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FOIA Number: 2006-0225-F
FOIA
MAR~~~R
This is not a textual record. This is used as an
administrative marker by the William J. Clinton
Presidential Library Staff.
Collection/Record Group:
Clinton Presidential Records
Subgroup/Office of Origin:
Records Management - SUBJECT FILE
Series/Staff Member:
Subseries: ·
OA/ID Number:
10792
Scan ID:
036777
Document Number:
Folder Title:
HE
Stack:
Row:
Section:
Shelf:
Position:
s
84
6
10
3
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ID# 036777
THE WHITE HOUSE
CORRESPONDENCE TRACKING WORKSHEET
INCOMING
DATE RECEIVED: SEPTEMBER 21, 1993
NAME OF CORRESPONDENT: THE HONORABLE MAX BAUCUS
SUBJECT: EXPRESSES CONCERN REGARDING PRESIDENT'S
HEALTH CARE REFORM PACKAGE
ACTION
ROUTE TO:
OFFICE/AGENCY
DISPOSITION
ACT
DATE
CODE YY/MM/DD
(STAFF NAME)
HOWARD PASTER
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93/09/17 HP
RSA
93/09/21
C COMPLETED
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A 93/09/17
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COMMENTS: ADDITIONAL SIGNEES WITH RESPONSES ATTACHED
ADDITIONAL CORRESPONDENTS:
MAIL
USER CODES: (A)D MT
6 MEDIA:L
INDIVIDUAL CODES:
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1210
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*ACTION CODES:
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OF SIGNER
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*C-COMPLETED
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CODE = A
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*D-DRAFT RESPONSE
*F-FURNISH FACT SHEET *S-SUSPENDED
*COMPLETED = DATE OF
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*I-INFO COPY/NO ACT NEC*
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REFER QUESTIONS AND ROUTING UPDATES TO CENTRAL REFERENCE
(ROOM 75,0EOB) EXT-2590
KEEP THIS WORKSHEET ATTACHED TO THE ORIGINAL INCOMING
LETTER AT ALL TIMES AND SEND COMPLETED RECORD TO RECORDS
MANAGEMENT.
SCANNED
�.,.
THE WHITE HOUSE
WASHINGTON
October 27, 1993
Dear Mr. Chairman:
Thank you for your letter of September 13 regarding global
budget allocations and national health care reform legislation.
You raise important points addressing fundamental issues of
fairness and health care spending. I certainly agree with you
that we must consider these questions carefully.
The health care reform plan I will propose to the Congress
begins to address issues of inequities among states based on
historic patterns of payment, utilization, and infrastructure.
It calls for the National Board to make appropriate adjustments
in determining state global budgets to reflect the reduction on
spending stemming from lack of insurance, under-insurance, and
uncompensated care. As you know, these factors alone account for
substantial differences across states. The National Board will
also adjust annual update factors to reflect unusual changes in
the demographic and socioeconomic characteristics of the
population covered by the Alliance in each state. Demographic
changes include, at a minimum, age and gender.
Finally, the plan calls for a special commission to
recommend ways to reduce inappropriate variations in health
spending across regions. Taken together, I believe that these
aspects of the plan will help us to move away from historical
spending patterns and toward a methodology that more accurately
reflects the appropriate needs of each state.
I look forward to working with you in the weeks and months
ahead as we address the nation's health care needs.
Sincerely,
The Honorable Max Baucus
United Stat·es Senate
Washington, D.C. 20510
�.
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WASHINGTON, D.C.
20510
September 13, 1993
"D
..
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The Honorable William Clinton
President of the United States
The White House
1600 Pennsylvania Avenue, N.W.
Washington, D.C. 20500
-
Dear Mr. President:
As you finalize your national health reform plan, we would
like to again express our serious concern with how the plan would
determine state global budgets and offer an alternative proposal.
It is our understanding that your plan would use historical
costs as the primary basis for determining state global budgets.
As you know, historical spending varies significantly among
states for reasons that have nothing to do with the health care
needs of the state. Using historical spending would lock in
payment, utilization, and infrastructure inequities preventing
low cost states from ensuring that all their residents receive
high quality care.
Budget allocations should ensure spending levels that
appropriate access and utilization based on quality and
health indicators, and not based on state practice patterns.
While we recognize that moving all states immediately to an
adjusted national average could be disruptive, we believe that it
is important to specify a reasonable time frame by which this new
method must be developed and implemented.
gu~rantee
We believe that national health reform legislation must
require the National Health Care Board to determine how the
national per capita average should be adjusted to reflect the
appropriate needs of a state. The legislation should also
mandate that the Board develop and implement a transition to the
national average so that within six years after enactment state
budgets would be based completely on an adjusted national
average.
�..
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Page 2
We appreciate your efforts to consult with us before
finalizing your plan. We are sure you understand how difficult
it would be for us to support a plan that could lead to lower
quality care for our states and we would like to meet with you to
discuss this further at your convenience. We look forward to
working with you on this historic initiative.
Sincerely,
~X~~~~~~ ~~~~~
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•
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arkin
Kent Conrad
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Correspondence between the White House and Congress concerning the Health Care Task Force
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Office of the Counsel to the President
Office of Policy Development
White House Health Care Interdepartmental Working Group
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36142" target="_blank">Collection Finding Aid</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Description
An account of the resource
This collection contains White House correspondence to and from Congress concerning the Health Care Task Force between July 1993 to December 1993. The Task Force on National Health Care Reform was created by President Clinton in January 1993 and was charged with developing a comprehensive national health care reform package. The Task Force was chaired by First Lady Hillary Rodham Clinton. The majority of the congressional letters were written to express the concerns of constituents, as well as correspondence regarding the maintenance of the Health Care Task Force's records and requests by Congress to view those records.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
83 folders in 2 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
36777
Creator
An entity primarily responsible for making the resource
White House Office of Records Management
Subject Files
HE
Identifier
An unambiguous reference to the resource within a given context
2006-0225-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 1
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0225-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/1127666" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/7/2015
Source
A related resource from which the described resource is derived
42-t-1127666-20060225F-001-023-2015
1127666