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funding to state and local governments to enroll children in the State Children’s Health Insurance Program. [Vote 337, 11/17/05] XXXX Voted Against Amendment to Prevent Severe Reduction in Payments to States for Medical Assistance. In November 2005, XXXX voted against an amendment that would have prevented a severe reduction in the federal medical assistance percentage determined for a state for fiscal year 2006 and to extend rebates for prescription drugs to enrollees in Medicaid managed care organizations. [Vote 291, 11/3/05] XXXX Voted Against Emergency Funding for Health Care for Hurricane Katrina Victims. In November 2005, XXXX voted against an amendment would have granted access to Medicaid to Hurricane Katrina victims for up to five months; it also provided full federal funding for Medicaid in Louisiana, Mississippi and Alabama for up to one year; provided $800 million to compensate providers caring for Katrina evacuees; it temporarily suspended the Medicare Part B late enrollment penalty; and permitted states hit by or serving evacuees to access the TANF Contingency Fund. It would have been offset with funds unspent by the FEMA. [Vote 285, 11/3/05] XXXX Voted For $20 Billion In Aid to States. In 2003, XXXX voted for an amendment that would authorize $10 billion a year for two years for states and localities, including $5 billion a year for grants for education or job training, health care or other social services, transportation or infrastructure, and law enforcement or public safety. The remaining $5 billion per year would be for a temporary increase in federal Medicaid assistance to states. [S 1054, Vote 157, 5/15/03; Congressional Record, 5/15/03] XXXX Voted To Increase Health Spending By $2.8 Billion. In 2003, XXXX voted to increase spending on the National Institutes of Health, the Health Resources and Services Administration and the Centers for Disease Control and Prevention by $2.8 billion in fiscal 2004. The increase would be offset by other spending reductions. The vote was on the Specter, R-Pa., amendment to the FY 2004 budget resolution. [S Con Res 23, Vote 80, 3/25/03] XXXX Voted Against Protecting $ 20 billion in Funding for Health Care Providers. In 1999, XXXX cast a crucial vote against reserving $20 billion over ten years for relief from unintended consequences of Balanced Budget Act on teaching hospitals, skilled nursing facilities, home health providers, rural and other community hospitals, and other health care providers, by reducing and deferring certain new tax breaks in the bill. [Vote 234, 7/30/99] XXXX Voted for Budget that Shortchanges Americans on Health Care. In 1998, XXXX voted for the adoption of the concurrent resolution to adopt a five-year budget plan that calls for any federal revenues generated from a possible tobacco settlement to be used to bolster the solvency of the Medicare program. The resolution does not provide for net tax cuts, but anticipates five-year tax cuts of $30 billion, offset by new tax revenues or reductions in mandatory spending. It also contains non-binding language calling for expiration of the tax code by Dec. 31, 2001. The resolution sets budget levels for the fiscal year ending Sept. 30, 1999: budget authority, $1,730 billion; outlays, $1,730 billion; revenues, $1,738 billion; and surplus, $8.4 billion. [Vote 84, 4/2/98] XXXX Voted Against $8 Million for Health Care Financing Administration. In 1998, XXXX Voted against adding $8 million for the Health Care Financing Administration to hire more employees. [Vote 45, 3/26/98] SCHIP REAUTHORIZATION XXXX Voted Against Reauthorizing SCHIP and Expanding It to Cover 4 Million Additional Kids. In January 2009, XXXX voted against a $32.8 billion bill to reauthorize and expand the State Children’s Health Insurance Program. The bill would reauthorize the children’s insurance program for four and a half years, covering 4.1 million previously uninsured children. Its $32.8 billion cost would be funded with a cigarette tax of 62 cents per pack, according to a recent Congressional Budget Office estimate — up from 61 cents in previous versions. Similar versions of the bill passed in 2007 but were vetoed by President George W. Bush. Nine Republicans joined Democrats in voting “yes.” The bill passed 66-32. [CQ Today, 1/29/09; Families USA, January 2009; Vote 31, 1/29/09] 176

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