. >> on behalf of the downstate v hospitals of illinois i vote -- >> debate is not in order during a vote. >> mr. durbin, no. >> a regular order. debate is not in order during a vote. >> ms. murray, no. ms. stabenow -- >> debate is not in order during the boat. the debate is not in order during a vote. i the senate will be in order. spinning ms. stabenow, no.ple >> on behalf of elderly people who cannot afford higher -- >> i vote no. >> mr. sanders. mr. sanders, no. >> how am i recorded? >> senator is not recorded. >> i join my colleague from vermont and i vote no. >> mr. leahy, no. >> madam clerk? >> mr. nelson? >> i vote no. >> mr. nelson, no. ms. mccaskill?as >> because there is no replace i vote no. >> ms. mccaskill, no. >> mr. cardin? i vote >> on behalf of the people of maryland i vote no. >> mi recorded? >> on behalf of 700 -- the debate is not allowed during a vote. >> mr. brown, no. >> how am i recorded? recorded? >> ms. cantwell -- >> this is not --lt >> debate is not allowed to drink a vote. >> you are stealing healthcare from americans. i vote no. >> madam clerk? >> when

i'm from downstate illinois, proud to represent chicago, but i've represented in congress and in the senate small-tow town, rl america. communities where a hospital makes a difference. if you don't have a hospital nearby, it could be an hour's drive if you're lucky from quality medical care, not to mention the impact that hospital has on the local economy, keeping and attracting new businesses. according to the illinois hospital association, the 15th congressional district in illinois stands to lose $470 million under republican repeal of the affordable care act. that means 3,400 jobs lost in that congressional district in central illinois with repeal of affordable care. now, we talk about good jobs and creating them in the state. the president goes and makes trips, as he should, to try to save american jobs, and yet the first congressional action by the republican majority this year is to threaten 3,400 jobs in the 15th congressional district. washington county hospital in nashville, illinois, is a 22-bed critical access hospital 50 miles from st. louis. they provide acute care, sur

increasing the minimum wage that will get to $15 an hour from new york city and those that found tat-- downstateyesterday was the fifth anniversary of occupied wall street and people are like what are they doing, they are all over the place. i saw four or five people i met from occupied wall street at the standing rock and that pushed the administration to ask for a temporary halt on construction on the part of construction. they are still constructing parts of it. meanwhile, the protesters are still walking down equipment because the temporary hold isn't a win completely. >>> [inaudible conversations] pella. welcome to the 21st annual texas book festival. thank you for coming out today in support of our authors, the festival and celebrating great literature. as you know, the texas book festival is a nonprofit organization that works year-round to strengthen literacy by a warning library ly grants with reading rock stars program sending nationally recognized authors and autho illustrators and into title i schools and donating books to those students. by being here today, and by biting the books,

what happens when you close that small town hospital in downstate illinois? what used to be a 20-minute ride to the hospital becomes a one-hour drive. how important is that? well, when you're in labor it's important or if you just had a farm accident or you're responding to something that happened on the highway, it's critical life or death important. so you would think the republicans would have a plan to keep these hospitals open. they don't. we haven't seen the substitute. so they rail against obamacare, they rail against the affordable care act. they don't criticize the individual components that i described because they are wildly popular with the american people. we spent six years trying to convince people with the affordable care act with its flaws that it was good for america. we have gotten nowhere, we are beating our heads against the wall. when republicans took over and talking about repeal, people were stepping back and say when are we going to lose. the affordable care act -- as people come now the value of it for their families and businesses.

senator not just because i had a strong base in chicago but because i was driving around downstate illinois going to fish fries and sitting in halls and talking to farmers. >> is the president right? we will talk about what the democrats need to do and we have with us karen finney, former clinton campaign senior adviser and cnn political commentator van jones. karen, i don't want this to be an autopsy of the clinton campaign but this has been a criticism and i want to get a response to this. >> sure. >> off the bat because former pennsylvania governor ed rendell suggested that the clinton campaign didn't go after white working class voters enough. listen. >> if i was in charge of the clinton campaign, i would have sent hillary into michigan, wisconsin and pennsylvania. you have to relate to people. you have to ask people for their votes. >> so, a couple thoughts on that. look, there are any number of things that you can point to that it has some merit to it, a perfect storm of a lot of different things. one thing that's important as we go forward, i don't think this is an issue where there'

i live in a state that's got the great city of chicago, cook county regional area, but downstate we are very rural, small-town america. i know from my congressional experience and from my life as a senator representing that state, there are downstate hospitals that cannot survive without the affordable care act. in my state, some of those hospitals are the major employers in their communities, and the only go-to place for someone seriously ill or injured. the republicans have yet to suggest any suggestion at all about how we're going to keep these hospitals open. they're starting to contact me now. the hospitals, as well as the clinics and the health care providers, and they're sark the republicans really aren't going to do this, are they? they're not just going to are abollish it and leave with us this chaos that's going to follow? well, sad to say, that's exactly what they're going to do. senator rand paul of kentucky wrote an article today and said he thought it was just wrong on the republican side to do that. he said, the responsible thing to do ised to have an alternative before y

that includes many rural downstate hospitals. they are major employers in their community and estimate we would lose between 84,000 and 95,000 jobs with the repeal of the affordable care act. you can have a press conference for saving 800 jobs at carrier but are we going to have a press conference and celebrate when they're killing 84,000 jobs in illinois with the repeal of the affordable care act? they shouldn't. they should do the responsible thing. let's work together. let's make the affordable care act better, more affordable, and we can do it but the notion of repealing it first and then promising to getting around to a substitute later that invites chaos. that's going to make america sick again. mr. president, i yield. a senator: mr. president? the presiding officer: the senator from maryland. a senator: first i want to thank senator durbin for his comments. his comments about the policy of repealing the affordable care act and not knowing what comes next. the impact it's going to have on people in illinois. i'm going to ta

delaware and new jersey i would be very happy with the agreement that it seems but you were the downstate so i don't understand. you said earlier in your testimony in regards to this matter when you have a copy of the 2003 agreement? >> i know that you claimed in your testimony earlier quick. >> with a 10 year period to be re-evaluated. >> to clarify its seems there is no expiration it had a re-evaluation period and it was by estate with involvement and it came up with the same .03 standard and i have a blowup of that agreement est. so pop that oklahoma through the water resources board will propose a rule amendment that rules the date to achieve full compliance if to set forth and then it lists the to codes and if you look at those two codes, what they are in is that is the phosphorus constantly -- concentration cannot exceed that amount by june 30th. so that is the deadline of the two statutes that is what is frustrating to me so you already had this in your agreement so what it is clear that you are doing to me for you take a binding unless law-enforcement it cook for another three yea

you are the downstate. that is what i don't understand. i know you claim in your testimony earlier that the 2003 agreement and expiration on it. >> that need to be reevaluated. they came up with the same points stander. it states oklahoma through the water resource board will propose a rule amendment the date to achieve full compliance and that lists these two codes. if you look at those two codes what they do you know what they are they set the sections by june 30. it is removing the june 30 and that is what is frustrating to me. you already had it was clear that you are doing to me. you take a binding rule of law and you suspended. for another three years. see that is not the issue. the issue here is not whether they can do that standard. whether arkansas was going to adopt that standard on that side of the border. that was a concern of oklahoma. i will stipulate. i'm running out of time because i agree with you. whether arkansas was going to be able to live up to that standard. and this is what i want to say. assumes you did this histor