| 00:00:04 |
Unidentified Speaker, -
3. >> MR. CHAIRMAN, I RESERVE A POINT OF ORDER. >> POINT OF ORDER HAS BEEN RESERVED. I RECOGNIZE THE GENTLEMAN FROM FLORIDA. >> THANK YOU, MR. CHAIRMAN....
|
| 00:00:30 |
Unidentified Speaker, -
|
| 00:00:31 |
Pallone, Frank Jr. - U.S. Representative, [D] New Jersey
PROCESSES, MEDICARE PLANS [ INAUDIBLE ]
|
| 00:00:42 |
Castor, Katherine "Kathy" Anne - U.S. Representative, [D] Florida
OVERSIGHT COMMITTEE UNDER SENATOR STUPAK IN HEARINGS ENTITLED PREDATORY PRACTICES IN MEDICARE ADVANTAGE THAT TOOK A LOOK AT THE ABUSE IN MARKETING PRACTICES...
|
| 00:04:44 |
Stupak, Bart - U.S. Representative, [D] Michigan
UP FOR SOCIAL SECURITY AND THEY WERE REALLY SIGNING
|
| 00:04:46 |
Castor, Katherine "Kathy" Anne - U.S. Representative, [D] Florida
UP FOR MEDICARE ADVANTAGE. THE TACTICS,
|
| 00:04:51 |
Pallone, Frank Jr. - U.S. Representative, [D] New Jersey
EVERYONE CONDEMNED IT. THE INSURANCE COMMISSIONERS,
|
| 00:04:53 |
Stupak, Bart - U.S. Representative, [D] Michigan
EVERYBODY HAS CONDEMNED THESE AGGRESSIVE TACTICS AND ABUSIVE MARKETING AND SALES PRACTICES TO GET PEOPLE TO SIGN UP TO MEDICARE ADVANTAGE. THIS IS A VERY...
|
| 00:05:42 |
Pallone, Frank Jr. - U.S. Representative, [D] New Jersey
IS HERE OF TRYING
|
| 00:05:44 |
Castor, Katherine "Kathy" Anne - U.S. Representative, [D] Florida
TO SET
|
| 00:05:45 |
Pallone, Frank Jr. - U.S. Representative, [D] New Jersey
STANDARDS WITH REGARD TO PEOPLE WHO ARE CONDUCTING ACTIVITIES THAT MAY BE CONSIDERED SOMEWHAT FRAUDULENT. AS I READ THIS AMENDMENT, IT
|
| 00:05:54 |
Deal, Nathan - U.S. Representative, [R] Georgia
APPEARS THAT WE ARE DELEGATING AUTHORITY TO THE NATIONAL COMMISSIONERS ORGANIZATION TO COME UP WITH THESE STANDARDS. IS THAT THE WAY COUNSEL INTERPRETS...
|
| 00:06:35 |
Westmoreland, Tim - Counsel
LEAST, ALLOW SOME POSSIBILITY THAT THE SECRETARY MAKES CHANGES TO IT. IF THE NAIC DOES NOT, HOWEVER, SUBMIT A REPORT, THEN THE SECRETARY HAS FULL DISCRETION...
|
| 00:07:09 |
Deal, Nathan - U.S. Representative, [R] Georgia
INSURANCE COMMISSIONERS ORGANIZATION, THAT THE SECRETARY SHALL PROMULGATE REGULATIONS FOR THE ADOPTION OF SUCH REQUIREMENTS. MY CONCERN IS A LEGAL CONCERN....
|
| 00:08:06 |
Westmoreland, Tim - Counsel
ISSUE REGULATIONS, SHE COULD REVIEW THESE RECOMMENDATIONS AND ADOPT RECOMMENDATIONS THAT SHE, IN HER DISCRETION, BELIEVES INCORPORATE SUCH REQUIREMENTS....
|
| 00:08:53 |
Deal, Nathan - U.S. Representative, [R] Georgia
THEY? >> MR. DEAL, I DO NOT SEE SPECIFIC PENALTIES IN THIS PROVISION. I WOULD ASSUME THAT THE SECRETARY EITHER AS SHE -- COULD EITHER AS SHE PROMULGATES...
|
| 00:09:19 |
Westmoreland, Tim - Counsel
PROGRAM. >> SO WE DON'T KNOW WHETHER THERE COULD BE MONETARY PENALTIES, CIVIL MONETARY PENALTIES OR WHETHER THE PENALTY WOULD BE THAT IF YOU DON'T...
|
| 00:09:40 |
Deal, Nathan - U.S. Representative, [R] Georgia
THE SECRETARY TO DECIDE. THE SECRETARY COULD DECIDE WHETHER TO INCORPORATE SOMETHING SHORT OF ABSOLUTE BANNING FROM THE PROGRAM OR SHE COULD DECIDE THAT...
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| 00:09:55 |
Westmoreland, Tim - Counsel
KNOW WHAT THE SANCTIONS COULD BE IN THE CONTEXT OF SOMETHING WE'RE ADOPTING RATHER THAN HAVING TO GUESS AT IT? >> THE MEDICARE STATUTE IS, OF COURSE,...
|
| 00:10:15 |
Deal, Nathan - U.S. Representative, [R] Georgia
ENFORCEMENT DEVICE. >> I YIELD BACK. >> THE GENTLEMAN YIELDS BACK. ANY FURTHER DISCUSSION? THE GENTLE WOMAN FROM WISCONSIN. >> THANK YOU, MR. CHAIRMAN....
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| 00:10:25 |
Westmoreland, Tim - Counsel
MOVE TO STRIKE THE LAST WORD. >> THE GENTLE WOMAN PROCEEDS. >> THANK YOU. I WON'T TAKE THE ENTIRE TIME, BUT I DO WANT TO STRONGLY SUPPORT MISS CASTOR'S...
|
| 00:10:38 |
Deal, Nathan - U.S. Representative, [R] Georgia
VERY ENTHUSIASTIC ABOUT SEEING POLICY
|
| 00:10:40 |
Pallone, Frank Jr. - U.S. Representative, [D] New Jersey
SUCH AS THIS INCORPORATED IN OUR LARGER
|
| 00:10:44 |
Baldwin, Tammy - U.S. Representative, [D] Wisconsin
BILL. THE CURRENT CONFIGURATION OF MEDICARE ADVANTAGE PLANS MAKE
|
| 00:10:48 |
Pallone, Frank Jr. - U.S. Representative, [D] New Jersey
IT IMPOSSIBLE
|
| 00:10:49 |
Baldwin, Tammy - U.S. Representative, [D] Wisconsin
FOR BENEFICIARIES TO MAKE FULLY INFORMED DECISIONS ABOUT WHICH POLICIES TO BUY, AND I THINK THAT TRANSPARENT AND STANDARDIZED MARKETING WILL HELP...
|
| 00:12:21 |
Stupak, Bart - U.S. Representative, [D] Michigan
THEIR BROKERS, BUT WHEN IT COMES
|
| 00:12:23 |
Baldwin, Tammy - U.S. Representative, [D] Wisconsin
TO MEDICARE PART "D" YOU CAN'T SAY
|
| 00:12:27 |
Stupak, Bart - U.S. Representative, [D] Michigan
WHAT TAX BASE YOU'RE USING IN YOUR STATE TO SELL THIS PLAN, AND WHEN WE HAD OUR HEARING DEMOCRATS AND REPUBLICAN INSURANCE COMMISSIONERS, I THINK FLORIDA...
|
| 00:13:53 |
Pallone, Frank Jr. - U.S. Representative, [D] New Jersey
BE INCREASED DRAMATICALLY
|
| 00:13:55 |
Baldwin, Tammy - U.S. Representative, [D] Wisconsin
AND I WANT TO THANK MISS
|
| 00:13:56 |
Pallone, Frank Jr. - U.S. Representative, [D] New Jersey
CASTOR FOR PUTTING FORTH THIS AMENDMENT. DOES ANYONE ELSE -- >> MR. CHAIRMAN? >> IS ANYONE ELSE ON THIS SIDE? >> WELL, I CONTROL THE TIME. WOULD YOU...
|
| 00:14:24 |
Unidentified Speaker, -
|
| 00:14:26 |
Pallone, Frank Jr. - U.S. Representative, [D] New Jersey
I
|
| 00:14:27 |
Baldwin, Tammy - U.S. Representative, [D] Wisconsin
APPRECIATE BEING GIVEN THE TIME. I HAD AN ADDITIONAL QUESTION FOR COUNSEL ALONG THE LINES
|
| 00:14:32 |
Pallone, Frank Jr. - U.S. Representative, [D] New Jersey
THAT RANKING MEMBER DEAL WAS ASKING. I GUESS I'M A LITTLE CONFUSED AFTER THAT LAST EXCHANGE. WHO THEN IS GOING TO RETAIN THE REGULATORY
|
| 00:14:39 |
Baldwin, Tammy - U.S. Representative, [D] Wisconsin
AUTHORITY UNDER THIS AMENDMENT? WILL IT BE THE SECRETARY OF HEALTH AND HUMAN SERVICES, OR WILL IT BE THE STATE INSURANCE COMMISSIONERS? >>
|
| 00:14:48 |
Burgess, Michael C. M.D. - U.S. Representative, [R] Texas
THE AMENDMENT SPECIFICALLY REMOVES THE PREEMPTION OF CURRENT OF WHAT WOULD OTHERWISE BE STATE LAW. IT ALSO DIRECTS THE SECRETARY TO ISSUE HER OWN MARKETING...
|
| 00:15:10 |
Westmoreland, Tim - Counsel
BOTH LEVELS OF THE GOVERNMENT WOULD BE -- COULD REGULATE THIS, BUT THE STATE AND THE SECRETARY. >> YOU KNOW, IN YOUR ANSWER TO MR. DEAL'S QUESTION YOU...
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| 00:15:34 |
Burgess, Michael C. M.D. - U.S. Representative, [R] Texas
PROGRAM. WE'VE JUST BEEN GOING OVER THE PLACEMENT OF THE AMENDMENT IN THE STATUTE TO SEE IF IT REQUIRED EITHER OR IF IT SIMPLY ALLOWED BOTH. AS BEST...
|
| 00:15:47 |
Westmoreland, Tim - Counsel
DECISION. SHE COULD IMPOSE INTERMEDIATE SANCTIONS SUCH AS A CIVIL MONEY PENALTY OR SHE COULD BAR THE PLAN FROM PARTICIPATING, BUT -- BUT BY THE PLACEMENT...
|
| 00:16:24 |
Pallone, Frank Jr. - U.S. Representative, [D] New Jersey
CIVIL MONETARY PENALTY, WHAT WOULD BE THE RIGHTS OF REPEAT -- OF APPEAL FOR THAT COMPANY,
|
| 00:16:30 |
Burgess, Michael C. M.D. - U.S. Representative, [R] Texas
OR WOULD THERE BE A RIGHT OF APPEAL? WOULD THAT BE A
|
| 00:16:33 |
Pallone, Frank Jr. - U.S. Representative, [D] New Jersey
FINAL DECISION THAT WOULD EXIST IN PERPETUITY? >> AGAIN, I
|
| 00:16:38 |
Burgess, Michael C. M.D. - U.S. Representative, [R] Texas
APOLOGIZE, SIR. I'M HYPOTHESIZING A GREAT DEAL SINCE WE'RE GOING FROM NAIC RECOMMENDING THAT THE SECRETARY, THE SECRETARY THEN PROMULGATING REGS, BUT...
|
| 00:16:59 |
Westmoreland, Tim - Counsel
CAN APPEAL TO FOR A REGULATORY DECISION. I DO NOT SEE ANYTHING IN SPECIFIC IN THIS AMENDMENT WHICH WOULD STOP THE SECRETARY FROM USING THE BEGAN DEPARTMENTAL...
|
| 00:17:48 |
Burgess, Michael C. M.D. - U.S. Representative, [R] Texas
YIELD TO MY FRIEND FROM ARIZONA. >> I'M A LITTLE -- I'M VERY
|
| 00:17:51 |
Westmoreland, Tim - Counsel
MUCH INCLINED TO SUPPORT PHILOSOPHICALLY
|
| 00:17:53 |
Burgess, Michael C. M.D. - U.S. Representative, [R] Texas
THIS AMENDMENT, BUT I'M PRETTY DEEPLY TROUBLED BY IT. WHAT I HEAR IS THAT AT LEAST LISTENING TO MR.
|
| 00:18:00 |
Westmoreland, Tim - Counsel
STUPAK THE LAW CURRENTLY
|
| 00:18:03 |
Burgess, Michael C. M.D. - U.S. Representative, [R] Texas
PREEMTS STATE
|
| 00:18:05 |
Shadegg, John - U.S. Representative, [R] Arizona
REGULATION OF ADVERTISING ON CERTAIN
|
| 00:18:08 |
Burgess, Michael C. M.D. - U.S. Representative, [R] Texas
TYPES OF PLANS, AND SO THE PROPONENTS OF THIS
|
| 00:18:11 |
Shadegg, John - U.S. Representative, [R] Arizona
AMENDMENT ARE SAYING WE SHOULD ALLOW THE STATES TO REGULATE THOSE PLANS, AND YET, AS I READ THE OVERALL STRUCTURE OF THIS BILL, IT MOVES ALL HEALTH...
|
| 00:20:20 |
Pallone, Frank Jr. - U.S. Representative, [D] New Jersey
MOMENT AGO. THE BILL SAYS WHAT THE ESSENTIAL
|
| 00:20:23 |
Castor, Katherine "Kathy" Anne - U.S. Representative, [D] Florida
BENEFITS FOR EVERY PLAN IN THE NATION MUST BE, IF IT'S TO BECOME A QUALIFIED PLAN, WHAT THE AFFORDABLE COVERAGE PROVISIONS MUST BE FOR EVERY
|
| 00:20:31 |
Westmoreland, Tim - Counsel
PLAN IN THE NATION SPELLED OUT BY FEDERAL LAW TAKEN AWAY FROM THE STATES, CURRENTLY
|
| 00:20:35 |
Shadegg, John - U.S. Representative, [R] Arizona
REGULATED BY THE STATES, WHAT
|
| 00:20:36 |
Westmoreland, Tim - Counsel
|
| 00:20:37 |
Shadegg, John - U.S. Representative, [R] Arizona
CONSUMER PROTECTIONS MUST BE OFFERED, ALL THE WAY DOWN TO, YOU KNOW, PRESCRIBING THAT MOST HAVE MENTAL HEALTH PARITY, YOU MUST COVER SUBSTANCE ABUSE....
|
| 00:21:16 |
Stupak, Bart - U.S. Representative, [D] Michigan
INSURANCE AT THE STATE LEVEL IN ADDITION.
|
| 00:21:19 |
Shadegg, John - U.S. Representative, [R] Arizona
THE FEDERAL LEVEL IS A
|
| 00:21:21 |
Pallone, Frank Jr. - U.S. Representative, [D] New Jersey
FLOOR, NOT A
|
| 00:21:24 |
Westmoreland, Tim - Counsel
CEILING. THE AMENDMENT BEFORE THIS POINT IS ABOUT MEDICARE, NOT ABOUT THE NEW EXCHANGE PLAN, SO THAT WAS THE POINT THAT I WAS TRYING TO MAKE BEFORE,...
|
| 00:22:02 |
Burgess, Michael C. M.D. - U.S. Representative, [R] Texas
THE QUESTION IS NOW ON THE AMENDMENT BY MISS CASTOR, ALL THOSE IN FAVOR OF THE AMENDMENT SAY AYE. >> AYE. >> ALL THOSE OPPOSED
|
| 00:22:10 |
Pallone, Frank Jr. - U.S. Representative, [D] New Jersey
SAY NO. >> NO. >> THE AYES HAVE IT, AND THE AMENDMENT IS ADOPTED. WE HAVE AN AMENDMENT ON THE REPUBLICAN SIDE? NO? NO ADDITIONAL AMENDMENTS. DO WE...
|
| 00:22:28 |
Unidentified Speaker, -
ANY -- OH, MR.
|
| 00:22:30 |
Unidentified Speaker, -
ROGERS. MR.
|
| 00:22:32 |
Pallone, Frank Jr. - U.S. Representative, [D] New Jersey
ROGERS? >> MR. CHAIRMAN. >> THE CLERK WILL REPORT THE AMENDMENT. >> AMENDMENT OFFERED BY MR. ROGERS OF MICHIGAN. ADD AT THE END OF PART TWO OF SUBTITLE...
|
| 00:22:53 |
Rogers, Michael "Mike" - U.S. Representative, [R] Michigan
ASK UNANIMOUS CONSENT THAT THE AMENDMENT BE CONSIDERED AS READ,
|
| 00:22:57 |
Pallone, Frank Jr. - U.S. Representative, [D] New Jersey
AND WOULD I ASK, AGAIN, THE CLERK IF THIS IS WITHIN THE DIVISION AND HAS HAD THE TWO HOURS REQUISITE NOTICE. >> IT IS,
|
| 00:23:06 |
Unidentified Speaker, -
MR. CHAIRMAN. >> THE GENTLEMAN FROM MICHIGAN IS RECOGNIZED. >> THANK YOU, MR. CHAIRMAN. WE HAVE MANY,
|
| 00:23:14 |
Pallone, Frank Jr. - U.S. Representative, [D] New Jersey
MANY CONCERNS ABOUT THE BILL, AND ONE OF THE CONCERNS THAT WE HAVE, TOO, IS THE WAY THE BILL IS BEING SOLD. AS A MATTER OF FACT, THE PRESIDENT OF THE...
|
| 00:23:27 |
Unidentified Speaker, -
|
| 00:23:28 |
Pallone, Frank Jr. - U.S. Representative, [D] New Jersey
TO THOUSANDS OF AARP MEMBERS DURING A TOWN HALL. THIS
|
| 00:23:32 |
Rogers, Michael "Mike" - U.S. Representative, [R] Michigan
IS SIMPLY UNTRUE. IT'S IN THE BILL. CBO ANALYSIS ALSO COLLABORATES ON THAT POINT. FOR SENIORS THIS BILL IS BAD NEWS. IT WOULD CUT OVER $150 BILLION...
|
| 00:26:23 |
Gingrey, Phil MD - U.S. Representative, [R] Georgia
UNFUNDED LIABILITY FOR MEDICARE IS SOMETHING LIKE $35 TRILLION BY THE YEAR 2075, THAT'S HOW -- THAT'S HOW MUCH IN ARREARS WE ARE IN REGARD TO FUNDING...
|
| 00:28:35 |
Pallone, Frank Jr. - U.S. Representative, [D] New Jersey
FRANKLY DOESN'T KICK ANYONE ANYWHERE. SENIORS STILL HAVE ACCESS
|
| 00:28:38 |
Weiner, Anthony - U.S. Representative, [D] New York
TO MEDICARE, BUT SURELY SINCE WE'RE ALL FISCALLY RESPONSIBLE HERE, YOU HAVE SOME WAY TO PAY FOR THIS. DOES THE GENTLEMAN? >> WILL THE GENTLEMAN...
|
| 00:29:09 |
Rogers, Michael "Mike" - U.S. Representative, [R] Michigan
IN THIS AMENDMENT. I MEAN, FRANKLY,
|
| 00:29:11 |
Rogers, Michael "Mike" - U.S. Representative, [R] Michigan
THIS IS $162 BILLION TAX THAT YOU'RE PUTTING ON THE PEOPLE OF THIS COUNTRY BECAUSE THAT'S WHAT IT'S GOING TO COME DOWN TO. THAT'S HOW MUCH THIS AMENDMENT...
|
| 00:29:24 |
Weiner, Anthony - U.S. Representative, [D] New York
TERRIBLY SATISFIED. THE FACT IS
|
| 00:29:26 |
Rogers, Michael "Mike" - U.S. Representative, [R] Michigan
THAT WHEN YOU ADD
|
| 00:29:28 |
Weiner, Anthony - U.S. Representative, [D] New York
THIS BURDEN, THIS $162 BILLION BURDEN OVER TEN YEARS, I THINK IT'S THE OBLIGATION OF THE MAKER OF AN AMENDMENT LIKE THIS, AND BY THE WAY THIS MONEY...
|
| 00:29:40 |
Rogers, Michael "Mike" - U.S. Representative, [R] Michigan
IT GOES TO INSURANCE
|
| 00:29:43 |
Weiner, Anthony - U.S. Representative, [D] New York
COMPANIES, AND SO THIS IS $162 BILLION THAT YOU'RE TAKING FROM TAXPAYERS TO GIVE TO INSURANCE COMPANIES. THAT DOESN'T SEEM LIKE A VERY GOOD DEAL. I...
|
| 00:29:58 |
Rogers, Michael "Mike" - U.S. Representative, [R] Michigan
HEALTH CARE. I BELIEVE WE SHOULD BE REDUCING THE DEFICIT AND THIS AMENDMENT WOULD ADD $162
|
| 00:30:02 |
Weiner, Anthony - U.S. Representative, [D] New York
BILLION OVER TEN YEARS, AND IT'S NOT EVEN THAT LONG AN AMENDMENT. IMAGINE IF YOU HAD MORE PAPER TO WORK WITH. I MEAN, HOW MUCH IT WOULD COST. THIS IS...
|
| 00:30:49 |
Rogers, Michael "Mike" - U.S. Representative, [R] Michigan
IS SCORED
|
| 00:30:50 |
Weiner, Anthony - U.S. Representative, [D] New York
RIGHT NOW EVEN WITH YOUR TAX INCREASES AS BEING $240 BILLION OUT OF BALANCE. >> IF I CAN RECLAIM BECAUSE I GET THE GIST OF
|
| 00:30:59 |
Unidentified Speaker, -
WHAT YOU'RE SAYING. >>
|
| 00:31:00 |
Weiner, Anthony - U.S. Representative, [D] New York
YOU'RE SAYING IT COSTS TOO MUCH OR COSTS TOO LITTLE
|
| 00:31:03 |
Scalise, Stephen "Steve" - U.S. Representative, [R] Louisiana
BECAUSE THIS ADDS $162
|
| 00:31:04 |
Scalise, Stephen "Steve" - U.S. Representative, [R] Louisiana
BILLION. >> WILL THE GENTLEMAN YIELD? >> MAYBE I'VE BEEN MISUNDERSTANDING THE CRITIQUE ABOUT THE COSTS. MAYBE ALL THIS TALK ABOUT THE COST YOU IS DON'T...
|
| 00:31:18 |
Weiner, Anthony - U.S. Representative, [D] New York
YIELD? >> WOULD THE GENTLEMAN YIELD? >> LET ME FINISH MY THOUGHT
|
| 00:31:21 |
Weiner, Anthony - U.S. Representative, [D] New York
HERE. I THOUGHT THAT YOU WERE COMPLAINING THAT IT COSTS TOO MUCH. I SEE FROM THIS AMENDMENT
|
| 00:31:26 |
Unidentified Speaker, -
THAT YOUR COMPLAINT
|
| 00:31:27 |
Weiner, Anthony - U.S. Representative, [D] New York
IS THAT WE SHOULD GIVE MORE MONEY TO THE INSURANCE COMPANIES AND HOPE FOR THE BEST THAT THEY PROVIDE BETTER HEALTH CARE. >> IF THE GENTLEMAN WOULD YIELD....
|
| 00:31:38 |
Unidentified Speaker, -
MINUTE. THE GENTLEMAN FROM NEW YORK. >> REGULAR ORDER. >>
|
| 00:31:40 |
Weiner, Anthony - U.S. Representative, [D] New York
THE GENTLEMAN FROM NEW YORK HAS THE TIME. >> FIRST OF ALL, LET'S BE CLEAR WHERE THIS MONEY GOES. IT GOES TO INSURANCE COMPANIES. YOU'RE NOT GIVING...
|
| 00:31:53 |
Unidentified Speaker, -
COMPANIES, AND YOU HOPE,
|
| 00:31:55 |
Scalise, Stephen "Steve" - U.S. Representative, [R] Louisiana
YOU PRAY, YOU WANT INSURANCE COMPANIES TO PASS THAT ALONG.
|
| 00:31:58 |
Unidentified Speaker, -
I'M CURIOUS.
|
| 00:31:59 |
Unidentified Speaker, -
HOW HAS THAT BEEN WORKING
|
| 00:32:00 |
Pallone, Frank Jr. - U.S. Representative, [D] New Jersey
OUT? >> WILL THE GENTLEMAN YIELD? >> INSURANCE COMPANIES BEEN
|
| 00:32:03 |
Weiner, Anthony - U.S. Representative, [D] New York
PASSING ALONG A LOT? >> WILL THE GENTLEMAN YIELD. >> DID IT WORK WELL IN THE MEDICARE PART "D" PART AND MEDICARE ADVANTAGE? IT'S NOT CENTRAL ARTERYWORKING....
|
| 00:32:21 |
Unidentified Speaker, -
WE WANT TO BUST THE BUDGET BY HAVING
|
| 00:32:22 |
Weiner, Anthony - U.S. Representative, [D] New York
ANOTHER $162 BILLION. WE WANT -- >> WILL THE GENTLEMAN
|
| 00:32:26 |
Unidentified Speaker, -
YIELD? WILL THE GENTLEMAN YIELD,ED TO
|
| 00:32:28 |
Weiner, Anthony - U.S. Representative, [D] New York
THE MAKER OF THE AMENDMENT? >> WHO IS GOING FIRST. >> WILL THE GENTLEMAN YIELD TO THE MAKER OF THE AMEND MENTMENT. >> REGULAR ORDER. MR. ROGERS. >>...
|
| 00:32:46 |
Rogers, Michael "Mike" - U.S. Representative, [R] Michigan
BILLION IN DEFICIT TO $1.8 TRILLION, WITH
|
| 00:32:49 |
Weiner, Anthony - U.S. Representative, [D] New York
YOUR KIND OF
|
| 00:32:50 |
Rogers, Michael "Mike" - U.S. Representative, [R] Michigan
MATH, BUT LET ME ASK YOU THIS. IT DOESN'T ADD -- WHAT YOU'RE DOING -- >> WOULD THE GENTLEMAN YIELD? >>
|
| 00:32:55 |
Unidentified Speaker, -
IF I CAN RECLAIM
|
| 00:32:57 |
Weiner, Anthony - U.S. Representative, [D] New York
MY TIME. >> DON'T CUT HOSPITAL,
|
| 00:33:01 |
Rogers, Michael "Mike" - U.S. Representative, [R] Michigan
HOME HEALTH SERVICE FOR SENIORS. >> REGULAR ORDER. REGULAR ORDER. >> REGULAR ORDER. >> LOOK, IT'S INDISPUTABLE, THAT THIS AMENDMENT WOULD LEAD TO...
|
| 00:33:14 |
Unidentified Speaker, -
INSURANCE COMPANIES. I KNOW THAT YOU -- THAT'S CONSISTENT WITH YOUR PHILOSOPHY
|
| 00:33:18 |
Weiner, Anthony - U.S. Representative, [D] New York
ON GOVERNING, GIVE AS MUCH MONEY AS YOU CAN TO INSURANCE
|
| 00:33:21 |
Rogers, Michael "Mike" - U.S. Representative, [R] Michigan
COMPANIES AND HOPE FOR THE BEST, BUT I THINK
|
| 00:33:23 |
Waxman, Henry - U.S. Representative, [D] California
IT'S FISCALLY
|
| 00:33:26 |
Waxman, Henry - U.S. Representative, [D] California
IRRESPONSIBLE. IN ADDITION IT BEING BAD HEALTH
|
| 00:33:28 |
Weiner, Anthony - U.S. Representative, [D] New York
CARE POLICY IT'S FISCALLY IRRESPONSIBLE. >> THE GENTLEMAN'S TIME HAS EXPIRED. AS I UNDERSTAND THERE'S BEEN FIVE MINUTES ON EACH SIDE. IT'S THE REPUBLICAN...
|
| 00:33:51 |
Waxman, Henry - U.S. Representative, [D] California
IS ORGANIZE THE SYSTEM FOR THE FIRST TIME INSTEP OF OPERATE A SYSTEM. MY FRIEND MR. WIENER SAID IT DIDN'T WORK OUT TOO WELL T.WORKED OUT 40% CHEAPER...
|
| 00:34:03 |
Blunt, Roy - U.S. Representative, [R] Missouri
CHEAPER AND PEOPLE HAVE LOTS OF CHOICE.
|
| 00:34:06 |
Blunt, Roy - U.S. Representative, [R] Missouri
A LOT OF THESE AMENDMENTS ARE NOT ABOUT WHETHER WE DON'T WANT GOVERNMENT TO HELP PEOPLE GET ACCESS TO COVERAGE, IT'S WHETHER WE BELIEVE A COMPETITIVE...
|
| 00:35:24 |
Walden, Greg - U.S. Representative, [R] Oregon
HAS ONE OF THE LOWEST REIMBURSEMENT RATES, PAYMENT RATES FOR SENIORS ON A PER COUNTY BASIS, SOMEWHERE IN THE $400 RANGE, HALF WHAT IT IS IN SOME...
|
| 00:36:14 |
Blunt, Roy - U.S. Representative, [R] Missouri
ON MEDICARE ADVANTAGE. IF YOU'RE GOING TO MAKE THE STATEMENT, IF YOU HAVE WHAT YOU LIKE, IF YOU LIKE WHAT YOU HAVE
|
| 00:36:18 |
Barton, Joe - U.S. Representative, [R] Texas
AND YOU'RE GOING TO KEEP, IT THEN YOU OUGHT TO VOTE FOR THIS AMENDMENT. WHERE MEDICARE ADVANTAGE IS NOT OFFERED EVERYWHERE, BUT WHERE IT IS OFFERED,...
|
| 00:37:16 |
Blunt, Roy - U.S. Representative, [R] Missouri
COUNTRY. IN FACT, I AM -- I WOULD EXPECT THAT EVERY
|
| 00:37:21 |
Gingrey, Phil MD - U.S. Representative, [R] Georgia
BLUE DOG ON THIS COMMITTEE ON THE OTHER SIDE OF THE AISLE WILL BE VOTING FOR THIS AMENDMENT. IT SEEMS LIKE TO ME IT OUGHT TO BE PART OF THE DEAL, THE...
|
| 00:38:55 |
Blunt, Roy - U.S. Representative, [R] Missouri
WE'RE PAYING THAT MUCH EXCESSIVE
|
| 00:38:58 |
Waxman, Henry - U.S. Representative, [D] California
MONEY WHY SHOULD ONLY 40% OF THE SENIORS HAVE IT? WHY DON'T WE GIVE IT TO EVERYBODY BUT WE CAN'T BECAUSE WE'RE TRYING TO BE FISCALLY RESPONSIBLE. I
|
| 00:39:06 |
Stupak, Bart - U.S. Representative, [D] Michigan
HAVE MEDICARE ADVANTAGE IN MY DISTRIBUTE AND I TOLD THE SENIORS WE'LL ALL GET REIMBURSED THE SAME THING. NO INSURANCE COMPANY IS GOING TO GET AN EXTRA...
|
| 00:40:46 |
Unidentified Speaker, -
MEDICARE IS GOING TO
|
| 00:40:47 |
Stupak, Bart - U.S. Representative, [D] Michigan
GO BROKE IN TWO YEARS AND YET CONTINUE TO PAY THOSE HIGH PERCENTAGES FOR LESS THAN 20% OF THE POPULATION UNDER MEDICARE. THAT'S WHY I IN '03 IT WAS
|
| 00:40:58 |
Unidentified Speaker, -
WRONG. >> WILL
|
| 00:40:59 |
Stupak, Bart - U.S. Representative, [D] Michigan
THE GENTLEMAN YIELD? >>
|
| 00:41:00 |
Green, Gene - U.S. Representative, [D] Texas
NO, I WON'T YIELD. WE ONLY HAVE A BRIEF AMOUNT OF TIME. 80% OF MEDICARE RECIPIENTS GET IT THROUGH STRAIGHT LINE MEDICARE FEE-FOR-SERVICE. MAY NOT BE...
|
| 00:41:19 |
Unidentified Speaker, -
ON MEDICARE REGULAR LINE, REGULAR
|
| 00:41:21 |
Green, Gene - U.S. Representative, [D] Texas
MEDICARE AND YOU WANT TO DO IT. YOU CAN'T DO THAT. WE PLUSSED IT UP SO MUCH AND WE KNOW WHERE THE MONEY IS GOING, IT'S NOT GOING TO THE SENIORS. THEY...
|
| 00:42:07 |
Schakowsky, Janice "Jan" - U.S. Representative, [D] Illinois
MONEY JUST APPEARS IN ORDER TO PAY 119% OF MEDICARE RATES? NO. IT COMES OUT OF THE POCKETS OF OTHER SENIOR CITIZENS WHO ARE SEEING THEIR RATES GO...
|
| 00:43:15 |
Inslee, Jay - U.S. Representative, [D] Washington
THE FLOOR OF THE HOUSE OF REPRESENTATIVES. WE
|
| 00:43:17 |
Stupak, Bart - U.S. Representative, [D] Michigan
HAVE ALSO BEEN WORKING WITH
|
| 00:43:18 |
Inslee, Jay - U.S. Representative, [D] Washington
THE SPEAKER TO FASHION A WAY OR SOME BRIDGE FOR THE AREAS THAT WILL BE AFFECTED BY THE MEDICARE ADVANTAGE CHANGES, AND I AM QUITE DID HAVE DENT THAT A...
|
| 00:44:17 |
Waxman, Henry - U.S. Representative, [D] California
WAXMAN VOTES IN. MR. DINGELL? MR.
|
| 00:44:23 |
Unidentified Speaker, -
MARKEY? MR.
|
| 00:44:25 |
Unidentified Speaker, -
|
| 00:44:26 |
Unidentified Speaker, -
|
| 00:44:27 |
Unidentified Speaker, -
BOUCHER? MR. PALLONE.
|
| 00:44:31 |
Waxman, Henry - U.S. Representative, [D] California
MR. PALLONE NO. >>
|
| 00:44:32 |
Unidentified Speaker, -
MR.
|
| 00:44:33 |
Unidentified Speaker, -
GORDON? MR.
|
| 00:44:38 |
Unidentified Speaker, -
RUSH? MISS ESHU? >> NO. >> MR. STUPAK. >> NO. >> MR. ENGEL? MR.
|
| 00:44:54 |
Unidentified Speaker, -
GREEN? >> NO. >> MR. GREEN, NO. >> MISS
|
| 00:45:04 |
Unidentified Speaker, -
DEGET? >> NO. >> MRS.
|
| 00:45:06 |
Unidentified Speaker, -
KAPPS? >>
|
| 00:45:07 |
Unidentified Speaker, -
NO. >> MR.
|
| 00:45:12 |
Unidentified Speaker, -
|
| 00:45:15 |
Unidentified Speaker, -
DOYLE? MISS HAARMAN? >> NO. >> MISS
|
| 00:45:20 |
Unidentified Speaker, -
HAARMAN, NO. MISS
|
| 00:45:25 |
Unidentified Speaker, -
SCHAKOWSKY? >> NO. >>
|
| 00:45:26 |
Unidentified Speaker, -
MR.
|
| 00:45:27 |
Unidentified Speaker, -
GONZALEZ? >> NO. >> MR. GONZALEZ NO. >> MR. ENSLEY? >> NO. >> MISS BALDWIN? >> NO. >>
|
| 00:45:37 |
Unidentified Speaker, -
MISS BALDWIN NO. >>
|
| 00:45:39 |
Unidentified Speaker, -
MR.
|
| 00:45:41 |
Unidentified Speaker, -
ROSS? MR. WEERN? >> NO. >> MR. WIENER,
|
| 00:45:45 |
Unidentified Speaker, -
NO. >> MR. MATHESON? >>
|
| 00:45:47 |
Unidentified Speaker, -
MR. MATHESON NO. MR. BUTTERFIELD? >>
|
| 00:45:51 |
Unidentified Speaker, -
NO. >> MR. BUTTERFIELD,
|
| 00:45:54 |
Unidentified Speaker, -
|
| 00:45:55 |
Unidentified Speaker, -
NO. MR.
|
| 00:45:56 |
Unidentified Speaker, -
|
| 00:45:58 |
Unidentified Speaker, -
MELANSON? >>
|
| 00:46:01 |
Unidentified Speaker, -
NO. >>
|
| 00:46:02 |
Unidentified Speaker, -
MR. BARROW? >> NO. >>
|
| 00:46:05 |
Unidentified Speaker, -
|
| 00:46:06 |
Unidentified Speaker, -
MR. HILL? MISS MATSUI? >> NO. >> MISS MATSUI,
|
| 00:46:09 |
Unidentified Speaker, -
|
| 00:46:11 |
Unidentified Speaker, -
NO. MRS. CHRISTIANSON? >> NO. >>
|
| 00:46:15 |
Unidentified Speaker, -
MISS CASTOR? >> NO. >> MISS CASTOR, NO. >> MR. SARBANES? >> MR. SARBANES NO. >>
|
| 00:46:21 |
Unidentified Speaker, -
MR. MURPHY OF CONNECTICUT? >>
|
| 00:46:23 |
Unidentified Speaker, -
NO. >> MR.
|
| 00:46:26 |
Unidentified Speaker, -
MURPHY,
|
| 00:46:28 |
Unidentified Speaker, -
NO. MR. SPATE? MR.
|
| 00:46:33 |
Unidentified Speaker, -
|
| 00:46:34 |
Unidentified Speaker, -
McINERNEY? >> NO. >> MISS
|
| 00:46:36 |
Unidentified Speaker, -
SUTTON? >> MISS
|
| 00:46:37 |
Unidentified Speaker, -
SUTTON NO? >> MR.
|
| 00:46:39 |
Unidentified Speaker, -
BRAYLY? >> NO. >> MR.
|
| 00:46:40 |
Unidentified Speaker, -
|
| 00:46:42 |
Unidentified Speaker, -
WELCH? >>
|
| 00:46:43 |
Unidentified Speaker, -
NO. MR. WELCH, NO. >> MR. BARTON? MR.
|
| 00:46:49 |
Unidentified Speaker, -
HALL? >> AYE. >> MR. HALL AYE. >> MR. UPTON? MR.
|
| 00:46:54 |
Unidentified Speaker, -
|
| 00:46:56 |
Unidentified Speaker, -
|
| 00:46:57 |
Unidentified Speaker, -
STERN? MR.
|
| 00:46:59 |
Unidentified Speaker, -
DEAL? >> AYE. >> MR. DEAL AYE. >> MR.
|
| 00:47:02 |
Unidentified Speaker, -
|
| 00:47:03 |
Unidentified Speaker, -
WHITFIELD? >> AYE. >> MR. WHITFIELD AYE. >> MR.
|
| 00:47:08 |
Unidentified Speaker, -
|
| 00:47:09 |
Unidentified Speaker, -
SHIMKUS?
|
| 00:47:10 |
Unidentified Speaker, -
MR.
|
| 00:47:13 |
Unidentified Speaker, -
SHADEGG? MR. BLUNT? >> AYE. >> MR. BLUNT AYE. MR.
|
| 00:47:20 |
Unidentified Speaker, -
BOWYER? >> AYE. >>
|
| 00:47:21 |
Unidentified Speaker, -
MR. BOWYER A? >> MR.
|
| 00:47:23 |
Unidentified Speaker, -
|
| 00:47:26 |
Unidentified Speaker, -
RADONOVICH? >> AYE. >> MR. PITTS? >>
|
| 00:47:29 |
Unidentified Speaker, -
AYE. >> MR. PITTS AYE. MISS BONO DARK MACK? >> AYE. >> MISS
|
| 00:47:36 |
Unidentified Speaker, -
BONO-MACK AYE? >> MR. BALDEN? >>
|
| 00:47:39 |
Unidentified Speaker, -
AYE. >> MR.
|
| 00:47:40 |
Unidentified Speaker, -
TERRY? >> AYE. >> MR. TERRY
|
| 00:47:42 |
Unidentified Speaker, -
AYE? >> RO MR. ROGERS? >> AYE. >> MRS.
|
| 00:47:46 |
Unidentified Speaker, -
MYRICK? >> AYE. >>
|
| 00:47:47 |
Unidentified Speaker, -
MR. SULLIVAN? >>
|
| 00:47:48 |
Unidentified Speaker, -
AYE. >> MR.
|
| 00:47:49 |
Unidentified Speaker, -
SULLIVAN
|
| 00:47:51 |
Unidentified Speaker, -
AYE. >> MR. MURPHY OF
|
| 00:47:53 |
Unidentified Speaker, -
PENNSYLVANIA? >> AYE. >> MR. MURPHY AYE.
|
| 00:47:56 |
Unidentified Speaker, -
MR. BURGESS? >> AYE. >>
|
| 00:47:58 |
Unidentified Speaker, -
MR.
|
| 00:47:59 |
Unidentified Speaker, -
BURGESS
|
| 00:48:00 |
Unidentified Speaker, -
AYE? >> MISS
|
| 00:48:02 |
Unidentified Speaker, -
BLACKBURN? >> AYE. >>
|
| 00:48:03 |
Unidentified Speaker, -
IN
|
| 00:48:04 |
Unidentified Speaker, -
GINGREY? >>
|
| 00:48:06 |
Unidentified Speaker, -
AYE. >> MR.
|
| 00:48:07 |
Unidentified Speaker, -
|
| 00:48:08 |
Unidentified Speaker, -
GINGREY AYE? >> MR.
|
| 00:48:11 |
Unidentified Speaker, -
|
| 00:48:13 |
Unidentified Speaker, -
SCULLY? >> AYE. >>
|
| 00:48:14 |
Unidentified Speaker, -
MR. GORDON? >>
|
| 00:48:15 |
Unidentified Speaker, -
MR. GORDON VOTES
|
| 00:48:17 |
Unidentified Speaker, -
NO. >> MR. ROTH? >> NO. >> MR.
|
| 00:48:20 |
Unidentified Speaker, -
ROTH NO. >>
|
| 00:48:22 |
Unidentified Speaker, -
MR. HILL? >> NO. >> MR. HILL NO. >>
|
| 00:48:25 |
Unidentified Speaker, -
MR.
|
| 00:48:26 |
Unidentified Speaker, -
DOYLE? >> NO. >> MR. DOYLE NO. >>
|
| 00:48:29 |
Unidentified Speaker, -
MR. MARKY? >> NO. >> MR.
|
| 00:48:33 |
Unidentified Speaker, -
|
| 00:48:34 |
Unidentified Speaker, -
MARKEY VOTES NO? >> MR.
|
| 00:48:37 |
Unidentified Speaker, -
DINGELL? >> MR.
|
| 00:48:38 |
Unidentified Speaker, -
|
| 00:48:39 |
Unidentified Speaker, -
|
| 00:48:40 |
Unidentified Speaker, -
DINGELL
|
| 00:48:42 |
Unidentified Speaker, -
|
| 00:48:43 |
Unidentified Speaker, -
NO. MR.
|
| 00:48:44 |
Unidentified Speaker, -
|
| 00:48:46 |
Unidentified Speaker, -
SPATE? >>
|
| 00:48:47 |
Unidentified Speaker, -
NO. >> MR.
|
| 00:48:48 |
Unidentified Speaker, -
ENGEL? >> NO. >> MR. ENGEL VOTES
|
| 00:48:50 |
Unidentified Speaker, -
NO. >> MR.
|
| 00:48:54 |
Unidentified Speaker, -
UPTON? >> AYE. >> MR.
|
| 00:48:57 |
Unidentified Speaker, -
UPTON IS
|
| 00:49:03 |
Unidentified Speaker, -
AYE. >> HAVE
|
| 00:49:07 |
Unidentified Speaker, -
ALL THE MEMBERS
|
| 00:49:08 |
Unidentified Speaker, -
RESPONDED TO THE CALL OF THE
|
| 00:49:13 |
Unidentified Speaker, -
|
| 00:49:14 |
Unidentified Speaker, -
|
| 00:49:26 |
Unidentified Speaker, -
|
| 00:49:27 |
Waxman, Henry - U.S. Representative, [D] California
ROLL? MR. BARTON, HOW DO YOU WISH TO BE RECORDED? >> YES. >> MR. BARTON VOTES AYE. >> ANYONE WISH TO BE RECOGNIZED TO CHANGE HIS OR HER VOTE? IF NOT,...
|
| 00:49:59 |
Unidentified Speaker, -
NOS. >> 20 AYES AND 34 NOS. THE AMENDMENT IS NOT AGREED
|
| 00:50:04 |
Unidentified Speaker, -
|
| 00:50:06 |
Waxman, Henry - U.S. Representative, [D] California
TO. MR. WEINER, YOU HAVE AN AMENDMENT YOU WISH TO
|
| 00:50:16 |
Unidentified Speaker, -
OFFER? >> DOES THE CLERK HAVE THE AMENDMENT? >>
|
| 00:50:22 |
Waxman, Henry - U.S. Representative, [D] California
YES, SIR. >> IS IT QUALIFIED? >> YES, SIR, IT'S TIMELY AND DIVISION "B." >> OKAY. >> WITHOUT OBJECTION THE AMENDMENT WILL BE CONSIDERED AS READ...
|
| 00:50:40 |
Waxman, Henry - U.S. Representative, [D] California
ABOUT HEALTH CARE, AND THAT
|
| 00:50:42 |
Unidentified Speaker, -
IS WHERE
|
| 00:50:43 |
Waxman, Henry - U.S. Representative, [D] California
MY REPUBLICAN FRIENDS STAND ON THE ISSUE OF GOVERNMENT-RUN
|
| 00:50:46 |
Unidentified Speaker, -
HEALTH CARE. NOW ON ONE
|
| 00:50:48 |
Waxman, Henry - U.S. Representative, [D] California
LEVEL IT'S VERY
|
| 00:50:49 |
Waxman, Henry - U.S. Representative, [D] California
CLEAR, QUOTES THROUGHOUT THE DEBATE HAVE SEEMED TO IMPLY THAT THEY ARE AGAINST IT. MR. STERNS OF FLORIDA SAID IF THE GOVERNMENT RUNS, IT IT WILL
|
| 00:50:56 |
Weiner, Anthony - U.S. Representative, [D] New York
BE BUREAUCRATIC INEFFICIENT AND MANY CASES WON'T COVER THE PEOPLE WHO WANT IT. MR. TERRY OF NEBRASKA, GOVERNMENT-RUN HEALTH CARE WILL LEAD TO RATIONING...
|
| 00:56:06 |
Waxman, Henry - U.S. Representative, [D] California
AMENDMENT TO PUT HIS VOTE WHERE HIS
|
| 00:56:08 |
Waxman, Henry - U.S. Representative, [D] California
MOUTH HAS BEEN FOR
|
| 00:56:09 |
Barton, Joe - U.S. Representative, [R] Texas
THE LAST FIVE MINUTES
|
| 00:56:11 |
Waxman, Henry - U.S. Representative, [D] California
AND VOTE FOR IT. IT OUGHT
|
| 00:56:14 |
Barton, Joe - U.S. Representative, [R] Texas
TO GET ONE VOTE. >> MAY I BE HEARD ON THE INQUIRY. >> BECAUSE MY GUESS
|
| 00:56:19 |
Waxman, Henry - U.S. Representative, [D] California
IS IT'S GOING TO GET ZERO. >> THE GENTLEMAN HAS MADE A
|
| 00:56:23 |
Barton, Joe - U.S. Representative, [R] Texas
PARLIAMENTARY INQUIRY AND NOW
|
| 00:56:24 |
Barton, Joe - U.S. Representative, [R] Texas
YOU'RE MAKING A SPEECH. >> I ALSO WANT TO SPEAK ON MY OWN TIME. >> DID YOU WISH A PARLIAMENTARY -- >> I'D BE HAPPY TO HEAR BEFORE THE CHAIRMAN RULES...
|
| 00:56:36 |
Weiner, Anthony - U.S. Representative, [D] New York
NOT GOING TO RULE ON IT. THE CHAIR DOES NOT KNOW OF ANY RULE THAT REQUIRES
|
| 00:56:39 |
Barton, Joe - U.S. Representative, [R] Texas
THE AUTHOR
|
| 00:56:42 |
Waxman, Henry - U.S. Representative, [D] California
OF AMENDMENT TO VOTE FOR
|
| 00:56:46 |
Barton, Joe - U.S. Representative, [R] Texas
IT. LET
|
| 00:56:48 |
Waxman, Henry - U.S. Representative, [D] California
ME RECOGNIZE MR. BARTON,
|
| 00:56:50 |
Weiner, Anthony - U.S. Representative, [D] New York
BUT IF YOU'LL ALLOW ME IN CELEBRATION OF THE FACT IS IT
|
| 00:56:55 |
Waxman, Henry - U.S. Representative, [D] California
44th ANNIVERSARY OF MEDICARE BECOMING LAW. >> AND THE FIRST MEDICARE CARD WENT TO PRESIDENT TRUMAN. >> WE HAVE PIZZA IN THE BACK FOR BOTH THE DEMOCRATS...
|
| 00:57:20 |
Weiner, Anthony - U.S. Representative, [D] New York
PROCEDURAL QUESTION. YOU HAVE TO TEETH WITH YOUR
|
| 00:57:23 |
Waxman, Henry - U.S. Representative, [D] California
FINGERS. >> ARE WE STILL OPERATING ON THE RULE OF FIVE MINUTES ON EACH SIDE? >> WE ARE. >> WE HAVEN'T STARTED THE FIVE MINUTES. >> FIVE, FIVE, FIVE,...
|
| 00:57:37 |
Deal, Nathan - U.S. Representative, [R] Georgia
IN OPPOSITION TO
|
| 00:57:40 |
Waxman, Henry - U.S. Representative, [D] California
THIS PARTICULAR AMENDMENT. THERE IS A DISTINCTION, AND I'M GOING TO TREAT THE
|
| 00:57:44 |
Deal, Nathan - U.S. Representative, [R] Georgia
AMENDMENT SERIOUSLY, OKAY. THERE IS A
|
| 00:57:49 |
Waxman, Henry - U.S. Representative, [D] California
DISTINCTION BETWEEN A
|
| 00:57:51 |
Waxman, Henry - U.S. Representative, [D] California
GOVERNMENT MANDATE AND A
|
| 00:57:53 |
Unidentified Speaker, -
|
| 00:57:54 |
Unidentified Speaker, -
GOVERNMENT-RUN
|
| 00:57:55 |
Waxman, Henry - U.S. Representative, [D] California
PLAN. MEDICARE IS A GOVERNMENT MANDATE. THERE ARE
|
| 00:58:00 |
Barton, Joe - U.S. Representative, [R] Texas
NUMEROUS GOVERNMENT MANDATES AND GOVERNMENT ENTITLEMENTS. HAVING SAID THAT, THE CONGRESS SETS THE REQUIREMENTS OF MEDICARE AND SETS -- AND THEN THE...
|
| 01:00:43 |
Weiner, Anthony - U.S. Representative, [D] New York
MR. BOUCHER IS WORKING ON A PLAN, IF WE COULD GET SOMETHING LIKE
|
| 01:00:47 |
Barton, Joe - U.S. Representative, [R] Texas
THAT, WE VERY MIGHT WELL SUPPORT
|
| 01:00:49 |
Weiner, Anthony - U.S. Representative, [D] New York
IT. >> I WANT TO YIELD TO THE VICE RANKING CHAIRMAN. >> I THANK THE GENTLEMAN FOR YIELDING. I THOUGHT THE RANKING MEMBER'S POINT
|
| 01:00:56 |
Barton, Joe - U.S. Representative, [R] Texas
WAS WELL MADE, THAT THE DIFFERENCE IN THIS DEBATE IS MEDICARE IS A MANDATED PROGRAM THAT EVERYBODY GOES TO WITHOUT OPTIONS, WITHOUT COMPETITION. IF...
|
| 01:01:11 |
Barton, Joe - U.S. Representative, [R] Texas
TO BE THE COST OF HEALTH CARE WAS
|
| 01:01:13 |
Blunt, Roy - U.S. Representative, [R] Missouri
OUT THERE, CERTAINLY IT WOULD BE APPEALING BECAUSE IT'S NOT PAYING THE ENTIRE BILL. WHY -- YOU KNOW, THERE ARE MANY DOCTORS THAT WON'T TAKE MEDICARE PATIENTS....
|
| 01:03:29 |
Waxman, Henry - U.S. Representative, [D] California
YIELD? >> THE GENTLEMAN IS RECOGNIZED FOR FIVE MINUTES. >>
|
| 01:03:32 |
Waxman, Henry - U.S. Representative, [D] California
MR. WEINER. >> I GUESS THE FAILURE TO ANSWER MY QUESTION SPEAKS VOLUME. THE FACT OF THE MATTER IS YOU LIKE MEDICARE, RIGHT, BECAUSE IT'S EFFICIENT, NOT...
|
| 01:03:44 |
Butterfield, G. "George" K. - U.S. Representative, [D] North Carolina
YOU LIKE MEDICARE. NOW THE WHOLE IDEA OF MEDICARE IS THAT IT
|
| 01:03:49 |
Weiner, Anthony - U.S. Representative, [D] New York
IS GOVERNMENT-RUN
|
| 01:03:50 |
Waxman, Henry - U.S. Representative, [D] California
HEALTH CARE. IT'S SOCIALIZED MEDICINE, THAT'S WHAT IT
|
| 01:03:53 |
Butterfield, G. "George" K. - U.S. Representative, [D] North Carolina
IS, AND YOU KNOW
|
| 01:03:55 |
Weiner, Anthony - U.S. Representative, [D] New York
WHAT? IT WORKS. ONE OF THE REASONS IT WORKS IS THE $6 HUNDRED BILLION OF PROFITS THAT WE PUT IN GOES NOT TO CHECKUPS, NOT TO INDIGENT PEOPLE, GOES...
|
| 01:05:06 |
Unidentified Speaker, -
BECAUSE IF IT IS,
|
| 01:05:07 |
Unidentified Speaker, -
IT'S GOING TO BE MORE EFFICIENT. NOW
|
| 01:05:09 |
Weiner, Anthony - U.S. Representative, [D] New York
YOU HAVE SAID REPEATEDLY WE HAVE TO BE CAREFUL BECAUSE YOU'RE GOING -- IF YOU LET THAT BE AN OPTION THE PRIVATE PLANS WON'T BE ABLE TO COMPETE. NOW...
|
| 01:05:23 |
Unidentified Speaker, -
LIKE MEDICARE OVER
|
| 01:05:24 |
Weiner, Anthony - U.S. Representative, [D] New York
YOUR FRIENDS IN THE INSURANCE INDUSTRY? YEAH. THEY MIGHT. YOU KNOW WHY? MEDICARE DOES A BETTER JOB. PEOPLE LIKE IT, SO WHEN YOU STAND UP AND SAY SOCIALIZED...
|
| 01:06:09 |
Butterfield, G. "George" K. - U.S. Representative, [D] North Carolina
THE REASONS THAT THE REIMBURSEMENT RATE FROM THE
|
| 01:06:12 |
Blunt, Roy - U.S. Representative, [R] Missouri
PRIVATE PLANS IS HIGHER THAN THE MEDICARE PLAN. THAT'S ONE OF THE REASONS THEY COST MORE. THAT'S ONE OF THE REASONS THAT THE MORE PEOPLE THAT GO INTO...
|
| 01:06:57 |
Weiner, Anthony - U.S. Representative, [D] New York
HAS THE TIME. THE GENTLEMAN FROM MISSOURI HAS
|
| 01:07:00 |
Weiner, Anthony - U.S. Representative, [D] New York
THE TIME. >> I THANK THE GENTLEMAN FOR YIELDING AND I WILL JUST TRY TO ANSWER THE QUESTION AND GET THE TIME BACK TO YOUR SIDE.
|
| 01:07:07 |
Blunt, Roy - U.S. Representative, [R] Missouri
THE POINT IS IF YOU HAVE MORE PEOPLE
|
| 01:07:09 |
Weiner, Anthony - U.S. Representative, [D] New York
IN A SYSTEM THAT DOESN'T REIMBURSE THE COST OF CARE,
|
| 01:07:12 |
Blunt, Roy - U.S. Representative, [R] Missouri
WHO DOES REIMBURSE? AND I'D YIELD. >> THE GENTLEMAN --
|
| 01:07:16 |
Butterfield, G. "George" K. - U.S. Representative, [D] North Carolina
THE ANSWER IS THE 15% THAT GOES TO PROFIT GOES BACK TO REDUCING COSTS. >>
|
| 01:07:22 |
Blunt, Roy - U.S. Representative, [R] Missouri
WELL, I DON'T KNOW -- >> I'M CURIOUS. YOU KNOW, THE IDEA THAT THE HEALTH INSURANCE COMPANIES ARE KEEPING PRICES AT A CERTAIN LEVEL OUT OF ALTRUISM,...
|
| 01:07:37 |
Weiner, Anthony - U.S. Representative, [D] New York
RATHER THAN THE PRACTICE OF MEDICINE? MEDICARE DOESN'T DO THAT. THAT'S WHY MEDICARE IS SUCH A SUCCESS AND THAT'S
|
| 01:07:42 |
Blunt, Roy - U.S. Representative, [R] Missouri
WHY
|
| 01:07:43 |
Weiner, Anthony - U.S. Representative, [D] New York
YOU WOULDN'T TO CRITICIZE THAT AS BEING GOVERNMENT-RUN HEALTH CARE. YOU LIKE IT. YOU THINK IT'S GOOD. IT'S BETTER IN MANY CASES. HAVE YOU A 30% COMBINED...
|
| 01:08:32 |
Murphy, Timothy "Tim" - U.S. Representative, [R] Pennsylvania
YORK PRESBYTERIAN HOSPITAL OF 93
|
| 01:08:34 |
Unidentified Speaker, -
INTERNISTS AFFILIATED WITH THAT HOSPITAL, 37 WON'T
|
| 01:08:38 |
Waxman, Henry - U.S. Representative, [D] California
ACCEPT
|
| 01:08:40 |
Waxman, Henry - U.S. Representative, [D] California
MEDICARE. A MEDPAC SURVEY IN 2008 SAID 29% OF PATIENTS
|
| 01:08:44 |
Murphy, Timothy "Tim" - U.S. Representative, [R] Pennsylvania
ON MEDICARE HAVE TROUBLE FINDING A PRIMARY CARE DOCTOR DOCTOR. THAT'S UP 5% FROM THE YEAR BEFORE. IN THE LAST CONGRESS THERE WERE 452 BILLS INTRODUCED...
|
| 01:10:10 |
Weiner, Anthony - U.S. Representative, [D] New York
CREATE THIS STRAW
|
| 01:10:11 |
Murphy, Timothy "Tim" - U.S. Representative, [R] Pennsylvania
MAN OF SWEEPING GENERALIZATIONS THAT WE DON'T LIKE MEDICARE OR GOVERNMENT-RUN PROGRAMS. THE PROBLEM IS, IT'S BETWEEN YOUR DOCTOR AND YOU, IT'S CONGRESS....
|
| 01:11:19 |
Buyer, Steve "Stephen" - U.S. Representative, [R] Indiana
HIMSELF. ONE THING I WOULD LIKE
|
| 01:11:21 |
Murphy, Timothy "Tim" - U.S. Representative, [R] Pennsylvania
TO NOTE IS THAT WHEN, AS YOU CELEBRATE
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| 01:11:23 |
Buyer, Steve "Stephen" - U.S. Representative, [R] Indiana
THIS ANNIVERSARY OF MEDICARE, PLEASE NOTE THE NUMBERS I'M ABOUT TO GIVE, I ALSO GAVE WHEN REPUBLICANS CREATED MEDICARE PART D AND YOU WERE MAKING THESE...
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| 01:12:56 |
Murphy, Timothy "Tim" - U.S. Representative, [R] Pennsylvania
IT'S BECAUSE THIS BILL
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| 01:12:58 |
Weiner, Anthony - U.S. Representative, [D] New York
CUTS OVER $500 BILLION OUT OF MEDICARE.
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| 01:13:01 |
Murphy, Timothy "Tim" - U.S. Representative, [R] Pennsylvania
AND SO YOU CAN TALK ABOUT HOW
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| 01:13:03 |
Scalise, Stephen "Steve" - U.S. Representative, [R] Louisiana
GOOD MEDICARE IS. A LOT OF US THINK MEDICARE'S GOT A LOT OF GOOD COMPONENTS, COULD SURELY USE SOME REFORMS. BUT YOU SHOULDN'T GO AND CUT $500 BILLION...
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| 01:13:49 |
Waxman, Henry - U.S. Representative, [D] California
ROLL. >> MR. WAXMAN? >>>
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| 01:13:57 |
Barton, Joe - U.S. Representative, [R] Texas
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| 01:13:58 |
Waxman, Henry - U.S. Representative, [D] California
NO. >> MR. WAXMAN VOTES NO. MR. DING EL? MR. DING
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| 01:14:03 |
Unidentified Speaker, -
EL NO. MR. MARKEY? MR. BOUCHER? MR. PALLONE? MR. PALLONE, NO. MR. GORDON? MR.
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| 01:14:16 |
Unidentified Speaker, -
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| 01:14:18 |
Unidentified Speaker, -
RUSH? MISS
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| 01:14:19 |
Unidentified Speaker, -
ESHOO. NO. MR. STUPAK. MR. STUPAK NO. MR. ENGEL? MR. ENGEL NO. MR. GREEN? MS. DeGETTE? NO. MRS. CAPPS? MRS. CAPPS NO. MR. DOYLE? MR. DOYLE, NO....
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| 01:18:46 |
Waxman, Henry - U.S. Representative, [D] California
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| 01:18:50 |
Unidentified Speaker, -
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| 01:18:52 |
Waxman, Henry - U.S. Representative, [D] California
VOTE. >> MR. CHAIRMAN, ON THAT AMENDMENT, THERE WERE ZERO AYES AND 57 NOS. >> ZERO AYES, 57 NOS. THE BIPARTISAN BASIS, THE AMENDMENT IS REJECTED....
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| 01:19:14 |
Unidentified Speaker, -
YOU HAVE AN AMENDMENT. >> YES, MR. CHAIRMAN. I HAVE AN AMENDMENT. IT'S
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| 01:19:22 |
Waxman, Henry - U.S. Representative, [D] California
ECR-170. THE CLERK WILL REPORT THE
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| 01:19:27 |
Barton, Joe - U.S. Representative, [R] Texas
AMENDMENT. >> AMENDMENT TO THE AMENDMENT IN THE NATURE OF
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| 01:19:33 |
Waxman, Henry - U.S. Representative, [D] California
A SUBSTITUTE OFFERED BY MR. DEAL OF
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| 01:19:35 |
Deal, Nathan - U.S. Representative, [R] Georgia
GEORGIA. AS OF THE END OF -- >> WITHOUT OBJECTION, THE AMENDMENT WILL BE CONSIDERED AS READ. THE GENTLEMAN FROM GEORGIA IS RECOGNIZED FOR FIVE MINUTES....
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| 01:19:51 |
Unidentified Speaker, -
THE MOST EXPENSIVE PORTIONS OF OUR HEALTH CARE SYSTEM, AND ONE THAT UNFORTUNATELY IS DEALING
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| 01:19:58 |
Waxman, Henry - U.S. Representative, [D] California
WITH HEALTH CARE SITUATIONS THAT ARE NOT WARRANTED. AND THAT IS, THE EMERGENCY
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| 01:20:04 |
Deal, Nathan - U.S. Representative, [R] Georgia
ROOMS. AS I'M SURE EVERYONE KNOWS, THE EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT WE COMMONLY REFER TO AS IMTALA REQUIRES EMERGENCY ROOMS TO...
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| 01:21:46 |
Unidentified Speaker, -
LADY. WHAT THIS SAYS IS THAT IF THE PROPER SCREENING IS DONE, IF THE
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| 01:21:52 |
Waxman, Henry - U.S. Representative, [D] California
INDIVIDUAL DOES NOT MEET AN EMERGENCY ROOM REQUIREMENT, BUT COULD BE TREATED AT AN ALTERNATIVE SITE, A DOCTOR'S OFFICE OR A CLINIC OR SOME OTHER ...
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| 01:22:04 |
Deal, Nathan - U.S. Representative, [R] Georgia
THE DOCTOR WHO MAKES THAT DETERMINATION AFTER THE SCREENING WOULD BE AFFORDED THE SAME PROTECTION AS WE AFFORD TO DOCTORS WHO WORK IN COMMUNITY HEALTH...
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| 01:24:05 |
Burgess, Michael C. M.D. - U.S. Representative, [R] Texas
OF THE BIG PROBLEMS IS GETTING DOCTORS ON THE STAFF TO WANT TO COVER AN EMERGENCY ROOM, AND THEREFORE, YOU HAVE DOCTORS WHO ARE LEAVING ACTIVE MEDICAL...
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| 01:25:14 |
Waxman, Henry - U.S. Representative, [D] California
CARE. THEY WORK FOR A VARIOUS NUMBER OF HOSPITALS IN
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| 01:25:17 |
Braley, Bruce - U.S. Representative, [D] Iowa
DIFFERENT SETTINGS, AND THAT HAS AN IMPACT ON THE ABILITY FOR THAT HOSPITAL TO PROVIDE THE NECESSARY DISCIPLINE WHEN BAD PRACTICES ARE OCCURRING....
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| 01:28:27 |
Waxman, Henry - U.S. Representative, [D] California
FOR THE
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| 01:28:28 |
Braley, Bruce - U.S. Representative, [D] Iowa
EMPLOYEES, THE VOLUNTEERS AT THE CENTER, THEY WOULD BE
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| 01:28:31 |
Waxman, Henry - U.S. Representative, [D] California
COVERED UNDER THE FEDERAL TORT CLAIMS ACT. BUT IN CONTRAST, THE DEAL AMENDMENT WOULD GIVE THE FEDERAL TORT CLAIMS ACT PROTECTION TO DOCTORS AT PRIVATE...
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| 01:29:28 |
Green, Gene - U.S. Representative, [D] Texas
CHAIRMAN PALLONE'S AMENDMENT WAS SOMETHING THAT CONGRESSMAN MURPHY AND I HAD WORKED ON FOR
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| 01:29:33 |
Waxman, Henry - U.S. Representative, [D] California
VOLUNTEERS AT FEDERALLY QUALIFIED HEALTH CLINICS. WE'RE NOT TALKING ABOUT VOLUNTEERS IN THE HOSPITAL EMERGENCY ROOM IN A
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| 01:29:40 |
Green, Gene - U.S. Representative, [D] Texas
NATIONAL EMERGENCY. THIS AMENDMENT GOES MUCH FURTHER THAN THAT. AND I THINK CHAIRMAN DEAL, IF YOU WOULD WORK WITH SOME OF US OVER A PERIOD OF TIME,...
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| 01:30:33 |
Waxman, Henry - U.S. Representative, [D] California
CARE CLINIC, ONLY THE DOCTORS WHO FULFILL THE RESPONSIBILITIES UNDER IMTALA
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| 01:30:37 |
Shadegg, John - U.S. Representative, [R] Arizona
DON'T GET PAID AT ALL. DOCTORS, AS MR. BURGESS, DR. BURGESS EXPLAINED A LITTLE BIT EARLIER, BECAUSE THEY'RE ON THE STAFF OF A HOSPITAL, ARE REQUIRED TO...
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| 01:33:23 |
Gingrey, Phil MD - U.S. Representative, [R] Georgia
THAT MOST EMERGENCY ROOM PHYSICIANS ARE THAT DESCRIPTION IS BLATANTLY UNTRUE. >> WOULD THE GENTLEMAN YIELD? >> IF THE GENTLEMAN WOULD LET ME FINISH...
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| 01:33:51 |
Unidentified Speaker, -
POSITIONS. AND CERTAINLY WHAT MR.
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| 01:33:53 |
Gingrey, Phil MD - U.S. Representative, [R] Georgia
DEAL IS SUGGESTING, I THINK MAKES GREAT SENSE. THESE PATIENTS ARE NOT ABANDONED IN THE EMERGENCY ROOM. THEY ARE SEEN, THEY ARE TRIAGED, A DETERMINATION...
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| 01:34:54 |
Shadegg, John - U.S. Representative, [R] Arizona
PROVIDE CARE AT A
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| 01:34:55 |
Gingrey, Phil MD - U.S. Representative, [R] Georgia
MEDICAL CLINIC
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| 01:34:56 |
Gingrey, Phil MD - U.S. Representative, [R] Georgia
CREATED BY THE FEDERAL GOVERNMENT. AS WELL WE SHOULD. THERE IS A DIFFERENCE
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| 01:34:59 |
Shadegg, John - U.S. Representative, [R] Arizona
BETWEEN THOSE DOCTORS AND THE DOCTORS IN THE EMERGENCY ROOM. AT THE FEDERAL HEALTH CENTER, WE'RE AT LEAST PAYING THE SALARY OF THOSE DOCTORS. IN THIS...
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| 01:35:51 |
Waxman, Henry - U.S. Representative, [D] California
NO. MR. DENG EL? MR. MARKEY? MR. BOUCHER? MR. PALLONE? MR. PALLONE VOTES
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| 01:36:09 |
Unidentified Speaker, -
NO. MR. GORDON? MR. RUSH? MISS ESHOO? MISS ESHOO NO. MR. STUPAK? MR. STUPAK NO. MR. ENGEL? MR. ENGEL NO. MR. GREEN? MISS DeGETTE? MISS DeGETTE NO. ...
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| 01:41:17 |
Waxman, Henry - U.S. Representative, [D] California
VOTE. >> MR. CHAIRMAN, ON THAT VOTE, THERE WERE 23 AYES AND 35 NOS. >> 23 AYES, 35 NOS. THE AMENDMENT IS NOT AGREED TO. >> THE ENERGY AND COMMERCE ...
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| 01:41:39 |
Unidentified Speaker, -
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| 01:41:43 |
Waxman, Henry - U.S. Representative, [D] California
WASHINGTON. COMING UP TONIGHT,
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| 01:41:48 |
Unidentified Speaker, -
HERE ON C-SPAN3, A REVIEW OF TODAY'S COVERAGE. IN A FEW MOMENTS, MEMBERS OF THE HOUSE PROGRESSIVE CAUCUS
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NOTE: The transcript for this program was compiled from uncorrected Closed Captioning.