Senator Chuck Grassley made remarks this morning about the impact of the 2010 health care reform law on the individual insurance market and employers, and how it is costing Americans both insurance coverage and jobs.

 

Floor Statement of U.S. Senator Chuck Grassley

Wednesday, November 9, 2011

 

Mr. President, I'd like to begin by thanking my friend from Nebraska, Senator Johanns for joining me on the floor today.

America's families are struggling to put food on their tables, pay their utility bills as winter arrives, and purchase health insurance as costs skyrocket.  Unemployment continues to hover around nine percent and millions of Americans are underemployed.  With the economic situation that our country is facing, Congress must reexamine its actions and realize the errors made through partisan votes.

Last month, The Des Moines Register reported that the American Enterprise Group, an insurance company participating in the individual health insurance market in Iowa and Nebraska, will be leaving the market.  This action shows the importance of repealing and replacing the health care overhaul passed by Democrats in Congress and signed by the President last year before the situation deteriorates further.

American Enterprise notified 110 employees in Iowa and Nebraska that they will lose their jobs sometime during the next three years.  American Enterprise is leaving the individual health insurance market as a result of the instability caused by implementation of the Patient Protection and Affordable Care Act.  American Enterprise stated that it will no longer sell individual health insurance policies because of the regulatory environment created by the health care reform bill.

This isn't an isolated incident for Iowa.  The Principal Financial Group left the small group health insurance market in 2010.  This has cost many Iowans their jobs, while leaving scores of small businesses and their employees to choose from health insurance plans in a health insurance market where there is less and less competition.

The regulatory culprit is the new Medical Loss Ratio regulation.  This regulation requires insurers to pay a certain percentage of premiums in claims.  And I will know supporters will defend the regulation as "keeping insurers in check", the real world effect is to force insurers to leave the market reducing competition and choice available to consumers.

The small group and individual markets are volatile.  Insurers bear risk and have to set their premiums accordingly.  Insurers are making the rational decision to get out of the market because the risks have become too great.  Competition is reduced and costs rise.

Once upon a time, the President promised Americans that if you like the insurance plan you have, you can keep it.  This is more evidence that that promise rings hollow.  This recent plan pull out will leave 35,000 individuals without the insurance plan they have grown accustomed to receiving.  Forcing people to choose a different insurance option can lead to higher costs and may limit the health care accessibility these individuals have depended on for years.

This is especially detrimental when these individuals have a pre-existing condition or an acute chronic disease.  The President specifically promised that if people want to keep their health care coverage they would be able to after the passage of this law.

This is just one of the many examples of how this overhaul has led to broken promises made by the President and the Democrats when pushing through the passage of this legislation in a partisan way.  These problems will certainly continue.

The Congressional Budget Office expects people in the individual insurance market to see an average nine percent rise in premium costs solely based on the passage of the health care law.  Is that increased accessibility or affordability?

Not only has the health care overhaul caused health insurance companies to leave parts of the health insurance market and health insurance costs to increase, it has also put additional burdens on employers.  Some employers will no longer offer their employees health care coverage.  Higher taxes and mandates put on employers by the new health care law have left many employers without the resources to maintain current coverage for family members of their employees.

The negative impact this legislation is having on large employers and those insured by employers is demonstrated by the National Business Group on Health.  In its recent annual survey, overall plan costs for large employers are expected to rise by 5.9 percent in 2012.  The National Business Group on Health also notes that seven out of ten employers will lose their grandfather status, meaning that employees will lose their current health care plan and employers will be subjected to additional regulations.

According to this same survey, three out of ten employers are unsure if they will continue to insure employees due to the health care overhaul.  Other employers will increase the employee share of the insurance premium, and many employers state that they will likely lower the level of health care coverage offered to their employees.  For example, Wal-Mart will not allow many of its new part-time employees to receive health care insurance through the company.  Many of these workers are already under-employed.

They work hard, yet don't always have adequate resources to purchase health insurance on their own, especially as costs in the individual insurance market continue to increase due to the new health care law.  Additionally, many businesses are simply dropping coverage for their own employees because of the extra cost incurred with the health care bill recently enacted.

It is more affordable for some employers to drop coverage for their employees and pay the fine associated with the employer mandate.  An employer must provide health insurance for their employees if they have more than fifty employees, or fifty full-time equivalent employees.  Employers who are required to insure employees will be fined $2,000 per employee who seeks health insurance through one of the exchanges created under the health care overhaul.

Any employer-sponsored plan must meet the definitions set by the Department of Health and Human Services (HHS) on what an adequate health insurance plan is under the mandate.  This requirement will increase insurance costs for employers and employees when they must upgrade health insurance benefits in order to meet the standards defined in the regulations issued by the Department of Health and Human Services.

Forcing employers to provide health insurance when they are having a tough time hiring new employees just adds to the burden employers are facing in this struggling economy.  Employers will likely pay their increased health insurance costs by reducing employee take-home pay or by increasing the employee share of health insurance premiums.  Also, employers will continue struggling in future years as the federal government increases, year by year, the requirements for health insurance benefits needed to avoid the penalty associated with the employer mandate.  Furthermore, employers already faced with economic uncertainty have had to deal with government regulations that continue to change, creating greater uncertainty.

A Department of Health and Human Services rule released last November allows fully-insured group plans to switch insurance providers as long as the insurance benefits provided to the beneficiaries remain comparable; however, this is only for group plans that switch after November 15, 2010.  The Department of Health and Human Services wrote this new rule so more group plans can find affordable coverage and shop around for similar coverage at a cheaper rate.  If the group insurance plan carrier was changed before November 15, 2010, the plan would lose grandfather status which would subject the plan to numerous insurance regulations and increased costs.

Ironically, what created the need for this new rule was another rule that the President's administration and HHS crafted in June 2010 that stated plans would lose their grandfather status if they switched carriers.  This chaotic situation shows what happens when the government is given more authority to regulate the health insurance market.  Mr. President, what we have here is a mess.  We need to put a halt to the implementation.  We need to repeal the law and start over again with common sense solutions.  We need to move away from the regulatory and bureaucratic nightmare that is costing Americans their coverage and too many Americans their job.

***

PELLA, IA (11/09/2011)(readMedia)-- During her fall break, Allison Redman, a junior elementary education major from Davenport, Iowa, along with 17 other students from Central College in Pella, Iowa, traveled to Esperance and Schoharie in New York to help clean up some of the destruction caused by Hurricane Irene in August.

The group left after classes Wednesday, Oct. 12 and drove through the night to reach New York. On Friday, they helped clean up the remains of destroyed homes on Priddle Camp Road in Esperance, trying to make sense of the piles of houses the flooding from Irene left behind.

"There was nothing left to salvage," said Kristin Tremper, coordinator of Reformed Church in America relations at Central, who organized the trip. The students moved garbage out into the street so that trucks could pick it up.

On Saturday, Oct. 15, students worked in Schoharie to muck mud out of basements and rip out ruined drywall.

The trip wasn't all hard work for the students. On Thursday, they did a ropes course, ziplining and a cave tour at Howe Caverns. They also hiked and visited The Old Stone Fort, a revolutionary war museum in Schoharie.

"Our students are awesome," said Tremper. "This was the best group I've ever been able to work with. It was a joy to get to know them."

Central College is a four-year, private, residential, liberal arts college in Pella, Iowa, affiliated with the Reformed Church in America. Central offers a bachelor's degree in 39 majors and pre-professional advising. For more information about Central, call 877-462-3687 or go to www.central.edu

WASHINGTON - Sen. Chuck Grassley of Iowa today called for effective oversight of the federal discount drug program after the federal agency in charge of it confirmed it has not conducted a single audit since the program began in 1992.

"This program is growing in popularity," Grassley said.  "That will only increase under the health care overhaul law, which increased eligibility.  The federal government needs to get a handle on potential abuse before program growth gets out of hand, the taxpayers have to pay for it, and program sustainability is in question."

The government entity that runs the 340B program, the federal Health Resources and Services Administration (HRSA), confirmed in a letter to Grassley, in response to an inquiry from Grassley and Sen. Orrin Hatch and Rep. Fred Upton, that it has not conducted any program audits itself.  The agency said it has referred only two cases for outside audit, one to an inspector general and one to the Justice Department.

"Those were both very narrow cases," Grassley said.  "With the lack of oversight, the taxpayers through state and federal governments could be grossly overpaying for prescription drugs and not know it, and that situation could continue to accelerate.  The agency needs to start conducting oversight and keep going."

The health care reform law enacted last year expanded the 340B program to include additional types of hospitals.  The law also included measures to improve program integrity, including provisions to prevent drug manufacturers from overcharging program participants and sanctions in the form of payments to manufacturers for eligible hospitals and other health care entities that violate program requirements.  However, the Government Accountability Office said more steps are needed, including audits.

HRSA's response to Grassley is available here.  Background on the cases referred by HRSA to the Health and Human Services Office of Inspector General and Justice Department are available here and here. Information on the Grassley-Hatch-Upton inquiry to HRSA is available here.

The Government Accountability Office September report concluding more oversight is necessary is available here.  A June 2011 Health and Human Services Inspector General report that raised questions of program integrity without proper federal oversight of taxpayer dollars is available here.

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On Saturday, November 19th at 10:00 A.M. the Wapsi River Environmental Education Center will be hosting a winter bird feeding program. Come learn how you can attract and feed our common feathered friends on any budget.  Simple supplies and preparation can get you started right in your own backyard.  Call to register, (563) 328-3286

The Wapsi River Environmental Education Center can be found 6 miles south of Wheatland or 1 mile northwest of Dixon, Iowa by taking County Road Y4E.  Then turn north at 52nd Avenue and follow the signs for about 1 mile.

Students Can Win Up to $1,000 in National Essay Competition Focused on the Constitution

 

Arlington, VA - The deadline for high-school students and their teachers to submit essays for the Bill of Rights Institute's national Being an American Essay Contest is fast approaching.  The Contest asks students to explore the Founding principles outlined in the Constitution by answering the question: "How does the Constitution establish and maintain a culture of liberty?"

The Contest, which has quickly become the largest high-school essay competition of its kind, totaling over 80,000 submitted essays, is administered by the Bill of Rights Institute, a non-profit educational organization in the Washington, D.C. area devoted to educating young people about the Constitution and Founding principles.

"This contest is unique in that it gives students the opportunity to think about the important Founding principles communicated in our Constitution," said Dr. Jason Ross, Bill of Rights Institute Vice President of Education Programs. "This contest is vital to helping students see the Founding principles as a meaningful part of the American experiment of self-government."

The top three student winners from each of five geographical regions will be awarded cash prizes of $1,000 (First Place), $500 (Second Place), and $250 (Third Place). Teacher sponsors of each student winner will also receive a cash prize of $100.

Essays must be submitted online at www.BillofRightsInstitute.org/Contest by 11:59 P.M. PST on December 15, 2011. Supporting contest materials, including lesson plans meeting Common Core standards, are provided at no cost to teachers who want to incorporate the Essay Contest into their classroom.

The Contest is sponsored by the History Channel. "We are pleased to support the Bill of Rights Institute's Being an American Essay Contest," said Dr. Libby O'Connell, SVP, Corporate Outreach and Chief Historian, History Channel. "The contest encourages students to think critically and truly makes the past relevant in their lives today."

The Essay Contest serves as a key part of the Bill of Rights Institute's mission to educate young people about the words and ideas of America's Founders, the liberties guaranteed in our Founding documents, and how our Founding principles continue to affect and shape a free society. Complete contest details can be found below.

 

MEDIA FAST FACTS:

BEING AN AMERICAN ESSAY CONTEST

2011-2012 SCHOOL YEAR PARTICIPATING REGIONS:

North Eastern Region:
Connecticut, Delaware, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont

Southern Region:
Alabama, Arkansas, Georgia, Florida, Louisiana, Mississippi, North Carolina, South Carolina, Tennessee, Virginia, Washington, D.C., West Virginia as well as Puerto Rico and the United States Virgin Islands

Mid-Western Region:
Kentucky, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Ohio, Wisconsin

Central Region:
Colorado, Kansas, Montana, Nebraska, New Mexico, North Dakota, Oklahoma, South Dakota, Texas, Wyoming

Western Region:
Alaska, Arizona, California, Hawaii, Idaho, Nevada, Oregon, Utah, Washington as well as Guam, American Samoa, and American Armed Forces Schools Abroad (APO)

SPONSORING ORGANIZATION: Bill of Rights Institute, Arlington, VA.

The Bill of Rights Institute, founded in 1999, is a nonprofit educational organization. The mission of the Bill of Rights Institute is to educate young people about the words and ideas of America's Founders, the liberties guaranteed in our Founding documents, and how our Founding principles continue to affect and shape a free society.

FUNDING PROVIDED BY: History Channel (New York City, NY).

CONTEST GOAL: To help promote dialogue among students and teachers about American Founding principles. The Essay Contest serves as a key part of the Bill of Rights Institute's mission to educate young people about the words and ideas of America's Founders, the liberties guaranteed in our Founding documents, and how our Founding principles continue to affect and shape a free society.

ESSAY QUESTION: "How does the Constitution establish and maintain a culture of liberty?"

ELIGIBILITY: Students in grades 9-12 who are U.S. citizens or legal residents and are either attending public, private, religious, or charter schools, being home-schooled, or participating in a GED or correspondence school program but are no older than 19 years of age.  Military bases and U.S. territories are also invited to participate.

ESSAY LENGTH: No more 1,000 words.

JUDGING CRITERIA:

  • Adherence to Essay Question
  • Originality
  • Organization
  • Writing Style
  • Depth of Analysis

JUDGES: High school teachers

STUDENT CASH PRIZES: Three cash prizes per region will be awarded to students:

  • First Prize: $1,000 each
  • Second Prize: $500 each
  • Third Prize: $250 each

TEACHER CASH PRIZES: Cash prizes of $100 will be awarded to the teachers of all winning students:

CONTEST START DATE: September 17, 2011

DEADLINE FOR ESSAY SUBMISSIONS: December 15, 2011 at 11:59 p.m. PST. All essays must be submitted at www.BillofRightsInstitute.org/Submit.

WINNERS ANNOUNCED: February 2012

WEB SITE AND CONTEST GUIDELINES: www.BillofRightsInstitute.org/Contest

Senate Judiciary Committee Ranking Member Chuck Grassley released the following statement after Attorney General Eric Holder appeared before the Judiciary Committee for a regular oversight hearing.

"The Attorney General did a lot of dodging and weaving today.  He didn't seem to be alarmed that nobody notified him that the guns found at Agent Terry's murder scene were from Fast and Furious.  And, while he said that he regretted the fact that the department provided false information to Congress, it's unclear what he will be doing to hold accountable those in the department who knew it was false.  It's unconscionable that a federal agency would let such a misleading letter stand for more than nine months.  The head of the Criminal Division knew it was false, his deputy knew it was false, the whistleblowers knew it was false, the documents suggested it was false, and I discovered it was false?but, if Congress had relied on the department's official talking points, we still wouldn't know the truth today.  Congress deserves more candid and honest responses to our questions."

BELLEVILLE, IL (11/08/2011)(readMedia)-- Losing a family member can be difficult, especially when that loved one made the ultimate sacrifice while serving his or her country. However, those who grieve do not have to take the journey alone.

The Illinois Connections for Families of the Fallen (ICFF) held a conference "Connections in Southern Illinois: Bringing Families of the Fallen Together" on the campus of Southwestern Illinois College Nov. 5. ICFF is a coalition of more than 25 organizations, including the Army Survivor Outreach Services (SOS) program.

"ICFF ensures families are connected to resources, connected to their local community, and connected to peer support," said Bob Gillmore, the support coordinator of Army Survivor Outreach Services and native of Petersburg.

The event was open to the families of fallen servicemembers. Participants were asked to bring a personal token of remembrance to use as a symbol of strength.

The event was comprised of three tracks: groups/workshops, resources, and creative arts.

In the groups/workshops track, participants discussed how they coped with the loss of their servicemember. Everybody described their grieving process differently.

"We found that we were so busy, we really didn't have time to grieve," said Sheila Tracy of Palestine, who attended on behalf of her son, Pfc. Jacob Tracy.

In the resources track, participants learned how to improve advocacy skills, develop peer networks in their home area, reach financial goals, and change or restart their careers.

The creative arts tracks helped participants reveal a creative side some may have thought they never had.

"Art therapy is a mental health profession that uses a creative process and art materials to help people express themselves," said art therapist Leslee Goldman of Evanston. "When it comes to mourning a loved one, it becomes another language of expression for those who cannot find the words to say. The grieving process can be long and challenging and not everyone is comfortable with just talking."

Children also attended the event and participated in activities with their family. The activities were designed to help families share positive memories of their loved one.

"My dad was a really nice person who wanted to make his family happy and laugh," said a young Belleville participant describing his father, who served in the Marine Corps and Air Force. "He is irreplaceable."

Another young participant, Jayse Weikert of Jacksonville, described his father, Illinois National Guard Staff Sgt. Matthew Weikert in only one word: "Awesome!!!"

Participants also had the opportunity to contribute to The Memorial Mosaic Wall, which was created by using tile pieces. Everyone contributed one piece to create an entire picture. It will travel throughout Illinois to enable others to contribute to this ever evolving piece.

The purpose of the SOS program is to provide long-term support to families of the fallen. This is done by facilitating support groups, providing life skills education, and connecting Survivors with counseling resources. SOS also works closely with benefits coordinators, casualty assistance officers, and others to ensure survivors receive the necessary services.

Kohl-Grassley Generic Drug Bill Would Save Taxpayers Nearly $4.8 Billion, Congressional Budget Office Says

 

WASHINGTON - A new Congressional Budget Office (CBO) estimate finds that a bipartisan bill aimed at cutting costs by encouraging competition from generic drugs would save taxpayers nearly $4.8 billion over the next decade.

CBO anticipates that enacting the Preserve Access to Affordable Generic Drugs Act (S. 27) would accelerate the availability of lower-priced generic drugs and generate $4.785 billion in budget savings between fiscal years 2012 and 2021. CBO also estimates that earlier entry of generic drugs affected by the bill would reduce total drug expenditures in the U.S. by roughly $11 billion over the decade.

The CBO estimate can be found here.

The bill would deter "pay-for-delay" settlements in which brand name drug companies settle patent disputes by paying generic drug manufacturers in exchange for the promise of delaying the release of the generic version into the market. Under the legislation, these anti-consumer pay-off agreements would be presumed illegal and the Federal Trade Commission (FTC) would be provided the authority to stop the agreements.

"Generic drugs are essential to making medicine affordable and holding down costs for taxpayers," Kohl said. "As CBO's new cost estimate shows, backroom pay-for-delay deals are keeping generic drugs off the shelves at a great cost to consumers and taxpayers. Congress and the Joint Select Committee on Deficit Reduction should take this opportunity to fix this problem."

"CBO estimates that there would be significant savings to both the federal government and consumers if our legislation were to be enacted. When people across the country are having a hard time making ends meet, this could be a real boost to their bottom line," Grassley said.  "I urge the deficit reduction committee to include this legislation in their efforts to make the necessary reductions in the federal budget."

Last month, Kohl and Grassley urged the Joint Select Committee on Deficit Reduction to include the bill as part of its budget-cutting effort. The letter can be found here.

The Federal Trade Commission also released a report last month that found that drug companies entered into 28 potential pay-for-delay deals in FY 2011, nearly matching the previous fiscal year's record of 31 deals. Overall, the agreements reached in the latest fiscal year involved 25 different brand-name pharmaceutical products with combined annual U.S. sales of more than $9 billion.

In July, the Senate Judiciary Committee favorably reported the Preserve Access to Affordable Generic Drugs Act.

Previously, CBO estimated that the bill would save the federal government - which pays approximately one-third of all prescription costs - $2.68 billion over ten years. The president included a provision to end pay-for-delay settlements in his FY 2012 budget and estimated it would save the federal government $8 billion over ten years.

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Davenport, Iowa - November 2011 - College students looking to be immersed in French culture will find just that at the Figge Art Museum's annual College Night.  As an extension of the current exhibition, Turn of the Century Posters from the Krannert Art Museum Collection, which features works from French artists, "Paris When it Sizzles" will be a night full of engaging French-themed activities and ambiance. The event is co-sponsored with the University of Iowa Museum of Art and hosted by Western Illinois University Museum Studies students.

On Thursday, November 17 from 7-10 p.m. students, faculty and staff from any college or university will be welcome to the museum for free. Guests will be greeted by student volunteers from Western Illinois University dressed in period costumes. Guests can participate in "Cabaret Karaoke" presented by ABC Karaoke, printmaking demonstrations in the studios and various creativity challenges.

"The Naughty Tour" of Henri de Toulouse-Lautrec's posters featured in the Turn of the Century Posters exhibition will show guests the wild history surrounding the artist and his subjects.  Visitors can also check out "Paris, Je T'Aime," numerous film shorts about life in the City of Love. Truffles, crêpes and other French treats will be served throughout the night to guests completing a scavenger hunt. The museum café will also be open, serving delicious croque-monsieur and croque-madame sandwiches, in addition to other menu items.

In addition the current exhibition, the 2011 College Invitational will be on view in the Mary Waterman Gildehaus Community Gallery. Over 40 works from area college students will be featured in the exhibition covering a variety of mediums, including book arts, drawing, painting, photography, and video.  This exhibition will be on view until December 31, 2011.

The Figge Art Museum is located on the riverfront in Downtown Davenport at 225 West Second Street. Hours are from 10 am to 5 pm, Tuesday through Saturday, Sundays noon to 5 pm and Thursdays 10 am to 9 pm.  To contact the museum, please call 563-326-7804, or visit www.figgeartmuseum.org.

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