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PRESCRIPTION DRUG AND MEDICARE IMPROVEMENT ACT OF 2003--CONTINUED -- (Senate - June 25, 2003)
Page: S8499
Mr. BAUCUS. I have been explaining various provisions in the bill that I think...
Page: S8500
AMENDMENT NO. 1040
Mr. SANTORUM. Madam President, the Senator from New York, Mr. Schumer,...
Mr. SCHUMER. Madam President, I ask unanimous consent to set aside pending...
Mr. SCHUMER. I ask unanimous consent the reading of the amendment be dispensed...
Page: S8501
Mr. SCHUMER. Madam President, I offer this amendment on behalf of myself and my...
Mr. SCHUMER. Madam President, Senator Santorum has summed this up very...
Page: S8502
AMENDMENT NO. 1040 WITHDRAWN
Mr. SCHUMER. I yield the floor.
Mr. REED. Madam President, I ask unanimous consent that I be allowed to yield...
Mr. BINGAMAN. Madam President, I thank my colleague from Rhode Island very much...
AMENDMENT NO. 1065
Mr. BINGAMAN. Madam President, I send an amendment to the desk and ask for its...
Mr. BINGAMAN. Madam President, I ask unanimous consent that reading of the...
Mr. BINGAMAN. Madam President, just very briefly, let me state that this is the...
AMENDMENT NO. 1066
Mr. BINGAMAN. Madam President, I send an amendment to the desk and ask for its...
Mr. BINGAMAN. Madam President, just to indicate what this amendment does, this...
Page: S8503
Mr. REED. Madam President, I rise today to discuss the historic legislation...
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AMENDMENT NO. 1040
Mrs. CLINTON. Madam President, I come to the floor in support of the amendment...
Mr. HARKIN. Madam President, I do not think in my 19 years in the Senate we...
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Page: S8510
Mr. DURBIN. Will the Senator yield for a question?
Mr. HARKIN. Without losing my right to the floor, yes.
Mr. DURBIN. I, like you, have been in the House and Senate. Can you ever recall...
Mr. HARKIN. Well, the Senator asks an insightful question. Earlier, I had...
Page: S8511
Mr. DURBIN. Will the Senator yield for a further question?
Mr. HARKIN. I will.
Mr. DURBIN. I ask the Senator, if he has had the time to read the 654 pages of...
Mr. HARKIN. I thank the Senator again for a very insightful question. I asked...
Mr. DURBIN. If the Senator, through the Chair, will yield for one more question.
Mr. HARKIN. I yield for a question.
Mr. DURBIN. I am aware of Senator Harkin's background as a Vietnam...
Mr. HARKIN. That is right.
Mr. DURBIN. Since we have established there is no effort in this bill to bring...
Mr. HARKIN. I think the Senator knows the answer to that question. He and I...
Mr. BYRD. Will the Senator yield?
Mr. HARKIN. Does the Senator from Illinois think the drug companies are losing...
Mr. BYRD. Mr. President, I do not have a question except as to what the status...
Mr. REID. Will my friend from Iowa yield so I can respond to the Senator from...
Mr. HARKIN. I yield, without losing my right to the floor, to the assistant...
Mr. REID. I say to my friend from West Virginia, the distinguished Senator, we...
Mr. BYRD. I would.
Mr. REID. Senator Dorgan wishes to speak for how long on the Durbin...
Mr. DORGAN. Five minutes.
Mr. REID. Does Senator Stabenow wish to speak on the Durbin amendment?
Ms. STABENOW. Five minutes.
Mr. REID. And then Senator Lindsey Graham is here to speak on what?
Mr. GRAHAM of South Carolina. To call up my amendment, 2 minutes.
Mr. REID. Of course, the Senator from Iowa has the floor. How much longer does...
Mr. HARKIN. I do not think I will be much more than a half an hour.
Mr. REID. That kind of defeats that theory.
Mr. HARKIN. I may not be that long. I think I can wrap up in a half an hour.
Mr. REID. So much for my ideas.
Mr. HARKIN. Mr. President, as I said earlier in response to the questions asked...
Page: S8512
Mr. SUNUNU. Mr. President, I ask unanimous consent the following Members be...
Mr. REID. Mr. President, reserving the right to object, we had some votes...
Mr. SUNUNU. Mr. President, I am happy to accommodate that request. In addition,...
AMENDMENT NO. 948, AS MODIFIED
Mr. GRAHAM of South Carolina. I ask unanimous consent the pending amendments be...
Page: S8513
Subtitle __--National Bipartisan Commission on Medicare Reform
Page: S8514
Mr. GRAHAM of South Carolina. Mr. President, I offer this amendment with the...
Page: S8515
Mr. BYRD. Mr. President, before we pat ourselves on the back, pop the champagne...
Ms. STABENOW. Mr. President, I rise also to support and I am pleased to...
AMENDMENTS NOS. 1075, 1076, 1077
Ms. STABENOW. I send the amendments to the desk and ask the reading of the...
AMENDMENT NO. 1075
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AMENDMENT NO. 1076
AMENDMENT NO. 1077
AMENDMENT NO. 994
Ms. STABENOW. Mr. President, I believe this is an incredibly important vote....
Page: S8517
Mr. REID. Mr. President, I ask unanimous consent that if there is not a vote...
Mr. DOMENICI. Mr. President, I rise today to speak about this legislation....
Page: S8519
Mr. DORGAN. Madam President, we are about to vote at some point in the coming...
Mr. DURBIN. Who is to be recognized next?
Mr. REID. Madam President, I ask that the time of the Senator from Nevada be...
Mr. DURBIN. Madam President, I thank my colleague from Nevada. I say to my...
Page: S8520
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Mr. NELSON of Florida. Will the Senator yield?
Mr. DURBIN. I yield to the Senator from Florida for a question.
Mr. NELSON of Florida. I say to my colleague from Illinois, I think he has...
Mr. DURBIN. I ask unanimous consent for an additional 3 minutes.
Mr. ENSIGN. Reserving the right to object, we have been waiting about an hour...
Mr. DURBIN. Two additional minutes, and I will ask unanimous consent that the...
Mr. ENSIGN. I do not need any additional time. I just wanted to speak if I could.
Mr. DURBIN. Two minutes. Does the Senator object?
Mr. ENSIGN. Okay.
Mr. NELSON of Florida. So I compliment the Senator and ask him why, if that was...
Mr. DURBIN. I thank the Senator from Florida. The answer is obvious: Because...
Mr. ENSIGN. Madam President, what is the pending business?
Mr. ENSIGN. I ask unanimous consent that the pending amendment be laid aside.
AMENDMENT NO. 1024
Mr. ENSIGN. I call up amendment No. 1024.
Mr. ENSIGN. Madam President, I ask unanimous consent that the reading of the...
Mr. ENSIGN. Madam President, there is a cap on the amount of therapy that can...
Page: S8522
AMENDMENT NO. 1073
Mr. SMITH. I ask unanimous consent to set aside the pending amendment and call...
Mr. SMITH. Madam President, I ask unanimous consent that the reading of the...
Mr. SMITH. I come to the floor on behalf of myself and Senator...
Mr. SMITH. Senator Feingold and I have designed this amendment to help...
Page: S8523
Mr. SMITH. Keeping seniors out of nursing homes by managing their health better...
AMENDMENT NO. 994
Mr. SANTORUM. Madam President, I rise in opposition to the Durbin amendment. I...
Page: S8524
Mr. DURBIN. Will the Senator yield for a question?
Mr. SANTORUM. In one second. That makes sense. If you are not paying anything...
Mr. DURBIN. I ask the Senator if he would concede the point that both the...
Mr. SANTORUM. I see that you have a cost share of up to 70/30. I do not have...
Mr. DURBIN. Will the Senator yield for a question?
Mr. SANTORUM. Sure.
Mr. DURBIN. I thank the Senator for yielding. This is getting perilously close...
Mr. SANTORUM. The Senator from Illinois is correct. The way we control costs...
Page: S8525
Mr. GRASSLEY. Let me say to the Senator from Pennsylvania, this is just for the...
Mr. REID. Reserving the right to object, in relation to the time between now...
Mr. SANTORUM. Madam President, I would be happy to divide the time between now...
Mr. REID. I think that would be appropriate. I ask that the consent request of...
Mr. GRASSLEY. Yes.
Mr. REID. With the time controlled by Senator Durbin on our side.
Mr. GRASSLEY. And the Senator from Pennsylvania on our side.
Mr. SANTORUM. Madam President, another concern I have--and it is not a concern...
Mr. DURBIN. Mr. President, I thank the Senator from Pennsylvania.
Page: S8526
Mr. SANTORUM. I say to the Senator from Illinois, I believe the number is 12...
Mr. DURBIN. I am sorry I said 89. I stand corrected.
Mr. SANTORUM. If the Senator will yield further, I would also ask the Senator...
Mr. DURBIN. I will concede the point because I can remember so well when these...
Mr. SANTORUM. Will the Senator from Illinois yield for a question?
Mr. DURBIN. I am happy to yield.
Mr. SANTORUM. I want to ask you, first on the Medicare+Choice plan. You say it...
Mr. DURBIN. I am not. I thank the Senator for bringing to it my attention. Let...
Mr. SANTORUM. If the Senator will continue to yield, I would suggest you look...
Page: S8527
Mr. SANTORUM. Take a look at this letter. It is very clear that the reason...
Mr. DURBIN. Reclaiming my time, you don't put it back in that situation. You...
Mr. SANTORUM. If the Senator from Illinois will yield for a question.
Mr. DURBIN. I am happy to yield.
Mr. SANTORUM. Does your plan have the benefit actually administered by the CMS...
Mr. DURBIN. This is a Medicare delivered benefit through the Medicare agency.
Mr. SANTORUM. So there is no intermediary. The plan is actually run--unlike the...
Mr. DURBIN. If the Senator will allow me to consult with the expert.
Mr. SANTORUM. I am happy to.
Mr. DURBIN. I guess the difference is, we don't divide it into 10 regions when...
Mr. SANTORUM. It is provided through an intermediary, which is the exact same...
Mr. DURBIN. The difference is this: The difference is negotiating lower costs...
Ms. MIKULSKI. Mr. President, I rise in strong support of amendment No. 994 from...
Mr. JOHNSON. Mr. President, today I join several of my colleagues to urge...
Page: S8528
Mr. SANTORUM. A couple of points, Mr. President. The Senator from Illinois said...
Mr. DURBIN. Mr. President, I say to my friend, thank you for expressing your...
Mr. STEVENS. Mr. President, I ask unanimous consent that I be recognized for 30...
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MEASURE HELD AT THE DESK
Mr. STEVENS. Mr. President, I have a resolution at the desk. I ask that it be...
Mr. REID. Mr. President, have the yeas and nays been ordered on the Durbin...
Mr. REID. I ask for the yeas and nays.
Mr. SANTORUM. Mr. President, I suggest the absence of a quorum.
Mr. SANTORUM. I suggest the absence of a quorum.
Mr. REID. Mr. President, I ask unanimous consent that the order for the quorum...
Mr. REID. I ask for the yeas and nays.
Mr. MCCONNELL. I announce that the Senator from Colorado (Mr....
Mr. REID. I announce that the Senator from Massachusetts (Mr....
AMENDMENT NO. 1000
Mrs. CLINTON. This amendment is critical to the functioning of the plan now...
Mr. ENZI. Mr. President, I rise in opposition to amendment No. 1000, offered by...
Page: S8530
Mr. GRASSLEY. Mr. President, I appreciate the intent of the amendment. However,...
Mrs. CLINTON. Mr. President, I ask for the yeas and nays.
Mr. McCONNELL. I announce that the Senator from Colorado (Mr. CAMPBELL),...
Mr. REID. I announce that the Senator from Massachusetts (Mr. KERRY),...
Mr. NICKLES. Mr. President, I believe there is a unanimous consent request that...
Mr. NICKLES. Mr. President, first I want to make a couple comments on the bill,...
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Mr. NICKLES. Mr. President, they are going to say we get 50 percent up to...
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Mr. McCONNELL. Mr. President, I begin by complimenting the...
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Mr. HARKIN. Mr. President, I ask unanimous consent that the order for the...
AMENDMENT NO. 991
Mr. HARKIN. Mr. President, last week, I believe it was Friday, a number of...
Page: S8535
Mr. HARKIN. So again, we have an amendment that is exactly what the President...
Page: S8536
AMENDMENT NO. 991, AS MODIFIED
TITLE __--MEDICAID DEMONSTRATION PROJECTS
Page: S8537
Mr. HARKIN. Mr. President, all this modification does is it changes the first...
Mr. GRASSLEY. I ask unanimous consent that the order for the quorum call be...
Mr. GRASSLEY. I ask unanimous consent to set the pending amendment aside.
AMENDMENT NO. 1087
Mr. GRASSLEY. I rise to offer an amendment for Senator Craig. I send...
Mr. GRASSLEY. I am doing this for Senator Craig. I am going to yield...
Page: S8538
Mr. BAUCUS. I ask unanimous consent the order for the quorum call be rescinded.
AMENDMENT NO. 992 WITHDRAWN
Mr. BAUCUS. On behalf of the Senator from Michigan, Ms. Stabenow, I...
Mr. BAUCUS. I suggest the absence of a quorum.
Mr. GRASSLEY. Mr. President, I ask unanimous consent that the order for the...
AMENDMENTS NOS. 941, 961, 983 EN BLOC
Mr. GRASSLEY. Mr. President, I call up amendments Nos. 941, 961, and 983 en bloc.
AMENDMENT NO. 941
AMENDMENT NO. 961
AMENDMENT NO. 983
AMENDMENTS NOS. 941, 967, AS MODIFIED; 961, 974, 983, AND 1010, EN BLOC
Mr. GRASSLEY. Mr. President, I ask unanimous consent that the following...
AMENDMENTS NOS. 1088, 1089, 1090, AND 1091, EN BLOC
Mr. BAUCUS. Mr. President, on behalf of Senator Mikulski, I send four...
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AMENDMENT NO. 1088
AMENDMENT NO. 1089
AMENDMENT NO. 1090
AMENDMENT NO. 1091
Mr. BAUCUS. I suggest the absence of a quorum.
Mr. GRASSLEY. I ask unanimous consent that the order for the quorum call be...
Mr. GRASSLEY. Mr. President, I ask unanimous consent that at 9:15 tomorrow...
Mr. BAUCUS. I suggest the absence of a quorum.
Mr. GRASSLEY. I ask unanimous consent that the order for the quorum call be...
AMENDMENT NO. 1092
Mr. GRASSLEY. Mr. President, I send an amendment to the desk for myself and...
Mr. GRASSLEY. Mr. President, I ask unanimous consent that further reading of...
Mr. GRASSLEY. This is an amendment I have worked out with Senator...
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Mr. BAUCUS. Mr. President, first, I thank my good friend and colleague, the...
Mr. FRIST. Mr. President, I rise to speak in support of this amendment, which...
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AMENDMENT NO. 1093 TO AMENDMENT NO. 1092
Mr. KYL. Mr. President, I have an amendment at the desk.
Mr. KYL. Mr. President, I ask unanimous consent that the reading of the...
Mr. KYL. Mr. President, this is a second-degree amendment to the...
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Mr. ALEXANDER. Mr. President, I wish to voice my support for the inclusion of...
Page: S8546
Mr. SMITH. Mr. President, I rise today with my colleague from North Dakota in...
ADEQUACY OF MEDICARE PAYMENTS TO PHYSICIANS
Mr. SPECTER. Mr. President, I have sought recognition today to engage the...
Mr. GRASSLEY. Mr. President, I thank my colleague from Pennsylvania for raising...
Mr. SPECTER. I thank the chairman for his willingness to work with me on this...


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