06/18/1993
https://www.presidency.ucsb.edu...
"By the authority vested in me as President by the Constitution and the laws of the United States of America, including section 621 of the Foreign Assistance Act of 1961."
"I hereby determine that as a result of an unforeseen emergency, the provision of assistance...is important to the national interests of the United States."
"Strengthening and modernizing Medicare requires tough but achievable changes."
"I am honored by his service and by his friendship."