a minimum wage increase are our
children. They are being left home alone. They aren't getting the
attention they deserve. They are not getting the support they deserve.
A vote for the Kennedy amendment is a vote for our children.
While I have the floor, I understand the Senator from Pennsylvania
came to the floor this morning to question the President's
constitutional authority to insist on reducing class size. I remind our
colleagues, reducing class size is something we as Democrats have
fought for, stood behind, and we stand behind the President in the
final budget negotiations. This is not about constitutional authority.
It is about making sure young kids in first, second, and third grade
get from a good teacher the attention they need in order to read and
write and do arithmetic. That is a bipartisan agreement we all agreed
upon a year ago, $1.2 billion to help our local schools reduce class
size.
To renege on that commitment 1 year later and to have language which
takes that money and gives it to whatever else school districts want to
use it for sounds good except we lose out. A block grant will not
guarantee that one child will learn to read. A block grant will not
guarantee that a child who needs attention will have it on the day he
or she needs it. A block grant will not assure that our children get
the attention they deserve and learn the skills they need.
The PRESIDING OFFICER. The Senator'
s 2 minutes have expired.
Mrs. MURRAY. I ask for an additional 30 seconds.
Mr. KENNEDY. Thirty seconds.
Mrs. MURRAY. Mr. President, what we as Democrats are going to stand
strong for is a commitment we made a year ago to assure that every
child in first, second, and third grade gets the attention they
deserve. If our Republican colleagues want to add additional money to
the budget for block grants, for needs in our schools that we agree are
important, we are more than happy to talk to them about it. But we
believe the commitment we made a year ago is a promise that should be
kept.
I thank the Chair and yield the floor.
Mr. KENNEDY. How much time, Mr. President?
The PRESIDING OFFICER. The Senator from Massachusetts controls 10
minutes 34 seconds. The Senator from New Mexico controls 8 minute
s 23
seconds.
Mr. KENNEDY. Mr. President, I yield myself 4 minutes.
I again thank the Senators from California and Washington for
illustrating in very powerful terms what this issue is all about. It is
about working women and families.
With all respect to my friend from Oklahoma, when we had an increase
in the minimum wage a few years ago, the Republicans fought it. They
said that it would harm the economy and adversely impact small
business. In the measure I have introduced we have tried to provide
some relief for small businesses and we have paid for it. Now we can't
do that because we have some kind of offsets. Therefore, we can't do
it.
The fact is, the Republicans are opposed to any increase in the
minimum wage. That is the fact. They have been opposed to it even at a
time of extraordinary prosperity. This minimum wage affects real people
in a very important way, and there is no group in our society it
affects more powerfully than women and children. They are the great
majority of the earners of the minimum wage, and increasingly so.
These days parents are spending less and less time with their
families. In the last 10 years, parents were able to spend 22 hours a
week less with their families. Read the Family and Work Institute's
report of interviews with small children who are in minimum-wage
families. They are universal in what they say. They all say: We wish
our mother--or our father--would be less fatigued. We wish they had
more time to spend with us. We are tired of seeing our parents come
home exhausted when they are working one or two minimum-wage jobs.
That is what this is about. It is about the men and women at the
bottom rung of the economic ladder. Are they real? Of course they are
real. I have read the stories. We know who they are. They are out there
today, this morning, as teacher's aides in our schools. These teacher's
aides are working with young children, our future, and yet they don't
earn enough to make ends meet.
They are there in the day-care centers. We know that day-care center
workers are often at the bottom of the pay scale, earning the minimum
wage. As you can see from this graph the purchasing power of the
minimum wage
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has declined since the last increase. As their wages lose purchasing
power, turnover in low paying jobs like child care attendants and those
who are working in nursing homes, increases. When people are forced to
leave these jobs, there is a deterioration in quality of the service
day care centers and nursing homes can offer.
This is about the most important element of our society. It is about
fairness. It is about work. We hear all of these speeches on the other
side of the aisle about the importance of work. We are honoring work.
We are talking about men and women with dignity who have a sense of
pride in what they do and are trying to do better and are trying to
look out after their families. They are being given the back of the
hand by the Republicans.
Their proposal is a sham. It is a raw deal for these workers. On the
one hand, they are dribbling out an increase in the minimum wage; on
the other hand, they are taking away overtime for 73 million Americans,
and in the meantime, they are giving tax breaks to the wealthiest
individuals in our society. That is a sham. Beyond that, they say the
minimum wage, if we are even fortunate enough to get it to pass the
Senate, will never go to the President because the Republican
leadership has made a commitment to whoever it might be that it will
never go there. That is what we are up against.
The PRESIDING OFFICER. The Senator'
s 4 minutes have expired.
Mr. KENNEDY. I reserve the remainder of my time.
The PRESIDING OFFICER. The Senator from New Mexico.
Mr. DOMENICI. Mr. President, I say to my friend from Massachusetts
that I can yell as loud as he. But today I won't do that because I
believe we have a great bill and a great position.
The Republicans do support the minimum wage. In fact, they are going
to vote for the minimum wage that I propose. That is, instead of a
dollar coming in two installments, it will come in three, of 35 cents,
35 cents, and 30 cents. Frankly, there will be an overwhelming vote in
favor of that.
In addition, we took the opportunity to give small business and some
other absolutely necessary situations that need it tax relief. We chose
in this bill to do that. Those have been explained fairly well. I will
take a minute at the end of my remarks to explain them one more time.
I suggest that the Democrats are living in an era that has passed.
If they were here on the floor in the 1930s, they would have a case.
They would have a case that the minimum wage is going to affect poor
families supporting their children. That was the issue in the 1930s.
But I suggest the best research today says that day is gone in terms of
who is impacted by the minimum wage. It is more likely to impact a
teenager than it is the head of a household. The fact is, 55 percent of
the minimum wage applies to people between the ages of 16 and 24. The
overwhelming number of those are teenagers in part-time jobs, working
in McDonald's-type restaurants across America. They need these jobs.
They don't even stay in the minimum-wage position very long, according
to the research we have seen. If they work well and choose to follow
the rules and the orders and do an excellent job, they are raised above
the minimum wage rather quickly.
To put it another way, to show that the arguments about who benefits
from the minimum wage are passe 1930 arguments, two-thirds of all
minimum-wage people are part-time employees. The fact is, the argument
that these are women heads of households is absolutely dispelled by
reality. The best we can find out is that 8 percent of the minimum-wage
employees in America today are women heads of households, not the
numbers or the tenor and tone of the argument about the slap of the
hand we are giving to those who work in America. Quite the contrary.
Our minimum wage reflects a sufficient increase to match up with
inflation, and we permit many people an opportunity to get into the job
market. In fact, we make permanent one of the best taxes we have, which
is now there on an interim basis. It says if you hire minimum-wage
workers out of the welfare system, and you want to take a chance
because they aren't capable of doing the jobs and you need to train
them, you get a credit for that. That is a very good part of the Tax
Code. We make that permanent so it costs something and it uses up some
of our tax money.
As to the argument of how big this tax cut is, it is 12.5 percent of
the total tax package that the Republicans offered, which passed here
and the President vetoed. It tries something very new and exciting. It
says to Americans who want to buy their own insurance--because their
employers don't furnish it--for the first time, they are going to be
permitted to deduct the entirety of their health insurance. Heretofore,
they were punished if they tried to buy it, penalized because they
didn't get to deduct it while everybody else did. We also made
permanent the allowance that the self-employed can take the insurance
deduction. We raise that to 100 percent. Everybody knows that is good.
Everybody knows that helps with the problem of the uninsured in
America, and that is good.
So, for all the talk, the Republicans have come forward with a very
good bill. I am very pleased that I suggested to the Republicans the
basics of this bill, that we ought to do it in three installments. Some
wanted to make it longer. Actually, I think this is exactly the right
length of time. Add to that the kind of tax relief we have provided
versus the tax increases on that side, and it seems to me there is no
choice.
While everybody is clamoring to do something about the estate tax
because it is a very onerous tax, as if to try to punish people, in a
minimum-wage bill they raise death taxes and inheritance taxes. I don't
care what kind of American they impose it on. We don't have to do that
when we are reforming that system because it is somewhat confiscatory.
I could go on, but if anybody has any doubt, the gross tax increase
under the Democrat package is $12.5 billion over 5 years, and a $28.9
billion tax increase over 10 years. What in the world are we increasing
taxes for at this point? To pay for a minimum-wage bill? Of course not.
It is because they want other tax relief and they choose to raise taxes
to give the benefit to someone else. There is sufficient surplus. This
is a very small tax cut in our package--12.5 percent of what we
perceived was adequate and what we could do about 4 months ago with the
surpluses we have. The President proposed $250 billion, $300 billion in
tax relief. In this bill, they raise taxes rather than take advantage
of what we know is the right thing; that is, to reduce taxes in these
economic times.
I reserve my remaining time.
Mr. KENNEDY. Mr. President, how much time remains?
The PRESIDING OFFICER. The Senator from Massachusetts has 6 minutes
49 seconds. The Senator from New Mexico has 1 minute 51 seconds.
Mr. KENNEDY. I yield 3 minutes to the Senator from California.
The PRESIDING OFFICER. The Senator from California.
Mrs. BOXER. The Senator from New Mexico said he wasn't going to yell.
He got a little close to it. But when I hear the yells on that side of
the aisle, it is usually related to their passion for helping the
wealthiest among us.
The Senator from New Mexico says that the Democrats are living in the
past because we want to increase the minimum wage. Well, I have news
for the Senator from New Mexico. Compassion for the poorest in our
society, those at the bottom rung of the ladder, that is a timeless
value; that is a moral value; that is a religious value; that is a
value we ought to be proud to have around here. That is not living in
the past. Come to Los Angeles, I say to my friend from New Mexico, or
look around your big cities. What you will notice is that the people
who are living on the minimum wage are adults. We know that to be the
fact. A majority of minimum-wage workers are adults--70 percent of
them.
In the Democratic proposal, out of those who will benefit from this
modest increase, 60 percent of them are women. So if you want to say
that we are living in the past, you can say it all you want. But it
isn't true.
We saw in September a very chilling story in the L.A. Times about the
working poor in Southern California. The National Low-Income Housing
Coalition shows that given the high cost of a two-bedroom apartment in
L.A., a minimum-wage earner must work 112 hours per week in order to
make ends meet.
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In San Francisco, it is even worse. A person would have to work 174
hours at minimum wage in order to pay their bills. According to a
recent study of the Nation's food banks, 40 percent of all households
seeking emergency food aid had at least one member who was working.
That is up from 23 percent in 1994.
Low-paying jobs, I say to my friend from New Mexico, are the most
frequently cited cause of hunger today, according to this well-
documented L.A. Times story.
The L.A. Times, by the way, is now owned by Republicans. So this
isn't a question of yesterday, I say to my friend. It is a question of
living today. They have made the same arguments every time we raised
the minimum wage. The last time they said it would bring the economy
down. We have never seen such a strong economy. If the people at the
bottom rung are left behind, it is morally wrong and it is economically
wrong. It makes no sense. Those are the folks who go out and spend what
they earn and they definitely stimulate the economy.
So for anybody to say you are living in the past if you support a
minimum-wage increase, they don't know what is going on today. I say
that from my heart. I have respect for the Senator from New Mexico, but
I think it is insulting to say one lives in the past for wanting to
fight for those at the bottom rung of the economic ladder--those women
and those children who are living in poverty.
I thank the Chair.
Mr. KENNEDY. Mr. President, how much time remains?
The PRESIDING OFFICER. The Senator from Massachusetts has 3\1/2\
minutes. The Senator from New Mexico has 1 minute 51 seconds.
Mr. KENNEDY. I yield a minute to the Senator from Connecticut.
The PRESIDING OFFICER. The Senator from Connecticut is recognized.
Mr. DODD. Mr. President, to make a couple of quick points, I was
terribly saddened to see as part of another bill that we have a further
reduction in child care provisions, which is a major blow again to
working families out there. We all know that quality child care makes a
difference for these children. In the midst of all of this, we are
obviously told you have to come up with some offsets to pay for the
provisions in this bill, which we do.
Offsets always attract opposition from one quarter or another. But
these are modest offsets to pay for the provisions in the bill. What is
going to happen later today we are going to vote on $75 billion in tax
cuts and 56 percent of them go to the top 20 percent of income earners,
and there are no offsets--none.
One of the great contradictions is, we are being accused of not
liking the offsets, the pays, from some of the provisions and
simultaneously we ask our Members to vote for a provision in the bill
or vote for the whole bill, including a $75 billion tax cut over 10
years with no offsets.
Let me underscore, as this millennium date of 50 days away
approaches, those at the bottom of the economic rung--working people,
the majority who receive the minimum wage and are working full time;
they are women, they are Hispanic, they are black--deserve to get a
fair shake out of this Senate. In a few minutes, we will have an
opportunity to give them that fair shake by providing an increase in
the minimum wage, allowing them to enjoy the prosperity of the booming
economy.
I yield the floor.
Mr. KENNEDY. Mr. President, it is important to understand exactly
what the situation is for our working poor. The number of full-time,
year-round workers living in poverty is at a 20-year high: 12.6 percent
of the workforce, says the Bureau of Labor Statistics, as of the last 3
days. That is the fact. People are working harder, and they are living
in poverty. These are people who value work.
Second, the Bureau of Labor Statistics shows that, of those who will
benefit from a minimum wage increase, 70 percent are adults over age
20, and about 30 percent will be teenagers.
If Senators come to Boston and talk to the young people going to the
University of Massachusetts, they will find 85 percent of their parents
never went to college and 85 percent of them are working 25 hours a
week or more. That is true in Boston, in Holyoke, in New Bedford, and
Fall River, and cities across the country. I don't know what Members
have against working young people who are trying to pay for their
education. We have 6 million working in the workforce, and we have 2
million working at the minimum wage. Why are we complaining about that?
The Republican proposal is a Thanksgiving turkey with three right
wings. It has a watered-down increase in the minimum wage, it has a
poison pill for overtime work, and it has juicy tax provisions for the
rich. This Republican turkey is stuffed with tax breaks, and it does
not deserve to be passed. Vote for the real increase in the minimum
wage; vote for the Daschle increase.
Mr. LEVIN. Mr. President, as the most prosperous nation in the world,
our minimum wage should be a living wage, and it is not. When a father
or mother works full-time, 40 hours a week, year-round, they should be
able to lift their family out of poverty. $5.15 an hour will not do
that. A full time minimum wage job should provide a minimum standard of
living in addition to giving workers the dignity that comes with a
paycheck. The current minimum wage does not pay a fair wage.
I support the legislation introduced by Representative David Bonior
in the House and Senator Ted Kennedy in the Senate which increases the
minimum wage. This legislation, the Fair Minimum Wage Act, will provide
a 50 cent increase to the minimum wage on January 1, 2000, and a second
50 cent increase on January 1, 2001. This would raise the minimum wage
to $6.15 per hour by the year 2001.
The minimum wage increase passed in 1996 prevented the minimum wage
from falling to its lowest inflation adjusted level in 40 years. The
proposed minimum wage increase to $6.15 in 2001 would get the minimum
wage back to the inflation adjusted level it was in 1982.
In this era of economic growth, raising the minimum wage is a matter
of fundamental fairness. We must look around and realize that we have
the strongest economy in a generation. However, even with our strong
economy, the benefits of prosperity have not flowed to low-wage
workers. A full time minimum wage laborer working forty hours a week
for 52 weeks earns $10,712 per year--more than $3,000 below the poverty
level for a family of three. The pover
Major Actions:
All articles in Senate section
LABOR-HHS APPROPRIATIONS
(Senate - November 09, 1999)
Text of this article available as:
TXT
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[Pages S14340-
S14364]
LABOR-HHS APPROPRIATIONS
Mr. SPECTER. Mr. President, I wish to make a brief comment, if I may,
on one of the items referred to in a statement by the majority leader
about the appropriations process, which I think will be of interest to
our colleagues and perhaps to others who may be watching on C-SPAN 2.
We had negotiations beginning at 4 o'clock on Sunday afternoon with
officials from the White House, and we are trying to resolve those
issues in a spirit of accommodation. With respect to the dollars
involved, the bill which came out of the Appropriations Committee was
$93.7 billion for the three Departments. That was $600 million more
than the President's figure, and it was $300 million more than the
President's figure on education.
I worked on a bipartisan basis with my distinguished colleague,
Senator Harkin. The bill was crafted with what we thought was the right
dollar amount--frankly, the maximum amount--to pass with votes in
substantial numbers from Republicans and an amount which would be
acceptable to Democrats and to the President because it was somewhat
higher than his figure and we emphasized increased funding for the
National Institutes of Health.
The administration has come back with a figure of $2.3 billion
additional, and Congressman Porter and I made an offer yesterday to add
$228 million, provided we could find offsets because it is very
important that we not go into the Social Security trust funds. So that
whatever dollars we add to accommodate the President's priorities--we
are going to have to have offsets on priorities which the Congress has
established. We are prepared to meet him halfway on priorities on
dollars--we are going to have to have offsets on priorities which the
Congress has established.
There is a much more difficult issue in this matter than the dollars,
although the dollars are obviously of great importance, and the issue
which is extremely contentious is what will be done on the President's
demand to have $1.4 billion to reduce classroom size to have additional
teachers.
The Senate bill has appropriated $1.2 billion which maintains the
high level of last year's funding. When it comes to the issue of the
utilization of that money, we are prepared to acknowledge the
President's first priority of reduction of classroom size for teachers.
But if the local school board makes a factual determination that is not
the real need of the local school board, then we propose that the
second priority be teacher training. If the local school board decides
that is not where the money ought to be spent, then we propose to give
it to the school board the discretion as to the spending to local
education, as opposed to a straitjacket out of Washington.
The White House Press Secretary has issued a statement this morning
saying that these funds could be used for vouchers, and that is not
true. That is a red herring. To allay any concern, we will make it
explicit in the bill that the President's concern about the use of
these funds for vouchers will be allayed. We are prepared to make that
accommodation, although there had never been any intent to use it for
vouchers. However, we will make that intent explicit in the bill.
Behind the issue of classroom size and the President's demand is a
much greater constitutional issue. That is the constitutional issue of
who controls the power of the purse. The Constitution gives the
authority to the Congress to establish spending priorities, and we have
seen a process evolve in the past few years which does not follow the
constitutional format. The Constitution is very specific that each
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House will decide on a bill, have a conference, and send that bill to
the President for his signature or for his veto; and if he vetoes it,
the bill then comes back to the Congress for reenactment. But what has
happened in the immediate past has been that executive branch officials
sit in with the appropriators and are a part of the legislative
process, which is a violation of the principle of separation of powers.
Now, I must say that I have been a party to those meetings because that
is what is going on. But I want to identify it as a process which is
not in conformity with the Constitution. It is something we ought to
change. When it comes to the power and the control, what we have seen
happen in the last 4 years is that the President has really made an
effort, and to a substantial extent a successful effort, to take over
the prerogative of the Congress on the power of the purse.
When the Government was closed in late 1995 and early 1996, the
Republican-controlled Congress was blamed for the closure. That,
candidly, has made the Congress gun-shy to challenge the President on
spending issues. Since that time there has been a concession to the
President on whatever it is that he wants, sort of ``pay a price to get
out of town'' when people are anxious to have the congressional session
adjourn.
Speaking for myself and I think quite a few others in the Congress
are not going to put on the pressure to get out of town. We are going
to do the job and do it right. Senator Lott held a news conference
yesterday and was asked about the termination time. He said he thought
it was possible to finish the public's business by the close of the
legislative session on Wednesday, which is tomorrow, but it was more
important, as Senator Lott articulated, to do it right than get it
finished by any arbitrary deadline. I concur totally with Senator Lott.
I think it is possible to get the business finished by the end of the
working day tomorrow. But it is more important to get it right than to
get it finished on any prescribed schedule. In modern times there is
too much concern about getting out of town, than perhaps getting the
job done right. But we are determined to get it done and to get it done
right. If we can get it done by the end of business tomorrow, that is
what our goal is. But we are not going to sacrifice getting it done
right in order to be able to finish up by Wednesday afternoon to get
out of town.
Mr. KENNEDY. Will the Senator yield for a question? Will the Senator
yield for a question?
Mr. SPECTER. No, I will not yield here, but I will in just a minute.
What we have seen is the President's ultimatum. He says this issue on
schoolteachers is nonnegotiable. That is hardly the way you get into a
negotiation session. Then his Chief of Staff, John Podesta, said on
Sunday that if the Congress wants to get out of town they are going to
have to accede to the President's demands on teachers, to do it his
way. I think that is not appropriate. Congress has the power of the
purse under the Constitution. It is our fundamental responsibility on
appropriations. We are prepared to negotiate, but we are not prepared
to deal with nonnegotiable demands. We are not prepared to deal with
ultimatums. We are going back into a session--I don't know whether I
should call it a negotiating session or not, because the President
talks about nonnegotiable demands. Frankly, I am prepared to meet that
with a nonnegotiable demand, not giving up on our prerogative to make a
determination as to how the money is to be spent and getting local
control over a Presidential straitjacket.
Now I would be delighted to yield to my distinguished colleague from
Massachusetts.
Mr. KENNEDY. I wanted to inquire of the desk what the Senate business
was supposed to be? I was under the impression we were supposed to be,
at 9:30, on the minimum wage.
The PRESIDING OFFICER. Does the Senator yield the floor?
Mr. SPECTER. I have concluded. I yield the floor.
The PRESIDING OFFICER. The Senator from Massachusetts.
Mr. KENNEDY. Mr. President, I ask we extend the time. How much time
did the Senator from Pennsylvania expend?
Mr. DOMENICI. What was the question?
Mr. KENNEDY. I asked how much time the Senator from Pennsylvania
used?
The PRESIDING OFFICER. The Republican side has 19 minutes left.
Mr. KENNEDY. Just as a matter of inquiry, were taken out of the time
of the debate. Is that correct?
The PRESIDING OFFICER. Taken out of the Republican time.
Mr. KENNEDY. OK. Mr. President, I yield myself 12 minutes.
The PRESIDING OFFICER. The Senator from Massachusetts.
Mr. KENNEDY. Mr. President, I listened to the Senator from
Pennsylvania's comments with great interest. I will mention very
briefly in defense of the administration, although they can make the
case quite well for themselves that if the Appropriations Committee had
finished their business on time we would not be in this particular
dilemma. Only four appropriations bills were actually completed on time
for the fiscal year. So with all respect to our friend on the other
side, if the appropriators had placed, particularly the HEW
appropriations, first rather than last, I do not think we would be
having these kinds of problems in the areas of negotiation between the
President and the Congress.
Second, the basic program which the President has been fighting for
in this negotiation is almost identical to what the Republicans
supported last year. With all respect to the comments we have just
heard, the fact is if the classes reach the goals, the 15 percent set-
aside for funding for smaller class sizes can be used to enhance the
teacher training. If the school had already achieved the lower class
size of 18, it would be used for special needs or other kinds of
professional purposes.
So it is difficult for me to understand the frustration of the
Senator from Pennsylvania when the Republican leaders all effectively
endorse what the President talked about last year. If their position is
not sustained, there are going to be 30,000 teachers who are teaching
in first, second, and third grades who are going to get pink slips. I
don't think the problem in education is having fewer schoolteachers
teach in the early grades but to have more.
I want to make clear I am not a part of those negotiations this year,
but I was last year. I know what the particular issue is. With all
respect to those who are watching C-SPAN II, I want them to know the
President is fighting for smaller class sizes as well as for better
trained teachers. We have seen Senator Murray make that presentation
and make it effectively time and again. I think it is something that
parents support, teachers understand, and children have benefited from.
No one makes that case more eloquently than the Senator from the State
of Washington. But I certainly hope the President will continue that
commitment. We have scarce Federal resources. They are targeted in
areas of particular need. That is the purpose of these negotiations. I
hope we can conclude a successful negotiation.
Mr. DOMENICI. Will the Senator yield on my time?
Mr. KENNEDY. On your time, yes.
Mr. DOMENICI. Just for an observation. He might want to answer it.
The PRESIDING OFFICER. The Senator from New Mexico.
Mr. DOMENICI. Mr. President, the truth of the matter is if schools
want the new teachers, under the proposal of the distinguished chairman
who just took to the floor to explain the obstinacy of the President,
they can have the money for teachers. That is what he is saying. It is
up to them. If they want all the money that comes from this
appropriation used for teachers, they can have it. If they say, we
don't need them, we don't want them, he is saying there is a second
priority.
Frankly, I think that is excellent policy with reference to the
schools of our country. I believe the Senator from Pennsylvania makes a
good point. For the President to continue to say we are not going to
get this bill unless we do it exactly his way leaves us with no
alternative. We have some prerogatives, too. The fact is, if you read
the Constitution, he doesn't appropriate; the Congress does.
I yield the floor.
Mr. KENNEDY addressed the Chair.
The PRESIDING OFFICER. The Senator from Massachusetts.
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Mr. KENNEDY. Mr. President, just to respond, we have a need for 2
million teachers. We have scarce Federal resources. If the States or
local communities want to do whatever the Senator from New Mexico says,
all well and good. But we are talking about scarce Federal resources
that are targeted in ways that have been proven effective in enhancing
academic achievement and accomplishment.
I am again surprised. The Republicans were taking credit for this
last year. I was in the negotiations. Mr. Goodling and Mr. Gingrich--as
we were waiting to find out whether the powers that be, the Speaker,
was going to endorse this, when we were waiting and having
negotiations--went out and announced it and took credit for it. They
took credit for this proposal of the President.
I find it a little difficult to understand this kind of frustration
that is being demonstrated here. But we will come back to this and
Senator Murray can address these issues at a later time. I certainly
hope the President will not flinch in his commitment to getting smaller
class sizes and better trained teachers and after school programs. That
is what this President has been fighting for. I hope he will not yield
at this time in these final negotiations, after we have only had four
appropriations that have met the deadline. Before we get all excited
about these negotiations, if our appropriators had completed this work
in time, we would not be here.
Mr. DURBIN. Will the Senator yield for a question?
Mr. KENNEDY. How much time do we have? I will be glad to yield.
The PRESIDING OFFICER. The Senator ha
s 24 minutes.
Mr. KENNEDY. Good. I am glad to yield.
Mr. DURBIN. Mr. President, briefly, I ask my colleague, is it not
true this appropriation for education was the last of the bills
considered by the Appropriations Committee? Is it not true that we
waited until the very last day to even bring up this issue of
education, the highest priority for American families? Now we find
ourselves trying to adjourn, stuck on an issue that could have been
resolved months ago had we made education as high a priority on Capitol
Hill as it is in family rooms across America.
Mr. KENNEDY. The Senator is absolutely correct. The Senator from
Illinois, the Senator from California, and I know the Senator from
Washington as well, had hoped--and I believe I can speak for our
Democratic leader--this would be the No. 1 appropriation and not the
last one. If we had this as the No. 1 appropriation on the issue of
education, we would not have these little statements we have heard this
morning. But it is the last one. That is not by accident; that is by
choice of the Republican leadership.
Mr. President, how much time do I have remaining?
The PRESIDING OFFICER. Twenty-three minutes.
Mr. KENNEDY. Mr. President, I yield myself 7 minutes.
In a few moments, we will be voting on the minimum wage issue that is
before the Senate. I want to review what the record has been over the
last 2 years.
In September of 1998, we brought up the minimum wage issue, and were
unable to bring that to a vote on the basis of the merits. The
Republican leadership said no.
In March of 1999, we tried to bring up this issue. Again, we were
denied an opportunity to vote on it.
In April of 1999, we brought it up again as an amendment on Y2K. We
were denied an opportunity to have a full debate.
In July of 1999, we brought it up again, and again we were turned
down.
Now we have the minimum wage legislation before us, and in a cynical
move, the Republican leadership said: Even if you get the passage of
the minimum wage, it ``ain't'' going to go any further; the President
isn't going to see it; it is going to end.
It is a sham. Their effort is basically a sham. That is the position
in which we find ourselves today.
We know Americans are working longer and harder. The working poor are
working longer and harder than at any time in the history of our
country. We know that over the last 10 years, women are working 3 weeks
longer a year in order to earn the minimum wage and men are averaging
50 hours a week. These are some of the hardest working men and women in
the country.
At the height of the minimum wage in the late 1960s, it had the
purchasing power that $7.49 would have today. If we are not able to
raise the minimum wage this year and next, its value will be at an all-
time low--in a time of extraordinary prosperity in this country. That
is fundamentally wrong.
A vote for the Republican amendment will not help working families.
It is, in fact, an insult to low-wage workers. It robs them of over
$1,200 as compared to the Democratic proposal, and it drastically
undermines the overtime provisions in the Fair Labor Standards Act
which has been the law for over 60 years.
The Republican proposal jeopardizes the overtime pay of 73 million
Americans. The Republicans did not water down their own pay increase of
$4,600. They are now watering down the increase in the minimum wage,
and they are watering down overtime. On the one hand, they are giving
an inadequate increase in the minimum wage and taking it back by
cutting back on overtime. That is a sham. That is a cynical attempt to
try to win support for working families from those who are trying to do
justice for those individuals.
We can ask, What difference does an increase in the minimum wage
make?
Cathi Zeman, 52 years old, works at a Rite Aid in Canseburg, PA. She
earns $5.68 an hour. She is the primary earner in the family because
her husband has a heart condition and is only able to work
sporadically. What difference would an increase in the minimum wage
mean to Cathi and her family? It would cover 6 months of utility bills
for Cathi's family.
Kimberly Frazier, a full-time child care aide from Philadelphia
testified her pay of $5.20 an hour barely covers her rent, utilities,
and clothes for her children. Our proposal would mean over 4 months of
groceries for Kimberly and her kids.
The stories of these families remind us that it is long past time to
raise the minimum wage by $1 over 2 years. We cannot delay it. We
cannot stretch it out. We cannot use it to cut overtime. And we cannot
use it as an excuse to give bloated tax breaks to the rich.
Members of Congress did not blink in giving themselves a $4,600 pay
raise. Yet they deny a modest increase for those workers at the bottom
of the economic ladder. I do not know how Members who voted for their
own pay increase but I do not know how Members who vote against our
minimum wage proposal will be able to face their constituents and
explain their actions.
It is hypocritical and irresponsible to deny a fair pay raise to the
country's lowest paid workers. Above all, raising the minimum wage $1
over 2 years and protecting overtime pay is about fairness and dignity.
It is about fairness and dignity for men and women who are working 50
hours a week, 52 weeks of the year trying to provide for their children
and their families.
This is a women's issue because a great majority of the minimum-wage
workers are women. It is a children's issue because the majority of
these women have children. It is a civil rights issue because the
majority of individuals who make the minimum wage are men and women of
color. And it is a fairness issue. At a time of extraordinary
prosperity this country ought to be willing to grant an increase to the
hardest working Americans in the nation--the day-care workers, the
teachers aides. They deserve this increase. Our amendment will provide
it, and the Republican amendment will not.
Mrs. BOXER. Will the Senator yield for a question?
Mr. KENNEDY. I yield for a question.
Mrs. BOXER. I thank my colleague for yielding. I say to the Senator
from Massachusetts how much I appreciate him pushing this forward and
how important it is to all of our States. I bring out an article that
ran in the paper yesterday and today about the status of children in my
home State of California, by far the largest State. I want my friend to
respond to these numbers because they really say it.
This is what it says:
Despite a booming economy that has seen a tide of
prosperity wash over California in
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recent years, nearly 1 in 4 children under 18 in the Golden
State lives in poverty. . . .
Although the annual ``California Report Card 1999'' laments
that so many children live in poverty, it paints an
especially bleak portrait of a child's first four years of
life.
Lois Salisbury, president of Children Now, says:
Among all of California's children, our littlest ones . . .
face the most stressful conditions of all. . . .
At a time when a child's sense of self and security is
influenced most powerfully, California deals them a
[terrible] hand.
I say to my friend, this issue he is raising is so critical. We all
say how much we care about the children. Every one of us has made that
speech. Today the rubber meets the road. If you care about children,
you have to make sure their parents can support them.
My last point is, and I will yield for the answer, I wonder if my
friend has seen the New York Times editorial that says:
The Senate will vote today on a Republican-sponsored
amendment to raise the minimum wage and they say sadly the
Republicans are not content to do this good deed and go home.
They have loaded the amendment with tax cuts that are
fiscally damaging and cynically focused on wealthy workers.
Almost all of the Republican tax cuts go to the wealthy.
One of the economists who looked at this said:
It would encourage the reduction of contributions made by
employers to the pensions of the lowest paid workers.
Can my friend comment on the importance of this proposal to children
and also this cynical proposal that our colleagues on the other side
are presenting?
Mr. KENNEDY. The Senator has raised an enormously important point.
Americans who are working in poverty, which is at the highest level in
20 years, are working longer and harder than ever. The men work 50
hours a week or more on average and the women work an average of 3
weeks more a year. They have less time--22 hours less--to spend with
their children than they did 10 years ago. That is why this is a
children's issue, as the Senator has pointed out.
On the issue the difference between the Republican and the Democratic
proposals, the Republicans say that their proposal makes some
difference for those individuals who are going to get an increase in
the minimum wage over 3 years.
This is a raw deal for them. On the one hand, they give them an
increase in the minimum wage, and on the other hand they take back the
overtime for 73 million Americans. It is a cynical sham, and it is a
cynical sham because the majority leader has said even if it passes, it
will never go out of this Chamber. That is the attitude toward hard-
working men and women who are trying to play by the rules and get along
at a time when they have the lowest purchasing power in the history of
the minimum wage and we have the most extraordinary prosperity. And
then they insult these workers even further by adding a $75 billion tax
break over 10 years. And then we just heard about the difficulty we are
having in conference about $1 billion on education because they say we
cannot afford to do things, but the same side is suggesting a $75
billion tax break. Where are they getting their money? So it is a
cynical play.
I reserve the remainder of my time.
The PRESIDING OFFICER (Mr. Crapo). Who yields time?
Mr. DOMENICI. Mr. President, I yield 5 minutes to the Senator from
Minnesota off our time.
The PRESIDING OFFICER. The Senator from Minnesota.
Mr. GRAMS. I thank the Senator from New Mexico.
Mr. President, I rise today to offer my enthusiastic support for the
package of tax proposals introduced by Senator Domenici. I'm
enthusiastic, in part, because it contains a provision that is very
important to me--above-the-line deductibility of health insurance for
individuals.
Over 40 million American workers didn't have health insurance in
1997. The number has increased in the last two years to 44 million.
This is disturbing, but I believe there is something Congress can do to
help without resorting to a national health care system.
Mr. President, when employers purchase a health plan for their
employees, he or she can fully deduct the costs of providing that
insurance, effectively lowering the actual costs of providing coverage.
However, when an employee purchases an individual policy on their
own, they must do so with after tax-dollars. They don't have the
ability or the advantage offered to employers to reduce the actual
costs of the policy by deducting premiums from their taxes every year.
Therefore, they often wind up without any health coverage at all.
Earlier this year, I introduced the Health Care Access Act, which
would have ended this discrimination within the Tax Code and make
health care available for many more Americans by allowing the full
deduction of health insurance for those without access to employer-
subsidized health coverage.
We have a tax code that discriminates against some, while favoring
others. Clearly, this results in fewer people being covered.
The amendment before us today takes a slightly different approach,
but its goal is the same--to level the tax-playing field. By allowing
individuals without access to employer-sponsored health insurance, or
those whose employers do not cover more than 50 percent of the cost of
coverage, to deduct those costs regardless of whether they itemize or
not, we can address a growing segment of our uninsured population by
doing this.
Under this amendment, from 2002 to 2004, eligible employees can
deduct 25 percent of costs, 35 percent in 2005, 65 percent in 2006, and
100 percent after that.
If there are no changes in the health care system and no significant
downturn of the economy, we can expect the number of uninsured to reach
53 million over the next ten years. This translates into 25 percent of
non-elderly Americans without coverage.
Forty-three percent of the uninsured are in families with incomes
above 200 percent of the federal poverty level. Twenty-eight percent of
the uninsured work for small firms and 18 percent of all uninsured are
between the ages of 18 and 24.
The question that comes to mind is, if we're experiencing record
growth in our economy and the unemployment rate is declining, why is
the number of uninsured continuing to rise? The answer is costs.
In the event a small business can offer a health plan to its
employees, many times it is at a higher cost to the employee than it
would be if the employee were to have a job at a larger firm. In this
instance, employees have to decide if they believe their health status
is such that they can go without health insurance, or if they should
spend after-tax dollars to pay for a larger portion of their health
insurance. Here is where we have the difficulty.
Individuals employed by small businesses which can't afford to pay
more than 50 percent of the monthly premiums for their employees should
be able to have the same tax advantage as the employer in paying for
their health insurance. Under our plan today, they will. In fact,
because the tax deduction is what we call ``above-the-line,'' meaning
if would be available to everyone--even if they don't itemize their
taxes--we attack the most significant barrier to health coverage again,
which is its costs, and move closer to eliminating all barriers to
health coverage.
In other words, get more Americans covered by allowing them the
deductibility of the costs.
I am also pleased that this amendment includes many other important
components such as pension reform and small business tax relief.
We are talking about tax relief for small businesses, not the
wealthiest as you hear from the other side of the aisle, but tax relief
pinpointed at the hard-working Americans in this country who are also
job providers.
Retirement income security is crucial for millions of American
workers. This amendment reforms and enhances current pension laws to
ensure workers will achieve income security upon retirement. It repeals
the unnecessary temporary FUTA surtax, which has become a burden to
many small businesses. The amendment allows millions of self-employed
Americans to deduct 100 percent of their health insurance costs. This
is a critical provision because 61 percent of the uninsured in this
country are from a family headed
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by an entrepreneur or a small business employee.
The PRESIDING OFFICER. The Senator's time has expired.
Mr. GRAMS. I ask for 2 more minutes.
Mr. DOMENICI. I yield the Senator 2 additional minutes.
Mr. GRAMS. In wrapping up, the amendment increases small business
expensing to $30,000. This change alone means an extra $3,850 in tax
savings for each small business in new equipment next year. This
amendment also allows small business to increase the meal and
entertainment expense tax deduction. The Work Opportunity Tax Credit
has helped millions of Americans leave welfare programs and become
productive workers in our economy. This amendment makes the WOTC
permanent, so small businesses and former welfare recipients will
continue to benefit from the Work Opportunity Tax Credit.
It seems unfair to me that in a time of prosperity we hear our
colleagues on the other side talking about tax increases. Again, in
their plan, they would impose new, even higher taxes. They talk about
minimum wage; they are taxing and taxing and taxing those people as
they enter the job market. What we need is a plan that will reduce
taxes, not increase taxes.
America's small business is the key to our economic growth and
prosperity. The health care, pension reform and tax relief measures
included in this amendment will help small business continue to work
for America and will allow millions of Americans to realize the
American Dream.
Again, that is why I rise today to enthusiastically offer my support
for the tax package proposed by Senator Domenici.
Mr. President, I yield the floor.
Mr. DOMENICI. Mr. President, how much time does each side have
remaining?
The PRESIDING OFFICER. The Senator from New Mexico controls 11
minute
s 40 seconds; the Senator from Massachusetts controls 13 minutes.
Mr. DOMENICI. How much time would you like, I ask Senator Nickles?
Mr. NICKLES. Four or 5 minutes.
Mr. DOMENICI. I yield 4 minutes to Senator Nickles.
The PRESIDING OFFICER. The Senator from Oklahoma is recognized.
Mr. NICKLES. Mr. President, first, I commend my colleague from New
Mexico for the work that he has done in providing a more realistic
substitute. But the first vote we are going to have today is voting on
a motion to table the Kennedy amendment. I urge my colleagues to vote
against the Kennedy amendment for a lot of different reasons, one of
which is that it dramatically increases the minimum wage--about 20
percent over the next 13\1/2\ months. That is a big hit for a lot of
small businesses. I am afraid it will prevent a lot of people, low-
income people, who want to get their first jobs--they may not be able
to get them. Estimates by some of the economists, CBO, and others, are
that it could be 100,000 people; it could be 500,000 people that lose
their jobs. It is a big hit.
There are a lot of other reasons to oppose the Kennedy amendment. How
many of our colleagues know it has a $29 billion tax increase, that it
extends Superfund taxes? We do not reauthorize the Superfund Program,
but we extend the taxes. Many of us agree we need to extend the taxes
when we reauthorize the program, but not before and that is in there
anyway.
There is a tax increase on business. I received a letter from all the
business groups opposing it. It is practically an IRS entitlement
program, so they can go after anything they want.
It deals with ``Noneconomic attributes,'' whatever that means, it is
a $10 billion tax increase. It may sound good and some people say that
it is just to close loopholes. But it is to give IRS carte blanche to
go after anything and everything they want. We reformed IRS and curbed
their appetite somewhat, and regardless of those efforts this would be
saying: Hey, IRS, go after anybody and everybody.
There is also a provision in the Democrat proposal that hits hospice
organizations right between the eyes.
I have put letters from outside organizations addressing this very
issue on Members' desks so they may see it for themselves. I ask
unanimous consent to print in the Record three letters from various
hospice organizations.
There being no objection, the letters were ordered to be printed in
the Record, as follows:
National Association for Home Care,
Washington, DC, November 8, 1999.
Dear Senator: The National Association for Home Care (NAHC)
represents home health agencies and hospices nationwide.
While generally speaking, NAHC is supportive of efforts to
maintain a reasonable minimum wage, a proposed amendment to
S. 625 creates serious concerns for hospices across the
country.
The proposed amendment would create a civil monetary
penalty for false certification of eligibility for hospice
care or partial hospitalization services. This proposal would
impose a civil monetary penalty of the greater of $5,000 or
three times the amount of payments under Medicare when a
physician knowingly executes a false certification claiming
that an individual Medicare beneficiary meets hospice
coverage standards. On its face, this provision is addressed
only to those physicians that intentionally and purposefully
execute false certifications. However, the impact of a
comparable provision on the access to home health services,
as added to the law as Section 232 of the Health Insurance
Portability and Accountability Act of 1996, should caution
Congress in expanding the provision to apply to hospice
services.
Immediately after the physician community became aware of
the 1996 amendment, physicians expressed to home health
agencies across the country great hesitancy to remain
involved in certifying the homebound status of prospective
home health patients. The vagueness of the homebound criteria
and the stepped up antifraud efforts of the Health Care
Financing Administration brought a chilling effect to
physicians. As a result, home health agencies reported that
physicians became less involved with homecare patients rather
than increasing their involvement as had been recommended by
the Office of Inspector General of the U.S. Department of
Health and Human Services.
We believe that a comparable physician reaction will occur
if this provision of law is extended to hospice services. A
recent study reported in the Journal of the American Medical
Association indicates that many eligible people may be denied
Medicare hospice benefits because the life expectancy of
patients with a chronic illness is nearly impossible to
predict with accuracy. Medicare requires that the patient's
physician and the hospice medical director certify that the
patient has no more than six months to live in order to
secure entitlement to the Medicare hospice benefit. The
foreseeable result of the proposed amendment would be to
further discourage physicians from utilizing hospice services
for terminally ill patients. The existing scientific and
clinical difficulties in accurately predicting the life
expectancy of a patient combined with the threat of
additional civil monetary penalties will adversely affect
access to necessary hospice services. The experiences with
home health services indicate that physicians distance
themselves from the affected benefit. While the standard of
applicability relates to a knowing and intentional false
certification, physicians will react out of fear of
inappropriate enforcement actions.
There are already numerous antifraud provisions within
federal law that apply to the exact circumstance subject to
the proposed civil monetary penalties. These existing laws
include even more serious penalties such as the potential for
imprisonment for any false claim.
We would encourage the Senate to oppose this provision,
generally, and in particular, because it is contained in a
non-germane legislative effort to increase the federal
minimum wage. There is no evidence that physicians engage in
any widespread abuse of the Medicare hospice benefit. To the
contrary, evidence is growing that hospice services are
underutilized as an alternative to more expensive care.
Thank you for all of your efforts to protect senior
citizens in our country.
Sincerely,
Val J. Halamandaris.
____
Hospice Association of America,
Washington, DC, November 8, 1999.
Dear Senator: On behalf of the Hospice Association of
America (HAA), a national association representing our member
hospice programs, thousands of hospice professionals and
volunteers, and those faced with terminal illness and their
families, I am requesting your support to reject a proposed
amendment to
S. 625 that would apply civil monetary penalties
for false certification of eligibility for hospice care.
It is often difficult to make the determination that a
patient is terminally ill (life expectancy of six months or
less if the terminal illness run its normal course), because
the course of terminal is different for each patient and is
not predictable. In some rare cases patients have been
admitted to hospice care and have improved so as to be
discharged from the program. The determination regarding the
terminal status of a patient is not an exact science and
should not be judged harshly in retrospect.
In a recent edition of JAMA, The Journal of American
Medical Association, researchers reported that the
recommended clinical prediction criteria are not effective in
a population with a survival prognosis of six
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S14345]]
months or less. According to Medicare survival data, only 15
percent of patients receiving Medicare hospice survive longer
than six months and the median survival of Medicare patients
enrolled in hospices is under 40 days. This information
demonstrates what has been well known by those working in the
hospice community, the science of prognostication is in its
infancy and physicians must use the tools that are available,
medial guidelines and local medical review policies developed
by the Health Care Financing Administration, as well as their
best medical judgment.
Physicians can not be punished for possible overestimation
of a terminally ill patient's life expectancy. The only ones
to be punished will be the patients in need of hospice
services whose physicians will be denied from enrolling
appropriate patients, thus denying access to this
compassionate, humane, patient and family centered care at
the end-of-their lives.
Please reject the proposed amendment to
S. 625.
Sincerely,
Karen Woods,
Executive Director.
____
Federation of
American Health Systems,
Washington, DC, November 8, 1999.
Hon. Don Nickles,
Assistant Majority leader, U.S. Senate, Washington, DC.
Dear Assistant Majority Leader: The Federation of American
Health Systems, representing 1700 privately-owned and managed
community hospitals has generally not taken a position on the
minimum wage bill. However, we find it necessary to object to
an amendment that will be offered today during consideration
of the bill.
Specifically, we are concerned with an amendment that will
apparently address ``partial hospitalization'' issues. While
the Federation supports the goal of improving the integrity
of the Medicare program by addressing concerns with partial
hospitalization, we oppose its attachment to non-Medicare
legislation. Clearly, any amendment that reduces Medicare
trust fund spending should either be used to enhance the
solvency of the trust fund, or for other Medicare trust fund
purposes.
We appreciate your consideration of our position.
Sincerely,
Thomas A. Scully,
President and CEO.
Mr. NICKLES. From the Hospice Association of America:
. . . . I am requesting your support to reject a proposed
amendment to
S. 1625 that would apply civil monetary
penalties for false certification of eligibility for hospice
care.
I have a letter from the Federation of American Health Systems urging
opposition to the Kennedy amendment. I have a letter from the National
Association for Home Care, also in opposition. It says:
We would encourage the Senate to oppose this provision,
generally, and in particular, because it is contained in a
nongermane legislative effort to increase the minimum wage.
The foreseeable result of the proposed amendment would be
to further discourage physicians from utilizing hospice
services for terminally ill patients.
Do we want to do that? I don't think so. Certainly we shouldn't do it
in this legislation. Let's have hearings to find out more about this.
Let's do it in Medicare reform. Let's do it when we have a chance to
know exactly what we are doing because this is strongly opposed by
hospice organizations.
I encourage my colleagues to oppose it for all the above reasons. I
urge them to vote yes to table the Kennedy amendment. We will move to
table it at the appropriate time.
The PRESIDING OFFICER. Who yields time?
Mr. KENNEDY. Mr. President, I yield 2 minutes to the Senator from
Washington.
The PRESIDING OFFICER. The Senator from Washington.
Mrs. MURRAY. Mr. President, I rise in support of the Kennedy
amendment that we will be voting on shortly. It is important to note
that 59 percent of the over 11 million workers who would receive a pay
increase as a result of this minimum wage are women--women, by and
large, with children; women who, because the minimum wage is so low
today, are working two, three, four jobs. Those losing out in the
country today because of the lack of a minimum wage increase are our
children. They are being left home alone. They aren't getting the
attention they deserve. They are not getting the support they deserve.
A vote for the Kennedy amendment is a vote for our children.
While I have the floor, I understand the Senator from Pennsylvania
came to the floor this morning to question the President's
constitutional authority to insist on reducing class size. I remind our
colleagues, reducing class size is something we as Democrats have
fought for, stood behind, and we stand behind the President in the
final budget negotiations. This is not about constitutional authority.
It is about making sure young kids in first, second, and third grade
get from a good teacher the attention they need in order to read and
write and do arithmetic. That is a bipartisan agreement we all agreed
upon a year ago, $1.2 billion to help our local schools reduce class
size.
To renege on that commitment 1 year later and to have language which
takes that money and gives it to whatever else school districts want to
use it for sounds good except we lose out. A block grant will not
guarantee that one child will learn to read. A block grant will not
guarantee that a child who needs attention will have it on the day he
or she needs it. A block grant will not assure that our children get
the attention they deserve and learn the skills they need.
The PRESIDING OFFICER. The Senator'
s 2 minutes have expired.
Mrs. MURRAY. I ask for an additional 30 seconds.
Mr. KENNEDY. Thirty seconds.
Mrs. MURRAY. Mr. President, what we as Democrats are going to stand
strong for is a commitment we made a year ago to assure that every
child in first, second, and third grade gets the attention they
deserve. If our Republican colleagues want to add additional money to
the budget for block grants, for needs in our schools that we agree are
important, we are more than happy to talk to them about it. But we
believe the commitment we made a year ago is a promise that should be
kept.
I thank the Chair and yield the floor.
Mr. KENNEDY. How much time, Mr. President?
The PRESIDING OFFICER. The Senator from Massachusetts controls 10
minutes 34 seconds. The Senator from New Mexico controls 8 minute
s 23
seconds.
Mr. KENNEDY. Mr. President, I yield myself 4 minutes.
I again thank the Senators from California and Washington for
illustrating in very powerful terms what this issue is all about. It is
about working women and families.
With all respect to my friend from Oklahoma, when we had an increase
in the minimum wage a few years ago, the Republicans fought it. They
said that it would harm the economy and adversely impact small
business. In the measure I have introduced we have tried to provide
some relief for small businesses and we have paid for it. Now we can't
do that because we have some kind of offsets. Therefore, we can't do
it.
The fact is, the Republicans are opposed to any increase in the
minimum wage. That is the fact. They have been opposed to it even at a
time of extraordinary prosperity. This minimum wage affects real people
in a very important way, and there is no group in our society it
affects more powerfully than women and children. They are the great
majority of the earners of the minimum wage, and increasingly so.
These days parents are spending less and less time with their
families. In the last 10 years, parents were able to spend 22 hours a
week less with their families. Read the Family and Work Institute's
report of interviews with small children who are in minimum-wage
families. They are universal in what they say. They all say: We wish
our mother--or our father--would be less fatigued. We wish they had
more time to spend with us. We are tired of seeing our parents come
home exhausted when they are working one or two minimum-wage jobs.
That is what this is about. It is about the men and women at the
bottom rung of the economic ladder. Are they real? Of course they are
real. I have read the stories. We know who they are. They are out there
today, this morning, as teacher's aides in our schools. These teacher's
aides are working with young children, our future, and yet they don't
earn enough to make ends meet.
They are there in the day-care centers. We know that day-care center
workers are often at the bottom of the pay scale, earning the minimum
wage. As you can see from this graph the purchasing power of the
minimum wage
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has declined since the last increase. As their wages lose purchasing
power, turnover in low paying jobs like child care attendants and those
who are working in nursing homes, increases. When people are forced to
leave these jobs, there is a deterioration in quality of the service
day care centers and nursing homes can offer.
This is about the most important element of our society. It is about
fairness. It is about work. We hear all of these speeches on the other
side of the aisle about the importance of work. We are honoring work.
We are talking about men and women with dignity who have a sense of
pride in what they do and are trying to do better and are trying to
look out after their families. They are being given the back of the
hand by the Republicans.
Their proposal is a sham. It is a raw deal for these workers. On the
one hand, they are dribbling out an increase in the minimum wage; on
the other hand, they are taking away overtime for 73 million Americans,
and in the meantime, they are giving tax breaks to the wealthiest
individuals in our society. That is a sham. Beyond that, they say the
minimum wage, if we are even fortunate enough to get it to pass the
Senate, will never go to the President because the Republican
leadership has made a commitment to whoever it might be that it will
never go there. That is what we are up against.
The PRESIDING OFFICER. The Senator'
s 4 minutes have expired.
Mr. KENNEDY. I reserve the remainder of my time.
The PRESIDING OFFICER. The Senator from New Mexico.
Mr. DOMENICI. Mr. President, I say to my friend from Massachusetts
that I can yell as loud as he. But today I won't do that because I
believe we have a great bill and a great position.
The Republicans do support the minimum wage. In fact, they are going
to vote for the minimum wage that I propose. That is, instead of a
dollar coming in two installments, it will come in three, of 35 cents,
35 cents, and 30 cents. Frankly, there will be an overwhelming vote in
favor of that.
In addition, we took the opportunity to give small business and some
other absolutely necessary situations that need it tax relief. We chose
in this bill to do that. Those have been explained fairly well. I will
take a minute at the end of my remarks to explain them one more time.
I suggest that the Democrats are living in an era that has passed.
If they were here on the floor in the 1930s, they would have a case.
They would have a case that the minimum wage is going to affect poor
families supporting their children. That was the issue in the 1930s.
But I suggest the best research today says that day is gone in terms of
who is impacted by the minimum wage. It is more likely to impact a
teenager than it is the head of a household. The fact is, 55 percent of
the minimum wage applies to people between the ages of 16 and 24. The
overwhelming number of those are teenagers in part-time jobs, working
in McDonald's-type restaurants across America. They need these jobs.
They don't even stay in the minimum-wage position very long, according
to the research we have seen. If they work well and choose to follow
the rules and the orders and do an excellent job, they are raised above
the minimum wage rather quickly.
To put it another way, to show that the arguments about who benefits
from the minimum wage are passe 1930 arguments, two-thirds of all
minimum-wage people are part-time employees. The fact is, the argument
that these are women heads of households is absolutely dispelled by
reality. The best we can find out is that 8 percent of the minimum-wage
employees in America today are women heads of households, not the
numbers or the tenor and tone of the argument about the slap of the
hand we are giving to those who work in America. Quite the contrary.
Our minimum wage reflects a sufficient increase to match up with
inflation, and we permit many people an opportunity to get into the job
market. In fact, we make permanent one of the best taxes we have, which
is now there on an interim basis. It says if you hire minimum-wage
workers out of the welfare system, and you want to take a chance
because they aren't capable of doing the jobs and you need to train
them, you get a credit for that. That is a very good part of the Tax
Code. We make that permanent so it costs something and it uses up some
of our tax money.
As to the argument of how big this tax cut is, it is 12.5 percent of
the total tax package that the Republicans offered, which passed here
and the President vetoed. It tries something very new and exciting. It
says to Americans who want to buy their own insurance--because their
employers don't furnish it--for the first time, they are going to be
permitted to deduct the entirety of their health insurance. Heretofore,
they were punished if they tried to buy it, penalized because they
didn't get to deduct it while everybody else did. We also made
permanent the allowance that the self-employed can take the insurance
deduction. We raise that to 100 percent. Everybody knows that is good.
Everybody knows that helps with the problem of the uninsured in
America, and that is good.
So, for all the talk, the Republicans have come forward with a very
good bill. I am very pleased that I suggested to the Republicans the
basics of this bill, that we ought to do it in three installments. Some
wanted to make it longer. Actually, I think this is exactly the right
length of time. Add to that the kind of tax relief we have provided
versus the tax increases on that side, and it seems to me there is no
choice.
While everybody is clamoring to do something about the estate tax
because it is a very onerous tax, as if to try to punish people, in a
minimum-wage bill they raise death taxes and inheritance taxes. I don't
care what kind of American they impose it on. We don't have to do that
when we are reforming that system because it is somewhat confiscatory.
I could go on, but if anybody has any doubt, the gross tax increase
under the Democrat package is $12.5 billion over 5 years, and a $28.9
billion tax increase over 10 years. What in the world are we increasing
taxes for at this point? To pay for a minimum-wage bill? Of course not.
It is because they want other tax relief and they choose to raise taxes
to give the benefit to someone else. There is sufficient surplus. This
is a very small tax cut in our package--12.5 percent of what we
perceived was adequate and what we could do about 4 months ago with the
surpluses we have. The President proposed $250 billion, $300 billion in
tax relief. In this bill, they raise taxes rather than take advantage
of what we know is the right thing; that is, to reduce taxes in these
economic times.
I reserve my remaining time.
Mr. KENNEDY. Mr. President, how much time remains?
The PRESIDING OFFICER. The Senator from Massachusetts has 6 minutes
49 seconds. The Senator from New Mexico has 1 minute 51 seconds.
Mr. KENNEDY. I yield 3 minutes to the Senator from California.
The PRESIDING OFFICER. The Senator from California.
Mrs. BOXER. The Senator from New Mexico said he wasn't going to yell.
He got a little close to it. But when I hear the yells on that side of
the aisle, it is usually related to their passion for helping the
wealthiest among us.
The Senator from New Mexico says that the Democrats are living in the
past because we want to increase the minimum wage. Well, I have news
for the Senator from New Mexico. Compassion for the poorest in our
society, those at the bottom rung of the ladder, that is a timeless
value; that is a moral value; that is a religious value; that is a
value we ought to be proud to have around here. That is not living in
the past. Come to Los Angeles, I say to my friend from New Mexico, or
look around your big cities. What you will notice is that the people
who are living on the minimum wage are adults. We know that to be the
fact. A majority of minimum-wage workers are adults--70 percent of
them.
In the Democratic proposal, out of those who will benefit from this
modest increase, 60 percent of them are women. So if you want to say
that we are living in the past, you can say it all you want. But it
isn't true.
We saw in September a very chilling story in the L.A. Times about the
working poor in Southern California. The National Low-Income Housing
Coalition shows that given the high cost of a two-bedroom apartment in
L.A., a minimum-wage earner must work 112 hours per week in order to
make ends meet.
[[Page
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In San Francisco, it is even worse. A person would have to work 174
hours at minimum wage in order to pay their bills. According to a
recent study of the Nation's food banks, 40 percent of all households
seeking emergency food aid had at least one member who was working.
That is up from 23 percent in 1994.
Low-paying jobs, I say to my friend from New Mexico, are the most
frequently cited cause of hunger today, according to this well-
documented L.A. Times story.
The L.A. Times, by the way, is now owned by Republicans. So this
isn't a question of yesterday, I say to my friend. It is a question of
living today. They have made the same arguments every time we raised
the minimum wage. The last time they said it would bring the economy
down. We have never seen such a strong economy. If the people at the
bottom rung are left behind, it is morally wrong and it is economically
wrong. It makes no sense. Those are the folks who go out and spend what
they earn and they definitely stimulate the economy.
So for anybody to say you are living in the past if you support a
minimum-wage increase, they don't know what is going on today. I say
that from my heart. I have respect for the Senator from New Mexico, but
I think it is insulting to say one lives in the past for wanting to
fight for those at the bottom rung of the economic ladder--those women
and those children who are living in poverty.
I thank the Chair.
Mr. KENNEDY. Mr. President, how much time remains?
The PRESIDING OFFICER. The Senator from Massachusetts has 3\1/2\
minutes. The Senator from New Mexico has 1 minute 51 seconds.
Mr. KENNEDY. I yield a minute to the Senator from Connecticut.
The PRESIDING OFFICER. The Senator from Connecticut is recognized.
Mr. DODD. Mr. President, to make a couple of quick points, I was
terribly saddened to see as part of another bill that we have a further
reduction in child care provisions, which is a major blow again to
working families out there. We all know that quality child care makes a
difference for these children. In the midst of all of this, we are
obviously told you have to come up with some offsets to pay for the
provisions in this bill, which we do.
Offsets always attract opposition from one quarter or another. But
these are modest offsets to pay for the provisions in the bill. What is
going to happen later today we are going to vote on $75 billion in tax
cuts and 56 percent of them go to the top 20 percent of income earners,
and there are no offsets--none.
One of the great contradictions is, we are being accused of not
liking the offsets, the pays, from some of the provisions and
simultaneously we ask our Members to vote for a provision in the bill
or vote for the whole bill, including a $75 billion tax cut over 10
years with no offsets.
Let me underscore, as this millennium date of 50 days away
approaches, those at the bottom of the economic rung--working people,
the majority who receive the minimum wage and are working full time;
they are women, they are Hispanic, they are black--deserve to get a
fair shake out of this Senate. In a few minutes, we will have an
opportunity to give them that fair shake by providing an increase in
the minimum wage, allowing them to enjoy the prosperity of the booming
economy.
I yield the floor.
Mr. KENNEDY. Mr. President, it is important to understand exactly
what the situation is for our working poor. The number of full-time,
year-round workers living in poverty is at a 20-year high: 12.6 percent
of the workforce, says the Bureau of Labor Statistics, as of the last 3
days. That is the fact. People are working harder, and they are living
in poverty. These are people who value work.
Second, the Bureau of Labor Statistics shows that, of those who will
benefit from a minimum wage increase, 70 percent are adults over age
20, and about 30 percent will be teenagers.
If Senators come to Boston and talk to the young people going to the
University of Massachusetts, they will find 85 percent of their parents
never went to college and 85 percent of them are working 25 hours a
week or more. That is true in Boston, in Holyoke, in New Bedford, and
Fall River, and cities across the country. I don't know what Members
have against working young people who are trying to pay for their
education. We have 6 million working in the workforce, and we have 2
million working at the minimum wage. Why are we complaining about that?
The Republican proposal is a Thanksgiving turkey with three right
wings. It has a watered-down increase in the minimum wage, it has a
poison pill for overtime work, and it has juicy tax provisions for the
rich. This Republican turkey is stuffed with tax breaks, and it does
not deserve to be passed. Vote for the real increase in the minimum
wage; vote for the Daschle increase.
Mr. LEVIN. Mr. President, as the most prosperous nation in the world,
our minimum wage should be a living wage, and it is not. When a father
or mother works full-time, 40 hours a week, year-round, they should be
able to lift their family out of poverty. $5.15 an hour will not do
that. A full time minimum wage job should provide a minimum standard of
living in addition to giving workers the dignity that comes with a
paycheck. The current minimum wage does not pay a fair wage.
I support the legislation introduced by Representative David Bonior
in the House and Senator Ted Kennedy in the Senate which increases the
minimum wage. This legislation, the Fair Minimum Wage Act, will provide
a 50 cent increase to the minimum wage on January 1, 2000, and a second
50 cent increase on January 1, 2001. This would raise the minimum wage
to $6.15 per hour by the year 2001.
The minimum wage increase passed in 1996 prevented the minimum wage
from falling to its lowest inflation adjusted level in 40 years. The
proposed minimum wage increase to $6.15 in 2001 would get the minimum
wage back to the inflation adjusted level it was in 1982.
In this era of economic growth, raising the minimum wage is a matter
of fundamental fairness. We must look around and realize that we have
the strongest economy in a generation. However, even with our strong
economy, the benefits of prosperity have not flowed to low-wage
workers. A full time minimum wage laborer working forty hours a week
for 52 weeks earns $10,712 per year--more than $3,000 below the poverty
level for a family of three.
Amendments:
Cosponsors:
LABOR-HHS APPROPRIATIONS
Sponsor:
Summary:
All articles in Senate section
LABOR-HHS APPROPRIATIONS
(Senate - November 09, 1999)
Text of this article available as:
TXT
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[Pages S14340-
S14364]
LABOR-HHS APPROPRIATIONS
Mr. SPECTER. Mr. President, I wish to make a brief comment, if I may,
on one of the items referred to in a statement by the majority leader
about the appropriations process, which I think will be of interest to
our colleagues and perhaps to others who may be watching on C-SPAN 2.
We had negotiations beginning at 4 o'clock on Sunday afternoon with
officials from the White House, and we are trying to resolve those
issues in a spirit of accommodation. With respect to the dollars
involved, the bill which came out of the Appropriations Committee was
$93.7 billion for the three Departments. That was $600 million more
than the President's figure, and it was $300 million more than the
President's figure on education.
I worked on a bipartisan basis with my distinguished colleague,
Senator Harkin. The bill was crafted with what we thought was the right
dollar amount--frankly, the maximum amount--to pass with votes in
substantial numbers from Republicans and an amount which would be
acceptable to Democrats and to the President because it was somewhat
higher than his figure and we emphasized increased funding for the
National Institutes of Health.
The administration has come back with a figure of $2.3 billion
additional, and Congressman Porter and I made an offer yesterday to add
$228 million, provided we could find offsets because it is very
important that we not go into the Social Security trust funds. So that
whatever dollars we add to accommodate the President's priorities--we
are going to have to have offsets on priorities which the Congress has
established. We are prepared to meet him halfway on priorities on
dollars--we are going to have to have offsets on priorities which the
Congress has established.
There is a much more difficult issue in this matter than the dollars,
although the dollars are obviously of great importance, and the issue
which is extremely contentious is what will be done on the President's
demand to have $1.4 billion to reduce classroom size to have additional
teachers.
The Senate bill has appropriated $1.2 billion which maintains the
high level of last year's funding. When it comes to the issue of the
utilization of that money, we are prepared to acknowledge the
President's first priority of reduction of classroom size for teachers.
But if the local school board makes a factual determination that is not
the real need of the local school board, then we propose that the
second priority be teacher training. If the local school board decides
that is not where the money ought to be spent, then we propose to give
it to the school board the discretion as to the spending to local
education, as opposed to a straitjacket out of Washington.
The White House Press Secretary has issued a statement this morning
saying that these funds could be used for vouchers, and that is not
true. That is a red herring. To allay any concern, we will make it
explicit in the bill that the President's concern about the use of
these funds for vouchers will be allayed. We are prepared to make that
accommodation, although there had never been any intent to use it for
vouchers. However, we will make that intent explicit in the bill.
Behind the issue of classroom size and the President's demand is a
much greater constitutional issue. That is the constitutional issue of
who controls the power of the purse. The Constitution gives the
authority to the Congress to establish spending priorities, and we have
seen a process evolve in the past few years which does not follow the
constitutional format. The Constitution is very specific that each
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S14341]]
House will decide on a bill, have a conference, and send that bill to
the President for his signature or for his veto; and if he vetoes it,
the bill then comes back to the Congress for reenactment. But what has
happened in the immediate past has been that executive branch officials
sit in with the appropriators and are a part of the legislative
process, which is a violation of the principle of separation of powers.
Now, I must say that I have been a party to those meetings because that
is what is going on. But I want to identify it as a process which is
not in conformity with the Constitution. It is something we ought to
change. When it comes to the power and the control, what we have seen
happen in the last 4 years is that the President has really made an
effort, and to a substantial extent a successful effort, to take over
the prerogative of the Congress on the power of the purse.
When the Government was closed in late 1995 and early 1996, the
Republican-controlled Congress was blamed for the closure. That,
candidly, has made the Congress gun-shy to challenge the President on
spending issues. Since that time there has been a concession to the
President on whatever it is that he wants, sort of ``pay a price to get
out of town'' when people are anxious to have the congressional session
adjourn.
Speaking for myself and I think quite a few others in the Congress
are not going to put on the pressure to get out of town. We are going
to do the job and do it right. Senator Lott held a news conference
yesterday and was asked about the termination time. He said he thought
it was possible to finish the public's business by the close of the
legislative session on Wednesday, which is tomorrow, but it was more
important, as Senator Lott articulated, to do it right than get it
finished by any arbitrary deadline. I concur totally with Senator Lott.
I think it is possible to get the business finished by the end of the
working day tomorrow. But it is more important to get it right than to
get it finished on any prescribed schedule. In modern times there is
too much concern about getting out of town, than perhaps getting the
job done right. But we are determined to get it done and to get it done
right. If we can get it done by the end of business tomorrow, that is
what our goal is. But we are not going to sacrifice getting it done
right in order to be able to finish up by Wednesday afternoon to get
out of town.
Mr. KENNEDY. Will the Senator yield for a question? Will the Senator
yield for a question?
Mr. SPECTER. No, I will not yield here, but I will in just a minute.
What we have seen is the President's ultimatum. He says this issue on
schoolteachers is nonnegotiable. That is hardly the way you get into a
negotiation session. Then his Chief of Staff, John Podesta, said on
Sunday that if the Congress wants to get out of town they are going to
have to accede to the President's demands on teachers, to do it his
way. I think that is not appropriate. Congress has the power of the
purse under the Constitution. It is our fundamental responsibility on
appropriations. We are prepared to negotiate, but we are not prepared
to deal with nonnegotiable demands. We are not prepared to deal with
ultimatums. We are going back into a session--I don't know whether I
should call it a negotiating session or not, because the President
talks about nonnegotiable demands. Frankly, I am prepared to meet that
with a nonnegotiable demand, not giving up on our prerogative to make a
determination as to how the money is to be spent and getting local
control over a Presidential straitjacket.
Now I would be delighted to yield to my distinguished colleague from
Massachusetts.
Mr. KENNEDY. I wanted to inquire of the desk what the Senate business
was supposed to be? I was under the impression we were supposed to be,
at 9:30, on the minimum wage.
The PRESIDING OFFICER. Does the Senator yield the floor?
Mr. SPECTER. I have concluded. I yield the floor.
The PRESIDING OFFICER. The Senator from Massachusetts.
Mr. KENNEDY. Mr. President, I ask we extend the time. How much time
did the Senator from Pennsylvania expend?
Mr. DOMENICI. What was the question?
Mr. KENNEDY. I asked how much time the Senator from Pennsylvania
used?
The PRESIDING OFFICER. The Republican side has 19 minutes left.
Mr. KENNEDY. Just as a matter of inquiry, were taken out of the time
of the debate. Is that correct?
The PRESIDING OFFICER. Taken out of the Republican time.
Mr. KENNEDY. OK. Mr. President, I yield myself 12 minutes.
The PRESIDING OFFICER. The Senator from Massachusetts.
Mr. KENNEDY. Mr. President, I listened to the Senator from
Pennsylvania's comments with great interest. I will mention very
briefly in defense of the administration, although they can make the
case quite well for themselves that if the Appropriations Committee had
finished their business on time we would not be in this particular
dilemma. Only four appropriations bills were actually completed on time
for the fiscal year. So with all respect to our friend on the other
side, if the appropriators had placed, particularly the HEW
appropriations, first rather than last, I do not think we would be
having these kinds of problems in the areas of negotiation between the
President and the Congress.
Second, the basic program which the President has been fighting for
in this negotiation is almost identical to what the Republicans
supported last year. With all respect to the comments we have just
heard, the fact is if the classes reach the goals, the 15 percent set-
aside for funding for smaller class sizes can be used to enhance the
teacher training. If the school had already achieved the lower class
size of 18, it would be used for special needs or other kinds of
professional purposes.
So it is difficult for me to understand the frustration of the
Senator from Pennsylvania when the Republican leaders all effectively
endorse what the President talked about last year. If their position is
not sustained, there are going to be 30,000 teachers who are teaching
in first, second, and third grades who are going to get pink slips. I
don't think the problem in education is having fewer schoolteachers
teach in the early grades but to have more.
I want to make clear I am not a part of those negotiations this year,
but I was last year. I know what the particular issue is. With all
respect to those who are watching C-SPAN II, I want them to know the
President is fighting for smaller class sizes as well as for better
trained teachers. We have seen Senator Murray make that presentation
and make it effectively time and again. I think it is something that
parents support, teachers understand, and children have benefited from.
No one makes that case more eloquently than the Senator from the State
of Washington. But I certainly hope the President will continue that
commitment. We have scarce Federal resources. They are targeted in
areas of particular need. That is the purpose of these negotiations. I
hope we can conclude a successful negotiation.
Mr. DOMENICI. Will the Senator yield on my time?
Mr. KENNEDY. On your time, yes.
Mr. DOMENICI. Just for an observation. He might want to answer it.
The PRESIDING OFFICER. The Senator from New Mexico.
Mr. DOMENICI. Mr. President, the truth of the matter is if schools
want the new teachers, under the proposal of the distinguished chairman
who just took to the floor to explain the obstinacy of the President,
they can have the money for teachers. That is what he is saying. It is
up to them. If they want all the money that comes from this
appropriation used for teachers, they can have it. If they say, we
don't need them, we don't want them, he is saying there is a second
priority.
Frankly, I think that is excellent policy with reference to the
schools of our country. I believe the Senator from Pennsylvania makes a
good point. For the President to continue to say we are not going to
get this bill unless we do it exactly his way leaves us with no
alternative. We have some prerogatives, too. The fact is, if you read
the Constitution, he doesn't appropriate; the Congress does.
I yield the floor.
Mr. KENNEDY addressed the Chair.
The PRESIDING OFFICER. The Senator from Massachusetts.
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Mr. KENNEDY. Mr. President, just to respond, we have a need for 2
million teachers. We have scarce Federal resources. If the States or
local communities want to do whatever the Senator from New Mexico says,
all well and good. But we are talking about scarce Federal resources
that are targeted in ways that have been proven effective in enhancing
academic achievement and accomplishment.
I am again surprised. The Republicans were taking credit for this
last year. I was in the negotiations. Mr. Goodling and Mr. Gingrich--as
we were waiting to find out whether the powers that be, the Speaker,
was going to endorse this, when we were waiting and having
negotiations--went out and announced it and took credit for it. They
took credit for this proposal of the President.
I find it a little difficult to understand this kind of frustration
that is being demonstrated here. But we will come back to this and
Senator Murray can address these issues at a later time. I certainly
hope the President will not flinch in his commitment to getting smaller
class sizes and better trained teachers and after school programs. That
is what this President has been fighting for. I hope he will not yield
at this time in these final negotiations, after we have only had four
appropriations that have met the deadline. Before we get all excited
about these negotiations, if our appropriators had completed this work
in time, we would not be here.
Mr. DURBIN. Will the Senator yield for a question?
Mr. KENNEDY. How much time do we have? I will be glad to yield.
The PRESIDING OFFICER. The Senator ha
s 24 minutes.
Mr. KENNEDY. Good. I am glad to yield.
Mr. DURBIN. Mr. President, briefly, I ask my colleague, is it not
true this appropriation for education was the last of the bills
considered by the Appropriations Committee? Is it not true that we
waited until the very last day to even bring up this issue of
education, the highest priority for American families? Now we find
ourselves trying to adjourn, stuck on an issue that could have been
resolved months ago had we made education as high a priority on Capitol
Hill as it is in family rooms across America.
Mr. KENNEDY. The Senator is absolutely correct. The Senator from
Illinois, the Senator from California, and I know the Senator from
Washington as well, had hoped--and I believe I can speak for our
Democratic leader--this would be the No. 1 appropriation and not the
last one. If we had this as the No. 1 appropriation on the issue of
education, we would not have these little statements we have heard this
morning. But it is the last one. That is not by accident; that is by
choice of the Republican leadership.
Mr. President, how much time do I have remaining?
The PRESIDING OFFICER. Twenty-three minutes.
Mr. KENNEDY. Mr. President, I yield myself 7 minutes.
In a few moments, we will be voting on the minimum wage issue that is
before the Senate. I want to review what the record has been over the
last 2 years.
In September of 1998, we brought up the minimum wage issue, and were
unable to bring that to a vote on the basis of the merits. The
Republican leadership said no.
In March of 1999, we tried to bring up this issue. Again, we were
denied an opportunity to vote on it.
In April of 1999, we brought it up again as an amendment on Y2K. We
were denied an opportunity to have a full debate.
In July of 1999, we brought it up again, and again we were turned
down.
Now we have the minimum wage legislation before us, and in a cynical
move, the Republican leadership said: Even if you get the passage of
the minimum wage, it ``ain't'' going to go any further; the President
isn't going to see it; it is going to end.
It is a sham. Their effort is basically a sham. That is the position
in which we find ourselves today.
We know Americans are working longer and harder. The working poor are
working longer and harder than at any time in the history of our
country. We know that over the last 10 years, women are working 3 weeks
longer a year in order to earn the minimum wage and men are averaging
50 hours a week. These are some of the hardest working men and women in
the country.
At the height of the minimum wage in the late 1960s, it had the
purchasing power that $7.49 would have today. If we are not able to
raise the minimum wage this year and next, its value will be at an all-
time low--in a time of extraordinary prosperity in this country. That
is fundamentally wrong.
A vote for the Republican amendment will not help working families.
It is, in fact, an insult to low-wage workers. It robs them of over
$1,200 as compared to the Democratic proposal, and it drastically
undermines the overtime provisions in the Fair Labor Standards Act
which has been the law for over 60 years.
The Republican proposal jeopardizes the overtime pay of 73 million
Americans. The Republicans did not water down their own pay increase of
$4,600. They are now watering down the increase in the minimum wage,
and they are watering down overtime. On the one hand, they are giving
an inadequate increase in the minimum wage and taking it back by
cutting back on overtime. That is a sham. That is a cynical attempt to
try to win support for working families from those who are trying to do
justice for those individuals.
We can ask, What difference does an increase in the minimum wage
make?
Cathi Zeman, 52 years old, works at a Rite Aid in Canseburg, PA. She
earns $5.68 an hour. She is the primary earner in the family because
her husband has a heart condition and is only able to work
sporadically. What difference would an increase in the minimum wage
mean to Cathi and her family? It would cover 6 months of utility bills
for Cathi's family.
Kimberly Frazier, a full-time child care aide from Philadelphia
testified her pay of $5.20 an hour barely covers her rent, utilities,
and clothes for her children. Our proposal would mean over 4 months of
groceries for Kimberly and her kids.
The stories of these families remind us that it is long past time to
raise the minimum wage by $1 over 2 years. We cannot delay it. We
cannot stretch it out. We cannot use it to cut overtime. And we cannot
use it as an excuse to give bloated tax breaks to the rich.
Members of Congress did not blink in giving themselves a $4,600 pay
raise. Yet they deny a modest increase for those workers at the bottom
of the economic ladder. I do not know how Members who voted for their
own pay increase but I do not know how Members who vote against our
minimum wage proposal will be able to face their constituents and
explain their actions.
It is hypocritical and irresponsible to deny a fair pay raise to the
country's lowest paid workers. Above all, raising the minimum wage $1
over 2 years and protecting overtime pay is about fairness and dignity.
It is about fairness and dignity for men and women who are working 50
hours a week, 52 weeks of the year trying to provide for their children
and their families.
This is a women's issue because a great majority of the minimum-wage
workers are women. It is a children's issue because the majority of
these women have children. It is a civil rights issue because the
majority of individuals who make the minimum wage are men and women of
color. And it is a fairness issue. At a time of extraordinary
prosperity this country ought to be willing to grant an increase to the
hardest working Americans in the nation--the day-care workers, the
teachers aides. They deserve this increase. Our amendment will provide
it, and the Republican amendment will not.
Mrs. BOXER. Will the Senator yield for a question?
Mr. KENNEDY. I yield for a question.
Mrs. BOXER. I thank my colleague for yielding. I say to the Senator
from Massachusetts how much I appreciate him pushing this forward and
how important it is to all of our States. I bring out an article that
ran in the paper yesterday and today about the status of children in my
home State of California, by far the largest State. I want my friend to
respond to these numbers because they really say it.
This is what it says:
Despite a booming economy that has seen a tide of
prosperity wash over California in
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recent years, nearly 1 in 4 children under 18 in the Golden
State lives in poverty. . . .
Although the annual ``California Report Card 1999'' laments
that so many children live in poverty, it paints an
especially bleak portrait of a child's first four years of
life.
Lois Salisbury, president of Children Now, says:
Among all of California's children, our littlest ones . . .
face the most stressful conditions of all. . . .
At a time when a child's sense of self and security is
influenced most powerfully, California deals them a
[terrible] hand.
I say to my friend, this issue he is raising is so critical. We all
say how much we care about the children. Every one of us has made that
speech. Today the rubber meets the road. If you care about children,
you have to make sure their parents can support them.
My last point is, and I will yield for the answer, I wonder if my
friend has seen the New York Times editorial that says:
The Senate will vote today on a Republican-sponsored
amendment to raise the minimum wage and they say sadly the
Republicans are not content to do this good deed and go home.
They have loaded the amendment with tax cuts that are
fiscally damaging and cynically focused on wealthy workers.
Almost all of the Republican tax cuts go to the wealthy.
One of the economists who looked at this said:
It would encourage the reduction of contributions made by
employers to the pensions of the lowest paid workers.
Can my friend comment on the importance of this proposal to children
and also this cynical proposal that our colleagues on the other side
are presenting?
Mr. KENNEDY. The Senator has raised an enormously important point.
Americans who are working in poverty, which is at the highest level in
20 years, are working longer and harder than ever. The men work 50
hours a week or more on average and the women work an average of 3
weeks more a year. They have less time--22 hours less--to spend with
their children than they did 10 years ago. That is why this is a
children's issue, as the Senator has pointed out.
On the issue the difference between the Republican and the Democratic
proposals, the Republicans say that their proposal makes some
difference for those individuals who are going to get an increase in
the minimum wage over 3 years.
This is a raw deal for them. On the one hand, they give them an
increase in the minimum wage, and on the other hand they take back the
overtime for 73 million Americans. It is a cynical sham, and it is a
cynical sham because the majority leader has said even if it passes, it
will never go out of this Chamber. That is the attitude toward hard-
working men and women who are trying to play by the rules and get along
at a time when they have the lowest purchasing power in the history of
the minimum wage and we have the most extraordinary prosperity. And
then they insult these workers even further by adding a $75 billion tax
break over 10 years. And then we just heard about the difficulty we are
having in conference about $1 billion on education because they say we
cannot afford to do things, but the same side is suggesting a $75
billion tax break. Where are they getting their money? So it is a
cynical play.
I reserve the remainder of my time.
The PRESIDING OFFICER (Mr. Crapo). Who yields time?
Mr. DOMENICI. Mr. President, I yield 5 minutes to the Senator from
Minnesota off our time.
The PRESIDING OFFICER. The Senator from Minnesota.
Mr. GRAMS. I thank the Senator from New Mexico.
Mr. President, I rise today to offer my enthusiastic support for the
package of tax proposals introduced by Senator Domenici. I'm
enthusiastic, in part, because it contains a provision that is very
important to me--above-the-line deductibility of health insurance for
individuals.
Over 40 million American workers didn't have health insurance in
1997. The number has increased in the last two years to 44 million.
This is disturbing, but I believe there is something Congress can do to
help without resorting to a national health care system.
Mr. President, when employers purchase a health plan for their
employees, he or she can fully deduct the costs of providing that
insurance, effectively lowering the actual costs of providing coverage.
However, when an employee purchases an individual policy on their
own, they must do so with after tax-dollars. They don't have the
ability or the advantage offered to employers to reduce the actual
costs of the policy by deducting premiums from their taxes every year.
Therefore, they often wind up without any health coverage at all.
Earlier this year, I introduced the Health Care Access Act, which
would have ended this discrimination within the Tax Code and make
health care available for many more Americans by allowing the full
deduction of health insurance for those without access to employer-
subsidized health coverage.
We have a tax code that discriminates against some, while favoring
others. Clearly, this results in fewer people being covered.
The amendment before us today takes a slightly different approach,
but its goal is the same--to level the tax-playing field. By allowing
individuals without access to employer-sponsored health insurance, or
those whose employers do not cover more than 50 percent of the cost of
coverage, to deduct those costs regardless of whether they itemize or
not, we can address a growing segment of our uninsured population by
doing this.
Under this amendment, from 2002 to 2004, eligible employees can
deduct 25 percent of costs, 35 percent in 2005, 65 percent in 2006, and
100 percent after that.
If there are no changes in the health care system and no significant
downturn of the economy, we can expect the number of uninsured to reach
53 million over the next ten years. This translates into 25 percent of
non-elderly Americans without coverage.
Forty-three percent of the uninsured are in families with incomes
above 200 percent of the federal poverty level. Twenty-eight percent of
the uninsured work for small firms and 18 percent of all uninsured are
between the ages of 18 and 24.
The question that comes to mind is, if we're experiencing record
growth in our economy and the unemployment rate is declining, why is
the number of uninsured continuing to rise? The answer is costs.
In the event a small business can offer a health plan to its
employees, many times it is at a higher cost to the employee than it
would be if the employee were to have a job at a larger firm. In this
instance, employees have to decide if they believe their health status
is such that they can go without health insurance, or if they should
spend after-tax dollars to pay for a larger portion of their health
insurance. Here is where we have the difficulty.
Individuals employed by small businesses which can't afford to pay
more than 50 percent of the monthly premiums for their employees should
be able to have the same tax advantage as the employer in paying for
their health insurance. Under our plan today, they will. In fact,
because the tax deduction is what we call ``above-the-line,'' meaning
if would be available to everyone--even if they don't itemize their
taxes--we attack the most significant barrier to health coverage again,
which is its costs, and move closer to eliminating all barriers to
health coverage.
In other words, get more Americans covered by allowing them the
deductibility of the costs.
I am also pleased that this amendment includes many other important
components such as pension reform and small business tax relief.
We are talking about tax relief for small businesses, not the
wealthiest as you hear from the other side of the aisle, but tax relief
pinpointed at the hard-working Americans in this country who are also
job providers.
Retirement income security is crucial for millions of American
workers. This amendment reforms and enhances current pension laws to
ensure workers will achieve income security upon retirement. It repeals
the unnecessary temporary FUTA surtax, which has become a burden to
many small businesses. The amendment allows millions of self-employed
Americans to deduct 100 percent of their health insurance costs. This
is a critical provision because 61 percent of the uninsured in this
country are from a family headed
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by an entrepreneur or a small business employee.
The PRESIDING OFFICER. The Senator's time has expired.
Mr. GRAMS. I ask for 2 more minutes.
Mr. DOMENICI. I yield the Senator 2 additional minutes.
Mr. GRAMS. In wrapping up, the amendment increases small business
expensing to $30,000. This change alone means an extra $3,850 in tax
savings for each small business in new equipment next year. This
amendment also allows small business to increase the meal and
entertainment expense tax deduction. The Work Opportunity Tax Credit
has helped millions of Americans leave welfare programs and become
productive workers in our economy. This amendment makes the WOTC
permanent, so small businesses and former welfare recipients will
continue to benefit from the Work Opportunity Tax Credit.
It seems unfair to me that in a time of prosperity we hear our
colleagues on the other side talking about tax increases. Again, in
their plan, they would impose new, even higher taxes. They talk about
minimum wage; they are taxing and taxing and taxing those people as
they enter the job market. What we need is a plan that will reduce
taxes, not increase taxes.
America's small business is the key to our economic growth and
prosperity. The health care, pension reform and tax relief measures
included in this amendment will help small business continue to work
for America and will allow millions of Americans to realize the
American Dream.
Again, that is why I rise today to enthusiastically offer my support
for the tax package proposed by Senator Domenici.
Mr. President, I yield the floor.
Mr. DOMENICI. Mr. President, how much time does each side have
remaining?
The PRESIDING OFFICER. The Senator from New Mexico controls 11
minute
s 40 seconds; the Senator from Massachusetts controls 13 minutes.
Mr. DOMENICI. How much time would you like, I ask Senator Nickles?
Mr. NICKLES. Four or 5 minutes.
Mr. DOMENICI. I yield 4 minutes to Senator Nickles.
The PRESIDING OFFICER. The Senator from Oklahoma is recognized.
Mr. NICKLES. Mr. President, first, I commend my colleague from New
Mexico for the work that he has done in providing a more realistic
substitute. But the first vote we are going to have today is voting on
a motion to table the Kennedy amendment. I urge my colleagues to vote
against the Kennedy amendment for a lot of different reasons, one of
which is that it dramatically increases the minimum wage--about 20
percent over the next 13\1/2\ months. That is a big hit for a lot of
small businesses. I am afraid it will prevent a lot of people, low-
income people, who want to get their first jobs--they may not be able
to get them. Estimates by some of the economists, CBO, and others, are
that it could be 100,000 people; it could be 500,000 people that lose
their jobs. It is a big hit.
There are a lot of other reasons to oppose the Kennedy amendment. How
many of our colleagues know it has a $29 billion tax increase, that it
extends Superfund taxes? We do not reauthorize the Superfund Program,
but we extend the taxes. Many of us agree we need to extend the taxes
when we reauthorize the program, but not before and that is in there
anyway.
There is a tax increase on business. I received a letter from all the
business groups opposing it. It is practically an IRS entitlement
program, so they can go after anything they want.
It deals with ``Noneconomic attributes,'' whatever that means, it is
a $10 billion tax increase. It may sound good and some people say that
it is just to close loopholes. But it is to give IRS carte blanche to
go after anything and everything they want. We reformed IRS and curbed
their appetite somewhat, and regardless of those efforts this would be
saying: Hey, IRS, go after anybody and everybody.
There is also a provision in the Democrat proposal that hits hospice
organizations right between the eyes.
I have put letters from outside organizations addressing this very
issue on Members' desks so they may see it for themselves. I ask
unanimous consent to print in the Record three letters from various
hospice organizations.
There being no objection, the letters were ordered to be printed in
the Record, as follows:
National Association for Home Care,
Washington, DC, November 8, 1999.
Dear Senator: The National Association for Home Care (NAHC)
represents home health agencies and hospices nationwide.
While generally speaking, NAHC is supportive of efforts to
maintain a reasonable minimum wage, a proposed amendment to
S. 625 creates serious concerns for hospices across the
country.
The proposed amendment would create a civil monetary
penalty for false certification of eligibility for hospice
care or partial hospitalization services. This proposal would
impose a civil monetary penalty of the greater of $5,000 or
three times the amount of payments under Medicare when a
physician knowingly executes a false certification claiming
that an individual Medicare beneficiary meets hospice
coverage standards. On its face, this provision is addressed
only to those physicians that intentionally and purposefully
execute false certifications. However, the impact of a
comparable provision on the access to home health services,
as added to the law as Section 232 of the Health Insurance
Portability and Accountability Act of 1996, should caution
Congress in expanding the provision to apply to hospice
services.
Immediately after the physician community became aware of
the 1996 amendment, physicians expressed to home health
agencies across the country great hesitancy to remain
involved in certifying the homebound status of prospective
home health patients. The vagueness of the homebound criteria
and the stepped up antifraud efforts of the Health Care
Financing Administration brought a chilling effect to
physicians. As a result, home health agencies reported that
physicians became less involved with homecare patients rather
than increasing their involvement as had been recommended by
the Office of Inspector General of the U.S. Department of
Health and Human Services.
We believe that a comparable physician reaction will occur
if this provision of law is extended to hospice services. A
recent study reported in the Journal of the American Medical
Association indicates that many eligible people may be denied
Medicare hospice benefits because the life expectancy of
patients with a chronic illness is nearly impossible to
predict with accuracy. Medicare requires that the patient's
physician and the hospice medical director certify that the
patient has no more than six months to live in order to
secure entitlement to the Medicare hospice benefit. The
foreseeable result of the proposed amendment would be to
further discourage physicians from utilizing hospice services
for terminally ill patients. The existing scientific and
clinical difficulties in accurately predicting the life
expectancy of a patient combined with the threat of
additional civil monetary penalties will adversely affect
access to necessary hospice services. The experiences with
home health services indicate that physicians distance
themselves from the affected benefit. While the standard of
applicability relates to a knowing and intentional false
certification, physicians will react out of fear of
inappropriate enforcement actions.
There are already numerous antifraud provisions within
federal law that apply to the exact circumstance subject to
the proposed civil monetary penalties. These existing laws
include even more serious penalties such as the potential for
imprisonment for any false claim.
We would encourage the Senate to oppose this provision,
generally, and in particular, because it is contained in a
non-germane legislative effort to increase the federal
minimum wage. There is no evidence that physicians engage in
any widespread abuse of the Medicare hospice benefit. To the
contrary, evidence is growing that hospice services are
underutilized as an alternative to more expensive care.
Thank you for all of your efforts to protect senior
citizens in our country.
Sincerely,
Val J. Halamandaris.
____
Hospice Association of America,
Washington, DC, November 8, 1999.
Dear Senator: On behalf of the Hospice Association of
America (HAA), a national association representing our member
hospice programs, thousands of hospice professionals and
volunteers, and those faced with terminal illness and their
families, I am requesting your support to reject a proposed
amendment to
S. 625 that would apply civil monetary penalties
for false certification of eligibility for hospice care.
It is often difficult to make the determination that a
patient is terminally ill (life expectancy of six months or
less if the terminal illness run its normal course), because
the course of terminal is different for each patient and is
not predictable. In some rare cases patients have been
admitted to hospice care and have improved so as to be
discharged from the program. The determination regarding the
terminal status of a patient is not an exact science and
should not be judged harshly in retrospect.
In a recent edition of JAMA, The Journal of American
Medical Association, researchers reported that the
recommended clinical prediction criteria are not effective in
a population with a survival prognosis of six
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months or less. According to Medicare survival data, only 15
percent of patients receiving Medicare hospice survive longer
than six months and the median survival of Medicare patients
enrolled in hospices is under 40 days. This information
demonstrates what has been well known by those working in the
hospice community, the science of prognostication is in its
infancy and physicians must use the tools that are available,
medial guidelines and local medical review policies developed
by the Health Care Financing Administration, as well as their
best medical judgment.
Physicians can not be punished for possible overestimation
of a terminally ill patient's life expectancy. The only ones
to be punished will be the patients in need of hospice
services whose physicians will be denied from enrolling
appropriate patients, thus denying access to this
compassionate, humane, patient and family centered care at
the end-of-their lives.
Please reject the proposed amendment to
S. 625.
Sincerely,
Karen Woods,
Executive Director.
____
Federation of
American Health Systems,
Washington, DC, November 8, 1999.
Hon. Don Nickles,
Assistant Majority leader, U.S. Senate, Washington, DC.
Dear Assistant Majority Leader: The Federation of American
Health Systems, representing 1700 privately-owned and managed
community hospitals has generally not taken a position on the
minimum wage bill. However, we find it necessary to object to
an amendment that will be offered today during consideration
of the bill.
Specifically, we are concerned with an amendment that will
apparently address ``partial hospitalization'' issues. While
the Federation supports the goal of improving the integrity
of the Medicare program by addressing concerns with partial
hospitalization, we oppose its attachment to non-Medicare
legislation. Clearly, any amendment that reduces Medicare
trust fund spending should either be used to enhance the
solvency of the trust fund, or for other Medicare trust fund
purposes.
We appreciate your consideration of our position.
Sincerely,
Thomas A. Scully,
President and CEO.
Mr. NICKLES. From the Hospice Association of America:
. . . . I am requesting your support to reject a proposed
amendment to
S. 1625 that would apply civil monetary
penalties for false certification of eligibility for hospice
care.
I have a letter from the Federation of American Health Systems urging
opposition to the Kennedy amendment. I have a letter from the National
Association for Home Care, also in opposition. It says:
We would encourage the Senate to oppose this provision,
generally, and in particular, because it is contained in a
nongermane legislative effort to increase the minimum wage.
The foreseeable result of the proposed amendment would be
to further discourage physicians from utilizing hospice
services for terminally ill patients.
Do we want to do that? I don't think so. Certainly we shouldn't do it
in this legislation. Let's have hearings to find out more about this.
Let's do it in Medicare reform. Let's do it when we have a chance to
know exactly what we are doing because this is strongly opposed by
hospice organizations.
I encourage my colleagues to oppose it for all the above reasons. I
urge them to vote yes to table the Kennedy amendment. We will move to
table it at the appropriate time.
The PRESIDING OFFICER. Who yields time?
Mr. KENNEDY. Mr. President, I yield 2 minutes to the Senator from
Washington.
The PRESIDING OFFICER. The Senator from Washington.
Mrs. MURRAY. Mr. President, I rise in support of the Kennedy
amendment that we will be voting on shortly. It is important to note
that 59 percent of the over 11 million workers who would receive a pay
increase as a result of this minimum wage are women--women, by and
large, with children; women who, because the minimum wage is so low
today, are working two, three, four jobs. Those losing out in the
country today because of the lack of a minimum wage increase are our
children. They are being left home alone. They aren't getting the
attention they deserve. They are not getting the support they deserve.
A vote for the Kennedy amendment is a vote for our children.
While I have the floor, I understand the Senator from Pennsylvania
came to the floor this morning to question the President's
constitutional authority to insist on reducing class size. I remind our
colleagues, reducing class size is something we as Democrats have
fought for, stood behind, and we stand behind the President in the
final budget negotiations. This is not about constitutional authority.
It is about making sure young kids in first, second, and third grade
get from a good teacher the attention they need in order to read and
write and do arithmetic. That is a bipartisan agreement we all agreed
upon a year ago, $1.2 billion to help our local schools reduce class
size.
To renege on that commitment 1 year later and to have language which
takes that money and gives it to whatever else school districts want to
use it for sounds good except we lose out. A block grant will not
guarantee that one child will learn to read. A block grant will not
guarantee that a child who needs attention will have it on the day he
or she needs it. A block grant will not assure that our children get
the attention they deserve and learn the skills they need.
The PRESIDING OFFICER. The Senator'
s 2 minutes have expired.
Mrs. MURRAY. I ask for an additional 30 seconds.
Mr. KENNEDY. Thirty seconds.
Mrs. MURRAY. Mr. President, what we as Democrats are going to stand
strong for is a commitment we made a year ago to assure that every
child in first, second, and third grade gets the attention they
deserve. If our Republican colleagues want to add additional money to
the budget for block grants, for needs in our schools that we agree are
important, we are more than happy to talk to them about it. But we
believe the commitment we made a year ago is a promise that should be
kept.
I thank the Chair and yield the floor.
Mr. KENNEDY. How much time, Mr. President?
The PRESIDING OFFICER. The Senator from Massachusetts controls 10
minutes 34 seconds. The Senator from New Mexico controls 8 minute
s 23
seconds.
Mr. KENNEDY. Mr. President, I yield myself 4 minutes.
I again thank the Senators from California and Washington for
illustrating in very powerful terms what this issue is all about. It is
about working women and families.
With all respect to my friend from Oklahoma, when we had an increase
in the minimum wage a few years ago, the Republicans fought it. They
said that it would harm the economy and adversely impact small
business. In the measure I have introduced we have tried to provide
some relief for small businesses and we have paid for it. Now we can't
do that because we have some kind of offsets. Therefore, we can't do
it.
The fact is, the Republicans are opposed to any increase in the
minimum wage. That is the fact. They have been opposed to it even at a
time of extraordinary prosperity. This minimum wage affects real people
in a very important way, and there is no group in our society it
affects more powerfully than women and children. They are the great
majority of the earners of the minimum wage, and increasingly so.
These days parents are spending less and less time with their
families. In the last 10 years, parents were able to spend 22 hours a
week less with their families. Read the Family and Work Institute's
report of interviews with small children who are in minimum-wage
families. They are universal in what they say. They all say: We wish
our mother--or our father--would be less fatigued. We wish they had
more time to spend with us. We are tired of seeing our parents come
home exhausted when they are working one or two minimum-wage jobs.
That is what this is about. It is about the men and women at the
bottom rung of the economic ladder. Are they real? Of course they are
real. I have read the stories. We know who they are. They are out there
today, this morning, as teacher's aides in our schools. These teacher's
aides are working with young children, our future, and yet they don't
earn enough to make ends meet.
They are there in the day-care centers. We know that day-care center
workers are often at the bottom of the pay scale, earning the minimum
wage. As you can see from this graph the purchasing power of the
minimum wage
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has declined since the last increase. As their wages lose purchasing
power, turnover in low paying jobs like child care attendants and those
who are working in nursing homes, increases. When people are forced to
leave these jobs, there is a deterioration in quality of the service
day care centers and nursing homes can offer.
This is about the most important element of our society. It is about
fairness. It is about work. We hear all of these speeches on the other
side of the aisle about the importance of work. We are honoring work.
We are talking about men and women with dignity who have a sense of
pride in what they do and are trying to do better and are trying to
look out after their families. They are being given the back of the
hand by the Republicans.
Their proposal is a sham. It is a raw deal for these workers. On the
one hand, they are dribbling out an increase in the minimum wage; on
the other hand, they are taking away overtime for 73 million Americans,
and in the meantime, they are giving tax breaks to the wealthiest
individuals in our society. That is a sham. Beyond that, they say the
minimum wage, if we are even fortunate enough to get it to pass the
Senate, will never go to the President because the Republican
leadership has made a commitment to whoever it might be that it will
never go there. That is what we are up against.
The PRESIDING OFFICER. The Senator'
s 4 minutes have expired.
Mr. KENNEDY. I reserve the remainder of my time.
The PRESIDING OFFICER. The Senator from New Mexico.
Mr. DOMENICI. Mr. President, I say to my friend from Massachusetts
that I can yell as loud as he. But today I won't do that because I
believe we have a great bill and a great position.
The Republicans do support the minimum wage. In fact, they are going
to vote for the minimum wage that I propose. That is, instead of a
dollar coming in two installments, it will come in three, of 35 cents,
35 cents, and 30 cents. Frankly, there will be an overwhelming vote in
favor of that.
In addition, we took the opportunity to give small business and some
other absolutely necessary situations that need it tax relief. We chose
in this bill to do that. Those have been explained fairly well. I will
take a minute at the end of my remarks to explain them one more time.
I suggest that the Democrats are living in an era that has passed.
If they were here on the floor in the 1930s, they would have a case.
They would have a case that the minimum wage is going to affect poor
families supporting their children. That was the issue in the 1930s.
But I suggest the best research today says that day is gone in terms of
who is impacted by the minimum wage. It is more likely to impact a
teenager than it is the head of a household. The fact is, 55 percent of
the minimum wage applies to people between the ages of 16 and 24. The
overwhelming number of those are teenagers in part-time jobs, working
in McDonald's-type restaurants across America. They need these jobs.
They don't even stay in the minimum-wage position very long, according
to the research we have seen. If they work well and choose to follow
the rules and the orders and do an excellent job, they are raised above
the minimum wage rather quickly.
To put it another way, to show that the arguments about who benefits
from the minimum wage are passe 1930 arguments, two-thirds of all
minimum-wage people are part-time employees. The fact is, the argument
that these are women heads of households is absolutely dispelled by
reality. The best we can find out is that 8 percent of the minimum-wage
employees in America today are women heads of households, not the
numbers or the tenor and tone of the argument about the slap of the
hand we are giving to those who work in America. Quite the contrary.
Our minimum wage reflects a sufficient increase to match up with
inflation, and we permit many people an opportunity to get into the job
market. In fact, we make permanent one of the best taxes we have, which
is now there on an interim basis. It says if you hire minimum-wage
workers out of the welfare system, and you want to take a chance
because they aren't capable of doing the jobs and you need to train
them, you get a credit for that. That is a very good part of the Tax
Code. We make that permanent so it costs something and it uses up some
of our tax money.
As to the argument of how big this tax cut is, it is 12.5 percent of
the total tax package that the Republicans offered, which passed here
and the President vetoed. It tries something very new and exciting. It
says to Americans who want to buy their own insurance--because their
employers don't furnish it--for the first time, they are going to be
permitted to deduct the entirety of their health insurance. Heretofore,
they were punished if they tried to buy it, penalized because they
didn't get to deduct it while everybody else did. We also made
permanent the allowance that the self-employed can take the insurance
deduction. We raise that to 100 percent. Everybody knows that is good.
Everybody knows that helps with the problem of the uninsured in
America, and that is good.
So, for all the talk, the Republicans have come forward with a very
good bill. I am very pleased that I suggested to the Republicans the
basics of this bill, that we ought to do it in three installments. Some
wanted to make it longer. Actually, I think this is exactly the right
length of time. Add to that the kind of tax relief we have provided
versus the tax increases on that side, and it seems to me there is no
choice.
While everybody is clamoring to do something about the estate tax
because it is a very onerous tax, as if to try to punish people, in a
minimum-wage bill they raise death taxes and inheritance taxes. I don't
care what kind of American they impose it on. We don't have to do that
when we are reforming that system because it is somewhat confiscatory.
I could go on, but if anybody has any doubt, the gross tax increase
under the Democrat package is $12.5 billion over 5 years, and a $28.9
billion tax increase over 10 years. What in the world are we increasing
taxes for at this point? To pay for a minimum-wage bill? Of course not.
It is because they want other tax relief and they choose to raise taxes
to give the benefit to someone else. There is sufficient surplus. This
is a very small tax cut in our package--12.5 percent of what we
perceived was adequate and what we could do about 4 months ago with the
surpluses we have. The President proposed $250 billion, $300 billion in
tax relief. In this bill, they raise taxes rather than take advantage
of what we know is the right thing; that is, to reduce taxes in these
economic times.
I reserve my remaining time.
Mr. KENNEDY. Mr. President, how much time remains?
The PRESIDING OFFICER. The Senator from Massachusetts has 6 minutes
49 seconds. The Senator from New Mexico has 1 minute 51 seconds.
Mr. KENNEDY. I yield 3 minutes to the Senator from California.
The PRESIDING OFFICER. The Senator from California.
Mrs. BOXER. The Senator from New Mexico said he wasn't going to yell.
He got a little close to it. But when I hear the yells on that side of
the aisle, it is usually related to their passion for helping the
wealthiest among us.
The Senator from New Mexico says that the Democrats are living in the
past because we want to increase the minimum wage. Well, I have news
for the Senator from New Mexico. Compassion for the poorest in our
society, those at the bottom rung of the ladder, that is a timeless
value; that is a moral value; that is a religious value; that is a
value we ought to be proud to have around here. That is not living in
the past. Come to Los Angeles, I say to my friend from New Mexico, or
look around your big cities. What you will notice is that the people
who are living on the minimum wage are adults. We know that to be the
fact. A majority of minimum-wage workers are adults--70 percent of
them.
In the Democratic proposal, out of those who will benefit from this
modest increase, 60 percent of them are women. So if you want to say
that we are living in the past, you can say it all you want. But it
isn't true.
We saw in September a very chilling story in the L.A. Times about the
working poor in Southern California. The National Low-Income Housing
Coalition shows that given the high cost of a two-bedroom apartment in
L.A., a minimum-wage earner must work 112 hours per week in order to
make ends meet.
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In San Francisco, it is even worse. A person would have to work 174
hours at minimum wage in order to pay their bills. According to a
recent study of the Nation's food banks, 40 percent of all households
seeking emergency food aid had at least one member who was working.
That is up from 23 percent in 1994.
Low-paying jobs, I say to my friend from New Mexico, are the most
frequently cited cause of hunger today, according to this well-
documented L.A. Times story.
The L.A. Times, by the way, is now owned by Republicans. So this
isn't a question of yesterday, I say to my friend. It is a question of
living today. They have made the same arguments every time we raised
the minimum wage. The last time they said it would bring the economy
down. We have never seen such a strong economy. If the people at the
bottom rung are left behind, it is morally wrong and it is economically
wrong. It makes no sense. Those are the folks who go out and spend what
they earn and they definitely stimulate the economy.
So for anybody to say you are living in the past if you support a
minimum-wage increase, they don't know what is going on today. I say
that from my heart. I have respect for the Senator from New Mexico, but
I think it is insulting to say one lives in the past for wanting to
fight for those at the bottom rung of the economic ladder--those women
and those children who are living in poverty.
I thank the Chair.
Mr. KENNEDY. Mr. President, how much time remains?
The PRESIDING OFFICER. The Senator from Massachusetts has 3\1/2\
minutes. The Senator from New Mexico has 1 minute 51 seconds.
Mr. KENNEDY. I yield a minute to the Senator from Connecticut.
The PRESIDING OFFICER. The Senator from Connecticut is recognized.
Mr. DODD. Mr. President, to make a couple of quick points, I was
terribly saddened to see as part of another bill that we have a further
reduction in child care provisions, which is a major blow again to
working families out there. We all know that quality child care makes a
difference for these children. In the midst of all of this, we are
obviously told you have to come up with some offsets to pay for the
provisions in this bill, which we do.
Offsets always attract opposition from one quarter or another. But
these are modest offsets to pay for the provisions in the bill. What is
going to happen later today we are going to vote on $75 billion in tax
cuts and 56 percent of them go to the top 20 percent of income earners,
and there are no offsets--none.
One of the great contradictions is, we are being accused of not
liking the offsets, the pays, from some of the provisions and
simultaneously we ask our Members to vote for a provision in the bill
or vote for the whole bill, including a $75 billion tax cut over 10
years with no offsets.
Let me underscore, as this millennium date of 50 days away
approaches, those at the bottom of the economic rung--working people,
the majority who receive the minimum wage and are working full time;
they are women, they are Hispanic, they are black--deserve to get a
fair shake out of this Senate. In a few minutes, we will have an
opportunity to give them that fair shake by providing an increase in
the minimum wage, allowing them to enjoy the prosperity of the booming
economy.
I yield the floor.
Mr. KENNEDY. Mr. President, it is important to understand exactly
what the situation is for our working poor. The number of full-time,
year-round workers living in poverty is at a 20-year high: 12.6 percent
of the workforce, says the Bureau of Labor Statistics, as of the last 3
days. That is the fact. People are working harder, and they are living
in poverty. These are people who value work.
Second, the Bureau of Labor Statistics shows that, of those who will
benefit from a minimum wage increase, 70 percent are adults over age
20, and about 30 percent will be teenagers.
If Senators come to Boston and talk to the young people going to the
University of Massachusetts, they will find 85 percent of their parents
never went to college and 85 percent of them are working 25 hours a
week or more. That is true in Boston, in Holyoke, in New Bedford, and
Fall River, and cities across the country. I don't know what Members
have against working young people who are trying to pay for their
education. We have 6 million working in the workforce, and we have 2
million working at the minimum wage. Why are we complaining about that?
The Republican proposal is a Thanksgiving turkey with three right
wings. It has a watered-down increase in the minimum wage, it has a
poison pill for overtime work, and it has juicy tax provisions for the
rich. This Republican turkey is stuffed with tax breaks, and it does
not deserve to be passed. Vote for the real increase in the minimum
wage; vote for the Daschle increase.
Mr. LEVIN. Mr. President, as the most prosperous nation in the world,
our minimum wage should be a living wage, and it is not. When a father
or mother works full-time, 40 hours a week, year-round, they should be
able to lift their family out of poverty. $5.15 an hour will not do
that. A full time minimum wage job should provide a minimum standard of
living in addition to giving workers the dignity that comes with a
paycheck. The current minimum wage does not pay a fair wage.
I support the legislation introduced by Representative David Bonior
in the House and Senator Ted Kennedy in the Senate which increases the
minimum wage. This legislation, the Fair Minimum Wage Act, will provide
a 50 cent increase to the minimum wage on January 1, 2000, and a second
50 cent increase on January 1, 2001. This would raise the minimum wage
to $6.15 per hour by the year 2001.
The minimum wage increase passed in 1996 prevented the minimum wage
from falling to its lowest inflation adjusted level in 40 years. The
proposed minimum wage increase to $6.15 in 2001 would get the minimum
wage back to the inflation adjusted level it was in 1982.
In this era of economic growth, raising the minimum wage is a matter
of fundamental fairness. We must look around and realize that we have
the strongest economy in a generation. However, even with our strong
economy, the benefits of prosperity have not flowed to low-wage
workers. A full time minimum wage laborer working forty hours a week
for 52 weeks earns $10,712 per year--more than $3,000 below the poverty
level for a family of three. The pover
Major Actions:
All articles in Senate section
LABOR-HHS APPROPRIATIONS
(Senate - November 09, 1999)
Text of this article available as:
TXT
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[Pages S14340-
S14364]
LABOR-HHS APPROPRIATIONS
Mr. SPECTER. Mr. President, I wish to make a brief comment, if I may,
on one of the items referred to in a statement by the majority leader
about the appropriations process, which I think will be of interest to
our colleagues and perhaps to others who may be watching on C-SPAN 2.
We had negotiations beginning at 4 o'clock on Sunday afternoon with
officials from the White House, and we are trying to resolve those
issues in a spirit of accommodation. With respect to the dollars
involved, the bill which came out of the Appropriations Committee was
$93.7 billion for the three Departments. That was $600 million more
than the President's figure, and it was $300 million more than the
President's figure on education.
I worked on a bipartisan basis with my distinguished colleague,
Senator Harkin. The bill was crafted with what we thought was the right
dollar amount--frankly, the maximum amount--to pass with votes in
substantial numbers from Republicans and an amount which would be
acceptable to Democrats and to the President because it was somewhat
higher than his figure and we emphasized increased funding for the
National Institutes of Health.
The administration has come back with a figure of $2.3 billion
additional, and Congressman Porter and I made an offer yesterday to add
$228 million, provided we could find offsets because it is very
important that we not go into the Social Security trust funds. So that
whatever dollars we add to accommodate the President's priorities--we
are going to have to have offsets on priorities which the Congress has
established. We are prepared to meet him halfway on priorities on
dollars--we are going to have to have offsets on priorities which the
Congress has established.
There is a much more difficult issue in this matter than the dollars,
although the dollars are obviously of great importance, and the issue
which is extremely contentious is what will be done on the President's
demand to have $1.4 billion to reduce classroom size to have additional
teachers.
The Senate bill has appropriated $1.2 billion which maintains the
high level of last year's funding. When it comes to the issue of the
utilization of that money, we are prepared to acknowledge the
President's first priority of reduction of classroom size for teachers.
But if the local school board makes a factual determination that is not
the real need of the local school board, then we propose that the
second priority be teacher training. If the local school board decides
that is not where the money ought to be spent, then we propose to give
it to the school board the discretion as to the spending to local
education, as opposed to a straitjacket out of Washington.
The White House Press Secretary has issued a statement this morning
saying that these funds could be used for vouchers, and that is not
true. That is a red herring. To allay any concern, we will make it
explicit in the bill that the President's concern about the use of
these funds for vouchers will be allayed. We are prepared to make that
accommodation, although there had never been any intent to use it for
vouchers. However, we will make that intent explicit in the bill.
Behind the issue of classroom size and the President's demand is a
much greater constitutional issue. That is the constitutional issue of
who controls the power of the purse. The Constitution gives the
authority to the Congress to establish spending priorities, and we have
seen a process evolve in the past few years which does not follow the
constitutional format. The Constitution is very specific that each
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House will decide on a bill, have a conference, and send that bill to
the President for his signature or for his veto; and if he vetoes it,
the bill then comes back to the Congress for reenactment. But what has
happened in the immediate past has been that executive branch officials
sit in with the appropriators and are a part of the legislative
process, which is a violation of the principle of separation of powers.
Now, I must say that I have been a party to those meetings because that
is what is going on. But I want to identify it as a process which is
not in conformity with the Constitution. It is something we ought to
change. When it comes to the power and the control, what we have seen
happen in the last 4 years is that the President has really made an
effort, and to a substantial extent a successful effort, to take over
the prerogative of the Congress on the power of the purse.
When the Government was closed in late 1995 and early 1996, the
Republican-controlled Congress was blamed for the closure. That,
candidly, has made the Congress gun-shy to challenge the President on
spending issues. Since that time there has been a concession to the
President on whatever it is that he wants, sort of ``pay a price to get
out of town'' when people are anxious to have the congressional session
adjourn.
Speaking for myself and I think quite a few others in the Congress
are not going to put on the pressure to get out of town. We are going
to do the job and do it right. Senator Lott held a news conference
yesterday and was asked about the termination time. He said he thought
it was possible to finish the public's business by the close of the
legislative session on Wednesday, which is tomorrow, but it was more
important, as Senator Lott articulated, to do it right than get it
finished by any arbitrary deadline. I concur totally with Senator Lott.
I think it is possible to get the business finished by the end of the
working day tomorrow. But it is more important to get it right than to
get it finished on any prescribed schedule. In modern times there is
too much concern about getting out of town, than perhaps getting the
job done right. But we are determined to get it done and to get it done
right. If we can get it done by the end of business tomorrow, that is
what our goal is. But we are not going to sacrifice getting it done
right in order to be able to finish up by Wednesday afternoon to get
out of town.
Mr. KENNEDY. Will the Senator yield for a question? Will the Senator
yield for a question?
Mr. SPECTER. No, I will not yield here, but I will in just a minute.
What we have seen is the President's ultimatum. He says this issue on
schoolteachers is nonnegotiable. That is hardly the way you get into a
negotiation session. Then his Chief of Staff, John Podesta, said on
Sunday that if the Congress wants to get out of town they are going to
have to accede to the President's demands on teachers, to do it his
way. I think that is not appropriate. Congress has the power of the
purse under the Constitution. It is our fundamental responsibility on
appropriations. We are prepared to negotiate, but we are not prepared
to deal with nonnegotiable demands. We are not prepared to deal with
ultimatums. We are going back into a session--I don't know whether I
should call it a negotiating session or not, because the President
talks about nonnegotiable demands. Frankly, I am prepared to meet that
with a nonnegotiable demand, not giving up on our prerogative to make a
determination as to how the money is to be spent and getting local
control over a Presidential straitjacket.
Now I would be delighted to yield to my distinguished colleague from
Massachusetts.
Mr. KENNEDY. I wanted to inquire of the desk what the Senate business
was supposed to be? I was under the impression we were supposed to be,
at 9:30, on the minimum wage.
The PRESIDING OFFICER. Does the Senator yield the floor?
Mr. SPECTER. I have concluded. I yield the floor.
The PRESIDING OFFICER. The Senator from Massachusetts.
Mr. KENNEDY. Mr. President, I ask we extend the time. How much time
did the Senator from Pennsylvania expend?
Mr. DOMENICI. What was the question?
Mr. KENNEDY. I asked how much time the Senator from Pennsylvania
used?
The PRESIDING OFFICER. The Republican side has 19 minutes left.
Mr. KENNEDY. Just as a matter of inquiry, were taken out of the time
of the debate. Is that correct?
The PRESIDING OFFICER. Taken out of the Republican time.
Mr. KENNEDY. OK. Mr. President, I yield myself 12 minutes.
The PRESIDING OFFICER. The Senator from Massachusetts.
Mr. KENNEDY. Mr. President, I listened to the Senator from
Pennsylvania's comments with great interest. I will mention very
briefly in defense of the administration, although they can make the
case quite well for themselves that if the Appropriations Committee had
finished their business on time we would not be in this particular
dilemma. Only four appropriations bills were actually completed on time
for the fiscal year. So with all respect to our friend on the other
side, if the appropriators had placed, particularly the HEW
appropriations, first rather than last, I do not think we would be
having these kinds of problems in the areas of negotiation between the
President and the Congress.
Second, the basic program which the President has been fighting for
in this negotiation is almost identical to what the Republicans
supported last year. With all respect to the comments we have just
heard, the fact is if the classes reach the goals, the 15 percent set-
aside for funding for smaller class sizes can be used to enhance the
teacher training. If the school had already achieved the lower class
size of 18, it would be used for special needs or other kinds of
professional purposes.
So it is difficult for me to understand the frustration of the
Senator from Pennsylvania when the Republican leaders all effectively
endorse what the President talked about last year. If their position is
not sustained, there are going to be 30,000 teachers who are teaching
in first, second, and third grades who are going to get pink slips. I
don't think the problem in education is having fewer schoolteachers
teach in the early grades but to have more.
I want to make clear I am not a part of those negotiations this year,
but I was last year. I know what the particular issue is. With all
respect to those who are watching C-SPAN II, I want them to know the
President is fighting for smaller class sizes as well as for better
trained teachers. We have seen Senator Murray make that presentation
and make it effectively time and again. I think it is something that
parents support, teachers understand, and children have benefited from.
No one makes that case more eloquently than the Senator from the State
of Washington. But I certainly hope the President will continue that
commitment. We have scarce Federal resources. They are targeted in
areas of particular need. That is the purpose of these negotiations. I
hope we can conclude a successful negotiation.
Mr. DOMENICI. Will the Senator yield on my time?
Mr. KENNEDY. On your time, yes.
Mr. DOMENICI. Just for an observation. He might want to answer it.
The PRESIDING OFFICER. The Senator from New Mexico.
Mr. DOMENICI. Mr. President, the truth of the matter is if schools
want the new teachers, under the proposal of the distinguished chairman
who just took to the floor to explain the obstinacy of the President,
they can have the money for teachers. That is what he is saying. It is
up to them. If they want all the money that comes from this
appropriation used for teachers, they can have it. If they say, we
don't need them, we don't want them, he is saying there is a second
priority.
Frankly, I think that is excellent policy with reference to the
schools of our country. I believe the Senator from Pennsylvania makes a
good point. For the President to continue to say we are not going to
get this bill unless we do it exactly his way leaves us with no
alternative. We have some prerogatives, too. The fact is, if you read
the Constitution, he doesn't appropriate; the Congress does.
I yield the floor.
Mr. KENNEDY addressed the Chair.
The PRESIDING OFFICER. The Senator from Massachusetts.
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Mr. KENNEDY. Mr. President, just to respond, we have a need for 2
million teachers. We have scarce Federal resources. If the States or
local communities want to do whatever the Senator from New Mexico says,
all well and good. But we are talking about scarce Federal resources
that are targeted in ways that have been proven effective in enhancing
academic achievement and accomplishment.
I am again surprised. The Republicans were taking credit for this
last year. I was in the negotiations. Mr. Goodling and Mr. Gingrich--as
we were waiting to find out whether the powers that be, the Speaker,
was going to endorse this, when we were waiting and having
negotiations--went out and announced it and took credit for it. They
took credit for this proposal of the President.
I find it a little difficult to understand this kind of frustration
that is being demonstrated here. But we will come back to this and
Senator Murray can address these issues at a later time. I certainly
hope the President will not flinch in his commitment to getting smaller
class sizes and better trained teachers and after school programs. That
is what this President has been fighting for. I hope he will not yield
at this time in these final negotiations, after we have only had four
appropriations that have met the deadline. Before we get all excited
about these negotiations, if our appropriators had completed this work
in time, we would not be here.
Mr. DURBIN. Will the Senator yield for a question?
Mr. KENNEDY. How much time do we have? I will be glad to yield.
The PRESIDING OFFICER. The Senator ha
s 24 minutes.
Mr. KENNEDY. Good. I am glad to yield.
Mr. DURBIN. Mr. President, briefly, I ask my colleague, is it not
true this appropriation for education was the last of the bills
considered by the Appropriations Committee? Is it not true that we
waited until the very last day to even bring up this issue of
education, the highest priority for American families? Now we find
ourselves trying to adjourn, stuck on an issue that could have been
resolved months ago had we made education as high a priority on Capitol
Hill as it is in family rooms across America.
Mr. KENNEDY. The Senator is absolutely correct. The Senator from
Illinois, the Senator from California, and I know the Senator from
Washington as well, had hoped--and I believe I can speak for our
Democratic leader--this would be the No. 1 appropriation and not the
last one. If we had this as the No. 1 appropriation on the issue of
education, we would not have these little statements we have heard this
morning. But it is the last one. That is not by accident; that is by
choice of the Republican leadership.
Mr. President, how much time do I have remaining?
The PRESIDING OFFICER. Twenty-three minutes.
Mr. KENNEDY. Mr. President, I yield myself 7 minutes.
In a few moments, we will be voting on the minimum wage issue that is
before the Senate. I want to review what the record has been over the
last 2 years.
In September of 1998, we brought up the minimum wage issue, and were
unable to bring that to a vote on the basis of the merits. The
Republican leadership said no.
In March of 1999, we tried to bring up this issue. Again, we were
denied an opportunity to vote on it.
In April of 1999, we brought it up again as an amendment on Y2K. We
were denied an opportunity to have a full debate.
In July of 1999, we brought it up again, and again we were turned
down.
Now we have the minimum wage legislation before us, and in a cynical
move, the Republican leadership said: Even if you get the passage of
the minimum wage, it ``ain't'' going to go any further; the President
isn't going to see it; it is going to end.
It is a sham. Their effort is basically a sham. That is the position
in which we find ourselves today.
We know Americans are working longer and harder. The working poor are
working longer and harder than at any time in the history of our
country. We know that over the last 10 years, women are working 3 weeks
longer a year in order to earn the minimum wage and men are averaging
50 hours a week. These are some of the hardest working men and women in
the country.
At the height of the minimum wage in the late 1960s, it had the
purchasing power that $7.49 would have today. If we are not able to
raise the minimum wage this year and next, its value will be at an all-
time low--in a time of extraordinary prosperity in this country. That
is fundamentally wrong.
A vote for the Republican amendment will not help working families.
It is, in fact, an insult to low-wage workers. It robs them of over
$1,200 as compared to the Democratic proposal, and it drastically
undermines the overtime provisions in the Fair Labor Standards Act
which has been the law for over 60 years.
The Republican proposal jeopardizes the overtime pay of 73 million
Americans. The Republicans did not water down their own pay increase of
$4,600. They are now watering down the increase in the minimum wage,
and they are watering down overtime. On the one hand, they are giving
an inadequate increase in the minimum wage and taking it back by
cutting back on overtime. That is a sham. That is a cynical attempt to
try to win support for working families from those who are trying to do
justice for those individuals.
We can ask, What difference does an increase in the minimum wage
make?
Cathi Zeman, 52 years old, works at a Rite Aid in Canseburg, PA. She
earns $5.68 an hour. She is the primary earner in the family because
her husband has a heart condition and is only able to work
sporadically. What difference would an increase in the minimum wage
mean to Cathi and her family? It would cover 6 months of utility bills
for Cathi's family.
Kimberly Frazier, a full-time child care aide from Philadelphia
testified her pay of $5.20 an hour barely covers her rent, utilities,
and clothes for her children. Our proposal would mean over 4 months of
groceries for Kimberly and her kids.
The stories of these families remind us that it is long past time to
raise the minimum wage by $1 over 2 years. We cannot delay it. We
cannot stretch it out. We cannot use it to cut overtime. And we cannot
use it as an excuse to give bloated tax breaks to the rich.
Members of Congress did not blink in giving themselves a $4,600 pay
raise. Yet they deny a modest increase for those workers at the bottom
of the economic ladder. I do not know how Members who voted for their
own pay increase but I do not know how Members who vote against our
minimum wage proposal will be able to face their constituents and
explain their actions.
It is hypocritical and irresponsible to deny a fair pay raise to the
country's lowest paid workers. Above all, raising the minimum wage $1
over 2 years and protecting overtime pay is about fairness and dignity.
It is about fairness and dignity for men and women who are working 50
hours a week, 52 weeks of the year trying to provide for their children
and their families.
This is a women's issue because a great majority of the minimum-wage
workers are women. It is a children's issue because the majority of
these women have children. It is a civil rights issue because the
majority of individuals who make the minimum wage are men and women of
color. And it is a fairness issue. At a time of extraordinary
prosperity this country ought to be willing to grant an increase to the
hardest working Americans in the nation--the day-care workers, the
teachers aides. They deserve this increase. Our amendment will provide
it, and the Republican amendment will not.
Mrs. BOXER. Will the Senator yield for a question?
Mr. KENNEDY. I yield for a question.
Mrs. BOXER. I thank my colleague for yielding. I say to the Senator
from Massachusetts how much I appreciate him pushing this forward and
how important it is to all of our States. I bring out an article that
ran in the paper yesterday and today about the status of children in my
home State of California, by far the largest State. I want my friend to
respond to these numbers because they really say it.
This is what it says:
Despite a booming economy that has seen a tide of
prosperity wash over California in
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recent years, nearly 1 in 4 children under 18 in the Golden
State lives in poverty. . . .
Although the annual ``California Report Card 1999'' laments
that so many children live in poverty, it paints an
especially bleak portrait of a child's first four years of
life.
Lois Salisbury, president of Children Now, says:
Among all of California's children, our littlest ones . . .
face the most stressful conditions of all. . . .
At a time when a child's sense of self and security is
influenced most powerfully, California deals them a
[terrible] hand.
I say to my friend, this issue he is raising is so critical. We all
say how much we care about the children. Every one of us has made that
speech. Today the rubber meets the road. If you care about children,
you have to make sure their parents can support them.
My last point is, and I will yield for the answer, I wonder if my
friend has seen the New York Times editorial that says:
The Senate will vote today on a Republican-sponsored
amendment to raise the minimum wage and they say sadly the
Republicans are not content to do this good deed and go home.
They have loaded the amendment with tax cuts that are
fiscally damaging and cynically focused on wealthy workers.
Almost all of the Republican tax cuts go to the wealthy.
One of the economists who looked at this said:
It would encourage the reduction of contributions made by
employers to the pensions of the lowest paid workers.
Can my friend comment on the importance of this proposal to children
and also this cynical proposal that our colleagues on the other side
are presenting?
Mr. KENNEDY. The Senator has raised an enormously important point.
Americans who are working in poverty, which is at the highest level in
20 years, are working longer and harder than ever. The men work 50
hours a week or more on average and the women work an average of 3
weeks more a year. They have less time--22 hours less--to spend with
their children than they did 10 years ago. That is why this is a
children's issue, as the Senator has pointed out.
On the issue the difference between the Republican and the Democratic
proposals, the Republicans say that their proposal makes some
difference for those individuals who are going to get an increase in
the minimum wage over 3 years.
This is a raw deal for them. On the one hand, they give them an
increase in the minimum wage, and on the other hand they take back the
overtime for 73 million Americans. It is a cynical sham, and it is a
cynical sham because the majority leader has said even if it passes, it
will never go out of this Chamber. That is the attitude toward hard-
working men and women who are trying to play by the rules and get along
at a time when they have the lowest purchasing power in the history of
the minimum wage and we have the most extraordinary prosperity. And
then they insult these workers even further by adding a $75 billion tax
break over 10 years. And then we just heard about the difficulty we are
having in conference about $1 billion on education because they say we
cannot afford to do things, but the same side is suggesting a $75
billion tax break. Where are they getting their money? So it is a
cynical play.
I reserve the remainder of my time.
The PRESIDING OFFICER (Mr. Crapo). Who yields time?
Mr. DOMENICI. Mr. President, I yield 5 minutes to the Senator from
Minnesota off our time.
The PRESIDING OFFICER. The Senator from Minnesota.
Mr. GRAMS. I thank the Senator from New Mexico.
Mr. President, I rise today to offer my enthusiastic support for the
package of tax proposals introduced by Senator Domenici. I'm
enthusiastic, in part, because it contains a provision that is very
important to me--above-the-line deductibility of health insurance for
individuals.
Over 40 million American workers didn't have health insurance in
1997. The number has increased in the last two years to 44 million.
This is disturbing, but I believe there is something Congress can do to
help without resorting to a national health care system.
Mr. President, when employers purchase a health plan for their
employees, he or she can fully deduct the costs of providing that
insurance, effectively lowering the actual costs of providing coverage.
However, when an employee purchases an individual policy on their
own, they must do so with after tax-dollars. They don't have the
ability or the advantage offered to employers to reduce the actual
costs of the policy by deducting premiums from their taxes every year.
Therefore, they often wind up without any health coverage at all.
Earlier this year, I introduced the Health Care Access Act, which
would have ended this discrimination within the Tax Code and make
health care available for many more Americans by allowing the full
deduction of health insurance for those without access to employer-
subsidized health coverage.
We have a tax code that discriminates against some, while favoring
others. Clearly, this results in fewer people being covered.
The amendment before us today takes a slightly different approach,
but its goal is the same--to level the tax-playing field. By allowing
individuals without access to employer-sponsored health insurance, or
those whose employers do not cover more than 50 percent of the cost of
coverage, to deduct those costs regardless of whether they itemize or
not, we can address a growing segment of our uninsured population by
doing this.
Under this amendment, from 2002 to 2004, eligible employees can
deduct 25 percent of costs, 35 percent in 2005, 65 percent in 2006, and
100 percent after that.
If there are no changes in the health care system and no significant
downturn of the economy, we can expect the number of uninsured to reach
53 million over the next ten years. This translates into 25 percent of
non-elderly Americans without coverage.
Forty-three percent of the uninsured are in families with incomes
above 200 percent of the federal poverty level. Twenty-eight percent of
the uninsured work for small firms and 18 percent of all uninsured are
between the ages of 18 and 24.
The question that comes to mind is, if we're experiencing record
growth in our economy and the unemployment rate is declining, why is
the number of uninsured continuing to rise? The answer is costs.
In the event a small business can offer a health plan to its
employees, many times it is at a higher cost to the employee than it
would be if the employee were to have a job at a larger firm. In this
instance, employees have to decide if they believe their health status
is such that they can go without health insurance, or if they should
spend after-tax dollars to pay for a larger portion of their health
insurance. Here is where we have the difficulty.
Individuals employed by small businesses which can't afford to pay
more than 50 percent of the monthly premiums for their employees should
be able to have the same tax advantage as the employer in paying for
their health insurance. Under our plan today, they will. In fact,
because the tax deduction is what we call ``above-the-line,'' meaning
if would be available to everyone--even if they don't itemize their
taxes--we attack the most significant barrier to health coverage again,
which is its costs, and move closer to eliminating all barriers to
health coverage.
In other words, get more Americans covered by allowing them the
deductibility of the costs.
I am also pleased that this amendment includes many other important
components such as pension reform and small business tax relief.
We are talking about tax relief for small businesses, not the
wealthiest as you hear from the other side of the aisle, but tax relief
pinpointed at the hard-working Americans in this country who are also
job providers.
Retirement income security is crucial for millions of American
workers. This amendment reforms and enhances current pension laws to
ensure workers will achieve income security upon retirement. It repeals
the unnecessary temporary FUTA surtax, which has become a burden to
many small businesses. The amendment allows millions of self-employed
Americans to deduct 100 percent of their health insurance costs. This
is a critical provision because 61 percent of the uninsured in this
country are from a family headed
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by an entrepreneur or a small business employee.
The PRESIDING OFFICER. The Senator's time has expired.
Mr. GRAMS. I ask for 2 more minutes.
Mr. DOMENICI. I yield the Senator 2 additional minutes.
Mr. GRAMS. In wrapping up, the amendment increases small business
expensing to $30,000. This change alone means an extra $3,850 in tax
savings for each small business in new equipment next year. This
amendment also allows small business to increase the meal and
entertainment expense tax deduction. The Work Opportunity Tax Credit
has helped millions of Americans leave welfare programs and become
productive workers in our economy. This amendment makes the WOTC
permanent, so small businesses and former welfare recipients will
continue to benefit from the Work Opportunity Tax Credit.
It seems unfair to me that in a time of prosperity we hear our
colleagues on the other side talking about tax increases. Again, in
their plan, they would impose new, even higher taxes. They talk about
minimum wage; they are taxing and taxing and taxing those people as
they enter the job market. What we need is a plan that will reduce
taxes, not increase taxes.
America's small business is the key to our economic growth and
prosperity. The health care, pension reform and tax relief measures
included in this amendment will help small business continue to work
for America and will allow millions of Americans to realize the
American Dream.
Again, that is why I rise today to enthusiastically offer my support
for the tax package proposed by Senator Domenici.
Mr. President, I yield the floor.
Mr. DOMENICI. Mr. President, how much time does each side have
remaining?
The PRESIDING OFFICER. The Senator from New Mexico controls 11
minute
s 40 seconds; the Senator from Massachusetts controls 13 minutes.
Mr. DOMENICI. How much time would you like, I ask Senator Nickles?
Mr. NICKLES. Four or 5 minutes.
Mr. DOMENICI. I yield 4 minutes to Senator Nickles.
The PRESIDING OFFICER. The Senator from Oklahoma is recognized.
Mr. NICKLES. Mr. President, first, I commend my colleague from New
Mexico for the work that he has done in providing a more realistic
substitute. But the first vote we are going to have today is voting on
a motion to table the Kennedy amendment. I urge my colleagues to vote
against the Kennedy amendment for a lot of different reasons, one of
which is that it dramatically increases the minimum wage--about 20
percent over the next 13\1/2\ months. That is a big hit for a lot of
small businesses. I am afraid it will prevent a lot of people, low-
income people, who want to get their first jobs--they may not be able
to get them. Estimates by some of the economists, CBO, and others, are
that it could be 100,000 people; it could be 500,000 people that lose
their jobs. It is a big hit.
There are a lot of other reasons to oppose the Kennedy amendment. How
many of our colleagues know it has a $29 billion tax increase, that it
extends Superfund taxes? We do not reauthorize the Superfund Program,
but we extend the taxes. Many of us agree we need to extend the taxes
when we reauthorize the program, but not before and that is in there
anyway.
There is a tax increase on business. I received a letter from all the
business groups opposing it. It is practically an IRS entitlement
program, so they can go after anything they want.
It deals with ``Noneconomic attributes,'' whatever that means, it is
a $10 billion tax increase. It may sound good and some people say that
it is just to close loopholes. But it is to give IRS carte blanche to
go after anything and everything they want. We reformed IRS and curbed
their appetite somewhat, and regardless of those efforts this would be
saying: Hey, IRS, go after anybody and everybody.
There is also a provision in the Democrat proposal that hits hospice
organizations right between the eyes.
I have put letters from outside organizations addressing this very
issue on Members' desks so they may see it for themselves. I ask
unanimous consent to print in the Record three letters from various
hospice organizations.
There being no objection, the letters were ordered to be printed in
the Record, as follows:
National Association for Home Care,
Washington, DC, November 8, 1999.
Dear Senator: The National Association for Home Care (NAHC)
represents home health agencies and hospices nationwide.
While generally speaking, NAHC is supportive of efforts to
maintain a reasonable minimum wage, a proposed amendment to
S. 625 creates serious concerns for hospices across the
country.
The proposed amendment would create a civil monetary
penalty for false certification of eligibility for hospice
care or partial hospitalization services. This proposal would
impose a civil monetary penalty of the greater of $5,000 or
three times the amount of payments under Medicare when a
physician knowingly executes a false certification claiming
that an individual Medicare beneficiary meets hospice
coverage standards. On its face, this provision is addressed
only to those physicians that intentionally and purposefully
execute false certifications. However, the impact of a
comparable provision on the access to home health services,
as added to the law as Section 232 of the Health Insurance
Portability and Accountability Act of 1996, should caution
Congress in expanding the provision to apply to hospice
services.
Immediately after the physician community became aware of
the 1996 amendment, physicians expressed to home health
agencies across the country great hesitancy to remain
involved in certifying the homebound status of prospective
home health patients. The vagueness of the homebound criteria
and the stepped up antifraud efforts of the Health Care
Financing Administration brought a chilling effect to
physicians. As a result, home health agencies reported that
physicians became less involved with homecare patients rather
than increasing their involvement as had been recommended by
the Office of Inspector General of the U.S. Department of
Health and Human Services.
We believe that a comparable physician reaction will occur
if this provision of law is extended to hospice services. A
recent study reported in the Journal of the American Medical
Association indicates that many eligible people may be denied
Medicare hospice benefits because the life expectancy of
patients with a chronic illness is nearly impossible to
predict with accuracy. Medicare requires that the patient's
physician and the hospice medical director certify that the
patient has no more than six months to live in order to
secure entitlement to the Medicare hospice benefit. The
foreseeable result of the proposed amendment would be to
further discourage physicians from utilizing hospice services
for terminally ill patients. The existing scientific and
clinical difficulties in accurately predicting the life
expectancy of a patient combined with the threat of
additional civil monetary penalties will adversely affect
access to necessary hospice services. The experiences with
home health services indicate that physicians distance
themselves from the affected benefit. While the standard of
applicability relates to a knowing and intentional false
certification, physicians will react out of fear of
inappropriate enforcement actions.
There are already numerous antifraud provisions within
federal law that apply to the exact circumstance subject to
the proposed civil monetary penalties. These existing laws
include even more serious penalties such as the potential for
imprisonment for any false claim.
We would encourage the Senate to oppose this provision,
generally, and in particular, because it is contained in a
non-germane legislative effort to increase the federal
minimum wage. There is no evidence that physicians engage in
any widespread abuse of the Medicare hospice benefit. To the
contrary, evidence is growing that hospice services are
underutilized as an alternative to more expensive care.
Thank you for all of your efforts to protect senior
citizens in our country.
Sincerely,
Val J. Halamandaris.
____
Hospice Association of America,
Washington, DC, November 8, 1999.
Dear Senator: On behalf of the Hospice Association of
America (HAA), a national association representing our member
hospice programs, thousands of hospice professionals and
volunteers, and those faced with terminal illness and their
families, I am requesting your support to reject a proposed
amendment to
S. 625 that would apply civil monetary penalties
for false certification of eligibility for hospice care.
It is often difficult to make the determination that a
patient is terminally ill (life expectancy of six months or
less if the terminal illness run its normal course), because
the course of terminal is different for each patient and is
not predictable. In some rare cases patients have been
admitted to hospice care and have improved so as to be
discharged from the program. The determination regarding the
terminal status of a patient is not an exact science and
should not be judged harshly in retrospect.
In a recent edition of JAMA, The Journal of American
Medical Association, researchers reported that the
recommended clinical prediction criteria are not effective in
a population with a survival prognosis of six
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months or less. According to Medicare survival data, only 15
percent of patients receiving Medicare hospice survive longer
than six months and the median survival of Medicare patients
enrolled in hospices is under 40 days. This information
demonstrates what has been well known by those working in the
hospice community, the science of prognostication is in its
infancy and physicians must use the tools that are available,
medial guidelines and local medical review policies developed
by the Health Care Financing Administration, as well as their
best medical judgment.
Physicians can not be punished for possible overestimation
of a terminally ill patient's life expectancy. The only ones
to be punished will be the patients in need of hospice
services whose physicians will be denied from enrolling
appropriate patients, thus denying access to this
compassionate, humane, patient and family centered care at
the end-of-their lives.
Please reject the proposed amendment to
S. 625.
Sincerely,
Karen Woods,
Executive Director.
____
Federation of
American Health Systems,
Washington, DC, November 8, 1999.
Hon. Don Nickles,
Assistant Majority leader, U.S. Senate, Washington, DC.
Dear Assistant Majority Leader: The Federation of American
Health Systems, representing 1700 privately-owned and managed
community hospitals has generally not taken a position on the
minimum wage bill. However, we find it necessary to object to
an amendment that will be offered today during consideration
of the bill.
Specifically, we are concerned with an amendment that will
apparently address ``partial hospitalization'' issues. While
the Federation supports the goal of improving the integrity
of the Medicare program by addressing concerns with partial
hospitalization, we oppose its attachment to non-Medicare
legislation. Clearly, any amendment that reduces Medicare
trust fund spending should either be used to enhance the
solvency of the trust fund, or for other Medicare trust fund
purposes.
We appreciate your consideration of our position.
Sincerely,
Thomas A. Scully,
President and CEO.
Mr. NICKLES. From the Hospice Association of America:
. . . . I am requesting your support to reject a proposed
amendment to
S. 1625 that would apply civil monetary
penalties for false certification of eligibility for hospice
care.
I have a letter from the Federation of American Health Systems urging
opposition to the Kennedy amendment. I have a letter from the National
Association for Home Care, also in opposition. It says:
We would encourage the Senate to oppose this provision,
generally, and in particular, because it is contained in a
nongermane legislative effort to increase the minimum wage.
The foreseeable result of the proposed amendment would be
to further discourage physicians from utilizing hospice
services for terminally ill patients.
Do we want to do that? I don't think so. Certainly we shouldn't do it
in this legislation. Let's have hearings to find out more about this.
Let's do it in Medicare reform. Let's do it when we have a chance to
know exactly what we are doing because this is strongly opposed by
hospice organizations.
I encourage my colleagues to oppose it for all the above reasons. I
urge them to vote yes to table the Kennedy amendment. We will move to
table it at the appropriate time.
The PRESIDING OFFICER. Who yields time?
Mr. KENNEDY. Mr. President, I yield 2 minutes to the Senator from
Washington.
The PRESIDING OFFICER. The Senator from Washington.
Mrs. MURRAY. Mr. President, I rise in support of the Kennedy
amendment that we will be voting on shortly. It is important to note
that 59 percent of the over 11 million workers who would receive a pay
increase as a result of this minimum wage are women--women, by and
large, with children; women who, because the minimum wage is so low
today, are working two, three, four jobs. Those losing out in the
country today because of the lack of a minimum wage increase are our
children. They are being left home alone. They aren't getting the
attention they deserve. They are not getting the support they deserve.
A vote for the Kennedy amendment is a vote for our children.
While I have the floor, I understand the Senator from Pennsylvania
came to the floor this morning to question the President's
constitutional authority to insist on reducing class size. I remind our
colleagues, reducing class size is something we as Democrats have
fought for, stood behind, and we stand behind the President in the
final budget negotiations. This is not about constitutional authority.
It is about making sure young kids in first, second, and third grade
get from a good teacher the attention they need in order to read and
write and do arithmetic. That is a bipartisan agreement we all agreed
upon a year ago, $1.2 billion to help our local schools reduce class
size.
To renege on that commitment 1 year later and to have language which
takes that money and gives it to whatever else school districts want to
use it for sounds good except we lose out. A block grant will not
guarantee that one child will learn to read. A block grant will not
guarantee that a child who needs attention will have it on the day he
or she needs it. A block grant will not assure that our children get
the attention they deserve and learn the skills they need.
The PRESIDING OFFICER. The Senator'
s 2 minutes have expired.
Mrs. MURRAY. I ask for an additional 30 seconds.
Mr. KENNEDY. Thirty seconds.
Mrs. MURRAY. Mr. President, what we as Democrats are going to stand
strong for is a commitment we made a year ago to assure that every
child in first, second, and third grade gets the attention they
deserve. If our Republican colleagues want to add additional money to
the budget for block grants, for needs in our schools that we agree are
important, we are more than happy to talk to them about it. But we
believe the commitment we made a year ago is a promise that should be
kept.
I thank the Chair and yield the floor.
Mr. KENNEDY. How much time, Mr. President?
The PRESIDING OFFICER. The Senator from Massachusetts controls 10
minutes 34 seconds. The Senator from New Mexico controls 8 minute
s 23
seconds.
Mr. KENNEDY. Mr. President, I yield myself 4 minutes.
I again thank the Senators from California and Washington for
illustrating in very powerful terms what this issue is all about. It is
about working women and families.
With all respect to my friend from Oklahoma, when we had an increase
in the minimum wage a few years ago, the Republicans fought it. They
said that it would harm the economy and adversely impact small
business. In the measure I have introduced we have tried to provide
some relief for small businesses and we have paid for it. Now we can't
do that because we have some kind of offsets. Therefore, we can't do
it.
The fact is, the Republicans are opposed to any increase in the
minimum wage. That is the fact. They have been opposed to it even at a
time of extraordinary prosperity. This minimum wage affects real people
in a very important way, and there is no group in our society it
affects more powerfully than women and children. They are the great
majority of the earners of the minimum wage, and increasingly so.
These days parents are spending less and less time with their
families. In the last 10 years, parents were able to spend 22 hours a
week less with their families. Read the Family and Work Institute's
report of interviews with small children who are in minimum-wage
families. They are universal in what they say. They all say: We wish
our mother--or our father--would be less fatigued. We wish they had
more time to spend with us. We are tired of seeing our parents come
home exhausted when they are working one or two minimum-wage jobs.
That is what this is about. It is about the men and women at the
bottom rung of the economic ladder. Are they real? Of course they are
real. I have read the stories. We know who they are. They are out there
today, this morning, as teacher's aides in our schools. These teacher's
aides are working with young children, our future, and yet they don't
earn enough to make ends meet.
They are there in the day-care centers. We know that day-care center
workers are often at the bottom of the pay scale, earning the minimum
wage. As you can see from this graph the purchasing power of the
minimum wage
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has declined since the last increase. As their wages lose purchasing
power, turnover in low paying jobs like child care attendants and those
who are working in nursing homes, increases. When people are forced to
leave these jobs, there is a deterioration in quality of the service
day care centers and nursing homes can offer.
This is about the most important element of our society. It is about
fairness. It is about work. We hear all of these speeches on the other
side of the aisle about the importance of work. We are honoring work.
We are talking about men and women with dignity who have a sense of
pride in what they do and are trying to do better and are trying to
look out after their families. They are being given the back of the
hand by the Republicans.
Their proposal is a sham. It is a raw deal for these workers. On the
one hand, they are dribbling out an increase in the minimum wage; on
the other hand, they are taking away overtime for 73 million Americans,
and in the meantime, they are giving tax breaks to the wealthiest
individuals in our society. That is a sham. Beyond that, they say the
minimum wage, if we are even fortunate enough to get it to pass the
Senate, will never go to the President because the Republican
leadership has made a commitment to whoever it might be that it will
never go there. That is what we are up against.
The PRESIDING OFFICER. The Senator'
s 4 minutes have expired.
Mr. KENNEDY. I reserve the remainder of my time.
The PRESIDING OFFICER. The Senator from New Mexico.
Mr. DOMENICI. Mr. President, I say to my friend from Massachusetts
that I can yell as loud as he. But today I won't do that because I
believe we have a great bill and a great position.
The Republicans do support the minimum wage. In fact, they are going
to vote for the minimum wage that I propose. That is, instead of a
dollar coming in two installments, it will come in three, of 35 cents,
35 cents, and 30 cents. Frankly, there will be an overwhelming vote in
favor of that.
In addition, we took the opportunity to give small business and some
other absolutely necessary situations that need it tax relief. We chose
in this bill to do that. Those have been explained fairly well. I will
take a minute at the end of my remarks to explain them one more time.
I suggest that the Democrats are living in an era that has passed.
If they were here on the floor in the 1930s, they would have a case.
They would have a case that the minimum wage is going to affect poor
families supporting their children. That was the issue in the 1930s.
But I suggest the best research today says that day is gone in terms of
who is impacted by the minimum wage. It is more likely to impact a
teenager than it is the head of a household. The fact is, 55 percent of
the minimum wage applies to people between the ages of 16 and 24. The
overwhelming number of those are teenagers in part-time jobs, working
in McDonald's-type restaurants across America. They need these jobs.
They don't even stay in the minimum-wage position very long, according
to the research we have seen. If they work well and choose to follow
the rules and the orders and do an excellent job, they are raised above
the minimum wage rather quickly.
To put it another way, to show that the arguments about who benefits
from the minimum wage are passe 1930 arguments, two-thirds of all
minimum-wage people are part-time employees. The fact is, the argument
that these are women heads of households is absolutely dispelled by
reality. The best we can find out is that 8 percent of the minimum-wage
employees in America today are women heads of households, not the
numbers or the tenor and tone of the argument about the slap of the
hand we are giving to those who work in America. Quite the contrary.
Our minimum wage reflects a sufficient increase to match up with
inflation, and we permit many people an opportunity to get into the job
market. In fact, we make permanent one of the best taxes we have, which
is now there on an interim basis. It says if you hire minimum-wage
workers out of the welfare system, and you want to take a chance
because they aren't capable of doing the jobs and you need to train
them, you get a credit for that. That is a very good part of the Tax
Code. We make that permanent so it costs something and it uses up some
of our tax money.
As to the argument of how big this tax cut is, it is 12.5 percent of
the total tax package that the Republicans offered, which passed here
and the President vetoed. It tries something very new and exciting. It
says to Americans who want to buy their own insurance--because their
employers don't furnish it--for the first time, they are going to be
permitted to deduct the entirety of their health insurance. Heretofore,
they were punished if they tried to buy it, penalized because they
didn't get to deduct it while everybody else did. We also made
permanent the allowance that the self-employed can take the insurance
deduction. We raise that to 100 percent. Everybody knows that is good.
Everybody knows that helps with the problem of the uninsured in
America, and that is good.
So, for all the talk, the Republicans have come forward with a very
good bill. I am very pleased that I suggested to the Republicans the
basics of this bill, that we ought to do it in three installments. Some
wanted to make it longer. Actually, I think this is exactly the right
length of time. Add to that the kind of tax relief we have provided
versus the tax increases on that side, and it seems to me there is no
choice.
While everybody is clamoring to do something about the estate tax
because it is a very onerous tax, as if to try to punish people, in a
minimum-wage bill they raise death taxes and inheritance taxes. I don't
care what kind of American they impose it on. We don't have to do that
when we are reforming that system because it is somewhat confiscatory.
I could go on, but if anybody has any doubt, the gross tax increase
under the Democrat package is $12.5 billion over 5 years, and a $28.9
billion tax increase over 10 years. What in the world are we increasing
taxes for at this point? To pay for a minimum-wage bill? Of course not.
It is because they want other tax relief and they choose to raise taxes
to give the benefit to someone else. There is sufficient surplus. This
is a very small tax cut in our package--12.5 percent of what we
perceived was adequate and what we could do about 4 months ago with the
surpluses we have. The President proposed $250 billion, $300 billion in
tax relief. In this bill, they raise taxes rather than take advantage
of what we know is the right thing; that is, to reduce taxes in these
economic times.
I reserve my remaining time.
Mr. KENNEDY. Mr. President, how much time remains?
The PRESIDING OFFICER. The Senator from Massachusetts has 6 minutes
49 seconds. The Senator from New Mexico has 1 minute 51 seconds.
Mr. KENNEDY. I yield 3 minutes to the Senator from California.
The PRESIDING OFFICER. The Senator from California.
Mrs. BOXER. The Senator from New Mexico said he wasn't going to yell.
He got a little close to it. But when I hear the yells on that side of
the aisle, it is usually related to their passion for helping the
wealthiest among us.
The Senator from New Mexico says that the Democrats are living in the
past because we want to increase the minimum wage. Well, I have news
for the Senator from New Mexico. Compassion for the poorest in our
society, those at the bottom rung of the ladder, that is a timeless
value; that is a moral value; that is a religious value; that is a
value we ought to be proud to have around here. That is not living in
the past. Come to Los Angeles, I say to my friend from New Mexico, or
look around your big cities. What you will notice is that the people
who are living on the minimum wage are adults. We know that to be the
fact. A majority of minimum-wage workers are adults--70 percent of
them.
In the Democratic proposal, out of those who will benefit from this
modest increase, 60 percent of them are women. So if you want to say
that we are living in the past, you can say it all you want. But it
isn't true.
We saw in September a very chilling story in the L.A. Times about the
working poor in Southern California. The National Low-Income Housing
Coalition shows that given the high cost of a two-bedroom apartment in
L.A., a minimum-wage earner must work 112 hours per week in order to
make ends meet.
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In San Francisco, it is even worse. A person would have to work 174
hours at minimum wage in order to pay their bills. According to a
recent study of the Nation's food banks, 40 percent of all households
seeking emergency food aid had at least one member who was working.
That is up from 23 percent in 1994.
Low-paying jobs, I say to my friend from New Mexico, are the most
frequently cited cause of hunger today, according to this well-
documented L.A. Times story.
The L.A. Times, by the way, is now owned by Republicans. So this
isn't a question of yesterday, I say to my friend. It is a question of
living today. They have made the same arguments every time we raised
the minimum wage. The last time they said it would bring the economy
down. We have never seen such a strong economy. If the people at the
bottom rung are left behind, it is morally wrong and it is economically
wrong. It makes no sense. Those are the folks who go out and spend what
they earn and they definitely stimulate the economy.
So for anybody to say you are living in the past if you support a
minimum-wage increase, they don't know what is going on today. I say
that from my heart. I have respect for the Senator from New Mexico, but
I think it is insulting to say one lives in the past for wanting to
fight for those at the bottom rung of the economic ladder--those women
and those children who are living in poverty.
I thank the Chair.
Mr. KENNEDY. Mr. President, how much time remains?
The PRESIDING OFFICER. The Senator from Massachusetts has 3\1/2\
minutes. The Senator from New Mexico has 1 minute 51 seconds.
Mr. KENNEDY. I yield a minute to the Senator from Connecticut.
The PRESIDING OFFICER. The Senator from Connecticut is recognized.
Mr. DODD. Mr. President, to make a couple of quick points, I was
terribly saddened to see as part of another bill that we have a further
reduction in child care provisions, which is a major blow again to
working families out there. We all know that quality child care makes a
difference for these children. In the midst of all of this, we are
obviously told you have to come up with some offsets to pay for the
provisions in this bill, which we do.
Offsets always attract opposition from one quarter or another. But
these are modest offsets to pay for the provisions in the bill. What is
going to happen later today we are going to vote on $75 billion in tax
cuts and 56 percent of them go to the top 20 percent of income earners,
and there are no offsets--none.
One of the great contradictions is, we are being accused of not
liking the offsets, the pays, from some of the provisions and
simultaneously we ask our Members to vote for a provision in the bill
or vote for the whole bill, including a $75 billion tax cut over 10
years with no offsets.
Let me underscore, as this millennium date of 50 days away
approaches, those at the bottom of the economic rung--working people,
the majority who receive the minimum wage and are working full time;
they are women, they are Hispanic, they are black--deserve to get a
fair shake out of this Senate. In a few minutes, we will have an
opportunity to give them that fair shake by providing an increase in
the minimum wage, allowing them to enjoy the prosperity of the booming
economy.
I yield the floor.
Mr. KENNEDY. Mr. President, it is important to understand exactly
what the situation is for our working poor. The number of full-time,
year-round workers living in poverty is at a 20-year high: 12.6 percent
of the workforce, says the Bureau of Labor Statistics, as of the last 3
days. That is the fact. People are working harder, and they are living
in poverty. These are people who value work.
Second, the Bureau of Labor Statistics shows that, of those who will
benefit from a minimum wage increase, 70 percent are adults over age
20, and about 30 percent will be teenagers.
If Senators come to Boston and talk to the young people going to the
University of Massachusetts, they will find 85 percent of their parents
never went to college and 85 percent of them are working 25 hours a
week or more. That is true in Boston, in Holyoke, in New Bedford, and
Fall River, and cities across the country. I don't know what Members
have against working young people who are trying to pay for their
education. We have 6 million working in the workforce, and we have 2
million working at the minimum wage. Why are we complaining about that?
The Republican proposal is a Thanksgiving turkey with three right
wings. It has a watered-down increase in the minimum wage, it has a
poison pill for overtime work, and it has juicy tax provisions for the
rich. This Republican turkey is stuffed with tax breaks, and it does
not deserve to be passed. Vote for the real increase in the minimum
wage; vote for the Daschle increase.
Mr. LEVIN. Mr. President, as the most prosperous nation in the world,
our minimum wage should be a living wage, and it is not. When a father
or mother works full-time, 40 hours a week, year-round, they should be
able to lift their family out of poverty. $5.15 an hour will not do
that. A full time minimum wage job should provide a minimum standard of
living in addition to giving workers the dignity that comes with a
paycheck. The current minimum wage does not pay a fair wage.
I support the legislation introduced by Representative David Bonior
in the House and Senator Ted Kennedy in the Senate which increases the
minimum wage. This legislation, the Fair Minimum Wage Act, will provide
a 50 cent increase to the minimum wage on January 1, 2000, and a second
50 cent increase on January 1, 2001. This would raise the minimum wage
to $6.15 per hour by the year 2001.
The minimum wage increase passed in 1996 prevented the minimum wage
from falling to its lowest inflation adjusted level in 40 years. The
proposed minimum wage increase to $6.15 in 2001 would get the minimum
wage back to the inflation adjusted level it was in 1982.
In this era of economic growth, raising the minimum wage is a matter
of fundamental fairness. We must look around and realize that we have
the strongest economy in a generation. However, even with our strong
economy, the benefits of prosperity have not flowed to low-wage
workers. A full time minimum wage laborer working forty hours a week
for 52 weeks earns $10,712 per year--more than $3,000 below the poverty
level for a family of three.
Amendments:
Cosponsors: