Mr. Speaker, I yield myself such time as I may consume. (Mr. McGOVERN asked and was given permission to revise and extend his remarks.) Mr. Speaker, I want to thank the gentleman for yielding me the…
Mr. Speaker, I yield myself such time as I may consume.
(Mr. McGOVERN asked and was given permission to revise and extend his remarks.)
Mr. Speaker, I want to thank the gentleman for yielding me the customary 30 minutes.
Mr. Speaker, this is the 28th closed rule we are considering in Congress. Let me repeat that. This is the 28th closed rule that we are considering in this Congress. That means that 64 percent of the rules that the Republican leadership has brought to the floor this year have been completely closed, with no opportunity for Democrats or Republicans to offer their ideas to expand upon or improve the legislation.
Under a closed rule, you can't even offer an amendment to fix a typo. If somebody is in their office listening to the debate on this bill and has an idea on how to improve it, they are denied that opportunity to offer any amendments on the floor--in short, no amendments.
Mr. Speaker, this place is called the people's House. Maybe it should be called the Russia House because this is the way they legislate in Russia, completely closed, no opportunity for different ideas to be brought before the Congress and debated.
I have never, in all my years in Congress, experienced a more authoritarian approach to legislating than I have in this Congress. I have never encountered a more closed Congress than this Congress is.
This is not right, and it should not be considered normal. Not only Democrats should be outraged, but Republicans ought to be outraged as well.
You know, I wish my Republican friends had learned something from the collapse of their healthcare bill a few weeks ago. They rushed to the floor a bill cobbled together in the dark of night, filled with bribes and backroom deals. In fact, to strong-arm Members into voting for the bill and to correct for all the technical drafting errors that occurred thanks to their secretive process, there were not one, not two, not even three, but five--that is right, five--separate manager's amendments filed with the Rules Committee.
Now, let me explain that.
Only the people who wrote the bill were allowed to amend it. They wrote it so quickly, so sloppily, that they had to amend their amendments. I mean, this would be laughable if it weren't so tragic. And even after all of that, they were not able to piece together votes within their own Conference, and the bill imploded.
Well, it was a mess from beginning to end; and, to put it bluntly, the process was a disaster. Don't take it from me. Listen to Sean Hannity of FOX News. Now, don't adjust your television set. I am actually going to quote FOX News--and Sean Hannity, at that. I can't believe that he and I agree on something.
Here is what he said. According to a CNN report, he said: ``Now, this legislation was flawed from the beginning. It was created behind closed doors. Not one single Member saw the bill until it was rolled out. And that made it a disaster.''
That is Sean Hannity, one of President Trump's biggest cheerleaders, one of the biggest cheerleaders of my Republican friends. Here he is trashing the Republican health bill. And if that is not a wake-up call for Republicans, I don't know what is. You know, if Republicans are being criticized on their process by Sean Hannity, they have a serious problem.
Now we are reading that Republicans are again huddling in back rooms in the Capitol in an effort to resurrect their terrible plan to repeal the Affordable Care Act, strip important protections away from our constituents, and put insurance companies in charge of our health care. There it is on the front page of today's Washington Post: ``GOP Presses for New Health Plan.''
Now, I haven't been invited to any of these secret backroom negotiations, but from what we are hearing, it isn't good. It seems that things are not looking good for hospitals. MassDevice alerted us to the fact that: ``Hospital Stocks Fall as GOP Looks to Revive TrumpCare Bill.''
It appears as though Republicans are still working to make their bill even more devastating. Mother Jones reported: ``TrumpCare 2.0 Still Isn't Cruel Enough to Satisfy Conservatives.''
Yesterday, Tribune Media Wire wrote about: ``How the Revised TrumpCare Plan Could Hit Americans with Preexisting Conditions.''
I include in the Congressional Record, Mr. Speaker, an article that appears in today's New York Times about how the latest health proposal weakens coverage for preexisting conditions.
[From the New York Times, Apr. 4, 2017]
Republican Health Proposal Would Undermine Coverage for Pre-Existing
Conditions
(By Margot Sanger-Katz)
Throughout the debate to repeal and replace the Affordable
Care Act, President Trump and Republican congressional
leaders have insisted they would retain a crucial, popular
part of the health law: the promise that people can buy
insurance even if they've had illnesses in the past.
Their efforts foundered last month, when a House health
bill had to be pulled from the floor after it failed to
attract enough support. Late Monday night, word emerged that
the White House and the group of conservative lawmakers known
as the Freedom Caucus had discussed a proposal to revive the
bill. But the proposed changes would effectively cast the
Affordable Care Act's pre-existing conditions provision
aside.
The terms, described by Representative Mark Meadows,
Republican of North Carolina and the head of the Freedom
Caucus, are something like this: States would have the option
to jettison two major parts of the Affordable Care Act's
insurance regulations. They could decide to opt out of
provisions that require insurers to cover a standard, minimum
package of benefits, known as the essential health benefits.
And they could decide to do away with a rule that requires
insurance companies to charge the same price to everyone who
is the same age, a provision called community rating.
The proposal is not final, but Mr. Meadows told reporters
after the meeting that his members would be interested in
such a bill. To pass the House, any bill would need to find
favor not just with the Freedom Caucus, but also with more
moderate Republicans. It would also need to attract the
support of nearly every Republican in the Senate to become
law.
The ability to opt out of the benefit requirements could
substantially reduce the value of insurance on the market. A
patient with cancer might, for example, still be allowed to
buy a plan, but it wouldn't do her much good if that plan was
not required to cover chemotherapy drugs.
The second opt-out would make the insurance options for
those with pre-existing conditions even more meaningless.
Technically, the deal would still prevent insurers from
denying coverage to people with a history of illness. But
without community rating, health plans would be free to
charge those patients as much as they wanted. If both of the
Obamacare provisions went away, the hypothetical cancer
patient might be able to buy only a plan, without
chemotherapy coverage, that costs many times more than a
similar plan costs a healthy customer. Only cancer patients
with extraordinary financial resources and little interest in
the fine print would sign up.
There is a reason that many conservatives want to do away
with these provisions. Because they help people with
substantial health care needs buy relatively affordable
coverage, they drive up the price of insurance for people who
are healthy. An insurance market that did not include cancer
care--or even any cancer patients--would be one where
premiums for the remaining customers were much lower. The
result might be a market that is much more affordable for
people with a clean bill of health. But it would become
largely inaccessible to anyone who really needs help paying
for medical care.
We do not have to speculate to know what the world looks
like without essential health benefits and community rating.
It was how most state insurance markets worked before
Obamacare. Back in 2009, most sick people who did not get
insurance through work or a government program were excluded
from coverage if they had a history of health problems like
allergies or arthritis. Plans that did not cover pregnancy
care or drug addiction treatment were widespread. (The data
about individual market insurance premiums is a little
spotty, but it appears that they were substantially lower in
most states.)
One idea Republicans have about how to care for the sick
was also in effect pre-Obamacare. Many states had ``high-risk
pools,'' where people shut out of the traditional insurance
markets could buy special plans with the help of state
subsidies. The Freedom Caucus proposal is likely to include
some money that states could use to set up such pools.
``The fundamental idea is that marginally sick people would
pay with risk associated with their coverage,'' Mr. Meadows
said Monday. ``Those that have, you know, premiums that would
be driven up because of catastrophic illness or long-term
illnesses, we've been dealing with that for a long time with
high-risk pools.''
But insurance in the old high-risk pools tended to be
expensive, and often came with long waiting periods or
benefit limitations, even for the very sick.
The main difference between the policy environment in 2009
and today is that the federal government would now be
offering tax credits to help healthy people buy what would
probably be relatively skimpy plans. That would mean that
more middle-income Americans would probably have health
coverage than before the Affordable Care Act, since the
combination of policies would tend to make insurance much
more affordable for people who are young and healthy.
What states would choose to do with this set of options is
hard to predict. Before Obamacare, few states required
community rating of health plans. And few states required
insurers to cover all of the benefits deemed essential under
Obamacare, though most did require a few types of treatments
to be covered. State governments would face a difficult
choice: either take away the requirements, and leave sick
patients without insurance options, or keep them and see
people unable to afford coverage under the new subsidy
system.
Under Obamacare, states can already waive many of the law's
insurance rules if they can show that an alternative program
would cover as many people with comprehensive coverage at a
lower cost to the government. But that standard is difficult
to meet. Mr. Meadows suggested that the waivers under
discussion should be ``very easily granted'' to states.
The politics of health care in the United States have
shifted since the Affordable Care Act was passed seven years
ago. In recent months, the law has grown more popular, and
the pre-existing conditions policy is among its best-known
protections. That could create political pressure for states
to keep the insurance rules, even if they are not required by
law. But it is likely that at least some states might decide
to eliminate them if they are made optional. Shifting norms
about health insurance regulation may also affect the idea's
reception in Congress.
Mr. Meadows said that the proposal presented to the Freedom
Caucus would retain the pre-existing conditions policy. But
that would be true in only the most literal sense. The mix of
policies could allow insurance companies to charge sick
people prices that few of them could pay. And it could allow
them to exclude benefits that many healthy people need when
they get sick. The result could be a world where people with
pre-existing conditions would struggle to buy comprehensive
health insurance--just like before Obamacare.
Thomas Kaplan contributed reporting.
Mr. Speaker, I mean, preexisting conditions. Oh, my God. What are my friends thinking about?
And we are reading that essential health benefits are still on the chopping block.
You know, these are some of the main provisions of the ACA that people like, that people need, and that people deserve.
Protecting essential health benefits in people with preexisting conditions is our moral obligation. Taking these protections away from people would be cruel and unjust and immoral. I would say to my Republican friends: You don't have to do it.
But I guess we will have to wait and see until these secret negotiators emerge from their back rooms with details to share. And I will start getting ready for the next emergency Rules Committee. I am looking forward to that meeting because that will probably be the only time we will have to talk about the bill because I think it is probably too much to expect that my Republican friends would actually, this time around, hold a hearing. Maybe they will bypass a markup, but they will have to go to the Rules Committee in an emergency meeting, and we will probably look forward to another martial law rule.
But we are doing this bill today that no one has ever heard of. It was a noncontroversial suspension bill last year, but now we lift it up like it is the most important piece of business that we are facing in America today. You know, what about the urgent priorities facing our country?
I think it is clear that Speaker Ryan and the majority leader are grasping for filler legislation to keep us busy on the House floor so that the American people really don't see really how dysfunctional this majority really is.
Representative Mario Diaz-Balart, a Member of the Republican Conference, said, and I think he said it best last week when he said: ``It's pretty evident that we don't have the votes among Republicans to do, in essence, anything that's real.''
Maybe that is why we are wasting our time this week on these bills instead of moving an infrastructure package or finishing the FY17 appropriations process, which should have been finalized last year.
I will remind my Republican colleagues that our government runs out of funding on April 28. That is 5 legislative days from now, since we are going on break at the end of this week. Now, maybe, again, this is a radical idea, but maybe we should be dealing with that today.
I am beginning to give up hope for regular order in the appropriations process under the Republican leadership, but I would have thought we would at least have some insight about a funding bill by now. Again, 5 legislative days from now, the government potentially could be shut down.
Maybe some of you think that the underlying legislation that this rule would allow us to consider, a bill to increase the number of companies that are exempted from certain SEC regulations, is vitally important. Maybe you are being inundated with calls about this issue. I don't know. Maybe your townhalls are overflowing with people
demanding this SEC suspension bill, but I am certain that no Member of this body could say with a straight face that this is somehow more important than keeping the entire Federal Government open.
For the life of me, I don't understand why we always have to get right up to the edge of the cliff, but here we are again. Today is just the latest example that the priorities of this Republican leadership do not serve the American people.
I would urge my colleagues to think about this as we spend time in our districts over the next 2 weeks. Maybe, when we get back, Congress can actually do its job and fund the government and focus on things that are important like a jobs bill or an infrastructure bill instead of more of the same Republican messaging bills.
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, I yield myself such time as I may consume.
I am glad the gentleman from Michigan believes that closed rules are regular order--maybe in Russia, but that is not supposed to be the norm here in the people's House. We have an obligation to actually debate serious bills.
Right now, my Republican friends are behind closed doors somewhere in the Capitol debating healthcare legislation. And what I am against is this whole process. This is backwards. My Republican friends ought to be out in the open debating health care. They ought to be doing hearings. This is what I am objecting to.
In the scheme of things, this is a relatively minor piece of legislation, compared to my Republican friends' plans to repeal the Affordable Care Act.
Yes, we should be debating Russia and all the ties that the Trump administration has with Russia. The question
used to be: Who in the administration has ties with Russia? Now the question is: Who in this administration doesn't have ties with Russia? Yes, those are important things we ought to be talking about. But, come on.
What we are objecting to is you bringing filler to the floor while, in secret, you are trying to dismantle health care in a way that we believe will harm millions and millions of Americans; that will take away their protections, those who have preexisting conditions; that will throw millions of people off of their insurance; that will take away essential health benefits. Yeah, that is important to us, and it is important to the American people.
What we are objecting to is a process where you debate these issues in secret and you bring stuff like this to the floor.
Mr. Speaker, this week, President Trump signed a bill to allow internet service providers to sell their customers' sensitive information. This information includes location, financial and health data, information about customers' children, Social Security numbers, web browsing history, app usage history, and the content of their customers' communications, such as emails and video chats.
Yet, amazingly, President Trump's tax return information is still off limits to the American people. Every President since Gerald Ford has disclosed his tax return information. These returns have provided a basic level of transparency that has helped to ensure the public's interest is placed first.
So the message from President Trump and the Republican Party is clear: It is okay for companies to profit off your medical and financial information, or information contained in your private emails, but the American voter is not allowed to know if the President has any conflicts of interest. That is right. Donald Trump's privacy matters, but your privacy doesn't.
Internet companies can auction off your private, personal information to the highest bidder. But information related to Donald Trump's business life must be kept secret.
Mr. Speaker, the American people deserve better, and it is incumbent upon us, as the people's elected Representatives, to hold the executive branch accountable.
So I am going to ask people to vote ``no'' on the previous question. And if we defeat the previous question, I will offer an amendment to the rule to bring up Representative Eshoo's bill, which will require Presidents and major party nominees for the Presidency to release their tax returns.
Mr. Speaker, I ask unanimous consent to insert the text of my amendment in the Record, along with extraneous material, immediately prior to the vote on the previous question.
Mr. Speaker, this is a big deal. The American people have a right to know because the American people are concerned that this White House is on a collision course with corruption. It is time to let a little light shine on the President's tax returns so the American people know what his dealings have been and know what, quite frankly, they have been able to know about every other President and every other major party nominee.
I yield 5 minutes to the distinguished gentlewoman from California (Ms. Eshoo) to discuss our proposal.
Mr. Speaker, I yield the gentlewoman from California an additional 2 minutes.
Mr. Speaker, I yield myself such time as I may consume.
Mr. Speaker, I just want to be clear so that my good friend from Colorado understands where I am coming from.
I don't really care about this bill. I think it is a noncontroversial bill that, quite frankly, probably could be approved by voice vote if it were brought up that way.
The point I am trying to make is that this is a relatively minor bill compared to some of the important issues that we need to deal with. It is troublesome to me that, on this bill, which my friend from Colorado said involved years of hearings and where the sponsor of the bill consulted with Democratic colleagues--I favor all of that. But what I am really outraged about is that, while we are talking about this relatively inconsequential bill and about how wonderful this process around this bill is, there are meetings going on in secret, right now, with my Republican colleagues, on dismantling health care in this country, conversations that might result in tens of millions of Americans losing their health insurance, conversations involving taking away essential benefits from insurance packages, conversations that would basically remove protections for people who have preexisting conditions.
All of this is going on in secret. We are reading about it in the press. I am sure my colleagues know about it because they are reading about it. Maybe they are proud of these secret meetings. I want to know where these secret meetings are.
I am simply saying to my friends on the other side of the aisle, on something as big as health care, you ought to be having these meetings out in the open. There ought to be hearings. You ought to bring in patients and patient advocate groups. You ought to bring in doctors, nurses, and heads of hospitals. You ought to bring in people who are going to be affected by any kind of changes you make in our healthcare policy.
Instead, it is being done behind closed doors, in secret, and I think the American people are outraged by that. That is one of the reasons why the bill you brought to the floor recently only had 17 percent support amongst the American people.
So what we are objecting to is the fact that we are not bringing to the floor matters that are urgent, like keeping the government running and like an infrastructure bill. We are also objecting to the fact that we are reading that my Republican friends are, once again, behind closed doors negotiating another healthcare bill that we think will do great damage to the health care of a lot of people in this country.
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, I yield myself the balance of my time, and I will close for our side.
Mr. Speaker, I want to alert my Republican colleagues to some recent polls that came out today. There is a poll that Qinnipiac did that said that Trump is more unpopular than Obama ever was, and, today, President Trump's approval rating is at 35 percent. That is down from 37 percent, and that is the lowest, I think, of any President this early on in his Presidency. I think the lowest rating ever was President George W. Bush. It was at 28 percent, but it took 8 years, two unpopular wars, and a staggering economy to get to that point. But with President Trump, we are already at 35 percent. The Gallup Poll says his approval is at 39 percent.
By the way, the Affordable Care Act, according to Kaiser, now polls at 55 percent approval rating, and the Republican Congress is about as low as President Trump is right now.
I am trying to think of the words to help my colleagues understand what these polls mean. I guess ``not good'' comes to mind, or ``very, very bad.'' I don't think, even if you tried, you could get poll numbers so low so early on in a new Congress or so early on in a new administration.
I would say to my friends the reason for this unpopularity is the way you are conducting business in our government, that the closed processes that are being used with regard to legislation I think are unprecedented. There has never been a more closed Congress than this one. You were pretty closed last session as well. This is a terrible pattern.
I agree with my friend, Mr. Buck, on one thing he said. The gentleman said yesterday that good process produces good policy, but perhaps equally as important, good process helps instill faith in this institution. I agree with that. I could have said those remarks here today.
My question is: If that is the case, why are my Republican friends tolerating a process on healthcare reform that is now going on that is being done behind closed doors in some back room somewhere in this building with no input from patients or patient advocate groups or doctors or nurses or hospitals or anybody who has anything to do with health care? Why, on something so important, is the process so closed and so restrictive and so secretive?
I will tell you, just as this closed process led to a disastrous Republican healthcare bill recently, this continued closed process will lead to more disaster. This is not the way we should be doing the people's business. So we
strongly object to the way the Republicans are running this House and, in fact, the way the President is handling this issue as well.
It is always nice to see Vice President Pence in the hallway when he is walking back and forth, but it would be better to see him in a public setting talking about what the administration's priorities are, not rushing from one back room to another back room to another back room trying to make secret deals to get more people to vote for something when they have no idea what is in the legislation. That is not the way of doing business. So we object to the process.
Again, I urge my colleagues to also vote ``no'' on the previous question so we can have an opportunity to see President Trump's tax returns. Every President since Gerald Ford has disclosed their tax returns, every major Presidential candidate, and every day we read in the newspaper about more and more potential conflicts of interest between the President and his family. I have to tell you, we are on a collision course with corruption. The President has promised to drain the swamp. He has created a cesspool, and it should be of concern to every single person in this Chamber, Democrat and Republican alike.
I don't think it is too much to ask for transparency when it comes to the person who is our Commander in Chief. I shudder to think if Hillary Clinton had won the Presidency and didn't release her tax returns, the outrage that would be coming from the other side of the aisle. I can't even imagine how much outrage would be coming from them.
Yet when Donald Trump hides his financial information from Congress and the American people, there is silence; people don't want to know. Well, the majority of people do. Poll after poll show the overwhelming majority of Americans want to know what is in his tax returns.
Why is this such a state secret? Why can't people see what they want to see and what they have been given with every other President?
So this is an opportunity to put this issue behind us, and if there is nothing controversial in his taxes, well, then this issue goes away and we can talk about something else. But maybe there is something he is hiding. Maybe there is something that we should be concerned about. Maybe there are conflicts of interest that might be constitutionally questionable. Maybe there are ties to Russia that would cause my colleagues on the other side of the aisle more concern.
This idea of hiding this has to stop. I urge my colleagues to vote ``no'' on the previous question and vote ``no'' on the underlying rule.
Mr. Speaker, I yield back the balance of my time.
Mr. Speaker, on that I demand the yeas and nays.