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House | February 26, 2013 | Chamber | Session

Full MP3 Audio File

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[Speaker changes.] ...to the eligibility criteria that became effective on January 1st, 2013, as special care units serving residents who qualify for Medicaid cover personal care services on or after January 1st, 2013. [Speaker changes.] Calendar pursuant Rule 32B for Wednesday, February 27th. [Speaker changes.] Ladies and gentlemen, upon motion, Representative John Szoka from Cumberland County, the Chair is happy to extend the courtesies of the gallery to Patricia Barnhard?????, George Brooks, Chip Lucas, Darryl Nobles, Patricia Robinson, Graham Yarborough, and Christina Yarborough. They're here representing Career and Technical Education Program for Cumberland County Schools. Please stand and let us welcome you. (Applause.) Ladies and gentlemen of the House, we have the doctor and the nurse-of-the day in the chambers. I'd like to welcome them. The nurse-of-the day is Cheryl Traish??????? from Rocky Mount. Close enough, Cheryl? And, the doctor-of-the-day is Harry Ballard, who is the brother-in-law of our Reading Clerk. He's from Newburg???????. Thank you for serving. (Applause.) Ladies and gentlemen of the House, we're gonna move to the calendar and, without objection, the Chair would like to move forward to a House Joint Resolution. Is there objection? (Gavel.) Calendar, House Joint Resolution 36, the Clerk will read. [Speaker changes.] A Joint Resolution honoring the life and memory of Joe H. Hagey????, Jr., former member of the General Assembly. House resolves, Senate concurring. [Speaker changes.] Clerk will read the resolution in its entirety. [Speaker changes.] Whereas Joe H. Hagey???, Jr. was born in Lexington, North Carolina on January 28, 1926, to Joe H. Hagey???? Sr. and Ellie J. Hilliard Hagey????? Whereas Joe H. Hagey???? Jr. graduated from Pilot????? High School in 1943 and received Police Administration Certificate from the Institute of Government at the University of North Carolina, Chapel Hill, he furthered his education at Oklahoma University in 1975; and whereas, Joe H. Hagey??? Jr. served in the United States Army from 1944 to 1946 and was awarded the European African Middle East Service Medal with two bronze stars, Good Conduct Medal, the World War II Victory Medal and the Army Occupation Medal; and whereas, Joe H. Hagey????? Jr. was a devoted member of Pilgrim Reform United Church of Christ in Lexington, where he served as President, Treasurer and Chair of the Audit Committee, as Chair of the Cemetary Committee, and as an elder, deacon, and Sunday School teacher; and whereas, Joe H. Hagey???? Jr.'s career included serving as a Veteran Service Officer for Davidson County from 1948 to 1950, as Vice President of Slice Golf Manufacturing Company and as a Realtor for National Realty; and whereas, Joe H. Hagey??? Jr. was Assistant Director of Services for the Blind in Governor ???????? administration from 1973 to 1977; and, whereas Joe H. Hagey???? Jr. served eighteen years as a member of the House of Representatives during 1967, 1969, 1971, 1973, 1981, 1985, 1987, 1989 and 1991 sessions of the General Assembly; and whereas during his tenure at the General Assembly, Representative Hagey????? served as Minority Whip during the 1969 session, served on numerous committees, including Appropriations, Commerce, Economic Growth, Education, Election Laws, Ethics, Finance, Legislative Local Redistricting, Local and Regional Government One, and Public Utilities; and whereas, Joe H. Hagey????? Jr. served as Sheriff of Davidson County, from 1969 to 1970; and whereas Joe H. Hagey???? Jr. was a member of several civic, fraternal and professional associations including the Lexington Board for Realtors, ???????, Veterans of Foreign Wars, Aircraft Owners, Pilot's Association, Kiwanis, Lions International, American Legion; and whereas, Joe H. Hagey????? Jr. died on February 14, 2011 and.... [Speaker changes.] [Speaker changes.] [Speaker changes.] [Speaker changes.] [Speaker changes.] [Speaker changes.]

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There are only a few of us left that served with Joe during the time he was in the House. Representative Daughtry, Representative Howard, I think Representative Brawley, Representative Starnes, Representative Michaux was here also and maybe one or two more. Joe was a true gentleman and he was a man of this House, but Mister Speaker I would be remiss if I did not mention his greatest asset and that was his wife, or is his wife, Jane. She is one of the kindest, most caring and devoted political spouses I have ever known. And as we all know, being a political spouse is not an easy task. And I am so glad that Jane and the rest of her family can be with us this afternoon to salute a true son of Davidson County and a true citizen of Davidson, North Carolina. Mister Speaker, with that I commend a resolution to the house and I yield the floor. [SPEAKER CHANGES] Thank you. [SPEAKER CHANGES] Representative Rayne Brown, please state your purpose. [SPEAKER CHANGES] Speak on the resolution. [SPEAKER CHANGES] ?? has recognized to debate the resolution. [SPEAKER CHANGES] Thank you Mister Speaker. It is just such a pleasure. This is one of the great things that we get to do as part of this body and that is to recognize folks from our districts, from our counties and in our state that have made such a great contribution and I want to salute the family of Joe Hege just as much as I really want to salute him for all that he did for us. I first started thinking about running for this seat and this is Joe's seat. This was Joe's seat that I now have. I started thinking about running in 2007 and the party told me, they said before you decide you need to go and talk to two of the party elders. And one of those party elders, one of those individuals was Joe Hage. And I always, always so appreciated the advice that he gave me. He always gave me his time and that was most appreciated. And something that doesn't sound like such a big deal, he let me put my sign in his yard. Well if you knew Representative Hege, he had very definite ideas on who was going to put a sign in his yard and when we were going to put it in his yard and where it was going to be placed. So when he told me that I could, I was just thrilled. And every time that I would go by his house on the way to mine, I would look out in his yard and there was Howard Coble, his son in law who's here with us today, and my sign. And I never took that for granted because he was endorsing me and that was a big deal and it got my name out and in 2008 I needed all the help I could get. So I really appreciated that. I didn't know Representative Hege quite as well as I would've liked. I do know members of his family quite well. His daughter Karen is a former member, well she's still a member of the Republican Women. She was a former officer. She's also a longtime educator and retired now, spending time with grandchildren and I'm just a little, no a lot envious of that. Sam Watford, her husband, is a county commissioner in Davidson county. I guess I know Sam better than I know anybody, any member of the family. He's also a former chairman of our Davidson County Board of Commissioners. And like Jerry said, I just love Jane. And any time I want to see Jane, I'm gonna go to her church. I was at her church Saturday night and got to see her. Pilgrim's Reform has pretty much built their church on the backs of chickens. Chicken pie and chicken and dumplings and in my part of the county, that's just what you do. So when they have these dinners, you always go. And every time I go, there's Jane running around like a sixteen year old and serving the church she loves so much and I appreciate that. So I guess what I'm trying to say and you heard Representative Hege's unbelievable resume. Mine looks so bare in comparison. And so what I'm trying to say is these are people of service but they're also people who have sacrificed so much to have him here. And there's not a body in this room that doesn't know what it's like to leave every Monday morning. And this man left not every Monday morning for weeks and months and years. He left for 18 years. And we also know that if our families don't support us for what we do in this place, we are either not here or we're not here very long. And this was a family that supported to the fullest extent possible. His service to our state and to our county. And I just want them to know how much I appreciate all that they've meant to me, to Davidson county, to this state. They continue to serve, they continue to sacrifice their time.

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Representative: …how we needed to do it. The thing that I will always remember about Joe Hagey, is his love for his wife, Jane Hagey. You didn’t speak to Joe for a minute without him bringing up his family, particularly his wife, and how supportive she was of him and had always been, how much he cared for his children, church and neighbors. That is the type of person that Joe Hagey was and I am a better person for just having the opportunity of calling Joe Hagey a friend. For those of you who never knew Joe, he did leave a legacy here that you can certainly follow and follow proudly. Speaker: Further discussion or debate? If not, the question before the house is the house joint resolution 36 on its second reading. All in favor will vote aye, all opposed will vote no. The clerk will open the vote. The clerk will lock the machine and record the vote: 114 having voted in the affirmative, none in the negative. House is the house joint resolution 36 has passed its second reading and will , without objection, be read a third time. Clerk: House resolve, senate concurring. Speaker: Further discussion or debate? If not, the question before the house is the passage house joint resolution 36 on its third reading. All in favor will vote aye. [aye] All opposed will vote no. [silence] The aye’s have it and house joint resolution 36 has passed its third reading and will be to the senate by special messenger. Ladies and gentleman of the house, upon motion from Representatives Brown and Dockham, and on behalf of all the house members, the chair is happy to extend the courtesies to Jane Owen-Hagey, Joe Hagey III, Karen Hagey-Watford and Sam Watford. Please stand and let us honor you. [clapping] Pages, if I could have all pages come to the front of the chamber and current pages of the [xx] step down momentarily. Pages, as the reading clerk reads off your name, if you could take a step forward and wave to the group so we can identify you. The clerk will read. Clerk: Ingram Barlow, Hanover; Zachary Clark, Coldwell; Chance Carbin, Wade; Laura fowler, Union; James Hennesy, Dayer; Elizabeth Higgin, Union; Belinda Caughman, Wade; Sydney Lawrence, Pindar; Luke Moffet, Buckham; Abigal Sparrow, Paris; Amanda Spence, Wake; Andre Tyson, Hanson; Derick Quirtham, Warren. Speaker: Pages, we welcome you to the chambers. I promised we would hold off and introduce you to the full body since we had a skeleton session last night. I hope that your week here is both educational and fun. I hope that you get an opportunity to make some friendships that you will carry beyond this week, and most of all, we appreciate your service, because we will put you to work from time to time. So, welcome. [clapping] You may now return to your stations. Calendar. Senate bill 4, the clerk will read. Clerk: To the

The Senate and the Speaker of the House of Representatives, the conferees appointed to resolve the differences between the Senate and the House of Representatives on Senate Bil 4, a bill to be entitled An Act to Clarify the State's Intent Not to Operate a State Run or Partnership Health Benefit Exchange and to Provide that Future Medicaid Eligibility Determinations will be Made by the State Rather than the Federally Facilitated Exchange and to Reject the Affordable Care Act's Optional Medicaid Expansion. The conferees recommend that the Senate and the House of Representatives adopt this report. Conferees for the Senate: Senator Apodaca, chair; Senators Rucho, Hise and Brown. Conferees for the House of Representatives: Representative Burr, chair; Representative Dollar, Avila and Brisson. [CHANGE SPEAKER] Representative Burr, please state your purpose. [CHANGE SPEAKER] To speak on the conference report. [CHANGE SPEAKER] The gentleman is recognized for a motion and to speak on the conference report. [CHANGE SPEAKER] Thank you Mister Speaker. I move that we adopt the conference report that is before us and would like to speak on that. [CHANGE SPEAKER] The gentleman is recognized to debate the motion. [CHANGE SPEAKER] Thank you Mister Speaker. What we have is, we had a debate a week before last on Senate Bill 4 and the bill went back to the Senate. They did not concur, as we found and had a few technical issues to work out with the bill to make sure the language was correct and that we were properly appropriating the funds for the NC FAST. Basically, the language continues to make sure that as we say no to the state base and the partnership exchange and no to the Medicaid expansion that we're really pressing the reset button to go back to how the funds were appropriated for the Medicaid IT system and those types of things before the Affordable Care Act as it's called was brought down and the department started working on that. So again, it is technical changes to the language which you can find at the bottom of page 1 of the bill now and also on page 2, the first 3 lines there, along with lines 17 through 19 of page 2 for those of you trying to see the difference of the bill. So simply making sure that we have the appropriate language to make sure we can continue to develop our NC FAST program so that it can do it's job and make sure that we are able to provide the Medicaid eligibility determination for those folks that may be coming onto Medicaid through a federally based exchange. So with that, Mister Speaker, I think that the debate really last week covered the bill. We've been there and had that discussion and now this is just a technical piece that I would ask for members to support. Thank you. [CHANGE SPEAKER] Representative Insko, please state your purpose. [CHANGE SPEAKER] To speak on the motion. [CHANGE SPEAKER] The lady is recognized to debate the motion. [CHANGE SPEAKER] Thank you Mister Speaker. Members, we're voting today on a conference report to approve a bill that leaves some critically important issues unresolved. Most of our debate was on Medicaid expansion but the Affordable Care Act provisions affect all of the health insurance plans, both inside and outside the market. So the issues of the exchange are also very important and how we, the fact that we. The bill that we're passing, the conference report that we're passing, would really take a hands off approach for the state of North Carolina. Let the feds do it all. Because our health insurance agents, our health insurance companies have to turn in their reports for 2014 with their rates and their plans, their report is due in the Department of Insurance in April Because those provisions in the Affordable Care Act both affect the plans both inside and outside the exchange, some issues have been left unresolved. Let me just give an example of one, for example, is the Affordable Care Act requires states to establish geographic rating areas. That's not something you want to federal government to do. The state really needs to take care of that. I have 3 pages of recommendations here that are really highly technical but many of them are issues that the state really should take responsibility for. Because we didn't resolve those issues, here are some of the consequences. There may be a lack

Have access and competition in certain regions of the state, especially in the rural areas. We may have unaffordable premiums for certain populations in certain markets. We may have discrepancies between the exchange and the non-exchange market that could lead to adverse selection or other intended consequences. If we don’t have some controls, we may end up with all the sick people in the exchange and all the well people outside the exchange. We should really unbalance the rating system in the state. For those reasons, I’ll be voting no on the conference report and I urge you to join me so we can get these issues resolved. [Speaker]: Representative Farmer Butterfield, please state your purpose. [Representative Butterfield]: Speak on the conference report. [Speaker]: Lady is recognized to debate the motion. [Representative Butterfield]: Today we continue rushing to have no Medicaid expansion and no State Health Exchange. There is certainly nothing I can do about it. I do want to read my objections into the record however, because future generations look at this legislature in the harsh light of history, I want them to see that some of us stood up and said what we are doing is wrong. It is wrong to accept this conference report. Now I know that some have been pointing to an audit and blaming the Federal Government, but weeks before the Medicaid Audit was released, even months, the expansion of Medicaid and acceptance of the state Health Exchange, was already decided by many of my colleagues in this room. Let’s stop pretending this was about policy. This is about politics. What you’re doing today is wrong. It is wrong because expanding Medicaid to 500, 000 newly eligible people would save nearly 3000 lives every year. New England Journal of Medicine. It is wrong because rejecting facts that the Institute of Medicine has clearly provided to all of us, 100% of 3 years would be Federal dollars and at least 93% Federal the following 3 years. In fact I’ve heard ranges from 93 to 95 percent during these three years. Only in the 7th year would it be 90% Federal funding. Keep in mind that we can opt out of this expansion if we so desire at any point in time along the way. It is wrong because 7 Republican Governors have agreed to Medicaid expansion in their states. In fact the Governor of Ohio in reminding his fellow GOP Legislators said he’s taking lessons from the Bible in that the weak and the vulnerable should not be left behind. The Governor of Florida, Rick Scott, a Republican who’s a former hospital executive, campaigned against President Obama’s Affordable Care Act, and he fought the law in court. He, however, is to be commended. He’s had a change of heart. A quote, this is the countries greatest in the world, he said and it’s the greatest largely because of how we value the weakest among us. The Governor of Ohio invoked his faith as well. He said, I can’t look at the disabled. I can’t look at the poor I can’t look at the mentally ill. I can’t look at the addicted and think we ought to ignore them. But those that live in the shadows of life, those who are the least among us I will not accept the fact that the most vulnerable in our state should be ignored. We can help them. Governor of Ohio. Ladies and gentleman, let’s do what is right. Let’s be co-workers with God. Vote no to the conference call. Examine your conscious and vote no. Thank you. [Speaker]: Representative Queen, please state your purpose. [Representative Queen]: To speak on the Conference Report. [Speaker]: The gentleman is recognized to debate the motion. [Representative Queen]: I rise in the last two weeks as we’ve been considering this Medicaid Expansion Bill, many of us have been informed on it. We’ve been reading every day trying to get up on it as we make this decision. But one thing I will point out to everybody in this body, we are turning

Around twenty three thousand new jobs in this, approving this conference report. Those twenty three thousand workers who would be serving the under-served, uninsured citizens of our state will pay more taxes to this legislature with good jobs than the 10% spread that would be the state share. So the jobs more than pay for the 10% in the years out. So we have a net loss of revenue, a net loss of jobs and a net loss of our citizens’ taxed dollars that left this state and go to Washington and are being denied to come back. So again, I just restate the common sense that we need to, to look to when we consider this Bill. I encourage you to vote no on this and let’s continue to look at it and make this possibility real for North Carolina. Thank you. [SPEAKER CHANGES] Representative Blust, please state your purpose. [SPEAKER CHANGES] Speak on the conference report. [SPEAKER CHANGES] The gentleman is recognized to debate the motion. [SPEAKER CHANGES] Thank you Mr Speaker and members of the House, first of all it’s getting a little tedious to hear this constant cacophony that we over here are doing things not for good policy but for politics or that we’re doing things from bad motives and we’re for the greedy over the needy. And some of this stuff really should wait for your, I don't ’now, your Jefferson Jack dinners or your, your [SPEAKER CHANGES] ?? going on. The gentleman we all ??. Representative Brandon, please state your purpose. [SPEAKER CHANGES] Take the gentleman for ?? [SPEAKER CHANGES] I yield. [SPEAKER CHANGES] The gentleman yields. [SPEAKER CHANGES] Representative Blust, I understand what you said. I know it does get tedious but my question to you during the conference report through your offices, did you decide to come up with a plan for they have started not to use the plan. Is there a plan? Is there a plan to discover? [SPEAKER CHANGES] Yes. The alternative plan and I had read some articles when this was before the floor earlier. If you’d read them, there are plans in there but the plans are going to require some federal action. This is not something the state can solve. This is not something that is a state issue. We’re mixed up in a Bill, there’s a federalism issue here. We’ve mixed up in a Bill that has been foisted upon this country and the Bill, and I don’t want to get into that here because that’s a whole another discussion but the Bill is fundamentally flawed and is not going to be able to last because of simple arithmetic given incentives in the perversion sentence created and the whole Bill is going to collapse on itself, it’s already starting. If you’d read about things like the lowest cost plan for a family it’s going to be twenty thousand dollars plus the cost estimates go up almost by the day. The number of people who’re going to be dumped from their private insurance is going up every day. And nobody wants to try to deal with this in a thoughtful manner. It’s just easier to say, ‘well, this is going to hurt the poor and you’re for the greedy’ and leave it at that. [SPEAKER CHANGES] Follow up. [SPEAKER CHANGES] I yield. [SPEAKER CHANGES] The gentleman yields. [SPEAKER CHANGES] I still have a question. Do you have a plan? [SPEAKER CHANGES] The plan is to stick to our ?? [SPEAKER CHANGES] The House will come to order. When a member is recognized to ask a question, the member will ask the question. The member will yield until the question is complete and then the member asking the question will not raise a follow-up question until the member has responded to the question. This is a gentleman of a follow-up question. [SPEAKER CHANGES] I do have a follow-up question. [SPEAKER CHANGES] This is the gentleman [SPEAKER CHANGES] And I yield. [SPEAKER CHANGES] My question is that is there a Bill number or something that we can see that there’s a concrete plan for the five hundred thousand people that are not going to have health insurance because of this. [SPEAKER CHANGES] Oh! Representative Brandon, no. The answer is no. [SPEAKER CHANGES] Thank you. [SPEAKER CHANGES] And there’s no implication in that answer because your figures are flawed. And that was another point I was going to make. You find these figures and make these, these claims that have no basis in the reality of what happens in the real world. Five hundred thousand, that’s one of the biggest flaws behind those who are up, who want the expansion. Five hundred thousand new people who aren’t covered now. And there’s been studies and it’s hard to get an accurate count from the studies. I’m sure there’ll be real world changes but the studies show are those five hundred thousand, probably more than half. Some say 80% are already covered by private insurance.

And they're just gonna simply be dumped onto Medicaid, a hundred percent of the payment which will be borrowed from future generations, instead of paid for as they are now, by employees or employers in the real world. So it's not doing this great service to humanity by expanding the roles of the uninsured. Those are inflated claims, designed, and I'll try to be politically astute here and not say scam artists or something like that, but they're designed to sell something that people wouldn't buy if they could calmly reflect on the facts. The same with these 23,000 jobs, it's based on flawed, Keynesian modeling, the same type that said the stimulus bill was gonna create all these jobs. So the great benefits aren't gonna be there, but the cost is, the cost to future generations is. It makes no sense to take people who are now privately insured, dump them onto Medicaid, which has its own internal problems, and borrow that money for future generations. Now one reason Medicaid is not as good a deal is, and what's gonna happen here we all know it, to fix Medicaid in the future, if we expand numbers on Medicaid, we're gonna end up cutting the reimbursement to the providers. That's gonna create an incentive on providers, some to drop out, from seeing Medicaid patients entirely, that doesn't help the poor, that doesn't comport with the Bible. They'll drop out of Medicaid, so the choices to current Medicaid recipients will shrink, then they'll be cost-shifting, cost-shifting was mentioned the other day. There's more cost-shifting from Medicaid than there are from uninsured. In Ohio in 2010, hospitals lost 1.1 billion on the uninsured, they lost 1.3 billion on Medicaid because the reimbursement rates are lower. So we're creating this continual spiral of perverse incentives that's gonna collapse the whole system, and it needs a rework. There's just a whole lot more reasons, some philosophical, about taking debt and putting it on future generations, but this is not a good idea, people who have expertise in state budgets are saying, are warning us, that the Medicaid expansion, the Medicaid we have now is on an unsustainable pace, we don't know how to deal with this situation now, it's not free money. Everyone in here knows, if you would admit it, that the federal government in the future, on a deficit reduction plan, is gonna change the reimbursement. So the idea this is free, federal manna from heaven is not, its not, its got no basis in reality, so we ought not to be basing policy on that. And I'm sorry, I'm not gonna apologize and I'm not gonna wear your tags and agree that yeah, I'm doing this because I'm bad and it's bad policy and I don't care about the poor. Care about the poor has done more to hurt the poor than anything I can think of, and like I was saying at first, some of this rhetoric needs to be left to your county conventions where the true believers are gonna lap this up, that those awful Republicans wanna help the rich, they, they wanna stick it to the poor, and we'll go to our county conventions in Lincoln days and say, those Democrats, they don't even understand the economy and they want all this to fail. And our true believers will lap that up and it's so easy to preach to the home crowd, but in here it does get tiring to get constantly accused of ill will and bad motives, and it doesn't stand up to cold, calculated, good analysis of what's going on because this expansion will not help the poor, it's just gonna increase the day when the whole health care system collapses. And I wonder if that's not the true aim of the whole law is to get these insurance companies out of business, go to a single payer. So there are good reasons to support this conference report and to not expand the Medicaid, and I urge your support for the bill, the, the conference report. [Speaker Changes] Ladies and Gentlemen of the house, we began this debate at 2:35. We debated this matter for two and a half hours the first day and on second reading and for 30 minutes the second day. The chair intends to take a vote on the conference report at 3:05, all members will be recognized to the extent the time is allowed, either with concurrence of the body or through motion, we will take a vote at 3:05. Representative Queen, please state your purpose. [Speaker Changes] My notebook was on my button, I

The gentleman's purpose was to turn off his light. Representative Collins, please state your purpose. [SPEAKER CHANGES] Speak on the conference report. [SPEAKER CHANGES] The gentleman is recognized to debate the motion. [SPEAKER CHANGES] Believe it or not, I do owe all of us in this house the favor, and I think the courtesy of reading whenever you put on my desk. So I read this thing today called conscience vs. politics. It's been referred to already in this meeting. But I notice that of those republican governors who accepted this Federal money, as I read this a little more closely, I found some other things other than just conscience in there. Florida governor Rick Scott, who's already been quoted, had this to say." With Federal funds covering the cost, I cannot in good conscience deny Floridians that need it to access healthcare." That's with Federal funds playing the cost. I noticed Governor Jan Brower, from Arizona, had a similar comment. She said, with this move, we will secure a Federal revenue stream. Even the article's author here, who I don't know, Dana Milbank, said states are deciding this deal is simply too good to pass up. It seems to me, the common thing among these republican governors who have agreed to this is not that is necessarily a great yet, but the body will confuse David Brooks with Sean Hannity, or Rush Limbaugh, or anyone like that. And this article is called Americans sacrificed the future for the president. And in here, he went on to say that when Europeans first came to this land, they were known for sacrificing the present for the future. They would put up with tough circumstances, and hew out their living [SPEAKER CHANGES] Representative Lucas, please state your purpose. [SPEAKER CHANGES] I wonder if representative Collins would yield for question. [SPEAKER CHANGES] I will as soon as I finish. [SPEAKER CHANGES] The gentlemen will yield at the end of his comments. [SPEAKER CHANGES] And it talked about how they would sacrifice the present for the future. And because of that, our government used to invest most of its money in future-oriented things that had long range effects like railroads and canals and things like that. But today, Mr. Brooks says, and I quote, today, Americans have inverted this way of thinking. Americans now sacrifice the future for the sake of the present. Federal spending is the most obvious example. The Federal government is a machine that takes money from future earners and spends it on health care for retirees. He goes on to say, and this is before Obamacare that for current obligations, that the Federal government already has, we're not talking about expanding anything, for the current obligations it already has, and I quote, according to the International Monetary Fund, again this is not some conservative think tank, young people will have to pay 35% more taxes and receive 35% fewer benefits. Now, I also know that when Medicare was first proposed, we were talking about the mid 1990s, it would cost a total of five trillion dollars. That cost wound up being 90 trillion dollars. Stay you take whatever Obamacare has been projected to cost through the years and multiply by a factor of 18. And my question is, when does enough become enough? When we tax our grandchildren 50% more, for 50% fewer benefits? When we tax them 75% more for 75 fewer benefits? When is it enough? To me, it's already enough. To me, it's way too much, and as I'm going to support this conference report, and I will answer any questions. [SPEAKER CHANGES] Representative Lucas, the gentleman may state his question. [SPEAKER CHANGES] Thank you, Mr. Speaker. Representive Collins, I listened to your rhetoric there. In light of your position, are you willing to lead the charge to refuse any Federal funding for highway I-540? [SPEAKER CHANGES] Representative Lukas, I wish I could unentangle all the ways in which the Federal government has got involved with our state, just like I wish I could unentangle the way our state has gotten involved with private enterprise. I was on a CON committee, and the document was probably two or three hundred pages, the laws that hospitals and providers have to go through to meet our government demands. If I could wave a magic wand, and do away with every bit of that, yes I would be able to. But unfortunately, we've got to peck away and deal with one issue at a time, and I wish we could do away with all Federal funding, but unfortunately they take a lot of money from us, and sometimes we have to get some of it back. So, I can't do away with it all in one broad brush. If I could, I would be happy to do that. [SPEAKER CHANGES] Second question. [SPEAKER CHANGES] Does the gentleman yield? [SPEAKER CHANGES] Sure. [SPEAKER CHANGES] Gentlemen yields. [SPEAKER CHANGES] Are you willing to vote no on receiving any funds from funding I-540? [SPEAKER CHANGES] I really don't know because I don't know anything about that issue, at this point. I'll have to be educated on that. I'm not sure if that's come before us or not. I don't like to form opinions on issues I don't have any knowledge about, and I don't have the knowledge about that issue. Thank you. [SPEAKER CHANGES] Representative Dollar, please state your purpose. [SPEAKER CHANGES] To see if Representative Lewis would yield for question. [SPEAKER CHANGES] Lucas? [SPEAKER CHANGES] Lucas. I apologize. [SPEAKER CHANGES] Representative Lucas, does the gentleman yield? [SPEAKER CHANGES] Happily. [SPEAKER CHANGES] The gentleman yields. [SPEAKER CHANGES] Thank you, representative Lucas. Let me just ask you a question following up on

you say. You are aware of course that Medicaid is an entitlement program, and the funds that you are talking about in terms of transportation funds or other education funds, those carry no entitlement with them. Are you aware of that? [SPEAKER CHANGES] Representative Dollar, I’m aware of that, but I’m also aware that all of these funds come from the federal government, and I keep hearing that the federal government is broke and that we shouldn’t take any and I agree that they are 16 trillion dollars in hole, but I also hear that we shouldn’t take certain phases, certain segments of this money, but we ought to take others, and my contingent is that if we feel that way, we ought not take any money if we want to get them out of the hole. [SPEAKER CHANGES] Follow-up. [SPEAKER CHANGES] Does the gentleman yield? [SPEAKER CHANGES] I do. [SPEAKER CHANGES] The gentleman yields. [SPEAKER CHANGES] So you are aware then that if you take on these additional people, you are taking on, and unlike transportation funds, unlike education and all these other funds that we receive from the federal government, you are taking on an obligation for an entitlement that means that whenever that individual comes into contact with a service of some sort that is in your state plan, you are obligated to pay those moneys and to pay those bills whether the state has the money or not and whether the federal government is covering the full cost or not. You’re aware of that? [SPEAKER CHANGES] I am aware of that, and I also am aware that we don’t have the state money to match any of the highway funds, although I agree that we ought to be building those, but I place a difference, to me there’s a difference between human lives and tangible objects like highways. [SPEAKER CHANGES] Representative Glazier, please state your purpose. [SPEAKER CHANGES] To debate the motion briefly, Mr. Speaker. [SPEAKER CHANGES] The gentleman is recognized to debate the motion. [SPEAKER CHANGES] Thank you very much, Mr. Speaker. Just three quick points, one of them a new point that just came across the media a few minutes ago. I appreciate Representative Jean Farmer-Butterfield’s pointing out seven governors, but there’s now an eighth. Governor Christie has just announced that he’ll become the latest governor to accept the Medicaid money, changing and reversing his decision earlier. Second point, Representative Blust is correct I think that about the 500 thousand, it’s really not 500 thousand; it’s 625 thousand over three years, according to the Institute of Medicine, that would be covered. Third point, the argument that the federal government may not keep the money coming I think is a good one. I think this easily was addressed in one of the amendments and the process we talked about, but to say that we can’t cover someone in perpetuity is a reason not to cover them now I think is not a valid argument, and finally, for me at least, the continuing debate on the floor that attacks the Affordable Care Act ideologically, or supports it as the greatest thing since sliced bread [AUDIO CUTS OUT FROM 3:00 – 3:18] and I would hope that the majority is true in its word that it is going to try to fix the ?? so that we can come back to the real issue of covering these people and reconsider this issue at a later date if it’s not able to be passed today. For all the reasons that everyone else has spoken, I absolutely oppose the conference report and think the wrong policy choice is being made, but hope [AUDIO CUTS OUT FROM 3:49 – 4:02] [SPEAKER CHANGES] Thank you, Mr. Speaker. Just to speak briefly on the conference report. [SPEAKER CHANGES] The lady is recognized to debate the motion. [SPEAKER CHANGES] Thank you Mr. Speaker, ladies and gentlemen of the House. I know we’ve had this, and I’ve read some of the article. I don’t feel any better about it today than I did then, but then I’ve read some of the articles that have been put before us, and I think the one that impresses me the most is the one that was presented by the [AUDIO SKIPS] … least of these, you do it unto me. It reminds us of what the Bible says that if you do it unto the least of these, you do it unto me. He reminds us of that, that the weak and the vulnerable [AUDIO SKIPS] … from your districts left behind, and I’m sure that many of you have had folk from your district to come and talk to you as this bill has been passed out.

and many of these providers were really counting on this Medicaid expansion to not only help with new people but with the current people that they serve. I was to help to support them that they some of those, because they cannot continue to put forth the dollars to help the support them that they too will go without insurance. So, again, I would just remind us to have some compassion for people who don't have the health insurance that you have. For the least of these. And take your lessons from the bible, who teaches us to do the right thing. Vote against this conference report. [SPEAKER CHANGES] Ladies and gentleman of the house, the chair, the, and no others, the chair will recognize - the body will take a vote. [SPEAKER CHANGES] Representative Ensco please state your purpose. [SPEAKER CHANGES] Thank you Mr. Speaker, just to speak briefly on the motion. [SPEAKER CHANGES] The lady is recognized to debate the motion a 2nd time. [SPEAKER CHANGES] Thank you. Mainly what I want to do is to make a correction about the issue whether these people are actually insured or uninsured. These actually are currently uninsured people. There are studies done, the national census data, the Kaiser family foundation, Families US, our own institute of medicine established that number. I believe that the issue that was raised before about how 80% of these people would be currently insured people is just not, that is not, that is a reference to a national study. I think if you've read it at all, the data from the national study do not apply to North Carolina. You have to use North Carolina data because of our, because Medicaid eligibility is so low. People who will be covered under the expansion are currently not enrolled. So we will be , those really are uninsured people who now need our help. They need our compassion. And I hope that you will take the time to make it right. Thank you. [SPEAKER CHANGES] The question before the house is the adoption of the conference report for Senate Bill 4 all those in favor will vote aye all those opposed vote no, the clerk will open the vote. The clerk will have the machine record the vote. 74 having voted affirmative and 40 in the negative the conference report has been adopted and the Senate will be so notified. [SPEAKER CHANGES] Mr. Speaker. [SPEAKER CHANGES] Representative Tim Moore please state your purpose. [SPEAKER CHANGES] For a motion pertaining to today's calendar. [SPEAKER CHANGES] The gentleman is recognized for a motion. [SPEAKER CHANGES] Mr. Speaker, I move that House Joint Resolution 138 short title is a joint resolution setting the date for the house of Representative to elect members to the state board of community colleges, that resolution be added to today's calendar to the 36 b and in support of the same would just point out to members that this is a time sensitive measure that establishes the election date so we just want to get this over to the senate. [SPEAKER CHANGES] Without objection. [SPEAKER CHANGES] And, 2nd motion pertaining today's calendar, House Bill 5, which is the Senate Committee sub temporary funding group homes and SCU this is the group home fix. Members, I would ask that that bill also be added to today's calendar for consideration. [SPEAKER CHANGES] Without objection. So ordered. House Bill 5 the clerk will read. [SPEAKER CHANGES] Senate Committee Substitute for House Bill 5, a bill has been filed and enacted requiring the department of Health and Human Services to provide temporary short term financial assistance to group homes serving residents determined not to be eligible for Medicaid coverage. Covered personal care services as a result of changes to the eligibility criteria that became effective on January 1 2013, a special care unit serving residents who qualify for Medicaid covered personal care. Services on or after January 1 2013. General Assembly of North Carolina enacts. [SPEAKER CHANGES] Representative Dollar is recognized for a motion and to debate the motion. [SPEAKER CHANGES] Thank you Mr. Speaker, members of the house, I move that we do concur with the Senate Committee Substitute for House Bill 5. This is the group home bill.

him. this bill is is you recall how we pass this bill very early in the session. it allows group times when the times being about individuals were developmentally disabled or mentally ill to be able to access those temporary funds that we recreated last year to get those facilities open while we are working on a longer term solution to a number of issues that are that are going on with our long-term care industry. in addition what the Senate added was a piece that several people have asked about, but that we were still working on wedding when it left the house and that was taking care of what are called the special care units. those are the Alzheimer's units in those instances, individuals were still qualifying for the most part for the Medicaid optional services, personal care services. however away the right structure was was having an impact on their financial situation of financial situation of these the Alzheimer's unit special care units of the Senate. we worked on the language the Senate added that language. so now we are dealing with the we got a bill, but it addresses both of those issues through the end of June and we hope to certainly have legislation following July first to address those issues in the adult care homes and in the group home 's long-term be happy to answer any questions and would appreciate your support. [SPEAKER CHANGES] further discussion further, if not a question before the house 's concurrence of the Senate committee substitute for House Bill five. All in favor vote aye. All opposed vote no. The clerk will open the vote. The clerk will let the machine record the vote washing record about one hundred and thirteen, adding that an affirmative and not a negative. the house has concurred in Senate committee substitute for House Bill Bob Bilby ordered enrolled and since of the governor, outgoing, thirty four, [SPEAKER CHANGES] Tori has strong resolution one thirty eighty joint resolution setting the date of the House of Representatives and the Senate didn't like members to the state board of community colleges that offer salsas in a concurring observed on simply such a purpose. see resolution delays recognize the right resolution phase and gentlemen, [SPEAKER CHANGES] this is a joint resolution making us to hear to the law and said they see that led members of the same board as a community college that date is set for March twenty oh nine and if February story ringtones. the Senate should have your forms electronically thirsty and to prevent [SPEAKER CHANGES] further discussion further debate thread about it, not a question or dialysis. the passage of House joint resolution one thirty eight on its second All in favor vote aye. All opposed vote no. The clerk will open the vote. The clerk will let the machine record the vote watching recorded about one hundred and fourteen having an affirmative and not in the negative outlook resolution one thirty eight is passed second reading without objection. we rather to have resolved Senate concurring further discussion from to back if not question before the house is the passage of House joint resolution one thirty eight on its third reading on paper All in favor vote aye. All opposed vote no. The clerk will open the vote. The clerk will let the machine record the vote a house to resolution one thirty eight as its third reading will be sent to the Senate by special messenger was dumb or` out of the bottle. I encountered today. house Bill thirty seven McCorkle rate based on super House Bill thirty seven building type. an act authorizing Cleveland County to convey certain described property by gift private sale or long term lease. Johnson of North Carolina. next is an amazing place that your purpose is to figure just to explain the bill, and it's exactly as was just don't not masturbate about and act author is an act authorizing Cleveland County to convey certain described property by gift or private sale, or long-term lease and request [SPEAKER CHANGES] further discussion further. tonight is not a question White House is the passage of the house may substitute for house of thirty seven

All those in favor will say aye. All opposed say no. The ayes have it. The house committee substitute for house bill 37 has passed its second reading without objection will be read a third time. [SPEAKER CHANGES] The general assembly of North Carolina enacts. [SPEAKER CHANGES] Further discussion, further debate. If not, the question before the house is the passage of the house committee substitute for house bill 37 on its third reading. All in favor say aye. All opposed say no. The ayes have it. The house committee substitute for house bill 37 has passed its third reading and will be sent to the senate. Ladies and gentle men of the house this concludes the calendar for today. Couple of things I would remind you of. The ethics training that occurs immediately after session today. Make every attempt to be there. The makeup will be on March the 5th. It would be great not to have a reason to have a makeup. The chair would also, just for your planning purposes; I’ve been advised by the rules chair that there is a possibility we may not have to have session on Thursday. There is at least one matter that we’re working on or at least have a skeleton session so for now you should still plan on 1 pm but that will be dependent upon other matters that we’re trying to sort out. Frankly it’s probably more likely than not we will have to have one for other reasons not the least of which we will have a number of teachers in chambers between 11 and 1 that day. Notices and announcements. Representative Saine please state your purpose. [SPEAKER CHANGES] Announcement. [SPEAKER CHANGES] The gentleman is recognized for an announcement. [SPEAKER CHANGES] Mr. Speaker, thank you. I just want to remind everyone that the North Carolina Technology Association will have a breakfast in the morning at 7:30 am in the legislative cafeteria. [SPEAKER CHANGES] Representative Catlin please state your purpose. [SPEAKER CHANGES] For an announcement. [SPEAKER CHANGES] Gentleman is recognized. [SPEAKER CHANGES] I want to remind the republican freshman that we’re going to have a workshop in LOB605 15 minutes after today’s session. Then on March the 5th in LOB544 you’ll have your ethics training. [SPEAKER CHANGES] Representative Blust please state your purpose. [SPEAKER CHANGES] Announcement. [SPEAKER CHANGES] Gentleman is recognized. [SPEAKER CHANGES] Judiciary A meeting for tomorrow is being cancelled. The senate has taken up the bill that we were going to do on the calendar tomorrow and we will just let our cohorts across the hall run with it first. Thank you. [SPEAKER CHANGES] Representative Murry please state your purpose. [SPEAKER CHANGES] For an announcement. [SPEAKER CHANGES] Gentleman is recognized. [SPEAKER CHANGES] The full house commerce committee will meet tomorrow at 10 am to take up senate bill 10. Notice will be sent by email. [SPEAKER CHANGES] Representative Murry, gentlemen expect that the bill summary for that bill will be available this evening? [SPEAKER CHANGES] That is my expectation. [SPEAKER CHANGES] Representative Howard please state your purpose. [SPEAKER CHANGES] Make an announcement. [SPEAKER CHANGES] Lady is recognized for an announcement. [SPEAKER CHANGES] Thank you Mr. Speaker. House finance will meet in the morning at 8:30 in Room 544. [SPEAKER CHANGES] Representative Burr please state your purpose. [SPEAKER CHANGES] Point of personal privilege. [SPEAKER CHANGES] The gentleman is recognized for point of personal privilege for a period of three minutes. [SPEAKER CHANGES] Thank you [SPEAKER CHANGES] House will come to order. [SPEAKER CHANGES] Thank you Mr. Speaker. I just want to let members know how sorry I am to tell you that this morning former Representative Bobby Harold Barbee that served in this chamber for 18 years passed away and I would just ask that you keep his family in your prayers at this time. Thank you [SPEAKER CHANGES] Representative Collins please state your purpose. [SPEAKER CHANGES] An announcement. [SPEAKER CHANGES] Then gentleman is recognized. [SPEAKER CHANGES] The state personnel committee will meet tomorrow at noon in Room 544. We have no bills to take up but the fiscal research department and representatives from the state treasury will be giving a presentation regarding the state retirement plans that we operate. [SPEAKER CHANGES] Representative Shepard please state your purpose. [SPEAKER CHANGES] Speaking on matter of personal. [SPEAKER CHANGES] The gentleman is recognized for point of personal privilege. [SPEAKER CHANGES] Why thank you all the guys that came out on behalf of our basketball pitch last night to play basketball. I think we had about 20 out there but if there’s been any misunderstanding, if you see a bruise on the speaker’s forehead it came from me so don’t blame it on anyone else. [SPEAKER CHANGES] Further notices and announcements. Representative Moore is recognized. [SPEAKER CHANGES] Mr. Speaker I move that subject to the re-referral of bills and resolutions that the house do now adjourn to reconvene on February 27, 2013 at 2 o’clock pm. [SPEAKER CHANGES] Representative Moore moves, seconded by Representative Robert Brawley and subject to re-referral bills and resolutions that the house denied during the reconvene on Wednesday February 17th at 2 pm. All in favor say aye. All opposed say no. The ayes have it, the house stands adjourned.

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