THE WHITE HOUSE
Office of the Press Secretary

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For Immediate Release

February 23, 1999

REMARKS BY THE PRESIDENT
AND THE FIRST LADY AT
CHILDREN'S HEALTH OUTREACH EVENT

The East Room


2:40 P.M. EST

MRS. CLINTON: Good afternoon. Thank you, please be seated. We are delighted to welcome you to the White House, to be part of this very exciting announcement and program. We have a number -- well, actually, everyone here is a distinguished guest, and we have a number of members of Congress, representatives of many businesses and not-for-profit organizations. We're pleased to have representatives of the states, both governors, governors' spouses and staff from the National Governors Association.

This has been an extraordinary effort that has brought together literally every part of America. And I'm honored to join the President and all of you as together we take another important step forward in our efforts to make quality health care a reality for all of America's children.

The progress we've already made would not have been possible without many of you here in this room. I want to thank the Secretary of HHS, Secretary Donna Shalala, for her tireless leadership. I want to thank the two governors who are here with us on the stage, Governor Leavitt and Governor Carper, for making health care a bipartisan effort. And I'm particularly pleased to see a number of congressional leaders -- some are en route and I believe the President will recognize everyone who is eventually here; but I know that Senator Hatch is here and Representative Sheila Jackson Lee is here and others, I'm told, are coming.

I'm also delighted that this effort has brought together advocates and business leaders in one common goal: to try to make sure that all of our children have the health care that they need.

I would like especially to acknowledge the health care advocates, the community leaders, the education groups, the business leaders, the not-for-profits, and especially the work of our religious groups, like Catholic Charities, who are doing such valuable work on behalf of children's health issues today.

Nothing better explains why we are here than the story of a woman I just met. Mary Smith is here with her two sons, Samuel Jr. and Thomas. And the Smith family really represent millions and millions of American families. Mary and her husband have both been working, but their employers either didn't provide health care coverage, or offered them private coverage they could not afford. So for three long and wearisome years their children had no health insurance. And every single day -- particularly in the afternoons, when she knew her sons were out playing sports -- Mary felt, in her words, that she was walking on eggshells, hoping and praying that nothing would happen to her boys.

Now, every parent can imagine how Mary and her husband felt. When our children are sick or hurt, the last thing we should have to worry about is whether we will have the financial resources to take care of their pain, to heal their wounds, lower their fevers, put them back on their feet.

Yet, as shocking as it may sound, almost 11 million children in America have no health insurance. Thanks to you, and with the support of the President, who made it a priority, and a bipartisan majority in Congress, that situation began to change on August 5, 1997, when the President signed into law the largest expansion in health care in over 30 years. That day, our nation committed $24 billion to insure millions of uninsured children, and their parents, through a federal-state partnership. Today, more of America's families, including Mary's, are breathing easier because their children are covered under the Children's Health Insurance Program, known as CHIP.

Creating CHIP was the critical first step in ensuring that our children receive the health care they need, from check-ups to immunizations to complicated surgery. But we recognized that fulfilling the promise of this legislation would not be done when the President signed it -- in fact, that would just be the beginning of the hard work to make sure it could be implemented.

At least half of all uninsured children are eligible for federal-state health insurance programs, but too often their parents don't know or don't believe they qualify. As successful, for example, as Medicaid has been, an estimated 4 million eligible children are still not enrolled. Millions of others, like Mary's sons, have working parents and didn't know where to turn for health insurance. Sometimes people lose their coverage when a parent loses a job; sometimes the long, complicated forms just really seem too much for any family to face.

So over the past year we've carried on a sustained outreach effort in communities nationwide to help educate families about CHIP. And I'm very grateful for the work that all of you have done. I'd like to describe a particularly successful effort.

Last November, Chicago's public schools launched an aggressive, school-based outreach campaign aimed at the estimated 170,000 students who were eligible but not enrolled in the Illinois KidCare program. First they sent out enrollment information to every family who had children in the city's public schools. Then, on the day that Chicago requires parents to come to school which I think is a very good idea -- to pick up their child's report card, volunteers were on hand to help eligible parents fill out the forms to get their children enrolled.

Everyone was involved, from teachers to social workers to counselors; from private corporations to advocacy groups. And they also had advertisements that were public service, on the media and the TV and the radio, translated into five different languages, including Cantonese and Arabic. And the result of this concerted campaign? About 14,000 children in Chicago applied for KidCare during that time period. And I know Paul Vallas, who is the CEO of Chicago's public schools, is here with us, and I want to congratulate him for creating such a model program.

This Chicago program shows what we can do when we work together, and when we really reach out to families and children, to make good on the promise that the President signed into law in August of 1997. There isn't any more important mission than ensuring that every parent has the peace of mind that Mary now has, to know her children are insured, and has the resources to back up that peace of mind.

I want to ask Mary and her sons to stand, so that we can acknowledge you. And I know teenage boys hate this so -- (laughter) -- we'll do it really quickly, Samuel and Thomas, but I want to acknowledge the family. (Applause.)

THE PRESIDENT: Thank you very much. Let me begin by saying how very much I appreciate all of you here who are a part of this historic day. I thank my longtime friend, Governor Carper, for his generous remarks and his great stories. He almost broke my concentration, though. I'll spend the rest of the day trying to remember what my first answer was to whether there was a noise when a tree falls in the forest. (Laughter.)

I thank you, Governor Leavitt, for your outstanding leadership, and your concern for our children. I'd like to, again, acknowledge the presence of Governor Angus King of Maine and Mary Herman; Governor and Mrs. Knowles of Alaska; Governor Vilsack of Iowa; Mrs. Rossello from Puerto Rico; Mrs. Underwood from West Virginia. And I thank all the members of the Governors' Conference who are here.

There's one private citizen here I would like to acknowledge, and that is Bud Chiles, the son of the late Governor Lawton Chiles of Florida, who has been very active in this endeavor, as well. I thank him. (Applause.)

We have a distinguished bipartisan delegation from the United States Congress here. Senator Hatch, here supporting his governor from Utah; Senator Specter from Pennsylvania; Congresswoman Diana DeGette from Colorado; Congresswoman Anna Eshoo from Northern California; Congresswoman Sheila Jackson Lee from Texas; Congressman Bart Stupak from the upper peninsula of Michigan. He is the only person in the room who thinks it is warm outside today. (Laughter.)

I'd also like to thank the Smith family for coming, and I hope the boys weren't too embarrassed to stand up. They look very healthy to me, and that's reassuring. (Laughter.) And I'd like to thank these beautiful children for being here -- over here, and their families. When you think about what this is all about, just kind of look over there.

I want to thank the National Governors Association. I want to thank Secretary Shalala, who is indefatigable. If I ask her to do something, sooner or later I will come to regret it. (Laughter.) Because she will do it, and I will wind up doing whatever it is I'm supposed to do to make sure it gets done. She is not only the longest-serving person in her position ever, she is also the most energetic; and that is no disrespect to her predecessors. I have never known anybody with as much energy as she has -- (applause) -- with the possible exception of her mother, who I understand is still winning tennis tournaments in her 80s. (Laughter.)

I'd also like to thank the First Lady, without whom I probably would not know very much about these issues. When I met her in 1971, she was already obsessed with them. She took an extra year when we were in law school to work at the Yale Child Studies Center and the Yale University Hospital so that she could put her legal learning to work to help the health of our children.

When you talked about our home state having 38,000 people signed up, we have less than one percent of the population. That means if everybody was doing that well, we'd already have 4 million kids signed up for this program, and that is in no small measure due to a group called The Arkansas Advocates for Families and Children, which Hillary founded over 20 years ago now. So I thank her for all that she has done. (Applause.)

When the Congress passed the bipartisan balanced budget in 1997, it was a truly historic act, and most of the publicity that surrounded that endeavor came from the sheer relief the country felt that finally we had done something about the deficit. But it's important to point out that there were a lot of very important provisions within that very large law, but none more important than the $24 billion allocated to provide health insurance. We estimated at that time -- to up to 5 million kids, which we estimated were at that time about half the uninsured children in our country.

It is inconceivable that a country with as much economic prosperity as we now enjoy, and the best health care system in the world, would leave 10 million -- now nearly 11 million -- children without health insurance. We know many of them are eligible for Medicaid, but their parents don't know it. We know there are a lot of hard working families now whose incomes are too high to qualify for Medicaid, but they apply, or qualify, for the Children's Health Insurance Programs now that the states are operating around the country. But they don't know it.

Now, we knew when we signed this law into effect -- I'll never forget Donna Shalala telling us, you know, we can pass this law, but we've already got -- at that time -- over 3 million kids eligible for Medicaid who don't sign up and don't know it. So we knew then that, to make the tree heard in the forest, to extend the governor's metaphor -- to make the health insurance program more than an empty promise, we'd have to somehow get the word out to parents.

Last week -- you've heard all these stories -- last week, I had an incredible experience at a health care forum in New Hampshire. I met a woman named Christine Monteiro, who has run a small business with her husband -- a solar energy business -- for 11 years. And, like all small businesses, she had her ups and her downs. But the hardest times came when her kids needed health care and they couldn't afford the health insurance.

She found out about it the way we don't want people to have to find out about it -- even though better that she found about it than not. She had to take repeated visits to the doctor, with her child. And finally, a health care worker at the medical clinic told her that she might be eligible for New Hampshire's CHIP program. She applied immediately and found that her daughter's visits were all covered and she saved up to $1,000 a month for a very serious illness for her child.

Christine and her family were lucky. Not everybody, even who would come into a medical facility, might know. This should not be a matter of luck. We're here because all of us, in our various roles in life, recognize that we have an obligation to use every possible tool, every possible response, to reach more of the hard working families like those you've heard about and seen today.

Government has a role to play; Secretary Shalala talked about it. Our national campaign is called "Insure Kids Now." We've already heard about the remarkable National Governors Association effort, working with our administration and Bell Atlantic. The national toll-free number -- I'm going to say it again -- I like to say toll-free numbers, you know, there's some chance it'll get on television if I say it. (Laughter.) One of the few things I can think of to say that is subject to absolutely no controversy. (Laughter.) I could stand up here for 10 minutes and just repeat the toll-free number. I'll say it again: 1-877-KIDSNOW. Not hard to remember and important not to forget.

As you've heard, because of the work of the NGA, you can get state-specific information. Because when the Congress set this program up in the Balanced Budget Act, and we strongly supported this, we realize we couldn't possibly design a program in Washington that would cover all the different circumstances that existed from state to state. So all these programs were set up and then approved state by state. So this is very, very important that we get this information out to people in the form in which it is most usable. And again, I want to thank Governors Carper and Leavitt for their leadership in this critical past year, and all the other governors for their support.

Secretary Shalala told you about some of the things we're doing at the federal level to reach more uninsured children. But let's be frank: to reach them all -- to reach them all -- everyone who can touch the life of a child or the child's parents needs to be involved in this effort.

Today, we're here to announce an unprecedented commitment, from media to business, from the health care industry to grass-roots organizations, all over our nation, to inform families of these new health insurance options. We begin with an all-out media campaign to reach as many families as possible. NBC is unveiling a new prime-time PSA to raise awareness about Children's Health Insurance Program. Epatha Merkerson, one of the stars of NBC's "Law and Order," who appears in the PSA, is here with us today. Thank you very much for being here. (Applause.)

ABC and Viacom/Paramount will soon begin airing a PSA the First Lady made to inform families about the Insure Kids Now toll-free number. They have representatives here, I thank them. The National Association of Broadcasters will make the First Lady's PSA available to all of its member stations. Black Entertainment Television and Turner Broadcasting will also run the ad.

Before I go forward, I would just like to unveil the two PSAs here, for the first time. Let's take a look at them.

(The PSAs were played.) (Applause.)

I'd also like to thank the representatives from Univision here. They will run a PSA in Spanish, made by HHS.

And we're not stopping there. Major corporations, from K-Mart and Ralph's Grocery to McDonald's, to General Motors; from the American Medical Response to Blue Cross/Blue Shield Association, to Pfizer, all of whom are represented here. It will help make sure that the Insure Kids Now toll-free number appears on grocery bags and restaurant place mats, on school buses and in doctors' offices. Even on the toothbrushes that dental hygienists give their patients.

And with the help of organizations like America's Promise, the United Way and a host of community-based groups, families will hear about health insurance from the people they trust the most -- from teachers and principals, doctors and nurses, rabbis and ministers. Ultimately, of course, parents must take responsibility for their children's health. Our message must be: what you don't know about your children's health insurance options can hurt them.

It's up to you to find out if your child is eligible for this health insurance. So call the toll-free number: 1-887-KIDSNOW. Working together, we can reach those kids. Look at those kids there. There's over 10 million of them. They deserve to be as healthy as we feel today. And we can do it for them.

Thank you and God bless you. (Applause.)

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