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Vote number 08-S025 allowing tribal Indians to opt out of federal healthcare
on Feb 14, 2008 regarding bill SA.4034 to SA.3899 to S.1200 Tribal Member Choice Program
Results: Amendment rejected, 28-67

CONGRESSIONAL SUMMARY:
    TRIBAL MEMBER CHOICE PROGRAM: Members of federally-recognized Indian Tribes shall be provided the opportunity to voluntarily enroll, with a risk-adjusted subsidy for the purchase of qualified health insurance in order to--
  1. improve Indian access to high quality health care services;
  2. provide incentives to Indian patients to seek preventive health care services;
  3. create opportunities for Indians to participate in the health care decision process;
  4. encourage effective use of health care services by Indians; and
  5. allow Indians to make health care coverage & delivery decisions & choices.

SUPPORTER'S ARGUMENT FOR VOTING YES:Sen. COBURN: The underlying legislation, S.1200, does not fix the underlying problems with tribal healthcare. It does not fix rationing. It does not fix waiting lines. It does not fix the inferior quality that is being applied to a lot of Native Americans and Alaskans in this country. It does not fix any of those problems. In fact, it authorizes more services without making sure the money is there to follow it.

Those who say a failure to reauthorize the Indian Health Care Improvement Act is a violation of our trust obligations are correct. However, I believe simply reauthorizing this system with minor modifications is an even greater violation of that commitment.

OPPONENT'S ARGUMENT FOR VOTING NO:Sen. DORGAN: It is not more money necessarily that is only going to solve the problem. But I guarantee you that less money will not solve the problem. If you add another program for other Indians who can go somewhere else and be able to present a card, they have now taken money out of the system and purchased their own insurance--then those who live on the reservation with the current Indian Health Service clinic there has less money. How does that work to help the folks who are stranded with no competition?

LEGISLATIVE OUTCOME:Amendment rejected, 28-67

Categorized under Health Care

Voting NO counts for 2 points on VoteMatch question 5:
More federal funding for health coverage;
Voting YES counts for -2 points on VoteMatch question 5.


Democrats voting on 08-S025

Max Baucus NOMT Democratic Sr Senator
Barbara Boxer NOCA Democratic Jr Senator
Sherrod Brown NOOH Democratic Sr Senator
Robert Byrd NOWV Former Democratic Senator
Maria Cantwell NOWA Democratic Jr Senator
Benjamin Cardin NOMD Democratic Jr Senator, previously Representative
Tom Carper NODE Democratic Sr Senator
Bob Casey NOPA Democratic Sr Senator; previously state treasurer
Richard Durbin NOIL Democratic Sr Senator
Russell Feingold NOWI Former Democratic Senator
Dianne Feinstein NOCA Democratic Sr Senator
Tom Harkin NOIA Democratic Jr Senator
Tim Johnson NOSD Democratic Sr Senator
Ted Kennedy NOMA Former Democrat Senator (until 2009)
John Kerry NOMA Democratic Sr Senator
Amy Klobuchar NOMN Democrat/DFL Sr Senator
Mary Landrieu NOLA Democratic Sr Senator
Frank Lautenberg NONJ Democratic Sr Senator
Patrick Leahy NOVT Democratic Sr Senator
Carl Levin NOMI Democratic Sr Senator
Blanche Lambert Lincoln NOAR Former Democratic Senator
Claire McCaskill NOMO Democratic Sr Senator; previously state Auditor
Robert Menendez NONJ Democratic Jr Senator; previously Representative
Barbara Mikulski NOMD Democratic Sr Senator
Patty Murray NOWA Democratic Sr Senator
Ben Nelson NONE Democratic Sr Senator
Bill Nelson NOFL Democratic Sr Senator
Mark Pryor NOAR Democratic Sr Senator
Jack Reed NORI Democratic Sr Senator
Harry Reid NONV Democratic Sr Senator
John Rockefeller NOWV Democratic Sr Senator
Ken Salazar NOCO Former Democratic Senator (entered Cabinet, 2009)
Charles Schumer NONY Democratic Sr Senator
Arlen Specter YESPA Former Democratic incumbent (elected as Republican)
Debbie Stabenow NOMI Democratic Jr Senator
Jon Tester NOMT Democratic Jr Senator
Sheldon Whitehouse NORI Democratic Jr Senator, previously attorney general
Ron Wyden NOOR Democratic Sr Senator


Republicans voting on 08-S025

Lamar Alexander YESTN Republican Sr Senator
John Barrasso YESWY Republican Jr Senator
Robert Bennett NOUT Former Republican Senator
Richard Burr YESNC Republican Sr Senator; previously Representative
Saxby Chambliss YESGA Republican Sr Senator
Tom Coburn YESOK Republican Jr Senator; previously Representative
Thad Cochran NOMS Republican Sr Senator
Susan Collins NOME Republican Jr Senator
Bob Corker YESTN Republican Jr Senator
John Cornyn YESTX Republican Jr Senator
Michael Crapo NOID Republican Sr Senator
Jim DeMint YESSC Republican Jr Senator; previously Representative
John Ensign YESNV Republican Jr Senator
Michael Enzi YESWY Republican Sr Senator
Chuck Grassley YESIA Republican Sr Senator
Orrin Hatch NOUT Republican Sr Senator
James Inhofe YESOK Republican Sr Senator
Johnny Isakson YESGA Republican Jr Senator; previously Representative
Richard Lugar NOIN Republican Sr Senator
Mitch McConnell YESKY Republican Sr Senator
Lisa Murkowski NOAK Republican Sr Senator
Pat Roberts NOKS Republican Sr Senator
Jeff Sessions YESAL Republican Sr Senator
Richard Shelby YESAL Republican Jr Senator
Olympia Snowe NOME Republican Sr Senator
John Thune NOSD Republican Jr Senator; previously Representative
David Vitter YESLA Republican Jr Senator; previously Representative
Roger Wicker NOMS Republican Jr Senator; previously Representative


Independents voting on 08-S025

Mel Martinez YESFL Former GOP Senator (resigned 2009); previously HUD Secy.
Bernie Sanders NOVT Independent Jr Senator, previously Representative



Total votes recorded by OnTheIssues:

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Democrats: YES 1; NO 37
Republicans: YES 17; NO 11
Independents: YES 1; NO 1