{"database": "openregs", "table": "congressional_record", "rows": [["CREC-2025-06-30-pt1-PgS4075-9", "2025-06-30", 119, 1, null, null, "H.R. 1", "SENATE", "SENATE", "ALLOTHER", "S4075", "S4076", "[{\"name\": \"Chuck Grassley\", \"role\": \"speaking\"}]", "[{\"congress\": \"119\", \"type\": \"HR\", \"number\": \"1\"}]", "171 Cong. Rec. S4075", "Congressional Record, Volume 171 Issue 113 (Monday, June 30, 2025)\n\n[Congressional Record Volume 171, Number 113 (Monday, June 30, 2025)]\n[Senate]\n[Pages S4075-S4076]\nFrom the Congressional Record Online through the Government Publishing Office [www.gpo.gov]\n\n                                 H.R. 1\n\n  Mr. GRASSLEY. Mr. President, contrary to misinformation campaigns\nseeking to stop commonsense Medicaid reforms from getting to the\nPresident's desk, the One Big Beautiful Bill does not take away\nMedicaid from those who need it. In fact, the bill will strengthen the\nMedicaid program, so that it can continue to serve the vulnerable\npopulations it was designed to serve.\n  Before I discuss the program integrity measures in this bill, I want\nto give some context on Medicaid spending. Under this bill, Medicaid\nwill spend over $7.4 trillion over 10 years. We are only slowing the\ngrowth of Medicaid spending as Medicaid spending will still go up at\nabout 2 to 3 percent annually, compared to 4.5 to 5 percent annually,\nif we don't pass this bill.\n  A sizable majority of Americans support efforts to stop wasteful\nspending that drains resources for people who truly need this safety\nnet and puts an unfair burden on taxpayers. Between 2015 and 2024, the\ntotal amount of improper Federal Medicaid payments was over $560\nbillion. Some independent estimates put it closer to $1.1 trillion. We\nmust do something about it. I am also the author of major updates to\nthe False Claims Act, a major tool to save taxpayers money.\n  Since my reforms were enacted, the Federal Government has recovered\nmore than $78 billion lost to fraud--much of it in government\nhealthcare programs--and saved billions more by deterring would-be\nfraudsters. We are doing more in this bill, because taxpayers and those\nwho rely on Medicaid deserve better. That is why we are putting an end\nto the billions of dollars of waste, fraud, and abuse in healthcare\nprograms.\n  Let me list off a few provisions that establish some program\nintegrity:\n\n       Reducing duplicate enrollment under the Medicaid program.\n       Ensuring deceased individuals and health care providers\n     don't remain enrolled.\n       Payment reduction for erroneous excess provider payments\n     under Medicaid.\n       We're also going to require states to check if an\n     individual is eligible to be on Medicaid twice a year,\n     instead of once a year.\n\n  These provisions alone save over $94 billion, according to the\nnonpartisan Congressional Budget Office, CBO. We establish robust\nverification for individuals receiving premium tax credits through the\nFederal marketplace.\n  We also ensure that if someone gets more subsidization than they are\nallowed based on their income, the excessive subsidy amount is\nreturned.\n  Last year, I pointed out to the Treasury Inspector General that\nexcessive payments were not being recouped. Through my oversight, I\ndiscovered over 40 percent of excessive Federal marketplace subsidy\npayments totaled over $10 billion dating back to 2016. These excess\npayments were not recouped because of current safe harbor rules. This\nexcessive waste will end in this bill and save over $60 billion,\naccording to CBO.\n  We also delay costly regulations that establish one-size-fits-all\nrules, including for nursing homes and State Medicaid programs. I am a\nstrong proponent of nursing home oversight and ensuring our most\nvulnerable senior citizens and those with disabilities have access to\nhigh-quality care. We\n\n[[Page S4076]]\n\nshould be addressing the workforce challenges nursing homes face by\npartnering with nursing homes, not mandating from Washington, DC.\nDelaying the nursing home staffing mandate rule and so-called\n``streamlining eligibility rule'' saves over $187 billion according to\nCBO.\n  We also ensure Medicaid, Medicare, and Federal marketplace resources\nare going to Americans, instead of illegal aliens. Taxpayers expect us\nto prioritize vulnerable Americans and seniors in these programs. We\nprohibit Federal financial support under Medicaid for individuals who\ndon't have verified citizenship, nationality, or satisfactory\nimmigration status. These provisions save over $163 billion according\nto CBO.\n  When my colleagues on the other side of the aisle fearmonger and\nmisinform what is in the bill, they must be willing to defend billions\nin healthcare waste, fraud, and abuse spending that total over $500\nbillion, as standalone provisions. As I have illustrated, we establish\nsome commonsense program integrity measures and stop wasteful spending.\n  We delay costly regulations that hurt patients and providers,\nespecially those living in rural America. We stop Medicaid and Medicare\nresources from going to illegal aliens. Most importantly, we preserve\nthe Medicaid program for those who most need it.\n\n                          ____________________"]], "columns": ["granule_id", "date", "congress", "session", "volume", "issue", "title", "chamber", "granule_class", "sub_granule_class", "page_start", "page_end", "speakers", "bills", "citation", "full_text"], "primary_keys": ["granule_id"], "primary_key_values": ["CREC-2025-06-30-pt1-PgS4075-9"], "units": {}, "query_ms": 297.4809480365366, "source": "Federal Register API & Regulations.gov API", "source_url": "https://www.federalregister.gov/developers/api/v1", "license": "Public Domain (U.S. Government data)", "license_url": "https://www.regulations.gov/faq"}