Mr. Speaker, I rise in strong support of the Affordable Health Care for Americans Act. As a senior New Yorker on the Energy and Commerce Committee and on the Health Subcommittee, I am proud of the role I played in helping to make this bill…
Mr. Speaker, I rise in strong support of the Affordable Health Care for Americans Act.
As a senior New Yorker on the Energy and Commerce Committee and on the Health Subcommittee, I am proud of the role I played in helping to make this bill a reality.
On this historic day, our Congress honors our country; it honors our citizens; and it honors a moral imperative to provide all Americans with comprehensive, affordable access to quality health care.
This is the reason why so many of us sought public office, and it is the reason why our constituents sent us to Congress, to right the wrongs of our broken health care system and to steer our country back in the right direction.
Never again will families worry late into the night over whether their preexisting medical conditions will prevent their loved ones from getting access to the health care coverage they so desperately need. Never again will insurance companies be allowed to drop coverage for those who have paid their premiums diligently only to have their policies canceled when they get sick and need it the most. Never again will families have to worry that, if they lose their jobs, they will also lose their health care coverage.
Don't believe the scare tactics you are hearing from the other side. This bill is good for seniors, good for young adults, and good for all Americans. I urge my colleagues to support the bill.
Mr. Speaker, I rise in strong support of the Affordable Health Care for All Americans Act. In my 21 year career, this is by far one of the most important votes I will take. I have spent the past ten months meeting with the people of Bronx, Rockland and Westchester Counties and have had heartbreaking stories shared with me about the inadequacies of healthcare.
On this historic day, our Congress honors our country, honors our citizens, and honors our moral imperative to provide all Americans with comprehensive, affordable access to quality health care.
This is the reason so many of us get up day after day after day. It is the reason why so many of us sought public office, and it is the reason why our constituents sent us to Congress--to right the wrongs of our broken healthcare system and steer our country back in the right direction.
Never again will families worry late into the night over whether their pre-existing medical conditions will prevent their loved ones from getting access to health care coverage they so desperately need.
Never again will insurance companies be allowed to drop coverage for those who have paid their premiums diligently, only to lose it when they get sick and need it most.
Never again will families have to worry that if they lose their jobs, they will also lose their healthcare coverage.
The underlying bill provides comprehensive reform to our nation's healthcare system and puts our nation back on the road to fiscal responsibility by reducing the deficit by $30 billion in the first 10 years.
Regardless of who you are, or where you live, this bill provides significant benefits to all citizens.
If you have health insurance, you can keep your doctor and your health plan. You like it, you keep it. It's that simple.
But for those that don't have health insurance, we will change that today. Of the 46 million Americans that are uninsured, 85 percent of them are in working families. Millions of Americans desperately want to purchase health insurance and can't. They've been priced out of the system. They have been priced out of a basic desire to keep them and their families healthy. 53 percent of Americans postpone care or medication because of cost. 60 percent of bankruptcies were related to medical debt. It's unfair, unsustainable and un-American to allow this failed health care system to continue.
Insurance companies have a chokehold on the market and we are breaking through that today. If you don't have health insurance, or lose your health insurance, the new health insurance exchange will provide a one stop comparison shopping market place for you of private insurance options or a new public health insurance option.
While in my heart of hearts I believe a single payer system would be the best reform of our nation's health care, I have worked tirelessly over the last year to enact a strong public option. The public option included in the bill will undoubtedly inject competition into the market for better prices and coverage of quality health insurance.
No longer will women be considered second class citizens when it comes to healthcare coverage. H.R. 3962 supports women's health care by ending the designation of pregnancy, domestic violence and caesarean sections as pre-existing conditions, and eliminating out-of-pocket expenses for preventive services including mammograms, well baby and well-child care visits. It also prohibits plans from charging women more for health coverage than men, and guarantees coverage for maternity care.
H.R. 3962 invests in Medicare. Our seniors will see improved benefits, free preventive care, better primary care and lower drug costs. The donut hole, in which seniors pay monthly premiums for drug coverage without a drug benefit, will finally be closed. I have been fighting for this since the day we enacted the Medicare Prescription drug benefit.
Young adults will have more access to affordable healthcare than ever before. Our bill allows adults to stay on their parents' healthcare plans until their 27th birthday. This measure alone will cover one out of three uninsured young adults.
Additionally, small business owners will be granted access to affordable large group rates in the new insurance exchange and tax credits to help businesses insure employees across the 17th district and our nation. I met with the Rockland Small Business Association this summer and fought to make health insurance reform workable for small businesses. 98.8 percent of small business owners will pay no surcharge and 86 percent of America's businesses are exempt from the shared responsibility requirement to provide insurance. In fact, businesses with payrolls of $500,000 or below are completely exempt from provisions in H.R. 3962.
Throughout this year, and in my role as the Senior New Yorker on the Energy & Commerce health subcommittee, I have worked hand and hand with Chairmen Waxman, Rangel, Miller, Majority Leader Hoyer and Speaker Pelosi to improve the underlying bill for New York State and people nationwide.
Here are just a few of the provisions I was successful in inserting in the underlying bill.
I am proud to have reformed the Medicaid program to serve people with HIV. Under current Medicaid rules, low-income people with HIV must wait until they are disabled by AIDS before they can get covered by Medicaid. In the House bill, states could cover all people with HIV infection under state disability income and resource levels until January 1, 2013, when the new health insurance exchange is operational, at an enhanced federal match.
I worked to protect the ability of eight states, including NY to preserve Adult Day Health care programs in Medicaid. These community- based long term care programs provide comprehensive health care services in day settings.
Beneficiaries are given nursing, case management, clinical management, medical, diagnostic, social, rehabilitative, recreational and personal care services on a routine, daily basis.
Since my time in the New York State Assembly when I was the Chair of the Assembly Committee on Alcohol and Drug Abuse, I have been championing for mental health and substance abuse services. I worked to strengthen our capacity to serve people affected by these disorders through Federally Qualified Behavioral Health Centers. My provision will establish national standards of care for persons with serious mental illness and addiction disorders. Furthermore, new reporting and accountability standards for mental health care will better integrate its providers and services within the larger healthcare system.
Many people have a family member, or are friends with someone who has autism. I worked with Rep. Doyle, the Co-Chairman of the Congressional Caucus on Autism on several provisions dear to me. We ensured that discrimination in benefits against persons with autism are prohibited by including behavioral health treatments as part of the essential benefits package in the House health reform bill.
There is currently a shortage of appropriately-trained personnel who can assess, diagnose, treat and support patients with Autism Spectrum Disorders (ASD). These professionals require the most up-to-date practices to best care for those with autism and their families. And so we included a provision for the training for professionals working with children and adults with autism.
I advocated to improve the healthcare for maternity and newborn care in the Medicaid program. H.R. 3962 will extend important child health quality improvement provisions to traditional-eligible childbearing women and newborns and other covered adults younger than age 65. As a result of my provision, the Secretary of Health & Human Services will collect data and make recommendations on improving care for these key populations.
Finally, I was tireless in my advocacy for the Disproportionate Share Hospital (DSH) program, which assists with the cost of caring for uninsured and underinsured people at hospitals. These payments ensure that hospitals are not in financial distress from serving low-income people.
We stand here as proud Americans determined and ready to transform a broken health care system into a model of care worldwide. The cost of inaction is too great. Today, we answer the call of history, and vote for health insurance reform for America. Our nation's future depends on it.