Mr. President, I ask unanimous consent that after I finish speaking, the Senator from Maryland Senator Mikulski would have the floor for 15 minutes, and then Senator Alexander from Tennessee be yielded the floor for 20 minutes. Mr.…
Mr. President, I ask unanimous consent that after I finish speaking, the Senator from Maryland Senator Mikulski would have the floor for 15 minutes, and then Senator Alexander from Tennessee be yielded the floor for 20 minutes.
Mr. President, I rise today, as I often do, with a quote. It comes from a conservative leader speaking out about a new health care law. He said:
We are against forcing all citizens, regardless of need,
into a compulsory government program.
He went on to call the pending legislation ``socialism.'' He went on, saying:
Our natural, unalienable rights are now considered to be a
dispensation of government, and freedom has never been so
fragile, so close to slipping from our grasps as it is at
this moment.
Those are frightening words. When were they spoken? Not spoken in 2010 or 2011. Not spoken in 2012 or 2013. Rather, these words were spoken in 1964. And who do you suppose spoke them? Ronald Reagan. President Reagan was speaking out against Medicare, which became law the following year.
Now fast forward 20 years and things were quite different. President Reagan said in 1984:
Millions of Americans depend on the Medicare program to
help meet their health care costs. We must ensure the long-
term solvency of the Medicare program, and I'm confident we
can find the right solutions in a bipartisan manner.
What do you suppose happened in that 20-year period to change President Reagan's mind? The hysterics ended, people gave the new program room to breathe, and it worked. Medicare gave America's seniors access to health care they had never had before.
The same pattern emerges when we look farther back into history. Consider Social Security. In 1935, one Senator said Social Security would ``go a long way toward destroying American initiative and courage.'' Another Member of Congress said, ``The lash of the dictator will be felt.''
These are criticisms of landmark legislation, monumental laws that are now vital to the very health and welfare of our Nation. While criticized in their conception, Social Security and Medicare are now considered the most successful large-scale Federal programs in our Nation's history.
I am confident history will treat the Affordable Care Act in a similar fashion. I am confident the complaints of those who have gone so far as to call the Affordable Care Act ``a crime against democracy'' or a ``centralized health dictatorship'' will soon be drowned out by the voices of the American people whose lives are better off. Why? Because of the Affordable Care Act.
Already the ACA has done more than any other laws of the past century to expand health coverage. In the past 3 years, the ACA has provided 71 million Americans free preventive services. More than 6 million seniors have received discounts on vital prescription drugs. More than 3 million young people have peace of mind in knowing they are allowed to stay on their parents' health plans until they turn 26.
I am especially proud of the fact that now no child--no child--can ever be denied health coverage because of a preexisting health condition. All that, and the full benefits of the law have not yet taken effect.
The Affordable Care Act is not a perfect law, but neither were Social Security or Medicare when they passed Congress. Adjustments may need to be made to improve the ACA, as well to make it stronger, make it better. It would be easier to make improvements if everyone on Capitol Hill participated. But we are not getting that chance from half of the Congress. Instead, opponents are making every effort to destroy the Affordable Care Act, fighting to take away its many benefits from America's families and businesses.
Last week, the House passed a continuing resolution to pay for the government for the remainder of the year. But that bill before us today included amendments to end all funding and to eliminate the Affordable Care Act. I want to be very clear here: We are not going to let that happen. We are not going to go back to the status quo. We are not going back to a broken system where more than 50 million Americans lack health insurance. We are not going back to a system that allows the costs of medical care to overwhelm a family and force them into bankruptcy. We are not going back to a system that allows the simple lack of insurance to contribute to the death of thousands of Americans each year. We are not going back or returning to the status quo. No, we are not going to do that.
Rather, we are full steam ahead on implementing the Affordable Care Act. In 6 days, the health exchanges--or marketplaces--will open for business and the Affordable Care Act kicks in. What does that mean? For the majority of Americans, nothing. Really. Despite all the scare tactics, despite all the rhetoric, nothing will change for the millions of Americans who already get health insurance from their employers, from Medicare, Medicaid, or from the Veterans' Administration.
But for those almost 50 million Americans who don't have health insurance, they will now have access to affordable care and peace of mind. Thanks to Federal tax credits and subsidies, for the first time millions of working-class families will pay less than $100 a month for health insurance. And for the most vulnerable among us, they will receive care through an expanded Medicaid.
No one--no one--can be denied health insurance any more. That is unless some in the House have their way. Their intention--fully spelled out in the continuing resolution before us--is to undermine and defund America's health care law. For years, we have been trying to solve the problem of rising health care costs. For years, we have been trying to help working families gain access to comprehensive coverage that doesn't make them go bankrupt or deplete their household budgets. Past Presidents, Congresses, and other policymakers have tried to fix this problem time and again. And we sit here today with a solution--the Affordable Care Act. For the first time, every American will be guaranteed health coverage. It will no longer be legal for health insurers to deny someone coverage for a preexisting condition, such as breast cancer or pregnancy. Before the ACA, being pregnant was a preexisting condition, if you can believe that. That is what the health insurance industry thought. That is wrong. And with the passage of this act, that is no longer the case. Pregnancy is no longer a preexisting condition. But the House wants to stop this and continue limiting consumer protections and access to affordable care.
The ACA also provides free preventive service, such as wellness visits and mammograms. Since the law passed, 71 million Americans have received preventive benefits such as these for free.
But the House wants to take this away.
Under the ACA, insurers can no longer impose lifetime or annual limits on care. This means more than 105 million Americans no longer have a cap or a limit on their coverage. No longer can insurance companies say: No, no, no. No more.
But the House wants to take this away too.
Approximately 3.1 million young adults have gained coverage through an ACA provision that allows them to stay on their parents' health insurance plan until the age of 26.
We have all heard so many comments about this provision from so many constituents in our States. But no, the House wants to take that away as well.
I am concerned about the effects of the House continuing resolution not only on health care reform but also on seniors in Medicare. Leader Reid and I wrote a letter last week to Health and Human Services Secretary Kathleen Sebelius and asked her what impact the House CR would have on the operation of Medicare. Specifically, we asked how the CR would affect the beneficiaries' access to care. Last Friday we received a response, and it confirmed our fears. The House bill would have much broader and more harmful implications for the Medicare Program and for seniors.
In her letter, Secretary Sebelius said the CR would ``severely impact the Medicare program.'' She goes on to note the House CR would eliminate funding for Medicare prescription drug coverage, forcing seniors to pay more for their prescriptions.
The Secretary also said the House CR would disrupt payments to doctors and cut off annual wellness visits, forcing seniors to pay out of pocket for preventive services.
In addition, Medicare beneficiaries may be forced to drop their Medicare Advantage plans and enroll in traditional fee-for-service. It is clear the House CR would have dire consequences for the more than 46 million Americans who rely on Medicare every day.
In her letter, Secretary Sebelius also stressed the severe impact the House CR would have on children and working families and the most vulnerable among us.
The ACA expanded Medicaid, allowing States to cover low-income adults for the first time. The House CR would end this coverage, sending this vulnerable population back to the emergency room for treatment and putting hospitals on the hook for providing care. The ACA also expanded access for services to people with disabilities and other long-term care needs. The CR would put an immediate stop to these programs and send people with disabilities back to the nursing home.
The Affordable Care Act also extended the Children's Health Insurance Program for 2 additional years. The House CR, you guessed it, reverts back to prior law, ending vital funding for this program at the end of this month. The House CR would also leave 6 million children without access to coverage--no doctor appointments, no prescriptions, no cast to heal the occasional broken arm.
For 3 years, a group of Republicans in the House has wasted taxpayer money, time, and resources trying to stop the act, over and over again. They have tried to repeal this law 40 times. They even took their argument all the way to the Supreme Court. Of course, we all know what the Supreme Court said. The Supreme Court said the Affordable Care Act is the law of the land. The Supreme Court upheld it. It is the law.
People fear what they do not know. I understand that. But let's all take a deep breath. As one Republican Senator recently noted, it is ``not rational'' to think the Senate will vote to repeal, delay, or defund the ACA. You know what. He is right, it is not rational. We won't go back to the status quo.
This is complex legislation, and I am open to strengthening the law to better serve the American people, just as this Congress did with Social Security and Medicare. Wouldn't it be better if both parties worked together to improve the law, something that is here with us? It is not going to be repealed. Let's work to improve it. That is what the American people expect of us. They do not want the government to shut down. They do not want America to default on its debt over the ACA.
A recent poll by CNBC found the vast majority of Americans--59 percent--oppose defunding the Affordable Care Act at the cost of a government shutdown or debt default. Almost 60 percent said no, don't do that, that is not smart.
We all have a responsibility to lead. The Affordable Care Act is the law of the land. We all need to work together to make it work for families and businesses who depend on it instead of using it as a political football.
Enough is enough. It is time for the hysterics to end. People need to give the ACA room to breathe and a chance to succeed. If we do so, I am confident America will be better for it and we will all be on the right side of history.
Mr. President, I yield the floor.
Mr. President, I deeply thank and am humbled by the senior Senator from Maryland. Coming from her, that is a high compliment, and I deeply appreciate it.