To: Mick Mørmøny who wrote (4336 ) 7/14/1998 10:55:00 PM From: Anthony Wong Read Replies (1) | Respond to of 9523
House Panel Votes To Block Medicaid From Paying For Viagra For Poor July 14, 1998 10:52 PM By David Rogers, Staff Reporter of The Wall Street Journal WASHINGTON -- The House Appropriations Committee on Tuesday voted to overturn a recent Clinton administration order directing states to make Viagra available to low-income Medicaid patients. States can pay for Pfizer Inc.'s new impotence drug with their own money, but lawmakers made clear they want no federal pressure to buy it. They are leery of using federal funds on Viagra as well. In a series of votes, the committee first adopted a flat ban on any federal reimbursements for Viagra for Medicaid patients. An exemption was later made for "post surgical" cases such as in prostate cancer. But at a time of budget cuts in programs for the poor, the message from President Clinton's own party was that there are better ways to commit resources. "If we have to choose where we put precious money, higher priorities exist," said Democratic Rep. David Obey of Wisconsin. The Viagra provision was added to a $290.1 billion spending bill that has become a symbol of how last year's balanced-budget agreement has forced just such choices on lawmakers. Fuel-assistance and summer-job programs for the poor face deep cuts to pay for higher spending for the National Institutes of Health. As much as $100 million of any savings from the Viagra provisions would be redirected to finance a new mentalhealth program to help school districts serve children with emotional disorders. The underlying bill, funding the departments of Labor, Education, and Health and Human Services, was one of four spending measures in play Tuesday on Capitol Hill. With the new fiscal year beginning Oct. 1, and the fall elections a month later, the annual appropriations process is in full throttle, and is everyone's testing ground for political issues. Viagra is just one example. The Appropriations Committee also approved new health warnings on cigarettes. Anticipating the coming debate on patients' rights, the committee narrowly voted to require health plans to make it easier for women to choose obstetrician-gynecologists for their primary physicians. The vote came as Wisconsin, New York and perhaps other states were considering defying the administration's order to cover Viagra, arguing that it would be risky for patients and costly for taxpayers. Medicaid is financed by the federal and state governments.