Madam Speaker, I stand in strong opposition of H.R. 660. We are hearing all the time about do no harm, and I think Members need to remember, why do 48 States have good basic health care insurance? It is mainly because our advocates, breast…
Madam Speaker, I stand in strong opposition of H.R. 660. We are hearing all the time about do no harm, and I think Members need to remember, why do 48 States have good basic health care insurance? It is mainly because our advocates, breast cancer or diabetes, all of the diseases that we are trying to prevent, have made the States realize that the monies that we spend to make sure that people stay healthy certainly is cheaper in the long run. That is 48 States including New York, and what we are doing here, we are wiping that out. We are wiping that out.
As patients and advocates across this Nation quickly discovered that their basic health care needs were not being served by their insurance companies, that is why the States have forced the insurance companies to make sure that the treatments that we are asking for, like a mammogram, and how many lives have we saved over the years because we have made the insurance companies make sure they have it in their policies. The States made them do that.
What we are doing here is taking that away. They demanded that their States step in and protect them. Madam Speaker, as I said in 48 States, we have our attorneys general, we have our governors, Republicans and Democrats. What we are doing here is harm. All of us, there is not one Member in this Chamber that does not want to make sure that our small businesses are able to offer health care insurance. That is why the gentleman from New Jersey (Mr. Andrews) and the gentleman from Wisconsin (Mr. Kind) are going to offer an amendment that will offer help to our small businesses.
There is not one penny in this bill that is going to help small businesses get health care. The Kind-Andrews amendment will. As a nurse and certainly with the constituents I have coming into my office yesterday, today, last week, every single week, all they are asking for is to make sure that their basic health care needs are met. What we are doing here is taking it away. I will say again, there is not one Member, Republican or Democrat, that does not want to help our small businesses. We would like to see health care be out there for everybody. I certainly would, but again, we keep hearing about budget constraints. Well, if we had not passed those large tax cuts, maybe we could do some good health care policy around here.
Madam Speaker, this bill will do harm to millions of people. It is always the devil is in the details, and on the top of this legislation it might look good, but in the end it is not. All 48 States, as I have said over and over again, have fought to make sure that our insurance companies give the services that our constituents need. That is why it was passed. That is why this bill should be defeated.
Mr. Speaker, I thank my colleague from the Committee on Education and the Workforce for yielding me this time and for introducing this bill, because this substitute is actually the answer to what we are looking for, and it is also paid for.
Let me say what this amendment will do, the substitute. It provides small employees the same access to health benefits that Federal employees have. All small business employees and employers are offered coverage. It minimizes the adverse selection. ``The Secretary shall establish an initial open enrollment period and thereafter an annual enrollment period.'' It uses state-licensed insurers without preempting State laws.
For some reason, I thought basically, especially on the other side of the aisle, that we never wanted to preempt State laws.
This amendment provides a minimum benefit package similar to Federal employees. All participating insurers must offer benefits equal to or greater than the options offered to Federal employees. It also provides for affordable small employer premiums with premium assistance.
This is the answer to help our small businesses. And again I will say, on the main bill, when we have Republican and Democratic Governors throughout this country saying this is not the answer, when we have State attorneys general saying this is not the answer, and that this substitute is the answer, then I believe this can help our small businesses. We all want to do that.
So I would say to my colleagues here on the right, and certainly the right side and the left side of the aisle, that this substitute is the answer to what our Governors would like, certainly our State attorneys general would like. It would help the people and not take away the minimum health care benefits that we have been fighting for for gosh knows how many years.
I will stress again and again that the only reason that we have decent basic health care coverage in our States, 48 of them, is because they realized that was the way to go.
Mr. Speaker, I offer a motion to recommit.
Yes, Mr. Speaker, in its present form.
Mr. Speaker, I yield myself 2 minutes.
I rise in strong support for the motion to recommit. This motion will prohibit employers from joining association health plans if it allows for a reduction in coverage for breast cancer services. A vote against this motion and for the bill will allow employers that already cover basic mammograms to drop this coverage.
Mr. Speaker, a reduction in health insurance in any form is a reduction in health care. It is just that simple. States know that without guaranteeing basic health care, patients will not get the services they desperately need. They will only seek help under extreme circumstances, requiring more expensive medical treatment for their disease, putting their lives and the lives of their children at risk.
According to the American Cancer Society, over 211,000 new cases of breast cancer will be diagnosed in the United States this year alone. Two thousand of those cases will be in my State. Breast cancer is potentially fatal, but early detection through mammogram screenings is the key to proper treatment of this disease. Timely screening could prevent approximately 15 percent to 30 percent of all deaths from breast cancer among women over the age of 40. Currently, New York and 47 other States require insurance companies to cover mammogram screenings. However, under this bill, associated health plans would be exempt from having to provide this critical benefit in these 48 States. This motion would at least present a reduction of health care services to those who already have this important benefit.
As a nurse, I cannot believe this House, after hearing from cancer survivors for years about the need for treatments and screenings to beat this deadly disease, is now going to be rolling back these patient protections.
Today before you vote, truly realize a vote against this motion to recommit will harm millions of patients across this country.
Mr. Speaker, I yield 1\1/2\ minutes to the gentlewoman from Minnesota (Ms. McCollum).
Mr. Speaker, I yield 30 seconds to the gentlewoman from California (Ms. Woolsey).
Mr. Speaker, I yield the balance of my time to the gentleman from New Jersey (Mr. Andrews).
Mr. Speaker, I demand a recorded vote.