00:07They're different. They're both important, but they're different.
00:11Let me start with the reconciliation bill, which President Trump and others called one big, beautiful bill.
00:22So, I continue to go through the bill, and every time I do, I'm impressed.
00:36This is a breathtaking bill in the sense that it covers so many subjects.
00:46I think each of us could spend hours talking about this bill.
00:49I'll just hit the highlights. This is one of the most far-reaching pieces of legislation that this body will never pass.
00:57We extended the 2017 tax cuts, no small feat in itself.
01:06Had we not done that, the American people would have suffered under a $4.3 trillion tax increase.
01:16So, we stopped that tax increase.
01:21And some of my friends and colleagues talk about, well, all you did was stop a tax increase on the billionaires.
01:29That is nonsense.
01:31That is nonsense on a stick.
01:34Unless your soup of the day is gin, you know that is a lie.
01:44Half of that tax increase would have hit working men and working women and working families in this country.
01:53The other half would have hit our small businesses.
01:57And, yes, some of our large businesses.
01:59We stopped that.
02:00We made some of those tax cuts permanent.
02:06We cut taxes on tips.
02:09In this bill, we cut taxes on overtime.
02:13We cut taxes on Social Security.
02:16We cut taxes on car loans.
02:19We expanded a tax credit for child care to help moms and dads pay for the child care so they can work.
02:31We increased the child tax credit.
02:35We increased the standard deduction.
02:37And that's going to take effect immediately.
02:42We funded school choice for years and years and years.
02:47I have tried.
02:48We all have tried.
02:49Many of us have tried to provide the American people, moms and dads, with school choice.
02:56This bill did it.
02:58You know, I went to a public school.
03:01I'm proud of that.
03:02But competition makes all of us better.
03:08I can go to my overpriced Capitol Hill apartment or Capitol Hill grocery store and choose from six or seven types of mayonnaise.
03:19Why shouldn't we give parents, moms and dads, choices for their kids' education?
03:25We're doing that with the school choice portion of this bill.
03:32We increased money for the border.
03:35And we increased money for defense.
03:44Now, we also addressed the problem in Medicaid.
03:48And I've been very disappointed because some commentators have said that we're going to throw off from the Medicaid rolls.
03:59I've read anywhere from 10 to 12 million people.
04:05And the implication in some of these articles and some of these comments is that we're just going to look at the Medicaid rolls and go through and say,
04:15you're gone.
04:16We can't afford you.
04:17And that's not what this bill does.
04:20The first thing you have to realize is that actually Medicaid is not going to be cut at all under this bill.
04:27Under our bill that we just passed, our spending on Medicaid over the next 10 years is going to go up 20%.
04:33So nobody's cutting Medicaid.
04:36There are some people as a result of the new provisions that we have put into law who will no longer be eligible for Medicaid and will no longer get Medicaid.
04:50But they weren't entitled to get it in the first place.
04:53So when you say, well, you're throwing people off of Medicaid, they weren't entitled to it in the first place.
05:04You're not entitled to Medicaid if you're making $200,000 a year.
05:09And you didn't tell the truth when you signed up for the Medicaid in your state and your state didn't verify your statements.
05:20But let me give you one example.
05:23CMS just put out a report.
05:25Our bill is going to change the law so that 2.8 million Americans, the CBO says like we're throwing 10 or 12 million Americans off Medicaid.
05:49I'll just give you this one example.
05:512.8 million of those Americans who will lose Medicaid are double dippers.
05:58They signed up twice.
06:011.2, we have 1.2 million people on the Medicaid rolls who are signed up in two states.
06:10And we're paying, the American taxpayers paying twice.
06:14As you know, Mr. President, well, you were a great governor.
06:18You were a governor and a damn good one.
06:21Most states use managed care.
06:24And they pay per Medicaid patient.
06:27So if a state is paying, let's say I'll pick a number, $8,000 per Medicaid patient per year to the health care organization to provide their care.
06:37And that person has signed up in two states, they're double dipping, and it's costing the American taxpayer two $8,000 payments a year.
06:51So from one perspective, you're throwing these people off Medicaid.
07:00They weren't entitled to double dip in the first place.
07:05CMS also came out with a report.
07:08And by CMS, I mean the Centers for Medicare and Medicaid Services, which is the federal agency that administers Medicare and Medicaid.
07:17CMS has also found that there are 1.6 million people who are on Medicaid today who are receiving both Medicaid and Obamacare.
07:31Well, what's Obamacare?
07:34I'll refresh everyone's memory.
07:36Medicaid is supposed to be for the poor and disabled.
07:42And Medicare is for the elderly.
07:44And a lot of other Americans have health insurance through their job.
07:50But there are a certain number of Americans who don't have health insurance because they're not old enough for Medicare, and they're not poor enough for Medicaid, and maybe their employer doesn't offer health insurance.
08:03So they can go to an exchange, we call them the Obamacare exchange, and buy health insurance.
08:09Now, President Obama and some of my colleagues, I wasn't here then, but when we passed Obamacare, the Obamacare exchanges, the Affordable Care Act, we were told that health insurance would be cheaper, and we were told it would be more accessible.
08:28It's been neither.
08:29We were also told if you like your doctor, you can keep your doctor.
08:33That wasn't true either.
08:34But the point is that we have a number of Americans who, if they don't qualify for Medicare, they don't qualify for Medicaid, they don't get insurance through their employer, they go to the Obamacare exchanges.
08:48But we've got, CMS family, we've got 1.6 million people who are getting both health insurance through the Obamacare exchanges, which we subsidize, taxpayers do, and through Medicaid.
09:03That's called double dipping.
09:05It's illegal.
09:09And CBO can put out all the reports that they want to saying, oh, you're throwing all of these people off Medicaid.
09:18And technically they're right, but they're not eligible to be on Medicaid.
09:26I just gave you an example.
09:282.8 million people who are double dipping.
09:32It's illegal to double dip.
09:34It's immoral to double dip.
09:36It's unfair to taxpayers to double dip.
09:39All our bill does is say, you can't double dip.
09:43Cheating is wrong.
09:45Is that throwing people off Medicaid?
09:48Technically, yes.
09:49But once again, as the other provisions in this bill also do, we're taking people off Medicaid who weren't eligible for it in the first place.
10:00As a result of these 2.8 million people, I think CMS, I'm looking for their figure, I think that the cost, it costs the American taxpayer, because of these 2.8 million folks who are double dipping, $14 billion a year.
10:24$14 billion a year over a 10-year window, which is the horizon that we use, that's $140 billion that we're going to save.
10:37And that savings is going to go back into Medicaid to make it even stronger.
10:44And that's just one example of how much of, not much, but, well, yeah, much of the reporting on our bill is misleading.
