Mr. President, the Republican Party controls the Presidency, the Senate, and the House of Representatives. Despite that trifecta, the government has been shut down for 15 long days and counting. As Americans suffer, Majority Leader Thune…
Mr. President, the Republican Party controls the Presidency, the Senate, and the House of Representatives. Despite that trifecta, the government has been shut down for 15 long days and counting.
As Americans suffer, Majority Leader Thune and Speaker Mike Johnson insist that congressional Republicans will address expiring Affordable Care Act health insurance premium tax credits after the government reopens. But do the American people have any reason to believe that congressional Republicans really are going to work to help save healthcare for millions of Americans? Not if you look at the record.
In the past 8 months, Democrats have repeatedly tried to extend these ACA premium tax credits. What does it boil down to? Health insurance is expensive. For some families, it is too expensive. We created a program to provide tax credits for many families who otherwise couldn't have a good health insurance policy.
The Republicans, in the big, beautiful, blue budget--whatever they call it--ended up basically eliminating these tax credits, which means the burden will fall on these families, without any help in the Tax Code, in a matter of weeks.
In the past 8 months, we have tried to extend these tax credits, which were eliminated in the Trump big, beautiful budget.
In February, Senator Shaheen of New Hampshire offered an amendment to the first budget resolution to protect these tax credits. Senate Republicans voted against it, and the amendment failed.
In April, Senator Shaheen went again and offered another amendment to the second budget resolution doing exactly the same thing. Once again, the Republicans had a chance to correct the error they made in this big, beautiful budget, but they voted against it.
In June, Senator Jon Ossoff from Georgia offered an amendment to the Republicans' One Big Beautiful Bill to save the enhanced premium tax credits a third time. You know what happened. You can guess it. Every Senate Republican voted against the amendment. It failed.
Let us not forget that for the past 15 years, the American people have been waiting for the Republican Party's Affordable Care Act replacement plan.
In Donald Trump's first term, he made an attempt to repeal the Affordable Care Act. He wouldn't describe to the American people what he was going to replace it with, but he was damned determined to get it repealed.
It led to a moment I will never forget on the floor of the Senate. It was about 2 or 3 in the morning. All the Members were in their seats. It came down to one person as to whether or not the Affordable Care Act would be repealed under the Trump administration, in his first term. It was a moment of high drama because we knew what was at stake: Millions of American families, without the help of the Affordable Care Act, couldn't buy or afford health insurance.
So it came down to the vote of John McCain--former Senator, Republican from Arizona. He went through those doors to my right and was gone for a few minutes. People said: He is talking to President Trump. Trump is trying to convince him to put an end to ObamaCare and the Affordable Care Act once and for all.
John McCain was his own man. He wasn't a creature of membership in an organization. He voted his conscience.
He walked through that door. A hush fell over the Chamber. He stood in the well right on the corner of that table and lifted his right arm as far as he could--remember, his arm was broken many times when he was a prisoner of war--and came down hard with a ``no.'' With that single vote, John McCain saved the Affordable Care Act for millions of Americans and gave them health insurance they can afford for their families. The Republicans had failed again to put an end to the Affordable Care Act.
Well, here they are doing the same thing with the big, beautiful budget bill. And what does it mean for families? Chuck Schumer was on the floor earlier this morning talking about the impact on the premiums.
Each State has a target date when the health insurance industry is going to announce the new premiums for the new calendar year, which starts in just a few weeks.
Our date in Illinois is October 27--12 days from today. Those who are part of healthcare.gov, those who are part of the Affordable Care Act will find out what happens to their premiums.
If history is an indicator, it shows that my Republican colleagues have no plan. They didn't have one in Trump's first term; they certainly don't have one now.
The President said, when he was asked point blank ``What is your plan to replace ObamaCare?'' he had concepts of a plan in his mind--nothing in writing--to make healthcare more affordable for the American people.
So it is a bit over the top for the Republicans to ask Democrats and the American people to wait and trust them to fix this issue, to let the premiums go up, and then maybe they will get around to changing the law.
That is what this is all about. There are a lot of words used on the floor of the Senate to describe the government shutdown. I am sorry it has reached this point, but I think there is a reason for it, and it is a good one. We believe that 20 million American families will see the cost of health insurance go up because of the Trump budget and reach a point where it is not affordable for many families to have health insurance. How about that?
What about your family? If you are a person who has health insurance, children, perhaps someone in your family with a serious illness, you understand the value of health insurance, and you understand your vulnerability. One broken bone, one automobile accident, one bad diagnosis, and you are going to end up with a bill you cannot pay. It will exhaust your savings. That is the reality of the cost of health insurance.
My Republican colleagues, like the one who just spoke, don't seem to understand that, and I think he should. What is at stake here is not a political custom match. What is at stake here is a decision by this body to help millions of American families. If Republicans in Congress fail to extend the enhanced premium tax credits before the end of this year--and that is just a few weeks away--premiums for 22 million Americans will double. Take a look at what you are paying each month for health insurance for your family, multiply times two, and that is the result of the Big Beautiful Bill that was passed by the Republicans.
Let me give you an example: In Illinois, a 60-year-old couple with an income of $82,000 could see their annual premiums increase $17,000 a year if the enhanced premium tax credits are not extended. That is an increase of $1,400 a month. Ask any family, working family, whether paying $1,400 a month more for health insurance will have an impact on the family budget. You know the answer.
Now, compare that additional cost of the tax cuts that some billionaires will enjoy because of this so-called Big Beautiful Bill that was passed by the Republicans. Billionaires will receive a tax cut of more than $310,000 a year. I am sure Elon Musk needs that money-- $25,000 a month in tax breaks. Contrast those two numbers, an increase in health insurance premiums of $1,400 a month because of the Republicans' vote and an increase in the tax breaks, the reduction of taxes for billionaires in America of $25,000 a month. That includes more than 100,000 people in my home State of Illinois who will be forced to make the impossible decision that most Americans pray they will never have to make, like whether to purchase groceries or insulin or whether to pay the mortgage or take the kids in for their checkup.
Don't take my word for it. Listen to what my constituents have written to me. Stephanie from Evanston, IL, is a business owner. And many business owners count on health.gov for their health insurance. Stephanie told me if her enhanced ACA tax credits are allowed to expire, the result of the Big Beautiful Bill with the Trump budget would ``cripple'' her budget and that she is ``not sure [she] could cover the doubling of this cost.''
Most people wouldn't be able to. She asked me how ``our country claims to support business owners if [they] can't afford to take care of their family's health?'' More than 4 million other small business owners who get their health coverage through the Affordable Care Act are asking the same question.
Take Jennifer, she is a mother and a small business owner from Illinois who told me her costs have skyrocketed under this President. She told me her food costs are up and ``utilities are up, gas is . . . expensive, [and] the costs of supplies for my business have tripled.''
Jennifer is concerned her ACA premiums will double next year unless we do something.
That is what the shutdown is all about. It is not some source of pride for politicians to argue back and forth. There is a purpose in this debate. The purpose is to make sure we come to the rescue of tens of millions of Americans who face the doubling of their health insurance premiums. Jennifer is concerned her ACA premiums will double, as I mentioned, next year. If that happens, she would have ``no choice but to pass those costs on to my customers or to close my doors.''
As you know, small businesses employ almost 50 percent of private sector workers. They are the engine of our economy. If our Nation's small businesses start closing, there will be a ripple effect throughout our local economy, and it will happen, in part, because Republicans in Congress refuse to lower healthcare costs.
I like John Thune. He is the Republican leader here in the Senate. We have known one another for years. We have our differences politically, but I think he is basically a good person. I heard him come to the floor over and over again saying pass this clean continuing resolution, open the government, and, by golly, we are going to sit down and talk to you about health insurance.
Why can't we do that now? Why can't we do that this morning? There are enough tables in this building for people to gather. Now that the House of Representatives is back in town, they can participate as well. We need the President at the table, as well, as far as I am concerned. There are many Republicans who basically will wait for a signal from the President to agree to anything. Bring him to the table. He brought a cease-fire to the Middle East. Let's see if he can bring a cease-fire to the Senate and House.
It is past time to address this issue. Insurance companies are making their final decisions about monthly premium costs for next year right now. They sent out notifications, and people will soon be picking their healthcare plans based on these costs. As I mentioned, October 27 is the target date for this announcement in Illinois. I guarantee you, if we don't bring some relief to these families, we are going to see premiums increase dramatically.
That is what this government shutdown is all about. We want to sit down and deal with healthcare costs directly and now. Leader Thune and Speaker Johnson seem to have made the political calculation, when it comes to tax cuts for millionaires and billionaires, they have no problem moving fast and breaking things. But when it comes to healthcare for more than 24 million Americans, that can wait. My constituents, like Stephanie and Jennifer and their families, can't wait any longer. It is time to get this done.
One last point: I am from Downstate Illinois. I live in Springfield, 200 miles south of Chicago. I am honored to represent the city of Chicago. I, basically, do my best to represent the entire State. We have problems downstate because of these healthcare costs as well. Nearly 400,000 Illinoisans currently receive the ACA tax credits, which are at risk of disappearing because of the Republican vote. If the tax credits are not extended, eligible enrollees will pay an average of $1,032 more per year in Illinois for healthcare coverage, $1,700 more per year in rural areas. Smalltown, rural Illinois is going to feel this as well.
These increases will be higher for families. A 60-year-old couple earning $82,000 a year would see an annual increase of $17,000, $1,400 a month. A family of four earning $64,000 a year in Downstate Illinois would see an annual premium increase of 226 percent, $2,571. Counties that will be hardest hit financially are conservative, Republican- dominated counties, by and large. Hamilton County will see an increase of $2,772 a year; White County, $2,496 more a year; Union County $2,400 more a year. Counties with the highest number of enrollees impacted: Cook County, our largest, 170,500; DuPage County, 35,900; Lake County, 23,200. We estimate we will lose up to nine hospitals in Downstate Illinois because of changes in Medicaid and because of these increases in health insurance premiums. Is that of concern? It is to me. I represented these Downstate Illinois counties for many years.
I know what it means to lose a hospital. I know what it means to add 45 minutes to an hour to your drive time for the delivery of that baby or critical traumatic care. It really makes the difference between life and death. That is what we are fighting for.
Before the Sun sets today, let us hope that at some table here in the U.S. Capitol, the leaders of Congress will meet, and the President will promise to join them in an effort to get this solved. There is no reason we can't do
it. We hear from the Republicans that they want to make some changes. Let's make those changes now and make sure we get this done quickly.
I yield the floor.