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 June 22, 2000(Senate)
 S. 2553 - DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, EDUCATION, AND RELATED AGENCIES APPROPRIATIONS BILL, FY 2001This Statement of Administration Policy provides the Administration's views
on the Labor, Health and Human Services, Education, and Related Agencies
Appropriations Bill, FY 2001, as reported by the Senate Appropriations
Committee.  Your consideration of the Administration's views would be
appreciated.(Sponsors: Stevens (R), Alaska; Specter (R), Pennsylvania)
The President's FY 2001 Budget is based on a balanced approach that
maintains fiscal discipline, eliminates the national debt, extends the
solvency of Social Security and Medicare, provides for an appropriately
sized tax cut, establishes a new voluntary Medicare prescription drug
benefit in the context of broader reforms, expands health care coverage to
more families, and funds critical investments for our future.  An essential
element of this approach is ensuring adequate funding for discretionary
programs.  To this end, the President has proposed new discretionary
spending limits at levels that we believe are necessary to serve the
American people.
 
Unfortunately, the FY 2001 congressional budget resolution provides
inadequate resources for discretionary investments.  We need realistic
levels of funding for critical government functions that the American
people expect their government to perform well, including education,
national security, law enforcement, environmental protection, preservation
of our global leadership, air safety, food safety, economic assistance for
the less fortunate, research and technology, and the administration of
Social Security and Medicare.  Based on the inadequate budget resolution,
this bill fails to address critical needs of the American people.  While
the Senate bill contains higher funding levels for a number of important
programs compared to the House bill, the Administration has very serious
concerns, discussed below, with the Committee bill.  If the bill presented
to the President does not address these issues, the President would veto
the bill.
 
The Administration understands that an amendment may be offered to prohibit
the Occupational Safety and Health Administration (OSHA) from finalizing
its standard to protect the Nation's workers from ergonomic injuries.  The
Administration strongly opposes any such amendment.  Each year
approximately 1.8 million American workers suffer musculoskeletal
disorders, one-third of which are serious enough to require time away from
work.  OSHA estimates that its proposed standard would reduce the rate of
MSDs by 26 percent over a ten-year period.  After more than 10 years of
experience with ergonomic guidelines, exhaustive scientific study, five
months of public comment and public hearings on the proposed regulations,
and millions of unnecessary injuries, it is time to move forward to
finalize this standard.
 
Department of Education
 
The Senate bill fails to provide adequate funding to help strengthen
accountability and turn around failing schools, reduce class size, improve
after-school and summer-school opportunities, increase school safety,
renovate aging and neglected schools, improve teacher quality, and prepare
students for college.  The most significant problems with the bill include
the following:
 
Class Size.  The Senate Committee bill does not guarantee
     funding to hire 100,000 new teachers by FY 2005 to reduce class sizes
     to a nationwide average of 18 in the primary grades.  The bill
     effectively repeals the bipartisan agreement on class size reduction,
     jeopardizing the Federal commitment to hire as many as 20,000 new
     teachers next year and to continue support for the 29,000 teachers
     already hired.  As many as 2.9 million children could be denied the
     benefits of smaller classes.
Urgent School Renovation.  The Senate Committee bill provides no
     dedicated funding to provide $1.3 billion in loan subsidies and grants
     to repair 5,000 aging and neglected public schools buildings,
     including $50 million for public schools with high concentrations of
     Native American students.
Accountability.  The Senate Committee bill provides no funding
     for the Title I Accountability Fund that helps States and districts
     turn around low-performing schools and ensure that no student is
     trapped in a failing school.  As a result, nearly 6,000 low-performing
     schools would not receive extra assistance to improve student
     achievement.  In addition, the bill provides no funds for the proposed
     Reward and Recognition program that supports rewards to States that
     show significant gains in student achievement and narrow the
     achievement gap between high- and low- performing students.
21st Century Community Learning Centers.  The Senate Committee
     bill cuts the $1 billion request by $400 million, denying funding for
     over 3,000 centers, which would provide after- and summer-school
     programs to over one million children.  Extended learning time is an
     essential strategy to help all students master challenging academic
     material and reach high standards.  The request would support 10,000
     after-school and summer-school centers serving 2.5 million children.
Teacher Quality.  The Senate bill fails to provide adequate
     funding for the proposed $1 billion Teaching to High Standards teacher
     quality programs.  The request includes $690 million, $255 million
     more than the Senate bill, for States and school districts to provide
     teacher professional development.  Also included in the Teaching to
     High Standards programs is $310 million for teacher quality and
     recruitment initiatives of national significance such as Hometown
     Teachers and Transition to Teaching to help recruit teachers to
     high-need communities, Early Childhood Educator Professional
     Development, the School Leadership Initiative, and other teacher
     quality incentive programs.  The Senate bill does not provide any
     funding for these programs.  The Senate bill also fails to provide the
     $10 million increase for Special Education State Improvement and to
     support professional development related to the needs of children with
     disabilities.
Helping Schools Create Smaller and Safer Learning Environments.
     The Senate Committee bill provides inadequate funding for programs
     that create better and safer school learning environments.  For Safe
     and Drug-Free Schools, the Senate provides no funding for Project
     SERV, which would provide emergency assistance to schools affected by
     serious violence and other crises, and inadequate funding for National
     Programs such as Safe Schools/Healthy Students, which develops
     comprehensive community-wide violence prevention strategies.  For
     Small, Safe, and Successful High Schools, the bill fails to provide
     the $120 million requested, denying as many as 700 high schools
     support to establish or expand smaller learning communities of no more
     than 600 students.  Research shows that when students are a part of a
     small and more intimate learning community, they are more successful
     both academically and socially.
Comprehensive School Reform Demonstrations.  The Senate
     Committee bill fails to provide the $240 million requested to help
     schools implement comprehensive school reform programs that are based
     on reliable research and effective practices.  This includes $150
     million in Title I and $50 million under the Fund for the Improvement
     of Education.  As a result, support for nearly 700 schools currently
     receiving funds would be discontinued, and 1,900 new schools would not
     receive support for research-based school reforms.
Educational Technology and the Digital Divide.  The Senate
     Committee bill would hamper efforts to bridge the digital divide and
     provide technology training to teachers.  The budget requests $150
     million to train over 250,000 teachers in the use of technology.  The
     Senate bill would eliminate training for about 40,000 teachers.  The
     President's budget also provides funding for 1,000 Community
     Technology Centers.  The Senate bill would not fund over 300 of these
     centers, denying access to computers and technology, particularly
     educational technology, to thousands of adults and children residing
     in economically distressed, high-poverty areas.  Finally, the bill
     does not provide funding to expand cutting edge technologies to
     improve education through the Next Generation Technology Innovation
     program.
Opportunities to Improve our Nation's Schools (OPTIONS).  The
     Senate Committee bill provides no funding for the $20 million OPTIONS
     initiative to support innovative public school choice programs such as
     worksite schools and inter-district choice programs.  The bill would
     deny 40 States and districts support to develop and implement new
     models for enhancing public school choice.
GEAR UP.  The Senate Committee bill provides a $25 million
     increase in funding for GEAR UP, $100 million below the request.  The
     FY 2001 Budget would provide $325 million for GEAR UP to support early
     intervention and college preparation services for approximately 1.4
     million low-income students.  The Senate bill would deny these
     services to more than 400,000 students.
Dual Degree Program.  The Senate Committee provides no funding
     for Dual Degree Programs for Minority-Serving Institutions, the
     initiative to increase academic opportunities for students at
     minority-serving institutions.  The Senate bill would deny up to 3,000
     students the chance to earn two degrees in five years and enter
     professions in which minorities are under represented.
Hispanic Education Action Plan.  The Senate Committee bill fails
     to increase the Federal investment in essential components of the
     Hispanic Education Action Plan.  For instance, the Senate bill does
     not provide the $75 million requested for Adult Education English as a
     Second Language civics.  The Committee level would deny 250,000
     immigrants and limited English proficient (LEP) adults the literacy
     and civics skills necessary to become successful participants in
     American society.  The Senate bill also provides $17 million less than
     the budget for Bilingual Education.  This shortfall would prevent
     1,200 additional new or certified teachers from receiving training and
     skills they need to teach LEP students.
Research and Statistics.  The Senate Committee bill fails to
     support increases for education research, including the budget's
     requested $30 million increase for Education Research and the $16
     million increase for Statistics.  Now, more than ever, teachers,
     parents, and policymakers are demanding education reforms that are
     based on proven educational research.  The Department of Education's
     research investments and data collection activities are vital to
     producing an up-to-date knowledge base for improving student
     performance.
America's Tests.  The Senate Committee bill provides no funds
     for America's Tests, which would help principals, teachers, and
     parents assess how well students are doing compared to challenging
     academic standards in reading and math.  The tests would help
     communities improve their schools and help parents hold their schools
     accountable for raising student achievement.
Departmental Management.  The Senate Committee does not provide
     sufficient increases in administrative funding for the Department of
     Education, including the Office for Civil Rights.  These funds are
     necessary to ensure proper oversight and management of Federal
     education programs. 
Department of Health and Human Services
 
The Senate bill shortchanges critical health and social services programs
by cutting requested funding for domestic and global HIV/AIDS prevention
and treatment, the Social Services Block Grant, mental health and substance
abuse services, family planning, health care access for the uninsured, and
training for health professionals in children's hospitals.  The
Administration is concerned about the following cuts to key health and
social services programs:
 
Social Services Block Grant (SSBG).  The Administration is
     deeply concerned that the Senate Committee cuts the SSBG by $1.175
     billion, or two-thirds, below the current level.  A cut of this
     magnitude would guarantee reductions in essential social services at
     the State and local level, and threaten the care and safety of foster
     children, child abuse victims, the elderly, and the disabled.  State
     and local programs already make do with $1.0 billion less in SSBG
     funding than they received in 1995.
Tobacco Litigation.  The Senate Committee bill does not include
     requested HHS funding to support the Department of Justice's tobacco
     litigation efforts.  The costs of preventing and treating
     tobacco-related disease exceed $50 billion per year, and the
     Department of Health and Human Services pays a substantial portion of
     these costs.  The tobacco litigation is in full accord with the HHS
     mission and is vital to efforts to improve the health of all
     Americans.  We strongly urge the Senate to assist in the Federal
     government's efforts to recover health care costs incurred as a result
     of tobacco-related illnesses.
Family Caregivers.  The Senate Committee fails to provide the
     budget request of $125 million to support caregiver activities for
     250,000 families who care for elderly relatives with chronic illness
     or disabilities.  These funds would provide older persons with quality
     respite care and other support services necessary for them to remain
     independent in their homes and communities.  Support for caregiver
     activities is a critical component of the long-term care initiative.
Advance Appropriations.  The Senate Committee fails to follow
     past practice of appropriating advance funds for Low Income Home
     Energy Assistance Program (LIHEAP) and child care.  The advance
     appropriation for LIHEAP is needed so that States can commit funds
     early in the fiscal year to meet winter home heating needs.  For child
     care, the uncertainty of funding levels for FY 2002 undermines efforts
     by States and child care providers to invest the additional funds
     provided in FY 2001 in a way that will lead to long-term improvements
     in the quality, accessibility, and affordability of child care.
Ryan White HIV/AIDS Treatment.  The bill would reduce requested
     funding by $70 million.  This funding would enhance medical services,
     including pharmaceuticals, for people living with HIV/AIDS currently
     served by Ryan White funds, and provide access to services for people
     living with HIV/AIDS who are not receiving care.  Ryan White currently
     serves approximately 500,000 people living with HIV/AIDS, nearly
     two-thirds of the individuals living with HIV/AIDS in the U.S.
Health Care Access.  The Committee bill underfunds the Community
     Access Program, which would improve health care access for many
     Americans.  The full request of $125 million for the Health Care
     Access for the Uninsured Initiative would enable the development of
     integrated systems of care and better coordinate health services for
     the uninsured and underinsured.
Family Planning.  The Committee bill does not include the full
     $35 million increase requested for Family Planning services.  This
     increase would provide family planning services to an additional
     500,000 clients who neither are Medicaid eligible nor have health
     insurance.
Health Professions Training.  The Committee bill reduces funding
     by $67 million for health professions training from the President's
     budget.  At this level, it may not be possible to fund Children's
     Hospital Graduate Medical Education (GME) at the requested level of
     $80 million.  These funds are necessary to support medical education
     programs at the Nation's free-standing children's hospitals, which
     receive a very small share of Medicare GME dollars.
Ricky Ray Hemophilia Relief Fund.  The bill does not provide
     requested funding for Ricky Ray.  The Administration urges the Senate
     to fund the full FY 2001 request and to act on the Administration's
     supplemental request for FY 2000.  These funds would provide relief
     payments of $100,000 to hemophiliacs who contracted HIV/AIDS, and
     their families.
Centers for Disease Control and Prevention (CDC).  The Committee
     bill reduces CDC's funding by $78 million below the request for many
     critical public health programs, including domestic and global HIV
     prevention, infectious diseases, and race and health demonstrations.
     This funding level could impair CDC's ability to reduce the number of
     new HIV infections, hamper efforts to improve surveillance for
     infectious diseases, and slow CDC's ability to understand better and
     address racial disparities in health.
Mental Health Services.  The Committee bill reduces funding for
     mental health services by $69 million from the requested level.  This
     includes a $50 million reduction to the Mental Health Block Grant that
     could hamper the ability of States to support comprehensive community
     systems of care for adults with severe mental illness and children
     with serious emotional disturbances.  The bill also ignores the $30
     million request for new Targeted Capacity Expansion grants, which fund
     early intervention and prevention, as well as local service capacity
     expansion.
Substance Abuse Prevention and Treatment.  The Committee reduces
     total funding for substance abuse services by $23 million from the
     requested level.  Funding for Targeted Capacity Expansion grants is
     reduced by $44 million from this request. This would reduce our
     ability to provide a rapid, strategic response to emerging substance
     abuse trends, and would result in a reduction in prevention and
     treatment services for those struggling with substance abuse.
Bioterrorism.  The Administration urges the Senate to provide
     the President's request of $265 million for the Department of Health
     and Human Services to counter threats posed by terrorism and the use
     of biological and chemical weapons of mass destruction.  Adversaries
     are expected to rely increasingly on these unconventional stategies to
     offset U.S. military superiority.  These funds requested would improve
     our ability to defend against and manage the consequences of an
     attack.
Health Care Financing Administration (HCFA) Program Management.
     The Senate Committee bill funds HCFA at $2.1 billion, which is $50
     million below the FY 2000 enacted level and $203 million below the FY
     2001 request of $2.3 billion.  This reduction would threaten the
     Administration's efforts to ensure the quality and safety of nursing
     homes by forcing States to scale back or eliminate facility
     inspections and complaint investigations, and eliminate the
     Administration's efforts to tighten oversight of Medicare's
     contractors as directed by recent General Accounting Office and Office
     of the Inspector General reports.  Additionally, the Senate has
     provided only $15 to $19 million of the President's request of $150
     million in Medicare+Choice user fees, which would be used to educate
     beneficiaries, enabling them to make informed health decisions.
State Children's Health Insurance Program (SCHIP).  The
     Administration is concerned about the proposed funding shift in SCHIP.
     SCHIP was enacted on a bipartisan basis in 1997 to cover millions of
     uninsured children.  The shift included in the bill has the potential
     to disrupt State funding and efforts to reach eligible, low-income
     uninsured children.  The Administration opposes using unspent SCHIP
     funds for any other purpose.
Office of the Secretary.  The Committee bill also fails to fully
     fund the Secretary's management and policy oversight activities, as
     well as such programmatic activities as health informatics.  The
     Senate bill also underfunds efforts to address the threat posed by
     bioterrorism.
Abortion.  The Administration urges the Senate to strike
     sections 508 and 509 of the Committee bill, which would prohibit the
     use of funds for abortion.  The President believes that abortion
     should be safe, legal, and rare.  These provisions would continue to
     limit the range of conditions under which a woman's health would
     permit access to abortion services.  Furthermore, section 509 requires
     a physician to make a legal determination that these conditions have
     been met.  The Administration proposes to work with the Congress to
     address the issue of abortion funding.
Medicare Competitive Pricing Demo Project.  The Senate bill
     includes language that would prevent funds from being used to
     administer the Medicare+Choice Competitive Pricing Demonstration
     Project.  This demonstration was passed by Congress as part of the
     Balanced Budget Act in order to provide valuable information regarding
     the use of competitive pricing methodologies in Medicare managed care.
     The information that could be learned from this demonstration is
     particularly relevant as the important task of Medicare reform is
     being considered.  The Administration urges the Senate to remove this
     provision and to allow HCFA to implement the demonstration. 
Department of Labor
 
The Senate Committee bill would cut the Labor Department by $920 million,
or seven percent, from the request.  This level would provide inadequate
funding for initiatives to support dislocated workers with training and
re-employment services and to assist at-risk youth develop the skills
needed for 21st century jobs.  The bill also underfunds efforts to help
low-income fathers work, support their families and stay off welfare, and
to improve educational alternatives to abusive child labor abroad.  The
Administration appreciates the Senate Committee's decision to fully fund
worker safety and health programs, to establish the new Office of
Disability Policy, and to fully fund the international core labor standards
and Global AIDS in the Workplace initiatives.  The Administration also
appreciates the Senate Committee's inclusion of language to extend the
availability of the Welfare-to-Work grants funds for an additional two
years to allow grantees to take advantage of the program eligibility
improvements enacted in the FY 2000 Appropriations Act.
 
The Administration's most significant concerns with the bill as reported by
the Senate Committee include the following:
 
Dislocated Workers.  The Senate Committee cuts the
     Administration's request for Dislocated Worker assistance by $181
     million, or 10 percent.  This level would deny training, job search,
     and re-employment services to over 100,000 dislocated workers.
Re-employment Services.  The Senate Committee bill provides only
     half of the $50 million requested.  At this level, over 111,000
     unemployment insurance claimants would be denied the customized
     re-employment services needed to speed their reentry into the
     workforce.
One-Stop Career Center/America's Labor Market Information System
     .  The Senate Committee bill ignores the President's proposal for an
     FY 2001 $44 million enhancement designed to improve access to One-Stop
     services for millions of Americans.  This initiative would fund
     improvements in America's Job Bank, mobile vans for one-stop access to
     rural areas, a toll-free telephone number for the workforce investment
     system, and improvements in basic labor market information.
Fathers Win/Families Win Initiative.  The Senate Committee bill
     does not provide any funding for the President's Fathers Work/Families
     Win initiative, for which the Administration has requested $255
     million.  Building on the partnerships developed under
     Welfare-to-Work, this important initiative would help approximately
     80,000 low-income fathers and working families get the support and
     skills necessary to support their families and avoid welfare.
Youth Job Training.  Funding for the Youth Opportunity Grants
     program falls $125 million short of the President's request and would
     deny 27,000 youth in high-poverty communities access to vital
     education, training, and employment assistance and eliminate the
     proposed expansion of the program to 12 to 15 new communities.  In
     addition, funding for the Youth Activities program, which includes
     Summer Jobs, is cut by $21 million, which would eliminate almost
     13,000 low income youth from the program.  Further, the Senate bill
     denies $29 million in proposed Job Corps enhancements thereby
     inadequately funding cost increases in that program.
Youth Violence.  The Senate bill partially funds two initiatives
     aimed at reducing youth violence.  It provides $20 million of the $40
     million requested to enable the Department of Labor to join the
     interagency Safe Schools/Healthy Students Initiative.  The bill funds
     $30 million of the $75 million initiative to bring young offenders
     into the workplace through job training and related services.
Homeless Veterans.  The Senate Committee bill's $2.5 million
     reduction to the request for job assistance to homeless veterans would
     result in 1,400 fewer homeless veterans obtaining meaningful
     employment and economic security.
Unemployment Insurance (UI) Administration.  The Senate
     Committee has adopted the President's proposal to restructure UI
     administrative funding to bring it in line with modern service
     delivery systems but has provided $76 million less than necessary to
     administer the UI benefit entitlement program, even under continuing
     favorable economic conditions.
International Child Labor Activities.  While the Senate
     Committee bill fully funds the proposed expansion of International
     Labor Organization's International Program for the Elimination of
     Child Labor, it only funds $15 million of the requested $55 million
     for the President's new initiative to improve access to basic
     education in developing countries.  This initiative is part of a
     comprehensive plan aimed at making global abolition of the worst forms
     of child labor a reality.
Other Worker Protection Initiatives.  The Administration
     appreciates the Committee's full funding of worker safety and health
     programs but is concerned that funding for other worker protection
     programs falls short of what is needed to address serious compliance
     problems in low-wage industries, including the garment and agriculture
     industries, and to expand public education on pension and health care
     plans.  Funding for these important activities is reduced by $18
     million below the Administration's request.
Information Technology.  The Committee bill provides slightly
     more than half of the requested $54 million for the Department's
     information technology initiative.  This initiative would address
     information security, infrastructure and web development, and office
     automation needs in a more efficient and comprehensive manner, thereby
     enhancing the Department's ability to implement its responsibilities
     and expand its Internet capacity to serve employers and the public
     better.
National Economic Indicators.  The Senate Committee bill reduces
     the request by $7 million, which would prevent improvements to some of
     the most sensitive and important economic data collected by the Bureau
     of Labor Statistics.  These improvements include expanding price,
     output, and productivity measures for the service sector, improving
     State and local employment and unemployment data, and surveying how
     Americans spend their time in work and non-work activities, including
     child and elder care. 
Social Security Administration
 
At the Senate Committee funding level, the Social Security Administration
would not be able to hire thousands of direct service employees, resulting
in longer wait times for individuals filing retirement and disability
claims, and diminished service for individuals who call the agency's 1-800
phone service.
         
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