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1234 Massachusetts Avenue, NW • Suite 103 • Washington, DC 20005 • 202-347-1234 1234 Massachusetts Avenue, NW • Suite 103 • Washington, DC 20005 • 202-347-1234 #100-33 Information Alert: October 11, 1988 Medicaid Reform House Hearing TO: DD Council Executive Directors FROM: Susan Ames-Zierman On September 30, 1988, Congressman Henry Waxroan held a hearing on his bill, H.R.5233, and that of Congressman Florio, H.R. 3454, which is the House companion bill to Senator Chafee's S. 1673, the Medicaid Home and Community Quality Services Act. Mr. Waxman's opening statement is enclosed. Attached is testimony given by Congressman Steve Bartlett of Texas, Senator Chafee, and the Congressional Budget Office. Also enclosed is a side-by-side comparison of the two bills and current Medicaid law developed by the Congressional Research Service of the Library of Congress.. Senator Bentsen has agreed to mark up Senator Chafee's bill early in the 101st Congress. Should Senator Bentsen become the Vice-President, Senator Matsunaga of Hawaii would become Senate Finance Committee Chairman and would, in all likelihood, be agreeable to moving forward. Congressman Waxman, while not going as far as to discuss mark-up on either his or Florio's bill, did agree, in both his opening and closing statements, to work with Congressman Florio on a compromise early in the next Congress. A list of current co-sponsors of the Chafee/Florio bills is attached. We need to keep all those returning Senators and Congressman on-board when this process begins anew in January. For those in your Congressional delegations who are not current co-sponsors, plan some visits to programs while they are home campaigning this fall and over the holidays. As Congressman Bartlett noted in his testimony, visits to an institution and a community facility make very important impressions on policy-makers. Keep the faith! "Medicaid Home and Community Quality Services Act of 1987" Current Co-sponsors - September 27, 1988 S.1673 (48 co-sponsors) and H.R.3454 (200 co-sponsors) ALABAMA GEORGIA MASSACHUSETTS Sen. Richard Shelby (D) Sen. Sam Nunn (D) Sen. John F. Kerry (D) Sen. Howell Heflin (D) Sen. Wyche Fowler, Jr. (D) Rep. Nicholas Mavroules (D) Rep. Tom Bevill (D) Rep. Rep. Charles Hatcher (D) Rep. Brian Donnelly (D) Ben Erdreich (D) Rep. Rep. J. Roy Rowland (D) Rep. Joe Moakley (D) Claude Harris (D) Rep. George Darden (D) Rep. Chester Atkins (D) Rep. John Lewis (D) Rep. Gerry Studds (D) ALASKA (full delegation) Rep. Robert Lindsay Thomas (D) Sen. Ted Stevens (R) Sen. Rep. Ed Jenkins (D) Frank Murkowski (R) Rep. MICHIGAN Don Young (R) HAWAII (full delegation) Sen. Donald Riegle (D)*(l) Sen. Daniel Inouye (D) Sen. Rep. Paul Henry (R) Rep. ARIZONA Spark Matsunaga (D)* Rep. John Conyers (D) Rep. Rep. John Rhodes (R) David Akaka (D) Rep. George Crockett (D) Rep. Rep. Morris Udall (D) Patricia Saiki (R) Guy Vander Jagt (R) Rep. Fred Upton (R) Rep. Bill ARKANSAS IDAHO Schuette (R) Rep. Howard Sen. David Pryor (D)*l Rep. Richard Stallings (D) Wolpe (D) Rep. Robert Davis (R) Rep. Dale Kildee (D) CALIFORNIA Rep. William Ford (D) Rep. Sen. Alan Cranston (D) ILLNOIS Dennis Hertel (D) Rep. Rep. Tony Coelho (D) Rep. Rep. Cardiss Collins (D)**(2) William Broomfield (R] Rep. Matthew Martinez (D) Rep. Rep. Charles Hayes (D) Bob Traxler (D) Rep. Carl Victor Fazio (D) Rep. Don Rep. Kenneth Gray (D) Pursell (R) Rep. David Edwards (D) Rep. Duncan Rep. Jack Davis (R) Bonior (D) Hunter (R) Rep. Ronald Rep. Sidney Yates (D) Dellums (D) P»D. Jim Bates Rep. Lane Evans (D) MINNESOTA (D)**(2) ; . Tom Lantos Rep. Jerry Costello (D) Rep. James Oberstar (D) (D) . f. Ron Packard (R) Rep. Martin Sabo (D) Rep. Nancy Pelosi (D) Rep. Rep. Timothy Penny (D) Barbara Boxer (D) INDIANA Rep. Arlan Stangeland (R) Rep. Lee Hamilton (D) Rep. Bruce Vento (D) COLORADO Rep. Jim Jontz (D) Sen. William Armstrong (R)* Rep. Peter Visclosky (D) Rep. Gerry Sikorski (D)**(i Sen. Timothy Wirth (D) Rep. Andrew Jacobs (D) Rep. Hank Brown (R) Rep. Frank McCloskey (D) MISSISSIPPI Rep. Ben Nighthorse Campbell (D) Rep. David Skaggs (D) IOWA MISSOURI Rep. Daniel Schaefer (R)** Sen. Tom Harkin (D) Rep. Patricia Schroeder (D) Rep. Dave Nagle (D) Rep. Neal Smith (D) MONTANA Sen. Max Baucus (D)*(l) KANSAS CONNECTICUT (full delegation) Sen. Robert Dole (R)*(l) Rep. Pat Williams (D) Sen. Lowell Weicker (R) Sen. Rep. Ron Marlenee (R) Christopher Dodd (D) Rep. Rep. Dan Glickman (D) John Rowland (R) Rep. Bruce Rep. Jan Meyers (R) Morrison (D) Rep. Nancy Johnson (R) Rep. Barbara KENTUCKY NEBRASKA Kennelly (D) Rep. Christopher Rep. Carroll Hubbard, Jr. (D) Shays (R) Rep. Sam Gejdenson NEVADA (D) LOUISIANA Sen. Chic Hecht (R) DELAWARE MAINE NEW HAMPSHIRE Sen. Joseph Biden (D) Sen. Gordon J. Humphrey [R] Rep. Thomas Carper (D) Sen. George Mitchell (D)*(l) Rep. Robert C. Smith (R) Rep. Olympia Snowe (R) Rep. Rep. Judd Gregg (R) DISTRICT OF COLUMBIA (full delegation) Joseph Brennan (D) Del. Walter Fauntroy (D) MARYLAND (full delegation) Sen. FLORIDA Paul Sarbanes (D) Sen. Barbara Sen. Lawton Chiles (D) Mikulski (D) Rep. Kweisi Mfume F Lawrence Smith (0) (D) Rep. Benjamin Cardin (D) Rep. Earl Hutto (D) Rep. Steny Hoyer (D) Rep. Rep. Connie Mack (R) Constance Morella (R) Rep. Rep. Bill Grant (D) Helen Bentley (R) Rep. Roy Rep. William Lehman (D) Dyson (D) Rep. Beverly Byron Rep. Claude Pepper (D) (D) Rep. Thomas McMillen (D) Hep. Bill Nelson (D) PENNSYLVANIA Sen. Arlen Specter (R) VERMONT (full delegation) NEW JERSEY (full delegation) Sen. Patrick Leahy (D) Rep. Joseph Kolter (D) Rep. Curt Sen. Robert Stafford (R) Sen. Bill Bradley (D)*(l) 'en. Weldon (R) Rep. William Coyne (D) Rep. Frank Lautenberg (D) Xep. James Doug Walgren (D)**(2) Rep. Thomas Rep. James Jeffords (R) Florio (D)** Rep. Dean Gallo Ridge (R) Rep. Thomas Foglietta (D) VIRGINIA (R) Rep. Robert Roe (D) Rep. Rep. Peter Kostmayer (D) Rep. Gus Bernard Dwyer (D) Rep. Peter Yatron (D) Rep. Austin Murphy (D) Rep. Frank Wolf (R) Rodino (D) Rep. James Courter (R) Rep. William Hughes (D) RHODE ISLAND (full delegation) Rep. Matthew Rinaldo (R)** Sen. John Chafee (R)*(l) Sen. WASHINGTON Rep. Frank Guarini (D) Rep. Claiborne Pell (D) Rep. Fernand St. Sen. Brock Adams (D) Robert Torricelli (D) Rep. Germain (D) Rep. Claudine Schneider Sen. Daniel Evans (R) Christopher Smith (R) Rep. (R) Rep. Thomas Foley (D) Marge Roukema (R) Rep. Jim Rep. Norman Dicks (D) Saxton (R) Rep. Mike Lowry (D) SOUTH CAROLINA (full delegation) Sen. Ernest Hollings (D) Rep. Don Bonker (D) NEW MEXICO Rep. John R. Miller (R) Sen. Jeff Bingaman (D) Sen. Strom Thurmond (R) Rep. John Spratt (D) Rep. Bill Richardson (D)** WEST VIRGINIA Rep. Arthur Ravenel (R) Rep. Elizabeth Patterson (D) Sen. John D. Rockefeller, IV (D)*3 Rep. Robin Tallon (D) Rep. Nick Rahall (D) NEW YORK Rep. Butler Derrick (D) Rep. Harley Staggers (D) Sen. Daniel Moynihan (D)* Rep. Floyd Spence (R) Rep. Bob Wise (D) Rep. Ted Weiss (D) Rep. Robert Garcia (D) SOUTH DAKOTA WISCONSIN Rep. Charles Rangel (D) Sen. Thomas Daschle (D)* Rep. Les Aspin (D) Rep. George Wortley (R) Rep. Tim Johnson (D) Rep. Robert Kastenmeier (D) Rep. Benjamin Gilman (R) Rep. Jim Moody (D) Rep. Sherwood Boehlert (R) TENNESSEE Rep. Steven Gunderson (R) Rep. Major Owens (D) Sen. Albert Gore (D) Rep. Jim Cooper Rep. Edolphus Towns (D) (D)** Rep. Marilyn Lloyd (D) Rep. WYOMING Rep. Robert Mrazek (D) Harold Ford (D) Rep. Bob Clement (D) Sen. Malcolm Wallop (R)* Rep. Thomas J. Manton (D) Rep. Hamilton Fish (R) TEXAS Rep. Henry Gonzales (D) Rep. Martin Frost (D) Rep. Beau MURTH CAROLINA Rep. Boulter (R) Rep. Ron Coleman Walter Jones (D) Rep. (D) Rep. Albert Bustamonte Alex McMillan <R) Rep. (D) Rep. Jim Chapman (D) Rep. David Price (D) Rep. Charles Wilson (D) Rep. Steve James Clarke (D) Bartlett (R) Rep. Solomon Ortiz (D) Rep. Charles NORTH DAKOTA (full delegation) Stenholm (D) Rep. John Bryant Sen. Kent Conrad (D) Sen. (D)** Rep. Mickey Leland Quentin Burdick (D) Rep. Byron (D)**(2) Rep. Kika de la Dorgan (D) Garza (D) Rep. Richard Armey (R) Rep. Marvin Leath (D) OHIO Rep. Tony P. Hall (D) UTAH (full delegation) Rep. James A. Traficant (D) Sen. Orrin Hatch (R) Sen. Rep. Edward Feighan (D) Jake Garn (R) Rep. Howard Rep. Mary Rose Oakar (D) Nielson (R)** Rep. Wayne Rep. Marcy Kaptur (D) Owens (D) Rep. James Rep. Douglas Applegate (D) Hansen (R) Rep. Thomas Luken (D)** Rep. Bob McEwen (R) Rep. Donald Lukens (R) Rep. Donald Pease (D) OKLAHOMA •Member of Senate Finance Committee OREGON *(1) Member of Subcommittee on Health Sen. Mark Hatfield (R) ••Member of House Energy and Commerce Committee ,„__.„_.. Rep. Ron Wyden (D)**(2) ?•(2) Member of Subcommittee on Health and the Environment Rep. Peter DeFazio (D) Rep. Les AuCoin (D) OPENING STATEMENT OF THE HONORABLE HENRY A. WAXMAN, CHAIRMAN SUBCOMMITTEE ON HEALTH AND THE ENVIRONMENT ON LEGISLATION TO IMPROVE THE MEDICAID PROGRAM FOR THE MENTALLY RETARDED September 30, 1988 This morning the Subcommittee will hear testimony on two bills to improve the Medicaid program for the mentally retarded and developmentally disabled. One is a bill I've introduced, H.R. 5233; the other is a bill introduced by Representative Florio, H.R. 3454. Let's begin with some facts. As it happens, today is the last day of fiscal year 1988. The Federal government will spend, this fiscal year, about $30.4 billion in Medicaid payments for health care services for the poor. Over 10 percent of that amount, or $3.5 billion, will pay for services to the roughly 151,000 disabled living in intermediate care facilities for the mentally retarded, often called ICFs/MR.
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