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Jacobs, Andrew, Jr.
PHOTOCOPY
PRESERVATION
THE WHITE HOUSE
WASHINGTON
January 30, 1996
The Honorable Andy Jacobs, Jr.
U.S. House of Representatives
Washington, D.C. 20515
Dear Congressman Jacobs:
Thank you for your letter about medical savings accounts
(MSAs). The Administration continues to have concerns about MSAs
in Medicare, as I know you do, as well as in the private health
insurance market. We believe that MSAs will create opportunities
for adverse selection because only "good risks" -- people who do
not anticipate spending too much on health care and who can
afford to pay for most of their health expenses out of pocket --
will chose MSAs. We also still believe that people in MSAs will
have less incentive to seek preventive health care. While the
Administration wholeheartedly supports your efforts to make
health care more affordable for American families, we think that
it would be wise to move cautiously in this area.
I have shared your letter with staff at the Treasury
Department. Eric Toder, Deputy Assistant Secretary (Tax
Analysis), can be reached at 622-0120 and would be happy to talk
with your staff about the Treasury Department's substantive and
administrative concerns as well as about ways to address them.
Sincerely yours,
Hillary Hillary Rodham Clinton
CONGRESS
of the
United States of America
Ways and Means Committee
Andy Jacobs, Jr.
December 19, 1995
Ms. Hillary Rodham Clinton
The White House
Washington, D.C. 20500
Dear Ms. Clinton:
I hope the Administration can see its way clear to
accepting the Medical Savings Account proposal as it
applies to those in the work force.
I myself opposed application of the idea to
Medicare.
When you testified before Ways and Means you said
you were concerned about the possibility that the
Savings Accounts would be disincentives for medical
attention when needed. Of course we already know that
there is enormous incentive in the third party payer
system for overutilization.
I think the answer to your concern is that the
Medical Savings Account legislation before Congress
does not allow withdrawal from the accounts at the end
of each year. One must wait until age sixty-five.
I think that is the happy medium between
disincentive to be frugal and obtaining medical care
and disincentive from being prudent and obtaining such
medical care when it is commonly indicated.
I presume to enclose a so-called Dear Colleague
letter I sent out awhile back.
Thank you for your kind attention.
Sincerely,
ANDY JACOBS, JR.
AJ/tr
Enclosure
2313 Rayburn Building
46 East Ohio Street, Room 441-A
Washington, D.C. 20515-1410
Indianapolis, Indiana 46204-1982
THE ROAD TO PEACE IS PAVED WITH JUSTICE
CONGRESS
of the
United States of America
April 12, 1994
MEDICAL COST CONTAINMENT DREAM BILL
If you look up the term, "DREAM BILL", here's what you ought to find.
Noun. Singular. 1. A bill which effectively brings human nature
to bear on the vexing problem of medical cost containment without
costing the U.S. Treasury a penny or any other amount. 2. A bill
which is enthusiastically supported by conservative Bill Archer (R)
and parsimonious progressive Andy Jacobs (D).
Mr. Pat Rooney of Indiana has come up with a crackerjack idea which is
neither liberal or conservative, just big time common sense.
Here's how it works:
The employer who spends and deducts, say $4,500 per year per employee for
family health insurance, would be given the option of using about 35% of the
deductible expenditure each year to buy for each employee a catastrophic health
insurance policy which kicks in above $3,000 of medical expense. Such policies
at this average price are not myths. They are being sold by real companies and
are paying real claims today.
The other 65% of deductible medical insurance expenditure per employee, or
$3,000 would then be placed in a medical account for each employee to draw from
during the year for the purpose of routine family medical expenses.
If the employee spends less than $3,000 each year, the remainder goes into
that employee's personal IRA. In other words, the employee has incentive to give
some thought to whether he or she will utilize the medical system on the one hand
or put it into his or her individual retirement account on the other. And the
employee's individual account is portable from job to job (50% of the 30-some
million medically uninsured are uninsured for 4 months or less).
Right now with third party payers (insurance) an employee is pretty much in
a what-the-heck position of, "why not go to the doctor with this sniffle or hang
nail. It's no skin off me."
Multiply that employee's logical decision by millions and you have a mighty
force of human nature reducing unnecessary demand for expensive medical services.
And under any reasonable reckoning from the principle of supply and demand,
prices should fall.
What if the employee's family medical expenditure exceeds $3,000 in a year?
NO PROBLEM. The average $3,000 deductible, catastrophic policy takes hold and
pays all the way up to $1 million.
Mr. Rooney has done his country a significant service. He has cut through
the middle of complicated bureaucratic formulas aimed at imposing medical cost
containment and he has come up with a solution to be naturally administered "by
the people" and it is very much "for the people". Rather Lincolnesque.
This bill (H.R. 3065) is not controversial. It is not in conflict with
various insurance reform proposals. It stands on its own and speaks for itself.
Here's an example: A sample of small employers from New Orleans to Grand
Rapids, Michigan, switched to insurance plans that cover all family medical
expenses above $2,000. By switching, they generated premium savings of $2,166
per family, more than enough to create a Medical Savings Account for each family.
The problem, is under the present law, the Medical Savings Account is taxable
income, but paying the same money for insurance is tax-free. Our incentives are
going the wrong way.
If you would like to join Bill Archer, Bob Torricelli, Jim Inhofe, Bill
Lipinski and Glenn Poshard, please call De Ray Elder at x54011 to co-sponsor.
PHOTOCOPY
ANDY JACOBS, JR.
PRESERVATION
house of Representatives
ashington, DC 20515
June 11, 1995
PHOTOCOPY
PRESERVATION
THE ARCHER-JACOBS
FAMILY MEDICAL SAVINGS AND INVESTMENT ACT
Dear Colleague:
Tomorrow we will introduce the Family Medical Savings and Investment Act.
Because of the overwhelming number of inquiries regarding this legislation, we
thought you might be interested in a summary of the bill.
Deductible contributions to MSAs
o A deductible contribution could be made to an MSA for any month in which the
individual is covered by a catastrophic health plan
o A catastrophic plan is one that has a deductible amount of at least $1,800
for an individual or $3,600 for a family
o The maximum annual deductible contribution would be the sum of the following
amounts determined separately for each month: 1/12 of the lesser of $2,500
($5,000 for families) or the deductible under the catastrophic health plan for
each month in which the individual (and family if a group plan) is eligible for
that month
o After 1995, dollar limits would be indexed for increases in the medical care
component of the consumer price index (CPI)
Employer contributions to a MSA
o Such contributions, to a MSA on behalf of an individual, would be excludable
from gross income and wages for employment tax purposes
o The amount excludable could not exceed the deduction limit applicable to the
individual (determined without regard to the employer contributions)
Definition and tax treatment of MSAs
o A MSA would be a trust created exclusively for the purpose of paying
qualified medical expenses (QMEs) of the MSA holder and his or her family
o The trustee could be a bank, insurance company, or other person that
certified by the Secretary of the Treasury
Tax treatment of distributions
o Distributions for QMEs are excludable from gross income
o QMEs are defined by section 213 of the Internal Revenue Code except that MSA
expenses for insurance premiums other than a catastrophic plan or long-term
care insurance premiums would not be included
O Amounts not used for QMEs are included in gross income with an additional tax
of 10 percent
Flexible spending arrangements (FSA)
0 Amounts in a health FSA could be transferred to an MSA for an eligible
individual on a one time basis
o Such transfers would be excludable from gross income
Effective Date
0 The bill is effective with respect to the taxable years beginning after
December 31, 1995
If you have would like to be an original cosponsor to the Family Medical
Savings and Investment Act, please contact Andrew Shore of Congressman Archer's
staff at x52571.
Andrew Jacobs
Bill Archer
Member of Congress
Member of Congress
THE WHITE HOUSE
WASHINGTON
March 13, 1996
The Honorable Andy Jacobs, Jr.
U.S. House of Representatives
Washington, D.C. 20512
Dear Congressman Jacobs:
Thank you for your letter about giving academic credit to
students who volunteer to work in homes to improve the
communication skills and literacy of poor children. Section
501 (a) of the Family Support Act authorized Early Childhood
Development Program demonstration projects that would test
various approaches, including using student volunteers in poor
homes. The Administration fully supports these demonstration
projects. However, they have not yet been implemented because
Congress has not appropriated funds for them.
Thank you again for writing.
Sincerely yours,
Hillary Hillary Rodham Clinton
CONGRESS
of the
United States of America
Ways and Means Committee
Andy Jacobs, Jr.
February 29, 1996
Ms. Hillary Rodham Clinton
The White House
Washington, D.C. 20500
Dear Ms. Clinton:
When you testified before the House Ways and Means
Committee I asked if the Clinton Administration would
implement a provision in law which I had sponsored to
encourage universities to give academic credit to
students who volunteer to visit poor homes and
participate somewhat in the care of very small
children, giving casual lessons in linguistics and
conflict resolution. Chairman Rostenkowski suggested a
one word answer and you said yes.
Later I met with Secretary Shalala and some of her
HHS colleagues, I made the same request and received an
essentially positive reply.
But I don't believe it ever happened. The concept
is not complicated and I don't think it would be
expensive to detail some HHS personnel for negotiations
with the several universities throughout the country.
So, in the words of our great leader, Ronald Reagan,
here I go again.
Etcetera.
Thank you for your kind attention.
Sincerely,
ANDY JACOBS, JR.
AJ/tr
2313 Rayburn Building
46 East Ohio Street, Room 441-A
Washington, D.C. 20515-1410
Indianapolis, Indiana 46204-1982
THE ROAD TO PEACE IS PAVED WITH JUSTICE
THE WHITE HOUSE
July 22, 1993
Honorable Andy Jacobs, Jr.
U.S. House of Representatives
Washington, D.C. 20515
Dear Representative Jacobs:
Thank you for your letter in support of
the invitation extended by the Annual Women's
Forum in Indianapolis.
Unfortunately, my schedule does not
permit me to participate in every event that
I would like to attend, and I was unable to
accept this invitation. I trust that the
Forum was a success, and hope you will pass
on my sincere regrets to Ms. Darlene
Caldwell.
Again, thank you for writing.
Sincerely,
Hillary Hillany Rodham Clinton
CONGRESS
MPS /ss
of the
United States of America
file
Ways and Means Committee
Andy Jacobs, Jr.
May 28, 1993
Ms. Hillary Rodham Clinton
The White House
Washington, D.C. 20500
Dear Ms. Clinton:
Enclosed is a letter I received from the
organizers of the Annual Women's Forum in Indianapolis.
They would like for you to attend but understand
that you probably can't.
As the letter indicates, they would appreciate
very much a representative or a letter of greeting from
you.
I presume the letter could be sent to Ms. Darlene
Caldwell at the U.S. Customs Service in Indianapolis,
Thank you for your kind attention.
Sincerely,
ANDY JACOBS, JR.
AJ/dm
Enclosure
2313 Rayburn Building, Washington, D.C. 20515
THE ROAD TO PEACE IS PAVED WITH JUSTICE
TREASURY
DEPARTMENT OF THE TREASURY
U.S. CUSTOMS
U.S. CUSTOMS SERVICE
INDIANAPOLIS, INDIANA
May 20, 1993
Ms. Theresa Guise
Special Assistant
Office of Congressman Jacobs
2313 Rayburn
Washington, D.C. 20515-1410
Dear Ms. Guise:
Per our conversation, I am mailing to you information
regarding our Sixth Annual Women's Forum from June 7 to 10, 1993,
at the Radisson Plaza & Suite Hotel Indianapolis. These forms may
be duplicated in the event you need more.
As we discussed, we would be honored if First Lady Clinton
would be able to attend our Forum, however, is she is unable to we
would appreciate a representative or a letter from her to be read.
This would be very encouraging and inspiring to our employees.
Per my conversation with Ms. Mable Williams, Staff Assistant
in the Indianapolis office, its my understanding that she will be
the representative for Congressman Jacobs. Your entire office is
certainly invited and more than encouraged to attend. Please call
me if you have any questions about this Forum at (317) 298-1011.
Sincerely,
Darlene M. Caldwell
EEO Manager
Enclosures
6026 Lakeside Blvd.
462.78
attn: EEO office
U.S. Customs Service
6th ANNUAL WOMEN'S FORUM
1993
Discover a New World:
Women's History
June 7-10, 1993
THE WHITE HOUSE
June 15, 1993
Honorable Andy Jacobs, Jr.
U.S. House of Representatives
Washington, D.C. 20510
Dear Rep. Jacobs:
Thank you for your letter in support
of the invitation extended by the Economic
Club of Indianapolis. Unfortunately, my
schedule does not permit me to accept
every request that I would like to honor.
If I am able to participate in this
worthwhile event, I will contact Ms.
Leslie Lenkowsky directly.
Again, thank you for writing.
Sincerely,
Hillary (dillary Rodham Clinton
CONGRESS
of the
United States of America
CS
Ways and Means Committee
Andy Jacobs, Jr.
June 8, 1993
Ms. Hillary Rodham Clinton
The White House
Washington, D.C. 20500
Dear Ms. Clinton:
Enclosed is a letter which was recently sent to
you by the Economic Club of Indianapolis.
They would be grateful if you would accept an
invitation to speak to the Club in November.
This is quite a prestigious group and I hope you
might consider the invitation.
Thank you for your consideration
Sincerely,
ANDY JACOBS JR.
AJ/dm
Enclosure
2313 Rayburn Building
46 East Ohio Street, Room 441-A
Washington, D.C. 20515-1410
Indianapolis, Indiana 46204-1982
THE ROAD TO PEACE IS PAVED WITH JUSTICE
IDI
06-08-93
FROM
REP.
ANDY
JACOBS.
IN
INDIANAPOLIS
CHAMBER
OF COMMERCE
May 13, 1993
Ms. Hillary Rodham Clinton
Chairperson
The Health Care Task Force
The White House
Washington, D. C. 20500
Dear Ms. Clinton:
As chairman of its program committee, I am writing to invite
you to speak at a luncheon of the Indianapolis Economic Club this
coming November.
The Economic Club is one of the most important organizations
in the life of the local business and professional community.
Sponsored by the Indianapolis Chamber of Commerce, the club holds
a monthly luncheon, attended at times by over 1000 people, at the
Convention Center. It is a prestigious event, featuring a
nationally or internationally prominent speaker on public affairs.
Among those who have addressed us this year or in the past have
been Alice Rivlin, John Kenneth Galbraith, Senator Lugar,
Congressman Hamilton, then-Vice President Quayle, Jeane
Kirkpatrick, then-Defense Secretary Dick Cheney, the Prime
Ministers of the Baltics nations, Alan Greenspan, and Ben Bradlee,
to list but a few of the prominent office-holders and other leaders
who have graced our platform.
My colleagues on the program committee and I believe you would
make a most appropriate addition to this group for two reasons.
First, and most important, the work you are doing on health care
reform is -- and will continue to be -- of great interest to the
business people and professionals in the Economic Club. As you
know, Indianapolis has a large pharmaceutical and medical
community, as well as a number of major health insurers. While
some of them may not favor the kinds of changes the Clinton
administration is likely to propose, all of them -- as well as the
others in our audience -- are eager to have a better understanding
of how you and your colleagues on the Health Care Task Force
perceive what needs to be done and to join with you in finding ways
to achieve quality care for all our citizens. Your coming to
ECONOMIC CLUB OF INDIANAPOLIS
320 North Meridian Street
Indianapolis, IN
46204
Phone: (317) 464-2222
TAX: (317) 464-2233
0-03 TUE 10:41
HODSON INSTITUTE
FAX NO. 3175451384
P.03
Ms. Hillary Rodham Clinton
May 13, 1993
Page 2
Indianapolis during what I would imagine will be an important
period in the consideration of the Clinton administration's
proposals is likely to be of great value, both for us and for the
President's agenda.
In addition, this fall, our Convention Center will be opening
a new ballroom, capabla of seating over 2000 people. Since a
meeting of the Economic Club has been chosen as the inaugural
event, we are anxious to have a speaker who will make it especially
memorable and significant for both the city and the state. Your
participation would certainly do that, since you would not only be
the first First Lady to address us, but also because of the unique
and important role you are playing in the administration.
The format of an Economic Club meeting is straightforward.
our speakers are expected to talk for 30 - 45 minutes after lunch
and then take written questions from the audience. Other than that
it be related to the work of the Health Care Reform Task Force, the
specific issues you address would be up to you. (I would be glad
to work with your staff on that.) The Convention Center is capable
of handling whatever equipment you might need to deliver your talk,
as well as all press that might come with you.
At the moment, we have the following dates available for the
Economic Club to use in inaugurating the new ballroom: November 1,
16, 23, 24, and 26. If these are not good for you, I would be glad
to see if I can obtain others. Although I realize that scheduling
yourself SO far in advance may be difficult, I hope that in view of
the special nature of this event, you may be able to make an early
commitment.
I do hope that you will be able to accept this invitation.
Your many friends in Indiana would be delighted to have you join
the distinguished group of people who have addressed the
Indianapolis Economic Club and I think you would enjoy your visit
here as well.
sincerely,
Leslie Lenkowsky
Chair, Program Committee
THE WHITE HOUSE
June 15, 1993
Honorable Andy Jacobs, Jr.
U.S. House of Representatives
Washington, D.C. 20510
Dear Rep. Jacobs:
Thank you for your letter in support
of the invitation extended by the Economic
Club of Indianapolis. Unfortunately, my
schedule does not permit me to accept
every request that I would like to honor.
If I am able to participate in this
worthwhile event, I will contact Ms.
Leslie Lenkowsky directly.
Again, thank you for writing.
Sincerely,
Hillary
Hillary Rodham Clinton
THE WHITE HOUSE
March 16, 1993
Dear Representative Jacobs:
Thank you for your words of wisdom about
working with the AMA and for providing
information about your cost containment
proposal. I have asked the task force staff
to review it.
I also appreciate your recommending Valita
Marie Fredland. Although we are not able to
hire additional staff for the health care
working groups, I hope that you will urge Ms.
Fredland to share her recommendations to us
in writing.
As the chairman of the Subcommittee on Social
Security, you certainly know the challenges
we face in developing a comprehensive health
care reform package. I appreciate your
willingness to help us in this effort.
Sincerely,
Hillary
The Honorable Andy Jacobs, Jr.
U.S. House of Representatives
Washington, D.C. 20515
THE WHITE HOUSE
WASHINGTON
September 16, 1993
Honorable Andy Jacobs
U.S. House of Representatives
Washington, D.C. 20515
Dear Rep. Jacobs:
Thank you for your letter in support of the
invitation extended by the United Senior Action of
Indiana. Unfortunately, my schedule does not permit
me to take part in every event that I would like to
attend. If I am able to participate in this worthwhile
event, I will contact your office directly.
Again, thank you for writing.
Sincerely,
Hillary
Iti
Hillary Rodham Clinton