Let me thank the gentlewoman for yielding me this time, and thank her for all of her good work on the legislation. For the past 12 to 14 months, I have watched you as you have worked tirelessly to get a finished product that we can all be…
Let me thank the gentlewoman for yielding me this time, and thank her for all of her good work on the legislation. For the past 12 to 14 months, I have watched you as you have worked tirelessly to get a finished product that we can all be proud of. And so I want to thank you on behalf of the 600,000 people that I represent in the First Congressional District of North Carolina.
Mr. Speaker, every President in this country for the past 50 years or more has tried to reform health care. Unfortunately, all of them have failed, both Democrat and Republican. We have a health care system in this country that is in serious need of reforming. And President Barack Obama, during the Presidential campaign of 2008, campaigned on the platform that if elected, he would bring health care reform to the American people and for the American people. It was a hotly contested campaign, as we can all remember, but he was victorious because the American people had confidence that President Obama had the ability and the vision to bring people together to enact this worthwhile legislation and to do other great things for our country.
Well, we started the 111th Congress, and President Obama told us from day one that he was ready to deliver on the promise that he made to the American people. And so we in the Energy and Commerce Committee and Congresswoman Christensen and many of us worked very hard to put together a good, strong piece of legislation. But I can tell you that we would not have enacted this bill last night without the courageous, visionary leadership of President Barack Obama.
In the Energy and Commerce Committee, we worked very hard to craft legislation that we were very proud of. At the same time as we were doing our work, the United States Senate was also crafting a piece of legislation and they completed their work on Christmas Eve, as we all remember. Well, what the American people may not fully understand is that in this body, before we can have a piece of legislation delivered to the President's desk, both the House and the Senate must agree. And so during the Christmas holidays, the Democratic leadership from both Chambers worked very hard to try to reconcile the differences between these two bills.
The unfortunate thing, Mr. Speaker, and Mrs. Christensen, is we had no participation, no help whatsoever from our Republican friends on the other side of the aisle. When I say we had no help at all, we actually had none. The fact of the matter is that out of the 178 Republicans who serve in the House of Representatives, not a single one worked with us on this legislation. We tried unsuccessfully on many occasions to try to include Republicans in our deliberations, but there was apparently a strategic decision, a political decision on their part to not participate.
Over on the other side of the Capitol, the same thing happened in the United States Senate. Out of the 40 Republicans who serve in the Senate, not a single one worked with us. And so it was Democrats who had to try to get this legislation shaped and to get it ready for passage. And so during the Christmas holidays, the Democratic leadership worked very hard. They worked through Christmas Eve and New Year's Eve and all through the holidays to try to reconcile their differences. And finally toward the end of the holiday season, there was a compromise between the Chambers and we reached a decision on this legislation.
The problem was that we lost a seat in the United States Senate. Due to the unfortunate passing of our hero, Senator Edward Kennedy from the Commonwealth of Massachusetts, we lost a Democratic seat in the United States Senate. Senator Kennedy's replacement was not from the Democratic Party. We found ourselves with less than the supermajority that is required in the United States Senate.
So President Obama called the leadership together many times, and we decided that we would go forward, notwithstanding the fact that we had a setback, that we would go forward and that this House of Representatives would take up and pass the Senate-passed bill, and that is important. That is a point that I want to make tonight. The bill that we passed last night was parliamentarily correct. It conformed with all of the rules of the House and the Senate. The bill that we passed last night was the identical bill that the United States Senate passed on Christmas Eve with 60 votes. We passed that bill last night in the House with 219 votes in favor of passage. We only needed 216 votes to get it done. Today the bill is on the President's desk, and we will go down to the White House tomorrow morning for the signing of the Senate bill that was passed by the House of Representatives.
Now here is the problem that we have. The Senate bill that we passed has some shortcomings. It has some areas that need improving, and so the President has worked with the leadership here in the Congress and we have come up with some fixes, if you will, with some amendments, with some changes to the Senate bill that will make it better. We all know about the provision in the Senate bill that was put in by a single Senator, that is going to be removed, and there are going to be other provisions of the Senate bill that will be removed.
Last night, not only did we pass the Senate bill but we also passed the fixes that the President asked us to pass, and those fixes are now pending in the Senate for consideration this week.
Senator Reid, the majority leader in the United States Senate, has told us that the Senate will begin working on the fixes tomorrow after the President signs the bill. But, Mrs. Christensen and Mr. Speaker, we have made monumental progress. No President has ever been able to do this, but because of the vision and the masterful leadership of the President and the Speaker of this House and the majority leader and the majority whip all working together, we have been able to finally pass this legislation.
This legislation does not go into effect immediately. There will be a phase-in. As you can imagine, we cannot reform the health care system in America and the health insurance system in America overnight. It is going to take time. But I can tell you, and I can tell the American people, that by the year 2019, 95 percent of the American people will have health insurance and access to quality health care. That is what we promised the American people. That is what we are going to deliver. There will be a phase-in starting within the first 6 months of this year.
We are going to help our seniors with their prescription drugs. Those who fall into the doughnut hole, they will be given a stipend to help them purchase. We will allow families to maintain their children on their insurance policy up to age 26. So there will be a gradual phase- in.
Finally, let me conclude by saying that I represent a low-income district. The First Congressional District of North Carolina that I represent is the fourth-poorest district in the United States of America. We have a lot of low-income people, and I am happy to report to my constituents and to people all across America that for the first time in our history, individuals will be able to qualify for Medicaid. Low-income individuals will be able to get Medicaid. Right now families can qualify for Medicaid, but not individuals. An individual who makes less than $14,400 a year will get Medicaid. A family of four that makes less than $29,000 a year will be able to qualify for Medicaid, which is free. For an individual who is between the incomes of $14,400 a year and $43,000 a year, you will be able to get assistance. You will be able to get a subsidy in purchasing insurance. If you are at the low end of $14,400 a year, you will pay $36 a month in order to get a quality insurance policy. If you are at the high end of $43,000 a year, you will pay $342 in order to get a high quality insurance policy.
Now for a family of four, it is a little bit more but it is very affordable. For a family of four that makes $29,300 a year, your premiums will be $73 to insure four people in your family. At the high end, if you make $55,000 a year, you will pay $369 a month. We have made tremendous progress with the passage of this bill. We are very proud of the progress that we have made, and I just want to publicly thank the Speaker of the House of Representatives, Nancy Pelosi, the majority leader, Steny Hoyer, and the majority whip, Mr. Clyburn. I want to thank all of the leadership and the chairmen of each one of the relevant committees who participated in this bill: the Energy and Commerce Committee under the leadership of Henry Waxman and formerly John Dingell; the Ways and Means Committee under the leadership of Mr. Levin from Michigan, formerly under the leadership of Mr. Rangel; and the Education and Labor Committee under the leadership of George Miller from California. All of these committees, working together with the Budget Committee led by John Spratt of South Carolina and Louise Slaughter from New York leading the Rules Committee, all of these individuals working together to get us to the point where we were last night.
The passage of this bill is monumental. It is historic. Yesterday was not an ordinary day in the House of Representatives. I thank my colleagues who voted for this legislation. I look forward to the results that it will yield.
Mr. Davis, I want to thank you so much for the presentation you've made. And I just really enjoy the stories that you tell and the way you represent the people of your congressional district.
You know, all of us have unique congressional districts. We say that all of the time. No two Members of this House are identical. You have your district and I have my district, and each one is unique.
As I travel throughout my district in North Carolina, many people tell me that they have health insurance but it's not worth the paper that it's written on. They are counted as insured; but in reality, they are uninsured.
For example, a gentleman in my district told me that he has had insurance for more than 10 years on the job and he pays $200 a month out of his paycheck, but he's never used it. And when I asked him why he hadn't used it, he said because the deductible is $5,000 per year and as far as he was concerned, he is uninsured.
I went into another part of my district and went to a dialysis center, and a young man there told me that he had been insured by a very reputable insurance company and that he needed a kidney transplant and his sister donated a kidney to him. And it was a successful transplant and it worked very well. But after 2 years, his insurance company stopped paying for the anti-rejection medication that he needs for his kidney. And he lost the kidney, and now he is back on dialysis and the government is paying hundreds of thousands of dollars a year to sustain him.
Those are the types of stories that I hear in my district, and they are so sad.
There's a minister in my district who was--he is a married man, and he and his wife had a family policy and they were paying $400 a month for insurance. And the minister was diagnosed with prostate cancer, and his wife was diagnosed with a neurological condition; and because of those two conditions, the insurance company raised the premiums for $400 a month to $3,500 a month, which was more than his income. Those are the types of stories that I am hearing in my district.
And I want to find out if the same thing exists in urban America. I'm in rural America. Do you hear those types of stories in urban Chicago?