Mr. Speaker, I yield myself such time as I may consume, and I rise in opposition to H.R. 596. As the new ranking member on the Committee on Education and the Workforce, I know that protecting access to affordable health care for America's…
Mr. Speaker, I yield myself such time as I may consume, and I rise in opposition to H.R. 596.
As the new ranking member on the Committee on Education and the Workforce, I know that protecting access to affordable health care for America's workers and families is a high priority. Despite scare tactics and misinformation, the bottom line is that the Affordable Care Act is working. Perhaps those who want to repeal the Affordable Care Act have a short memory. It is important to remember why the Affordable Care Act was passed in the first place.
Before the ACA, employer-provided coverage was shrinking. More and more employers were dropping coverage altogether. There were months in 2008 and 2009 when 14,000 people a day were losing their health insurance because employers were not providing it and because it was above their ability to pay. From 1999 to 2010, the cost of premiums for employer-provided health insurance increased by 138 percent while workers' earnings only went up around 40 percent. And those who were employed were often locked into their employment for fear of losing their health care insurance because even though they wanted to retire, they couldn't get insurance somewhere else, and so they were stuck in that job.
Every American family with insurance had to pay a hidden tax of approximately $1,000 per family for the cost of paying for those without insurance who would go to the hospital and not pay, and so when they went to the hospital, they would have to pay a little extra. That little extra was about $1,000 per year for every family with insurance. This was the reality that American workers and their families faced before the passage of the Affordable Care Act. We should not go backwards.
Today, thanks to the ACA, workers are enjoying the peace of mind that they have options. If employer-provided coverage is not available, they can enter the marketplace. If it is available, they have the security of new consumer protections such as the requirement that at least 80 percent of the premiums be spent on actual health care, not corporate jets and CEO bonuses. And we ended insurance practices such as caps on payments that would only pay so much overall and then you are on your own, or so much for your lifetime and then you are on your own. And cancelations where they could just arbitrarily cancel your insurance after you have paid premiums year after year. You get sick, and they check and just want to cancel your premium. Those abuses can no longer take place.
Employers will also suffer under a repeal. In 2014, premiums for employer-provided health care grew at the lowest rate in 15 years. If the ACA is repealed, many employers could again be charged health- related premiums, so if they have a few sick employees, they will see their premiums skyrocket. The vast majority of large employers who provide health insurance to their employees may suffer an increase in premiums due to the return of the hidden tax, the cost shifting of uncompensated care.
And when employees leave a job, they are on their own to get insurance, if they can, because there was a prohibition that they could deny people with
preexisting conditions. So if you have a preexisting condition and leave your job, who knows what is going to happen.
In addition, small employers would suffer since all small group market reforms, including rating reforms, would disappear. Small employers used to pay 18 percent more in premiums than large businesses, on average. ACA leveled the playing field so now they are paying rates like everybody else. If you repeal the Affordable Care Act, they are up another 18 percent, where it was before.
Now we have heard all of the statistics: over 3 million uninsured young adults have access to health insurance through their parents' policies; 8 million senior citizens in the so-called Medicare doughnut hole have been getting relief and have saved billions. Twelve million more Americans have health insurance because of the Affordable Care Act.
These numbers represent real people, and these real people would lose access to their benefits if the Affordable Care Act is repealed. Those trying to repeal the law should be honest to seniors about what would happen to their free preventive care in the absence of the Affordable Care Act. They should explain to young adults that repealing the law would kick them off their parents' policies. They would have to explain to millions of Americans who only have insurance because of the Affordable Care Act--many for the first time in their lives--why they will now have to go without coverage.
And while the Republican majority continues to talk about repeal, we should be talking about the progress we have already made and how we can continue to move in the right direction. So when the Republicans talk about replacement of legislation, it is important to note that there is no meaningful replacement proposal on the table. Delaying the effective date of this repeal for 180 days does not make a meaningful replacement any more plausible or likely.
This is the 56th attempt to repeal or undermine the Affordable Care Act. This is a distraction, and I hope the Republican majority will refocus efforts on real policy solutions for the American people, American families, and workers.
I reserve the balance of my time.
Mr. Speaker, I yield 3 minutes to the gentleman from Colorado (Mr. Polis).
Mr. Speaker, I enter into the Record the following letters in opposition: one from the National Committee to Preserve Social Security & Medicare, another from Easter Seals, another from the AFL-CIO, and another from the SEIU.
February 2, 2015.
House of Representatives,
Washington, DC.
Dear Representative: On behalf of the millions of members
and supporters of the National Committee to Preserve Social
Security and Medicare, I urge you to oppose H.R. 596, a bill
to repeal the Patient Protection and Affordable Care Act.
Repealing the Affordable Care Act (ACA) would be
detrimental to Americans of all ages: It would undercut the
ability of marketplace insurance plans to offer affordable
health coverage to individuals, including those with pre-
existing conditions. Repeal would mean that young adults
could no longer count on remaining on their parents'
insurance plans until age 26. In addition, the number of
uninsured ``young seniors,'' aged 50-64, would increase,
leaving them in poorer health by the time they are eligible
for Medicare--thereby increasing Medicare's costs.
Repealing the ACA would also eliminate many of that law's
provisions that benefit Medicare beneficiaries today,
including help with prescription drug costs and preventive
screenings and wellness visits with no out-of pocket costs.
In addition, the payment and delivery system reforms that are
being implemented due to the ACA are slowing the rate of
increase in health spending while improving the care that is
being provided, especially care to people with multiple
chronic conditions. Slowing the rate of increase in health
spending has also lowered costs for beneficiaries--the Part B
premium has stayed level for three years in a row--and is
extending the solvency of the Part A trust fund.
We oppose H. R. 596 because it interferes with the ability
of marketplace insurance plans to offer affordable health
coverage, and hurts millions of seniors who benefit from the
Medicare improvements contained in the ACA. The National
Committee strongly urges you to vote against this anti-senior
legislation.
Sincerely,
Max Richtman,
President and CEO.
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, I enter into the Record letters in opposition from the following organizations: the American Academy of Family Physicians, the American Diabetes Association, and the American Public Health Association.
February 3, 2015.
House of Representatives,
Washington, DC.
Dear Representative: The House of Representatives is
scheduled to vote on HR 596, which would repeal the Patient
Protection and Affordable Care Act (ACA). The AAFP urges
Congress not to repeal this nearly 5-year-old health care
reform law, but rather focus on how the measure can be
revised to improve patient care and restrain health system
costs.
The ACA addresses several important persistent problems
with the nation's delivery of health care. First of all, it
has demonstrably improved access to health care. As the most
recent Gallup poll of the uninsured shows, the uninsured rate
in the fourth quarter of 2014 fell to 12.9 percent, which is
the lowest since Gallup began measuring it. By comparison,
17.1 percent were uninsured at the end of 2013. This
substantial decline in the uninsured rate in one year has
been broadly felt since it was evident in all the demographic
categories.
Second, the ACA establishes critical insurance reforms to
prevent abuses such as reducing or eliminating coverage due
to preexisting conditions, or setting prohibitively high
prices on the individual market based on health status.
Third, it encourages innovation in health care delivery
through extensive research performed by the CMS Innovation
Center. As recently as last week, for example, CMS announced
early results of the Comprehensive Primary Care Initiative
which demonstrate significant cost reductions in the first
year due to investments in primary care. Fourth, the ACA
requires both Medicare and private health plans to cover
preventive health services (without cost-sharing), which is a
proven long-term strategy to improve health while reducing
costs.
There are elements of the ACA that cause the AAFP concern,
including the poorly constructed Independent Payment Advisory
Board (IPAB). Congress should carefully review these elements
with an eye to improving them for patients, for physicians
and other providers, and for taxpayers, generally. The AAFP
will continue to offer you our support for such efforts.
However, in the meantime, it is important to avoid the
disruptions and turmoil that repeal of the ACA would cause.
Sincerely,
Reid B. Blackwelder, MD, FAAFP,
Board Chair.
I reserve the balance of my time.
Mr. Speaker, I yield 3 minutes to the gentleman from Connecticut (Mr. Courtney).
I yield the gentleman an additional 30 seconds.
Mr. Speaker, I yield 1\1/2\ minutes to the gentlewoman from North Carolina (Ms. Adams).
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, I continue to reserve the balance of my time.
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, I believe the gentleman from Alabama is prepared to close.
Mr. Speaker, I yield the balance of my time to the gentleman from Oregon (Mr. Blumenauer).
I yield back the balance of my time.
Mr. Speaker, I demand a recorded vote.