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tv   GOP Senators Propose Block Grant Health Care Funding Bill  CSPAN  September 13, 2017 7:07pm-8:02pm EDT

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some developments today regarding health care. vermont independent bernie sanders unveils his plan for a single-payer health care system and republican senators briefed reporters on their ideas for health care health care reform. here are g.o.p. senators lindsey graham, bill cassidy, dean heller and ron johnson. [inaudible conversations] >> all right. behind me is the only thing between you and single-payer health care, a small band of brothers looking for a sister. [laughter] so, we are going to unveil a bill that's been in the making for about a month now and bill
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cassidy is going to walk you through the details. rick santorum is going to tell you how history is on our site that ron johnson is going to talk about numbers because that's what he does in dean heller is going to tell you about how this is a good deal for the country as a whole and i'm going to start with the following proposition. if you believe repealing and replacing obamacare is a good idea, this is your best and only chance to make it happen because everything else has failed except this approach which will work if we get behind it. if you want a single-payer health care system this is your worst nightmare. birdie, bissinger dream of a single-payer health care system for america so we need people on board now to stop what i think is inevitable if we fail which is single-payer health care for all which is the end of quality
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and the end of a sustainable federal budget. there are three choices, prop up obamacare, ernie care for our bill. that's where you are at. count me out for propping up obamacare. hell no to birdie care. count me in for an idea that gives a patient a voice they would never have and single payer health care. count me in for people in my state making a decision about health care verses some bureaucrat in washington. there is a lot of fight left in the republican party when it comes to repealing and replacing obamacare. the reason i know that is i spent all of august talking about our stated nobody was very happy with the idea that the republican party after seven years promised to repeal and replace obamacare, made an effort and bailed and apparently are ready to quit.
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the question is there anybody left in washington to repeal and replace obamacare of? is there any fight in the republican senate, in the white house? i can tell you there are a lot of colleagues that are dying to have another shot at health care there are a lot of colleagues of mine that would like to talk about taking money and power out of washington and returning it to their state, closer to the patient and in the hands of people they can actually complain to. under obamacare if you don't like it who do you complained to? you can complain to me but i don't run obamacare. under this lock grant approach which bills will describe to you you can plane -- complained to the statehouse or present who probably lives in your neighborhood and goes to the same hospital as your family. you can complain to a governor that you can vote for. under birdie care you complain to a faceless bureaucrat.
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there really is no innovation. under this approach 50 states have the chance to deliver health health care and overtime guess what? some will be geared out better than others. those who do badly well copied those who do well. under obamacare you know better than the bureaucrats most liberal member of the house and the senate. this is the defining site for the future of health care and the republican party. we refuse to quit. we have been working on the bill that i think should have been our first approach to rip repeal and replace obamacare, not our last but it is now our last. for states under obamacare get 40% of the money. new york california massachusetts and maryland. if that bothers you this is the
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chance to do something about it. if you live in a state and you want to keep sending money to maryland, new york, massachusetts and california, then vote for bernie's bill, prop up obamacare. if you believe your state should have more money, more flexibility and more choice then vote for our approach. i have been involved in a lot of things in the last 20 years. this is the most important thing i believe i will ever be involved in in the united states senate. i know what awaits our country free fail. the consolidation of health care in the hands of the federal government from cradle to grave. unlimited, unsustainable spending that wrecks the federal budget. there are two approaches to take care. we deal with medicaid and a very reasonable fashion more
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flexibility, more control and begin to slow the growth of medicaid down. if we do nothing by 2027, a decayed will be over $650 billion in spending. we are spending 549 billion today on the military. let me say that again. to do nothing means we'll be spending more in the next decade on medicaid than we do to defend our country. this bill changes that. 40% of the money under obamacare , where's that chart? 40% of the money under obamacare goes to for states. we level out spending 10 years from now, 2026. every state gets basically the same contribution from the federal government that will
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allow you to adjust for risk if you have an older population, sicker population you can get more money. the goal is by 2026 to make sure that every patient no matter where you live is basically the same contribution from the federal government. a i both think most americans believe that's fair. our bill levels out and inequity in funding that allows flexibility that obamacare would never embrace. he gives patients a voice in the health care they will never have their single health care payer system and from my point of view it's the best and last hope for the republican party to show that we have ideas and that our ideas are better than our friends on the other side. the last thought, liberals will fight like tigers to the bitter end to get what they want. to those in the republican party that feel like we have not
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fought as hard as we could, you are right. to those conservatives who feel let down by this debate you have every reason to be let down. here is my call to the republican party and to all who believe that health care should be closer to the patient and not stuck in washington. we need your help. the only thing stopping us from having this idea standing on the floor of the united states senate is lack of leadership. bill cassidy. >> thank you for being here. you may know that i've worked in the louisiana charity hospital
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system for 25 years and it was a system that was basically if you are poor that's where you went and i learned that the politician controls the dollars the system lights up to serve the politician. if the patient controls the dollar the system lines up to serve her. the thing we are trying to do is give the patient the power. we want the system to line up with that patient wherever she may live. some will say my gosh what's wrong with the status quo? we should continue. this is saying out there that obamacare only works if you don't and i will give you an example of a fellow who is a talk-show host in louisiana. he is a self-employed person. his premium per year is over $40,000 with a 5000-dollar deductible and an additional deductible. think about that. he's going to face $50,000 a
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year between his premium and his deductibles. the mortgage of a 500,000-dollar home. louisiana is considered to be one of the states in which the individual market is working relatively well. it doesn't work if not. we try to change it. that self-employed person wherever he or she may live will have the ability to have affordable health insurance. by the way i could have chosen partisanship or "the news york times" editorial opined draconian cuts because we haven't used the bill yet. with all due respect to the editorial board of "the news york times" you haven't seen the bill how do you know they are draconian cuts? our democratic colleagues have accused the partisanship and let me say you haven't read the bill yet but let me get to some numbers. what we do is we equalize the treatment of whatever the patient lives. she currently lives in the state
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representative by democratic senator which doesn't understand medicaid they do far better peer by 2026 wherever she lives where they are blue states or red state shall pay the same amount of money provided for her care. we don't think a blue states are or red states in this bill we think of american patients and those who are eligible should get the same. one example the difference between what we provide versus what they will receive under the status quo is indiana will receive one point 3 billion more in 2026 relative to the status quo a state representative by democratic rep or senator. wisconsin 1.1 billion, virginia $2.7 billion more than 2026 alone under our plan relative to the status quo. this is not a partisan bill. this is a bill about the american patient wherever she lives. let me ask this in fairness tim
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kaine the senator from virginia said he'd didn't accuse us of partisanship but he wished there would be a better process and senator carper said he wished that there would need aid -- a hearing on our bill and i agree. let's not be disingenuous. so far from the other side of the aisle there has been no cooperation whatsoever when it comes to addressing the issues of someone like him who is paying $50,000 a year under the status quo. as far as the policy itself all the dollars we repealed an individual mandate be repealed an employer mandate. those penalties go away. we get rid of the medical device tax and we take the dollars and we split it among the states. the way we decide what state gives what has he look at everybody in the nation who earns between fifth he and 138% of the federal poverty level.
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then we take each% of that national population and that is where you begin. beginning in 2021 the dollars are allocated the pentagon what percentage you have of the total national population within that income level. the state can spend it on those who were a little bit richer or a little bit less rich but that's where we decide to spend it and that's how we divide the money. beginning in 2022 i think you put in a risk adjustment so the states that are older and sicker end up with a little bit per patient and those who are younger and healthier but everybody will get the mean of plus or minus 10%. we also toured the end began to say that the allocation of state has enrolled a lot of people do get a little more. if they get less people they get less. why? as much as the cbo is going to
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ding us because free repealed the individual mandate jonathan gruber, the architect of the apa has an article research in the er which is published in "the new england journal of medicine" as well who said the effect of the individual mandate in improving enrollment. no statistically significant effect of the individual mandate improving enrollment. what does happen is that the governor gets on board. if the governor gets involved it happens. in our state we have a new governor who decided to expand medicaid. louisiana enrolled 350,000 people in 18 months. the governor is on board -- so we incentivize governors to enroll. toward the end the amount of money you get will depend upon those u.n. role but we are conservatives. we don't think health care is -- so enrollment counts finding a
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patient who has benefits is enrolled in the va. a person who could get it through her employer because she had extra money for premium support can receive premium support in order to get it through her employer. she mentioned incorporating ted cruz's bill which allows the state to put money in the account for the person to purchase her own insurance. our goal is to give patients the power. we think this is a great reform and i will now turn it over to dean heller. >> bill, thank you and lindsay thank you. i want to thank my colleagues and former colleagues for getting with you today what i think is a very important moment last night i did my week we tom homan things and i had a nurse on the phone and the nurse said, finally ended the ram cassady
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johnsonville congress gets it. they finally understand what's good for america and finally they understand what's best for the state of nevada. back in 2012 when obama was running for re-election and running against romney and obamacare has been in place for two years. if romney doesn't when it's going to make it very tough to reverse obamacare as we know it today. think it is proven that has been as varied difficult task. in fact right now republicans have come up with two plants, two plans. one to repeal and not replace, one to replace it not repeal. that's what we have been through for the last eight months. finally we have come up with a third option and that is to repeal and to replace. i will tell you this. obamacare has not worked and i give you a couple of examples. a couple of months ago 14 of 17
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counties, 14 of 17 counties in nevada will go -- in the first of next year through with the work of my office and the governor's office we were able to provide a single carrier that would work for those 14 of 17 counties but unfortunately we found one carrier which means there's no competition and there are no choices and you know that's only going to increase costs in those 14 of 17 counties. another example of how this doesn't work for all nevadans we spend in the state of nevada over $18 million by individuals, about 80,000 of them because the chance for the product that the government tells them they have to buy. so they are paying the fine. most would make less than $50,000 a year. over 80% of them make less than 50,000 so the least fortunate have to pay this fine. they have to pay this fine because they can't afford to pay for this product that the governor -- government says that
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they have to buy. as i said obamacare does not work for all nevadans. last week and this is even more interesting to me that has had an interview and a host of the show said in a discussion with senator reed a couple of years ago, he said senator reed said the single-payer system's ultimate goal was that the obamacare's ultimate goal was to become the single-payer system so seven years ago we set up a system and the purpose of it was to get to a single-payer system quoting the majority leader of the senate at that time. think about that. that was the goal to put together piece of legislation that was going to fail and obviously that's working now. i don't think americans deserve that and frankly i don't think nevadans deserve it also. we need to find a way forward and figure that out through graham cassady heller johnson. this plan is the way forward.
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it's the most reliable, workable solution to achieve our health care goal reforms and it returns powers to the state provides ultimate flexibility to governors and legislators regardless of whether they have expanded medicaid or not. under this proposal nevada receives more funding than we currently do under obamacare. more money to cover health care costs as they see fit. this is the way forward. this is how we are going to move not only health care forward but america forward to having a health care plan that works for everyone. and with that. >> thank you dean. i want to thank city for all of his hard work, lindsey graham for selling the program rick santorum and dean heller in terms of their effort is doing with senator graham said is their last chance at repealing what i think has been a law that
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is done a lot of harm to a lot of americans. some some good but it's also done a lot of harm. these guys have that mentions the numbers another want to disappoint. $50 billion spent on medicaid in the next 10 years, and nine years ago we are spending $200 billion. this year we will spend $400 billion, clearly unsustainable. from my standpoint of represent the state of wisconsin, we didn't need obamacare. according to wisconsin department of health services and their families health survey obamacare 94% of wisconsinites had health coverage all or part of the year. under obama cares up to 96%. they now have coverage because of obamacare but over 100,000 wisconsinites 82% of those make $50,000 a year and like us than the average premium increase
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throughout america according to hhs wisconsin previews have by and large double because of the artificial nature and the architecture obamacare. in many cases printers have tripled. bill clinton was talking about obamacare. this craziest thing in the world he was talking about the forgotten and abundant people who are out there working 60 hours a week. opinions have doubled or tripled in their coverage cut in half and they can't afford obamacare. those forgotten men and women like peter people like vernon sherry wrote to me they literally had to cash in their for a win k. to build their house. they may close to $60,000 a week a year sorry.
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they had to pay back and cash in their 401(k) and lose their house. these are the forgotten men and women of obamacare of that were forgotten by bureaucrats in washington d.c.. those men and women won't be forgotten by governors and state legislators because the governor will be far more responsible. it returns that power to the state. to make states more responsible, more responsive. hopefully those premiums will come down because states will be granted more flexibility and of course it will be a whole lot fairer. in wisconsin wisconsin because governor walker we are the only state that close the recovery gap. people working low the poverty level. it has good flexibility but when it got no credit for it to a vendor graham cassady heller johnson will be a whole lot
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fairer process in states like wisconsin doing right to their constituents will be granted the funding for that. this is a far fairer process. let me conclude by pointing out with senator graham also said. my republican colleagues, this isn't quite good enough. it doesn't do enough for repeal. this is our last shot. it comes from a manufacturing background. it's a vast improvement, not perfect and we still have a ways to go in there will be fixes we have got to initiate but this is far better than obamacare than later early leaving behind those forgotten and the women like sherry and vernon colby. graham cassady heller johnson won't forget about those people. i want to commend governor will walker for rounding up the governors who will hopefully have a good show of support next weekend with that i will turn it
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over to rick santorum. >> thank you. i know it seems like i've been here but it's been 10 years since i've been a united states senator and i'm here because i was watching this process and someone sitting home who is on the obamacare exchange in paying over $30,000 in premiums a year and over $40,000 because as most of you know i have it disabled child. this was affecting our family personally. i was watching what was going on in washington and seeing what i saw was the frustration that most americans see the dysfunction of not getting anything done. i brought an idea forward to senator graham and i've been working with senator graham and frankly with members of the freedom caucus, with governor walker one of the first people i called and bounced this idea off of him. i learned 20 years ago that when reform and entitlement is the best way to do that particularly it shouldn't be at the federal levels or should be the state
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level and you talk to governors. you have them provide leadership. over the past several months we have been working with governors and as ron said governor walker has been incredible. and really providing tremendous leadership in helping put together the package you see there today. and the governors bill bryant governor hutchinson dug ducey have tremendously contributed to this process that the row credit goes to lindsey graham and bill cassady who have been working day and night on this bill and dean and ron also for pitching in and helping hold this thing together. as lindsey said this is not only the last choice but the best choice. winston churchill said he tried the right thing after everything else fails for us.
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.. they designed the program to let them treat the population that the money is designated for in a way that meets the needs of the people sitting across the table. it worked in 1996 and we got by bipartisan support. i understand that was a different era and bipartisan ship is not in the current lexicon in washington d.c. the idea of compromise and consensus should be. that's what this bill does. this bill doesn't repeal
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everything in obamacare. let me assure you, 1996, we didn't repeal everything in welfare. we spent more money initially. we spent more money and targeted for more money for quite some time and there were many who are against welfare reform and spoke out against the because it wasn't a good compromise. what it turned out to be, it's been great for the american budget. anybody know how many times the bloc block grant has been increased since 1996? never. did you ever hear government governor come to washington and not have enough money? we gave them what they needed to design a program.
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we give them a combination of money and flexibility to design something that works best for them. they will save money and get better health care for people in their states and just like we did for welfare, we will get this out of washington d.c. and have the debate at the local level where it belongs. this is a tremendous opportunity to do something transformational. i know it may appear last-minute, but, well it is last-minute, but it is the right approach at the right time. welfare reform works. we get the money out of washington and give the governors electability and take the single-payer health
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care any back from the state after they've had it for ten years, no chance. we will have the biggest reform that we've seen in my life lifetime if this bill passes. [inaudible] we had a good meeting with mitch but i think he would go vote for it. he said i need 5 50 votes will bring it up to debate.
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we can tell you exactly what this cost. it's about one point to trillion dollars when we pay for it by leaving taxes on the wealthy in place. something a lot of conservatives don't like including me, but we took the taxes in obamacare and basically left them in place and block granted the money so for states would get 40% level it out. i could tell you unlike bernie how we pay for. mitch said get 50 votes. if you're republican out there disappointed in our efforts to repeal and replace, help me get 50 votes. mike pence has been awesome. they gave me a statement. i don't have a statement. mr. president, help us spread the president said if you could get 20 governors he would stand with them. help us get 20 governors. the idea that the republican party has done its best to repeal and replace is a joke.
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the idea that we can do this by ourselves is unreasonable. we have given up halfway forward that is fair and transforms medicine in the country, gives patients a stronger voice, repeals and replaces obamacare forever, and everybody is telling us get us 50 votes. here's my challenge to the republican leadership. act like this matters because it does. i'm not ready to move on. are you ready to move on? i'm not ready to move on. if this bill dies it's because democrats say no. i don't want this bill to die because were tired of dealing with healthcare. i am all in for your agenda. pick up the phone. call some governors. see if you can get us to 20. tell them this matters. you weren't kidding about repealing replacing obamacare. you actually meant it.
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help us because were trying to help you. [inaudible] >> it's a work in progress. >> you understand my concern in louisiana. if you look at the numbers for virginia, you would have to ask the governor why he would not. there might be some partisanship but it won't be from our side. it will be from the other. eighteen republican governors senator mcconnell is a
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supportive of the idea. help us get a cbo score. let them know were back. we've got plenty of time. i don't know what we'll do between now and september 30. about this idea, don't quit on repealing and replacing obamacare. keep fighting. >> when it comes to different states, obviously they're going to finally get some equity. senator mccaskill.
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>> the committee you currently sit on is working on a bipartisan solution. are you giving up on regular order and a bipartisan. >> because cost-sharing reductions are not included, those payments cannot be included in the reconciliation bill. what were doing does not compete with what is going through help. >> one of the criticisms of this effort has been processed. if you're successful here, this bill would pass within the next 17 days. is that a process you think is appropriate for something so big. >> i let my colleagues.
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they all said they couldn't collaborate with us. it's a little disingenuous that if we had all these hearings it would've made a difference when behind closed doors, good ideas and yet there's people being heard. of course i would like to but you have to play with the cards are dealt to you. >> first off, a big chunk of this bill is the medicaid block grant. that's been out there for a long time. it's been voted on, is nothing new there. the second is a fairly simple concept. is not very complicated. it takes all the spending and gets rid of it.
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medicaid expansion and at the end of 2019. this is not complicated, the reality is it's a very simple concept, one that's been around for a long time so i think we think about this too much. [inaudible] >> it hasn't changed. i'm doing exactly what i said i would do and that his work with the governor of our state and you are accurate that we are medicaid expansion state. we actually get a 30% increase in healthcare spending with this legislation. if our governor and legislature like the medicaid program that we currently
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have, they can keep it and they can expand it if that's what they choose to do with a 30% increase in spending. were telling all 50 states, do what's best for your constituents. this is a bigger and better product. to me it's like apple coming out with the iphone ten. if you don't want to buy it meeting keep your iphone seven but there is an iphone ten out there, a bigger and better product if they want to put that package together. if you like your iphone seven and you like the medicaid program you can keep it. were not dictating to the states what they can do. were giving our governor and our legislature the opportunity keep what they have and if they choose they can expand it or take a look at other healthcare products out there to move in that direction. >> they made a very important point. the second would've been money going to refundable tax credits is now block granted back to the state over a ten-year period. you can take up to 15% of that block grant to help with medicaid.
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the bottom line is were making traditional medicaid sustainabl sustainable. somebody needs to do that. we are putting money back into the hands of states that they would never see, and basically they can design systems that work for them. if you want to repair obamacare you can. if you want to impose the employer mandate you can but you don't have to but if you want to do something new and novel, you can. we passed obamacare on christmas eve. i remember it very well. i think we can do a hearing on this bill. i'm asking senator hatch to give us some time to explain our bill to the finance committee. we can go right back to the floor and continue where we left off in voting we've got time to bring this up before septembe september 30. all we need is leadership. i am urging the white house to get on the phone to call governors.
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i'm asking mitch mcconnell to make time for this bill in this debate. help me get 50 votes. i'm telling the republican party we have not yet tried everythin everything. as a matter of fact the best idea has not been tried. i will make sure when we leave healthcare and if we fail it's because democrats said no to a transformational idea. i like new york, california, marilyn in massachusetts. they are wonderful states, their fine people. i don't like them so much as to give them twice what everybody else gets. >> can you talk about how this dea bill deals with people with pre-existing conditions, how does that work. >> we run the program through the chip. the same kind of block grant approach that chip originally was, the state will get a certain amount of money for those between 50% of poverty
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level. we continue right now, the statement that you need to be able to provide insurance. part of the problem is that the risk pool becomes very concentrated. instead of what it currently is whether just older and sicker, it becomes a broader risk pool including younger and healthier. the state could do automatic enrollment for all the young healthy folks would be included. now you included the younger people in and that lowers the quote for those who are older and sicker with pre-existing. blue cross louisiana said under a mechanism we would reduce premiums by as much as
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20%. we just take loss of options. >> bill gave a great answer. answer your question but i'm not sure he communicated that. the title one that says you cannot discriminate has not changed in this bill nor is it guaranteed. there's those things that are but those are not. if we go through the chip program, protections are maintained. >> what kind of changes are in the bill? are you doing something similar to the cruise amendment. >> i'll let him tell you about that. rick came to me and said we ought to do a block grant.
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they said well you just go figure this is what we did in 1996. then we started coming up with the idea of parity bill cassidy has spent hours upon hours to make sure that you don't build football stadiums for the money, you've got to help sick people. the innovation is almost zero under obamacare. under the block grant approach the innovation is pretty wide. we do not. [inaudible] were trying to get more flexibility to title i. >> there are two cruise
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amendments. the one that i mentioned would allow the states to put money in health savings accounts. we include that amendment. the second will have flexibility in there. i'm not sure they will be wild about that amendment so i have another set of language that were including. the secretary have a greater ability to provide waivers and no governor has complained about a chip program being too restrictive. had that is less than what's required of the medicaid expansion under obamacare. with existing legislation we think we end up where we should be. >> he's really smart and i'm
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ready to vote. >> i don't think anybody, nobody fought harder to bring down premiums. what you're finding right now is block grant programs. for example, maine issued a guaranteed issue, did not repeal it. they are waiting for the waiver. hopefully they will get that quickly. the flexibility and the funding will give the states the ability to do those very innovative programs i want to support that. on homeland security, if they won't hold a hearing, i will hold a hearing on this prior to september 30.
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i want to supplement what he had to say. there is language that we hope to get by the parliamentarian that provides flexibility for the money in the block grant. it will be tied to the block grant in the money in the block grant. it will provide some flexibility through the waiver process. [inaudible] we began to lower the growth rate of medicaid closer to medical inflation. what is medical inflation, bill. bottom line, medicaid is growing a lot faster than medical inflation to the point that it crowds out the federal budget.
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we begin to lower the inflation rate and the belief is that the flexibility we grant the governor's will allow them to get a better result and begin use this was unsustainable. medicaid is even worse. all the money that you spend in texas go to pay for tax care. there will be no money for anything else to run the federal government. this is a very slow balanced approach to allow states to prepare for an inflation rate that is more sustainable. nobody gets cut. the inflation rate begins to change. i think we give people plenty of time and we also allow you to take 15% from the second block grant. dean heller was the guy that everybody was looking too. he was the guy, where will he go because he's in a tough race. what will he be able to
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tolerate politically. dean did something that i wish every senator on our side with do. instead of being worried about how this looks politically, he started shopping around for better ideas. when we approach him with the block grant approach and showed him that money will be coming back to the state that would've gone to new york, california, your state will have more flexibility, you can actually get better outcomes and your people will be listened to under this approach it will be never be listened to under obamacare. he signed on. the reason he signed on, it turned out to be good for nevada but i'll tell you this. i think dean and ron, up to four of us up here really believe we have got to get our fiscal house in order. if you take healthcare off the table can never be reformed and our best days are over. >> today bernie will propose
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single payer healthcare, medicare for all. he won't tell you what it cost anyone tell you how it can pay for it. they consume the entire revenue stream to be collected in the future. what he is doing is a great disservice to our country because it will make us. [inaudible] what we are doing is getting money closer to where the patient lives, in the hands of the people that you can complain to if you don't like the outcome. this is truly transformational. >> they will make the argument that it says something about their values. >> so what does this say about your values. >> this plan says to the american people that we value input, that we believe the government closest to the
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person is the best form of government and we believe healthcare closer to where you live is better than healthcare managed by somebody you never meet who is not elected. this is a debate worthy of the united states senate. i think what bernie is doing is going to destroy quality over time and make it unsustainable for future generations and we will become, we are trying to be generous with money but insisted people have the innovation they will never have better healthcare. my value is to leave behind when i'm gone better healthcare that your grandkids can afford, give you someone who's in charge who will listen to you because you vote for them. that's why value.
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>> quick single-payer system. if you want to see what it looks like, go to the va system. see how good we have found that to be. that's the path that bernie sanders is leading us down. in terms of medicaid, here are some rough numbers. we are saving about $12 billion, spending close to 3 trillion. we are just barely beginning to expand the growth rate. people on medicaid, the disabled, children, they are concerned about what medicaid expansion will do in terms of threatening core medicaid. that was directed toward working age, childless able-bodied adults.
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when i talked to people with cerebral palsy and i pointed that out, there.was those people should get medicaid but i think the right credits medicaid expansion is putting us at risk. >> one must question. >> you were talking about how the white house needs get involved, but with all due respect he was unable to move the needle on healthcare. what's different now. >> he delivered in house. it was the effort of president trump that got the house over. one phone call i think, the president will get us more than a handful of governor. whereat 14 or 15 already. when the president of the united states calls you, asking you to help him give you more money and more power, most people don't say yes. bernie can't tell you what his bill costs.
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we can. we value being honest. we'll tell you exactly what you spend and how to pay for. the president of the united states is not just somebody, he's the most powerful person in the country and he's the head of our party so i really believe the president could spend a little time telling them how much better they would do, how much more controllable have and how much better their states do that we can sign up a bunch of people pretty quickly. and with this. today is a monumental day for the american people. you have two different approaches on how to deliver healthcare on the future. the bernie model and our model. i'm so glad bernie chose today. he's a good man. in his heart of hearts, he believes the only way to be fair is to have the federal government decide healthcare for everybody no matter what it costs, and here's what we say. the best way to be fair is to make sure the people in the country get basically the
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same contribution a matter where you live, and the people in your local community have control over the outcomes so you have a voice if you don't like their decision. to my republican colleagues, don't let the healthcare debate died. to my republican senate leadership, help us. too. coming up tonight on c-span2, debate on kentucky senator
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rand paul amendment to repeal the authorization. senator charles schumer on the tax policy proposal. after that, later this week prime minister question time in the british house of commons. rand paul introduced an amendment repealing the 2001 and 2002 authorizations for use of military force in iraq and afghanistan. next, the debate on the amendment from the senate floor. "after words", senators voted 61 - 362 table the amendment. >> senator from maryland.

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