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  • House Hearing, 104TH Congress - Report of The Trustees of The Federal

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    Congressional Hearing Held: 1995-05-02

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    HOUSE HEARING, 104TH CONGRESS - REPORT OF THE TRUSTEES OF THE FEDERAL

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    Congressional Hearing Held: 1995-05-02

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    6 tayangan107 halaman

    House Hearing, 104TH Congress - Report of The Trustees of The Federal

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    Scribd Government Docs
    Congressional Hearing Held: 1995-05-02

    Hak Cipta:

    Public Domain
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    dari 107
    REPORT OF THE TRUSTEES OF THE FEDERAL HOSPITAL INSURANCE TRUST FUND HEARING COMMITTEE ON WAYS AND MEANS HOUSE OF REPRESENTATIVES ONE HUNDRED FOURTH CONGRESS: FIRST SESSION May 2, 1995 Serial 104-53 Printed for the use of the Committee on Ways and Means a U.S. GOVERNMENT PRINTING OFFICE 26-820 CC, WASHINGTON : 1996 For sale by the U.S. Govemment Printing Office Superintendent of Documents, Congressional Sales Office, Washington, DC 20402 ISBN 0-16-053720-7 PZ COMMITTEE ON WAYS AND MEANS BILL ARCHER, Texas, Chairman PHILIP M. CRANE, Dlinois SAM M. GIBBONS, Florida BILL THOMAS, California CHARLES B. RANGEL, New York E. CLAY SHAW, Jn, Florida FORTNEY PETE STARK, California NANCY L. JOHNSON, Connecticut ANDY JACOBS, Jr., Indiana JIM BUNNING, Kentucky HAROLD E. FORD, Tennessee AMO HOUGHTON, New York ROBERT T. MATSUI, California WALLY HERGER, California BARBARA B. KENNELLY, Connecticut JIM McCRERY, Louisiana WILLIAM J. COYNE, Pennsylvania MEL HANCOCK, Missouri SANDER M. LEVIN, Michigan DAVE CAMP, Michigan BENJAMIN L. CARDIN, Maryland JIM RAMSTAD, Minnesota JIM McDERMOTT, Washington DICK ZIMMER, New Jersey GERALD D. KLECZKA, Wisconsin JIM NUSSLE, lowa JOHN LEWIS, Georgia SAM JOHNSON, Texas LF. PAYNE, Virginia JENNIFER DUNN, Washington RICHARD E. NEAL, Massachusetts MAC COLLINS, Georgia ROB PORTMAN, Ohio PHILIP S. ENGLISH, Pennsylvania JOHN ENSIGN, Nevada JON CHRISTENSEN, Nebraska PHILLIP D. MoseLeY, Chief of Staff JANICE Mays, Minority Chief Counsel ap CONTENTS Advisory of April 18, 1995, announcing the hearing WITNESSES Ug. Department of Health and Human Services, Donna E. Shalala, Secretary .. 1 Congressional 83 Ernst & Young, Roland E. “Guy” King 87 Federal Hospital ee oer Fund: Standard G, Ross .. 16 David M. Walker 8 ap REPORT OF THE TRUSTEES OF THE FEDERAL HOSPITAL INSURANCE TRUST FUND TUESDAY, MAY 2, 1995 House OF REPRESENTATIVES, COMMITTEE ON WAYS AND MEANS, Washington, DC. The Committee met, pursuant to call, at 10:08 am., in room 1100, Longworth House Office Building, Hon. Bill Archer (Chair- man of the Committee) presiding. [The advisory announcing the hearing follows:] a ADVISORY FROM THE COMMITTEE ON WAYS AND MEANS FOR IMMEDIATE RELEASE CONTACT: (202) 225-1721 April 18, 1995 No. FC-6 ARCHER ANNOUNCES HEARING ON_ MEDICARE HOSPITAL INSURANCE TRUST FUND “Report Shows Trust Fund Will Start Going Broke In 1996- Congressman Bill Archer (R-TX), Chairman of the Committee on Ways and Means, today announced that the Committee will hold hearings to review the Report of the Trustees of the Federal Hospital Insurance Trust Fund and the recommendations of the Trustees. The hearing will take place on Tuesday, May 2, 1995, in the main committee hearing room, 1100 Longworth House Office Building, beginning at 10:00 a.m. ‘The Committee will receive testimony from Federal Hospital Insurance Trust Fund ‘Trustees and expert witnesses. BACKGROUND: The payroll taxes paid by working Americans and employers into the Federal Hospital Trust Fund (HI Trust Fund) pay for about sixty percent of the medical care for Medicare beneficiaries. The Hospital Insurance program (Medicare Part A) is obligated to cover the costs of inpatient hospital care and other related services for those Americans who are entitled to insurance coverage under Medicare Part A. The 1995 report of the Trustees of the HI Trust Fund indicates that the fund is in financial imbalance for both its short and long range projections. Beginning in 1996, the HI Trust Fund will for the first time, spend more in outlays than it receives in income. According to the Trustees report, if payroll taxes alone were raised to ensure fund balance into the future, those taxes would have to be nearly tripled from current levels. Currently, payroll taxes from about four workers cover the Medicare Part A costs on average for each beneficiary. This ratio worsens over time, and drops precipitously when the baby boomers become eligible for Medicare after the year 2010. It is noteworthy, however, that the financial imbalance in the HI Trust Fund occurs prior to the eligibility of baby boomers. As the Trustees report states: "Not only are the anticipated reserves and finances of the HI program inadequate to offset the demographic change, but under all of the sets of assumptions the HI Trust Fund is projected to become exhausted before the demographic shift has even begun to occur." “The report on the Hi Trust Fund is an early warning signal that cries out for immediate Congressional attention. Despite the fact that President Clinton ignored the precarious state of the Trust Fund in his budget, it is now time for him to join with the Congress and face this issue squarely. We need to work together to keep the promises of the past while meeting the needs of the current and future Medicare beneficiaries,” Archer said. Focus: This hearing will review the Report of the Trustees of the Federal Hospital Insurance ‘Trust Fund and the recommendations of the Trustees. DETAILS FOR SUBMISSION OF WRITTEN COMMENTS: Any person or organization wishing to submit a written statement for the printed record of the hearing should submit at least six (6) copies of their statement, with their address and date of hearing noted, by the close of business, Tuesday, May 16, 1995, to Phillip D. Moseley, Chief of Staff, Committee on Ways and Means, U.S. House of Representatives, 1102 Longworth House Office Building, Washington, D.C. 20515. If those filing written statements wish to have their statements distributed to the press and interested public at the hearing, they may deliver 200 additional copies for this purpose to the Committee office, room 1102 Longworth House Office Building, at least two hours before the hearing begins. FORMATTING REQUIREMENTS: ack rate reer! fr pata oth Common by 2 wines, any wes sntament oes for the ped read any writen cement a repens o&roqes for wan comment wax ener guise bew. Any extent ‘aU ot compliance wth ae ules wl aut be rato bt wl be malrtaand nh Camaoe Bet fr reve and ate by Go Cmte 1, Astana and any accapnying eis oc retig mst be typed sage apace om logssa paper and may nt cond atta 0 page neaing atcha. 2 Colas of whale dcamentssubnndas eh mal we be scoped fae etaig, sen, exhib mall shad bo ‘tarvaced and gute paraphrased Al exit mata nt moving thee wactcaen Wl be malntaied tne Commitee for ‘evtew and uty te Commit. Anas appearing at apa bang. submiting i catment fr the rear fa pal arng. or etsting wet, ‘aamest a repece io «posed roquet for comments byte Cmte wasting oa tates anben tof ‘hut perso or erpasiaens on wns Delf he wns appara.