Mr. President, I ask unanimous consent that the order for the quorum call be rescinded. Mr. President, I ask unanimous consent to speak as in morning business. Mr. President, I rise today to speak…
Mr. President, I ask unanimous consent that the order for the quorum call be rescinded.
Mr. President, I ask unanimous consent to speak as in morning business.
Mr. President, I rise today to speak about the destructive path that the majority is headed down with their attempts to repeal the Patient Protection and Affordable Care Act.
The Republican bill, and, frankly, the House Republican bill that the Senate is now considering in addition to other ideas is, in my judgment, not really a healthcare bill but a tax cut bill. It is a tax cut bill for the super-rich--not only the rich but, literally, the wealthiest few Americans--while increasing costs for middle-class families. It gives States the option to allow insurance companies to discriminate again like they did before the ACA was passed. It would also allow those same policies to devastate our hospitals, particularly those in rural communities. I live in a State where 48 out of 67 counties are, in fact, rural counties.
The Republican bill would rip away healthcare, according to the Congressional Budget Office, from 23 million Americans. Here is what that means in Pennsylvania, based upon the Congressional Budget Office numbers: Up to 770,000 Pennsylvanians could lose health insurance by 2026 if the bill were to pass, 48,000 Pennsylvania seniors on Medicare could lose access to services covered by Medicaid, and 52,600 Pennsylvanians with disabilities could lose Medicaid coverage. I live in a State
where, according to the Center on Budget and Policy Priorities, over 722,000 Pennsylvanians with disabilities rely on Medical Assistance for their medical care. Medical Assistance is the State version of Medicaid. We know that if you are a child, if you are a senior, or if you have a disability, many Americans in those categories, of course, rely upon Medicaid.
We also know, based upon the CBO numbers, that 180,000 Pennsylvanians could lose access to mental health and substance abuse care now provided by Medicaid. We have heard a lot of talk, and there has been a lot of work, actually, in this body, as well as in the other body, in the last year on the opioid problem. We have Democrats and Republicans focusing on a major national problem, an urgent public health problem. We have made some progress--not enough but some good progress--on opioid legislation. All of that would be badly undermined if we made the changes to Medicaid that some want to make here because of the significant impact that cuts to Medicaid would have on the challenge of reducing the opioid crisis.
So even the possibility that this bill might become law is, in a sense, destabilizing to the healthcare marketplace, which has been better each year we move forward from the passage of the ACA in 2010.
Just last week, the Pennsylvania Insurance Department announced average proposed rate increases for health insurance premiums for 2018. Here is what the Pennsylvania Insurance Department told us. If we maintain current law, premiums will go up 8.8 percent in Pennsylvania. If the Republicans get rid of the cost-sharing subsidies, which many seem either to want to get rid of or to want to ignore, thereby creating uncertainty--if those cost-sharing subsidies are thrown out the window--premiums will go up 2.5 times as much, by over 20 percent. So far, it is 8.8 percent under current law or 20 percent just based upon the cost-sharing subsidies being taken away.
Also, if the individual mandate is repealed, premiums will go up almost three times as much, by 23 percent. If we get rid of both the cost-sharing subsidies and the individual mandate, premiums in our State will go up by over 36 percent.
So we have a basic choice to make, at least as it relates to Pennsylvania. Under current law, it is 8.8 percent, and we should try to bring that down. I think there are ways we could work together in a bipartisan fashion to bring that down. But if we go in the direction that many want to go--especially on the Republican side--to undermine or to do nothing about cost-sharing and get to rid of the individual mandate, premiums go up 36 percent. So folks can make their choice to go up about 9 percent or to go up 36 percent. It is a real simple choice with basically two options.
The bill that was passed in the House would destroy the lives of many vulnerable Pennsylvanians. What should we do about it? Well, the first thing we should do with the bill is to throw it in the trash heap. That is where it belongs, and I hope that is where Senate Republicans are headed and that they are going to start over on a new bill, because the bill that was passed in the House is very bad for the country.
Among the 3 million Pennsylvanians with preexisting conditions are two remarkable young women whose mother first contacted me in 2009. Stacie Ritter, from Manheim, PA, is the mom of four children, including her twin daughters, Hannah and Madeline, who are depicted here in this picture when they were much younger. Hannah and Madeline were diagnosed with a rare and dangerous type of leukemia when they were just 4 years old. You can see their picture there at that time.
Stacy and her husband Benjamin went bankrupt trying to pay their daughters' medical bills. She wrote to me at the time, saying that without healthcare reform, ``my girls will be unable to afford care, that is if they are eligible, for care that is critically necessary to maintain this chronic condition.''
Fortunately, things have changed in the last 8 or so years. Fortunately, Hannah and Madeline are healthy young women now. They are freshman at Arcadia University and are doing well. They rely on the Affordable Care Act's protections to ensure that they have access to affordable coverage, whether they are on their parents' plan or purchasing a plan in the individual market. As you can see on my left, this is a picture of Hannah and Madeline today as college freshmen.
Without the Affordable Care Act, Hannah and Madeline could be denied health insurance. As their mom said, they could be ``punished and rejected because they had the misfortune of developing cancer as a child.''
The Republican bill passed in the House would put them at risk of being denied health insurance or being charged more because they are cancer survivors.
I don't know why anyone would support a bill that would do that.
Just a number of months ago I received a letter from Pam Simpson from Chester County, PA. Pam and her son Rowan have their story to tell. Rowan is 5 years old, and a number of years ago he was diagnosed with autism. I have talked about Rowan before on this floor and in other places and what Medicaid means for Rowan and his family. Medicaid provides important services for Rowan and others with disabilities, enabling Rowan to go to preschool and allowing his mother to work. Here is what his mom said to me. I won't read the whole letter, but I will just highlight the first page.
The first page is Rowan's life before he was diagnosed with autism-- all of the challenges that he and his family had--and Rowan's life after the diagnosis of autism, but, then, ultimately, when he received Medicaid, or Medical Assistance, as we call it in Pennsylvania. Here is what his mom told me in the letter after he received word that he was going to be enrolled in Medical Assistance:
Late January 2016, I applied for Medicaid.
That is Medical Assistance.
After Rowan was awarded Medical Assistance, we were able to
obtain wrap-around services. These services included a
Behavioral Specialist Consultant and a Therapeutic Staff
Support worker.
She goes on later in that paragraph to say that these wrap-around services ``have been a Godsend.''
Then she goes on later and says:
I am thrilled by Rowan's daily progress. I cannot say
enough good things about this program.
Then she says:
Without Medical Assistance, I am confident that I could not
work full time to support our family. Our family would be
bankrupt or my son would go without the therapies he
sincerely needs.
Here is the last line of her letter:
We are desperately in need of Rowan's Medical Assistance
and would be devastated if we lost these benefits.
She is referencing ``Medical Assistance'' for Medicaid, the same program at the State level.
So we have two families now that are totally reliant on these programs, either the ACA more broadly or, in particular, the Medicaid Program. Both families have referenced bankruptcy because of healthcare challenges in the life of that family--one who would be on the brink of bankruptcy, Rowan's family, and the other, who actually went through bankruptcy because of those healthcare challenges. No family in the United States of America should have to worry about going bankrupt because of a healthcare problem. We are well on our way to solving these problems, and no one should pull the rug out from under those families. But, unfortunately, when it comes to this legislation, that is exactly what could happen to many of them.
I will give a third example: Alex. Recently I met Alex, who is from Southeastern Pennsylvania. He is 9 years old, and he has Down syndrome. Here is what Alex, a 9-year-old, wrote:
Although I have a medical diagnosis of Down Syndrome, I am
an excellent student. I get 100 percent on my spelling tests
and I get picked as the Math King quite often. . . . My
parents, my teachers, and everyone around me thought from the
beginning there was nothing that I could not do. . . . I am
able to get a good education because of the supports that I
get from Special Education. That's why I am very concerned
about the possible cuts in Medicaid funding in schools. . . .
Medicaid funding in schools is a very, very important part of
what makes it possible for us to receive successful education
in school and become contributing members of our society.
That is a 9-year-old in Pennsylvania reminding us about this important program. Alex has tremendous potential that would be in jeopardy by the proposed cuts to Medicaid.
Here is another example: Peg Fagan of Pennsylvania. The Republican bill includes an age tax that will allow insurers to charge older Americans up to five times more than younger Americans. Peg is from Bucks County, in Southeastern Pennsylvania. She is a three-time cancer survivor who could not afford health insurance prior to the Affordable Care Act. She is approaching Medicare eligibility but still has a few years to go before she is old enough to enroll.
Peg was able to find affordable health insurance thanks to the ACA, but under the Republican bill, she could once again be discriminated against for being an older adult, and another possible object of discrimination would be that she is a cancer survivor.
That was the old law. That is where we were before, where insurance companies were allowed under the law to discriminate in that fashion. They could discriminate against you because you were a woman. They could discriminate against you because you had a preexisting condition. They could discriminate against you because you were a cancer survivor or because of your age, or so many other circumstances. I thought we were beyond that. I thought we had finally cured that problem, but some want to go back in time.
So the CBO tells us that the Republican bill would rip away healthcare from 23 million Americans. I just went through some Pennsylvania stories. We have a lot more, and my colleagues will be hearing them. But for Hannah and Madeline and Rowan and Alex and Peg, we should ask ourselves a couple of basic questions. Healthcare for those Pennsylvanians should not be made worse, and they should not be made worse off, in order to give the top one-tenth of 1 percent a $200,000 giveaway. That is what the first version of the House healthcare bill would do. It would give the top one-tenth of 1 percent an average tax cut of $197,000. I exaggerated; I said $200,000. Let's be exact. It is $197,000 each. Why would we take away healthcare or even risk or create uncertainty about healthcare for Hannah, Madeline, Rowan, Alex, and Peg because some people around here want to give tax cuts to the tune of hundreds of billions of dollars to very wealthy people? That is not what I call a healthcare bill.
The Senate has an obligation, in my judgment--both parties--to stop this bill from being enacted into law. We cannot allow this legislation to pass or anything like it to become law. So I ask each Member of the Senate to consider these Pennsylvanians and plenty in your home States and the countless more like them who are anxiously hoping and praying this Congress will not vote to take away their healthcare.
Drug and Veterans Treatment Courts
Mr. President, I rise to express my support for the drug and other treatment courts, including veterans treatment courts, in Pennsylvania and the more than 3,000 across the Nation.
Just last month during National Drug Court Month, drug courts across the country held graduation ceremonies to recognize individuals who completed this rigorous treatment program. These courts, which serve about 150,000 people a year, hold offenders with substance use and mental health disorders accountable for their actions through strict supervision while also connecting them to the treatment they need. More than 1.25 million people have successfully graduated from drug and treatment court programs and are now on a path to recovery.
Research has demonstrated that drug and other treatment courts not only reduce crime but also reduce spending by slowing the cycle of recidivism. Drug and other treatment courts are also an important resource to law enforcement and community stakeholders working to combat the opioid epidemic. Opioid addiction is a growing public health crisis in Pennsylvania and throughout the Nation, and it demands real action. As public officials, we have an obligation to ensure that the resources and policies are in place to fight this scourge so that more families won't have to endure the heartache of losing a loved one to addiction.
Veterans treatment courts are innovative and collaborative programs to address some of the unique challenges that face our veteran communities. There are approximately 22 million veterans in the United States, and Pennsylvania is home to nearly 1 million. The majority of veterans return to our communities as leaders and lead exemplary lives; however, not every veteran's path is straightforward. That is why we need to make sure the right programs and support services are in place.
According to the Department of Justice, in 2011 and 2012, approximately 8 percent of the total incarcerated population in the United States were, in fact, veterans. These veterans found themselves serving time in correctional facilities because they had not received the treatment they needed. While this represents a very small percentage of veterans, it is important that we support programs like veterans treatment courts for veterans who face significant obstacles returning to civilian life, including mental health concerns, post- traumatic stress disorder, and substance abuse issues. These treatment courts can have a lifelong impact on a veteran by helping them get out of the criminal justice system and get the necessary treatment they have earned. It is our obligation to work every day to ensure veterans are receiving the care and support they deserve.
There are many stories from across Pennsylvania and our country that exemplify why these veterans treatment courts are critical. Just to give one, shortly after Michael Colletti from Montgomery County received an honorable discharge from the U.S. Coast Guard, he found himself in the grips of a serious addiction to opioids. To support his growing habit, Michael began stealing from his employer, resulting in his arrest and jail time. His crimes were caused by his opioid use disorder, and Michael found himself in the Montgomery County Veterans Treatment Court.
Finally, getting the accountability he needed and connecting with the benefits he earned as a veteran, Michael began the process of leaving behind his life of addiction and crime to start a new path. Today, Michael Colletti is a partner in a successful small business and a mentor to others in his community struggling with their own substance use.
He says of the veterans treatment court:
I wouldn't be here without the support network from the
court. I wouldn't have my girlfriend, I wouldn't have my
beautiful place, I wouldn't have my career, and most
importantly, I wouldn't have the sound clarity of mind to be
myself again. Now I am committed to paying it forward.
I and I know many others are proud to support a recent letter led by our colleagues, Senator Klobuchar and Senator Wicker, highlighting the importance of funding the Drug Court Discretionary Grant Program and veterans treatment courts. As we go through the appropriations process, I urge my colleagues to consider the proven track record of these courts in improving outcome for graduates, and I hope Congress will offer strong support for these important programs that have been helping the justice system better serve individuals, veterans, their families, friends, and communities.
Mr. President, I yield the floor.