| 00:00:11 |
Baucus, Max - U.S. Senator, [D] Montana
THAT TOOK FIVE DAYS. WE HAVE HELD MORE THAN 150 MARKUPS, AND MOST OF THOSE TOOK ONE OR TWO DAYS. WE'RE GIVEN THIS BILL THE DUE CONSIDERATION THAT IT DESERVES....
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| 00:02:12 |
Baucus, Max - U.S. Senator, [D] Montana
WE SHOULD DELAY IT UNTIL WE GET THE
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| 00:02:15 |
Grassley, Charles "Chuck" E. - U.S. Senator, [R] Iowa
ITCBO SCORES, BECAUSE PEOPLE SHOULD KNOW WHAT WE'RE DOING. THIS IS IMPORTANT TO RURAL AMERICA. I'VE HEARD THE SENATOR FROM MONTANA AND THE SENATOR FROM...
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| 00:04:31 |
Baucus, Max - U.S. Senator, [D] Montana
PRACTICES. WE IN RURAL AMERICA ARE NOT GIVEN AN HOUR DUE AS THE FORMULA IS CALCULATED. WE WORKED OUT WITH SOME OTHER STATES THAT THEY FEARED IT WOULD...
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| 00:06:50 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
IT IS INTERESTING ABOUT THE PUBLIC OPTION. PEOPLE ASSUME THERE IS SOME KIND OF GOVERNMENT TAKEOVER. THOSE ARE PEOPLE THAT HAVE AN IDEOLOGICAL BENT AGAINST...
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| 00:12:04 |
Baucus, Max - U.S. Senator, [D] Montana
HAD WORKED FOR CIGNA AS A TOP EXECUTIVE
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| 00:12:07 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
AND WARNED CONGRESS FAILED TO CREATE A PUBLIC OPTION TO COMPETE WITH PRIVATE INSURERS, THE BILL MIGHT AS WELL BE CALLED THE INSURANCE INDUSTRY PROFIT...
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| 00:13:46 |
Fontenot, Yvette - Staff Member
THAT INSURANCE COMPANIES ARE MAKING. >> I APPRECIATE THAT. THE SECOND QUESTION WOULD BE BOTH TO YOU AND TO DAVID SCHWARTZ. THE STAR, THE INSURANCE INDUSTRY...
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| 00:14:09 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
THEIR HABIT. THEY GET AWAY WITH IT. PEOPLE TO NOT KNOW HOW THEY OPERATE. THEY PAID THEIR PREMIUMS. TO MAKE UP FOR NEW PREMIUMS, INSURANCE COMPANIES RAISE...
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| 00:16:22 |
Fontenot, Yvette - Staff Member
SUBSIDIES TO HELP THEM IS $463 BILLION AND THAT IS OVER THE 10-YEAR BUDGET WINDOW. I AGREE WITH YOU ON THAT. PUTTING THAT INTO THE EXCHANGE AND PROVIDING...
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| 00:16:39 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
POPULATIONS FOR PRIVATE COVERAGE WILL COST AN ADDITIONAL $20 BILLION. COULD IT BE SAID ITS $503 BILLION BACKS OVER HALF A TRILLION? QUEST BY YOU REFERRING...
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| 00:17:22 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
SPEND ON ACTUAL MEDICAL CARE? THAT IS SORT OF THE POINT OF PREMIUMS, SINCE SPEND MONEY ON PREMIUM CARE AND MAKE A MODEST, NECESSARY PROFIT. HOW MUCH REQUIRES...
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| 00:18:05 |
Fontenot, Yvette - Staff Member
IS IT DIRECTED IN THE MARKET >> IT IS THE OPINION OF CBO. IT IS A REPORT REQUIREMENTS. >> OK. IT
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| 00:18:24 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
SHOULD REQUIRE PRIVATE INSURANCE COMPANIES TO REPORT ON THAT. ADDITIONAL FOLLOW. WHILE REPORTING OF MEDICAL
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| 00:18:36 |
Fontenot, Yvette - Staff Member
LOSS RATIO IS IS IMPORTANT AS A FIRST STEP, WHEN NOT REQUIRE A
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| 00:18:42 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
MINIMUM MANACLE LOSS RATIO FOR ALL PLANS TO RECEIVE SUBSIDIES FOR THE EXCHANGE? IT SEEMS TO MAKE WE HAVE GOVERNMENT GIVEAWAY TO PRIVATE INSURERS ON WALL...
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| 00:20:02 |
Fontenot, Yvette - Staff Member
THIS POINT, THERE IS NO HOUSE BILL. THE COMMITTEE IS LOOKING AT BILLS. I SAID THAT FOR CLARIFICATION. THE HOUSE IS REWRITING THOSE THREE COMMITTEE BILLS....
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| 00:20:24 |
Baucus, Max - U.S. Senator, [D] Montana
HERE. >> IN THE PARLANCE OF CONGRESS, THEY PASSED OUT SOME. >> NO, THEY DID NOT. >> I UNDERSTAND THAT. I AM REFERRING TO A PARTICULAR COMMITTEE OR SO....
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| 00:20:50 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
ME AS IF PEROT IS SIGNIFICANT
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| 00:20:54 |
Baucus, Max - U.S. Senator, [D] Montana
DIFFERENCE. IT IS SOMETHING WE
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| 00:20:57 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
SHOULD BE PRETTY MINDFUL OF. QUESTION NUMBER THREE, MISS MARKUPFONTENOT, IS INSURANCE REGULATION. >> WE PRONOUNCED YOUR LAST THEM A VERY DIFFERENT WAYS....
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| 00:21:34 |
Baucus, Max - U.S. Senator, [D] Montana
THANK YOU, MISS FONTENOT. >> IF IT WAS A FRENCH IT WOULD BE PRONOUNCED DIFFERENTLY. RIGHT? >>
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| 00:21:48 |
Fontenot, Yvette - Staff Member
BUS STOP GO DOWN THAT ROAD. >> A VERY
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| 00:21:52 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
FRENCH. -- LET'S NOT GO DOWN THE ROAD. >>
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| 00:21:57 |
Baucus, Max - U.S. Senator, [D] Montana
VERY FRENCH. WE KNOW THAT INSURANCE COMPANIES OFTEN EXPLOIT LOOPHOLES.
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| 00:22:02 |
Grassley, Charles "Chuck" E. - U.S. Senator, [R] Iowa
THEY'RE GOOD AT IT. THEY GET AWAY WITH AS MUCH AS THEY CAN GET AWAY WITH. NOBODY IS
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| 00:22:10 |
Baucus, Max - U.S. Senator, [D] Montana
LOOKING, NOBODY IS DOING
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| 00:22:12 |
Fontenot, Yvette - Staff Member
MUCH OVERSIGHT. THREE EXAMPLES COME TO MIND. I APOLOGIZE
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| 00:22:17 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
FOR THESE QUESTIONS. THEY GET WHAT THE PUBLIC OPTION IS SO IMPORTANT. FIRST IS THE ISSUE OF PRE- EXISTING CONDITIONS EXCLUSIONS. THE GOAL OF THE HEALTH...
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| 00:27:35 |
Fontenot, Yvette - Staff Member
YOU KNOW, MY PRACTICE, NO, IN MY JUDGMENT. NO, NO. HOW DO THE OVERSIGHT AND IN FORSSMANN CAPABILITIES OF THE STATE'S AND
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| 00:27:48 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
THE EXCHANGES CREATED UNDER THIS LEGISLATURE COMPARED TO THE ENFORCEMENT CAPABILITIES OF THE MASSACHUSETTS EXCHANGE? >> I BELIEVE THAT THE MASSACHUSETTS...
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| 00:28:30 |
Fontenot, Yvette - Staff Member
MASSACHUSETTS. THERE CONNECTOR IS MORE OF A REGULATORY FUNCTION AND IT NEGOTIATES PREMIUMS. THE EXCHANGE'S ARE MORE OF A CONSUMER SHOPPING FUNCTION AND...
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| 00:29:17 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
WOULD BE WITH NO OFFICIAL TIES TO CONGRESS, WHICH IS NOT AT LEAST ELECTED OR CONFIRMED BY CONGRESS TO WRITE REGULATIONS OF THIS MAGNITUDE? IS THERE...
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| 00:30:23 |
Fontenot, Yvette - Staff Member
ONE MORE QUESTION. THE LIMITED BENEFIT JUNK INSURANCE IS THE TITLE OF MY QUESTION. IT IS FOR YOU. ONE OF THE FASTEST-GROWING PRODUCTS ON THE DOCKS
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| 00:30:41 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
TO MAKE UNTIL I GOT INTO THIS IN THE INSURANCE INDUSTRY RIGHT NOW IS WHAT ARE CALLED LIMITED BENEFIT INSURANCE POLICIES. AN ENGLISH TRANSLATION MIGHT...
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| 00:32:21 |
Fontenot, Yvette - Staff Member
IS COVERED UNDER THE DEDUCTIBLE. THE MARK, ONCE THE EXCHANGES ARE SET UP, AND DOES PROHIBIT THE SELLING OF LIMITED MEDICAL PLANS. ONCE THE BENEFIT LEVELS...
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| 00:33:25 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
POINT I WANT TO MAKE GONE UP. >> I THINK THE PLANS YOU ARE REFERRING TO ARE NOT PROHIBITED UNDER LAW NOW. THERE IS NO LIMITED BENEFIT REQUIREMENT FOR...
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| 00:33:51 |
Fontenot, Yvette - Staff Member
POINTS ON THAT. THEY HAVE A LONG HISTORY OF DOING IT. THESE LIMITED BENEFIT JUMPED AMENDMENTS. PRACTICES. SO THERE IS NOTHING WHICH HAS STOPPED THEM UP...
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| 00:34:13 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
THE MARK, THEY WILL STOP. I AM SKEPTICAL THAT THEY WILL EASE FOR A LITTLE BIT AND THEN GO RIGHT ADDED. THAT IS ALL THEY KNOW HOW TO DO. OTHERWISE, WHY...
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| 00:35:48 |
Nelson, Bill - U.S. Senator, [D] Florida
THE OLD INSURANCE COMMISSIONER IS
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| 00:35:50 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
COMING OUT BY
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| 00:35:52 |
Nelson, Bill - U.S. Senator, [D] Florida
VIRTUE OF THE QUESTIONS THAT YOU HAVE ASKED, WITH THE ANSWERS THAT YOU HAVE ELICITED, AND IT MAKES THIS SENATOR VERY SYMPATHETIC TO YOUR ARGUMENT. HERE...
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| 00:37:10 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
HERE. I MAINTAIN MY ANSWER, NOT TO BE UNRESPONSIVE, BUT FUNDAMENTALLY TO BE UNRESPONSIVE.
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| 00:37:19 |
Nelson, Bill - U.S. Senator, [D] Florida
I WANT TO FOCUS ON MY AMENDMENT. >> THAT IS MY QUESTION, ABOUT YOUR AMENDMENT. I AM GIVING YOU
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| 00:37:29 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
BOUQUETS. I WANT YOU TO HELP ME NOW. >> I WANT TO HELP YOU, TOO, SENATOR. I WANT YOU TO FOCUS ON THIS AMENDMENT. I ASSUME IT WILL PASS UNANIMOUSLY. ...
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| 00:37:44 |
Nelson, Bill - U.S. Senator, [D] Florida
IS MY ASSUMPTION. WE WILL NEVER GET TO THE SCHUMER AMENDMENT. >> MY QUESTION IS ABOUT YOUR AMENDMENT. HOW DO YOU SET THE CAUSE OF THE
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| 00:37:55 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
INSURANCE -- HOW YOU SET THE COST OF THE INSURANCE IN YOUR AMENDMENT? >> A ONE NOT ANSWER THAT QUESTION. ALL RIGHT? SHE WILL ANSWER THAT QUESTION IF...
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| 00:38:11 |
Nelson, Bill - U.S. Senator, [D] Florida
QUESTION IF HE HAS THE OPPORTUNITY TO DO SO. I HAVE ONE MORE QUESTION. THIS IS TO THE BELOVED MISS FONTENOT. IT
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| 00:38:23 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
IS ABOUT INSURANCE COMPETITION IN THE CURRENT MARKETPLACE. IT IS MY UNDERSTANDING OVER THE LAST SEVERAL YEARS COMPETITION HAS A DIMINISHED. CONSOLIDATION...
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| 00:39:36 |
Fontenot, Yvette - Staff Member
IS AT 88%. MONTANA, 85%. ARKANSAS, 81%. THE LOWEST CONSOLIDATION ON THE LIST IS FLORIDA, 45%. IT SHOWS THE TOP INSURERS IN THE STATE, WHAT PERCENTAGE...
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| 00:40:18 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
HIGHLY CONCENTRATED CONTRARY TO INDUSTRY ASSERTIONS. THEY HAVE UNDERMINED MARKET EFFICIENCY. PREMIUMS HAVE SKYROCKETED, INCREASING MORE THAN 87% ON AVERAGE...
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| 00:45:38 |
Baucus, Max - U.S. Senator, [D] Montana
WITHOUT TAKING A STRONG POSITION ON WHAT YOU'VE JUST SAID, I THINK IT IS IMPORTANT AND TO SET THE RECORD STRAIGHT BECAUSE SOME OF THE QUESTIONS OR LEAVE...
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| 00:49:42 |
Baucus, Max - U.S. Senator, [D] Montana
WILL HAVE HEALTH INSURANCE. THE DOLLAR'S BUT YOU MENTIONED ARE TO HELP THOSE PEOPLE WHO TODAY DO NOT HAVE HEALTH INSURANCE. ESPECIALLY THE POOR PEOPLE...
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| 00:51:21 |
Grassley, Charles "Chuck" E. - U.S. Senator, [R] Iowa
OPTION. LET'S REMEMBER THAT THIS IS NOT SOMETHING NEW THAT IS JUST NOW COMING INTO THE DEBATE. I WOULD LIKE TO GO ONE STEP FURTHER IN COMING -- IN COMMENTING...
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| 00:56:58 |
Grassley, Charles "Chuck" E. - U.S. Senator, [R] Iowa
I COME TO THE CONCLUSION, AS I DID A LONG TIME BEFORE THIS MEETING, THAT A GOVERNMENT-RUN PLAN IS NOT THE ANSWER. IN FACT, I KIND OF WONDER WHY, IF...
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| 01:06:23 |
Schumer, Charles E. - U.S. Senator, [D] New York
THINK MEDICARE IS A GOOD PROGRAM? MOST OF THE AMENDMENTS HAVE BEEN PRESERVED AT PRESERVING IT, A GOVERNMENT RUN PROGRAM. >> I THINK MEDICARE IS PART OF...
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| 01:06:35 |
Schumer, Charles E. - U.S. Senator, [D] New York
AFTER 40 YEARS, LIKE SO SECURITY IS, I DON'T SAY THAT BECAUSE IT IS PERFECT. THERE MANY THINGS THAT NEED TO BE CHANGED AND MANY THINGS IN THIS LEGISLATION...
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| 01:06:52 |
Grassley, Charles "Chuck" E. - U.S. Senator, [R] Iowa
SUPPORT IT IS NOT TO SAY THAT IT IS THE BEST SYSTEM THAT IT CAN BE. >> BUT IT IS A GOVERNMENT PLAN, RIGHT? >> YES, IT IS THE REASON I SAY IT IS PART OF...
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| 01:07:19 |
Schumer, Charles E. - U.S. Senator, [D] New York
PRIVATE INITIATIVES THAT ARE COUPLED WITH IT.
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| 01:07:22 |
Grassley, Charles "Chuck" E. - U.S. Senator, [R] Iowa
THAT DOES NOT MAKE A PERFECT AND BASED UPON 50 YEARS OF EXPERIENCE, IF WE HAD TO DO OVER AGAIN, WE WOULD DO IT OTHER WAYS, EVEN WHERE A GOVERNMENT RUN...
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| 01:07:57 |
Schumer, Charles E. - U.S. Senator, [D] New York
SAYING, THAT IS A GOVERNMENT-RUN PLAN. THE MAIN KNOCKING MADE ON THE ROCKEFELLER A MADMAN IS THAT IT IS GOVERNMENT RUN. MOST PEOPLE LIKE IT VERY MUCH...
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| 01:08:57 |
Nelson, Bill - U.S. Senator, [D] Florida
QOUTE.
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| 01:09:02 |
Nelson, Bill - U.S. Senator, [D] Florida
1 SAYS THAT 83 MILLION PEOPLE WILL BE FORCED OUT OF THEIR PLAN, EMPLOYER PLANS, INTO THE
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| 01:09:10 |
Grassley, Charles "Chuck" E. - U.S. Senator, [R] Iowa
PUBLIC OPTION AND ANOTHER GROUP SAYS 120 MILLION PEOPLE. EITHER WAY, YOU DON'T GET TO DO WHAT THE PRESIDENT SAID THAT HE WANTED PEOPLE TO DO WHICH IS...
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| 01:10:22 |
Nelson, Bill - U.S. Senator, [D] Florida
IN MEDICAL INSURANCE THAN ANY OTHER PLACE. AS A MATTER OF FACT, YOU ARE GETTING PRETTY CLOSE TO A SINGLE PAYER SYSTEM IN THE PRIVATE SECTOR BY
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| 01:10:29 |
Baucus, Max - U.S. Senator, [D] Montana
VIRTUE OF THE STATISTICS SHE JUST GAVE FOR SEVERAL OF THE STATE. YOU MENTIONED WYOMING.
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| 01:10:38 |
Nelson, Bill - U.S. Senator, [D] Florida
WHAT WERE THE OF THE STATE'S TAX 81% YOU SAID OF THE MARKET IS DOMINATED BY ONE INSURANCE PAY YOUR IN WHICH STATES? >> THIS IS THE MARKET SHARE OF THE...
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| 01:11:12 |
Fontenot, Yvette - Staff Member
COMPETITION TO MAKE. >> WHAT YOU FORGET IN THIS PROCESS IS THAT PEOPLE WILL BE IN THE PUBLIC PLAN, NO CHOICE OF THEIR OWN. THEY WILL BE FORCED OUT OF...
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| 01:11:31 |
Nelson, Bill - U.S. Senator, [D] Florida
BECAUSE THEY CANNOT AFFORD IT.
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| 01:11:33 |
Grassley, Charles "Chuck" E. - U.S. Senator, [R] Iowa
AND WHY SHOULD THEY AFFORDED IF YOU HAVE A GOVERNMENT PLAN? >> CENTRE GLASS LEE HAS THE FLOOR. -- SENATOR GRASSLEY HAS THE FLOOR. >> I WAS JUST GOING...
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| 01:12:01 |
Baucus, Max - U.S. Senator, [D] Montana
IT AS COMPETITION. THERE'S MEDICARE AND THEN THERE'S MEDICARE ADVANTAGE. THEY COMPETE. ACCORDING TO WHAT MY GOOD FRIEND FROM IOWA'S SAID IS IS THAT
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| 01:12:14 |
Schumer, Charles E. - U.S. Senator, [D] New York
IS GOOD. WHAT YOU ARE ARGUING IN TERMS OF PUBLIC OPTION IS WE SHOULD NOT HAVE MEDICARE AT ALL. JUST OF THE PRIVATE COMPANIES COMPETE. THAT IS NOT...
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| 01:13:16 |
Grassley, Charles "Chuck" E. - U.S. Senator, [R] Iowa
BE CORRECTED. THIS BILL DOES A LOT TO CORRECT IT. OTHER BILLS DO AS WELL. MOST OF IT DEALS WITH THE DELIVERY OF MEDICINE AND HOW WE TAKE CARE OF
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| 01:13:26 |
Schumer, Charles E. - U.S. Senator, [D] New York
PEOPLE AND GIVING PEOPLE A CHOICE IS VERY IMPORTANT.
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| 01:13:30 |
Grassley, Charles "Chuck" E. - U.S. Senator, [R] Iowa
THIS WILL KILL CHOICE. >> SENATOR HATCH. >> THANK YOU, MR. CHAIRMAN. AS MUCH AS MEDICARE IS ACCEPTED IN OUR COUNTRY TODAY, IT IS STILL $38 TRILLION IN...
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| 01:13:52 |
Baucus, Max - U.S. Senator, [D] Montana
HOSPITALS LESS THAN THE NORM.
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| 01:13:54 |
Hatch, Orrin - U.S. Senator, [R] Utah
FRANKLY, IT HAS PLENTY OF PROBLEMS, AS THE DISTINGUISHED RANKING MEMBER SAID. THIS MORNING, WE'RE SUPPOSED TO BE DISCUSSING A SERIES OF GOVERNMENT RUN...
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| 01:25:53 |
Baucus, Max - U.S. Senator, [D] Montana
GO FIRST? -- SENATOR HERNANDEZ. >> THANK YOU, MR. CHAIRMAN. I WANTED TO MAKE SURE THAT BEFORE HAVE TO LEAVE AND A FEW MINUTES THAT I SPEAK STRONGLY IN...
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| 01:26:20 |
Menendez, Robert "Bob" - U.S. Senator, [D] New Jersey
DEBATE GOES TO THE ALTERNATIVE. I'VE BEEN WITH SUPPORT CENTER SCHUMER BUS PLANT. THIS IS ABOUT CHOICE. WE HEAR A LOT ABOUT CHOICE BUT THERE IS A DEMONIZATION...
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| 01:34:59 |
Ensign, John - U.S. Senator, [R] Nevada
I BELIEVE, AT THE END OF THE DAY, -- >> >> YOU WILL REQUIRE PHYSICIANS TO PURCHASE BUT BECAUSE THIS IS ESSENTIALLY ALL THE MARKETPLACE. >> THAT IS NOT...
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| 01:35:22 |
Menendez, Robert "Bob" - U.S. Senator, [D] New Jersey
IN FACT, THE MOST IMPORTANT THING IS THAT CONSUMERS WILL NOT HAVE TO CHOOSE THAT OPTION, IF THEY CHOOSE
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| 01:35:28 |
Ensign, John - U.S. Senator, [R] Nevada
NOT TO. THEY WILL HAVE A CHOICE OF OPTIONS. THAT IS THE MOST FUNDAMENTAL QUESTION. >> I WAS MAKING THE POINT
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| 01:35:34 |
Menendez, Robert "Bob" - U.S. Senator, [D] New Jersey
THAT DOCTORS WILL NOT HAVE THE CHOICE. SO MUCH OF THE MARKETPLACE COULD BE DOMINATED BY THIS.
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| 01:35:41 |
Menendez, Robert "Bob" - U.S. Senator, [D] New Jersey
THE CBO ESTIMATES THAT OF SENATOR ROCKEFELLER'S AMENDMENT WAS ADOPTED THAT 1/3 OF THE MARKETPLACE WOULD GO TO THIS PUBLIC OPTION. BETWEEN MEDICARE AND...
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| 01:35:54 |
Ensign, John - U.S. Senator, [R] Nevada
THAT WOULD BE -- YOU WANT TO PRACTICE MEDICINE, YOU WILL HAVE TO TAKE THIS. YOU WOULD BE REQUIRED, AS A DOCTOR, ALMOST REQUIRED IF YOU WANT TO STAY...
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| 01:36:28 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
COULD WE CLARIFY THAT? >>
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| 01:36:32 |
Menendez, Robert "Bob" - U.S. Senator, [D] New Jersey
WE NEED CLARIFICATION AS TO WHAT
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| 01:36:34 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
THAT DOES MEAN. THAT IS A GOOD IDEA. >> AND THE PUBLIC PLANS WELL. >>
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| 01:36:51 |
Ensign, John - U.S. Senator, [R] Nevada
ACCORDING
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| 01:36:53 |
Baucus, Max - U.S. Senator, [D] Montana
TO THE ANALYSIS BY THE CONGRESSIONAL BUDGET OFFICE, THE AMENDMENT WOULD REQUIRE THAT FOR THE TWO-YEAR. , 2014 AND
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| 01:37:07 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
2014, DOCTORS, HOUSE BILLS, AND OTHER PROVIDERS WOULD HAVE TO PARTICIPATE IN THE PUBLIC OPTION IF THEY WANTED TO PARTICIPATE IN
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| 01:37:14 |
Fontenot, Yvette - Staff Member
MEDICARE. >> TWO YEARS. THIS IS NOT IN THE DESCRIPTION OF THE AMENDMENT. IT IS A MAN AND NUMBER SIX, -- IF IT IS AMENDMENT NUMBER 6, THAT IS NOT IN THERE.
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| 01:37:34 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
IS THERE SOME OTHER AMENDMENTS WE ARE VOTING ON? DOES THE CBO HAVE A DIFFERENT AMENDMENT? >> WHAT DECLARED A YEAR. WHICH AMENDMENT DID YOU CALL UP FOR...
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| 01:38:03 |
Baucus, Max - U.S. Senator, [D] Montana
THAT OR IS THERE ANOTHER DOCUMENT THAT I HAVE NOT SEEN? >> IT IS IN THE BILL, THE AMENDMENT I HAVE BEFORE THE COMMITTEE. >>
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| 01:38:12 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
|
| 01:38:15 |
Baucus, Max - U.S. Senator, [D] Montana
UNLESS THERE IS SOME
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| 01:38:20 |
Bingaman, Jeff - U.S. Senator, [D] New Mexico
CLARIFICATION -- FURTHER CLARIFICATION, MY UNDERSTANDING WOULD BE THAT THE DESCRIPTION IS THE
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| 01:38:30 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
PROVISION OFFERED BY SENATOR ROCKEFELLER AND THAT IS ITS INTENT FOR THE FIRST COUPLE OF YEARS. IS THAT CORRECT?
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| 01:38:39 |
Baucus, Max - U.S. Senator, [D] Montana
OK. >> AFTER THOSE TWO YEARS, THE ANSWER IS YOU CAN BE FREE FROM THE PARTICIPATION. >> I BELIEVE THAT'S CORRECT, YES. >> I HAD A QUESTION OF THE SENATOR...
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| 01:39:05 |
Menendez, Robert "Bob" - U.S. Senator, [D] New Jersey
TUESDAY FOR THE RECORD THE TRUTH
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| 01:39:09 |
Fontenot, Yvette - Staff Member
ABOUT -- I WOULD LIKE THE SENATOR TO STATE FOR THE RECORD THE
|
| 01:39:13 |
Nelson, Bill - U.S. Senator, [D] Florida
TRUTH ABOUT THE PUBLIC OPTION IN NEW JERSEY BEING A DISASTER
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| 01:39:18 |
Baucus, Max - U.S. Senator, [D] Montana
IN THE MARKETPLACE INSTEAD OF NEW JERSEY. WITH THE CENTER RESPONSE TO THAT? >>
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| 01:39:23 |
Nelson, Bill - U.S. Senator, [D] Florida
SINCE THERE IS NO PRESENT PUBLIC OPTION IN NEW JERSEY, IT COULD NOT POSSIBLY BE A DISASTER. >> I'VE SENATOR CONRAD, SENATOR BINGAMAN, CENTER SCHUMER,...
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| 01:39:46 |
Menendez, Robert "Bob" - U.S. Senator, [D] New Jersey
IT STRIKES ME THAT THE PLACE WHERE THERE IS BROAD AGREEMENT IS THERE IS NOT ENOUGH COMPETITION
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| 01:39:53 |
Baucus, Max - U.S. Senator, [D] Montana
IN THE CURRENT MARKETPLACE. THAT IS CERTAINLY TRUE IN MANY OF THE STATES AND ALMOST HALF THE STATES, THERE IS ALMOST NO MEANINGFUL COMPETITION THE QUESTION...
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| 01:40:05 |
Conrad, Kent - U.S. Senator, [D] North Dakota
PROVIDE COMPETITION? I FAVOR AN ALTERNATIVE THAT I WOULD CALL THE PUBLIC-INTEREST OPTION. IT WOULD BE STRONG, NOT FOR PROFIT COMPETITION, TO THE FOR PROFIT...
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| 01:49:27 |
Ensign, John - U.S. Senator, [R] Nevada
PUBLIC OPTION. THOSE ARE NOT THE ONLY
|
| 01:49:30 |
Conrad, Kent - U.S. Senator, [D] North Dakota
ALTERNATIVES. THERE IS ANOTHER ALTERNATIVE AND IT'S A MODEL THAT'S BEEN ADOPTED IN COUNTRY AFTER COUNTRY AFTER COUNTRY AND THOSE COUNTRIES DO HAVE...
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| 01:50:52 |
Ensign, John - U.S. Senator, [R] Nevada
STACK THESE -- >> YEAH. BUT THAT HAS NOTHING TO DO
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| 01:50:56 |
Nelson, Bill - U.S. Senator, [D] Florida
WITH HEALTH CARE. AUTO ACCIDENTS DON'T HAVE ANYTHING
|
| 01:50:58 |
Baucus, Max - U.S. Senator, [D] Montana
TO DO WITH IF. WE
|
| 01:50:59 |
Conrad, Kent - U.S. Senator, [D] North Dakota
ARE A MUCH MORE MOBILE SOCIETY. ON THE
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| 01:51:02 |
Ensign, John - U.S. Senator, [R] Nevada
PREVENTATIVE DEATHS, IF YOU TAKE OUT AUTO ACCIDENTS, THEY DO PUBLIC TRANSPORTATION -- AND SO YOU HAVE TO COMPARE HEALTH CARE SYSTEM WITH HEALTH CARE...
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| 01:51:11 |
Conrad, Kent - U.S. Senator, [D] North Dakota
IF YOU COMPARE CANCER RATES,
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| 01:51:13 |
Ensign, John - U.S. Senator, [R] Nevada
SURVIVAL RATES AFTER FIVE YEARS, CARDIOVASCULAR DISEASE AFTER FIVE YEARS -- >> WE DO VERY WELL. >> THE UNITED STATES DOES BETTER THAN EUROPE....
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| 01:51:38 |
Conrad, Kent - U.S. Senator, [D] North Dakota
COSTS THAN WE DO
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| 01:51:39 |
Ensign, John - U.S. Senator, [R] Nevada
ON METRIC AFTER METRIC FINISH
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| 01:51:41 |
Conrad, Kent - U.S. Senator, [D] North Dakota
AHEAD OF
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| 01:51:43 |
Ensign, John - U.S. Senator, [R] Nevada
US. AND I JUST DIRECT YOU TO
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| 01:51:46 |
Conrad, Kent - U.S. Senator, [D] North Dakota
THE T.R. REID BOOK WHICH IS LOADED WITH ANALYSIS FROM OBJECTIVE OBSERVERS AS TO QUALITY COUNTRIES, MUCH LOWER COSTS THAN WE DO COMPARED TO G.D.P. WHETHER...
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| 01:52:32 |
Ensign, John - U.S. Senator, [R] Nevada
COMPANIES. THE SENATOR IS LAYING THE
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| 01:52:35 |
Conrad, Kent - U.S. Senator, [D] North Dakota
PREDICATE FOR HIS POSITION WHICH
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| 01:52:37 |
Nelson, Bill - U.S. Senator, [D] Florida
IS IN THE BILL WHICH IS A CO-OP. MIGHT I
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| 01:52:43 |
Conrad, Kent - U.S. Senator, [D] North Dakota
SUGGEST TO THE SENATOR
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| 01:52:46 |
Nelson, Bill - U.S. Senator, [D] Florida
THAT CO-OP MAY BE A TERM THAT'S USED IN NORTH DAKOTA AND IS UNDERSTOOD BUT IT'S NOT IN A LOT OF THE OTHER STATES. AND IN EFFECT WHAT THE SENATOR IS TALKING...
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| 01:53:48 |
Conrad, Kent - U.S. Senator, [D] North Dakota
OUTCOMES, UNIVERSAL COVERAGE, OUR SYSTEMS THAT HAVE A VERY STRONG NOT-FOR-PROFIT COMPETITOR AS THE INSURANCE INTERMEDIARY. THAT DOESN'T MEAN IT HAS...
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| 01:55:11 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
IT BE CLEAR. I DID NOT -- >> WELL, THAT'S WHAT WE HAVE BEEN
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| 01:55:15 |
Conrad, Kent - U.S. Senator, [D] North Dakota
TALKING ABOUT, AND AMENDMENT
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| 01:55:17 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
BEFORE US IS THE PUBLIC OPTION AMENDMENT. AND I WOULD ADVISE MY COLLEAGUES THAT THAT IS THE AMENDMENT BEFORE US. I HAVE A GREAT DEAL TO
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| 01:55:24 |
Conrad, Kent - U.S. Senator, [D] North Dakota
SAY ABOUT CO-OPS. WHICH IS NOT WHAT YOU WOULD SAY
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| 01:55:29 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
BASED UPON A LOT OF RESEARCH. AND I WANT TO HAVE A CHANCE
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| 01:55:32 |
Conrad, Kent - U.S. Senator, [D] North Dakota
TO SAY THAT, BUT I WANT TO
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| 01:55:34 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
BE ABLE TO VOTE ON MY AMENDMENT WHICH I THINK IS A LOT MORE EFFECTIVE AND IS -- AND I ALSO RESPOND TO SOME OF THE CRITICISMS THAT'S BEEN MADE ABOUT...
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| 01:56:18 |
Conrad, Kent - U.S. Senator, [D] North Dakota
TO TALK ABOUT DIFFERENT MODELS THAT WE SEE AROUND THE REST OF THE WORLD. NOT THAT WE'RE GOING TO ADOPT ANY OF THEM, BUT AS AN INDICATOR OF WHAT...
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| 01:56:55 |
Baucus, Max - U.S. Senator, [D] Montana
FROM SENATOR SHUMMER'S AMENDMENT IN SOME --
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| 01:56:58 |
Bingaman, Jeff - U.S. Senator, [D] New Mexico
SCHUMER'S AMENDMENT IN SOME SIGNIFICANT WAYS. TELL ME IF I'M RIGHT OR WRONG AS YOU UNDERSTAND IT. FIRST OF ALL, THE AMENDMENT BEFORE US WOULD...
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| 01:57:37 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
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| 01:57:38 |
Bingaman, Jeff - U.S. Senator, [D] New Mexico
BILLION TO GET THEM STARTED. YOU KNOW, THE PLAN
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| 01:57:41 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
ADMINISTRATOR IS NOT GOING TO BE -- AND I
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| 01:57:43 |
Bingaman, Jeff - U.S. Senator, [D] New Mexico
SAID IN MY ARGUMENT, WHICH I WISH I COULD GET BACK ONTO
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| 01:57:49 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
RATHER THAN TALKING ABOUT SENATOR SCHUMER'S ARGUMENT AND SENATOR CONRAD'S ARGUMENT IS THAT IT'S NOT GOVERNMENT RUN. THIS ADMINISTRATOR HAS NOTHING TO...
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| 01:58:47 |
Bingaman, Jeff - U.S. Senator, [D] New Mexico
THEN, IT MAKES PROVISIONS THAT FOR THE FIRST TWO YEARS OF THE PLAN MEDICARE RATES APPLY AND THAT PROVIDERS WHO TO STAFF OR NOT? >> THAT IS MY UNDERSTANDING....
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| 01:59:38 |
Fontenot, Yvette - Staff Member
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| 01:59:39 |
Bingaman, Jeff - U.S. Senator, [D] New Mexico
ALSO? >> ACCORDING TO C.B.O.'S INTERPRETATION AFTER 2014 THEY WOULD HAVE TO NEGOTIATE PAYMENT RATES. SO IT WOULDN'T BE QUITE SETTING THE RATES BUT...
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| 02:00:07 |
Fontenot, Yvette - Staff Member
NOW AND SENATOR SCHUMER'S PROPOSAL WHICH IS GOING TO OFFER LATER ON THIS ISSUE OF NEGOTIATING RATES EXCEPT FOR THE TWO-YEAR PERIOD OF TIME, IS THAT YOUR...
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| 02:00:21 |
Bingaman, Jeff - U.S. Senator, [D] New Mexico
THAT MEDICARE RATES BE PAID TO PROVIDERS UNDER SENATOR ROCKEFELLER'S AMENDMENT AND IN ADDITION THERE'S A REQUIREMENT THAT ANYONE -- ANY PROVIDER WHO IS...
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| 02:00:37 |
Fontenot, Yvette - Staff Member
SERVICES TO PEOPLE
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| 02:00:38 |
Bingaman, Jeff - U.S. Senator, [D] New Mexico
PARTICIPATING IN THAT PLAN, BUT AFTER THE FIRST TWO YEARS ANY PROVIDER CAN OPT OUT AND AFTER THE FIRST TWO YEARS THERE IS A NEGOTIATION OF RATES WHICH...
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| 02:01:37 |
Fontenot, Yvette - Staff Member
AMENDMENT AS SAVING $50 BILLION OVER THE 10-YEAR WINDOW. >> OK. AND DO THEY HAVE AN ESTIMATE AS TO THE NUMBER OF CONSUMERS THAT WOULD CHOOSE THEIR...
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| 02:01:54 |
Bingaman, Jeff - U.S. Senator, [D] New Mexico
IN 2015
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| 02:01:57 |
Fontenot, Yvette - Staff Member
ENROLLMENT IN THE PUBLIC PLAN WOULD START OUT HIGHER
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| 02:02:01 |
Bingaman, Jeff - U.S. Senator, [D] New Mexico
THAN 1/3 OF THE 25 MILLION WHO ARE ESTIMATED TO PURCHASE THROUGH THE EXCHANGES. SO ABOUT EIGHT MILLION PEOPLE. AND THAT WOULD
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| 02:02:11 |
Fontenot, Yvette - Staff Member
GRADUALLY DECLINE TO 1/4. SO AROUND 6.25 MILLION AS THE PREMIUMS RISE. >> WOULD THE SENATOR YIELD FOR A QUESTION? >> SURE. >> I THINK THAT MAKES...
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| 02:02:42 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
UP
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| 02:02:44 |
Bingaman, Jeff - U.S. Senator, [D] New Mexico
A CONSUMER CHOICE PLAN THAT DOESN'T
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| 02:02:47 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
EXIST, YES, YOU HAVE AN ADMINISTRATOR. AND FOR THE FIRST TWO YEARS YOU HAVE MEDICARE RATES, BUT THEN IT ALL STOPS. AND THEN IT, YOU KNOW, THE ADMINISTRATOR...
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| 02:05:26 |
Baucus, Max - U.S. Senator, [D] Montana
WITH PROVIDERS THAT
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| 02:05:27 |
Bingaman, Jeff - U.S. Senator, [D] New Mexico
ARE COMPETITIVE. AND I THINK THAT'S A
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| 02:05:29 |
Baucus, Max - U.S. Senator, [D] Montana
GOOD FEATURE. I'M NOT CRITICIZING THAT. I'M --
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| 02:05:32 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
I THINK THAT'S A
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| 02:05:34 |
Bingaman, Jeff - U.S. Senator, [D] New Mexico
GOOD FEATURE. BUT THAT'S A DIFFERENT INTERPRETATION OF YOUR AMENDMENT. SO I AM CERTAINLY GLAD TO RESPOND TO THAT EXTENT. I DON'T KNOW IF STAFF HAS...
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| 02:06:13 |
Fontenot, Yvette - Staff Member
NEED MORE COMPETITION IN THE SELLING OF HEALTH CARE INSURANCE, AND THERE ARE TOO FEW CHOICES FOR FOLKS OUT THERE. AND WE'VE ALL TALKED ABOUT
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| 02:06:26 |
Bingaman, Jeff - U.S. Senator, [D] New Mexico
THIS MAP WHICH SHOWS THE MARKET SHARE OF THE TWO LARGEST HEALTH PLANS, MY STATE. AND WE CAN SEE THERE IS VERY LITTLE COMPETITION IN OUR STATES. SO...
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| 02:07:40 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
OPPORTUNITIES TO TRY TO EXTEND IT. >> BUT
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| 02:07:42 |
Bingaman, Jeff - U.S. Senator, [D] New Mexico
THEN IF YOU'RE GOING WITH THE TWO-YEAR THEORY AND THE SENATOR FROM NORTH DAKOTA SAID IT WILL PUT ALL MY HOSPITALS OUT OF BUSINESS, WITH ALL DUE RESPECT...
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| 02:08:02 |
Rockefeller, John "Jay" D. IV - U.S. Senator, [D] West Virginia
THING STARTED. AND THEN IT'S CUT OFF. WILL OPT OUT. HOSPITALS DON'T HAVE TO WORRY ABOUT IT. HE HAS TO MAKE THE CASE TO ME THAT ALL OF HIS HOSPITALS...
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| 02:08:36 |
Bingaman, Jeff - U.S. Senator, [D] New Mexico
THE SETTING OF RATES THAT ARE PAID TO PROVIDERS FOR NEGOTIATION FROM THE BEGINNING OF THE PROGRAM ON. AND I THINK THAT WOULD BE PREFERABLE. AND THEN...
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| 02:10:05 |
Cantwell, Maria - U.S. Senator, [D] Washington
CLEAR, SENATOR ROCKEFELLER
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NOTE: The transcript for this program was compiled from uncorrected Closed Captioning.