Mr. President, I ask unanimous consent that the order for the quorum call be rescinded. Mr. President, we are about to embark on something that is pretty amazing to me. Next week, I am told, we are going to take up the Senate healthcare…
Mr. President, I ask unanimous consent that the order for the quorum call be rescinded.
Mr. President, we are about to embark on something that is pretty amazing to me. Next week, I am told, we are going to take up the Senate healthcare bill that is going to be the first cousin of the House bill. There are a lot of things that are referred to as putting lipstick on a pig, but this is truly putting lipstick on a pig, where we are going to take healthcare away from millions of Americans.
We might make it a little better by extending some Medicare or Medicaid monies, but in the end that will go away. We will potentially set up some high-risk pools for people with preexisting conditions. I will tell you, from my time in the State legislature when we dealt with high-risk pools, that gives access to healthcare for the rich folks.
In essence, what we are going to do next week, because some folks in this body forgot to read the Affordable Care Act when it came up, is we are going to repeal it and we are going to replace it with a piece of garbage.
Today I rise on behalf of the 48 rural and frontier hospitals in Montana--48 rural and frontier hospitals that are the backbone of our State.
I rise for the 77,000 hard-working Montanans who now have healthcare because of Medicaid expansion, and the 41,000 jobs of our State of 1 million people sustained by our healthcare industry today.
I rise on behalf of every Montanan who deserves to know what is going on in Washington, DC. What is going on back there? Are you guys really talking about jerking my healthcare away from me? Are you guys actually talking about taking something up that is really not going to do much for the 30 million Americans getting pounded by high premiums and high deductibles? Are you doing this to give the top one-tenth of 1 percent of the Americans in this country a tax break?
Right now, the Senate majority in this body is playing Russian roulette with people's lives. A handful of Washington politicians are crafting a secret healthcare bill in a smoke-filled room, probably a little whiskey is involved, a few steaks. They are crafting a bill that will impact every man, woman, and child in this country.
I heard earlier today, they said these meetings were open. It would be nice to know where they are. I would love to go in and give my two bits on what rural America feels about how we need to move forward with healthcare in this country. This is a problem that is not going away unless we address it in a commonsense way.
So they are crafting this bill in secret. We don't know what is in it, but we have indication it is going to be very similar--a first cousin--to the American Health Care Act passed in the House so we should be deeply concerned. This is irresponsible legislation that jeopardizes healthcare for over 250,000 Montanans, denying coverage to over 150,000 Montanans who have a preexisting condition like cancer, heart disease, even high blood pressure, and, quite frankly, would put many of our rural hospitals at risk--at risk of closure; at the very best, changing the methods by which they deliver healthcare to these rural communities, by the way, that are hanging on by
their fingernails. This House bill is creating uncertainty in Montana, it is creating uncertainty across this Nation, it will fundamentally change our lives forever, and I do not believe it will be for the better.
My office has received over 3,600 pieces of correspondence related to the American Health Care Act. Many Montanans are terrified of the implications of this horrible bill. As elected officials, we are obligated to answer the tough questions, defend our positions, and advocate for our constituents. That is not what is happening here. As a result, the Senate, through their secret meetings and through a potential rushed-through healthcare bill next week--and I see no reason why it will not be--we are not doing right by our constituents.
The process and this bill are a disservice to folks like Julie Williams from smalltown Montana--Shepherd, MT. Julie was diagnosed with multiple sclerosis, MS, in 2011, 5 months before the Supreme Court was set to make their decision on the Affordable Care Act. She spent those 5 months terrified that she was in for a constant fight with insurance companies over coverage, but the Supreme Court upheld the ACA, and Julie has insurance and doesn't have to worry about being denied coverage if she moves, changes jobs, or--God forbid--becomes unemployed because she now has a preexisting condition. Julie also doesn't have to worry about insurance companies cutting off her treatments because she happens to hit a lifetime cap, which is a very real concern for a healthy young woman with a disease like MS. She didn't have to worry-- she didn't have to worry until now. If a bill like the American Health Care Act passes, Julie could be charged more because of her disease. She is unable to afford that coverage. The plan may not pay for the healthcare services she needs.
This legislation is also a disservice to a lady with the same last name, no relation, Jennifer Williams, of East Glacier, MT, one of the most beautiful parts of the world. Thanks to the preventive care provisions in the current healthcare system, Jennifer and her husband have been able to catch a few conditions early and avoid bigger problems in the future. That is going away.
Unfortunately, their premiums are rising. Congress needs to address that problem head on. I couldn't agree more. This bill that passed from the House doesn't do that. It will send folks like Julie and 250,000 Montanans on Medicaid out into the cold, no access to affordable care, jack up the cost of healthcare for folks with health insurance, and jack up the cost of healthcare for folks in their fifties and sixties. We can and should be working together to lower those costs for folks like Jennifer, Julie, and other Montana families. Instead, we are here scoring political points--or trying to--upending all the good things in the ACA and the current healthcare system. Instead, we should be working together in Congress. The Senate should be working together-- not in some back room but right here on the floor--to lower premiums, copays, and deductibles, while increasing access to lifesaving medical care.
Look, we have said it before, we will say it again: The Affordable Care Act isn't perfect, but it has a lot of good things. Let's fix the things wrong with it and keep the progress we have made, but instead, we hear in Washington, particularly the Republican majority, is creating chaos in the marketplace and driving costs up. This chaos is putting our rural hospitals and community health centers at risk. That is not just the statement. That is a statement of fact.
Every day, folks in rural communities rely on their local hospitals, clinics, everything from basic checkup to emergency treatments. Thanks to Medicaid expansion, in Montana, these hospitals and community health centers have seen a reduction in charity care, and they have been able to keep their doors open, but the American Health Care Act puts those funds at risk and puts these frontier medical centers on the chopping block. These medical professionals are sworn by oath to provide healthcare for folks. If Medicaid expansion goes away, the hospital will be forced to absorb those costs.
Over the last 10 months, I have held over a dozen listening sessions, eyeball-to-eyeball listening sessions with Montanans. We are going to be holding some more. The sessions have been over health. I have heard one thing loud and clear from people: If Medicaid expansion goes away, these rural frontier hospitals will have to fundamentally change how they deliver healthcare or they may be forced to shut down altogether. These hospitals operate on razor-thin margins, and they cannot afford to see these funds disappear.
Take my hometown, Big Sandy, MT. Back in 1910, my grandfather came out, took a look around, saw grass as tall as the belly on a horse, and said: ``This is where we are going to homestead.'' He went back and got my grandmother. The farm that Sharla and I farm today was started, patented back in 1915. They worked together with their neighbors, the homesteaders of that area. They built barns, they built businesses, but it took them 50 years to build a hospital. In the mid-1960s, a hospital was finally built in Big Sandy, MT--50 years of people working together to get that hospital built.
I am going to tell you, if we don't do smart things in this body, if we take steps backward and not very many--and this bill I have seen from the House is horrible, and I don't think the bill in the Senate is going to be much better because it is a low bar. Hospitals like the hospital in Big Sandy will go away. I am going to tell you something, when that hospital goes away, Big Sandy goes away. Rural America goes away.
Big Sandy is just an example of hundreds of small towns in Montana and throughout this country that depend upon rural hospitals for healthcare. Without hospitals, Montana frontier communities will be forced to drive 100 miles to deliver a baby or take an expensive ambulance ride after an accident. People are not going to be able to afford or they are not going to choose to live there because of a lack of healthcare. They are not going to take that risk. They are going to move out of those small towns, and they are going to move to places where they have healthcare. In some cases, families who have lived in those house and on that property for generations will be forced to move. These hospitals just don't keep patients alive, they keep communities alive. The House bill would kill those rural hospitals and would be the death of rural America.
That is not the only uncertainty facing rural America. In Montana, insurance companies filed their proposed rates with the insurance commissioner last year, but these insurers are left without vital information for their proposals. They don't know if this administration will continue the cost-saving reduction payments that help make healthcare more affordable. Insurers have said if these payments go away, consumers will face double-digit rate increases. Montanans deserve to know from their elected officials what kind of impact this action has on premiums, and yet the insurance commissioners are leaving consumers and Montanans in the dark.
Transparency builds a more effective government. Hiding important information from the public is unacceptable at any level of elected official. We live in a country where citizens can hold their government accountable, and the American people make good decisions when they have good information, but right now, a select few in this body are shielding the American public from what is really going on. We hear about a bill that is going to impact one-sixth of the economy, we hear about a piece of legislation that will rip healthcare away from 23 million Americans, we hear about a bill that will take us back to the days when Montanans couldn't afford to get sick, but we haven't seen it.
Families across Montana are sitting at the kitchen table wondering if their healthcare coverage is going to go away. Folks are walking out of the doctors' offices with newfound conditions and wondering: Will I be able to get treatment if something similar to the American Healthcare Act is passed by the Senate? Children are being born prematurely, with asthma and cerebral palsy, and parents are left fearing their son or daughter will never be able to afford insurance.
These families deserve more from Congress. At a bare minimum, they deserve hearings. They deserve a panel of
experts discussing how we can lower premiums, reduce healthcare costs, and put transparency into prescription drugs. They deserve smart action, not political action. They deserve a Congress that will work together to improve the lives of all Americans, not one that works behind closed doors to draft secret legislation that will send shock waves through homes across this country.
Our Founders expected more from this body. Quite frankly, I expected more from this body before I got here. Montanans expect their U.S. Senate to work for them.
I am going to leave you with one story. I was in Butte, MT, at one of my listening sessions. A gentleman was sitting at the table. He was probably 45 years old. He said: You know, I have two kids and I can't work. I have had diabetes since I was a teenager. I have had some issues with mental health for a good portion of my adult life.
He said: I haven't been able to work, haven't been able to support my family, and then the Affordable Care Act came along, and the State of Montana was wise enough to pass Medicaid expansion. I was able to go to a doctor. I was able to get my diabetes handled because of Medicaid expansion. I was able to see a psychologist and get my mental health issues under control, and I was able to go back to work. I was able to support my family.
He said: And now you guys in Washington, DC, want to take all that away from me.
I will tell you, I will fight like hell to make sure that never happens. And if the majority leader wants to try to ram this down the people's throats, I will spend the rest of my life telling them why and who did what to them.
Mr. President, I yield the floor.