Mr. Speaker, I yield myself such time as I may consume. Mr. Speaker, I thank my friend, the gentleman from Colorado, for yielding me the necessary and customary 30 minutes for debate. Mr. Speaker, I…
Mr. Speaker, I yield myself such time as I may consume.
Mr. Speaker, I thank my friend, the gentleman from Colorado, for yielding me the necessary and customary 30 minutes for debate.
Mr. Speaker, I am here today to debate the rule for consideration of two separate pieces of legislation: S. 1094, the Department of Veterans Affairs Accountability and Whistleblower Protection Act; and H.R. 2581, the Verify First Act.
I begin with S. 1094, legislation aimed at bringing enhanced accountability at the Department of Veterans Affairs and improving the care we provide to our Nation's veterans. Among other things, this bill codifies in law the Office of Accountability and Whistleblower Protection at the VA and streamlines the process to demote, remove, or suspend VA employees if evidence proves they engaged in misconduct or poor performance.
Mr. Speaker, last night at the Rules Committee, we had the opportunity to hear from the chairman and ranking member of the Veterans' Affairs Committee about this legislation, Dr. Roe and Mr. Walz. They discussed the bipartisan nature in which they have worked on this issue, along with the bipartisan work done in the Senate, to craft legislation that they hope can achieve strong bipartisan support in this body.
It is because of this display of bipartisanship and cooperation and a semblance of regular order that I am dismayed that I must now address the process and substance by which we are considering the second bill encompassed in this rule, H.R. 2581, the Verify First Act.
Let me connect the dots for you on how we got to this point, and bear with me. The Republican majority's path to take healthcare from 23 million Americans has been as convoluted as it has been chaotic.
Mr. Speaker, as I am sure you and my colleagues should remember, first, the Republican mantra was repeal. Then it was repeal and replace. Then it was repeal and delay, followed by access to coverage, and then, patient centered.
Finally, my colleagues on the other side of the aisle settled on a three-bucket strategy. The first bucket of this strategy was the Republicans'
American Health Care Act. The majority brought their first iteration of this bill to the floor after working on it for 17 days, and, with no hearings, only to have it go down in flames in the most public and spectacular fashion.
So they went back to the drawing board--not to improve the bill, or improve healthcare for the American people, mind you, but to garner enough Republican votes for a bill that ultimately had 17 percent approval ratings. And they added a manager's amendment to get support, then they added another manager's amendment, then another, and another.
Then with a bill patched together with the wants and wishes of powerful healthcare lobbyists and tax breaks for the superwealthy, with no CBO score, and with no way for the American people, let alone their own Members, to actually know what was in the bill, the majority pushed the bill through the House of Representatives.
What did my Republican friends do after passing this inexplicably bad bill? They got on a couple of buses from here at the Capitol and went to a rose garden ceremony hosted by President Donald John Trump to celebrate upending one-sixth of the American economy and taking away healthcare from 23 million people.
That was certainly the Republicans' most recent mission-accomplished moment, and it must have been some celebration because it will be another 2 weeks before the majority would actually get around to sending their healthcare bill to the Senate, due to the fact that they were not sure if it complied with the Senate rules or, more specifically, the Byrd rule in the U.S. Senate.
Then there is the second bucket of this plan, which involves the Trump administration rolling back regulations. Should the work associated with the second bucket proceed as it has with the other two, then I am sure it, too, will be a disaster, benefitting the wealthy at the expense of hardworking Americans.
Mr. Speaker, this brings me to the Republicans' third bucket. According to Senator Ted Cruz, this bucket is ``a sucker's bucket.'' Indeed, some like Senator Tom Cotton have referred to all of this bucket talk as simply a bunch of political spin. Whatever it is, it is an empty bucket.
The most recent bill the Republican majority has decided to dump in this sucker's bucket is H.R. 2581, the Verify First Act. Under current law, premium assistance tax credits are available for eligible individuals and families to subsidize the cost of health insurance. Individuals are not eligible for these credits unless they are U.S. citizens or are living in the country legally.
Currently, applicants have 90 days to provide documentation or otherwise address any issues with citizenship and immigration status, and are presumed eligible to enroll in marketplace coverage. If an individual is unable to provide the necessary documentation, coverage and financial assistance are terminated.
This provision ensures that individuals are not left in a position of having to wait potentially months to be verified before they can afford coverage, and it provides the proper guardrails to terminate assistance if an individual is deemed ineligible. There is no evidence to support the majority's claim that this process is not working.
H.R. 2581 would repeal this 90-day verification period, setting up an unnecessary barrier for eligible individuals to receive the credits they need to afford lifesaving healthcare. Republicans themselves acknowledge that the verification process could take months, but, nevertheless, they are bringing forth today's bill knowing full well that it will make it harder for vulnerable people to access healthcare when they need it most.
It would disproportionately hurt low-income Americans, especially naturalized Americans from immigrant families since they can have a harder time producing documentation needed to verify their citizenship. But don't just take my word for it.
Mr. Speaker, I include in the Record a letter signed by dozens and dozens of national, State, and local civil rights and advocacy groups strongly opposing this legislation, such groups as the NAACP, the Children's Defense Fund, the National Association of County and City Health Officials, the American Friends Service Committee, the Association of Asian Pacific Community Health Organizations, the League of United Latin American Citizens, the Institute of the Sisters of Mercy, and I could go on, and on, and on, but in the interest of time, I thank the Speaker for allowing it to be made a part of the Record.
June 12, 2017.
Dear Member of Congress: As national, state, and local
organizations concerned about immigrant rights or access to
affordable health care, we are writing to strongly urge you
to VOTE NO on H.R. 2581, the ``Verify First'' Act. This bill
is an attack on people's ability to see a doctor and on
immigrants and people of color. It is not the ``common
sense'' taxpayer protection bill that its supporters would
have you believe.
H.R. 2581 is a dangerous bill that puts up roadblocks for
both citizens and immigrants to obtain timely, affordable
health insurance. It would strip away provisions that provide
for a person to obtain subsidies for enrollment in an
Affordable Care Act (or the contemplated American Health Care
Act) plan while they work with Department of Health and Human
Services to verify their U.S. citizenship or immigration
status. The people most impacted are U.S. citizens who were
born abroad or naturalized. The bill also affects many
immigrants, especially those newly arrived or certain victims
of domestic violence and trafficking survivors.
The fact is that when individuals are not able to
immediately verify their citizenship or immigration status on
an Affordable Care Act Marketplace, it begins an often months
long, strenuous process of sending in documents that must be
physically inspected. Health care assisters routinely say
these clients are the hardest cases they work on because the
process for verifying citizenship and immigration status is a
time-consuming exercise in dealing with inefficient
government processes.
Rather than protect American taxpayers, H.R. 2581 would
strip from American taxpayers important protections that are
needed to overcome deficiencies in federal government
databases. Immigrants who are not lawfully present are
categorically barred from enrollment in health insurance on
the Affordable Care Act marketplaces, and for the subsidies
that make that insurance affordable. Moreover, safeguards
protecting taxpayers are already built into the ACA;
individuals whose citizenship or immigration status cannot be
verified already are required to pay back all of their
subsidies when they file their taxes and ``reconcile'' their
premium tax credits.
Supporters of this bill cite a sloppy Senate Homeland
Security and Governmental Affairs Committee report that
arrived at a made-up number of supposed ``fraud.'' It's just
not true. The committee assumed that every person who lost
coverage for failure to verify their citizenship and
immigration status was undocumented. In the experience of our
organizations and organizations we work with, this is false.
These reports describe the first year of the marketplaces,
and it is well documented that system outages and
understaffing, among other technical problems, contributed to
the federal Marketplace's failure to verify consumers' status
promptly. The Department of Health and Human Services
Inspector General reported in 2014 that a cause of the delay
in verification was the agency's lack of prioritization of
this issue.
Despite huge gains since then, problems still persist. The
Social Security database holding many citizens' information
may not reflect common changes, such as when a person marries
and changes their last name, or when someone naturalizes and
gains U.S. citizenship. People lose their coverage because
they receive notices in languages they cannot read.
Immigrants are required to submit documents multiple times,
or wait while the Department of Homeland Security finds paper
files, a result of deficiencies in their databases affecting
groups like asylum applicants and some survivors of domestic
violence. These are among the many issues consumers face.
Congress has already deprived undocumented immigrants from
the ability to buy coverage, even at full price, so they can
see a doctor when they are sick, but this bill would go a
step further to delay or put out of reach affordable health
insurance for many citizens and lawfully present immigrants.
Our organizations firmly believe that this would be
detrimental to the people we represent and to all of our
communities as a whole. We have seen that when health
insurance is unaffordable, people are effectively prevented
from obtaining access to the care they need to be healthy.
This bill is not just an attack on our health care system,
it is also an attack on immigrants and people of color, which
our organizations stand firmly against. In his statements
when introducing this bill, Rep. Lou Barletta focused the
bill as part of his effort to ``stop illegal immigration.''
Rep. Barletta has a long history of anti-immigrant rhetoric,
from trying to prevent immigrants from leasing a residence to
stating that they should be denied life-saving services in
hospital emergency rooms. This bill is simply a vehicle for
scapegoating immigrants and people of color and will keep
eligible people from accessing health care.
We the undersigned organizations urge you to vote NO on
H.R. 2581 and the continued assault on immigrants and the
health of our communities.
Sincerely,
National
Advocates for Youth; African American Ministers in Action;
American Federation of Teachers (AFT); American Friends
Service Committee; American Intercession; American Society on
Aging; Asian & Pacific Islander American Health Forum; Asian
Americans Advancing Justice | AAJC; Asian Pacific Institute
on Gender-Based Violence; Asian Pacific Partners for
Empowerment, Advocacy & Leadership (APPEAL); Association of
Asian Pacific Community Health Organizations (AAPCHO);
Autistic Self Advocacy Network; Black Alliance for Just
Immigration; Breast Cancer Action; Center for Law and Social
Policy (CLASP); Center for Medicare Advocacy, Inc.; Child
Welfare League of America; Children's Advocacy Institute;
Children's Defense Fund; Church World Service (CWS).
Coalition on Human Needs; Columbian Center for Advocacy and
Outreach; Congregation of Our Lady of Charity of the Good
Shepherd, US Provinces; Conscious Talk Radio; Detention Watch
Network; Disability Rights Education and Defense Fund;
Dominican Sisters; Dominicans of Sinsinawa; Family Equality
Council; Farmworker Justice; First Focus Campaign for
Children; Food Research & Action Center; Franciscan Sisters
of the Poor IJPC; Friends Committee on National Legislation;
Generations Inc.; GLMA: Health Professionals Advancing LGBT
Equality; Immigrant Legal Resource Center; Indivisible;
Institute of the Sisters of Mercy of the Americas; Interfaith
Worker Justice.
Irish Apostolate USA; Jobs With Justice; Justice in Aging;
Justice, Peace and Reconciliation Commission, Priests of the
Sacred Heart, US Province; Lambda Legal; Leadership Team of
the Felician Sisters of North America; League of United Latin
American Citizens (LULAC); Medical Mission Sisters; Mi
Familia Vota; MomsRising; NAACP; NAPAFASA; National Advocacy
Center of the Sisters of the Good Shepherd; National Asian
Pacific American Women's Forum; National Association of
County and City Health Officials; National Association of
Social Workers; National Black Justice Coalition; National
Center for Transgender Equality; National Council of Asian
Pacific Americans (NCAPA); National Council of Churches.
National Council of La Raza (NCLR); National Education
Association; National Employment Law Project; National Health
Law Program; National Hispanic Medical Association; National
Immigrant Justice Center; National Immigration Law Center;
National Justice for Our Neighbors; National Latina Institute
for Reproductive Health; National Network of Abortion Funds;
National Organization for Women; National Women's Health
Network; Network for Environmental & Economic Responsibility
of United Church of Christ; NETWORK Lobby for Catholic Social
Justice; NMAC; OCA--Asian Pacific American Advocates; Our
Revolution; Peace and Justice Office of the Congregation of
Notre Dame; Physicians for Reproductive Health; PICO
National.
Planned Parenthood Federation of America; Poor People's
Economic Human Rights Campaign; Prevention Institute; Project
Inform; Racine Dominicans; Raising Women's Voices for the
Health Care We Need; Refuge Ministries; Sargent Shriver
National Center on Poverty Law; Service Employees
International Union; Sisters of Charity; Sisters of Charity
of Nazareth; Sisters of Mercy of the Americas--Institute
Justice Team; Southeast Asia Resource Action Center (SEARAC);
The Leadership Conference on Civil and Human Rights; United
Sikhs; United We Dream; Ursuline Sisters of Tildonk, U.S.
Province; We Belong Together; API Wellness.
State and Local
Academy of Medical & Public Health Services; Advocates for
Children and Youth; AgeOptions; Almost Home, Inc.; Anti-
Hunger & Nutrition Coalition; Arkansas Advocates for Children
and Families; Arlington Partnership for Affordable Housing;
Asian Americans Advancing Justice--Los Angeles; Asian
Community Alliance--Cincinnati OH; Asian Law Alliance; Asian
Services In Action, Inc.; Baltimore Jewish Council;
California Health Professional Student Alliance; California
Immigrant Policy Center; California Latinas for Reproductive
Justice (CLRJ); California OneCare; California Pan-Ethnic
Health Network; California Partnership; California Physicians
Alliance; CASA.
Center for Southeast Asians; Chicago Hispanic Health
Coalition; Child Care Resources of Rockland; Children Now;
Children's Defense Fund--CA; Chinatown Service Center;
Chinese-American Planning Council; Coalition for Humane
Immigrant Rights (CHIRLA); Collaborative Center for Justice;
Colorado Center on Law and Policy; Colorado Center on Law and
Policy; Columbia Legal Services; Community Health Councils;
D.C. Hunger Solutions; DuPage Federation on Human Services
Reform; Empower Missouri; Ensuring Opportunity Campaign to
End Poverty in Contra Costa; Erie Benedictines for Peace;
Esperanza Health Centers; EverThrive Illinois; Farmworker
Association of Florida.
Florida Immigrant Coalition (FLIC); Give for a Smile;
Greater Kansas City Coalition to End Homelessness; Having Our
Say Coalition; Health Access California; Health Care for
All--WA; Health Law Advocates; Healthy House Within A MATCH
Coalition; Hmong Ohio of Tomorrow; Hunger Action Los Angeles;
IHM Sisters, Immaculata, PA; IL Hunger Coalition; Illinois
Coalition for Immigrant and Refugee Rights; Indivisible
Mountain Home, Idaho; Interfaith Movement for Human
Integrity; IRIS--Integrated Refugee & Immigrant Services;
Islamic Civic Engagement Project; Jewish Family & Children's
Service; Kansas Appleseed; Kentucky Equal Justice Center;
Korean Community Services of Metropolitan NY; La Fe Policy
Research and Education Center.
La Long-Term Care Ombudsman Program; Legal Council for
Health Justice; Legal Services of Southern Piedmont; Maine
Consumers for Affordable Health Care; Make the Road New York;
Maryland CASH Campaign; Maryland Hunger Solutions;
Massachusetts Immigrant and Refugee Advocacy Coalition
(MIRA); Massachusetts Law Reform Institute; Maternal and
Child Health Access; Maternity Care Coalition; National
Association of Social Workers, CT Chapter; National Tongan
American Society; Nationalities Service Center; NC Child; New
Mexico Center on Law and Poverty; New York Immigration
Coalition; New York Legal Assistance Group; NICOS Chinese
Health Coalition; NJ State Industrial Union Council; NOELA
Community Health Center; Northern NJ Chapter, National
Organization for Women.
Northwest Health Law Advocates; Northwest Immigrant Rights
Project; Office of the Health Care Advocate at Vermont Legal
Aid; OneAmerica; Pacific Islander Health Partnership; Pitkin
County Human Services; Public Justice Center; Puget Sound
Advocates for Retirement Action (PSARA); Rainbow Center;
Reformed Church of Highland Park; RESULTS--Santa Fe (NM);
Salaam Cleveland; Services, Immigrant Rights, and Education
Network (SIREN); Sisters of Charity of the Incarnate Word,
Houston; Sisters of St. Dominic of Blauvelt, NY; Sisters of
the Most Precious Blood; Social Justice Committee St. Patrick
Church; South Asian Network; Southwest Women's Law Center;
St. Francis St Vincent de Paul Society; Tennessee Justice
Center; Thai Health And Information Service.
The Children's Partnership; The Latino Health Insurance
Program, Inc.; Turning Points; United Way Bay Area; URI
Feinstein Center for a Hunger Free America; Vermont
Affordable Housing Coalition; Virginia Poverty Law Center;
Voices for Vermont's Children; Voz Hispana Cambia
Comunitario; Washington Community Action Network; Washington
Healthcare Access Alliance; Washington State Labor Council,
AFL-CIO; West Chester Food Cupboard; West Side Campaign
Against Hunger; Westlake Chinese Culture Association;
Wisconsin Council of Churches; Wisconsin Faith Voices for
Justice; Women's Action Movement Washtenaw County, MI;
Worksite Wellness LA; Xaverian Brothers; Young Women United.
Mr. Speaker, ``This bill,'' that letter says, ``is an attack on people's ability to see a doctor and on immigrants and people of color.''
``H.R. 2581 is a dangerous bill that puts up roadblocks for both citizens and immigrants to obtain timely, affordable health insurance.''
If this is what we are in store for with the Republican's third bucket, then it is even worse than a sucker's bucket. It is callous, and it is cruel, and someone described the Vice Presidency once many years ago as a warm bucket of spit.
As my colleague, Congressman Richard Neal, said last night at the Rules Committee, bad process leads to bad product. I agree with Mr. Neal, and this bill is a perfect example of his salient insight. The provisions in this legislation are contingent upon enactment of the American Health Care Act.
If the American Health Care Act is enacted, this bill would not go into effect. That means we are now considering legislation amending a bill that we have already sent to the Senate, and that the Senate has made clear it has no intention of taking up.
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, I yield 2 minutes to the gentleman from Maryland (Mr. Raskin).
Mr. Speaker, I yield myself such time as I may consume.
Mr. Speaker, earlier this year, Donald John Trump issued an executive order placing a hiring freeze on Federal civilian employees across the executive branch. This executive order, like many of the executive orders this President has issued, failed to take into account the effects it could have on our most vulnerable communities.
Veterans make up one-third of all Federal workers. I am very pleased that one is in my office. She is probably smiling because sometimes Charity probably doesn't think I even know that she is in the office. But she is there and does incredible work.
The Department of Veterans Affairs--a severely understaffed agency serving those veterans--cannot afford a hiring freeze.
This week, Republicans are bringing to the floor bills they claim would improve veterans' lives. If the President and my Republican colleagues are truly committed to our veterans, then they should ensure that reckless hiring freezes do not harm them in the future.
Mr. Speaker, if we defeat the previous question, I am going to offer an amendment to the rule to bring up Representative Schrader's bill, H.R. 696, which would prohibit any hiring freeze from affecting the Department of Veterans Affairs.
Mr. Speaker, I ask unanimous consent to insert in the Record the text of my amendment, along with extraneous material, immediately prior to the vote on the previous question.
Mr. Speaker, what we have here today is a rule with one bill that really was worked on in a bipartisan manner--sort of like regular order like we were promised by the Speaker at the outset of this session of Congress--and another bill, which is just more of the same from this majority: creating problems where none existed before.
The fact remains that the Republicans' healthcare bill and overall bucket strategy is a disaster for the American people, and no amount of Rose Garden backslapping is going to change that fact.
Under the Republican plan, 23 million Americans will be kicked off of their health insurance and $800 billion will be cut from Medicaid. Footnote right there, we hear that the Senate is taking up something. We don't know where and who is doing the taking up, but what I read today is that they are considering a glide path of some kind to cut Medicaid.
Mr. Speaker, cutting Medicaid hurts poor people. Whether you glide it or run it over them, either way you look at it, it hurts them, and we need to pay attention to that, particularly if we are doing it to provide for those of us that are better off in our society.
Seventy-five billion dollars will be cut from Medicare, insurance premiums would increase for people ages 60 to 64 by more than $3,000 a year, and protections for those with preexisting conditions will be eliminated.
I read about a 63-year-old lady who said that all of her conditions are preexisting and she can't afford insurance. H.R. 2581 only adds to this pain by setting up an unnecessary barrier for eligible individuals to get access to healthcare.
But not to worry, under the Republican plan, the 400 highest income families would ultimately get tax cuts averaging around $7 million a year, and that information comes from the Ways and Means Committee's fact sheet.
Mr. Speaker, I and others here very frequently have pointed out that what the Republicans want to do is to cut benefits for poor people--the most vulnerable in our society--and to provide for the better-off tax cuts--those people in our society who least need them.
It occurs to me that if we were to have an opportunity to ask the 400 wealthiest families in this country whether or not they really need a tax cut, my belief, based on the four billionaires that I have known personally--two are deceased now--but in my conversations with all of them, their position was that they didn't need a cut. To the man, each one of them said that, if they were to receive tax cuts, they would prefer that they go to education, particularly education for kindergartners and prekindergartners.
If my Republican colleagues can move past throwing red meat to their base--a group of people, mind you, who are most certainly disadvantaged--one day they are going to wake up and recognize that much of what we are doing here, even though they support it, many of the persons who are doing it, they, too, are caught up in this downward spiral that is involving healthcare in this country, the game that we are playing.
If we are willing to work in a serious manner to address the issues in our healthcare system, then I know that Democrats are ready to work with Republicans. But whatever is going on in the other body, I assure you, no Democrats in the other body are involved in.
Last night I asked the chairman of the Ways and Means Committee whether or not he knew what this bill looked like, and his answer was that he did not.
I also said what I repeat here, that people are hurting in this country. Whether it is ObamaCare that the Republicans, I believe, are going to find that it is going to be hard to fix, or whether it is the Affordable Care Act that is in some phantom hole over in the other body, somehow or another, my friends on the other side are going to be held accountable for all of what is necessary to be done. The only way that is sensible--and I believe that every American is imploring us to undertake--is to sit down together.
I cannot believe that the 435 people plus 6 here in the House of Representatives and the 100 United States Senators do not have the ability to do all of the things that are necessary in order for Americans to receive adequate healthcare and to lead with protecting the most vulnerable in our society.
It is ridiculous to talk about cutting Medicaid when more than 60 percent of the people on Medicaid are seniors that are in nursing homes.
What are we going to say to those families? How are we going to address them when it comes to the reality that they are confronted with while we are up here jaw jacking back and forth about whether or not it is ObamaCare or whether or not it is the Affordable Care Act that we can't seem to find.
Somewhere along the lines, we need to sit down and work together. Failure to do so is to our own peril and to the peril of the citizens of this great country of ours.
Mr. Speaker, I yield back the balance of my time.
Mr. Speaker, on that I demand the yeas and nays.
Mr. Speaker, I demand a recorded vote.