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DOCUMENT NO.
AND TYPE
SUBJECTffITLE
DATE
RESTRICTION
001. email
Christopher Jennings to Elena Kagan et al. re: Unity Event [partial] (I
page)
01/03/1999
P61b(6)
002a. email
Sarah Bianchi to Elena Kagan re: long term care event [partial] (I
page)
01/03/1999
P61b(6)
002b. email
attachment
Program Participants [partial] (I page)
01/03/1999
P61b(6)
COLLECTION:
Clinton Presidential Records
Automated Records Management System [Email]
OPO ([Kagan])
ONBox Number: 250000
FOLDER TITLE:
[01102/1999·01104/1999]
2009· 1006·F
bm75
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Presidential Records Act • 144 U.S.c. 2204(a)1
Freedom of Information Act· 15 U.S.c. 552(b)1
PI National Security Classified Information l(a)(l) of the PRA]
P2 Relating to the appointment to Fedcral officc l(a)(2) of the PRAI
P3 Release would violate a Federal statute l(a)(3) of the PRAI
b(l) National security classified information l(b)(I) of the FOIAI
b(2) Release would disclose internal personnel rules and practices of
an agency l(b)(2) of the FOIAI
b(3) Release would violate a Federal statute l(b)(3) of the FOIAI
b(4) Release would disclose trade secrets or confidential or financial
information l(b)(4) of the FOIA]
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy l(b)(6) of the FOIAI
b(7) Release would disclose information compiled for law enforcement
purposes l(b)(7) of the FOIAI
b(8) Release would disclose information concerning the regulation of
financial institutions l(b)(8) of the FOIAI
b(9) Release would disclose geological or geophysical information
concerning wells l(b)(9) of the FOIAI
P4 Release would disclose trade secrets or confidential commercial or
financial information l(a)(4) of the PRAI
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors la)(5) of the PRAI
P6 Release would constitute a clearly unwarranted invasion of
personal privacy l(a)(6) of the PRAI
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.
�ARMS Email System
RECORD TYPE: PRESIDENTIAL
.Page 1 of 1
(NOTES MAIL)
CREATOR: Trooper Sanders ( CN=Trooper Sanders/O=OVP [ UNKNOWN 1 )
CREATION DATE/TIME: 2-JAN-1999 21:15:56.00
SUBJECT:
School breakfast pilot program
TO: Elena Kagan ( CN=Elena Kagan/OU=OPD/O=EOP @ EOP [ OPD 1
READ:UNKNOWN
TEXT:
Elena
I understand the FY 2000 budget may contain a $13 million USDA school
breakfast pilot program. Mrs. Gore may do a USDA education related event
in New Hampshire in a couple of weeks (highlighting, among other things,
the Child Nutrition Re-authorization act the President signed authorizing
afterschool snack program funds).
We would like to consider having Mrs.
Gore announce this budget proposal during the event.
From your
perspective, is this ok? Thank you.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001. email
DATE
SUBJECTrrITLE
Christopher Jennings to Elena Kagan et al. re: Unity Event [partial] (I
page)
01/0311999
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
Automated Records Management System [Email]
OPD ([Kagan])
ONBox Number: 250000
FOLDER TITLE:
[01102/1999-0110411999]
2009-1006-F
bm75
RESTRICTION CODES
Presidential Records Act- 144 U.S.c. 2204(a)1
Freedom of Information Act- 15 U.S.c. 552(b)1
PI National Security Classified Information l(a)(I) of the PRAI
P2 Relating to the appointment to Federal office l(a)(2) of the PRAI
P3 Release would violate a Federal statute l(a)(3) of the PRAI
b(l) National security classified information l(b)(I) of the FOIAI
b(2) Release would disclose internal personnel rules and practices of
an agency l(b)(2) of the FOIAI
b(3) Release would violate a Federal statute l(b)(3) of the FOIAI
b(4) Release would disclose trade secrets or confidential or financial
information l(b)(4) of the FOIAI
.
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy l(b)(6) of the FOIAI
b(7) Release would disclose information compiled for law enforcement
purposes l(b)(7) of the FOIAI
b(8) Release would disclose information concerning the regulation of
financial institutions l(b)(8) of the FOIAI
b(9) Release would disclose geological or geophysical information
concerning wells l(b)(9) of the FOIAI
P4 Release would disclose trade secrets or confidential commercial or
financial information l(a)(4) of the PRAI
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors la)(5) of the PRAI
P6 Release would constitute a clearly unwarranted invasion of
personal privacy l(a)(6) of the PRAI
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.
�----------
..
--------.
Page 10fl
ARMS Email System
RECORD TYPE: PRESIDENTIAL
(NOTES MAIL)
CREATOR: Christopher C. Jennings ( CN=Christopher C. Jennings/OU=OPD/O=EOP [ OPD 1 )
CREATION DATE/TIME: 3-JAN-1999 00:18:13.00
SUBJECT:
unity Event
TO: Elena Kagan ( CN=Elena Kagan/OU=OPD/O=EOP @ EOP [ OPD 1 )
READ: UNKNOWN
TO: Bruce N. Reed ( CN=Bruce N. Reed/OU=OPD/O=EOP @ EOP [ OPD 1 )
READ: UNKNOWN
CC: Laura Emmett ( CN-Laura Emmett/OU=WHO/O=EOP
@
EOP [ WHO ) )
READ: UNKNOWN
CC: Cathy R. Mays ( CN=Cathy R. Mays/OU=OPD/O=EOP
@
EOP [ OPD ) )
READ: UNKNOWN
P6/(b)(6)
Now to subject immediately at hand. How was the Tuesday unity event
resolved as it relates to announcements? Is PBOR, as well as Medicare
buy-in included? Any other health items. Should we pursue a Monday, leak
for Tuesday strategy?
Give me a call or a page.
cj
Thanks.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002a. email
DATE
SUBJECTrrlTLE
Sarah Bianchi to Elena Kagan re: long term care event [partial] (I
page)
0110311999
RESTRICTION
P61b(6)
COLLECTION:
Clinton Presidential Records
Automated Records Management System [Email]
OPD ([Kagan])
ONBox Number: 250000
FOLDER TITLE:
[0]/0211999-0110411 999]
2009-1006-F
bm75
RESTRICTION CODES
Presidential Records Act -]44 U.S.c. 2204(a)1
Freedom of Information Act -15 U.S.c. 552(b)1
PI
P2
P3
P4
b(l) National security classified information l(b)(I) of the FOIAI
b(2) Release would disclose internal personnel rules and practices of
an agency l(b)(2) of the FOIAI
b(3) Release would violate a Federal statute \(b)(3) of the FOIAI
b(4) Release would disclose trade secrets or confidential or linancial
information \(b)(4) of the FOIAI
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy l(b)(6) of the FOIAI
b(7) Release would disclose information compiled for law enforcement
purposes l(b)(7) of the FOIAI
b(8) Release would disclose information concerning the regulation of
financial institutions l(b)(8) of the FOtAl
b(9) Release would disclose geological or geophysical information
concerning wells l(b)(9) of the FOIAI
National Security Classified Information l(a)(l) of the PRAI
Relating to the appointment to Federal office 1(0)(2) of the PRA]
Release would violate a Federal statute l(a)(3) of the PRAI
Release would disclose trade secrets or confidential commercial or
financial information l(a)(4) of the PRAI
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors la)(5) of the PRAI
P6 Release would constitute a clearly unwarranted invasion of
personal privacy l(a)(6) of the PRAI
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.
�· ARMS Email System
RECORD TYPE: PRESIDENTIAL
Page 1 of 16
(NOTES MAIL)
CREATOR: Sarah A. Bianchi ( CN;Sarah A. Bianchi/O;OVP [ UNKNOWN]
CREATION DATE/TIME: 3-JAN-1999 02:15:25.00
SUBJECT:
long term care event
TO: Elena Kagan ( CN;Elena Kagan/OU;OPD/O;EOP
READ:UNKNOWN
@
EOP [ OPD ] )
TEXT:
;;;;;;;;;;;;;;;;;;;; ATTACHMENT
o 00:00:00.00
ATT CREATION TIME/DATE:
TEXT:
Unable to convert ARMS_EXT: [ATTACH.D59]MAIL45014220K.036 to ASCII,
The following is a HEX DU~lP:
P6/(b)(6)
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�,Ulomated Records Management System
Hex-Dump Conversion
January 3, 1999
NEW INITIATIVE TO ADDRESS GROWING LONG-TERM CARE NEEDS AND
SUPPORT FAMILY CAREGIVERS
DATE:
TIME:
. January 4, 1999
10:30 am to 11 :00 am (Pre-brief)
11 :00 am to 11: 15 am (Meet and Greet)
+11:15 am to 12:10 pm (Event)
LOCATION: Oval Office (Pre-brief)
Blue Room (Meet and Greet)
Grand Foyer (Event)
Bruce Reed / Chris Jennings
FROM:
I.
. PURPOSE
You are unveiling a new long-term care initiative to support Americans with long-term care
needs and the millions of family members who care for them.
II.
BACKGROUND
You will unveil anew, four-pronged $6.2 billion (over five years) initiative that takes important
steps to address the complex needs of Americans with long-term care needs and their family
members through:
•
Supporting families with long-term care needs through a $1,000 tax credit. This initiative,
for the first time, acknowledges and supports millions of Americans with long-term care
needs or the family members who care for and house their ill or disabled relatives
through a $1,000 tax credit. This new tax credit supports the diverse needs of families
by compensating a wide range of formal or informal long-term care for people of all ages
with three or more limitations in activities of daily living (ADLs) or a comparable
cognitive impairment. This proposal, which supports rather than supplants family
caregiving, would provide needed financial assistance to about 2 million Americans,
including 1.2 million older Americans, over 500,000 non-elderly adults, and
approximately 250,000 children. It costs $5.5 billion over five years and the credit
phases out beginning at $110,000 for couples and $75,000 for unmarried taxpayers.
•
Creating a new National Family Caregiver Support Program.
Recent studies have found
that services like respite care can relieve caregiver stress and delay nursing home entry,
and that support for families of Alzheimer's disease patients can delay institionalization for
as long as a year. This new nationwide program, strongly advocated by the Vice
President, would support families who care for elderly relatives with chronic illnesses or
disabilities by enabling states to create "one-stop-shops" that provide: qualitY respite care
�\urornare.a Records Management System
Hex-Dump Conversion
and other support services; critical information about community-based long-term services
that best meet a families' needs; and counseling and support, such as teaching model
approaches for caregivers that are coping with new responsibilities and offering training
for complex care needs, such as feeding tubes. This program, which costs $625 million
over five years, would serve approximately 250,000 families nationwide.
•
Launching a national campaign to educate Medicare beneficiaries about the programs' limited
coverage oflong-term care and how best to evaluate their options. Nearly 60 percent of
Medicare beneficiaries are unaware that Medicare does not cover most long"term care,
and many do not know what long-term care services would best meet their needs. This
$10 million nationwide campaign would provide all 39 million Medicare beneficiaries
with critical information about long-term care options including: what long-term care
Medicare does and does not cover; how to find out about Medicaid long-term care
coverage; ~hat to look for in a quality private long-term care policy; and how to access
information about home-and community-based care services that best fit beneficiaries'
needs.
•
Having the Federal government serve as a model employer by offering quality private
long-term care insurance to Federal employees. You will also call on the Congress to pass
a new proposal that authorizes OPM, as the nation's largest employer to use its market
leverage and set a national example by offering non-subsidized quality private long-term
care insurance to all federal employees, retirees, and their families. This proposal, that
costs $15 million over five years, will provide employers a nationwide model for offering
quality long-term care insurance. OPM anticipates that approximately 300,000 Federal
employees would participate in this program.
Expected Response From Validators_ We expect aging advocacy organizations, like AARP
and the Alzheimer's Association to be very supportive of your policy. The advocates appear to
be impressed that your proposal recognizes the multi-faceted nature of the problems facing the
nation's chronically ill and are pleased that you are focusing the initiative on all age groups rather
than just the elderly. They will caution, though, that however positive this proposal is, it does not
address all of the long-term care challenges facing the nation. We have assured them that we will
not make such a claim; indeed, it would hurt us among independent validators as well as the
Republican Congress, if we were proposing a much more expansive approach.
Role of the Vice President and Mrs. Gore. The Vice President and Mrs. Gore are
participating in this event from the Triple "R", an adult day care program that is part of a
successful California statewide caregiving program and that serves approximately 30 families in
the Sacramento area. The California program, one of the four model caregiver support programs
that currently exist, is similar to the National Family Caregiver Support Program that the
Administration is launching nationwide today. The Vice President and Mrs. Gore, who will meet
with a number of families with long-term care needs during your remarks, will join you via
satellite at 11 :40 am to discuss the experiences of these families and they validate the need for
�Withdrawal/Redaction Marker
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DOCUMENT NO.
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002b. email
attachment
SUBJECTrrITLE
DATE
01/03/\999
Program Participants [partial] (\ page)
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
Automated Records Management System [Email]
OPD ([Kagan])
OA/Box Number: 250000
FOLDER TITLE:
[0 \/02/\999-0 \ 10411999]
2009·1006·F
bm75
RESTRICTION CODES
Presidential Records Act· 144 U.S.c. 2204(a)1
Freedom oflnformation Act· IS U.S.c. SS2(bli
PI National Security Classified Information l(a)(l) of the PRAI
P2 Relaling to the appointment to Federal office l(a)(2) of the PRAI
P3 Release would violate a Federal statute l(a)(3) of the PRAI
b(l) National security classified information l(b)(1) of the FOIAI
b(2) Release would disclose internal personnel rules and praclices of
an agency l(b)(2) of the FOIAI
b(3) Release would violate a Federal statute l(b)(3) of the FOIAI
b(4) Release would disclose trade secrets or confidential or financial
information l(b)(4) of the FOIAI
b(6) Release would constitute a clearly unwarranted invasion of
personal privacy i(b)(6) of the FOIAI
b(7) Release would disclose information compiled for law enforcement
purposes l(b)(7) of the FOIAI
b(S) Release would disclose information concerning the regulation of
financial institutions l(b)(S) of the FOIAI
b(9) Release would disclose geological or geophysical information
concerning wells l(b)(9) of the FOIAI
P4 Release would disclose trade secrets or confidential commercial or
financial information l(a)(4) of the PRAI
P5 Release would disclose confidential advice between the President
and his advisors, or between such advisors la)(S) of the PRAI
P6 Release would constitute a clearly unwarranted invasion of
personal privacy l(a)(6) of the PRAI
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.
�Automated Records Management SYS!ell
Hex-Dump Conversion
your long-tern1 care initiative.
Program Participants
.
[002.'oJ
P6/(b)(6)
III.
PARTICIPANTS
Briefing Patiicipants
You
The First Lady
Secretary Shalala
Secretary Rubin
Janice LaChance
�Automate~ Reo Management System
COrds
ex- ump Conversion
Bruce Reed
Gene Sperling
Chris Jennings
Program Participants (Washington, DC)
You
The First Lady
Secretary Shalala
Secretary Rubin
Janice LaChance
Patricia Darlak
Program Participants (Sacramento, CA)
The Vice President
Mrs. Gore
IV.
PRESS PLAN
Information about the new initiative has been advanced to all major national papers for Monday.
In addition, Secretaries Rubin and Shalala, together with Director LaChance, will brief members
of the press at the beginning of Joe Lockhart's daily briefing.
V.
SEQUENCE OF EVENTS
You and the First Lady, together with Secretary Rubin, Secretary Shalala, and Director
LaChance, will spend 15 minutes meeting with Patricia Darlak in the Blue Room.
You and the First Lady, together with Secretary Rubin, Secretary Shalala, Director
LaChance and Patricia Darlak, are announced into the Grand Foyer.
The First Lady delivers remarks and introduces Patricia Darlak.
Patricia Darlak delivers brief remarks and introduces you.
You deliver remarks.
The First Lady introduces the Vice President and Mrs. Gore via satellite.
You proceed to your seat.
The Vice President and Mrs. Gore deliver remarks. (You will ask follow-up questions to
be provided by speechwriting).
Upon conclusion of the discussion, the Vice President makes concluding remarks and
bids farewell.
�Automate~ Reo Managel!lent System
cords
You deliver concluding remarks and depart.
VI.
REMARKS
Your remarks have been prepared by speechwriting.
VII.
ATTACHMENTS
Background on the California program
ex- ump ConversIon
�Automated Records Management Syslerr
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CALIFORNIA'S STATEWIDE CAREGIVING RESOURCE PROGRAM
California is one of four states in the nation which provide model statewide family caregiving
resource programs similar to the one that the Administration is launching nationwide today..
California's Department of Mental Health developed a program in 1984 to provide caregiver
support services through eleven agencies statewide to provide support services for families caring
for persons with Alzheimer's disease, Parkinson's disease, stroke, and traumatic brain injury. In
1996, California's Caregiver Resource Centers served over 10,000 family members and friends
who care for loved ones suffering from Alzheimer's disease, stroke, Parkinson's disease,
multiple sclerosis, traumatic brain injury, and other adult-onset, brain impairing diseases. The
Centers' primary functions include the provision of respite care (e.g. in-home respite care, adult
day services, or weekend respite camps), information, education, long-term planning,
legal/financial consultations, training, and support groups.
Recent statewide assessments of this program have shown that the typical caregiver in California
is 60 years old and most (76 percent) are women, and they typically provide about 10.5 hours per
day of care. Depression continues to be a pervasive problem for caregivers; approximately six out
of 10 caregivers in California's program have been diagnosed with depression.
�PRESIDENT CLINTON AND VICE PRESIDENT GORE UNVEIL HISTORIC LONG-TERM
CARE INITIATIVE TO SUPPORT FAMILY CAREGIVERS AND HELP ADDRESS GROWING
LONG-TERM CARE NEEDS
January 4,1999
Today, President Clinton is unveiling an historic new initiative to support Americans with long-term care
needs and the millions of family members who care for them. This 'four-part, $6.2 billion (over five
years) initiative takes important steps to address complex long-term care needs through: (1) an
unprecedented $1,000 tax credit that compensates for formal or informal costs Americans of all ages with
long-term care needs or the family caregivers who support them; (2) a new Nationa'l Family Caregivers
Support Program that provides a range of critical services for caregivers such as respite, home health
services, and infonnation and referral; (3) a national campaign to educate Medicare beneficiaries about the
programs' limited coverage and how best to evaluate long-tenn care options; and (4) a proposal to have
the Office of Personnel Management (OPM) serve as a model employer by offering quality private
long-term care insurance to Federal employees.
The President is being joined by the First Lady, Secretary Rubin, Secretary Shalala, and OPM Director
LaChance to unveil this initiative at the White House and the Vice .President and Mrs. Gore are
participating from an adult day care center in California, a state that is one of four in the nation with
model statewide family caregiving resource programs.
MILLIONS OF AMERICANS HA VE LONG-TERM CARE NEEDS
More and more Americans have a range of long-term care needs. Over five million
Americans have significant limitations due to illness or disability and thus require long-term care.
Approximately, two-thirds are older Americans. Also, millions of adults and a growing number
of children have long-term care needs because of health condition from birth or a chronic illness
developed later in life.
The aging of Americans will only increase the need for quality long-term care options. The
number of Americans age 65 years or older will double by 2030 (from 34.3 to 69.4 million), so
that one in five Americans will be elderly. The number of people 85 years or older, nearly half of
whom need assistance with everyday activities, will grow even faster (from 4.0 to 8.4 million).
MULTI-FACETED INITIATIVE TO SUPPORT FAMILY CAREGIVERS AND ADDRESS
GROWING LONG TERM CARE NEEDS. The President is unveiling a four-part initiative that is
designed to address the broad-based and varied long-term care needs. It will: provide immediate support
and assistance for the millions of Americans who care for family members with major long-term care
needs; educate the elderly and people with disabilities about long-term care issues and options; and
promote new promising strategies directions for long-term care policy for the twenty-first century. The
President also called on the Vice President to host a series of forums around the nation to raise awareness
about the need to support family caregivers and address the growing need for long-term care options.
Automated Records Management Syster
Hex-Dump Conversion
�The long-term care proposal being unveiled today by the President and Vice President includes:
Supporting families with long-term care needs through an historic $1,000 tax credit. This initiative,
for the first time, acknowledges and supports millions of Americans with long-term care needs or
the family members who care for and house their ill or disabled relatives through a $1,000 tax
credit. This new tax credit supports the diverse needs of families by compensating a wide range
of formal or informal long-term care for people of all ages with three or more limitations in
activities of daily living (ADLs) or a comparable cognitive impairment. This proposal, which
supports rather than supplants family caregiving, would provide needed financial support to about
2 million Americans, including 1.2 million older Americans, over 500,000 non-elderly adults, and
approximately 250,000 children. It costs $5.5 billion over five years and phases out beginning at
$110,000 for couples and $75,000 for unmarried taxpayers.
Creating an unprecedented National Family Caregiver Support Program. Recent studies have found
that services like respite care can relieve caregiver stress and delay nursing home entry, and that
support for families of Alzheimer's disease patients can delay institionalization for as long as a
year. This new nationwide program, strongly advocated by the Vice President, would support
families who care for elderly relatives with chronic illnesses or disabilities by enabling states to
create "one-stop-shops" that provide: quality respite care and other support services; critical
information about community-based long-term services that best meet a families' needs; and
counseling and support, such as teaching model approaches for caregivers that are coping with
new responsibilities and offering training for complex care needs, such as feeding tubes. This
program, which costs $625 million, over five years would serve approximately 250,000 families
nationwide.
•
Launching a national campaign to educate Medicare beneficiaries about the programs'
limited coverage of long-term care and how best to evaluate their options. Nearly 60 percent
of Medicare beneficiaries are unaware that Medicare does not cover most long-term care, and
many do not know what long-term care services would best meet their needs. This $10 million
nationwide campaign would provide all 39 million Medicare beneficiaries with critical
information about long-term care options including: what long-term care Medicare does and does
not cover; how to find out about Medicaid long-term care coverage; what to look for in a quality
private long-term care policy; and how to access information about home-and community-based
care services that best fit beneficiaries' needs.
Having the Federal government serve as a model employer by offering quality private
long-term care insurance to Federal employees. The President also called on Congress to pass
a new proposal that allows OPM, as the nation's largest employer to use its market leverage and
set a national example by offering non-subsidized, quality private long-term care insurance to all
federal employees, retirees, and their families. This proposal, that costs $15 million over five
years, will provide employers a nationwide model for offering quality long-term care insurance.
OPM anticipates that approximately 300,000 Federal employees would participate in this program.
Automated Records Management System
Hex·Dl!mp Conversion
�Page 1 of6
.ARMS Email System
RECORD TYPE: PRESIDENTIAL
I
CREATOR: Sarah A. Bianchi
(NOTES MAIL)
( CN=Sarah A. Bianchi/O=OVP [ UNKNOWN j
)
CREATION DATE/TIME: 4-JAN-1999 01:18:02.00
SUBJECT:
slightly revised one pager
TO: Elena Kagan ( CN=Elena Kagan/OU=OPD/O=EOP @ EOP [ OPD j )
READ:UNKNOWN
TEXT:
==================== ATTACHMENT
1 ====================
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0 00:00:00.00
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�PRESIDENT CLINTON AND VICE PRESIDENT GORE UNVEIL HISTORIC LONG-TERM
CARE INITIATIVE TO SUPPORT FAMILY CAREGIVERS AND HELP ADDRESS GROWING
LONG-TERM CARE NEEDS
January 4,1999
Today, President Clinton is unveilipg an historic new initiative to support Americans with long-term care
needs and the millions of family members who care for them. This four-part, $6.2 billion (over five
years) initiative takes important steps to address complex long-term care needs through: (1) an
unprecedented $1,000 tax credit that compensates for formal or informal costs Americans of all ages with
long-term care needs or the family caregivers who support them; (2) a new National Family Caregivers
Support Program that provides a range of critical services for caregivers such as respite, home care
services, and information and referral; (3) a national campaign to educate Medicare beneficiaries about the
programs' limited coverage and how best to evaluate long-term care options; and (4) a proposal to have
the Federal government serve as a model employer by offering quality private long-term care insurance to
Federal employees at group rates.
The President is being joined by the First Lady, Secretary Rubin, Secretary Shalala, and OPM Director
LaChance to unveil this initiative at the White House and the Vice President and Mrs. Gore are
participating from an adult day care center in California, one of four States with model statewide family
careglvmg resource programs.
MILLIONS OF AMERICANS HAVE LONG-TERM CARE NEEDS
More and more Americans have a range of long-term care needs. Over five million
Americans have significant limitations due to illness or disability and thus require long-term care.
Approximately, two-thirds are older Americans. Also, millions of adults and a growing number
of children have long-term care needs because of health condition from birth or a chronic illness
developed later in life.
The aging of Americans will only increase the need for quality long-term care options. The
number of Americans age 65 years or older will double by 2030 (from 34.3 to 69.4 million), so
that one in five Americans will be elderly. The number of people 85 years or older, nearly half of
whom need assistance with everyday actiyities, will grow even faster (from 4.0 to 8.4 million).
MULTI-FACETED INITIATIVE TO SUPPORT FAMILY CAREGIVERS AND ADDRESS
. GROWING LONG TERM CARE NEEDS. The President is unveiling a four-part initiative that is
designed to address the broad-based and varied long-term care needs. It will: provide immediate support
and assistance for the millions of Americans who care for family members with major long-term care
needs; educate the elderly and people with disabilities about long-term care issues and options; and
promote new promising strategies directions for long-term care policy for the twenty-first century. The
President also called on the Vice President to host a series of forums around the nation to raise awareness
about the need to support family caregivers and address the growing need for long-term care options.
Automated Records Managemem ·)v ,,'
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�The long-tenn care proposal being unveiled today by the President and Vice President includes:
Supporting families with long-term care needs through an historic $1,000 tax credit. This initiative,
for the first time, acknowledges and supports millions of Americans with long-tenn care needs or
the family members who care for and house their ill or disabled relatives through a $1,000 tax
credit. This new tax credit supports the diverse needs of families by compensating a wide range
of fonnal or infonnallong-tenn care for people of all ages with three or more limitations in
activities of daily living (ADLs) or a comparable cognitive impainnent. This proposal, which
supports rather than supplants family caregiving, would provide needed financial support to about
2 million Americans, including 1.2 million older Americans, over 500,000 non-elderly adults, and
approximately 250,000 children. It costs $5.5 billion over five years and phases out beginning at
$110,000 for couples and $75,000 for unmarried taxpayers.
Creating an unprecedented National FamiJy Caregiver Support Program. Recent studies have found
that services like respite care can relieve caregiver stress and delay nursing home entry, and that
support for families of Alzheimer's disease patients can delay institionalization for as long as a
year. This new nationwide program, strongly advocated by the Vice President, would support
families who care for elderly relatives with chronic illnesses or disabilities by enabling states to
create "one-stop-shops" that provide: quality respite care and other support services; critical
infonnation about community-based long-tenn services that best meet a families' needs; and
counseling and support, such as teaching model approaches for caregivers that are coping with
new responsibilities and offering training for complex care needs, such as feeding tubes. This
program, which costs $625 million over five years, would assist approximately 250,000 families
nationwide.
•
Launching a national campaign to educate Medicare beneficiaries about the programs'
limited coverage of long-term care and how best to evaluate their options. Nearly 60 percent
of Medicare beneficiaries are unaware that Medicare does not cover most long-tenn care, and
many do not know what long-tenn care services would best meet their needs. This $10 million
nationwide campaign would provide all 39 million Medicare beneficiaries with critical
infonnation about long-tenn care options including: what long-tenn care Medicare does and does
not cover; how to find out about Medicaid long-tenn care coverage; what to look for in a quality
private long-tenn care policy; and how to access infonnation about home-and community-based
care services that best fit beneficiaries' needs.
Having the Federal government serve as a model employer by offering quality private
long-term care insurance to Federal employees. The President also called on Congress to pass
a new proposal that allows aPM to use its market leverage and set a national example by offering
non-subsidized, quality private long-tenn care insurance to all federal employees, retirees, and their
families at group rates. This proposal, that costs $15 million over five years, will provide
employers a nationwide model for offering quality long-tenn care insurance. OPM anticipates
that approximately 300,000 Federal employees would participate in this program.
Automated Records Management Syslerr
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�Page 1 of 13
" ARMS Email System
RECORD TYPE: PRESIDENTIAL
(NOTES MAIL)
CREATOR: Cynthia A. Rice ( CN=Cynthia A. Rice/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME: 4-JAN-1999 09:11:12.00
SUBJECT:
Welfare to Work Reauthorization
TO: Elena Kagan
READ:UNKNOWN
CN=Elena Kagan/OU=OPD/O=EOP @ EOP [ OPD ] )
TO: Laura Emmett ( CN=Laura Emmett/OU=WHO/O=EOP @ EOP [ WHO]
READ: UNKNOWN
)
TO: Bruce N. Reed ( CN=Bruce N. Reed/OU=OPD/O=EOP @ EOP [ OPD ] )
READ:UNKNOWN
CC: Andrea Kane ( CN=Andrea Kane/OU=OPD/O=EOP @ EOP [ OPD 1 )
READ:UNKNOWN
TEXT:
We need your reaction to these issues. Here's a copy again in case yours
got buried.
---------------------- Forwarded by Cynthia A. Rice/OPD/EOP on 01/04/99
09:11 AM ---------------------------
Cynthia A. Rice
12/17/98 01:27:52 PM
Record Type:
Record
To:
Bruce N. Reed/OPD/EOP, Elena Kagan/OPD/EOP, Laura Emmett/WHO/EOP
Andrea Kane/OPD/EOP
cc:
Welfare to Work Reauthorization
Subject:
Here's our write up with some specific questions for you. Happy to meet
to discuss (I left a message for Cathy to try to get a time)
==================== ATTACHMENT
1 ====================
ATT CREATION TIME/DATE:
0 00:00:00.00
TEXT:
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�Automated Records Management System
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Welfare to Work Reauthorization -- Proposed Provisions
(See italics for issues where your reaction would be particularly helpful)
Responsible Fathers Initiative
•
Funding Flow: Require states to use at least 20% of their fonnula funds for services to help
non-custodial parents increase their employment and child support.
We think it makes sense to include the funding for Fathers as part of the WtW fonnula grant
rather than a separate funding stream--do you agree? It ensures a significant amount of
resources and attention are focused on this population without creating yet another employment
program (after we worked so hard to .consolidate in the Workforce Investment Act). The
downside is that it may be slightly harder to talk about.
This is also a clever resolution ofthe substate funding options we raised previously.
Governors could choose whether to meet the 20% floor with a few concentrated projects or to
pass this requirement down to every local PIC. A Governor who does not want to have a
statewide fathers initiative could spend most or all of the Governor's 15% discretionary funds
on fathers and make up the remaining amount by encouraging one or two localities to focus on
fathers (not every PIC is ready or willing to have a fathers program). On the other hand, states
such as MI, WI, and MO who have made non-custodial parents the primary focus of their WtW
fonnula program could still do so.
Options for what happens if state does not meet the 20% floor for fathers could include: a)
allow Governor to redirect funds to basic WtW services for hard-to-serve recipients, b) take
back funds and put in same pot as unclaimed fonnula funds (see below), c) give to other states
who commit to spend these funds on fathers. Any preference?
•
Eligibility: Generally, low income non-custodial parents (primarily fathers) who enter into a
personal responsibility contract. States would have some flexibility to target services among
the following groups, listed in priority order. Eligibility would be tied to status of the children
rather than the parent.
Non-custodial parents of:
(1) children on public assistance for over 30 months or who are within 12 months of hitting a
time limit;
(2) child eligible for TANF;
(3) child who left TANF within one year;
(4) child eligible for food stamps or Medicaid (this would allow services to a broader
population oflow-income fathers).
We think this approach would keep eligibility relatively simple, while targeting services to
fathers who are most likely to need help increasing their employment and child support and
whose children are most in need of their fathers' support. Ifyou support this basic approach,
we will work further with DOL and HHS to refine the details.
�Automated Records Management System
Hex-Dump Conversion
Personal Responsibility Contract: Every father would sign a personal responsibility contract
requiring them to establish paternity, pay child support, and work or participate in community
service or another work activity in order to participate in the program. We need to decide how
prescriptive to be in the statute -- we're inclined to make a general statement like the
sentence above and let the rest be defined in regs or by the locals. What do you think?
We would also propose these state options. What do you think?
If a father is in community service or another work activity and temporarily unable to
pay current support, the state could have the option to temporarily suspend or reduce
current child support obligation (not past due support).
If a father has another child out of wedlock, the state would have the option to deny him
services. This would be consistent with the state option on family cap, which is a
roughly parallel policy for the moms.
If a father marries the mother of his child, the state could cancel or suspend the child
support debts the father owed the State for past TANF payments to the mother.
•
Allowable Activities: Use the same list as the current WtW statute, which allows funds to be
used to move individuals into and keep individuals in lasting unsubsidized employment
through: community service or work experience; job creation through public or private sector
wage subsidies; on the job training; job readiness, placement, and post-placement services
through contracts or vouchers; and job retention or support services if not otherwise available.
Through regulation or guidance, DOL could explain how a broader array of services to help
fathers work and meet their child support responsibilities could be provided within the
definition of job readiness and support services. Child support agencies and community and
faith-based providers could deliver some or all of the services under contract with the state (in
the case of 15% discretionary funds) or PICs (in the case of85% formula funds). We think
this approach will promote a strong focus on work, and avoid opening the statutory definition
of allowable activities. Do you agree with this approach?
•
Performance Measures: Use current WtW measures listed in the statute (employment,
retention, earnings gain) and use the existing statutory authority for the Secretary to identify
other measures as appropriate to add increased child support via regulations. Is this okay, or
would you prefer a statutory change?
•
State Plan: There would be a special part of the State WtW plan focused on fathers developed
jointly with the workforce, child support and TANF agencies. It would document how the state
planned to meet the 20% floor, and how it would ensure strong, ongoing coordination with the
child support system, welfare agency, . and community and faith-based groups working on
fathers issues at both the state and service delivery level. DOL proposed that the child support
agency sign off on the WtW plan to ensure adequate attention to issues related to non-custodial
parents. This seems to make sense.
2
�Automated Records Management System
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Other WtW Reauthorization Proposals
•
Duration: DOL has proposed 5 year reauthorization. Are we supporting only a one year
extension or multi-year reauthorization?
•
Hard-to-Serve Eligibility Criteria: Retain the general focus on the hardest to serve, with some
changes to make the criteria less burdensome. Currently, PICs must spend at least 70% of
their funds on individual who (a) have been on public assistance for at least 30 months or are
within 12 months of hitting a time limit and (b) have 2 of the 3 following barriers:
(1)
lack a HS diploma/QED and have low math or reading skills;
(2)
require substance abuse treatment; or
(3)
have a poor work history.
Non-custodial parents whose children meet (a) and themselves meet (b) arealso eligible.
PICs can also spend up to 30% of their funds on custodial or non-custodial parents who have
characteristics associated with long-term welfare dependency, i.e. school dropout, teen
pregnancy, poor work history.
DOL has proposed simplifying eligibility by requiring individuals to meet one rather than two
of the "barriers"under the 70% category; decoupling the education barrier to be either lacking a
HS diploma/QED or having low math, reading, or language skills; and adding physical or
mental (including learning) disability to the list of "barriers". DOL also proposed getting rid of
the 70/30 split and allowing local flexibility to spend an unlimited portion of funds on those
with characteristics associated with long term welfare dependence.
There have been lots of complaints from states and locals about how hard it is to find people
who meet the current 70% criteria, with most concern about the "and" in the education barrier.
We think that simplifying the 70% eligibility requirements as proposed, but leaving the 70130
split intact, will go a long way to addressing these concerns without diluting the focus on the
long-termlhard to serve population. The addition of language skills should help highlight the
ESL issue. DOL also proposed adding homeless to the list of barriers but we're not
convinced this is necessary--most homeless welfare recipients are likely to have one of the
other barriers.
•
Unclaimed Formula Funds: Add authority for DOL to make formula funds not accepted by
states available to Native American WtW programs and/or for additional ~ompetitive grants,
with preference to tribes or competitive grants in the states who chose not to accept formula
funds. DOL is still working through the mechanics, but we think the intent makes sense--to
make sure services are still available to people in a given area, even if the Governor opts not
to accept funds.
•
Tribal Set-Aside: Increase set-aside for tribal grants from 1% of total funds to either 2% or 3%
(if funding level drops from $1.5 B to $1.0 B, a 3% set aside would double the funds available
to tribes). Tribes would be encouraged to serve non-custodial parents, but would not be
required to spend at least 20% of their grant on this population.
3
�Automated Records Management ci}Slb,
Hex-Dump Conversion
•
Tribal Authority for Competitive Grants: Provide new authority for tribes to apply directly
to DOL for competitive grants. Currently they must do so "in connection with" other entities,
i.e. the local PIC.
•
Reporting and Evaluation: DOL wants to move responsibility for all WtW program reporting
and evaluation to DOL. Current law earmarks .06% ($18 M over two years) for evaluation and
gives HHS responsibility for conducting the WtW evaluation and for collecting program data
from formula grantees, while DOL has overall administrative responsibility, collects program
data from competitive grantees, and financial data from both formula and competitive grantees.
This 'bifurcated' system has been challenging for all involved. We're not sure how HHS would
feel about losing this responsibility, and there are some on the Hill who deliberately gave HHS
this role. We propose to leave the evaluation with HHS. Do you have a preference?
•
Match: Retain current formula grant match requirement of$1 non-federal for $2 federal.
Regulations allow up to 50% of non-federal match to be "soft" or in-kind match. DOL has
proposed increasing this to 75%.
DOL is responding to complaints from some states who are having trouble making the match.
We're not convinced reducing the "hard" match requirement is warranted, especially if the .
total funding level for formula grants is reduced by approximately one-third as the total
funding level decreases from $1.5 B to $1.0 B.
•
Technical Assistance and Research: DOL has proposed reserving 2% of total funds for
national TA and R&D projects ($20 M). Half of this money ($10 M) would be focused on
fathers initiatives, of which about $5 M would be directed to the OCSE to ensure a strong focus
on parental responsibility through child support and paternity. DOL currently has no WtW
funds for TAIResearch. We're not sure OMB supports this, though some TA does seem
warranted, especially on the new fathers component. OCSE is sending over additional
justification.
•
Formula/Competitive Split: Retain current split of about 75% for formula grants to states and
25% for competitive grants. Retain requirement that 85% offormula funds get passed to local
PICs/workforce boards (unless state requests a waiver) and 15% is available as Governor's
discretionary funds for special projects to help long term welfare recipients become employed.
NOTE: DOL continues to propose that up to one-third of the form ula fun ds could be used to
upgrade the skills of low-wage incumbent workers. We're not aware of any support within EOP for
this proposal, and DOL has wisely made it their third priority (after hard-to-serve welfare recipients
and fathers).
4
�Page 1 of 16
•ARMS Email System
RECORD TYPE: PRESIDENTIAL
(NOTES MAIL)
CREATOR: Bruce N. Reed ( CN=Bruce N. Reed/OU=OPD/O=EOP [ OPD J )
CREATION DATE/TIME: 4-JAN-1999 12:19:58.00
SUBJECT:
Abortion/Embryos/Cloning and other Selected L/HHS General Provisions
TO: Elena Kagan ( CN=Elena Kagan/OU=OPD/O=EOP @ EOP [ OPD J )
READ: UNKNOWN
TEXT:
---------------------- Forwarded by Bruce N. Reed/OPD/EOP on 01/04/99
12:20 PM ---------------------------
Daniel N. Mendelson
12/31/98 03:45:03 PM
Record Type:
Record
To:
See the distribution list at the bottom of this message
cc:
Ann Kendrall/OMB/EOP, Gina C. Mooers/OMB/EOP
Subject:
Abortion/Embryos/Cloning and other Selected L/HHS General
Provisions
Attached is a table of selected Labor/HHS General Provisions related to
health that will require policy decisions in order to print the FY 2000
Budget Appendix. Typically, the Budget has shown the prior year's (i.e.,
FY 1999 enacted) appropriations language, and brackets language proposed
for deletion, and italicizes any new or revised language.
The file is a legal landscaped document that needs to be launched.
It shows:
1.
The FY 1998 enacted language.
2.
Our proposed language in the FY 1999 Budget.
3.
The FY 1999 enacted language.
4.
Our initial recommendations for the FY 2000 Budget.
5.
A column where you can indicate whether you agree/disagree/or
would like to discuss.
Due to the FY 2000 Budget print schedule, we are requesting your
views/comments on these General Provisions by COB, Tuesday January 5th.
If necessary. I will call a meeting on Wednesday morning· to resolve any
outstanding issues.
Please indicate in the attached wordperfect file your
recommendations, or call me or Ann Kendrall (x54925) with your comments.
We will also be sending around very shortly a Government-wide abortion
language tracker to ensure that the Administration addresses abortion
issues consistently throughout the FY 2000 Budget.
�Page 2 of 16
· ARMS Email System
Message Sent
TO: __
~
____
~~~~~
_________________________________________
Bruce N. Reed/OPD/EOP
Gene B. Sperling/OPD/EOP
Christopher C. Jennings/OPD/EOP
Jennifer L. Klein/OPD/EOP
Sarah A. Bianchi/OVP @ OVP
Jeanne Lambrew/OPD/EOP
sylvia M. Mathews/OMB/EOP
Charles E. Kieffer/OMB/EOP
Martha Foley/WHO/EOP
Fred DuVal/WHO/EOP
Adrienne C. Erbach/OMB/EOP
Devorah R. Adler/OPD/EOP
;;;;====;=========== ATTACHMENT
1 ====================
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0 00:00:00.00
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00008FOC0000000000000000000000008FOC000009440200000033OOOOOOACOCOOOOOOOOOOOOOO
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�Automat-: '-:. :,;,"
Hex-t.Jlim~
\1"" -:;ment
System
vui,'lersion
LIHHSlEd General Provisions for FY 2000 Budget
"Side-by-Side" Comparison for Selected Provisions
Titles II and V of LlHHS Bill
FY 1999 Enacted
FY 1999 President's Budget
Appro-pria
tion of
funds for
entities
under title
X of the
PHS Act
Sec. [212]208. None of the funds appropriated in this
Act may be made available to any entity under title X of
the Public Health Service Act unless the applicant for
the award certifies to the Secretary that it encourages
family participation in the decision of minors to seek
family planning services and that it provides counseling
to minors on how to resist attempts to coerce minors
into engaging in sexual activities
Organ
Procure-me
ntand
Transport-a
tion
Network
New in FY 1999 enacted.
HD Recommended FY
2000!Comment
OMB Recommendation:
Repeat FY 99 PB. The same as
enacted.
During the FY 1998
appropriations process, Sec.
208 was presented by Rep.
Porter as a compromise to a
controversial and restrictive
lstook amendment that would
have required parental
notification for contraceptive
distribution. This language,
which was repeated in the FY
99 Budget, is similar to the
debate waged during the FY
1999 appropriations process,
but it does not mandate
parental consent or notification
and, therefore, does not need
to be deleted.
Same.
Sec. 213. (a) The final rule entitled "Organ Procurement and Transplantation Network", promulgated by the Secretary of
Health and Human Services on April 2,1998 (63 FR 16295 et seq.) (relating to part 121 of title 42, Code of Federal
Regulations), shall not become effective before the expiration of the I-year period beginning on the date of the
enactment of this Act. (b)(l ) The Institute of Medicine under contract with and subject to review by the Comptroller
General, in consultation with the Secretary and with the Organ Procurement and Transplantation Network (in this section
referred to as the 'OPTN"), shall conduct a review of the current polices of the OPTN and the final rule specified in
subsection (a) in order to determine the following: (A) The potential impact on access to transplantation services for
low-income populations and for racial and ethnic minority groups. With respect to State policies in carrying out the
program under title XIX of the Social Security Act, the determination made under this subparagraph shall include
determining the imoact of such policies regarding payment for services for oatients that are provided to the patients
OMB Recommendation:
Propose New Provision in PB:
Because of the adversarial
relationship between HHS and
OPTN, coupled with the
obscure language in Sec. 213,
OMB OGC proposed that we
create a new general provision
to ensure that the OPTN
continues to share their data
1
J
Agree!
Disagree!
Discuss
�Automated Records Manacerrtent System
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Titles II and V of LlHHS Bill
FY 1999 President's Budget
FY 1999 Enacted
outside of the States in which the patients reside. (B) With respect to organ procurement organizations (qualified under
section 371 of the Public Health Service Act): (i) The potential impact on the ability of the organizations to facilitate an
appropriate rate of organ donation within the service areas of the organizations.(ii) The reasons underlying the variations
in performance among such organizations.(iii) The potential impact of requiring sharing of organs based on medical
criteria instead of geography on the ability of the organizations to facilitate an appropriate rate of organ donation within
the service areas of the organizations. (C) The potential impact on waiting times for organ transplants, including
determinations specific to the various geographic regions of the United States, and if practicable, waiting times for each
transplant center by organ and medical status category. The determination made under this subparagraph shall include
determining the impact of recent changes made by the OPTN in patient listing criteria and in measures of medical status.
(D) The potential impact on patient survival rates and organ failure rates which lead to retransplantation ,including any
variance by income status, ethnicity, gender, race, or blood type.(E) The potential impact on the costs of organ
Continuation of organ procurement provision.
transplantation services.(F) The potential impact on the liability, under State laws and procedures regarding peer review,
of members of the OPTN.(G) The potential impact on the confidential status of information that relates to the
transplantation of organs. (H) Recommendations, if any, to change existing policies and the final rule. (2)(A) Not later
than May I, 1999, the Comptroller General of the United States shall submit to the congressional committees specified
in subparagraph (B) a report describing the results of the review conducted under paragraph (I). (B) The congressional
committees referred to in subparagraph (A) are the Committee on Commerce of the House of Representatives, the
Committee on Appropriations of the House, the Committee on Labor and Human Resources of the Senate, and the
Committee on Appropriations of the Senate. (c)(I) Beginning promptly after the date of the enactment of this Act, the
Secretary may conduct a series of discussions with the OPTN in order to resolve issues raised by the final rule referred
to in subsection (a). (2) The Secretary and the OPTN may utilize the services of a mediator in conducting the discussions
under paragraph (I). An individual may not be selected to serve as the mediator unless the Secretary and the OPTN
both approve the selection of the individual to so serve, and the individual agrees that, not later than June 30,1999, the
individual will submit to the congressional committees specified in subsection (b)(2)(B) a report describing the extent of
progress that has been made through the discussions under paragraph (I). (d)(I) Beginning on the date of enactment of
this Act, the OPTN shall provide to the Secretary, the Institutes of Medicines, and the Comptroller General, upon
request, any data necessary to assess the effectiveness of the Nation's organ donation, procurement and organ allocation
systems, or to assess the quality of care provided to all transplant patients, and analysis of such data in a scientifically
and clinically valid manner. Ifnecessary, the OPTN may provide additional data as they deem appropriate. (2) The
OPTN shall make available to the public timely and accurate program-specific information on the performance of
2
HD Recommended FY
2000!Comment
openly and without delay.
"Sec. 210. Section 213(d)
through Section 213 (f) of the
Department of Health and
Human Services Appropriations
Act, 1999, shall be effective in
fiscal year 2000 and
thereafter."
Agree!
Disagree!
Discuss
�LIHHSlEd General Provisions for FY 2000 Budget
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FY 1999 President's Budget
FY 1999 Enacted
Automated Records Management S'I-'"
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HD Recommended FY
2000/Comment
transplant programs. These data shall be updated as frequently as possible, and the OPTN shall work to shorten the time
period for data collection and analysis in producing its center-specific outcomes report, including severity adjusted
long term survival rates. Such data shall also include such other cost or performance information including but not
limited to transplant program-specific information on waiting time within medical status, organ waitings, and refusal of
organ offers. (e) Data provided under subsection (d)
shall be specific (if possible) to individual transplant centers and must be determined in a scientifically and clinically
valid manner. (I) Any disclosure of patient specific medical information under subsection (d) shall be subject to the
restrictions contained in the Freedom of Information Act, the Privacy Act, and State laws. (g) Of the amount
appropriated in this title for "Office of the Secretary-general departmental management", $500,000 shall, not later than
30 days after the date of the enactment of this Act, be transferred to the Comptroller General for purposes of carrying
out the studies required and specified in this section. (h) For purposes of this section: (I) The term "Comptroller
General" means the Comptroller General of the United States. (2) The term "Organ Procurement and Transplantation
Network" means the network operated under section 372 ofthe Public Health Service Act. (3) The term "Secretary"
means the Secretary of Health and Human Services.
Medicare+
Choice
abortion
language
Notification or
New provision.
Sec. 216. None of the funds appropriated by this Act (including funds appropriated to any trust fund) may be used to
carry out the Medicare+Choice program if the Secretary denies participation in such program to an otherwise eligible
entity (including a Provider Sponsored Organization) because the entity informs the Secretary that it will not provide,
pay for, provide coverage of, or provide referrals for abortions: Provided, That the Secretary shall make appropriate
prospective adjustments to the capitation payment to such an entity (based on an actuarially sound estimate of the
expected costs of providing the service to such entity's enrollees): Provided further, That nothing in this section shall
be construed to change the Medicare program's coverage for such services and a Medicare+Choice organization
described in this section shall be responsible for informing enrollees where to obtain information about all Medicare
covered services.
Sec. 219. Notwithstanding any other provision of law, no provider of services under title X of the Public Health
Service Act shall be exempt from any State law requiring notification or the reporting of child abuse, child
reporting
3
OMB Recommendation: While
this language is not problematic
per se, we recommend proposing
to delete in order to be consistent
on all abortion issues, and add the
footnote:
"The Administration proposes to
delete this provision and will work
with the Congress to address this
issue."
OMB Recommendation:
Repeat FY 99 enacted. This
provision originated in the
Agree/
Disagree/
Discuss
�Automated Records Management System
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FY 1999 President's Budget
FY 1999 Enacted
HD Recommended FY
2000!Comment
molestation, sexual abuse, rape, or incest.
of child
House bill, but the Senate bill
contained no similar provision.
The Conference agreement
included the provision. None
of the SAPs objected to this
language.
Repeated FY 98 language.
We see a range of choices,
given the events of this past
spring on this issue.
Repeating the FY99 Budget's
proposed language is an
option, but other approaches
that may be more likely to be
enacted include giving the
certification authority to local
public offiCials, or further
limiting funding to areas where
needle transmission of HIV is
above average.
Options:
(1 ) Repeat FY 1999 Budget
language.
abuse,
molest-atio
n, sexual
abuse, rape
or incest.
TITLE V--GENERAL PROVISIONS
Needle
Exchange
Sec. 505. Notwithstanding any other provision of this
Act, no funds appropriated under this Act shall be used
to carry out any program of distributing sterile needles
or syringes for the hypodermic injection of any illegal
drug unless the Secretary of Health and Human
Services determines that such programs are effective in
preventing the spread of HIV and do not encourage the
use of illegal drugs.
(2) Modify FY 1999 Budget
language by replacing the words
'Secretary of Health and Human
Services' with "local public health
official":
4
Agree!
Disagree!
Discuss
�Automated Records Management System
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FY 1999 President's Budget
FY 1999 Enacted
HD Recommended FY
2000!Commeut
"Notwithstanding any other
provision of this Ac~ no funds
appropriated under this Act shall be
used to carry out any program of
distributing sterile needles or
syringes for the hypodermic
injection of any drug unless the
local public health official of the
affected MSA determines that such
programs are effective in preventing
the spread of HIV and do not
encourage the use of illegal
drugs."
Needle
Exchange
Continued
(3) Modify above language by
adding #1 below:
"Notwithstanding any other
provision of this Act, no funds
appropriated under this Act
shall be used to carry out any
program of distributing sterile
needles or syringes for the
hypodermic injection of any
drug unless:
(1) the affected MSA has a new
AIDS case rate caused by
Injection Drug Use of above the
national average as defined by
the Centers for Disease Control
5
Agree!
Disagree!
Discuss
�Automated Records Management SysterHex-Dump Conversion
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FY 1999 Enacted
FY 1999 President's Budget
UD Recommended FY
2000!Comment
and Prevention.; and (2) the
local public health official of the
affected MSA determines that
such programs are effective in
preventing the spread of HIV
and do not encourage the use
of illegal drugs."
.
Needle
Exchange
[Sec. 506. Section 505 is subject to the condition that
after March 31, 1998, a program for exchanging such
needles and syringes for used hypodermic needles and
syringes (referred to in this section as an "exchange
project") may be carried out in a community if ... J
Provision deleted.
No provision.
Appropri-a
tions
limitations
for
abortion
procedures
(Hyde
language)
[Sec. 509. (a) None of the funds appropriated under this
Act shall be expended for any abortion. (b) None of the
funds appropriated under this Act, and none of the
funds in any trust fund to which funds are appropriated
under this Act, shall be expended for health benefits
coverage that includes coverage of abortion .c) The term
"health benefits coverage" means the package of
services covered by a managed care provider or
organization pursuant to a contract or other
arrangement.] I
Retained the provision and added "and none of the funds in any trust fund to which funds are appropriated under this
Act." In the SAPs, we objected to the provision and offered to work with the Congress, but did not specifically mention
the trust fund language. In addition, this was not considered a high priority item during negotiations.
OMB Recommendation: Repeat
PB language (i.e., proposed
deletion with the footnote: "The
Administration proposes to delete
this provision and will work with
the Congress to address this issue."
Appropri-a
tions
limitations
for
abortion
procedures
(Hyde
[Sec. 510. (a) The limitations established in the
preceding section shall not apply to an abortion--(1) if
the pregnancy is the result of an act of rape or incest; or
(2) in the case where a woman suffers from a physical
disorder, physical injury, or physical illness, including a
life-endangering physical condition caused by or arising
from the pregnancy itself, that would, as certified by a
Same as FY 98 enacted. In the SAPs, we objected to the provision and offered to work with the Congress, but did not
specifically mention the trust fund language. In addition, this was not considered a high priority item during
negotiations.
OMB Recommendation: Repeat
FY 99 PB language (i.e., propose
deletion and add footnote: "The
Administration proposes to delete
this provision and will work with
the Congress to address this
issue. ")
6
Agree!
Disagree!
Discuss
�Automated Records !ft~-----·qn.t System
Hex-Dump v~" .,",'~IOI
L/HHSlEd General Provisions for FY 2000 Budget
"Side-by-Side" Comparison for Selected Provisions
Titles II and V of L/HHS Bill
FY 1999 President's Budget
FY 1999 Enacted
HD Recommended FY
2000/Comment
language)
Use of
funds for
embryo
research-Ii
mitations
physician, place the woman in danger of death unless an
abortion is performed.(b) Nothing in the preceding
section shall be construed as prohibiting the expenditure
by a State, locality, entity, or private person of State,
local, or private funds (other than a State's or locality'S'
contribution of Medicaid matching funds). (c) Nothing
in the preceding section shall be construed as restricting
· the ability of any managed care provider from offering
· abortion coverage or the ability of a State or locality to
contract separately with such a provider for such
coverage with State funds (other than a State's or
· locality's contribution of Medicaid matching funds).] I
This provision prohibits the use of
appropriations to create or destroy
human embryos for research
purposes. Budgets before FY 99
have struck the ban, proposing
instead that the ban be addressed
in separate, non-appropriations
legislation.
Sec. [513]510. (a) None of the funds made available
, Same as proposed and FY 1998 enacted.
in this Act may be used for-- (I) the creation of a
human embryo or embryos for research purposes; or(2)
research in which a human embryo or embryos are
destroyed, discarded, or knowingly subjected to risk of
injury or death greater than that allowed for research on
fetuses in utero under 45 CFR 46.208(a)(2) and section
498(b) of the Public Health Service Act (42 U.S.c.
289g(b)).(b) For purposes of this section, the term
"human embryo or embryos" includes any organism,
not protected as a human subject under 45 CFR 46 as of
the date of the enactment of this Act, that is derived by
fertilization, parthenogenesis, cloning, or any other
means from one or more human gametes or human
diploid cells.
Recent research findings on the
related topic of stem cell research
complicate the decision on whether
or not to include Section 511 in the
FY 2000 Budget. The central issue
is whether or not the ban on embryo
research would cover stem cell
research, recent findings on which
have demonstrated an enormous
potential for treating disease such
as diabetes (Type I) and
Parkinson's. In a December 1998
Senate hearing on this topic, Sen.
7
Agree/
Disagreel
Discuss
�Automated Records Management S:tstem
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Titles II and V of LlHHS Bill
FY 1999 President's Budget
FY 1999 Enacted
Harkin concluded that stem cell
research is not covered by the ban
because stem cells do not appear to
have the potential to become
human life. Sen. Specter agreed
that it is unclear if the ban extends
to stem cell research and indicated
a willingness to explore this issue.
During the hearing, Dr. Varmus
agreed that issue remains
unresolved but privately has
suggested that stem cell research
should be viewed differently than
embryo research with respect to
Federal funding.
'.
-'
•
Embryo!
Cloning
HD Recommended FY
2000/Comment
Continuation
OMB Recommendation:
Delete the provision and add
footnote stating:
"The Administration proposes
to delete this provision and will
work with Congress to assess
the impact of recent advances
in biomedical research, such as
research on stem cells, that
may hold promise for new
methods for diagnosing,
treating, and curing disease."
Unique
Health
Identifier
Sec. 516. None of the funds made available in this Act may be used to promulgate or adopt any final
standard under section 1173(b) of the Social Security Act (42 U.S.C. 1320d-2(b» providing for, or providing
for the assignment of, a unique health identifier for an individual (except in an individual's capacity as an
8
OMB Recommendation:
Repeat FY 1999 enacted.
Agree/
Disagree/
Discuss
�Automated Records Management System
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L/IllISlEd General Provisions for FY 2000 Budget
"Side-by-Side" Comparison for Selected Provisions
Titles II and V of L/IllIS Bill
FY 1999 President's Budget
FY 1999 Enacted
HD Recommended FY
2000!Comment
employer or a health care provider). until legislation is enacted specifically approving the standard.
9
..
.
Agree!
Disagree!
Discuss
�ARMS Email System
RECORD TYPE: PRESIDENTIAL
Page 1 of 1
(NOTES MAIL)
CREATOR: Mary L. Smith ( CN;Mary L. Smith/OU;OPD/O;EOP [ OPD 1 )
CREATION DATE/TIME: 4-JAN-1999 13:29:35.00
SUBJECT:
IHS FY2000 busget
TO: Elena Kagan ( CN;Elena Kagan/OU;OPD/O;EOP @ EOP [ OPD 1 )
READ: UNKNOWN
TO: Bruce N. Reed ( CN;Bruce N. Reed/OU;OPD/O;EOP @ EOP
READ: UNKNOWN
[ OPD 1 )
CC: Laura Emmett ( CN;Laura Emmett/OU;WHO/O;EOP @ EOP [ WHO
READ: UNKNOWN
TEXT:
Lynn Cutler is speaking to the National Congress of American Indians
tomorrow. Would you have a problem with her announcing the IHS FY2000
budget? Let me know, Mary
�Page 1 of2
" ARMS Email System
RECORD TYPE: PRESIDENTIAL
(NOTES MAIL)
CREATOR: Michael Cohen ( CN=Michael Cohen/OU=OPD/O=EOP [ OPD 1
CREATION DATE/TIME: 4-JAN-1999 14:35:28.00
SUBJECT:
u.s. news cover story on education
TO: Elena Kagan ( CN=Elena Kagan/OU=OPD/O=EOP @ EOP [ OPD 1 )
READ: UNKNOWN
TO: Bruce N. Reed ( CN=Bruce N. Reed/OU=OPD/O=EOP @ EOP [ OPD 1 )
READ: UNKNOWN
TEXT:
FYI
I'll get Paul information on the Thursday announcement as soon as we nail
it down.
Is there anything we should do to let Tom Toch at US News know
we are working on something bigger for SOTU, without providing details?
Also, I just received an embargoed copy of Quality Counts -- an annual
report from Education Week -- which will be released Thursday morning.
It
.generally gets pretty decent coverage.
The focus of this report is
"Rewarding Results, Punishing Failure" The lead in the press release is
that "Most states have yet to back up tough talk on holp.ing schools
accountable for results ... only a nandful of states have in place a full
range of policies to reward success and punish failure in education."
There is a section on ending social promotion, which highlights the effort
in DC this year, and which makes the point that parents and teachers
strongly support ending social promotion, especially when coupled with
extra support.
They even have survey data from high school students
showing that about 2/3 of those in schools with high school exit exams
said the tests made them work harder. More than half of those in schools
without exit exams say that they would work harder if they had to pass a
test in order to graduate.
I'll pull a summary of this together for the POTUS briefing and
speechwriting.
---------------------- Forwarded by Michael Cohen/OPD/EOP on 01/04/99
02:25 PM ---------------------------
Paul D. Glastris
01/04/99 11:17:51 AM
Record
Record Type:
To:
Michael Cohen/OPD/EOP
cc:
Subject:
u.s. news cover story on education
Mike,
U.S. News is closing a cover package this week (on the newstands
next monday) on America's best high schools.
It will include profiles of
poor urban schools that have effectively ended social promotion through
the use of very high academic standards and tough exit exams. My friend
�~
ARMS Email System
Tom Tach is editing the package and writing the introductory essay; the
earlier in the week we get him paper on our new ed initiatives, the more
prominently our initiatives will play in that essay and in the package
generally.
We could hardly ask for a better vehicle for our education
initiative, presuming we're still on for this week, so let me know how I
can help getting material to Tom asap.
Thanks
Page 2 of2
�ARMS Email System
RECORD TYPE: PRESIDENTIAL
Page 1 of 1
(NOTES MAIL)
CREATOR: Mary L. Smith ( CN=Mary L. Smith/OU=OPD/O=EOP [ OPD 1 )
CREATION DATE/TIME: 4-JAN-1999 14:41:30.00
SUBJECT:
IHS FY2000 busget
TO: Elena Kagan ( CN=Elena Kagan/OU=OPD/O=EOP @ EOP [ OPD 1 )
READ: UNKNOWN
TO: Bruce N. Reed ( CN=Bruce N. Reed/OU=OPD/O=EOP @ EOP [ OPD 1 )
READ:UNKNOWN
CC: Laura Emmett ( CN=Laura Emmett/OU=WHO/O=EOP @ EOP [ WHO 1 )
READ:UNKNOWN
TEXT:
I just talked to Dan Mendelson who didn't feel comfortable announcing the
numbers at this time. So I'll just tell Lynn that we can't do it.
Thanks, Mary
---------------------- Forwarded by Mary L. Smith/OPD/EOP on 01/04/99
02:41 PM ---------------------------
Mary L. Smi th
01/04/99 01:28:27 PM
Record Type:
Record
To:
Bruce N. Reed/OPD/EOP, Elena Kagan/OPD/EOP
cc:
Laura Emmett/WHO/EOP
IHS FY2000 busget
Subject:
Lynn Cutler is speaking to the National Congress of American Indians
tomorrow. would you have a problem with her announcing the IHS FY2000
budget? Let me know, Mary
�ARMS Email System
RECORD TYPE: PRESIDENTIAL
Page 1 of 1
(NOTES MAIL)
CREATOR: Sandra Yamin ( CN=Sandra Yamin/OU=OMB/O=EOP [ OMB 1 )
CREATION DATE/TIME: 4-JAN-1999 14:41:41.00
SUBJECT:
Meeting reo GED and Adult Literacy
TO: Michael Cohen ( CN=Michael Cohen/OU=OPD/O=EOP@EOP [ OPD 1 )
READ:UNKNOWN
TO: Elena Kagan ( CN=Elena Kagan/OU=OPD/O=EOP@EOP [ OPD 1 )
READ:UNKNOWN
CC: Wayne Upshaw ( CN=Wayne Upshaw/OU=OMB/O=EOP@EOP [ OMB 1 )
READ: UNKNOWN
CC: Chantell S. Long ( CN=Chantell S. Long/OU=OPD/O=EOP@EOP [ OPD 1 )
READ: UNKNOWN
CC: Barry White ( CN=Barry White/OU=OMB/O=EOP@EOP [ OMB 1 )
READ:UNKNOWN
CC: Laura Emmett ( CN=Laura Emmett/OU=WHO/O=EOP@EOP [ WHO 1 )
READ:UNKNOWN
TEXT:
We have scheduled a meeting on Tues, Jan 5 at 10:30AM in Barbara Chow's
office (Rm 260) to discuss GED and Adult Literacy.
Pls let me know if you
are unable to attend.
�ARMS Email System
Page 1 of 1
RECORD TYPE: PRESIDENTIAL
(NOTES MAIL)
CREATOR: Sandra Yamin ( CN;Sandra Yamin/OU;OMB/O;EOP [ OMB 1 )
CREATION DATE/TIME: 4-JAN-1999 17:17:38.00
SUBJECT:'
Meeting re: ,:.GED and Adult Literacy
TO: c::ecilia E. Rouse i,'CN;Cecilia E. Rouse/OU;OPD/O;EOP@EOP [ OPD 1 )
READ: UNKNOWN
-/ .:
TO: Micli~el Cohen
READ : UNKNOWN .'
TO: Elena Kagan
READ:UNKNOWN
CC: Wayne Upshaw ( CN;Wayne Upshaw/OU;OMB/O;EOP@EOP [ OMB 1 )
READ: UNKNOWN
Chantell S. Long ( CN;Chantell S. Long/OU;OPD/O;EOP@EOP [ OPD 1 )
READ: UNKNOWN
CC:
CC: Barry White
READ:UNKNOWN
CC: Laura Emmett
READ: UNKNOWN
CN;Barry White/OU;OMB/O;EOP@EOP [ OMB 1 )
CN~Laura
Emmett/OU;WHO/O;EOP@EOP [ WHO 1 )
TEXT: .
This meeting has been moved to 11:00AM tomorrow.
Sorry for the short
notice.
Pls let me know as soon as possible if you are unable to attend.
Thx
---------------------- Forwarded by Sandra Yamin/OMB/EOP on 01/04/99 05:16
PM ---------------------------
Sandra Yamin
01/04/99 02:41:28 PM
Record Type:
Record
To:
Elena Kagan/OPD/EOP@EOP, Michael Cohen/OPD/EOP@EOP
cc:
. Laura Emmett/WHO/EOP@EOP, Chantell S. Long/OPD/EOP@EOP, Barry
White/OMB/EOP@EOP, Wayne Upshaw/OMB/EOP@EOP
Subj ect :
Meeting re: GED and Adul t Literacy
We have scheduled a meeting on Tues, Jan 5 at 10:30AM in Barbara Chow's
office (Rm 260) to discuss GED and Adult Literacy.
Pls let me know if you
are unable to attend.
�,<
Page 1 of4
ARMS Email System
RECORD TYPE: PRESIDENTIAL
(NOTES MAIL)
CREATOR: Sandra Yamin ( CN=Sandra Yamin/OU=OMB/O=EOP [ OMB 1 )
CREATION DATE/TIME: 4-JAN-1999 19:09:52.00
SUBJECT:
Pay Equity Initiative
CN=Joshua Gotbaum/OU=OMB/O=EOP@EOP [ OMB 1 )
TO: Joshua Gotbaum
READ: UNKNOWN
TO: Michael Deich ( CN=Michael Deich/OU=OMB/O=EOP@EOP [ OMB 1 )
READ:UNKNOWN
TO: Elena Kagan ( CN=Elena Kagan/OU=OPD/O=EOP@EOP [OPD 1 )
READ: UNKNOWN
CC: Barbara Chow ( CN=Barbara Chow/OU=OMB/O=EOP@EOP [ OMB
READ: UNKNOWN
CC: Barry White
READ: UNKNOWN
1 )
CN=Barry White/OU=OMB/O=EOP@EOP [ OMB 1 )
CC: Susan M. Carr ( CN=Susan M. Carr/OU=OMB/O=EOP@EOP [ OMB 1 )
READ:UNKNOWN
CC: Theodore Wartell
READ: UNKNOWN
( CN=Theodore Wartell/OU=OMB/O=EOP@EOP [ OMB 1 )
CC: Adrienne C. Erbach ( CN=Adrienne C. Erbach/OU=OMB/O=EOP@EOP [ OMB 1 )
READ: UNKNOWN
CC: Larry R. Matlack ( CN=Larry R. Matlack/OU=OMB/O=EOP@EOP [ OMB 1 )
READ:UNKNOWN
CC: Debra J. Bond ( CN=Debra J. Bond/OU=OMB/O=EOP@EOP [ OMB 1 )
READ: UNKNOWN
CC: Patricia E. Romani
READ: UNKNOWN
( CN=Patricia E. Romani/OU=OMB/O=EOP@EOP [ OMB 1 )
CC: Dawn V. Woollen ( CN=Dawn V. Woollen/OU=OMB/O=EOP@EOP [ OMB 1 )
READ: UNKNOWN
CC: Laura Emmett
READ: UNKNOWN
( CN=Laura Emmett/OU=WHO/O=EOP@EOP [ WHO 1 )
TEXT:
Attached below is the joint EIML/GG&F suggested description of the DoL Pay
Equity Intitiative.
If you have any comments, please forward them to me.
Thank you.
---------------------- Forwarded by Sandra Yamin/OMB/EOP on 01/04/99 06:56
PM ---------------------------
Debra J. Bond
01/04/99 06:16:41 PM
�: ARMS Email System
Record Type:
Page 2 of4
Record
To:
Barbara Chow/OMB/EOP@EOP
cc:
Barry White/OMB/EOP@EOP, Larry R. Matlack/OMB/EOP@EOP, Sandra
Yamin/OMB/EOP@EOP, Susan M. Carr/OMB/EOP@EOP
subject:
Pay Equity Initiative
Attached is a one-pager which reflects our understanding of the Pay Equity
Initiative.
Please let me know if you need further information on this
issue.
==================== ATTACHMENT
1 ====================
ATT CREATION TIME/DATE:
0 00:00:00.00
TEXT:
Unable to convert ARMS_EXT: [ATTACH.D14]MAIL43302440L.036 to ASCII,
The follo~ing is a HEX DUMP:
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�Pay Equity Initiative
Automated Records Management System
Hex-Dump Conversion
On April 2, 1998, the President issued a proclamation designating National Equal Pay Day in
which he urged all employers to review their wage practices and to ensure that all their
employees, including women, are paid equitably for their work. The typical woman who works
full-time earns just 74 cents for each dollar that the typical man earns. This gap is in part
attributable to differing levels of experience, education, and skill. However, even after accounting
for these factors a significant pay gap still remains between men and women in similar jobs.
To address this problem, the President's FY 2000 budget proposes a $14 million pay equity
initiative to focus additional resources on providing employers with the necessary tools to assess
and improve their pay policies, and educating the public (including employers, employees, unions,
and advocacy groups) on the importance of this issue as well as their rights and responsibilities.
Specifically the budget requests:
•
$10 million (4 FTE) for the Equal Employment Opportunity Commission's (EEOC) wage
discrimination initiative which will:
-- provide necessary training of enforcement staff in identifying wage discrimination cases;
-- increase outreach, education, and technical assistance including funding public service
announcements to educate the public on the importance of this issue as well as their rights
and responsibilities, and developing training programs for employers, employees, unions
and advocacy groups on pay issues; and,
-- fund research on how pay disparities arise and where they are most prevalent in order to
better target resources in the future.
•
$4 million (20 FTE) for the Labor Department's Office of Federal Contract Compliance
Programs' (OFCCP) pay equity initiative, which is part of its overall initiative to increase
compliance through enhanced compliance assistance. The pay equity initiative will:
-- continue monitoring of pay equity to reduce occupational segregation and to assure that
appropriate criteria are used for setting salaries for women, minorities, and persons with
disabilities;
-- provide enhanced technical assistance through technology, specifically by developing and
providing guidelines via the Internet that address pay issues, including industry best
practices;
-- increase outreach and education efforts, such as research and public education grants on
corporate management reviews (glass ceiling reviews), as well as technical and educational
brochures that will keep the public informed about the various OFCCP requirements; and,
-- provide a focused effort on women in non-traditional jobs which will challenge
discrimination by identifying best practices and assisting contractors in identifying
resources for recruiting and developing qualified individuals in non-traditional occupations
thereby improving women's access to and experiences in non-traditional occupations.
�(,~
Page 1 of2
,ARMS Email System
RECORD TYPE: PRESIDENTIAL
(NOTES MAIL)
CREATOR: June Shih ( CN=June Shih/OU=WHO/O=EOP [ WHO 1 )
CREATION DATE/TIME: 4-JAN-1999 19:28:58.00
SUBJECT:
Re: Speech
TO: Elena Kagan ( CN=Elena Kagan/OU=OPD/O=EOP @ EOP [ OPD 1 )
READ: UNKNOWN
TO: Jose Cerda III ( CN=Jose Cerda III/OU=OPD/O=EOP @ EOP [ OPD 1 )
READ:UNKNOWN
CC: Laura Emmett ( CN=Laura Emmett/OU=WHO/O=EOP @ EOP [ WHO 1 )
READ:UNKNOWN
TEXT:
Draft 1/4/99 7:30 pm
Lowell Weiss/ June Shih
PRESIDENT WILLIAM J. CLINTON
REMARKS ON BREAKING THE CYCLE OF DRUGS AND CRIME
THE WHITE HOUSE
January 5, 1999
Acknowledge: Atty. Gen. Reno, Gen. McCaffrey, Lt. Gov. Townsend.
I want
to thank her for pioneering a tough program of drug treatment and testing
in her state that has been an inspiration for our efforts today.
Six years ago, America was at peace, but many of our communities
were at war. Illegal drugs were ravaging cities on both coasts and in the
American heartland in between.
Crack and methamphetamine use were at
near-epidemic levels. Drug dealers who controlled whole neighborhoods
thought nothing of opening fire on passing police cars.
Too many
communities lived in terror. Too many children feared they would not live
to march in their high school graduations.
I took office determined to give all those children back their
futures and all those communities back their peace of mind.
In"every
successive year of my presidency, I have proposed and passed the largest
anti-drug budget ever. Between 1996 and 1999 alone, we have increased
funding for anti-drug efforts by more than 30% -- even as we produced the
first balanced budget in a generation. And under the leadership of Gen.
McCaffrey, we have put these resources to very good use: Unprecedented new
tools for domestic law enforcement.
Unprecedented new campaigns to
convince young people that drugs kill. Unprecedented new efforts to stem
the flow of drugs across our borders.
Unprecedented new efforts to stop
the revolving door between prison and the street, between drug use and
criminal activity.
As you've heard from Gens. Reno and McCaffrey, our strategy is
working. Not only do we have the lowest crime rates in 25 years. At long
last, overall drug use is falling.
Even drug-use among young people is
beginning to decline.
But now is not a time to rest. Now is the time to work harder
than ever to build on these very encouraging trends. At this time of
prosperity, we have the resources, the proven strategies, and the
confidence to make this new year the best year ever.for reducing drugs and
�(~,
,,ARMS Email System
crime.
I believe that there is no better way to meet this ambitious goal
than to expand our efforts to force our prisoners to make a clean break
from drugs.
Today, we are releasing a new study by the Department of
Justice that offers more convincing evidence that drug use stokes all
types of crime, from property crimes like burglary and auto theft to
violent crimes like assault and murder.
It shows that one in six
offenders landed in prison for a crime he committed just to get money for
drugs ... that nearly a third of all prisoners were using drugs at the time
they committed their crimes ... and that more than 80% of all prisoners have
a history of drug abuse. There is no question that if we are to continue
reducing the rate of crime, we cannot afford to continue releasing
criminals with their dangerous drug habits intact.
As you have heard from Gens. Reno and McCaffrey, we have already
done much to expand drug-testing and treatment in federal prisons and to
encourage states to do the same. But today, we will make a quantum leap
forward.
I am proud to announce that the balanced budget I will submit to
Congress will contain a $215 million zero-tolerance drug-supervision
initiative, our nation's most comprehensive effort ever to test and treat
not only criminals in prison, but also those out on probation and parole.
To inmates in every state we will say: If you stay on drugs, then you'll
stay behind bars. And to probationers and parolees the message will be
equally clear: If you want to keep your freedom, you have to keep free of
drugs.
Through this initiative, we will also expand our efforts to help
communities build and administer drug courts. As you have heard from Gen.
Reno, drug courts are one of the most effective ways of making offenders
give up both drugs and a life of crime.
When I took office there were
four drug courts in operation, including the one Gen. Reno launched in
Miami.
Today, there are more than 400. And if my budget proposal is
approved by Congress, we can have more than a thousand up and running by
the end of next year.
I am also proud to announce that on top of these new budget
proposals,we will free up another $120 million for drug-free prison
initiatives this year -- to help eight states purge their prisons of drugs
with advanced new technologies.
In these final years of the 20th century, America made tremendous
progress in our efforts to free our children and our communities from the
dangerous threat of drugs and crime. Now, as we begin a new century, we
have a remarkable opportunity to use the power of the courts, prisons,
prosecutors, probation officers, and police to break the drug habits of
our prisoners
and break the cycle of drugs and crime once, and for all
time.
Let us seize it. Thank you and God bless you.
Page 2 of2
�ARMS Email System
Page 1 of 1
RECORD TYPE: PRESIDENTIAL
(NOTES MAIL)
CREATOR: Sandra Yamin ( CN=Sandra Yamin/OU=OMB/O=EOP [ OMB 1 )
CREATION DATE/TIME: 4-JAN-1999 19:44:50.00 .
SUBJECT:
The Tues 11:00AM mtg re: GED and Adult Literacy has been canceled
TO: Michael Cohen
READ:UNKNOWN
TO: Cecilia E. Rouse
READ:UNKNOWN
CN=Michael Cohen/OU=OPD/O=EOP@EOP [ OPD 1
( CN=Cecilia E. Rouse/OU=OPD/O=EOP@EOP [ OPD 1 )
TO: Elena Kagan ( CN=Elena Kagan/OU=OPD/O=EOP@EOP [ OPD 1 )
READ:UNKNOWN
CC: Wayne Upshaw ( CN=Wayne Upshaw/OU=OMB/O=EOP@EOP [ OMB 1 )
READ: UNKNOWN
CC: Laura Emmett ( CN=Laura Emmett/OU=WHO/O=EOP@EOP [ WHO 1 )
READ: UNKNOWN
CC: Barry White ( CN=Barry White/OU=OMB/O=EOP@EOP [ OMB 1 )
READ: UNKNOWN
TEXT:
we will reschedule for sometime on Wed.
Barbara's schedule is free
between 12 - 5 on Wed.
PIs let me know your availablity during that
time.
Sorry for the short notice. Thanks
�~ ARMS Email System
Page 1 of6
RECORD TYPE: PRESIDENTIAL
(NOTES MAIL)
CREATOR: Leanne A. Shimabukuro ( CN=Leanne A. Shimabukuro/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME: 4-JAN-1999 22:21:47.00
SUBJECT:
Q&A
TO: Elena Kagan ( CN=Elena Kagan/OU=OPD/O=EOP @ EOP [ OPD ] )
READ: UNKNOWN
TO: Laura Emmett ( CN=Laura Emmett/OU=WHO/O=EOP @ EOP [ WHO ] )
READ: UNKNOWN
CC: Jose Cerda III
READ: UNKNOWN
( CN=Jose Cerda III/OU=OPD/O=EOP @ EOP [ OPD ] )
TEXT:
==================== ATTACHMENT
1 ====================
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�l· '
Automated Records Management System
Hex-Dump Conversion
Zero Tolerance Drug Supervision Event
January 5, 1999
Questions and Answers
Q.
Whatmore can you tell us about the Justice Department report released today?
A.
The President highlighted key findings of the report on prisoner drug use, including:
Vast majority of all prisoners report drug use. In 1997, 83 percent of state prisoners
and 73 percent of federal prisoners reported past drug use -- considerably more than the
21 percent of state prisoners and 60 percent of federal prisoners who are serving time for
drug offenses. In addition, 57 percent of state prisoners and 45 percent of federal
prisoners reported using drugs in the month before their arrest.
Many prisoners commit crimes to buy drugs or while high. Nearly 20 percent of
state prisoners and 15 percent of federal inmates reported committing their offense to get
money to buy drugs. And 33 percent of state prisoners and 22 percent of federal
prisoners were actually under the influence of drugs at the time of their offense.
Drug offenders have long "rap sheets." State prisoners serving sentences for drug
offenses reported extensive criminal histories: 76 percent had been previously sentenced
to prison or probation; 54 percent were on probation or parole at the time of their arrest;
45 percent had three or more prior sentences; and 23 percent had previously committed a
violent crime. Although federal drug offenders generally reported less severe criminal
histories, 59 percent had prior criminal records.
.
However, the report makes other significant findings, such as:
Prisoners report significant alcohol use. About 37 percent of state prisoners and 20
percent of federal inmates committed their offense under the influence of alcohol. About
40 percent of state and 30 percent of federal prisoners reported a prior binge drinking
experience. In addition, over 40 percent of both state and federal inmates had driven
drunk in the past.
Smaller portion of prison population receiving treatment. The percentage of
prisoners participating in drug treatment since admission declined between 1991 and
1997: from 24 percent to 9.7 percent for state inmates; and from 15.7 percentto 9.2
percent for federal inmates. However, between 1991 and 1997, prisoner participation in
other drug abuse programs (e.g., peer groups, self-help) grew -- from 15.5 percent to 20.3
percent for state inmates, and doubled for federal prisoners, from 10 percent to 20
percent.
[Additional questions about the report's findings should be forwarded to the Office of
Justice Program's Bureau of Justice Statistics.]
�Automated Records Management System
Hex-Dump Conversion
Q.
The Administration cites in its accomplishments that it has increased drug testing
and treatment in the federal prisons, but the Justice Department report suggests a
decrease in inmate treatment since 1991. How do you explain this contradiction? .
A.
We have definitely increased the number offederal inmates that are drug tested and .
treated. The 1994 Crime Act mandated that, by the end of FY 1997, all federal prisoners
eligible for residential drug treatment should receive such treatment. As a result, by
1998, the Federal Bureau of Prisons was conducting about 30,000 more drug tests per
year and providing residential drug treatment to four times as many prisoners. The
number of inmates participating in other types of drug abuse and education programs also
increased during this time.
However, these increases may not have kept pace with the rapid growth in the prison
population during that same period. In fact, between 1991 and 1997, the federal prison
population grew by well over 50 percent (from 71,000 to about 113,000). Thus, even
while more treatment slots were being made available -- and more prisoners were
participating in other drug abuse and education programs -- the overall percentage in
treatment may have declined.
Finally, it should be noted that the Justice Department report includes a disclaimer saying
that -- because the likelihood of receiving treatment increases as a prisoner's release date
approaches -- it may have underestimated the total number of prisoners who will
ultimately receive drug treatment.
Q.
What will the overall increase in funding be for drug testing and treatment as a
result of this new initiative?
A.
The "zero tolerance" drug supervision initiative represents a funding enhancement of
$112 million for FY 2000. This includes: $100 million in new funds for states and
localities to drug test and treat prisoners, parolees, and probationers; an increase of $1 0
million for additional drug courts (from $40 to $50 million); and an increase of $2 million
for the residential drug treatment in state prisons (from $63 million to $65 million).
Q.
What is the average cost of a drug test?
A.
The Federal Bureau of Prisons spends less than $9.00 per drug test for the nearly 130,000
drug tests it conducted last year. Costs can vary depending on the number of drugs
tested for, procedural requirements, and the number of tests needed -- lower quantities
will cost more.
Q.
Is overall drug use increasing or decreasing? And how does it compare to the
statistics contained in today's report on prisoner drug use?
�\
.
'
Automated Records Manage~ent System
Hex-Dump Conversion,
A.
According to the most recent National Household Survey on Drug Abuse, there were 13.9
million current drug users in 1997 -- or about half the number of drug users during the
peak year of 1979. These nearly 14 million drug users represent about 6 percent of the
American population age 12 and older, and the number has remained roughly flat since
1992.
By comparison, current drug use by prisoners has increased since 1991, and ranges
between 5 to 10 times greater than the overall population. Current drug use by state
prisoners increased from 50 percent to 57 percent between 1991 and 1997, and from 32
percent to 45 percent for federal inmates during the same period.
Q.
But isn't youth drug use increasing?
A.
Not according to the most recent study released by the Department of Health and Human
Services. The 1998 Monitoring the Future Survey showed that for the second year in a
row, youth drug use, in nearly every category, has either decreased or leveled off
among 8th, 10th, and 12th graders. Specifically, marijuana use -- the most widely used
drug by teens -- appears to have leveled off, with declines reported for the second year.
Just as importantly, youth attitudes toward drugs appear to be turning around,
with more young people viewing marijuana use as risky behavior.
So, while teen drug use remains unacceptably high -- and considerably higher than its low
point in 1991 -- we are encouraged by these positive trends.
�
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
Elena Kagan
Description
An account of the resource
<div>
<p>Elena Kagan worked as Associate White House Counsel from 1995-1996 and Deputy Assistant to the President for Domestic Policy and Deputy Director of the Domestic Policy Council (DPC) from 1997-1999.</p>
<p>During her work at the White House Justice Kagan worked on many topics including, but not limited to: AIDS, budget appropriations, campaign finance reform, education, health, labor, race, tobacco, Native Americans, and welfare.</p>
<p>In 1999 President Clinton nominated Kagan to the U.S. District Court of Appeals, no hearing was ever scheduled and she was thereby never confirmed.</p>
<p>Note: These records were made available in response to a <a href="http://clinton.presidentiallibraries.us/freedom-of-information-act-requests">Freedom of Information Act (FOIA)</a> request, FOIA 2009-1006-F. This collection contains both records created by Elena Kagan and records concerning Elena Kagan. </p>
<p><strong>Descriptions of the Sub Collections:</strong></p>
<ul><li><strong><a href="http://clinton.presidentiallibraries.us/items/browse?search=&advanced%5B0%5D%5Belement_id%5D=70&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=Elena+Kagan%27s+White+House+Counsel+Files&range=&collection=&type=&user=&tags=&public=&featured=&exhibit=&submit_search=Search+for+items">White House Counsel Files</a></strong><br /> These records consist of files created and received by Elena Kagan when she served as Associate Counsel to President Clinton from 1995 to 1996. The files include but are not limited to records concerning Amtrak, campaign finance reform, gaming/gambling (especially as it relates to Native Americans), timber, regulatory reform, and welfare. The records include memoranda, notes, correspondence, articles, reports, executive orders, bills, and directives.</li>
<li><strong><a href="http://clinton.presidentiallibraries.us/items/browse?search=&advanced%5B0%5D%5Belement_id%5D=70&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=Elena+Kagan%27s+Domestic+Policy+Council+Files&range=&collection=&type=&user=&tags=&public=&featured=&exhibit=&submit_search=Search+for+items">Domestic Policy Council Files</a></strong><br />These records contain files created and received by Elena Kagan when she served as Deputy Assistant to the President for Domestic Policy and Deputy Director of the Domestic Policy Council (DPC) from 1997-1999. The files include records concerning domestic policy topics such as AIDS, budget appropriations, campaign finance reform, education, health, labor, race, tobacco, and welfare. The records include memoranda, correspondence, articles, and reports.</li>
<li><strong><a href="http://clinton.presidentiallibraries.us/items/browse?search=&advanced%5B0%5D%5Belement_id%5D=70&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=White+House+Staff+%26+Office+Files+re+Elena+Kagan&range=&collection=&type=&user=&tags=&public=&featured=&exhibit=&submit_search=Search+for+items">White House Staff Files re Elena Kagan</a></strong><br />These records are compiled from a variety of staff office files including the Chief of Staff, Personnel, Office of First Lady, Counsel, and DPC and include correspondence, memorandum, forms, and reports all concerning or having to do with Elena Kagan.</li>
<li><strong><a href="http://clinton.presidentiallibraries.us/items/browse?search=&advanced%5B0%5D%5Belement_id%5D=70&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=White+House+Office+of+Records+Management+Files+re+Elena+Kagan&range=&collection=&type=&user=&tags=&public=&featured=&exhibit=&submit_search=Search+for+items">White House Office of Records Management Files (WHORM)</a></strong><br />These records are from the White House Office of Records Management (WHORM) subject file series. The Clinton Presidential Library inherited a document-level index maintained by WHORM during the Clinton Administration which tracked some incoming correspondence and other documents as they were circulated throughout the White House and filed by WHORM. The records contain files created and received by Elena Kagan that were tracked by the WHORM Subject File index. The files include records related to a variety of topics such as memoranda, correspondence, and Domestic Policy Council weekly reports. The records are tracked by an alpha/numeric code, and are listed as such.</li>
<li><strong><a href="http://clinton.presidentiallibraries.us/items/browse?search=&advanced%5B0%5D%5Belement_id%5D=70&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=Elena+Kagan%27s+1999+Nomination+to+U.S.+Court+of+Appeals&range=&collection=&type=&user=&tags=&public=&featured=&exhibit=&submit_search=Search+for+items">Elena Kagan's 1999 Nomination to U.S. Court of Appeals</a></strong><br />After serving as the Deputy Director of the Domestic Policy Council, Elena Kagan was nominated to serve on the U.S. Appeals Court for the District of Columbia (D.C. Circuit) in1999. Her nomination expired in 2000 without Senate action. The files in this opening contain records from the White House Staff and Office Files, Counsel’s Office and Presidential Personnel, concerning her nomination. The records consist of Senate Judiciary Committee questionnaires, correspondence, law review files, news articles, briefs, and press briefings.</li>
<li><strong><a href="http://clinton.presidentiallibraries.us/items/browse?search=&advanced%5B0%5D%5Belement_id%5D=70&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=Email+Received+by+Elena+Kagan&range=&collection=&type=&user=&tags=&public=&featured=&exhibit=&submit_search=Search+for+items">Email Received by Elena Kagan</a></strong><br />These records consist of email received by Elena Kagan during her time as Associate White House Counsel from 1995-1996 and Deputy Assistant to the President for Domestic Policy and Deputy Director of the Domestic Policy Council (DPC) from 1997-1999. In addition to the email proper, these messages include forwards, reply chains, and attachments. The attached documents include notes, memorandum, articles, reports, executive orders, bills, and directives. These email concern a myriad of topics including but not limited to Amtrak, campaign finance reform, gaming/gambling (especially as it relates to Native Americans), timber, regulatory reform, welfare and domestic policy topics such as AIDS, budget appropriations, education, health, labor, race, and tobacco.</li>
<li><strong><a href="http://clinton.presidentiallibraries.us/items/browse?search=&advanced%5B0%5D%5Belement_id%5D=70&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=Email+Sent+by+Elena+Kagan&range=&collection=&type=&user=&tags=&public=&featured=&exhibit=&submit_search=Search+for+items">Email Sent by Elena Kagan</a></strong><br />These records consist of email sent by Elena Kagan during her time as Associate White House Counsel from 1995-1996 and Deputy Assistant to the President for Domestic Policy and Deputy Director of the Domestic Policy Council (DPC) from 1997-1999. In addition to the email proper, these messages include forwards, reply chains, and attachments. The attached documents include notes, memorandum, articles, reports, executive orders, bills, and directives. These email concern a myriad of topics including but not limited to Amtrak, campaign finance reform, gaming/gambling (especially as it relates to Native Americans), timber, regulatory reform, welfare and domestic policy topics such as AIDS, budget appropriations, education, health, labor, race, and tobacco.</li>
<li><strong><a href="http://clinton.presidentiallibraries.us/items/browse?search=&advanced%5B0%5D%5Belement_id%5D=70&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=Elena+Kagan%27s+Records+re+Native+Americans&range=&collection=&type=&user=&tags=&public=&featured=&exhibit=&submit_search=Search+for+items">Elena Kagan's Records re Native Americans</a></strong><br />These records were created or received by Elena Kagan during her service as Deputy Assistant to the President for Domestic Policy and Deputy Director of the Domestic Policy Council (1997-99). These ten folders were previously opened as part of a Freedom of Information Act request related to Native Americans (FOIA case <a href="http://www.clintonlibrary.gov/Documents/Finding-Aids/2006/2006-0197-F%28seg%203%29.pdf" target="_blank">2006-0197-F</a>).These records consist of memoranda, emails, reports, notes, and clippings.</li>
<li><strong><a href="http://clinton.presidentiallibraries.us/items/browse?search=&advanced%5B0%5D%5Belement_id%5D=70&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=Additional+Materials+re+Elena+Kagan&range=&collection=&type=&user=&tags=&public=&featured=&exhibit=&submit_search=Search+for+items">Additional Materials re Elena Kagan</a></strong><br />These records were taken from the files of Elena Kagan. They include memos to, from, and relating to Elena Kagan’s work on Domestic Policy issues. The records include some memos from Elena Kagan to President Clinton.</li>
<li><strong><a href="http://clinton.presidentiallibraries.us/items/browse?search=&advanced%5B0%5D%5Belement_id%5D=70&advanced%5B0%5D%5Btype%5D=is+exactly&advanced%5B0%5D%5Bterms%5D=Federal+Email+re+Elena+Kagan&range=&collection=&type=&user=&tags=&public=&featured=&exhibit=&submit_search=Search+for+items">Federal Email re Elena Kagan</a></strong><br />The federal email re: Elena Kagan consists of 114 email messages that were part of the Federal side of the Clinton White House. The email generally consists of summaries of meetings or telephone conversations in which Elena Kagan was a participant.</li>
</ul></div>
Identifier
An unambiguous reference to the resource within a given context
2009-1006-F
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
Clinton Presidential Records: Automated Records Management System
Clinton Presidential Records: White House Staff and Office Files
Publisher
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Clinton Presidential Library & Museum
Format
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Adobe Acrobat Document
Creator
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Office of the Counsel to the President
Domestic Policy Council
First Lady's Office
White House Office of Records Management
Chief of Staff
White House Office for Women's Initiative and Outreach
Automated Records Management System
Tape Restoration Project
Security Office
Presidential Personnel
Date
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1995-1999
Extent
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2945 folders
Text
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Original Format
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Magnetic Disk: Hard Drive
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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[01/02/1999 – 01/04/1999]
Creator
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OPD
Automated Records Management System
Identifier
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2009-1006-F
Is Part Of
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Email Received by Elena Kagan
<a href="http://catalog.archives.gov/id/574745" target="_blank">National Archives Catalog Description</a>
Provenance
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Clinton Presidential Records: Automated Records Management System
Format
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Adobe Acrobat Document
Publisher
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Clinton Presidential Library & Museum
Medium
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Reproduction-Reference
Date Created
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6/18/2010
Source
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ARMS - Box 042 - Folder 003
574745