Mr. Speaker, I want to thank my friend for yielding me the customary 30 minutes, and I yield myself such time as I may consume. Mr. Speaker, I feel as though I could give the same speech today that I have delivered repeatedly in the Rules…
Mr. Speaker, I want to thank my friend for yielding me the customary 30 minutes, and I yield myself such time as I may consume.
Mr. Speaker, I feel as though I could give the same speech today that I have delivered repeatedly in the Rules Committee and on the House floor for the past 3 years. Despite failing 37 times before, the majority is trying the 38th and 39th time today to repeal, defund, or otherwise undermine the Affordable Care Act.
However, unlike past votes, today's attempt to undermine the law occurs on the very same day that my home State of New York delivered incredible news to New York families. Today we learned that, thanks to the Affordable Care Act, health insurance premiums for many of my fellow New Yorkers will be reduced by 50 percent or more. In my district alone, 56,330 persons will be eligible to access those savings through New York's new health insurance exchange.
New York is just the latest in a growing number of States finding the same thing--including Oregon, California, and Washington--where the cost of health care premiums are being reduced because of the Affordable Care Act.
As The New York Times reported this morning, some low-income individuals in New York could see their premiums go from $1,000 a month to as low as $308 a month, and subsidies provided for lower-income persons through the Affordable Care Act will drive those premiums even lower. Believe me when I tell you that New York does not want to be relieved of the burden of the Affordable Care Act. For many of them, it will be the first time in their lives they've been able to afford it.
This is incredibly good news for millions of people in New York and a realization of the law's promise to provide more affordable health care.
Among other accomplishments, the Affordable Care Act is increasing competition in New York because 17 insurers have been approved to participate in the individual insurance marketplace. That competition, again, Mr. Speaker, as all of us know, is what helps to bring down the cost. And that is working. Meanwhile, on top of that, as we know the Affordable Care Act requires all insurance companies to spend 80 cents of your premium dollar on your health care, we know that will even add to the tumbling costs.
And perhaps most importantly, the individual mandate included in the Affordable Care Act will soon take effect, driving down costs even more. Given
this fact alone, it is the height of irresponsibility and nihilistic obstruction for the majority to attempt to delay its implementation one more time. Delaying the individual mandate would undermine the very foundation of the Affordable Care Act and cause health care premiums to skyrocket. In fact, the Urban Institute has estimated that without the individual mandate, an extra 13.8 million people would go without insurance because of the cost.
Everyone from doctors to health insurance companies knows this fact. And, indeed, they are working together in New York to implement this act. That's why organizations such as the American Academy of Family Physicians, the American Heart Association, and the American Diabetes Association are opposing the majority's proposal today.
In a letter to Congress, the American Academy of Family Physicians recently wrote that the individual mandate ``is the foundation of improving access to care and vital to ensuring that everyone has health insurance coverage. For that reason, the American Academy of Family Physicians supports the health coverage requirement for individuals'' and urges that we get on with the program.
Mr. Speaker, the fact of the matter is the majority's proposal is nothing more than an attempt to score cheap political points. As has been the case for the last 3 years, the Senate will not take up this bill, and everybody here knows that. And even if they did by some strange quirk of fate pass it, the President would veto it. He's said so already. So we're spending another week of legislative business doing another meaningless piece of legislation that we know will not go anywhere.
We should be rejoicing, Mr. Speaker, about the things that are coming in from States that have already set up their exchanges about the money that is being saved and the many, many more people being insured. I've said many times before the estimated cost of running the House of Representatives is $24 million a week. Of all people, the Members of the majority who claim to care so dearly for stopping wasteful spending should be objecting to a legislative agenda that holds a variation of the same go-nowhere bill for 39 times.
Bridges are collapsing. Our economic growth is anemic. Millions of Americans are unemployed, and if the farm bill passed here last week were to become law, they would not only be unemployed, they would not be allowed to get food stamps to help them feed their families.
Meanwhile, sequestration is closing Head Start programs, furloughing working moms and dads, and cutting programs that serve vulnerable populations such as our Indian populations living on reservations who are hit extremely hard by sequestration.
Yet instead of addressing any of these issues, the majority continues to play this game. Such a self-serving political pursuit is a shameful mark on the history of this Chamber and our democracy.
Etched above the Speaker's rostrum is a quote from Daniel Webster that speaks to the need to end the political games and to focus on issues that are important to the American people. In part, those words read:
Let us see whether we also in our day and generation may
not perform something worthy to be remembered.
In 2010, I was proud to play a central role in the passage of the Affordable Care Act. I faced a lot of vitriol because of it. In the darkest moments, my district office was vandalized and the lives of my grandchildren were threatened. Yet I remained dedicated to passing the law because at the time health care costs were approaching 20 percent of our Nation's GDP, and an unconscionable number of Americans were being denied basic health care because of the cost of preexisting conditions. And in eight States in this United States and the District of Columbia, violence against women, domestic violence, was considered a preexisting condition. No more.
Before voting on the legislation, the Democratic Caucus read the bill three times line by line. By the time it was signed into law, it was clear this legislation would deliver on the promise of secure and affordable care for millions who had been denied health care for far too long.
Looking back at that moment in time, it is my belief that the law we produced will go down in history, as Webster says, as ``something worthy to be remembered.''
Already, thanks to the Affordable Care Act, seniors have begun receiving free preventive screenings and subsidies to cover the cost of prescription medicines when they fall in the doughnut hole. In a few years, the doughnut hole will be completely closed.
In addition, children under the age of 26 are now protected under their parent's insurance coverage while they find their first job and start a life of their own. Finally, prior to passage of the Affordable Care Act, in eight States, disgracefully, domestic violence was considered a preexisting condition. Those policies are now outlawed. And soon, no health insurance plan in the country will be allowed to deny an individual coverage because of a preexisting condition, and women will no longer have to pay a higher price for their insurance than men simply because of their gender.
All of this incredible progress is because of the Affordable Care Act. So while repealing the mandate may serve the narrow political interests of the majority, it is a dangerous proposition for the health and wellbeing of American families. Americans deserve a Congress focused on solutions, not a 39th attempt to rehash debates of the past.
Mr. Speaker, as we debate yet another go-nowhere attempt to undermine the Affordable Care Act, I urge the majority to read the words above the Speaker's rostrum and put an end to their tired political games. It is past time for us to get to work on meaningful legislation to help the American people.
I urge my colleagues to oppose this rule and the underlying legislation.
I reserve the balance of my time.
Mr. Speaker, before I yield time, I'd like to insert in the Record the article from The New York Times this morning entitled ``Health Plan Cost For New Yorkers Set to Fall 50 Percent.''
[The New York Times, Jul. 16, 2013]
Health Plan Cost for New Yorkers Set To Fall 50%
(By Roni Caryn Rabin and Reed Abelson)
Individuals buying health insurance on their own will see
their premiums tumble next year in New York State as changes
under the federal health care law take effect, Gov. Andrew M.
Cuomo announced on Wednesday.
State insurance regulators say they have approved rates for
2014 that are at least 50 percent lower on average than those
currently available in New York. Beginning in October,
individuals in New York City who now pay $1,000 a month or
more for coverage will be able to shop for health insurance
for as little as $308 monthly. With federal subsidies, the
cost will be even lower.
Supporters of the new health care law, the Affordable Care
Act, credited the drop in rates to the online purchasing
exchanges the law created, which they say are spurring
competition among insurers that are anticipating an influx of
new customers. The law requires that an exchange be started
in every state.
``Health insurance has suddenly become affordable in New
York,'' said Elisabeth Benjamin, vice president for health
initiatives with the Community Service Society of New York.
``It's not bargain-basement prices, but we're going from
Bergdorf's to Filene's here.''
``The extraordinary decline in New York's insurance rates
for individual consumers demonstrates the profound promise of
the Affordable Care Act,'' she added.
Administration officials, long confronted by Republicans
and other critics of President Obama's signature law, were
quick to add New York to the list of states that appear to be
successfully carrying out the law and setting up exchanges.
``We're seeing in New York what we've seen in other states
like California and Oregon--that competition and transparency
in the marketplaces are leading to affordable and new choices
for families,'' said Joanne Peters, a spokeswoman for the
Department of Health and Human Services.
The new premium rates do not affect a majority of New
Yorkers, who receive insurance through their employers, only
those who must purchase it on their own. Because the cost of
individual coverage has soared, only 17,000 New Yorkers
currently buy insurance on their own. About 2.6 million are
uninsured in New York State.
State officials estimate as many as 615,000 individuals
will buy health insurance on their own in the first few years
the health law is in effect. In addition to lower premiums,
about three-quarters of those people will be eligible for the
subsidies available to lower-income individuals.
``New York's health benefits exchange will offer the type
of real competition that helps drive down health insurance
costs for consumers and businesses,'' said Mr. Cuomo.
The plans to be offered on the exchanges all meet certain
basic requirements, as laid out in the law, but are in four
categories from most generous to least: platinum, gold,
silver and bronze. An individual with annual income of
$17,000 will pay about $55 a month for a silver plan, state
regulators said. A person with a $20,000 income will pay
about $85 a month for a silver plan, while someone earning
$25,000 will pay about $145 a month for a silver plan.
The least expensive plans, some offered by newcomers to the
market, may not offer wide access to hospitals and doctors,
experts said.
While the rates will fall over all, apples-to-apples
comparisons are impossible from this year to next because all
of the plans are essentially new insurance products.
The rates for small businesses, which are considerably
lower than for individuals, will not fall as precipitously.
But small businesses will be eligible for tax credits, and
the exchanges will make it easier for them to select a plan.
Roughly 15,000 plans are available today to small businesses,
and choosing among them is particularly challenging.
``Where New York previously had a dizzying array of
thousands upon thousands of plans, small businesses will now
be able to truly comparison-shop for the best prices,'' said
Benjamin M. Lawsky, the state's top financial regulator.
Officials at the state Department of Financial Services say
they have approved 17 insurers to sell individual coverage
through the New York exchange, including eight that are just
entering the state's commercial market. Many of these are
insurers specializing in Medicaid plans that cater to low-
income individuals.
North Shore-LIJ Health System, the large hospital system on
Long Island, intends to offer a health plan for individuals
as well as businesses for the first time. Some of the state's
best-known insurers, UnitedHealth Group and WellPoint, are
also expected to participate. Insurers may decline to
participate after they receive approval for their rates, but
this is unlikely.
For years, New York has represented much that can go wrong
with insurance markets. The state required insurers to cover
everyone regardless of pre-existing conditions, but did not
require everyone to purchase insurance--a feature of the new
health care law--and did not offer generous subsidies so
people could afford coverage.
With no ability to persuade the young and the healthy to
buy policies, the state's premiums have long been among the
highest in the nation. ``If there was any state that the
A.C.A. could bring rates down, it was New York,'' said
Timothy Jost, a law professor at Washington and Lee
University who closely follows the federal law.
Mr. Jost and other policy experts say the new health
exchanges appear to be creating sufficient competition,
particularly in states that have embraced the exchanges and
are trying to create a marketplace that allows consumers to
shop easily.
``That's a very different dynamic for these companies, and
it's prodding them to be more aggressive and competitive in
their pricing,'' said Sabrina Corlette, a professor at
Georgetown University's Center on Health Insurance Reform.
But some consumers may still find the prices and plans
disappointing. Jerry Ball, 46, who owns a recycling business
in Queens, said the cost of covering his family increased so
rapidly in the last few years that he had to scale back their
coverage. Still, he pays nearly $18,000 a year for a high-
deductible policy for a family of three.
He said he would be reluctant to part ways with his
insurer, Oxford, and was disappointed that even the least
expensive Oxford plan being offered next year would cost
about as much as he pays now.
With another plan, he said: ``Will I be able to maintain my
doctors? I'm concerned that some of the better doctors aren't
going to take health insurance.''
He acknowledged that the new law would allow him for the
first time to easily switch plans, but it is still hard for
him to believe it guarantees coverage for pre-existing
conditions. ``I have to be careful. I can't be denied
coverage, right?'' he asked.
I yield 2 minutes to the gentleman from Connecticut (Mr. Courtney).
I yield the gentleman another minute.
Mr. Speaker, I yield myself such time as I may consume.
By happenstance, I have some figures here that will explain to my colleague and friend, Mr. Sessions, the chair of the Rules Committee, what will really happen in his district if he should have his way and this were to go away, and who is really going to be hurt and who really is going to be in jeopardy:
9,200 young adults right now are on their parents' health insurance in his district; more than 6,600 seniors receive prescription drug discounts worth $10.1 million, or an average discount of $700 a person; 66,000 seniors are now eligible for Medicare preventive services without paying copays, coinsurance, or a deductible; 182,000 individuals in his district, including 39,000 children and 74,000 women, now have health insurance that covers preventive services without copays, coinsurance or a deductible; 182,000 individuals are saving money due to the ACA provisions that prevent insurance companies from spending more than 20 percent of their premiums on profits and administrative overhead.
Over 46,000 customers in his district received approximately $6.5 million in insurance company rebates. That's pretty impressive--$6.5 million. I wonder how many in my district. They will receive an average rebate of at least $95 a family.
Up to 42,000 children in his district with preexisting health conditions can no longer be denied coverage, and 237,000 individuals-- that's a lot of constituents--in his district now have insurance that cannot place a lifetime limit on their coverage and will not face an annual limit for what will be covered. Up to 152,000 individuals in his district who lack health insurance will have access to quality, affordable coverage without fear of discrimination or
higher rates because of a preexisting condition. In addition, the 43,000 individuals who currently purchase private health insurance on the individual or small group market will have access to a more secure, higher quality coverage. And many will be eligible for financial assistance.
I think I've made the point that those are the people who are really going to be hurt, should he get his wishes today.
I yield 2 minutes to the gentleman from New Jersey (Mr. Andrews).
(Mr. ANDREWS asked and was given permission to revise and extend his remarks.)
If we defeat the previous question, we want to offer an amendment to the rule that would allow the House to consider the Invest in American Jobs Act of 2013. This bill would ensure, at last, that Federally funded transportation and infrastructure projects are constructed with steel, iron, and manufactured goods that are made in America.
To discuss this proposal, I yield 3 minutes to the gentleman from West Virginia (Mr. Rahall), the distinguished ranking member of the Committee on Transportation and Infrastructure.
Mr. Speaker, I yield to the gentlewoman from Texas (Ms. Jackson Lee) for the purpose of a unanimous consent request.
Mr. Speaker, I am pleased to yield 2 minutes to the gentleman from New York (Mr. Bishop), who got great news this morning.
Mr. Speaker, I am pleased to yield 2 minutes to the gentlewoman from Florida (Ms. Brown).
Mr. Speaker, before I close, Dr. Burgess is a good doctor. I want to put in the same statistics that I read for Chairman Sessions for his district. Almost a third of his constituents would be involved, and I know he's going to want to read that in the Record.
But let me get to closing. As I have repeatedly said over the last 3 years, the majority is again wasting valuable time, millions of taxpayer dollars to vote today, for the 39th time, to undermine the Affordable Care Act. Meanwhile, they have not taken a single vote on jobs in this Congress, so we are going to be able to give you a chance to remedy that.
Mr. Speaker, I ask unanimous consent to insert the text of the amendment in the Record, along with extraneous material, immediately prior to the vote on the previous question.
Mr. Speaker, I urge my colleagues to vote ``no'' and defeat the previous question so that we can really begin to work on our infrastructure and get Americans back to work.
I urge a ``no'' vote on the rule, and I yield back the balance of my time.
Benefits of the Health Care Reform Law in the 26th Congressional
District of Texas
Committees on Energy and Commerce, Ways and Means, and Education and
the Workforce, Democratic Staff Report, July 2013
The landmark Affordable Care Act (ACA) began delivering
important new benefits and protections to tens of millions of
American families almost immediately after it was signed into
law by President Obama. But the largest benefits of the law
will become available to consumers on October 1, 2013, when
health insurance marketplaces open in all 50 states. These
marketplaces will offer individuals, families, and small
businesses an efficient, transparent one-stop shop to compare
health insurance policies, receive financial assistance, and
sign up for high-quality, affordable, and secure insurance
coverage.
This fact sheet summarizes new data on the significant
benefits of the health care reform law in Rep. Burgess's
district. It also provides the first picture of the impacts
of the law in districts redrawn or newly created following
the 2010 Census. As a result of the law:
9,500 young adults in the district now have health
insurance through their parents' plan.
More than 4,900 seniors in the district received
prescription drug discounts worth $7 million, an average
discount of $650 per person in 2011, $720 in 2012, and $850
thus far in 2013.
55,000 seniors in the district are now eligible for
Medicare preventive services without paying any co-pays,
coinsurance, or deductible.
232,000 individuals in the district--including 66,000
children and 86,000 women--now have health insurance that
covers preventive services without any co-pays, coinsurance,
or deductible.
230,000 individuals in the district are saving money due to
ACA provisions that prevent insurance companies from spending
more than 20% of their premiums on profits and administrative
overhead. Because of these protections, over 59,300 consumers
in the district received approximately $8.3 million in
insurance company rebates in 2012 and 2011--an average rebate
of $95 per family in 2012 and $187 per family in 2011.
Up to 48,000 children in the district with preexisting
health conditions can no longer be denied coverage by health
insurers.
305,000 individuals in the district now have insurance that
cannot place lifetime limits on their coverage and will not
face annual limits on coverage starting in 2014.
Up to 90,000 individuals in the district who lack health
insurance will have access to quality, affordable coverage
without fear of discrimination or higher rates because of a
preexisting health condition. In addition, the 44,000
individuals who currently purchase private health insurance
on the individual or small group market will have access to
more secure, higher quality coverage and many will be
eligible for financial assistance.
Mr. Speaker, on that I demand the yeas and nays.