1
500
56
-
https://clinton.presidentiallibraries.us/files/original/01a8bfb6905a729dc0c2670bafbbee9a.pdf
a2cb4c04522758414356188ad8ec4efc
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Cloning
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
White House Office of Records Management (OP)
President Has Seen
Office of Agency Liaison
Office of Cabinet Affairs
Office of Chief of Staff to the President
Office of Communications
Office of Correspondence
Office of Counsel to the President
Domestic Policy Council
Office the First Lady (First Lady's Office)
Health Care Task Force
Office of Legislative Affairs
Millennium Council
National Aids Policy Office
National Economic Council
Office of Presidential Personnel
Office of Public Liaison
Office of Speechwriting
Women's Initiative & Outreach
Automated Records Management System
Tape Restoration Project
Identifier
An unambiguous reference to the resource within a given context
2013-0365-F
Description
An account of the resource
This collection deals with records addressing the issues of cloning, stem cells, family planning, and other related matters. These papers document the efforts of the Clinton Administration to expand family planning on both the domestic and international level, to put restrictions and limitations on cloning, and to arrive at some sort of agreement that would make it possible for stem cells to be used in research. The collection contains press releases, emails with attachments focusing on scheduling and legislation, drafts, executive orders, reports, correspondence, memoranda, and newspaper clippings.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: Automated Records Management System
Clinton Presidential Records: Tape Restoration Project
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
584 files in 32 boxes
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="https://clinton.presidentiallibraries.us/items/show/48932">Collection Finding Aid</a>
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
293848
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject File
HE
Identifier
An unambiguous reference to the resource within a given context
2013-0365-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 3
<a href="https://catalog.archives.gov/id/41051642">National Archives Catalog Description</a>
<a href="http://clinton.presidentiallibraries.us/items/show/48932">Collection Finding Aid</a>
Source
A related resource from which the described resource is derived
1127666
42-t-1127666-20130365F-003-027-2016
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
10/13/2016
-
https://clinton.presidentiallibraries.us/files/original/2dce32c35c062c545064c76695ddd5a2.pdf
b9a570e23cbe8e8f287845944c2e43d2
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Cloning
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
White House Office of Records Management (OP)
President Has Seen
Office of Agency Liaison
Office of Cabinet Affairs
Office of Chief of Staff to the President
Office of Communications
Office of Correspondence
Office of Counsel to the President
Domestic Policy Council
Office the First Lady (First Lady's Office)
Health Care Task Force
Office of Legislative Affairs
Millennium Council
National Aids Policy Office
National Economic Council
Office of Presidential Personnel
Office of Public Liaison
Office of Speechwriting
Women's Initiative & Outreach
Automated Records Management System
Tape Restoration Project
Identifier
An unambiguous reference to the resource within a given context
2013-0365-F
Description
An account of the resource
This collection deals with records addressing the issues of cloning, stem cells, family planning, and other related matters. These papers document the efforts of the Clinton Administration to expand family planning on both the domestic and international level, to put restrictions and limitations on cloning, and to arrive at some sort of agreement that would make it possible for stem cells to be used in research. The collection contains press releases, emails with attachments focusing on scheduling and legislation, drafts, executive orders, reports, correspondence, memoranda, and newspaper clippings.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: Automated Records Management System
Clinton Presidential Records: Tape Restoration Project
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
584 files in 32 boxes
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="https://clinton.presidentiallibraries.us/items/show/48932">Collection Finding Aid</a>
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
154924
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject File
HE
Identifier
An unambiguous reference to the resource within a given context
2013-0365-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 3
<a href="https://catalog.archives.gov/id/41051641">National Archives Catalog Description</a>
<a href="http://clinton.presidentiallibraries.us/items/show/48932">Collection Finding Aid</a>
Source
A related resource from which the described resource is derived
1127666
42-t-1127666-20130365F-003-026-2016
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
10/13/2016
-
https://clinton.presidentiallibraries.us/files/original/85f1264fb1ddc60db06c58607209411d.pdf
8b0acc347285fa138a9bcc95dfb4a2b1
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Cloning
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
White House Office of Records Management (OP)
President Has Seen
Office of Agency Liaison
Office of Cabinet Affairs
Office of Chief of Staff to the President
Office of Communications
Office of Correspondence
Office of Counsel to the President
Domestic Policy Council
Office the First Lady (First Lady's Office)
Health Care Task Force
Office of Legislative Affairs
Millennium Council
National Aids Policy Office
National Economic Council
Office of Presidential Personnel
Office of Public Liaison
Office of Speechwriting
Women's Initiative & Outreach
Automated Records Management System
Tape Restoration Project
Identifier
An unambiguous reference to the resource within a given context
2013-0365-F
Description
An account of the resource
This collection deals with records addressing the issues of cloning, stem cells, family planning, and other related matters. These papers document the efforts of the Clinton Administration to expand family planning on both the domestic and international level, to put restrictions and limitations on cloning, and to arrive at some sort of agreement that would make it possible for stem cells to be used in research. The collection contains press releases, emails with attachments focusing on scheduling and legislation, drafts, executive orders, reports, correspondence, memoranda, and newspaper clippings.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: Automated Records Management System
Clinton Presidential Records: Tape Restoration Project
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
584 files in 32 boxes
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="https://clinton.presidentiallibraries.us/items/show/48932">Collection Finding Aid</a>
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
139188SS
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject File
HE
Identifier
An unambiguous reference to the resource within a given context
2013-0365-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 3
<a href="https://catalog.archives.gov/id/41051640">National Archives Catalog Description</a>
<a href="http://clinton.presidentiallibraries.us/items/show/48932">Collection Finding Aid</a>
Source
A related resource from which the described resource is derived
1127666
42-t-1127666-20130365F-003-025-2016
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
10/13/2016
-
https://clinton.presidentiallibraries.us/files/original/35083a0d02ac081e4142792fbe9018ba.pdf
7b28ce6c94a0fdcc616054d558b3a2d0
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Cloning
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
White House Office of Records Management (OP)
President Has Seen
Office of Agency Liaison
Office of Cabinet Affairs
Office of Chief of Staff to the President
Office of Communications
Office of Correspondence
Office of Counsel to the President
Domestic Policy Council
Office the First Lady (First Lady's Office)
Health Care Task Force
Office of Legislative Affairs
Millennium Council
National Aids Policy Office
National Economic Council
Office of Presidential Personnel
Office of Public Liaison
Office of Speechwriting
Women's Initiative & Outreach
Automated Records Management System
Tape Restoration Project
Identifier
An unambiguous reference to the resource within a given context
2013-0365-F
Description
An account of the resource
This collection deals with records addressing the issues of cloning, stem cells, family planning, and other related matters. These papers document the efforts of the Clinton Administration to expand family planning on both the domestic and international level, to put restrictions and limitations on cloning, and to arrive at some sort of agreement that would make it possible for stem cells to be used in research. The collection contains press releases, emails with attachments focusing on scheduling and legislation, drafts, executive orders, reports, correspondence, memoranda, and newspaper clippings.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: Automated Records Management System
Clinton Presidential Records: Tape Restoration Project
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
584 files in 32 boxes
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="https://clinton.presidentiallibraries.us/items/show/48932">Collection Finding Aid</a>
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
054157
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject File
HE
Identifier
An unambiguous reference to the resource within a given context
2013-0365-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 3
<a href="https://catalog.archives.gov/id/41051639">National Archives Catalog Description</a>
<a href="http://clinton.presidentiallibraries.us/items/show/48932">Collection Finding Aid</a>
Source
A related resource from which the described resource is derived
1127666
42-t-1127666-20130365F-003-024-2016
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
10/13/2016
-
https://clinton.presidentiallibraries.us/files/original/8a116690bc6edebcc77b492513aecb59.pdf
8fce3c796646883b7abe0ce542d812f4
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Cloning
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
White House Office of Records Management (OP)
President Has Seen
Office of Agency Liaison
Office of Cabinet Affairs
Office of Chief of Staff to the President
Office of Communications
Office of Correspondence
Office of Counsel to the President
Domestic Policy Council
Office the First Lady (First Lady's Office)
Health Care Task Force
Office of Legislative Affairs
Millennium Council
National Aids Policy Office
National Economic Council
Office of Presidential Personnel
Office of Public Liaison
Office of Speechwriting
Women's Initiative & Outreach
Automated Records Management System
Tape Restoration Project
Identifier
An unambiguous reference to the resource within a given context
2013-0365-F
Description
An account of the resource
This collection deals with records addressing the issues of cloning, stem cells, family planning, and other related matters. These papers document the efforts of the Clinton Administration to expand family planning on both the domestic and international level, to put restrictions and limitations on cloning, and to arrive at some sort of agreement that would make it possible for stem cells to be used in research. The collection contains press releases, emails with attachments focusing on scheduling and legislation, drafts, executive orders, reports, correspondence, memoranda, and newspaper clippings.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: Automated Records Management System
Clinton Presidential Records: Tape Restoration Project
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
584 files in 32 boxes
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="https://clinton.presidentiallibraries.us/items/show/48932">Collection Finding Aid</a>
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
037332
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject File
HE
Identifier
An unambiguous reference to the resource within a given context
2013-0365-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 3
<a href="https://catalog.archives.gov/id/41051638">National Archives Catalog Description</a>
<a href="http://clinton.presidentiallibraries.us/items/show/48932">Collection Finding Aid</a>
Source
A related resource from which the described resource is derived
1127666
42-t-1127666-20130365F-003-023-2016
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
10/13/2016
-
https://clinton.presidentiallibraries.us/files/original/2b5fe15623aa5bfe062419bcd1f99ac2.pdf
c126da8bd7b1245182c08ddb5a42b190
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Cloning
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
White House Office of Records Management (OP)
President Has Seen
Office of Agency Liaison
Office of Cabinet Affairs
Office of Chief of Staff to the President
Office of Communications
Office of Correspondence
Office of Counsel to the President
Domestic Policy Council
Office the First Lady (First Lady's Office)
Health Care Task Force
Office of Legislative Affairs
Millennium Council
National Aids Policy Office
National Economic Council
Office of Presidential Personnel
Office of Public Liaison
Office of Speechwriting
Women's Initiative & Outreach
Automated Records Management System
Tape Restoration Project
Identifier
An unambiguous reference to the resource within a given context
2013-0365-F
Description
An account of the resource
This collection deals with records addressing the issues of cloning, stem cells, family planning, and other related matters. These papers document the efforts of the Clinton Administration to expand family planning on both the domestic and international level, to put restrictions and limitations on cloning, and to arrive at some sort of agreement that would make it possible for stem cells to be used in research. The collection contains press releases, emails with attachments focusing on scheduling and legislation, drafts, executive orders, reports, correspondence, memoranda, and newspaper clippings.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: Automated Records Management System
Clinton Presidential Records: Tape Restoration Project
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
584 files in 32 boxes
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="https://clinton.presidentiallibraries.us/items/show/48932">Collection Finding Aid</a>
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
036798
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject File
HE
Identifier
An unambiguous reference to the resource within a given context
2013-0365-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 3
<a href="https://catalog.archives.gov/id/41051637">National Archives Catalog Description</a>
<a href="http://clinton.presidentiallibraries.us/items/show/48932">Collection Finding Aid</a>
Source
A related resource from which the described resource is derived
1127666
42-t-1127666-20130365F-003-022-2016
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
10/13/2016
-
https://clinton.presidentiallibraries.us/files/original/cb0686b24b160ebca62e6071b918af73.pdf
b4db16e3865cf9950171148bfb86e182
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Brady Bill - Assault Weapons Ban - Crime Bill
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of Cabinet Affairs
Office of Chief of Staff to the President
Council of Economic Advisors
Office of Counsel to the President
Domestic Policy Council
Executive Office of the President
Office of Intergovernmental Affairs
Office of Legislative Affairs
Office of Political Affairs
President's Initiative for One America
Office of the Press Secretary
Office of Public Liaison
Office of Scheduling (1997-2001)
Office of Speechwriting
Women's Initiative and Outreach
Automated Records Management System
Tape Restoration Project
National Security Council
NSC Cables
NSC Emails
NSC Records Management System
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="https://clinton.presidentiallibraries.us/items/show/50345">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2009-1305-F
Description
An account of the resource
This collection consists of material concerning three pieces of legislation: the Violent Crime Control and Law Enforcement Act of 1994, the Brady Bill, and the Assault Weapons Ban. The collection contains correspondence, memoranda, newspaper articles, reports, publications, drafts of speeches, lists, notes, papers, legal briefs, cables, and emails. These materials also include letters from President Clinton to members of Congress, constituents, and law enforcement organizations thanking them for their support in getting tough crime bills passed. The collection also contains substantive memos detailing the Congressional strategy and lists those wishing to witness the signing of these laws. Lastly, there are cables from overseas embassies assessing how foreign countries viewed the 1994 Omnibus Crime Bill and emails pertaining to the potential importation of banned assault weapons.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: Automated Records Management System
Clinton Presidential Records: Tape Restoration Project
Clinton Presidential Records: NSC Cable, Email, and Records Management System
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
866 files in 37 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
076630
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject File
HE
Identifier
An unambiguous reference to the resource within a given context
2009-1305-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 2
<a href="https://catalog.archives.gov/id/41050115">National Archives Catalog Description</a>
<a href="https://clinton.presidentiallibraries.us/items/show/50345">Collection Finding Aid</a>
Source
A related resource from which the described resource is derived
1127666
42-t-1127666-20091305F-002-049-2016
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
7/28/2016
-
https://clinton.presidentiallibraries.us/files/original/e5ff6553c09b34d676dd7f3761d8492c.pdf
416a93621c30f683c1e5496fa297181f
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Brady Bill - Assault Weapons Ban - Crime Bill
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of Cabinet Affairs
Office of Chief of Staff to the President
Council of Economic Advisors
Office of Counsel to the President
Domestic Policy Council
Executive Office of the President
Office of Intergovernmental Affairs
Office of Legislative Affairs
Office of Political Affairs
President's Initiative for One America
Office of the Press Secretary
Office of Public Liaison
Office of Scheduling (1997-2001)
Office of Speechwriting
Women's Initiative and Outreach
Automated Records Management System
Tape Restoration Project
National Security Council
NSC Cables
NSC Emails
NSC Records Management System
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="https://clinton.presidentiallibraries.us/items/show/50345">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2009-1305-F
Description
An account of the resource
This collection consists of material concerning three pieces of legislation: the Violent Crime Control and Law Enforcement Act of 1994, the Brady Bill, and the Assault Weapons Ban. The collection contains correspondence, memoranda, newspaper articles, reports, publications, drafts of speeches, lists, notes, papers, legal briefs, cables, and emails. These materials also include letters from President Clinton to members of Congress, constituents, and law enforcement organizations thanking them for their support in getting tough crime bills passed. The collection also contains substantive memos detailing the Congressional strategy and lists those wishing to witness the signing of these laws. Lastly, there are cables from overseas embassies assessing how foreign countries viewed the 1994 Omnibus Crime Bill and emails pertaining to the potential importation of banned assault weapons.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: Automated Records Management System
Clinton Presidential Records: Tape Restoration Project
Clinton Presidential Records: NSC Cable, Email, and Records Management System
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
866 files in 37 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
074302
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject File
HE
Identifier
An unambiguous reference to the resource within a given context
2009-1305-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 2
<a href="https://catalog.archives.gov/id/41050114">National Archives Catalog Description</a>
<a href="https://clinton.presidentiallibraries.us/items/show/50345">Collection Finding Aid</a>
Source
A related resource from which the described resource is derived
1127666
42-t-1127666-20091305F-002-048-2016
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
7/28/2016
-
https://clinton.presidentiallibraries.us/files/original/f6ceea324286e88911e1caad3cad93ea.pdf
fb0e846d0403f69d41e2d9856f1857bc
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Brady Bill - Assault Weapons Ban - Crime Bill
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of Cabinet Affairs
Office of Chief of Staff to the President
Council of Economic Advisors
Office of Counsel to the President
Domestic Policy Council
Executive Office of the President
Office of Intergovernmental Affairs
Office of Legislative Affairs
Office of Political Affairs
President's Initiative for One America
Office of the Press Secretary
Office of Public Liaison
Office of Scheduling (1997-2001)
Office of Speechwriting
Women's Initiative and Outreach
Automated Records Management System
Tape Restoration Project
National Security Council
NSC Cables
NSC Emails
NSC Records Management System
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="https://clinton.presidentiallibraries.us/items/show/50345">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2009-1305-F
Description
An account of the resource
This collection consists of material concerning three pieces of legislation: the Violent Crime Control and Law Enforcement Act of 1994, the Brady Bill, and the Assault Weapons Ban. The collection contains correspondence, memoranda, newspaper articles, reports, publications, drafts of speeches, lists, notes, papers, legal briefs, cables, and emails. These materials also include letters from President Clinton to members of Congress, constituents, and law enforcement organizations thanking them for their support in getting tough crime bills passed. The collection also contains substantive memos detailing the Congressional strategy and lists those wishing to witness the signing of these laws. Lastly, there are cables from overseas embassies assessing how foreign countries viewed the 1994 Omnibus Crime Bill and emails pertaining to the potential importation of banned assault weapons.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: Automated Records Management System
Clinton Presidential Records: Tape Restoration Project
Clinton Presidential Records: NSC Cable, Email, and Records Management System
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
866 files in 37 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
041388
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject File
HE
Identifier
An unambiguous reference to the resource within a given context
2009-1305-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 2
<a href="https://catalog.archives.gov/id/41050113">National Archives Catalog Description</a>
<a href="https://clinton.presidentiallibraries.us/items/show/50345">Collection Finding Aid</a>
Source
A related resource from which the described resource is derived
1127666
42-t-1127666-20091305F-002-047-2016
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
7/28/2016
-
https://clinton.presidentiallibraries.us/files/original/e9aafcd058737e2d83ac018f60690bf7.pdf
6adf082d6c1a17ac18ac9359b5671dc7
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
U.S. Relations with Cuba
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of Cabinet Affairs
Office of Chief of Staff
Office of Communications
Council of Economic Advisers
Counsel’s Office
Domestic Policy Council
International Affairs
Office of Legislative Affairs
Office of Management and Administration
National Economic Council
Office of Political Affairs
Office of Presidential Personnel
Office of Public Liaison
Date
A point or period of time associated with an event in the lifecycle of the resource
1992-1998
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="https://clinton.presidentiallibraries.us/items/show/57629">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2016-0920-F
Description
An account of the resource
This collection consists of records related to U.S. relations with Cuba. This collection consists of Inter-Agency Working Group Meeting agendas, background material, correspondence, executive orders, legislative summaries, internal White House memorandum, notes, policy papers, reports such as the Semi-Annual Reports to Congress regarding the LIBERTAD Act, statements, talking points, and Weekly Economic Briefings. These materials primarily concern implementation of the Cuban Democracy Act of 1992, immigration policy shifts (namely that of September 1994), Brothers to the Rescue overflights of Cuba, the 1996 Cuban Liberty and Democratic Solidarity (LIBERTAD) Act or the Helms-Burton Act, and also the Papal visit to Cuba in 1998
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
828 folders in 24 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
162351
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject File
HE
Identifier
An unambiguous reference to the resource within a given context
2016-0920-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 8
<a href="https://catalog.archives.gov/id/1127666" target="_blank" rel="noreferrer">National Archives Catalog Description</a>
<a href="https://clinton.presidentiallibraries.us/items/show/57629">Collection Finding Aid</a>
Source
A related resource from which the described resource is derived
1127666
42-t-1127666-20160920F-008-031-2018
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
12/11/2018
-
https://clinton.presidentiallibraries.us/files/original/424dcfc3f3a0a6039e42cb9c150446d9.pdf
2bea22a819eee3fbcbea8bcc2b737df4
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Senator Edward M. "Ted" Kennedy
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
National Security Council
Unclassified NSC Records Management System
Chief of Staff
Office of Communications
Office of Correspondence
Council of Economic Advisors
Office of Council to the President
Domestic Policy Council
First Lady's Office
Health Care Task Force
Office of Intergovernmental Affairs
Office of Legislative Affairs
National Economic Council
Oval Office Operations
Office of Policy Development
Office of the Staff Secretary
Presidential Personnel
Office of Speechwriting
Office of Public Liaison
Automated Records Management System
Tape Restoration Project
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="https://clinton.presidentiallibraries.us/items/show/48923">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2008-1238-F
Description
An account of the resource
This collection consists of material regarding Ted Kennedy, who served as a Democratic Senator from Massachusetts from 1962 to 2009. The collection primarily contains correspondence between President Clinton and the Senator along with related background material, as well as emails containing correspondence, news stories, talking points, and press releases. Topics include the Senator’s contributions to health care reform, civil rights, religious freedoms, affordable education, and AmeriCorps.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: Automated Records Management System [Email]
Clinton Presidential Records: Tape Restoration Project [Email]
Clinton Presidential Records: NSC Cable, Email, and Records Management System
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
832 folders in 27 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
094274
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject File
HE
Identifier
An unambiguous reference to the resource within a given context
2008-1238-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 4
<a href="https://catalog.archives.gov/id/40479467">National Archives Catalog Description</a>
<a href="http://clinton.presidentiallibraries.us/items/show/48923">Collection Finding Aid</a>
Source
A related resource from which the described resource is derived
1127666
42-t-1127666-20081238F-004-029-2016
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
7/21/2016
-
https://clinton.presidentiallibraries.us/files/original/3b7e2f9d781002a7d3257705672b5d9e.pdf
fa218a3ede2ec4e47d44addc947e1808
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Senator Edward M. "Ted" Kennedy
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
National Security Council
Unclassified NSC Records Management System
Chief of Staff
Office of Communications
Office of Correspondence
Council of Economic Advisors
Office of Council to the President
Domestic Policy Council
First Lady's Office
Health Care Task Force
Office of Intergovernmental Affairs
Office of Legislative Affairs
National Economic Council
Oval Office Operations
Office of Policy Development
Office of the Staff Secretary
Presidential Personnel
Office of Speechwriting
Office of Public Liaison
Automated Records Management System
Tape Restoration Project
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="https://clinton.presidentiallibraries.us/items/show/48923">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2008-1238-F
Description
An account of the resource
This collection consists of material regarding Ted Kennedy, who served as a Democratic Senator from Massachusetts from 1962 to 2009. The collection primarily contains correspondence between President Clinton and the Senator along with related background material, as well as emails containing correspondence, news stories, talking points, and press releases. Topics include the Senator’s contributions to health care reform, civil rights, religious freedoms, affordable education, and AmeriCorps.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: Automated Records Management System [Email]
Clinton Presidential Records: Tape Restoration Project [Email]
Clinton Presidential Records: NSC Cable, Email, and Records Management System
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
832 folders in 27 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
053075
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject File
HE
Identifier
An unambiguous reference to the resource within a given context
2008-1238-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 4
<a href="https://catalog.archives.gov/id/40479466">National Archives Catalog Description</a>
<a href="http://clinton.presidentiallibraries.us/items/show/48923">Collection Finding Aid</a>
Source
A related resource from which the described resource is derived
1127666
42-t-1127666-20081238F-004-028-2016
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
7/21/2016
-
https://clinton.presidentiallibraries.us/files/original/ca52781dfde80a8a231cf91c9b96f4c0.pdf
5b5cb856a82addb91b5acfcfef49c85d
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Global AIDS Crisis
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Chief of the Staff
Office of the Counsel to the President
National AIDS Policy Office
National Security Council
Office of the Public Liaison
Automated Records Management System
Tape Restoration Project
Date
A point or period of time associated with an event in the lifecycle of the resource
1994-2000
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="https://clinton.presidentiallibraries.us/items/show/48956">Collection Finding Aid</a>
Description
An account of the resource
This collection consists of material regarding the Clinton Administration’s handling of the global AIDS crisis. It contains correspondence, memoranda, talking points, drafts, invitations, background material, agendas and minutes, executive orders, speeches, informational packets, travel documents, emails, cables, reports, and press materials regarding a variety of issues related to the fight against HIV/AIDS. The topics addressed include the Haitian detention crisis, federal budget, foreign aid, collaboration with other governments, international agencies (such as WHO and the UN) and NGOs, international conferences, a Presidential Mission to Africa, pharmaceutical companies, tuberculosis, individual countries, and some crossover domestic issues, such as dealing with HIV positive persons in the US military and the inclusion of the virus as an excludable illness under the Immigration and Naturalization Act. The records of the National AIDS Policy Office make up the bulk of the collection.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: WHORM: Alpha Project
Clinton Presidential Records: WHORM: Subject File
Clinton Presidential Records: WHORM: (OP)
Clinton Presidential Records: WHORM: Various Offices
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: Automated Records Management System [Email]
Clinton Presidential Records: Tape Restoration Project [Email]
Clinton Presidential Records: NSC Cable, Email, and Records Management Systems
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
915 folders in 57 boxes
Identifier
An unambiguous reference to the resource within a given context
2007-1550-F Segment 1
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
220033
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2007-1550-F Segment 1
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 2
<a href="https://catalog.archives.gov/id/54976526" target="_blank" rel="noreferrer">National Archives Catalog Description</a>
<a href="https://clinton.presidentiallibraries.us/items/show/48956">Collection Finding Aid</a>
Source
A related resource from which the described resource is derived
1127666
42-t-1127666-20071550F-002-001-2016
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: WHORM: Subject File
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
7/19/2016
-
https://clinton.presidentiallibraries.us/files/original/84334fe442e28b14b9ed35064374bad6.pdf
ae06de3baba342a6816ef33740fba5d6
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Joseph Stiglitz
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="https://clinton.presidentiallibraries.us/items/show/47936">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2012-0908-F
Description
An account of the resource
This collection contains memorandums sent from Joseph Stiglitz to President Clinton. Stiglitz was the Chairman of the Council of Economic Advisors (CEA) from 1995 to 1997. The memos cover a variety of topics including comments in the weekly economic reports, retail sales, education, second term initiatives, a National Governors Association welfare proposal, employment, the consumer price index, and housing.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
34 folders in 1 box
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
133402SS
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2012-0908-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="https://catalog.archives.gov/id/1127666">National Archives Catalog Description</a>
<a href="http://clinton.presidentiallibraries.us/items/show/47936">Collection Finding Aid</a>
Source
A related resource from which the described resource is derived
1127666
42-t-1127666-20120908F-001-023
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Paper
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
9/14/2015
-
https://clinton.presidentiallibraries.us/files/original/468af5a1a6086f00d6a09cb604ce34b4.pdf
996052e524b690ca5c4f8a3d2dc2bb60
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Medical Savings Accounts
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Chief of Staff
Office of Communications
Domestic Policy Council
First Lady's Office
White House Health Care Task Force
Office of Intergovernmental Affairs
Office of Legislative Affairs
National Economic Council
Office of Public Liaison
Automated Records Management System
Tape Restoration Project
Date
A point or period of time associated with an event in the lifecycle of the resource
1994-2000
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="https://clinton.presidentiallibraries.us/items/show/51629">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2014-0225-F
Description
An account of the resource
This collection contains materials related to Medical Savings Accounts, Health Savings Accounts, and high deductible insurance. It consists of press materials, draft papers, legislation, correspondence, and reports. Topics include the Golden Rule Insurance Company, health care reform, the Health Insurance and Portability and Accountability Act of 1996, Health Maintenance Organizations (HMOs), high-deductible health insurance, Medicare, and the Patients’ Bill of Rights. Within this collection, the White House Staff and Office Files originating the Domestic Policy Council and the First Lady’s Office have all been previously processed and opened under the names of their respective staffers. In addition, there are several folder titles from previously processed collections within the Health Care Task Force and Public Liaison offices.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: Automated Records Management System
Clinton Presidential Records: Tape Restoration Project
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
47 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
169495
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2014-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="https://catalog.archives.gov/id/1127666">National Archives Catalog Description</a>
<a href="https://clinton.presidentiallibraries.us/items/show/51629">Collection Finding Aid</a>
Source
A related resource from which the described resource is derived
1127666
42-t-1127666-20140225F-001-005-2017
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
1/10/2017
-
https://clinton.presidentiallibraries.us/files/original/af5f402d046474547305b60de28ea3a0.pdf
2c89bd3823c955b5dc20adaa8011c861
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Medical Savings Accounts
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Chief of Staff
Office of Communications
Domestic Policy Council
First Lady's Office
White House Health Care Task Force
Office of Intergovernmental Affairs
Office of Legislative Affairs
National Economic Council
Office of Public Liaison
Automated Records Management System
Tape Restoration Project
Date
A point or period of time associated with an event in the lifecycle of the resource
1994-2000
Is Part Of
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<a href="https://clinton.presidentiallibraries.us/items/show/51629">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2014-0225-F
Description
An account of the resource
This collection contains materials related to Medical Savings Accounts, Health Savings Accounts, and high deductible insurance. It consists of press materials, draft papers, legislation, correspondence, and reports. Topics include the Golden Rule Insurance Company, health care reform, the Health Insurance and Portability and Accountability Act of 1996, Health Maintenance Organizations (HMOs), high-deductible health insurance, Medicare, and the Patients’ Bill of Rights. Within this collection, the White House Staff and Office Files originating the Domestic Policy Council and the First Lady’s Office have all been previously processed and opened under the names of their respective staffers. In addition, there are several folder titles from previously processed collections within the Health Care Task Force and Public Liaison offices.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Clinton Presidential Records: White House Staff and Office Files
Clinton Presidential Records: Automated Records Management System
Clinton Presidential Records: Tape Restoration Project
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
47 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
139670
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2014-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="https://catalog.archives.gov/id/1127666">National Archives Catalog Description</a>
<a href="https://clinton.presidentiallibraries.us/items/show/51629">Collection Finding Aid</a>
Source
A related resource from which the described resource is derived
1127666
42-t-1127666-20140225F-001-004-2017
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Office of Records Management
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Preservation-Reproduction-Reference
Date Created
Date of creation of the resource.
1/10/2017
-
https://clinton.presidentiallibraries.us/files/original/98bbaafa9e6b80e987393f9f662d7842.pdf
22fa3281bf4d40e0412d77205f32e8d7
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
MAR~tffiR
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
12442
Scan ID:
075033
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
9
2
�JOH~ P. MURTHA
COMMITTE£:
12TH DISTRICT. PENNSYLVANIA
APPROPRIATIONS
C!ongrt~~
of tbt Wnittb
~tatt~
J)ou~t of 1\tprt~tntatfbt~
Ma~bington, m~
20515
September 23, 1993
\
The Honorable Bill Clinton
The President
The White House
Washington, D.C. 20500
Dear Mr. President:
On October 20, 21 Members of the Pe.nnsylvania Congressional
Delegation will be co-hosting a Hea,ltp c_are Reform f-or\im"'tor over
350 constituents from all "acr'oss"'·Pennsyivania: --Tne~ focus of the
forum will be the health care reform proposal. As co-hosts of
this event, we are requesting a speaker from the Administration
to .discuss the health care reform plan.
The
forum we have planned will
be
attended by
representatives of the following 10 Pennsylvania organizations
interested in health care policy:
Hospital Association of Pennsylvania
Pennsylvania Business Roundtable
Pennsylvania Blue Shield
Various Blue Cross entities
Pennsylvania Medical Society
PA Chapter of the American Association of Retired Persons
Pennsylvania Chamber of Business and Industry
The Insurance Federation of Pennsylvania
Pennsylvania Nurses Association
Pennsylvania Academy of Family Physicians
The program for the forum includes discussions with the
Pennsylvania Congressional delegation of their perspectives on
health care reform, as well as an appearance by an official from
Governor casey's Administration to discuss the State's reaction
to health care reform. We hope the centerpiece of the program
will be the address by an official from the Administration.
The Congressional debate about health care reform promises
to be a critical one. We hope to use this forum to learn more
about the Administration's proposal as well as to hear initial
reactions from many of our constituents. Please let us know at
your earliest convenience who from the Administration might be
available to speak.
Ray Landis in Rep. John Murtha's office
(225-2065) can be contacted for further information.
With all the best wishes.
�The Honorable Bill Clinton
September 23, 1993
Page 2
~
~
OP:1'·~-----
MURTHA
~~~~
THOMA
M. FOGLIETTJli
£~
/ZJg
ROBERT S. WALKER
•
TIM HOLDEN
WILLIAM F.
..
�I
'"
The Honorable Bill Clinton
September 23, 1993
Page 3
PAUL MCHALE
cc: Dr. Ira Magaziner
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
75033
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-051-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/ac7c772edd61e8fb312426a3b134ff09.pdf
428a67e9a4baf27fa62b1ce8592d52b7
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
MA
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
12442
Scan ID:
068990
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
9
2
�ID# 068990
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
INCOMING
DATE RECEIVED: JUNE 27, 1994
NAME OF CORRESPONDENT: THE HONORABLE JOHN D. ROCKEFELLER IV
SUBJECT: CONCERNS REGARDING HEAL CARE BENEFITS FOR
SOME 200,000 RETIRED COAL MINERS AND WIDOWS
ACTION
ROUTE TO:
OFFICE/AGENCY
DISPOSITION
ACT
DATE
CODE YY/MM/DD
(STAFF NAME)
PATRICK GRIFFIN
REFERRAL NOTE:
ORG
TYPE
RESP
94/06/15 NAN
-'-'_,_,_
_,_,_
_,_,_
REFERRAL NOTE:
REFERRAL NOTE:
REFERRAL NOTE:
REFERRAL NOTE:
C COMPLETED
D YY/MM/DD
c
94/06/15
_,_,_
-- -'-'_,_,_
- -'-'-
-
COMMENTS:
ADDITIONAL CORRESPONDENTS:
MAIL
USER CODES: (A)D WV
MEDIA:L
INDIVIDUAL CODES:
(B) _ _ __
(C) _ _ __
***********************************************************************
*ACTION CODES:
*DISPOSITION
*OUTGOING
*
*
*
*CORRESPONDENCE:
*
*A-APPROPRIATE ACTION *A-ANSWERED
*TYPE RESP=INITIALS
*
*C-COMMENT/RECOM
*B-NON-SPEC-REFERRAL
*
OF SIGNER
*
*D-DRAFT RESPONSE
*C-COMPLETED
*
CODE = A
*
*F-FURNISH FACT SHEET *S-SUSPENDED
*COMPLETED = DATE OF
*
*I-INFO COPY/NO ACT NEC*
*
OUTGOING *
*R-DIRECT REPLY W/COPY *
*
*
*S-FOR-SIGNATURE
*
*
*
*
*
*
*X-INTERIM REPLY
***********************************************************************
REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
SCANNED
�UlO
JOHN D. ROCKEFELLER IV
WEST VIRGINIA
AUG I 1 \993
tlnittd £'tatts
~matt
WASHINGTON, DC 20510
August 13, 1993
The Honorable Thomas F. McLarty III
Chief of Staff
The White House
1600 Pennsylvania Avenue, N.W.
Washington, DC 20500
Dear Mack,
Thank you for trying to get back in touch with me. As you
know, in your absence, Roy Neel and I were able to talk about
the purpose of my calls. This is to follow up in writing,
with more precise information about my request to the
Administration. (I have sent essentially the same
correspondence to Leon Panetta, with copies to the Secretaries
of Treasury, HHS, and Labor, in order to provide everyone
potentially involved in this matter with the same
communication.)
As I told Roy, I want to try to bring some focus to the
Administration's position and role regarding the law I
authored and spearheaded to save health care benefits for some
200,000 retired coal miners and widows. The law was essential
because of a financial crisis in the program that arose
because some coal companies failed to pay and others went out
of business.
The House Committee on Ways and Means has announced a
hearing on the law in September, although no date has yet been
set. A few coal companies are still seeking to avoid
requirements of the law, and I expect these critics of the law
to participate in the hearing.
Mack, I am counting on the Administration to come out
firmly supporting the law and opposing amendments suggested by
the critics of the law and to make its position clear in the
hearing. If the law is undermined, it would be tragic for the
elderly beneficiaries. I also believe it would be disastrous
for labor relations in the coalfields, making settlement of
the current coal strike impossible. I and other members of
Congress worked hard on this issue last year. During the
campaign, President Clinton expressed his support when he
campaigned in West Virginia and other coal states. It was a
very contentious issue, but it was settled in an historic,
bipartisan fashion, and President Bush signed the law in the
fall. It is in no one's interest to have the controversy
revived.
�••
JL.
--
•
..
..
The Honorable Thomas F. McLarty III
August 13, 1993
Page 2
The law is based on the conclusion of the Coal Commission
appointed by former Secretary of Labor Elizabeth Dole that a
legislative solution was necessary because "the retired miners
are entitled to the health care benefits that were promised
and guaranteed them and that such commitments must be
honored."
I am confident you will understand the importance of the
law to the retired miners and widows. My objective is to
obtain an Administration policy and plan that will ensure that
the promise made by this law is fulfilled. For that reason, I
would appreciate hearing from you soon with respect to the
Administration's support for the law.
It was a pleasure to see you at the reconciliation signing
ceremony. Its enactment is a great relief, and an opportunity
to forge head with the President's important agenda for
America.
My very best to you, and thanks.
r\J
·n nc:r~ly,
¥1 0
cc:
The Honorable Roy Neel
Rockefeller IV
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
68990
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-050-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/cf08d0d6650838b72513be7b87cffa78.pdf
23e98dad8b3fb5e2dfa864dca933e43f
PDF Text
Text
FOIA Number: 2006-0225-F
FOI.A
MAR~~ER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10793
Scan ID:
056505
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
9
1
�THE WHITE HOUSE
WASHINGTON
December ·17, ·1993
Dear Patsy:
Thank you for your letter of support for the six principles
of health care reform embodied in the Health Security Act:
security, simplicity, savings, responsibility, quality, and
choice. I look forward to working with you to assure that 'these
principles are the linchpin of comprehensive health care reform
enacted next year.·
·
I understand your concerns about the Medicare and Medicaid
savings proposals we have proposed. Those savings, however, will
be directed toward expanding access and. benefits for
·
. . ·~
beneficiaries of these programs. Med~care.. bene.ficiar~es. wil'l · <
. recei·ve· ~ new prescription d.rug· bem!fit and· access· to home· and
community-based care. Meanwhile,. many Medicaid·recipients will
receive coverage through private health plans that will provide·
greater continuity of coverage than does the current Medicaid
program.
<
The proposals in the Health Security Act closely resemble
the package of reductions passed in the Omnibus Budget
Reconciliation Act of 1993 (OBRA 93). Many of the savings
proposals would simply extend provisions enacted in OBRA.93 that
are otherwise scheduled to expire in 1998.
7
Under the Health Security Act, Americans will-never be
without health coverage. Uncompensated care will virtually
disappear as a result, making some Medicare and Medicaid payments
to hospitals for uncompensated care duplicative and unnecessary.
These savings are phased-in over seven years to allow providers
to adjust to the changes that reform will engender. Most of the
Medicaid savings, for instance, come from the elimination of ·
d~sproportionate share hospital (DSH) payments serving large
numbers.of Medicaid and uninsured patients. DSH payments will no
longer be necessary after universal coverage has been
established. Providers will be compensated for all patients and·
be determined through negotiations with.
. Medicaid rates will
:heaith pl,ans~
~.
.:
.
.
..... ·
·, · :· :. ·· .. ·.Wehaife .taken care ~6 assure th~t ·the· poor,.· elderly.; and·' .. .
,· disabled will' not be put at financiai risk simply. to ac}j.ieve ...... .
savings .. The typical Medicare b~n~ficiary will have reducedoutof-pocket expenditures; we estimate that beneficiaries Nilt·save
.·
�2
.
.
.
almost $10 billion in ~a~t B ~remiums between 1995-2000. We
believe these savings proposals_make sense in the context of
health reform and universal .coverage .and a comprehensive benefits
package, including prescription drug coverage.for the elderly and
expanded long-term care benefits for all Americans.
Prescription drugs currently-make up the largest o£ out-of
pocket costs for many elderly people. The absence of adequate
.coverage for prescription drugs forces many elderly to choose
between food and prescription drugs every month. The Health
Security Act will remove this worry by providing Medicare payment
for so percent of the costs of drugs after a modest deductible is
met and capping the annual amount of money a Medicare enrollee
.can spend on prescriptions.
In addition, the Health Security Act will broaden coverage
of home and community-based care for all Americans, including
Medicare enrollees, thus reducing the chances that catastrophic
long-term care costs will impoverish those in need of care.
•.
'·.
i.
I hope that this allays yo.ur concerns about. the savings.
..
pz:oposals ·included in the .Heal:th Securit-y Act. ·They ·are prudent·
~nd needed refot:ms ·to ·t~:te Medicare· and· Medicaid programs, and ·-they are accomplished in the larger context of health care reform
that will increase the security and level of benefits for the
poor, elderly, and disabled beneficiaries of these programs. I
look forward to working with you on these issues as we strive to
reform the nation's health care system.
With best wishes,
Sincerely,
The Honorable Patsy Mink
··House of Representatives
·w~shingtop, o.c.
20515
,.
I .
.
.
.·
...
�longrtll of tbe 1Bntteb~ 6tatel
•ouJe of Jlepre•mtattbeJ
•••btn;ton, Ja( 20515
93 NOV I0
P 4:
5.7
November 4, 1993
Th·!~
Honorable William Jefferson Clinton
of the United states
rt.n.e White House
P~asident
~ashinqton,
D.c.
20500
Dear Mr. President:
We salute you for your leadership in developing a comprehensive
health care reform proposal. Although we may not agree on every aspect
of your plan, we look forward to working with you and all of your
colleagues in the Congress to fashion a health care ~eform bill that
adheres to the six principles you outlined in your address to congress
and the nation: security, simplicity, savings, responsibility, quality
and choice.
we are very concerned, however, aDout your call for five year
Medicare ana Medicaid reductions of $189 billion to help finance your
proposal. Just last August, Congress apiroved and you signed into law
P.L. 103-66, the omnibus Budget Reconcil aticn Act (OBRA) of 1993. The
1993 budget law achieves $55,8 billion and $7.2 billion in savings from
the Medicare and Medicaid programs, respectively, over the next five
years. These savings come on top of the $43 billion in Medicare savings
enacted as part of the 1990 budqet aqreement, OBRA 90.
Medicare and Medicaid savings of the maqnitude that are
contemplated in your proposal, coupled with those already enacted as
part of the OBRA 93 and OBRA 90, will continue to push many health care
providers toward the brink of financial di.saster and r.isk eroding access
to care for millions of poor, elderly and disabled-Americans. It is
unclear whether the rigid, formula-driven budget caps that your proposal
would impose on the Medicare and Medicaid programs bear any relation to
the actual health needs of a community, or if they will be flexible
enough to respond to ebanqing and unforeseen circumstances.
It is clear that savings ean be achieved in the Medicare and
Medicaid programs as part of a comprehensive health care reform packaqe.
We believe, however, that the level of reductions you have suqgested in
your proposal may place these important programs far the poor, elderly
and disabled in severe financial jeopardy.
�The Honorable William Jefferson Clinton
'
Hov.mber 4, 1993
page 2
we stand ready to work with you to reform ~ nation•• health oare
ayatam ao that all Americana have access to biqb qu~lity health care
•arvicea.
Sincerely,
.
..
.
0~~
PATSY
l
NK, M.C.
-
�RCV p)f-:xer.ox Telecopier 7020 :12-14-93
•
.
.,
:·
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
56505
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-049-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/7be19b39d8e6318d92e4b6409020e2f9.pdf
ffd0ef3d399dbe0c74a376fb004d6e21
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10793
Scan ID:
050491
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
9
1
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
SUBJECT!TITLE
DATE
RESTRICTION
00 1a. letter
Donald A. Manzullo to President William J. Clinton re: Elisabeth
Lubecki [partial] ( 1 page)
12/21193
P6/b(6)
001b.letter
Elizabeth Lubecki to Donald A. Manzullo re: health care plan (2
pages)
n.d.
P6/b(6)
COLLECTION:
Clinton Presidential Records
WHORM Subject File - General
HE
OA!Box Number: 10793
FOLDER TITLE:
050491
2006-0225-F
kh247
RESTRICTION CODES
Presidential Records Act- 144 U.S.C. 2204(a))
Freedom of Information Act- [S U.S.C. SS2(b))
Pl National Security Classified Information [(a)(l) of the PRA)
P2 Relating to the appointment to Federal office ((a)(2) of the PRA)
PJ Release would violate a Federal statute [(a)(J) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) ofthe PRA)
b(l) National security classified information [(b)(l) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) ofthe FOIA)
b(J) Release would violate a Federal statute ((b)(J) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) ofthe FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA)
b(7) Release would disclose Information compiled for law enforcement
purposes [(b)(7) of the FOIA)
b(S) Release would disclose information concerning the regulation of
financial institutions [(b)(S) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells [(b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�.•
THE WHITE HOUSE
WASHINGTON
January 6, 1994
Dear Representative Manzullo:
Thank you for forwarding Elisabeth Lubecki's letter
regarding the Health Security Act to the White House.
President Clinton's Health Security Act is based on the
principle of health security for all Americans. Benefits covered
under the nationally guaranteed comprehensive package carry no
lifetime limits. These benefits include hospital services and
home health care, as well as skilled nursing care, physical,
occupational and speech therapy, presecribed social services and
home-infusion therapy after an acute illness to prevent
institutional care.
Ms. Lubecki can order copies of the President's Health
Security Act through the u.s. Government Printing Office at (202)
783-3238. The cost of the White House Bill is $45 and the
President's Report to America is $5. The plan can also be
ordered on computer disk from the National Technical Information
Service at (703) 487-4650.
If I can be of further assistance please do not hesitate to
contact my office.
The Honorable Donald A. Manzullo
House of Representatives
Washington, D.C. 20515
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
00 1a. letter
SUBJECTffiTLE
DATE
Donald A. Manzullo to President William J. Clinton re: Elisabeth
Lubecki [partial] (1 page)
12/21193
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
WHORM Subject File - General
HE
OA/Box Number: I 0793
FOLDER TITLE:
050491
2006-0225-F
kh247
RESTRICTION CODES
Presidential Records Act- [44 U.S.C. 2204(a)l.
Freedom of Information Act- [S U.S.C. SS2(b))
PI National Security Classified Information [(a)(l) orthe PRA]
P2 Relating to the appointment to Federal office [(a)(2) of the PRA)
P3 Release would violate a Federal statute ((a)(3) of the PRA)
P4·Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) orthe PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) orthe PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA)
b(l) National security classified information [(b)(l) orthe FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) orthe FOIA]
b(l) Release would violate a Federal statute [(b)(l) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) orthe FOIA)
b(6) Release would constitute a clearly unwarranted invasion or
personal privacy [(b)(6) ofthe FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes ((b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells ((b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�DONALD A. MANZULLO
OISlYitel' ~AtE$<.
16TH OtllnucT. lt..-s
606 C t - 6uu.oJMG
WA$KlNGTON. 0C 20&16
3$20 IIMADWa1
Sum I
Aoacto~to. 1lii110a
8111/31'14--1:231
202122W818
SMALL 8USINESS
Aoo•L hlto-o. £-llfS.
(ongrtjj of tfJt atnittb 6tatts
4110 ..... llw•••'"'"'"l
..
fOREIGN AFfAIRS
,
tc~~t- P(I~Y.
fu.ttf 4IIW
.....
,~
IJ11"tAJU~~l OfofkTta~
1$ou-t of l\epre•entatibtu
m·~~§to,1~€ ~0515-1316
PLEASE RESPOND TO
3929 Broadway, Suite 1
Rockford, IL 61108
(815) 394-1231
December 21, 1993
President William J. Clinton
The White House
1600 Pennsylvania Avenue, N.W.
Washington, D.C. 20500
Dear Mr. President:
Please find the enclosed letter from Elisabeth
I would appreciate any response that you could give her.
Sincerely,
-~. -IJJcv><gu..({C--Donald A. Manzullo
u.s. Congressman
16th District, Illinois
DAM:ldz
enclosure
I'IIIJIITID ON RECI'a.fO PAI'fR
18 I N.. 'IIIIG<NII' AlliiN'
CAVU'" V.Kr, II. 60014
811>/35&-11800
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
OOlb. letter
SUBJECT/TITLE
DATE
Elizabeth Lubecki to Donald A. Manzullo re: health care plan (2
pages)
n.d.
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
WHORM Subject File - General
HE
OA/Box Number: 10793
FOLDER TITLE:
050491
2006-0225-F
kh247
RESTRICTION CODES
1
Presidential Records Act- [44 U.S.C. 2204(a))
Freedom of Information Act- [S U.S.C. SS2(b))
Pl National Security Classified Information ((a)(l) of the PRA)
P2 Relating to the appointment to Federal office ((a)(2) of the PRA)
P3 Release would violate a Federal statute ((a)(3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information ((a)(4) ofthe PRA)
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA)
b(l) National security classified information ((b)(l) ofthe FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA)
b(3) Release would violate a Federal statute [(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) ofthe FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) ofthe FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions ((b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells [(b)(9) of the FOIA)
d-
'
C. Closed in accordance with restrictions contained in donor's deed
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
50491
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-048-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/82d68ce92c4d0e711e5d4bbb557171c8.pdf
e4b8981e8799215a052b1a52053736ea
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
· Series/Staff Member:
Subseries:
OA/ID Number:
10793
Scan ID:
050483
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
9
1
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
SUBJECT!fiTLE
DATE
RESTRICTION
00 I a. letter
Susan Brophy to Jeff Seiler re: Health Security Act [partial] (1 page)
12/30/93
P6/b(6)
OOlb.list
Clinton Health Plan Questions [partial] (1 page)
n.d.
P6/b(6)
COLLECTION:
Clinton Presidential Records
WHORM Subject File - General
HE
ONBox Number:
10793
FOLDER TITLE:
050483
2006-0225-F
kh246
RESTRICTION CODES
Presidential Records Act- [44 U.S.C. 2204(a))
Freedom oflnformation Act- [5 U.S.C. 552(b))
PI National Security Classified Information [(a)(l) of the PRA)
P2 Relating to the appointment to Federal office [(a)(2) of the PRA)
P3 Release would violate a Federal statute [(a)(3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information ((a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA)
b(l) National security classified information [(b)(l) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) ofthe FOIA)
b(3) Release would violate a Federal statute [(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
Information [(b)(4) of the FOIA)
b(6) Release would constitute.& clearly unwarranted invasion of
personal privacy [(b)(6) oftheFOIA)
b(7) Release would disclose information compiled for law enforcement
purposes ((b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA)
b(9) Release would disclose geological or" geophysical information
concerning wells [(b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U,S.C.
2201(3).
RR. Document will be reviewed upon request.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
00 I a. letter
SUBJECT/fiTLE
DATE
Susan Brophy to Jeff Seiler re: Health Security Act [partial] (1 page)
12/30/93
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
WHORM Subject File - General
HE
OA/Box Number:
I 0793
FOLDER TITLE:
050483
2006-0225-F
kh246
RESTRICTION CODES
Presidential Records Act- [44 U.S.C. 2204(a))
Freedom of Information Act- [S U.S.C. SSl(b))
PI National Security Classified Information ((a)(l) of the PRA)
Pl Relating to the appointment to Federal office ((a)(l) of the PRA)
P3 Release would violate a Federal statute [(a)(3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA)
b(l) National security classified information [(b)(l) of the FOIA)
b(l) Release would disclose internal personnel rules and practices of
an agency [(b)(l) of the FOIA)
b(3) Release would violate a Federal statute [(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells [(b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�THE WHITE HOUSE
WASHINGTON
December 30, 1993
Dear Mr. Seiler:
Representative Hastert-recently forwarded your letter
concerning the Health Security Act.
The answers to many of your questions can be found in the
Health Security Act which you can order through the o.s.
Government Printing Office at (202) 783-3238. The cost of the
bill is $45 and the President's Report to America is $5. The
plan can also be ordered on computer disk from the National
Technical Information Service at (703) 487-4650.
If I can be of further assistance please do not hesitate -to
contact my office.
Sincerely,
su~~
Deputy Assistant to the President
for Legislative Affairs
'[oo\~J
�COMMITTEE O.N
ENERGY AND COMMERCE
.,.,. J. DENNIS HASTERT
'
14TH DI,STRICT, ILLINOIS
COMMITTEE ON GOVERNMENT
OPERATIONS
2463 RAYBURN HOUSE OFFICE BUILDING
WASHINGTON, DC 20615-1314
1202) 225-2976
27 NORTH RIVER STREET
BATAVIA, IL 60510
1708) 406-1114
1007 MAIN STREET
MENDOTA, IL 61342
1815) 638-3322
EXECUTIVE COMMITTEE ON
COMMITTEES
~ongrtss of tbt 1#31W~ _&,tatts
.,ou~t of Jltprt~tnta~i~~~ ijfO : 32
Ma~bington, llfC 20515-1314
SELECT COMMITTEE ON
HUNGER
December 17, 1993
White House Office of Legislative Affairs - House
1600 Pennsylvania Ave.
Washington, D.C. 20500
Dear Friend:
I recently received this letter. from one of my constituents
in Illinois asking me many specific :juestions regarding the
president's health care proposal.
I would greatly appreciate your responding directly to him
by answering each of his questions thoughtfully and accurately.
Thanking you in advance for your excellent effort.
JDH:dt
Enclosure
PRINTED ON RECYCLED PAPER
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
OOlb. list
SUBJECTffiTLE
DATE
Clinton Health Plan Questions [partial] (1 page)
n.d.
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
WHORM Subject File - General
HE
OA/Box Number: 10793
FOLDER TITLE:
050483
2006-0225-F
kh246
RESTRICTION CODES
Presidential Records Act- [44 U.S.C. 2204(a))
Freedom of Information Act- [S U.S.C. SS2(b))
PI National Security Classified Information [(a)(l) of the PRA)
P2 Relating to the appointment to Federal office [(a)(2) of the PRA)
P3 Release would violate a Federal statute [(a)(3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) ofthe PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) ofthe PRA)
b(l) National security classified Information [(b)(l) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA)
b(3) Release would violate a Federal statute [(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy ((b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells [(b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�''•.
·- '
.
L_oo\b
J
I) Can you really get more coverage for less money? This would be odd since there is
an old adage that bas always proved true, "If it's too good to be true, it isn't true."
2)Preventive medicine: Just because it's available does not mean that people will use it.
3)1f Clinton really wants to lower health costs, why not make handgun/weapons
possession illegal with automatic prison sentences a part of any bill that is passed.
4) Has anyol"!e figured out that maybe the USA has a high infant mortality rate more
due to drugs than due to lack of available care'!
5) Do we really want 50 different ideas of how :o ruin the:: health~ system from
states that have ruined their out of their own state programs and budgets'! An instance
of this is the Illinois requirement ttiat in vitro fertilization be covered under insured
plans at $5,000 per treatment with multiple low birthweight babies and a half million
dollar tab the usual result.
6)Why do the best doctors pay more in malpractice insurance'! Because patients expect
them to be miracle workers. and when they can't perform miracles. they get sued.
7)lf Clinton was serious aboul health reform he would be serious about malpractice
reform. But how could he be serious about malpractice when he needs the votes of the
Senate and House (which are largely composed of lawyers) and his wife is a trial
lawyer.
8)Would all people really have comparable plans? What about unions who by and large
have 100% coverage now and very rarely pay for coverage'! What about federal
employees.'>C~ongress..-,
9)lf an employer has 300 employees. 50 of whom arc salespersons in other states. each
of whom has 3 plans 10 choose from. then the employer may now have to pay premium
to three plans for the 250 people at the home office and to 50 plans tor the salespeople
(53 plans in total). lf the same company had 100 sales people the number of plans to
pay premium to could be 10.3. Will this really decrease paperwork and add to
efficiency'! Who will comrol the costs and have an overall handle on how well the plans
are saving money'!
lO)Does anyone know that balance billing (ie.; the doctor billing the patient for the
difference between what Medicare pays and the real charge) is already a standard
practice. Just limiting an insurance premium will nor limit this practice. but make it
more widespread in the Clinton plan despite any laws. If you like your docror you'll be
sure to pay the money to see him.
II) Does anyone know that Medicare is not a single payer system, but that over 80
insurance carriers pay Part B in different states'!
12) If 12 Health Alliances bid for chree plans in Chicago, will the other 9 Alliances be
in busine~s to bid the next year when costs are out of line'! Sounds like we are
managing the competition right out of business in this plan'!
~-~--
_ _ _ _ _I
�.·
.
13)The current private system provides health insurance through employers. Employers
attempt to and succeed in holding down costs because they must provide competitive
goods and services. Which employers will have a means of holding down costs through
Clinton's program? Who will need to hold down costs? If there are only a few
competitors for the business of an employer or employee, how will this be better than
when there is lots of competition for business? Who will force competitive costs for
care? For Administration?
14) If you are a middle class suburbanite who leads a healthy life, do you want to pay
the same amount for health insurance as an inner city gang member with a gun and a
crack pipe?
15)If Chicago teachers didn't want to pay 1% of the cost of their healthcare now, why
would we expect the security card to change that attitude and they will now willingly
pay more for coverage?
16) Instead of the Clinton plan why not universally eliminate pre-existing conditions
clauses and evidence of insurability for healthcare. If the playing field is level in all
states for all plans, insurance companies should not mind.
17) If all of the thousands of state health insurance laws were eliminated and replaced
by one nationwide minimum standard of items that would have to be covered under a
olan. wouldn't this do more to ease administrative burden and concerns about fine
orint? Rieht now a multi-state emolover must deal with each states laws and their extraterritorial laws. No wonder manv multi-state emolovers are self funded. It is the onlv
wav to escaoe the stuoiditv of manv state laws and have one olan for all emolovees.
l8)Whv should an emolover or emolovee who works for a more eenerous and
successful emolover want to have the same olan as all local area oeoole. Whv can't
those who are more successful buv a better olan without heine taxed? Whv do we
alwavs tax success? Whv shouldn't a better olan be available throueh a workolace as an
incentive to work there because the comoanv has been successful in boldine down the
costs for its oroeram?
19)Should a comoanv reallv have to oav the same amount for a full time emolovee as a
oart time emolovee'! Would vou like to be a full time emolovee and know that vour
salarv and benefits are lower so that a oart-time emolovee has the same benefits as vou?
20)Since when is a small erouo less than 5000 emolovees'!
21 )Does anvbodv realize that healthcare is alreadv available to 99% of the emolovees
of comoanies of over 100 lives? The oroblem for those who are workine revolves
around the comoanies who have not ourchased insurance for their emolovees and this
oroblem is almost exclusivelv for comoanies of less than 50 emolovees.
22)How come most state laws detine small erouos (comoanies) as 3-25 emolovees. 350 or 3-1 00 emolovees and the federal tax laws define them as less than 100 emolovees
(!!rouos less than 100 emolovees don't tile Schedule A information for IRS Form
5500). but the Clinton olan savs small emolovers are erouos of 5000 emolovees or
less?
23Hf Canada is doine so well with healthcare. how come the emolovees clamor for
olans that orovide suoolemental coveraee which oavs for sureerv and soecial
orocedures in the USA?
.
....
�'l.
..·
24)Does anvone reallv know the true cost of the Canadian. German. Swedish.
British.etc .. healthcare Dlans? What are the tax rates for income in those countries?
Whv is the Canadian Dian e:oimz broke if it is so successful?
25) Whv would we overhaul a svstem which can work and reD lace it with an untested
theorv with a hue:e bureaucracv when e:ovemment has never been financiallv
successful in anv endeavor?
26) If healthcare comnanies are makine: hue:e Drofits. name another industrv that runs
on 1% to 1. 75% orotit mare:ins and survives. How about the comnanies that were so
successful thev went out of the claim oavine: business (Hartford. Crown Life. Lincoln
National. Allstate. various Blue Cross olans)? Mavbe thev went out of business because
thev were makine: too much orofit?
27) The Clinton Dian mentions exoerimentation with entemrise liabilitv maloractice.
This is e:reat for lawvers since there would now be a number of entities with monev to
sue in anv one instance versus 1ust one or two sources. Therefore. Clinton's limitine:
lawvers fees to 33% of the take on a case shouldn't unset the lawvers too much.
28) Claim forms are virtuallv all the same tor dentists and doctors. Filline: out a claim
form is not hard. Where is all the oaoerwork elimination comine: from in the Clinton
olan'l If there was onlv one form with all the necessarv information on it. insurance
comnanies wouldn't mind since thev would have less trainine: for claim oavine:
oersonnel. Could it be that the oaoerwork that is heine: blamed on insurance comoanies
are reallv all the state and federal forms ohvsicians and hosDitals are forced to fill out?
29) Most emolovees who work tor enlie:htened emDlovers alreadv oav for their health
benefits on a ore-tax basis. Bv eliminatine: this tax break won't most oeoole end uo
oavine: more tor health coverae:e'! Didn't Clinton camoaie:n bv savine: he'd chane:e the
healthcare svstem and make it better with no increase in cost? Isn't the elimination of a
tax break an increase in cost?
30Ht is interestine: to hear the Clinton talk about oooline: like it is a new conceot. It is
the orie:inal conceot of all insurance and is still in use. How bie: will the oools created
bv their health olan reallv be'! If there are 50 maior metrooolitan markets each with at
least 3 olans olus tiftv states with at least three olans. this is a minimum of 300 olans
each creatine: their own risk oools. If there are 37 health insurance carriers in HIAA
olus 5 maior carriers outside of HIAA. how bie: will their risk oools be comoared to
the ones created bv the Clintons.
31 Hsn't it interestine: that the e:overnment has alreadv been unsuccessful at runnine: one
of the lare:est oools of insureds... retirees on Medicare.
32)Medicare cost shiftine: to the orivate insurance olans has been one of the maior
reasons health insurance tor those who aren't retired has become less affordable.
Medicare has never reallv cut costs. but rather 1ust shifted it to the workine: oublic.
Whv would there be anv contidence in the e:overnment' s abilitv to run other oroe:rams
better'? If thev are unsuccessful. without a orivate insurance market. who could the
!!overnment shift costs to'!
�.•
~.
.•
'
J
..
33)Are insurance comoanies resoonsible for the risimz costs of medical technoloev? Did
thev create heart/lune. oancreas. and liver transolants? Did thev create AIDS? Did thev
create MRI technoloev. exoensive drues that cure diseases? It seems thev oav the
claims for these orocedures. It seems that somebodv will have to continue tooav the
1
claims for these and new orocedures. If we want the best health care. don t we have to
ourchase it? Who will create better care if thev can It orofit from it'!
34) When was the bill of riehts modified to add healthcare as a rieht?
35Hf Hillarv is so uoset at the HIAA soendine monev to oromote a thouehtful
resoonse.oerhaos she should disclose how much monev was soent desienine her olan
and how much she and her suooorters are soendine in tax dollars iettine around the
countrv to oromote an unoroven theorv?
36 )If vou are in a Health Alliance. what do vou do for care when vou are travelline in
a different state?
.
�.
Ii • •
I
I
I
December 14, 1993
,.
I
Mr. John M. Doe
Title
Organization
Address Line 1
Address Line 2
City, State 20001-Zip
Dear fgeneral/thank/0013:
Thank you for contacting my office to inquire about various
aspects of the Clinton Administration's health care reform
proposal. I appreciate your interest in such an important issue.
Due to the fact that you have asked many poignant and
specific questions, I have referred your letter to the White
House office of legislative affairs and have asked them to·
respond directly to you.
Thanks again for your letter and please feel free to contact
me in the future.
Sincerely,
J. Dennis Hastert
Member of Congress
JDH:
.
I
"
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
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William J. Clinton Presidential Library & Museum
Extent
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83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
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Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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50483
Creator
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White House Office of Records Management
Subject Files
HE
Identifier
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2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-047-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/f20f2c7422bb5029904315b428c31198.pdf
341acc040e5345ae4ad312bedde85e38
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:·
10793
Scan ID:
050455
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
9
1
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
001. letter
SUBJECT/TITLE
DATE
James C. Sanders to Representative John J. Duncan, Jr. re: health care
reform [partial] ( 1 page)
ca. 11193
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
WHORM Subject File - General
HE
OA/Box Number: 10793
FOLDER TITLE:
050455
2006-0225-F
kh245
RESTRICTION CODES
Presidential Records Act- [44 U.S.C. 2204(a))
Freedom of Information Act- [5 U.S.C. 552(b))
Pl National Security Classified Information [(a)(l) of the PRA)
P2 Relating to the appointment to Federal office ((a)(2) of the PRA)
P3 Release would violate a Federal statute [(a)(3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information ((a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted Invasion of
personal privacy [(a)(6) of the PRA)
b(l) National security classified Information [(b)(l) of the FOIA)
b(2) Release would disclose Internal personnel rules and practices of
an agency [(b)(2) ofthe FOIA)
b(3) Release would violate a Federal statute [(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
Information [(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted Invasion of
personal privacy [(b)(6) of the FOIA)
b(7) Release would disclose Information compiled for law enforcement
purposes [(b)(7) of the FOIA)
b(8) Release would disclose Information concerning the regulation of
financial Institutions [(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells [(b)(9) of the FOIA)
C. Closed In accordance with restrictions contained In donor's deed
of gift.
PRM. Personal record misfile defined In accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�.'
'•
THE WHITE HOUSE
WASHINGTON
January 3, 1994
Dear Representative Duncan:
Thank you for forwarding Mr. James c. Sanders' letter
regarding the President's Task Force on National Health Care
Reform.
The task force was comprised of 528 volunteers from across
the country representing the health care industry, business
interests and labor interests and did not expend any more funds
than were necessary to complete the Health Security Plan. The
task force was under the direction of several members of the
Clinton administration including the following:
Chairman
Secretary of Commerce
Secretary of Defense
Secretary of Health and
Human Services
Secretary of Labor
Secretary of Treasury
Secretary of Veterans Affairs
Ofc of Management & Budget
Director
Deputy Director of OMB
White House Domestic Policy
Advisor
Senior Adviser for Policy
Development
Dep Asst Secy, Health Policy, HHS
Spokesperson
Hillary Rodham Clinton
Ronald H. Brown
Les Aspin
Donna E. Shalala
Robert B. Reich
Lloyd Bentsen
Jesse Brown
Leon E. Panetta
Alice Rivlin
carol Rasco
Ira Magaziner
Judith Feder
Robert Boorstin
I hope this information is helpful in responding to your
constituents. If I can be of further assistance please do not
hesitate to contact my office.
Sincerely,
~~
Deputy Assistant to the President
for Legislative Affairs
The Honorable John J. Duncan, Jr.
House of Representatives
washington, D.C. 20515
�.., ...
JOHN J. DUNCAN, JR.
COMMITTEES:
2D DISTRICT, TENNESSEE
PUBLIC WORKS AND TRANSPORTATION
115 CANNON HOUSE OFFICE BUILDING
WASHINGTON, DC 20515-4202
PHO~.E: (202#2ib'!-5435
NATURAL RESOURCES
501 W. MAIN ST.
SUITE 318
KNOXVILLE, TN 37902-2593
PHONE: (815)523-3772
200 E. BROADWAY
SUITE419
FIRST AMERICAN BANK BLDG.
MARYVILLE, TN 37801-2404
PHONE: (815) 984-5484
·'
~ongrtss of tht llnittd £'tatts
'!\oust of 'Rtprtsmtatl\lts
Washington, llQ: 205J5-1il,.1 Df c27 P3:J£)
COURTHOUSE
ATHENS, TN 37303-4297
PHONE: (815)745-4871
December 15, 1993
Mr. Howard Paster
Assistant to the President and
Director of Legislative Affairs
The White House
Washington, D.C. 20500
Dear Mr. Paster:
One of my constituents, Mr. James c. Sanders, recently contacted
me to inquire about the cost of producing the Health Security Act
of 1993.
I am enclosing a copy of Mr. Sanders' correspondence, which details
his specific questions, for your review. Any assistance that you
may provide in responding to his inquiry will be greatly
appreciated.
Thank you for your attention to this matter.
With kindest regards, I am
Yours truly,
JJD:lw
PRINTED ON RECYCLED PAPER
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
001. letter
SUBJECT/TITLE
DATE
James C. Sanders to Representative John J. Duncan, Jr. re: health care
reform [partial] ( 1 page)
ca. 11/93
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
WHORM Subject File - General
HE
OA!Box Number:
10793
FOLDER TITLE:
050455
Kelly Hendren
2006-0225-F
kh245
Presidential Records Act- [44 U.S.C. 2204(a))
RESTRICTifN CODES
PI
P2
P3
P4
National Security Classified Information [(a)(l) ofthe PRA)
Relating to the appointment to Federal office [(a)(2) of the PRA)
Release would violate a Federal statute [(a)(3) of the PRA)
Release would disclose trade secrets or confidential commercial or
financial Information [(a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors (a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted Invasion of
personal privacy ((a)(6) of the PRA)
C. Closed In accordance with restrictions contained In donor's deed
of gift.
PRM. Personal record misfile defined In accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
reedom of Information Act- [S U.S.C. SS2(b))
(1) National security classified Information [(b)(l) of the FOIA)
·b(2) Release would disclose Internal personnel rules and practices of
an agency [(b)(2) of the FOIA)
b(3) Release would violate a Federal statute [(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
Information [(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted Invasion of
personal privacy ((b)(6) of the FOIA)
b(7) Release would disclose Information compiled for law enforcement
purposes ((b)(7) of the FOIA)
b(8) Release would disclose Information concerning the regulation of
financial Institutions [(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical Information
concerning wells ((b)(9) of the FOIA)
�.
•
'~
• J•
··~"
A
'
- ... ~ . . ... " ·.
The Honorable John J. Duncan, Jr.
House of Representatives
Washington, DC 20515
itiOV 3 o f9Q ~
Dear Sir,
On 28 October 1993, I wrote a letter to you asking:
"The introduction of Mrs. President's 1300 page Health Care Plan to
Congress with great fanfare is now past. But the fight has just
begun.
Before this plan goes farther, can you tell us what it has cost the
American taxpayers to just produce the plan? I have read that as
high as 550 people served on Hillary Rodman Clinton's committee to
produce this monstrosity. I have often heard that an armadillo was a
mouse designed to government specifications. This seems an example.
Who paid the people on this committee and where was the money authorized for expenditure? Where in our government rules and regulations,
does it authorize the president's wife to make such expenditures and
assemble such a committee?
Can you please give us a cost on the preparation? The American taxpayers should.be told what an unelected person has spent to prepare
a bill for the Congress. One consultant fee paid to Mr. Magaziner
was said to have been astronomical by our standards."
Your extremely nice letter of November 2, 1993 did not answer the·
above. I would still like to know How and Why.
Again on 1 Nov. 1993 I wrote asking how Congress could circumvent the
provisions of Article Two, Paragraph 10, Section 2 of the Constitution.
I have had no answer to this.
NAFTA with a simple majority.
In the meantime, Congress has passed
I appreciate your stand on NAPTA. Every citizen has the right of his
own opinion. I believe that you should visit with some of our Masonic
brethren in Mexico. It will give you a better insight of the Mexican
peonage and conditions. My wife and I have been members of Eastern Star
at the Rio Grande Valley town of LaFeria, Texas for about 40 years.
Mexicans have suffered under some form of oppression for nearly 500
years and have been under a totalitarian one-party government for the
past 64 years. You and I do not believe in this type of opression. I
do not see NAFTA as a savior of the peon.
The present official value of the peso at 31.22 cents does not really
reflect the actual value of it. This is set by that same Salinas group
and would fall greatly if allowed to float as the ruble has done.
Our President claims that the government of China will .be taken to task
for human rights before any agreement is advanced with them. He was
able to overlook the human rights of the Mexican peon while pressing for
-------·····-·······--····-······--
�• ·* •
•
·,
passage of NAFTA.
The mutiple "deals" made verge on corruption.
..
T~e Government of Canada is having second thoughts about their signing
of the agreement last June. Since then they have replaced every incumbent
in Parliment and formed a new goverment that is asking for changes in
NAFTA. Maybe even to the point of withdrawing.
I have traveled extensively in Canada by both car and air and lived there
for three years. I also have many friends with whom I correspond. I
have sent you information on Synthcrude of Ft. McMurray. Everyone that.
I have talked to up there is against NAFTA because it has already started
a move of industry to the US. Their unemployment rate is about 11 per
cent and their dollar was worth 75.22 cents U.S. yesterday. This is the
lowest that I can recall. Even in the depression, it was worth 90 cents.
I hope we can weather the upcoming unemployment. I see that Congress has
extended the unemployment benefits. This should indicate that we have
many unemployed and more being added to the rolls.
I hope that I am wrong and pray so. I can not see anything but a
continued trade deficit and the export of our wealth and an increasing
national debt until our economy breaks. A friend here in Knoxville
says this is his theory of economics:
"If your outgo
exceeds your income,
then your upkeep
will be your downfall."
Again, I appreciate your opinion and hope that you are right.
have little time left but you, my sons and our offspring will
suffer.
d:ally,
fo'mes C. Sanders
I
' ..
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
50455
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-046-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/a3293b0044b17c7e8f30950fd476aff9.pdf
f11f9d632a32f280488434e6a276f4b3
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
MAR~~ER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10793
Scan ID:
049493
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
9
1
�ID# 049493
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
INCOMING
DATE RECEIVED: JANUARY 06, 1994
NAME OF CORRESPONDENT: THE HONORABLE RON MACHTLEY
SUBJECT: SHARES CONCERN REGARDING THE HEALTH SECURITY
ACT AND THE IMPLEMENTATION OF THE NATIONAL
QUALITY MANAGEMENT PROGRAM
ACTION
ROUTE TO:
OFFICE/AGENCY
DISPOSITION
ACT
DATE
CODE YY/MM/DD
(STAFF NAME)
TYPE
RESP
C COMPLETED
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HOWARD PASTER
ORG 94/01/04 SB
A 94/01/04
REFERRAL NOTE: ATTN: SUSAN BROPHY
.4~1': M:'.,t/'.rJ~ ~~. .
HOWARD PASTER
RSA 94/01/07 ~~~ ~~~~
REFERRAL NOTE:
-'-'- - - - _,_,_
_,_,_ - - - - _7_7_
REFERRAL NOTE:
REFERRAL NOTE:
_7_7_
REFERRAL NOTE:
- _,_,_
COMMENTS: ENCLOSED LETTER DATED NOV 9 9 3 SNET TO
CONGRESSMAN MACHTLEY
ADDITIONAL CORRESPONDENTS:
MAIL
MEDIA:L
INDIVIDUAL CODES:
USER CODES: (A)R_RI_ __ (B) _ _ __
1240
(C) _ _ __
***********************************************************************
*ACTION CODES:
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*
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*
*
*
***********************************************************************
~NED
REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
�THE WHITE HOUSE
WASHINGTON
February 17, 1994
Dear Representative Machtley:
I am responding to your letter on behalf of a
number of your constituents at Health Care Review,
Inc., in Providence, Rhode Island. They are
concerned with the language presently contained in
the Health Security Act that discontinues the Peer
Review organization (PRO) program once the National
Quality Management Program is implemented.
Quality is one of the-primary areas of
emphasis embodied in our health reform initiative,
and the Health Security Act institutes a
comprehensive quality management program. That
program, along with other aspects of reform that
increase access to care, should lead to a
significant improvement of health care quality in
the United states.
This new National Quality Management Program
shifts quality assurance from its current emphasis
on prescriptive regulations toward a system focused
on performance measures and continuous improvement.
As proposed in the Health Security Act, this new
program will be truly national in scope and would
apply to all purchasers of care. Representatives
of government health care programs, as well as
private sector plans, will serve on the National
Quality Management Council, the body responsible
for administering the Quality Management Program.
The Administrator of the Health Care Financing
Administration would provide advice to the Council
on the development and selection of national
quality measures.
We recognize that the Health Security Act
legislative language is not clear as to how these
measures and other parts of the quality management
program are to be applied in the Medicare program.
We are working with Congress on the specific
�''
2
mechanisms for quality oversight in Medicare. Let
me assure you that I am committed to vigorously
carrying out our responsibility to assure the
quality of health care provided to Medicare
beneficiaries both now and under health care reform
and to prevent any gaps in quality surveillance.
Finally let me say that the PRO's, through
their current participation in the Health care
Quality Improvement Program, are gaining valuable
experience that should serve them well. In
addition to the Medicare program, many states,
alliances, health plaris, and providers are likely
to seek assistance on methods for achieving
continuous, measurable quality improvement under
the new National Quality Management Program.
Sincerely,
The Honorable Ronald K. Machtley
House of Representatives
Washington, D.C. 20515
�''
THE WHITE HOUSE
WASHINGTON
January 4, 1994
Dear Representative Machtley:
Thank you very much for your letter concerning the Health
Security Act and the implementation of the ·National Quality
Management Program.
The President has been advised of your interest in this
matter and you should be hearing from him in the near future.
If I can be of further assistance, please do not hesitate to
contact me.
With best wishes,
Sincerely,
s~~foyorfj
Deputy Assistant to the President
for Legislative Affairs
The Honorable Ronald K. Machtley
House of Representatives
Washington, D.C. 20515
�.,
THE WHITE HOUSE
WASHINGTON
January 4, 1994
MEMORANDUM FOR CLAUDIA COOLEY
FROM:
SUSAN BROPHY ~
SUBJECT:
HEALTH SECURITY ACT AND THE NATIONAL QUALITY
MANAGEMENT PROGRAM
Attached is a copy of a letter that was sent to the President
from Ronald Machtley (R-RI). I have also enclosed a copy of my
acknowledgement letter to him.
The President has requested that he see and sign every letter
going to Capitol Hill. We did not want to fully answer the
questions addressed in this letter without assistance from your
office; therefore, I would appreciate your office drafting a
response and returning it to LeeAnn Inadomi (WH-East Wing) within
48 hours. She will then print the letter in final form and have
the President sign the letter.
Thank you very much for your assistance. If you have any
questions, please feel free to call LeeAnn at 456-7500.
Attachments
�•
tJ lf ? ~ ~
1
RONALD K. MACHTLEY
' W~SHINGTON
°0FFICE:
~ 326 CANNON HOUSE OFFICE BUILDING
1ST DISTRICT, RHODE ISLAND
WASHINGTON, DC 20515-3901
12021225-4911
COMMITTEE ON ARMED SERVICES
COMMITTEE ON SMALL BUSINESS
1ST DISTRICT OFFICES:
STATE TOLL FREE NUMBER
1-800-562-9994
CO.CHAIR. NEW ENGLAND ENERGY CAUCUS
CO-FOUNDER, WORKING GROUP ON
MENTAL ILLNESS AND HEALTH
CONGRESSIONAL HUMAN RIGHTS CAUCUS
CONGRESSIONAL TEXTILE CAUCUS
~ongrtss
CONGRESSIONAL CAUCUS ON
WOMEN'S ISSUES
CONGRESSIONAL NOTCH COALITION
of tht tlnittd £'tatts
iltonsr of ltrprrsmtati\lts
Dlashington, B~ 20515-3901
268 PAWTUCKET AVENUE
EAST PROVIDENCE, AI 02916
(4011431-6100
12 7 SOCIAL STREET
ROOM 172
Rl 02895
(4011762-4052
~
~ONSOCKET,
c.....J20 THAMES STREET
J:> ROOM 280
ZN~~o"1~~~8~7~~~40
.l:.
December 22, 1993
The Honorable Bill Clinton
President of the United States
The White House
1600 Pennsylvania Avenue NW
Washington, D.C. 20500
Dear Mr. President:
I am writing to share with you the concerns of a number of my
constituents at Health Care Review, Inc. in Providence, Rhode
Island.
These individuals are concerned with the language presently
contained in the Health Security Act that discontinues the Peer
Review Organization (PRO) program once the National Quality
Management Program is implemented. These individuals feel that
the National Quality Management Program should not only be in
place, but should be fully operational AND provide evidence of its
effectiveness before the PROs are discontinued. This way, the
continuum of quality assurance would not be broken. I have
enclosed a copy of one of the letters I received on this matter
I would appreciate your attention as well as a response to
these concerns. Thank you very much for your t'
and I look
forward to hearing from you.
RKM:ksc
Enclosure
THIS STATIONERY PRINTED ON PAPER MADE OF RECYCLED FIBERS
�..
'
Health Care Review Inc.
Henry C. Hall Building
345 Blackstone Boulevard
Providence, Rhode Island 02906
Tel. (401) 331-6661
Fax (401) 331-4438
VIA FACSIMILE
November 9, 1993
Edward J. Lynch
President
The Honorable Ronald K. Machtley
U.S. HOUSE OF REPRESENTATIVES
326 Cannon House Office Building
Washington, DC 20515-3901
Dear Congressman Machtley:
As the external quality oversight organization for the Medicare program,
Health Care Review Inc. has monitored very closely the multiple changes in
language and thought of the Health Security Act of 1993. We had learned that the
language of the Act is consistent with earlier Clinton Administration policy
pronouncements regarding quality oversight. Now, however, we learn that
quality oversight in the proposed new health care reform system that there are a
number of extremely troubling changes in the policy positions for the Medicare
program as communicated by Administration officials over the last several months.
Health Care Review Inc. is extremely concerned about these changes, and we wish
to point out our concerns to you.
vie have communicated with you frequently in writing and verbally that the
Peer Review Organization (PRO) program has been attacked by Ira Magaziner.
Nevertheless, the Administration's position regarding quality management was
articulated in the September draft of the President's plan as follows:
"The PROs under Medicare would continue until the new
system is implemented and the · Secretary of the
Department of Health and Human Services determines
that Medicare enrollees are protected adequately through
the National Quality Management Program."
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...
.
'
.
.
Congressman Machtley
November 9, 1993
Page 2
The new surprising statutory language in the Health Security Act states that the
PRO program will be terminated upon the "adoption" of the National Quality
Management Program. This change also mandates that the National Health Board
must establish the National Quality Management Program within one year of
enactment of the President's plan.
Health Care Review Inc. is extremely concerned about these cavalier
changes regarding the protection of the people of the United States by Clinton
bureaucrats in Washington, DC. Therefore, we are asking you to write letters to
the White House opposing the PRO termination language. The PRO program
should not be eliminated until ·a program · to protect the· quality of care for
Medicare beneficiaries under the Medicare program is folded into the health care
reform. For those Congressional members who are unwilling to take this first
position, it appears to us that the Medicare PRO program should continue until the
new National Quality Management Program is fully operational and provides clear
evidence that it is adequately protecting the entire population. We do not believe
that the creation of a National Quality Management Program--as currently devised-will necessarily protect Medicare beneficiaries and other citizens in the United
States in the potential regional alliances.
At the request of Everett Koop, M.D., former Surgeon General, the new
version of the Health Security Act calls for the creation of Regional Professional
Foundations rather than state-based external technical assistance foundations for
.quality improvement. These regional centers supposedly will be comprised of
representatives of academic health centers and other schools of public health and
medical schools to develop; in addition to quality improvement research priorities,
programs of lifetime learning for health care professionals to ensure the delivery
of quality health care.
While Regional Professional Foundations will be overseen directly by a
National Quality Consortium, this introduces to the national policy debate a
principle within the quality arena of establishing a direct link between a federal
entity and a more localized quality body. It appears that external quality
monitoring by medical entities for the purpose of public accountability and
consumer protection still remains absent from the President's proposal. While the
plan does still call for the creation of an ombudsman program, largely undefined,
at the health alliance level, Health Care Review Inc. physicians feel strongly that
this type of quality review is grossly inadequate for the protection of not only
Medicare beneficiaries but those beneficiaries subject to bureaucratic edict in the
health alliance level. We also recognize that the new language in the Health
Security Act provides for a complaint review office at the state level; however, it
�,..
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Congressman Machtley
November 9, 1993
Page 3
appears that there is no clinical capacity developed for complainants who may have
to access such clinical responsibility.
We find that the rapid changes in
concept and language regarding quality assurance is thoughtless and politically
naive in the quality review mechanisms to be implemented. Health Care Review
Inc. strongly opposes these rapid changes in the legislative proposal and believes
they are not in the interest of patients and consumers.
We ask your cooperation in writing to the White House to continue the
implementation of external medical peer review by America's practicing doctors.
Sincerely yours,
Fr erick S. Crisafulli, M.D.
Chairman of the Board
FSC:ap
cc:
Senate Finance Committee Members
House Ways and Means Committee
Subcommittee on Commerce, Consumer Protection
and Competitiveness
Perham Amsden, Maine Medicare Beneficiary &
Chairman, PRONET
B:L-JHC3
- - - - - - - - - - - - - - - - - - -
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
49493
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-045-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/43f4ff495ecf9a258aedd46576c00ada.pdf
3dca983945804566679db1fa580b0660
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
MAR~(ER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10793
Scan ID:
048734
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
9
1
�...
ID# 048734
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
-HG
INCOMING
DATE RECEIVED: DECEMBER
30, 1993
NAME OF CORRESPONDENT: THE HONORABLE G. V. (SONNY) MONTGOMERY
SUBJECT: SHARES CONCERNS REGARDING THE HEALTH
SECURITY ACT AND PROPOSED STAFF REDUCTIONS
AT THE DEPARTMENT OF VETERANS 1 AFFAIRS
ACTION
ROUTE TO:
OFFICE/AGENCY
ACT
DATE
CODE YY/MM/DD
(STAFF NAME)
HOWARD PASTER
REFERRAL NOTE:
HOWARD PASTER
REFERRAL NOTE:
DISPOSITION
TYPE
RESP
ORG
93/12/22 SB
RSA
93/12/30w-
C COMPLETED
D YY/MM/DD
A 93/12/22
&=~V
_7_7_ - - - - _/_!_
REFERRAL NOTE:
_7_7_
_,_,_
REFERRAL NOTE:
REFERRAL NOTE:
- -'-'-
-
-'-'-
COMMENTS:
ADDITIONAL CORRESPONDENTS:
MAIL
MEDIA:L
INDIVIDUAL CODES:
1230
USER CODES: (A) D MS_ __ (B) _ _ _ __ (C) _ _ __
***********************************************************************
*ACTION CODES:
*DISPOSITION
*OUTGOING
*
*
*
*CORRESPONDENCE:
*
*A-APPROPRIATE ACTION *A-ANSWERED
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*
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*
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*
*
*R-DIRECT REPLY W/COPY *
*S-FOR-SIGNATURE
*
*
*
*X-INTERIM REPLY
*
*
*
***********************************************************************
REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECO~,
MANAGEMENT.
SCA!'~~NEu
�THE WHITE HOUSE
WASHINGTON
February 9, 1994
Dear Mr. Chairman:
Thank you for your recent letter commending
the way in which the Health Security Act honors our
nation's commitment to veterans. Hillary, members
of my Administration, and I all have worked hard to
ensure that the viability of the Department of
Veterans Affairs (VA) medical care system was
carefully considered in crafting the Act.
As your letter suggests, the Health Security
Act will allow the VA to compete with private
providers in offering care to virtually all of our
nation's veterans. Among other things, the Act
includes an investment fund that will provide $3.3
billion over three years to modernize and improve
VA's medical operations.
As part of VA's efforts to compete· in the
health care arena, the investment fund may well be
used, as you suggest, to build or lease outpatient
facilities, which could be staffed by federal
employees. As Secretary Brown has said, the VA may
also expand its use of contract care -- for
example, to care for veterans' dependents, who
could be newly eligible for VA care under the
Health Security Act. Until health care reform is
enacted, we will not know for certain how the
investment fund can best be used. Nor will we know
what appropriate federal staffing levels will be
under the new VA system.
I want to assure you that in our efforts to
reduce federal employment, VA medical care has not
been held to a formula-driven, across-the-board
reduction, a concern expressed in your letter. As
you know, with 205,188 full-time equivalent
employees, the VA medical care system is by far the
�'•
2
largest federal civilian agency employer on budget
-- larger than the Departments of Health and Human
Services, Treasury, and Justice individually and
six other cabinet agencies combined.
As part of our initiative to re-invent
government, I have asked all federal agencies,
including VA, to take a close look at their
staffing levels. The Secretary already has
determined that the Supply Depot system no longer
is the most cost-effective pharmaceutical system
for the VA, and he is phasing it out. Where
current operations cari be made more efficient
through changes that are merited regardless of the
details of health reform, VA's competitiveness in
the new system will be enhanced.
Again, thank you for your letter. I look
forward to working with you on health care reform
and other issues of importance to veterans.
Sincerely,
The Honorable G. V. (Sonny) Montgomery
Chairman
Committee on Veterans' Affairs
House of Representatives
Washington, D.C. 20515
�DEMOCRATS
•
G.V. (SONNY) MO.NTGOMERY. MISSISSIPPI
DON EDWARDS. CALIFORNIA
DOUGLAS APPLEGATE. OHIO
LANE EVANS. ILLINOIS
TIMOTHY J. PENNY. MINNESOTA
J. ROY ROWLAND. GEORGIA
JIM SLATTERY. KANSAS
JOSEPH P. KENNEDY II, MASSACHUSETTS
GEORGE E. SANGMEISTER. ILLINOIS
JILL L. LONG. INDIANA
CHET EDWARDS. TEXAS
MAXINE WATERS, CALIFORNIA
BOB CLEMENT. TENNESSEE
BOB FILNER. CALIFORNIA
FRANK TEJEDA. TEXAS
LUIS V. GUTIERREZ. ILLINOIS
SCOTTY BAESLER, KENTUCKY
SANFORD B.ISHOP. GEORGIA
JAMES E. CLYBURN. SOUTH CAROLINA
MIKE KREIDLER, WASHINGTON
CORRINE BROWN. FLORIDA
ONE HUNDRED THIRD CONGRESS
G.V. (SONNY) MONTGOMERY
CHAIRMAN
11Jou~e
11J.6.
MACK FLEMING
STAFF DIRECTOR AND CHIEF COUNSEL
of
1\epre~entattbe~
BOB STUMP. ARIZONA
CHRISTOPHER H. SMITH. NEW JERSEY
DAN BURTON, INDIANA '
MICHAEL BILIRAKIS. FlliRIDA
THOMAS J. RIDGE, PENNSYLVANIA
FLOYD SPENCE, SQUTH CAROLINA
TIM HUTCHINSON, ARKANSAS
TERRY EVERETT, ALABAMA
STEVE BUYER, INDIANA
JACK QUINN, NEW YORK
SPENCER BACHUS. ALABAMA
JOHN LINDER, GEORGIA
CLIFF STEARNS. FLORIDA
PETER T. KING. NEW YORK
COMMITTEE ON VETERANS' AFFAIRS
335 CANNON HOUSE OFFICE BUII.OING
illa~bington,
Jaft 20515
December 20, 1993
The President
The White House
1600 Pennsylvania Avenue
Washington, DC 20500
Dear Mr. President:
I have been pleased with your efforts to ensure that the
Health Security Act honors the nation's commitment to provide
comprehensive health care to its veterans.
In discussing the plan earlier this year with Mrs. Clinton,
I was impressed by her recognition that the VA health care system
must undergo substantial change in delivery capacity, systems,
organizational structure and even culture to function effectively
within a framework of managed competition. For example, to be
competitive in some markets, VA must significantly expand its
ambulatory treatment capacity -- a labor-intensive undertaking
to provide the broader range of services veteran-enrollees would
receive under the Act than under current law. But as we look
ahead to working on the Health Security Act and overseeing VA's
efforts to reshape itself into a "customer-driven" system, I am
very concerned by reports that the Veterans Health Administration
(VHA) is ~eing directed to participate in across-the-board
Federal workforce reductions.
Under the Health Security Act, VA medical facilities will be
challenged to compete, and will have to function as semiautonomous, entrepreneurial entities. Veterans' enrollment
choices w.ill ultimately determine how large VA's employee
.workforce should be.
In my view, the veterans' provisions of the Health Security
Act, and the hopes veterans have invested in it, are threatened
by the prospect of across-the-board employment reductions in VHA.
·By their nature·, arbitrary workforce cuts would rob VA of the
�..
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2
flexibility it will need to make health reform work. Thus, while
the Act would specifically vest VA managers with broad flexible
authority to hire needed health care personnel, an Executive
Branch policy would apparently render it useless. Rather than
empowering VA entrepreneurs and giving them the tools to achieve
health care reform, reports suggest that long-underfunded and
understaffed VA facilities will arbitrarily suffer additional
staffing cuts that bear no relation to the operational
requirements of providing care to entitled enrollees.
The General Accounting Office warning on Federal workforce
reductions (Management Reform: GAO's Comments on the National
Performance Review's Recommendations) bear heeding as regards the
VA's, as well as other Department's, role under national health
care reform. As GAO recognized, across-the-board reductions fail
to recognize that "differing capacities of agencies to absorb
such cuts could significantly exacerbate existing gaps in
agencies' abilities to meet their missions."
Mr. President, national health care reform could allow VA to
realize the principles of Reinventing Government and, after
implementation and some years' operating experience, could
conceivably lead to rational downsizing. But compelling the
nation's largest health care provider to begin downsizing before
it can accurately assess the demands it will have to meet in a
revised health-care delivery landscape undermines the principles
of fair competition which are at the heart of the VA's place in
that future landscape. If that happens, I believe veterans will
gradually lose their initial enthusiasm for what is a workable
plan.
Sincerely,
G.~)
Chairman
GVM:lif
cc:
The Vice President
Secretary of Veterans Affairs
Director, Office of Management & Budget
�.....
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THE WHITE HOUSE
WASHINGTON
December 22, 1993
Dear Mr. Chairman:
Thank you for your letter regarding the Health Security Act
and proposed staff reductions at the Department of Veterans'
Affairs. I appreciate your sharing your concerns with the
President.
The President has been advised of your interest in this
matter, and you will receive a response from him in the near
future. In the meantime, if I can be of assistance to you, do
not hesitate to contact my office.
Best wishes.
Sincerely,
~
Susan Brophy
Deputy Assistant to the President
for Legislative Affairs
The Honorable G. V. (Sonny) Montgomery
Chairman
Committee on Veterans' Affairs
House of Representatives
Washington, D.C. 20515
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THE WHITE HOUSE
WASHINGTON
December 22, 1993
MEMORANDUM FOR JIM MURR
FROM:
SUSAN BROPHY <jy;J
LEGISLATIVE AFFAIRS
SUBJECT:
PRESIDENTIAL CORRESPONDENCE
Enclosed please find a copy of the letter that was sent to the
President from Chairman Sonny Montgomery (D-MS). I have also
enclosed a copy of the acknowledgement letter I sent to him.
The President has requested that he see and sign every letter
going to Capitol Hill. We did not want to fully answer the
issues addressed in the Chairman's letter without advice from
your department; therefore, I am requesting that your office
draft a response and return it to LeeAnn Inadomi (WH-East Wing)
within 48 hours. She will then print the letter in final form
and have President Clinton sign the letter.
Thank you very much for your assistance with this matter. If you
have any questions, please feel free to call LeeAnn at 456-7500.
Enclosures
-----------------------
---------
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
48734
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-044-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/7824bda9b1f7cf7c338b2c97cbcc9ecb.pdf
ffb8ee9a5e71312131b825f9c003b27a
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
MAR~[CER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10793
Scan ID:
047525
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
9
1
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
ANDT\TE
001. letter
DATE
SUBJECT/fiTLE
Mallie C. Huskinson to Esteban E. Torres re: health care costs (2
pages)
n.d.
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
WHORM Subject File -.General
HE
ONBox Number: 10793
FOLDER TITLE:
047525
2006-0225-F
kh244
RESTRICTION CODES
Presidential Records Act- [44 U.S.C. 2204(a))
Freedom of Information Act- [S U.S.C. SS2(b)[
Pl National Security Classified Information [(a)(l) of the PRA)
P2 Relating to the appointment to Federal office [(a)(2) of the PRA)
P3 Release would violate a Federal statute [(a)(3) of the PRA)
P4 Release would disclo~e trade secrets or confidential commercial or
financial information [(a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) or the PRA)
b(l) National security classified information [(b)(l) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA)
b(3) Release would violate a Federal statute [(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) ofthe FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells [(b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
-
-----------------------------------------~
�ID# 047525
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
tr&
INCOMING
DATE RECEIVED: DECEMBER
17, 1993
NAME OF CORRESPONDENT: THE HONORABLE ESTEBAN E. TORRES
SUBJECT: FORWARDS LETTER FROM CONSTITUENT, MALLIE C.
HUSKINSON REGARDING HEALTH CARE
ACTION
ROUTE TO:
OFFICE/AGENCY
DISPOSITION
ACT
DATE
CODE YY/MM/DD
(STAFF NAME)
ORG
HOWARD PASTER
REFERRAL NOTE:
REFERRAL NOTE:
TYPE
RESP
93/12/06 HP
A 93/12/06
_ ,_,_
-
_,_,_
,_,_
_ ,_,_
_
REFERRAL NOTE:
REFERRAL NOTE:
c COMPLETED
D YY/MM/DD
REFERRAL NOTE:
-
-
_,_,_
_,_,_
_,_, _
_,_, _
COMMENTS:
ADDITIONAL CORRESPONDENTS:
MAIL
MEDIA:L
USER CODES: (A)D_CA_ __
INDIVIDUAL CODES:
(B) _ _ __
1230
(C) _ _ _ __
***********************************************************************
*ACTION CODES:
*DISPOSITION
*OUTGOING
*
*CORRESPONDENCE:
*
*
*
*A-APPROPRIATE ACTION *A-ANSWERED
*TYPE RESP=INITIALS
*
*C-COMMENT/RECOM
*B-NON-SPEC-REFERRAL
*
OF SIGNER
*
*D-DRAFT RESPONSE
*C-COMPLETED
*
CODE = A
*
*F-FURNISH FACT SHEET *S-SUSPENDED
*COMPLETED = DATE OF
*
*I-INFO COPY/NO ACT NEC*
*
OUTGOING *
s*
*
*R-DIRECT REPLY W/COPY *
*S-FOR-SIGNATURE
*
*
*X-INTERIM REPLY
*
*
***********************************************************************
CANNE 0
REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
"'·
�THE WHITE HOUSE
WASHINGTON
December 6 6 1.993
Dear Representative Torres:
Thank you for forwarding Mrs. Mallie
regarding health care to the President.
c.
Huskinson's letter
Under the President's Health Security Act, people who get
Medicare will receive all the benefits they do today and see
little difference in how, where or from whom they receive their
care. In addition, there will be an expansion of Medicare
benefits to include the cost of prescription drugs. A new
program will also be established to provide home and communitybased long-term care. The savings from reduced growth in
Medicare spending will be rechanneled into those new benefits.
The Health Security Act will also integrate medicaid
beneficiaries into the new system, relieving pressures on state
budgets and on those who need care but simply cannot afford it.
Under reform, state and federal governments will continue to pay
for people receiving cash assistance. Just as private sector
employers will make payments for their health coverage, state and
federal governments will pay to cover the costs of providing
benefits to cash assistance recipients.
I hope this information is helpful in responding to Mrs.
Huskinson. Do not hesitate to contact my office if I can be of
further assistance.
Howar
. Paster
Assis n to the President
for Le islative Affairs
The Honorable Esteban E. Torres
House of Representatives
Washington, D.C. 20515
�.,
WASHINGTON OFFICE:
DEPUTY MAJORITY WHIP
LONGWORTH HOUSE OFFICE BUILDING
WASHINGTON, DC 20511Hl534
(202) 225-5256
COMMITTEE ON •
APPROPRIATIONS
SUBCOMMITTEES:
«tongrtss of tht ilnittd
VETERANS AFFAIRS. HOUSING AND
URBAN DEVELOPMENT, AND
·
INDEPENDENT AGENCIES
FOREIGN OPERATIONS, EXPORT FINANCING,
AND RELATED PROGRAMS
~tatts
il\onst of 11\qJrt~mtati\lts .
Washington, 19&Efo,15-~ : 33
ESTEBAN E. TORRES
34TH DISTRICT, CALIFORNIA
DISTRICT OFFICE:
8819 WHITTIER BOULEVARD
·SUITE 101
PICO RIVERA. CA 90660
1310) 695-0702
LA PUENTE, VALINDA. INDUSTRY
HACIENDA HEIGHTS AND BASSETT
(PHONE ONlY)
1818) 961-3878
MONTEBELLO, EAST LOS ANGELES
(PHONE ONLY)
(213) 720-1804
November 22, 1993
The Honorable William Jefferson Clinton
President of the United States of America
The White House
1600 Pennsylvania Ave., N.W.
Washington, D.C.
20500
Dear President Clinton:
Enclosed please find a letter from a constituent of mine, Mrs.
Mallie c. Huskinson of Norwalk, California.
Mrs. Huskinson asked that I please forward her letter to you.
She is very worried about cuts in Medicare.
I would appreciate it if you could address Mrs. Huskinson very
important concerns.
I thank you for your attention to this
matter.
Sincerely,
ESTEBAN E. TORRES
Member of Congress
EETjret
Enclosure
REPRESENTING: BASSETT. EAST LOS ANGELES. HACIENDA HEIGHTS, INDUSTRY, LA PUENTE, LOS NIETOS, MONTEBELLO,
NORWALK. PICO RIVERA. SANTA FE SPRINGS, VALINDA AND WHITTIER
THIS STATIONERY PRINTED ON PAPER MADE OF RECYCLED FIBERS
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001. letter
SUBJECT!fiTLE
DATE
Mallie C. Huskinson to Esteban E. Torres re: health care costs (2
pages)
n.d.
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
WHORM Subject File - General
HE
ONBox Number: 10793
FOLDER TITLE:
047525
2006-0225-F
kh244
RESTRICTION CODES
Presidential Records Act- [44 U.S.C. 2204(a))
Freedom of Information Act- [S U.S.C. SS2(b))
PI National Security Classified Information [(a)(l) of the PRA]
P2 Relating to the appointment to Federal office ((a)(2) of the PRA]
P3 Release would violate a Federal statute [(a)(J) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information ((a)(4) of the PRA]
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA)
b(l) National security classified information [(b)(l) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA]
b(J) Release would violate a Federal statute [(b)(J) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) ofthe FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells [(b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
47525
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-043-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/12a7bb42f1985b5fb6319e46089f36af.pdf
8563de4fac95acfd249e71c7d97683e1
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10793
Scan ID:
047033
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
9
1
�.\
ID# 047033
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
INCOMING
DATE RECEIVED: DECEMBER
13, 1993
NAME OF CORRESPONDENT: THE HONORABLE JIM NUSSLE
SUBJECT: CONCERNS REGARDING A DEC 2 93 ARTICLE IN THE
WASHINGTON POST INDICATING THE CONGRESSIONAL
BUDGET OFFICE DECISION TO KEEP SPENDING IN
YOUR HEALTH CARE PLAN OFF THE FEDERAL BUDGET
ACTION
ROUTE TO:
OFFICE/AGENCY
DISPOSITION
ACT
DATE
CODE YY/MM/DD
(STAFF NAME)
TYPE
RESP
C COMPLETED
D YY/MM/DD
HOWARD PASTER
ORG 93/12/07 HP
A 93/12/07
REFERRAL NOTE:
--------~R=s~R~9~3~/1~2~/~13~----+~~~~lQJl£
HOWARD PASTER
REFERRAL NOTE:
_7_7_ - - - _7_1_~
_!_!_
- _!_!_
_7_7_
- _!_!_
REFERRAL NOTE:
REFERRAL NOTE:
REFERRAL NOTE:
COMMENTS:
ADDITIONAL CORRESPONDENTS:
MAIL
MEDIA:L
USER CODES: (A)R_IA._ __
INDIVIDUAL CODES:
(B) _ _ __
1240
(C) _ _ __
***********************************************************************
*ACTION CODES:
*DISPOSITION
*OUTGOING
*
*
*
*CORRESPONDENCE:
*
*TYPE RESP=INITIALS
*
*A-APPROPRIATE ACTION *A-ANSWERED
*C-COMMENT/RECOM
*B-NON-SPEC-REFERRAL
*
OF SIGNER
*
*D-DRAFT RESPONSE
*C-COMPLETED
*
CODE = A
*
*COMPLETED = DATE OF
*
*F-FURNISH FACT SHEET *S-SUSPENDED
*I-INFO COPY/NO ACT NEC*
*
OUTGOING *
*R-DIRECT REPLY W/COPY *
*
*
*S-FOR-SIGNATURE
*
*
*
*
*
*
*X-INTERIM REPLY
***********************************************************************
REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
�-- (!/ 7
'
2ND DISTRICT, IOWA
308 CANNON HOUSE OFfiCE BUILDING
WASHINGTON, DC 20516-1502
.
(2021 226-2911
COMMITTEE ON AGRICULTURE
DISTRICT OFFICES:
SuBCOMMmus:
3356 KIMBALL AVENUE
WATERLOO, lA 50702
(3191236-1109
(
JIM NUSSLE
GENERAL FARM COMMODmU
ENVIRONMENT, CREDIT AND RURAL
OIVILOPMINT
COMMITTEE ON BANKING, FINANCE
AND URBAN AFFAIRS
SUBCOMMITTEES:
FINANCIAL INSTITUTIONS SUPERVISION,
REGULATION AND DEPOSIT INSURANCE
ECONOMIC GROWTH AND CREDIT foRMAnON
INTERNAnONAL DEVELOPMENT, FINANCE,
TRADE AND MONnARY POUCY
ctongrtss of tht tlnittd ~tatts
2300 JOHN F. KENNEDY ROAD
DUBUQUE, lA 62002
(3191667-7740
iRoust of 1Rtprtsmtati\lts
Wa&hittBton,
ll~ 20515-1502
December 2, 1993
223 WEST MAIN STREET
MANCHESTER, lA 6206 7
(3191927-6141
1826 FOURTH STREET SW
MASON CITY, lA 60401
(5151423-0303
The Honorable Bill Clinton
The White House
1600 Pennsylvania Avenue, N.W.
Washington, D.C. 20500
Dear Mr. President:
I read with great interest and concern David Broder's article in the
Washington Post (December 2, 1993) indicating the Congressional Budget
Office (CBO) has decided to keep the bulk of spending in your health care
plan off the federal budget. According to David Broder, the key issue in
the CBO decision is whether the employee and employer premiums are
considered taxes.
During my service in Congress, I have tried to improve the financial
management of the federal government and have consistently fought against
off-budget spending. As you may recall, this summer I worked with a
number of my colleagues from the Midwest in identifying budgetary offsets
to pay for the federal disaster assistance for the floods, since the
funding was off-budget.
If the information in this article is accurate, I am compelled to
reject your Administration's reasoning that revenues raised by the
enactment of federal legislation (specifically, your health care plan)
are not receipts of the Federal government or taxes. To lend credibility
to my objections, I refer to Webster's definition:
tax n 1 a: a charge usu. of money imposed by authority
upon persons or property for public purposes b : a sum
levied on members of an organization to defray expenses
2 : a heavy demand
To me, the resemblance between what you are calling "premiums" and
Webster's definition of "tax" is striking.
Thank you for your attention to this matter.
er of Congress
PRINTED ON RECYCLED PAPER
�.
I
THE WHITE HOUSE
WASHINGTON
December 7, 1993
Dear Representative Nussle:
Thank you for your letter regarding funding for the
President's health care plan. I appreciate your sharing your
concerns with the President.
The President has been advised of your interest in this
matter, and you will receive a response from him in the near
future. In the meantime, if I can be of assistance to you, do
not hesitate to contact my office.
Best wishes.
President
Affairs
The Honorable Jim Nussle
House of Representatives
Washington, D.C. 20515
�.
,
THE WHITE HOUSE
WASHINGTON
December 7, 1993
MEMORANDUM FOR JIM MURR
·~
FROM:
HOWARD G. PASTER
LEGISLATIVE AFFAIRS
SUBJECT:
PRESIDENTIAL CORRESPONDENCE
Enclosed please find a copy of the letter that was sent to the
President from Representative Jim Nussle (R-IA). I have also
enclosed a copy of the acknowledgement letter I sent to him.
The President has requested that he see and sign every letter
going to Capitol Hill. We did not want to fully answer the
issues addressed in the Representative's letter without advice
from your department; therefore, I am requesting that your office
draft a response and return it to LeeAnn Inadomi (WH-East Wing)
within 48 hours. She will then print the letter in final form
and have President Clinton sign the letter.
Thank you very much for your assistance with this matter. If you
have any questions, please feel free to call LeeAnn at 456-7500.
Enclosures
�.
- ·-
-~
.
-
--·~
.
........ ......
-
·-
- . ¥ .. ....,. . . . . . . . . . . . ,- ..,.,.,.
•
EXECUTIVE OFFICE OF THE PRESIDENT
OFFICE OF MANAGEMENT AND BUDGET
WASHINGTON, D.C. 20!103
March 18, 1994
THE DIREOTOFI
The Honorable Jim Hussle
House of Representativaa
u.s. eonqres•
Washington, o.c.
Dear Congressman
20515-1502
Nu~sle:
Thank you for your letter to the President of December 2
regarding the Health security Act and the distinction between
premiums and taxes, The President has re~ested that I respond
on his behalf. I know that thia is a SUbJect of interest to you
and your colleagues, and I appreciate the opportunity to state
the Administration'• views an tha appropriate way to display
health care spending in the budget after passage of the Health
Security Act.
The Health security Act will create a new
Federal/State/private sector partnership to provide adequate
health care coverage for all Americans. It will create new
institutions, including the regional health alliances which will
be set up by states to give individuals and small- to mediumsized businesses mare bargaining power in the market for health
care.
The Federal government will provide broad policy guidelines
for the health alliances, but the focus of control and decisionmaking will lie with the States, the regional alliances
themselves, and those employers and individuals purchasing health
care. Tha broad Federal oversight envisioned in the new health
system leaves to the States and alliances the tlexibility to
develop and run the programs. While the national health Doard
will approve the initial state plans far organizing health
alliances, and will sat aggregate annual premium price increases
to ensure that total spending stays within a national expenditure
cap, the board will not oversee individual alliance budgets or
operations. How alliances organize, how they negotiate, and how
they determine such aspects of their operations as fee schedules
will all be left up to the individual alliances.
With respect to the budget treatment of the Health security
Act, we agree with CBO that the full operations of the reformed
health system should be prominently displayed in one place in the
budget. It is important that the public be able to see not only
the Federal contributions to the health system, but also
corporate, private, and state contributions displayed together.
We disagree with CBO regarding the treatment of premiums paid to
'.
�the alliances for private health insurance as government
receipts. Government receipts are received by the qovernment.·
Premium payments for private health insurance under the Health
security Act should not be government receipts any more than
payments currently made by employers to private insurance
companie• on behalf of tens of millions of Americans are
government receipts.
I cannot agree with your suggestion that requirinq employers
to contribute to health coverage tor their employees is
tantamount to a tax. The requirement that employers do their
fair share in providing health insurance to their employees is
not that different from other mandates, such as safety
regulations and the minimum wa9e, wbioh are not reflected in the
Federal budget even though they result in a measurable cost to
the employer. In contrast, the discounts or subsidies we are
providing to firms and individuals will be reflected in the
budqet, because they are Federal expenditures.
Thank you aqain for the opportunity to respond to your
concerns at this critical point of discussion and debate over
comprehensive health care reform. I look forward to workinq with
you and your colleagues over the weeks and months ahead on these
and other important issues racing our Nation.
I'·
]·,
I
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
47033
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-042-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/dd16378cd5750efb5348841c5887ee20.pdf
d3472e55049243837c0ee4918a2b425e
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
MA
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10793
Scan ID:
046996
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
9
1
�ID# 046996
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
INCOMING
DATE RECEIVED: DECEMBER
13, 1993
NAME OF CORRESPONDENT: THE HONORABLE JOHN MCCAIN
SUBJECT: FORWARDS LETTER FROM CONSTITUENT LESLIE
STEFFES REQUESTING FOR COPIES OF THE HEALTH
SECURITY ACT
DISPOSITION
ACTION
ROUTE TO:
OFFICE/AGENCY
DATE
ACT
CODE YY/MM/DD
(STAFF NAME)
ORG
HOWARD PASTER
REFERRAL NOTE:
TYPE
RESP
93/12/03 HP
c COMPLETED
D YY/MM/DD
A 93/12/03
_ _ _!_
REFERRAL NOTE:
_ 7_7_
_ 7_7_
_ 7_7_
REFERRAL NOTE:
REFERRAL NOTE:
REFERRAL NOTE:
- _7_7 _
- _7_7 _
_._!_! _
COMMENTS:
ADDITIONAL CORRESPONDENTS:
MAIL
USER CODES: (A)R AZ
MEDIA:L
INDIVIDUAL CODES:
(B) _ _ __
1220
(C) _ _ __
***********************************************************************
*ACTION CODES:
*DISPOSITION
*OUTGOING
*
*CORRESPONDENCE:
*
*
*
*A-APPROPRIATE ACTION *A-ANSWERED
*TYPE RESP=INITIALS
*
*C-COMMENT/RECOM
*B-NON-SPEC-REFERRAL
*
OF SIGNER
*
*D-DRAFT RESPONSE
*C-COMPLETED
*
CODE = A
*
*F-FURNISH FACT SHEET *S-SUSPENDED
*COMPLETED = DATE OF
*
*I-INFO COPY/NO ACT NEC*
*
OUTGOING *
*
*
*R-DIRECT REPLY W/COPY *
*S-FOR-SIGNATURE
*
*
*
*X-INTERIM REPLY
*
*
*
***********************************************************************
REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
SCANNED
�'•
THE WHITE HOUSE
WASHINGTON
December 3, 1993
Dear Senator McCain:
Thank you for forwarding Leslie Steffes' request for copies
of the Health Security Act.
Ms. Steffes can request copies by ordering through the U.S.
Government Printing Office at (202) 783-3238. The cost of the
White House Bill is $45 and the President's Report to America is
$5. The plan can also be ordered on computer disk from the
National Technical Information Service at {703) 487-4650.
If I can be of further assistance please do not hesitate to
contact my office.
::z ~fler
Assistant to the President
for Legislative Affairs
The Honorable John McCain
United States Senate
Washington, D.C. 20510
�I..IOHN McCAIN
ARIZONA
WASHINGTON, D.C. 20510
93 DEC 3
A(O :
3'3
November 30, 1993 ·
Mr. Howard Paster
Legislative Affairs Office
The White House
1600 Pennsylvania Ave. NW
Washington, D.C. 20500
Dear Mr:. Paster:
I have enclosed an inquiry which I have received from Leslie
Steffes of Phoenix, Arizona.
I would greatly appreciate it if you would review this
material within existing rules, regulations and ethical
guidelines. Please provide me with a prompt response addressing
this issue.
PLEASE MARK THE ENVELOPE TO THE ATTENTION OF: Sonya Sotak
in my Washington office, 111 Russell Senate Office Building,
Washington, D.C. 20510. Thank ybu very much for your kind
assistance. and cooperation.
·.•
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United States Senator
JM/ss
Enclosure
PHOTOCOPY
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
46996
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-041-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/a9bbf6540b83ebbfc5f790b80c90cf73.pdf
2d7ce944d56b630d07a1d09b739b2945
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10793
Scan ID:
046190 .·
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
9
1
�ID# 046190
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
INCOMING
DATE RECEIVED: DECEMBER
03, 1993
NAME OF CORRESPONDENT: THE HONORABLE RUSSELL D. FEINGOLD
SUBJECT: ENCLOSES LETTER FROM ROD LITTLEFIELD
REGARDING THE HEALTH CERE REFORM PROPOSAL
ACTION
ROUTE TO:
OFFICE/AGENCY
(STAFF NAME)
HOWARD PASTER
REFERRAL NOTE:
DISPOSITION
ACT
DATE
CODE YY/MM/DD
TYPE
RESP
ORG
5{4 ~41,~ Z/~8
93/12/03
_7_7_ - - _7_7_
_7_7_
_7_7_
REFERRAL NOTE:
REFERRAL NOTE:
REFERRAL NOTE:
REFERRAL NOTE:
C COMPLETED
D YY/MM/DD
-
_7_1_
_7_7_
_7_7_
_7_7_
COMMENTS:
ADDITIONAL CORRESPONDENTS:
MAIL
USER CODES: (A)D WI
MEDIA:L
INDIVIDUAL CODES:
(B) _ _ __
1210
(C) _ _ __
***********************************************************************
*ACTION CODES:
*DISPOSITION
*OUTGOING
*
*
*
*CORRESPONDENCE:
*
*TYPE RESP=INITIALS
*
*A-APPROPRIATE ACTION *A-ANSWERED
*C-COMMENT/RECOM
*B-NON-SPEC-REFERRAL
*
OF SIGNER
*
*D-DRAFT RESPONSE
*C-COMPLETED
*
CODE = A
*
*F-FURNISH FACT SHEET *S-SUSPENDED
*COMPLETED = DATE OF
*
*I-INFO COPY/NO ACT NEC*
*
OUTGOING *
*
*
*R-DIRECT REPLY W/COPY *
*S-FOR-SIGNATURE
*
*
*
*X-INTERIM REPLY
*
*
*
***********************************************************************
REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
�THE WHITE HOUSE
WASHINGTON
December 21, 1993
Dear Senator Feingold:
Thank you very much for your letter to Howard Paster
concerning the proposed Health Security Act and the objections of
the Amish and Mennonites of Clark County.
In designing the plan,
we met with representatives of the Amish and Mennonites about
their desire to have a separate health plan for Amish and
Mennonite families.
The Health Security Act is based on the principles of broad
pooling and community rating to effectively and fairly share
health care costs with states and local communities. With
limited exceptions for some large ERISA plans, the Health
Security Act does not permit particular groups or associations to
be separated from those community-based pools.
As we understand it, the Amish and Mennonites currently
operate an insurance plan recognized by a number of states.
Under the Health Security Act, they would continue to be able to
do so, but the plan would be required to accept any person in the
community who requested coverage.
Please do not hesitate to contact me if I can be of further
assistance.
Sincerely,
~
Deputy Assistant to the President
for Legislative Affairs
The Honorable Russell D. Feingold
United States Senate
Washington, D.C.
20510
�., ._...
THE WHITE HOUSE
WASHINGTON
November .30, 1993
MEMORANDUM FOR CLAUIDA COOLEY
PASTER\~
FROM:
HOWARD G.
SUBJECT:
Correspondence
Attached is a copy of the letter that was sent to our office from
Senator Russ Feingold (D-WI). I would appreciate your looking
into this matter and advising me on how to properly respond to
Senator Feingold's concerns.
Thank you for your attention to this matter. If you·have any
questions, please do not hesitate to contact LeeAnn Inadomi
(x7500) •
Attachments
01D11Jo
1t152-t Lr)
Wt VMk~J~ir ()wuMs
�-----OYf?/7sTA>TE OFFic~s:
0 8383 GREENWAY BOULEVARD
RUSSELL D. FEINGOLD
,. w.8catfsiN,
502 HART SENATE OFFICE BUILDING .
WASHINGTON, DC 20510
(202) 224-5323
(202) 224-1280 (TDD)
MIDDLETON, WI 53562
608) 828-1200
tinittd
~tatts ~matt
WASHINGTON, DC 20510-4904
1608) 828-1215 (TDD)
0
517 E. WISCONSIN AVENUE
SUITE 408
MILWAUKEE, WI 53202
(414) 278-7282
0
317 FIRST STREET
SUITE 107
WAUSAU, WI 54403
(715) 848-5660
0
425 STATE STREET
SUITE 232
LA CROSSE, WI 54603
(608) 782-5585
COMMITTEE ON AGRICULTURE,
NUTRITION, AND FORESTRY
93 NOV 29 All ! 59
COMMITTEE ON FOREIGN RELATIONS
SPECIAL COMMITTEE ON AGING
DEMOCRATIC POLICY COMMITTEE
November 19, 1993
Howard Pastor
Office of Legislative Affairs
The White House
1600 Pennsylvania Avenue
Washington, D.C. 20500
Dear Howard,
I have recently been contacted by a constituent of mine, Mr. Rod
Littlefield of Neillsville, Wisconsin. Mr. Littlefield is the
Agricultural Agent for Clark County and took the time to pass
along some very interesting information to me about the health
care reform proposal the Administration has proposed.
Mr. Littlefield has clients in the Clark County area who are
Amish and Mennonites. It is my understanding that these groups
have strong objections to mandatory participation in a national
health care system. Apparently, their current system involves a
pooling of resources within their groups that is used to·purchase
private health care when such care is needed.
Their concerns are based on strong religious beliefs,· and to be
perfectly candid, I find their reasoning quite compelling. I
would be interested to learn about how the Administration has
planned to accommodate these types of requests, and, to that end,
I look forward to hearing from you soon.
Thank you for your attention to this matter.
Sincerely,
/2_
Russell D. Feingold
United States Senator
PRINTED ON RECYCLED PAPER
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
46190
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-040-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/523fba6022249fff2ee8e184cd4387bf.pdf
f0c2dd5a56451202da236a1004cace1c
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10793
Scan ID:
044081
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
9
1
�ID# 044081
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
INCOMING
DATE RECEIVED: NOVEMBER
15, 1993
NAME OF CORRESPONDENT: THE HONORABLE BOB MICHEL
SUBJECT: EXPRESSES CONCERNS REGARDING THE PRESIDENT'S
RECENT COMMENTS ON HEALTH CARE REFORM
ACTION
ROUTE TO:
OFFICE/AGENCY
DISPOSITION
ACT
DATE
CODE YY/MM/DD
(STAFF NAME)
HOWARD PASTER
REFERRAL NOTE:
HOWARD PASTER
REFERRAL NOTE:
REFERRAL NOTE:
REFERRAL NOTE:
REFERRAL NOTE:
TYPE
RESP
C COMPLETED
D YY/'MM/DD
ORG
93/11/11 HP
A 93/11/11
RSA
93/11/15
- _!_!_
___!_
_!_!_
_!_!_
- _!_!_
- _!_!_
COMMENTS:
ADDITIONAL CORRESPONDENTS:
MAIL
7 MEDIA:L
USER CODES: (A)R IL_ __
INDIVIDUAL CODES:
(B) _ _ __
1240
(C) _ _ __
***********************************************************************
*ACTION CODES:
*DISPOSITION
*OUTGOING
*
*CORRESPONDENCE:
*
*
*
*TYPE RESP=INITIALS
*
*A-APPROPRIATE ACTION *A-ANSWERED
*C-COMMENT/RECOM
*B-NON-SPEC-REFERRAL
*
OF SIGNER
*
*D-DRAFT RESPONSE
*C-COMPLETED
*
CODE = A
*
*COMPLETED = DATE OF
*
*F-FURNISH FACT SHEET *S-SUSPENDED
*I-INFO COPY/NO ACT NEC*
*
OUTGOING *
*
*
*R-DIRECT REPLY W/COPY *
*S-FOR-SIGNATURE
*
*
*
*X-INTERIM REPLY
*
*
*
***********************************************************************
REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
SCANNED
�..
THE WHITE HOUSE
WASHINGTON
November 11, 1993
Dear Mr. Leader:
Thank you for your letter regarding the President's recent
comments on health care reform. I appreciate your informing us
of your concerns.
I have personally brought this matter to the President's
attention, and you will receive a response in the near future.
In the meantime, if I can be of assistance to you, do not
hesitate to contact my office.
Best wishes.
Ho
• Paster
Assista t to the President
for Legislative Affairs
The Honorable Robert H. Michel
Republican Leader
House of Representatives
Washington, D.C. 20515
�THE WHITE HOUSE
WASHINGTON
November 11, 1993
Dear Representative Armey:
Thank you for your letter regarding the President's recent
comments on health care reform. I appreciate your informing us
of your concerns.
I have personally brought this matter to the President's
attention, and you will .receive a response in the near future.
In the meantime, if I can be of assistance to you, do not
hesitate to contact my office.
Best wishes.
Howa d G Paster
Assistan to the President
for Legislative Affairs
The Honorable Richard K. Armey
House of Representatives
Washington, D.C. 20515
�THE WHITE HOUSE
WASHINGTON
November 11, 1993
Dear Representative DeLay:
Thank you for your letter regarding the President's recent
comments on health care reform. I appreciate your informing us
of your concerns.
I have personally brought this matter to the President's
attention, and you will receive a response in the near future.
In the meantime, if I can be of assistance to you, do not
hesitate to contact my office.
Best wishes.
Sin
How
. Paster
Assista t to the President
for Legislative Affairs
The Honorable Tom DeLay
House of Representatives
Washington, D.C. 20515
�THE WHITE HOUSE
WASHINGTON
November 11, 1993
Dear Representative McDade:
Thank you for your letter regarding the President's recent
comments on health care reform. I appreciate your informing us
of your concerns.
I have personally brought this matter to the President's
attention, and you will receive a response in the near future.
In the meantime, if I can be of assistance to you, do not
hesitate to contact my office.
Best wishes.
• Paster
Assista t to the President
for Legislative Affairs
The Honorable Joseph M. McDade
House of Representatives
Washington, D.C. 20515
�THE WHITE HOUSE
WASHINGTON
November 11, 1993
Dear Newt:
Thank you for your letter regarding the President's recent
comments on health care reform. I appreciate your informing us
of your concerns.
I have personally brought this matter to the President's
attention, and you will receive a response in the near future.
In the meantime, if I can be of assistance to you, do not
hesitate to contact my office.
Best wishes.
How
• Paster
Assista t to the President
for Legislative Affairs
The Honorable Newt Gingrich
House of Representatives
Washington, D.C. 20515
�THE WHITE HOUSE
WASHINGTON
November 11, 1993
Dear Representative Kasich:
Thank you for your letter regarding the President's recent
comments on health care reform. I appreciate your informing us
of your concerns.
I have personally brought this matter to the President's
attention, and you will receive a response in the near future.
In the meantime, if I can be of assistance to you, do not
hesitate to contact my office.
Best wishes.
Sincer
Howj
• Paster
Assistant to the President
for Legislative Affairs
The Honorable John R. Kasich
House of Representatives
Washington, D.C. 20515
�THE WHITE HOUSE
WASHINGTON
November 11, 1993
Dear Representative Hyde:
Thank you for your letter regarding the President's recent
comments on health care reform. I appreciate your informing us
of your concerns.
I have personally brought this matter to the President's
attention, and you will receive a response in the near future.
In the meantime, if I can be of assistance to you, do not
hesitate to contact my office.
Best wishes.
President
Affairs
The Honorable Henry J. Hyde
House of Representatives
Washington, D.C. 20515
�THE WHITE HOUSE
WASHINGTON
November 11, 1993
Dear Representative Archer:
Thank you for your letter regarding the President's recent
comments on health care reform. I appreciate your informing us
of your concerns.
I have personally brought this matter to the President's
attention, and you will receive a response in the near future.
In the meantime, if I can be of assistance to you, do not .
hesitate to contact my office.
Best wishes.
Sincer
How~
y,
.G. Paster
Assistant to the President
for Legi_slati ve Affairs
The Honorable Bill Archer
House of Representatives
Washington, D.C. 20515
�I
~ongrt~~
of tbt ltnittb
~tatt~
~ou~t
of 1\tprt~tntatibt~
aasbington. J)QC 20515
93 NOV I0
P 4:
57
November 9, 1993
The Honorable William J. Clinton
President of the United States
The White House
Washington, D.C. 20500
Dear Mr. President,
Throughout the debate on health care reform you have stated
your intention to seek a bipartisan solution, and Republicans
were present when you and the First Lady presented your proposal
to Congress. Many of the members of our conference, as well as
many Senate Republicans, have met frequently with the First Lady
to discuss both your health care plan and Republican reform
proposals.
That is why your remarks on Meet the Press Sunday cause us
concern. While discussing health care, you were asked a critical
question about the credibility of your plan's cost and financing.
In response, you said, " ... we're the only people who have a plan.
It's very easy for everybody else to sit up in the peanut
gallery." As you know, Mr. President, a number of comprehensive
health care bills have been introduced in both chambers from both
sides of the aisle, and comments like the one you made Sunday do
not contribute to bipartisan dialogue on health care.
Less than two weeks before your Sunday appearance, First
Lady Hillary Rodham Clinton noted on MacNeil-Lehrer News Hour:
''We're very anxious to continue the good conversations that we
have had with the Republicans, and Senator Dole and Senator
Chafee have an alternative that they have been promoting which
has many things in common with the president's ... Other
Republicans in the House have also come forward with their ideas
about how they can work with the president's plan."
Toward the end of your Meet the Press appearance, you
expressed your frustration that the American people often lack
information regarding current policy matters. While we do not
expect you to advocate the various Republican proposals that have
been introduced (or the managed competition and single payer
�..
-- .
p
'
bills proposed by Democrats), we do hope that in the future you
will at least concede the existence of such alternatives. The
American people will benefit from an honest debate.
Sincerely,
BOB MICHEL
House Republican Leader
DICK ARMEY
propriations Committee
nking Member
BILL ARCHER
Ways and Means Committee
Ranking Member
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
44081
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-039-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/00a1a4b30b998bd5127869ce4fe7784f.pdf
9b999cfbed0d9a3a50e4a3f88eb94356
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
MAR(ER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10793
Scan ID:
042763
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
9
1
�ID# 042763
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
INCOMING
DATE RECEIVED: NOVEMBER
04, 1993
NAME OF CORRESPONDENT: THE HONORABLE NORMAN DICKS
SUBJECT: EXPRESSES CONCERNS REGARDING THE ANTICIPATED
AFFECTS OF THE HEALTH CARE REFORM LEGISLATION
ON FEDERAL EMPLOYEES AND RETIREES
ACTION
ROUTE TO:
OFFICE/AGENCY
DISPOSITION
ACT
DATE
CODE YY/MM/DD
(STAFF NAME)
HOWARD PASTER
REFERRAL NOTE:
HOWARD PASTER
REFERRAL NOTE:
TYPE
RESP
ORG
93/10/29 HP
RSA
93/11/04
REFERRAL NOTE:
REFERRAL NOTE:
D YY/MM/DD
A 93/10/29
fllltj\J C 1!d/-1LI ~
_7_7_
_7_7_
_ 7_7_
REFERRAL NOTE:
c COMPLETED
_ _ / _ / _ '"C·~
- _7_7_
- _7_7 _
COMMENTS: ADDITIONAL SIGNEES
1 ILLEGIBLE SIGNEE
ADDITIONAL CORRESPONDENTS:
MAIL
13 MEDIA:L
USER CODES: (A) D WA._ __
INDIVIDUAL CODES:
(B) _ _ __
1230 1240 1210
(C) _ _ __
***********************************************************************
*ACTION CODES:
*DISPOSITION
*OUTGOING
*
*CORRESPONDENCE:
*
*
*
*A-APPROPRIATE ACTION *A-ANSWERED
*TYPE RESP=INITIALS
*
*C-COMMENT/RECOM
*B-NON-SPEC-REFERRAL
*
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*D-DRAFT RESPONSE
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*F-FURNISH FACT SHEET *S-SUSPENDED
*I-INFO COPY/NO ACT NEC*
*
OUTGOING *
*
*
*R-DIRECT REPLY W/COPY *
*S-FOR-SIGNATURE
*
*
*
*
*
*
*X-INTERIM REPLY
***********************************************************************
REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
�THE WHITE HOUSE
WASHINGTON
October 29, 1993
Dear Representa ive Dicks:
Thank you for your letter regarding health benefits for
federal employees and retirees. I appreciate your informing the
President of your concerns.
The President has been advised of your interest in this
matter, and you will receive a response from him in the near
future. In the meantime, if I can be of assistance to you, do
not hesitate to contact my office.
Best wishes.
Sine
Howa
. Paster
Assi ta t to the President
for Legislative Affairs
The Honorable Norman D. Dicks
House of Representatives
Washington, D.C. 20515
�THE WHITE HOUSE
WASHINGTON
October 29, 1993
MEMORANDUM FOR IRA MAGAZINER
FROM:
HOWARD G. PASTER . \\ p
LEGISLATIVE AFFAIRS ~
SUBJECT:
Presidential Correspondence
Enclosed please find a copy of the letter that was sent to the
President from several members of Congress.
The President has requested that he see and sign every letter
being sent to Capitol Hill. Since we did not want to respond to
this letter without your guidance, I am requesting that your
office draft a response and return it to LeeAnn Inadomi (WH-East
Wing) within 48 hours. She will then print the letter in final
form and have it sent to the President for his signature.
Thank you very much for your assistance with this matter. If you
have any questions, please feel .free to call LeeAnn at 456-7500.
Enclosure
�U.S.A.
FEDERAL GOVERNMENT SERVICE TASK FORCE
Chairmen
Norm Dicks
Vic Fazio
StenyHoyer
James P. Moran
Sen. Paid Sarbanes
Vlce-Cbalr
Eleanor Holmes Norton
Executive Board
Sen. Daniel Akaka
Lucien Blackwell
Robert Matsui
Sen. Barbara M"'"lski
Constance A. Morella
Members
Gary Ackerman
Herbert Bateman
Robert Borski
Sen. Barbara Boxer
Leslie Byrne
Ben Cardin
Jim Chapman
Ronald Coleman
. Gary Condit
Peter DeFazio
JJdilmDixon
Lane Evans
Barney Franli
Dan Hamburg
David Hobson
George Hochbrueckn.er
Tom Lantos
Richard Lehman
Jerry Lewis
Frank McCloskey
Dave McCurdy
Jim McDermott
Kweisi Mfume
George Miller
NormanMineta
Patsy Mink
Nancy Pelosi
Owen B. Picun
Sen. Charles Robb
Charlie Rose
J. Roy Rowllmd
Jim Saxton
AlSwift
Ray Thornlon
Alan Wheat
Frank Wolf
Albert Wynn
October 26, 1993
e Honorable William Jefferson Clinton
esident
nited States of America
e White House
1600 Pennsylvania Avenue, NW
ashington, DC 20500
ar Mr. President:
members of the Federal Government Service Task Force we applaud your efforts to reform our
ation's health care system. Today, we are writing to express some of our concerns about the
ticipated affects of the health care reform legislation on Federal employees and retirees.
pecifically, we are troubled by proposals which would; limit hospitalization coverage in fee-forervice plans to 80%, incorporate Federal Employees Health Benefit Program (FEHBP) enrollees
·nto State health alliances on a State by State basis, and provide an Office of Personnel Management
(OPM) administered Medigap plan to Medicare eligible Federal annuitants.
pproximately 65% of the 9 million Federal workers, retirees and dependents who are enrolled in
e FEHBP are participating in a fee-for-service plan. These enrollees have 100% coverage for the
ost of inpatient hospitalization. Requiring a 20% coinsurance for inpatient hospitalization
epresents a significant reduction in benefits for FEHBP enrollees currently in fee-for-service plans.
e transition period, in which FEHBP enrollees would be incorporated into State health alliances
n a State by State basis, also concerns us. Incorporating FEHBP enrollees into health allianc.es in
·s manner could have the effect of increasing the premiums ofFEHBP enrollees remaining in plans
at have lost large numbers of participants. We would request that any transition between FEHBP
overage and coverage under a new system occur all at once after all State health alliances are fully
perational.
Our third concern relates to the OPM administered Medigap plan you propose to replace FEHBP
the secondary payer for Medicare Part A eligible FEHBP enrollees. Currently, all FEHBP plans
aive all deductibles for Medicare eligible enrollees. The OPM administered Medigap plan should
rovide the same level of coverage as is currently provided to Medicare eligible FEHBP enrollees.
e passion and energy your Administration have shown in placing health care reform at the top of
the American agenda, where it rightly belongs, have earned the respect and admiration of the
Congress and the American people. You have our support in making health care reform a reality.
this effort we want to insure that FEHBP enrollees, whose program serves as a model for your
eform initiative, continue to receive their current level of benefits.
ank you for your attention to our concerns and with kindest regards, we are
Sincerely yours,
~fas !ll(pfan, '£i@CU.tifle !Director
!J{ouse J.ln~ [[, ~ 301, 'Was/iinaton, 'DC 20515
PlUme {202)226-2494
~a;c{202}225-9265
�Federal G9-vel'Il~ent Service Task Force
/
October 26, 1993
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
42763
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-038-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/2945d3425f5543f2f4c6d37318daba04.pdf
ae2efa701f61c2b4a4788645b0eea686
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
MAR~~~R
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT Fll...E
Series/Staff Member:
Subseries:
OA/ID Number:
10793
Scan ID:
042603
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
9
1
�--·
ID# 042603
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
INCOMING
DATE RECEIVED: NOVEMBER
~
03, 1993
NAME OF CORRESPONDENT: THE HONORABLE GARY CONDIT
SUBJECT: URGES THE PRESIDENT TO INCLUDE FULL FEDERAL
REIMBURSEMENT TO COVER THE COSTS OF MEDICAL
SERVICES FOR INDIVIDUALS IN HIS HEALTH CARE
REFORM AND HIS BUDGET REQUEST FOR FY 95
ACTION
ROUTE TO:
OFFICE/AGENCY
(STAFF NAME)
HOWARD PASTER
REFERRAL NOTE:
DISPOSITION
ACT
DATE
CODE YY/MM/DD
ORG
93/11/03
TYPE
RESP
C COMPLETED
D YY/MM/DD
Cj)~ i)j_tlLtli ·~
_!_/_ - - - - _I_!_
REFERRAL NOTE:
_7_7_
_7_7_
_7_7_
REFERRAL NOTE:
REFERRAL NOTE:
REFERRAL NOTE:
- _7_7_
- _7_7_
- _7_7_
COMMENTS: ADDITIONAL SIGNEES
ADDITIONAL CORRESPONDENTS:
MAIL
29 MEDIA:L
INDIVIDUAL CODES:
USER CODES: (A) D CA_ __ (B) _ _ __
1230 1240
(C) _ _ __
***********************************************************************
*ACTION CODES:
*DISPOSITION
*OUTGOING
*
*
*
*CORRESPONDENCE:
*
*TYPE RESP=INITIALS
*
*A-APPROPRIATE ACTION *A-ANSWERED
*C-COMMENT/RECOM
*B-NON-SPEC-REFERRAL
*
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*D-DRAFT RESPONSE
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*I-INFO COPY/NO ACT NEC*
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*R-DIRECT REPLY W/COPY *
*
*
*S-FOR-SIGNATURE
*
*
*
*X-INTERIM REPLY
*
*
*
***********************************************************************
REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
SCANNED
�THE WHITE HOUSE
WASHINGTON
November 11, 1993
Dear Gary:
Thank you for your letter regarding the costs of providing
emergency health services to undocumented persons in California.
I share your desire to meet the challenges brought upon us by the
steady flow of undocumented persons across our borders.
· The Health Security Act contains at least three provisions
that will aid in funding emergency health services for
undocumented persons. First, there is an explicit provision for
Federal matching funds to continue to be made available for state
expenses on emergency services for undocumented persons who are
otherwise eligible for medicaid. Second, $200 million per year
of new federal funds will be available to hospitals th~t serve ·a:
high _percentag·e of low-income persons ·to help pay ·for otherwise
uncovered services, including-those provided for undocumented
persons. Third, an~ perhaps most-significant, the Health
Security Act includes federal subsidies to help otherwise
uninsured, low-income persons purchase health insurance.· Through
universal coverage, hospitals that serve a high percentage of
low-income persons will be compensated.for services they
currently provide free to the individual, or for which they
receive minimal, inconsistent, or inadequate funding. Hospitals
serving undocumented persons will be among those that benefit
most from universal coverage.
Thank you again for writing to share your concerns about the
costs of providing emergency health services to undocumented
persons. I look forward to your support as Congress considers
the Health Security Act.
Sincerely,
The Horior~ble Gary A. Condit
Hotise.of Representatives
Washingt-on, D.C. 20515
�THE" WHITE HOUSE
WASHINGTON
November 11, 1993
Dear Representative Calvert:
Thank you for your letter regarding the costs of providing
emergency health services to undocumented persons in California.
I share your desire to meet the challenges brought upon us by the
steady flow of undocumented persons across our borders.
·
The Health Security Act contains at least three provisions
that will aid in funding emergency health services for
undocumented persons. First, there is an explicit provision for
Federal matching funds to continue to be made available for State
expenses on emergency services for undocumented persons who are
otherwise eligible for medicaid. Second, $200 million per year
of new federal funds will be available to hospita·ls that serve a
high percentage of low-income·persons to help pay for otherwise
.uncovered services, includinq those provided for undocumented
persons. Third, and perhaps most significant, the Health
Security Act includes federal subsidies to help otherwise
uninsured, low-income persons purchase health insurance. Throuqh
universal coverage, hospitals that serve a ~igh percentaqe of
low-income persons will be compensated for services they
currently provide free to the individual, or for which they
receive minimal, inconsistent, or inadequate funding. Hospitals
serving undocumented persons will be among those that benefit
most from universal coverage.
Thank you again for writing to share your concerns about the
costs of providing emergency health services to undocumented
persons. I look forward to your support as Congress considers
the Health Security Act.
Sincerely,
The Honorable .Ken Calve-rt
House of Representatives
washingtqn, D.c. 20515
�THE WHITE HOUSE
WASHINGTON
November 11, 1993
Dear Representative Horn:
Thank you for your letter reqardinq the costs of providing
emergency health services to undocumented persons in California.
I share your desire to meet the challenges brough~ upon us by the
steady flow of undocumented persons across our borders.
The Health Security Act contains at least three provisions
that will aid in funding emerqency health services for
undocumented persons. First, there is an explicit provision for
Federal matching funds to continue to be made available for State
expenses on emergency services for undocumen~ed persons who are
otherwise eligi~le for medicaid. Second, $200 million per .Year
of new federal funds will be available to hospitals that serve a .
high percentage of low-income persons t9 help pay for.otherwise·
uncovered services~ including those provided for undocumented ·
persons. Third, and perhaps most significant, the Health
Security Act includes federal subsidies to help otherwise
uninsured, low-income persons purchase health insurance. Th~ough
universal coverage, hospitals that serve a high percentage of
low-income persons will be compensated for services they
currently provide free to the individual, or for which they
receive minim.al, inconsistent, or inadequate funding. Hospitals
serving undocumented persons will be amonq those that benefit
most from universal coveraqe.
Thank you again for writing to share your concerns about the
costs of providing emergency health services to undocumented
persons. I look forward·to your support as Congress considers
the Health Security Act.
Sincerely,
·~Ch.Jot.~·,_
The·Honorable Stephen Horn
House. of Representatives
Washington, o.c. 20515
�THE WHITE HOUSE
WASHINGTON
November 11, 1993
Dear Rick:
Thank you for your letter regarding the costs of providing
emergency health services to undocumented persons in California.
I share your desire to meet the challenges brought upon us by the
steady flow of undocumented persons across our borders.
The Health Security Act contains at least three provisions
that will aid in funding emergency health services for
undocumented persons. First, there is an explicit provision for
Federal matching funds to continue to be made available for State
expenses on emergency services for undocumented persons who are
otherwise eligible for medicaid. Second, $200 million per year
of new federal funds will be available to hospitals that serve a
high percentage of low-income persons to help pay for otherWise
uncovered services, including those·provided for-undocumented
persons. Third, and perhaps most significant, the Health
Security Act includes federal subsidies to help otherwise
uninsured, low-income persons purchase health insurance. Through
universal coverage, hospitals that serve a nigh percentage ·of
low-income persons will be compensated for services they
currently provide free to the individual, or for which they
receive minimal, inconsistent, or inadequate funding. Hospitals
serving undocumented persons will be among those that benefit
most from universal coverage.
Thank you again for writing to share your concerns about the
costs of providing emergency health services to undocumented
persons. I look forward to your support as congress considers
the Health Security Act.
Sincerely,
The Honorable Richard H. Lehman
House of Representatives
Washington, D.C. 20515
�THE WHITE HOUSE
WASHINGTON
November 11, 1993
Dear Tony:
Thank you for your letter reg~rding the costs of providing
emergency health services to undocumented persons in California.
I share your desire to meet the challenges brought upon us by the
steady flow of undocumented persons across our borders.
The Health Security Act contains at least three provisions
that will aid in funding emergency health services for
undocumented persons. First,· there is an explicit provision for
Federal matching funds to continue to be made available for State
expenses on emergency ser¥ices for undocumented persons who are
otherwise eligible for medicaid. Second, $200 million per year
of new federal funds will be available to hospitals that serve a
high percentage of low-incom~ persons to help pay for·· otherwise
uncovered services, including-those provided for undocumented
persons. Third, and perhaps·most significant, the Health
security Act includes federal subsidies to help otherwise
uninsured, low-income persons purchase health insurance. Through
universal coverage, hospitals that serve a high percentage of
low-income persons will be compensated for services they
currently provide free to the individual, or for which they
receive minimal, inconsistent, or inadequate funding. Hospitals
serving undocumented persons will be among those that benefit
most from universal coverage.
Thank you again for writing to share your concerns about the
costs of providing emergency health services to undocumented
persons. I look forward to your support as Congress considers
the Health Security Act.
Sincerely,
The H·onorable Anthony c. Be~lenson
House.of· Representatives
··was·hington, D.C. 20515 ·
....
�THE WHITE HOUSE
WASHINGTON
November 11, 1993
Dear Representative cunningham:
Thank you for your letter regarding the costs of providing
emergency health services to undocumented persons in California.
I share your desire to meet the challenges brought upon us by the
steady flow of undocumented persons across our borders.
The Health Security Act contains at least three provisions
that will aid in funding emergency health services for
undocumented persons. First, there is an explicit provision for
Federal matching funds to continue to be made available for State
expenses on emergency services for undocumented persons who are
otherwise eligible for medicaid. Second, $200 million per year
of new federal funds will be available to hospitals that serve a
higp percentage of .low~income-persons to help pay for· otherwiseuncovered services, including those provided for undocumented
"persons~
Third, and perhaps most significant, the Health
Security Act includes federal subsidies to help otherwise
uninsured, low-income persons purchase health insurance. Through
universal coverage, hospitals that serve a high percentage of
low-income persons will be compensated for services they
currently provide free to the individual, or for which they
receive minimal, inconsistent, or inadequate funding. Hospitals
serving undocumented persons will be among those that benefit
most from universal coverage.
Thank you again for writing to share your concerns about the
costs of providing emergency health services to undocumented
persons. I look forward to your support as Congress considers
the Health Security Act.
Sincerely,
The Honorable Randy. "Du){e"·cunniilgham .
. ·House of Representatives
·
Washington, D.C. 20515
�THE WHITE HOUSE
WASHINOTON
November 11, 1993
Dear Lynn:
Thank you for your letter regarding the costs of providing
emergency health services to undocumented persons in California.
I share your desire to meet the challenges brought upon us by the
steady flow of undocumented persons across our borders.
· The Health Security Act contains at least three provisions
that will aid in funding emergency health services for
' undocumented persons. First, there ·is an explicit provision for
Federal matching funds to continue to be made available for state
expenses on emergency services for undocumented persons who are
otherwise eligible for medicaid. Second, $200 million per year
of new federal funds will be available to hospitals t~at serye·a
high percentage of low-:income persons·to help pay·for otherwise
uncovered services, including·those provided for undocumented
persons. Third, and perhaps most significant, the Health
Security Act includes federal subsidies to help otherwise
uninsured, low-income persons purchase health insurance~ Through
universal coverage, hospitals that serve a high percentage of
low-income persons will be compensated for services they
currently provide free to the individual, or for which they
receive minimal, inconsistent, or inadequate funding. Hospitals
serving undocumented persons will be among those that benefit
most from universal coverage.
Thank you again for writing to share your concerns about the
costs of providing emergency health services to undocumented
persons. I look forward to your support as Congress considers
the Health Security Act.
Sincerely,
· Tl:le Honorable Lynn C. Woolsey· ..
House of Representatives
··
washingt.on, D.c. 20515
�THE WHlTE HOUSE.
WASHINGTON
November 11, 1993
Dear Cal:
Thank you for your letter regarding the costs of providing
emergency health services to undocumented persons in California.
I share your desire to meet the challenges brought upon us by the
steady flow of undocumented persons across our borders.
The Health Security Act contains at least three provisions
that will aid in funding emergency health services for
undocumented persons. First, there is an explicit provision for
Federal matching funds to continue to be made available for State
expenses on emergency services for undocumented persons who are
otherwise eligible for medicaid~ Second, $200 million per .year
of new federal funds will be available to hospitals that serve ~ .
high percentage of l6w-income persons to help pay for otherwise.
uncovered services·, including those provided for undocumented
persons. Third, and perhaps most significant, the Health
Security Act includes federal subsidies to help otherwise
uninsured, low-income persons purchase health insurance. Through
universal coverage, hospitals that serve a high percentage of
low-income persons will be compensated for services they
currently provide free to the individual, or for which they
receive minimal, inconsistent, or inadequate funding. Hospitals
serving undocumented persons will be among those that benefit
most from universal coverage.
Thank you again for writing to share your concerns about the
costs of providing emergency health services to undocumented
pe~sons.
I look forward· to your support as Congress considers
the Health Security Act.
Sincerely,
The. Honorable Calvin M•. Dooley
House of Representatives
Washington, D.C~ 20515
�-
THE WHITE HOUSE
WASHINGTON
November 11, 1993
Dear Henry:
Thank you for your letter regarding the costs of providing
emergency health services to undocumented persons in California.
I share your desire to meet the challenges brought upon us by the
steady flow of undocumented persons across our borders.
I .
The Health Security Act contains at least three provisions
that will aid in funding emergency health services for
undocumented persons. First, there is an explicit provision for
Federal matching funds to continue to be made available for State
expenses on emergency services for undocumented persons who are
otherwise eligible for medicaid. Second, $200 million per year
of new federal funds will be available to hospitals that serve a
high percentage of low-income persons to help pay for otherWise
uncovered services, including those.provided for-undocumented
persons. Third, and perhaps most significant, the Health
Security Act includes federal subsidies to help otherwise
uninsured, low-income persons purchase health insurance. Through
universal coverage, hospitals that serve a high percentage of
low-income persons will be compensated for services they
currently provide free to the individual, or for which they
receive minimal, inconsistent, or inadequate funding. Hospitals
serving undocumented persons will be among those that benefit
most from universal coverage.
Thank you again for writing to share your concerns about the
costs of providing emergency health services to undocumented
persons. I look forward to your support as Congress considers
the Health security Act.
·
Sincerely,
The Honorable Henry A. Waxman
House of Representatives
·washington, D.C. 20515
�THE WHITE HOUSE
WASHINGTON
November 11, 1993
Dear Anna:
Thank you for your letter regarding the costs of providing
emergency health services to undocumented persons in California.
I share your desire to meet the challenges brought upon us by the
steady flow of undocumented persons across our borders.
The Health Security Ac.t contains a.t least three provisions
that will aid in funding emergency health services for
undocumented persons. First, there is an explicit provision for
Federal matching funds to continue to be made available for State
expenses on emergency services for undocumented persons who are
otherwise eligible for medicaid. Second, $200 million per year
of new federal funds will b.e available to hospi,tals t_hat s~rve a
high percentage of low-income person$ to help pay for· otherwise .
uncovered services, including· thos~ provided for undocumented
persons. Third, and perhaps most significant, the Health
Security Act includes federal subsidies to help otherwise
uninsured, low-income persons purchase health insurance. Through
universal coverage, hospitals that serve a high percentage of
low-income persons will be compensated for services they
currently provide free to the individual, or for which they
receive minimal, inconsistent, or inadequate funding. Hospitals
serving undocumented persons will be among those that benefit
most from universal coverage.
Thank you again for writing to share your concerns about the
costs of providing emergency health services to undocumented
persons. I look forward to your support as Congress considers
the Health Security Act.
Sincerely,
The Honorable Anna G. Eshoo
Hou.se of Representatives
Washington, D.C. 20515
�THE WHITE .HOUSE
WASHINGTON
November 11, 1993
Dear Mr. Chairman:
Thank you for your letter regarding the costs of providing
emergency health services to undocumented persons in California.
I share your desire to meet the challenges brought upon us by the
steady flow of undocumented persons across our borders.
The Health Security Act contains at least three provisions
that will aid in funding emergency health services for
undocumented persons. First, there is an explicit provision for
Federal matching funds to continue to be made available for state
expenses on emergency services for undocumented persons who are
otherwise eligible for medicaid. Second, $200 million per year
of new federal funds will be availab~e to hospitals tha~ serye a
high percentage of low~income.persons to ~elp pay for·otherwise
uncovered services, including those provided for undocumented
persons. Third, and perhaps most significant, the Health
Security Act includes federal subsidies to help otherwise
uninsured, low-income persons purchase health insurance. Through
universal coverage, hospitals that serve a high percentage of
low-income persons will be compensated for services they
currently provide free to the individual, or for which they
receive minimal, inconsistent, or inadequate. funding. Hospitals
serving undocumented persons will be among those that benefit
most from universal coverage.
Thank you again for writing to share your concerns about the
costs of providing emergency health services to undocumented
persons. I look forward to your support as Congress considers
the Health Security Act.
·sincerely,
f
The Honorable Norman Y. Mineta
House of·Representatives
·Washington, o~c. 20515
�THE WHITE HOUSE
WA.SHINQTON
November 11, 1993
Dear Representative Doolittle:
Thank you for your letter regarding the costs of providing
emergency health services to undocumented persons in California.
I share your desire to meet the challenges brought upon us by the
steady flow of undocumented per~ons across our borders.
· The Health Security Act contains at least three provisions
that will aid in funding emergency health services for
undocumented persons. First, there is an explicit provision for
Federal matching funds to continue to be made available for State
expenses on emergency services for undocumented persons who are
otherwise eligible for medic~id. Second, $200 million per year
of new federal funds will be available to hospitals th~t serye ·.a·
~igh percentage of low-income persons·to help pay for otherwise
uncovered.services, including-those provided for undocumented
persons. Third, and perhaps most significant, the Health
Security Act includes federal subsidies to help otherwise
uninsured, low-income persons purchase health insurance.· Through
universal coverage, hospitals that serve a high percentage of
low-income persons will be compensated for services they
currently provide free to the individual, or for which they
receive minimal, inconsistent, or inadequate funding. Hospitals
serving undocumented persons will be among those that benefit
most from universal coverage.
Thank you again for writing to share· your concerns about the
costs of providing emergency health services to undocumented
persons. I look forward to your support as Congress considers
the Health Security Act.
Sincerely,
·The Honorable John T.-Doolittl,e
House. of Representatives
Washingt.on, D.C. 20515
�THE WHITE
HOUS~
WASHINGTON
November 11, 1993
Dear Mr. Chairman:
Thank you for your letter regarding the costs of providing
emergency health services to undocumented persons in California •.
I share your desire to meet the challenges brought upon us by the
steady flow of undocumented persons across our borders.
The Health Security Act contains at least three provisions
that will aid in funding emergency health services for
undocumented persons. First, there is an explicit provision for
Federal matching funds to continue to be made available for State
expenses on emergency services for undocumented persons who are
otherwise eligi.ble for medicaid~ Second, $200 million per .year
of new federal funds will be available to hospitals that serve ~
high percentage of ·1ow-i.ncome persons to help pay for otherwise.
uncovered services·, including those provided for undocumented
persons. Third, and perhaps most significant, the Health
security Act includes federal subsidies to help otherwise
uninsured, low-income persons purchase health insurance. Through
universal coverage, hospitals that serve a high percentage of
low-income persons will be compensated for services they
currently provide free to the individual, or for which they
receive minimal, inconsistent, or inadequate funding. Hospitals
serving undocumented persons will be among those that benefit
most from universal coverage.
Thank you again for writing to share your concerns about the
costs of providing emergency health services to undocumented
pe~sons.
I look forward· to your support as Congress considers
the Health Security Act.
Sincerely,
The· Honorable George E._ Brown, Jr. ·
House. of Representatives
Washington, D.C·. 20515
�THE WHITE HOUSE
WASHINGTON
November 11, 1993
Dear Julian:
Thank you for your letter regarding the costs of providing
emergency health services to undocumented persons in California.
I share your desire to meet the challenges brought upon us by the
steady flow of undocumented persons across our borders.
The Health Security Act contains at least three provisions
that will aid in funding emergency health services for
undocumented persons. First, there is an explicit provision for
Federal matching funds to continue to be made available for State
expenses on emergency services for undocumented persons who are
otherwise eligible for medicaid. Second, $200 million per year
of new federal funds will be available to hospitals that serve a
high percentage of low-income ~ersons ·to help pay for otherwise
uncovered services, including those· provided for-undocumented
persons. Third, and perhaps most significant, the Health
Security Act includes federal subsidies to help otherwise
uninsured, low-income persons purchase health insurance. Through
universal coverage, hospitals that ~erve a high percentage of
low-income persons will be compensated for services they
currently provide free to the individual, or for which they
receive minimal, inconsistent, or inadequate funding. Hospitals
serving undocumented persons will be among those that benefit
most from universal coverage.
Thank you again for writing to share your concerns about the
costs of providing emergency health services to undocumented
persons. I look forward to your support as Congress considers
the Health security Act.
Sincerely,
The Honorable Julian c. Dixon
House of Representatives
·washington, D.C. 20515
�THE WHITE HOUSE
WASHINGTON
November 11, 1993
Dear Bob:
Thank you for your letter regarding the costs of providing
emergency health services to undocumented persons in California.
I share your desire to meet the challenges brought upon us by the
steady flow of undocumented persons across our borders.
The Health Security Act contains at lea.st three provisions
that will aid in funding emergency health services for
undocumented persons. First, there is an explicit provision for
Federal matching funds to continue to be made available for State
expenses on emergency services for undocumented persons who are
otherwise eligible for medicaid. Second, $200 million per year
of new federal funds will be available to hospitals that serve a
high per~entage of low-income persons to nelp pay ·for· otherwise"
uncovered services, including• those provided for undocumented
persons. Third, and perhaps most significant, the Health
Security Act includes federal subsidies to h·elp otherwise
uninsured, low-income persons purchase health insurance. Through
universal coverage, ·hospitals that serve a high percentage of
low-income persons will be compensated for services they
currently provide free to the individual, or for which they
receive minimal, inconsist~nt, or inadequate funding. Hospitals
serving undocumented persons will be among those that benefit
most from universal coverage.
Thank you again for writing to share your concerns about the
costs of providing emergency health services to undocumented
persons. I look forward to your support as Congress considers
the Health Security Act.
·
Sincerely,
The Hon.orable Bob _Filner
House of Representative~
Washington, D.C. 20515
�WASHINGTON
November 11, 1993
Dear Representative McKeon:
Thank you for your letter regarding the costs of providing
emergency health services to undocumented persons in California.
I share your desire to meet the challenges brought upon us by the
steady flow of undocumented persons across our borders.
The Health Security Act contains at least three provisions
that will aid in funding emergency health services for
undocumented persons. First, there is an explicit provision for
Federal matching funds to continue to be made available for State
expenses on emergency services for undocumented persons who are
otherwise eligible for medicaid.· Second, $200 million per year
of new federal funds will be available to hospitals that serve a
hiqh percentag~ of low•income·per~ons to ·help pay-for. otherwise
.uncovered services, including those provided for undocumented
persons. Third, and perhaps most significant, the Health
Security Act includes federal subsidies to help otherwise
uninsured, low-income persons purchase health insurance. Through
universal coverage, hospitals that serve a high percentage of
low-income persons will be compensated for services they
currently provide free to the individual, or for which they
receive minimal, inconsistent, or inadequate funding. Hospitals
serving undocumented persons will be among those that benefit
most from universal coverage.
Thank you again for writing to share your concerns about the
costs of providing emergency health services to undocumented
persons. I look forward to your support as Congress considers
the Health Security Act.
Sincerely,
.
.
The Honorable. Howard P •. "Buck"· McKeon. · ·
House of Representatives
Washingtc;m, D.C. 20515
I
I.
I
�THE WHITE HOUSE
WASHINGTON
November 11, 1993
Dear Representative Baker:
Thank you for your letter regarding the costs of providing
emergency health services to undocumented persons in California.
I share your desire to meet the challenges brought upon us by the
steady flow of undocumented persons across our borders.
· The Health Security Act contains at least three provisions
that will aid in funding emergency health services for
undocumented persons. First, there is an explicit provision for
Federal matching funds to continue to be made available for State
expenses on emergency services for undocumented persons who are
otherwise eligible for medic~id. Second, $200 million per year c
of new federal funds will be available to hospitals t~at serve ·a~
high percentage of low-income persons.to help pay for otherwise
·uncovered services, including-those provided for undocumented
persons. Third, and perhaps most significant, the Health
Security Act includes federal subsidies to help otherwise
uninsured, low-income persons purchase health insurance~ Through
universal coverage, hospitals that serve a high percentage of
low-income persons will be compensated for services they
currently provide free to the individual, or for which they
receive minimal, inconsistent, or inadequate funding. Hospitals
serving undocumented persons will be among those that benefit
most from universal coverage.
Thank you again for writing to share your concerns about the
costs of providing emergency health services to undocumented
persons. I look forward to your support as Congress considers
the Health Security Act.
Sincerely,
The Honorable Bill Baker
House of Representatives
Washingt·on, D.c. 20515
�THE WHITE
HOUS~
WASHINGTON
November 11, 1993
Dear Representative Dreier:
Thank you for your letter regarding the costs of providing
emergency health services to undocumented persons in California.
I share your desire to meet the challenges brought upon us by the
steady flow of undocumented persons across ~ur borders.
The Health Security Act contains at least three provisions
that will aid in funding emergency health services for
undocumented persons. First, there is an explicit provision for
Federal matching funds to continue to be made available for State
expenses on emergency services for undocumented persons who are
otherwise elig~ble for medicaid. Second, $200 million per_year
of new federal funds will be available to hospitals that serve a .
high percentage of·low-income persons to help ·pay for" otherwise"
uncovered services, inciuding those provided for undocumented ·
persons. Third, and perhaps most significant, the Health
Security Act includes federal subsidies to help otherwise
uninsured, low-income persons purchase health insurance. Through
universal coverage, hospitals that serve a high percentage of
low-income persons will be compensated for services they
currently provide free to the individual, or for which they
receive minimal, inconsistent, or inadequate funding. Hospitals
serving undocumented persons will be among those that benefit
most from universal coverage.
Thank you again for writing to share your concerns about the
costs of providing emergency health services to undocumented
persons. I look forward to your support as Congress considers
the Health security Act.
Sincerely,
~Ch.Joewu-·-·.
The· Honorable David Dreier ·
Hous~ of Representatives
washington, D.C. 20515
�THE WHITE HOUSE
WASHINGTON
November 1'1, 1993
Dear Bob:
Thank you for your letter regarding the costs of providing
emergency health services to undocumented persons in California.
I share your desire to meet the challenges brought upon us by the
steady flow of undocumented persons across our borders.
The Health Security Act contains at least three provisions
that will aid in funding emergency health services for
undocumented persons. First, there is an explicit provision for
Federal matching funds to continue to be made available for State
expenses on emergency services for undocumented persons who are
otherwise eligible for medicaid. Second, $200 million per year
of new federal funds will be available to hospitals that serv~ a
hig~ percent~ge of low-income persons .to help pay for otherwise
uncovered services, including those·provided for.undocumented
persons. Third, and perhaps most significant, the Health
Security Act includes federal subsidies to help otherwise
uninsured, low-income persons purchase health insurance. Through
universal coverage, hospitals that serve a high percentage of
low-income persons will be compensated for services they
currently provide free to the individual, or for which they
receive minimal, inconsistent, or inadequate funding. Hospitals
serving undocumented persons will be among those that benefit
most from universal coverage.
Thank you again for writing to share your concerns about the
costs of providing emergency health services to undocumented
persons. I look forward to your support as Congress considers
the Health Security Act.
sincerely,
· The Honorable Robert T. Matsui ·
HoQse of Representatives
·washington, o.c. 20515
�THE WHITE HOUSE
WASHINGTON
November 11, 1993
Dear Howard:
Thank you for your letter regarding the costs of providing
emergency health services to undocumented persons in California.
I share your desire to meet the challe.nges brought upon us by the
steady flow of undocumented persons across our borders.
The Health Security Act contains at least three provisions
that will aid in funding emergency health se·rvices for
undocumented persons. First, there is an explicit provision for
Federal matching funds to continue to be made available for state
expenses on emergency services for undocumented persons who are
otherwise eligible for medicaid. Second, $200 million per year
of·new federal funds will be available to hospitals that serve a
high per9entage of low-income persons. to help pay for·· otherwise
uncovered services·, including· those provided for undocumented
persons. Third, and perhaps most significant, the Health
Security Act includes federal subsidies to help otherwise
uninsured, low-income persons purchase health insurance. Through
universal coverage, hospitals that serve a high percentage of
low-income persons will be compensated for services they
currently provide free to the individual, or for which they
receive minimal, inconsistent, or inadequate funding. Hospitals
serving undocumented persons will be among those that benefit
most from universal coverage.
Thank you again for writing to share your concerns about the
costs of providing emergency health services to undocumented
persons. I look forward to your support as Congress considers
the Health Security Act.
Sincerely,
'
i
The. Honorable Howard L. Berman
Ho.use of Representative~
·
Washington, D.C. 20515
�THE WHIT'E HOUSE
WASHINGTON
November 11, 1993
Dear Nancy:
Thank you for your letter regarding the costs of providing
emergency.health services to undocumented persons in California.
I share your desire to meet the challenges brought upon us by the
steady flow of undocumented persons across our borders.
The Health Security Act contains at least three provisions
that will aid in funding emergency health services for
undocumented persons. First, there is an explicit provision for
Federal matching funds to continue to be made available for state
expenses on emergency services for undocumented persons who are
otherwise eligible for medicaid. Second, $200 million per year
of new federal fun~s will be available to hospitals that serve a
hig~ perce~tage of low~income·persons to help pay for otherwise
uncovered services, including those provided for undocumented
persons~
Third, and perhaps most significant, the Health
Security Act includes federal subsidies to help otherwise
uninsured, low-income persons purchase health insurance. Through
universal coverage, hospitals that serve a high percentage of
low-income persons will be compensated for services they
currently provide free to the individual, or for which they
receive minimal, inconsistent, or inadequate funding. Hospitals
serving undocumented persons will be among those that benefit
most from universal coverage.
Thank you again for writing to share your concerns about the
costs of providing emergency health services to undocumented
persons. I look forward to your support as Congress considers
the Health Security Act.
Sincerely,
~.·
The Honorable Nancy . Pel9s-i ·
·House of Repr~sentati ves
Washington, D.C. 20515
\
'.
I
�. THE WHITE HOUSE
WASHIN.GTON
November 11, 1993
Dear Ed:
Thank you for your letter reqardinq the costs of providinq
emerqency health services to undocumented persons in California.
I share your desire to meet the challenqes brouqht upon us by the
steady flow of undocumented persons across our borders.
· The Health Security Act contains at least three provisions
that will aid in fundinq emerqency health services for
' undocumented persons. First, there is an explicit provision for
Federal matchinq funds to continue to be made available for state
expenses on emerqen9y services for undocumented persons who are
otherwise eligible for medicaid. second, $200 million per year .
of new federal funds will be.available to hospitals that serve.a.
hiqh .pe_rcentaqe of low-income persons. to help pay for ·otherwlse
·uncovered. services, includinq- those provided for undocumented
persons. Third, and perhaps most· siqnificant, the Health
Security Act includes federal subsidies to help otherwise
uninsured, low-income persons purchase health insurance~ Throuqh
universal coveraqe, hospitals that serve a hiqh percentaqe of
low-income persons will be compensated for services they
currently provide free to the individual, or for which they
receive minimal, inconsistent, or inadequate fundinq. Hospitals
serving undocumented persons will be amonq those that benefit
most from universal coveraqe.
Thank you aqain for writinq to share your concerns about the
costs of providinq emerqency health services to undocumented
persons. I look forward to your support as Conqress considers
the Health Security Act.
Sincerely,
.The Honorable.Estebari.Edward ·Torres
H·ouse of Representatives
Wa~hington, D.C.
2'0515 ·
�. THE WHITE HOUSE
WASHINGTON
November 11, 1993
Dear Representative Pombo:
Thank you for your letter regarding the costs of providing
emergency health services to undocumented persons in California.
I share your desire to meet the challenges brought upon us by the
steady flow of undocumented persons across our borders.
The Health Security Act contains at lea·st three provisions
that will aid in funding emergency health services for
undocumented persons. First, there is an explicit provision for
Federal matching funds to continue to be made available for State
expenses on emergency services for undocumented persons who are
otherwise eligible for medicaid. Second, $200 million per year
of new federal ·funds will be available to hospitals that serve a
high percentage of·low-income persons to help ·pay for· otherwise·
uncovered services, including those provided for undocumented
persons. Third, and perhaps most significant, the Health
Security Act includes federal subsidies to help otherwise
uninsured, low-income persons purchase health insurance. Through
universal coverage, hospitals that serve a high percentage of
low-income persons will be compensated for services they
currently provide free to the individual, or for which they
receive minimal, inconsistent, or inadequate funding. Hospitals
serving undocumented persons will be among those that benefit
most from universal coverage.
Thank you again for writing to share yo~r concerns about the
costs of providing emergency health services to undocumented
persons. I look forward to your support as Congress considers
the Health Security Act.
Sincerely,
The· Honorable Richard Pombo·
House of Repre~entatives
Washington, D.C. 20515
�THE WHITE HOUSE
WASHINGTON
November 11, 1993
Dear Mr. Chairman:
Thank you for your letter regarding the costs of providing
emergency health services to undocumented persons in California.
I share your desire to meet the challenges brought upon us by the
steady flow of undocumented persons across our borders.
I
I.
The Health Security Act contains at least three provisions
that will aid in funding emergency health services for
undocumented persons. First, there is an explicit provision for
Federal matching funds to continue to be made available for state
expenses on emergency services for undocumented persons who are
otherwise eligible for medicaid.. Second, $200 million per year
of new federal funds will be available to hospitals that serve a
high percentage of low-income persons ·to help pay for otherWise
uncovered services, including those' provided for-undocumented
persons. Third, and perhaps most significant, the Health
Security Act includes federal subsidies to help otherwise
uninsured, low-income persons purchase health insurance. Through
universal coverage, hospitals that serve a high percentage of
low-income persons will be compensated for services they
currently provide free to the individual, or for which they
receive minimal, inconsistent, or inadequate funding. Hospitals
serving undocumented persons will be among those that benefit
most from universal coverage.
Thank you again for writing to share your concerns about the
costs of providing emergency health services to undocumented
persons. I look forward to your support as Congress considers
the Health Security Act.
Sincerely,
The Hon9rable Ronald v. Dellums
House of Representatives
·washington, D.C. 20515
�THE WHITE HOUSE
WASHINGTON
November 11, 1993
Dear Maxine:
Thank you for your letter regarding the costs of providing
emergency health services to undocumented persons in California.
I share your desire to meet the challenges brought upon us by the
steady flow of undocumented persons across our borders.
The Health Security Act contains at least three provisions
that will aid in funding emergency health services for
undocumented persons. First; there is an explicit provision for
Federal matching funds to continue to be made available for State
expenses on emergency services for undocumented persons who are
otherwise eligible for medicaid. Second, $200 million per year
of new federal funds will be available to hospitals that serve a
high percentage of low-incom~ pers~ns tq help pay·for otherwise·
uncovered services, including those provided for undocumented
persons. Third,·and perhaps- most significant, the Health
Security Act includes federal subsidies to help otherwise
uninsured, low-income persons purchase heal~ insurance. Through
universal coverage, hospitals that serve a high percentage of
low-income persons will be compensated for services they
currently provide free to the individual, or for which they
receive minimal, inconsistent, or inadequate funding. Hospitals
'serving undocumented persons will be among those that benefit
most from universal coverage.
Thank you again for writing to share your concerns about the
costs of providing emergency health services to undocumented
persons. I look forward to your support as Congress considers
the Health Security Act.
Sincerely,
The Honorable Maxine Waters
House of Representatives
.
··Washington, D.C. 20515 ·
�WASHINGTON
November 11, 1993
Dear Walter:
Thank you for your letter regarding the costs of providing
emergency health services to undocumented pe~sons in California.
I share your desire to meet the challenges brought upon us by the
steady flow of undocumented persons across our borders.
The Health Security Act contains at least three provisions
that will aid in funding emergency health services for
undocumented persons. First, there is an explicit provision for
Federal matching funds to continue to be made available for state
expenses on emergency services for undocumented persons who are
otherwise eligible for medicaid. Second, $200 million per year
of new federal funds will be available to hospitals that serve a
hig·h percentage of low-income· persons to hel·p pay for otherwlse
.uncovered serv1ces, including those provided for undocumented
persons. Third, and perhaps most significant, the Health
Security Act includes federal subsidies to help otherwise
uninsured, low-income persons purchase health insurance. Through
universal coverage, hospitals that serve a high percentage of
low-income persons will be compensated for services they
currently provide free to the individual, or for which they
receive minimal, inconsistent, or inadequate funding. Hospitals
serving undocumented persons will be among those that benefit
most from universal coverage.
Thank you again for writing to share your concerns about the
costs of providing emergency health services to undocumented
persons. I look forward to your support as Congress considers
the Health Security Act.
Sincerely,
The Honora.ble. Walter R•. Tucker·
House of Representatives
Washingt9h, D.C. 20515
III
�·THE WHITE HOUSE
WASHINGTON
November 11, 1993
Dear Representative Hunter:
Thank you for your letter regarding the costs of providing
emergency health services to undocumented persons in California.
I share your desire to meet the challenges brought upon us by the
steady flow of undocumented persons across our borders.
· The Health Security Act contains at least three provisions
that will aid in funding emergency health services for
' undocumented persons. First, there·is an explicit provision for
Federal matching funds to continue to be made available for State
expenses on emergenQy services for undocumented persons who are
otherwise eligible for medicaid. Second, $200 million per year ..
of new federal funds will be available to hospitals that serve.a:
. high .pe.rcentage of low-income persons. to help pay for· otherwise
uncovered services, includinq those provided for undocumented
persons. Third, and perhaps most significant, the Health
Security Act includes federal subsidies to help otherwise
uninsured, low-income persons purchase health insurance~ Through
universal coverage, hospitals that serve a high percentage of
low-income persons will be compensated for services they
currently provide free to the individual, or for which they
receive minimal, inconsistent, or inadequate funding. Hospitals
serving undocumented persons will be among those that benefit
most from universal coverage.
Thank you again for writing to share your concerns about the
costs of providing emergency health services to undocumented
persons. I look forward to your support as Congress considers
the Health Security Act.
Sincerely,
. ·'rhe Honorable Duncan ·Hunter
H~use of Representatives
Washington, D.C. 20515·
�THE W.HITE HOUSE
·WASHINGTON
November 11, 1993
Dear Sam:
Thank you for your letter regarding the costs of providing
emergency health services to undocumented persons in California.
I share your desire to meet the challenges brought upon us by the
steady flow of undocumented persons across our borders.
·
The Health Security Act contains at least three provisions
that will aid in funding emergency health services for
undocumented persons. First, there is an explicit provision for
Federal matching funds to continue to be made available for State
expenses on emergency services for undocumented persons who are
otherwise eligible for medicaid. Second, $200 million per year:
of new federal.funds will be available to hospitals that serve a.
high percentage of low-income persons ~o help .pay for· otherwise .
uncovered services~ including those provided for undocumented
persons. Third, and perhaps most significant, the Health
Security Act includes federal subsidies to help otherwise
uninsured, low-income persons purchase health insurance. Through
universal coverage, hospitals that serve a high percentage of
low-income persons will be compensated for s.ervices they
currently provide free to the individual, or for which they
receive minimal, inconsistent, or inadequate funding. Hospitals
serving undocumented persons will be among those that benefit
most from universal coverage.
Thank you again for writing to share your concerns about the
costs of providing emergency health services to undocumented
persons. I look forward. to your support as Congress considers
th~ Health Security Act.
Sincerely,
The Honorable Sam Farr
House of Representatives
Washington, 0. C·. 2 0.515
�THE WHITE HOUSE
WASHINGTON
November ·11, 1993
Dear Mr. Chairman:
Thank you for your letter reqardinq the costs of providinq
emerqency health services to undocumented persons in California.
I share your desire to meet the challenqes brouqht upon us by the
steady flow of undocumented persons across our borders.
The Health Security Act contains at least three provisions
that will aid in fundinq emerqency health services for
undocumented persons. First, there is an explicit provision for
Federal matchinq funds to continue to be made available for State
expenses on emerqency services for undocumented persons who are
otherwise eliqible for medicaid. Second, $200 million per year·
of new federal funds will be available to hospitals that serv.e a
hiqh percentaqe of low-in~ome p~rsons.to help pay for otherwise
uncovered services, includinq ·those provided for. undocumented
persons. Third, and perhaps most siqnificant, the Health
Security Act includes federal subsidies to help otherwise
uninsured, low-income persons purchase health insurance. Throuqh
universal coveraqe, hospitals that serve a hiqh percentaqe of
low-income persons will be compensated for services they
currently provide free to the individual, or for which they
receive minimal, inconsistent, or inadequate fundinq. Hospitals
servinq undocumented persons will be amonq those that benefit
most from universal coveraqe.
Thank you again for writing to share your concerns about the
costs of providinq emerqency health service~ to undocumented
persons. I look forward to your support as Conqress considers
the Health Security Act.
Sincerely,
The Honorable Georqe Miller
House of Representatives
.Washinqton, D.C. 20515
·.
�THE WHITE HOUSE
WASHINGTON
November 11, 1993
Dear Representative Thomas:
Thank you for your letter regarding the costs of providing
emergency health services to undocumented persons in California.
I share your desire to meet the challenges brought upon us by the
steady flow of undocumented persons across our borders.
The Health Security Act contains at least three provisions
that will aid in funding emergency health services for
undocumented persons. First; there is an explicit provision for
Federal matching funds to continue to be made available for State
expenses on emergency services for undocumented persons who are
otherwise eligible for medicaid. Second, $2.00 million per year,
of new federal funds will be available to hospitals that serve a
high percentage of low-income pers9ns to help pay·for otherwise·
uncovered services, including those provided for undocumented
persons. Third, and perhaps most significant, the Health
Security Act includes federal subsidies to help otherwise
uninsured, low-income persons purchase health insurance. Through
universal coverage, hospitals that serve a high percentage of
low-income persons will be compensated for services they
currently provide free to the individual, or for which they
receive minimal, inconsistent, or inadequate funding. Hospitals
·serving undocumented persons will be among those that benefit
most from universal coverage.
Thank you again for writing to share your concerns about the
costs of providing emergency health services to undocumented
persons. I look forward to your support as Congress considers
the Health security Act.
sincerely,
The Honorable William M. Thomas
House of Representatives
··Washington, D.C. 20515 ·
· ..
�THE WHITE HOUSE
WASHINGTON
October 26, 1993
MEMORANDUM FOR JIM MURR
·Jfl
FROM:
HOWARD G. PASTER
LEGISLATIVE AFFAIR
SUBJECT:
Presidential Correspondence
Enclosed please find a copy of the letter that was sent to the
President from several members of Congress.
The President has requested that he see and sign every letter
being sent to Capitol Hill. Since we did not want to respond to
this letter without your guidance, I am requesting that your
office draft a response and return it to LeeAnn Inadomi (WH-East
Wing) within 48 hours. She will then print the letter in final
form and have it sent to the President for his signature.
Thank you very much for your assistance with this matter. If you
have any questions, please feel free to call LeeAnn at 456-7500.
Enclosure
�~ongrtss
of tbt 11nittb
~tattl
Jf1ou~t
of l!tprt~tntatibt~
aasbington, I)Qt 20515
October 8, 1993
The Honorable William J. Clinton
President of the United States
The White House
1600 Pennsylvania Avenue, N.W.
20500
Washington, D.C.
..
Dear Mr. President:
We are writing to express our deep concern over the costs incurred by hospitals and
emergency health care providers in California for providing emergency health services to
undocumented residents and temporary visitors to the state. Specifically, we urge you to
include full federal reimbursement to cover the costs of medical treatment for these
individuals in your health care reform legislation and your budget request for FY 1995.
It is our understanding that the Administration plans to provide $1 billion a year to
concentrate on regional health priorities, including reimbursement for the costs of treating
undocumented residents, AIDS and tuberculosis, and for controlling violence in inner cities.
This amount is clearly inadequate. For example, according to the State of California
Health and Welfare Agency, providing emergency medical services, including labor and
delivery services, to undocumented residents will cost the state approximately $398.7
million for FY 1993-1994. In addition, the State of California estimates that it will spend
$82 million for prenatal services. The General Accounting Office (GAO), in a report
entitled Trauma Care Reimbursement, noted that "many needy undocumented aliens do not
meet the Medicaid eligibility requirements, which generally exclude nondisabled, unmarried
adult males under 65." GAO points out that "when other resources are unavailable or
exhausted, the local government operating the facility generally finances the debt."
An estimated 3,000 people cross the border between Tijuana and San Diego illegally
every day. Their presence is a direct result of the failure of the Immigration and
Naturalization Service to secure our nation's borders. Once these undocumented
immigrants are in the State, it is the cities, counties and states which bear the costly
burden of providing emergency medical services.
The State of California and emergency health care providers cannot afford to
continue absorbing the costs for these services. We urge you to take strong action to fully
reimburse the state and counties for emergency health care services to undocumented
residents and foreign visitors. Thank you for your consideration.
�Sincerely,
-y\Ci~
�l/ \\LV··rlj
~v;J)~L*A-otcll
1-=
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
42603
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-037-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/b9c3a5c60848fd3636a535ff557e799a.pdf
054a5d182457f59cb9a8347ed1c86e0b
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
This is not a textual .record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10793
Scan ID:
041611
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
9
1
�ID# 041611
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
;JF
-------
INCOMING
DATE RECEIVED: OCTOBER 27, 1993
NAME OF CORRESPONDENT: THE HONORABLE MEL HANCOCK
SUBJECT: EXPRESSES CONCERN REGARDING MISLEADING
ASSURANCES BEING MADE TO THE PUBLIC BY YOUR
ADMINISTRATION REGARDING HEALTH CARE REFORM
ACTION
ROUTE TO:
OFFICE/AGENCY
DISPOSITION
DATE
ACT
CODE YY/MM/DD
(STAFF NAME)
ORG
HOWARD PASTER
REFERRAL NOTE:
93/10/27
TYPE
RESP
JW{~fl,N~
_ _ _!_
---
REFERRAL NOTE:
_ !_!_
_ !_!_
_ !_!_
REFERRAL NOTE:
REFERRAL NOTE:
REFERRAL NOTE:
C COMPLETED
D YY/MM/DD
- _!_! _
- _!_! _
- _!_! _
COMMENTS: ENCLOSURES (BOOKLET, THE HEALTH SECURITY ACT
BENEFITS FOR BUSINESS)
ADDITIONAL CORRESPONDENTS:
MAIL
61 MEDIA:L
USER CODES: (A)R MO_ __
INDIVIDUAL CODES:
(B) _ _ __
1240 1230
(C) _ _ __
***********************************************************************
*ACTION CODES:
*DISPOSITION
*OUTGOING
*
*CORRESPONDENCE:
*
*
*
*A-APPROPRIATE ACTION *A-ANSWERED
*TYPE RESP=INITIALS
*
*C-COMMENT/RECOM
*B-NON-SPEC-REFERRAL
*
OF SIGNER
*
*D-DRAFT RESPONSE
*C-COMPLETED
*
CODE = A
*
*COMPLETED = DATE OF
*
*F-FURNISH FACT SHEET *S-SUSPENDED
*I-INFO COPY/NO ACT NEC*
*
OUTGOING *
*R-DIRECT REPLY W/COPY *
*
*
*S-FOR-SIGNATURE
*
*
*
*X-INTERIM REPLY
*
*
*
***********************************************************************
REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
~CANNED
�THE WHITE HOUSE
WASHINGTON
October 21, 1993
MEMORANDUM FOR KRIS SWEDIN
~
FROM:
HOWARD G. PASTER\T'
SUBJECT:
Presidential Correspondence
Attached is a copy of the letter that was sent to the President
from several members of Congress.
I do not think this letter requires a Presidential response at
this time and would appreciate your office directly responding to
the members.
If you have any questions, please do not hesitate to contact
LeeAnn Inadomi (x7500).
Attachments
t0~
d0
~~'I-tA
�OCT'25 '93 15=?2 SEA.CONGRE'SIONAL AFF.
DRAFT 10/25/93 !J35 p.m.
Honorable
House of Representatives
washington, DC 20515
P.2/6
·SBkVrk
~tL'dl Ot'L
Dear
Thank you very much for your letter to President Clinton in
which you and 61 of your colleagues raised several questions
abOut a brochure published by the small Business Administration
ana the Department of Commerce entitled "The Health Security Act:
Benefits to Business." Following are answers to the questions
outlined in the letter.
(Question 1)
With reqara to the concerns about the analysis of the
financing provisions in the Health security Act, I can reassure
you that various federal agencies, outside analysists, and
economists have rigorously examined the numbers contained in the
Health security Act to ensure their credibility.
(Question 2)
The letter you signed refers to reports that Administration
officials admitted errors in their calculations. I should point
out that the plan has heen edited and refined since that time,
and also that the numbers in question were contained in a draft
dated September 7, which stated on its cover paqe that, "the
numbers presented in this document are preliminary and are under
review • • • •• In any case, we are unaware of ani officials in
the Administration who have admitted any errors n the
calculations to cost of premium subsidies.
(Question 3)
Also among the issues raised in your letter is the concern
that the small business owners used as examples in the brochure
were fictional ana atypical. I can assure you that they are, in
faot, real people.
In september the small Business Administration contacted a
number of small businesses to find out some specifics about their
current health care situation. This information was to be used
to gain a better understanding of the proposed Health Security
Act· and its effect on small bUsiness. · l'ollowinc;r a closer look at
each business, we realized that there were a larqe number of
businesses that were estimated to receive a substantial discount
under the Act. Two of these scenarios were incorporated into the
brochure published by SBA.
(Question 4)
"Charles" and "Danita• are, in fact, real people. Danita
has a small,. two-person family construction firm in S~kesville,
MD. Charles is an electronic equipment manufacturer 1n
�.
OC~
P.3/6
25 '93 15:52 SBA CONGRESIONAL AFF.
·.
.
Indianapolis, IH. · The insurance they currently provide is
comparable to tb&t being proposed under the Act •. Their present
premium rate is a result of the·fact that they currently provide
comprehensive insurance to their employees, and that they are
paying 100 percent of the insurance bill. It is the reality
today that many small business owners have inadequate access to
and often have to pay more for comprehensive insurance.
The cost savings to these two firms were based on each
firm's average annual wage and total annual payroll cost. The
Health security Act has proposed that there be a cap on employer
contributions, based on the employer's average annual salary.
The cap is set on a sliding scale from 3.5 percent to 7.9 percent
of the total payroll cost. These are, of course, preliminary
estimates that are subject to change as the health care debate
continues.
Followinq are answers to the remainder of the issues raised
in the letter:
(Question·s)
pa:rzooll defizaa4
Bow ia
UD4e~
yow: plaa7
The payroll definition under the Health security Act is
consistent with existing tax definitions relating to employment
and wages. Por purposes of the Health security Act, rules
relating to s corporations will be tightened to prevent adjusting
wages of employee-shareholders non-wage S corporation income. No
changes are proposed to the present law applicable to stock
options and deferred compensation.
(Question 6)
Sb.ou14 the tne aoat eat!aatea tail to INt •solid, az-8411»1•, and
coDaerv&tive•, bow will tile fec!Ral vovermaaat aake up uy
shortfall iza ~eveDue?
T.he cost estimates used to draft the Health Security Act are
"solid, credible, and conservative".
~e analysis represents
months .of rigorous work by experts from various federal ag-encies.
An outside group of economists and actuaries audited the work
that was done, and examined certain of the costs and savings
projections. cost savings will come from many sources: the
buying clout of the regional alliances, market competition among
providers, cost-conscious and informed ·consumer choice, premium
budgeting of providers, elimination of cost-shifting,
administrative simplification, malpractice reform, the
responsible sharing of the cost of insurance across all
employers. The global budqet will be the backstop to any
shortfall in revenues.
(Question 7)
Will tbe eaploy• p&JI'Oll tax (preailllll) 1ae increase« to offset
aDJ'
~•venue
shortfall?
�. OCT. 25 '93 15: ~3 SBA ~ONGRESIONFIL FIF'F.
P.4/6
T.bere is no payroll tax in the proposed legislation.
Employee health care will be financed ~ a contribution of
employer premium payments, employee premium payments, and
subsidies. Alliances will be local organizations designed by
boards consisting of representatives of employers and employees.
The alliances will be responsible for setting their own premium
levels, within the context of tbe qlobal budget and for
collecting premiums. Alliances will incorporate a certain level
of ~d debts into their premiums, aa any bUsiness does with its
prices. '!'his is consistent with how the premium levels are
estimated in the plan.
(Question 8)
Wor what period or ~tae vill.tba employer aubsidiaa reaaia in
place under the C11Dtoa p1aa7 are they per.aaneat, or will ~hey
be phased out at aoae poiat?
·
.
There is no specified period of time under which the
employer subsidies are to expire. At this time there is no
legislative language in oUr bill that discusses limiting the
employer subsidies.
(Question 9)
Wbat happens to a ooapany Wbioh aurrently does DOt provide
insurance to its employees aD4 aaDDOt affo~4 to aeet ita miat.aa
employ~ obliga~ioas ua4er 7our p1aD7
Those employers who do not currently insure their employees
will, un4er the Health security Act, be able to afford quality,
comprehensive health care for their employees. Premiums for
employers in the regional alliances will be capped at 7.9 percent
of payroll. Small, low wage employers who might otherwise be
vulnerable will enjoy lower payroll ceilings (between 3.5 and 7.9
percent of payroll) which represents discounts of 30-80 percent.
Not every small business will be better off under the Act,
but the majority will. Host businesses that provide full
insurance today will enjoy signifi~ant cost decreases, and those
small business owners who are only able to pay their employees
very low wages are going to be able to offer their employees
rock-solid, comprehensive insurance coverage that will cost the
small business owner as little as $1.00 to $2.00 a day per
employee.
·(Question 10)
What. tJPe of reaor4•kaepiDg will employers ~· respoasible ror?
. What period of ttaa aust. reoor4a be rataiae47
The record-keeping that employers will be responsible for
includes accounting for the total number of employees who work
full-time, those who work part-time, their hours workect, the
employer preaium contributions ude for each employee, ancl each
employee's. health insurance family status. Firms will also need
to maintain.tecords of their eligibility-for the payroll caps.
�.. OCT'25
'93
15:54 SBR CONGRESIONRL Arr.
-~cords should be lD&intained, ae they currently are, to enable
~ny
verification or auditing.
/(Question 11)
/What :la the estt.&te4 an papU"VorJt J)Qr4a oa •plolers, both in
.· tenaa of t:laa u4 iJa new equipaat that aay lHI :retJU red to report
, tile iafonaatioa7
The paperwork burden on employers .is expected to be
decreased. currently, small businesses can pay as much as 40
percent of their health care expenditures to pay for
administrative costs. Tbe Health Security Act offers
administrative simplification in the fora of a single,
comprehensive benefits paakaqe and standard forms for claims
submission. This contrasts sharply with the overwhelming
administrative burden imposed on small business today as a result
of the broad variety of plans and the procedure-by-procedure
reimbursement mechanism.
Any additional administrative burden of employers in the regional
alliances will be assumed by the alliances, not by the employer
or the employee.
(Question 12)
What penalties are employers sUbjeat to for failing to aeet tbe
hugh nuaber of man4ates an4 aew .raqgirameata UD4er your plaD7
Employers will be required to contribute 80 ~cent of the
weighted average cost of their employees' health 1nsurance
coveraqe. There will be interest and penalties charqed to those
who fail to contribute to their employees health·care costs.
(Question 13)
Bow 4oea the aliDtoa plan deal with ~luotuatiDq par-rolls cause4
~y irregular overttae Jloura ia deter.miaiaq the_ave~age wage for •
JN8iB8887
Employees will ~ required to pay a pro-rated share of the
care premium for part-time employees who work more than 40
hours a month.. A comprehensive method will be determined to
assist employers in calculating their monthly proportionate
payment they must .ate to the alliance for their employees.
Included in this formula are considerations for overtime,
commission wages, family leave, and full-time (120 hours a month)
and part-time (40 hours a month) employment.
heal~
(Question 14)
Wbat are the estimate« jab losses aa4 buaiaaaa
JOur p1aa7
fail~••
UDder
In response to an inquiry froa Congresswoman Jan Meyers, I
explained that the SBA is not aware of any reliable computation
of the effect of the Health security Act on ~obs. CUrrent
economic models do not provide enough precis1on to determine
whether those businesses not currently offering health benefits
�OCT 25 '9315:54 SEA. CONGRESIONAL AFF.
P.6/6
will respond to the health oara plan by modifying waqea or
employment levels. aut we ~lieve that allegations of job losses
in the millions are the product of flawed econ~ic reasoning.
It should be kept in mind that, for many businesses, the
Health Security Act will be a net plus. According to an HFIB
study, most owners of small businesses already offer health care
benefits to their employees, and they are paying about 35 percent
more on average for that coverage than large firms. The
President's plan will reduce increases in businesses' health care
costs over time. In sum, there will be factors coming into play
which may result in job creation as well as job loss, but the net
effect either way will be small.
We would like to point out the pluses of this plan with
regard to employment. small employers will experience a leveling
of the playing field since they now are paying almost 35t or more
on average for their coverage than large firms.
(Question 15)
'l'o date, demand. for this brochure has been very hiqh. All
. feedback has been positive. I believe it is incumbent upon the
small Business Administration to provide our customers with the
most current, accurate, and aDjective information available to
us. We have no plans to produce any other publication at this
time.
Aqain, thank you for expressing your concerns about the
Health security Act. I hope the information provided is
sufficient to address your questions. Please do not hesitate to
call if you need additional information.
sincerely,
Erskine B. Bowles
Administrator
�(ongrt'' of tbt Wnittb &tatts
J}ou•t of 1\tprt•tntatibt•
8asbington, IBQt 20515
October 18, 1993
The Honorable Bill Clinton
The White House
Washington, D.C. 20500
Dear Mr. President:
As we eagerly await your introduction of actual health care
reform legislation, we are concerned about activities by your
Administration to promote a plan which has not been finalized.
Misleading assurances are being made to the public which cannot
be backed up by objective data.
We specifically object to a recently distributed publication of
the Small Business Administration (SBA) entitled "The Health
Security Act: Benefits to Business" (see enclosure). This
official government publication, obviously targeted at the small
business community, contains statements which are nothing more
than bold and unsupported assertions which have been contradicted
by your own Administration.
In the "Questions and Answers" section of this publication, the
following question is asked: "Can we be confident that this plan
had been analyzed rigorously and that the financing is reliable?"
The publication answers this questions as follows:
"Yes. At the beginning of this process, the President
brought together some of the best minds in the country to
help design a financing package for health care reform. The
numbers and analyses that underline the President's proposed
plan for health security represent months of rigorous work
by experts from various federal agencies for the first time.
An outside group of economists and actuaries audited the
work that was done, and examined and validated the cost and
savings projections. These cost and savings projections are
solid, credible, and conservative."
According to the Government Printing Office (GPO), the
publication containing these assurances was made available to the
public on September 28, 1993. As of this date, your
Administration has still not presented to Congress final
legislation containing the details of your health care reform
program. It is reported you are still working out the details,
including several of the cost and savings estimates.
�The Honorable Bill Clinton
October 18, 1993
Page Two
We are perplexed about how the Administration can boldly assure
the business community that its "cost and savings projections are
solid, credible, and conservative" when you have not yet even
finalized those projections. How can these projections be
audited by an "outside group of economists and actuaries" when
final projections are not yet available?
The confident assurances in this publication are further put in
doubt by recent reports of officials in your own Administration
admitting as much as a $16 billion error in their calculation of
the cost of premium subsides under your plan for low-wage
employers. How can the Administration report to small business
owners that its figures are "solid, credible, and conservative"
when you have essentially admitted they are not final or
accurate?
Another problem with the SBA publication is a colorful feature
pretending to show case studies of how your health care reform
plan will actually reduce the cost of health coverage for
business owners.
The publication tells the story of "Charles" who is "an
electronic equipment manufacturer" and "Danita and her husband"
who own "a small construction company." Readers are told the
reform plan will save Charles $126,278 and will save Danita and
her husband $4,900. It is unclear, however, if these case
studies are fictional and what assumptions the cost savings are
based on. No details are given about the circumstances resulting
in the extraordinarily high premiums currently being paid by
these individuals, or characters. It is our concern that much of
the indicated savings are the result of exaggerated and
misleading estimates of current insurance costs.
Are Charles and Danita real people or fictional characters? What
were the circumstances, or assumptions, which resulted in their
current premium rates? Why were such atypical examples used to
demonstrate alleged cost savings under your plan?
If a private insurance company put forward this type of
information without explaining if its case studies were real or
fictional, or without providing details about the circumstances
or assumptions involved, we are sure you would agree they would
be subject to Federal Trade Commission sanctions and possibly
private lawsuits for false advertising, or fraud. We hope you
would also agree the government should not try to sell its health
plan in a manner which is illegal for private companies. We feel
this SBA publication crosses that line.
�The Honorable Bill Clinton
October 18, 1993
Page Three
Another shortcoming of this publication is the many questions it
simply does not answer. The "Questions and Answers" section
ignores or glosses over serious areas of concern for the business
community. We would be interested in answers to the following
critical questions, which are certain to be of interest to the
business community as well:
o How is "payroll" defined under your plan?
o Should the true cost estimates fail to be "solid,
credible, and conservative," how will the federal
government make up any shortfall in revenue?
o Will the employer payroll tax (premium) be increased to
offset any revenue shortfall?
o For what period of time will the employer subsidies remain
in place under the Clinton plan? Are they permanent, or
will they be phased out at some point?
o What happens to a company which currently does not provide
insurance to its employees and cannot afford to meet its
minimum employer obligations under your plan? What is
your definition of "affordable" health care? How can we
know all businesses can "afford" your plan?
o What type of record-keeping will employers be responsible
for? For what period of time must records be retained?
o What is the estimated new paperwork burden on employers,
both in terms of time and in new equipment that may be
required to report the information?
o What penalties are employers subject to for failing to
meet the huge number of mandates and new requirements
under your plan?
o How does the Clinton plan deal with fluctuating payrolls
caused by irregular overtime hours in determining the
average wage for a business?
o What are the estimated job losses and business failures
under your plan?
These are only a few of the many questions we, and many business
owners and employers around the country, have about your plan.
They are questions which should have been answered, but were not
even addressed, in the slick SBA brochure sent out to the small
business community.
�The Honorable Bill Clinton
October l~l' 1993
Page Four·
over 150,000 copies of these SBA brochures were printed· at a cost
of over $50,000 to the taxpayers -- money that could have easily
paid for a job-creating, start-up business loan. These brochures
were, at best, misleading about the reliability and finality of
the cost and savings estimates of your plan, a critical component
upon which the entire plan rests. They failed to address key
business concerns. And, despite these flaws, the publication
will be completely obsolete in a matter of months once the plan
is altered by Congress. And yet, we may reasonably assume there
are now small business owners and employers out there relying
upon the faulty and incomplete information the SBA has provided.
If we are to have real health care reform, the debate must stay
centered on the facts. We trust you will agree it does not help
to have government agencies distributing false and misleading
information in an obvious attempt to persuade the public to
support one particular plan. In that spirit, we have several
questions about how you plan to correct the harm done by this SBA
publication.
Will your Administration publicly repudiate this misleading SBA
publication, halt its dissemination, and send out a statement of
correction to all persons who have received a copy of it?
Assuming this is the proper role of the SBA, will a future
publication contain answers to the missing questions we
have suggested (questions which we would like the answers to
ourselves as soon as possible)?
At stake is the credibility of your Administration. The need for
health care reform is too important to risk allowing such
misleading and destructive efforts to discredit this admirable
goal. Knowing of your commitment to our shared goal, we trust
you wil take the proper actions to address this situation and
answer ur questions.
~-
Jon Kyl, M.C.
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Larry Combest,
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�Clinton Presidential Records
Digital Records Marker
This is not a presidential record. This is used as an administrative
marker by the William J. Clinton Presidential Library Staff.
This marker identifies the place of a publication.
Publications have not been scanned in their entirety for the purpose
of digitization. To see the full publication please search online or
visit the Clinton Presidential Library's Research Room.
---------
----
�!.
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I
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'I
I
The Health Security Act
Benefits for Business
'I
I .
"The Health Security Act preserves our employer-based, privately-:financed system
of health care. It will control the costs that are hurting American businesses' ability
to compete. And it will help small business owners provide affordable insurance
for themselves, their employees, and their families."
- President Bill Clinton
]
I
I
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-
-
-
I
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
41611
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-036-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/442212805558943c1c318362fbf37923.pdf
a714483ab9a1b9cda96587deb05f68e9
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10793
Scan ID:
041524
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
9
1
�ID# 041524
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
INCOMING
DATE RECEIVED: OCTOBER 26, 1993
NAME OF CORRESPONDENT: THE HONORABLE TIM VALENTINE
SUBJECT: COMMENDS THE PRESIDENT FOR HIS SEP 22 ADDRESS
TO THE CONGRESS ON HEALTH CARE REFORM AND
EXPRESS CONCERN REGARDING LONG TERM COST FOR
THE ELDERLY
ACTION
ROUTE TO:
OFFICE/AGENCY
DISPOSITION
ACT
DATE
CODE YY/MM/DD
(STAFF NAME)
ORG
TYPE
RESP
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93/10/22 HP
RSR
---
_!_!_
_7_7_ - - - - _7_7 _!_
REFERRAL NOTE:
REFERRAL NOTE:
COMMENTS:
ff~ '('~ e£11'\$-Q-5
ADDITIONAL CORRESPONDENTS:
MAIL
/
USER CODES: (A)D NC
2 MEDIA:L
INDIVIDUAL CODES:
(B) _ _ __
1230
(C) _ _ __
***********************************************************************
*ACTION CODES:
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*OUTGOING
*
*
*
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*
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REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
SCANNED
�THE WHITE HOUSE
WASHINGTON
December 10, 1993
Dear Tim:
Thank you for your recent letter expressing concerns about
the effects of the Medicare cost-containment provisions in the
Health Security Act on research and development initiatives
undertaken by the pharmaceutical industry. As you aptly
described, a delicate balance exists between the need to
encourage and reward the financially risky and expensive research
and development performed by the pharmaceutical industry and the
need to contain the costs of health care provided through the
Medicare program. In recent years, the pharmaceutical industry
has made substantial investments and advances -- advances which
surely will reduce our aggregate health expenses in the long-run.
During that same period, however, the costs of prescription drugs
have been the fastest growing component of health costs.
The Health Security Act relies on competition and incentives
to manage health care more efficiently and to slow the rate of
health care cost increases. The Medicare program, like privately
run health plans, will have the authority and flexibility to
manage the delivery of health car to ensure that enrolled
beneficiaries have access to the most appropriate high-quality
medical care. For example, a drug use review program and
pharmacist counseling program are required under the proposed
legislation.
The Secretary will have the authority to negotiate price
discounts for new drugs, which receive patent protection, under
two circumstances. If a new drug has been released·in other
countries and sells abroad for substantially less than it does
here, the Secretary has the authority to negotiate an additional
rebate up to the amount of the difference in prices. For those
new drugs that are first released in the United States, the
Secretary may negotiate an additional discount only if she
believes that the price is excessive. Both the excessiveness of
the price and the amount of the rebate are determined by a number
of factors including the prices of comparable drugs in the same
therapeutic class, cost information and the anticipated
prescription volumes.
I
I
I
I.
Only if these negotiations with the manufacturer fail to
reach an agreement on an additional rebate amount may the
Secretary exclude a new drug from medicare reimbursement. This
provides the Secretary with an appropriate ·cost-containment
�2
mechanism for certain new drugs yet allows pharmaceutical
manufacturers to receive returns on their investment sufficient
to attract additional capital for research and development.
Furthermore, because medicare beneficiaries will want access to
these new drugs and pharmaceutical manufacturers will want the
revenues associated with sales to these beneficiaries, both sides
will want to negotiate so that the drug is covered by Medicare.
While we as a society cannot afford to expand access for the
elderly to prescription drugs without effective cost-containment
provisions, we can ill afford to dissuade pharmaceutical
manufacturers from their continued efforts in researching and
developing those products which will, in the long-run, both save
money and improve the quality of life of many people. I. believe
that the proposed legislative provisions are appropriate in
achieving the delicate balance between rewarding and encouraging
research and development and containing costs. This is
especially true given the increased volume of sales and revenues
for pharmaceutical manufacturers which will result from mandated
prescription drug coverage. I appreciate knowing of your
concerns in this area and look forward to working with you to
enact health reform legislation in this Congress.
With best wishes,
Sincerely,
The Honorable Tim Valentine
House of Representatives
Washington, D.C. 20515
�.
- -
-~-
THE WHITE HOUSE
WASHINGTON
December 10, 1993
Dear Martin:
Thank you for your recent letter expressing concerns about
the effects of the Medicare cost-containment provisions in the
Health Security Act on research and development initiatives
undertaken by the pharmaceutical industry. As you aptly
described, a delicate balance exists between the need to
encourage and reward the financially risky and expensive research
and development performed by the pharmaceutical industry and the
need to contain the costs of health care provided through the
Medicare program. In recent years, the pharmaceutical industry
has made substantial investments and advances -- advances which
surely will reduce our aggregate health expenses in the long-run.
During that same period, however, the costs of prescription drugs
have been the fastest growing compon~nt of health costs.
The Health Security Act·relies on competition and incentives
to manage health care more efficiently and to slow the rate of
health care cost increases. The Medicare program, like privately
run health plans, will have the authority and flexibility to
manage the delivery of health car to ensure that enrolled
beneficiaries have access to the most appropriate high-quality
medical care. For example, a drug use review program and
pharmacist counseling program are required under the proposed
legislation.
The Secretary will have the authority to negotiate price
discounts for new drugs, which receive patent protection, under
two circumstances. If a new drug has been released·in other
countries and sells abroad for substantially less than it does
here, the Secretary has the authority to negotiate an additional
rebate up to the amount of the difference in prices. For those
new drugs that are first released in the United States, the
Secretary may negotiate an additional discount only if she
believes that the price is excessive. Both the excessiveness of
the price and the amount of the rebate are determined by a number
of factors including the prices of comparable drugs in the same
therapeutic class, cost information and the anticipated
prescription volumes.
Only if these negotiations with the manufacturer fail to
reach an agreement on an additional rebate amount may the
Secretary exclude a new drug from medicare reimbursement. This
provides the Secretary with an appropriate cost-containment
�2
mechanism for certain new drugs yet allows pharmaceutical
manufacturers to receive returns on their investment sufficient
to attract additional capital for research and development.
Furthermore, because medicare beneficiaries will want access to
these new drugs and pharmaceutical manufacturers will want the
revenues associated with sales to these beneficiaries, both sides
will want to negotiate so that the drug is covered by Medicare.
While we as a society cannot afford to expand access for the
elderly to prescription drugs without effective cost-containment
provisions, we can ill afford to dissuade pharmaceutical
manufacturers from their continued efforts in researching and
developing those products which will, in the long-run, both save
money and improve the quality of life of many people. I believe
that the proposed legislative provisions are appropriate in
achieving the delicate balance between rewarding and encouraging
research and development and containing costs. This is
especially true given the increased volume of sales and revenues
for pharmaceutical manufacturers which will result from mandated
prescription drug coverage. I appreciate knowing of your
concerns in this area and look forward to working with you to
enact health reform legislation in this Congress.
With best wishes,
Sincerely,
The Honorable H. Martin Lancaster
House of Representatives
Washington, D.C. 20515
�'
.
THE WHITE HOUSE
WASHINGTON
December 10, 1993
Dear David:
Thank you for your recent letter expressing concerns about
the effects of the Medicare cost-containment provisions in the
Health security Act on research and development initiatives
undertaken by the pharmaceutical industry. As you aptly
described, a delicate balance exists between the need to
encourage and reward the financially risky and expensive research
and development performed by the pharmaceutical industry and the
need to contain the costs of health care provided through the
Medicare program. In recent years, the pharmaceutical industry
has made substantial investments and advances -- advances which
surely will reduce our aggregate health expenses in the long-run.
During that same period, however, the costs of prescription drugs
have been the fastest growing component of health costs.
The Health Security Act ·relies on competition and incentives
to manage health care more efficiently and to slow the rate of
health care cost increases. The Medicare program, like privately
run health plans, will have the authority and flexibility to
manage the delivery of health car to ensure that enrolled
beneficiaries have access to the most appropriate high-quality
medical care. For example, a drug use review program and
pharmacist counseling program are required under the proposed
legislation.
The Secretary will have the authority to negotiate price
discounts for new drugs, which receive patent protection, under
two circumstances. If a new drug has been released ·in other
countries and sells abroad for substantially less than it does
here, the Secretary has the authority to negotiate an additional
rebate up to the amount of the difference in prices. For those
new drugs that are first released in the United States, the
Secretary may negotiate an additional discount only if she
believes that the price is excessive. Both the excessiveness of
the price and the amount of the rebate are determined by a number
of factors including the prices of comparable drugs in the same
therapeutic class, cost information and the anticipated
prescription volumes.
Only if these negotiations with the manufacturer fail to
reach an agreement on an additional rebate amount may the
Secretary exclude a new drug from medicare reimbursement. This
provides the Secretary with an appropriate cost-containment
�---•
I
..
2
mechanism for certain new drugs yet allows pharmaceutical
manufacturers to receive returns on their investment sufficient
to attract additional capital for research and development.
Furthermore, because medicare beneficiaries will want access to
these new drugs and pharmaceutical manufacturers will want the
revenues associated with sales to these beneficiaries, both sides
will want to negotiate so that the drug is covered by Medicare.
While we as a society cannot afford to expand access for the
elderly to prescription drugs without effective cost-containment
provisions, we can ill afford to dissuade pharmaceutical
manufacturers from their continued efforts in researching and
developing those products which will, in the long-run, both save
money and improve the quality of life of many people. I believe
that the proposed legislative provisions are appropriate in
achieving the delicate balance between rewarding and encouraging
research and development and containing costs. This is
especially true given the increased volume of sales and revenues
for pharmaceutical manufacturers which will result from mandated
prescription drug coverage. · I appreciate knowing of your
concerns in this area and look forward to working with you to
enact health reform legislation in this Congress.
With best wishes,
Sincerely,
The Honorable David E. Price
House of Representatives
Washington, D.C. 20515
�)
.
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€ongrtll of tbt 1tnittb
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of 1atprt~tntatibt~
llaubin~tton, JB( 20515
October 18, 1993
President Bill Clinton
The White House
1600 Pennsylvania Avenue, N.W.
Washington, D.C. 20500
Dear Mr. President:
We commend you on your September 22 address to Congress and for
the recent presentation of your comprehensive health reform
proposal.
One of the essential elements to any health care proposal will be
the provisions relating to research. Creating and maintaining an
atmosphere for medical and pharmaceutical entrepreneurs to make
tomorrow's breakthroughs is an essential part of long-term cost
containment. Breakthroughs in medicine for diseases affecting
our elderly, for example, have the potential to save billions of
dollars in chronic or long-term institutional care.
We particularly are interested in those elements of your plan
affecting the pricing of medicine for Medicare beneficiaries.
While it is extremely important to implement cost-containment
measures for drugs, we must ensure that review provisions or
other measures do not discourage or hinder the medical
breakthroughs which will keep our elderly out of nursing homes
and hospitals, permitting them to lead productive and healthy
lives.
We look forward to working with you to address these and other
important health care policy questions.
Sincerely,
1)---NG
-
:&f~ _IJ.L
V..J.w~
TIM-VAL
___ENTINE
Member of. Congress
-p-Aic-
~i-flJ~
LANCASTER
Congress
DAVID PRICE
Member of Congress
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
41524
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-035-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/e2027a99f4828f38e3d18eadcaab8b60.pdf
15207518ba7510411960c53593d8047d
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
MAR~~ER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10793
Scan ID:
041313
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
9
1
�ID# 041313
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
INCOMING
DATE RECEIVED: OCTOBER 25, 1993
NAME OF CORRESPONDENT: THE HONORABLE EDWARD J. MARKEY
SUBJECT: EXPRESSES SUPPORT REGARDING HEALTH CARE
REFORM AND ITS EFFECTS ON THE BIOTECHNOLOGY
INDUSTRY
ACTION
ROUTE TO:
OFFICE/AGENCY
DISPOSITION
ACT
DATE
CODE YY/MM/DD
(STAFF NAME)
TYPE
RESP
c COMPLETED
D YY/MM/DD
/
HOWARD PASTER
REFERRAL NOTE:
HOWARD PASTER
REFERRAL NOTE:
REFERRAL NOTE:
REFERRAL NOTE:
REFERRAL NOTE:
ORG
93/10/20 HP
RSA
93/10/25
A 93/10/20
NW G. li!:l.IJLI I r
---
_ _ _!_
_ 7_7_
_ 7_7_
- _7_7 _
- _7_7 _
COMMENTS:
ADDITIONAL CORRESPONDENTS:
MAIL
USER CODES: (A)D MA
MEDIA:L
INDIVIDUAL CODES:
(B) _ _ __
1230
(C) _ _ __
***********************************************************************
*ACTION CODES:
*DISPOSITION
*OUTGOING
*
*CORRESPONDENCE:
*
*
*
*A-APPROPRIATE ACTION *A-ANSWERED
*TYPE RESP=~NITIALS
*
*C-COMMENT/RECOM
*B-NON-SPEC-REFERRAL
*
OF SIGNER
*
*D-DRAFT RESPONSE
*C-COMPLETED
*
CODE = A
*
*F-FURNISH FACT SHEET *S-SUSPENDED
*COMPLETED = DATE OF
*
*I-INFO COPY/NO ACT NEC*
*
OUTGOING *
*
*
*R-DIRECT REPLY W/COPY *
*S-FOR-SIGNATURE
*
*
*
*
*
*
*X-INTERIM REPLY
***********************************************************************
REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
SCANNED
c,
~ .'
�~-;;:··
----..--
~ {) L/~- ) /fi,-~3~ R~YBURN HOUSE ~FFICE BUILDING
EDWARD J. MARKEY
l
7TH DISTRICT, MASSACHUSETTS
COMMITTEES:
ENERGY AND COMMERCE
CHAIRMAN
SUBCOMMITTEE ON
TELECOMMUNICATIONS AND
FINANCE
C!ongrtss of tbt llnittb &tatts
NATURAL RESOURCES
COMMISSION ON SECURITY AND
COOPERATION IN EUROPE
•oust of Rtprtstntatibts
•asbington, miS 2l11;1iil2t~J :
BI
WASHINGTON, DC 20516-2107
(202) 225-2836
DISTRICT OFFICE:
5 HIGH STREET, SUITE 101
MEDFORD, MA 02155
(617) 396-2900
FROM AREA CODE 608
DIAL 1-800-760-6037
October 18, 1993
The President
The White House
Washington, D.C. 20500
Dear Mr. President:
I want to congratulate you and express my strong support for your effort to make high
quality health care accessible and affordable for all Americans. I share this important goal
and look f01ward to working with you toward the passage of legislation that will provide
universal access to health care and initiate real cost containment without adversely affecting
the high quality of care enjoyed by many Americans today ..
In this regard, I would like to· make you a'Yare of my interest in the treatment of
breakthrough drugs 11 in your proposal. It is my understanding that, under your proposal,
the National Health Board will be given the authority to make public declarations regarding
the reasonableness of prices for breakthrough drugs, and that in cases where the price of a
breakthrough drug is found to be 11 excessive 11 the Secretary of Health and Human Services
may exclude the new drug from coverage under Medicare.
11
While I do not dispute the tremendous need to bring effective mechanisms for cost
containment to our health care system, I am concerned that in an effort to control the
spiralling costs of prescription drugs, we may discourage investment in biotechnology
research and development for breakthrough drugs and unfairly limit the access of elderly
Americans to these drugs. The biotechnology industry is a 11 high risk 11 industry supported
predominantly by private investors. These private investors may be discouraged from
investing in the industry if the reform legislation we enact too stringently limits .the potential
for return on these already risky investments. The unintended result of such legislation could
be a significant reduction in biotechnology research and development.
!
In Massachusetts, the biotechnology ·industry is growing rapidly, d(weloping new
treatments for life-threatening diseases and creating new jobs. As you prepare legislation
implementing your proposal, I strongly encourage you to carefully consider how this
legislation will impact the continued viability of this promising industry, and the important
medical advances for which it could be responsible.
PRINTED ON RECYCLED PAPER
�--
il
I welcome the opportunity to work with you on this issue and look forward to
continuing to work with you to enact critical reforms to America's health care system.
Sincerely,
U,,.,.s
Q.~
Edward 1. Markij Member of Congress
,-.~0
�THE WHITE HOUSE
WASHINGTON
October 20, 1993
Markey:
Thank ou for your letter reqardinq health care reform and
its effects on the biotechnoloqy industry. I appreciate your
informing the President of your concerns.
The President has been advised of your interest in this
matter, and you will receive a .response from him in the near
future. In the meantime, if I can be of assistance to you, do
not hesitate to contact my office.
Best wishes.
ly,
rd G. Paster
Ass st nt to the President
for Legislative Affairs
The Honorable Edward J. Markey
House of Representatives
Washington, D.C. 20515
�'
•.
.
THE WHITE HOUSE
WASHINGTON
October 20, 1993
MEMORANDUM FOR IRA MAGAZINER
IfV.J0
FROM:
HOWARD G. PASTER .
LEGISLATIVE AFFAIRS
SUBJECT:
PRESIDENTIAL CORRESPONDENCE
Enclosed please find a copy of the letter that was sent to the
President from Representative Ed Markey (D-MA). I have also
enclosed a copy of the acknowledgement letter I sent to them.
The President has requested that he see and sign every letter
going to Capitol Hill. We did not want to fully answer the
issues addressed in the member's letter without advice from your
department; therefore, I am requesting that your office draft a
response and return it to LeeAnn Inadomi (WH-East Wing) within 48
hours. She will then print the letter in final form and have
President Clinton sign the letter.
Thank you very much for your assistance with this matter. If you
have any questions, please feel free to call LeeAnn at 456-7500.
Enclosures
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
41313
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-034-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/1edc60e6ed4831f961c4ad6b9711546c.pdf
ceb7dc45a73cd6371389c7fec11a5ca4
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10793
Scan ID:
040701
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
9
1
�ID# 040701
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
INCOMING
1-f&
DATE RECEIVED: OCTOBER 19, 1993
NAME OF CORRESPONDENT: THE HONORABLE DIANNE FEINSTEIN
SUBJECT: EXPRESSES CONCERNS REGARDING THE EFFECTS OF
THE HEALTH CARE PACKAGE ON THE BIOTECHNOLOGY
FIRMS OF CALIFORNIA
ACTION
ROUTE TO:
OFFICE/AGENCY
DISPOSITION
ACT
DATE
CODE YY/MM/DD
(STAFF NAME)
HOWARD PASTER
REFERRAL NOTE:
HOWARD PASTER
REFERRAL NOTE:
TYPE
RESP
ORG
93/10/13 HP
A 93/10/13
RSR
93/10/19
S:- tt'-1 I CJ I _Li) ~
IV
_!_!_
_!_!_
_ !_!_
REFERRAL NOTE:
REFERRAL NOTE:
REFERRAL NOTE:
C COMPLETED
D YY/MM/DD
- _!_!_
- _!_!_
- _!_! _
COMMENTS:
ADDITIONAL CORRESPONDENTS:
MAIL
USER CODES: (A)D CA
MEDIA:L
INDIVIDUAL CODES:
(B) _ _ __
1210
(C) _ _ __
***********************************************************************
*ACTION CODES:
*DISPOSITION
*OUTGOING
*
*
*
*CORRESPONDENCE:
*
*A-APPROPRIATE ACTION *A-ANSWERED
*TYPE RESP=INITIALS
*
*C-COMMENT/RECOM
*B-NON-SPEC-REFERRAL
*
OF SIGNER
*
*C-COMPLETED
*
CODE = A
*
*D-DRAFT RESPONSE
*COMPLETED = DATE OF
*
*F-FURNISH FACT SHEET *S-SUSPENDED
*I-INFO COPY/NO ACT NEC*
*
OUTGOING *
*
*
*R-DIRECT REPLY W/COPY *
*S-FOR-SIGNATURE
*
*
*
*
*
*
*X-INTERIM REPLY
***********************************************************************
REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
'
~
�-
DIANNE FEINSTEIN
CALIFORNIA
.
COMMITTEE ON APPROPRIATIONS
'
COMMITTEE ON THE JUDICIARY
COMMITTEE ON RULES AND ADMINISTRATION
tinittd
~tatts ~matt
WASHINGTON, DC 20510-0504
October 7, 1993
The Honorable William Jefferson Clinton
President of the United States
The White House
Washington, D.C. 20500
Dear Mr. President:
I would
Lady for the
reform. You
dialogue and
like to congratulate and thank you and the First
leadership you are providing on national health care
have challenged us as a nation to engage in honest
as a government to cooperate across party lines.
As you prepare to introduce the Health Security Act to
Congress, I want to raise some concerns that biotechnology firms
in California have brought to my attention. They perceive that
the Act would regulate or control prices for new or breakthrough
drugs, which would stifle this emerging industry.
As you undoubtedly know, California is home to more than 800
biomedical firms that are engaged in discovering new ways to
prevent, diagnose, and treat life-threatening and seriously
debilitating diseases. The medical treatments these firms are
researching and developing have the potential of improving the
quality and longevity of life for many and reducing the costs of
medical intervention. Biotechnology is a high-wage, high-tech,
and innovative industry.
Because biotech firms are engaged primarily in discovering
new drugs, they require extensive investments in research and
development. Sales revenue is often small at first; some firms
are years away from introducing a drug to the market, and many
report annual losses. As a result, investing in biotech is risky.
Substantial hurdles have to be overcome before a new drug can be
marketed. The capital needs of biotech companies can only be met
if investors can foresee a return commensurate with the risks,
costs, and time involved in product development.
I ask you to consider the potential economic impact on job
creation, as well as the medical and cost saving benefits of
biotech products, when you are finalizing the Health Security Act.
Government oversight or regulation of new drug prices, as well as
exclusion of new drugs from government programs due to price,
could deter investors from biotech and encourage them to divert
their capital to other industries in which the risks are fewer and
the returns all but guaranteed.
�.:
Page 2
California has led the nation in efforts to improve health
care outcomes while controlling costs. One-third of Californians
are enrolled in health maintenance organizations that provide
affordable and quality managed care, and California's Medical
Injury Compensation Reform Act (MICRA) has produced a significant
decrease in the cost of medical malpractice insurance and related
instances of unnecessary tests and procedures. Californians have
pioneered health care reform, and with our experience and
technological know-how, Californians can certainly contribute to
the national reform.
Sincere:lZ,ly,
. c---- .
·!~
Dianne Feinstein
United States Senator
DF:plm
�•
'
.
THE WHITE HOUSE
WASHINGTON
October 13, 1993
Dear Senator Feinstein:
Thank you very much for your letter to President Clinton
concerning the effects of the health care package on the
biotechnology firms of California.
The President has been advised of your interest in this
matter and you should be hearing from him in the near future.
Please do not hesitate to contact me if I can be of further
assistance.
With best wishes,
Paster
to the President
slative Affairs
The Honorable Dianne Feinstein
United States Senate
Washington, D.C. 20510
�•
~
.,
.
•
'
.
THE WHITE HOUSE
WASHINGTON
October 13, 1993
MEMORANDUM FOR IRA MAGAZINER
PASTER(~
FROM:
HOWARD G.
SUBJECT:
BIOTECHNOLOGY AND HEALTH CARE
Attached is a copy of a letter sent to the President from Dianne
Feinstein (D-CA). I have also enclosed a copy of my
acknowledgement letter to her.
The President has requested that he see and sign every letter
going to Capitol Hill. We did not want to fully answer the
questions addressed in this letter without assistance from your
office; therefore, I would appreciate your office drafting a
response and returning it to LeeAnn Inadomi (WH-East Wing) within
48 hours. She will then print the letter in final form and have
the President sign the letter.
Thank you very much for your assistance. If you have any
questions, please feel free to call LeeAnn at 456-7500.
Attachments
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
40701
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-033-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/0704f2d352d1e7ca7481ecdd955f1e25.pdf
967d18c7880d59dbe69cb7e879711e18
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
MAR~~[R
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10793
Scan ID:
040557
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
9
1
~~~~~~-
--
-------
�ID# 040557
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
rtG
INCOMING
DATE RECEIVED: OCTOBER 18, 1993
NAME OF CORRESPONDENT: THE HONORABLE MARIA CANTWELL
SUBJECT: REQUESTS THE PRESIDENT TO INCLUDE A PROVISION
TO ENSURE RESIDENTS OF STATES WITH
COMPREHENSIVE HEALTH CARE REFORM LAWS ARE NOT
TAXED TWICE ONCE AT STATE AND FEDERAL LEVEL
ACTION
ROUTE TO:
OFFICE/AGENCY
DISPOSITION
ACT
DATE
CODE YY/MM/DD
{STAFF NAME)
HOWARD PASTER
REFERRAL NOTE:
HOWARD PASTER
REFERRAL NOTE:
TYPE
RESP
ORG
93/10/12 HP
RSR
93/10/19
REFERRAL NOTE:
REFERRAL NOTE:
A 93/10/12
{JLfrN ~Zfu/j_/~
_7_7_
_7_7_
_7_7_
REFERRAL NOTE:
C COMPLETED
D YY/MM/DD
- _7_,_
- _7_7_
- _7_7_
COMMENTS:
ADDITIONAL CORRESPONDENTS:
MAIL
MEDIA:L
USER CODES: {A)D_WA_ __
INDIVIDUAL CODES:
{B) _ _ __
1230
{C) _ _ __
***********************************************************************
*ACTION CODES:
*DISPOSITION
*OUTGOING
*
*CORRESPONDENCE:
*
*
*
*A-APPROPRIATE ACTION *A-ANSWERED
*TYPE RESP=INITIALS
*
*C-COMMENT/RECOM
*B-NON-SPEC-REFERRAL
*
OF SIGNER
*
*C-COMPLETED
*
CODE = A
*
*D-DRAFT RESPONSE
*F-FURNISH FACT SHEET *S-SUSPENDED
*COMPLETED = DATE OF
*
*I-INFO COPY/NO ACT NEC*
*
OUTGOING *
*R-DIRECT REPLY W/COPY *
*
*
*S-FOR-SIGNATURE
*
*
*
*X-INTERIM REPLY
*
*
*
***********************************************************************
REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
{ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
SCANNED
rr
�.
. THE WHITE HOUSE
WASHINGTON
October 12, 1993
Dear Representative Cantwell:
Thank you for your letter regarding health care reform.
appreciate your informing the President of your concerns.
The President has been advised of your interest in this
matter, and you will receive a response from him in the near
future. In the meantime, if I can be of assistance to you, do
not hesitate to contact my office.
Best wishes.
G. Paster
1st nt to the President
L~gislative Affairs
The Honorable Maria Cantwell
House of Representatives
Washington, D.C. 20515
I
�L
.
THE WHITE HOUSE
WASHINGTON
October 12, 1993
MEMORANDUM FOR IRA MAGAZINER
FROM:
HOWARD G. PASTER · hI.
LEGISLATIVE AFFAIRS~
SUBJECT:
Health care Reform
Enclosed please find a copy of the letter that was sent to the
President from Representative Maria Cantwell (D-WA). I have also
enclosed a copy of the acknowledgement letter I sent to her.
The President has requested that he see and sign every letter
going to Capitol Hill. We did not want to fully answer the
issues addressed in the Representative's letter without advice
from your department; therefore, I am requesting that your office
draft a response and return it to LeeAnn Inadomi (WH-East Wing)
within 48 hours. She will then-print the letter in final form
and have President Clinton sign the letter.
Thank you very much for your assistance with this matter. If you
have any questions, please feel free to call LeeAnn at 456-7500.
Enclosures
�--0'/tJM·
...
I
WORK~
PUBLIC
TRANSPORTATION COMMITTEE
••-
MARIA CANTWELL
1st District, Washington
1520 Longworth Building
Washington; DC 20515
Talephone: (202) 225-6311
Subcommittaea:
Surface Tranaportation
~atts
lllnust nf i&tprtstntntillPJl 0CT
8 p s = o· 7
IIa.alytngtnn. m. at. 2U5 15-41\f1
Qtnngr.ess nf tlt.e Jlnittb
District Offices:
21905 64th Avenue, W., Suite 101
Mountlake Terrace, .wa 98043
Telephone: (206) 640-0233
PO Box 185
Poulsbo, WA 98370
Telephone: (206) 697-3112
Aviation
MERCHANT MARINE AND
FISHERIES COMMITTEE
F-
Subcommittee:
Managen.nt
FOREIGN AFFAIRS COMMITTEE
Subcommittee:
Economic Policy, Trade and
Environment
TOLL FREE
1 (BOO) 422·5521
October 6, 1993
The Honorable Bill Clinton
President of the United States
The White House
1600 Pennsylvania Avenue
Washington, D.C. 20500
Dear Mr. President:
On September 22, you brought the national attention back to health care reform. I applaud your
effort and commitment in developing a reform proposal and for making its enactment a national
priority. Please know that I am committed to working with my colleagues to make your vision of
health care reform a reality.
As you know·, Washington state passed a comprehensive health care reform law earlier this year.
Though state flexibility is offered in your plan, questions remain as to how such state plans as
Washington's will mesh with the federal health care reform proposal. Of particular concern to me,
· as these two plans are melded, is the potential that Washington state residents could be taxed twice
as national health care reform legislation is implemented.
To fund such items as the expansion of the Basic Health Plan-- which provides health insurance to
eligible, low-income individuals -- and Medicaid, Washington state already raised taxes in July,
1993 to support its plan. The issue of double taxation must be addressed as a part of your
package.
As you continue to work on the fmal draft of this historic legislation, I would request that you
include a provision to ensure that residents of states such as Washington, which have already
enacted comprehensive health care reform laws, are not taxed twice-- once at the state level and
once at the federal level -- as national health care reform legislation is implemented. I do not
believe Washington state residents should be penalized for moving ahead with a solution to the
complex problem of health care reform.
Thank you for your consideration.
Sincerely,
Maria Cantwell
Member of Congress
MC:ji
PRINTED ON RECYCLED PAPER
~··
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
40557
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-032-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/71ac3dc802c8d7b35d8ba8a268f0c6bb.pdf
6f45cec85a34f271ede4d1d7c311a365
PDF Text
Text
_..t,,-•\or
FOIA Number: 2006-0225-F
FOIA
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10793
Scan ID:
040546
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
9
1
�)
ID# 040546
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
INCOMING
DATE RECEIVED: OCTOBER 18, 1993
NAME OF CORRESPONDENT: THE HONORABLE LYNN SCHENK
SUBJECT: URGES THE PRESIDENT TO RECONSIDER PART OF HIS
HEALTH CARE REFORM PLAN THAT DEAL WITH
RESEARCH ON DISEASES AFFLICTING THE ELDERLY
AND CURES AND TREATMENTS
ACTION
ROUTE TO:
OFFICE/AGENCY
(STAFF NAME)
HOWARD PASTER
REFERRAL NOTE:
DISPOSITION
ACT
DATE
CODE YY/MM/DD
TYPE
RESP
ORG
Nltf/ "- f1IA.!_~I
93/10/19
_7_7_
REFERRAL NOTE:
C COMPLETED
D YY/MM/DD
!C'
(
_!_!_ - - - - _!_!_
REFERRAL NOTE:
_7_7_
_/_!_
REFERRAL NOTE:
REFERRAL NOTE:
- _7_7_
- _7_7_
COMMENTS:
ADDITIONAL CORRESPONDENTS:
MAIL
48 MEDIA:L
USER CODES: (A)D CA
INDIVIDUAL CODES:
(B) _ _ __
.-~
- _!_!_ '
1230 .1240
(C) _ _ __
***********************************************************************
*ACTION CODES:
*DISPOSITION
*OUTGOING
*
*
*
*CORRESPONDENCE:
*
*A-APPROPRIATE ACTION *A-ANSWERED
*TYPE RESP=INITIALS
*
*C-COMMENT/RECOM
*B-NON-SPEC-REFERRAL
*
OF SIGNER
*
*C-COMPLETED
*
CODE = A
*
*D-DRAFT RESPONSE
*COMPLETED = DATE OF
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*F-FURNISH FACT SHEET *S-SUSPENDED
*I-INFO COPY/NO ACT NEC*
*
OUTGOING *
*R-DIRECT REPLY W/COPY *
*
*
*S-FOR-SIGNATURE
*
*
*
*
*
*
*X-INTERIM REPLY
***********************************************************************
REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
SCANNED
�.
teongrtss of tbt 1Jnittb &tatts
.a..,in~ton, mte 20515
October 1, 199393
The President
The White House
Washington, D.C. 20500
0CT 8
P 5:
0-1
••
Dear Mr. President:
A central and shared goal for health care reform is health equity. We all seek to
avoid discrimination in coverage and in the delivery of medical services. As a result, we
support your proposed reforms to end pre-existing condition clauses and require portability of
msurance coverage.
As we look at the proposed health care plan with respect to the elderly, we applaud
your initiative in offering a prescription drug program that will create life saving benefits.
We are concerned, however, that as currently structured the plan could lead to less
research on diseases afflicting the elderly and fewer cures and treatments. We urge you to
reconsider this part of your plan.
It is our understanding that as a part of the new Medicare drug benefit, breakthrough
products that could cure or treat Alzheimer's or breast cancer could be denied to
beneficiaries if the Secretary of HHS deems the price to be unreasonable. This proposal
would unfortunately mean that the elderly would end up with less effective medical coverage
than other Americans. This provision would discourage R&D in diseases and conditions that
strike the elderly, because fewer companies could run the risk that R&D that takes 10 years
would always be deemed to meet the Medicare budget needs down the road.
Rather than discrimination against new pharmaceutical agents, we believe that
breakthrough drugs could reduce hospital and nursing home costs. New breakthrough drugs
comprise three percent of all pharmaceutical spending, which in itself is only seven percent
of health care spending overall. We do not oppose cost containment measures for these
breakthroughs--they will be subject to comparisons on patient outcomes and cost
effectiveness; but we are seriously concerned about special sanctions against these potentially
life saving therapies.
The primary health problems affecting the elderly are not a lack of nursing homes or
hospitals, but mechanisms to keep our seniors out of those institutions thereby permitting
them to lead productive and healthy lives. We are concerned that the use of price control
type mechanisms in Medicare that you have rejected for all other Americans will, in the end,
produce discrimination against the elderly.
�Letter to the President
October 1, 1993
Page Two
We would be delighted to work with your staff and members of the Congressional
leadership to further the health care agenda. We look forward to that effort.
Sincerely,
Bill Brewster, M.C.
�'
.
Tim Roemer, M.C.
,.
~~-f/1
Curt Weldon, M.C.
~,(If~
/{}.I
~~~
Rick Santorum, M.C.
ce, M.C.
a
�..
'
.
sreve~:
Maria Cantwell, M.C.
~~/v
n ~«
•
aul E. Gillmor, M.C.
rv
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~
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Steven Schiff, M.C.
'PetefDelltsch, M.C.
(t~--~-~
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, C.~
Charles Canady, M.C.
.(.
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..
�THE WHITE HOUSE
WASHINGTON
October 12, 1993
MEMORANDUM FOR IRA MAGAZINER
FROM:
HOWARD G. PASTER rt/
LEGISLATIVE AFFAIRS
SUBJECT:
Presidential Correspondence
Enclosed please find a copy of the letter that was sent to the
President from several members of Congress.
The President has requested that he see and sign every letter
being sent to Capitol Hill. Since we did not want to respond to
this letter without your guidance, I am requesting that your
office draft a response and return it to LeeAnn Inadomi (WH-East
Wing) within 48 hours. She will then print the letter in final
form and have it sent to the President for his signature.
Thank you very much for your assistance with this matter. If you
have any questions, please feel free to call LeeAnn at 456-7500.
Enclosure
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
40546
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-031-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/4b8fc4e4bddcc1c12ae008350db19d13.pdf
ca587687ccaf35306cd3f8d1d85f63d0
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10792
Scan ID:
039760
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
10
3
�ID# 039760
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
INCOMING
DATE RECEIVED: OCTOBER 12, 1993
NAME OF CORRESPONDENT: THE HONORABLE HERB KLEIN
SUBJECT: ENCLOSES CONSTITUENT'S LETTER, PATRICIA
D'AURIZIO REGARDING HEALTH CARE REFORM
ACTION
ROUTE TO:
OFFICE/AGENCY
DISPOSITION
ACT
DATE
CODE YY/MM/DD
(STAFF NAME)
ORG
HOWARD PASTER
REFERRAL NOTE:
REFERRAL NOTE:
REFERRAL NOTE:
REFERRAL NOTE:
REFERRAL NOTE:
c COMPLETED
TYPE
RESP
D YY/MM/DD
93/10/06 HP
A 93/10/06
_ 7_7_
- _7_1 _
_ !_/_
- _!_! _
_ 7_7_
_ 7_7_
- _7_7 _
- _7_7 _
COMMENTS:
ADDITIONAL CORRESPONDENTS:
MAIL
MEDIA:L
USER CODES: (A) D NJ_ __
INDIVIDUAL CODES:
(B) _ _ __
(C) _ _ _ __
***********************************************************************
*ACTION CODES:
*DISPOSITION
*OUTGOING
*
*
*
*CORRESPONDENCE:
*
*TYPE RESP=INITIALS
*
*A-APPROPRIATE ACTION *A-ANSWERED
*C-COMMENT/RECOM
*B-NON-SPEC-REFERRAL
*
OF SIGNER
*
*D-DRAFT RESPONSE
*C-COMPLETED
*
CODE = A
*
*F-FURNISH FACT SHEET *S-SUSPENDED
*COMPLETED = DATE OF
*
*I-INFO COPY/NO ACT NEC*
*
OUTGOING *
*
*
*R-DIRECT REPLY W/COPY *
*S-FOR-SIGNATURE
*
*
*
*
*
*
*X-INTERIM REPLY
***********************************************************************
REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
SCANNED
�:..
HERB KLEIN
COMMrnEES:
BANKING
- 8TH DISTRICT, NEW JERSEY
1728 LONGWORTH BUILDING
WASHINGTON, DC 20615
(2021 225-5751
200 FEDERAL PLAZA
SUITE 600
PATERSON, NJ 07505
(201) 523-5152
SUBCOMMITTEES:
HOUSING AND COMMUNITY DEVELOPMENT
FINANCIAL INSTITUTIONS SUPERVISION,
REGULATION, AND DEPOSIT INSURANCE
(fl:ongrtu' of tbt 11nittb ·A;tattu
ECONOMIC GROWTH AND CREDIT FORMATION
~OUSt of 1\tprtStntatibtS
SCIENCE, SPACE, AND
TECHNOLOGY COMMITTEE
lla-'binllton, JBfC 20515-3008
SUBCOMMITTEES:
TECHNOLOGY, ENVIRONMENT
AND AVIATION
October 4, 1993
ENERGY
Mr. Howard Paster
Assistant To the President
For Legislative Affairs
The White House
1600 Pennsylvania Ave.
Washington, D.C. 20500
Dear Mr. Paster:
Ms. Patricia D' Aurizio, one of my constituents, has contacted me regarding a matter
in which I believe your office could be helpful. Therefore, the enclosed communication is
submitted for your review.
I would very much appreciate your responding to the questions raised by my
constituent. In addition, I would be especially grateful if you could respond to my
Washington office.
The contact person on my staff for this case is Jeff Steer. He can be reached at
(202) 225-5751.
Thank you very much for your consideration, and for advising me of any action you
should take in this matter.
HCK:js
PRINTED ON RECYCLED PAPER
�0.._
I
I
Chilton Memorial Hospital
97 West Parkway • Pompton Plains • New Jersey • 07444-1696
201-831-5000
September 28, 1993
Jeffrey Steer
Legislative Aide
Congressman Herb Klein
1728 Longworth Building
Washin,;on, DC 20515
Dear Mr. Steer,
Thank you very much for taking time out of your schedule to meet with me last week. Our discussion
relating to concerns for Chilton Memorial Hospital and other acute care hospitals in New Jersey was an
invaluable opportunity. In addition, it was very beneficial to be able to express my concerns for nursing as
it relates to Mr. Clinton's plan.
The hospital's CEO, Mr. James Doyle, has raised some additional questions as the health care reform
movement moves forward:
1.
What portion of the savings are attributable to hospital spending?
2.
Will there be assurance that spending reductions of this magnitude will not seriously jeopardize
access to care and quality of care for the elderly and poor who rely on Medicare and Medicaid
programs?
3.
How does the President's plan ensure expansion of health care coverage to all, while arbitrarily
capping health spending?
I look forward to hearing from you regarding Congressman Klein's Health Care Task Force. I am very
pleased and honored to accept his offer.
Please don't hesitate to call me if you have any questions regarding hospital and nursing issues.
Sincerely,
(ldu~v J ;~~·
Patricia D'Aurizio, RN, MPA, CNA .
Manager Nursing Resources/Recruitment
PD/bg
VItAe
Member of Voluntary Hospitals of America, Inc. •
�...
•
THE WHITE HOUSE
WASHINGTON
October 6, 1993
Dear Representative Klein:
Thank you very much for· your recent letter concerning Ms.
Patricia D'Aurizio.
I am happy to try and answer the questions Ms. D'Aurizio
raised in her letter to Jeffrey steer. However, as you know, the
specifics of the President's health care plan have not been
finalized.
As the President stated in his Address to the Joint Session
of Congress, he feels very strongly that any.health care reform
proposal must retain the Medicare Program. He is convinced that
the program is working and therefore should not be eliminated,
but can even be improved upon. Again, in his Address, he
suggested that a way to improve upon Medicare would be to provide
coverage for the cost of prescription drugs.
Ms. D'Aurizio's concern that the expansion of health care
coverage to all cannot be ensured while capping health spending
is unfounded. "Security" was the first of six principles that
the President outlined as basic tenets of any efforts to reform
America's health care system. It is the most important aspect of
the President's plan that all Americans be provided comprehensive
health care coverage.
Once the details of the plan have been worked out they will
be communicated to you. Please do not hesitate to contact me if
I can be of further assistance.
With best wishes,
Howa d G. Paster
Assis nt to the President
for Legislative Affairs
The Honorable Herb Klein
House of Representatives
Washington, D.C. 20515
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
39760
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-030-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/ee483c34ac38c0b5168b2fd502150501.pdf
0ef70feb04ffcd3a4d3a4e800e330057
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10792
Scan ID:
039495
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
10
3
�..
~
..
ID# 039495
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
INCOMING
--
1-/6
DATE RECEIVED: OCTOBER 08, 1993
NAME OF CORRESPONDENT: THE HONORABLE LINCOLN DIAZ - BALART
SUBJECT: REQUESTS PRESIDENT TO ALSO INCLUDE IN HIS
PROPOSED HEALTH CARE PLAN COVERAGE FOR SPEECH
LANGUAGE PATHOLOGY AND AUDIOLOGY SERVICES
ACTION
ROUTE TO:
OFFICE/AGENCY
DISPOSITION
ACT
DATE
CODE YY/MM/DD
(STAFF NAME)
HOWARD PASTER
REFERRAL NOTE:
HOWARD PASTER
REFERRAL NOTE:
TYPE
RESP
ORG
93/10/06 HP
RSA
93/10/08
C COMPLETED
D YY/MM/DD
A 93/10/06 ~~
~J) ~=lf!iQJ_Jj_~
_!_!_ - - - - _!_!_
_!_!_
- _!_!_
_!_!_
- _!_!_
REFERRAL NOTE:
REFERRAL NOTE:
REFERRAL NOTE:,
COMMENTS:
ADDITIONAL CORRESPONDENTS:
MAIL
MEDIA:L
USER CODES: (A) R_FL____
INDIVIDUAL CODES:
(B) _ _ __
1240
(C) _ _ __
***********************************************************************
*ACTION CODES:
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*
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*
*
*
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*
OUTGOING *
*
*
*R-DIRECT REPLY W/COPY *
*S-FOR-SIGNATURE
*
*
*
*
*
*
*X-INTERIM REPLY
***********************************************************************
REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
�THE WHITE HOUSE
WASHINGTON
November 12, 1993
Dear Representative Diaz-Balart:
Thank you for your letter supporting inclusion
of speech lan·guage pathology and audiology services
as covered benefits in the proposed national health
plan. I share your view that these services are
important to ensure that individuals who have
suffered an injury or acute illness can participate
more fully in society.
The proposed standard benefit package does
provide coverage for speech language pathology
services and audiology services as outpatient
rehabilitation services. It provides coverage for
therapies used to restore functional capacity or
minimize limitations on physical and cognitive
functions as a result of acute illness or injury.
At the end of.60 days of treatment, the need for
continued therapy will be re-evaluated. Additional
periods of therapy may be covered if function is
improving.
I appreciate your thoughts on health reform.
I ask that you continue to offer your ideas as the
health reform legislation is deliberated and
developed over the coming months. I look forward
to working with you to enact legislation that will
provide health security to all Americans.
With best wishes,
Sincerely,
The Honorable Lincoln Diaz-Balart
House of Representatives
Washington, D.C. 20515
�THE WHITE HOUSE
WASHINGTON
October 6, 1993
Dear Representative Diaz-Balart:
Thank you for your letter regarding the inclusion of speech
language pathology and audiology service benefits in the
President's health care plan. I appreciate your informing the
President of your concerns.
The President has been advised of your interest in this
matter, and you will receive a response from him in the near
future. In the meantime, if I can be of assistance to you, do
not hesitate to contact my office.
Best wishes.
)t
Howard G. Paster
Assistant to the President
for Legislative Affairs
The Honorable Lincoln Diaz-Balart
House of Representatives
Washington, D.C. 20515
�:··
,..
THE WHITE HOUSE
WASHINGTON
October 6, 1993
MEMORANDUM FOR CLAUDIA COOLEY
PASTER~·
FROM:
HOWARD G.
LEGISLATIVE AFFAIRS
SUBJECT:
Health Benefits
Enclosed please find a copy of the letter that was sent to the
President from Representative Lincoln Diaz-Balart (R-FL). I have
also enclosed a copy of the acknowledgement letter I sent to him.
The President has requested that he see and sign every letter
going to Capitol Hill. We did not want to fully answer the
issues addressed in the Representative's letter without advice
from your department; therefore, I am requesting that your office
draft a response and return it to LeeAnn Inadomi (WH-East Wing)
within 48 hours. She will then print the letter in final form
and have President Clinton sign the letter.
Thank you very much for your assistance with this matter. If you
have any questions, please feel free to call LeeAnn at 456-7500.
Enclosures
�0
LINCOLN DIAZ-BALART
::.
21•ST ,I!IISTRICT, FLORIDA
CHAIRMAN
PLEASE
;EP~Y {o:
..
WASHINGTON OFFICE:
'ljt..
COMMITTEE ON
FOREIGN AFFAIRS
COMMITTEE ON
MERCHANT MARINE
AND FISHERIES
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509 CANNON HOUSE OFFICE BUILDING
WASHINGTON, DC 20515-0921
(202) 225-4211
DISTRICT OFFICE:
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REPUBLICAN RESEARCH COMMITTEE
TASK FORCE ON LATIN AMERICAN
AND CARIBBEAN AFFAIRS
of tbt 1Jnittb &tatts
_,ou~t
of l\tprt~tntatibt~
aasbington. m~ 20515-0921
October 4, 1993
The Honorable William Clinton
President of the .United States of America
The White House
Washington, D.C. 20500
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SUITE 102
MIAMI, Fl 33166
t:::J
~
(305)470-8656
-'
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Dear Mr. President:
I am writing to request that in formulating proposed
legislation for the comprehensive national health care plan, you
include coverage for speech language pathology and audiology
services. Good communication skills are the key to a successful
society and I would appreciate your keeping these services in
mind to be part of your health care plan.
Communication disorders, such as voice problems, can often
be successfully treated by speech therapy instead of costly
surgery. Regaining speech after strokes or head injuries can
facilitate an individual's transition back to school or work,
lessening the need for expensive institutional care. Given that
almost one-sixth of the population suffers from some form of
speech, language, hearing or related disorder, I sincerely
believe that these individuals should be covered by any national
health care plan.
I look forward to working with you on this important issue
of reforming our nation's health care system. Thank you.for your
consideration of my request, and congratulations on your great
work on this critical matter.
LDB:eh
PRINTEO ON RECYCLED PAPER
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
39495
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-029-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/8e044d228561645c1cd642249904b3f0.pdf
28431704f6689f74d8febc0ed244d69a
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
MAR~(ER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10792
Scan ID:
039401
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
10
3
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
001. letter
DATE
SUBJECTffiTLE
Jerry F. Costello to President William J. Clinton re: National
Foundation for Ectodermal Dysplasias [partial] (1 page)
09/27/93
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
WHORM Subject File - General
HE
ONBox Number: 10792
FOLDER TITLE:
039401
2006-0225-F
kh243
RESTRICTION CODES
Presidential. Records Act- [44 U.S.C. 2204(a))
Freedom of Information Act- [S U.S.C. SS2(b))
PI National Security Classified Information [(a)(l) of the PRA)
P2 Relating to the appointment to Federal office [(a)(2) of the PRA)
P3 Release would violate a Federal statute [(a)(3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA)
b(l) National security classified information [(b)(l) of the FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) orthe FOIA)
b(3) Release would violate a Federal statute [(b)(3) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information ((b)(4) ofthe FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA]
b(8) Release would disclose Information concerning the regulation of
financial institutions [(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells [(b)(9) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined In accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�ID# 039401
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
INCOMING
DATE RECEIVED: OCTOBER 07, 1993
NAME OF CORRESPONDENT: THE HONORABLE JERRY F. COSTELLO
SUBJECT: DISCUSSES CONCERN REGARDING THE INCLUSION OF
ORAL HEALTH BENEFITS IN THE PRESIDENT'S
HEALTH CARE PLAN
ACTION
ROUTE TO:
OFFICE/AGENCY
DISPOSITION
ACT
DATE
CODE YY/MM/DD
(STAFF NAME)
HOWARD PASTER
REFERRAL NOTE:
ORG
TYPE
RESP
93/10/02 HP
C COMPLETED
D YY/MM/DD
A 93/10/02
_ _ _!_
REFERRAL NOTE:
_ !_!_
_ !_!_
_ !_!_
REFERRAL NOTE:
REFERRAL NOTE:
REFERRAL NOTE:
- _/_! _
- _!_! _
- _!_! _
COMMENTS:
ADDITIONAL CORRESPONDENTS:
MAIL
MEDIA:L
USER CODES: (A) D IL._ __
INDIVIDUAL CODES:
(B) _ _ __
1230
(C) _ _ __
***********************************************************************
*ACTION CODES:
*DISPOSITION
*OUTGOING
*
*
*
*CORRESPONDENCE:
*
*A-APPROPRIATE ACTION *A-ANSWERED
*TYPE RESP=INITIALS
*
*C-COMMENT/RECOM
*B-NON-SPEC-REFERRAL
*
OF SIGNER
*
*C-COMPLETED
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CODE = A
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*D-DRAFT RESPONSE
*F-FURNISH FACT SHEET *S-SUSPENDED
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*
*I-INFO COPY/NO ACT NEC*
*
OUTGOING *
*R-DIRECT REPLY W/COPY *
*
*
*S-FOR-SIGNATURE
*
*
*
*X-INTERIM REPLY
*
*
*
***********************************************************************
REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
�THE WHITE HOUSE
WASHINGTON
October 2, 1993
Dear Representative Costello:
Thank you for your letter regarding the inclusion of oral
health benefits in the President's health care plan.
I appreciate learning of the National Foundation for
Ectodermal Dysplasias (NFED) and the work they have done on
behalf of families affected by Ectodermal Dysplasias. I have
shared your letter with Ira Magaziner who is directing the
President's health care reform efforts. Be assured your
recommendation on behalf of NFED will be considered.
Once again, thank you for your letter. I look forward to
working with you on health care reform in the coming weeks and
months.
Best wishes.
Sine
Paster
Assistan to the President
for Legislative Affairs
The Honorable ,Jerry F ~ Costello
House of Representatives
Washington, D.C. 20515
�THE WHITE HOUSE
WASHINGTON
October 2, 1993
MEMORANDUM FOR IRA MAGAZINER
'~
FROM:
HOWARD G. PASTER
SUBJECT:
HEALTH CARE REFORM
Enclosed please find a copy of the letter which was sent to the
President from Representative Jerry Costello (D-IL). I would
appreciate your considering his recommendation as you finalize
the President's health care proposal.
Thank you for your attention to this matter. If you have any
questions, please contact LeeAnn Inadomi at x7500.
Enclosure
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001. letter
DATE
SUBJECT/fiTLE
Jerry F. Costello to President William J. Clinton re: National
Foundation for Ectodennal Dysplasias [partial] (1 page)
09/27/93
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
WHORM Subject File - General
HE
ONBox Number: 10792
FOLDER TITLE:
039401
2006-0225-F
kh243
RESTRICTION CODES
Presidential Records Act- [44 U.S.C. 2204(a))
Pl National Security Classified Information [(a)(l) ofthe PRA)
P2 Relating to the appointment to Federal office [(a)(2) of the PRA)
PJ Release would violate a Federal statute [(a)(J) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy ((a)(6) of the PRA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
Freedom of Information Act- [5 U.S.C. SS2(b))
b(l) National security classified information [(b)(l) ofthe FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA)
b(J) Release would violate a Federal statute [(b)(3) ofthe FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) ofthe FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells [(b)(9) of the FOIA]
�J
JERRY .f. COSTELLO
t
tUH OISTFUCT, IWtlOIS
(ftongrt•i of tbt tanittb i>tatti
PUSLIC WOftltS AND TRANSPOfiTATION
SC!fNCE. SPACE. AND ltCHNOI.OGY
liWUAVfl
Jlou.ie of 1\tprtfentatibti
lla~ington.
ll<C 20515-1312
September 27, 1993
President William J. Clinton
The White House
1600 Pennsylvania Avenue, N.W.
Washington, D.C. 20500
Dear President Clinton:
1c nas come to my atcention that during your recent visit to a
diner in New York, you met with
roo\1
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0
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···''_,__..:-.t~
h-..:.:____:_:_!'-_
l>'-t·:t._~,~-0
......
wh1ch there are abnormalities of two
structures (skin, hair, teeth, sweat
structure, fingers and toes}.
The National Foundation for Ectodermal Dysplasias (NFED) was
established more than ten years ago in Mascoutah, Illinois as the
result of the Richter Family's struggle with the disorder
affecting son Charley. Children with ED continue to fall through
the cracks while trying to obtain adequate health care coverage.
On behalf of families affected by ED, I am expressing our hopes
that oral health for children will be included in any health care
proposal.
If I can provide you with more information about Ectodermal
Dysplasias or the NFED, please do not hesitate to let me know.
am looking forward to working with you as we reform our health
care system t
fit all Americans, including
·children like
Charley Richter, and others
with oral hea
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1363 Ntt!>ll-111 Avl.
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Glwma c:rrv. n. 62040
· - (818) 233-8788
FAll: 1818) 461·2126
Tel.: 1818) 4&1·70811
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Tn;($UI) 397-8833
0
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Tn: 11118) 82&-3043
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
39401
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-028-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/74e8d1218784ade975ded744a58ec7c7.pdf
fe401e09a659db124f6d00948d721d66
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10792
Scan ID:
038596
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
10
3
�..
ID# 038596
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
)i£
INCOMING
DATE RECEIVED: OCTOBER 04, 1993
NAME OF CORRESPONDENT: THE HONORABLE JIM NUSSLE
SUBJECT: EXPRESSES SUPPORT ON HIS GOALS FOR HEALTH
CARE REFORM
ACTION
ROUTE TO:
OFFICE/AGENCY
ACT
DATE
CODE YY/MM/DD
(STAFF NAME)
HOWARD PAS~FERRAL NOTElO
DISPOSITION
TYPE
C COMPLETED
RESP
D7/JMM/DD
~o::...J.Jif!/4 Cfl?J/-/1_1_1_
-----------=====~~===-------~--REFERRAL NOTE:
----- _l_l_
_ I _I_
_l_l_
REFERRAL NOTE:
REFERRAL NOTE:
REFERRAL NOTE:
_I_!_
- _l_l _
_ _I _I_
- _l_l_
COMMENTS:
ADDITIONAL CORRESPONDENTS:
MAIL
USER CODES: (A)R IA
MEDIA:L
INDIVIDUAL CODES:
1240
(B) _ _ _ ___ (C) _ _ _ ___
***********************************************************************
*ACTION CODES:
*DISPOSITION
*OUTGOING
*
*CORRESPONDENCE:
*
*
*
.
,
*A-APPROPRIATE ACTION *~~~~REQ~If=_ )
*TYPE RESP=INITIALS
*
*C-COMMENT/RECOM
*B~~QN-SPEC-*EFERRAL
*
OF SIGNER
*
*D-DRAFT RESPONSE
*C-COMPLETED
*
CODE = A
*
~F-FURNISH FACT SHEET
*S-SUSPENDED
*COMPLETED = DATE OF
*
~I-INFO COPY/NO ACT NEC*
*
. OUTGOING *
*R-DIRECT REPLY W/COPY *
*
*
·~S-FOR-SIGNATURE
*
*
*
*X-INTERIM REPLY
*
*
*
***********************************************************************
r
REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
�'•
THE WHITE HOUSE
WASHINGTON
October 4, 1993
Dear Representative Nussle: ·
Thank you for your letter regarding the President's plan for
health care reform. I appreciate your informing the President of
your concerns.
The President has been advised of your interest in this
matter, and you will receive a response from him in the near
future. In the meantime, if I can be of assistance to you, do
not hesitate to contact my office.
Best wishes.
Si
1~~f
H! ard G• Paster
Assistant to the President
for Legislative Affairs
The Honorable Jim Nussle
House of Representatives
Washington, D.C. 20515
~
..
''··
�'•
THE WHITE HOUSE
WASHINGTON
October 4, 1993
MEMORANDUM FOR CLAUDIA COOLEY
FROM:
HOWARD G. PASTER
LEGISLATIVE AFFAIRS
SUBJECT:
Health care Reform
Ifl
Enclosed please find a copy of the letter that was sent to the
President from Representative Jim Nussle (R-IA). I have also
enclosed a copy of the acknowledgement letter I sent to him.
The President has requested that he see and siqn every letter
qoinq to Capitol Hill. We did not want to fully answer the
issues addressed in the Representative's letter without advice
from your department; therefore, I am requestinq that your office
draft a response ~nd return it to LeeAnn Inadomi (WH-East Winq)
within 48 hours. She will then print the letter in final form
and have President Clinton siqn the letter.
Thank you very much for your assistance with this matter. If you
have any questions, please feel free to call LeeAnn at 456-7500.
Enclosures
�THE WHITE HOUSE
WASHINGTON
Dear Representative Nussle:
Thank you for your letter concerninq my health care reform
proposal. I am pleased to be able to addres_s your questions.
In developinq our plan, we were very coqnizant of the
economic and demoqraphic characteristics of many rural
communities that result in a larqer proportion of uninsured and
underinsured individuals. The American Health Security Act
contains several provisions directed toward insurinq access to
care for Americans livinq in rural areas.
At the outset, however, let me clarify some of the elements
of the plan that I know are of concern to you. Under our
proposals, states will desiqnate "reqional health alliances"
throuqh which virtually all businesses and individuals will
purchase health insurance. These alliances, which could be local
or state-wide, will neqotiate with health plans to derive the
best price for consumers. The alliances may use financial
incentives, such as arranqinq favorable financinq, to encouraqe
plans to expand into areas with inadequate health services.
While the alliances will be state-based, it is anticipated that
states, alliances and plans will form arranqements across their
respective boundaries, so that natural service patterns across
the state borders will not be disturbed.
...··.
"··
Your impression about the basic financinq mechanism cf the
plan is fundamentally correct. For the most part, businesses
will pay so percent of the averaqe premium in their area, while
their employees will pay, on averaqe, 20 percent of the averaqe
premium. You should be aware, however, that a discount will be
offered to firms with 50 or fewer employees that have a lew
averaqe annual waqe. For these firms, the employer contribution
will be capped based on a slidinq scale, ranqinq from a low of
3.5 percent of payroll up to the 7.9 percent cap, applicable to
larqer businesses. Subsidies for the employee share would also
be available to the workinq poor and poor unemployed. Finally,
while self-employed individuals would have to pay 100 percent of
the health premiums (as is currently the case), low-income
individuals would be eligible for subsidies. Furthermore, any
payments would be fully deductible from federal taxes, in
contrast to their treatment under current tax law.
�2
I understand your concern about the impact of reform on
rural areas. The structural changes embodied in my reform plan
will ensure that patients have insurance when they arrive at
doctors• offices and hospitals. This will be the key to assuring
that efficient providers not only survive, but flourish.
Increased access to reimbursement will help communities attract
and retain desperately needed providers.
The plan also contains a variety of means to assist in
developing rural health networks. For example, qualifying
community-based organizations would have access to federal loan
guarantees for capital improvements. Federal funding and
technical assistance would be available to support local planning
and development of rural health care systems. Grants for the
development of telecommunication linkages between rural and urban
providers are envisioned. The National Health Service Corps will
be expanded to increase the supply of health professionals in
rural and urban undeserved areas.
In addition, access to care in rural areas will be ensure by
designating certain health care providers as "essential community
health. providers." Rural health clinics and community and
migrant health centers will be among those automatically
designated under this program. During a five-year transition to
the new system, health plans would be required to contract with
and reimburse community-based providers that are so designated.
My plan would give significant assistance to providers -guaranteeing that their patients have access to a comprehensive
benefit package. The plan would eliminate enormous paperwork and
administrative costs. Finally, the plan would provide incentives
and financial assistance for providers to organize into more
effective networks and to live within their budgets.
I look forward to further discussions with you and your
colleagues as we make health care reform a reality.
Sincerely,
The Honorable Jim Nussle
House of Representatives
Washington, D.C. 20515
�I i,l
J?, ~
(date)
RM:
OK FOR SIGNATURE PER: (circle one)
JOHN PODESTA
. PAUL RICHARD
RETURN ALL LETTER(S) AND ORIGINAL MEMO(S)
RED TAG DIRECTLY TO
LEE ANN INADOMI, 1ST FL, EW
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(Initials) .
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�.JIM NUSSLE
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2D DISTRICT, IDWA
- ,
v308 CANNDN HOUSE Q.,j.ICI! BUILDING
WASHINGTON, DC 20616-1602•
(2021 226-2811
COMMITTEE ON AGRICULTURE
DISTRICT OFFICES:
· SUBCOMMITTEIS:
3368 KIMBALL AVENUE
WATERLOO, lA 60702
(3191236-1109
2300 JOHN F. KENNEDY ROAD
DUBUOUE, lA 62002
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COMMITTEE ON BANKING, FINANCE
AND URBAN AFFAIRS
223 WEST MAIN STREET
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SUBCOMMITTIEB:
,_1..-Su-.
IIIPoiiTRlauLATIOII AIID
-----
EcaiiDIIIC GIICIWIII A11D COIDIT foaiiA11011
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September 29, 1993
1826 FOURTH STREET SW
MABON CITY, lA 60401
(6161 423-0303
The Honorable Bill Clinton
The White House
1600 Pennsylvania Avenue, N.W.
Washington, D.C. 20500
Dear Mr. President:
I commend you and your Task Force on National Health Care
Reform for working so diligently on a solution to our nation 1 s
health care problems. And you eloquently presented the work of
the task force during your address to a joint session of Congress
on September 22nd.
I listened to your speech intently to see how this new health
care system would work in Iowa and throughout rural America.
Additionally, I spent much of the next several days talking to my
constituents, family and friends to see how they envisioned this
health care plan working for them, their families and their
businesses.
During your speech you outlined the following six principles
for health care reform: guaranteeing comprehensive benefits to
all Americans; controlling health care costs; improving the
quality of care; increasing choice for consumers; reducing
paperwork; and making everyone responsible for health care. I
support all of these goals for health care reform. And I think
most Iowans support these principles.
However, I wanted to take this opportunity to share the
questions that I and my constituents in Iowa have with your
health care plan. In anticipation of your submitting legislation
to Congress embodying your health care plan, I wanted to relay
these questions for your consideration as you 11 fine tune 11 your
health care ~eform plan.
It is my understanding that your health care plan is based on
the 11 managed competition 11 model in which all businesses and
individuals alike are responsible for purchasing health insurance
plans from a large regional purchasing agent known as a health
insurance purchasing cooperative (HIPC) . The HIPC would then
negotiate with the health insurers and providers in the region to
derive the best price for consumers.
PRINTED ON RECYCLED PAPER
�•
The Honorable Bill Clinton
September 29, 1993
Page Two
Additionally, I am also under the impression that under your
plan, all businesses in a region would be required to pay 80% of
the weighted average of the cost of a standard health care plan,
and that all employees of those businesses will be required to
pay 20% of the weighted average of the cost of the standard
health care plan. And self-employed and unemployed individuals
would be responsible for 100% of these costs.
If my assumptions are correct, then the cost of health
insurance will be more expensive in those areas of the country
where the populations tend to need more medical care. As such,
what incentives will there be for younger people to live in rural
areas since rural populations tend to be older? Similarly, what
incentive will there be for businesses to locate in rural areas
where their health care costs will be higher than in an urban
area?
Moreover, in a rural state such as Iowa there are a number of
small rural hospitals that are the cornerstone of their
community. I am curious to learn whether you envision small
rural hospitals remaining viable when forced to compete with a
city hospital 75 or 100 miles away?
These rural hospitals are also experiencing financial
difficulties, in large part, because of the cuts that have been
Medicare program in the past. And the reductions contained in
the budget reconciliation bill will only exacerbate this
situation. In fact, it is estimated that the average loss per
inpatient Medicare case in Iowa will be $763 in 1994. It is my
understanding that your health care reform plan calls for cuts in
the Medicare program to finance the plan. And approximately 25%
of those cuts will fall on reimbursements for outpatient care.
It seems to me that these cuts will fall disproportionately
on small rural hospitals that have gone to great lengths to
tailor their operations more towards outpatient care. I would be
curious to learn how you expect small rural hospitals to survive
under your plan? Or whether you believe their functions will be
obsolete with your health care system in place?
f
�-
•
The Honorable Bill Clinton
September 29, 1993
Page Two
Finally, it is my understanding that the HIPC's may not cross
state lines. Will individuals who live in a rural area in one
state be forced to travel greater distances within their state
for health services rather than using the closer services
available in the neighboring state?
Thank you in advance for your consideration of my questions
and concerns. I look forward to working with you and my
colleagues in the Congress on
th care reforms.
JN:rem
cc:
First Lady
Rodham Clinton
•
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
38596
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
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Reproduction-Reference
Date Created
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1/7/2015
Source
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42-t-1127666-20060225F-001-027-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/83ca5431cb7471b4c4a20664f27ab7b9.pdf
f072d16c6e53afd5c27f7fecf19e5a7d
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10792
Scan ID:
038498
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
10
3
�ID# 038498
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
INCOMING
DATE RECEIVED: OCTOBER 01, 1993
NAME OF CORRESPONDENT: THE HONORABLE JAMES L. OBERSTAR
SUBJECT: EXPRESSES SUPPORT REGARDING PRESIDENT'S
HEALTH CARE MESSAGE
ACTION
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OFFICE/AGENCY
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HOWARD PASTER
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93/09/27 HP
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REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
SCANNED
~
�..
THE WHITE HOUSE
WASHINGTON
September 27, 1993
)lf'1
Dear
.
Representa~~ Oberstar:
Thank you very much for sharing with me the statement you
released after the President's address to the Joint Session.
There is much work to be done to ensure passage of health
care reform, and I appreciate your kind comments about our
efforts at the White House to educate the American people. We
look forward to your active participation in this endeavor.
Please do not hesitate to contact me if I can be of any
assistance.
With best wishes,
Howard
aster
Assist n eo the President
for Legislative Affairs
The Honorable James L. Oberstar
House of Representatives
Washington, D.C. 20515
�JAMES L. OBERSTAR
DISTRICT OFFICES:
8TH DISTRICT, MINNESOTA
BRAINERD CITY HALL
501 LAUREL STREET
BRAINERD, MN 56401
(218) 828-4400
2366 RAYBURN HOUSE OFFICE BUILDING
WASHINGTpN, DC 20515-2308
(202) 225-6211
COMMITTEES:
teongress of tbt ltnittb
PUBLIC WORKS AND
TRANSPORTATION
CHAIRMAN:
SUBCOMMITIEE ON AVIATION
FOREIGN AFFAIRS
~oust
~tatts
of 1\tprtstntatibts
lla~bin(tton,
JBft 20515-2308
September 24 1 1993
CHISHOLM CITY HALL
316 LAKE STREET
CHISHOLM, MN 55719
(218) 254-5761
231 FEDERAL BUILDING
DULUTH, MN 55802
(218) 727-7474
ELK RIVER CITY HALL
__ 13065 ORONO PARKWAY
ELK RIVER, MN 55330
(612) 241-0188
Mr. Howard G. Paster
Assistant to the President and
Director for Legislative Affairs
The White House
1600 Pennsylvania Avenue
Washington, D.C. 20500
Dear Howard:
Just a brief note to share with you my statement immediately
following the President's Joint session address on health care.
Happily, for once, the statement did get wide distribution through the _
electronic and print media in my District.
I think if all of us got toge~er behind the proposal, put our
shoulders to the wheel and pushed hard, we· ·could do this whole
legislative package before Christmas.
I really strongly believe -- and have urged -- that the Speaker
should appoint a cross-jurisdictional, "super-committee, 11 as Speaker
O'Neill did during the carter Administration to get the massive multijurisdictional energy package passed in record time.
Recjrettably, that's not going to happen, but I still think we
could get this package done in the House before the Christmas recess.
I am very impressed with the network the White House has set in
motion to educate the public and the Congress, and to sell this program
including the role that Governor Celeste is playing; he's a good one.
Warmest personal regards.
JU>fjot
�For Release
September 22, 1993
Contact: Jim Berard
(202) 225-6211
OBERST AR PRAISES CLINTON HEALTH CARE
MESSAGE
WASHINGTON--Congressman Jim Oberstar issued the following statement
following President Clinton's national address on health care reform Wednesday
night:
"The President spoke with enthusiasm, with clarity, and above
all with conviction, issuing a call to action to all Americans, and to the
Congress to enact health care reform in this Congress. It's doable. He
said 'Get going with it,' and I know we can and will.
"From my own personal standpoint, after two days of
immersion in the details of the plan, I am convinced it is
comprhensive--AII Americans will be covered. It will assure that there
will be no 'health care drop-outs,' that nobody will be passed over in
this system. It will reduce paperwork, and therefore reduce costs, by
having one form to fill out for all claims. It will maintain quality of
health care as we know it today in America, but it will also provide all
Americans with a choice of plans suited to their own needs.
"There is work to be done to provide for the needs of very
small businesses and for the indigent, but I think those factors can be
covered as we proceed with legislative action.
"I am confident that we can enact this program and that it will
be good for all Americans."
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
38498
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-026-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/15cca676e5d8f0a36c304e522d84516f.pdf
79798bb815b662efd3e831744bd0a9cf
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10792
Scan ID:
037886
Document Number:
Folder Title:
HE
'
I .
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
10
3
�...:;-- ...
ID# 037886
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
INCOMING
DATE RECEIVED: SEPTEMBER 29, 1993
NAME OF CORRESPONDENT: THE HONORABLE MICHAEL A. ANDREWS
SUBJECT: SHARES THOUGHTS ON THE PROPOSAL OF THE TASK
FORCE ON NATIONAL HEALTH CARE REFORM
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***********************************************************************
REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
SCANNED
�THE WHITE HOUSE
WASHINGTON
December 10, 1993
Dear Mike:
Thank you for your letter expressing your
views on health care reform.
We appear to be in broad agreement on the key
principles of managed competition. That concept is
at the core of the Health Security Act. While
reasonable observers may disagree on details, the
Health Security Act represents a design for
creating markets where qualified health plans can
compete for consumers on the basis of price and
quality. This is a blueprint for innovation and
efficiency in the delivery of health care. A
prototype of the Health Security Act in a.ction is
found in the California Public Employees Retirement
System -- Calpers.
Features of our proposal such as. the provision
for a cap on premium growth are cited by some as in
conflict with the market principles we hope to
introduce in the health care insurance and delivery
systems. We believe that managed competition will
hold down the rate of premium growth. In this
sense, the cap is a backup, and only a backup,
undergirding the cost-containment capability
inherent in market competition. Those who believe
the cap will be a controlling element either sell
competition short, or misunderstand the intent and
likely effect of the alliance structure, the
mechanism we propose for assuring vigorous
competition among health plans.
Critics and opponents of health care reform
also focus on the regulatory aspects of the
proposed alliance structure. We believe the design
provides for only the regulatory infrastructure
absolutely needed to assure active competition
while protecting consumers from erosion of quality
�2
or denial of appropriate services. No one would
claim that health insurance markets are working
well today. I believe that most reasonable
observers would agree that the private insurance
sector must be brought within a proper regulatory
structure in order to assure access to fair and
affordable coverage.
The employer mandate represents, in my view,
the only fair, responsible, and workable method,
short of enacting significant new taxes, for
financing a reform plan guaranteeing universal
coverage. You should be aware that the proposal
does not interpose the government in "managing the
health care funds of businesses." In fact, a key
virtue of the proposal is that it preserves and
builds on the employer-based financing system that
has served the nation well.
I respect your views, because I know they are
sincere, and because of the leadership you have
provided the nation on health care reform. I
believe that the gap between our views can be
bridged. Your contribution strengthens my hope
that we will successfully work together to achieve
the pivotal health care reforms the American people
deserve.
Sincerely,
The Honorable Michael A. Andrews
House of Representatives
Washington, D.C. 20515
�THE WHITE HOUSE
WASHINGTON
December 10, 1993
Dear Jim:
Thank you for your letter expressing your
views on health care reform.
We appear to be in broad agreement on the key
principles of managed competition. That concept is
at the core of the Health Security Act. While
reasonable observers may disagree on details, the
Health Security Act represents a design for
creating markets where qualified health plans can
compete for consumers on the basis of price and
quality. This is a blueprint for innovation and
efficiency in the delivery of health care. A
prototype of the Health Security Act in action is
found in the California Public Employees Retirement
System -- Calpers.
Features of our proposal such as the provision
for a cap on premium growth are cited by some as in
conflict with the market principles we hope to
introduce in the health care insurance and delivery
systems. We believe that managed competition will
hold down the rate of premium growth. In this
sense, the cap is a backup, and only a backup,
undergirding the cost-containment capability
inherent in market competition. Those who believe
the cap will be a controlling element either sell
competition short, or misunderstand the intent and
likely effect of the alliance structure, the
mechanism we propose for assuring vigorous
competition among health plans.
Critics and opponents of health care reform
also focus on the regulatory aspects of the
proposed alliance structure. We believe the design
provides for only the regulatory infrastructure
absolutely needed to assure active competition
while protecting consumers from erosion of quality
�2
or denial of appropriate services. No one would
claim that health insurance markets are working
well today. I believe that most reasonable
observers would agree that the private insurance
sector must be brought within a proper regulatory
structure in order to assure access to fair and
affordable coverage.
The employer mandate represents, in my view,
the only fair; responsible, and workable method,
short of enacting significant new taxes, for
financing a reform plan guaranteeing universal
coverage. You should be aware that the proposal
does not interpose the government in "managing the
health care funds of businesses." In fact, a key
virtue of the proposal is that it preserves and
builds on the employer-based financing system that
has served the nation well.
I respect your views, because I know they are
sincere, and because of the leadership you have
provided the nation on health care reform. I
believe that the gap between our views can be
bridged. Your contribution strengthens my hope
that we will successfully work together to achieve
the pivotal health care reforms the American people
deserve.
Sincerely,
The Honorable Jim Cooper
House of Representatives
Washington, D.C. 20515
�THE WHITE HOUSE
WASHINGTON
December 10, 1993
Dear Charlie:
Thank you for your letter expressing your
views on health care reform.
'
L.
We appear to be in broad agreement on the key
principles of managed competition. That concept is
at the core of the Health Security Act. While
reasonable observers may disagree on details, the
Health Security Act represents a design for
creating markets where qualified health plans can
compete for consumers on the basis of price and
quality. This is a blueprint for innovation and
efficiency in the delivery of health care. A
prototype of the Health Security Act in action is
found in the California Public Employees Retirement
System -- Calpers.
Features of our proposal such as the provision
for a cap on premium growth are cited by some as in
conflict with the market principles we hope to
introduce in the health care insurance and delivery
systems. We believe that managed competition will
hold down the rate of premium growth. In this
sense, the cap is a backup, and only a backup,
undergirding the cost-containment capability
inherent in market competition. Those who believe
the cap will be a controlling element either sell
competition short, or misunderstand the intent and
likely effect of the alliance structure, the
mechanism we propose for assuring vigorous
competition among health plans.
critics and opponents of health care reform
also focus on the regulatory aspects of the
proposed alliance structure. We believe the design
provides for only the regulatory infrastructure
absolutely needed to assure active competition
while protecting consumers from erosion of quality
�2
or denial of appropriate services. No one would
claim that health insurance markets are working
well today. I believe that most reasonable
observers would agree that the private insurance
sector must be brought within a proper regulatory
structure in order to assure access to fair and
affordable coverage.
The employer mandate represents, in my view,
the only fair, responsible, and workable method,
short of enacting significant new taxes, for
financing a reform plan guaranteeing universal
coverage. You should be aware that the proposal
does not interpose the government in "managing the
health care funds of businesses." In fact, a key
virtue of the proposal is that it preserves and
builds on the employer-based financing system that
has served the nation well.
I respect your views, because I know they are
sincere, and because of the leadership you have
provided the nation on health care reform. I
believe that .the gap between our views can be
bridged. Your contribution strengthens my hope
that we will successfully work together to achieve
the pivotal health care reforms the American people
deserve.
Sincerely,
The Honorable Charles w. Stenholm
House of Representatives
Washington, D.C. 20515
�THE WHITE HOUSE
WASHINGTON
December 10, 1993
Dear Tim:
Thank you for your letter expressing your
views on health care reform.
We appear to be in broad agreement on the key
principles of managed competition. That concept is
at the core of the Health Security Act. While
reasonable observers may disagree on details, the
Health Security Act represents a design for
creating markets where qualified health plans can
compete for consumers on the basis of price and
quality. This is a blueprint for innovation and
efficiency in the delivery of health care. A
prototype of the Health Security Act in action is
found in the California Public Employees Retirement
System -- Calpers.
Features of our proposal such as the provision
for a cap on premium growth are cited by some as in
conflict with the market principles we hope to
introduce in the health care insurance and delivery
systems. We believe that managed competition will
hold down the rate of premium growth. In this
sense, the cap is a backup, and only a backup,
undergirding the cost-containment capability
inherent in market competition. Those who believe
the cap will be a controlling element either sell
competition short, or misunderstand the intent and
likely effect of the alliance structure, the
mechanism we propose for assuring vigorous
competition among health plans.
Critics and opponents of health care reform
also focus on the regulatory aspects of the
proposed alliance structure. We believe the design
provides for only the regulatory infrastructure
absolutely needed to assure active competition
while protecting consumers from erosion of quality
�2
or denial of appropriate services. No one would
claim that health insurance markets are working
well today. I believe that most reasonable
observers would agree that the private insurance
sector must be brought within a proper regulatory
structure in order to assure access to fair and
affordable coverage.
The employer mandate represents, in my view,
the only fair; responsible, and workable method,
short of enacting significant new taxes, for
financing a reform plan guaranteeing universal
coverage. You should be aware that the proposal
does not interpose the government in 11 managing the
health care funds of businesses. 11 In fact, a key
virtue of the proposal is that it preserves and
builds on the employer-based financing system that
has served the nation well.
I respect your views, because I know they are
sincere, and because of the leadership you have
provided the nation on health care reform. I
believe that the gap between our views can be
bridged. Your contribution strengthens my hope
that we will successfully work together to achieve
the pivotal health care reforms the American people
deserve.
Sincerely,
The Honorable Timothy J. Penny
House of Representatives
Washington, D.C. 20515
�THE WHITE HOUSE
WASHINGTON
December 10, 1993
Dear Pete:
Thank you for your letter expressing your
views on health care reform.
We appear to be in broad agreement on the key
principles of managed competition. That concept is
at the core of the Health Security Act. While
reasonable observers may disagree on details, the
Health Security Act represents a design for
creating markets where qualified health plans can
compete for consumers on the basis of price and
quality. This is a blueprint for innovation and
efficiency in the delivery of health care. A
prototype of the Health Security Act in action is
found in the california Public Employees Retirement
System -- Calpers.
Features of our proposal such as the provision
for a cap on premium growth are cited by some as in
conflict with the market principles we hope to
introduce in the health care insurance and delivery
systems. We believe that managed competition will
hold down the rate of premium growth. In this
sense, the cap is a backup, and only a backup,
undergirding the cost-containment capability
inherent in market competition. Those who believe
the cap will be a controlling element either sell
competition short, or misunderstand the intent and
likely effect of the alliance structure, the
mechanism we propose for assuring vigorous
competition among health plans.
Critics and opponents of health care reform
also focus on the regulatory aspects of the
proposed alliance structure. We believe the design
provides for only the regulatory infrastructure
absolutely needed to assure active competition
while protecting consumers from erosion of quality
�2
or denial of appropriate services. No one would
claim that health insurance markets are working
well today. I believe that most reasonable
observers would agree that the private insurance
sector must be brought within a proper regulatory
structure in order to assure access to fair and
affordable coverage.
The employer mandate represents, in my view,
the only fair,· responsible, and workable method,
short of enacting significant new taxes, for
financing a reform plan guaranteeing universal
coverage. You should be aware that the proposal
does not interpose the government in "managing the
health care funds of businesses." In fact, a key
virtue of the proposal is that it preserves and
builds on the employer-based financing system that
has served the nation well.
I respect your views, because I know they are
sincere, and because of the leadership you have
provided the nation on health care reform. I
believe that the gap between our views can be
bridged. Your contribution strengthens my hope
that we will successfully work together to achieve
the pivotal health care reforms the American people
deserve.
Sincerely,
The Honorable Douglas "Pete" Peterson
House of Representatives
Washington, D.C. 20515
�THE WHITE HOUSE
WASHINGTON
December 10, 1993
Dear Representative Grandy:
Thank you for your letter expressing your
views on health care reform.
I .
'
We appear to be in broad agreement on the key
principles of managed competition. That concept is
at the core of the Health Security Act. While
reasonable observers may disagree on details, the
Health Security Act represents a design for
creating markets where qualified health plans can
compete for consumers on the basis of price and
quality. This is a blueprint for innovation and
efficiency in the delivery of health care. A
prototype of the Health Security Act in action is
found in the California Public Employees Retirement
System -- Calpers.
Features of our proposal such as the provision
for a cap on premium growth are cited by some as in
conflict with the market principles we hope to
introduce in the health care insurance and delivery
systems. We believe that managed competition will
hold down the rate of premium growth. In this
sense, the cap is a backup, and only a backup,
undergirding the cost-containment capability
inherent in market competition. Those who believe
the cap will be a controlling element either sell
competition short, or misunderstand the intent and
likely effect of the alliance structure, the
mechanism we propose for assuring vigorous
competition among health plans.
Critics and opponents of health care reform
also focus on the regulatory aspects of the
proposed alliance structure. We believe the design
provides for only the regulatory infrastructure
absolutely needed to assure active competition
while protecting consumers from erosion of quality
�2
or denial of appropriate services. No one would
claim that health insurance markets are working
well today. I believe that most reasonable
observers would agree that the private insurance
sector must be brought within a proper regulatory
structure in order to assure access to fair and
affordable coverage.
The employer mandate represents, in my view,
the only fair,- responsible, and workable method,
short of enacting significant new taxes, for
financing a reform plan guaranteeing universal
coverage. You should be aware that the proposal
does not interpose the government in "managing the
health care funds of businesses." In fact, a key
virtue of the proposal is that it preserves and
builds on the employer-based financing system that
has served the nation well.
I respect your views, because I know they are
sincere, and because of the leadership you have
provided the nation on health care reform. I
believe that the gap between our views can be
bridged. Your·contribution strengthens my hope
that we will successfully work together to achieve
the pivotal health care reforms the American people
deserve.
Sincerely,
~
I
The Honorable Fred Grandy
House of Representatives
Washington, D.C. 20515
�THE WHITE HOUSE
WASHINGTON
December 10, 1993
Dear Nancy:
Thank you for your letter expressing your
views on health care reform.
We appear to be in broad agreement on the key
principles of managed competition. That concept is
at the core of the Health Security Act. While
reasonable observers may disagree on details, the
Health Security Act represents a design for
creating markets where qualified health plans can
compete for consumers on the basis of price and
quality. This is a blueprint for innovation and
efficiency in the delivery of health care. A
prototype of the Health Security Act in action is
found in the California Public Employees Retirement
System -- Calpers.
Features of our proposal such as the provision
for a cap on premium growth are cited by some as in
conflict with the market principles we hope to
introduce in the health care insurance and delivery
systems. We believe that managed competition will
hold down the rate of premium growth. In this
sense, the cap is a backup, and only a backup,
undergirding the cost-containment capability
inherent in market competition. Those who believe
the cap will be a controlling element either sell
competition short, or misunderstand the intent and
likely effect of the alliance structure, the
mechanism we propose for assuring vigorous
competition among health plans.
Critics and opponents of health care reform
also focus on the regulatory aspects of the
proposed alliance structure. We believe the design
provides for only the regulatory infrastructure
absolutely needed to assure active competition
while protecting consumers from erosion of quality
�2
or denial of appropriate services. No one would
claim that health insurance markets are working
well today. I believe that most reasonable
observers would agree that the private insurance
sector must be brought within a proper regulatory
structure in order to assure access to fair and
affordable coverage.
The employer mandate represents, in my view,
the only fair,· responsible, and workable method,
short of enacting significant new taxes, for
financing a reform plan guaranteeing universal
coverage. You should be aware that the proposal
does not interpose the government in "managing the
health care funds of businesses." In fact, a key
virtue of the proposal is that it preserves and
builds on the employer-based financing system that
has served the nation well.
I respect your views, because I know they are
sincere, and because of the leadership you have
provided the nation on health care reform. I
believe that the gap between our views can be
bridged. Your contribution strengthens my hope
that we will successfully work together to achieve
the pivotal health care reforms the American people
deserve.
Sincerely,
The Honorable Nancy L. Johnson
House of Representatives
Washington, D.C. 20515
�THE WHITE HOUSE
WASHINGTON'
December 10, 1993
Dear Representative Klug:
Thank you for your letter expressing your
views on health care reform.
We appear to be in broad agreement on the key
principles of managed competition. That concept is
at the core of the Health Security Act. While
reasonable observers may disagree on details, the
Health Security Act represents a design for
creating markets where qualified health plans can
compete for consumers on the basis of price and
quality. This is a blueprint for innovation and
efficiency in the delivery of health care. A
prototype of the Health Security Act in action is
found in the California Public Employees Retirement
System -- Calpers.
Features of our proposal such as the provision
for a cap on premium growth are cited by some as in
conflict with the market principles we hope to
introduce in the health care insurance and delivery
systems. We believe that managed competition will
hold down the rate of premium growth. In this
sense, the cap is a backup, and only a backup,
undergirding the cost-containment capability
inherent in,market competition. Those who believe
the cap will be a controlling element either sell
competition short, or misunderstand the intent and
likely effect of the alliance structure, the
mechanism we propose for assuring vigorous
competition among health plans.
Critics and opponents of health care reform
also focus on the regulatory aspects of the
proposed alliance structure. We believe the design
provides for only the regulatory infrastructure
absolutely needed to assure active competition
while protecting consumers from erosion of quality
�2
or denial of appropriate services. No one would
claim that health insurance markets are working
well today. I believe that most reasonable
observers would agree that the private insurance
sector must be brought within a proper regulatory
structure in order to assure access to fair and
affordable coverage.
The employer mandate represents, in my view,
the only fair, responsible, and workable method,
short of enacting significant new taxes, for
financing a reform plan guaranteeing universal
coverage. You should be aware that the proposal
does not interpose the government in "managing the
health care funds of businesses." In fact, a key
virtue of the proposal is that it preserves and
builds on the employer-based financing system that
has served the nation well.
I respect your views, because I know they are
sincere, and because of the leadership you have
provided the nation on health care reform. I
believe that the gap between our views can be
bridged. Your contribution strengthens my hope
that we will successfully work together to achieve
the pivotal health care reforms the American people
deserve.
Sincerely,
The Honorable Scott L. Klug
House of Representatives
Washington, D.C. 20515
�THE WHITE HOUSE
WASHINGTON
December 10, 1993
Dear Representative Bliley:
Thank you for your letter expressing your
views on health care reform.
We appear to be in broad agreement on the key
principles of managed competition. That concept is
at the core of the Health Security Act. While
reasonable observers may disagree on details, the
Health Security Act represents a design for
creating markets where qualified health plans can
compete for consumers on the basis of price and
quality. This is a blueprint for innovation and
efficiency in the delivery of health care. A
prototype of the Health Security Act in action is
found in the California Public Employees Retirement
System -- Calpers.
Features of our proposal such as the provision
for a cap on premium growth are cited by some as in
conflict with the market principles we hope to
introduce in the health care insurance and delivery
systems. We believe that managed competition will
hold down the rate of premium growth. In this
sense, the cap is a backup, and only a backup,
undergirding the cost-containment capability
inherent in market competition. Those who believe
the cap will be a controlling element either sell
competition short, or misunderstand the intent and
likely effect of the alliance structure, the
mechanism we propose for assuring vigorous
competition among health plans.
Critics and opponents of health care reform
also focus on the regulatory aspects of the
proposed alliance structure. We believe the design
provides for only the regulatory infrastructure
absolutely needed to assure active competition
while protecting consumers from erosion of quality
�2
"\
or denial of appropriate services. No one would
claim that health insurance markets are working
well today. I believe that most reasonable
observers would agree that the private insurance
sector must be brought within a proper regulatory
structure in order to assure access to fair and
affordable coverage.
The employer mandate represents, in my view,
the only fair; responsible, and workable method,
short of enacting significant new taxes, for
financing a reform plan guaranteeing universal
coverage. You should be aware that the proposal
does not interpose the government in "managing the
health care funds of businesses." In fact; a key
virtue of the proposal is that it preserves and
builds on the employer-based financing system that
has served the nation well.
I respect your views, because I know they are
sincere, and because of the leadership you have
provided the nation on health care reform. I
believe that the gap between our views can be
bridged. Your contribution strengthens my hope
that we will successfully work together to achieve
the pivotal health care reforms the American people
deserve.
Sincerely,
The Honorable Thomas J. Bliley, Jr.
House of Representatives
Washington, D.C. 20515
�THE WHITE HOUSE
WASHINGTON
December 10, 1993
Dear Representative Castle:
Thank you for your letter expressing your
views on health care reform.
We appear to be in broad agreement on the key
principles of managed competition. That concept is
at the core of the Health Security Act. While
reasonable observers may disagree on details, the
Health Security Act represents a design for
creating markets where qualified health plans can
compete for consumers on the basis of price and
quality. This is a blueprint for innovation and
efficiency in the delivery of health care. A
prototype of the Health Security Act in action is
found in the California Public Employees Retirement
System -- Calpers.
Features of our proposal such as the provision
for a cap on premium growth are cited by some as in
conflict with the market principles we hope to
introduce in the health care insurance and delivery
systems. We believe that managed competition will
hold down the rate of premium growth. In this
sense, the cap is a backup, and only a backup,
undergirding the cost-containment capability
inherent in market competition. Those who believe
the cap will be a controlling element either sell
competition short, or misunderstand the intent and
likely effect of the alliance structure, the
mechanism we propose for assuring vigorous
competition among health plans.
Critics and opponents of health care reform
also focus on the regulatory aspects of the
proposed alliance structure. We believe the design
provides for only the regulatory infrastructure
absolutely needed to assure active competition
while protecting consumers from erosion of quality
�2
or denial of appropriate services. No one would
claim that health insurance markets are working
well today. I believe that most reasonable
observers would agree that the private insurance
sector must be brought within a proper regulatory
structure in order to assure access to fair and
affordable coverage.
The employer mandate represents, in my view,
the only fair 1 responsible, and workable method,
short of enacting significant new taxes, for
financing a reform plan guaranteeing universal
coverage. You should be aware that the proposal
does not interpose the government in "managing the
health care funds of businesses." In fact, a key
virtue of the proposal is that it preserves and
builds on the employer-based financing system that
has served the nation well.
I respect your views, because I know they are
sincere, and because of the leadership you have
provided the nation on health care reform. I
believe that the gap between our views can be
bridged. Your contribution strengthens my hope
that we will successfully work together to achieve
the pivotal health care reforms the American people
deserve.
Sincerely,
~
I
The Honorable Michael N. Castle
House of Representatives
Washington, D.C. 20515
�~ongrtss
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September 23, 1993
The President
The White House
Washington, D.C. 20500
Dear Mr. President:
We would like to share our thoughts with you on the proposal of
the Task Force on National Health Care Reform before you present
it for introduction in Congress. We strongly support your
efforts to engage this critical issue.
Those of us in Congress who have supported market-based reforms
have grave reservations about the ways in which a global budget
would undermine local, state, and national flexibility to
implement market-based reforms.
Private markets will always be better at delivering consumer
satisfaction than the government. The goal of health care reform
should be to use the government to draw clear lines around the
choices consumers have to make. One of those key choices is how
much they want to spend on health care.
As the plan is currently drafted, this choice would be taken away
from the American public. Regional purchasing alliances with the
power to restrict access to the market place will have, in
effect, regulatory authority over health plans. The health plans
will not compete against each other; they will compete to see
which plan can get to the cap the fastest. As The New York Times
stated on September 16: "The best idea is to drop the cap, or at
least restructure it."
A health proposal that presumes a regulatory approach with
unrealistic targets is doomed to fail. We believe it will not
pass Congress. In the unlikely event that it did pass, it would
expose the federal government to a large new financial liability
if the states failed to enforce the budget.
The arguments for an employer mandate are also undermined by
unworkable budgets. Businesses will never believe that the
federal government, which has been unable to balance its own
budget, will be any better at managing the health care funds of
businesses.
�Competition in a reformed market plan will need several years to
become effective. Reform of the tax treatment of health care
costs is also necessary for markets to work effectively.
Bi-partisan support for a fundamental reform of the market place
is growing. We urge you not to risk losing the historical
opportunity to guarantee access to health care for all Americans
and embrace a solution in which consumers hold the balance of
power in the health system, not the providers, insurers, or the
government.
Very truly yours,
'
/.
V''T
~Mh·
GMvtMW"
Michael A. Andrews
Member of Congress
u....w.L:.... 46-J.b(,
..
Charles
stenholm
Member of Congress
M1chael N. Castle
Member of Congress
�THE WHITE HOUSE
WASHINGTON
September 24, 1993
1fr1
Dear
Representat~ Cooper:
Thank you
care proposal.
~r
your letter regarding the President's health
I appreciate your informing us of your concerns.
The President has been advised of your interest in this
matter, and you will receive a response from him in the near
future. In the meantime, if I can be of assistance to you, do
not hesitate to contact my office.
Best wishes.
Sin
Howa
• Paster
Assistant to the President
for Legislative Affairs
The Honorable Jim Cooper
House of Representatives
Washington, D.C. 20515
�THE WHITE HOUSE
WASHINGTON
September 24, 1993
MEMORANDUM FOR IRA MAGAZINER
~
FROM:
HOWARD G. PASTER 1 I
LEGISLATIVE AFFAIRW~
SUBJECT:
Presidential Correspondence
Enclosed please find a copy of the letter that was sent to the
President from several members of Congress.
The President has requested that he see and sign every letter
being sent to Capitol Hill. Since we did not want to respond to
this letter without your guidance, I am requesting that your
office draft a response and return it to LeeAnn Inadomi (WH-East
Wing) within 48 hours. She will then print the letter in final
form and have it sent to the President for his signature.
Thank you very much for your assistance with this matter. If you
have any questions, please feel free to call LeeAnn at 456-7500.
Enclosure
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
37886
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-025-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/f765ee1ec38b196b6f0f6558538bd3a7.pdf
635e11d5dce093395672a32dcaa2fe4c
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
MAR~~~R
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT Fll...E
Series/Staff Member:
Subseries:
OA/ID Number:
10792
Scan ID:
037554
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
10
3
�Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
AND TYPE
OOI.letter
DATE
SUBJECTffiTLE
Frank J. Maran to Senator John Glenn re: letter for President Clinton
[partial] (1 page)
06/23/93
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
WHORM Subject File - General
HE
ONBox Number: 10792
FOLDER TITLE:
037554
2006-0225-F
kh248
RESTRICTION CODES
Presidential Records Act- (44 U.S.C. 2204(a)]
Freedom of Information Act- [5 U.S.C. 552(b)]
PI National Security Classified Information [(a)(l) ofthe PRA]
P2 Relating to the appointment to Federal office [(a)(2) of the PRA]
P3 Release would violate a Federal statute [(a)(3) of the PRA]
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRA]
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(5) of the PRA]
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA]
b(l) National security classified information [(b)(l) of the FOIA]
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) of the FOIA]
b(3) Release would violate a Federal statute [(b)(3) of the FOIA]
b(4) Release would disclose trade secrets or confidential or financial
information [(b)(4) of the FOIA]
b(6) Release ~ould constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA]
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA]
b(9) Release would disclose geological or geophysical information
concerning wells [(b)(9) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�w·
ID# 037554
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
II£
INCOMING
~
DATE RECEIVED: SEPTEMBER 28, 1993
NAME OF CORRESPONDENT: THE HONORABLE JOHN GLENN
SUBJECT: ENCLOSES LETTER FROM FRANK MARAN REGARDING
HEALTH CARE REFORM
DISPOSITION
ACTION
ROUTE TO:
OFFICE/AGENCY
ACT
DATE
CODE YY/MM/DD
(STAFF NAME)
ORG
HOWARD PASTER
REFERRAL NOTE:
REFERRAL NOTE:
TYPE
RESP
93/09/21 HP
A 93/09/21
---
---'- _7_7_
_7_7_
_7_7_
_/_/_
REFERRAL NOTE:
REFERRAL NOTE:
REFERRAL NOTE:
c COMPLETED
D YY/MM/DD
- _7_7_
- _7_7_
COMMENTS:
ADDITIONAL CORRESPONDENTS:
MAIL
MEDIA:L
USER CODES: (A) _________
INDIVIDUAL CODES:
(B) _ _ __
(C) _ _ __
***********************************************************************
*ACTION CODES:
*DISPOSITION
*OUTGOING
*
*CORRESPONDENCE:
*
*
*
*A-APPROPRIATE ACTION *A-ANSWERED
*TYPE RESP=INITIALS
*
*C-COMMENT/RECOM
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*
OF SIGNER
*
*D-DRAFT RESPONSE
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*
CODE = A
*
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*
*F-FURNISH FACT SHEET *S-SUSPENDED
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*
OUTGOING *
*
*
*R-DIRECT REPLY W/COPY *
*S-FOR-SIGNATURE
*
*
*
*X-INTERIM REPLY
*
*
*
***********************************************************************
REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
SCANNED
�'.
THE WHITE HOUSE
WASHINGTON
September 21, 1993
Dear Senator Glenn:
Thank you for forwarding Frank Maran's open letter to the
President regarding health care reform. The President
appreciates Mr. Maran's thoughts and concerns. President Clinton
ran on the platform of "putting people first" and his health care
plan promises to do this.
Once again thank you for forwarding Mr. Maran's letter.
ly,
Paster
tant to the President
for Legislative Affairs
The Honorable John Glenn
United States Senate
Washington, D.C. 20510
�''
JOHN GLENN
OHIO
ilnittd
~tatts ~matt
e
e
•
•
GOVERNMENTAL AFFAIRS, CHAIRMAN
ARMED SERVICES
SELECT COMMITTEE ON INTELLIGENCE
SPECIAL COMMITTEE ON AGING
WASHINGTON, DC 20510-3501
September 16, 1993
President Bill Clinton
The White House
1600 Pennsylvania Avenue
washington, D.C. 20500
Dear President Clinton:
Please find enclosed a letter from one of my constituents in
Northeastern Ohio, Mr. Frank J. Maran.
Mr. Maran recently contacted my office and requested that I
forward you a copy of his letter to the editor of The Chagrin
Valley Times.
In the wake of health care reform, I agree with Mr. Maran's
statement, "When the ordinary American thinks of health
coverage ... he doesn't define it by political classification." I
would appreciate any time you could devote to the additional
views and concerns expressed within Mr. Maran's letter.
Thank you for your time in advance. I look forward" to. , -, ...
working with you in the approaching months to help reform our
nation's health care system.
Best regards.
JG/cs
Enclosure
PHOTOCOPY
MISC. HANDWRITING
CLINTON LIBRARY PHOTOCOPY
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001. letter
DATE
SUBJECTffiTLE
Frank J. Maran to Senator John Glenn re: letter for President Clinton
[partial] (1 page)
06/23/93
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
WHORM Subject File - General
HE
OA/Box Number: 10792
FOLDER TITLE:
037554
2006-0225-F
kh248
RESTRICTION CODES
Presidential Records Aet- (44 U.S.C. 2204(a))
Freedom of Information Act- (S U.S.C. SS2(b))
PI National Security Classified Information [(a)(l) of the PRA)
P2 Relating to the appointment to Federal office [(a)(2) of the PRA)
PJ Release would violate a Federal statute [(a)(3) ofthe PRA)
P4 Release would disclose trade secrets or confidential commercial or
financial information ((a)(4) ofthe PRAJ
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA]
b(l) National security classified information [(b)(l) ofthe FOIA)
b(2) Release would disclose internal personnel rules and practices of
an agency ((b)(2) of the FOIA)
b(J) Release would violate a Federal statute [(b)(J) of the FOIA)
b(4) Release would disclose trade secrets or confidential or financial
information ((b)(4) of the FOIA)
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA)
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA)
b(8) Release would disclose information concerning the regulation of
financial institutions [(b)(8) of the FOIA)
b(9) Release would disclose geological or geophysical information
concerning wells [(b)(9) of the FOIA)
C. Closed in accordance with restrictions contained in donor's deed
of girt.
PRM. Personal record misfile defined in accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�..
,
..
"
...
June 23, 1993
Senator John Glenn
200 N. High Street
Room 600
"
Columbus, Ohio 43215
Dear Senator Glenn,
I have enclosed a copy of an open letter
written by me to President Clinton and which was published
in The Chagrin Valley Times of Chagrin Falls, Ohio.
I have sent a copy dlrect to ?res.tdent Clin-
ton at the White
House~
but the chance of h1s see1ng this en-
couraging, positive letter to him is very slim unless it 1s
brought to h1s attention by someone or your·stature.
This letter is first hand communication
from a common ordinary citizen and it does g1 ve the Pres!dent the
cor~ect
message.
�..
...
.
. ..
'
·---·~
....
_____ ----------·---·-···
~ •. LETTERS.to,the EDITOR
..
Get·back on course
·•
This is an open . letter·. to President
Clinton; The political expressions on the
left and the right or; for that matter, just
plain up and down tised·. in relation to . ·. i
your presidency by correspondents and
!
other people . making . their living by
writing or live medi_a reporting are only
in the minds of the inventive beholder.
When the ordinary American thinks
of health coverage or of ~.nemployment
or education, he doesn't define it by
political classification. His interest is
only in the item of concern itself, not in ,f
fancy labels that do him nothing - to use
an apt British term.· · ·
·
.
Mr. President, you are drifting and
l
t
losing solid touch with the objects of our
concern in your anxiety to satisfy commercial label makers. We need your fun· ·
strength on our behalf.
t
Don't continue to circle and waste
yourself trying to fit into someone's noI
concern-to-us label. The objects to true
t
concern are clear in. the minds of the
\
American public. Identify with us and
I
get back above the dirt and detail into
(
the pure atmosphere of direct drive.
Frank J. Maran
Chagrin Falls
...
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
37554
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-024-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/c09905fe3fe8991d4f52ea6ee84a73e2.pdf
fb9c92b6ffa06b4e2f509ffbe5f2e052
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
MAR~~~R
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries: ·
OA/ID Number:
10792
Scan ID:
036777
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
10
3
�.'
ID# 036777
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
INCOMING
DATE RECEIVED: SEPTEMBER 21, 1993
NAME OF CORRESPONDENT: THE HONORABLE MAX BAUCUS
SUBJECT: EXPRESSES CONCERN REGARDING PRESIDENT'S
HEALTH CARE REFORM PACKAGE
ACTION
ROUTE TO:
OFFICE/AGENCY
DISPOSITION
ACT
DATE
CODE YY/MM/DD
(STAFF NAME)
HOWARD PASTER
REFERRAL NOTE:
HOWARD PASTER
REFERRAL NOTE:
TYPE
RESP
ORG
93/09/17 HP
RSA
93/09/21
C COMPLETED
D YY/MM/DD
A 93/09/17
c,f't if
q'Sflo I
"Z.~
_ _ _!_
REFERRAL NOTE:
_ !_!_
_!_!_
REFERRAL NOTE:
REFERRAL NOTE:
- _!_! _
- _!_!_
COMMENTS: ADDITIONAL SIGNEES WITH RESPONSES ATTACHED
ADDITIONAL CORRESPONDENTS:
MAIL
USER CODES: (A)D MT
6 MEDIA:L
INDIVIDUAL CODES:
(B) _ _ __
1210
(C) _ _ __
***********************************************************************
*ACTION CODES:
*DISPOSITION
*OUTGOING
*
*
*
*CORRESPONDENCE:
*
*TYPE RESP=INITIALS
*
*A-APPROPRIATE ACTION *A-ANSWERED
*C-COMMENT/RECOM
*B-NON-SPEC-REFERRAL
*
OF SIGNER
*
*C-COMPLETED
*
CODE = A
*
*D-DRAFT RESPONSE
*F-FURNISH FACT SHEET *S-SUSPENDED
*COMPLETED = DATE OF
*
*I-INFO COPY/NO ACT NEC*
*
OUTGOING *
*R-DIRECT REPLY W/COPY *
*
*
*S-FOR-SIGNATURE
*
*
*
*
*
*
*X-INTERIM REPLY
***********************************************************************
REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
SCANNED
�.,.
THE WHITE HOUSE
WASHINGTON
October 27, 1993
Dear Mr. Chairman:
Thank you for your letter of September 13 regarding global
budget allocations and national health care reform legislation.
You raise important points addressing fundamental issues of
fairness and health care spending. I certainly agree with you
that we must consider these questions carefully.
The health care reform plan I will propose to the Congress
begins to address issues of inequities among states based on
historic patterns of payment, utilization, and infrastructure.
It calls for the National Board to make appropriate adjustments
in determining state global budgets to reflect the reduction on
spending stemming from lack of insurance, under-insurance, and
uncompensated care. As you know, these factors alone account for
substantial differences across states. The National Board will
also adjust annual update factors to reflect unusual changes in
the demographic and socioeconomic characteristics of the
population covered by the Alliance in each state. Demographic
changes include, at a minimum, age and gender.
Finally, the plan calls for a special commission to
recommend ways to reduce inappropriate variations in health
spending across regions. Taken together, I believe that these
aspects of the plan will help us to move away from historical
spending patterns and toward a methodology that more accurately
reflects the appropriate needs of each state.
I look forward to working with you in the weeks and months
ahead as we address the nation's health care needs.
Sincerely,
The Honorable Max Baucus
United Stat·es Senate
Washington, D.C. 20510
�.
-
WASHINGTON, D.C.
20510
September 13, 1993
"D
..
..e..
The Honorable William Clinton
President of the United States
The White House
1600 Pennsylvania Avenue, N.W.
Washington, D.C. 20500
-
Dear Mr. President:
As you finalize your national health reform plan, we would
like to again express our serious concern with how the plan would
determine state global budgets and offer an alternative proposal.
It is our understanding that your plan would use historical
costs as the primary basis for determining state global budgets.
As you know, historical spending varies significantly among
states for reasons that have nothing to do with the health care
needs of the state. Using historical spending would lock in
payment, utilization, and infrastructure inequities preventing
low cost states from ensuring that all their residents receive
high quality care.
Budget allocations should ensure spending levels that
appropriate access and utilization based on quality and
health indicators, and not based on state practice patterns.
While we recognize that moving all states immediately to an
adjusted national average could be disruptive, we believe that it
is important to specify a reasonable time frame by which this new
method must be developed and implemented.
gu~rantee
We believe that national health reform legislation must
require the National Health Care Board to determine how the
national per capita average should be adjusted to reflect the
appropriate needs of a state. The legislation should also
mandate that the Board develop and implement a transition to the
national average so that within six years after enactment state
budgets would be based completely on an adjusted national
average.
�..
..
:0
Page 2
We appreciate your efforts to consult with us before
finalizing your plan. We are sure you understand how difficult
it would be for us to support a plan that could lead to lower
quality care for our states and we would like to meet with you to
discuss this further at your convenience. We look forward to
working with you on this historic initiative.
Sincerely,
~X~~~~~~ ~~~~~
~~"""'k...,Lioo"e.,ahy~
•
~/.!A
arkin
Kent Conrad
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
36777
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-023-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/a9fa748159964e66a1ba474d86536879.pdf
8a944d392cb8f0de7b10cf27857f1d2b
PDF Text
Text
L
FOIA Number: 2006-0225-F
FOIA
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10792
Scan ID:
036034
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
10
3
�ID# 036034
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
INCOMING
DATE RECEIVED: SEPTEMBER 14, 1993
NAME OF CORRESPONDENT: THE HONORABLE BEN NIGHTHORSE CAMPBELL
SUBJECT: DISCUSSES CONCERN REGARDING FUNDING FOR THE
HEALTH CARE REFORM
ACTION
ROUTE TO:
OFFICE/AGENCY
DISPOSITION
ACT
DATE
CODE YY/MM/DD
(STAFF NAME)
HOWARD PASTER
REFERRAL NOTE:
HOWARD PASTER
REFERRAL NOTE:
TYPE
RESP
ORG
93/09/09 HP
RSA
93/09/14
c:P~
---
REFERRAL NOTE:
_!_!_
_!_!_
REFERRAL NOTE:
REFERRAL NOTE:
c COMPLE,TED
D YY/MM(DD
A 93/09/09
.lJ 3.111121 jc2_}
---'- _!_!_
- _!_!_
COMMENTS: ADDITIONAL SIGNEE
ADDITIONAL CORRESPONDENTS:
MAIL
USER CODES: (A)D CO
1 MEDIA:L
INDIVIDUAL CODES:
(B) _ _ __
1210
(C) _ _ __
***********************************************************************
*ACTION CODES:
*DISPOSITION
*OUTGOING
*
*CORRESPONDENCE:
*
*
*
*TYPE RESP=INITIALS
*
*A-APPROPRIATE ACTION *A-ANSWERED
*C-COMMENT/RECOM
*B-NON-SPEC-REFERRAL
*
OF SIGNER
*
*C-COMPLETED
*
CODE = A
*
*D-DRAFT RESPONSE
*F-FURNISH FACT SHEET *S-SUSPENDED
*COMPLETED = DATE OF
*
*I-INFO COPY/NO ACT NEC*
*
OUTGOING *
*
*
*R-DIRECT REPLY W/COPY *
*S-FOR-SIGNATURE
*
*
*
*
*
*
*X-INTERIM REPLY
***********************************************************************
REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
SCAtJNED
�THE WHITE HOUSE
WASHINGTON
October 12, 1993
Dear David:
Thank you for your letter regarding the use of
an increased beer excise tax to fund health care
reform.
As you know, I favor a tobacco tax instead of
an alcohol tax to support health care reform. My
Administration weighed the concerns of the tobacco
industry against the health consequences of tobacco
use, and we concurred that the taxing of tobacco
products is an equitable method to fund health
care.
Your support and guidance will be instrumental
to the success of health care reform, and I look
forward to working closely with you in the coming
weeks and months.
Sincerely,
The Honorable David E. Skaggs
House of Representatives
Washington, D.C. 20515
�THE WHITE HOUSE
WASHINGTON
October 12, 1993
Dear Ben:
Thank you for your letter regarding the use of
an increased beer excise tax to fund health care
reform.
As you know, I favor a tobacco tax instead of
an alcohol tax to support health care reform. My
Administration weighed the concerns of the tobacco
industry against the health consequences of tobacco
use, and we concurred that the taxing of tobacco
products is an equitable method to fund health
care.
Your support and guidance will be instrumental
to the success of health care reform, and I look
forward to working closely with you in the coming
weeks and months.
Sincerely,
The Honorable Ben Nighthorse Campbell
United States Senate
Washington, D.C. 20510
�THE WHITE HOUSE
WASHINGTON
September 9, 1993
Dear David:
Thank you very much for your letter to President Clinton
concerning funding for the health care reform package.
The President has been advised of your interest in this
matter and you should be hearing from him in the near future.
Please do not hesitate to contact me if I can be of further
assistance.
With best wishes,
Si
G. Paster
Assi t nt to the President
for Leg1slative Affairs
The Honorable David E. Skaggs
House of Representatives
Washington, D.C. 20515
�THE WHITE HOUSE
WASHINGTON
September 9, 1993
MEMORANDUM FOR IRA MAGAZINER
PASTER~
FROM:
HOWARD G.
SUBJECT:
BEER TAX AND HEALTH CARE REFORM
Attached is a copy of a letter that was sent to the President
from Ben Nighthorse Campbell (D-CO) and David Skaggs (D-CO). I
have also enclosed a copy of my acknowledgement letter to them.
The President has requested that he see and sign every letter
going to Capitol Hill. We did not want to fully answer the
questions addressed in this letter without assistance from your
office; therefore, I would appreciate your office drafting a
response and returning it to LeeAnn Inadomi (WH-East Wing) within
48 hours. She will then print the letter in final form and have
the President sign the letter.
Thank you very much for your assistance. If you have any
questions, please feel free to call LeeAnn at 456-7500.
Attachments
�((ongrtss of tbt Wnittb
Rla~btngton. m~
~tatts
20515
September 8, 1993
The Honorable William J. Clinton
President of the United States
The White House
Washington, D.C. 20500
Dear Mr. President:
Recent news reports have indicated that an increase in the beer
excise tax will probably not be included as a funding source in
the health care reform package. We're writing to let you know
that we would strongly support this decision.
Beer consumption does not contribute to health care problems to
the same extent as tobacco. Given the generally regressive
nature of excise taxes, and the doubling of the beer excise tax
in 1991, we would hope that the health care package will not
again increase the beer excise tax.
We support and commend you for your work to address the health
care crisis, and we look forward to working with you to achieve
meaningful health care reform.
Sincerely,
n Ic o
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
36034
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-022-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/8f64fbf162e3bfa883f37f5a6435765e.pdf
a5151d26ebc51808bd1873cdb665e360
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10792
Scan ID:
035441
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
10
3
�ID# 035441
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
INCOMING
DATE RECEIVED: SEPTEMBER 09, 1993
NAME OF CORRESPONDENT: THE HONORABLE TOM BARLOW
SUBJECT: DISCUSSES CONCERNS REGARDING PRESIDENT'S
HEALTH CARE REFORM OACKAGE AND OPPOSES
RAISING TOBACCO TAXES AS A MEANS FOR
FINANCING HEALTH CARE REFORM
ACTION
ROUTE TO:
OFFICE/AGENCY
(STAFF NAME)
/)I
HOWARD PASTER
REFERRAL NOTE:
HOWARD PASTER
REFERRAL NOTE:
DISPOSITION
ACT
DATE
CODE YY/MM/DD
TYPE
RESP
ORG
93/09/07 HP
RSA
93/09/09
c P'Z.
C COMPLETED
D YY/MM/DD
~93/09/07
~
tlfMILS
_7_7_ - - - - _!_!_
_7_7_
- _7_7_
_7_7_
- _/_!_
REFERRAL NOTE:
REFERRAL NOTE:
REFERRAL NOTE:
COMMENTS:
ADDITIONAL CORRESPONDENTS:
MAIL
USER CODES: (A)D KY
MEDIA:L
INDIVIDUAL CODES:
(B) _ _ __
1230
(C) _ _ __
***********************************************************************
*ACTION CODES:
*DISPOSITION
*OUTGOING
*
*CORRESPONDENCE:
*
*
*
*A-APPROPRIATE ACTION *A-ANSWERED
*TYPE RESP=INITIALS
*
*C-COMMENT/RECOM
*B-NON-SPEC-REFERRAL
*
OF SIGNER
*
*D-DRAFT RESPONSE
*C-COMPLETED
*
CODE = A
*
*COMPLETED = DATE OF
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*R-DIRECT REPLY W/COPY *
*
*
*S-FOR-SIGNATURE
*
*
*
*
*
*
*X-INTERIM REPLY
***********************************************************·************
REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
SCANNED
�THE WHITE HOUSE
WASHINGTON
September 23, 1993
Dear Tom:
Thank you very much for your letter concerning
our health care reform package and your support for
keeping government regulation of the private health
system to a minimum.
I can appreciate your concern about how our
financing approach, particularly any new taxes on
tobacco products, might impact your constituents.
However, because the health costs associated with
smoking have contributed to the overall rise in our
nation's health care expenditures, the American
people believe that some tax on tobacco products is
appropriate to partially compensate for the healthrelated costs they generate.
We will do our best to fairly spread the
burden of financing for this program and will not
single out the hard working family farmers of your
district.
With best wishes,
Sincerely,
The Honorable Tom Barlow
House of Representatives
Washington, D.C. 20515
�THE WHITE HOUSE
WASHINGTON
September 7, 1993
Dear Representative Barlow:
Thank you very much for your letter to President Clinton ·
concerning his health care reform package.
The President has been advised of your interest in this
matter and you should be hearing from him in the near future.
Please do not hesitate to contact me if I can be of further
assistance.
With best wishes,
• Paster
Howar
Assistant\ to the President
for Legislative Affairs
The Honorable Tom Barlow
House of Representatives
Washington, D.C. 20515
---
--~---
---·
-·---------------
�..
COMMITTEES:
TOM BARLOW
1ST DISTRICT, KENTUCKY
1533 LoNGWORTH BUILDING
WASHINGTON, D.C. 20SIS
(202) 22'·3115
FAX: (202) 22'-21~
AGRICULTURE
C!tnngrtss nf tbt Jtnittb
~atts
.Bnust nf i&epresentatiues
lllasbingtnn. IC!t 20515
GENERAL fARM COMMODITIES
foREIGN AGRICULTURE AND HUNGER
ENviRONMENT, CREDIT AND RURAL
DEVELOPMENT
MERCHANT MARINE AND FISHERIES
COAST GUARD AND NAVIGATION
NATURAL RESOURCES
ENERGY AND MINERAL RESOURCES
September 3, 1993
The Honorable William J. Clinton
President
United States of America
The White House
Washington, DC 20500
Dear President Clinton:
I applaud your efforts to provide adequate health care to
all Americans. While the final details of this plan have yet to
be released, the details that are currently available show your
commitment to expanding access and reducing costs. Further, your
insistence that we should keep government regulation of the
private health care system to a minimum is very encouraging.
At the same time, I am disturbed by the proposal to increase
tobacco taxes as a means for funding health care reform. Tobacco
is one of the most important crops grown in my district.
Thousands of small family farmers across my district grow
tobacco. Many other non-farming jobs flow directly from tobacco.
Thousands of my constituents would suffer if tobacco excise taxes
are increased significantly.
Tobacco opponents always single out tobacco for taxation,
despite the fact that there are numerous other products that
arguably pose risks to health. If the government 1 s intent is to
protect Americans· from all health risks, then fairness demands
that we also scrutinize a wide range of activities and products
that could threaten one 1 s health. But our government cannot and
should not protect us against all risks. If the government were
to embark upon such a policy, then many of the individual
freedoms that many Americans enjoy would also be in danger. It
is unfair to single out a particular industry for taxation and
punish thousands of Kentucky families that rely on tobacco
income.
�...
While I look forward to working with you to reform health
care, I strongly oppose raising tobacco taxes as a means for
financing health care reform.
Sincerely,
1~~~~
Member of Congress
TJB/rhw
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
35441
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-021-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/ad99992275a7310815c4d80ee5d94a48.pdf
27caa62136dd15209dfd2aabd6a522a8
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
MAR~~~R
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10792
Scan ID:
035439
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
10
3
�ID# 035439
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
INCOMING
DATE RECEIVED: SEPTEMBER 09, 1993
NAME OF CORRESPONDENT: THE HONORABLE JERROLD NADLER
SUBJECT: SHARES CONCERNS REGARDING PRESIDENT'S HEALTH
CARE REFORM PACKAGE
ACTION
ROUTE TO:
OFFICE/AGENCY
DISPOSITION
ACT
DATE
CODE YY/MM/DD
(STAFF NAME)
TYPE
RESP
--------()HOWARD PASTER
REFERRAL NOTE:
HOWARD PASTER
REFERRAL NOTE:
~ORG
~11 !et~
REFERRAL NOTE:
REFERRAL NOTE:
REFERRAL NOTE:
RSA
93/09/07 HP
C COMPLETED
D YY/MM/DD
~ 93/09/07
cf3 ri
_!_!_ - - - _!_!_
_!_/_
93/09/09
~.lal/~
_!_!_
_!_!_
_!_!_
COMMENTS:
ADDITIONAL CORRESPONDENTS:
MAIL
USER CODES: (A)D NY
MEDIA:L
INDIVIDUAL CODES:
(B) _ _ __
1230
(C) _ _ __
***********************************************************************
*ACTION CODES:
*DISPOSITION
*OUTGOING
*
*CORRESPONDENCE:
*
*
*
*TYPE RESP=INITIALS
*
*A-APPROPRIATE ACTION *A-ANSWERED
*C-COMMENT/RECOM
*B-NON-SPEC-REFERRAL
*
OF SIGNER
*
*C-COMPLETED
*
CODE = A
*
*D-DRAFT RESPONSE
*F-FURNISH FACT SHEET *S-SUSPENDED
*COMPLETED = DATE OF
*
*I-INFO COPY/NO ACT NEC*
*
OUTGOING *
*
*
*R-DIRECT REPLY W/COPY *
*S-FOR-SIGNATURE
*
*
*
*
*
*
*X-INTERIM REPLY
***********************************************************************
REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
SCANNED
�THE WHITE HOUSE
WASHINGTON
September 23, 1993
Dear Jerry:
Thank you very much for your letter regarding our health
care reform package and for your support of our intention to
provide universal coverage and guarantee affordable health care
to every American.
The issues your letter identifies, including eliminating
balanced billing, offering Americans the opportunity to obtain
health coverage with minimal copayments, regardless of where or
whether they are employed, and offering a comprehensive benefit
package that includes a prescription drug benefit, are all
important parts of our plan.
The plan is designed to allow working Americans to continue
to receive the level of health care benefits that have been
obtained through collective bargaining. It also allows seniors
to continue with the Medicare program.
Your concerns regarding the ability of Americans to choose
their health providers and the ability of states to enact more
comprehensive health reforms, including single payer systems, are
all addressed in our plan.
I look forward to consulting with you and discussing these
and other areas of agreement, and am hopeful we can agree on the
best approach to extending health care security to all Americans.
With best wishes·,
Sincerely,
The Honorable Jerrold Nadler
Hou$e of Representatives
Washington, D.C. 20515
�THE WHITE HOUSE
WASHINGTON
September 7, 1993
Dear Representative Nadler:
Thank you very much for your letter to President Clinton
concerning his health care reform package.
The President has been advised of your interest in this
matter and you should be hearing from him in the near future.
Please do not hesitate to contact me if I can be of further
assistance.
With best wishes,
Paster
Assist nt to the President
for Legislative Affairs
The Honorable Jerrold Nadler
House of Representatives
Washington, D.C. 20515
--'------------
- - - - - - - --------
�'() '):) 1(57
JERROLD NADLER
8TH DISTRICT, NEW YORK
PUBLIC WORKS AND
TRANSPORTATION COMMITTEE
SUBCOMMITTEES:
ECONOMIC DEVELOPMENT
REPLY TO:
0
WASHINGTON OFFICE:
424 CANNON BUILDING
WASHINGTON, DC 20616
teongrtss of tbt llnittb 6tatts
12021 226-5836
0
DISTRICT OFFICE:
1841 BROADWAY
SUITE 800
NEW YORK, NY I 0023
.,oust of Jaeprtstntatibtl
•asbin~~ton,
:met 20515
SURFACE TRANSPORTATION
WATER RESOURCES AND
ENVIRONMENT
JUDICIARY COMMITTEE
SUBCOMMITTEES:
CIVIL AND CONSTITUTIONAL
RIGHTS
(.Q
INTERNATIONAL LAW,
c:;IJMIGRATION AND REFUGEES
12 I 21 489-3530
September 2, 1993
~EMBER, CONGRESSIONAL
'"'CI
ARTS CAUCUS
MEMBER, CONGRESSIONAL
~AUCUS FOR WOMEN'S
ISSUES
-..
,!:.
The Honorable William Clinton
President
The White House
Washington, D.C. 20500
Dear Mr. President:
As you begin to finalize your health care reform package, I
would like to share with you some of my primary concerns and
expectations of what this nation's health care plan should
absolutely include.
While I continue to believe that a single payer system would
be the most effective way to deliver quality health care at an
affordable price, I would urge you to include the following items
in your package, whatever form the program takes.
For the health security of all Americans, I believe your
health package must provide universal coverage and guarantee
affordable health care to every American. In affording health
coverage for consumers, I hope that your plan would eliminate all
deductibles and balance billing, and allow only minimal copayments. All consumers should also have quality coverage with
the same health care choices, regardless of where or whether they
are employed.
It is essential that this nation's health care plan provide
comprehensive coverage, including prescription drugs at low
prices, reproductive health services, including abortion
coverage, pediatric care, mental health services, long-term care,
substance abuse treatment, dental care, chiropractic care,
podiatric care, physical rehabilitation services, and any other
necessary health services.
The plan should be carefully crafted to complement, not
compromise, health care benefits already won by working Americans
through collective bargaining.
It is also important that your health care plan continue
Medicare benefits for seniors at least as they are available
today.
PRINTED ON RECYCLED PAPER
�...
Please be sure that the freedom to choose health providers
is a right of any American regardless of his or her income or
ability to pay.
Additionally, states should be allowed to enact more
comprehensive health reforms if they choose, including single
payer systems.
I look forward to working with you on a plan that
incorporates these principles and that ensures the health
security of all persons living in the United States.
rrold Nadler
ember of Congress
JN:nt
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
35439
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-020-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/e07ca70c107085531b7dbf03067ef75b.pdf
dbd325f302f77ece792d23e5222ce859
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10792
Scan ID:
034199
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
10
3
�ID# 034199
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
INCOMING
DATE RECEIVED: AUGUST 30, 1993
NAME OF CORRESPONDENT: THE HONORABLE CRAIG THOMAS
SUBJECT: SHARES CONCERN REGARDING PRESIDENT'S HEALTH
CARE PLAN
ACTION
ROUTE TO:
OFFICE/AGENCY
DISPOSITION
ACT
DATE
CODE YY/MM/DD
(STAFF NAME)
HOWARD PASTER
REFERRAL NOTE:
HOWARD PASTER
REFERRAL NOTE:
REFERRAL NOTE:
TYPE
RESP
ORG
93/08/24 SB
RSA
93/08/30
REFERRAL NOTE:
A 93/08/24
cEt jJ 01_3/~/ DLQ·
_7_7_
_7_7_
REFERRAL NOTE:
C COMPLETED
D YY/MM/DD
---'- _7_7_
- _7_7_
COMMENTS:
ADDITIONAL CORRESPONDENTS:
MAIL
USER CODES: (A)R WY
MEDIA:L
INDIVIDUAL CODES:
(B) _ _ __
1240
(C) _ _ __
***********************************************************************
*ACTION CODES:
*DISPOSITION
*OUTGOING
*
*
*
*CORRESPONDENCE:
*
*A-APPROPRIATE ACTION *A-ANSWERED
*TYPE RESP=INITIALS
*
*C-COMMENT/RECOM
*B-NON-SPEC-REFERRAL
*
OF SIGNER
*
*C-COMPLETED
*
CODE = A
*
*D-DRAFT RESPONSE
*COMPLETED = DATE OF
*
*F-FURNISH FACT SHEET *S-SUSPENDED
*I-INFO COPY/NO ACT NEC*
*
OUTGOING *
*
*
*R-DIRECT REPLY W/COPY *
*S-FOR-SIGNATURE
*
*
*
*X-INTERIM REPLY
*
*
*
***********************************************************************
REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
SCANNED
~
�..
THE WHITE HOUSE
WASHINGTON
September 2, 1993
Dear Representative Thomas:
Thank you very much for·your letter expressing support for
health care reform and explaining Wyoming's particular health
care needs.
As you point out, health care reform must be flexible enough
to allow each state to tailor the health care system specifically
to its needs. Wyoming's status as one of the most rural American
states presents health care reform with a unique challenge. The
Health Care Task Force created a working group to study the needs
of rural communities and to come up with an equitable system of
reform.
The suggestions that you include in your letter are all
options that I feel are vital to reform. The elimination of the
"pre-existing" condition clause, the assurance of portable
coverage to all Americans, and tough measures to control costs by
limiting the growth of insurance premiums are all part of the
backbone of the reform package. The plan will help break the
isolation of rural doctors by strengthening and encouraging
networks between regional medical centers, hospitals and other
doctors, and for more doctors to practice in rural areas by
expanding the National Health Service Corps and their loan
repayment program.
Please be assured that the special concerns of America's
rural communities have been heard by the Health Care. Task Force
and the plan that I propose will be equitable to all communities.
I appreciate your input on Wyoming's needs, and I am glad to see
your eagerness in approaching health care reform.
With best wishes,
Sincerely,
The .Honorable Craig Thomas
House of Representatives
Washington, D.C. 20515
�THE WHITE HOUSE
WASHINGTON
August 24, 1993
Dear Representative Thomas:
Thank you very much for your letter to President Clinton
concerning his health care plan. I appreciate your sharing with
the President the needs of the State of Wyoming.
The President will be advised of your interest in this
matter and you should be hearing from him in the near future.
With best wishes,
sincerely,
~Zvvt- r+v on
susan Brophy
Deputy Assistant to the President
for Legislative Affairs
The Honorable Craig Thomas
House of Representatives
Washington, D.C. 20515
�..
THE WHITE HOUSE
WASHINGTON
August 24, 1993
MEMORANDUM FOR IRA MAGAZINER
FROM:
SUSAN BROPH~1b
SUBJECT:
PRESIDENTIAL CORRESPONDENCE
Attached is a copy of a letter that was sent to the President
from craiq Thomas (R-WY). I have also enclosed a copy of my
acknowledqement letter to him as well.
The President has requested that he see and siqn every letter
qoinq to Capitol Hill. We did not want to fully answer the
questions addressed in Representative Thomas' letter without
assistance from your office; therefore, I would appreciate your
office draftinq a response and returninq it to LeeAnn Inadomi
(WH-East Winq) within 48 hours. She will then print the letter
in final form and have the President siqn the letter.
Thank you very much for your assistance. If you have any
questions, please feel free to call LeeAnn at 456-7500.
Attachments
�..
WASHINGTON OFFICE:
LONGWORTH Houst OFFICE BUILDING
CRAIG THOMAS
WYOMING, AT LARGE
WASHINGTON,
DC 20515-5001
(202) 225-2311
Congrtss of tbt ltnittb 6tatts
cD
l)ouse of 1\epresentatibes
>
c::
llasbington. D~ 20515-5001
August 19, 1993
c..>
(;":)
rs
••
President Bill Clinton
The White House
1600 Pennsylvania Avenue, NW
Washington, D.C. 20500
Dear Mr. President:
As you outline your plan for national health care reform, I am encouraged by your
commitment to state flexibility. Your call for bipartisanship and promise "to cooperate with
the states" is particularly refreshing.
State governments are leading the way in addressing the health care crisis and they
must continue to have considerable license to tailor reform to meet the needs of their
residents. No matter how creative and innovative the plan, the federal government cannot
design a plan that fits all the geographic needs of this country.
In fact, the State of Wyoming is a unique example of rural health care delivery and,
being one of the most rural states with the lowest population in the country, we especially
need flexibility and independence to have a rural health care system designed for rural
residents. With 25 percent of Americans living in rural areas, if you have a rural health care
delivery system which works in Wyoming, it can be a success almost anywhere. Because we
do not meet the managed competition model of 180,000 people per municipal area, it is
imperative that the State of Wyoming have the flexibility and latitude to design our own
delivery system.
In Wyoming, access to medical services can sometimes be a greater hindrance to
quality care than cost itself. We face a severe health professional shortage. We also
encounter difficult weather conditions that can change without a moment's notice,
geographic boundaries that add an extra 100 miles to the nearest hospital and virtually no
public transportation. Health care reform to us means more than simply issuing a "health
care security card."
We share the goals of reform for quality health care. By enacting market-based
reforms, all Americans -- rural and urban -- will be able to access affordable, guaranteed
coverage. Generally, Wyoming people want reforms which limit premium rates, prohibit
underwriting, eliminate "pre-existing" clauses and allow individuals to have portable coverage
�~
..
..
.
..
through job changes. These are solutions to current delivery problems which can be enacted
today.
Specific to rural reforms, Wyoming people need assured access to 24-hour emergency
care. We have 26 sole community hospitals that on average service approximately 3,700
square miles. By contrast, Arkansas has approximately 89 hospitals that service an average
of 580 square miles. While Arkansas is also considered rural, Wyoming is twice the size
with one-fifth of the population. Clearly, the two states have different approaches to health
care reform. Many small rural hospitals incur low inpatient utilization rates and negative
operating losses and, as a result, are forced to close. Often times, rural communities cannot
support a full-service hospital and they must be able to downsize their facilities to
emergency medical centers that offer core, but critical, services.
For the most part, ambulances and air transport services fill the role in moving
patients to larger, more specialized hospitals. There are plenty of occasions, however, when
travel is not feasible and advanced telecommunication systems have played a key role in
saving lives. This is the type of progress that utilizes rural resources effectively. Now it is
the federal government's tum to change current antitrust laws so other cooperative
arrangements can be encouraged. Rural health care reform must also incorporate increased
Medicare reimbursement, primary care physician recruitment and expanded roles for midlevel practitioners.
Mr. President, by recognizing state flexibility in health care reform, we will have a
great opportunity in this country to design a program for all Americans -- urban and rural.
I look forward to your ideas when Congress reconvenes so, together, we can help make sure
rural folks receive the quality care and reform they deserve.
Best regards,
~~
Craig Thomas
Member of Congress
.
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
34199
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-019-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/d96724eeae34d89ded3db969b881029e.pdf
282fb7a696b8ba519af334841f14301c
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
MAR~~~R
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10792
Scan ID:
033500
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
s
84
6
10
Position: ·
3
�ID# 033500
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
INCOMING
DATE RECEIVED: AUGUST 23, 1993
NAME OF CORRESPONDENT: THE HONORABLE LUCIEN E. BLACKWELL
SUBJECT: URGES PRESIDENT TO CONSIDER THE NEEDS OF
SICKLE CELL ANEMIA SUFFERERS WHEN HE DRAFTS
UP THE HEALTH CARE PROGRAM
ACTION
ROUTE TO:
OFFICE/AGENCY
DISPOSITION
ACT
DATE
CODE YY/MM/DD
(STAFF NAME)
TYPE
RESP
C COMPLETED
D YY/MM/DD
COMMENTS:
ADDITIONAL CORRESPONDENTS:
·MAIL
MEDIA:L
USER CODES: (A) D PA____
INDIVIDUAL CODES:
(B) _ _ __
1230
(C) _ _ __
***********************************************************************
*ACTION CODES:
*DISPOSITION
*OUTGOING
*
*CORRESPONDENCE:
*
*
*
*TYPE RESP=INITIALS
*
*A-APPROPRIATE ACTION *A-ANSWERED
*C-COMMENT/RECOM
*B-NON-SPEC-REFERRAL
*
OF SIGNER
*
*D-DRAFT RESPONSE
*C-COMPLETED
*
CODE = A
*
*F-FURNISH FACT SHEET *S-SUSPENDED
*COMPLETED = DATE OF
*
*I-INFO COPY/NO ACT NEC*
*
OUTGOING *
*
*
*R-DIRECT REPLY W/COPY *
*S-FOR-SIGNATURE
*
*
*
*X-INTERIM REPLY
*
*
*
***********************************************************************
REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
'-- _ _..,
�THE WHITE HOUSE
WASHINGTON
November 24, 1993
Dear Lucien:
Thank you for your letter urging that the needs of those
with Sickle Cell Anemia be addressed in the health care reform
proposal. I share your view that essential health care services
must be made available to the most vulnerable members of our
society, including those with Sickle Cell Anemia.
Sickle Cell patients and their families are among those who
stand to benefit most under a reformed health care system that
provides access to services without regard to pre-existing
conditions. Under the Health Security proposal, individuals with
genetic diseases, including Sickle Cell Anemia, cannot be denied
health insurance because of their disease or susceptibility to
disease. The plan also provides for expanded access to health
care services for all underserved and minority populations.
Although health care reform may not address all of the
obstacles faced by those with Sickle Cell disease, it will
provide them with the assurance that they cannot lose their
health insurance because of their illness or because they do not
have a job. In addition, the Department of Health and Human
Services will continue to support research that will lead to more
effective treatment and eventually, a cure for Sickle Cell
Anemia.
I appreciate your thoughts on health reform. I ask that you
continue to offer your ideas as the health reform legislation is
deliberated and developed over the coming months. I look forward
to working with you to enact legislation that will provide health
security to all Americans.
Sincerely,
The Honorable Lucien E. Blackwell
House of Representatives
Washington, D.C. 20515
�THE WHITE HOUSE
WASHINGTON
August 16, 1993
Dear Representative Blackwell:
Thank you for your letter reqardinq the inclusion of Sickle
Cell Anemia provisions in the President's health care reform
packaqe. I appreciate your informinq the President of your
concerns.
The President has been advised of your interest in this
matter, and you will receive a response from him in the near
future. In the meantime, if I can be of assistance to you, do
not hesitate to contact my office.
Best wishes.
Sincerely,
Susan Brophy
Deputy Assistant to the President
for Leqislative Affairs
The Honorable Lucien E. Blackwell
House of Representatives
Washinqton, D.C. 20515
�THE WHITE HOUSE
WASHINGTON
August 16, 1993
MEMORANDUM FOR IRA MAGAZINER
FROM:
HOWARD G. PASTER,.
LEGISLATIVE AFFAIRS
SUBJECT:
Sickle Cell Anemia
Enclosed please find a copy of the letter that was sent to the
President from Representative Lucien Blackwell (D-PA). I have
also enclosed a copy of the acknowledqement letter I sent to him.
The President has requested that he see and siqn every letter
qoinq to. Capitol Hill. We did not want to fully answer the
issues addressed in the Representative's letter without advice
from your department; therefore, I am requestinq that your office
draft a response and return it to LeeAnn Inadomi (WH-East Winq)
within 48 hours. She will then print the letter in final form
and have President Clinton siqn the letter.
Thank you very much for your assistance with this matter. If you
have any questions, please feel free to call LeeAnn at 456-7500.
Enclosure
�LUCIEN E. BLACKWELL
410 CANNON !iDUSf O~FICE,IUILDING
SECOND QIST~ICT, PENNSYLVANIA
WASHINGTON. DC 20515-3802
COMMITIEE.ON PUBLIC WORKS
AND TRANSPORTATION
3901 MARKET STREET
(202) 225-4001
~ongrts~
SUBCOMMITTEE ON ECONOMIC DEVELOPMENT
VICE CHAIRMAN
~tatt'
PHILADELPHIA, PA 19104
(215) 387-2543
.,ou~t
SUBCOMMITTEE ON AVIATION
SUBCOMMITTEE ON INVESTIGATIONS
AND OVERSIGHT
A\\ :
93 AUG 6·
COMMITIEE ON THE BUDGET
of tbt Wntttb
,
of 1\tprt~tntatibt~
!lfasbtngton, Det 20515-3802
August 12, 1993
The President
The White House
Washington, DC 20500
Dear Mr. President:
I write to express my utmost concerns over a life threatening disease which is rarely
mentioned in the midst of our nation's health care debate.
Sickle Cell Anemia is one of the most enigmatic and severe diseases of which we
currently know. While this ravaging illness takes the lives of a countless number of young
Americans each year, adult patients who have been stricken with Sickle Cell literally live in
a constant state of fear. With no social support system in place to address their pressing
needs, Sickle Cell patients are subjected to a level of intolerable humiliation on a daily basis
by employers, educators, and a society in general which does not understand the crippling
nature of this horrific illness. Recent statistics demonstrate that 98% of Sickle Cell patients
surveyed indicated that their health kept them from completing college, and from fmding
full-time employment to support themselves. Of course, a lack of employment in many
cases means no health insurance, and without health insurance, the Sickle Cell patient
compromises his or her genetic condition, and becomes prone to such deadly conditions as
pneumonia.
Mr. President, I exhort you to consider the urgent needs of a sector of our population
which has been cast aside and disregarded for far too long. When drafting our nation's
long-awaited health care solution, please consider the following needs for Americans who
suffer from Sickle Cell Anemia:
*Scholarship monies which would allow for continued education
* Enhanced employment services and opportunities
* Bedside nursing care
*Peer group counselling where patients can share common ailments and experiences.
Until equity in funding is achieved for those who suffer from Sickle Cell Anemia, we
cannot and must not be satisfied with any comprehensive health care proposal. I certainly
appreciate your consideration of this urgent matter. Please feel free to contact me if I can
be of any assistance .
.~~
cien E. Blackwell
Member of Congress
LEB:mcg
Enclosure
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
33500
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-018-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/54c4d9ae5fb16089f3d34e8e67b9d21a.pdf
a5b3a06226012f1e036af66d4b1059a8
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
. Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10792
Scan ID:
032340
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
10
3
�ID# 032340
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
ttE
INCOMING
DATE RECEIVED: AUGUST 13, 1993
NAME OF CORRESPONDENT: THE HONORABLE GEORGE HOCHBRUECKNER
SUBJECT: SHARES CONCERNS REGARDING THE PRESIDENT'S
HEALTH CARE PLAN FOR THE RESIDENTS OF
NEW YORK
ACTION
ROUTE TO:
OFFICE/AGENCY
(STAFF NAME)
/HOWARD PASTER
REFERRAL NOTE:
DISPOSITION
ACT
DATE
CODE YY/MM/DD
ORG
93/08/13
TYPE
RESP
C COMPLETED
D YY/MM/DD ~
}1!.[ "[,f!tE:"t.13
_!_!_
_!_!_ - - _!_!_
_!_!_
REFERRAL NOTE:
REFERRAL NOTE:
REFERRAL NOTE:
REFERRAL NOTE:
-
_!_!_
_!_!_
_!_!_
_!_!_
COMMENTS: ADDITIONAL SIGNEES
ADDITIONAL CORRESPONDENTS:
MAIL
13 MEDIA:L
INDIVIDUAL CODES:
USER CODES: (A) D NY_ __ (B) _ _ __
1230
(C) _ _ __
***********************************************************************
*ACTION CODES:
*DISPOSITION
*OUTGOING
*
*
*
*CORRESPONDENCE:
*
*A-APPROPRIATE ACTION *A-ANSWERED
*TYPE RESP=INITIALS
*
*C-COMMENT/RECOM
*B-NON-SPEC-REFERRAL
*
OF SIGNER
*
*D-DRAFT RESPONSE
*C-COMPLETED
*
CODE = A
*
*F-FURNISH FACT SHEET *S-SUSPENDED
*COMPLETED = DATE OF
*
*I-INFO COPY/NO ACT NEC*
*
OUTGOING *
*R-DIRECT REPLY W/COPY *
*
*
*S-FOR-SIGNATURE
*
*
*
*X-INTERIM REPLY
*
*
*
***********************************************************************
REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
SCAI~NED
�~ongrtjl of tbt 1Unittb 6tatts
J]oult of Btprtltntattbtl
. AtlG \Q AU : \·9
93
lla•btn~tton, JB£ 20515
,'f
':
August 5, 1993
The Honorable William J. Clinton
President
The White House
Washington, D.C. 20500
Dear Mr. President,
As we look forward to receiving your health care plan, we
wanted to share with you some central concerns about how the plan
will meet its promise of health security for all New Yorkers. We
look forward to supporting a health care plan with the following
features that are essential to meeting the needs of New York
residents:
1. Fair financing, requiring all employers to pay for health
care through a premium based on total payroll. Individuals
should contribute based upon their ability to pay.
2. Equal participation by all employers, large and small, so
that Americans have the same health care choices regardless of
where they work. Allowing large employers to "opt-out" will lead
to small employers, individuals, and taxpayers paying more for
health care.
3. Paying the same amount for health care for Medicaid
recipients as for the working and unemployed. Paying less to
health plans for Medicaid beneficiaries will cripple investment
in health care in underserved areas and perpetuate two-tiered
care for the poor.
4. Comprehensive coverage, including prescription drugs,
dental care, mental health, and long-term care. Seniors and the
disabled who rely on Medicare must also be assured that their
health care coverage brings the same good benefits as working
Americans.
5. Affordable freedom of choice. A plan that requires
Americans to pay more for the right to choose their own health
care provider will restrict freedom of choice to the wealthy.
�The Honorable William J. Clinton
August 5, 1993
Page 2
6. Health care must be affordable. Deductibles and balance
billing should be eliminated and co-payments minimal.
7. Enforceable cost-controls so that health care inflation
is kept in line with the growth of the economy.
8. Allow states to readily enact more comprehensive reforms,
including single-payer systems.
There is enormous support in New York for comprehensive
health care reform. We believe that a plan that includes these
features will meet the needs of New Yorkers and earn their
support.
Sincerely,
�Signers of letter:
Hon. Nydia M. Velazquez
Hon. George J. Hochbrueckner
Hon. Thomas J. Manton
Hon. Jose E. Serrano
Hon. Floyd H. Flake
Hon. Eliot L. Engel
Hon. Carolyn B. Maloney
Hon. Edolphus Towns
Hon. Charles B. Rangel
Hon. Major R. Owens
Hon. Charles E. Schumer
Hon. Gary L. Ackerman
Hon. Maurice D. Hinchey
Hon. Jerrold Nadler
�- -
---
- ----'
..
THE WHITE HOUSE
WASHINGTON
August 10, 1993
MEMORANDUM FOR IRA MAGAZINER
u
FROM:
HOWARD G. PASTER · (
LEGISLATIVE AFFAIRS\
SUBJECT:
Congressional Correspondence
Enclosed please find a copy of the letter that was sent to the
President from several members of the New York delegation.
The President has requested that he see and sign every letter
going to Capitol Hill. We did not want to fully answer the
issues addressed in the members' letter without advice from your
department; therefore, I am requesting that your office draft a
response and return it to LeeAnn Inadomi (WH-East Wing) within 48
hours. She will then print the letter in final form and have
President Clinton sign the letter.
Thank you very much for your assistance with this matter. If you
have any questions, please feel free to call LeeAnn at 456-7500.
Enclosure
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
32340
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-017-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/320d524487488b19f88289a321c5d563.pdf
4ac07ba5a782f36a78b957d842ff3929
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10792
Scan ID: .
032317
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
10
3
�t
ID# 032317
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
INCOMING
DATE RECEIVED: AUGUST 13, 1993
NAME OF CORRESPONDENT: THE HONORABLE MIKE KREIDLER
SUBJECT: DISCUSSES CONCERN REGARDING THE PRESIDENT'S
HEALTH CARE REFORM PROPOSAL
ACTION
ROUTE TO:
OFFICE/AGENCY
ACT
DATE
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(STAFF NAME)
HOWARD PASTER
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REFERRAL NOTE:
ADDITIONAL CORRESPONDENTS:
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*
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***********************************************************************
REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
SCANNED
�THE WHITE HOUSE
WASHINGTON
December 10, 1993
Dear Mike:
Thank you for
health care reform
own thoughts about
reform initiatives
your letter regarding Washington State's
initiative. The concerns you raised echo my
the need to assure flexibility for health care
developed by the states.
My health reform proposal builds upon state initiatives such
as yours in Washington. I want all states to have the
flexibility to tailor their health systems to reflect the needs
of their residents. Within a national framework that assures
security, controlled health care costs, improved quality,
increased choices, less paperwork and shared responsibility, all
states will be able to craft a system that is tailored to their
needs.
I am sympathetic to your concerns about the federal ERISA
preemptions that have impeded state health care reform
initiatives. The Health Security Act does not provide for
interim waivers of ERISA or other federal laws. our goal is
rapid implementation of reform based on a national framework of
universal coverage, choice and health cost control. We will
press Congress to enact legislation in 1994. States that are
ready can implement these reforms as early as January 1996.
Reform of ERISA is an essential part of national health care
reform. The Health Security Act that I recently introduced in
Congress includes ERISA reform and allows for state flexibility
and innovation. I hope that I am able to count on your support
for this measure.
Sincerely,
The Honorable Mike Kreidler
House of Representatives
Washington, D.C. 20515
�,,
THE WHITE HOUSE
WASHINGTON
December 10, 1993
Dear Al:
Thank you for
health care reform
own thoughts about
reform initiatives
your letter regarding Washington State's
initiative. The concerns you raised echo my
the need to assure flexibility for health care
developed by the states.
My health reform proposal builds upon state initiatives such
as yours in Washington. I want all states to have the
flexibility to tailor their health systems to reflect the needs
of their residents. Within a national framework that assures
security, controlled health care costs, improved quality,
increased choices, less paperwork and shared responsibility, all
states will be able to craft a system that is tailored to their
needs.
I am sympathetic to your concerns about the federal ERISA
preemptions that have impeded state health care reform
initiatives. The Health Security Act does not provide for
interim waivers of ERISA or other federal laws. our goal is
rapid implementation of reform based on a national framework of
universal coverage, choice and health cost control. We will
press Congress to enact legislation in 1994. States that are
ready can implement these reforms as early as January 1996.
Reform of ERISA is an essential part of national health care
reform. The Health Security Act that I recently introduced in
Congress includes ERISA reform and allows for state flexibility
and innovation. I hope that I am able to count on your support
for this measure.
Sincerely,
The Honorable Al Swift
House of Representatives
Washington, D.C. 20515
�. "
THE WHITE HOUSE
WASHINGTON
December 10, 1993
Dear Maria:
Thank you for
health care reform
own thoughts about
reform initiatives
your letter regarding Washington State's
initiative. The concerns you raised echo my
the need to assur~ flexibility for health care
developed by the states.
My health reform proposal builds upon state initiatives such
as yours in Washington. I want all states to have the
flexibility to tailor their health systems to reflect the needs
of their residents. Within a national framework that assures
security, controlled health care costs, improved quality,
increased choices, less paperwork and shared responsibility, all
states will be able to craft a system that is tailored to their
needs.
I am sympathetic to your concerns about the federal ERISA
preemptions that have impeded state health care reform
initiatives. The Health Security Act does not provide for
interim waivers of ERISA or other federal laws. Our goal is
rapid implementation of reform based on a national framework of
universal coverage, choice and health cost control. We will
press Congress to enact legislation in 1994. States that are
ready can implement these reforms as early as January 1996.
Reform of ERISA is an essential part of national health care
reform. The Health Security Act that I recently introduced in
Congress includes ERISA reform and allows for state flexibility
and innovation. I hope that I am able to count on your support
for this measure.
Sincerely,
The Honorable Maria Cantwell
House of Representatives
Washington, D.C. 20515
-
------
------------------------
�THE WHITE HOUSE
WASHINGTON
December 10, 1993
Dear Patty:
Thank you for
health care reform
own thoughts about
reform initiatives
your letter regarding Washington State's
initiative. The concerns you raised echo my
the need to assure flexibility for health care
developed by the states.
My health reform proposal builds upon state initiatives such
as yours in Washington. I want all states to have the
flexibility to tailor their health systems to reflect the needs
of their residents. Within a national framework that assures
security, controlled health care costs, improved quality,
increased choices, less paperwork and shared responsibility, all
states will be able to craft a system that is tailored to their
needs.
I am sympathetic to your concerns about the federal ERISA
preemptions that have impeded state health care reform
initiatives. The Health Security Act does not provide for
interim waivers of ERISA or other federal laws. Our goal is
rapid implementation of reform based on a national framework of
universal coverage, choice and health cost control. We will
press Congress to enact legislation in 1994. States that are
ready can implement these reforms as early as January 1996.
Reform of ERISA is an essential part of national health care
reform. The Health Security Act that I recently introduced in
Congress includes ERISA reform and allows for state flexibility
and innovation. I hope that I am able to count on your support
for this measure.
Sincerely,
The Honorable Patty Murray
United states Senate
Washington, D.C. 20510
�THE WHITE HOUSE
WASHINGTON
December 10, 1993
Dear Norm:
Thank you for
health care reform
own thoughts about
reform initiatives
your letter regarding Washington State's
initiative. The concerns you raised echo my
the need to assure flexibility for health care
developed by the states.
My health reform proposal builds upon state initiatives such
as yours in Washington. I want all states to have the
flexibility to tailor their health systems to reflect the needs
of their residents. Within a national framework that assures
security, controlled health care costs, improved quality,
increased choices, less paperwork and shared responsibility, all
states will be able to craft a system that is tailored to their
needs.
I am sympathetic to your concerns about the federal ERISA
preemptions that have impeded state health care reform
initiatives. The Health Security Act does not provide for
interim waivers of ERISA or other federal laws. Our goal is
rapid implementation of reform based on a national framework of
universal coverage, choice and health cost control. We will
press Congress to enact legislation in 1994. States that are
ready can implement these reforms as early as January 1996.
Reform of ERISA is an essential part of national health care
reform. The Health Security Act that I recently introduced in
Congress includes ERISA reform and allows for state flexibility
and innovation. I hope that I am able to count on your support
for this measure.
Sincerely,
The Honorable Norman D. Dicks
House of Representatives
Washington, D.C. 20515
�·'
''
THE WHITE HOUSE
WASHINGTON
December 10, 1993
Dear Jolene:
Thank you for
health care reform
own thoughts about
reform initiatives
your letter regarding Washington State's
initiative. The concerns you raised echo my
the need to assure. flexibility for health care
developed by the states.
My health reform proposal builds upon state initiatives such
as yours in Washington. I want all states to have the
flexibility to tailor their health systems to reflect the needs
of their residents. Within a national framework that assures
security, controlled health care costs, improved quality,
increased choices, less paperwork and shared responsibility, all
states will be able to craft a system that is tailored to their
needs.
I am sympathetic to your concerns about the federal ERISA
preemptions that have impeded state health care reform
initiatives. The Health Security Act does not provide for
interim waivers of ERISA or other federal laws. Our goal is
rapid implementation of reform based on a national framework of
universal coverage, choice and health cost control. We will
press Congress to enact legislation in 1994. States that are
ready can implement these reforms as early as January 1996.
Reform of ERISA is an essential part of national health care
reform. The Health Security Act that I recently introduced in
Congress includes ERISA reform and allows for state flexibility
and innovation. I hope that I am able to count on your support
for this measure.
Sincerely,
~
I .
The Honorable Jolene Unsoeld
House of Representatives
Washington, D.C. 20515
�'•
..
0~2- 317
~ongrt~~ of tbt ittnittb "tatt~
_,oust of ~tprtstntatibts
Rla~bingtol§~ ~'f 15p 5 :
0'0
August 5, 1993
President William J. Clinton
The White House
Washington D.C. 20500
Dear Mr. President:
We know that you are aware of the historic health care reform
legislation enacted in Washington State this year. · You have said this
state initiative closely resembles the proposal you will make to
congress in the near future.
Sharing your goals of controlling the spiralling cost of health
care and making sure every American has health coverage, we have
introduced s. 1360 and H.R. 2870 to permit the State of Washington to
begin implementing its Health Services Reform Act. These bills exempt
the Washington State law from federal pre-emption under the Employee
Retirement Income Security Act.
As you know, the ERISA pre-emption has stifled state health care
initiatives for many years, worsening the problems we now confront on
a national scale. We understand and support your desire to deal with
these problems through national legislation. But we are writing to
urge that whatever legislation you propose will allow Washington to
implement the plan its lawmakers have enacted. We believe Washington's plan is a responsible approach to health care reform that should
be given a chance to work for the people of our state, while we work
together for national reforms that will serve all the American people.
Many thanks for your consideration of the needs of our state, and
for your continuing commitment to health care reform. We look forward
to working with you on this issue.
Sincerely,
�•'
..
THE WHITE HOUSE
WASHINGTON
August 10, 1993
Dear Senator Murray:
Thank you for your letter regarding the President's health
care reform proposal. I appreciate your informing the President
of your concerns.
The President has been advised of your interest in this
matter, and you will receive a response from him in the near
future. In the meantime, if I can be of assistance to you, do
not hesitate to contact my office.
Best wishes.
Paster
to the President
lative Affairs
The Honorable Patty Murray
United states ~enate
washington, D.C. 20510
�THE WHITE HOUSE
WASHINGTON
August 10, 1993
Dear
Thank yo for your letter regarding the President's health
care reform proposal. I appreciate your informing the President
of your concerns.
The President has been advised of your interest in this
matter, and you will receive a response from him in the near
future. In the meantime, if I can be of assistance to you, do
not hesitate to contact my office.
Best wishes.
• Paster
tant to the President
Legislative Affairs
The Honorable Norman D. Dicks
House of Representatives
Washington, D.C. 20515
�..
..
THE WHITE HOUSE
WASHINGTON
Auqust 10, 1993
Jov J;t
C'
Representa~e Unsoeld:
Thank you~:~ your letter reqardinq the President's health
care reform proposal. I appreciate your informinq the President
Dear
of your concerns.
The President has been advised of your interest in this
matter, and you will receive a response from him in the near
future. In the meantime, if I can be of assistance to you, do
not hesitate to contact my office.
Best wishes.
d G. Paster
t nt to the President
Leqislative Affairs
The Honorable Jolene Unsoeld
House of Representatives
Washinqton, D.C. 20515
�l
'
4
THE WHITE HOUSE
WASHINGTON
August 10, 1993
Dear Representative Kreidler:
Thank you for your letter regarding the President's health
care reform proposal. I appreciate your informing the President
of your concerns.
The President has been advised of your interest in this
matter, and you will receive a response from him in the near
future. In the meantime, if I can be of assistance to you, do
not hesitate to contact my office.
Best wishes.
ely,
d G. Paster
tant to the President
Legislative Affairs
The Honorable Mike Kreidler
House of Representatives
Washington, D.C. 20515
�l
r
J
THE WHITE HOUSE
WASHINGTON
Auqust 10, 1993
~~t:
f~your
Dear Representati
Thank you
care reform proposal.
of your concerns.
letter regarding the President's health
I appreciate your informing the President
The President has been advised of your interest in this
matter, and you will receive a response from him in the near
future. In the meantime, if I can be of assistance to you, do
not hesitate to contact my office.
Best wishes.
• Paster
ta t to the President
Legislative Affairs
The Honorable Al Swift
House of Representatives
Washington, D.C. 20515
•
�., ,
'
.
...
THE WHITE HOUSE
WASHINGTON
August 10, 1993
Dear Representative cantwell:
Thank you for your letter regarding the President's health
care reform proposal. I appreciate your informing the President
of your concerns.
The President has been advised of your interest in this
matter, and you will receive a response from him in the near
future. In the meantime, if I can be of assistance to you, do
not hesitate to contact my office.
Best wishes.
• Paster
Assi ta t to the President
for Legislative Affairs
The Honorable Maria Cantwell
House of Representatives
Washington, D.C. 20515
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
32317
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-016-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/6f2ab4b8e8e8522779180a9e7fc45e15.pdf
86dff21556ce918488aa30a3ef7b1ee1
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
MAR~~ER
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10792
Scan ID:
032205
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
10
3
�..
ID# 032205
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
INCOMING
DATE RECEIVED: AUGUST 12, 1993
NAME OF CORRESPONDENT: THE HONORABLE LANE EVANS
SUBJECT: REQUESTS THAT THE PRESIDENT'S HEALTH CARE
REFORM PROPOSAL BE CONSIDERED BY CONGRESS
BEFORE THE NORTH AMERICAN FREE TRADE
AGREEMENT
ACTION
ROUTE TO:
OFFICE/AGENCY
(STAFF NAME)
HOWARD PASTER
REFERRAL NOTE:
DISPOSITION
ACT
DATE
CODE YY/MM/DD
ORG
REFERRAL NOTE:
REFERRAL NOTE:
REFERRAL NOTE:
TYPE
RESP
C COMPLETED
D YY/MM/DD
93/07/30 HP
A 93/07/30
-'-'_,_,_
_,_,_
_,_,_
-
REFERRAL NOTE:
-
_,_,_
_,_,_
_,_,_
-'-'-
COMMENTS: ADDITIONAL SIGNEES - 8 ILLEGIBLE
ADDITIONAL CORRESPONDENTS:
MAIL
95 MEDIA:L
INDIVIDUAL CODES:
USER CODES: (A)D_IL_ __ (B) _ _ __
1230
(C) _ _ __
***********************************************************************
*ACTION CODES:
*DISPOSITION
*OUTGOING
*
*CORRESPONDENCE:
*
*
*
*A-APPROPRIATE ACTION *A-ANSWERED
*TYPE RESP=INITIALS
*
*C-COMMENT/RECOM
*B-NON-SPEC-REFERRAL
*
OF SIGNER
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*D-DRAFT RESPONSE
*C-COMPLETED
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CODE = A
*
*F-FURNISH FACT SHEET *S-SUSPENDED
*COMPLETED = DATE OF
*
*I-INFO COPY/NO ACT NEC*
*
OUTGOING *
*R-DIRECT REPLY W/COPY *
*
*
*S-FOR-SIGNATURE
*
*
*
*X-INTERIM REPLY
*
*
*
***********************************************************************
REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
SCANNED
�THE WHITE HOUSE
WASHINGTON
July 30, 1993
Dear Representative 1-:
Thank you for your letter requesting that the President's
health care reform proposal be considered by Congress before the
North American Free Trade Agreement.
As you know, the President has set a very active and
productive agenda for this Administration, and we are attempting
to implement many proposals which have remained stagnant for the
last twelve years. Health care reform remains a priority issue
for this Administration, and you can be assured your
recommendation will be considered as we move forward with our
legislative agenda.
Your guidance on this matter is much appreciated, and I look
forward to working with you on these issues.
Best wishes.
Sincerely,
Howard G. Paster
Assistant to the President
for Legislative Affairs
The Honorable 2House of Representatives
Washington, D.C. 20515
�~ongress
of tbt ltnittb
Jf.)ou~e
of
~tate~
11epre~entatibe~
•asbinllton, met 20515
July 26,
199393 J'Ul 29 All : 5~
The Honorable William J. Clinton
President of the United States
The White House
Washington, DC 20500
Dear Mr. President:
We are writing to urge you to withhold submission of legislation to
implement the North American Free Trade Agreement until we have
considered and passed health care reform legislation.
We believe: health care reform will be one of the most complex
legislative initiatives undertaken by Congress. Passage of a plan. that
controls costs and provides health security for all Americans will require
.our full attention.
The debate over NAFTA will be difficult and divisive. It will
detract from our efforts to build a broad coalition of support for health
care reform.
While we each hold different opinions about the merits of NAFTA,
we all agree that health care reform must come first.
Sincerely,
----
~---------------
�.
.
The Honorable William J. Clinton
July 26, 1993
Page 2
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�The Honorable William J. Clinton
July 26, 1993
Page 3
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July 26, 1993
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July 26, 1993
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July 26, 1993
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Signatories on Letter to President Clinton
Health Care Reform Before NAFT A ·
Abercrombie, Neil (HI)
Applegate, Douglas (OH)
Barca, Peter W. (WI)
Barcia, James A. (MI)
Barlow, Thomas J., III (KY)
Bilbray, James H. (NV)
Bonior, David E. (MI)
Borski, Robert A. (PA)
Brown, Ge~rge E., Jr. (CA)
Brown, Sherrod (OH)
Byrne, Leslie L. (VA)
Clayton, Eva M. (NC)
Clement, Bob (TN)
Clyburn, James E. (SC)
Collins, Barbara-Rose (IL)
Collins, Cardiss (MI)
Conyers, John, Jr. (MI)
Cramer, Robert E., Jr. (AL)
Danner, Pat (MO)
Darden, George (Buddy) (GA)
DeFazio, Peter A. (OR)
DeLauro, Rosa L. (CT)
Dellums, Ronald V. (CA)
de Lugo, Ron (VI)
Derrick, Butler (SC)
Deutsch, Peter (FL)
Engel, Eliot L. (NY)
English, Karan (AZ)
Eshoo, Anna G. (CA)
Evans, Lane (IL)
Farr, Sam (CA)
Filner, Bob (CA)
Flake, Floyd H. (NY)
Foglietta, Thomas S. (PA)
Ford, William D. (MI)
Frank, Barney (MA)
Furse, Elizabeth (OR)
Gejdenson, Sam (CT)
Gonzalez, Henry_B. (TX)
Green, Gene (TX)
Gutierrez, LUis V. (IL)
Hamburg, Dan (CA)
Harman, Jane (CA)
Hastings, Alcee L. (FL)
Hilliara, Earl F. (AL)
Hinchey, Maurice D. (NY)
Hochbrueckner, George J. (NY)
Holden, Tim (PA)
Hughes, William J. (NJ)
Jacobs, Andrew, Jr. (IN)
Kaptur, Marcy (OH)
Kildee, Dale E. (MI)
Kleczka, Gerald D. (WI)
Klein, Herb (NJ)
'
Klink, Ron (PA)
LaFalce, John J. (NY)
Lancaster, H. Martin (NC)
Lantos, Tom (CA)
LaRocco, Larry (ID)
Lehman, Richard H. (CA)
Lewis, John (GA)
Lipinski, William 0. (IL)
Lloyd, Mari!Yn (TN)
McKinney, Cynthia A. (GA)
Martinez, Matthew G. (CA)
Meehan, Martin T. (MA)
Miller, George (CA)
Mink, Patsy T. (HI)
Mollohan, Alan B. (WV)
Murtha, John P. (PA)
Nadler, Jerrold (NY)
Neal, Stephen L. (NC)
Oberstar, James L. (MN)
Obey, David R. (WI)
Olver, John W. (MA)
Owens, Major R. (NY)
Pallone, Frank, Jr. (NJ)
Payne, Donald M. (NJ)
Pelosi, Nancy (CA)
Peterson, Collin C. (MN)
Pomeroy, Earl (ND)
Poshard, Glenn (IL)
Rahall, Nick J ., II (WV)
Roemer, Tim (IN)
Rose, Charlie (NC)
Rush, Bobby L. (IL)
Sanders, Bernard SVT)
Schenk, Lxnn (CA
Sharp, Phtlip R. (IN)
Strickland, Ted (OH)
Stupak, Bart (MI)
Swett, Dick (NH)
Thompson, Bennie G. (MS)
Thurman, Karen L. (FL)
Towns, Edolphus (NY)
Traficant, James A., Jr. (OH)
Unsoeld, Jolene (WA)
Velazquez, Nydia M. (NY)
Vento, Bruce F. (MN)
Volkmer, Harold L. (MO)
Washington, Craig A. (TX)
Waters, Maxine (CA)
Wheat, Alan (MO)
Wise, Robert E., Jr. (WV)
Woolsey, Lynn C. (CA)
. Wynn, Albert Russell (MD)
..
,,,
�
Dublin Core
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Title
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Correspondence between the White House and Congress concerning the Health Care Task Force
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White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
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1993
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<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
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2006-0225-F
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This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
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Clinton Presidential Records: White House Staff and Office Files
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83 folders in 2 boxes
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32205
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HE
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2006-0225-F
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Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
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Clinton Presidential Records: White House Staff and Office Files
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1127666
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https://clinton.presidentiallibraries.us/files/original/3e54a3701b3a5fb8d6febd08d3c679d7.pdf
544becc543019f4cdfba84be39983c64
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10792
Scan ID:
031870
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
10
3
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,'
.. .
~
ID# 031870
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
INCOMING
DATE RECEIVED: AUGUST 11, 1993
NAME OF CORRESPONDENT: THE HONORABLE WALLY BERGER
SUBJECT: SHARES CONCERN REGARDING THE HEALTH CARE
REFORM RECOMMENDATIONS OF DR. MATTHEW FINE
ACTION
ROUTE TO:
OFFICE/AGENCY
DISPOSITION
ACT
DATE
CODE YY/MM/DD
(STAFF NAME)
HOWARD PASTER
REFERRAL NOTE:
ORG
REFERRAL NOTE:
REFERRAL NOTE:
REFERRAL NOTE:
REFERRAL NOTE:
TYPE
RESP
C COMPLETED
D YY/MM/DD
93/08/02 HP
A 93/08/02
-'-'_,_,_
_,_,_
_,_,_
-
_,_,_
_,_,_
_,_,_
_,_,_
COMMENTS: ENCLOSURES
ADDITIONAL CORRESPONDENTS:
MAIL
USER CODES: (A)R CA
MEDIA:L
INDIVIDUAL CODES:
(B) _ _ __
1240
(C) _ _ __
***********************************************************************
*ACTION CODES:
*DISPOSITION
*OUTGOING
*
*
*
*CORRESPONDENCE:
*
*A-APPROPRIATE ACTION *A-ANSWERED
*TYPE RESP=INITIALS
*
*C-COMMENT/RECOM
*B-NON-SPEC-REFERRAL
*
OF SIGNER
*
*D-DRAFT RESPONSE
*C-COMPLETED
*
CODE = A
*
*F-FURNISH FACT SHEET *S-SUSPENDED
*COMPLETED = DATE OF
*
*I-INFO COPY/NO ACT NEC*
*
OUTGOING *
*R-DIRECT REPLY W/COPY *
*
*
*S-FOR-SIGNATURE
*
*
*
*X-INTERIM REPLY
*
*
*
***********************************************************************
REFER QUESTIONS AND ROUTING UPDATES TO CENT~Af~
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
ED
�'•
.
THE WHITE HOUSE
WASHINGTON
August 2, 1993
Dear Representative Harger:
Thank you for your letter concerning the health care reform
recommendations of Dr. Matthew Fine.
I have shared his letter, as well as the articles he
forwarded, with other members of the White House staff. I
appreciate your sharing.the concerns of your constituents with my
office.
If I can be of further assistance, please do not hesitate to
contact me.
With best wishes,
ly,
Howard G. Paster
Assistant to the President
for Legislative Affairs
The Honorable Wally Herger
House of Representatives
Washington, D.C. 20515
�..
C!>MMITIEE ON
WALLY HERGER
~D
WAYS AND MEANS
.
DISTRICT. ~LIFORNIA
'.
PLEASE REPLY TO:
0
COMMITIEEON
WASHINGTON OFFICE:
THE BUDGET
2433 RAYBURN HOUSE OFFICE BUILDING
(202) 226-3078
DISTRICT OFFICES:
0
66 INDEPENDENCE CIRCLE, SUITE 104
CHICO, CA 96928
(918) 893-8383
teongrtjj of tbt 1Jnittb 6tattj
0
410 HEMSTED DRIVE, SUITE 116
REDDING, CA 98002
(918) 223-6898
_,oust of 1\epresentatibtl
Masbington, :lD£ 205t5-o502
July 26, 1993
Mr. Howard Paster
Assistant to the President
for Legislative Affairs
The White House
Washington, D.C. 20500
Dear Howard:
Enclosed is a proposal from Dr. Matthew Fine of Oroville,
California. Dr. Fine has spent considerable time and energy
studying health policy and makes some interesting suggestions for
the consideration of President Clinton's task force. I have
informed him that I would forward it to your intention with a
request that it be shared with the President and his advisors in
this area.
toy,
Thank you for your attention.
WALLY HERGER
Member of Congr
WH/CC
Enclosure
�· ·OROVILLE INTERNAL MEDICINE
MEDICAL GROUP, INC.
Internal Medicine: Richard v. Smith, M.D. • Mallhew N. Fine, M.D. • Rat c. Shannon. M.D. • M8lll R. Beltogllo, M.D. • Aaron R. Bowen, M.D.
Gastroenterology: Nathaniel Howard. M.D.
Cardiology: Steven A. Schwartz, M.D. • Peter J. Wolk, M.D. • Darrel L Lary, M.D. • Janet W. Hayes, M.D.
MEMORANDUM
DATE:
July 19, 1993
TO:
Congressman Wally Herger
FROM:
Matthew N. Fine, M.D.
RE:
Efficient provision of health care
Primary care physicians, i.e. general internists and family practitioners, have long maintained that they
are able to provide high quality health care at a lower cost, ie., more efficient health care, than ongoing
care by subspecialists. However, because of various factors in this country, including emphasis on
specialties by medical schools, increased compensation for specialties, particularly procedure oriented
subspecialists, and inadequate compensation to generalists, the number of primary care providers in
the is country has decreased.
Recently there were two articles in the New England Journal of Medicine, which as you know Is the
most prestigious and respected medical journal in the world, which highlight these concerns. The first
article I would like to refer to was by Dr. Welch, et al, entitled "Geographic Variation in Expenditures
for Physicians' Services in the United States" 1 • This study reviewed the geographic variation of
expenditures for physicians' services and cited a wide variation in the cost of total in-hospital care for
Medicare patients. For instance, in Miami, Florida the cost was more than twice as high as In other
cities such as San Francisco, California. The authors' evaluation of this data indicated that, "Our
analysis of the supply of physicians points up the important effect of the proportion of physicians
engaged in primary care on overall payments to physicians. Higher proportions of primary care
physicians in an MSA (medical service area) were associated with less expensive practice of.
medicine (I.e., lower payments for both in-hospital and out-of-hospital care)•.
a
However, despite being able to provide care more efficiently, primary care physicians are severely
under reimbursed, especially by the Medicare system. This impression, which most primary care .
physicians have had for several years and which was not corrected by the recent Resource Based ~ ·
Relative Value System (RBRVS) as implemented by the Health Care Financing Administration (HCFA)
was recently documented In another article in the New England Journal·of Medicine. This article
included detailed studies of how much various specialists would make If they had to depend solely on
Medicare reimbursement. The conclusion was that the current system shows that • ... the Medicare ·
fee schedule under compensates medical specialists for practice costs• ... by •25-45%•.2
·
1
W. Pete Welch, PhD. et al, "Geographic Variation in Expenditures for Physicians' Services in the United States•,
N Eng/ J Med 1993; 328, No. 9; 621-627
.
2
William C. Hsiao, PhD. et al, "Assessing the Implementation of Physician-Payment Reform" N Eng/ J Med 1993;
328, No. 13; 928-933
2721 Olive Highway, Suhe 12, OroviDe, CA 95966
(916) 533-1554
�Congressman Wally Herger
Memorandum- 7/20/93
The Implication of these two studies is that primary care physicians are in a position to provide very
efficient care to a large number of patients but, because of various factors including poor
compensation, there are fewer primary care physicians available, many are demoralized, and
decreasing numbers of medical students are entering these fields. The stated emphasis on primary
care by Health and Human Services to this date has been mostly lip service.
In March of this year Donna Shalala appeared on the MacNeil-Lehrer News Hour and stated that
because 90% of physicians participate in the Medicare program that Medicare patients have adequate
access to medical care. This belief is probably misleading since many physicians who accept some
Medicare patients limit their access to their practices because of inadequate compensation and
increasing paper work. I believe this pattern is increasing, especially among the best primary care
physicians. My experience is that physicians who practice economical medicine and do not own
laboratory or radiologic facilities, and don't do expensive tests, cannot afford to take Medicare patients.
Those who have these facilities and who do the tests, often welcome Medicare patients into their
practice since the low compensation for cognitive services (evaluation and management) are more
than offset by the added compensation from this further evaluation. This, of course, adds to the
expense to the Medicare system and funnels the Medicare patients to these type of practitioners. I
am not Implying that these physicians are unethical, but certainly it has been shown that if physicians
have x-ray facilities they tend to use them more frequently, and if physicians can easily do a test they
are more likely to do it.
I have enclosed the two articles mentioned and hope that you find this information interesting and
helpful.
2721 Olive Highway, Su~e 12, Orovifte, CA 95966
(916) 533-1554
�..
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928
THE NEW ENGLAND JOURNAL OF MEDICINE
April l, 1993
~··:
SPECIAL ARTICLES
ASSESSING THE IMPLEMENTATION OF PHYSICIAN-PAYMENT REFORM
WILLIAM
C.
HsiAO, Pu.D., DANIEL
L.
DuNN, PH.D., AND DIANA
VERRILLI,
M.S.
Abstract Background. The Medicare program fundamentally changed its system of payment for physicians'
services in 1992. Controversy over the new Medicare fee
schedule has focused on three issues: the adequacy of
the conversion factor used to translate resource-based
relative-value units Into fees; the ability of the new payment system to capture differences in work between surgeons and physicians in other specialties; and the allocation of practice expenses across services.
Mt~thods. Using a standard service in each specialty,
we developed simulation methods to assess the implemenlation of physician-payment reform. With these meth·
ods we calculated the potential net income for each
specialty, as generated by different payment scenarios,
including the Medicare fee schedule.
Results. We found that Medicare's current monetary·
convc3rsion factor yields an unreasonably low level of in·
comE! for most specialties. Furthermore, the Medicare fee
schedule misallocates practice expenses; invasive services are reimbursed for more than actual expenses, and
medical servi~s are reimbursed for less. Thus, physi·
cians continue to be paid more generously for invasive
services. Finally, the Medicare fee schedule does recognize the wide differences in the Intensity of work performed
by physicians in various specialties.
Conclusions. The misallocation of practice expenses
in the Medicare fee schedule results In serious underpayment for medical services. We think it likely that physicians
compensate by performing more lucrative services, such
as diagnostic tests. Even if legislation is passed to deal
with the misallocation of expenses, the current conversion
factor still produces unreasonably low levels of payment
overall, which could dissuade those considering a career
in medicine from entering the field. Finally, the simulation
method we developed can be used as a tool for fee negotiations. (N Engl J Med 1993;328:928-33.)
T
are assigned to particular services on the basis of historical charges instead of resource costs. As a result,
the Medicare fee schedule underfompensates in some
specialties and overcompensates in others. A systematic evaluation of the effects of these misallocations on
income has not been performed.
The methods we developed to address these three
issues can be used to calculate the net income for each
specialty generated under different payment scenarios, including the Medicare fee schedule. These methods can be used to decide on a reasonable conversion
factor and to· judge whether the resource-based relative-value scale has adequately captured differences
among specialties in physicians' work. Our method
can also be used to determine the degree of distortion
in fees that results from the misallocation of practice
expenses.
There is no absolute right answer when we ask what
the dollar amount of the monetary-conversion factor
-and thus physicians' incomes- ought to be. In the
United States a process of political negotiation between payers and physicians is used to arrive at such
an amount. However, empirical information could
help the key players make such political decisions.
HE U.S. Health Care Financing Administration
created a firestorm in mid-1991 when it an·
nounced its proposed Medicare fee schedule for physicians' services. The Medicare fee schedule, based on
the resource-based relative-value scale, 1•2 represents
a fundamental departure from Medicare's previous
methl)d of payment. The most controversial feature of
the nl!w fee schedule is its proposed monetary-conversion factor, which translates relative-value units into
dollars to establish fees. The 1989 law that established
the .Medicare fee schedule required that it have no
effect on Medicare's total outlay for physicians' services.' Considerable debate ensued among lawmakers,
physicians, and the Health Care Financing Administration over how to interpret this provision and over
the appropriateness of the final conversion factor.·~
Nevertheless, a crucial question remains: Does the
monetary-conversion factor yield a reasonable net income for physicians?
In addition to controversy over the conversion factor, physicians in many surgical specialties allege that
the resource-based relative-value scale does not adequately acknowledge the difficulty and risk entailed in
performing surgical procedures as compared with
medical services.6 They argue that underpayment for
their services may prompt many surgeons to stop accepting Medicare patients.
There is a third controversy regarding the Medicare
fee schedule. The Physician Payment Review Commission and others have charged that the fee schedule
incorrectly allocates practice costs (overhead plus liability premiums) to specific services. 7•8 Practice costs
From :he Department or Health Policy and Management, Harvard School or
Public Health, 13~ Massachusetts Ave., Cambridge, MA 02138, where reprint
requests should be addressed to Dr. Hsiao.
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METHODS
Simulation
A physician's net income is the difference between practice revenue and expenses. Information on expenses is readily available
from surveys conducted annually by the American Medical Association and MtdiaJI Economics magazine and periodically by the federal
government. The central question in simulating net income is therefore, How do we estimate practice revenue when physicians are paid
varying fees?
The potentiaJ annual gross revenue of physicians in private practice is the product of service fees and the volume of services that can
be performed in a year. Information on fees is readily available. The
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930
THE NEW ENGLAND JOURNAL OF MEDICINE
the practice-cost portion of the fee schedule is appropriate, we computed total fcc-schedule payments for physicians' work and practice
costs in each specialty. The Medicare schedule subdivides fees into
three components: physicians' work, overhead, and professionalliability premiums. To simulate annual specialty-specific payments
according to component, we multiplied each component of the fee
for the standard service by the total volume of services. We then
compared payments for physicians' work among specialties. We
also compared practice-cost payments under the fee schedule with
estimates of actual expenses incurred.
Data
..··
. •'·'·•·
·.i
.cApril1, 1993
~
Our data came from various sources. The total time required to
perform the standard service was obtained from the resource-based
relative-value scale study. 12 It consists of all time devoted to the
service, including time before and after the service itself is performe!<~.
For surgical procedures, the before-service period covers related
servkes performed within 24 hours before the procedure. The service pc:riod itself is the "skin to skin" time of the procedure. The
after-service period includes postoperative care and follow-up hospital ;md office visits within 90 days. We also assumed that for each
standard procedure performed, the surgeon provides two consultations and determines that only one of the two patients needs surgery. And we assumed that the surgeon- not a surgical residentperforms all services, including the work before and after the procedure. We found (as Table I shows) that surgeons spend 20 to 25
percent of their patient-care time performing procedures and the
remaining time in preoperative and postoperative care, which consists hrgcly of evaluation and management.
For medical services or evaluation and management, the service
time is the period of face-to-face encounter between the physician
and patient. The before and after periods encompass time spent
reviewing and writing charts, following up on laboratory tests, and
talkin;f with patients or professionals by telephone.
Total patient-care time was estimated from data collected annually by the American Medical Association and MediuJI &olllmlia. 1" 14
These surveys find some variation among specialties in the number
of hours per week spent in professional activities and in the number
of weeks worked per year. In the interests of focusing on the effect of
fees on incomes, we assumed uniform working hours and weeks in
all specialties.
Drawing on the survey information, we assumed that full-time
physicians devote 60 hours a week to their professional practice, of
which 50 hours arc spent on the care of patients. or these hours, 10
percent is frictional time lost, leaving 45 hours of direct patient care
per week. Finally, we assumed that physicians spend 46 weeks a
year on the care of patients.
The number of standard services that a specialist can perform per
week is shown in Table I. Services per week vary from four co~
nary-artery bypass grafts by thoracic and cardiovascular surgeons
to 129 office visits in five medical specialties. Using a IS-minute visit
(face-to-face encounter time) as the standard service for family physicians, pediatricians, and general internists, we estimated that
these specialists see 129 patients per week. This result is consistent
with survey data, which show that family physicians see an average
of 144 patients per week, and pediatricians 134; s~rveys reveal that
general internists sec an average of Ill patients J>!:r week, suggest~
ing that they probably schedule patients for lcnsthier visits than
those of the standard service. 15 Because the relative values and fees
for evaluation and management services are roughly proportional to
the duration of each visit, this discrepancy should not have distorted our analysis.
Data on practice costs according to s~cialty were obtained from
American Medical Association surveys. 3 Since the most recent data
were for 1990, we estimated 1992 expenses using the consumer price
index (·t2 percent for 1990-1991 and 2.6 percent for 1991-1992). 15
The expense data used for the simulation appear in Table 2.
The data on standard-service fees (Table 3) came from three
sources. The 1992 Medicare fcc schedule was obtained from the
Health Care Financing Administration.~ Submitted charges came
from two sources: charges for surgical procedures were tabulated
from data published by the Health Insurance Association of America for 1990, 16 and charges for evaluation and management services
Table 2. Estimated Average Practice Cost In
1992, According to Specialty.•
SPECIALTY
Cardiology
Invasive
Medical
Dcnnatology
Invasive
Medical
Family practice
Gastroenterology
General SIUJay
Internal medicine
Neuros~~r~ery
Obslelries and
gynecology
Ophthalmology
Orthopedic surgay
Pcdilllrics
Psychiatry
Thorac:ic and eanll~
vascular sursay
Urology
177.8
129.8
11.7
9.6
160.3
129.8
135.4
142.2
111.0
129.8
ISS. I
190.6
8.8
9.6
8.3
9.4
9.6
29.7
36.7
259.3
242.6
139.2
S2.1
JBS.J
10.3
38.0
8.3
4.8
29.7
167.0
16.9
26.3
°COSIS ""' 6om PlrylitiDn MIIThrpiDt:~ SIGIIstia 1991, 1, inftatal 10 1992 dollaB on lho basis of lho COIISUIIICI' price iadex.
were obtained from 1991 data published by MediuJI &onomia. 17 We
projected submitted charges to 1992 usin§ the physicians'-services
component of the consumer price index. 1
REsULTS
Table 4 shows the simulated net income that physicians would have earned in 1992 if all payers had paid
in accordance with physicians' submitted charges.
These charges, which approximate the fees that private insurance companies pay, represent the higher
end of the fee range. Under this scenario, pediatricians would have earned $71,000, family physicians
$81,000, general internists $127,000, and psychiatrists
$187,000. On the high end, ophthalmologists would
have earned $794,000, invasive cardiologists $930,000,
and thoracic surgeons $934,000. These results clearly
demonstrate that, as expected, current submitted
charges favor invasive procedures over evaluation and
management.
Figure 1 shows simulated net income if all payers
had paid according-to the 1992 Medicare fee schedule.
On the low end; pediatricians would have earned
$35,000, family physicians $40,000, and general internists $44,000. On the high end, orthopedic surgeons would have earned $174,000, invasive cardiologists $221,000, and thoracic surgeons $241,000.
Table 5 presents a breakdown according to component of simulated payments based on the 1992 Medicare fee schedule, showing payments for work and total practice costs (overhead plus liability premiums).
The amount that physicians would have recovered
for practice costs varies widely, from $77,000 for
family physicians to $281,000 for thoracic surgeons.
Meanwhile, as shown in Table 2, family physicians
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April I, 1993
THE NEW ENGLAND JOURNAL OF MEDICINE
.•
work (which generates physicians' net income) and
practice costs. We found that many specialties are inadequately reimbursed for practice costs. In general,
these shortfalls are greatest for primary care specialties.
Our findings suggest that Medicare's practice-cost
payments understate actual expenses. Furthermore,
because practice expenses are allocated in accordance
with historical physicians' charges rather than the cost
of resources, the allocation formula systematically
favors invasive services. Since surgical procedures
have historically involved more generous compensation than other services, charge-based allocation favors these services and reimburses more for expenses
than is actually spent.
!!?
J!
200._-------------~
0
150~---------------------
8
C/)
"0
lij 100 ~------------~
Ul
::1
0
.c:
1-
Intensity of Work as Measured by the Resource-Based
Relative-Value Scale
In our earlier work on the resource-based relativevalue scale, we found most invasive procedures to involve more intense work- greater effort for each minute of time spent- than evaluation and management
services. When two physicians work the same number
of hours, their incomes should differ according to the
relative intensity of the services they perform. The
phy:;icians'-work portion of the Medicare fee schedule
reflects these differences in intensity.
Using the standard-service equivalent, we simulated total annual payments provided by the Medicare
fee 5Chedule for physiCians' work (Table 5). Family
physicians' work payment was calculated as $106,000,
general surgeons' as $161,000, and thoracic surgeons'
as $175,000. In other words, the work of the surgeons
is 50 to 65 percent more intense than that of family
physicians. This greater intensity is attributable to the
20 to 25 percent of a surgeon's patient-care time spent
performing the service portion of invasive procedures,
whiCh the resource-based relative-value scale study .·
found to be three to four times more intense than evaluation and management services. 12
Accuracy and Sensitivity of the Simulation f'esults
:;~~--~-·
.
.
~
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According to national survey-s, surgeons' net incomes are lower than the simulated results we estimated using submitted charges. 13•14 There are several reasons for this discrepancy. First, physicians' income
comes from various payers: primarily Medicare, Medicaid, and private insurers. The charges submitted by
physicians closely approximate what private insurers
pay, but Medicare and Medicaid pay much less. Second, we assumed that dc,:mand is sufficiently high to
allow physicians to practice in their specialties on a
full-time basis. In many surgical specialties, however,
this is the case only for physicians with well-established reputations or practices based in medical centers. We know that most surgeons supplement surgical
procedures with nonsurgical services, partly because
of insufficient demand for surgery.6•7 Thus, the average income for all surgeons in a given specialty, as
determined by survey, represents averages of many
different practice profiles.
Figure 1. Estimated Net Income, According to the 1992 Medicare
Fee Schedule.
. For medical specialties, surveys show that family
physicians and general internists earn net incomes
that are closer to $100,000 than to the lower amounts
suggested by our simulation~ One explanation is that
primary care physicians provide other services, such
as x-ray interpretations, electrocardiography, officebased laboratory tests, other diagnostic tests, and minor procedures, that yield more generous fees relative
to the time involved than do patients' visits~
For the purposes of comparison, we performed a
sensitivity analysis using a profile of each specialty's
services based on national Medicare claims data and
data from a large Blue Cross-Blue Shield program.
Using the assumptions about patient-care hours described. above and data on service time from the resource-based relative-value scale study, we simulated
an average annual profile of the services each specialty provides for Medicare and for Blue Cross-Blue
Shield. We then combined the two profiles, using national specialty-specific data on the share of patientcare revenues derived from each payer. Finally, we
used submitted charges and the Medicare fee schedule
to compute payments to each specialty.
With these service profiles, we found gross revenues
and practice-cost payments to be generally within 20
percent of our standard-service simulation results.
The congruence between the two approaches was
particularly marked for the payment amounts based
on the Medicare fee schedule in Table 5. Two exceptions were ophthalmology and orthopedics, whose
service profiles produced much lower revenues than
the standard-service approach. Perhaps physicians in
these specialties perform more evaluation and management services than our standard-service method
suggests.
We also found systematic differences in payments
between the service-profile and standard-service ap-
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Vol. 528
No.9
GEOGRAPHIC VARIATION IN PAYMENTS TO PHYSICIANS- WELCH ET AL:
'"
621
SPECIAL ARTICLE
GEOGRAPHIC VARIATION IN EXPENDITURES FOR PHYSICIANS' SERVICES IN THE
UNITED STATES
W. PETE WELCH, PH.D., MARK E. MILLER, PH.D., H. GILBERT WELCH, M.D., M.P.H.,
ELLIOTT S. FisHER, M.D., M.P.H., Al"iD joHN E. WENNBERG, M.D., M.P.H.
Abstract Background. The national volume-performance standard recently implemented by Medicare does
not account for geographic variation in expenditures for
physicians' services. To study this variation, we examined
expenditures for physicians' services in all metropolitan
areas in the United States.
Methods. We used Medicare claims data for 1989 to
measure ratos of service use for beneficiaries living in the
317 U.S. metropolitan statistical areas (MSAs). The variables investi·~ated were rates of admission to the hospital,
payments to physicians for inpatient care per admission
and per benEificiary, payments to physicians for outpatient
care per ber.eficiary, and overall payments to physicians
per benefici~iry. Expenditures were measured in terms of
allowed charges as adjusted to reflect prevailing charges
in each MSA. Rates of use were adjusted for age and sex,
with the eXCI!ption of the variable for payments to physicians for inpatient care per admission, which was adjusted
for case mix.
Results. Expenditures for the delivery of physicians'
services to Medicare beneficiaries varied markedly among
MSAs, with those for the areas with the lowest and the
highest rates differing at least twofold on each measure.
The measures for specific areas varied in parallel: areas
with high rates of admission tended to have high levels of
payment to physicians for inpatient care per admission,
and areas with high payments for inpatient services tended to have high payments for outpatient services. Expend·
itures were not related to the number of physicians per
capita but were lower in MSAs with a high proportion of
primary care practitioners. The variation persisted when
the 251argest MSAs were examined; for total payments to
physicians per beneficiary, there was a twofold difference
between the area with the lowest rate and that with the
highest, San Francisco ($872) and Miami ($1,874). The
states with' the highest overall payments to physicians per
beneficiary were Florida, Louisiana, and Michigan.
Conclusions. The marked variation among metropolitan
areas in payments to physicians underscores the lack of
consensus among physicians about which services are
required. Moreover, the practice style in a given communi·
ty appears to be influenced not by the aggregate supply of
physicians but rather ,by the mixture of primary care physicians and specialists. (N Engl J Med 1993;328:621-7.)
G
bypass surgery. Although variations in expenditures
for physicians' services have been documented in several states, 10•11 the magnitude of the variation across
the United States has not been evaluated systematically.
To examine the extent of this variation, we analyzed 1989 Medicare data for the 317 metropolitan
statistical areas (MSAs) in the United States. We considered all physicians' services charged to Medicare,
classifying thein according to whether they were for
inpatient or outpatient care. Inpatient services were
subclassified to reftect two types of fundamental clini·
cal decisions: decisions to hospitalize patients and decisions about how many services to deliver to them
during hospitalization.
LOBAL limits have been suggested as a means of
curbing growth in health expenditures.• Medicare's recent physician-payment reform incorporates
this idea in its volume-performance standard. 2 The
volume-performance standard is intended to give
physicians incentives to control the volume of their
services by linking their future fees to growth in volume. If physicians' services grow too rapidly, the allowed increases in Medicare fees will be adjusted
downward. Although this national standard addresses
the rapid growth in payments for physicians' services,
it fails to address the existing variation in services
among geographic areas.
Two decades of research have documented persistent and substantial geographic variations in use. of
services. s-9 These investigations have generally focused on rates of admission to the hospital and of
procedures, such as hysterectomy or coronary-artery
From the Urbau lnsliture, Washington, D.C. (W.P. W., M.E.M.); the Depldment of Veterans Affain Medical Ccnlel', Whire River Junction, Vt. (H.O.W.,
E.S.F.); and lhe Ceulel' for lbe Evalualive Clinical Sciences, Oanmoulh Medical
Scbool, llanovu, N.H. (H.O.W., E.S.F., J.E.. W.). Address lqlrint requestalill
Dr. W.P. Welcb at die Urbaa lnsliture, 2100 M St., NW, WashinJIOII, DC
20037.
Supported iD part by lbe Heallh Care F'maocing Adminislralioa under a cooperative agreement (17-C-99489/J.OI) wilh lbe Urban lnsliiUIC. Dr. H. G. Welcb is
lhe recipient of a Veterans Affairs Career Development Award iD bcallh services
resean:h and deve~opmenL Ally opinions exprased herein are diose of lhe mlbon and do DOt ft~llhe opinions or policies of lhe Healtb Care FinaDc:iDa
Administration, lhe Department of Veterans Aft'ain, lbe Urban IDstitute, Din·
moulh Mcdlcal'Sc:bool, or !heir sponson.
.·
'
.. . .
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METHoos
Overview
To explore variation among large geographic areas, we analyzed
1989 Medicare data on admission rates and expenditures for physicians' services. The unit of analysis was the MSA. With the exception of Providence, Rhode Island (dropped from the study because
of incomplete billing data), all 317 MSAs were included in the
analysis. These areas contained a resident population of 23.1 mll·
lion Medicare beneficiaries.
We first calculated population-based rates of service use, assigning hospital admissions and expenditures for physicians' services to
the geographic area where the beneJiciary resided, rather than to the
place where the service was delivered. Thus, the admission of a New
York City resident to a Miami hospital was attributed to the New
York City MSA.
•
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•
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Vol. 328 No.9
GEOGRAPHIC VARIATION IN PAYMENTS TO PHYSICIANS- WELCH ET AL.
623
Table 1. Calculation of Variables to Express the Use of Services in Each MSA. •
payments per beneficiary (between
$760 and $900) were those immediNUMERATOI
VAIJAIU
DOIOMINA TOI
ately south of the Canadian borNo. or hospital admissions among
der in the West and several of the
Rare of hospital admission
No. of Medicare beneficiaries
(per 1000 beneliciaries
beneficiaries (not in risk(not in risk-c:onlr.ll:t HMOs)
Rocky Mountain states. Because
conlr.ll:t HMOs) residing in
per year)t
residing in each MSA
these states have relatively large rueach MSA (Sowcc: Medicare
(Sourc:e: Health Care
Provider Analysis and Review
Financing Administration
ral populations, the entire analysis
[MedPAR))
denominator files)
was repeated to include beneficiPaymeniS to physicians for inSum of allowed physician charges
No. of non-HMO admissions
aries outside the MSA. Although
patient can: per admissioni§
during each non-HMO admis·
(Source: MedPAR)
sion (Source: Part 8 Medicare
payments to physicians for rural
Annual Dara and MedPAR)
beneficiaries tended to be someProduct of admission rate and
Paymenu to physicians for
1000
what lower, the patterns observed
paymenu to physicians per
inpatient care (per
admission
beneficiary per year)
previously were unchanged.
Paymenu 10 physicians for
Sum of allowed physician
No. of non-HMO beneficiaries
Finally, we examined the effect
charges not altriburablc to
outpatient care tper
residing in each MSA
a hospital admission among
(Source: Health Care
beneficiary per ycar)t*
of the supply of physicians by cornon-HMO beneficiaries (Source:
Financing Administration
relating the number of physicians
Part 8 Medicare Annual Oara)
denominator files)
per capita and the percentage of
Overall paymenu to physicians
Sum of payments 10 physicians for
(per beneficiary per year)
inpatient care and paymenu for
primary care physicians with the
outpatient care
five measures of use of services. Table 4 shows that there are no statis•HMO de1101n heallh mailuenanc:c organization. llld MSA me110p0li1111 swistical area.
tically significant correlations betScandanliud Cor die composition or each MSA aec:ording 10 oge and sex, using the iDcliRcl technique. The nlio or die
observed nue 10 the et:pcc:rcd me wu mulliplied by 1he national mean 10 produce the odjusrcd raUl.
tween the number of physicians
*Adjusrcd Cor local pri~ widt the prevailing charge inde.< iD the Medicare loc:ality.
per capita and the measures of use
IAdJusrcd ror.c:ase •nil with die relalive wcighrcd paymen1110 physicians ror coeb diagDosis-rellllld poup.
of services. The proportion of physicians engaged in primary care
ed to have high levels of payments to physicians for
was, however, negatively and significantly correlated
inpatient care per admission (r = 0.24, P<O.OOI).
with all the service-use variables except admission
Also, we found no evidence of the substitution of outrates.
patient care fi)r inpatient services. In fact, the opposite
DISCUSSION
was true: MSAs with high levels of payment for inpa-•
Geographic variation in medical care is well docutient care tended also to have high levels of payment
mented. ,_9 Most studies have focused on admission
for outpatient care (r = 0.25, P<O.OOl). A stronger
rates or rates of use for discrete procedures and have
correlation was found between payments to physicians
for inpatient <:are per admission and payments for outexamined small geographic areas. We examined all
patient care (r = 0.42, P<0.001).
Medicare payments for physicians' services in providing inpatient and outpatient care and considered evWe also examined the 25 largest MSAs separately.
ery metropolitan area in the nation. Despite the high
They ranged in size from 188,000 beneficiaries in San
Francisco to more than 1 million in New York City.
degree of aggregation in terms of the combination of
The correlations described previously were similar.
services and the relatively large geographic areas
Figure I shows that the variation in payments to phy(both factors that tend to dampen variation), the magsicians persisted among these large metropolitan areas
nitude of variation was substantial.
and demonstrates a twofold difference in overall phyAlthough physicians' services are generally reportsician expenditures between San Francisco ($872) and
ed as a single item in presentations of national health
Miami ($1,874).
care expenditures, 16 our analyses used an accounting
To give a sense of the geographic pattern of overall payments to
Table 2. Summary Statistics for Components of Payments to PhysicianS in 31t '-·
MSAs.*
.
physicians, Figure 2 provides data
on the 317 MSAs after aggregation
OviLw.
PAYMEHTSFOa
. PAYIIBNlS
to the state level. Each MSA was
OVTPAni!HT C..U
PAYNI!IIft..,.
AmassiON RA111
1'1!8 Bl!HI!flaA&Y
na
Bl!HifiCWIY
STATISIIC
naiOOO
c..u
INPAlliiHT
weighted according to the num1'1!8
ber of beneficiaries residing there.
ADNISSION IBNIUICIARY
The rates tended to be highest in
$1,001
$641
304
$1,180
$360
the South and lowest in the NorthS983
$623
$347
Median
299
$1,175
west. The states that contained
Sranclard dcvlatioa
48
165
145
125
81
the MSAs with the highest average
Coefficient of variation
15.6
16.5
19.5
12.3
22.4
payments to physicians per benefi219
Minimum
$677
$388
S655
$212
ciary (between $1,200 and $1,360)
Maximum
$1,388
$1,874
$1,580
533
S700
were Florida, Louisiana, and
• AU cspeadlaua wae ldjusrcd 10 retleec prevailias cfwses in the area. RileS ol use were populalioa-bued, except for
Michigan. The states containing
payments 10 pbysiclllll for iapaticn!Ciftl per odmisoion. Rala of use_, adjusrcd for age and ses. cscopc rcw lila variable Cor
the MSAs with the lowest average
paymeDII 10 pbJiidlna for iapalient cant per odmisoion, wbicb wu ldjusrcd rcw cue IIIia.
..
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.Vol. 328 • No. 9
GEOGRAPHIC VARIATION IN PAYMENTS TO
PHYSICI.\~S-
WELCH ET .\L.
625
..:' .. :: .....
=-~~-~
2,000.---------------------------
--
1,500
fit
0
~
•
as
;g
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cQ)
...
a:l
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Outpatient
1,000
Q)
Q.
II)
c
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~
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500
0
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:IE
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u.
·e
3ftl ~
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c c
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<i ~ .>i
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> i
18
~
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a:
a z~
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Figure 1. Medicare Payments to Physicians for Outpatient and Inpatient Care Provided per Beneficiary in the 25 Largest MSAs In the
United States, 1989.
structure that reftects more accurately the clinical decisions that generate services. The first is the decision
to admit a patient to the hospital. The second is the
choice of professional services once a patient is hospitalized. The third is the choice of the professional services given to outpatients.
This construct allows us to reject two hypotheses
that attempt to explain the marked geographic variation in expenditures for physicians' services. This variation cannot be attributed to the substitution of inpatient for outpatient care; indeed, metropolitan areas
with high levels of payments to physicians for inpatient care tend to be those that have high levels
of payments for outpatient care. In addition, the
variation cannot be attributed to the disproportionate admission of mildly sick patients in high-admission areas; indeed, in areas with high admission
rates physicians tend to deliver extensive services
to patients once they are hospitalized. Instead, unless a hypothesis of marked variation in the unmeasured burden of disease is entertained, the variation
in payments to physicians must be attributed to
broad-based diff-:rences in practice style among communities that cut across the three major clinical decisions generating the payments.
Consider the differences between Miami and San
Francisco. After adjustment for differences in age and
sex, beneficiaries in Miami were 1.15 times more likely
to be admitted to the hospital than their counterparts
in San Francisco. Once admitted, they received physicians' services that were 1.7 times more cosdy. The
relatively low level of payments to physicians for inpatient car.e in San Francisco did not, however, translate
into a corresponding increase in payments for outpatient care. In fact, payments per beneficiary for outpatient care in Miami were 2.2 times those in San Franci.!!co.
·
lQur analysis of the supply of physicians points up
the important effect of the proportion of physicians
engage~rimary care on overall payments to physicians.l!ji~her proportions of primary care physicians in an MSA were associated with a less expensive
practice of medicine (i.e., lower payments for both inhospital and out-of-hospital care). When cross-sectional differences are studied, a community's practice
style appears to be determined more by physicians'
specialties than by their aggregate numbers. The
somewhat surprising finding that the number of physicians per capita was unrelated to use of services is
most likely the effect of three limitations of this studi:J
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Vol. 328 No. 9
GEOGRAPHIC VARIATION IN PAYMENTS TO PHYSICIANS- WELCH ET AL.
627
'.
higher levels of illness in the population, leading to
higher rates of hospitalization, or higher rates of hospitalization could result in higher mortality.
Regardless of their cause, the magnitude of the
variations in physicians' services raises difficult questions for Medicare's policies toward fee-for-service
payment. The variations underscore the lack of a firm
basis on which to judge the appropriate rate for most
procedures, 21 let alone the rate for the aggregate differences in per capita health care expenditures. No evidence is available to support the contention that the
residents of Miami benefit from their high treatment
rates; they may just as plausibly be harmed. The high
cost differential underscores the need to assess their
effect on health.
Changing such patterns will be challenging. The
geographic index in the Medicare fee schedule, whicJ:l
was implemented in January 1992, will dampen the
geographic variation in fees. Because we adjusted for
charges prevailing locally, however, this index will
have little effect on the variations in adjusted payments reported here. The relative-value scale of the
fee sched.ule will increase payments to primary care
physicians in relation to payments to specialists. This
change could either mitigate the variations reported
here or, if lc·wer fees increase volume, it could exacerbate them. Attempts to control variation by micromanagement of the clinical encounter require more
knowledge than is now available about the usefulness
of specific ~:ervices in specific clinical settings. FUP
thermore, physicians understandably have a negative
view of such micromanagement, because it is enforced
by people with no direct contact with or responsibility
for the patimt.
Global limits avoid micromanagement. They
achieve cost containment by specifying an overall
budget and allowing physicians the autonomy to allocate resources as they think best. As such, the recently
enacted volume-performance standard is a move in
the right direction. Because the entire nation is the risk
pool, however, this may not have much effect on geo- .
graphic variations as demonstrated here.
To address geographic variation, the volume-performance standard needs to consider smaller populations. The difficulty lies in linking beneficiaries to
some organization of physicians. A reasonable place
to start might be with the inpatients of each hospital,
because the episode of care including their hospitalization has been identified and these patients are served
by a well-defined group of physicians.22 Strategies that
deal with payments to physicians for inpatient care
per admission must ultimately be complemented by
strategies that account for the variation in admissio~
rates and outpatient services. As initial steps, however, the number of hospital beds might be regulated23
and a volume-performance standard for outpatient
services defined for each state.24
It is clear from our study and others that there
is substantial variation in the use of health care resources among distinct populations. Historically, policy makers could not respond to these variations,
simply because they, could not measure them systematically. With the availability of large populationbased data bases, they now can. As policy makers
consider either true global limits or volume-performance standards, it is important that they consider the
existing distribution of health resources and make an
effort not to lock in current inequities.
We are indebted to Mr. Steve Norton and Ms. Juhi Chawla for
research assistance; to Ms. Paula Beasley and her staff at Social and
Scientific Systems for programming; and to Ms. Sherry Terrell, the
project officer of the Health Care Financing Administration, for her
supporL
IU:n:RENCES
1. Himmelstein DU. Woolhandlcr S, Writing Committee of the Working
Group on Program Design. A national health program for the United Slai.CI:
a physicians' proposal. N Engl J Med 1989-.320:102-8.
2. Omnibus Budget Reconciliation Act of 1989, Pub. L. 101-239.
3. Owsin MR. Brook RH. Parle RE. el al. Variations in the use of medical and
surgical services by the Medican: population. N Engl J Med 1986;314:28590.•
4. Chassin MR. Kosecoff J, Parle RE, el al. Does inappropriate use explain
geographic variations in the use of health can: services? A study of three
procedures. JAMA 1987;2S8:2S33·7.
S. Holahan J, Berenson RA, Kachavos PG. Area variations iD selected Medican: procedures. Health Aff (Millwood) 1990:9(4):166-75.
6. Wennberg J, Gi11elsohn A. Variations in medical can:.~l small uas.
Sci Am 1982;254(4):120..34.
7. Wennberg JE. Dealing with medic:al prac:1ic:e variations: a proposal for action. Health Aff (Millwood) 1984:3(2):6-32.
8. Weonberg JE, freeman JL, Culp WJ. An hospital services rationed in New
Haven or over-utilised in Boston? Lancet 1987:1:1185-9.
·
9. Wennberg JE, freeman JL, Shelton RM. Bubolz TA. Hospital usc 8lld
mortality among Medicare beneficiaries iD Bosron ami New Haven. N Eagll
Med 1989;321:1168-73.
10. Wennberg JE, Giaelsohn AM. Small area variations in beallb c:are delivery.
Scieace 1973:182: 1102·8.
II. Miu:heU JB. Area variation in Medic:arc pbysiciao speodiag. Health Aff
(Millwood) 1992;11:(1):224-34.
12. Community hospitals, beds, admissions and occupanc:y (1992-1988). ln:
Soum: book of health insurance data. Wasbiogton, D.C.: Health lnsuranc:e
Associalion of Americ:a, 1990:86.
13. Depanment of Health and Human Sc:rvices, Health Cm: FinaDcing Adminisii'Biion. Medicare propm: physician performance IWidard n1e of in=ase for federal fiscal year 1990. Fed R.cgisli989-,54(249)'.S38lll-21.
14. Miller ME, Wcldl WP. Physician ~ in the baspital: exploring episodes of can: for conuoUiDg volume grvwtb. Med Cm: 1992;30:630-45.
IS. Pope GC, Hurdle S, Posner JG, Hcndenoa M. All index of Medicare
prevailing charges: report to the Health Care FinanQug Adminisllalioo.
Needham, Mass.: Center for Health Economics ltcseaR:b. 1988.
16. L.azenby HC, Letsch SW. National health expcndi-.. 1989. Health Cm:
F'III8DC Rev 1990:12(2):1726.
17. Connell FA, Slide LA, Hanken MA. Oinir:al comlala ofsmaU·area variations iD populalion-based admission rates for diabcla. Med Cue 1984;22:
93949.
18. Roos NP. Roos LL Jr. Surgical rate variations: do !bey reOect lbe health or
socioeconomic cliaracteristics of the populatioa? Med Cm: 1982;20:945-58.
19. Wennberg JE, Fowler FJ Jr. A test of the consumer CODUibuUoo 10 small
area variations in health can: delivery. J Maino Med Assoc: 19'n;68:27S-9.
20. Wennberg JE. Population illness rates do not explain popuJadoD hospitalization rates: a commem on Mark Blumberg's tbesis thai martriclity adjuatcn
are needed to intetpret small area variations. Med Cm: 1987;25:354-9.
21. Idem. Which rate is right? N Eagl J Med 1986;314:310..1.
22. Wclc:h WP. Prospective payment to medical staffs: a proposal. Health Aff
(Millwood) 1989;8( 1):34-49.
23. F'llhcr ES, Weldl HG, Wennberg JE. Priorilizillg Oregoa's hospital raSOUI'CC$: an eumple based on variations iD discretionary medical ulillzalioo.
JAMA 1992:267:192S·31.
24. Rice T, Bemsteio J. Volume performance sWidards: caD they control
growth in Medicare services? Milbank Q 1990;68:29S-319.
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
31870
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-014-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/0e7dc7b6a5aafcb6ddeb39139885e7ff.pdf
a10cebc8072b066b522169e0a519ad2d
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10792
Scan ID:
031764
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
10
3
�•
•,
•
I
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
INCOMING
ID# 031764
DATE RECEIVED: AUGUST 10, 1993
NAME OF CORRESPONDENT: THE HONORABLE ILEANA ROS - LEHTINEN
SUBJECT: DISCUSSES CONCERN REGARDING PRESIDENT'S
HEALTH CARE REFORM PROPOSAL AND ITS EFFORTS
ON HOME MEDICAL EQUIPMENT
ACTION
ROUTE TO:
OFFICE/AGENCY
DISPOSITION
(STAFF NAME)
HOWARD PASTER
REFERRAL NOTE:
HOWARD PASTER
REFERRAL NOTE:
REFERRAL NOTE:
- - - - _!_!_
- - - - _!_!_
REFERRAL NOTE:
REFERRAL NOTE:
COMMENTS:
ADDITIONAL CORRESPONDENTS:
MAIL
MEDIA:L
USER CODES: (A) R FL_ __
INDIVIDUAL CODES:
(B) _ _ __
1240
(C) _ _ __
***********************************************************************
*ACTION CODES:
*DISPOSITION
*OUTGOING
*
*
*CORRESPONDENCE:
*
*
*TYPE RESP=INITIALS
*
*A-APPROPRIATE ACTION *A-ANSWERED
*C-COMMENT/RECOM
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*
CODE = A
*
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REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 7S,OEOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
SCANNED
�THE WHITE HOUSE
WASHINGTON
December 2, 1993
Dear Representative Ros-Lehtinen:
Thank you for your letter regarding coverage of durable
medical equipment (DME), hospice, and home health care. I
apologize for the late response.
You are indeed correct that these benefits have an important
role to play in health care reform, and I think you will agree
that the Health Security Act embodies a strong commitment to home
health care.
The comprehensive benefits package incorporated in the
legislation submitted for congressional consideration includes
broad coverage for DME, home health, and hospice services.
The DME benefits would cover items that improve functional
abilities or prevent further functional deterioration, and
includes training in the use of the DME items.
The proposed home health benefit is similar to the current
Medicare home health benefit. It covers home health services
following an illness or injury, as an alternative to
institutionalization. Individuals are re-evaluated for continued
coverage every 60 days.
The hospice benefit would parallel the current Medicare
benefit. A range of services are included; nursing care, medical
social services, homemakers and medical supplies, among other
services, are covered under the hospice benefit. such services
are provided to terminally ill individuals as an alternative to
continued hospitalization.
Thank you again for your letter.
President
Affairs
The Honorable Ileana Ros-Lehtinen
House of Representatives
Washington, D.C. 20515
�PLEASE RESPOND TO:
ILEANA ROS-LEHTINEN
18TH OiSTRICT, FlORIDA
0
COMMITTEES:
):;llo DISTRICT OFFICE:
0
FOREIGN AFFAIRS
GOVERNMENT OPERATIONS
•
127 CANNON BUILDING
CID!INGTON, DC 20515-0918
~ (202)225-3931
~ongrt'' of tbt ltnittb ~tatt'
.,ou•t of 1ltprt•tntatibt'
July 20, 1993
c;,57 BLUE lAGOON DRIVE
c;? (NW 11TH STREET)
SUITE 240
MIAMI, Fl 33126
(305) 262-1800
.=.
•·.
The President
The White House
Washington, D.C. 20500
Dear Mr. President:
I have recently heard from a number of my constituents who
are concerned about the impact of health care reform on the
provision of Home Medical Equipment(HME).
These constituents report that many patients prefer
receiving medical services at home. Home care provides chronic
and recuperating patients the comfort of being in their own homes
with a greater degree of autonomy and dignity than may be
possible in an institutional setting. Home care may, depending
on the physician's medical judgment, be the most appropriate mode
of treatment for acute or hospice patients.
The men and women who work in the HME field believe that
home medical care has a very important role to play in health
care reform and must be part of any basic package of benefits.
Il
Member of
IRL/pgg
cc: Mr. Angel Nello Pardo
President, Doctors Medical Rentals, Corp.
P.O. Box 55-7305
Miami, FL 33255-7305
Mr. Ramon I. Lanza III
President, Cardiopulmonary Care, Inc.
4727 sw 74 Ave.
Miami, FL 33155
PRINTEO ON RECYCLED PAPER
�'\..
....
""'
..
THE WHITE HOUSE
WASHINGTON
Auqust 6, 1993
Dear Representative Ros-Lehtinen:
Thank you for your letter the President's health care reform
proposal and its effects on home medical equipment. I appreciate
your informing the President of your concerns.
The President has been advised of your interest in this
matter, and you will receive a response from him in the near
future. In the meantime, if I can be of assistance to you, do
not hesitate to contact my office.
Best wishes.
M
Howa d G. P
Assistant t the President
for Legisla ive Affairs
The Honorable Ileana Ros-Lehtinen
House of Representatives
Washington, D.C. 20515
�.
THE WHITE HOUSE
WASHINGTON
August 6, 1993
MEMORANDUM FOR IRA MAGAZINER
FROM:
HOWARD G. PASTER · \\ P
LEGISLATIVE AFFAIRS\~
SUBJECT:
Home Medical Equipment
Enclosed please find a copy of the letter that was sent to the
President from Representative Ileana Ros-Lehtinen (R-FL).
The President has requested that he see and sign every letter
going to Capitol Hill. We did not want to fully answer the
issues addressed in the Representative's letter without advice
from your department; therefore, I am requesting that your office
draft a response and return it to LeeAnn Inadomi (WH-East Wing)
within 48 hours. She will then print the letter in final form
and have President Clinton sign the letter.
Thank you very much for your assistance with this matter. If you
have any questions, please feel free to call LeeAnn at 456-7500.
Enclosure
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
31764
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-013-2015
1127666
-
https://clinton.presidentiallibraries.us/files/original/7c46ad3f17c25d2b09ca117bcf9de360.pdf
3036ee46f8b69f95c0490a66d85d5062
PDF Text
Text
FOIA Number: 2006-0225-F
FOIA
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries:
OA/ID Number:
10792
Scan ID:
029164
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
10
3
�.
.
ID# 029164
~\
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
liE
INCOMING
DATE RECEIVED: JULY 22, 1993
NAME OF CORRESPONDENT: THE HONORABLE STROM THURMOND
SUBJECT: DISCUSSES CONCERN REGARDING THE HEALTH CARE
REFORM
ACTION
ROUTE TO:
OFFICE/AGENCY
DISPOSITION
ACT
DATE
CODE YY/MM/DD
(STAFF NAME)
ORG
HOWARD PASTER
REFERRAL NOTE:
REFERRAL NOTE:
REFERRAL NOTE:
REFERRAL NOTE:
REFERRAL NOTE:
TYPE
RESP
c
93/07/20 HP
A 93/07/20
_ 7_7_
_7_7_
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_7_7_
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- _7_7_
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ADDITIONAL CORRESPONDENTS:
MAIL
USER CODES: (A)R SC
MEDIA:L
INDIVIDUAL CODES:
(B) _ _ __
v
COMPLETED /).
D YY/MM/DD
1220
(C) _ _ __
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*ACTION CODES:
*DISPOSITION
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*
*
*A-APPROPRIATE ACTION *A-ANSWERED
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*
CODE = A
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*COMPLETED = DATE OF
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6
*
*
•s-FoR-SIGNATURE
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g(}rNNEo~,
*
*
~
~b)
*
*X-INTERIM REPLY
***********************************************************************
REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
�THE WHITE HOUSE
WASHINGTON
July 20, 1993
Dear Senator Thurmond:
Thank you for your letter reqardinq health care reform.
appreciate your sharinq your constituent's views.
I
I have forwarded a copy of your letter to Ira Maqaziner who
is headinq the President's Health Care Task Force and requested
that your constituent's views be considered durinq this
comprehensive health care review.
Once aqain, thank you for informinq the President of this
matter.
Best wishes.
ely,
Ho ard G. Paster
Assist t to the President
for Leqislative Affairs
The Honorable Strom Thurmond
United States Senate
Washinqton, D.C. 20510
�THE WHITE HOUSE
WASHINGTON
July 19, 1993
MEMORANDUM FOR IRA MAGAZINER
K'P
FROM:
HOWARD G. PASTER
SUBJECT:
HEALTH CARE REFORM
Enclosed please find a copy of the letter which was sent to the
President by Senator Strom Thurmond (R-SC). I thought you might
be interested in his constituent's concerns.
Enclosure
�STROM tHURMOND
SOUTH CAROLINA
COMMITIEES
tinittd
ARMED SERVICES
JUDICIARY
VETERANS' AFFAIRS
LABOR AND HUMAN RESOURCES
~tatts ~matt
WASHINGTON, DC 20510-4001
93 JUL 19
pt
:
gyl y
14 ' 19 9 3
The President
The White House
Washington, D.C. 20500
Dear Mr. President:
The following is an excerpt of a letter I recently received
from a prominent doctor in my home state of South Carolina. I
thought. you :mi:t:y be lnte:ces ted in the point. o:.f view of a prima:t."'Y
care physician.
Strom, there is one thing I'd like to mention to you, and
that is that in these discussions and,debates about the so
called Healthcare Reform that is before the Congress, I sure
would appreciate anything you could do to preserve the
private practice of medicine as America has known it all
these years. It is true that there are problems with
costs - we all know that. Certainly the primary care
doctors, of which I am one, have done their share to hold
professional fees down. I know that some of the specialists
have unreasonable fees, and this is something that should be
addressed. If we see the private practice of medicine
destroyed by the Clinton proposal, I think we will have a
situation that will be like the Veterans Administration
which is fraught with a lot of inefficiency and patient
disapproval. Putting private medical care under more
government restriction and control will just be one mere
step toward the socialistic type of life that we have all
abhorred for so long.
All your efforts in the past are greatly appreciated by me
and all of my colleague:::;, and \~..-::: ':•muld appre'=iate your
continued diligence in helping to preserve the private
practice of medicine and minimize government intrusion and
control of this profession.
I hope this will be helpful to you as we consider the
growing need for health care reform. I look forward to working
with you in appropriately addressing this pre-ssing issue.
ST/lr
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
29164
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-012-2015
1127666