continued...
Expanded Investment in Urban and Rural Areas. The Clinton-Gore Administration created 31 Empowerment Zones and more than 100 Enterprise Communities, including 50 rural ECs, which have created new jobs, new opportunities and stronger communities. [National Economic Council, 11/18/99]
Encouraging Investment in Underserved Communities with the New Markets Initiative. President Clinton's New Markets Initiative will help bring economic development and renewal to communities that have not benefited from the soaring economy by spurring more than $22 billion in new investment in urban and rural areas. On July 25, 2000, the House passed the President's New Markets Initiative in a historic bipartisan agreement that included extension and expansion of Empowerment Zones, and an increase in the Low Income Housing Tax Credit. The President has taken three New Markets Tours of underserved communities, which have helped generate more than $1 billion in private sector investment commitments. [Presidential Statement, 8/5/99]
Providing Incentives to Save. President Clinton signed legislation creating Individual Development Accounts, providing incentives for low-income families to save for a first home, higher education, or to start a new business, a key part of his 1992 community empowerment agenda. In FY 1999, $10 million was awarded to establish savings accounts for over 10,000 low-income workers in 40 communities, and an additional $10 million will be awarded in FY 2000. The President's budget provides $25 million for IDAs in FY 2001 and proposes to allow low-income working families to use IDAs to save for a car that will allow them to get or keep a job. [FY 2001 Budget, p. 66]
Health Care: Increasing Access and Improving the Nation's Health
Enacted Most Comprehensive Medicare Reforms in History. In the 1997 Balanced Budget, the Clinton-Gore Administration protected, modernized and extended the life of the Medicare Trust Fund while offering new options for patient choice and preventive care. New preventive benefits passed include coverage of annual mammograms, coverage of screening tests for both colorectal and cervical cancer, and a diabetes self-management benefit. The President proposed a plan to reform and modernize Medicare's benefits, including an optional prescription drug benefit that is affordable and available to all beneficiaries. The President has also proposed a reserve fund to help Medicare beneficiaries with extremely high prescription drug costs. [National Economic Council/Domestic Policy Committee, 7/2/99]
Extending the Life of the Medicare Trust Fund. When President Clinton and Vice President Gore took office, Medicare was expected to run out of money in 1999. Now, the life of the Trust Fund has been extended until 2025. Medicare is now in the soundest shape it has been since 1975. [HHS Press Release, 3/30/00]
Enacted Single Largest Investment in Health Care for Children since 1965. The five year, $24 billion State Children's Health Insurance Program (S-CHIP) will provide health care coverage for up to five million children. Two million children have already been enrolled, and in October 1999 President Clinton announced new outreach initiatives to enroll millions more uninsured, eligible children. Last year, the President launched a nationwide "Insure Kids Now" campaign that will bring together major TV and radio networks, healthcare organizations, religious groups and other community-based organizations to help enroll more children in the Children's Health Insurance Program, with the goal of enrolling 5 million of the estimated 10 million children eligible for health insurance under S-CHIP within 5 years. As of June 2000, approximately 2.5 million children were enrolled in S-CHIP. This year, the budget includes sev! eral of Vice President Gore's proposals to accelerate enrollment of children in S-CHIP. The President is also proposing a new FamilyCare program, which would give States the option to cover parents in the same plan as their children. [FY 2001 Budget, p. 73]
Passed Meaningful Health Insurance Reform. The President signed into law the Kennedy-Kassebaum Health Insurance Portability and Accountability Act, which helps individuals keep health insurance when they change jobs, guarantees renewability of coverage, and ensures access to health insurance for small businesses. As many as 25 million people will benefit from this law. The bill also eliminated the discriminatory tax treatment the of the approximately 10 million Americans who are self-employed; strengthened efforts to combat health care fraud, waste and abuse by creating a stable source of funding; and provided consumer protections and tax incentives for private long-term care insurance. [FY 2000 Budget, p. 83; Domestic Policy Council]
More Americans Have Health Insurance. From 1998 to 1999, the number of Americans with health insurance rose by 1.7 million -- two-thirds of them children. This is the first decline in the number of uninsured in 12 years. Factors contributing to the decline in the uninsured include the establishment of the historic S-CHIP program; the unprecedented outreach and enrollment efforts by the Administration and key states; and the improving economy in which increasing numbers of employers are offering health insurance. Despite historic gains, millions of Americans remain without insurance. The President and Vice President remain committed to provide health insurance coverage for all Americans. [Census Bureau, Health Insurance Coverage: 1999, 9/28/00]
Enacted Historic Comprehensive FDA Reform that Expedited the Review and Approval of New Drug Products. The President signed into law the 1997 FDA Modernization Act that includes important measures to modernize and streamline the regulation of biological products; increase patient access to experimental drugs and medical devices; and accelerate review of important new medications. This reform builds on the administrative initiatives implemented under the Vice President's reinventing government effort which have led U.S. drug approvals to be as fast or faster than any other industrialized nation. Average drug approval times have dropped since the beginning of the Administration from almost three years to just over one year. [Domestic Policy Council]
Signed Mental Health Parity Provisions into Law. To help eliminate discrimination against individuals with mental illnesses, the President signed into law mental health parity provisions that prohibit health plans from establishing separate lifetime and annual limits for mental health coverage. In 1999, the White House held the first-ever Conference on Mental Health and released the Surgeon General's first Report on Mental Health. This year, the President's budget includes an investment of $100 million for mental health services, a 90 percent increase since 1993 levels. [FY 2001 Budget, p. 246]
Signed Legislation to End Drive-Through Deliveries. President Clinton signed into law common sense legislation that requires health plans to allow new mothers to remain in the hospital for at least 48 hours following most normal deliveries and 96 hours after a Cesarean section. [Presidential Statement, 9/26/96]
Extended Strong, Enforceable Patient Protections for Millions of Americans. Leading by example, the President directed all federal agencies to ensure that their employees and beneficiaries have the benefits and rights guaranteed under the proposed Patients' Bill of Rights. 85 million Americans covered by federal health plans, and Medicare and Medicaid, have the security of knowing they will have fair access to health care thanks to the President's work. The President and Vice President have called for passage of the bipartisan Patients Bill of Rights Act, to ensure that all Americans have essential protections, such as guaranteed access to needed health care specialists; access to emergency room services when and where the need arises; continuity of care protections to assure patient care if a patient's health care provider is dropped; access to a timely internal and independent external appeals process with a medical necessity standard; assurance that doctors and! patients can openly discuss treatment options; and an enforcement mechanism that ensures recourse for patients who have been harmed as a result of health plan actions. [FY 2000 Budget, p. 85]
Expanded Investment in Urban and Rural Areas. The Clinton-Gore Administration created 31 Empowerment Zones and more than 100 Enterprise Communities, including 50 rural ECs, which have created new jobs, new opportunities and stronger communities. [National Economic Council, 11/18/99]
Encouraging Investment in Underserved Communities with the New Markets Initiative. President Clinton's New Markets Initiative will help bring economic development and renewal to communities that have not benefited from the soaring economy by spurring more than $22 billion in new investment in urban and rural areas. On July 25, 2000, the House passed the President's New Markets Initiative in a historic bipartisan agreement that included extension and expansion of Empowerment Zones, and an increase in the Low Income Housing Tax Credit. The President has taken three New Markets Tours of underserved communities, which have helped generate more than $1 billion in private sector investment commitments. [Presidential Statement, 8/5/99]
Providing Incentives to Save. President Clinton signed legislation creating Individual Development Accounts, providing incentives for low-income families to save for a first home, higher education, or to start a new business, a key part of his 1992 community empowerment agenda. In FY 1999, $10 million was awarded to establish savings accounts for over 10,000 low-income workers in 40 communities, and an additional $10 million will be awarded in FY 2000. The President's budget provides $25 million for IDAs in FY 2001 and proposes to allow low-income working families to use IDAs to save for a car that will allow them to get or keep a job. [FY 2001 Budget, p. 66]
Health Care: Increasing Access and Improving the Nation's Health
Enacted Most Comprehensive Medicare Reforms in History. In the 1997 Balanced Budget, the Clinton-Gore Administration protected, modernized and extended the life of the Medicare Trust Fund while offering new options for patient choice and preventive care. New preventive benefits passed include coverage of annual mammograms, coverage of screening tests for both colorectal and cervical cancer, and a diabetes self-management benefit. The President proposed a plan to reform and modernize Medicare's benefits, including an optional prescription drug benefit that is affordable and available to all beneficiaries. The President has also proposed a reserve fund to help Medicare beneficiaries with extremely high prescription drug costs. [National Economic Council/Domestic Policy Committee, 7/2/99]
Extending the Life of the Medicare Trust Fund. When President Clinton and Vice President Gore took office, Medicare was expected to run out of money in 1999. Now, the life of the Trust Fund has been extended until 2025. Medicare is now in the soundest shape it has been since 1975. [HHS Press Release, 3/30/00]
Enacted Single Largest Investment in Health Care for Children since 1965. The five year, $24 billion State Children's Health Insurance Program (S-CHIP) will provide health care coverage for up to five million children. Two million children have already been enrolled, and in October 1999 President Clinton announced new outreach initiatives to enroll millions more uninsured, eligible children. Last year, the President launched a nationwide "Insure Kids Now" campaign that will bring together major TV and radio networks, healthcare organizations, religious groups and other community-based organizations to help enroll more children in the Children's Health Insurance Program, with the goal of enrolling 5 million of the estimated 10 million children eligible for health insurance under S-CHIP within 5 years. As of June 2000, approximately 2.5 million children were enrolled in S-CHIP. This year, the budget includes sev! eral of Vice President Gore's proposals to accelerate enrollment of children in S-CHIP. The President is also proposing a new FamilyCare program, which would give States the option to cover parents in the same plan as their children. [FY 2001 Budget, p. 73]
Passed Meaningful Health Insurance Reform. The President signed into law the Kennedy-Kassebaum Health Insurance Portability and Accountability Act, which helps individuals keep health insurance when they change jobs, guarantees renewability of coverage, and ensures access to health insurance for small businesses. As many as 25 million people will benefit from this law. The bill also eliminated the discriminatory tax treatment the of the approximately 10 million Americans who are self-employed; strengthened efforts to combat health care fraud, waste and abuse by creating a stable source of funding; and provided consumer protections and tax incentives for private long-term care insurance. [FY 2000 Budget, p. 83; Domestic Policy Council]
More Americans Have Health Insurance. From 1998 to 1999, the number of Americans with health insurance rose by 1.7 million -- two-thirds of them children. This is the first decline in the number of uninsured in 12 years. Factors contributing to the decline in the uninsured include the establishment of the historic S-CHIP program; the unprecedented outreach and enrollment efforts by the Administration and key states; and the improving economy in which increasing numbers of employers are offering health insurance. Despite historic gains, millions of Americans remain without insurance. The President and Vice President remain committed to provide health insurance coverage for all Americans. [Census Bureau, Health Insurance Coverage: 1999, 9/28/00]
Enacted Historic Comprehensive FDA Reform that Expedited the Review and Approval of New Drug Products. The President signed into law the 1997 FDA Modernization Act that includes important measures to modernize and streamline the regulation of biological products; increase patient access to experimental drugs and medical devices; and accelerate review of important new medications. This reform builds on the administrative initiatives implemented under the Vice President's reinventing government effort which have led U.S. drug approvals to be as fast or faster than any other industrialized nation. Average drug approval times have dropped since the beginning of the Administration from almost three years to just over one year. [Domestic Policy Council]
Signed Mental Health Parity Provisions into Law. To help eliminate discrimination against individuals with mental illnesses, the President signed into law mental health parity provisions that prohibit health plans from establishing separate lifetime and annual limits for mental health coverage. In 1999, the White House held the first-ever Conference on Mental Health and released the Surgeon General's first Report on Mental Health. This year, the President's budget includes an investment of $100 million for mental health services, a 90 percent increase since 1993 levels. [FY 2001 Budget, p. 246]
Signed Legislation to End Drive-Through Deliveries. President Clinton signed into law common sense legislation that requires health plans to allow new mothers to remain in the hospital for at least 48 hours following most normal deliveries and 96 hours after a Cesarean section. [Presidential Statement, 9/26/96]
Extended Strong, Enforceable Patient Protections for Millions of Americans. Leading by example, the President directed all federal agencies to ensure that their employees and beneficiaries have the benefits and rights guaranteed under the proposed Patients' Bill of Rights. 85 million Americans covered by federal health plans, and Medicare and Medicaid, have the security of knowing they will have fair access to health care thanks to the President's work. The President and Vice President have called for passage of the bipartisan Patients Bill of Rights Act, to ensure that all Americans have essential protections, such as guaranteed access to needed health care specialists; access to emergency room services when and where the need arises; continuity of care protections to assure patient care if a patient's health care provider is dropped; access to a timely internal and independent external appeals process with a medical necessity standard; assurance that doctors and! patients can openly discuss treatment options; and an enforcement mechanism that ensures recourse for patients who have been harmed as a result of health plan actions. [FY 2000 Budget, p. 85]