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Reynolds, Mel PHOTOCOPY PRESERVATION March 26, 1993 Dear Representative Reynolds: Thank you for sharing the material on taxation of firearms and your draft legislation. Your materials make clear that gun violence is a strain on our health care system and must be deterred. I have shared the material with the Health Care Task Force and asked them to review it carefully. I am enclosing a copy of a photo taken at our last meeting. I appreciate your willingness to assist us, and look forward to our continued work together on health care, and other issues. Sincerely, The Honorable Mel Reynolds U.S. House of Representatives Washington, D.C. 20515 March 26, 1993 Dear Representative Reynolds: Thank you for sharing the material on taxation of firearms and your draft legislation. Your materials make clear that gun violence is a strain on our health care system and must be deterred. I have shared the material with the Health Care Task Force and asked them to review it carefully. I am enclosing a copy of a photo taken at our last meeting. I appreciate your willingness to assist us, and look forward to our continued work together on health care, and other issues. Sincerely, The Honorable Mel Reynolds U.S. House of Representatives Washington, D.C. 20515 THE WHITE HOUSE April 8, 1993 Dear Representative Reynolds: Thank you for sharing the material on taxation of firearms and your draft legislation. Your materials make clear that gun violence is a strain on our health care system and must be deterred. I have shared the material with the Health Care Task Force and asked them to review it carefully. I am enclosing a copy of a photo taken at our last meeting. I appreciate your willingness to assist us, and look forward to our continued work together on health care, and other issues. Sincerely, Hillary The Honorable Mel Reynolds U.S. House of Representatives Washington, D.C. 20515 F:\M\REYNOL\REYNOL.003 H.L.C. (Original signature of Member) 103D CONGRESS 1ST SESSION H.R. IN THE HOUSE OF REPRESENTATIVES Mr. REYNOLDS introduced the following bill; which was referred to the Committee on A BILL To provide for the manufacturer or importer of a handgun or an assault weapon to be held strictly liable for dam- ages that result from the use of the handgun or assault weapon, and to amend the Internal Revenue Code of 1986 to increase the excise tax on firearms and use a portion of the revenues from such tax to assist hos- pitals in urban areas to provide medical care to gunshot victims who are not covered under any health plan. 1 Be it enacted by the Senate and House of Representa- 2 tives of the United States of America in Congress assembled, 3 SECTION 1. SHORT TITLE. 4 This Act may be cited as the "Strict Liability for 5 Safer Streets Act of 1993". January 29, 1993 F:\M\REYNOL\REYNOL.003 H.L.C. 2 1 TITLE I-STRICT LIABILITY OF 2 MANUFACTURERS AND IM- 3 PORTERS OF HANDGUNS AND 4 ASSAULT WEAPONS 5 SEC. 101. CAUSE OF ACTION; FEDERAL JURISDICTION. 6 (a) IN GENERAL.-Any person suffering bodily in- 7 jury, death, or property damage, as a result of the dis- 8 charge of a handgun or an assault weapon may bring an 9 action in any United States district court against any per- 10 missible defendant for damages and such other relief as 11 the court deems appropriate. 12 (b) PERMISSIBLE DEFENDANTS.-The following per- 13 sons are permissible defendants in an action brought 14 under subsection (a) with respect to a handgun or an as- 15 sault weapon: 16 (1) Any manufacturer of the handgun or as- 17 sault weapon. 18 (2) Any importer of the handgun or assault 19 weapon. 20 SEC. 102. STRICT LIABILITY. 21 (a) IN GENERAL-Each defendant in an action 22 brought under section 101(a) shall be held strictly liable 23 in tort, without regard to fault or proof of defect, for all 24 direct and consequential damages that arise from bodily 25 injury, death, and property damage, proximately resulting January 29, 1993 F:\M\REYNOL\REYNOL.003 H.L.C. 3 1 from the discharge of the handgun or assault weapon with 2 respect to which the defendant is a permissible defendant, 3 except as provided in subsection (b) of this section. 4 (b) DEFENSES.- 5 (1) INJURY WHILE COMMITTING A FELONY.- 6 There shall be no liability under subsection (a) if it 7 is established by a preponderance of the evidence 8 that the plaintiff suffered the bodily injury, death, or 9 property damage, while committing a crime punish- 10 able by death, or by imprisonment for life or for any 11 term of years. 12 (2) SELF-INFLICTED INJURY.-There shall be 13 no liability under subsection (a) if it is established 14 by a preponderance of the evidence that the plain- 15 tiff's bodily injury or death was self-inflicted, or that 16 the property damage was caused by the plaintiff. 17 (3) INJURY BY LAW ENFORCEMENT OFFICER.- 18 There shall be no liability under subsection (a) if it 19 is established by a preponderance of the evidence 20 that the injury was suffered as a result of the dis- 21 charge, by a law enforcement officer in the perform- 22 ance of official duties, of a handgun or assault weap- 23 on issued by the United States or any department 24 or agency thereof, or any State or any department, 25 agency, or political subdivision thereof. January 29, 1993 F:\M\REYNOL\REYNOL.003 H.L.C. 4 1 (4) INJURY BY MEMBER OF THE UNITED 2 STATES ARMED FORCES.-There shall be no liability 3 under subsection (a) if it is established by a prepon- 4 derance of the evidence that the injury was suffered 5 as a result of the discharge, by a member of the 6 Armed Forces of the United States in the perform- 7 ance of military duties, of a handgun or assault 8 weapon issued by the United States or any depart- 9 ment or agency thereof. 10 (5) INJURY BY SECURITY GUARD.-There shall 11 be no liability under subsection (a) if it is estab- 12 lished by a preponderance of the evidence that the 13 injury was suffered as a result of the discharge, by 14 an individual within the scope of employment as a 15 security guard, of a handgun or assault weapon is- 16 sued by the employer of the individual. 17 (c) AUTHORITY TO AWARD A REASONABLE ATTOR- 18 NEY'S FEE.-In an action brought under section 101(a), 19 the court may, in its discretion, allow the prevailing party 20 a reasonable attorney's fee as part of the costs. 21 SEC. 103. STATUTE OF LIMITATIONS. 22 An action may not be brought under section 101(a) 23 after the 2-year period that begins with the date the injury 24 described therein is discovered. January 29, 1993 F:\M\REYNOL\REYNOL.003 H.L.C. 5 1 SEC. 104. APPLICABILITY. 2 This title shall apply only to handguns and assault 3 weapons manufactured in or imported into the United 4 States after the effective date of this Act. 5 SEC. 105. NO EFFECT ON OTHER CAUSES OF ACTION. 6 This title shall not be construed to limit the scope 7 of any other cause of action available to a person who suf- 8 fers bodily injury, death, or property damage, as a result 9 of the discharge of a handgun or an assault weapon. 10 SEC. 106. DEFINITIONS. 11 As used in this title: 12 (1) HANDGUN.-The term "handgun" means a 13 firearm which, at the time of manufacture, had a 14 barrel of less than 12 inches in length. 15 (2) ASSAULT WEAPON.-The term "assault 16 weapon" means— 17 (A) a firearm— 18 (i) which- 19 (I) has a barrel of 12 or more 20 inches in length; and 21 (II) is capable of receiving am- 22 munition directly from a large capac- 23 ity ammunition magazine; 24 (ii) which is a semiautomatic firearm 25 which is- January 29, 1993 F:\M\REYNOL\REYNOL.003 H.L.C. 6 1 (I) not generally recognized as 2 particularly suitable for, or readily 3 adaptable to, sporting purposes; or 4 (II) concealable on a person; or 5 (B) a firearm which is substantially func- 6 tionally equivalent to a firearm described by 7 clause (i) or (ii) of subparagraph (A). 8 (3) LARGE CAPACITY AMMUNITION MAGA- 9 ZINE.-The term "large capacity ammunition maga- 10 zine" means a detachable magazine, belt, drum, feed 11 strip, or similar device which has, or which can be 12 readily restored or converted to have, a capacity of 13 15 or more rounds of ammunition. 14 (4) SEMIAUTOMATIC FIREARM.-The term 15 "semiautomatic firearm" means any repeating fire- 16 arm which utilizes a portion of the energy of a firing 17 cartridge to extract the fired cartridge case and 18 chamber the next round, and which requires a sepa- 19 rate pull of the trigger to fire each cartridge. 20 (5) LAW ENFORCEMENT OFFICER.-The term 21 "law enforcement officer" means any officer, agent, 22 or employee of the United States, or of a State or 23 political subdivision thereof, who is authorized by 24 law to engage in or supervise the prevention, detec- January 29, 1993 F:\M\REYNOL\REYNOL.003 H.L.C. 7 1 tion, investigation, or prosecution of any violation of 2 law. 3 (6) OTHER TERMS.-The terms "firearm", "im- 4 porter", and "manufacturer" shall have the mean- 5 ings given such terms, respectively, in paragraphs 6 (3), (9), and (10) of section 921(a) of title 18, Unit- 7 ed States Code. 8 SEC. 107. EFFECTIVE DATE. 9 This title shall apply to conduct occurring after the 10 date of the enactment of this Act. 11 TITLE II-REPORT TO VICTIMS 12 ON FEDERAL CRIMES COM- 13 MITTED WITH FIREARMS 14 SEC. 201. REPORT TO VICTIMS ON FEDERAL CRIMES COM- 15 MITTED WITH FIREARMS. 16 Within 30 days after a conviction is obtained in any 17 Federal court of a crime during or in relation to which 18 an individual was injured or killed by a firearm (as defined 19 in section 921(a)(3) of title 18, United States Code), the 20 United States attorney prosecuting the case shall report, 21 on whether title I of this Act applies to the firearm, to- 22 (1) the individual; or 23 (2) if the individual is dead— 24 (A) the closest relative of the individual; or January 29, 1993 F:\M\REYNOL\REYNOL.003 H.L.C. 8 1 (B) if there is no such relative, the estate 2 of the individual. 3 TITLE III-REVENUE 4 PROVISIONS 5 SEC. 301. INCREASE IN TAX ON FIREARMS. 6 (a) IN GENERAL-Section 4181 of the Internal Rev- 7 enue Code of 1986 (relating to imposition of tax on fire- 8 arms) is amended to read as follows: 9 "SEC. 4181. IMPOSITION OF TAX. 10 "There is hereby imposed a tax on the sale by the 11 manufacturer, producer, or importer of any firearm, shell, 12 or cartridge a tax equal to— 13 "(1) in the case of firearms, 20 percent of the 14 price for which SO sold, and 15 "(2) in the case of shells and cartridges, 11 16 percent of the price for which SO sold." 17 (b) EFFECTIVE DATE.-The amendment made by 18 subsection (a) shall take effect on the 1st day of the 1st 19 calendar month beginning more than 30 days after the 20 date of the enactment of this Act. 21 (c) FLOOR STOCKS TAX- 22 (1) IMPOSITION OF TAX-In the case of any 23 firearm on which tax was imposed under section 24 4181 of the Internal Revenue Code of 1986 before 25 the tax-increase date and which is held on such date January 29, 1993 F:\M\REYNOL\REYNOL.003 H.L.C. 9 1 for sale by any dealer, there is hereby imposed a 2 floor stocks tax on such firearm. 3 (2) AMOUNT OF TAX-The amount of tax im- 4 posed by paragraph (1) with respect to any firearm 5 shall be equal to the amount of tax imposed under 6 section 4181 of such Code with respect to such fire- 7 arm before the tax-increase date. 8 (3) LIABILITY FOR TAX AND METHOD OF PAY- 9 MENT.- 10 (A) LIABILITY FOR TAX-Any dealer hold- 11 ing any firearm on the tax-increase date to 12 which any tax imposed by paragraph (1) applies 13 shall be liable for such tax. 14 (B) METHOD OF PAYMENT.-The tax im- 15 posed by paragraph (1) shall be paid in such 16 manner as the Secretary of the Treasury or his 17 delegate shall prescribe by regulations. 18 (C) TIME FOR PAYMENT.-The tax im- 19 posed by paragraph (1) shall be paid before the 20 close of the 6-month period beginning on the 21 tax-increase date. 22 (4) DEFINITIONS.-For purposes of this 23 subsection- 24 (A) TAX-INCREASE DATE.-The term "tax- 25 increase date" means the 1st day of the 1st cal- January 29, 1993 F:\M\REYNOL\REYNOL003 H.L.C. 10 1 endar month beginning more than 30 days after 2 the date of the enactment of this Act. 3 (B) FIREARM-The term 'firearm' has the 4 same meaning as when used in section 4181 of 5 such Code. 6 (5) OTHER LAWS APPLICABLE.-All provisions 7 of law, including penalties, applicable with respect to 8 the taxes imposed by section 4181 of such Code 9 shall, insofar as applicable and not inconsistent with 10 the provisions of this subsection, apply to the floor 11 stocks taxes imposed by paragraph (1), to the same 12 extent as if such taxes were imposed by such section 13 4181. 14 SEC. 302. HOSPITAL GUNSHOT COST RELIEF TRUST FUND. 15 (a) IN GENERAL.-Subchapter A of chapter 98 of the 16 Internal Revenue Code of 1986 (relating to trust fund 17 code) is amended by adding at the end thereof the fol- 18 lowing new section: 19 "SEC. 9512. HOSPITAL GUNSHOT COST RELIEF TRUST 20 FUND. 21 "(a) CREATION OF TRUST FUND.-There is estab- 22 lished in the Treasury of the United States a trust fund 23 to be known as the 'Hospital Gunshot Cost Relief Trust 24 Fund', consisting of such amounts as may be appropriated January 29, 1993 F:\M\REYNOL\REYNOL.003 H.L.C. 11 1 or credited to such Trust Fund as provided in this section 2 or section 9602(b). 3 "(b) TRANSFERS TO TRUST FUND.- 4 "(1) IN GENERAL.-There are hereby appro- 5 priated to the Hospital Gunshot Cost Relief Trust 6 Fund amounts equivalent to 50 percent of the net 7 revenues received in the Treasury from the firearms 8 tax. 9 "(2) NET REVENUES.-For purposes of para- 10 graph (1), the term 'net revenues' means the 11 amount estimated by the Secretary based on the ex- 12 cess of- 13 "(A) the firearms taxes received in the 14 Treasury, over 15 "(B) the decrease in the tax imposed by 16 chapter 1 resulting from the firearms taxes. 17 "(3) FIREARMS TAX.-For purposes of this sec- 18 tion, the term 'firearms tax' means the tax imposed 19 by section 4181 with respect to firearms (within the 20 meaning of such section). 21 "(c) EXPENDITURES FROM TRUST FUND.-Amounts 22 in the Hospital Gunshot Cost Relief Trust Fund shall be 23 available, as provided in appropriation Acts, only for pur- 24 poses of making expenditures to assist hospitals located 25 in urban areas in defraying the costs incurred in providing January 29, 1993 F:\M\REYNOL\REYNOL.003 H.L.C. 12 1 medical care to gunshot victims who are not covered under 2 any health plan." 3 (b) CLERICAL AMENDMENT.-The table of sections 4 for such subchapter A is amended by adding at the end 5 thereof the following new item: "Sec. 9512. Hospital Gunshot Cost Relief Trust Fund." January 29, 1993 MEL REYNOLDS 514 CANNON HoB WASHINGTON, DC 20515 2D DISTRICT, ILLINOIS (202) 225-0773 525 E. 103D ST. COMMITTEE ON WAYS AND MEANS CHICAGO, IL 60628 SUBCOMMITTEES: Congress of the United States (312) 568-7900 HUMAN RESOURCES 17926 S. HALSTED SOCIAL SECURITY SUITE 1 WEST house of Representatives Homewood, IL 60430 (708) 957-9955 Mashington, DC 20515-1302 March 18, 1993 Pictures To: The Honorable Hillary Rodham Clinton Fr: Congressman Mel Reynolds Re: Taxation of Firearms as a Response to the Public Health Crisis Caused by Gunfire SUMMARY OF FINDINGS: * U.S. HOSPITALS PROVIDED BETWEEN $1-4 BILLION IN UNCOMPENSATED CARE TO TRAUMA PATIENTS IN 1988. (Source: Journal of the American Medical Association, 1988; 260:3048-3050) * THE ESTIMATED COST OF TREATING A GUNSHOT VICTIM RANGES FROM $15,000 TO $20,000. (Source: Journal of the American Medical Association, June 10, 1992; 267:3067-3070) * FURTHER TREATMENT OR CARE, CAN COST BETWEEN $150,000 AND $270,000 PER PATIENT. LIFETIME COSTS RANGE FROM $600,000 TO $1 MILLION FOR QUADRIPLEGIC TO $400,000 TO $500,000 FOR PARAPLEGICS. * DEATH BY GUNFIRE IS THE LEADING CAUSE OF DEATH AMONG BLACK MALES BETWEEN THE AGES OF 15 TO 19, CLAIMING CLOSE TO 1000 LIVES ANNUALLY. * A BLACK MALE AGES 15-19 IN 1988 WAS NEARLY THREE TIMES MORE LIKELY TO DIE FROM A BULLET THAN A DISEASE. * 1 IN EVERY 28 BLACK MALES BORN IN 1987 IS LIKELY TO BE MURDERED. FOR WHITE MALES, THE RATIO IS 1 IN 205. * GUNS ARE ALREADY LEVIED A 10 PERCENT EXCISE TAX ON HANDGUNS, AND 11 PERCENT ON ALL OTHER FIREARMS. THE TAX RATE ON HANDGUNS HAS BEEN IN EFFECT SINCE 1940 AND ON ALL OTHER FIREARMS SINCE 1954 (AMMUNITION IS ALSO LEVIED AN 11 PERCENT EXCISE TAX). H.R. 737, THE STRICT LIABILITY FOR SAFER STREETS ACT OF 1993, WOULD EFFECTIVELY DOUBLE THE CURRENT EXCISE TAX ON FIREARMS, DIRECTING HALF OF THE REVENUE COLLECTED TO A TRUST FUND. URBAN HOSPITALS WOULD BE ABLE TO ACCESS FUNDS, IN THE FORM OF GRANTS, IN ORDER TO HELP THEM OFFSET THE COSTS OF TREATING UNINSURED GUN SHOT VICTIMS. * THE REVENUE COLLECTED FROM THE EXCISE TAX HAS GROWN STEADILY SINCE 1986, FROM $62.4 MILLION TO $123 MILLION IN 1991, EFFECTIVELY DOUBLING IN SIX YEARS. AMMUNITION REVENUES ARE NOT INCLUDED IN THESE FIGURES. (Sources: I.R.S., B.A.T.F.) PRINTED ON RECYCLED PAPER IMPACT OF GUNS ON HOSPITALS AND TRAUMA CARE CENTERS: 1) U.S. HOSPITALS PROVIDED BETWEEN $1-4 BILLION IN UNCOMPENSATED CARE TO TRAUMA PATIENTS IN 1988. (Source: Journal of the American Medical Association, 1988; 260:3048-3050) 2) ESTIMATES PLACE THE PERCENTAGE OF UNINSURED GUNSHOT PATIENTS AT UP TO 80 PERCENT, DROWNING THE NATION'S TRAUMA CARE SYSTEM IN RED INK. 3) "A TYPICAL PATIENT AT DENVER HEALTH AND HOSPITALS IS YOUNG, MALE AND UNINSURED WITH MULTIPLE GUNSHOT WOUNDS,' ACCORDING TO DIRECTOR OF EMERGENCY MEDICAL SERVICES VINCENT MARKOVCHIK, M.D., AS QUOTED IN 1990. (Source: Modern Healthcare, February 5, 1990) 4) BETWEEN 1986 AND 1991, 92 OF THE NATION'S 549 DESIGNATED TRAUMA CARE CENTERS CLOSED, LEAVING 457 CENTERS. IN SOME AREAS OF THE COUNTRY, THE LEVEL OF COVERAGE HAS BEEN STRETCHED RAZOR THIN (Source: Journal of the American Medical Association, June 10, 1992; 267:2994-2996) a) Virginia: Five centers serving the entire state. b) Houston: One trauma center for a 620 square mile area. c) Chicago: Six centers serving the metropolitan area. None of the centers are located on the city's south side. The remaining centers lost a total of $12 million in 1991. d) Washington: MedStar, the trauma unit at Washington Hospital Center, experienced a gunshot caseload increase in 1988 of 204 percent over 1987, to a record 359 cases. The unit's average cost of treating a "penetrating trauma" (gunshot or stabbing) patient is estimated at $15,000 to $18,000. The unit lost $22 million in FY '89 that executives attribute mainly to the cost of treating uninsured penetrating trauma patients. e) California: Between 1980 and 1989, 12 trauma centers in California closed nine of them in Los Angeles. Statewide, gunshot patients are estimated to cost $73 to $137 million a year and up to $171 million if physician and other professional fees are considered. f) Detroit: Nonpaying patients have jumped from 8 percent of the total at Detroit Receiving Hospital to 23 percent between 1985 and 1990. 5) THE ESTIMATED COST OF TREATING A GUNSHOT VICTIM RANGES FROM $15,000 TO $20,000. (Source: Journal of the American Medical Association, June 10, 1992; 267:3067-3070) 6) FURTHER TREATMENT OR CARE, SUCH AS INTENSIVE CARE OR REHABILITATION IS NOT UNUSUAL, COSTING BETWEEN $150,000 AND $270,000 PER PATIENT. LIFETIME COSTS RANGE FROM $600,000 TO $1 MILLION FOR QUADRIPLEGIC TO $400,000 TO $500,000 FOR PARAPLEGICS. (Source: "California Under the Gun: State's Hospitals Struggle to Keep Up As The Bullets Fly," Sacramento Bee; June 4, 1989) 7) A 1991 TEXAS STUDY OF FIREARM MORTALITY IN TEXAS BETWEEN 1976 AND 1985 CONCLUDED THAT THE ECONOMIC COST OF FIREARM DEATHS IN TEXAS WAS ESTIMATED TO BE $40.7 BILLION PER YEAR. (Source: "Firearm Mortality in Texas, 1976-1985: how far is Fort Smith?" Texas Medicine/The Journal; April 1991; 87:78-83) 8) MULTIPLE GUNSHOT WOUNDS: Cook County Hospital experienced a jump from 5% to 25% in the number of patients admitted with multiple gunshot wounds between 1982 and 1991. GUNS AND THE IMPACT ON THE AFRICAN-AMERICAN COMMUNITY: 1) DEATH BY GUNFIRE IS THE LEADING CAUSE OF DEATH AMONG BLACK MALES BETWEEN THE AGES OF 15 TO 19, CLAIMING CLOSE TO 1000 LIVES ANNUALLY. (See Figure 1 below) 2) THE AVERAGE AGE OF PATIENTS ADMITTED TO CHICAGO'S MOUNT SINAI HOSPITAL FOR GUNSHOT WOUNDS IN 1991 WAS 25, 93 PERCENT OF WHOM WERE MALE. YOUNG MALES ARE NOT ELIGIBLE FOR MEDICAID. 3) A BLACK MALE AGES 15-19 IN 1988 WAS NEARLY THREE TIMES MORE LIKELY TO DIE FROM A BULLET THAN A DISEASE. 4) 1 IN EVERY 28 BLACK MALES BORN IN 1987 IS LIKELY TO BE MURDERED. FOR WHITE MALES, THE RATIO IS 1 IN 205. 5) FOR BLACK MALES, AGED 15-19, FIREARM HOMICIDES HAVE INCREASED 125 PERCENT SINCE 1984. 6) A YOUNG BLACK MALE IS 9 TIMES MORE LIKELY TO BE MURDERED THAN A YOUNG WHITE MALE. 7) A 1991 STUDY OF FIREARM MORTALITY IN TEXAS FROM 1976-1985 CONCLUDED THAT BLACK MALES HAD THE HIGHEST FIREARM HOMICIDE RATE IN THE STATE (53.9 PER 100,000) 200 100 50 Deaths per 100000 Population 20 10 5 2 1 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 Year Firearm Homicide Nonfirearm Homicide Malignant Neoplasms Motor Vehicle Crash Firearm Suicide --- Discases of Heart Nonfirearm Suicide Fig -Leading causes of death for black males 15 through 19 years of age, 1979 through 1989. (from the Compressed Mortality File of the National Center for Health Statistics, Centers for Discase Control). WHY TAX GUNS? 1) EVERY DAY IN THE CITY OF CHICAGO, 40 PEOPLE ARE SHOT. TWO OF THEM DIE EACH DAY. TWENTY-FOUR CHILDREN, 14 AND UNDER, WERE KILLED IN CHICAGO IN 1992. 2) EVERY DAY OF THE YEAR, 27 CHILDREN AND ADULTS ARE MURDERED BY HANDGUNS (Source: Sen. John Chafee, "Ban Handguns," The Washington Post, June 9, 1992; p. A15) 3) ACCORDING TO FORMER HHS SECRETARY SULLIVAN, EVERY 100 HOURS THREE TIMES AS MANY YOUNG MEN ARE KILLED BY GUNS THAN WERE KILLED DURING THE 100 HOURS OF THE PERSIAN GULF WAR (Source: The Washington Post, March 14, 1991; p. A1). 4) GUNS ARE ALREADY LEVIED A 10 PERCENT EXCISE TAX ON HANDGUNS, AND 11 PERCENT ON ALL OTHER FIREARMS. THE TAX RATE ON HANDGUNS HAS BEEN IN EFFECT SINCE 1940 AND ON ALL OTHER FIREARMS SINCE 1954 (AMMUNITION IS ALSO LEVIED AN 11 PERCENT EXCISE TAX). H.R. 737, THE STRICT LIABILITY FOR SAFER STREETS ACT OF 1993, WOULD EFFECTIVELY DOUBLE THE CURRENT EXCISE TAX ON FIREARMS, DIRECTING HALF OF THE REVENUE COLLECTED TO A TRUST FUND. URBAN HOSPITALS WOULD BE ABLE TO ACCESS FUNDS, IN THE FORM OF GRANTS, IN ORDER TO HELP THEM OFFSET THE COSTS OF TREATING UNINSURED GUN SHOT VICTIMS. 5) THE REVENUE COLLECTED FROM THE EXCISE TAX HAS GROWN STEADILY SINCE 1986, FROM $62.4 MILLION TO $123 MILLION IN 1991, EFFECTIVELY DOUBLING IN SIX YEARS. AMMUNITION REVENUES ARE NOT INCLUDED IN THESE FIGURES. (Sources: I.R.S., B.A.T.F.) OTHER FACTS: 1) IN 1990, FIVE MILITARY PHYSICIANS AND STUDENTS BEGAN STAFFING TWO OF THREE SHIFTS AT WASHINGTON'S MEDSTAR TRAUMA UNIT, IN ORDER TO TRAIN FOR TREATMENT OF COMBAT-LIKE INJURIES. THEIR SALARIES ARE PAID WITH TAXPAYER MONEY. 2) HOSPITAL EMERGENCY ROOMS AND TRAUMA CENTERS ARE RESPONDING TO THE FLOOD OF GUN-RELATED VIOLENCE: LOS ANGELES COUNTY-HARBOR- UCLA MEDICAL CENTER, PLANNED TO SPEND $230,000 ON SECURITY STAFF IN 1990, AND CONSIDERED THE PURCHASE OF METAL DETECTORS FOR THE EMERGENCY DEPARTMENT. washington Past 3/5/93 Does Congress Hear the Gunfire? UNFIRE is loudest not in the places where G if enacted. It should be enacted on its own right the long guns of sport are fired by law- away. abiding men and women but in the streets, Taxes: Along with increases in taxes on ciga- homes, offices and stores where handguns and rettes and alcohol to offset costs associated with weapons of war abound. The bloody stories are health care, Congress is looking at proposals to everyday reading, and the public outcry is mount- increase the current 10 percent excise tax on ing. It comes, too, from gun owners who want handguns and 11 percent on all other firearms to nothing to do with the free flow of firearms to the 20 percent and 21 percent respectively. Rep. wrong hands and who understand the crucial Mel Reynolds of Illinois and others seeking this distinction between their own peaceful pursuits change cite rough estimates of hospitalization and the mindless marketing of handguns. State expenses for firearms injuries that run from more actions are helping but the most effective moves than $400 million to $1 billion a year. Whatever are up to Congress: form the additional taxation might take, it should The Brady Bill: Every substantive poll taken in be a substantial amount. recent years has shown it enjoys overwhelming A Handgun Ban: Republican Sen. John Chafee public support. Every major law enforcement of Rhode Island continues to propose a national organization supports it. Bob Scully, executive ban on the sale, manufacture or ownership of director of the National Association of Police handguns. There would be exceptions for law Organizations, representing more than 140,000 enforcement and military agencies, collectors of police officers, noted that "just one week ago, I antique firearms, federally licensed handgun stood in the U.S. Capitol for the introduction of sporting clubs operating under certain safety the Brady bill. Since then seven law enforcement procedures, security guard services and licensed officers have been shot and killed. It's our job to dealers, importers or manufacturers that are protect the citizens of the United States, but who determined to be serving legitimate needs. is protecting us?" The bill would require a five- That's a stiff proposal, not likely to rally a day waiting period and mandatory background majority behind it in a hurry. But it raises a check for handgun sales from dealers. It has won serious question: Why should this country load up support in the Senate and the House in the past, on concealable weapons? More and more people and now President Clinton has promised to sign it have more and more cause to wonder. 1. 1.11 symbols are. the meaning of words makels must pay the price sign of nd symbols are concepts By Mel Reynolds leeper level than the stand. who will have the courage to stop the camage and flow Killing our children nbuls may be located in of blood in our communities? er bright young people Dav after day. the indiscriminate killing continues. or. of Icad and fill them the South Side. the northwest suburbs. all comers of the trauma centers. Hospitals that used 10 provide such care hem into what turns out metropolitan area Like a cancer. the violence and an political reality. bloodshed spread. Unchecked. It will destroy the very were overwhelmed by the costs associated with treating uninsured patients. The costs associated with the enties without these social fabric that binds all of us together. treatment of uninsured persons who were injured or cnt on symbolically The statistics are shocking and sobering Nationally. maimed by gunshots certainly were contributory factors hinistration into nearh 25.000 Americans were killed in 1991. half of the the decision by hospitals on the South Side to close their to Washington." deaths attributable to handguns. J figure comparable to doors to triuma patients. it about symbols whose the population of Hazel Crest. Only if "e are able to hold manufacturers and to be in street signs, In 1991. Illinois recorded 1224 murders. Of those. 830 importers of these weapons responsible and accountable of the depths of human were attributable to firearms. with handguns responsible and mandate that they assume a heavier monetary hurde not tell the difference for 36 homicides. A disproportionate number of these for their actions. can we even hope to begin to reduce attic signal. homicides occurred in the African- American community. slaughter of our cluzens. but signals that they For its teenage boys. gunshot deaths outnumber all natural Since liability is not a new concept in American hts. But traffic signals causes of death combined, according to the FBI. No junsprudence. There IS well-established common law erficial as a catcher's community has gone unseathed. however. doctrine of strict liability for "ultra-hazardous activities. 1. They direct external According io the Tribune's own study of this issue. 59 These are uncommon activities creating a great risk of an move people's souls. children 14 and under. were killed in the Chicago area in harm to the community which outweighs any value the terms one part naivete to 1992. 24 by gunfire. The overwhelming majority of the activity may have. The doctrine has been applied to the it's men prod their idea victims of such gunfire were African-American children if it were a reluctant Innocent children of all races with the whole world ahead storage and use of explosives. to the storage of natural En and to the sale of dangerous pesticides. So it should be "This is what we are of them, silenced far too soon by an assailant's bullet with handguns and serri-automatic assault weapons. are doing. And this is And yet the manufacturers of these death machines Strict liability applied to manufacturers of handguns to we have just done." blithely continue churning out weapons, proclaiming them irs revealed their shallow in advertisements as the best home protection money can even withstood scrutiny by the courts. Marviand's highes court, in a 1985 decision in Kelley V. R.G. Industries. a 25 percent reduction buy. They neglect to tell the public that the New England is us, Americans were Journal of Medicine found that a handgun owner, family ial cut to prepare them member or friend is 43 times more likely to be killed by a have to make in handgun kept in the home than he or she is to use that re would not miss the handgun for self-defense. ded that it was a symbol The handgun and semi-automatic assault weapons manufacturers will argue that the 2nd Amendment mbol" was found to be a justifies their relentless pursuit of profit and market share. bearance was caused by They cannot. however. attempt to grasp the brass ring of inside, and that the $10 the moral high ground with blood on their hands. They aved at all but spent are not simply manufacturing a product to satisfy a an people were neither demand They are ensuring the swift. painful. early death noment. Children are of thousands of children. women and families. "Sesame Street" than This nightmare must end Our children, indeed all by this presentation. citizens. should be able to enjoy our parks. walk popular level disturbs unnocently down the street and laugh with our friends. It is an American tragedy that far 100 many children do not know what it is to play outside without fear. yet know all f symbols may be :00 well the caliber of a weapon by the shot they hear in ingar in which other the dark of the night or light of day. If we are serious about stanching the flow of blood in anufacture trial our streets. then we must hold those individuals and Angeles efore launching companies who manufacture and traffic in handguns and semi-automatic assault weapons strictly liable for the found that handguns. such as the infamous "Saturda: out to be a no-fly injury. maiming and death caused by those weapons. Night Special." "have no legitimate purpose in toda: ical reality. Further. we must begin to address the enormous costs to society and concluded that the manufacturer our already overburdened health-care system of treating Saturday Night Special knows. or ought to uninsured gunshot vicums. is making or selling 2 product principally to be used cannot fully explain Toward that end. I have introduced the "Strict Liability criminal activity. ons are fitting, however. for Safer Streets Act of 1993." The legislation holds I have no doubt that those who cherish firearms rtake of mystery, of what manufacturers and importers of handguns and semi- than the general welfare and sanctity of our communite an superficial and automatic assault weapons accountable for any injury or such as the National Rifle Association. will fight this death caused by the weapon, with some limited proposal tooth and nail The issue and question of 1gs. Terent from signs, signals, exceptions. In addition, the legislation raises the current 10 corporate responsibility has nothing to do with the 2nd gos, the staples of the percent excise tax on handguns and 11 percent excise tax Amendment My legislation in no way impinges upon it on all other firearms to 20 percent and 21 percent right of people to bear arms. There is no prohibition on complex that makes the L respectively. Half of the total revenue would be deposited the manufacture, distribution and sale of firearms. On th formulations we can into a trust fund to be utilized by urban hospitals to help contrary, the legislation is rooted in the common-sense alleviate the costs of treating uninsured gunshot victims. principle that people, and, by extension, corporations, inknown. Symbols the reality of that (Since 1986, revenues from the firearms excise tax have should be held responsible for their actions. ritory, not MTV or almost doubled, from $62 million to $123 million.) It is high time that those who stand in the way of real anot be entered or It is no accident that on the South Side of Chicago, progress on this issue find themselves caught in the "sigh where the need for trauma care is greatest, there are no of public outrage. sepest layers of our being Too much blood has been spilled, too many tears hav J we are rationally aware been shed, to turn a blind eye to the problem any longe ould be more help if they Md Reynolds (D-III.) is a member of the U.S. House of We must take back our communities. The Strict Liabilit salute, a gesture of Representatives. for Safer Streets Act of 1993 is the place to start. with which he seems, rine guard at his Ficulty. The way a THE WASHINGTON POST 3/4/93 Michael K. Beard Gun Control: The Virginia Model The need for national reform is obvious to almost everyone but the NRA. The A year ago Virginia Gov. L. Douglas Wil- which. although approved by both houses of Another promising proposal that ought to part der and Bill Clinton were rivals for the Congress in 1991, has never been sent to the appeal to the Clinton administration was in- long- Democratic presidential nomination. To- White House for the president to sign. The troduced last month by freshman Rep. Mel of day, President Clinton would do well to em- waiting period and police background check Reynolds of Illinois. Reynolds's proposal calls to ulate Wilder in respect to the governor's contained in the Brady bill, combined with the for doubling the excise tax on handguns and are recent victory over the National Rifle Asso- one-handgun limit, would effectively reduce earmarking the funds to offset the medical ciation, which resulted in the passage of a gun trafficking from states with lax gun laws costs incurred treating victims of gun VIO- well one-handgun-a-month limit in Virginia. into jurisdictions that have enacted tougher lence. Such a plan would shift the cost of gun the Wilder was able to overcome the influ- statutes. violence away from the public and onto those ence of the state's gun lobby, which histori- While the Brady bill would require hand- who profit from the gun trade. It might also to cally has defeated all gun initiatives in Vir- gun buyers to undergo a police background reduce handgun sales in the same manner These ginia, by circumventing the special check, no such system is in place for gun sell- other "sin" taxes are used to reduce con- nonthly interests and speaking directly to the peo- ers. Currently, more than 270,000 Ameri- sumption of tobacco and alcohol. ple. As in the rest of the nation, public opin- cans have federal licenses to sell guns, and Finally, in addition to legislation, a massive are ion polls in Virginia continually show a solid the understaffed Bureau of Alcohol, Tobacco public education campaign must be imple- is majority in favor of more restrictive gun and Firearms does not have the capacity to mented by the surgeon general along the lines In laws. In the past, however, the gun lobby effectively police them all. Any comprehen- of the successful anti-smoking campaign begun was able to thwart the views of the majority by relying on its campaign contributions sive approach to reducing gun violence must three decades ago. That campaign was vigor- 1991. address the ease with which individuals can ously opposed by the powerful tobacco lobby, huge and zealous membership. obtain a seller's license. and this one-which should discourage hand- an Am This year Wilder. aided by the threat of $1.2 an economic boycott of the state, was able The shooting of five people near CIA head- gun use, especially among young people-will to mobilize the great majority of Virginians, quarters with an AK-47 assault rifle high- be attacked by the gun lobby. We need a sur- including many in the business community lights another growing problem with which geon general-supported by the president- self- who will stand up to the gun lobby and declare a who had previously been silent on the issue. Congress has in the past refused to deal. premi- handguns a public health hazard. Several years ago, the Bush administration of Clinton will likely need to build the same If President Clinton adopts each of these a type of coalition if effective gun control legis- outlawed the importation of assault rifles but of proposals and is able to activate the support urge lation is to be enacted during his first term. did nothing to stop their manufacture or sale For of the American people the way Gov. Wilder the The need for reform of the nation's gun within the United States. Officials in Fairfax was able to in Virginia, we may finally be efaulted laws is obvious to almost everyone aside County, where the CIA shooting took place. able to break the lock the gun lobby has had pro- from the gun lobby, which still steadfastly reacted with surprise when informed that as- on the legislative process and begin to re- a long- clings to the one thing we know does not sault rifles were not covered by the county's duce the terrible and uniquely American vorkers work-the present system-and continues handgun waiting period. Similarly, most tragedy of gun violence. all its to spew forth tired old slogans that long ago Americans are surprised that these battle- lost whatever meaning they might have held. field-style weapons are sold at all and expect The writer is president of the Coalition to ensions Handguns killed 25,000 Americans last Congress and the president to act. Stop Gun Viclence. this year. They are the leading cause of death ng-term for male teenagers across the country, and a low in two states-Louisiana and Texas-fire- years. arm deaths recently surpassed automobile range fatalities. Yet. the NRA still maintains that bailout, "guns don't kill people, people kill people." have In Virginin, the NRA demonstrated its per growing irrelevance to the gun debate by re- 2 now). fusing to offer any solutions to end the state's remiums gun-running reputation. The NRA's sole con- tribution was a suggestion that driver's licens- pension es be made more difficult to obtain. The gun good lobby's whining against any inconvenience to do. In the "law-abiding gun owner" sounded especial- defined- ly self-serving in light of this support of the driver's license bill, which would have inconve- accord- nienced everyone in the state who drives. ample With the gun lobby apparently devoid of so- future lutions, a good place for a Clinton plan to begin leaves would be with a national one-handgun-a-month to the bill. Legislation has already been introduced their by Rep. Robert Torricelli of New Jersey im- eir cur- plementing the Virginia plan nationwide. The Torricelli proposal acts a perfect outinely complement to the long-stalled Brady bill, BY to pen- under- 2B THE CHARLOTTE OBSERVER Sunday, March 7. 1993 The Charlotte Observer ROLFE NEILL, Chairman and Publisher RICHARD OPPEL, Editor JOHN LUBY, General Manager GENE WILLIAMS, Executive Vice President ED WILLIAMS, Editor of the Editorial Pages JANE SHOEMAKER, Executive Editor TOM BRADBURY, JACK BETTS, Associate Editors FRANK BARROWS, Managing Editor Editorials Guns kill The public is paying a terrible cost for failing to restrict the availability of handguns. I n a story beginning on Page 1A today, Restrictions on handguns would further staff writer Mary Elizabeth DeAngelis curb handgun violence. For starters: describes in stunning detail what every- Congress should pass the Brady bill, body knows in general: Handgun vio- requiring a five-day waiting period and back- lence has a terrible cost - not just in deaths ground check for handgun sales from dealers. and ruined lives. but in money spent on North Carolina should make it illegal for victims. Read her report, and ponder the costs. anyone under age 21 to have a firearm. except The public health problem of violence isn't in restricted circumstances. simple; it will require complex treatment. A To drive a car you must get a driver's good place to start is with children who grow license and prove you can drive safely. Why up thinking violence is an effective way to should owning a fircarm be simpler? solve problems. Charlotte-Mecklenburg's pub- More than 270,000 Americans have fed- lic schools are helping by teaching children eral licenses to sell firearms. The Bureau of other ways to resolve disputes. Another way to Alcohol, Tobacco and Firearms has nowhere combat violence is to put violent criminals near the resources to police them all. Make it away. North Carolina is building prisons to do tougher to get a license to sell firearms. and that. The breakdown of families is a problem. sharply reduce the number of licensed dealers. Many public and private groups are working Sen. John Chaffee, a Rhode Island Repub- on that. lican, proposes a ban on the sale, manufacture Congressman Mel Reynolds, D-III., has pro- or ownership of handguns except under posed a response to the public cost of gun certain circumstances (for example, for law violence that wouldn' restrict gun ownership. enforcement and security agencies, licensed He would increase the excise tax on handguns collectors and gun clubs). His bill probably from 10% to 20% and on other firearms from won't go anywhere, but it raises a good 11% to 21%, and deposit, half the total revenues question: How does America benefit from an in a trust fund to help hospitals pay for treating open market in concealable weapons? uninsured gunshot victims. We'd tax handguns There's no simple remedy for violence. But more and exempt hunting firearms from the to reduce handgun violence, America must increase, but he's on the right track. restrict the availability of handguns. Gun control push gathers stea n Siege in Texas, backing from Clinton add to the momentum for new laws By Michael Putzel The bill was soundly defeated de- across the country, gun control advo- In Texas, gun-toting citizens :1 GLOBE STAFF spite Edwards' vote switch, and w- cates are seizing on the Waco case, fighting for the right to carry day, with tanks and other military in which four federal agents and as realed weapons as undercov WASHINGTON - The day after vehicles surrounding a band of heav. many at A dozen cultists were killed agents can, a move that they are a guninan drove through the window ily anned religious zealots outside in Я shoulout early last week, to re- would frighten off criminals E of a Killeen, Texas, cafeteria in Octo- his hometown of Waco, the Demo- kindle their campaign to make it Gov. Ann Richards said yesterd: ber 1991 and killed 22 persons, a cratic congressman isn't talking. harder for people to buy handguns she would veto such a bill if il ge shaken Rep. Chet Edwards, who re- "Il would be premature and fool- and assault weapons. through the Legislature. presents Killeen and knew some of ish" to discuss gun control while the The case is one of several recent And some state lawmakers R: 3/11/93 the victims, abandoned his long- 10-day standoff between the reli- developments that have prompted talking about banning assault wes standing opposition to gun control gious cult and federal agents contin- gun-control advocates to step up ons - a radical concept in a state to and voted for a national ban on as- ues, an Edwards spokesman said. their efforts and have led foes of boasts of its Wild West legacy. T sault weapons. But in the Texas Legislature and their goals to consider retooling. GUN CONTROL, Page Landscape for gun control A look at congressional gun control proposals. and actions in some cities and states. CONGRESS VIRGINIA carry concealed weapons. The Lone Star state has a long tradition of sup- The Brady Bill, named for President The state that gun control advocates porting the rights of gun owners, but Ronald Reagan's press secretary who labeled the wellspring for gunrumers gun control advocates point to the was shot during an assassination up and down the East Coast adopted fatal shootout in Waco between fed- attempt against Reagan 12 years 0 law Feb. 25 limiting handgun pur eral agents and Branch Davidians as ago. was reintroduced last week with chases to one a month per person, a evidence that guns prompt violence. supporters optimistic that President measure that Gov. Douglas Wilder- The state health department has Clinton's piedge of support will be made the centerpiece of his anti- reported that more people are shot to enough to ensure its passage. The crime campaign. death in Texas than die in automobile bill. which passed both houses last accidents. year Dut died at the end of the ses- NEW JERSEY sion when Republicans threatened to MADISON. WISCONSIN fillibuster a crime bill to which it was The state is finishing a hard-fought attached. would require handgun battle to repeal the strictest ban in The city is scheduled to hold a refer- buyers to undergo a police back- the nation against assault weapons. endum in April on a proposal to ban ground check and wait five business The Republican-controlled legislature all handguns. days before picking up their purchas- voted to repeal the state's ban on es. Supporters of the National Rifle assault weapons, the strictest law of CHICAGO,ILLINOIS Association are expected to counter its type in the country. Gov. Jim with a proposal to require an instant, Florio, who had proposed the ban Mayor Richard Daley recently computerized background check of during his 1989 campaign, vetood announced he would seek legislation gun buyers at the time of purchase. the repeal, and the lower house to make weapons manufacturers Lawmakers also have proposed a voted to override him. The state liable for damage caused by their national limit of one handgun pur- Senate could take up the measure products, a measure similar to one chase a month per person, which this week but Florio supporters say already adopted in the District of Clinton has said he would support, they have mustered the votes to.sus Columbia. Daley also proposed a ban and doubling the 11 percent federal tain the veto and keep the ban in on assault weapons and as well as a excise tax on guns and ammunition place. If so. the vote to override may 25-percent tax on the sale of other to help pay the cost of treating Deo- be postponed. guns and ammunition, with the rev. pie wounded by gunfire. Sen. John enues earmarked for trauma centers H. Chafee is expected to introduce TEXAS and caring for those injured by guns. legislation this month to ban private ownership of handguns. a measure Opposing forces are squaring off given a chance of success. over a proposal to permit Texans to COMPILED BY MICHAEL PUTZEL Texas siege, Clinton backing bolster efforts at gun contro GUN CONTROL new fervor in a number of states. Continued from Page 1 In New Jersey. Florio is fight The difference is to save his state's ban on assa proposal is given little chance of pas- the constituents weapons. which have gained pop sage this year. but some Texans find larity among drug dealers and stre it remarkable that the bill is even up are mad. They're gangs. Florio won passage of the for debate. mad about the in 1989. but it was repealed last yes "In light of what's going on in Florio vetoed the repeal. but Texas. we're going to tackle assault carnage and mad lower house voted recently to weapons." said Michael Beard. presi- about the kids who ride him. dent of the Coalition to Stop Gun are afraid to go to Yesterday. however. propone: Violence. "We have a window of op- of the ban appeared near victo portunity right now. and no idea how school.' With the state Senate president wide it is." five other Republicans saving th Meanwhile, Sarah Brady, who SARAH BRADY would not support an override heads Handgun Control Inc.. said Handgun Control Inc. Florio's veto. observers said : the same voter anger that fueled prorepeal forces could not must anti-Washington fever in last fall's the requisite votes for an override elections has helped turn the tide the state had become notorious as 2 In Wisconsin. forces are squari: against the National Rifle Associ- supply source for gunrunners from off over a referendum, scheduled ation. whose campaign contributions Maine to Florida next month, on a proposal to i and army of grass-roots members In response to such recent losses, handguns in Madison, the state Ca have defeated most gun laws for dec- the NRA is switching tacties, putting ital ades. less stress on its traditional defense In Congress, some gun-cont: Brady, whose husband, Jim. was of the right to keep and bear arms advocates hope to push beyo: gravely wounded in the assassina- and launching an ambitious crusade Brady's waiting-period legislatic tion attempt on President Reagan 12 to fight crime by building more pris- Rep. Mel Reynolds of Illinois. years ago, has acquired a powerful ons and putting more criminals in freshman Democrat who was shot new ally in President Clinton. Clin- them. during the election campaign la ton has said repeatedly that if Con- "We are undertaking a funda- year, has introduced legislation :t gress passes the Brady Bill. a pro- mental new mission," said Wayne would make firearms manufacture posal for handgun control that was LaPierre Jr., executive vice presi- liable for damage done by their P: opposed by President Bush. he will dent of the NRA "We want to be- ducts. sign it come the No. 1 crime-fighting orga- Reynolds. whose district include nization in the United States of the violence-racked South Side Praise for governors America. At the same time. we want Chicago. also proposes to double : Talking to students in New Jer- to protect the opportunity of honest existing federal excise tax on fir sey last week. Clinton hailed Virgin- citizens to own guns." arms and earmark the proceeds : ia Gov: Douglas Wilder and New Last week. Senate Majority a fund to finance trauma units Jersey Gov. Jim Florio for leading Leader George Mitchell. a Maine areas where gunshot wounds are gun-control campaigns in their Democrat. reintroduced the Brady major burden on the health care states. And a spate of killings of po- Bill, which would require buyers of tem. lice officers from California to Vir- handguns to undergo a background "After the economy and heal ginia to Boston has helped spawn check and wait five business days be- care, this is going to be the issue calls for new limits from law enforce- fore picking up their purchases. The the '90s." Reynolds said. reciting ment groups. measure passed both houses of Con- urban litany of drive-by shootin: But Brady said she is even more gress last year but died when Re- gang violence and cases of scho encouraged by what she describes as publican opponents threatened to children being gunned down by 0: unprecedented citizen concern. "The filibuster the crime bill to which it er children. difference is the constituents are was attached. The NRA's LaPierre agrees tt mad." Brady told the Globe. Despite Brady's optimism. how- violence has reached crisis levels "They're mad about the carnage and ever. Mitchell is concerned that even the United States. but he blan mad about the kids who are afraid to a minority of opponents in the Sen- politicians and a collapse of : go to school. And they're speaking ate could again use procedural tac- criminal justice system. "I see out" tics to kill the bill. He said he has coming down to a fundament: The NRA suffered a major set- made no decision about when to philosophical debate as to wheth back last month in Virginia when its bring it to the floor. we're going to ban guns or b lobbying efforts failed to block a criminals." he said. grass-roots movement championed State issues To Brady. the issue is equally by Wilder to limit handgun pur- Outside Washington. the battle sic: "Guns have no place in solvi chases to one a month. Wilder said over gun control is being waged with life's problems." she said. THE WHITE HOUSE WASHINGTON February 1, 1994 The Honorable Mel Reynolds U.S. House of Representatives Washington, D.C. 20515 Dear Congressman Reynolds: Thank you for writing about your concerns with the Access Initiative in the Health Security Act. We recognize, as you do, that a Health Security Card will not alone guarantee that all Americans receive appropriate medical care. The programs in the Access Initiative are designed to assure that individuals in medically underserved communities have real access to the full range of services in the comprehensive benefit package, needed support services, and an adequate choice of culturally sensitive providers and health plans. The Health Security Act proposed by the President builds on the community and migrant health center program and provides support for these centers and other community-based providers. You have raised specific concerns about the level of funding for community and migrant health centers. The Health Security Act authorizes $600 million in new funds for community and migrant health centers over fiscal years 1995 through 2000. In addition, a new capacity expansion program ($2.7 billion over fiscal years 1995 to 2000) will be available to community and migrant health centers as well as other providers in medically underserved areas to build new health care facilities, support capital improvements for existing facilities, and link current primary care providers with inpatient institutions through information systems and telecommunications. The enabling services program ($1.2 billion over fiscal years 1996 to 2000) will be available to community and migrant health centers as well as other providers in medically underserved areas to provide translation, transportation, child-care and outreach services. Expansion of the National Health Service Corps ($950 million over fiscal years 1995 to 2000) will increase the supply of practitioners available to serve in community and migrant health centers. You also raised concerns about offsets in funding for Public Health Service programs. The offsets do not represent a reduction in the ability of Public Health Service programs like community and migrant health centers to provide services. The offsets represent the amount of federal appropriations that will not be needed because, with universal coverage, health plans will make payments for those services for those individuals who were previously uninsured or underinsured. Page 2 February 1, 1994 Finally, we agree that Access Initiative grants should continue to reward community-based providers. The Access Initiative will integrate publicly-funded providers with private providers and health plans. To receive funding under this program, providers and plans must demonstrate significant community involvement as well as the ability to provide access to health services for all individuals in underserved areas. 1 The Health Security Act calls for substantial new funds for the Access Initiative over fiscal years 1995 through 2000. / We are committed to assuring a secure funding stream for these programs and look forward to working with you and other members of Congress to define the appropriate mechanism to do so. Please feel free to contact me with any additional concerns or questions. Sincerely yours, Hillary Hillary Rodham Clinton