when they see that -- connected does discourage them he max hrsa agrees? >> hrsa agrees. >> i think my colleagues. the clerk will vote on the the murray amendment. i am sorry, the enzi amendment. [roll call] [roll call] >> the amendment is not agreed to and let me say to senator enzi, is an interesting observation and the pride that hrsa thinks it has been discouraging to people to go and was persuasive to maim. it is one of the issues another is a debate about it but i think we have certainly had a eighth straight pal empty for a long while and we're not getting the results. >> mr. chairman, the senator rakowski will be offering an amendment we can all agree on that is graduated rate we have been working on it a really good alternative. >> i think for the contribution. >> mr. chairman, i do have an amendment agreed upon, senator burkowski and i ask unanimous consent it be accepted? >> yes, burkowski never 40. >> i think it has been cleared on both sides. >> member 40. >> not the one i referred to. >> i think it is clear that on both sides -- tom, do you w

hrsa does a ton of stuff for the uninsured. tons of public programs. those people receive that information. >> there is the opportunity for duplicative issues available. this is broad and sweeping -- >> i intended it to be broad and sweeping. there's no finesse in what i do. you all know that by now. it's out there. >> mr. chairman, i've got to respond because you said you said if this does duplicate. well, it obviously will duplicate a lot of programs. i listened and we're all in agreement with the things we want to fund. first and foremost, it will duplicate most of what cdc does under the prevention piece of their mission. two, the department of housing and urban development, the cdbg grants. the cdbg grants are programs to provide grants for urban communities grantees may fund activities that meet community development needs related to health and welfare of the community. they're going to be a recipient of part of this $10 billion a year the department of transportation. they're in charge of bike trails and pedestrian trails. department of agricult

> it's not cbo -- >> it's been used in your remarks. >> i miss spoke. >> we have been working with hrsa and they said the graduated interest rate that you will see when senate term schakowsky offers her amendment they do believe it is a good way to go so we do have that coming hopefully shortly. >> mr. chairman. >> senator coburn. >> i agree with senator marie there is a shortage of primary care. but i disagree as to the reasons why. the reason why is it because we don't have adequate enough loan programs and penalties. it's because there is an absolute economic reason not to go into primary care. and so, i think this title of the bill fixes the wrong problem. it increases what we are doing by 400% and changes interest rates, which i don't think have any indication. the reason people are all going into primary care is there is a 300% payment differential if they go into a sub specialty. so, we are treating the rahm disease. the disease is economic. it will if in fact you could lower the total cost in pherae that might in fact do it but it's not when you have that kind of payment differe

hrsa is under control of the secretary. so we're going to give her the information. we're going to give her the data and then when it's not working she's going to run the thing for 11 months while you all wait to ignore the data so the point -- the point, is as i understand your reserve on changing the method, there's no secret that you all have a lot of problem with our appropriations methods around here anyway and i've not made that. i guess i've made that point several times, especially with senator murray but always in a cordial way. i can just imagine one of these programs not working, and we still send the money out there because i know our -- i know our practice. we don't do the hard work of oversight, so, you know, and whether you like -- whether it's the park program or any other program, the fact is when you go look at what the park program says and then you read what the gao says on all these programs, we don't get rid of them anyway, and all i'm trying to do is to say, you know, the american people want us to be a whole lot more efficient. they want us to