representatives, a republican state representative ray ward who does also happens toy. be a physician warned that these cuts will about to $1 billion budget deficit per year in the state of utah here that budget shortfall forces his state government to make some very difficult decisions. they have to decide whether to cut reimbursements to providers, cut medical services, cut or people off of the roles are make drastic measures like increasing everyone's taxes. kevin and steve, one of them is executive director of the association of county commissioners of north carolina and the other, a missouri representative basically said as county government leaders and state leaders they're worried that this bill basically is an unfunded mandate on them. commissioner hobbs said where they will feel is that services

like behavioral treatment without have to provide be provided to the jails instead of a medical setting. our peninsula health expert whose article basically said in the region of our state this could be as much as a 25-45% cut in behavioral health. so that's what happens when you cut people off of medicaid. the amount of money since medicaid is one in five dollars is a medicaid dollar, you're going to take that much out of the system. .. mr. schmitt. mr. schumer. mr. scott of florida. mr. scott of south carolina. mrs. shaheen. mr. sheehy. ms. slotkin. ms. smith. you think you will see them in the emergency room are jail, it's going to cost us a lot more money. our state and county in the

region a lot more money. not only their medicaid revenue compensated there, estimating 42 billing dollars. rural hospitals, rural healthcare charges will be devastating. over the hundred thousand people will lose health insurance and these are people treatable, conditions so they will be dealt with but if you don't treat them, they're going to go to the emergency room and raise costs on everyone. these families depend on the care. last week i spoke on the floor about one of my. talked about daughter, a 5-year-old girl had a rare condition when she stopped breathing she stopped breathing in her sleep she doesn't have oxygen.

even though he had an expensive platinum plan, i didn't across just by doing this and covering their costs what they basically saved her life and enjoyed her many years enjoyed for the given them. why are we making them sweat over whether their daughter is going to be able to keep medicaid mop up what the system is going to keep doing medicaid? estimating 5.4 million people will be pushing to medical that is of healthcare in the cuts in this bill. it will increase by $50 billion so is over the to take 880 billion?

so you are increasing personal debt of people making counties have unsustainable budgets having state legislators come back or cost? is nothing more than cost shifting to the state. making 85 year for the 15000 $400. the compensated care to people out of medicaid which are going to do is raise premiums on all of us. to the cost go up as much as $8340 so why are we doing this?

and i could just saying for a minute about this. back up a little bit this year, but somehow these multinational corporations got to my colleagues that said euros the

same rate we had in 2017. it was kind of ludicrous. the average raise taxes and residents pay higher taxes to do what? in the help grow our economy? competition from china now

doubling up again and how much is the multinational tax break asked given to medicaid and not cut medicaid. corporations a priority when they knew the tax extension is not coming and i'm pretty sure you look at the numbers and the tax break.

it's not enough to say the healthcare issue winning the day. to get more people covered under insurance because lower the cost of healthcare overall. also, premiums individuals to go down and be more like the rate of inflation for the present. that has been the goal forever. on an annual basis for

healthcare premiums and healthcare costs generally rise about 5.4% a year. we can keep up with hotels rising? we did the affordable care act and we did get back into a rate of inflation. i think there's more we could have done, lots of things happening between but will go down to 3.7% by covering more people. the audacity of my colleagues over here to blame medicaid expenses got too expensive when in reality we made this choice to drive down the premium cross so they were only rising close to inflation and that was the goal and we succeeded.

under the gop plan care institute is a numbers that come from them the gop plan will back healthcare costs a year. we're going to go back to ny? millions from healthcare and make people wait to go emergency rooms and basic will cross that off, but definitely multiple five or more emergency room than just health insurance and

robert. this i want to cut a bunch of people are very voters across over in the rate of inflation. it makes no sense and i hope you will think long and hard about that. paper $100,000 and another 100,000 that tax break and pay for energy tax credit is of the combat the chinese and what they are doing clean energy front.

more than 980 private sector jobs and improve their efficiencies. what we have now? president trump and inflation.

will post be competitive against china and succeeded in nation and one thing the united states is innovation. i don't know if it's just darted with ben franklin or many others along the way but americans attack and they will do the job. if you give them the education, get them the r&d with the university partner they would get the job done so don't take my word for it, take mr. must report the latest draft bill destroys millions of jobs in america and causes immense future country.

severely damaging the industry of the future. he said it best, but we were doing the energy because we wanted the lower cost and to be competitive. this bill will not have electricity, you're getting rid of the electricity cap credit and lower the inflationary costs and making the tax credit and is one bill i don't like my call

you purchases proposing in any i've moratorium greg abbott send a letter in texas and how does the moratorium propose to get started? holdings broadband money hostage unless you implement an a.i. moratorium. the heritage foundation said federal a.i. state protection for kids and workers. override a long time protecting consumers from abuse and protecting kids and now you want to get rid of them.

it's not surprising the holes in the right and left propose this in the bill 17 republican governors and 40 attorney generals from both democrats and republicans and other organizations from heritage foundation, the center of american progress. it affects the planet past and considered by both republican and democrat state legislatures from existing laws the presiding officer: on this vote the yeas are 49, the nays

are 51 and the motion is not agreed to. the senator from rhode island. mr. reed: madam president, i have a motion to commit at the desk. the presiding officer: the clerk will report. the clerk: the senator from rhode island, mr. reed, moves to commit -- mr. reed: i ask further reading of the motion be dispensed with. the presiding officer: without objection. mr. reed: madam president, medicaid is a lifeline for seniors. more than seven million seniors get care through medicaid and two in three nursing homes, residents, pay for that are care with medicaid. the bill we are voting today takes away key revenue sources for states in nursing home. brown estimated that 75 nursing homes nationwide would be at

risk of closing with this bill. even if nursing homes do not close, they will have to reduce their beds. this motion to cut any -- cuts that would lead to nursing home restoring integrity to the medicaid program by closing loopholes and preventing states from avoiding federal match rates. states have provider taxes for nursing homes and immediate care facilities are not phased down under this bill. additionally the bill repeals the harmful biden

administration's nursing home staffing rule that would have closed nursing homes and long-term care facilities. i urge my colleagues to vote against this amendment. mr. reed: madam president, i ask for the yeas and nays. the presiding officer: is there a sufficient second? there appears to be. the clerk will call the roll. vote: the clerk: ms. alsobrooks. ms. bald ms. baldwin. mr. banks. mr. barrasso. mr. bennet. mrs. blackburn. mr. blumenthal. ms. blunt rochester. mr. booker. mr. boozman. think we are going to pass something, i'm always ready to sign up to get legislation done that is going to happen anytime soon you're telling these governors, attorney general's not going to let you china because of her to take that tool away from you. barely i don't support this legislation and attorney general working on this important.

help plan of the spectrum. this will compromise the defense capability important federal capability and research. this will require an option of 800 megahertz of spectrum critical to military and civilian infrastructure, optimize military radio frequencies reshaping the battlefield across the globe. think experts say would risk

literary operation should tested technology is we don't like sitting around thinking what is she talking about? you know there is not big enough or formula the department of defense securemr purposes. the chinese building and detect when a chinese building is flying to the airspace.

i believe is going to a great amount of interference without solving this verse. more and more warfare based on satellite and communication and the landscape is changing so i certainly don't want military preparedness to be affected and warned the fans are to this operation by interfering with each other my colleagues want to allow at&t and verizon cell more

whatever it is -- a one-way flight isolated, surrounded by dangerous wildlife and unforgiving rain. the facility will have to 5000 deport alien, efficient, low-cost way to the largest mass deportation campaign in american

history. we are truly coming off historically, president trump with win after win on behalf of the american people. president trump restored obliterate the threats of iranian regime their capability brokered cease-fire, israel and iran, which continues to but the president traveled to the netherlands to dedicate their spending. unleashing american energy audience gas prices at the lowest they've been in for years. trumps economic boom stock market force back with s&p 500 and nasdaq both hitting rock economic ties.

original correspondent from the president of the unitedbe states jerome powell isck a president stated the american economy is booming and so many analysts have said in a massive regulation campaign inflation completely diminished from where it was on reckless spending illustration and remind the venture in the entire world is the president first and he knows what he's doing and proven formula that works in his first term as president and. working. electric utility only they should be able to do that but we have interest rates still too high the president since the snow saying you look at this chart interest rates here only

came a quarter for interest rates. cambodia, japan, thailand, taiwan, bulgaria, morocco, south korea and canada, albania, libya, malaysia, china, new zealand, trinidad and jamaica. australia, costa rica, united kingdom, and uae all paying lower interest rates in the united states in america the house strongest economy in the world. you lower the risk that a lot. their in class and there is no inflation in the president's right. historically low inflation to

drive down the cost of living in the country deregulate edit is incredibly important the past the big beautiful bill. in america's the white house and the president himself had been in touch with lawmakers all we can long doubling down on craziness and policies undermining the very fabric of our country. look at mangani. the democrat socialist, really a communist of the coast to defund the police. praises pro- hamas groups israel abolished, while the americans should not exist president trump

leadership with publicans fight tirelessly for everyday middle-class working americans who reelected this president and carried out a resolution of common sense packed into this one big beautiful bill. keep america safe funding largest ever one time investment and for security to reverse the biden for. against securing our border and deported millions and strengthening and protecting medicaid benefits despite what democrats are saying for eligible american citizens who rely on children and seniors with disabilities, eliminating waste, fraud and abuse threatened to destroy the program intended for the most society and every single democrat congress is against being out waste, fraud and abuse

walking the 1.4 million illegal aliens currently in properly receiving these benefits taxpaying citizens democrats in congress are more concerned with defending illegal alien hard-working americans. beautiful bill revitalizes military abilities, missile-defense system called the golden phone and the one big beautiful display to the desk and republicans seem to take tough unified through the home stretch counting on the. the one big beautiful bill and

the president is very well aware this will not only pass out of the senate but goes back to the house and the full weight of the conference to get behind the bill and expecting to and we are confident that they will president has been working hand-in-hand and house republicans needed in both of whom will be at the white house today. >> i have one follow-up. the best policy politicized different ways and the

politicizing is very fortunate for our country, but jerome powell ahead of the election when joe biden when the economy is in a much better place so it is a good explanation the president going into that. if talks as early as this weekend in written agreement. >> as i told you last week is that the administration and the special envoy has been an medication directly and indirectly with iranian medication.

>> i haven't heard him say that, i haven't heard him call for that but he does not want this individual to be elected's radical policy crash new york city holding near and dear to his heart that the attorney general for the naturalization. based on what he wrote. i'll let the president speak to that if they are true, it's something that should be investigated this president trump itself talking about this could he see working with mayor

mangani was given three chances to condemn the rates lies product? the president is always willing to work with everyone, he is working with democrats across the country. he works for people in the middle makes the boat texas working hard. elected or you will hear more about but hopefully they will choose wisely to make the president loves to go out on friday and next week.

officials at the white house constant communication the president self prime minister netanyahu but this has been a priority took office to end this brutal war in gaza because of this president humanitarian aid being brought in the region it's heartbreaking to see images that have come out from israel and gaza throughout this war and the president wants to see an end and save lives. however, the main priority remains to bring all hostages home. his tireless effort has brought home many of the hostages including american hostages so he wants work hard.

>> what is the white house's response to criticism from the senate work yesterday? president and thomas on medicaid and the vast majority of republicans and protect medicaid and the program and americans who physically cannot work they are so and therefore will strengthen and protect american as well as waste, fraud and abuse as well as 1.4 million in the program so those measures were protected for those who needed unless the president's position and why republicans seem to vote for it.

>> it's not what we are confident the bill will be back in the white house by fourth of july. >> the new york mayoral race and jerome powell focus is rates revenue controversy today my colleague first reported chairman jerome powell's congress. i will raise this to the president's attention and let

him be for himself. your first question regarding the mayoral race, the president was asked by maria bartiromo and refused so you won't get from ms he wants me to do that. i don't have any more details for you, but every day with the department of agriculture the enforcement and the president's focus administration from the streets in the illegal criminals, especially, criminals

so here because of the previous administration. and i don't even know that the president is aware of that but i will get in a responsive he is aware. >> can talk about this estimate. >> when you have murderers and rapists he missed criminals in a deficient facility around by alligators, i do think that is a deterrent to try to escape.

we do know some of these illegal criminals have escaped from other detention facilities i find in new jersey, which has been reported also course we want to keep the american people safe and remove public safety threats from our street and effectively detain the asbestos we can. for why themr president is goin, inc. his trip underscores the need to pass the one big beautiful bill because we need detention facilities across the country. the last administration but in nearly 20 million illegal people from all over the world and this administration is focused on arresting and detaining them but in comparison, we only have 7000 price agents in the interior doing this very important work so we obviously need for personnel and resources and that's why we need the one big beautiful bill.

>> some exports restrictions. >> the final language agreed upon in geneva and london, was signed this past week we didn't get that final agreement. >> on jay powell he will name the successors. >> i won't get ahead of the president on that. >> on tik tok you said yesterday he got a fire but does he have a seller. >> what i can tell you is these discussions regarding the bill has been ongoing at the highest level and they will continue and we have another 90 day extension and make sure tik tok stays on for the american people while

protecting their privacy and purity also says negotiation, what did you mean by that? >> he said it interferes with negotiations on browser. what did he mean by that? when he's in the middle of negotiating a peace deal bring hostages out of the war-torn regions of the president simply would emphasize his empathy that he has been seeing him what he's going through with his judicial system.

he was a victim of the judicial system trying to put him in jail. that's why he was back in the oval office and bibi netanyahu is a great leader of israel and the president works with him to end the 12 day or and obliterate iran's nuclear facility to take out the imminent threat, it just in the united states and the rest of the world and should be grateful for that. >> on the amendment that would put an expansion of the bill. >> the president wants the bill passed. >> the trade deals by labor day

extension by july 9 even if they are negotiating. he is going to write some these countries if they don't come to the table to associate and good faith and he is meeting to do that a lot like what where i. >> the rise% increase i was wondering if you could comment on that. >> it's a very good question, i'll have to go back and wash actually is like further violence against vice officers.

five 100% increase in violence against ice ages and law enforcement across the country just simply trying to do their job and remove public safety threats from our communities something we as americans including journalists, cities where illegal aliens are heading should be very grateful for. it is certainly unacceptable and a major network promote and encouraging violence and trying to keep our country safe. >> it sounds like the president is agnostic. >> , going to get into the details of the discussions ongoing real. the president also senator to come to get the bill back to the white house as soon as possible make sure the piece of legislation to make its way

back. obviously there is pink only between both sides of capitol hill, why, senator thune and speaker johnson are working with the president every step of the way. >> the president did announce this would happen presidency this about china and the region? >> the president said that last week and it remains true and spoke to secretary of commerce about the oval office of the president finalizing these agreements and you will hear from the president is very clear when it comes to india. >> and china on that front. >> india remains strategic ally in the indo-pacific and the

president has good relationship and he will continue to have the. >> senator tillis yesterday to suggest president trump was receiving that counsel. his president trump aware of this analysis that suggested rural hospitals close if there are that hit patients that become eligible? >> that claim is simply untrue. overall spending illustrates that not benefit from the increase of waste fraud and abuse under the biden administration and the bill strengthens medicaid will protect the benefits hard-working americans need. the president bilotta approved social post addressing that and the senator announced is no longer running for office

anymore so i think it's been closed and the white house is continuing to get legislation for his signature. >> was the" on the nuclear program? the proxy group and with iran. >> discussions between syria and israel will have to reach out to those respected governments but i can tell you this afternoon the president will sign executive order to terminate the united states mansions program and this is an effort to promote and support the countries have to stability and peace and

sanctions on peace while maintaining sanctions on the former president assad and his associates and human rights of others chemical weapons activities and affiliates iranian proxies in an action the president promised because he's committed to supporting syria that is able and at peace with itself and the president met with the president in the middle east felt the promise made in cap to promote peace, stability and the region. >> first on canada trade talks, what is the president's reaction in the call with prime minister over the weekend and how we

should get to drop and what is the impact given the latest progress? should president trump knows how to negotiate his governing the best economy in this world on this planet and it was a mistake to implement that and would hurt our companies in the united states and the president made it clear in the prime minister called last night to let him know we would be dropping the which is a victory for american workers here at home. >> violating civil rights by not. we know the president talked

about eventually having a deal and have not received a timeline, but. his more pressure needed? >> there's a direct letter this morning as you know negotiations are taking place behind closed doors so will comment on that but what i will share the context because i think it is important from the trump of health and human services after a thorough investigation harvard university and violent violation of title vi of the civil rights act would prohibit probation on the basis of race, color, and if you read the content of what they found, the majority of jewish students experience negative bias or discrimination on the campus for jewish

students felt physically unsafe. assaulted and spit on for fear of being harassed until -- the presiding officer: the majority whip. mr. barrasso: madam president, i ask unanimous consent that it be in order for the following senators to be recognized to offer amendments, motions, or points of order, the amendment be recorded by number with no amendments by order prior to the vote, that is ossoff, 2696. the presiding officer: without objection. mr. ossoff: madam president. the presiding officer: the senator from georgia. mr. ossoff: madam president, i call up by amendment 2696 and ask it be reported by number. the clerk: the senator from georgia offered amendment 2696 to amendment 2360. mr. ossoff: madam president,

instead of adding trillions to the debt in tax cuts for the rich, while destroying medicaid and renewable energy, i propose we help our constituents afford health insurance. if we allow affordable care act ben fits to expire, as this bill would, more than a million georgians will pay more for health insurance. a family of four in clayton county making 65,000 a year, that's a 2600 increase. chat hoochy county, 2300 counties augusta richmond, 2600. macon 2600. the ajc, our paper, reports 300,000 georgians would lose insurance altogether. that's on top of the cuts to medicaid and hospitals. a vote against this amendment is a vote to gut the affordable care act and raise health insurance premiums. i urge a yes vote. the presiding officer: the majority whip. mr. barrasso: this amendment would disproportionately hit our

successful job creators throughout the country, arming workers, consumers -- harming workers, consumers, and local economies. that runs directly contrary to the central themes of this bill, preventing a more than $4 trillion tax hike, making permanent the trump tax cuts which benefit the middle class the most. despite the democrats' rhetoric, they're conflating two separate issues, ensuring health care, affordable and access requires thoughtfulness and real solutions. our colleagues enacted costly and uncapped premium tax credits, used taxpayer dollars to mask underlying issues in the aca market. i urge my colleagues to oppose this and work to he reform the underlying issues in the market to drive costs. the pending amendment, 2696, would cause the underlying legislation to exceed the finance committee section 302a

allegation of new budget authority and outliers. i raise a point of order against this measure pursuant to section 302f of the congressional budget act of 1974. the presiding officer: the senator from georgia. mr. ossoff: how much time do i have? the presiding officer: the senator has five seconds. mr. ossoff: a vote against this amendment will repeal affordable care act benefits for your constituents and raise their health care premiums and pursuant to section 904 of the congressional budget act of 1974, i move to waive section 302f for the purposes of the pending amendment and ask for the yeas and nays. the presiding officer: is there a sufficient second? there appears to be. the clerk will call the roll. vote: the clerk: ms. alsobrooks. ms. baldwin.

mr. banks.

mr. barrasso. mr. bennet. mrs. blackburn. mr. blumenthal. ms. blunt rochester. mr. booker. mr. boozman. mrs. britt. mr. budd. ms. cantwell. mrs. capito. mr. cassidy.

ms. collins. mr. coons. mr. cornyn. like from coming to the floor, i thank them for speaking so clearly about what's at stake debate. republicans don't want people to know within the bill. very wealthy people and hard martyr people run not show the detriment of the party itself and the american people. and allow people to catch up as the bill was put on the four right before the reading started the amending bill so continued

to shut a light on how bad the bill is in this will continue and bring amendment after amendment to the floor so republicans can defend their billionaire tax cuts to try to explain massive cuts to medicaid to people back home and kids need healthcare and get so there should be tax breaks to millionaires and middle-class families someone in a nursing home going to close in life they make unprecedented cuts to his food from babies focus to all the babies, what kind of world do these republicans live in?

it's a corrupt world. $5 a day themselves. by a dozen eggs for $5. in energy because or even worse before it was estimated 50000 all boston america energy alone. because we know so many of our colleagues on the other side aren't happy with this bill.

in the american people deserve to know exactly what's happening right now in the united states. they are trying to pull up the attack. and a bill they two days ago and powerful interest. my colleague from south carolina came to the floor with an

interesting chart he claimed his bill on how reduced debt by 500 billion, what a joke. somehow lindsey graham, chairman of the budget committee said this bill reduces the debt by 500 billion. the budgetary respectfully, check you back because not one hour ago the jcp confirms the bill does not reduce the debt, it explodes it. loves it. that's what it does. the chart should have looked like. 4.5 -- $45 trillion deficit explosion.

... the clerk: ms. rosen. mr. rounds. mr. sanders. the clerk: mr. schatz. mr. schiff. mr. schmitt. mr. schumer. mr. scott of florida. mr. scott of south carolina. mrs. shaheen. mr. sheehy.

ms. slotkin. ms. smith. mr. sullivan. mr. thune. mr. tillis. mr. tuberville. mr. van hollen. mr. warner. mr. warnock. ms. warren. mr. welch. mr. whitehouse. mr. wicker. mr. wyden. mr. young. senators voting in the affirmative -- alsobrooks, baldwin, blumenthal, blunt rochester, booker, cantwell, cortez masto, duckworth, heinrich, kaine, kelly, kim, king, lujan, markey, merkley,

murray, ossoff, padilla, peters, rosen, sanders, schatz, schumer, shaheen, slotkin, warner, welch, whitehouse, wyden. ms. hassan, aye. mrs. gillibrand, aye. ms. hirono, aye. mr. murphy, aye. senators voting in the negative -- banks, barrasso, blackburn, britt, budd, capito, cassidy, collins, cornyn, cramer, crapo, cruz, daines, ernst, fischer, graham, grassley, hoeven, pay 10% more on your electric bill because of this it will

also kill a million healthcare jobs please put it all together there is no other way to put it, very last-minute site republican made the bill more extreme to cater to the radicals in the house and the senate. republicans want to hide the truth so badly that they are even ready to blow up the senate rules. to get it done. senate republicans are doing something that has never been done before in this chamber, never, by democrats or republicans, using fake math and budgetary hocus-pocus to make it seem like a gargantuan tax break billionaires is gonna cost virtually nothing. that's insane, it's delusional. current policy baseline doesn't take into effect actual budget numbers show the cuts expiring so when you put them back up again, the deficit our

colleagues in a frenzy to help with billionaires are willing to do that. republicans know it, that's why they are squirming they can use whatever budgetary gimmicks they want republicans can use whatever budgetary gimmicks they want. you can't cover over the real consequences of adding trillions to an cbo nonpartisan everyone who looks at this, increase the deficit. not the so-called party of deficit hawk sets out the

window. what's gonna happen when they pass the bill if they do, i hope they don't, our children and grandchildren are to be faced with a lifetime of higher costs. mortgage costs every one of these will get worse. the economic ceiling of the country will close in on itself.economic engine driver of american innovation growth and optimism so many generations will sputter and also fine with this $4.45 trillion deficit explosion. it's deeply irresponsible to future generations. to our children, grandchildren, to pass this bill. not just numbers on the side of the aisle. independent experts across the political spectrum, many of them very conservative republicans but at least honest about what they are doing.

and 20 republicans in both the house and senate have said it remains to be seen if their words and actions will. the question is asked, why is this event happening? why is this nightmare of a bill moving forward? why are republicans forcing our country down this road when they know the physical harms and they know it's a rush job. we know by now. tax cuts to billionaires and corporate special interests. just another round. but in fact, they make them permanent. our children, grandchildren, already saddled with these cuts. so i handful billionaires get a big break. while working people lose their medicaid, while hungry kids lose access to food funding, while clean energy jobs that

support so many republican communities are taking away in france, when that plant that makes batteries or wind or solar or the person employing hundreds of people to put panels on people's rooms all fold and the people lose their jobs, don't shrug your shoulders and say i don't know why that happened you made it happen. with a nasty little. it makes no sense. we need more energy, ai, everybody says we need more energy. to take away the cheapest and quickest way to put more electrons on the grid, solar, makes no sense except we know donald trump has an irrational infantile mania against clean energy. so they listen to him. it makes no sense. this bill, sabotaging america.

it's antithetical to what their country needs is antithetical to what the american people demanded last fall and our republican colleagues don't want to tell the american people the truth. that's why democrats are here on the floor today. sounding the alarm, setting the record straight. i also must say this, the way this bill is being passed so deeply violates the spirit senate. majority forgets that this chamber is unlike any other institution in government it's meant to facilitate debate careful consideration sound judgment, honest numbers were supposed to resist the passions of the radical extreme. we are supposed to resist gravitational pull of extremist like donald trump gets these little bugaboo that has had and then rex america because of it and they all go along with it

stop republicans are turning their back on the senate's long-standing tradition of debate by rick debate resolution. republicans simply put, are accelerating the erosion of the senate. ms. ms. murkowski, no.

the clerk: mr. coons a total of 16 flights departed israel with over 600 50 cent citizens and lawful permanent residents and their accompanying immediate family members. we are grateful to our partners in the region, glowingly greece, italy, and cyprus, for welcoming [singing] citizens on these assisted departure flights and to our partners in qatar and around the world. it's a good thing to be able to say that today to you. i now welcome your questions. let's do it. >> thank you. a couple of questions.

one on israel. was going to ask about syria but i will get to the latest. last week it was reported that israel's military in general has ordered an investigation into possible war es. wondering in light of these assessments, is the administration going to rethink the money to ga to. >> i think the answer to that is certainly no. what we expect that they announce investigating certain incidents. it's a good time for a reminder

that hamas is responsible for the current situation in gaza. they of course initiated the attacks on october 7. they continue to refuse to lay down their arms or free the remaining hostages including the remains of two americans. and use violence to interfere with aid deliveries to the people of gaza who are in dire need of food and a. in the meantime, i think we have to recognize this remains a war zone effectively. we are coming up to i think about 51 million meals distributed. 's efforts and those on the ground who do not want this to be a success. who have made the lives of the people of gaza visible for decades now. this is a key unlocking a door to a better future. this is what the president has asked for, which is a new approach for gaza, the demand understandably for aid to get

in the gh f is doing that and as we also decry loss of life and the violence that continues. that's why we do what we do and we continue to work with cease-fire as well. >> does the administration have any concern about this? are the israeli authorities accepting that they have is the administration thinking about talking to ghs? >> i won't get into the details of the conversations that are have, obviously you know that our work there doesn't stop. continue on we are still working, the president not of the other day that there's a potential for cease-fire. we look forward to that. clearly it a little over a week since american power and donald trump leadership has changed the middle east forever.there is still more to do we recognize that israel is doing

the appropriate thing with investigating certain allegations. add like everyone else we will be watching that. at the same time, we also know there are people on the ground who want to disrupt and disturb the success of this. because of the nature of this industrial conflicts. this is allowed to go on for decades. we are working to get a in, at the same time still working for the cease-fire. still hoping to make a difference for gaza and i think our action and the issues with iran speak to our commitment to changing the middle east so people could live in. andrea mitchell. >> thank you, a related follow-up, acknowledging that obviously hamas started this on october 7, and still holding hostages. [inaudible]

the president's aspirations for cease-fire now that it's been changed. how is that affected by the israeli strikes in gaza city today? >> i would caution that there are reports from the area that we in fact honor the fact that they are investigations into weight for actual facts that i think will be very useful. the president has an excellent relationship with bibi netanyahu, that we made a commitment, he has from the beginning of the administration to change the environment. that commitment remains. certainly, we know the stories that 51 million meals have been distributed through the region, through gaza, we also know the

president has called for new ideas, this is part of that. regional partners are acting on that as well. we know it can't continue. i'm not going to discuss are presumed to know the conversations the president is having, that is his prerogative. >>. [inaudible] this is a war zone. we continue despite all of that to get another cease-fire but the cease-fire was broken by hamas it's a war. to speak about the specifics of what israel is doing i would direct you to the israeli government. i think it's important to

recognize that this is a process that is ongoing, our role in this is to help ease the suffering is much as we can. and certainly part of that will hopefully get a cease-fire. the president is optimistic so we will be as well. >> i do want to ask about syria but first i want to hear very briefly. >> i might want to go on and on. >> my question is brief.how do you decide when it's okay to speak about revoking. [inaudible] because for years and years and years, decades covering this, the mantra has been, these records are confidential. yet we have a situation where entertainer in the uk has had his visa revoked, very publicly. tweeted by secretary rubio. and confirmed by other officials, so what's the deal

with this. doesn't really apply unless you want unless you don't want to talk about it? >> i can't speak to the decisions at the times of when to discuss something of this what we do know it's a very public dynamic with individuals. we have a very policy and procedure how we are handling the visa process. in this particular case of course what you are referring to is the tweet from our deputy secretaries christopher landau the state department has revoked the sa zones for the members of the bob dylan band in lit of their hate tirade at glastonbury. including that crowded death chance. we have stated that when it comes to how we vet people if they are going to be coming

here to be helpful, to be nice people, to be great tourists, or if they are coming for other reasons, that every sovereign nation has a right to decide who is going to come to this country. we've been public about that standard. this is a very public event that is violated, as you've seen from the deputy secretaries tweet that the very basic standards about the nature of we want to lead into the country is all right. it's important the american people support us, taking care about who come here. i think his tweets and the secretaries i think it speaks for itself. the policy certainly is clear for individuals but when we are thinking about the nature of the policy itself and been publicly discussed, they chose

to go this time. >> also very briefly on syria, can you give us the state department component what this will do. i know it's treasury and commerce are all involved. what happens at the state department after this assignment? >> it is sanctions and aspects like that of course belong to the treasury. a lot of people don't know that they are the ones you manage that with the application and the nature of what occurs. i will repeat what my colleague caroline said a little bit ago about this event. the president is going to sign an executive order to terminate the. [singing] sanctions program on syria, this is in an effort to promote and support the country's path towards stability and peace. the order will remove sanctions on syria while maintaining sanctions on the former president saw, his associates. human rights of users, drug

traffickers, persons linked to chemical weapons activities, crisis members and their affiliates, and iranian proxies. this is an action that the president has promised and shocked the world within saudi arabia because when he first announced it is committed to supporting a syria that is stable united and at peace with itself and its neighbors. in this particular application of course this is about the treasury of the white house, and certainly our special envoy investor barrick and his application and work and getting the country back on its feet. the presiding officer: on this motion the yeas are 47, the nays

are 53. the motion is not agreed to. mr. thune: mr. president, i ask unanimous consent that it be in order for the following senators to be recognized to offer amendments, motions or points of order and that the amendments be roberted by number with no amendments in order provider to a vote in relations to amendments or motions. senator blunt rochester motion to commit. the presiding officer: without objection. i now recognize the senator for delaware. ms. blunt rochester: mr. president, i have a motion at the desk. the presiding officer: the clerk will report. the clerk: the senator from delaware, ms. blunt rochester, moves to commit the bill h.r. 1 to the committee on finance with instructions. ms. blunt rochester: mr. president, i ask unanimous consent that the reading be dispensed with. the presiding officer: without objection. ms. blunt rochester: mr. president, in one of the richest countries in the world, we have maternal and infant mortality crises. in fact, we have the highest maternal mortality rate among

wealthy nations. today medicaid is the single largest payer of maternity care in the united states, covering 40% of births nationwide and nearly half of the births in our rural communities. obstetric units, particularly in rural hospitals, are closing at alarming rates. actually creating maternity deserts in this country. and a reason why? low medicaid hospital rates. to be blunt, now is not the time to be slashing the medicaid program. my amendment would stop cuts to medicaid used for vital hospital services, especially labor and delivery rooms. leader thune said it himself earlier today that medicaid should be for pregnant moms. so, my colleagues, we have a choice. do we stand for billionaires or do we stand up for moms and babies? for democrats, the choice is clear, and i urge my republican

colleagues to vote yes on the motion to support families over billionaires. i yield back. the presiding officer: the question is on the motion. is there a sufficient second? there appears to be. the clerk will call the roll. vote: the clerk: ms. alsobrooks. ms. baldwin. in nigeria earlier with

[inaudible] 6000 were displaced. >> i can't speak about what's being discussed now were any diplomatic conversations or planning. but will be briefing again wednesday. today is unique is we have to talk with secretary tomorrow. wednesday. let's take it back and find out where that stands. i will have that for you. >>.

[inaudible] >> i can tell you other things he has said most recently the 25th he said i consider him, putin, a person that's been misguided i'm very surprised i thought we would've had that settled, talking about certain issues. he also said he called the other day, he said can i help you with a wrong. i said no, you can help me with russia. help need to get a settlement with you, with russia, i think we are going to be good able to get that done too. also on putin's ambitions regarding ukraine he said, i know one thing is that he would like to settle he would like to get out of this, it's a mess for him. the president negotiating and dealing with some of the worst conflicts that we never had the

carnage that's going on. the president is one person is been able to bring everybody to the table who's willing to talk to everyone who has the power of the united states at the support of the american people. i think he understands and has repeated again within the last few days his frustration and lack of acceptance of the attacks that have gone on ukraine by russia and that has to stop. there's too many people who have died, this remains a key element for his administration is a key part for the work his administration is doing.

>> i'm not going to speak to that apparently what bothers russia is the fact that nader was going to be strongly returning to its original roots of being a deterrent and that's what mayo's job has been. the advancement of their commitment to defense is remarkable and not only we of course support nato completely and their role is imperative for safe and stable europe that's the point, being a deterrent this kind of defense spending helps them achieve that and of course it is something that would have not happened without president nourishment and demand so we are excited about that. some original sources this week or next week the. [singing] representative to syria will meet. can you update us about that. >> i can't speak to any ongoing

meetings are meetings that may or may not be coming up. >> second question about iran. what is the message you would like to send to the iranian people? when it comes to what iran's leadership is saying what's left of it. the president's words and the president's position is the one that prevails at his guiding hand and he's been very transcendent about his opinion. this is the unusual point because the president schedule

its 30 past the hour i'm going to wrap it up today but i will see you again on wednesday. and you know how to reach me here. thank you everyone, have a great h.day. mr. young. the clerk: senators voting in the affirmative -- baldwin, bennet, blumenthal, blunt rochester, coons, duckworth, durbin, fetterman, hassan, heinrich, hirono, kaine, kelly, kim, lujan, moeshl,

murphy, murray, padilla, peters, reed, rosen, schumer, slotkin, smith, van hollen, warner, warnock, and whitehouse. mr. booker, aye. senators voting in the negative -- barrasso, blackburn, boozman, budd, cassidy, good morning everyone. my name is matthew gagliardi, and the head of the justice department's criminal division. thank you for joining us today as we announce the largest coordinated healthcare fraud takedown of the history of the department of justice. today marks a decisive moment in our fight to protect american taxpayers from fraudsters and to defend the integrity of america's healthcare system. we are announcing today charges against 324 defendants. for their alleged participation

in healthcare fraud schemes involving approximately $14.6 billion in false claims to medicare medicaid and other healthcare programs. in a take down this larger can't possibly describe all the work that went into dismantling each scheme. there's four key points they are emphasizing. first, let me be clear about what the healthcare fraud schemes mean for every hard-working american family. these criminals to just steal someone else's money they stole from you. every fraudulent claim every fake billing every kickback scheme represents money taken directly from the pockets of american taxpayers. who funded the essential programs through their hard work and second vice.

when criminals deprive these programs they're not just committing theft, they are driving up the national deficit and threatening the long-term viability of healthcare nurse americans, and our most vulnerable. this enforcement action involves seizure of cash as well as luxury vehicles and preserving real money to american tax and government healthcare programs. we are seeing a disturbing trend of transnational criminal organizations engaging in increasingly sophisticated and complex criminal schemes that defraud the american healthcare system. as part of the takedown we identified and charge defendants operating from russia, eastern europe, pakistan and other foreign countries. these individuals have infiltrated our healthcare systems to steal american taxpayer dollars. as just one example, we dismantle scheme involving a sophisticated operation run from russia and eastern europe

that strategically bought dozens of medical supply companies in the united states and submitted more than $10 billion in fraudulent healthcare claims to medicare. to make matters worse, these perpetrators use the stolen identities of more than 1 million americans spanning all 50 states to perpetrate this scheme and submit these false claims. i am pleased to report that federal agents intercepted and arrested members of that nation at u.s. airport and the u.s. mexico border cutting off their intended escape routes. the days of transnational criminal organizations using the american healthcare programs as their personal piggy bank are over. third, this takedown resulted in criminal charges against 74 defendants including medical professionals who fueled

america's deadly opioid crisis. for personal profit. these are not isolated instances of poor judgment, these are calculated scheme is designed to exploit americans struggling with addiction while enriching the very people who were duty-bound to help them heal. we dismantle networks of corrupt pharmacies that existed solely to distribute drugs to addicts and dealers. feeding the addiction crisis that has devastated so many american communities. this is not healthcare. it is a staggering breach of trust. under my leadership criminal division will prosecute these couples as aggressively as we would any drug they are. many of the defendants charged as part of the takedown specifically targeted our most vulnerable citizens.

elderly americans in nursing homes. individuals with disabilities, those battling serious illnesses. and more. are prosecutors charge seven defendants including five medical professionals in connection with approximately $1 billion in fraudulent claims to medicare and other healthcare benefit programs for performing medically unnecessary skin grafts on dying patients as they were seeking to spend their final days with dignity and peace. that conduct is exactly as callous and disturbing as it sounds. patients and their families trusted these providers with their lives. receiving care, it became victims of elaborate criminal

schemes. to revolutionize how we detect investigate and prosecute care fraud. the fusion center will break

down information silos using coordinated data analysis to enable investigative teams to quickly identify and dismantle emerging fraud scheme. preventing money from going out the door. >>. >> good morning. thank you to the department of justice for inviting me to join

here today. i am proud to be here today representing the tremendous work of our criminal investigations team in this takedown. this unprecedented healthcare fraud takedown is more than twice as large as any past one. having stopped national and global fraud scheme, alleged to have resulted in over $14 billion in intended losses. the a results announced today were only possible through a strong partnership federal and state agency by working shoulder to shoulder we harness the best information tools and expertise to find criminals, no matter where they hide. no matter how they tried to disguise their crimes. i would especially like to thank doj cms fbi dea and our

other federal partners that are here today, i would also like to acknowledge the state medicaid fraud control units as well as the strong public-private partnership between government and private insurers to combat health fraud. simply put, criminals go where the money is. through information sharing government and the private sector help each other to more efficiently stop fraud. and other our watch models will not be allowed to enrich themselves with dollars not to improve healthy americans. one massive fraud scheme that was charged as a part of today's takedown involved multiple medical equipment companies that build good news for the american people that the alleged criminals in this

game never got their hands on most of the medicare and medicaid money that they tried to steal. instead, the government coordinated to use our collective tool and authorities to protect taxpayer dollars. this takedown also demonstrates our commitment to shield americans from harm. the actions taken by our partnership stopped individuals and entities that were alleged to have used stolen medicare, medical identities from over 1 million patients. to submit false claims. they preyed on patients who needed addiction services. billing for treatment that was never received. as fraud schemes sand orders and jurisdictions owe agn are

partners respond quickly and effectively. thank you for your service to the american people. thank you so much and i will turn the microphone over to dr. mehmet oz, the cms administrator. >> let me put my first., her surgeon when i hear about this product patients who have trusted us, people at their most vulnerable times looking

for the protection of our services. too often these criminal entities try to pierce that trust. you walk into the health and human services building not far from here there is a quote from hubert humphrey that says, if the moral obligation of government, that's what we are doing here today, the moral obligation of government to protect those who are at the dawn of their life, children, those in the twilight of their life, and those living in shadows, folks who are having trouble like with substance use disorders go by juliet. i want to applaud all the agencies that leverage day because when president trump signed the executive order fraud waste and abuse and pledged to crush this reality, this is exactly what he had in mind. under the leadership of secretary kennedy will strive to break down barriers, what you are witnessing states today

is that. the american government at its best. making sure all of us work together with the same common purpose in this case ashley expressly to protect those who are most vulnerable. aldrick societies are judged by how they take care of those who are vulnerable and we are great people we will do that. can grant runs, she runs the fraud unit and i will speak about some of the work she and her team have been doing in my comments today. you will hear this by all of us we share the largest department of justice healthcare fraud takedown and history. the fact that it's even possible you could have $15 billion at play in this endeavor, that's how we are being attacked it's not by smalltime operators. as you are hearing and reading about, these are organized into our design to hurt american

using the tools, and the american people, to hurt us. what we are doing today is changing the paradigm, not just going after bad guys bring them behind bars but getting ahead of the schemes of the time we find out with rentals have stolen this is not just a nice thing to do an accounting we can claw back money. this is the modern era used to attack ai which i will speak

about in the second to take them down. it has to be unrelenting and we can never let our guard down. there are hundreds of thousands probably millions of efforts being made to hack into cms and our system and we have a system designed to provide that to make sure people who need us the most will find that we are there to protect them. the cms fraud war room i will announce that kim is going to lead is an effort and example of this. is prevented most of the fraudulent efforts that take money out of the agency most of the money never left the door and most of the money was never stolen even though we know we were trying to do it. i think when the president signed the executive order he put a bunch of new sheriff in town and that's what you are looking at today who won't tolerate this anymore where stopping stolen taxpayer money from leaving the door. is leaving the room today the offices today there are 27

providers under active prepayment review which means we are not going to pay their money until we verify they are doing their jobs correctly. there are examples from telematics schemes in florida with clinics billing for activities that we don't believe they are providing. there is a cardiology provider whose providing cardiology services in person georgia and nevada at the same time on the same day. the audacity to think that you get away with this highlight the fact that folks believe they could've taken advantage of the agency in the past and we will lecture again there are multiple clinics providing skin substitutes placement on their patients, dealing with ulcers in a mental health clinic services provided by an

anesthesiologist. you have to prove to me there's a clinical benefit of a psychiatrist telling an anesthesiologist surgical rep of the patient is not having. we need your help. that's my big please help over half of the whistleblower tips we get is for healthcare fraud we need your help to protect your own important information, don't give away because con artists try to come to your door and get it.you will hear all of us share we provide care to over 68 million medicare beneficiaries. there's another 20 million on the exchange a lot of people that will come to help us write this down 800 hhs tips.

in addition to the massive fraud especially from foreign trying to invade america. we also have 25% of all of our money being spent probably subject to abuse and is not from this is abuse and waste. money not being used wisely. we launched a new model called weiser. is looking at ways to identify inappropriate use of services, services that are wasteful and should not be awful offered to the american people. are not providing value for these wonderful americans whose health is being taken advantage of. to generate higher revenue. we won't tolerate it anymore. we are going to use data analytics, real-time monitoring and b& my 52. the motion is not agreed to.

i recognize the majority whip. mr. barrasso: i ask unanimous consent that it be order -- the presiding officer: could we have order on the floor, please. mr. barrasso: i ask unanimous consent it be order for the following senator to be recognized to offer amendments, motions, or point of orders that the amendments be reported by number with no amy to be -- no amendment to be in order in relation to the amendment or motions, warren 2414. the presiding officer: without objection. i recognize the senator from massachusetts. ms. warren: mr. president, i call up my amendment 2024 and ask it be reported by number. the presiding officer: the clerk will report. the clerk: senator from massachusetts, ms. warren, proposes an amendment numbered 2414 to amendment numbered 2360. the presiding officer: the senator from massachusetts. ms. warren: thank you, mr. president. the consumer financial protection bureau is the financial watchdog to keep people from getting cheated on credit cards, mortgage, and venmo and payday loans and a

zillion other transactions. when this financial cop can't do its job, there is no one else in the federal government to pick up the slack. the cfpb has returned over $21 billion to more than 205 million americans who were cheated by big banks and giant corporations. that is why this agency is popular across the country. but from the beginning, republicans in congress have been trying to kill it, and now they want to slash the cfpb's modest funding cap almost in half, not to save working people money but to make it easier for corporations to trick and trap millions of people. scammers love this republican move. i urge my colleagues to vote yes to support the cfpb, the little agency that fights for all americans. and i reserve the remainder of my time. mr. scott: mr. president. the presiding officer: i recognize the senator from south

carolina. mr. scott: thank you, mr. president. i urge my colleagues to oppose this amendment. section 30001 is purely budgetary and changes the cfpb's funding cap from 12% to 6.5%. it would provide the agency with ample funding to perform its statutory mandate. the funding available to the agency will grow each year as it is adjusted for inflation. there is nothing ■morebudgetary than congress deciding the funding level of an agency. i ask my colleagues to vote no on this amendment. ms. warren: mr. president. the presiding officer: time is expired. ms. warren: thank you, mr. president. mr. president, look, all this is about is -- i ask for the yeas and nays. the presiding officer: point of order. mr. scott: thank you very much. the pending amendment number 23014 would cause the underlying legislation to exceed the banking keep section 302a the

allocation of a new budget authority and outlays. therefore, i raise a point of order against this measure pursuant to section 302-f of the congressional budget act of 1974. ms. warren: mr. president, pursuant to section 904 of the congressional budget act of 1974, i move to waive section 302-f of that act for the purposes of the pending amendment. i ask for the yeas and nays. the presiding officer: is there a sufficient second? there appears to be. the clerk will call the roll. vote: the clerk: ms. alsobrooks. ms. baldwin.

this is stretches far beyond our borders. the fbi's operation gold rush resulted in the largest amount of loss charged in a healthcare fraud case brought by the department of justice. more than 20 members of a criminal organization based in russia and elsewhere were charged for their roles in a $10 billion medicare fraud and international money laundering conspiracy. asian used a network of foreign straw owners including individuals sent into the united states from abroad who acting at the direction of others overseas strategically bought dozens of medical supply companies that were enrolled in medicare and located. after the organization gain control of the companies, it rapidly so that it billions of dollars in fraudulent healthcare claims that whatever ordered by doctors, requested by patients, or provided to

anyone. in doing so, the defendants are alleged to have exploited identities over 1 million americans spanning all 50 states by using their confidential medical information to submit the fraudulent claims. this not only illustrates just how global these teams have a calm but how advanced and coordinated they are becoming. and alanna five people including three medical professionals were charged with manipulating the price of skin grafts and forcing services on patients that were not medically necessary. in this case medicare was scammed out of $760 million. in phoenix we open investigation after receiving about suspicious billing through arizona medicaid. that led us to end network of sober living homes that are supposed to be helping those struggling with drug and

alcohol addiction. many native americans. instead, this was a massive fraud scheme that billed for services that were never actually provided. the sober living home facilities owned by pro md received more than $500 million for services that were not provided. those are some of the investigations that were part of this initiative. as the threats grow more complex and transnational the fbi and law enforcement partners must continue to evolve, stay ahead of the curve and meet the challenges with equal force. reducing federal healthcare spending stopping fraud and waste, and controlling costs, isn't just about budgets, it's about protecting the integrity of programs millions of americans depend on and we will not tolerate those who put personal gain above patient care. you can always report suspected

healthcare fraud to your local fbi office or call one 800 fbi tips. i am we count on you reporting those tips, your vigilance plays a critical role in helping us uncover fraud protect patients and hold offenders accountable. next i will turn it over to the dea. >> good morning, thank you for being here. today's announcement represents landmark victory in the fight against healthcare fraud and illegal diversion of controlled substances. the drug enforcement alongside our partners at the department of justice, fbi, hhs, oig, cms, at our state and, took part in this unprecedented national takedown and uncovered more than $14.6 billion and intended healthcare fraud as well as over 15 million controlled

substance bills being diverted a abuse of public trust and public funds. similar to dea's core mission of protecting the health and safety of american community, americans also put their trust in their lives into the hands of our medical and healthcare professionals. what we saw in these cases was the very opposite of that mission. pills ended up on our streets, pharmacists, doctors, distributors, fueled addiction in danger lives, and illegally profited off the backs of americans. dea's investigations covered doctors, pharmacists, cattle crs, responsible for the diversion of thousands of controlled substance bills like oxycodone and hydrocodone. these pills ended up in our

streets, and hands of dealers, and in the path of addiction. in other cases, dea helped investigate providers who stole opioids intended for their own patients. diverted fentanyl from hospitals and exploited vulnerable individuals seeking. and we didn't stop there, and last, dea has charged 93 administrative cases revocation of pharmacies medical practitioners and distributors authority to handle and/or prescribe controlled substance. ... mr. justice. mr. kaine. mr. kelly. mr. kennedy. mr. kim. mr. king. ms. klobuchar. mr. lankford. mr. lee. mr. lujan.

ms. lummis. mr. markey. mr. marshall. as it will need to collaborate across agencies. together, we are building model is our forensic analytics to those who can hide behind offshore bank accounts, think again. those who poison our introduce and exploit our healthcare system call to line our pockets and pockets of others pain. i want to take a moment to recognize the remarkable work of investigators and hunters across

the nation. not the end, it's the foundation. thank you. should. >> any idea? they are among the door with and others put up for sale and individuals, not even seen a particular darker have a medical device of their home so there device may be somewhere on the internet they are collected by

organizations. >> this is important for the american public tomr hear. i will tell you they got something for free and the culture number and they are off to the races. >> one of the reasons. [inaudible] they use the same technology as amazon and walmart. a.i. and stuff like that. >> much of the innovation comes from theth entity of medicare medicaid innovation. i've already launched a model

designed to use artificial intelligence to address the fraud that exists in healthcare. the reason a.i. works well in the financial system is because thank monitors are not very good at fraud. they are asking people example of the grant so criminal find we benefit tremendously as transactional businesses and the other reality of healthcare is we don't really penalize people doing bad things. they still money and health of americans when they steal your money. the take away resources and when they do that it's not just criminal but the principal activity and that is an area where we should get serious.

they sometimes have impactful opportunities and we have to change in. we got to send the message out. we are crisis to a different level. this will not be the same approach to healthcare. >> 2.9 billion. [inaudible question] >> the first thing is to prevent money from going out in the

first place. 2.9 billion and we were able to prevent that. the best antidote for measurement rather than enforcement and we are able to capture people coming into the united states with store owners and we need to get serious on these individuals in the first thing for these individuals american programs and make sure we are calculated way.

>> is there a national security risk? >> in some instances we see fraud and related purposes and you have individuals and other activities. [inaudible] >> artificial intelligence for medicare beneficiaries, can you talk about how a.i., the resources, how you can make it appear assessable. was the largest medicare in

history? >> i'll start with your first question. we are concerned about technology and some have contributed so let me say a little more. a lot of the wood all in one place, we recognize patterns early on so if you see a graph or a hockey stick in a particular location, that's a very powerful lead to go after in the problem yes, criminals are writing more complex and the

data centers take part that they will prosecute. >> the president has been very clear, it's been crushed. i'll give you an example, doge has been active and they are places we never thought to look.

people across the country on a non- ideological basis and a tax code so businesses can invest with certainty and predictability. in terms of the impact of this bill.

500 gigawatts, energy in the next decade. it is an emergency and they were trade-offs and upset as we try to take action for this crisis we can't create shortages or increase prices and economic progress. this bill will increase prices.

and, largely because of the a.i. data centers. wind and solar, not the oil and gas, nuclear and geothermal performed physical out and not just a political talking. >> , just the fact that they are stuck in a backlog 80% of the new capacity came from solar.

so the only energy that can be brought online short run, the very same have the country was meeting nothing in the record he with that attends of thousands without power is beyond absurd. let's talk about how this bill does all this damage. an impossible deadline for the tax credits. they are on the books. it is not unreasonable to say about this tax credit and you do underwriting you got to be

operational in 60 days. they tried to do an extension and certainly not a clean energy project. after enactment or you get nothing. and money down. you secure land on an agreement in working on permits and start the project claim the credit for the f1 past. unless you are fully operational you are out of luck. or years to go through the process started progress, you have very little time to get it

done. hundreds of billions of dollars in capital so the impact is going to be crazy. the impact on jobs crazy but the impact on america as an investment postpetition is the most dangerous part of this. i don't know through federal law that we've ever made a big city for a bit on certain industry and said nevermind, we didn't mean that, you're stuck. according to edison institute, i can guarantee person maybe last time the electric institute across people, ratepayers, 60 billion in this decade alone their electric bills are about to go up.

it is really unfair what the renewable energy in the street looks like if it were passed today. enforcement to layoff a very practical play and it's undeniable can get past our disagreement. colorado said a look at what we do as green or blue or red.

and blackouts and pronounce not a leftist project. clean energy because of energy bill. only the lives in some understand even if the folks have not manifested to say otherwise.

advanced manufacturing sector will support the position as global energy peter. utilizing sector wide tax edits many have support in congress for major investment for energy production for traditional and resources like. it goes on this energy demand markets money notification that inhibits our ability to deploy energy production first and energy is at risk, striking an energy crisis. the direct cost or in such reveals what increase utility

bills the very next day. this is not the center of hawaii made a career of fighting climate change if we are here talking about all of the above because someone wants a talking. people are literally going to lose their jobs on enactment. america is going to become a challenging place to make major investments on this enactment.

as well as a nonprofit organization like solar and townhall and charging stations for local government. and it would create economic uncertainty from accessing those important benefits. i grew up understanding -- i

didn't grow up republican but i did understand republicans were for avoiding unintended consequences. for publicans wanted a solid business environment for the upon. and the biggest job killing bill in the history of this country. equipment of an event here for a while, it's a big deal.

a climate goal. so this is what they say. from american history. and the trump trump tax cuts from expiring.

not just to in all of the above energy strategy but to go out of their way, it doesn't matter it's going to raise prices for kill jobs. and it is a bad bill for regular people in the economy or the planet. and it's good for the economy

and profitable for businesses and quietly accessible to consumers and we made a choice that and the economic price because the planet is in peril and understand that instinct. there is enough technology out there. there are abundant energy sources we can solve crisis and prices and we can do it in a way blue and red states urban and rural and suburban all benefit.

in the technologies of the future. in deciding close. law without exception, killing clean energy subsidizing whole expanding oil and gas and purposely jacking up energy prices and creating shortages and for what? the individual billionaires should was not enough.

and i want to be clear, this fight is far from over it will set us back and it's bigger than anyone bill and includes the previous administration. any movement that has made changes no progress is not linear, it always has setbacks and frustrations but make no

mistake congress is doing today will cost all of us in the years and decades to come. >> arrived today a bit angry. the bill cooked up back rooms drop that midnight should quote and big numbers with huge handouts big republican donors, but the least deserving you

could imagine. and wonderment. wonderment i felt here. today i feel discussed. the piece of legislation is corrupt, crooked. this is of legislation is a rotten racket.

the midnight transfer of wealth is disgusting. in which the wealthiest 1% of our population found 30% of the wealth and the poorest have of the population together only own 3%. bottom half of the population 3% of the wealth and the transfers

well from middle-class families to giant corporations billionaires and mega billionaires and transfers well from our children and grandchildren to billionaires adding 5 trillion to the debt limit to the special interests and will be billionaires. most families have someone sit down once a month and go and try

to figure out what bills you can pay and the whole insurance bill, just pay the minimum. aware of exactly how much money have those payments. that's in table world. the family office and you don't know how much money you have, not even the nearest $100,000 and you don't even care because you have more than you could ever spend in your life. there's something about your acquisition of wealth can't stop

won't pay taxes like a normal person, he demand special treatment. you pay less of the tax rate than a firefighter for god's sake. if that's not enough, you come to the senate for wanting even more you know how much money you have. can pay regular taxes that would take a pay but you just don't want to. zero, i should add on the tax rate. it doesn't just give tax to corporations, gives tax breaks

to big corporations that moved investment off for away from america and it doesn't give tax breaks to corporations that moved jobs and investment offshore. a tax policy. the tax code and in favor of mega billionaires and offshore corporations. because it's transfer of wealth in the regular people to the wealthy it raises your cost to raise their profits not here to talk about one way that happens.

because of the bill, your electric bills will go up. the people behind the bill are counting on you not to know how that works so i'm going to take a minute and tell you how that works. there's some rules for the grid about how this works. it is a different generation facility and made a bid at the best price.

once stopped a stack of bids the grid manager should comes onto the grid, not just the cheapest first and because of more and more. as demand rises, the cost goes up. for the whole grid. here's this mentors the price charged to put the electrons on the grid for consumers and this is the other demand. how much consumers are asking, what does the grid need supply?

look at the top line, this is the world without renewable okay, throw that out. as the demand goes up, prices go up. the presiding officer: on the vote, the yeas are 47, the nays are 53, tlae fifths of -- three-fifths of the senators not having voted in the affirmative, the motion is not agreed to, the point of order is sustained and the amendment fails. mr. thune: mr. president, i ask unanimous consent that it be in order for the following senators be recognized to offer amendments or points of order with no amendments prior to shall cornyn 2705, and merkley 2446. the presiding officer: without objection. cornyn mr. president.

-- mr. cornyn: mr. president. the presiding officer: i recognize the senator from texas. mr. cornyn: i call up my amendment 2705 and i ask that it be reported by number. the presiding officer: the clerk will report. the clerk: the senator from texas, mrb mr. cornyn, proposes amendment 2705 to amendment number 2360. mr. cornyn: not be used to fund health care for illegal immi immigrants. border patrol talks about push and pull factors. one of the pull factors for illegal immigration is the knowledge they will receive benefits once they make it into the country. we need legal immigration, which has been one of the greatest gifts to our country we ever

had. illegal immigration has been a disaster. here the problem is states are using their medicare funds to pay for health care for illegal aliens. we don't want for the safeguard for our sgloens or seniors seniors to be dissipated for people who should not be here in the first place. it's only common sense to provide funding for state-based medicaid dollars. we should be able to agree on reducing federal funding for states that provide medicaid to criminal aliens convicted or charged with sex offenses, domestic or child abuys, mans -- abuse, manslaughter or child pornography. mr. merkley: this violates the byrd rule, of the congressional

budget act of 1974. the presiding officer: the senator from texas. mr. cornyn: pursuant to 904 of the congressional budget act of 1974 -- mr. merkley: mr. president. once again, republicans have chosen partisan politics. zero federal dollars are spent on health coverage. second, this policy dictates how states spend their own funds. what happens to states' rights? third, this policy violates innocent until proven guilty, but most importantly, what this amendment says is that if one person, despite state law, through a bureaucratic mistake is receiving funds, then the whole state pays the price and has to change from 90% to 80%. this includes a majority of

republican states to reduce the match from 90% to 08% with huge impact on individuals across this country. haven't we done enough damage to the fundamental principle of health care by reducing the state funding by 90% to 80%? i renew my point of order. the presiding officer: the senator from texas. cornyn pursuant to section 904 of the congressional budget act of 1974, i move to waive and consider for the -- and ask for the yeas and nays. the presiding officer: is there a sufficient second? there appears to be. the clerk will call the roll. vote: the clerk: ms. alsobrooks. ms. baldwin. mr. banks.

voting against speculation what happened in the electricity market. they try to damage their competition using the power of government and influence their damage americans competitiveness against china. huge advantages is a design solar technology and offer that to the rest of the world. we are in a world market just like electric vehicles and the

fossil fuel industry to destroy the american solar market and electric vehicle market about as unpatriotic as you can get to technologies and saying go for it, china. the entire international market for solar and energy and the telling of this the recipients of the biggest subsidy in world history. they get 700 billion a year in the united states alone from being allowed to pollute for free and violates market economics for free.

the the product they already benefit of the biggest 700 billion to be every single year to compete unfairly against energy and on top of that they want to go away, the investments and put tax on thing energy and drive up prices to their fossil model. she there are some really big in this bill. adding 5 trillion to the national debt that is a big loss.

car loans and healthcare 16 million people. the most from the corruption of tax code deserving most able to pay. because they are so rich already. they won't notice that i did and

getting their jets and it insists congress and the incorporations get a special price benefit off-line jobs and investment away from america when you look into the weeds. and also fuel polluters. they've made massive profits in their own and think their

product safer. and probably prices of spy show. creepy billionaires in the fossil fuel, what do they have in common? donors to the republican party. that is what the bill is about. it is payback to billionaires who provide money funding for the republic and pretty.

inside a book take over the command-and-control and start driving it around make it do what they wanted to do. from the inside and they turn it to the next generation.

for the republican party marched around by those doing exactly what is told about those who come off of about the increase house and they don't care about the unfairness because they are in their running not so. >> i come today to explain my vote yesterday for voting against this bill. mr. president, i spent my career managing complex enterprise projects will die here thousands

of hours city the takes so processing technology to make it work and i learned a lot in that career as a member of the minority, and then we got a majority in 2010 and the speaker of the house. we were in the middle of the financial crisis, north carolina two billing dollars shortfall on $20 billion general revenue fund. my had six months to balance the budget. every aspect in every dollar spent in government we determine how they cut government in a way that was sustainable.

the north carolina university system is still considered one of the greatest systems in the united states of america. the medicaid also in this has no present let's that discipline and due diligence and the

devastating consequences that are going to be before us. i used to be speaker of the house and the president pro tem. and it would do to the medicare and this bill i decided to go to the government. and i went to the association.

and nonpartisan group of the association to develop an assessment not talking, not sharing reporting to me. the website, and asked the administration and say you don't know what you are doing. tearing it apart.

on the council. so we had three different conference calls. and nothing more to tell me it's not 26 billion or 30 billion, is to billion. in the direct payments in the bill the reduction of payments.

in president trump promise pushing them off of medicaid and the white house advising president not telling him and you know the last time i saw a promise broken around respect on the other side of the aisle. and the american people.

two or three years later, a u.s. senator. in anticipation of what would happen for the second time in 100 years. republicans are about to make a mistake on healthcare and betraying a promise. the very promise that donald j trump in the cabinet room the healthcare expert refused to

tell him instruction to eliminate waste, fraud and abuse all of a sudden eliminates a government program. it should be eliminated into waste, fraud and abuse. i left it at two and a half% in the leadership. they will think i'm a little bit crazy here and why did i do that? someday we will be here and i would find a way the match and

take away desperately needed the president, over the course of the evening and i may look to speak again i'm telling the president you have been misinformed supporting the senate mark will hurt people eligible and qualified for medicaid. they are necessary and i appreciate the worship of the house opening it in the. i wouldn't have to do this if we simply started with the house. i know we can do that and i believe we can make sure the

promise donald j trump is made to the people on medicaid today, but what we are doing because we got a few on an artificial deadline july 4 is nothing but another date and time, we can take it right if we lay down the medicaid bill and fix it. i'm only going to take another minute or two. mr. president, we owe it to the states to do the work to understand how these proposals affect them. how hard is that? how hard is it to sit down, ask the legislative staff in the association what the impact is? there's no negative impact wrong

with understanding the bill does? and what it does. i spent a career in plummeting complex systems and the privilege of speaker of the house i've been here i've always on bills from the cradle until they are fully implement the. we owe it to the american people of north carolina hold like affirmative vote and demonstrated to me we've done our mark and we will make sure we fulfill the promise and feel good about a bill and willing to vote for until that time, i will only with my vote. the senate from new hampshire. >> thank you, mr. president. i'm sorry my colleague for i have a chance to tell him we

worked together on a number of things he spent a great partner an excellent center and i'm sorry to hear he will not stay body of mr. president, i'm here on the floor the reconciliation bill today. it would be the largest transfer of wealth from the poor to the rich and a single bill history. ...

the clerk: mr. risch, aye. the clerk: mr. mcconnell, aye. the clerk: ms. slotkin, no.

i heard from carla, carla has twin 3-year-old boys. one has spherical, choice was able to have health insurance. making sure that he got the care that her family that her employer-sponsored health insurance would not pay for. running through scenario medical that. probably the story that i heard

is from a man in berlin. a number u of misuse issues. medicaid helping 2446 to amendment number 2360. mr. merkley: mr. president, this amendment is about defending integrity of our legislative process. every now and then a new strategy creates either the appearance of conflict of interest or a real conflict of interest. and that is the case with elected officials promoting or selling crypto coins in which they have a personal financial stake. the coins cost little to make so the buyers know -- the presiding officer: order on the floor, please. they call little to make and

they're enriching elected officials selling them. some people believe therefore perhaps they can influence government policy by buying these coins from rich individuals who serve in government and change policy. a buyer of $2 million of meme coins announced that he bought the coins to get favorable consideration of a change in freight policy. my friends, the sale of crypto coins by any of us for the financial benefit is corrupting our responsibility to govern by and for the people. vote aye to defend the integrity of our we the people government. a senator: mr. president ever senator from wyoming. ms. lummis: i rise to express my opposition to the amendment proposed by my colleague from oregon and others. i appreciate their concerns about ethics and transparency in government, but this amendment would inflict serious harm on american innovation and competitiveness. and for that matter, it applies to the adult children directly or indirectly of elected and

nonelected officials. it goes far. -- goes too far. if we had passed something like this in the early days of the internet, we would have sent a clear message that america is closed to business when it comes to digital innovation and that's what we risk doing now. that's the last thing we want to be doing. the irony is this amendment would actually harm our government's ability to understand and regulate digital assets effectively. if we're serious about ethics and financial products, let's focus on real solutions and all financial products, not just digital. i urge my colleagues to reject this amendment. i raise a point of order that the pending amendment violates the byrd rule. section 313-b-1-d of the congressional budget act of 1974. mr. merkley: mr. president, pursuant to section 904 of the congressional budget act of

1974, i move to waive section 313 of that act for the purpose of the pending amendment. i ask for the yeas and nays. the presiding officer: is there a sufficient second? there appears to be. the clerk will call the roll. vote: the clerk: ms. alsobrooks. ms ms. baldwin. ms. baldwin.

including nearly $1 trillion in new tax breaks for the biggest corporations. for taxpayers earning less than 30 -- let me say that again because i did not say it quite right. average tax increase in 2029. these are the same families that will be harmed most by extreme cuts to medicaid and snap. families making under $50,000 are likely to be worse off. some could lose more than $1500 a year under this bill. if you add to that the effects of trumps tariffs, which raise

the cost by $2000 a year, this makes it even worse for families the bottom 80%, they will be worse off on average under this bill. i've talked about how this bill makes families pay more for healthcare, energy and food, in order to give more money to millionaires, but there are a few other things that people should know. interest rates are likely to go up. adding $1000 a year for typical mortgage. making it harder to afford the cost of college. students that have been defrauded by their schools. this bill tries to prohibit for the next 10 years making it that

much harder to keep our kids safe online and protect jobs from being lost to the use of this technology. i was first elected to the state senate more than 30 years ago. this bill that we are considering today would do more harm to more people than any other law i have seen in my entire time in public office. this bill makes having a family more expensive by raising the cost of energy, healthcare and education. this takes food away from families. does all of that to give corporations to the wealthiest. it explodes the wealthiest in the process. that is not what the people of new hampshire hire are asking for and it is not what americans

deserve. in a moment when americans are feeling squeezed by the cost of living, we should be doing something about that instead of cutting healthcare to pay for tax because we should be expanding access to affordable quality care. turning our backs we should be making housing more affordable main should ensure that every child has access to hike all of the early education. instead of cutting nutrition programs, this make sure no child in america goes hungry. let's invest in what makes american family succeed. president trump calls this a big beautiful bill. but it is a big betrayal of the american people. there is nothing beautiful about taking away healthcare and food from working families to give

more money to billionaires. so i intend to vote against this legislation and i urge all my colleagues to do the same. i yield the floor. mr. johnson. mr. justice. mr. kaine. mr. kelly. mr. kennedy. mr. kim. mr. king. ms. klobuchar. mr. lankford. mr. lee. mr. lujan. ms. lummis. mr. markey. mr. marshall. mr. mcconnell. mr. mccormick. mr. merkley. mrs. moody. mr. moran. mr. moreno. mr. mullin. ms. murkowski. mr. murphy. mrs. murray. mr. ossoff. mr. padilla. mr. paul.

mr. peters. mr. reed. mr. ricketts. mr. risch. ms. rosen. mr. rounds. mr. sanders. mr. schatz. mr. schiff. mr. schmitt. mr. schumer. mr. scott of florida. mr. scott of south carolina.

the clerk: mr. scott of south carolina. mrs. shaheen. mr. sheehy. ms. slotkin. ms. smith. mr. sullivan. mr. thune. mr. thune. this measure, changes in medicaid and medicare another whole programs would be a disaster. he made it clear before tonight that he would vote against this bill. he made it clear this morning that is preparing to retire from the senate. i felt his statement was compelling and i'm sorry that there were not other members present to hear it.

it is seldom that you hear a speech that is so personal and so heartfelt and so meaningful that the statement made earlier he made a decision which will be by widely reported i'm sure and showed a level of political courage which we seldom see in this chamber. he basically said, in a positive way that the president was long and believing this would not hurt ordinary people. this republican measurable for us tonight will hurt a lot of people. we estimate that 16 million american families will lose their health insurance as a result of this today. i said it before, but i want to repeat it. if you have ever been the father of a new baby with a serious medical problem, and you have no health insurance, you'll never

forget that moment as long as you live. i know, i have been there. i went to the charity war as a student here with my wife and baby. we waited in line to see which dr. would walk through the door and see my baby and save her life. you feel that you let everybody down in the world at that point they don't have health insurance when you need it so badly. this bill is designed to take health insurance away from 11 million families in america. 11 million families in america will not have the peace of mind that they have access to the best care because they will have lost their health insurance. what is it about donald trump taking away coverage of healthcare. why does this become the trademark of the republican party. he did it in his first party and always tried to do it again.

the question is whether the senator can muster enough courage tomu step up and find fr republican senators who will say no. no, isc am not going there. you may argue, durbin, you are democrat in your arguments have to be tempered because you are so partisan, so political, surely it is not as bad as you just said it was. let me read something to you. the american cancer society. i'm sure that you have heard of them. it is a letter to the senate president of the american society action network. here is what she said about the pending before us now.

from the american cancer society , cancer action network. history will be made with this spell. congress has one last chance to stop this unprecedented attack on healthcare for million americans. congress can say no to terminating health coverage for nearly 11 million people who have no other affordable option available to them if this bill passes. currently one in 10 people have medicaid coverage including one in three kids newly diagnosed and cancer. one of the most significant factors in whether someone survives a cancer diagnosis. voting for this mean simple and rip the chance away from real people. simply put this bill will mean more americans are living sicker and dying sooner.

and then she said lives are on the line. so if you're skeptical about anything that i say because of my partisan background, i understand that. for goodness sakes to have such a definitive statement made, that this measure we are asking to vote on will harm innocent people, men, women and children. mr. president i may add another short messaging for the children's hospital association. the children's hospital association. here's what he says about this bill that is pending. the reconciliation bill is a crisis for children help care and we ask congress to oppose it for support for american children. this goes much too far.

longer wait times and sicker children. we know that they reverberate for a lifetime. from children's hospital association. neither of these are partisan organizations. and they have confirmed what was said earlier on behalf of the state of north carolina why would we risk the lives and well-being of so many children, so many american families. what is it about the trillions of dollars that we will take that is so pressing, so demanding that we are willing to make these big risks. it is the extension of tax breaks. tax breaks for the wealthiest people. democrats always talk about billionaires and millionaires. senator scheer, he told me that

he did an analysis of the actual tax breaks. and if i remember correctly, and income of $400,000 a year, not going to receive any tax break. you would reduce the cost of the tax program by 60% or more. 60% or more. so when we talk about tax breaks , that is exactly what this is about. i want to give tax breaks if i can to families and struggle from paycheck to paycheck but for goodness sakes at their departed $6000 tax cut for elon musk, the richest man on earth, what are we thinking. i just want to make quick reference to two states that have been experience coming with this bill which will be dramatic one is kansas. there hundred 60,000 individuals

rely on medicaid coverage. 56% of them are children. with this bill, 89,000 people will lose their health insurance one third of births, 50% of nursing home residents. what happens when medicaid does not pay for enough money into the nursing home to keep your mother in good care or your father or someone in your family what do you do next, you exhaust the savings available to your family. when i grew up as a kid, there was a spare bedroom and my grandparents home for brothers and sisters who had no other place to go. i suppose that that will happen to some families. already 28 rural hospitals need immediate rescue closure. to think that this measure would have no impact on those families in those communities is just plain wrong.

in the state of missouri, growing up across the mississippi river growing up in illinois, i grew up across the river from st. louis missouri, 1.2 million individuals relied on medicaid coverage. 50% are children. with this bill, 250,000 people are projected to lose their health insurance. meditate coverage covers. already 10 rural hospitals in missouri aren't immediate risk of exposure. you know as well as i do what happens in small town america, rural america when they close the hospital, it is devastating. just because you don't have access to quality healthcare, but because you just lost a major economic engine for that community. watch what you run into. it is that devastating. why are we doing it? what is a national emergency

that calls on us to make this change? tax breaks for the wealthiest people of america. that is what is motivating the republicans now. i want to just say thank you to the senator. showing extraordinary courage. the question is whether others will join him. for republican senators stepping up and saying enough. i have heard enough, i've seen enough, i believe that this is wrong. there people that we can help. that won't damage so many of these families. 11 million, 16 million, whatever the number turns out to be. i hope that we cover our senses and do it soon. i hope that what senator set on the floor will inspire members of his own caucus to listen carefully. nobody speaks the truth and have taken great political risks to say. i yield the floor.

i am proud to join my wit midwestern colleagues today to draw attention to what is happening in our states if this bill were to come to pass. i arrived today on behalf of the 17 million americans who are poised up there help care terminated because of the republicans disastrous bill. while i'm laser focused on the healthcare that is been placed in jeopardy by this measure, i realize that so many americans that reside in states that are represented by republicans do not have a voice in this fight right now on the senate or. you know, i have traveled my state extensively listening to people talk about how this bill would impact them and their families. i have shared those stories.

sometimes right here on the senate or and sometimes in other ways. but i know that my republican colleagues are getting the same influx of phone calls and letters and not getting of children with disabilities, from the elderly and folks who are working hard but just cannot keep up. these are constituents that are just downright scared that they will have a rug pulled out from under them. i know they are hearing from their rural hospitals and pediatricians who are clear about what this will mean for their ability to keep their doors open and care for their patients. according to reports, my colleague from kentucky even admitted from behind closed doors last week saying that i know a lot of us are hearing from people back home about medicaid, but rather than committing to join us in this

fight, he said they will get over it. and urged his colleagues to forge ahead with this bill. if my republican colleagues will not right for these americans, i think that it is well past time some of us do. that is why proud to be standing with my midwestern democratic colleagues to do and say something about it. i am here to stand up for the over half-million midwestern americans in iowa, kansas, missouri, nebraska, the dakotas whose healthcare is on the chopping block jamming through this terrible budget bill. and just so sick states alone over 343,000 americans will lose their affordable care act coverage in just over 225,000 americans will be kicked off medicaid if the republicans get their bill and their way. in iowa over 100,000 americans care could be on the chopping

block including over for the 8000 americans whose families rely on medicaid. when we talk about hundreds of thousands of people losing healthcare coverage, it could sometimes get lost that this actually means people. not numbers. the numbers we are talking about our people. they have faces, they have stories, they have families and they matter. take a registered nurse in iowa city at the va medical center and father of two adult children with disabilities. he told the des moines register, my children are not scamming a system. the idea that they are somehow gaming the system especially when people like elon musk are using words like parasite to describe my children, anger does not quite encompass how i feel. i just felt shocking that you

would go after truly the most vulnerable people as if they are somehow conducting fraud. these folks are barely surviving in campus where nearly -- 18,000 on medicaid, kathy and jacob shared the story of their adopted sister maria who suffered a traumatic brain injury at just four weeks old. i'm sorry, seven weeks old. because of medicaid, the family could afford at home nursing services before their sister passed away in 2024. jacob told the kansas reflector, this is not right or left, this is truly a human right. yes, we want to get rid of fraud , people using the support that is not fraud, that is

called people helping people live the best life in the most respectful dignified weight as possible. in missouri, 250,000 americans care is on the chopping block including over 100,000 from medicaid. in the suburb of st. louis, sandra told the foundation health news that she worries about her 24-year-old daughter sarah and the 24 hour care that she needs including in-home nursing. sandra said i really truly do not know what i would do if we lost the medicaid home care. i have no plan whatsoever. it is not sustainable for anyone to do infinite 24 hour care without dire physical health, mental health and financial consequences.

especially as we parents get into our elder years. in nebraska, 74,000 people could lose coverage including 26,000 americans on medicaid. working at the children's hospital in omaha nebraska hold nebraska public media that these cuts would greatly harm those in nebraska's rural communities. according to doctor anderson, this is not just a healthcare issue. it is a workforce issue. an education issue, economic issues. communities without access to safe childbirth cannot attract or retain young families. they struggle to grow and they suffer consequences. nebraska simply deserves better. our rural families deserve better. cutting medicaid may save money on a spreadsheet, but it will

cost lives and put the expensive burden of care back on our communities. in south dakota, 31,000 americans insurance is at risk under this bill. including 12,000 americans on medicaid. retired family physician tom dean shared his concerns about what the cuts to medicaid will mean for nursing homes and the health of moms and babies. he told the south dakota search flight. i am really frightened about the impact it will have on nursing homes. medicaid is a major payer for prenatal delivery and postpartum care. that is a major concern especially in rural areas. i know that my republican colleagues are hearing these stories from their constituents. and we need to make sure that they cannot ignore them.

these stories and the people behind the make all the difference to protect medicaid. i am proud to give them a voice in the senate. as my senate republican colleagues continue their crusade to rip away healthcare from 17 million americans. the american people do not like this bill and that includes americans who live in red blue and purple states. we will keep ringing the alarm bells on behalf of americans in every corner, every part of this nation and protect the critical coverage working families need and deserve. lives depend upon it. i yields. >> the senator from minnesota. >> i rise today along with my colleagues from illinois and from wisconsin and you just heard from senator baldwin about

the effect of this budget bill on the midwest. i guess that i would start by asking the same questions that our colleague, senator tillis who just announced he was not going to seek reelection after the president threatened him with the primary and after he took a boat and had the audacity to ask the questions that had to be asked about this bill and you heard him today. he talked about how he had talked to the hospital association in his state. how he had talked with the governor's office. how he had gotten the actual data on the effects of medicaid in north carolina. and then you ask the questions, how hard is it to see the impact of these proposals. and he asked what is wrong with putting a little daylight on what is going on here. so, that is what i will do in my

few minutes here. put a little midwestern daylight on what is going on here. under this bill, 17 million people would be kicked off of their healthcare because of the medicaid and the affordable care changes. that was 16 million people until wend got the updated numbers frm the congressional budget office. that is a nonpartisan group. it also drives $4 trillion in debt, used to be 3.4, now it's up to $4 trillion. what will that mean? thatts will mean big time in the midwest where i have so many of constituents wanting to buy their first house, it will mean major increased interest rates. president. the presiding officer: the senator from washington. ms. murray: mr. president, i call up my amendment number 2771 and ask that it be reported by number. the presiding officer: the clerk will report. the clerk: the senator from

washington, mrs. murray, proposes an amendment numbered 2771 to amendment numbered 2630. ms. murray: mr. president. the presiding officer: the senator from washington. ms. murray: mr. president, my amendment is about a really important issue that has not gotten near enough attention for how devastating it will be for women in our country. republicans' bill will cut millions of women off from birth control, cancer screenings, essential preventive health care that they will not be able to afford anywhere else. and it will shutter some 200 health care clinics in our country. and it will take another step towards enacting republicans' plan for a backdoor nationwide abortion ban. houp does it do this -- how does it do this? by defunding planned parenthood. this is a long sought goal of anti-choice extremists. no surprise. it is overwhelmingly unpopular with the american people, but republicans are bent on ripping away any access to abortion care

and happy to cut off this lifesaving care. no matter that women may not have another place fo get the care that they can afford or another place they can get any care at all. this amendment that i'm offering will strip this awful provision to defund planned parenthood from this bill and protect health care access for the millions of patients who rely on planned parenthood health centers. i urge a yes vote. a senator: mr. president. the presiding officer: the senator from mississippi. mrs. hyde-smith: i object to the senator's motion to strike the provision establishing a commonsense protection of taxpayers' dollars by prohibiting abortion providers from receiving medicaid funds for one year. there was a time when protecting american tax dollars from supporting the abortion industry was an uncontroversial nonpartisan effort that we could all get behind. even if we had opposing views on protecting the dignity of human life. this provision does not target any one entity.

if a medical provider wishes to stay within the medicaid program, it should simply cut elective abortion procedures from its services. mr. president, the pending amendment, number 2771, would cause are the underlying legislation to exceed the finance committee section 302-a allocation of the new budget authority and outlays. therefore, i raise a point of order against this measure pursuant to section 302-f of the congressional budget act of 1974. ms. murray: mr. president. the presiding officer: the senator from washington. ms. murray: mr. president, pursuant to section 904 of the congressional budget act of 1974, i move to waive section 302-f of that act for the purposes of the pending amendment and i ask for the yeas and nays. the presiding officer: is there a sufficient second? there appears to be. the clerk will call the roll. vote: the clerk: ms. alsobrooks. ms. baldwin. mr. banks. mr. barrasso.

mr. bennet. governor kelly in the state of kansas has been speaking out big time on this. why they are so concerned about this shift. in addition, and this is not something everyone thinks about when they think about snap, but we think about it big time in

the midwest. farmers and groceries. over one third of america's farmland is located in the midwest. that includes more than 722,000 farm operations which is more than one third of farms nationwide. so, why would farmers care about this? they would lose revenue because americans will not be able to buy their products in that loss, it is a snap program, just like international organizations were buying food from america with usaid, that is been cut. or the trump tariffs which drive up markets and places all over the world because of retaliatory tariffs. that is hitting our farmers. input costs, inflation, you name it. now this on top of it. in addition, this will be a big hit to our groceries. in many rural counties throughout the midwest, their independent grocery store is the

loan grocery in the country. just in the county. so, in 76 counties nationwide, they do not even have a single grocery store. half of those are in the midwest i recently visited an employee owned grocery store population 3600. businesses like that operate on tight marginsey and they usually serve not just that county, as you can see from the numbers i just provided you, but from the surrounding counties, or they may be the only one in town. businesses like that, the cuts toen snap, it is pretty significant because that is sometimes the margin in which they are able to stay alive as a business. this would make it harder and harder and more expensive for those grocery stores.

it could put them out of business, that is for sure. it also hurts the individual people in their areas. you have an overwhelming number of seniors. you have an overwhelming number of veterans. and you have just an overwhelming number of people who are using these kinds of grocery stores. hundreds of thousands of dollars in wages at these independent grocers. farms, other industries, including more than 1700 jobs in nebraska, more than 1900 jobs in kansas, more than 2600 jobs in iowa. more than 700 jobs in missouri. more than 6000 jobs in wisconsin , more than 13,000 jobs in michigan. more than 4000 jobs in minnesota we know from farmers and truckers to local grocers, to

every dollar invested in snap, about a dollar 50 an economic act cavity is generated nationwide. for many midwesterners, this bill. would make the difference between having a grocery store in their region or not. i mentioned the shift of billions of dollars of cost to states that will blow mold to the state budget. they will not be able to afford it. forty-four states, 44 states have this. balanced-budget rul. they will be forced to choose between payment costs for food and paying for critical services that is why tummy -- 23 democratic governors just laid out in a letter to congress, these cuts do not just increase state costs, they make it nearly impossible for states to effectively plan for these budgethy impacts. those are governors from kentucky to arizona.

across the entire. not to mention, the governors such as governor pritzker in illinois and governor walls in minnesota and governor kelly in kansas and governor witmer in michigan. based on 2023 figures, ready for this, the house and senate version of this bill would shift and it varies because the bills are different. this is how much money we are talking to.te between 16,000,049,000,000 onto the state of nebraska. between 61,000,101,000,000 and costs onto kansas. imagine the budget. yet they do an extra $60 million , too bad you have a

balanced-budget amendment. up to 26 million a costs onto iowa, between 225,000,376,000,000 onto the state budget in missouri. up to 68 and costs to wisconsin where the governor was also a senator of this letter between 456mo and 77 million and costs onto michigan and between 43,000,128,000,000 a costs onto minnesota.ll those numbers are on top of the administrative cost shift to states. they used to be 5050 now at 7525 we are now making you pay 75% of administrative costs. which would make it even harder for states to invest in the staff training and upgraded financial systems that would make the program more silent and reduced payment errors. it is not just the state budget

that will be affected. in many states including wisconsin it is counties rather than the states that run the snap program. so i had a visit from some of the rural counties living off of a thin margin trying to help their taxpayers trying to get this done in states like minnesota and wisconsin stepped believe in strong local government. big surprise there were states and states with bigger rural areas have decided we would rather have the counties do this now the cost shift will go directly to these county governments and you would not believe the numbers on what they would have to do to increase their taxes and these rural counties. they said we cannot do that. so, if that happens, they will have to raise their local property taxes are cut county services. if you are raising kids are

taking care of an older relative , we will help you feed your family even if you do not have a job. this reconciliation bill would change that. it would withhold food assistance from families raising kids over the age of 13 and adults 55 and up if they do not meet the new requirements. the senate bill also eliminates an existing exemption for veterans, homeless people and former foster youth. and exemption my republican colleagues supported in the fiscal responsibility act just two years ago. this is a shift among the republican party. a good idea to have exemptions. not anymore. these are people that are already struggling. veterans that have sacrificed to serve our country. i believe when our veterans signed up to serve there was no waiting line he had when they are in this country and they need help with food or a job or they need a home, there should

not be a waiting line in the united states of america. so everyone that i've talked to about this just as the senator was saying about medicaid in north carolina, and i've spent time on this, i visited all 87 counties in my state every year, i am up to 49, so i've been able to talk to people that are politico, art republicans, just talking to people enrolled grocery stores in the vegetable line, i have talked with a ton of people. what they have said to the store managers, to the food shelf volunteers, to those that take snap, this is not a good idea. that is what the public opinion polls say. 60% of people say that this bill is a bad idea. two-one say it will help wealthy people and not them. they are right about that. this is a betrayal of the middle class and it only takes more of our colleagues and for in the house, by the way, to stand up

and say we need to rewrite this thing, let's start over. with that, i yield the floor. >> mr. president. >> the senator from nevada. >> to the devastating and dangerous tax and spending bill that senate republicans are trying to jam through this weekend on a partyline vote. a bill for central programs for north tax breaks for billionaires. let's be clear about what is happening here. big beautiful betrayal is not about fiscal discipline. it is fiscally reckless. it is not about responsibility or doing what is best for average americans. it is about misguided priorities it is about giving more to the ultra- wealthy on the backs of hard-working families. this spell will take away

healthcare and food assistance from people and families that need it most. just so d.c. republicans can pay more for tax cuts for those that need them the least. d.c. republicans want cap more tax cuts for those that need them the least. once again, republicans in congress are putting the interests of the ultra- wealthy in the hands of hard-working families, children with disabilities and seniors that rely on medicaid each and every day. earlier this year, i held a roundtable. nevada families that rely on medicaid. for them, medicaid is not just a talking point. they are not simply paying for as a budget bill. medicaid is a lifeline. it literally keeps their children alive. i talked to people like jessica

whose daughter kay, she is four years old. she was born with down syndrome and was recently diagnosed with type one diabetes. jessica relies. help being to walk, use utensils , to write her own name. imagine when her mother sees her write her name. conditions relating to her down syndrome. medicaid covers these doctors. it covers her insulin. allowing jessica to manage her daughter's diabetes around-the-clock all because kate cannot communicate. her blood sugar is dangerously low or high.

jessica said something at that roundtable i will never forget. i cannot imagine losing medicaid i will not let her go without insulin the care that she needs she has been bravely battling an aggressive form of leukemia for the last two years. since her diagnosis sadie has spent more than one year and a half in and out of the hospital

under going treatment for her cancer all covered, thankfully by medicaid. sadie's father, he passed away during the covid pandemic. sadly. and kristi became sadie's sole caregiver and sole provider. medicaid is critical in simply put as life savings. so why are republicans not looking to cut it. so billionaires can get another tax break. so they can hand out trillions of dollars in tax getaways from the wealthiest 1% while thousands of people lose access to lifesaving care. the cuts proposed to medicaid will affect veterans and those with cancer that cannot work that will be kicked off their health insurance. the insurance that they need to stay alive.

they will kick the family caregiver that takes care of both her aging parents. maybe have her own coverage. the majority of delta medicaid are ready to work in republicans are counting on savings from these hard-working americans. the paperwork will be so their gratitude is so full of red tape that the global be to make it so hard so damn burdensome that nobody can do it. they are hoping that they drop off, even if they technically qualified. this is where they find their savings. cutting red tape and improving the lives of our constituents. this is just cruel. it is a lose lose situation. they have a life-threatening illness or their working and they missed the complicated new

paperwork or people are hoping that they cannot do so they will drop off and that is where they will find the savings. they will lose their health insurance and maybe they will drop off and they will lose their life to. all for tax break for the wealthiest. for the billionaire cabinet of our current president. mr. president, this is just shameful. telling you some of the statistics. the nutrition program helping nearly the one in six nevadans put food on the table. most of these recipients are children. you tell me what our family is supposed to do. you tell me tell me how they put

food on the table. sorry, kids. so they can get a tax break? this just cannot be right. this cannot be right. it does not stop there. threatening thousands of good paying union jobs in nevada. across our country by letting criminal tax credits from solar wind projects expire before the projects can even get off the ground. you know, in nevada we have more solar jobs per capita more than any other in the nation. we have enough solar energy to power nearly 1.3 million homes. it is a growing terrific industry in nevada. we need all the energy that we can get at an affordable price. this bill, this bill will decimate this important and growing industry. states across the country. and on top