Speech #940060338

I introduce. on behalf of myself and Senator STONE. a bill to amend part B of the medicare programsupplementary medical insurance benefits for aged and disabled. This legislation is similar in intent to amendments I offered during consideration of the Supplementary Security Income Act of 1972 that were enacted into law. The purpose of this measure is to extend eligibility for participation in medicare part B to elderly Cuban refugees and other similarly situated persons. The part B voluntary insurance program provides medical insurance benefits for aged and disabled individuals. Those who elect to enroll may receive benefit payments for home health services. some physician services. diagnostic tests. radiological and pathological services and outpatient physical therapy services. This program is financed from premium payments by those enrolled together with contributions from Federal funds. The present statute limits eligibility to a resident of the United States who has attained the age 65 and is either a citizen or an alien admitted for permanent residence who has resided in the United States for the preceding 5 years. What is proposed is to broaden eligibility to cover aliens who are residing in the United States under color of law. to include those present in this country as a result of the application of the provisions of section 203(a) (7) or section 212 (d) (5) of the Immigration and Nationality Act. Our past actions have made clear the Federal responsibility for those who escaped from Cuba and their eligibility to participate in various Federal programs of assistance. There is no logical basis to exclude these refugees from participation in the voluntary insurance program. Ir fact the U.S. district court has held that the plans current 5year durationalresidency requirement did not meet the rational basis test necessary to accord with fundamental equal protection and due process notions. I think it is important and necessary that the Congress clarify this question and assure that these elderly members of our society will be able to secure the benefits offered under the voluntary insurance program.