MEDICAID BUDGET INITIATIVES HEARINGS BEFORE THE SUBCOMMITTEE ON HEALTH AND THE ENVIRONMENT OF THE COMMITTEE ON ENERGY AND COMMERCE HOUSE OF REPRESENTATIVES ONE HUNDRED FIRST CONGRESS SECOND SESSION SEPTEMBER 10 AND 14, 1990 Serial No. 101-206 Printed for the use of the Committee on Energy and Commerce 39-938 U.S. GOVERNMENT PRINTING OFFICE WASHINGTON: 1991 For sale by the Superintendent of Documents, Congressional Sales Office COMMITTEE ON ENERGY AND COMMERCE JOHN D. DINGELL, Michigan, Chairman JAMES H. SCHEUER, New York EDWARD J. MARKEY, Massachusetts W.J. "BILLY" TAUZIN, Louisiana RON WYDEN, Oregon BILL RICHARDSON, New Mexico NORMAN F. LENT, New York DON RITTER, Pennsylvania THOMAS J. BLILEY, JR., Virginia JACK FIELDS, Texas MICHAEL G. OXLEY, Ohio SONNY CALLAHAN, Alabama JOHN S. ORLANDO, Chief of Staff MARGARET A. DURBIN, Minority Chief Counsel/Staff Director Bristow, Lonnie R., member, board of trustees, American Medical Asso- 696 Gehring, Richard, chair, board of directors, Alzheimer's Association 96 131 Ingram, Robert A., executive vice president, Glaxo, Inc Kennelly, Hon. Barbara, a Representative in Congress from the State of McGuire, Jean F., executive director, AIDS Action Council Melden, Michael, staff attorney, National Health Law Program. Miller, Hon. George, a Representative in Congress from the State of Mossinghoff, Gerald J., president, Pharmaceutical Manufacturers Asso- 572 Pryor, Hon. David, a U.S. Senator from the State of Arkansas.. Rector, John M., vice president of government affairs and general coun- Siegel, David, medical director, Health Alliance Plan of Michigan..... Shikles, Janet L., director, Health Financing and Policy Issues, Human 367 367 Testimony of-Continued Slattery, Hon. Jim, a Representative in Congress from the State of Swift, Hon. Al, a Representative in Congress from the State of Washing- Tallon, James R., Jr., majority leader, New York State Assembly, on behalf of the Robert Wood Johnson Foundation....... Taylor-Little, Carol, on behalf of the National Conference of State Legislatures..... Thompson, Lawrence H., Assistant Comptroller General, Human Resources Division, General Accounting Office. Page 7 6 490 116 512 Toews, James D., on behalf of the National Association of State Mental 145 Torda, Phyllis, director, health policy, Families USA Foundation Weiss, Hon. Ted, a Representative in Congress from the State of New 498 16 Wilensky, Gail R., Administrator, Health Care Financing Administration. 157 268 625 Ziegler, Ronald L., president and chief executive officer, National Association of Chain Drug Stores.. Material submitted for the record by: 655 Affordable Financing for Longterm Care, statement.. 748 750 American Psychological Association, et al., statement. 248 487 California Children's Hospital Association, statement. 752 California Legislature, Steven Thompson, director, Assembly Office of 763 Community Legal Services, Inc., statement. 765 Detroit Association of Black Organizations, statement. 779 Hall, Hon. Tony P., a Representative in Congress from the State of Ohio, statement 226 Health and Human Services, letter from Gail Wilensky to Chairman 212 1990 from Anthony Welters to Chairman Waxman Health Insurance Association of America, statement... Industrial Biotechnology Association, statement...... 781 792 801 National Black Caucus of State Legislatures, statement 803 807 Panetta, Hon. Leon E., a Representative in Congress from the State of 4 Texas Department of Human Services, statement. 815 Voice of the Retarded, letter dated September 7, 1990 from Marty Pratt, president, to Chairman Waxman 41 MEDICAID BUDGET INITIATIVES MONDAY, SEPTEMBER 10, 1990 HOUSE OF REPRESENTATIVES, COMMITTEE ON ENERGY AND COMMERCE, SUBCOMMITTEE ON HEALTH AND THE ENVIRONMENT, Washington, DC. The subcommittee met, pursuant to notice, at 9:55 a.m., in room 2322, Rayburn House Office Building, Hon. Henry A. Waxman (chairman) presiding. Mr. WAXMAN. Good morning. The meeting of the subcommittee will please come to order. This morning, this subcommittee will hold the first day of 2 days of hearings on Medicaid budget initiatives. The purpose of these hearings is to prepare the subcommittee to respond to whatever directives are issued to the Energy and Commerce Committee under the terms of the agreement reached at the budget summit. The subcommittee has before it six main initiatives: The Medicaid Infant Mortality Amendments, H.R. 3931, which would implement a campaign promise of President Bush to phase in Medicaid coverage for pregnant women and infants with incomes below 185 percent of the Federal poverty level; The Medicaid Child Health Amendments, H.R. 3932, which would implement a campaign promise of President Bush to phase in Medicaid coverage for all children in families with income below 100 percent of poverty; The Medicaid Frail Elderly Community Care Amendments, H.R. 3933, which would allow States to cover home and communitybased services for the low-income functionally disabled elderly; The Medicaid community rehabilitation services amendments of 1990, H.R. 3934, which would allow States to cover only community-based services for Medicaid-eligible individuals with mental retardation, epilepsy, or cerebral palsy; The Medicaid Hospice Amendments, H.R. 3935, which would require States to cover hospice services under the Medicaid programs, and the Medicaid AIDS and HIV Amendments, H.R. 4080, which would allow States to extend Medicaid coverage for preventive drugs and physician services to lower income individuals infected with the HIV virus. Many of the subcommittee members are joined in sponsoring these initiatives. All of the details of these initiatives were adopted by this committee and by the full House last year. (1) |