Mr. President, as if in legislative session and notwithstanding rule XXII, I ask unanimous consent that the Committee on Foreign Relations be discharged from further consideration and that the Senate…
Mr. President, as if in legislative session and notwithstanding rule XXII, I ask unanimous consent that the Committee on Foreign Relations be discharged from further consideration and that the Senate now proceed to S. Res. 224; further, that the resolution be agreed to, the preamble be agreed to, and the motions to reconsider be considered made and laid upon the table.
Mr. President, I thank the gentleman from Idaho, the chair of our Foreign Relations Committee.
I join him. I join him enthusiastically in condemning the actions of Hamas--the invasion on October 7 of Israel, the slaughter of 1,200 innocent people, the taking of hostages, and the infliction of suffering that Hamas has inflicted on Palestinians within Gaza. But the situation is much different today than it was a few months ago.
Four months ago, I stood here, and I asked for unanimous consent in support of the Senate resolution on the humanitarian disaster in Gaza. The resolution called for an end to the siege, an end to the war, and the return of the hostages.
Since then, more than 400 people have died of starvation, including more than 100 children, and that is ongoing and accelerating. Thousands more have died under bombs and bullets at aid sites themselves.
At the time, I held up this picture of Jinan Iskafi. She died in her parents' arms, the victim of a military blockade on infant formula.
Here joining Jinan are children suffering from famine conditions that exist right now, this month--Amer, Maryam, and Shamm.
There is an ongoing famine in Gaza, and the Netanyahu government has made a self-conscious decision to deny people the food and medicine they need to survive. Women waiting for C-sections are trapped in the middle of a bombing campaign. Children are forced to watch their mothers die slowly of cancer, with no access to medicine. The hospitals they need are being destroyed.
At the same time, the Netanyahu government has begun a new military operation to take complete control of Gaza City. In Gaza City, hundreds of civilians are living under nonstop bombardment. It is about destroying buildings that are left standing, and it is a bombing campaign that has as part of its objective to force them to leave.
The Netanyahu officials in his government acknowledge that they want people to move out. They acknowledge that their campaign is in significant part about displacing people who live in Gaza City and forcing them to move elsewhere. That is at a time when those folks are living in tents; the kids aren't going to school; where they have already moved six or seven times.
The decision a family has to make is horrific: Do they move to another place where there is no place to go and they have no guarantee of any kind of safety, or is it better for them and their family to stay where they are and risk that they will be in the path of the bombing campaign?
Mr. President, I thank my colleague, the senior Senator from New Hampshire. I really appreciate her very practical presentation about a common concern that we have--Republicans and Democrats--and that is that we do no harm when it comes to the profound insecurity people are feeling about having access to healthcare for themselves, for their partners, for their kids.
And we have got real differences in this Chamber. Little introductory remarks about the One Big Beautiful Bill--I do think it is a terrible bill. I do think that we have taken money from healthcare and other areas to fund a tax cut for very wealthy people. I think it is bad for the economy and creates a lot of insecurity.
We are also having a big battle about the funding of government, which is the responsibility that we all have. And I want to be candid. I take significant issue with the President when he says: Don't even bother dealing with Democrats.
This always is a budget issue that has to involve Democrats and has to involve Republicans. If we don't talk, we don't resolve differences and we are not even in a position to do our job and find common ground. So we are in a pickle. That creates some hard feelings as we try to work through this. And I don't want to dwell on that because we do have different points of view on that.
But we have a situation here, as the senior Senator from New Hampshire described, where if these healthcare premium supports expire, every American who has come to depend on access to healthcare through ObamaCare, which is now accepted as an important element in our healthcare system, every person on that is in incredible jeopardy.
And I know that every single Member of this Senate is very concerned about access to healthcare for the people they represent. There is no alternative for folks out there that is even being discussed if we don't continue the premium support for people who are getting their healthcare through the Affordable Care Act.
So I want to focus on this as the Senator did. I don't want to focus on the partisan differences; I want to focus on the concrete reality that a family is going to face if the Affordable Care credits expire.
No. 1, as Senator Shaheen said, this can't wait. The date is going to arrive; the tax credits expire; people depending on that healthcare won't have it. Twenty-four million Americans will face higher costs.
Again, I want to emphasize that is not 24 million Democratic families; that is not 24 million Republican families; it is 24 million families. It is in both our States. It is not political. It is about healthcare, which every single citizen, we want them to have it and have it be affordable.
Premiums are going to increase, on average, about 75 percent as the Senator said. One in four people who have a chronic condition are going to lose out on coverage; 3.3 million small businessowners will see their premiums increase.
I just want to stop on that point for a moment because the Senator, my colleague here, has done so much for small business, and that is because she knows, as I do and I know as you do, Mr. President, small businesses are so vital to the well-being of our community.
One of the things I have learned from my visits to small businesses is really pretty inspiring because I see those Vermont small businessowners; their employees are like family to them. The most important thing for them is to make sure their employees are doing well.
One of the things that is really important to our employers is that they can provide healthcare, but with the premiums going up like this, it is a wicked decision and discussion between the businessowner and the employees about a raise versus picking up the high cost of a premium increase. That is going to be aggravated if these tax credits expire; 1.6 million of those folks in small businesses would lose coverage.
Again, I want to make this concrete now. In Vermont, 27,000 people who rely on the tax credits will lose their health insurance. They just won't be able to afford it.
Let me give you a couple of examples of the real world here in Vermont. The annual premium increase for a 60-year-old couple in Vermont that earns $82,000 a year--and that is tough to get by if you have a family on that amount of money--but the premium increase is going to be $23,000. That is a fact. That is a 335-percent increase, but that is like $2,000 a month.
So what that says to that family is you are on your own, no healthcare.
In Nebraska, 112,000 folks rely on the Affordable Care monthly premium tax credits. The annual premium increase for a Nebraska family, a 60-year-old couple that is earning $82,000, $83,000 a year, $23,000-- pretty much the same as Vermont.
In California, there are 1.5 million folks relying on the ACA premium tax credit. That 60-year-old couple making $82,000, it is going to be an additional $17,000.
In Connecticut, 112,000 folks are going to lose access to healthcare with these increases. That 60-year-old couple with $82,000 in income, a $28,000 premium increase; 541 percent.
I will.
I am so glad that you brought that up because what drives everyone crazy is the so-called cost shift. A lot of our community hospitals, they get underreimbursed, oftentimes on Medicare or Medicaid. And then the employer-sponsored premiums are the only place the providers can go to cover their legitimate costs.
So there is a huge spike in the cost. If you have all these folks without healthcare and they are showing up and getting free care, then somebody has got to pay, and that is going to be the employer-sponsored and private pay.
The Senator from New Hampshire was right in pointing out we have got this broken system that we are making worse with this effort. So thank you so much for that, the Senator from New Hampshire.
I wanted to go back to these numbers too. In Alaska, 23,000 folks, they can
lose their healthcare or they are going to have a premium increase. That family with $82,800 in income, it is $44,000. So that is a 554- percent increase.
In Wyoming, 40,000 folks rely on the ACA tax credits. That 60-year- old couple with an $82,000 income, their premium is going up $37,000. That is $3,000 a month.
In West Virginia, 49,000 folks losing. That 60-year-old couple, $82,000 income, $39,000 premium increase; $3,000 a month.
What we know is that can't happen. It cannot happen. You are literally, through passivity in this U.S. Senate, where we have the option to act or we have the option to hide, the second option is sending a direct premium increase to our families, up to $40,000 in a year for people who make $80,000. So this happens, this is on us. If this happens, it is on us.
I will yield to the Senator.
Well, if you are a billionaire, it works out. The fact is, it can't be explained. It hasn't happened yet. This is about to go into effect if we don't act as the Senate.
Yes.
It is the actual imposition of the premium increase. The only way we can spare this heartache--literally, taking away people's healthcare--is by extending the premium tax credits. So that is a decision this body has to make.
I did.
Let me get that number for you but go ahead.
Right.
That is right.
That is right; $37,000 a year, and there are 40,000 as you mentioned.
This is really about the Affordable Care tax credits that expire. This was not in the Big Beautiful Bill. The Big Beautiful Bill took a trillion dollars away from the Medicaid Program, but now we have pending before us the imminent cliff where the premium increases that were passed by this body on a bipartisan basis to help during COVID, those expire.
When that expires, those families in Wyoming are going--who are on the Affordable Care Act and who are 60 years old and they have $82,000 in income, they are going to see a premium increase of $37,193.
That is a loaded gun. It is the heart of the family and their ability to carry on. This just can't happen. It can't happen. We are the body that has the option of ignoring the hardship and the catastrophic consequences of this on the families we represent or sparing them and allowing them to continue having access to healthcare they depend on.
That is exactly right. That is exactly right. That is within the power. This is the wonderful thing of those of us that have this job. We have the power to do something that can help the people we represent. They need healthcare. Republican families need it. Democratic families need it. People who don't care anything about the political process, they need it. And in this country, they should be entitled to it.
We can act. It is not a partisan thing. It is not a victory for one side or the other. It is really a lifesaver for these families--the Wyoming families, the Vermont families, the Illinois families. So I urge this body to come together to do something that the people we represent--every single one of them--need and would benefit by.
Well, you know, you are exactly right because that family making $82,000 a year, they are struggling to pay the premium as it is. If they have to pay $3,000 more a month, most of those families are going to say they would like to but can't because they are uninsured.
I will give a story of my own. My first wife died of cancer, Senator. She had cancer for 9 years. We had terrific healthcare. She had a rare form of cancer.
One night, my car broke down, and the wrecker guy picked me up. We had a long ride. We got to talking. It turned out that his wife--and he had two kids, younger kids--had the same form of rare cancer and his wife died and we talked about that.
But there was a difference. We had insurance through the University of Vermont where my wife was a professor. He had no insurance. He was working late nights, long hours, raising these two kids by himself, and he was trying to pay off a $335,000 medical bill. That is not right.
But that example you just mentioned or this Wyoming family or Vermont family or Illinois family, they are faced with $3,000 a month. They don't have the money; they go without healthcare. Somebody gets sick. It is a serious illness. They get medical debt.
(Mr. JUSTICE assumed the Chair.)
They get anxiety--anxiety on top of the anxiety that always accompanies a serious illness in a family, where all of your attention, if it is your partner, if it is your child, is about your partner, your child.
On top of that, you have the incredible stress of bill collectors calling up: Where's the money? We don't have to allow this to happen. We don't, and we shouldn't.
And I just want to emphasize, it is not a Republican, Democratic deal; it is a mutual responsibility that this U.S. Senator has to the people of this country in your State and in my State.
So I urge us to get a solution. And I talked about West Virginia, the Presiding Officer's great State, where folks will face enormously high premium increases if these Affordable Care Act subsidies are expired. It will be brutal. I told the Presiding Officer about my visit to West Virginia, my respect for the coal miners, those hard-
working folks there. And I know how highly important it is to the Presiding Officer about healthcare access. So let's act as a body. Let's do it together and make certain that folks do have healthcare, just don't have the anxiety and uncertainty and the bills that are just going to cripple them. I want to thank the Senator from Illinois. I want to thank my colleagues in the Senate.
I yield the floor.