Mr. Speaker, I yield myself such time as I may consume. Mr. Speaker, I can't believe we are here today attempting to pass such a blatantly discriminatory bill. Under the guise of fighting fraud, Republicans are attempting to pass a bill…
Mr. Speaker, I yield myself such time as I may consume.
Mr. Speaker, I can't believe we are here today attempting to pass such a blatantly discriminatory bill. Under the guise of fighting fraud, Republicans are attempting to pass a bill that will put additional barriers to care for all Americans--all this in exchange for one Member's vote for TrumpCare, which guts healthcare for 23 million Americans, and the Republicans barely passed that bill out of the House.
This bill fails to recognize the diversity of American families; instead, it forces a single approach for all those who need financial help to get the care that they need.
I don't know if everyone on the other side of the aisle knows this, but there are already measures in place to prevent advanced premium tax credits from going to ineligible people. There is already a mechanism in place for Treasury to reconcile tax credits, and any undocumented individual found to have received a subsidy must repay them in full.
The other side will also try to make the argument that this measure will help fight fraud in the healthcare system, that there is somehow overwhelming amounts of evidence that immigrants are the main perpetrators of fraud. Beneficiaries struggling to access care are not the perpetrators of fraud. These are good people trying to do right by their families and by their country.
Of course, my colleagues over there are going to cite a Senate Committee on Homeland Security and Governmental Affairs report, written by a Republican majority, that found, ``a half a million illegal immigrants received $750 million in healthcare subsidies.''
Well, I have that report right here in my hand, and nowhere does it say that 500,000 undocumented immigrants received millions of dollars in healthcare subsidies, as Mr. Barletta's press release claims. What the report says is 500,000 individuals, and not 500,000 undocumented individuals or any other term that Republicans like to use to disparage immigrants.
There is no evidence to suggest that immigrants without authorization to be here would take the risk of signing on to a government website to fraudulently get healthcare coverage.
So what are the unintended consequences of this bill?
I hate to break it to my colleagues, but the people most impacted are U.S. citizens who were born abroad or naturalized, not undocumented individuals.
This bill is yet another example that the Republican majority will do anything to demonize even the smallest subsection of immigrants in order to gut healthcare for Americans and get their billionaire buddies a big, fat tax break. Whether that means sowing fear in communities by raiding homes in order to hunt people down or denying access to care for legal immigrants who are entitled to care, no excuse is too ridiculous for Republicans to attack the immigrant community.
Mr. Speaker, I include in the Record a letter signed by 226 organizations in opposition to H.R. 2581.
June 12, 2017.
Dear Member of Congress: As national, state, and local
organizations concerned about immigrant rights or access to
affordable health care, we are writing to strongly urge you
to VOTE NO on HR 2581, the ``Verify First'' Act. This bill is
an attack on people's ability to see a doctor and on
immigrants and people of color. It is not the ``common
sense'' taxpayer protection bill that its supporters would
have you believe.
HR 2581 is a dangerous bill that puts up roadblocks for
both citizens and immigrants to obtain timely, affordable
health insurance. It would strip away provisions that provide
for a person to obtain subsidies for enrollment in an
Affordable Care Act (or the contemplated American Health Care
Act) plan while they work with Department of Health and Human
Services to verify their U.S. citizenship or immigration
status. The people most impacted are U.S. citizens who were
born abroad or naturalized. The bill also affects many
immigrants, especially those newly arrived or certain victims
of domestic violence and trafficking survivors.
The fact is that when individuals are not able to
immediately verify their citizenship or immigration status on
an Affordable Care Act Marketplace, it begins an often months
long, strenuous process of sending in documents that must be
physically inspected. Health care assisters routinely say
these clients are the hardest cases they work on because the
process for verifying citizenship and immigration status is a
time-consuming exercise in dealing with inefficient
government processes.
Rather than protect American taxpayers, HR 2581 would strip
from American taxpayers important protections that are needed
to overcome deficiencies in federal government databases.
Immigrants who are not lawfully present are categorically
barred from enrollment in health insurance on the Affordable
Care Act marketplaces, and for the subsidies that make that
insurance affordable. Moreover, safeguards protecting
taxpayers are already built into the ACA; individuals whose
citizenship or immigration status cannot be verified already
are required to pay back all of their subsidies when they
file their taxes and ``reconcile'' their premium tax credits.
Supporters of this bill cite a sloppy Senate Homeland
Security and Government Affairs Committee report that arrived
at a made-up number of supposed ``fraud.'' It's just not
true. The committee assumed that every person who lost
coverage for failure to verify their citizenship and
immigration status was undocumented. In the experience of our
organizations and organizations we work with, this is false.
These reports describe the first year of the marketplaces,
and it is well documented that system outages and
understaffing, among other technical problems, contributed to
the federal Marketplace's failure to verify consumers' status
promptly. The Department of Health and Human Services
Inspector General reported in 2014 that a cause of the delay
in verification was the agency's lack of prioritization of
this issue.
Despite huge gains since then, problems still persist. The
Social Security database holding many citizens' information
may not reflect common changes, such as when a person marries
and changes their last name, or when someone naturalizes and
gains U.S. citizenship. People lose their coverage because
they receive notices in languages they cannot read.
Immigrants are required to submit documents multiple times,
or wait while the Department of Homeland Security finds paper
files, a result of deficiencies in their databases affecting
groups like asylum applicants and some survivors of domestic
violence. These are among the many issues consumers face.
Congress has already deprived undocumented immigrants from
the ability to buy coverage, even at full price, so they can
see a doctor when they are sick, but this bill would go a
step further to delay or put out of reach affordable health
insurance for many citizens and lawfully present immigrants.
Our organizations firmly believe that this would be
detrimental to the people we represent and to all of our
communities as a whole. We have seen that when health
insurance is unaffordable, people are effectively prevented
from obtaining access to the care they need to be healthy.
This bill is not just an attack on our health care system,
it is also an attack on immigrants and people of color, which
our organizations stand firmly against. In his statements
when introducing this bill, Rep. Lou Barletta focused the
bill as part of his effort to ``stop illegal immigration.''
Rep. Barletta has a long history of anti-immigrant rhetoric,
from trying to prevent immigrants from leasing a residence to
stating that they should be denied life-saving services in
hospital emergency rooms. This bill is simply a vehicle for
scapegoating immigrants and people of color and will keep
eligible people from accessing health care.
We the undersigned organizations urge you to vote NO on HR
2581 and the continued assault on immigrants and the health
of our communities.
Sincerely,
National
Advocates for Youth; African American Ministers In Action;
American Federation of Teachers (AFT); American Friends
Service
Committee; American Intercession; American Society on Aging;
Asian & Pacific Islander American Health Forum; Asian
Americans Advancing Justice/AAJC; Asian Pacific Institute on
Gender-Based Violence; Asian Pacific Partners for
Empowerment, Advocacy & Leadership (APPEAL); Association of
Asian Pacific Community Health Organizations (AAPCHO);
Autistic Self Advocacy Network; Black Alliance for Just
Immigration; Breast Cancer Action; Center for Law and Social
Policy (CLASP); Center for Medicare Advocacy, Inc.; Child
Welfare League of America; Children's Advocacy Institute;
Children's Defense Fund; Church World Service (CWS);
Coalition on Human Needs; Columban Center for Advocacy and
Outreach; Congregation of Our Lady of Charity of the Good
Shepherd, US Provinces; Conscious Talk Radio; Detention Watch
Network; Disability Rights Education and Defense Fund;
Dominican Sisters; Dominicans of Sinsinawa; Family Equality
Council; Farmworker Justice; First Focus Campaign for
Children; Food Research & Action Center; Franciscan Sisters
of the Poor IJPC; Friends Committee on National Legislation;
Generations Inc.; GLMA: Health Professionals Advancing LGBT
Equality; Immigrant Legal Resource Center; Indivisible;
Institute of the Sisters of Mercy of the Americas; Interfaith
Worker Justice;
Irish Apostolate USA; Jobs With Justice; Justice in Aging;
Justice, Peace and Reconciliation Commission, Priests of the
Sacred Heart, US Province; Lambda Legal; Leadership Team of
the Felician Sisters of North America; League of United Latin
American Citizens (LULAC); Medical Mission Sisters; Mi
Familia Vota; MomsRising; NAACP; NAPAFASA; National Advocacy
Center of the Sisters of the Good Shepherd; National Asian
Pacific American Women's Forum; National Association of
County and City Health Officials; National Association of
Social Workers; National Black Justice Coalition; National
Center for Transgender Equality; National Council of Asian
Pacific Americans (NCAPA); National Council of Churches;
National Council of La Raza (NCLR); National Education
Association; National Employment Law Project; National Health
Law Program; National Hispanic Medical Association; National
Immigrant Justice Center; National Immigration Law Center;
National Justice for Our Neighbors; National Latina Institute
for Reproductive Health; National Network of Abortion Funds;
National Organization for Women; National Women's Health
Network; Network for Environmental & Economic Responsibility
of United Church of Christ; NETWORK Lobby for Catholic Social
Justice; NMAC; OCA--Asian Pacific American Advocates; Our
Revolution; Peace and Justice Office of the Congregation of
Notre Dame; Physicians for Reproductive Health; PICO
National;
Planned Parenthood Federation of America; Poor People's
Economic Human Rights Campaign; Prevention Institute; Project
Inform; Racine Dominicans; Raising Women's Voices for the
Health Care We Need; Refuge Ministries; Sargent Shriver
National Center on Poverty Law; Service Employees
International Union; Sisters of Charity; Sisters of Charity
of Nazareth; Sisters of Mercy of the Americas--Institute
Justice Team; Southeast Asia Resource Action Center (SEARAC);
The Leadership Conference on Civil and Human Rights; United
Sikhs; United We Dream; Ursuline Sisters of Tildonk, U.S.
Province; We Belong Together; API Wellness;
State and Local
Academy of Medical & Public Health Services; Advocates for
Children and Youth; AgeOptions; Almost Home, Inc.; Anti-
Hunger & Nutrition Coalition; Arkansas Advocates for Children
and Families; Arlington Partnership for Affordable Housing;
Asian Americans Advancing Justice--Los Angeles; Asian
Community Alliance--Cincinnati OH; Asian Law Alliance; Asian
Services In Action, Inc.; Baltimore Jewish Council;
California Health Professional Student Alliance; California
Immigrant Policy Center; California Latinas for Reproductive
Justice (CLRJ); California OneCare; California Pan-Ethnic
Health Network; California Partnership; California Physicians
Alliance; CASA;
Center for Southeast Asians; Chicago Hispanic Health
Coalition; Child Care Resources of Rockland; Children Now;
Children's Defense Fund-CA; Chinatown Service Center;
Chinese-American Planning Council; Coalition for Humane
Immigrant Rights (CHIRLA); Collaborative Center for Justice;
Colorado Center on Law and Policy; Colorado Center on Law and
Policy; Columbia Legal Services; Community Health Councils;
D. C. Hunger Solutions; DuPage Federation on Human Services
Reform; Empower Missouri; Ensuring Opportunity Campaign to
End Poverty in Contra Costa; Erie Benedictines for Peace;
Esperanza Health Centers; EverThrive Illinois; Farmworker
Association of Florida;
Florida Immigrant Coalition (FLIC); Give for a Smile;
Greater Kansas City Coalition to End Homelessness; Having Our
Say Coalition; Health Access California; Health Care for All-
WA; Health Law Advocates; Healthy House Within A MATCH
Coalition; Hmong Ohio of Tomorrow; Hunger Action Los Angeles;
IHM Sisters, Immaculata, PA; IL Hunger Coalition; Illinois
Coalition for Immigrant and Refugee Rights; Indivisible
Mountain Home, Idaho; Interfaith Movement for Human
Integrity; IRIS--Integrated Refugee & Immigrant Services;
Islamic Civic Engagement Project; Jewish Family & Children's
Service; Kansas Appleseed; Kentucky Equal Justice Center;
Korean Community Services of Metropolitan NY; La Fe Policy
Research and Education Center;
La Long-Term Care Ombudsman Program; Legal Council for
Health Justice; Legal Services of Southern Piedmont; Maine
Consumers for Affordable Health Care; Make the Road New York;
Maryland CASH Campaign; Maryland Hunger Solutions;
Massachusetts Immigrant and Refugee Advocacy Coalition
(MIRA); Massachusetts Law Reform Institute; Maternal and
Child Health Access; Maternity Care Coalition; National
Association of Social Workers, CT Chapter; National Tongan
American Society; Nationalities Service Center; NC Child; New
Mexico Center on Law and Poverty; New York Immigration
Coalition; New York Legal Assistance Group; NICOS Chinese
Health Coalition; NJ State Industrial Union Council; NOELA
Community Health Center; Northern NJ Chapter, National
Organization for Women;
Northwest Health Law Advocates; Northwest Immigrant Rights
Project; Office of the Health Care Advocate at Vermont Legal
Aid; OneAmerica; Pacific Islander Health Partnership; Pitkin
County Human Services; Public Justice Center; Puget Sound
Advocates for Retirement Action (PSARA); Rainbow Center;
Reformed Church of Highland Park; RESULTS-Santa Fe (NM);
Salaam Cleveland; Services, Immigrant Rights, and Education
Network (SIREN); Sisters of Charity of the Incarnate Word,
Houston; Sisters of St. Dominic of Blauvelt, NY; Sisters of
the Most Precious Blood; Social Justice Committee St. Patrick
Church; South Asian Network; Southwest Women's Law Center;
St. Francis St Vincent de Paul Society; Tennessee Justice
Center; Thai Health And Information Service;
The Children's Partnership; The Latino Health Insurance
Program, Inc.; Turning Points; United Way Bay Area; URI
Feinstein Center for a Hunger Free America; Vermont
Affordable Housing Coalition; Virginia Poverty Law Center;
Voices for Vermont's Children; Voz Hispana Cambio
Comunitario; Washington Community Action Network; Washington
Healthcare Access Alliance; Washington State Labor Council,
AFL-CIO; West Chester Food Cupboard; West Side Campaign
Against Hunger; Westlake Chinese Culture Association;
Wisconsin Council of Churches; Wisconsin Faith Voices for
Justice; Women's Action Movement Washtenaw County MI;
Worksite Wellness LA; Xaverian Brothers; Young Women United;
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, I would like to remind the majority that the IRS would be able to do their job if they didn't spend the last 8 years demonizing the IRS and cutting their budget year after year.
Mr. Speaker, I yield such time as he may consume to the gentleman from Michigan (Mr. Levin), my colleague on the Ways and Means Committee.
(Mr. LEVIN asked and was given permission to revise and extend his remarks.)
Mr. Speaker, I would just remind my colleagues that under the ACA, there is also a verification process for subsidies. But I would just raise the issue that for newborn children, most of whom don't have a Social Security number when they are newborn--and this includes children of our military members serving overseas--if they have a severe health problem, then delaying verification, which can be up to 6 weeks for them, can mean the difference between life and death. And I am talking about a situation such as that experienced by Jimmy Kimmel, if you take the time to see his response to what happened with his newborn.
With that, Mr. Speaker, I am pleased to yield 4 minutes to the distinguished gentleman from Texas (Mr. Doggett), also a member of the Ways and Means Committee.
I yield the gentleman an additional 1 minute.
Mr. Speaker, it is now my pleasure to yield 3 minutes to the gentlewoman from California (Ms. Judy Chu), a colleague from the Ways and Means Committee.
Mr. Speaker, I am pleased at this time to yield 3 minutes to the gentleman from Oregon (Mr. Blumenauer), my colleague on the Ways and Means Committee.
Mr. Speaker, I yield an additional 2 minutes to the gentleman from Oregon.
Mr. Speaker, I yield myself such time as I may consume.
My colleagues on the other side of the aisle are calling this bill and the two other healthcare bills on the floor this week ``fixes'' for TrumpCare. But what exactly is it that you are fixing?
This bill does nothing to address the more than 23 million individuals who will lose their coverage or the $800 billion cut to Medicaid under TrumpCare. Nothing in this bill will do anything to fix the waiver allowing insurers to discriminate against individuals with preexisting conditions by jacking up their rates, and nothing in this bill will do anything to roll back the massive tax cut that they are handing out to the top 400 households in America.
Instead of addressing the real issues with our healthcare system, you bring
a racist bill to the floor that you use to buy a vote, literally, for your TrumpCare bill.
Mr. Speaker, I was addressing a racist piece of legislation that was used to buy a vote for the TrumpCare bill. But the problem is that this bill doesn't do anything that it says it does. It is based on a blatantly partisan Senate report that doesn't even say what my colleagues on the other side of the aisle claim that it says.
It is baffling how many of my Republican colleagues believe that this report that they keep citing actually said anything about undocumented immigrants. Did you ``read'' this report in the same way that you ``read'' the AHCA and all of its amendments?
If you actually read the report, you would know that it does not state that these individuals were undocumented immigrants, but only that they did not complete the verification process. The hurdles might have been too big, it might have taken too much time or too much effort, and they dropped out of the verification process without completing it.
The report also doesn't say that hundreds of thousands of undocumented immigrants enrolled and received premium credits. The report states that ``as of September 30, 2015, CMS awarded approximately $750 million in advance premium tax credits to individuals enrolled through healthcare.gov who CMS later determined to be ineligible. . . .''
It is funny that the daughter of Mexican American immigrants is able to read and understand the distinctions made in this report better than some of my native-born colleagues can.
Mr. Speaker, I want to close by begging my Republican colleagues to prove to me that this bill isn't about shutting out immigrants from access to care: legal immigrants or children of those born overseas to our military or newborn children or victims of domestic violence or victims of human trafficking.
Prove to me that you care about the health and wellbeing of all Americans, regardless of the color of their skin or their economic circumstances.
I am actually in agreement with you that ineligible individuals should not see a single penny of the subsidies provided by both the ACA and the AHCA, but there are protections already in place where only citizens and people lawfully present in the United States can enroll in marketplace coverage and get subsidies to help them pay their premiums and cost-sharing charges.
This bill doesn't fix anything. It just seeks to further demonize immigrants as criminals and people with my last name out of the healthcare system.
Instead of wasting our time on a bill that is in search of a problem to solve, a problem that doesn't even exist, let's work together to make sure that other Americans are not caught up in the unintended consequences of this bill and aren't denied coverage when they are actually eligible for those subsidies and that coverage.
Let's actually work on a better way for the American people.
Mr. Speaker, I yield back the balance of my time.
Mr. Speaker, I have a motion to recommit at the desk.
I am opposed to the bill.
Mr. Speaker, this is the final amendment to the bill, which will not kill the bill.
If adopted, the Verify First Act will proceed to final passage as amended.
The Democratic motion to recommit simply amends the Verify First Act to ensure that our most vulnerable--newborns and infants--do not experience a delay in health coverage.
We know that the citizenship of newborns can't be verified electronically because they don't have Social Security numbers yet when they are born. In order to verify their child's status, parents have to send a copy of their child's birth certificate, which can take anywhere from 1 to 6 weeks to obtain, depending on the State, and that is the best-case scenario if the parents throw a perfect game in documenting and planning for the arrival of their newborn. Just like any perfect game, a little luck is involved in that.
That luck includes having the Social Security Administration process your child's Social Security number as soon as they receive it, that the Administration doesn't make a mistake in the spelling of your child's name, and that you have the financial resources and education to know exactly what steps you need to take to ensure that your newborn has coverage the moment they come out of your womb.
When most people are anticipating the birth of a child, that is not what they are thinking about. The birth of a child is one of life's most precious moments. The joy you feel when you hold your child for the first time should be the only feeling going through your mind. Filling the paperwork out to ensure that your child is covered shouldn't even be something that you should have to worry about.
But the Verify First Act, as currently drafted, would give you another thing to worry about and add an unnecessary barrier for newborns to receive the care they need. God forbid if your child needs extra care after they are born but doesn't have coverage because your plan is waiting to verify your child's status.
A child's life should not hang in the balance because of paperwork and red tape. For all the claims that Republicans are the pro-life party, they sure know how to make life difficult for a newborn as soon as they are out of the womb. They claim to protect the lives of the unborn and crusade against lifesaving institutions such as Planned Parenthood. But where are their morals and love of life after the child is born? It somehow magically disappears, and they will throw every obstacle up to ensure that newborns don't receive the care that they need and that they are entitled to.
Whether it is through the unintended consequences of a poorly drafted bill such as this one, or gutting the program that covers half the births in the U.S., Republicans will do everything to gut access to care or place obstacles in struggling people's paths. That's right, by cutting over $800 billion out of Medicaid, Republicans are endangering the health and welfare of all newborn children.
Earlier I asked my Republican colleagues to prove to me that they care about the health and well-being of all Americans regardless of the color of their skin or their economic circumstances. Well, I am asking them now to prove to me that they care about the well-being of newborn children.
Mr. Speaker, I urge my colleagues to vote for the Democratic motion to recommit, and let us write a bill that will actually help all U.S. citizens get the coverage that they need and are entitled to.
Mr. Speaker, I yield back the balance of my time.
Mr. Speaker, on that I demand the yeas and nays.