Let me thank the distinguished gentleman from New Jersey and let me thank the chairman of the committee as well. Madam Chairwoman, we just have a disagreement. I would venture to say that the bulk of sick people in America and others who…
Let me thank the distinguished gentleman from New Jersey and let me thank the chairman of the committee as well.
Madam Chairwoman, we just have a disagreement. I would venture to say that the bulk of sick people in America and others who every day struggle to maintain their health so they can provide for their families would vigorously disagree as well.
I think there are two points that I would like to make, and that is that what we lose when we repeal this Affordable Care Act and the funding of it is more than the glory that we get from going home and bragging that we have undermined America's health care system, or some would say that we have taken away ObamaCare. Preventative care is an unbelievable plus that this bill has generated.
I went to one of my emergency centers, a new one, that is crafted under the public health system. It is to take the load off the emergency centers, the emergency centers that ambulances go to. What an amazing sight, of people coming with broken toes and fingers and feet and bruises, maybe the beginning of heart disease and other problems. But it was a lower level emergency room, not particularly preventative care but the kind of intervention that can save millions of dollars.
I want to go even lower than that--and I don't use that terminology-- but I want people to be able to go and check on their cholesterol, check on their high blood pressure, understand whether they have sickle cell, understand what stage of diabetes they are in or understand what stage of heart disease they are in in a preventative care cycle. And everyone knows that economists document how many billions of dollar that will save. How can we vote against that?
And then secondarily, there are two elements that the Affordable Care Act provides that is being repealed; research and training for health professionals that we absolutely need--whether you're in the private care system or not--and then of course protecting our most precious resource, and that is our children. If you can raise a
child in a healthy manner in terms of nutrition, in terms of immunization, in terms of regular doctor visits, then you are able to save billions of dollars.
This is wrong, headed in a wrong direction. Many of us are fasting. I said on this floor, we must pray because this is the wrong direction to go.
Madam Chair, I rise today in opposition to H.R. 1217, which would repeal the provision of the Patient Protection and Affordable Care Act (``Affordable Care Act'') that established the Prevention and Public Health Fund, a fund which serves as a great stride toward turning our ``sick-care'' system, where we focus on treating the injured and ill, into a true ``healthcare'' system that puts focus on keeping the population well.
It is because of all that the Prevention and Public Heath Fund accomplished in its first year, the overwhelming support the Fund has received from hundreds of organizations, and how essential prevention is to reducing the overall cost of healthcare for the American people, that I oppose the repeal of this Fund.
Despite my general opposition to this bill, yesterday in the Rules Committee meeting, I offered amendments to H.R. 1217, in order to remind this chamber and emphasize to the American people the importance and benefits of preventative care for the American public.
My amendments reaffirm to the American people that we as lawmakers understand the importance of preventative care by stating that it is the sense of Congress that prevention of disease and injury is overwhelmingly effective in improving our healthcare system and keeping that system affordable. Furthermore, preventative health care is an effective means for detecting and treating illnesses before they become serious and life threatening.
My amendments also make us as lawmakers accountable to the American people who have been and would be benefitting from the services and support provided through this fund. It gives notice to the public, through the Department of Health and Human Services' website, of the rescission of funds and the amount rescinded, increasing government's accountability.
I think most of my colleagues on both sides of the aisle would agree with me, as evidenced by the intense debate at the end of last week, when I say that we must address our nation's spending and growing deficit. However, it is of great concern to me that my friends on the other side of the aisle are attempting to do so by cutting cost-saving programs that are also essential to the health and wellbeing of Americans. This attempt, through H.R. 1217, to defund this essential program which was created under the Patient Protection and Affordable Care Act is of particular concern.
Today's youth may be the first generation to live shorter and less healthy lives than that of their parents, and this is largely due to increased rates of diseases and conditions which are preventable with proper and consistent healthcare. 75% of our country's healthcare costs are attributed to treatment of chronic diseases, most of which are preventable. However, less than 5% of our healthcare
spending goes towards preventing these diseases. Loss of productivity in the workforce attributed to chronic disease is estimated to cost the United States over $1 trillion each year.
With that being said, the 111th Congress, with the intent of seeing these grim statistics changes, appropriated $16.5 billion to be used, over the next ten years to support preventative care and research. Since its establishment the Fund has already begun to strengthen the infrastructure of our healthcare system on the state and national level.
The Prevention and Public Health fund, though it has only been in existence for one year, has already been used for:
Programs to promote tobacco control and implement tobacco cessation services and campaigns;
Obesity prevention which directly decreases risk for Diabetes;
Improving nutrition and access to fresh fruits and vegetables;
Increasing opportunities for recreational and physical activity;
HIV prevention;
Support of clinical and community-based disease prevention; and
Bolstering the health workforce by increasing health care personnel.
Money towards finding health solutions, rather than treating health problems, comes back to society in terms of increasing productivity, creating jobs, and reducing Medicare, Medicaid, and overall healthcare costs. With just a $10 per person investment towards improving community based activity, nutrition, and other preventative measures would create a return of $56 per person within only 5 years. That translates to a savings of $5.60 for every $1 invested in preventative health care. Most importantly, cost benefits extend beyond government to both American businesses and families; providing savings and an improved quality of life.
As a result of the Prevention and Public Health Fund, Texas received $6 million last year that went towards creating committees, testing facilities, laboratories, and training centers which brought over $2 million to the health prevention capacity of Houston alone.
Congress must maintain that the prevention of illness, the saving of lives, and the securing of a healthy public are top priorities, and that prevention is an undeniably effective means to achieve these ends. My amendments will do just that.
The total loss of $16 billion of funding for prevention efforts, an effective total eradication of our country's prevention program, will be unfortunate, and thus I urge my colleagues not to lose sight of importance of the Prevention and Public Health Fund's accomplishments and goals. Including:
The improvement of state and local health departments, giving them the capacity to respond to infections, natural disasters, and terrorist threats;
Creating a strong and healthy workforce that will be competitive in the global market; and
Saving families, businesses, and the government money, opposed to simply cutting costs.
While I do not support what H.R. 1217 purports to do, I urge my colleagues to join me in support of these essential changes to H.R. 1217 to acknowledge the need for preventative care and hold ourselves accountable for what would most certainly be a great loss to the public.
I have an amendment at the desk.
Madam Chair, I know sometimes in the rush of legislating, many Members are faced with any number of challenges in understanding legislation, but I do know that the majority has come with their own roadmap. And I do want to respect the different viewpoints, and I don't say this in any way to malign.
First of all, I'm grateful that this amendment was made in order, but I wish it wasn't because I understand that all legislation that passes needs to have in fact--or often has those who agree with it and those who do not. And that's fair enough.
And the process that we usually use to handle that is to amend, not repeal. There are some sections here that I have looked at and have concern with. And many have heard me on the floor of the House discussing a number of issues regarding my local hospitals. But I will say to you that the repeal of this bill is putting us on the road to ruin.
And my amendment is simple. It asks the HHS to place on its Web site the moneys rescinded so that the American people can see. For some it may be to see the great success of taking away money. For others, it may be to see what has happened to the resources that they need to take care of themselves.
Very quickly, this amendment requires for fiscal years 2010, 2011, 2012, 2013, 2014 to list the amount of money that is being taken away from good health care. But, Madam Chair, it will also hopefully point people to what they're losing.
For example, look at this beautiful baby here. We will not have, under the repeal of this Affordable Care Act, the bounty of preventative care. For those with chronic diseases, Americans who are subject to chronic disease such as heart disease, cancer, stroke and diabetes, their only care will be the emergency room, high-priced emergency room when they're in a diabetic coma or they're in a stroke or they have a heart attack, rather than be able to go to their doctors.
But we start early on with this little baby being able to go to wellness clinics or to their community health clinics. That's what the money that is being rescinded is going to do to you.
In addition, you will find that chronic diseases resulted in $75.3 billion loss in productivity in the State of Texas alone. This is going to be across America.
The rescissions will also impact all of the States. I have a list of almost 50 States that have begun to receive dollars from the Affordable Care Act--from Alabama, to Alaska, to Pennsylvania, to Massachusetts, to Michigan, to Rhode Island, and South Carolina, and Tennessee, and Texas. All of the States that my good friends come from, they are receiving money right now.
In addition to this issue of taking away money, Prevention for Healthy America concluded that investing $10 per person per year in proven community-based programs that increased physical activity, for example, improved nutrition, and prevents smoking and other tobacco could save the country more than $16 billion annually within 5 years.
When you see how much money was taken away, just realize that you multiply that. If it's a total of $16 billion, you're going to lose $16 billion a year because there will not be any wellness program. Community and clinical prevention, which is about $2 million. And so you will take away money from HIV
prevention, and that is a very costly proposal.
You'll take away from public health infrastructure; you'll take away from primary care residential expansion programs training residents and doctors. You'll take away from other medical assistance programs, expansion of physician assistant training. You'll take away from public health departments where they link people to needed health care. You'll take away childhood and adult immunizations and protecting the water we drink and the food we eat.
Let me just say to you that my amendment is to shine the light on what will be happening to the health care of Americans. I want my colleagues to tell their constituents, not those that are already focused on negative aspects of what we're trying to do here, but those who are just simply hardworking mothers and fathers who are trying to make a living and who need this health care.
Madam Chair, I would first like to state my clear position that I am adamantly opposed to H.R. 1217 and its repeal of the important Prevention and Public Health Fund created under the Affordable Care Act. The Fund saves lives and saves money.
If H.R. 1217 to repeal the Prevention and Public Health Fund provided under section 4002 of the Patient Protection and Affordable Care Act is enacted into law:
What my amendment does is: Requires the Department of Health and Human Services to post public notice on its official website of the Unobligated Funds from section 4002 of the Patient Protection and Affordable Care Act including the amount of the funds that will be rescinded.
This amendment will provide the public with important information about Preventive Health Care funding that will no longer be available for them to receive necessary preventive health care services.
This amendment also assists my Republican colleagues by permitting them to easily show the American public that they are cutting government spending, by how much they are cutting spending, and where they are cutting government spending. So I expect that my Republican colleagues will fully support this amendment.
Purpose of the Prevention and Public Health Fund (Section 4002 of the
Affordable Care Act)
When Congress passed the Affordable Care Act in 2010 and the President signed it into law, the Department of Health of Human Services was given the power to administer the program to provide for expanded and sustained national health investment in prevention and public health programs to improve public health programs and help restrain the growth in private and public health costs. This was already a cost cutting measure.
Nearly 11.7 million cases of seven common chronic diseases--cancers, diabetes, heart disease, hypertension, stroke, mental disorders, and pulmonary conditions--were reported in Texas in 2003.
The cost of treating those with chronic disease in Texas totaled about $17.2 billion.
Chronic diseases resulted in $75.3 billion in lost productivity and economic costs to Texas.
A new focus on prevention will offer Texas and the rest of our nation the opportunity to not only improve the health of Americans, but also control health care spending. A report from Trust for America's Health entitled Prevention for a Healthier America concluded that investing $10 per person per year in proven community-based programs that increase physical activity, improve nutrition, and prevent smoking and other tobacco use could save the country more than $16 billion annually within 5 years. This is a return of $5.60 for every $1 spent on preventive health care.
How the Fund Improves Wellness and Prevention for Texans
Since enactment of the Affordable Care Act on March 23, 2010, the Department of Health and Human Services has awarded approximately $17.63 million in grants to organizations in Texas through the Prevention and Public Health Fund to help improve wellness and prevention efforts, including:
Community and Clinical Prevention ($2,956,000): This funding supports prevention activities that have been shown to be effective in reducing health care costs and promoting health and wellness.
Primary and Behavioral Health Integration ($495,000). Assists communities with the integration of primary care services into community-based mental & behavioral health settings.
HIV Prevention ($2,359,000). Focuses on HIV prevention in high risk populations and communities by increasing HIV testing opportunities, linking HIV-infected persons with appropriate services, and filling critical gaps in data and understanding of the HIV epidemic.
Tobacco Cessation ($102,000). Strengthens Texas's ability to move towards implementing a plan to reduce tobacco use. It also enhances and expands the national network of tobacco cessation quitlines to significantly increase the number of tobacco users who quit each year.
Public Health Infrastructure ($2,084,000): These grants strengthen state and local capacity to prepare health departments to meet 21st century public health challenges and support the training of existing and next generation public health professionals.
Public Health Infrastructure ($800,000). Supports state, local, and tribal public health infrastructure to improve information technology, workforce training, and policy development.
Epidemiology and Laboratory Capacity ($634,000). Builds state and local capacity to prevent, detect, and respond to infectious disease outbreaks.
Public Health Training Centers ($650,000). Improve the public health system by enhancing skills of the current and future public health workforce.
Primary Care Training ($12,586,000): These funds support the expansion of the primary care workforce.
Primary Care Residency Expansion Program ($7,680,000). Increases the number of residents trained in family medicine, general internal medicine, and general pediatrics.
Advanced Nursing Education Expansion Program ($1,426,000). Increases the number of primary care nurse practitioners and nurse midwives who graduate by expanding class sizes and accelerating graduation rates for part-time students.
Expansion of Physician Assistant Training ($1,980,000). Improves access to primary care by funding the training of primary care physician assistants and expanding the primary care workforce.
Nurse-Managed Health Clinics ($1,500,000). Provide primary care and wellness services to underserved and vulnerable populations through clinics that are managed by advanced practice nurses and provide valuable clinical training sites for primary care nurse practitioners.
If the Prevention and Public Health Fund is cut and its Unobligated Funds Rescinded our health care costs will soar and the results will be catastrophic. The Fund saves lives and saves money.
if the funds are rescinded
America's local health departments need the Prevention and Public Health Fund to help prevent diseases and protect health in ways that health insurance companies or medical care providers cannot.
Local health departments:
Link people who need healthcare with ways to get it.
Detect and stop outbreaks of disease.
Help people make healthier choices in diet, exercise, and tobacco use to prevent and reduce chronic disease.
Provide childhood and adult immunizations.
Protect the water we drink and the food we eat.
Help new parents give babies a healthy start at home.
Inspect schools and day care centers for health and safety.
Conduct screenings for cancer, heart disease, diabetes, childhood lead poisoning, tuberculosis, and other infectious diseases.
The Prevention and Public Health Fund is critically needed to stabilize the ability of local health departments to protect their communities from health threats and help individuals and families lead productive and healthy lives. Please oppose this attempt by H.R. 1217 to eliminate funding for the Prevention and Public Health Fund. A healthy future depends on it.
If H.R. 1217 passes this Chamber and is enacted into law, it is important for the American People to have notice of the rescission of funds for the Prevention and Public Health Fund program. Since the Department of Health and Human Services administers the Fund, it is only appropriate that public notice be given on the official HHS website and include the amount of funds rescinded. In this way, the American public will know that the public funding they rely upon has been cancelled for preventive health care and the Transparency of Spending Cuts will be further promoted in a manner that my Republican Colleagues will also appreciate.
I would urge all Members of Congress to support my amendment.
I yield back the balance of my time.