President of the United States Remarks on Children's Health Insurance (9/29/00)
                              THE WHITE HOUSE

                       Office of the Press Secretary

Immediate Release                        September 29, 2000

                         REMARKS BY THE PRESIDENT
                      ON  CHILDREN'S HEALTH INSURANCE

                              The Rose Garden

11:00 A.M. EDT

     THE PRESIDENT:  Thank you very much.  Thank you.  Good morning.  Thank
you, Debbie.  She did a good job, didn't she?  Let's give her another hand.
Thank you.  (Applause.)  I would also like to ask the rest of her family to
stand:  her husband, Chris; and her son, Brian; her daughter, Melissa.
Let's give them a big hand there.  There they are.  Thank you for being
here.  (Applause.)

     I also want to thank the advocates, whom Secretary Shalala mentioned;
and three elected officials who have strongly, strongly supported our
efforts.  First, in the Congress, Representative Sandy Levin and
Representative Robert Underwood.  Thank you for your help.  (Applause.)
And Linda Cropp from the D.C. City Council, thank you for being here.

     Let me announce, before I get to the subject at hand, that I just
signed the continuing resolution which Congress sent me yesterday,
necessary because our fiscal year ends tomorrow and we have to have a
stopgap funding measure for the government to run.  But I hope we can now
pass the remaining appropriations bills.  September has come and gone and
Congress still has obligations to fulfill.

     These children behind me have been back in school for a month, but we
still don't have the first assignment turned in from Congress, ensuring
that our schools have the resources to meet the high standards we expect of

     Now, let's get back to this story.  Deborah's story is all too common
in America.  There are millions of our fellow citizens, like her and her
husband, who get up every day, go to work, play by the rules and still have
a tough time finding affordable health insurance.

     For eight years now, Secretary Shalala and Hillary -- who I wish could
be here today for this happy announcement -- and I have worked as hard as
we could to make sure families get more health insurance.  Yesterday, we
had more evidence that our approach is working.  The census data shows that
the number of uninsured Americans fell by 1.7 million in 1999, the first
major drop in a dozen years.  (Applause.)

     Nearly two-thirds of these newly insured are children, like many of
those who are here with us today.  Since I signed the CHIP program into
law, 2.5 million children have been able to get insurance through this
program.  In our budget, Vice President Gore and I have proposed a family
care initiative, which would take care of the second part of Debbie's
statement.  It would expand CHIP to cover the parents of eligible children.

     If we do this, we could cover a quarter of all the uninsured children
and families in America.  And, I might add, those that are most at risk,
and need the health insurance most.  Parents like Deborah and Chris
Bredbenner know what a difference health insurance can make -- you just
heard it -- not just in emergencies, but for routine care.

     Consider the child who doesn't get treated for an ear infection, who
might suffer permanent hearing loss and, certainly, while in pain, would
have a harder time learning in school.  Consider the toll of untreated
asthma, which will cause American students, listen to this, to miss 10
million school days this year alone.

     That's why we need to keep pushing forward until all our children are
covered.  To help accomplish this, the Department of Health and Human
Services is awarding $700,000 in grants today, to develop new and even more
effective ways to identify and to enroll uninsured children.  These grants
will be used not only to get children enrolled, but to keep them enrolled,
so they can get the care they need.  They will build on our recent success
in improving outreach and enrollment around America.

     If you look at how the states are doing with CHIP, you'll see that
those with the best outreach programs have the most success in boosting the
number of children covered.  States like Indiana, Ohio and Maine have done
a remarkable job.  I hope others will look to them for leadership.

     There was a story in one of our major papers yesterday, outlining the
dramatic differences in enrollments from state to state, and making it
clear that the states that had the most systematic, determined effort and a
strong leader, got kids enrolled, and those that didn't try as hard,
didn't.  This is a simple matter of systematic effort and real dedication.

     I also hope that every working parent searching for children's health
insurance will call the toll free number on everyone of these children's
T-shirts:  1-877-KIDS-NOW.

     We need to remember that the rising number of uninsured didn't develop
overnight, it won't disappear overnight.  In some ways, it reminds me of
the challenges we faced when Vice President Gore and I took office in
January of 1993.  Some people said there was nothing we could do to stop
the rising tide of red ink.  The numbers on the national debt clock in New
York were flashing so fast, people's eyes were glazing over.

     But we made some tough choices.  We cut some spending.  We raised some
money.  We invested in the American people and eliminated hundreds of
programs we didn't need.  And, together, we turned a $290 billion annual
deficit into $230 billion of surplus this year.  That didn't happen by
chance, it happened by choice.  That's what is happening now with health
coverage.  If we make the right decisions, if we make smart choices and see
them through, we can reduce the number of uninsured people in America.

     First, as I said, it's very important to recognize that the laws on
the books, we believe, would enable us to ensure up to two-thirds of the
uninsured children in America -- 8 of the 12 million -- if every state did
everything possible to enroll children in the CHIP program and got those
who are Medicaid eligible into Medicaid.

     Second, we ought to expand CHIP eligibility to the parents of these
children.  It's very important.  (Applause.)  Third, we ought to focus on
another group of people that are having great difficulty getting health
care, those who are over 55, but not
65, therefore are not old enough for Medicare, and many of them have taken
early retirement or lost their jobs, or they're working in a place where
the employer doesn't offer health insurance coverage.

     We think they ought to be able to buy into Medicare, not to weaken the
Medicare program.  Our proposal is, give them a tax credit to defray some
of the cost of buying into Medicare, so that we would, in effect, cut the
cost for them of buying into Medicare, but get the whole amount of money
into Medicare, so that it would in no way, shape or form weaken the
financial stability of Medicare.  This is very, very important.

     And I might say to you, we ought to do this now, because this group is
only going to get larger, as the baby boomers age.  Next year, exhibit A --
(laughter) -- the oldest of the baby boomers will be 55.  For 28 years
after that, you will have some portion of the baby boom generation in that
55 to 65 year old age group.  It's very, very important that we do this.

     Next, Congress should pass our tax credit for small business, to
strengthen their hand in negotiating quality affordable health insurance
options for their employees.  A lot of businesses try to offer health
insurance, but as you just heard Debbie say, the cost to them is so high,
and they have to pass so much of the cost on to their employees, that many
of the employees can't afford it, even if it's offered.

     Next, Congress should restore Medicaid benefits to the most vulnerable
of our legal immigrants, including children.  (Applause.)  A few days ago,
a bipartisan coalition on the House Commerce Committee voted to pass this
important measure, and I applaud them for doing so.  Surely now that the
committee has supported it, we can work together to restore these benefits,
and do it this year.

     Finally, there are some other items on our agenda.  The American
people still need Congress to pass a Medicare prescription drug benefit, a
$3,000 tax credit for long-term care -- very important for families that
are caring for family members who are disabled or aging, who have long-term
care needs -- and a strong patients' bill of rights.  (Applause.)

     When Hillary and Donna and I started working on this back in 1993, we
proposed a solution that would have covered all Americans, would have the
patients' bill of rights, would have the provisions of the
Kennedy-Kassebaum bill, would take care of children who age out of foster
care.  And it was too much for the system to accommodate at once, so we've
gone back, piece-by-piece, trying to achieve that.

     We have now the children's health insurance coverage.  We've taken
care of the kids that age out of foster care.  We passed a bill that
protects you if you get sick or if you change jobs from loosing your health
insurance.  But we need, for people to make maximum use of this law, every
child in this country, like the children standing here, and like the
Bredbenner kids, who is eligible for CHIP, ought to be in it.  The parents
who need it, ought to be able to buy into the program.  We can afford this
now.  It's quite manageable.  And we absolutely know there are only two
ways that you can provide health insurance for working people on modest
incomes.  There either has to be some sort of subsidy from the government,
or the employers have to provide it, or you have to have a combination of

     Next, we need to deal with the 55 to 65 year old age group,  And
finally we need to deal with the fact that there are so many of our seniors
who don't have prescription drug coverage.  And we need to deal with the
long-term care challenge facing our country.  And we need to pass this
patients' bill of rights that we've been working on since 1994.  This is
all very, very important. (Applause.)

     The good news is, we know this approach will work.  We know that the
number of uninsured is going down -- and, I might say, we don't have the
figures yet, but we know there are several hundred thousand children, who
because of the CHIP program, have been enrolled in Medicaid.

     So we just have to keep working on this.  So I implore you to make
sure every state in this country is making the most of the laws that are
here, and to do everything you can to get Congress, in this time of
unprecedented prosperity, that enables us to do things -- we could not do
this six years ago, because we did not have the money.  We now have a
surplus, we can do this.  We still have a reasonably sized tax cut, to help
people with education and child care, and saving for retirement, and pay
this country out of debt in 2012.  We have the money to keep America's
economy going, to get the country out of debt, and to provide more health
insurance to families like those that are represented by these children
here today.  We ought to do it, and do it now.

     Thank you very much, and God bless you.  (Applause.)

                             END                11:11 A.M. EDT

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