JOURNAL OF THE

596

T57.26 APRIL 6

the nature of a substitute submitted by

Mr. WAXMAN:

Strike all after the enacting clause and insert the following:

SECTION 1. EXTENDING MEDICARE SELECT POLICIES TO ALL STATES FOR AN ADDITIONAL 5-YEAR PERIOD.

Section 4358(c) of the Omnibus Budget Reconciliation Act of 1990, as amended by section 172(a) of the Social Security Act Amendments of 1994, is amended—

(1) by striking ‘‘The amendments’’ and inserting ‘‘(1) Subject to paragraph (2), the

amendments’’;

(2) by inserting ‘‘and, subject to paragraph

(3), those other States that elect them to

apply’’ after ‘‘15 States (as determined by

the Secretary of Health and Human Services)’’;

(3) by striking ‘‘31⁄2-year’’ and inserting

‘‘81⁄2-year’’; and

(4) by adding at the end the following new

paragraphs:

‘‘(2) The amendments made by this section

shall apply to a State after the first 31⁄2 years

of the 81⁄2-year period described in paragraph

(1) only if the State provides that the premiums for a medicare select policy do not

vary at renewal (or at any other time premiums change) on the basis of the age attained by the policy-holder or

certificateholder.

‘‘(3)(A) The amendments made by this section shall apply to a State other than the 15

States referred to in paragraph (1) only if the

State provides that the issuer of a medicare

select policy makes available to a policyholder or certificateholder, at each of the

times described in subparagraph (B), a policy

described in subparagraph (C) (whether or

not otherwise offered by the issuer to individuals in the State and whether issued directly by that issuer or under an arrangement with another issuer) under terms and

conditions described in subparagraph (C).

‘‘(B) The times described in this subparagraph are—

‘‘(i) the time the policyholder or

certificateholder moves out of the service

area of the issuer of the medicare select policy,

‘‘(ii) the time of renewal of such policy,

and

‘‘(iii) at the end of the 12-month-period beginning on the date such policy first becomes

effective if the policy is canceled or nonrenewed by the policyholder or

certificateholder at the end of such period.

‘‘(C) A policy described in this subparagraph is a policy that meets the 1991 Model

NAIC Regulation or 1991 Federal Regulation

and other requirements of section 1882 of the

Social Security Act (without regard to subsection (t)) and the terms and conditions (including premium levels) described in this

subparagraph are terms and conditions comparable to the terms and conditions that the

policyholder or certificateholder would have

had if the policyholder or certificateholder

had been enrolled in a policy not under section 1882(t) of such Act during the period in

which the policyholder or certificateholder

was enrolled in a policy under such section

1882(t).

‘‘(D) The Secretary of Health and Human

Services is authorized to issue such regulations as may be necessary to carry out this

paragraph.’’.

It was decided in the Yeas ....... 175 ! negative ....................... Nays ...... 246

T57.26 [Roll No. 301]

AYES—175

Abercrombie

Andrews

Baesler

Baldacci

Barcia

Barrett (WI)

Becerra

Beilenson

Bentsen

Berman

Bonior

Borski

Brewster

Brown (FL)

Brown (OH)

Bryant (TX)

Cardin

Clay

Clayton

Clement

Clyburn

Coleman

Collins (IL)

Condit

Conyers

Costello

Coyne

Danner

de la Garza

DeFazio

DeLauro

Dellums

Deutsch

Dicks

Dingell

Dixon

Doggett

Dooley

Doyle

Durbin

Edwards

Engel

Eshoo

Evans

Farr

Fattah

Fazio

Fields (LA)

Filner

Flake

Foglietta

Ford

Frank (MA)

Furse

Gejdenson

Gephardt

Gibbons

Gonzalez

Gordon

Green

Gutierrez

Hall (OH)

Hall (TX)

Hamilton

Hastings (FL)

Hayes

Hefner

Hilliard

Hinchey

Holden

Hoyer

Jackson-Lee

Jefferson

Johnson (SD)

Johnson, E. B.

Johnston

Kanjorski

Kaptur

Kennedy (MA)

Kennedy (RI)

Kildee

Kleczka

Klink

LaFalce

Lantos

Levin

Lewis (GA)

Lincoln

Lipinski

Lofgren

Lowey

Luther

Maloney

Manton

Markey

Martinez

Mascara

Matsui

McCarthy

McDermott

McHale

McKinney

McNulty

Meehan

Meek

Menendez

Mfume

Miller (CA)

Mineta

Mink

Moakley

Mollohan

Montgomery

Moran

Murtha

Nadler

Neal

Oberstar

Obey

Olver

Ortiz

Orton

Owens

Pallone

Pastor

Payne (NJ)

Poshard

Rahall

Rangel

Reed

Richardson

Rivers

Roemer

Roybal-Allard

Rush

Sanders

Sawyer

Schroeder

Schumer

Scott

Serrano

Skaggs

Slaughter

Spratt

Stark

Stenholm

Stokes

Studds

Stupak

Tauzin

Taylor (MS)

Tejeda

Thompson

Thornton

Thurman

Torres

Torricelli

Towns

Traficant

Tucker

Velazquez

Vento

Visclosky

Volkmer

Ward

Waters

Watt (NC)

Waxman

Williams

Wilson

Wise

Woolsey

Wyden

Wynn

Yates

NOES—246

Allard

Archer

Armey

Bachus

Baker (CA)

Baker (LA)

Ballenger

Barr

Barrett (NE)

Bartlett

Barton

Bass

Bateman

Bereuter

Bevill

Bilbray

Bilirakis

Bishop

Bliley

Blute

Boehlert

Boehner

Bonilla

Bono

Boucher

Browder

Brownback

Bryant (TN)

Bunn

Bunning

Burr

Burton

Buyer

Callahan

Calvert

Camp

Canady

Castle

Chabot

Chenoweth

Christensen

Chrysler

Clinger

Coble

Coburn

Collins (GA)

Combest

Cooley

Cox

Cramer

Crane

Crapo

Cremeans

Cubin

Cunningham

Davis

Deal

DeLay

Diaz-Balart

Doolittle

Dornan

Dreier

Duncan

Dunn

Ehlers

Ehrlich

Emerson

English

Ensign

Everett

Ewing

Fawell

Fields (TX)

Flanagan

Foley

Forbes

Fowler

Fox

Franks (CT)

Franks (NJ)

Frelinghuysen

Frisa

Funderburk

Gallegly

Ganske

Gekas

Geren

Gilchrest

Gillmor

Gilman

Goodlatte

Goodling

Goss

Graham

Greenwood

Gunderson

Gutknecht

Hancock

Hansen

Harman

Hastert

Hastings (WA)

Hayworth

Hefley

Heineman

Herger

Hilleary

Hobson

Hoekstra

Hoke

Horn

Hostettler

Houghton

Hunter

Hutchinson

Hyde

Inglis

Istook

Jacobs

Johnson (CT)

Johnson, Sam

Jones

Kasich

Kelly

Kennelly

Kim

King

Kingston

Klug

Knollenberg

LaHood

Largent

Latham

LaTourette

Laughlin

Lazio

Leach

Lewis (CA)

Lewis (KY)

Lightfoot

Linder

Livingston

LoBiondo

Longley

Lucas

Manzullo

Martini

McCollum

McCrery

McDade

McHugh

McInnis

McIntosh

McKeon

Metcalf

Meyers

Mica

Miller (FL)

Minge

Molinari

Moorhead

Morella

Myers

Myrick

Nethercutt

Neumann

Ney

Norwood

Nussle

Oxley

Packard

Parker

Paxon

Payne (VA)

Peterson (FL)

Peterson (MN)

Petri

Pombo

Pomeroy

Porter

Portman

Pryce

Quillen

Quinn

Radanovich

Ramstad

Regula

Riggs

Roberts

Rogers

Rohrabacher

Ros-Lehtinen

Roth

Roukema

Royce

Sabo

Salmon

Sanford

Saxton

Scarborough

Schaefer

Schiff

Seastrand

Sensenbrenner

Shadegg

Shaw

Shays

Sisisky

Skeen

Skelton

Smith (MI)

Smith (NJ)

Smith (TX)

Smith (WA)

Solomon

Souder

Spence

Stearns

Stockman

Stump

Talent

Tanner

Tate

Taylor (NC)

Thomas

Thornberry

Tiahrt

Torkildsen

Upton

Vucanovich

Waldholtz

Walker

Walsh

Wamp

Watts (OK)

Weldon (FL)

Weldon (PA)

Weller

White

Whitfield

Wicker

Wolf

Young (AK)

Young (FL)

Zeliff

Zimmer

NOT VOTING—13

Ackerman

Brown (CA)

Chambliss

Chapman

Collins (MI)

Dickey

Frost

Kolbe

Pelosi

Pickett

Reynolds

Rose

Shuster

So the amendment in the nature of a

substitute was not agreed to.

The SPEAKER pro tempore, Mr.

HOBSON, assumed the Chair.

When Mr. BONILLA, Chairman, pursuant to House Resolution 130, reported

the bill back to the House with an

amendment adopted by the Committee.

The previous question having been

ordered by said resolution.

The following amendment, reported

from the Committee of the Whole

House on the state of the Union, was

agreed to:

Strike out all after the enacting clause

and insert:

SECTION 1. PERMITTING MEDICARE SELECT

POLICIES TO BE OFFERED IN ALL

STATES FOR AN EXTENDED PERIOD.

Section 4358(c) of the Omnibus Budget Reconciliation Act of 1990, as amended by section 172(a) of the Social Security Act Amendments of 1994, is amended to read as follows:

‘‘(c) EFFECTIVE DATE.—(1) The amendments

made by this section shall only apply—

‘‘(A) in 15 States (as determined by the

Secretary of Health and Human Services)

and such other States as elect such amendments to apply to them, and

‘‘(B) subject to paragraph (2), during the

81⁄2 year period beginning with 1992.

‘‘(2)(A) The Secretary of Health and

Human Services shall conduct a study that

compares the health care costs, quality of

care, and access to services under medicare

select policies with that under other medicare supplemental policies. The study shall

be based on surveys of appropriate age-adjusted sample populations. The study shall

be completed by December 31, 1998.

‘‘(B) The Secretary shall determine during

1999 whether the amendments made by this

section shall remain in effect beyond the 81⁄2

year period described in paragraph (1)(B).

Such amendments shall remain in effect beyond such period unless the Secretary deter-
HOUSE OF REPRESENTATIVES

597

1995 T57.30

mines (based on the results of the study

under subparagraph (A)) that—

‘‘(i) such amendments have not resulted in

savings of premiums costs to those enrolled

in medicare select policies (in comparison to

their enrollment in medicare supplemental

policies that are not medicare select policies

and that provide comparable coverage),

‘‘(ii) there have been significant additional

expenditures under the medicare program as

a result of such amendments, or

‘‘(iii) access to and quality of care has been

significantly diminished as a result of such

amendments.’’.

The bill, as amended, was ordered to

be engrossed and read a third time, was

read a third time by title.

The question being put, viva voce,

Will the House pass said bill?

The SPEAKER pro tempore, Mr.

HOBSON, announced that the yeas had

it.

Mrs. JOHNSON of Connecticut demanded a recorded vote on passage of

said bill, which demand was supported

by one-fifth of a quorum, so a recorded

vote was ordered.

The vote was taken by electronic device.

It was decided in the Yeas ....... 408 ! affirmative ................... Nays ...... 14

T57.27 [Roll No. 302]

AYES—408

Allard

Andrews

Archer

Bachus

Baesler

Baker (CA)

Baker (LA)

Baldacci

Ballenger

Barcia

Barr

Barrett (NE)

Barrett (WI)

Bartlett

Barton

Bass

Bateman

Becerra

Beilenson

Bentsen

Bereuter

Berman

Bevill

Bilbray

Bilirakis

Bishop

Bliley

Blute

Boehlert

Boehner

Bonilla

Bonior

Bono

Borski

Boucher

Brewster

Browder

Brown (FL)

Brown (OH)

Brownback

Bryant (TN)

Bryant (TX)

Bunn

Bunning

Burr

Burton

Buyer

Callahan

Calvert

Camp

Canady

Cardin

Castle

Chabot

Chambliss

Chenoweth

Christensen

Chrysler

Clay

Clayton

Clement

Clinger

Clyburn

Coble

Coburn

Coleman

Collins (GA)

Collins (IL)

Collins (MI)

Combest

Condit

Cooley

Costello

Cox

Coyne

Cramer

Crane

Crapo

Cremeans

Cubin

Cunningham

Danner

Davis

de la Garza

Deal

DeFazio

DeLauro

DeLay

Deutsch

Diaz-Balart

Dicks

Dixon

Doggett

Dooley

Doolittle

Dornan

Doyle

Dreier

Duncan

Dunn

Durbin

Edwards

Ehlers

Ehrlich

Emerson

Engel

English

Ensign

Eshoo

Evans

Everett

Farr

Fawell

Fazio

Fields (LA)

Fields (TX)

Filner

Flake

Flanagan

Foglietta

Foley

Forbes

Ford

Fowler

Fox

Frank (MA)

Franks (CT)

Franks (NJ)

Frelinghuysen

Frisa

Funderburk

Furse

Gallegly

Ganske

Gejdenson

Gekas

Gephardt

Geren

Gibbons

Gilchrest

Gillmor

Gilman

Goodlatte

Goodling

Gordon

Goss

Graham

Green

Greenwood

Gunderson

Gutierrez

Gutknecht

Hall (OH)

Hall (TX)

Hamilton

Hancock

Hansen

Harman

Hastert

Hastings (FL)

Hastings (WA)

Hayes

Hayworth

Hefley

Hefner

Heineman

Herger

Hilleary

Hilliard

Hinchey

Hobson

Hoekstra

Hoke

Holden

Horn

Hostettler

Houghton

Hoyer

Hunter

Hutchinson

Hyde

Inglis

Istook

Jackson-Lee

Jacobs

Jefferson

Johnson (CT)

Johnson (SD)

Johnson, E. B.

Johnson, Sam

Jones

Kanjorski

Kaptur

Kasich

Kelly

Kennedy (MA)

Kennelly

Kildee

Kim

King

Kingston

Kleczka

Klink

Klug

Knollenberg

LaFalce

LaHood

Lantos

Largent

Latham

LaTourette

Laughlin

Lazio

Leach

Levin

Lewis (CA)

Lewis (GA)

Lewis (KY)

Lightfoot

Lincoln

Linder

Lipinski

Livingston

LoBiondo

Lofgren

Longley

Lowey

Lucas

Luther

Maloney

Manton

Manzullo

Markey

Martinez

Martini

Mascara

Matsui

McCarthy

McCollum

McCrery

McDade

McHale

McHugh

McInnis

McIntosh

McKeon

McKinney

McNulty

Meehan

Meek

Menendez

Metcalf

Meyers

Mfume

Mica

Miller (CA)

Miller (FL)

Mineta

Minge

Moakley

Molinari

Mollohan

Montgomery

Moorhead

Moran

Morella

Murtha

Myers

Myrick

Nadler

Neal

Nethercutt

Neumann

Ney

Norwood

Nussle

Oberstar

Obey

Olver

Ortiz

Orton

Owens

Oxley

Packard

Pallone

Parker

Pastor

Paxon

Payne (VA)

Peterson (FL)

Peterson (MN)

Petri

Pickett

Pombo

Pomeroy

Porter

Portman

Poshard

Pryce

Quillen

Quinn

Radanovich

Rahall

Ramstad

Rangel

Reed

Regula

Richardson

Riggs

Rivers

Roberts

Roemer

Rogers

Rohrabacher

Ros-Lehtinen

Rose

Roth

Roukema

Roybal-Allard

Royce

Rush

Sabo

Salmon

Sanders

Sanford

Sawyer

Saxton

Scarborough

Schaefer

Schiff

Schroeder

Schumer

Scott

Seastrand

Sensenbrenner

Serrano

Shadegg

Shaw

Shays

Sisisky

Skaggs

Skeen

Skelton

Slaughter

Smith (MI)

Smith (NJ)

Smith (TX)

Smith (WA)

Solomon

Souder

Spence

Spratt

Stearns

Stenholm

Stockman

Stokes

Studds

Stump

Talent

Tanner

Tate

Tauzin

Taylor (MS)

Taylor (NC)

Tejeda

Thomas

Thompson

Thornberry

Thornton

Thurman

Tiahrt

Torkildsen

Torres

Torricelli

Towns

Traficant

Tucker

Upton

Velazquez

Vento

Visclosky

Volkmer

Vucanovich

Waldholtz

Walker

Walsh

Wamp

Ward

Watts (OK)

Waxman

Weldon (FL)

Weldon (PA)

Weller

White

Whitfield

Wicker

Williams

Wilson

Wise

Wolf

Woolsey

Wyden

Wynn

Yates

Young (AK)

Young (FL)

Zeliff

Zimmer

NOES—14

Abercrombie

Conyers

Dellums

Dingell

Fattah

Gonzalez

Johnston

Kennedy (RI)

McDermott

Mink

Stark

Stupak

Waters

Watt (NC)

NOT VOTING—12

Ackerman

Armey

Brown (CA)

Chapman

Dickey

Ewing

Frost

Kolbe

Payne (NJ)

Pelosi

Reynolds

Shuster

So the bill was passed.

A motion to reconsider the vote

whereby said bill was passed was, by

unanimous consent, laid on the table.

Ordered, That the Clerk request the

concurrence of the Senate in said bill.

T57.28 CLERK TO CORRECT ENGROSSMENT

On motion of Mr. CLINGER, by unanimous consent,

Ordered, That in the engrossment of

the foregoing bill, the Clerk be authorized to correct section numbers, punctuation, cross references, and to make

other technical corrections.

T57.29 MESSAGE FROM THE PRESIDENT

A further message in writing from

the President of the United States was

communicated to the House by Mr.

Edwin Thomas, one of his secretaries.

T57.30 MESSAGE FROM THE PRESIDENT—

ENVIRONMENTAL QUALITY

The SPEAKER pro tempore, Mr.

RADANOVICH, laid before the House a

message from the President, which was

read as follows:

To the Congress of the United States:

The United States has always been

blessed with an abundance of natural

resources. Together with the ingenuity

and determination of the American

people, these resources have formed the

basis of our prosperity. They have

given us the opportunity to feed our

people, power and industry, create our

medicines, and defend our borders—and

we have a responsibility to be good

stewards of our heritage. In recent decades, however, rapid technological advances and population growth have

greatly enhanced our ability to have an

impact on our surroundings—and we do

not always pause to contemplate the

consequences of our actions. Far too

often, our short-sighted decisions cause

the greatest harm to the very people

who are least able to influence them—

future generations.

We have a moral obligation to represent the interests of those who have

no voice in today’s decisions—our children and grandchildren. We have a responsibility to see that they inherit a

productive and livable world that allows their families to enjoy the same

or greater opportunities than we ourselves have enjoyed. Those of us who

still believe in the American Dream

will settle for no less. Those who say

that we cannot afford both a strong

economy and a healthy environment

are ignoring the fact that the two are

inextricably linked. Our economy will

not remain strong for long if we continue to consume renewable resources

faster than they can be replenished, or

nonrenewable resources faster than we

can develop substitutes; America’s

fishing and timber-dependent communities will not survive for long if we destroy our fisheries and our forests.

Whether the subject is deficit spending

or the stewardship of our fisheries, the

issue is the same: we should not pursue

a strategy of short-term gain that will

harm future generations.

Senators Henry Jackson and Ed

Muskie, and Congressman John Dingell

understood this back in 1969 when they

joined together to work for passage of

the National Environmental Policy

Act. At its heart, the National Environmental Policy Act is about our rela-