Mr. Speaker, I offer an amendment in the nature of a substitute. Mr. Speaker, I yield myself such time as I may consume. Mr. Speaker, first of all I want to recognize the gentleman from New Jersey for the fine work and the leadership that…
Mr. Speaker, I offer an amendment in the nature of a substitute.
Mr. Speaker, I yield myself such time as I may consume.
Mr. Speaker, first of all I want to recognize the gentleman from New Jersey for the fine work and the leadership that he has shown on such an important issue. This is an important issue.
It has been said that the definition of insanity is doing the same thing over and over again without any change in the result. Yet that is what we have been having this week in Congress, bills that have already been debated and deliberated upon and voted upon last year coming back again for another kick at the can, which is fine. In an issue as important as this, I think it is important for the Congress to take a moment and start talking about the plight of small businesses and family farmers across the country who are suffering under rising health care costs and fearful of the inability of being able to provide coverage for their families or their employees because of the cost of insurance today.
This is such a fundamental and crucial issue if we want to be serious about economic growth, if we want to be concerned about the 43-million- plus uninsured that exist in this country. As I travel through my congressional district in western Wisconsin meeting with small business owners and their employees, meeting with family farmers, the number one, chief concern that they continuously raise is the expensive health care and accessing the quality system that exists in this country right now on an affordable basis.
It is a travesty that 20 percent of my dairy farmers in Wisconsin have no health coverage at all for themselves or their families, one of the more dangerous occupations in the entire country. It is a travesty that as I talk to small business owners who would like nothing better than to provide some health coverage for their employees, tell me that they cannot because they cannot afford it. In a country as great and as powerful and as wealthy as ours, we have got to do better and we have to get serious.
What we are about to talk about in the remaining minutes of the duration of this debate is there is a better way. The gentleman from New Jersey and I have drafted a substitute to what is being offered before the House today. It is one based in common sense, in reality in regards to what will work and what will not, what will extend coverage to the uninsured and what will not; what will bring more affordability to the health care system, to these small business owners, their employees and to our family farmers, and what will not.
Our bill is very simple. It is based on the Federal Employee Health Plan. It does establish national purchasing pools but it goes through State-licensed insurers so we do not have Federal preemption of State law over such crucial areas as cancer screening, whether it is mammograms, breast cancer, cervical cancer screenings, whether it is emergency care or maternity care, issues that the States have wrestled with with themselves and found it important enough to pass law on a State-to-State basis to provide coverage for these important services. And also to cover autism health care. I am proud that the State of Wisconsin is one of 17 that does mandate the coverage of autism health care for our citizens in the State, one that is exploding right now and very expensive for society. Health care experts and those affected by autism, those families of autistic children, realize that the key to effective treatment is early identification. If we allow this AHP plan to pass, which preempts State law, that says, hey, insurers, you don't have to provide coverage even though the State of Wisconsin says this is the right policy to do, it is only going to exacerbate the system in this country in regard to effective autistic treatment for children in our communities.
That is what this debate is all about. It is a very simple, commonsense approach to dealing with what is a national crisis and, I view, a national emergency.
Rather than offering a piece of legislation where the American Academy of Actuaries, where Mercer has released a study indicating that it would increase rather than decrease the rolls of the uninsured by 1 million people, our substitute version that provides national purchasing options, that provides subsidy payments to employers with 50 or fewer employees in order to keep those health care premiums down and our ability to potentially extend health care coverage to the 43 million uninsured to an additional 33 million Americans, we think this is the best approach to take. This is not an issue about who supports small business or family farmers more or who is more concerned about the plight of the uninsured. This is about what will work and what will not work. That is why we have the National Governors Association, the Republican and Democratic Governors Association, the National Association of Attorneys General and Insurance Commissioners, over 1,000 organizations including 66 chambers of commerce who are saying that the majority AHP plan will not work. Not because they desire some power grab and to maintain their own State regulations, but because it is based on reality and an independent and objective study of what will and what will not work.
That is why I would hope that my colleagues, before they ultimately make up their mind and cast their vote today, that they have a chance to quickly look at the actuary study, to quickly look at the Mercer study and to pause before we embark upon a road that could potentially lead to another million uninsured in our society. Enough is enough.
We need to be going in the opposite direction rather than where I fear the AHP bill would go. The substitute that the gentleman from New Jersey (Mr. Andrews) and I are offering offers that hope and that potential to achieve that, and I would encourage my colleagues to support the substitute, vote ``no'' on the AHP bill, and let us move forward together on something that has the potential of working very well for small businesses and family farmers throughout the country.
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, I yield 3 minutes to the gentlewoman from the Virgin Islands (Mrs. Christensen), a true champion of small business owners and their employees.
Mr. Speaker, I yield 3 minutes to the gentleman from Arkansas (Mr. Ross), an expert in the health care field and one who does not want to embark upon a course of adding an additional 1 million people to the uninsured ranks.
Mr. Speaker, I yield myself 30 seconds.
With all due respect to the chairman of our committee, and I have great respect and admiration for him and I think he is well motivated with this underlying bill, but our bill does, in fact, cover self- employed. Under the definition of what constitutes an employer, an individual who is self-employed would also be covered. So I just wanted to clarify the record in that regard.
Mr. Speaker, I yield such time as he may consume to the gentleman from New Jersey (Mr. Andrews), the co-author of our substitute bill before us.
(Mr. ANDREWS asked and was given permission to revise and extend his remarks.)
Mr. Speaker, I yield myself such time as I may consume.
Mr. Speaker, again, this debate really is about two very distinct and different options: one that, again, through independent analysis and review, indicates could lead to an increase of 1 million more uninsured in this country, as opposed to the substitute that the gentleman from New Jersey (Mr. Andrews) and I are offering today; one that is based on reality and supported by a host of organizations throughout the Nation, including the Governors Association, the Attorneys General, and the insurance commissioners, those who work with this on a day-to-day basis and see the real impact it is having on real people in their individual States.
Our plan is simple. It also talks about establishing a national purchasing pool, but one working with state-licensed insurers, so we do not preempt State law and the judgment being made by State legislatures and local decisionmakers on what is or is not appropriate health care coverage in that particular State.
I am proud of many of the coverages that the State of Wisconsin has chosen to include under the State regulations. I am also proud of the fact that the State legislature and Governor are signing into law and setting up model programs of this purchasing pool concept in Wisconsin, allowing small business owners and family farmers to join cooperatives with a menu of health options, but under State regulation, not exempting them and not preempting what the State has already done.
I have a feeling that that is going to work, and work very well, if the demand that exists from back home is any indication of the desire to enter into these pilot programs.
That is the identical version that the gentleman from New Jersey (Mr. Andrews) and I are offering and talking about today, allowing this purchasing pool concept to go forward under State law, so that important health care services and screening does not get preempted and lead to a diminution in the quality of care that citizens in States have come to expect and desire.
Why is this important? 44 million uninsured is a travesty and a blemish on our national character. It gets to the real root and basis of us and what we are all about as a Nation. Being able to access quality and affordable health care is something that affects all of us, from businesses large and small, from individuals to small business owners, to farmers, to us here in Congress; and the fear we see in constituents' eyes back home when they know they do not have health coverage for their families and their children, it is real.
And when they do not have coverage and they do get sick or they do get hurt, they still are able to access the health care system, just through more expensive means, typically through the emergency door. And those costs then are shifted on to private plans that do have coverage, which contributes to the rising premium expenses that are sweeping the Nation today.
So I think it is in our fundamental national interest to do what we can to make sure that the 43 million or 44 million currently uninsured receive coverage, so we have better preventive care up front, so the children of our Nation have a way to access the health care system, which can save us money and pay dividends in the long run.
I think this is an objective that we share in a bipartisan fashion, but it is one that I think can better be achieved through the Kind- Andrews substitute.
It is paid for within the budget resolution that the majority party has passed in this session of Congress. It does offer premium support payments to employees with 50 or fewer employees, because the gentleman from New Jersey (Mr. Andrews) is correct, even if we have some savings in premium expenses, your average small business employer probably is still prohibited from being able to access an insurance pool and being able to pick up the expense and providing coverage for their employees.
We are saying we can do better by offering them some of this premium price assistance to make it more affordable and to create the incentives so we have small business owners who I believe want desperately to be able to provide coverage, to be in a position to better afford that type of coverage.
This is what we need to try to achieve. This should be a dream we all hold in this Congress. Because unless and until we fix this fundamental flaw in the health care system in our country, we are not going to see the robust job growth that we desperately need today. We are not going to see businesses, either large or small, anxious for additional hires for fear of incurring the additional health care expense. I think it is one of the reasons why we have not seen the explosion of job growth over the last couple of years, even though the administration has been fond of pointing to expanding economic conditions in this country. It is the health care system, and it needs to be addressed.
I think we desperately need to do it, and I think we have the opportunity today to make a significant step in that direction.
I would encourage my colleagues to vote ``no'' on the majority Associated Health Plan and support a real plan that can work for real Americans, the Kind-Andrews substitute.
Mr. Speaker, I yield back the balance of my time.
Mr. Speaker, on that I demand the yeas and nays.