Health Care And Education Reconciliation Act Of 2010
Madam President, being an eternal optimist, I rise to express my hope that once the process of voting over the next 2 days is completed, we can find a way to move forward with our colleagues across the aisle to fix other provisions in this…
Madam President, being an eternal optimist, I rise to express my hope that once the process of voting over the next 2 days is completed, we can find a way to move forward with our colleagues across the aisle to fix other provisions in this legislation and make it truly the kind of bill they say they wish to see as well. I will support this reconciliation bill. At the same time, as my colleagues on this side of the aisle know well, I worked very hard to narrow and improve this legislation as it was passed last December, including voting, as I recall, eight different times with my Republican colleagues, which didn't make my chairman very happy, on a few occasions to make changes in the bill. In the end I voted in favor of this legislation despite serious misgivings with portions of it, because it does represent a true step forward in terms of quality, accessibility, and affordability of health care for most Americans.
The important point for us to remember today and tomorrow, as we go through the process, is that the bill is now law. The question before us now is how best to implement that law so that the benefits can be put into place and the many detriments I was worried about can be addressed. There are a number of strong points in this bill. Many of my colleagues have laid them out. As we know, insurance companies will be prohibited from denying health care coverage to children with preexisting conditions. Young adults will be able to stay on their parents' insurance plans until they are 26. Uninsured Americans with preexisting conditions will have access to affordable insurance options. Insurance companies won't be able to drop people from coverage when they get sick, and they will be banned from implementing lifetime caps on coverage. Seniors who hit the Medicare Part D doughnut hole gap in coverage will get a $250 check to help with the cost of prescriptions and the doughnut hole will be completely closed by 2020.
Access to insurance over the next couple years will be expanded to 95 percent of Americans. It will implement reforms designed to slow skyrocketing health care costs. Working families will not have to worry about losing health insurance or facing bankruptcy because of a job loss or because of illness. Insurance companies will be required to spend the majority of their money on patient care.
The law will also provide tax credits to help make health insurance available for individuals, expand access to Medicaid, create a regulated marketplace where people can shop for the health insurance plan that best meets their needs, and will prohibit insurance companies from refusing to sell or renew policies due to an individual's health status. These are just some of the positive points of the law.
In fairness--and I understand and appreciate some of the frustration on the other side--there are serious problems in this bill. I don't like the dramatic cuts in Medicare this law proposes. In fact, I voted against them. I share the concerns by my Democratic colleague, Congressman Rick Boucher of southwest Virginia, regarding the potential negative impact these cuts could have on rural areas, particularly the population of southwest Virginia. This legislation proposes to cut approximately $450 billion from Medicare spending over the next 10 years at a time when Medicare is already mired in debt and, as we know, a bow wave of baby boomers is going to start hitting the Medicare system immediately. Medicare Advantage, which provides better benefits than traditional Medicare, is a valuable tool in rural and underserved areas, and that may decrease. This law does little to address the historic disparity in Medicare funding between urban and rural areas.
I am also concerned about the cost and spending projections of this legislation. There is a great deal of debate going on right now about the real cost of this bill. Former CBO Director Douglas Holtz-Eakin estimated, in an article in the New York Times recently, that the bill may increase the Federal deficit by $562 billion over 10 years because of some of these areas I discussed. The official score maintains that the bill would lower the deficit by $143 billion over that same period, but it includes a number of unlikely assumptions, Medicare being one of them. The system for reimbursing Medicare doctors, called the sustainable growth rate, is widely agreed to be broken, but we have not tried to fix it. That is a $250 billion ticket. Many, including myself, believe the Community Living Assistance Services and Supports Act, the CLASS Act, is structurally unsound. I voted against that as we were considering the bill.
In addition, as my colleague Congressman Glenn Nye from the Norfolk- Virginia Beach area pointed out, there is a great deal of concern among families and small businesses regarding the impact of this bill.
Again, the point is, the bill is now law. The question is how to make the law a better law. The process that got us here has been ugly. It has diminished the trust and respect some citizens hold for our own government. We need to restore that trust through a genuine and transparent effort on both sides of the aisle to fix the problems in the law. We also need to start working together again across the aisle, on this and other issues that confront us, in a bipartisan sense and a sense of shared responsibility about the many problems facing the country. We are now preparing to begin a series of votes through the reconciliation process that ultimately, quite frankly, is going to mean little or nothing in terms of the outcome of this legislation. They are not going to seriously address the problems in it. I understand the concerns on the other side. I respect them. These votes in many cases are politically necessary for the other side. But I call on my Republican friends to begin to work with some of us over here on this side to address the inequities that we are concerned about, to implement cost controls, to work together for the good of the country once this next couple of days is done.
I yield the floor.
Mr. President, I would suggest to my colleague from North Carolina and my colleagues on the other side of the aisle that if we want to fix this problem, we can fix it right now and we should fix it right now.
We should not allow things to be tied up in the separate melodrama of the moment. I introduced a bill on Monday which passed the House unanimously on Saturday to fix the TRICARE part of this. The chairman of the Veterans' Committee introduced a bill today to fix the spina bifida problem.
I ask unanimous consent that the Finance Committee be discharged from further consideration of S. 3148, a bill to amend the Internal Revenue Code to provide for the treatment of Department of Defense health coverage as minimal essential coverage, sponsored by myself; further, that the Senate proceed to its immediate consideration en bloc, along with the bill introduced earlier today by Senator Akaka, S. 3162, a bill to clarify the health care provided by the Secretary of Veterans Affairs that constitutes minimum essential coverage; that all Democratic Senators be added as cosponsors to this measure; that the bills be read a third time and passed en bloc, and the motions to reconsider be laid upon the table en bloc, with no intervening action or debate.
Let the American people understand, the Republicans objected to a matter that could have been fixed by law tomorrow.