Mr. President, I rise today to introduce the Affordable Health Insurance for the Middle Class Act, a common sense fix to improve affordability of health insurance on the individual market. I am…
Mr. President, I rise today to introduce the Affordable Health Insurance for the Middle Class Act, a common sense fix to improve affordability of health insurance on the individual market. I am pleased that Senators Hassan, Warren, Harris, Baldwin, and Leahy have joined this bill as original cosponsors, and I appreciate their support.
Since its implementation, the Affordable Care Act has helped to expand health care and control out-of-pocket costs for millions of Americans. Over 20 million people who were previously uninsured now have coverage, there are no yearly or lifetime limits on coverage, and no one can be denied coverage or charged more based on their gender or because of a pre-existing health condition. The Affordable Care Act also expanded the individual marketplace, through which 18 million people currently get their coverage. Individuals who make between 100 and 400 percent of the federal poverty level, and who do not have affordable employer coverage available to them, can receive a tax credit subsidy to help pay for insurance on the individual market. This credit limits the cost of insurance at 9.69 percent of an individual's income.
However, someone who makes just one dollar above the income threshold immediately loses all federal assistance. This `cliff' unfairly impacts middle-income Americans who are by no means wealthy, but who make just barely too much to qualify for the tax credit. I am particularly concerned about my constituents between the ages of 50 to 64, who are facing higher premiums as they age and who need access to health services but are not yet eligible for Medicare.
To address this issue, the Affordable Health Insurance for the Middle Class Act would eliminate the current cliff, and instead gradually phase out federal assistance based on income. Nobody would pay more than 9.69 percent of their income for insurance, and once someone's premium fell below this threshold, they would no longer receive federal assistance.
For example, in my hometown of San Francisco, a 60-year-old making $50,000 currently pays $946 per month for the second-lowest cost Silver plan and does not receive federal assistance. Under this bill, their premium would be capped at $404, or 9.69 percent of their income, and the tax credit subsidy would cover the rest. This bill would create a fairer and more predictable system, ensuring that consumers on the individual market know just how much their insurance will cost and will have affordable options available. The Affordable Care Act has reduced costs and expanded benefits for many Americans, and it is critical that we build on this progress to further improve the law--not destroy it.
The bill is supported by a number of organizations, including the American Association of Neurological Surgeons, AANS, Child Welfare League of America, Congress of Neurological Surgeons, CNS, Families USA, Lung Cancer Alliance, and National Farmers Union.
This legislation is a simple fix that provides relief for middle- income
Americans and strengthens affordability protections for coverage through the individual market. I urge all of my colleagues to cosponsor the Affordable Health Insurance for the Middle Class Act. Thank you Mr. President and I yield the floor.
Mr. President, I am pleased to join Senator Grassley in introducing the Trafficking Victims' Protection Act of 2017.
Last week, I met with a remarkable group of anti-trafficking stakeholders in Fresno, California, who reinforced what I have long held to be true: stamping out the horrific crime of human trafficking must be among our top priorities as lawmakers. At our meeting, Central Valley law enforcement, service providers and, most importantly, survivors of human trafficking educated me about the nature and prevalence of sex and labor trafficking in the Central Valley. I learned that counties like Fresno and Tulare serve as key stops along major California trafficking circuits, with victims as young as 10- years-old being shipped to Los Angeles, Las Vegas and beyond. I also learned that in 2016 alone, Fresno Police arrested more than 140 sex buyers and traffickers. This tells me that the demand for trafficking is far too high. Central Valley law enforcement and service providers are working together to reduce this demand, crack down on traffickers, and better serve victims, through a unique, highly-coordinated and victim-centered approach that I believe ought to be emulated nationwide.
Over the past seven years they have teamed up to identify and critically to provide comprehensive services to nearly 500 trafficking victims. When Central Valley law enforcement took down a trafficking ring last year, the ring leader and two of his associates were arrested and prosecuted, and approximately 50 victims were rescued, including 23 children. These victims were all provided with wraparound services, and the ring leader was sentenced to 40 years in prison. This is the kind of coordinated, victim centered work we need to support and replicate nationwide. The Trafficking Victims' Protection Act of 2017 aims to do that.
I have now met with law enforcement, service providers and survivors representing Southern, Central and Northern California. All have made one thing abundantly clear: lawmakers at all levels of government must commit whatever time and resources are needed to thwart this horrendous crime.
Over the past two decades, Congress has taken action to combat human trafficking. We passed the Trafficking Victims Protection Act of 2000 and, 8 years later, passed the William Wilberforce Trafficking Victims Protection Reauthorization Act. And two years ago, Congress passed the Justice for Victims of Human Trafficking Act--a landmark piece of legislation. The law focuses on reducing demand, rescuing victims, educating law enforcement and judges, and making sure that trafficking enterprises are put out of business. But it is clear that our work is far from done. The human trafficking industry continues to be one of the biggest criminal enterprises in the world and it is constantly evolving. The use of the internet to sell children for sex has escalated dramatically over the past several years.
In my home State, District Attorney Nancy O'Malley and her pioneering anti-trafficking team identified 47,719 internet users looking to purchase sex in Alameda County alone during a single month. Many of the victims posted on these sites are underage. In one survivor study, a staggering 75% of minor sex trafficking victims reported being bought or sold online. And last year, the Washington Post reported devastating accounts about human trafficking is also committed by Islamic State fighters, who sell young girls over platforms such as Facebook.
The bill that Senator Grassley and I have introduced includes a provision that would give to law enforcement an additional tool to prevent human traffickers from accessing the internet and other tech platforms to sell minors for commercial sex. Under current current law, it is a criminal offense to advertise commercial sex acts with a minor. This legislation would add civil injunction authority to the criminal provision, providing the Department of Justice with a more readily accessible tool to deny human traffickers access to tech platforms to commit trafficking crimes. The bill also supports and strengthens efforts to prevent, detect, and respond to human trafficking crimes.
It allows school resource officers at schools to train school personnel to recognize and respond to signs of child sex trafficking. This is important because kids are often recruited at schools. In one heartbreaking case in Oakland, California, a 12-year-old student with top grades suddenly changed her normal behavior. She stopped completing her assignments, became withdrawn, and began wearing provocative clothing. Eventually, she stopped going to school altogether. Her parents contacted the school looking for her, but no one was able to locate her. She was discovered 24 hours later on an online sex advertisement based out of Los Angeles. This 12-year-old girl had been groomed by a trafficker--but no one was able to recognize the signs of exploitation. Teachers and school personnel interact with these kids every day. They are critical in recognizing which kids are at risk or are about to become exploited. We need to be sure that they are familiar with the patterns and practices of human traffickers, and know how to identify and respond to suspected victims.
In addition to working with Chairman Grassley on the reauthorization
bill, I am also pleased to cosponsor Senator Cornyn and Senator Klobuchar's Abolish Human Trafficking Act of 2017. One of the most important provisions of this bill is the mandatory designation of at least one Human Trafficking Justice Coordinator in each United States Attorney's Office. This is critical to ensure that our judicial system treats human trafficking offenses with the seriousness they deserve. Among other responsibilities, this Coordinator will be responsible for assisting in the prosecution of human trafficking cases. This includes the prosecution of those who solicit minors for commercial sex, a change in the law that was enacted in the Justice for Victims of Trafficking Act.
In 2015, former United States Attorney Eileen Decker conducted one of the first federal prosecutions of a buyer under this new statute. The buyer, a 59-year-old man from Torrance, admitted to lying to federal prosecutors about his conduct with a 16-year-old girl he met online and hired for commercial sex acts. He was sentenced to 57 months in prison. Former United States Attorney Decker remarked that this case should serve as a warning to adults who engage in this type of criminal conduct.
It is critical that such prosecutions continue. Stemming the abuse and exploitation of trafficking requires confronting not only the predatory suppliers, but also those who solicit young girls for commercial sex. The designation of a Human Trafficking Justice Coordinator would ensure that those who violate human trafficking offenses, both buyers and sellers, are prosecuted to the fullest extent of the law. The Human Justice Trafficking Coordinator would also be responsible for ensuring the collection of restitution for victims.
Restitution for trafficking victims is mandatory under federal law. Moreover, the Justice for Victims of Trafficking Act requires the Justice Department to train prosecutors to seek restitution for trafficking victims, regardless of whether the victim requests restitution. Yet, we continue to see our judicial system failing to do right by victims. In a 2015 law review article, the Human Trafficking Pro Bono Legal Center reported on the appallingly low rates of restitution orders in human trafficking prosecutions. In a study of federal human trafficking cases brought over a four period, federal courts failed to order restitution in nearly two-thirds of cases involving sex trafficking offenses. And shockingly, they found that the victims least likely to obtain restitution orders were children trafficked in the sex industry. Less than one in three defendants who commit sex trafficking offenses against children were ordered to pay restitution to their victims. This is unacceptable.
Furthermore, even if restitution is ordered against a trafficker, restitution itself is not being effectively collected. In response the requests from the Judiciary Committee, the Attorney General included restitution order and collection data in the Department of Justice's report on trafficking for fiscal year 2015. Of the $4,268,358 ordered in restitution in 2015, only $987 was collected.
While we may not expect to see full restitution collected in the year it is ordered, it is shocking that the total restitution collected is less than 1% of what was ordered.
That is why we have tried to include additional restitution provisions in the bill to better support victims. For example, there is an additional provision in the bill to update the Combat Human Trafficking Act of 2015, a bill that I authored with Senator Portman. That bill mandated extensive training on restitution for prosecutors and judges. It is our hope that with these updates--and with the recent enactment of the Justice for All Reauthorization Act of 2016 to make sure that prosecutors are held accountable in seeking restitution-- victims will be better supported going forward. I am hopeful that we will be able to pass these bipartisan bills this Congress. I urge my colleagues in this body to support the passage of this important, comprehensive legislation to protect trafficking victims.