Mr. Speaker, I yield the customary 1 minute to the gentleman from Virginia, Majority Leader Cantor. Mr. Speaker, I yield myself such time as I may consume. I am here today to speak on my bill, H.R. 2576, which would save $13 billion by…
Mr. Speaker, I yield the customary 1 minute to the gentleman from Virginia, Majority Leader Cantor.
Mr. Speaker, I yield myself such time as I may consume.
I am here today to speak on my bill, H.R. 2576, which would save $13 billion by ensuring that Medicaid dollars go to those who are most in need.
When the Affordable Care Act was passed, it created a new income formula that determines the eligibility for government-subsidized health insurance. The Modified Adjusted Gross Income, more commonly known as MAGI, deviated from other Federal assistance programs in failing to include Social Security benefits as income. Let me repeat that: the new income formula for Medicaid, CHIP, and exchange subsidies deviated from the eligibility requirements for other Federal assistance programs. Supplemental security income, Supplemental Nutrition Assistance Programs, also known as food stamps, Temporary Assistance for Needy Families, and public housing all include--all include--the Social Security benefit as income.
Congress didn't know that then, but we know now that the Affordable Care Act had the unintended consequence of allowing a couple with close to $60,000 in income to qualify to receive Medicaid benefits. Let me put it in more stark terms. Changing the income formula could result in individuals whose incomes are up to 400 percent of the Federal poverty level receiving Medicaid. This is unacceptable, and I very strongly believe that it is our duty to ensure that the very scarce Medicaid resources will be there for the most in need.
It is incorrect to assert that this legislation unfairly targets widows, survivors, or the disabled. This is the equivalent of asserting that public housing or the SNAP unfairly target widows, survivors or the disabled simply because, when accounting for resources, these programs consider the source of income.
The health care law's deviation from the typical method of counting income results in taxpayer dollars being directed to individuals who do not meet the standard definition of ``low income.'' According to the current law, a couple that is on Social Security benefits and has a total income of $22,000 a year would have a higher income than a couple earning $58,000 a year for the purpose of determining their eligibility for Federal subsidies in the exchange. I am not the only one who thinks so.
At the July 14 Budget Committee hearing, I asked Richard Foster, the CMS chief actuary, about the income eligibility issue. He said, ``I don't generally comment on the pros or cons of policy, but that just doesn't make sense.'' Foster had previously compared the MAGI glitch to allowing middle-income Americans to qualify for food stamps. Additionally, Richard Sorian, who is the HHS Assistant Secretary for Public Affairs, conceded, ``As a matter of law, some middle-income Americans may be receiving coverage through Medicaid, which is meant to serve only the neediest Americans.''
Primarily, my bill is about fairness. We must accurately account for poverty in Federal assistance programs. My commonsense, bipartisan solution has a companion bill in the Senate, which is sponsored by HELP Committee Ranking Member Mike Enzi; and H.R. 2576 passed out of Ways and Means with bipartisan support.
As has already been reported, President Obama, himself, recognizes the problem on page 41 of his recent debt reduction plan where he explicitly proposes the entire amount of Social Security benefits be included in the definition of ``income.''
Mr. Speaker, we must bring Medicaid back into line with other Federal assistance programs and limit improper payments to those who should not receive Medicare benefits.
I reserve the balance of my time.
Will the gentleman yield?
That is correct.
Sir, we're talking about social benefit programs.
As the bill proposes, this would put it into alignment with other Federal assistance programs. That's the intent of the bill.
I have answered your question.
Mr. Speaker, I yield myself such time as I may consume.
It is difficult to recognize the argument on this when we have bipartisan support. And once again, I want to read the Statement of Administration Policy that came out on October 25 from the executive office of the President, and it reads:
``The administration supports passage of H.R. 2576, which would change the calculation of modified adjusted gross income, as defined in section 1401 of the Affordable Care Act, to include both taxable and nontaxable Social Security benefits. Beginning in 2014, this income definition will be used to determine financial eligibility for Medicaid and the State Children's Health Insurance Program, and for premium tax credits and cost-sharing reductions available through Affordable Insurance Exchanges. The administration looks forward to working with the House to ensure the bill achieves the intended result.''
I think that speaks for itself.
Executive Office of the President, Office of Management
and Budget,
Washington, DC, October 25, 2011.
Statement of Administration Policy
H.R. 2576--Modify Income Calculation for Eligibility for Certain Health
Programs (Rep. Black, R-TN, and 3 cosponsors)
The Administration supports passage of H.R. 2576, which
would change the calculation of modified adjusted gross
income, as defined in section 1401 of the Affordable Care
Act, to include both taxable and non-taxable Social Security
benefits. Beginning in 2014, this income definition will be
used to determine financial eligibility for Medicaid and the
State Children's Health Insurance Program, and for premium
tax credits and cost-sharing reductions available through
Affordable Insurance Exchanges. The Administration looks
forward to working with the House to ensure the bill achieves
the intended result.
I reserve the balance of my time.
Mr. Speaker, I yield such time as he may consume to the gentleman from California (Mr. Herger).
Mr. Speaker, I yield such time as he may consume to the gentleman from Texas (Mr. Brady), a member of the Ways and Means Committee.
We are ready to close.
Mr. Speaker, I yield myself the balance of my time.
Thank you, Mr. Speaker.
This bipartisan solution would bring Medicaid back into line with other Federal assistance programs and ensure that the program is there for those who most need it. Furthermore, according to the CBO and the Joint Tax Committee estimates, this bill would save taxpayers approximately $13 billion over 10 years. And considering our $14 trillion in national debt, closing this loophole as soon as possible is a good policy on a number of levels. I am delighted that both the President and other Members across the aisle support this bill.
I yield back the balance of my time.