Madam Chair, I yield myself such time as I may consume I'd like to point out that the last time I watched television, they told me that we still have troops in Afghanistan who should be brought home. And we've not addressed the Medicare…
Madam Chair, I yield myself such time as I may consume
I'd like to point out that the last time I watched television, they told me that we still have troops in Afghanistan who should be brought home. And we've not addressed the Medicare physician payment cuts, the payroll tax cut extension, unemployment insurance extension. Roads, bridges, and public transit systems are falling apart, and Congress hasn't brought forth legislation to invest in the infrastructure to repair those vital structures. And we continue to have an imbalanced Tax Code that lets Members of Congress get richer at the expense of working families, and we've done nothing to change that.
Yet rather than tackle any serious problems, the Republicans are using the very little time that they permit Congress to be in session to debate repealing the law that the President has already made clear will not be implemented. In other words, we should repeal a law that isn't going to happen. Now, that's a vital use of our time. He's clearly stated, the President has, that the CLASS Act, as part of the Affordable Care Act, can't meet the tests put in the statute.
Now, remember that Republicans probably would like to repeal all of ObamaCare, and I'm not sure exactly which part they want mostly to repeal. In other words, I assume that the 2.5 million youngsters who now get health insurance, the Republicans would like to kick them off the rolls and let them go to work or earn their own way to health insurance.
It's lowered prescription drug costs, ObamaCare has, for millions of seniors, for a bill that the Republicans wrote that was too costly. I presume the Republicans would like to raise the cost of pharmaceuticals for seniors. Republicans generally like to do anything that the pharmaceutical obviously asks them to do, and I'm surprised they haven't brought that up yet.
I understand that my good friend, Dr. Boustany, actually has the makings of a bill that would help long-term care. And I also understand that the only reason he hasn't introduced it--I'd be glad to make it an amendment if it's ready to go right now--is that the health insurance industry doesn't like it. Well, if the health insurance industry doesn't like it, it must be spectacular, and I hope we'll see it. Maybe you'll tell us a little bit about it, and I'd like to applaud it because he has done some great work in this area, and we need to do this.
The fully implemented ObamaCare, health care, whatever you want to call it, by 2014 will extend affordable, quality medical care to 32 million uninsured Americans. That's a plan. Maybe we could change it. Maybe we could make it quicker. Maybe we would extend it to more people. Maybe we could save some money. But that has to come from the other the other side of the aisle.
We oppose this, and I'd like to think that our Republican friends would work with us to improve it and move us in that direction.
I'd like to highlight a letter of opposition to repealing the CLASS Act that is signed by more than 70 organizations representing millions of senior citizens, people with disabilities, and people suffering from various diseases. These groups include: AARP, the Autism National Committee, the AFL-CIO, and Easter Seals, and United Cerebral Palsy.
They urge Congress to ``reject H.R. 1173, and instead focus on a constructive path forward.''
I ask that this letter be inserted into the Congressional Record as part of this debate.
January 31, 2012.
Hon. John Boehner,
Speaker of the House, House of Representatives, U.S. Capitol,
Washington, DC.
Hon. Nancy Pelosi,
Democratic Leader, House of Representatives, U.S. Capitol,
Washington, DC.
Dear Speaker Boehner and Democratic Leader Pelosi: The
undersigned organizations write to oppose legislation, H.R.
1173, to repeal the Community Living Assistance Services and
Supports (CLASS) program and respectfully urge members to
reject such legislation.
In 2008, 21 million people had a condition that caused them
to need help with their health and personal care. Medicare
does not cover long-term services and supports (LTSS), yet
about 70 percent of people over age 65 will require some type
of LTSS at some point during their lifetime. As our
population ages, the need for these services will only grow.
In addition, about 40 percent of the individuals who need
LTSS are under age 65 and LTSS can enable individuals to work
and be productive citizens.
Regardless of when individuals may need these services,
there is a lack of financing options to help them plan and
pay for the services they need to help them live
independently in their homes and communities where they want
to be. Family caregivers are on the frontlines. They provided
care valued at $450 billion in 2009--more than the total
spending on Medicaid that year. Private long-term care
insurance helps some people pay for the cost of services, but
it is not affordable for most, and some people are not even
able to qualify for it. Too often, the cost of services wipes
out personal and retirement savings and assets that are often
already insufficient--as a result, formerly middle class
individuals are forced to rely on Medicaid to pay for the
costs of LTSS. There are few options for individuals to help
them pay for the services they need that could help them
delay or prevent their need to rely on Medicaid, the largest
payer of LTSS.
That's why we support the CLASS program--to give millions
of working Americans a new option to take personal
responsibility and help plan and pay for these essential
services. CLASS could also take some financial pressure off
Medicaid at the state and federal levels--paid for by
voluntary premiums, not taxpayer funds. For us, this is about
the financially devastating impact that the need for LTSS has
on families across this country every day and the essential,
compelling and urgent need to address this issue. Every
American family faces the reality that an accident or illness
requiring long-term care could devastate them financially.
This issue affects the constituents of every U.S.
Representative. CLASS is an effort to be part of the
solution. The CLASS actuarial report established that CLASS
can still be designed to be a ``value proposition,'' although
development work was still needed. The actuarial report also
noted that federal actuaries ``. . . agreed that certain
plans, designed to mitigate the adverse selection risk . . .
can be actuarially sound and attractive to the consumers.''
Rather than repeal CLASS, we urge continued dialogue and
development of a viable path forward. The need to address
LTSS and how these services will be paid for in a way that
is affordable to individuals and society as a whole will
not go away.
Families will continue to need a workable LTSS option to
protect themselves; and a
path forward is essential because the need for these services
will only continue to grow. We appreciate your consideration
of our views that are based on the experiences of millions of
families across this country. We urge you to reject H.R.
1173, and instead focus on a constructive path forward.
Sincerely,
AAPD; AARP; ACCSES; AFL-CIO; AFSCME; Alliance for Retired
Americans; Alzheimer's Foundation of America; American
Association on Health and Disability; American Counseling
Association; American Dance Therapy Association; American
Geriatrics Society; American Music Therapy Association;
American Network of Community Options and Resources; American
Society on Aging; The Arc of the United States; Association
of Assistive Technology Act Programs; Association of
University Centers on Disabilities (AUCD); Autism National
Committee; Autistic Self Advocacy Network; Bazelon Center for
Mental Health Law; Brain Injury Association of America
(BIAA).
California Foundation for Independent Living Centers; Cape
Organization for Rights of the Disabled (CORD); Center for
Independence of Individuals with Disabilities; Center for
Independent Living of South Florida; Inc.; Children and
Adults with Attention-Deficit/Hyperactivity Disorder (CHADD);
Coalition of Geriatric Nursing Organizations; Council for
Exceptional Children; The Council on Social Work Education;
Direct Care Alliance; Disability Rights Education & Defense
Fund; Easter Seals; Epilepsy Foundation; Health & Disability
Advocates; Inter-National Association of Business; Industry
and Rehabilitation; LeadingAge; Lutheran Services in America;
Mental Health America; The National Alliance for Caregiving;
National Alliance on Mental Illness (NAMI); National
Association of Area Agencies on Aging (n4a).
National Association of County Behavioral Health and
Developmental Disability Directors (NACBHDD); National
Association of the Deaf; National Association for Geriatric
Education (NAGE); National Association for Home Care &
Hospice; National Association of Councils on Developmental
Disabilities; National Association of Nutrition and Aging
Services Programs (NANASP); National Association of
Professional Geriatric Care Managers; National Association of
Social Workers; National Association of State Directors of
Special Education (NASDE); National Association of State Head
Injury Administrators; National Center on Caregiving; Family
Caregiver Alliance; The National Center for Learning
Disabilities; National Committee to Preserve Social Security
and Medicare; The National Consumer Voice for Quality Long-
Term Care (formerly NCCNHR); National Council on Aging;
National Council for Community Behavioral Healthcare;
National Council on Independent Living; National Disability
Rights Network; National Down Syndrome Congress.
National Multiple Sclerosis Society; The National
Rehabilitation Association; National Respite Coalition NISH;
Paralyzed Veterans of America; PHI-Quality Care through
Quality Jobs; Physician-Parent Caregivers SEIU; Self-
Reliance; Inc.; Services and Advocacy for GLBT Elders (SAGE);
Social Work Leadership Institute/The New York Academy of
Medicine; United Cerebral Palsy; United Spinal Association;
Volunteers of America.
I yield 2 minutes to the gentleman from Wisconsin (Mr. Kind).
I reserve the balance of my time.
I reserve the balance of my time.
Madam Chair, in closing, I repeat that there are real problems in this country of much more urgency than trying to repeal a bill that doesn't do anything, that won't work, that the President has said won't be effective. I urge my colleagues to join me in voting ``no'' on this Republican agenda to tear down our health system. It's mugwumpish. It just sticks your head in the sand and says let's repeal things and let's not go about fixing it.
As I said before, I'm sure Dr. Boustany has a great bill, and I'm hoping that he'll bring it to us and we can proceed to deal with the problem of long-term care for our senior citizens.
I have seven children who would like to see that done very quickly and get me off their hands, thank you very much. And so anything we can do together, I look forward to working with the distinguished gentleman.
With that, I yield back the balance of my time.