Mr. Speaker, I thank the gentleman for yielding. I thank him, Congressman Scott, I thank Frank Pallone, John Yarmuth, Ritchie Neal, our ranking members, who have done such excellent work on this debate on the values of our country. Mr.…
Mr. Speaker, I thank the gentleman for yielding. I thank him, Congressman Scott, I thank Frank Pallone, John Yarmuth, Ritchie Neal, our ranking members, who have done such excellent work on this debate on the values of our country.
Mr. Speaker, our colleague, Mr. Clyburn, began his remarks quoting Reverend Dr. Martin Luther King, and I want to join him. I think those words bear repeating. Over 50 years ago, Dr. King said: ``Of all of the forms of inequality, injustice in health care is the most shocking and the most inhumane because it often results in physical death.''
We come to the floor with the moral force of Dr. Martin Luther King's words in our hearts: Affordable health care is a civil right, a fundamental right for every person in our country, not just the privileged few.
And so, in the spirit of Mr. Clyburn and Dr. King, let us be prayerful about how we go forward on this very personal issue about the well-being of every person in our country.
Speaker Ryan once called this bill an act of mercy. There is no mercy here. Indeed, inequality and inhumanity is exactly what TrumpCare has in store for the American people. But when he said it is an act of mercy, here is what others said.
From the beginning, TrumpCare was a moral monstrosity that will devastate seniors, children, and hardworking Americans. That was from me. But don't take it from me.
Sister Simone Campbell said: This is not the faithful way forward and must be rejected.
The Catholic Health Association wrote: We strongly encourage the full House to reject this replacement bill.
And the United Methodist Church, opposing TrumpCare, this is what they said: People will die because of efforts like this to roll back health care.
Lutheran Services in America said: TrumpCare will jeopardize the health care and long-term services and supports of millions of Americans.
The Episcopal Church said: TrumpCare falls woefully short of our spiritual calling to care for the least of these, as well as the noble values upon which our great Nation was founded.
And all that was said before the Republicans decided to destroy the protections of Americans with preexisting conditions.
I grant our Republican friends their position. I respect them and their constituents who sent them here. But I reject the wrong priorities in TrumpCare--tax cuts for the rich at the expense of the health insurance for tens of millions of working families across America.
TrumpCare very clearly spotlights the differences in priorities between Democrats and Republicans in Congress. It has stepped forward in the longstanding Republican belief that Medicare should wither on the vine, that Medicaid should be shrunken, and that Social Security should be privatized.
If you believe in the health and well-being of the American people, you must reject this bill before us now. It is what TrumpCare--here is what it means to the American people. You know, much has been said about policy here today and over time. Much has been said about politics, what are the politics of this.
What is really important is what this means to the American people. And they know they are listening. They know what it means to them.
It means, TrumpCare does, it forces families to pay higher premiums and deductibles, increasing out-of-pocket costs. Higher costs.
Less coverage. TrumpCare will take away health care from more than 24 million hardworking Americans.
A crushing age tax. TrumpCare forces Americans aged 50 to 64 to pay premiums five times higher than what others pay for health coverage, no matter how healthy they are.
It steals from Medicare. TrumpCare shortens the life of the Medicare trust fund and ransacks funds that seniors depend on to get long-term care they need. That is why it is consistent with their wither on the vine for Medicare philosophy.
And then, if that were not bad enough, and they couldn't pass their bill because it was that bad, they moved further away from the American people by gutting key protections. TrumpCare eviscerates essential health benefits such as maternity care, prescription drugs, emergency coverage, prenatal care, and guts protections for Americans with preexisting medical conditions.
As bad as TrumpCare was the first time around, you know, it was dead. It died. It died right here on the floor. Now it has come back to life like a zombie, even more scary than before, and it is even worse.
If Republicans had their way, Americans with preexisting conditions will be pushed off their insurance and segregated into high-risk pools, where they will face soaring costs, worse coverage, and restricted care.
TrumpCare means huge premium increases. It is a frightening future for families who need affordable, dependable care the most.
Now, on the floor, the Republicans have recklessly, and some would say fraudulently, claimed that TrumpCare covers Americans with preexisting conditions. It does not.
As Robert Graboyes at the conservative Mercatus Center said about the Upton amendment: ``. . . the $8 billion amount is a pittance. Spread over 5 years, it is a fifth of a pittance.''
As Karen Pollitz from the Kaiser Family Foundation said, the Upton
amendment will cover the costs for only 1 percent of the individual market. Others have given it up to 5 percent; 1 to 5 percent. Does that mean covering? No.
Forcing a vote without a CBO score shows that the Republicans are afraid of the facts. They are afraid of learning the full consequences of their plan to push Americans with preexisting conditions into the cold or, as my colleague from New York said, off the sidewalk.
If Republicans thought they were really protecting people, they wouldn't be afraid of the facts. But they are also afraid of the truth, and the truth that would come forth if we knew the facts. And they are afraid that the American people would find out that this is not a healthcare bill, this is a tax bill disguised as a health bill.
This is a bill that is one of the biggest transfers of wealth from the middle class to the richest people and corporations in America. This is a tax bill not a healthcare bill. That is why they have to do it now so they can get on with their tax bill.
But the suffering TrumpCare will inflict on the sick is all too clear. That is why this disastrous bill has been condemned by the American Medical Association, the American Cancer Society, the American Diabetes Association, the American Heart Association, the American Lung Association, the American Society of Clinical Oncology, the Cystic Fibrosis Foundation, AIDS United, the Children's Hospital Association, AARP, the March of Dimes. The list goes on and on--the American Cancer Society.
Instead of reading all of these pages, I include them for the Record.
Trumpcare--pulled from the House Floor by Speaker Paul Ryan
on March 24--already meant higher health costs, more than 24
million Americans losing their health coverage, gutting key
protections, a crushing Age Tax, and stealing from Medicare.
Amazingly, Republicans have managed to make Trumpcare even
worse. The MacArthur Amendment would completely gut the
protections for people with pre-existing conditions by
allowing states to waive essential health benefits and
community rating rules, which prevent insurers from charging
people with pre-existing conditions more. This will make it
all but impossible for millions of Americans fighting illness
to afford the coverage they desperately need.
As seen below, over the last few days, the number of health
care, consumer, seniors, children, disability and other
groups that are speaking out against Trumpcare continues to
grow.
A Coalition of Patient Advocacy Groups, Including American
Cancer Society, American Heart Association, American Lung
Association, American Diabetes Association, and March of
Dimes: ``In March, our patient advocacy organizations
collectively urged Congress to ensure that any changes made
to the Patient Protection and Affordable Care Act (ACA)
provide affordable, accessible and adequate coverage and do
not result in a loss of coverage for any Americans. The AHCA
would do the opposite, causing at least 24 million Americans
to lose health insurance, according to the non-partisan
Congressional Budget Office. . . . We are alarmed by recent
harmful changes to AHCA . . . These changes include allowing
states to waive the requirement for essential health benefits
. . . Another change allows states to waive protections
against health status rating. Weakening these rules would
enable insurers to charge higher prices to people with pre-
existing conditions, possibly making insurance unaffordable
for those who need it most. . . . The individuals and
families we represent cannot go back to a time when people
with pre-existing conditions could be denied coverage or
forced to choose between purchasing basic necessities and
affording their health care coverage. Given these factors, we
oppose the latest draft of the AHCA. We urge Members of
Congress to reject this legislation.'' [5/1/17]
American Academy of Pediatrics, American College of
Physicians, American Congress of Obstetricians and
Gynecologists, National Association of Nurse Practitioners in
Women's Health, National Partnership for Women & Families:
``Rather than support recent gains in women's access to
healthcare and coverage, the MacArthur Amendment and AHCA
turn back the clock and reverse hard-won progress. . . . The
MacArthur Amendment would enable states to waive EHBs
including those for maternity and newborn care, preventive
services, and services for mental health and substance use
disorders; [and] to waive community rating rules. . . .
Supporters of the bill claim this bill maintains protections
for those with preexisting conditions, but allowing states to
waive coverage of EHB and charge people more based on their
health status renders the promise of coverage for preexisting
conditions to be meaningless. . . . Women and families must
not be made to suffer, lose access to care and coverage, and
pay higher healthcare costs. . . . The AHCA and the MacArthur
Amendment turn the clock back on women's health and should
not move forward.'' [5/1/17]
Association of American Medical Colleges: ``This week, the
House could vote on a new version of the American Health Care
Act that includes the MacArthur amendment. . . . The
[MacArthur] amendment's treatment of essential health
benefits and health status underwriting dilutes protections
for many Americans and would leave individuals with
preexisting conditions facing higher premiums and reduced
access to care. The shortcomings in the underlying bill
remain the same. The original analysis from the Congressional
Budget Office indicated that 14 million Americans would lose
their health insurance coverage as early as next year, and as
many as 24 million by 2024. Nothing in the bill has changed
that alters the fact that this legislation would lead to
fewer Americans with quality insurance, less affordable
coverage for those who have it, and the destabilization of
the current Medicaid program.'' [5/2/17]
Children's Hospital Association: ``On behalf of our
nation's children's hospitals and the patients and families
they serve, Children's Hospital Association (CHA) continues
to oppose the newly modified American Health Care Act (AHCA)
and strongly urges the House of Representatives to reject the
bill. Recently adopted changes only worsen the AHCA by
putting children with preexisting conditions at increased
risk of losing health care coverage and failing to correct
the Medicaid cuts that would impact over 30 million kids. . .
. The block grant option in particular would be devastating
to children as it eliminates Medicaid's EPSDT (Early and
Periodic Screening, Diagnostic, and Treatment) benefit which
ensures children receive immunizations, mental health
assessments and vision, eye and hearing exams as well as
other medical services they might need. CHA urgently asks
members of Congress to vote against the AHCA.'' [4/27/17]
Children's Leadership Council: ``The Children's Leadership
Council opposes the American Health Care Act (AHCA) because
it would jeopardize health care for millions of babies,
children, youth and families. We urge you to vote NO on this
legislation. . . . The ACHA's changes to Medicaid would
radically restructure a program that has worked for more than
50 years to support children's health. The Medicaid cap would
shift $839 billion to states, forcing them to cut
eligibility, benefits, or provider rates that could have
disastrous health consequences. There is no question that the
massive cuts to Medicaid, increased premiums likely for
millions of families, and eliminating the Essential Health
Benefits requirements under current law will seriously harm
children and families. . . . This legislation is a dangerous
step backward.'' [5/1/17]
Consortium for Citizens with Disabilities: ``The Consortium
for Citizens with Disabilities (CCD) is strongly opposed to
the amended American Health Care Act. The amended American
Health Care Act retains the original bill's proposals to
dramatically cut Medicaid services that are vital to people
with disabilities and seniors through per capita caps, which
CCD has opposed. . . . The newest amendments to the American
Health Care Act make the bill even more harmful to people
with disabilities. The new amendments would allow states to
easily obtain waivers that would allow them to charge higher
premiums to people with pre-existing conditions, including
people with disabilities. They would also allow states to
seek waivers from the Affordable Care Act's requirement to
provide essential health benefits, including services for
people with disabilities . . . We urge you to oppose the bill
should it come to a vote.'' [4/28/17]
National Education Association: ``Apparently, snatching
health care coverage from children and families was not
enough for House Republican leaders and the Trump
administration. To make a terrible bill even worse, a new
amendment to the American Health Care Act (AHCA) would allow
states to jettison existing essential health benefit
requirements and permit insurance companies to charge people
with pre-existing conditions more than they charge healthy
people. . . . If the AHCA and new amendment are enacted,
millions of kids and families would effectively lose the
health care coverage they need. The new amendment also
threatens to make insurance for people with pre-existing
conditions prohibitively expensive.'' [4/27/17]
American Society of Clinical Oncology: ``On behalf of the
American Society of Clinical Oncology (ASCO), I write to
express our strong opposition to the American Health Care Act
(AHCA), as currently amended. . . . Studies show that when
cancer patients do not have adequate insurance they receive
less care, receive it later, and have worse outcomes than
those with better insurance coverage. . . . The AHCA as
currently constructed will create or worsen barriers to care.
It will add costs to the system, decrease access to
appropriate treatment and increase existing disparities of
care. We are especially concerned with provisions allowing
state waivers that could erode important protections for
people with cancer, including pre-existing condition
safeguards, coverage of essential services, and access to
affordable health insurance. . . . ASCO strongly opposes
passage of the AHCA in its current form.'' [4/27/17]
American Thoracic Society: ``On behalf of the 16,000
members of the American Thoracic Society (ATS), I want to
voice my grave concerns with the latest legislative proposal
developed to repeal and replace the Affordable Care Act
(ACA). . . . The ATS opposes any
legislation that does not ensure affordable health insurance
coverage for Americans currently insured under the ACA. We
are concerned that allowing states to waive important
insurance reforms in the Affordable Care Act will lead to
reduced coverage for many Americans and significant price
increases for patients with preexisting conditions. Further,
we are concerned that reliance on ``high risk pools'' will
not adequately meet the health insurance needs of many
Americans with pre-existing conditions. We note that previous
attempts at implementing state-based high risk pools have
been largely unsuccessful. Members of the ATS serve a large
and diverse patient population, including patients with
respiratory diseases, critical illnesses and sleep disorders
such as asthma, COPD, pneumonia, sepsis and obstructive sleep
apnea. Our patients cannot afford to lose affordable health
insurance coverage for any period of time.'' [4/27/17]
Lutheran Services in America: ``Lutheran Services in
America continues to oppose the drastic and unnecessary
restructure of the Medicaid guarantee to a per capita cap
system as proposed in the American Health Care Act (AHCA).
Furthermore, we oppose the bill's new provisions that
eliminate protections for people with pre-existing conditions
as these provisions would be devastating to people with
chronic diseases and disabilities. . . . In addition, the
modified bill maintains the AHCA's drastic cuts and
fundamental restructuring of the Medicaid program, shifting
significant risks and costs to states, and to the people who
need and provide Medicaid services. . . . Lutheran Services
in America respectfully urges members of Congress to reject
this or any legislation that would erode Medicaid, increase
the number of uninsured and/or decrease protections for
preexisting conditions.'' [4/28/17]
Planned Parenthood Federation of America: ``The latest
Republican proposal to repeal the Affordable Care Act is the
worst legislation for women's health in a lifetime. It
eliminates the community rating provision, allowing insurers
to charge people with pre-existing conditions an exorbitant
amount for coverage. Despite the fact that the proposal
claims to maintain the current prohibition on gender rating,
it still allows insurers to once again discriminate against
women and charge more for being a woman. Eliminating the
community rating provision disproportionately affects women,
since insurers can claim having given birth, having had a C-
section, or having been a survivor of domestic violence is a
so-called pre-existing condition. For example, a woman who
had breast cancer could be charged more than $28,000 per year
for coverage and a woman who was previously pregnant could be
charged more than $17,000 per year for . . . They took a bad
bill that would result in 24 million people losing their
insurance and higher premiums and actually made it worse. [4/
27/17]
Federal AIDS Policy Partnership: ``The undersigned 77
organizations are writing to strongly urge you to oppose the
amended American Health Care Act (AHCA) on behalf of the 24
million or more Americans estimated to lose coverage,
including tens of thousands of people with HIV. . . .
Healthcare coverage can be a life or death issue for people
living with HIV, and in the three years that the Patient
Protection and Affordable Care Act (ACA) coverage has been
available it has made a critical difference. . . . We cannot
afford to go back to the pre-ACA sick care system that
focused on treating disability and disease rather than
preventing it. Please support access to healthcare coverage
for the more than 52 million Americans living with pre-
existing conditions, including 1.1 million living with HIV.
We hope we can count on you to oppose the amended American
Health Care Act.'' [5/1/17]
AIDS United: ``AIDS United seeks a health care system that
will eventually enable the end of HIV in the United States.
AHCA makes major changes to the U.S. health care system that
would, if passed, worsen the provision of HIV prevention
services for people at risk for HIV and the treatment and
care for people living with HIV. . . . AIDS United is
especially concerned that the [MacArthur] amendment, far from
improving the situation, will make it easier for insurance
companies to raise rates on people living with HIV, people
with other chronic conditions and the elderly. . . . AIDS
United notes that thanks to Congress's strong response over
many years, the U.S. has made substantial progress in
responding to the HIV epidemic. However, doing so requires a
strong health care system that can ensure that people living
with HIV are able to access care and treatment . . . H.R.
1628 will reverse some of the gains that we have made in
ensuring coverage for both prevention and treatment. AIDS
United urges you to decide to vote no and publicly state
your position prior to any vote.'' [4/28/17]
American College of Nurse-Midwives: ``On behalf of the
American College of Nurse-Midwives, . . . we strongly urge
the House of Representatives to vote NO on the revised
American Health Care Act (ACHA). The legislation, in its
current form, would further impeded access to healthcare and
coverage for millions of women and newborns. Midwives stand
for improving access to quality care and coverage for women
and newborns . . . including, but not limited to, coverage
and access to a full range of preventative, reproductive and
sexual health services under state Medicaid programs and
coverage and access to essential health benefits (EHBs),
including maternity and newborn care. The newly-revised AHCA
language will end this guarantee and radically turn back the
clock on the progress made in women's health. Specifically,
the ``MacArthur Amendment'' would enable states to apply for
the ability to waive EHBs, including those for maternity and
newborn care, to waive community rating rules, and to shift
patient with preexisting conditions or illnesses into high-
risk pools. These provisions, if adopted, could have dire
consequences for women's health and health coverage.'' [4/27/
17]
AARP: ``This harmful legislation still puts an Age Tax on
older Americans and puts vulnerable populations at risk
through a series of backdoor deals that attempt to shift
responsibility to states. Older Americans need affordable
health care services and prescriptions. This legislation
still goes in the opposite direction, increasing insurance
premiums for older Americans and not doing anything to lower
drug costs. AARP continues to oppose legislation that would
impose an Age Tax, eliminate protections for pre-existing
conditions, weaken Medicare, erode seniors' ability to live
independently because of billions of dollars in Medicaid
cuts, and give sweetheart deals to drug and insurance
companies while doing nothing to lower the cost of health
care or prescription drugs. We intend to let all 38 million
of our members know exactly how their Representative votes on
this bill in newsletters, in our publications, on social
media and in other formats.'' [4/26/17]
American Medical Association: ``After reviewing the
MacArthur Amendment to H.R. 1628, the American Health Care
Act (AHCA), the American Medical Association (AMA) remains
opposed to passage of this legislation. As we have previously
stated, we are deeply concerned that the AHCA would result in
millions of Americans losing their current health insurance
coverage. Nothing in the MacArthur amendment remedies the
shortcomings of the underlying bill. The MacArthur Amendment
would allow states to apply for waivers for critical consumer
protections provided in the Affordable Care Act (ACA),
including . . . . the requirements that health insurers must
cover certain essential health benefits, and the ban on
health status underwriting. The current ban on health status
underwriting protects individuals from being discriminated
against by virtue of their medical conditions. Prior to the
passage of the ACA, such individuals were routinely denied
coverage and/or priced out of affordable coverage. We are
particularly concerned about allowing states to waive this
requirement because it will likely lead to patients losing
their coverage.'' [4/27/17]
American College of Physicians: ``The College strongly
believes in the first, do no harm principle. Therefore, we
continue to urge that Congress move away from the
fundamentally flawed and harmful policies that would result
from the American Health Care Act and from the changes under
consideration--including the proposed ``Limited Waiver''
amendment--that would make the bill even worse for
patients.'' [4/24/17]
American Hospital Association: ``The latest version of the
AHCA continues to put health coverage in jeopardy for many
Americans. Our top concern is what this change could mean for
older and sicker patients, including those with pre-existing
conditions, such as cancer patients and those with chronic
conditions. For these reasons, along with our previously
stated concerns about the AHCA, we cannot support the bill. .
. . The amendment proposed this week would dramatically
worsen the bill. The changes included put consumer
protections at greater risk by allowing states to waive the
essential health benefit standards, which could leave
patients without access to critical health services and
increase out-of-pocket spending. This could allow plans to
set premium prices based on individual risk for some
consumers, which could significantly raise costs for those
with pre-existing conditions.'' [4/27/17]
America's Essential Hospitals: ``This latest version of the
AHCA is not an improvement. It's simply bad policy that will
cut a lifeline of health care for millions of Americans. The
legislation also would leave unchanged more than $800 billion
in Medicaid cuts over the next decade, breaking the nation's
safety net and saddling state, local governments, and
taxpayers with new costs for indigent care. The nation has
spoken on the AHCA: only 17 percent of the public support it
and their elected representatives have rejected it once
already.'' [4/26/17]
Catholic Health Association: ``It is critically important
to look at this bill for what it is. It is not in any way a
health care bill. Rather, it is legislation whose aim is to
take significant funding allocated by Congress for health
care for very low income people and use that money for tax
cuts for some of our wealthiest citizens. This is contrary to
the spirit of who we are as a nation, a giant step backward
that should be resisted.'' [4/27/17]
U.S. Conference of Catholic Bishops: ``It is deeply
disappointing to many Americans that, in modifying the
American Health Care Act to again attempt a vote, proponents
of the bill left in place its serious flaws, including
unacceptable modifications to Medicaid that will endanger
coverage and affordability for millions of people, according
to reports,'' said Bishop Dewane. ``Sadly, some of the
recently proposed amendments--especially those designed to
give states flexibility--lack apparent safeguards to ensure
quality of care. These additions could severely impact many
people with pre-existing
conditions while risking for others the loss of access to
various essential coverages.'' [4/27/17]
American Nurses Association: ``The new bill is an even
further departure from our principles; endangers consumer
protections put into place by the ACA. [4/26/17]
American Cancer Society Cancer Action Network: ``The
American Cancer Society Cancer Action Network (ACS CAN) is
deeply concerned about a proposed amendment to the American
Health Care Act (AHCA) that would create an option for states
to obtain waivers from the Essential Health Benefits (EHB)
and the community rating rule. These two rules work together
to guarantee access to comprehensive and affordable insurance
that covers cancer prevention and treatment for patients and
survivors with pre-existing conditions. . . . In short, the
proposal could lead to bare bones coverage plans that push
significant costs onto patients who access care.'' [4/20/17]
American Lung Association: ``The American Lung Association
requests that Representatives oppose the American Health Care
Act (AHCA) with the new amendment by Rep. MacArthur. The
American Lung Association opposes the MacArthur amendment
because would allow states to opt-out of the Essential Health
Benefits (EHB)--resulting in millions of Americans having
inadequate care. . . . All Americans--regardless of the state
in which they live--need adequate coverage for the range of
essential health services and treatments including life-
saving cancer screening.'' [4/26/17]
March of Dimes: ``Women and children need quality,
affordable insurance coverage to be born healthy and lead
healthy, productive lives. Unfortunately, in its current
form, the MacArthur amendment to American Health Care Act
will deny millions of pregnant women, babies, and their
families the affordable coverage and quality services they
need. . . . The MacArthur amendment will offer states and
health plans numerous opportunities to charge people with
pre-existing conditions higher rates, design plans that
explicitly exclude the services they are most likely to need,
and erect barriers to care.'' [4/26/17]
Families USA: ``America's families must be heard. By now,
it should be clear to House Republicans and the Trump
Administration from all the town halls, letters, phone calls
and tweets that this is not what people want. They do not
want to return to the dark days when insurers were free to
charge the sick and old more for coverage and offered
policies that covered very little, often leaving people to
cope with staggering medical bills. It's time for President
Trump and the GOP to drop this harmful effort to undermine
the nation's health care system. It's time to move on.'' [4/
26/17]
American Psychological Association: ``We are writing on
behalf of the American Psychological Association and the
American Psychological Association Practice Organization to
express our opposition to the American Health Care Act, as
recently revised and proposed for floor consideration. Our
organizations comprise nearly 115,700 members and affiliates,
who are clinicians, researchers, educators, consultants, and
students.'' [4/26/17]
Arc of the United States: ``The Arc of the United States is
strongly opposed to the amended American Health Care Act. The
amended American Health Care Act retains the original bill's
proposals to dramatically cut Medicaid services that are
vital to people with disabilities and seniors through per
capita caps. The new amendments make the AHCA even more
harmful to people with disabilities.'' [4/26/17]
Chronic Illness and Disability Partnership: ``On behalf of
the Chronic Illness and Disability Partnership as well as
allied organizations, we are writing to strongly urge you to
oppose the American Health Care Act (AHCA), with or without
the amendment to allow states to waive community rating and
Essential Health Benefits protections (the MacArthur
Amendment). If enacted, the amended bill will only increase
the 24 million Americans estimated to lose coverage under the
AHCA, including millions of individuals living with chronic
conditions and disabilities. The MacArthur Amendment seeks to
deliver cheaper insurance to healthy Americans by
undercutting crucial Essential Health Benefits requirements
and excluding the most vulnerable Americans from the private
insurance market by allowing states to remove crucial
consumer protections.'' [4/27/17]
Democratic Governors Association: ``This new proposal is
nothing more than the reheated leftovers of the failed
Trumpcare bill. Just like last month's bill, this one would
slash Medicaid funding, throw millions out of health coverage
and leave states holding the bag. The only fresh idea in this
proposal is a new way to raise insurance rates on sick
people. States are happy to work with the federal government
on strengthening health care, but we never asked for the
flexibility to jack up premiums on people with pre-existing
conditions. Congress should again reject this disastrous
proposal that would wreck state budgets and cut millions off
of health coverage.'' [4/27/17]
National Nurse United: ``The original version of the
American Health Care Act posed a mortal threat to the health
and well-being of our patients, and to the health security of
our country. The new version, which incorporates changes
negotiated between the House Freedom Caucus and Congressman
Tom MacArthur, will be even worse for our patients. This new
version has not yet received a score from the Congressional
Budget Office, and it should not be considered by the House
until a CBO score has been made public.'' [4/26/17]
Leadership Council of Aging Organizations: ``While LCAO is
made up of organizations that often have different
perspectives on public policies, as a coalition LCAO strongly
opposes the American Health Care Act (AHCA) of 2017, which
would cause at least 24 million Americans to lose their
health care insurance. We strongly oppose the Medicaid cuts
and caps that remain the core of the American Health Care
Act. Over six million older adults rely on Medicaid. Among
the non-Medicare population, Americans aged 50-64 are the
most likely to face health challenges and have pre-existing
conditions. The AHCA will expose these older Americans to
significantly higher premiums and health care costs, if they
can afford to purchase coverage at all. We are also deeply
disappointed that there is a push to vote on the bill without
a revised estimate from the Congressional Budget Office on
how it will impact Americans. We fear and expect that the
proposed changes will increase the number of uninsured beyond
the current estimate of 24 million. For these reasons, as
well as other harms that would result for older Americans and
their families, LCAO opposes AHCA and urges members to vote
against it.''
Common Sense Kids Action: ``On behalf of the millions of
American kids and families who rely on comprehensive,
dependable health insurance to stay healthy and to get
medical treatment when they need it, we are writing to
respectfully express our strong opposition to your bill, H.R.
1628, the American Health Care Act (AHCA). Thanks to current
law, including the Affordable Care Act, Medicaid, and the
Children's Health Insurance Program (CHIP), 95% of young
children in the U.S. today have health insurance. That's a
remarkable achievement. However, the AHCA will result in 24
million fewer Americans having coverage, including millions
of children. Even with changes recently suggested to your
bill, America's kids will be best served by strengthening the
Affordable Care Act and preserving Medicaid and CHIP, not by
repealing the Affordable Care Act and block granting or
establishing a per capita cap on Medicaid. We urge you to
keep our children's future foremost in your thinking,
withdraw your bill, and work on a bipartisan basis to support
measures that protect and strengthen children's health
care.''
American Hospital Association: ``The latest version of the
AHCA continues to put health coverage in jeopardy for many
Americans. Our top concern is what this change could mean for
older and sicker patients, including those with pre-existing
conditions, such as cancer patients and those with chronic
conditions. For these reasons, along with our previously
stated concerns about the AHCA, we cannot support the bill.
The amendment proposed this week would dramatically worsen
the bill. The changes included put consumer protections at
greater risk by allowing states to waive the essential health
benefit standards, which could leave patients without access
to critical health services and increase out-of-pocket
spending. Additionally, the Congressional Budget Office has
not yet scored the amendment. However, CBO previously
projected that the AHCA would result in 24 million fewer
people covered in 2026. As the backbone of America's health
safety-net, hospitals and health systems must protect access
to care for those who need it and ensure that the most
vulnerable patients are not left behind. The AHCA continues
to fall far short of that goal.''
Mr. Speaker, under TrumpCare, families, seniors, vulnerable children, Americans with disabilities, people struggling to overcome addiction, and the sick will lose their health care. Rural hospitals will be closed. Nearly 2 million jobs will be destroyed across America. Seven million veterans will lose access to tax credits for health care.
And all of this, to give a massive tax cut to the richest in America. TrumpCare is a billionaire's tax cut, again, disguised as a healthcare bill. It is Robin Hood in reverse, one of the largest, again, transfers of wealth from working families to the rich in our country.
Today, we honor the visions of our Founders, we can, who risked everything. They risked everything, their lives, their liberty, their sacred honor, to advance the right to life, liberty, and the pursuit of happiness; the life, a healthier life, the freedom to pursue your happiness, the freedom from being job-locked or policy-locked because of what the Republicans want to do today.
Today, we fight to preserve affordable health care as the right of every American, again, not the privileged few.
Today, we fight for children like Zoe Madison Lihn. Zoe was born with a congenital heart defect in May of 2010. She faced her first of three heart surgeries at 15 hours old. By 6 months old, Zoe was halfway to her lifetime limit her insurer had placed on her. She
faced a grim future, not only using up her lifetime limit by preschool but by carrying a preexisting condition that will require attention and care for the rest of her life.
Under the Affordable Care Act, Zoe is protected, but TrumpCare puts her future in danger.
I wish that our Members who vote for this bill, I hope you make time to sit down with the parents of a newborn with a heart condition, or a young woman who just learned she had breast cancer, the family of loved ones struggling with a disease or a chronic condition, any of the tens of millions of Americans who are rightfully terrified of what TrumpCare will mean in their lives.
Mr. Speaker, we have, with this bill, a right, a wonderful opportunity. This is one of the best civics lessons we can engage in. Because of what happened following the election, the American people are engaged. They are paying attention. I am not saying in a political way, I am saying in a personal way.
A former Speaker said: All politics is local. In the case of health care, all politics is personal when it comes to health care. And so, this civics lesson will teach the American people a number of things.
As special as we think we are when we come to the floor here, most Americans don't know who their Member of Congress is. But they will now, when they find out that you voted to take away their health care. They will know when you put an age tax on them, or undermine Medicare and Medicaid and the rest.
Oh, yeah, they are paying attention because it is really personal with them and their families. So I think we have to get ready for that.
I have Members, I have colleagues who have the mantle of being a moderate. You vote for this bill, you have walked the plank from moderate to radical. And you are walking the plank for what? A bill that will not be accepted by the United States Senate. Why are you doing this?
Do you believe in what is in this bill?
Some of you have said: Well, they will fix it in the Senate. But you have every provision of this bill tattooed on your forehead. You will glow in the dark on this one. You will glow in the dark. So don't walk the plank, especially unnecessarily.
Our responsibility to the sick and the hurt is Biblical. It is fundamental to who we are.
As Pope Francis said: ``Health is not a consumer good but a universal right, so access to health services cannot be a privilege.''
Today, let us declare, once again, that affordable health care must be the right of every American, not the privileged few.
So I ask you, my colleagues, does TrumpCare lower health costs?
Does TrumpCare provide better health care?
Does TrumpCare protect seniors and families?
Is TrumpCare good for our veterans?
Is there any caring in TrumpCare at all?
For the sake of our values, to honor our responsibilities to our Founders, life, liberty, and the pursuit of happiness, to our veterans who protect us, and to our children whose aspirations are our guide, I urge my colleagues to vote ``no'' on this disastrous TrumpCare bill.