Mr. Speaker, I yield myself such time as I may consume. After 7 years, we have heard the stories of our constituents, patients, friends, and family who have suffered under ObamaCare. We have heard from those who have benefited in some…
Mr. Speaker, I yield myself such time as I may consume.
After 7 years, we have heard the stories of our constituents, patients, friends, and family who have suffered under ObamaCare. We have heard from those who have benefited in some respects.
I think of the struggles of constituents like Indra from Bend, Oregon. She lost her private insurance and her preferred doctor. When she went to look for a new plan under ObamaCare, she found the plans were too expensive, and she went without insurance for almost 2 years. See, her story should not be lost in this debate either.
Then there is April. Last fall, she found out her insurer would not be offering her plan this year. The most comparable plan available would raise her monthly premium by $564 per month, bringing her total monthly premium to $1,503.
You see, there is a whole other group of Americans out there who are suffering these effects of ObamaCare. The American Health Care Act represents a better way for patients like Indra and April all across our country. Our plan will rescue and revitalize the market and lower costs and increase flexibility for patients to choose. They will have more choices for health care and keep a health insurance plan that works for them and for their family.
This legislation creates the Patient and State Stability Fund. Now, this is an innovative approach to give States the financing and flexibility to repair the damage done to the insurance markets by ObamaCare and meet the unique needs of their citizens. More importantly, we provide an additional $15 billion, Mr. Speaker, to States devoted for maternity coverage. We heard from people who said we need to do more in this area: newborn care, mental health, and substance disorders.
We are also taking action to strengthen Medicaid. We want to put Medicaid on a sustainable path so it can better care for those it was intended to serve, a path through this per capita program for States that, frankly, was at one time embraced by Democrats, including President Clinton.
The most vulnerable in our communities need this help. It represents the most substantive reform to the Medicaid program since its creation and will restore power to our States and local communities and governments where they can make better decisions than a one-size-fits- all here in Washington. We want to give our States more control in how they manage these people that they are closest to.
In closing, I want to thank our colleagues and the President of the United States and the Vice President and Secretary Price. They have worked day in and day out, tirelessly, without hesitation, to help get to the best policy possible here and to work and listen to our colleagues, as we have all done, to craft the best bill we can, given the constraints under which we must operate.
The end result highlights the diverse ideas of our Conference that come from the American people and the determination that we share to save this market and make it work again.
Remember, we are talking about a narrow slice of the insurance market, that driven by ObamaCare, that, last year, there were 225 counties in America where, if you were looking for insurance on that exchange, you had one option. This year, it is 1,022 counties. That is one out of every three in America. And that was before Humana pulled out and other companies said this market is about gone.
We need to fix this market. That is what this legislation seeks to do.
Mr. Speaker, I want to thank our terrific staff that has worked day and night to get us to this point. We know there is a lot more work to do. This should not be taken in isolation as the only healthcare reform on our list. We are going to go after the cost drivers. We are going to go after prescription costs. We are going to go after hospital costs.
Wherever it is in the health system, if you have nothing to hide, you won't have to fear our investigations. But we are going to get costs down. We are going to get costs down.
The American Health Care Act is just the first step in our mission to rescue the American people from the failures of the underlying law. We know they are there. We are going to fix this. We are committed to it.
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, I yield myself 20 seconds.
The irony of that argument is it was just a year or so ago that every Member of this House who was here at the time and the Senate, by a unanimous vote, agreed to waive the essential benefits he just listed off for the employment market between 51 and 100--and, by the way, those essential benefits don't apply to the large group market--so this has already been done.
I yield 1\1/2\ minutes to the gentleman from Texas (Mr. Barton), the vice chairman of the full committee.
Mr. Speaker, I yield an additional 15 seconds to the gentleman from Texas.
Mr. Speaker, I yield myself 10 seconds before I yield to the gentleman from Michigan.
I would just suggest that the American people are very smart. Unfortunately, under ObamaCare, 19.2 million Americans said: I am not going to buy ObamaCare. I am going to pay a penalty to the IRS instead.
You see, we are trying to fix it so they will want to buy it.
I yield 2 minutes to the gentleman from Michigan (Mr. Upton).
Mr. Speaker, I yield 1\1/2\ minutes to the gentleman from Mississippi (Mr. Harper), the chairman of the House Administration Committee, and a valuable member of the Energy and Commerce Committee.
Mr. Speaker, I yield 1\1/2\ minutes to the gentleman from Kentucky (Mr. Guthrie), the former head of the Medicaid task force.
Mr. Speaker, I yield 1\1/2\ minutes to the gentleman from Indiana (Mr. Bucshon).
Mr. Speaker, I yield 1\1/2\ minutes to the gentleman from Texas (Mr. Flores), a real leader on the Energy and Commerce Committee.
Mr. Speaker, I yield 1\1/2\ minutes to the gentlewoman from Indiana (Mrs. Brooks).
Mr. Speaker, I yield 1\1/2\ minutes to the gentleman from New York (Mr. Collins), a real leader on our committee.
Mr. Speaker, I yield 1\1/2\ minutes to the gentleman from Michigan (Mr. Walberg).
Mr. Speaker, I yield 1\1/2\ minutes to the gentleman from Georgia (Mr. Carter), our resident pharmacist on the committee.
Mr. Speaker, I yield 2 minutes to the gentlewoman from North Carolina (Ms. Foxx), the chairwoman of the Education and the Workforce Committee.
Will the gentlewoman yield?
Mr. Speaker, I would be delighted to work with the gentlewoman from North Carolina.
Health care sharing ministries are a vital part of our healthcare system. They are a shining example of how communities can come together without government mandates or dictates to provide innovative healthcare solutions.
I look forward to working with Chairwoman Foxx on these concerns that have been raised and will work with the Senate to get repeal and replacement of ObamaCare to the President's desk.
Mr. Speaker, I yield 2 minutes to the gentleman from Pennsylvania (Mr. Murphy), our resident psychologist who does a remarkable job on mental health care issues and all of these healthcare issues.
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, if I could get an indication in terms of the amount we are down on each side here? I think we were allocated a half an hour.
Yes.
Mr. Speaker, and the minority side? Or is that what is remaining split equal?
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, I don't believe I have any other speakers, so I will continue to reserve the balance of my time.
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, I yield myself such time as I may consume.
One of the great tragedies of this debate is some of the scare tactics we have heard. And to listen to the gentleman from California talk about how removing essential benefits from the Federal mandate from the law is going to cause all that to happen is tragic because he, on March 25 of 2015, cosponsored legislation that did precisely that, removed the same Federal mandates for workers in the 51-100 pool of employees for employers. He said it was too much of a mandate then on those businesses, when they provide insurance.
So every Member of the House who was here then, and every Senator, including the Democrat leader of the Senate at the time, voted for that, passed unanimously.
By the way, the Congressional Budget Office said that those regulations that we are pulling back here would have made nongroup premiums 27 percent to 30 percent higher in 2016, than they otherwise would have been. So we are basically taking what CBO said is a good policy and implementing it here once again.
Last time, in 2015, that was bipartisan. It was a voice vote. Today, you would think the world was falling around us, the sky was falling. Yet, everybody who was here in 2015 said, that is okay, it is the right thing to do because it will lower premiums, like CBO said, by 27 to 30 percent.
So we thought what was good for those in the work world, for everybody who is insured through a large group plan, which is about 155 million Americans--they don't live under this mandate, yet they have all those services and benefits--that that would make sense to lower premiums for individuals on the ObamaCare exchange, because what I hear is, premiums are too high, deductibles go up.
Nobody sees this thing coming down. We are making changes here because those exchanges are collapsing. We want to bring the premiums down. We want to make the changes that will bring them down. CBO says doing this on essential benefits would have resulted in nongroup premiums 27 to 30 percent lower than they would have otherwise been. They basically say they would be higher in 2016 than they would have otherwise been. So we are taking that, using that and saying: let's drive them down; let's get premiums down.
It is unfortunate that you were willing to do that 2 years ago. It was bipartisan. Today, it is some extraordinary thing we are doing that is bad. It is not. We want to get lower premiums.
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, I yield myself 30 seconds.
Actually, we did reach out to Democrats. We have always reached out to Democrats. The vice chair of the Committee held lunches with Democrats to say: How can we work together on this? And we were told: No, we can't work with you on this particular measure. I hope we can. I agree, there is a lot we need to do together. It is what the American people expect.
We have had these individual conversations out of the bright lights of the cameras. Let's get together. Let's get this done. A lot hangs in the balance.
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, I yield myself such time as I may consume.
Mr. Speaker, here is what I would say: What you have heard from the other side is everything is working perfectly; leave it alone.
Democrats created ObamaCare. Democrats created the exchange. They said: We are going to tell you the kind of insurance you have to buy; we are going to force you to buy it, or you will answer to the IRS and pay a penalty. They mandated that.
Then they came back and said: Well, that didn't work so well, so we had better get rid of the essential benefits for the workers and employers, 51-100 employees in a company; we are going to take that off because that will drive up premiums. And they voted unanimously to do that. Today, they come back and say: Oh, that would be horrible. But they did it before, so they were for it before they were against it.
But let me talk about what really matters here. First of all, there is lot of scare tactics out there by a lot of high-paid organizations. The first is, we preserve your right as a citizen to acquire health insurance regardless of your health condition.
So here is the deal: preexisting conditions, we protect that; lifetime caps, we protect that so that insurance companies can't go over the top of you; keep your kids on until they are 26, we protect that. Those were good things. We agree in a bipartisan way those should be protected. We do that.
But we also recognize that 19.2 million Americans looked at the Democrats' healthcare exchanges and plans, went the other direction, and said no. They have walked with their wallets and their feet and said: I don't like what you are selling and I can't afford what you are selling. I will even pay the IRS $600 or $700 not to take ObamaCare.
Meanwhile, Mr. Speaker, the insurers have said that the way the Democrats created the insurance markets all over the country, we can stay in them. We are losing too much money, and we are out.
That is why in one out of three counties today in America you only have one choice, and that is called a monopoly. We are trying to fix this market so people will have choices that are affordable. We are trying to make sure people have access to coverage they want and can afford. This is the first step, not the last step, toward fixing this market.
I look at it like we have poured the foundation. Construction projects are a little messy when you are just pouring the foundation. Now we are going to put up the walls, we are going to put the roof on, and we are going to build this out in multiple steps throughout this year and next.
Meanwhile, we provide complete coverage. We do all the protections ObamaCare continues in its support for people while we fix the market and allow it to come back. We have timed this out. I know there are some on my side of the aisle who wanted to get rid of those protections, and we brought them around or they are going to vote ``no.'' But we said: No; we have to have those protections in place-- existing conditions, no more lifetime caps, keeping your kids on until they are 26.
We have a product here that needs to go to the next step. We will all work on it and continue to make it better as we go forward. But if we do nothing and let it fail today, these markets are going to get worse and worse under the Democrats' ObamaCare plans, and people won't have a choice in States and counties all over America.
I wish we could join together today and put forward a bipartisan vote to save these markets and help our constituents going forward. Mr. Speaker, we owe it to them. They have asked for it for 7 years. Let's get it done.
Mr. Speaker, I urge support for this legislation, and I reserve the balance of my time.