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tv   U.S. House Meets for Legislative Business  CSPAN  March 21, 2017 4:12pm-6:28pm EDT

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here's what the rule means. plain meaning of a statute is clear on its face when its meaning is obvious -- face, when its meaning is obvious, the court has no business looking beyond the meaning to the statute's purpose. and that's what you used. right? mr. gorsuch: that's what was argued to us by both sides, senator. mr. franken: that's what you -- that's what you used. mr. gorsuch: both sides argued that the plain meaning supported there -- mr. franken: and you used it to come to your conclusion. mr. gorsuch: both sides. mr. franken: the plain meaning rule has an exception. when using the plain meaning rule -- [captioning performed by the national captioning institute, which is responsible for its caption content and accuracy. visit] [captions copyright national cable satellite corp. 2017] >> this hearings live at c-span3 and on we'll re-air all of it tonight at 8:00 eastern over on c-span2. now live back to the house for votes. ordering the previous question on house resolution 210, adopting house resolution 210,
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if ordered, and suspending the rules and passing h.r. 1297. the first electronic vote will be conducted as a 15-minute vote. remaining electronic votes will be conducted as five-minute votes. the unfinished business is the vote on ordering the previous question on house resolution 210 onhich the yeas and nays are ordered. the clerk will report the title of the resolution. the clerk: house calendar number 23, house resolution 210, resolution providing for nsideration of the bill h.r. 1101, to amend title 1 of the retirement income security act of 1974 to improve access and choice for entrepreneurs with small businesses with respect to medical care for their employees. the speaker pro tempore: the question is on ordering the previous question. members will record their votes by electronic device. this will be a 15-minute vote. [captioning made possible by the national captioning institute, inc., in cooperation
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with the united states house of representatives. any use of the closed-captioned coverage of the house proceedings for political or commercial purposes is expressly prohibited by the u.s. house of representatives.]
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the speaker pro tempore: on this vote the yeas are 233 and the nays are 186.
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the previous question is ordered. the question is on the adoption of the resolution. those in favor say aye. those opposed, no. in the opinion of the chair, the ayes have it. mr. polis: madam speaker, on that i request a recorded vote. the speaker pro tempore: a recorded vote is requested. those favoring a recorded vote will rise. a sufficient number having arisen, a recorded vote is ordered. members will record their votes by electronic device. [captioning made possible by the national captioning institute, inc., in cooperation with the united states house of representatives. any use of the closed-captioned coverage of the house proceedings for political or commercial purposes is expressly prohibited by the u.s. house of representatives.]
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the speaker pro tempore: on this vote the yeas are 233, and the nays are 186. the resolution is adopted. without objection, the motion to reconsider is laid upon the table. he house will be in order. he house will be in order.
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members are advised to take their conversations off the floor. for what purpose does the gentleman from texas seek recognition? mr. sessions: i ask unanimous consent to speak out of order for one minute for the purpose of making an announcement. the speaker pro tempore: without objection, the gentleman is recognized. mr. sessions: madam speaker, the rules committee will be issues an announcement outlining the amendment process for two measures that will likely be before the rules committee next week. an amendment deadline has been set for monday, march 27, at 10:00 a.m., for h.r. 1215, the protecting access to care act of 2017. and h.r. 1304rk the self-insurance protection act. the text of these measures will be available on the rules committee website upon this
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announcement. please feel free to contact me or my staff if you have any questions. i would yield. >> i appreciate you informing us about next week. i'm concerned about this week still. could the gentleman inform me whether or not we'll have a c.b.o. score on the health care repeal bill that we're going to be taking up in rules tomorrow? mr. sessions: i appreciate the gentleman asking this question. and as the gentleman has previously asked up at the rules committee, i advise the gentleman that tomorrow at 10:00 a.m., the rules committee will be convening for the purpose of amendment and the discussion of the text that will come. and that it would be my belief that that would be available on or about -- in the evening hour, as i assume we will still be in. mr. mcgovern: will we have a c.b.o. score before the rules committee meets? mr. sessions: it is my belief that i will have one. the gentleman does understand that the c.b.o., in order to get it correctly processed, that we have not pushed them and they have advised us they
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would anticipate having a score they believe tomorrow evening. mr. mcgovern: i thank the gentleman. as i said in the rules committee, i just think, you know, under regular order, we ought to have the score and how many people will lose their health insurance before we consider it in the rules committee. mr. sessions: i respect the gentleman. thank you very much. madam speaker, we yield back our time. the speaker pro tempore: the gentleman yields back the balance of his time. without objection, five-minute voting will continue. the unfinished business is the vote on the motion of the gentleman from florida, mr. rutherford, to suspend the rules and pass h.r. 1297 on which the yeas and nays are ordered. the clerk will report the title of the bill. the clerk: union calendar number 21, h.r. 1297, a bill tie menled the homeland security act of -- to amend the homeland security act of 2002 to make technical corrections to the requirement that the secretary of homeland security submit quadrennial homeland security reviews and for other purposes. the speaker pro tempore: the question is, will the house suspend the rules and pass the bill. members will record their votes
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by electronic device. this is a five-minute vote. [captioning made possible by the national captioning institute, inc., in cooperation with the united states house of representatives. any use of the closed-captioned coverage of the house proceedings for political or commercial purposes is expressly prohibited by the u.s. house of representatives.]
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the speaker pro tempore: on this vote the yeas are 415, the nays are zero. 2/3 of those voting having responded in the affirmative, the rules are suspended, the bill is passed and, without
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objection, the motion to reconsider is laid on the table. he house will come to order. members, please remove your conversations. the chair will now entertain requests for one-minute speeches. for what purpose does the gentleman from pennsylvania rise? mr. thompson: mr. speaker, request unanimous consent to address the house for one minute, revise and extend my remarks. the speaker pro tempore: without objection, the gentleman is recognized for one minute. he house will come to order. mr. thompson: thank you, mr. speaker. today marks the 44th anniversary of the national agriculture day. which is celebrated in classrooms and communities --
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communities across the country. this year's theme is agriculture, food for life. as chairman of the nutrition subcommittee, i know that rings true. today marks a nationwide effort to tell the true story of american agriculture and remind citizens that agriculture is a part of all of us. the national ag day program encourage every american to understand how food and fiber products are produced. appreciate the role that agriculture plays in providing safe, abundant and affordable products. value the essential role of agriculture in maintaining a strong economy. acknowledge and consider career opportunities in agriculture, food, and the fiber industry. america's next wave of agriculture leaders are also in washington today. members of the national ff -- f.f.a. organization, 4-h, agriculture for america, and manrrs. your advocacy and leadership is critical to the future ofing aing consult. mr. speaker, our farmers feed and agriculture plays a
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critical role in modern society. i'd like to thank all americans who work in this essential industry. happy ag day. thank you, mr. speaker. i yield back the balance of my time. the speaker pro tempore: thank you. the gentleman yields back the balance of his time. he house will be in order. for what purpose does the gentleman from rhode island eek recognition? mr. langevin: i ask unanimous consent to address the house for one minute, to revise and extend my remarks. the speaker pro tempore: without objection, the gentleman is recognized for one minute. mr. langevin: mr. speaker, exactly seven years after the affordable care act became law, we now anticipate a vote this week on a republican plan to gut it. mr. speaker, the a.c.a. expanded health coverage to 20 million people and expanded medicaid to help our most vulnerable population. changes that resulted in coverage for more than 100,000
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rhode islanders. last week i joined democratic colleagues at a hearing to discuss the republican plan. a hearing republicans should have organized to assess the impact of their bill, which c.b.o. estimates will result in 14 million additional uninsured by 2018, and 24 million people losing their health insurance by 2026. mr. speaker, the republican plan is not the solution to strengthen our health system. it ignores the sick, the poor, the disabled and the elderly. mr. speaker, americans cannot benefit from the systemic changes in care delivery, the breakthrough treatments of tomorrow, or improved access to today's therapies if the republican plan is passed. mr. speaker, we should be working in a bipartisan way to improve the affordable care act, not gutting it. i yield back the balance of my time. . the speaker pro tempore: the gentleman yields back. for what purpose does the gentleman from texas seek recognition? mr. poe: mr. speaker, i ask
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unanimous consent to address the house for one minute anto revise andxtd my remarks. the speaker pro tempore: without objection, the gentleman is recognized for one minute. mr. poe: mr. speaker, a 14-year-old girl last week was kidnapped off the streets of houston, texas, after being held against her will for five days, she was taken to a motel where she met a person named denise coronado. coronado was no friend. instead, she threatened the girl. coronado ground cigarettes into the girl's body. she threatened everyone that the child loved. e published photographs on, selling her into sex slavely. in one-week period she was forced to have sex with more than 20 men. but she escaped. the victims never truly escape. the horrors sometimes live with them forever. we can no longer be ignorant to modern day slavery. my legislation, the shame act, gives federal judges the ability to publish the names and photographs of convicted
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buyers and sellers of human. those who sell or buy the innocence of children should be shamed for all of them to see, put their photographs on back page, and that's just the way it is. yield back. the speaker pro tempore: the house will come to order. for what purpose does the gentleman from georgia seek recognition? mr. johnson: i ask unanimous consent to address the house for one minute and to revise and extend. the speaker pro tempore: without objection, the gentleman is recognized for one minute. mr. johnson: thank you, mr. speaker. i rise to introduce a bipartisan resolution which vit lying october 17 o'day. it results in the loss of skin pigmentation. 50 million people worldwide are diagnosed with them. in the united states more than two pple has it. michael jackson had it.
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it can result in low self-esteem, anxiety and depression. people with this disease are especially vulnerable to being bullied because of their looks. they are more likely to perform poorly at school. by naming october 17, 2017 as national vitiligo day, we will provide support for individuals diagnosed with this in an effort to improve their quality of life. and with that, mr. speaker, i yield back. the speaker pro tempore: the gentleman yields back. for what purpose does the gentleman from california seek recognition? >> i ask unanimous consent to address the house for one minute and to revise and extend my remarks. the speaker pro tempore: without objection, the gentleman is recognized for one minute. >> thank you, mr. speaker. i rise today gravely concerned for the lives put at risk by the americans repeal scheme. trump has flip flopped on his promises to the american
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people. i recently heard from a person named nancy who lives in my district. nancy said i am not asking for a handout. i have been an employed taxpayer for close to 40 years. nancy was able to pursue her dream by opening her small business because she can nally afford her own health care. is bill bre trump's promise to nancy and to mill of americans. it does not lower deductibles or drug prices, and it doesn't provide better coverage. instead, they are purposefully taking away the health insurance from 24 million americans by cutting $170 billion from medicare and $880 billion from medicaid. and why are they doing this? simply to give a $600 billion tax cut to millionaires. let me be very clear. this bill hurts kids, women, families, working people, the disabled and seniors. i yield back. the speaker pro tempore: the gentleman yields back. for what purpose does the gentlewoman from michigan seek
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recognition? without objection, the gentlewoman is recognized for ne minute. mrs. lawrence: mr. speaker, i rise today to illustrate the importance of the u.s.-canada relationship. one is based on shared values, shared hopes and shared dreams. the united states and canada has established strong partnerships to provide leadership on climate change, clean energy and the environment. the united states and canada share deeply connected economies and enjoy the largest bilateral trade and investment relationship in the united states. we average in trade $1.3 million in goods and services. nearly nine million u.s. jobs depend on trade with canada. in my state of michigan, over 250,000 jobs depend on the
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u.s.-canada trade and investment, making canada the number one customer for the state of michigan. our two countries share the common goal of creating jobs, protecting workers. am proud to call canada a friend, an ally and a partner. thank you, mr. speaker, i yield back. the speaker pro tempore: the gentlelady yields back. for what purpose does the gentleman rise? >> i ask unanimous consent to address the house for one minute. the speaker pro tempore: without objection, the gentleman is recognized for one minute. >> mr. speaker, i rise today to cognize central cultural dominicano in new york. it began in new york city, in the neighborhood of washington heights, where a group of immigrants bonded over weekly game over the classic board game dominos to ensure their cultural roots. ver time they made the
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decision to formalize himself in order to protect their own identity in culral heritage. they incorporated march 23 of 1966. after the years past what initially began as a way for friends, new and old, to stay in touch through the power of sports, blossoming into what is institutionally and athletic one of the most important centers of dominican americans and their friends in the 13th congressional district. mr. espaillat: over the past 50 years they have hosted numerous recreational sports tournaments and played an integral role in many civic, cultural organizations. it provides its members with many vital forms of community services, e.s.l., citizenship for immigrants, folk lohr classes for young and the adults. additionally, they provide meals for the homeless, carries out frequent medical fairs.
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we are joined today, mr. speaker, by several members of dominicano, tivo santiago cruz, carlos lardom and others are here to celebrate that. thank you, mr. speaker. i yield back the balance of my time. the speaker pro tempore: thank you. the gentleman yields back. for what purpose does the gentlewoman from washington seek recognition? >> i ask unanimous consent to address the house for one minute and to revise and extend my remarks. the speaker pro tempore: without objection, the gentleman is recognized for one inute. >> thank you, mr. speaker. republicans hatched up the latest plan to deprive more than 24 million americans of their health care. let me say that again. 24 million people. in fact, perhaps more because we have yet to receive the c.b.o. estimates on this latest play. ms. jayapal: this incarnation of trumpcare would freeze medicaid expansion in its tracks on top of the $880
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billion cut that was already in the bill. in my home state of washington, his plan would put in jeopardy 600,000 people assisted by medicaid expansion, people who gained access critical treatment for substance abuse, diabetes and cancer screenings. dominick in seattle has a son who along with many others who suffer from asthma and other respiratory diseases will not be able to afford his inhaler anymore. nursing homes will shut down and throw thousands of grandparents out with no help. new so-called work requirements will add even more obstacles to health care coverage for our most vulnerable. trumpcare will strip coverage from 24 million. it is past time for my olleagues to reject this pay-even-more-for-even-less plan. thank you, mr. speaker. i yield back. the speaker pro tempore: the gentlelady yields back. are there further one-minute requests? under the speaker's announced policy of january 3, 2017, the
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gentleman from texas, mr. gohmert, is recognized for 60 minutes as the designee of the majority leader. mr. gohmert: thank you, mr. speaker. it's been an interesting couple of days. we heard from our president, and that was a great privilege this morning, to hear from him at our conference. an e were reminded what
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amazing victory predent trump some st november and that , id it was so very historic maybe as istoric going back clear to anew jackson's victory in828. and that took me back, being he loveof history, being convinced over theears, as i majored in historyn colleague because i knew i would be in the army for four years so i would major in what i loved which was history although my late mother thought i should have majored in math or been a doctor or a college math professor but history i loved and continue to learn from history.
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the old adage is those who refuse to learn from history are destined to repeat it. the core lear that's not as ell -- correlary that's not as well-known is ose who do not learn from history find new ways to screw up. but the election that saw andw jackson become our president actually happened after four abysmal years, some would say the least productive four years any president has ever had, and it was actually a president who is a hero of mine, john quncy adams. he was the first son of a former president to be president. some have said he was probably the best educated president we've ever had having been educated at the best massachusetts had, england had, france had. e wrote books in german,
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fluently spoke french and would have had his way he would have married an american. when his mother abigail was not too pleased with the girl he thought was the love of his ife, he endeup being directed to england where he ended up falling in love with luisa and she ultimately became his wife, but apparently his mother didn't think she was quite fit but she became the first -- used to be able to say the only first lady the who was not had born in the united states. like i said, if he hadded his choice, first -- if he had had his choice, first choice, then his wife would have been born in the president.
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but it's the way things fall. and ed his wife dearly quite accomplished. he kept the most complete journal of anybody we've had as president and he knew slavery was wrong. he knew slavery was destroying our country, that we could never reach the potential that god had for this country unless we eliminated slavery. he had corresponded with a guy from england named william wilburforce, who dedicated his life to eliminating slavery in the british isles and british territory. but he ran for president in 1824. no one won with the electoral votes. it was thrown to the house of representatives.
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and john quincy adams garnered the favor of henry clay in the threw his hen clay support behind john quincy adams, adams then won the presidency. . adams had some friends who were close to him. they knew his heart. they knew his heart was pure and his intentions were clearly nothing but the very best for the united states. they knew him to be a man of honor a man of integrity a man of his word. he had not made any kind of deal with henry clay. to make him secretary of state. but as a man of honor, a man of integrity, he could not understand why he couldn't go
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ahead, why he shouldn't go ahead and appoint henry clay to be secretary of state. his closest friends said, john, if you appoint henry clay to be secretary of state, you will never, ever be able to convince anybody in congress, the house, or senate, you'll never convince anybody in washington but your closest friends, those of white house love you, you'll never convince the rest of the world or posterity that you had not cut a deal with henry clay that in return for his support for you being president, you would make him secretary of state. please, appoint him to anything but not secretary of state. it's going to look like you made a deal and bought the presidency with the appointment. but there were those who did not love john quincy adams, didn't
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reallyave that mu respect for him. and would have beenine he had noton t election. but he had won the election. and those that didn't care about john quincy adams encouraged him, sure, appoint henry clay. it's your choice. you appoint whoever you want. those that loved john said, john, it's not a good idea. people are going to brand you improperly. we know you're honest. those are not really your friends that are telling you to just appoint henry clay to be secretary of state. go ahead. and he didn't listen to the closest friends that loved him and cared about him. he listened to those who didn't care if he succeeded or failed. so he appointed henry clay to be secretary of state. some historians would say he had
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the least productive four years of any president in history. it's always arguable. but there are clearly times throughout his time as four -- throughout his four years as president when he backed bills and pushed bills that would have been good for the united states and that should have had the support of both the house and nate, when they couldn't get past simp tissue couldn't get passed simply because people thought he had bought the office with the appointment of henry clay to secretary of state. and so they went against anything and everything that john quincyda tied to support thereaer. and that may seem kind of a strange story to pull out from history, except i was reminded
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of it as i thought about today and i thought about some folks at even in october, they didn't care about donald trump getting elected president. they didn't really support him. at that point. so they've encouraged him, you go ahead and let's do this bill that we're bringing to the floor and just never mind the fact that prices will not come down unless you want to say 10% other three years, maybe 10%. after the prices will probably continue to go up for those same three years. we may be able to cut 10% off at some point. why? because we're not stripping the regulation, the regulatory
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authority out of obamacare. we're only repealing part of it. and we're leaving all -- almost all of the part that is driven -- that has driven costs through the roof. it's driven the price of health insurance through the roof. it's blown the deductible so high that so many of my constituents and friends know they'll never have enough cash to pay for the deductible to even get to a claim that the insurance company would pay. when the know that prices of health insurance don't come down over the next few say people are going to
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president trump broke his .romise to repeal obamacare he only got part of it, but the monopolies that have begun to grow in the health insurance market grew bigger and fatter. and man who wanted to do an honorable thing for america and get rid of obamacare that cost people their insurance, their ctor, their medicine, that caused so much suffering and heartache as people struggle with their health care bills, he just -- he promised he'd get rid of it he wanted to deliver on his promise. and he's been told by people who weren't really sure if they cared if he won or lost that
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gee, just pass this. this will be great. just pass anything. pass something. we'll call it a victory and move on. but these are the times when it's very important to take an assessment of those who want to and those who really don't care. there are those who have felt that if -- on the republican side, that if donald trump was defeated that would be the end of the tea party movement, that of populism rising up agast the runaway socialism, the runaway assault on religious freedom, second amendment, american public rose up and this is our first chance to really deliver
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on our promises. i hope that the votes are not all there yet. so that we can reach an agreement so that we can include in the bill that comes to the floor, not an amendment we vote on, so that it can be voted down, but actually included in at bill so that we take out least a big hunk of what has caused health insurance prices to skyrocket. and if we can do that, we can have a win this week, one that we can all feel good about on our side of the aisle and even my friends on the other side of the aisle if we do the right thing and make sure that we take action, that actually legitimately brings down health
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insurance costs, then my friends on the other side of the aisle ll hear good reports, joyful remarks, gratitude that insurance prices have come down, we can now afford it, our deductible is lower, we're building a health savings account. it's great. there's some good things that can come out of the vote this is week. take advice from those who are not as concerned , then ir total success this could be the start of a presidency that was as unpleasant as john quincy adams' presidency, which ended up
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leading to the inevitable result of his defeat in 1828 to andrew jackson. i hope we keep our promise. with that, i yield back. the speaker pro tempore: the gentleman yields back. under the speaker's announced policy of january 3, 017, the gentleman from california, mr. garamendi is recognized for 60 minutes as the designee of the minority leader.
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mr. garamendi: mr. speaker, thank you for this opportunity to iscuss the subject of -- continue the discussion. my colleague from texas really left here a moment ago with a plea about bringing down the cost of health care. in america. actually, it was the cost of premiums in america. and that's a plea that i think all 435 of us would echo. it would certainly be our goal as representatives of the american people to find some way to accplish that. some way to bring down the cost of premiums i'd like just to make a point
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right at the outset, when discussing health care, there are really two connected but very separate parts to the health care system. one part is the delivery of medical services. these are the doctors, some of whom are in organizations of doctors of various specialties. some are in large practices such as the kaiser practice. some are in hospitals, disconnected from doctors. but there's a plethora of different ways in which medical services are delivered. that's the delivery of medical services. that's one part of it. the other part of the health care system in america and really anywhere in the world is the collection of money to pay for the services. now in the united states, we have many different ways to collect the money. one of them is through taxes. and this is how we pay for
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medicare. and medicate. -- and medicaid. what we call medi-cal in california. we pay for veterans' medical services through collection of taxes and children's health services and some other programs that are much smaller. that's one way in which we collect the money to pay for services. you might call those single payer. taxpayer services. taxpayers. money being spent on services delivered by that whole range of providers. some of which happen to be government providers, for example, the veterans administration, and mlitary medical services. now, the other kind -- the her way in which we collect money to pay for services are premiums. health insurance premiums that are charged by health insurance companies, the largest single
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part of of -- part of that is from corporations. businesses. that buy health insurance and pay the premiums and the other are individuals. this is the individual insurance market. there are some small group markets out there also. but these two systems we need to understand that they are different. they are connected, obviously. now if we are going to deal with the cost of health care, excuse me, let me start this over. if we're going to deal with the cost of premiums, you have to go over and deal with the cost of health care. because the health care drives the pleem yums and also drives the amount of money that we need to raise to pay for the services that are provided by the various governmental programs. now, in the affordable care act, which is now some seven years old, thurs of this week, the
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seventh anniversary of the passage of the affordable care act, there are some very owerful meck anymores -- mechanisms to reduce the cost of health care. doctors, hospitals and the rest. some of these are electronic medical records so that there's a continuity of knowledge as to what happened, what was provided, what services were provided to the individual. another one happens to be a penalty assessed on hospitals r hospital readmissions on hospital-acquired infections. profound in driving down the ost. also, extremely important for individuals house hospital infection rates dramatically dropped. there's also ways in which we pay for the services. it's very clear thatle
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utilization of fee for service drove up the cost. anyway, as we go through this discussion today on the affordable care act -- and i see i'm being joined by my colleagues here -- i just want us to keep in mind that in order to deal with the cost of premium you've got to deal with the cost of services that are provided. now, in the affordable care act, we actually saw over the last five years as the affordable care act, obamacare, went into effect, a decrease in the rate of increase. we haven't seen in the decrease of the cost of medical services, but what we've seen is the inflation rate has significantly reduced. so much so that the financial security of the medicare program, which is the single biggest expenditure, has been extended by some 11 years, because the inflation rate has
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declined, not decreased, but the rate of inflation has declined to almost 50% of what it was before the affordable care act. and that is a direct result of the many reforms that went into the way in which medical services were delivered. that allowed for a lower inflation rate for premiums and an extension of the financial viability of medicare and other medical programs. now, unfortunately we are now faced with a repeal or a partial repeal of the affordable care act, and the promise has been made by my republican colleagues that somehow this will reduce the premiums. well, that's interesting. exactly how are you going to
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reduce the premiums unless you're dealing with the cost of medical care? in their reforms, there is, as best i can determine and everybody else, no effective way to reduce the cost of medical services, and in fact the high probability that the cost of medical services will increase. specifically, because in their proposed reform, men and women that are 45, 50 to 65 are going to find it virtually impossible to continue to buy insurance. they will drop their insurance. that's part of those 14 million americans that will lose their insurance next year and part of the 24 million americans that will not have insurance nine years from now. that population, before they
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get to medicare, when they begin to get ill, 40, 50, 60, they will not be able to afford insurance. it is something like a $12,000 increase in cost to them. it's what is known as the senior tax. now, that will drive up the st of medical services because they will not be able to have continuity of care. their diabetes, their heart issues, and on and on will not be treated. similarly, in the proposed significant is a reduction in the number of men and women across this nation -- and we're talking probably in the range of four million to six million in the next two years that will not be covered under the medicaid program. those people not having access
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to continuous medical services will not see treatment for those illnesses that can be treated effectively or held in advance such as diabetes, heart disease and the like. that means that the cost of medical care for them will rise. where will they go to get medical care? not to worry, says our republican colleagues. they can go to the emergency room. we've been there. we've seen what that means. >> if the gentleman will yield? mr. garamendi: i will be delighted to yield. let me make a couple final points here and then i will yield to you. the medicaidrogram is unraveled, the expansion of the medicaid is unraveled by the proposed trumpcare. i'm going to come back to this. i'd like to ask my colleague from texas to carry on here, if
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you would. ms. jackson lee: well, i am going to take just a moment. this is an excellent presentation, congressman. i think our constituents should be aware and our colleagues of your enormous knowledge as the former state insurance administrator in california, years of service to the people of california, and we are grateful for that analysis because you are right on the money, if you will, on the disaster or the questioning that comes about through two points. the existing bill and then now an amendment, which has been called meaningless, that will be on the floor on thursday. meaning that this bill has been amended by those who want to make it worse. we sat in the budget committee thursday with ranking member yarmuth all day, most of the day, trying to debate these
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numbers. and so i just want to make points about wellness, about some of the criteria that maybe is misrepresented as making the insurance product more expensive but to the republicans, 10 years, 20 years ago, the product you had may not had been worth what you paid. and the product we have now, pre-existing condition, staon yourents' insurae until you're 26, certain criteria that the insurance companies must have. so by the nature of the market, premiums go up to take in the idea that there are, in quotes, better benefits. i thought there should had been better benefits. there was a formula which pushed millenniums into the pool or into the persons that will purchase insurance. now, let me be very clear. i think we have not seen the
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end of the story. i believe that 10 years, 15 years, the population, young population, they will buy insurance. it's an educational curve, and so as they buy insurance, they will create that cushion. now, let me make this other point. in premiums raised under this republican bill, really raised, and then there are smoke and mirrors to say, oh, at a certain point, it will go down 10%, but it go down on the raised amount. if you allow the affordable care act to continue, we have a very large piece of wellness. talk to your doctors. it's working. individuals are coming in, taking advantage of the wellness check so they are not testasized ith me cancers, coming in with strokes because they get wellness care. when you get wellness care
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premiums go down because you get more people. i want to finish on this point of medicaid that we were just debating. over and over again it doesn't seem like there was any understanding that medicaid is now part of people's insurance. nd it is not a situation where i've seen many of my constituents stand on a street corner with a sign saying, "give me medicaid." you get medicaid either through the expanded medicaid, and for our colleagues, that means you are in a state where your insurance comes through expanded medicaid or you are sick and elderly person in a nursing home or disabled person or you are blind or you are a pregnant mother, pregnant woman, or you are a mother with children or you are on the children health insurance program which i was here in 1997 when this miraculous bill came forward and we established the children's health insurance program which is a medicaid-based program which gives millions of children insurance. but under this bill, all of
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that will be capped. it will be per capita. so the $880 billion is being cut, my fellow americans, ladies and gentlemen, from your insurance. and finally, this bill could not be more cruel. besides the ailing that are in nursing homes -- and i do want to tell one story of an individual who got into the nursing home, mr. garamendi, because they didn't have insurance to take their medicine and it resulted in heart attack and stroke. they are not an old person, but they are totally disabled and they're in the nursing home on medicaid now. but in the budget committee, two amendments came up that i was just stunned. you work very hard on the oipped legislation, so -- opioid legislation. many members worked on this. they had an amendment saying no able-bodied man or person should get medicaid. i don't know what that
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definition is. are you an addicted young person, wholly addicted on opioids that need medical treatment? able-bodied person because you are sick and addictive? don't incentivize medicaid. i am trying to find out what that means because all of my hospitals -- and i think one of the things the affordable care act has done was to question costs and to work hard to bring costs down in hospital care and to have an accountability assessment on that -- but to finish, i have not heard my rural hospitals, i have no heard my public hospitals, i have not heard the texas medical center talk about people being incentivized to get medicaid. they're sick and they come in for whatever they have. the last point is someone gave an example that they were able to have a transplant because they were under the affordable care act with the expanded medicaid. i want to thank the gentleman
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for raising these very important points. but it baffles me that there is such a skewing of a very successful legislation, it was a very difficult piece of legislation, it took years, the affordable care act, and it is doing what it was supposed to do. as we heard before, you can get more insurance companies. we have to do something with the premiums and that's fixing or improving, but that's not what we're doing here. we're literally cutting people off of insurance. i'll give you the number that i keep using. 2026, 52 million americans will be uninsured and that will be our constituents all over the nation, and that is because of the underlying bill, this bill that's coming up now which there are those who want it to be even worse. i just heard a gentleman say he wants to take away all the mandates. it will be worse on the american people, and i don't want to make america sick again. i yield back to the gentleman. mr. garamendi: i want to thank the gentlelady from texas, sheila jackson lee, for your
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consistent and constant caring for men and women in this nation that are on the outside, that are not among the wealthy, that are struggling with their families to improve their situation. you're always there, and here you are once again this evening laying out the problems that we're going to see with trumpcare. ms. jackson lee: i thank the gentleman. mr. garamendi: let me very quickly turn back to this and i'll yield to my colleague from rhode island, mr. cicilline. the proposal that's on the floor, we could just lay out five very succinct arguments on why it doesn't work. i was going through a rather complete explanation of how the health care system works because it's kind of a basic understanding. but clearly under the legislation that's going to be taken up this thursday, americans are going to pay more
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for less, and it's not just a few, the senior citizens in edicare are going to see a dem -- lower in benefits. we are going to see the 40 and 50-year-olds and other individuals pay more for less. we are going to look over the next nine years, 24 million americans will lose their insurance or their opportunity to get insurance. and just this next year, just 18 months from now -- excuse me -- not 18 months from now, nine months from now, we will see 14 million people begin to lose their insurance. i talked earlier about this age tax which speaks to those people that are 50 to 65 years of age, they are, under this legislation, going to pay up to five times more than someone who's between 20 and 30 years
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of age. present law says they can pay -- they can be charged no more than three times what a 20 to 30-year-old pays so this is what is known as an age tax. it simply shifts the cost to those 40, 50, 60-year-old people who happen to be the most expensive, and i talked about the $12,000 that they'll have to pay in addition to that. it guts medicaid. we call it medi-cal in california, medicaid across the country. the expansion of medicaid was an important event, not only to those who have no income, 85% of those on medicaid are elderly, in nursing homes, or elderly poor unable to provide sufficient income from social security. those are called the dual eligible, or children. 85% of them. now in the the affordable care
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act there was what was known as mediid expansion. those are t working men and women, families, who have less than 138% of the poverty rate. so those are the low-income working men and women who are medi-calet medicaid or insurance in california. it simply guts it in a variety of ways. but you can bet and you can count on there being less support for the elderly that are in nursing homes. there'll be less support for the young families, the single mother families who are struggling to get along. probably going to school, trying to learn skills, and for the working family who are at $10 an hour minimum wage. and finally this is the one that ought to drive americans right off the rails. $270 billion ping
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tax reduction for the top 1%. of americans. 400 families in america. the richest 400. four of which are in the current trump administration, including the president himself, will see decrease in a year their taxes. that's great. i'm sure the president will enjoy that $7 million tax reduction, along with the $3 million or $4 million he's getting from the taxpayers every year so he can go to his home in florida. this is obscene. this is obscene because the way in which this thing works, woingennd families across america at every income level are going to get less. they're going to pay for more.
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yet the super wealthy in america are going to get a whopping tax reduction. this is the income distribution that we should never have. to take from the poor, to take from the middle class, and give to the super wealthy. i'll come back and discuss this. right now i'd like to turn to my colleague from rhode island, mr. cicilline. mr. cicilline: thank you. i thank the gentleman for yielding and thank you for leading this special order hour. we can really talk about the impact of what is about to happen if the republicans get their way and pass trumpcare. i think it's important to recognize that this proposal that is currently before the house will substantially hurt the american people. beginning with, as your chart demonstrates, the loss of coverage when fully implemented for 24 million americans. who will no longer have access to affordable health care and will be uninsured by 2026.
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those are our friends, our neighbors, our family members who no longer will have health coverage. in addition, it provides an enormous tax break for the wealthiest people in this country. in fact, the total value of these tax breaks over the decade are $600 billion. so the richest individuals and biggest corporations, the largest transfer of wealth from working families to the very rich in our nation's history. and how -- and to acome tate this tax break, to give this huge tax benefit to the richest americans and the largest corporations, they achieve this by stealing health care from millions of families all across this country, and by cutting billions of dollars from medicaid and medicare. as you said, mr. garamendi, the 400 richest families will each enjoy a $7 million tax cut. the way they paid for that is they take away health care from
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millions of americans. the impact on our economy, the estimates are that the new analysis from the center for american progress they conclude that trumpcare will destroy 1.8 million jobs. we are all focused on how to we get people back to work, how do we create good-paying jobs, this is a job-killer. trumpcare will cost 1. million jobs, a less of ability to provide for yourself, your family, and prvide for your future. people will be paying more money for less quality care. deductibles and out of pocket expenses will skyrocket, leaving sick people unable to afford the care they need. and particularly as you mentioned, there'll be an age tax. older americans will pay more. their premiums will go up at a faster pace because they're allow to charge more based on their age. young people are also hurt. young people are hit with a millenial tax.
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ty put a 30% premium surcharge on tse re-enrolling after a lapse in coverage, which is often the case particularly with young people who are people who have lost a job and be out of workful they'll be penalized with a 30% premium. the impact on women of the republican proposal, this trumpcare proposal, is devastating. in addition to new restrictions on comprehensive health care for women, this republican bill, trumpcare, defunds planned paraphernaliahood and will make it much more difficult for women to access essential preventive care and affordable contraception. as i mentioned, the middle-aged for can -- the change tax, example, a 64-year-old individual with an income of $26,000 in the usual market will pay $12,900 more in their premiums each year. that's almost half their income. under the republican plan.
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10 it's going to really hit those who are above 65 but haven't yet hit the age to receive medicare especially hard. also trumpcare hurt ours seniors by weakening medicaid and medicare. shortens the life of the medicare trust fund by three years. steals $880 billion from medicaid, which as you mentioned is the principal source of long-term care for seniors. and also it does damage to the protection for people who have pre-existing conditions. because someone who has a lapse in coverage will be subjected to a 30% premium on top of those in favor say aye base premium. on to have ofr -- their base premium. you take all of this together, it's worse coverage, worse care, higher cost, huge tax cut for the richest people in this country, for drug companies, insurance companies, c.e.o.'s, and to be -- and to pay for
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their tax cuts we take away insurance from the most vulnerable and from working people in this country. you know, we have all received both emails and phone calls and had conversations with those that we have the privilege of representing and they've shared with us these heart wrenching stories of what it would mean to lose their health care. and in my state, i'm proud to say that with the implementation of the affordable care act, obamacare, we have the highest rate of coverage we have ever had in our state's history 97% of rhode islanders have access to quality, affordable health care. it's great, makes a difference, people -- it makes a difference in the lives and quality of life of everyone. and i want to just share with you if i may, mr. garamendi, an email that i got from a constituent just recently from lincoln, rhode island, brenda. and she said, if all goes well, i'm literally going into surgery for hip replacement on march 16
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of this year. though hip replacement is seen as elective, the pain i deal with now interferes with my quality of life. without it, i'll end up in a wheelchair in a few years. without the a.c.a., i wouldn't be able to have this operation. i don't own a home for collateral and have a 19-year-old car. i work full-time in a hotel for $12 an hour. i have not had a raise in four years. we have no benefits at all, including health care. we have no paid time autofor sick days, personal days, or vacation. i'm not confident enough to move to another job with my current physical limitations which has reached a point where it interferes with every activity, including sleeping. my doctor is aware i get medical through the a.c.a. and have been helpful and diligent about getting me in soon, knowing that there's a major threat for those whose only way of coverage is through the a.c.a. my condition may not be life
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threatening but it would limit where i could live, if and where i could work, and most likely leave me on social securityties ability which most people can't live on. i have a few years of productive life ahead of me, and i receive a subsidy to pay for insurance premiums. linda is one person whose life is being preserved because of this health care. she can eliminate the pain she's suffering and lead a productive life. there are millions and millions of americans who have the same story who was benefited from the affordable care act who will be deeply harmed when that insurance is ripped away if republicans get their way and pass trumpcare. i want to end by saying thank you again to you, mr. garamendi, and to also mention you referenced in your remarks the process that has produced this very, very troubling piece of legislation. unlike the process that produced
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the affordable care ac that occurred over many, many months, many hearings where i -- 121 republican amendments were accepted into the bill and still didn't earn a seungle republican vote, and yet through trump care over 100 democratic amendments were offered in three committees of jurisdiction, not a single democratic amendment was accepted. so even efforts to try to improve a terrible bill were rejected in the committee process and that's because they're intent on making sure they deliver this big tax cut for the special interests who sent them here to washington an they're going to try to do it on the backs of the hard working hemoof -- people of this country and we have to continue to stand up and fight and do everything we can to prevent it from happening. i yield back an thank the gentleman for yielding. mr. garamendi: mr. cicilline, thank you, there's no better fighter than you and the representation a -- representation you give to the people of rhode island and
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beyond. you couldn't be more accurate about what you said. i was listening carefully to the story you told of the person who wrote you an email. i, too, have received many, many emails. i was thinking when you described the situation, a woman who runs her own small farm near marysville and for years she could not i afford insurance. she had a small orchard, farm, couldn't afford insurance. when she got sick she went to the emergency room, she was able to get along. but she knew as she approached 50 years of age she would be facing a bad medical situation. and she did. cancer. she couldn't get a policy prior to the affordable care act because she had a pre-existing condition. she had cancer. emergency rooms are not treating that. she wasn't able to get on a program. she was going to die. about that time, we established in california the covered california program based opinion
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-- that's an exchange based on the affordable care act and she because of her income was able to get a comprehensive insurance her and a subsidy for premium. she then had quality insurance. and she was able to get the cancer treatment. no pre-existing conditions. able to afford it. she had to pay a little bit. she had a subsidy that made up the difference. she's now looking at a situation because she's in that age, 50 to 65, where she will not be able to afford a $12,000 or $14,000 a year premium because the subsidies are taken out and because of this age tax, the one to five ratio, rather than the one to three ratio. it is horrific. she knows what she's facing. she's facing the loss of her insurance. and quite possibly the less of
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her life. this is wrong. this is wrong, mr. cicilline. thank you for joining us tonight. you seem to want to make another comment. mr. cicilline: no, no. just thinking there are so many people i have heard from, in my own district and i know colleagues have heard the same thing, of you know, we talk about these numbers, 24 million people will lose their insurance. billions of dollars in tax breakers in richest people in this country. behind every one of these numbers is a real person whose life will be destroyed or devastated because they don't have access to quality, affordable health care. this is the richest, most powerful country in the world. we areell on the way to having a system in wh everyone can afford and have access to quality, affordable health care. we made huge progress on the affordable care act. it's not perfect. we have always been willing to say, how do we make it better? the notion that in the midst of this pro-- process we would
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deprive or pass a piece of legislation, trumpcare that would take away insurance from 24 million people, that will raise premium, raise out of pocket cost, undermine medicare and medicaid, all so you can give a big tax cut to the wealthiest people in this country. i think it's very important as we speak about this to remember, behind every one of these numbers is a story of a real person. a real family. just like the woman you described, like brenda in lincoln, rhode island, whose lives will be hurt, who are going to face devastating consequences because they don't have access to basic, quality health care, which is a right in this country, every american should have access to. this sets us back so far, it's difficult to imagine what our colleagues on the other side of the aisle are thinking. r. garamendi: marcy kaptur has arrived. if you care to share your
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thoughts on the affordable care act as it exists. and i know in your area, it is an a very important attribute and known as the rust belt and the effect of trumpcare, ryancare on your citizens. ms. kaptur: thank you, congressman, very much for taking the time after formal votes have occurred today to help us enlighten the american people at what is at stake here. president trump carried the state of ohio by 0,00 votes out of all the votes that were cast. and there was a slim hope i think on behalf of some of the people that voted for him, that though he was a billionaire that perhaps there was a kind heart that would minister to the people of our country helping them get more jobs and deal with their every day challenges including health care. unfortunately this bill is cruel
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and it is dangerous. it helps the billionaire class. what in heaven's name of the people that are drafting this bill on the republican side of the aisle would they be giving billions and billions and billions of tax giveaways to the wealthiest people in our country. if you take away a couple million, they wouldn't miss it. when you have that much money, normal life is kind of distant from your world. but what trumpcare is giving to the rank and file, people are going to have to pay more for less coverage and millions and millions of people are going to lose their coverage completely. now, you know, 75% of the people that go bankrupt in this country go bankrupt because of health bills that they can'tay for. and so when you start tinkering
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around with people's health insurance and their coverage, you are playing with wildfire. and that's what's happening on the republican side of the aisle. now, the -- used to be that most americans received their health insurance through employment, just like in germany. we had an employment-based health insurance system. i liked that system. i like for workers to share in the profits of the companies that they helped make money for. but what's been happening over the years with so much outsourcing that wall street is more than happy to finance, right? companies are plucked up from ohio and put in mexico, put in china, put in all these other places around the world. people lose their health insurance. they lose everything. they are lucky if they can hang on to their houses. and then what happens? if they are lucky, they might get a job that pays a third of
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what they earned before in a company that doesn't pay health insurance. take wal-mart, the biggest employer in the country. go take a look at their employees and what what is happening? the corporations are throwing on the backs of the public sector, the federal government the responsibility to pay for health insurance, so all the profits that wal-mart makes doesn't benefit the workers there with any health insurance. the companies have ceded their health insurance as a condition of health and they have given it to the taxpayer. what is going on here is a big shift in responsibility. the congressional budget office which is nonpartisan and the head of it is a republican, they report that trumpcare next year alone, 14 million fewer americans will have health insurance, those currently on
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the affordable care act will drop off and i'm worried about the citizens of ohio who work for wal-mart and small employers who couldn't afford health insurance or some of g corporations who spit them t, are going to be among these numbers by 2020, 21 million will lose their coverage in the country, 24 million by 2026 and perhaps the total number of uninsured americans rising to reach 523 million. that's going backwards. in this bill, they expect 70 million people who are currently on medicaid, guess what? they are in nursing homes. the republican party says they are the pro-life party. baloney. this is an anti--life bill. this is going to cost illness and death across this country. here's a story already in my
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district in ohio. a man named joseph is self-employed and used to get insurance through his wife's employer. she retired and now the family faced a choice, forced upon them by the republican leaders in congress and president trump. they face the threat of no health care coverage. so joseph heard all this debate here and wasn't sure what was going to happen to him in this fiscal year of 2017 and his choice was to go on the exchange and afraid they were going to pull the rug out from him or guarantee of 18 months expensive obra insurance so he opted for cobra which cost him and his family in hundreds and hundreds of dollars and putting off a knee replacement of the
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consideration of this bill is causing. don't tell me that this isn't cruel and dangerous and this family isn't the only one in america that is facing that kind of terrible, terrible health choice. the president trump:p care proposal in ohio, we are going to have hundreds of thousands of people out of work, nurses, long-term care aides. i had people from hospice in my office and we were talking about home-health care for patients versus institutional care, the rising number of vietnam veterans coming into hospice facilities. guess what? who is going to pay for all of that in the trumpcare? these people will be dropped. we will cap the money and then what happens after 2020? it's like dropping out of an airplane with no parachute. good luck. good luck. we can't do this.
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this is a death bill. this is a death nil for the american people. we can't allow the american people to be treated in this manner. we ought to be repairing and fixing and looking in the win shield and not the rear view mirror and not putting tens of millions of americans at risk. and over $600 billion in tax giveaways to the richest people in this country, many of whom caused the financial problems in 2008. i have families in my district that are still under water. the wealthy of this country starting with wall street owe the american people a lot. and all those employers who abandoned their responsibility and pushed the cost of health inrance on the public sector because they didn't have the
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dees sensey to help ensure their own workers. shame on you. and the small businesses that finally got health insurance through this program, thank you for respecting your workers. thank you for respecting the affordable care act. we can do a whole lot better than trumpcare. and i feel sorry that this new president for whom many of the people in ohio voted dolled up this flawed piece of legislation that is cruel and honestly will result in many more illnesses because people worry billion health insurance and worry about the affordability of health insurance. congressman garamendi, thank you for having this special order and for inviting me to participate. mr. garamendi: thank you for joining us. you asked about the health care. i'm going to do this very quickly and turn to my colleague
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from arizona. under ryan-trumpcare, huge tax cuts for millions. let's focus on that for a second. it's a huge -- it's the largest shift of wealth from the working men and women in america, poor and up through the middle class to the wealthiest that has ever occurred in any tax break, reagan taxes, you name the taxes, including the bush taxes, this is the largest shift of wealth. over $300 billion in the next nine years. as we have said before, the 400 wealthiest families, four of whom are now in the president and three in the trump cabinet will get over a huge reduction in their taxes. he top 1/10 of 1% will receive
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nearly $200,000 reduction in their taxes. that's the top 1/10 of 1%. the -- beyond that, $300 billion will go to the wealthy. the top 20% of americans will get 75% of the tax breaks. the remaining 80% of ams would then share the remaining very small percentage. it's part of this enormous shift of wealth and this does not take into account the fact that americans are going to pay a whole lot more for their insurance. in addition to the tax cuts, there is this issue of hire rates and less benefits going forward. the top 1/10 of 1% will receive nearly $200,000 a year in taxes. the top 1% will get 57%.
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300 op 20% gets 75% of the -plus billion tax cut and everybody else, the top 90 -- the lower 90% will share in the remaining 43%. different ways of looking at these numbers. the fact of the matter is, it is a tax cut that guts the money necessary for medicare expansion and for the tax subsidies that people count on in order to survive. it's obscene. ms. kaptur: may i inject and i won't take up much time. in this job, you need everybody. and i come from a working class family and we had to work for everything we had. i thank my constituents in my district for allowing me to serve. and one of the things i have learned when you are that wealthy, they purchase their own doctors and purchase their own
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nurses and have special houses that they put them in on their property. so, it isn't just the tax cut that goes to the wealthiest amongst us, but the imbalance between those who have much and those who eek out a living is growing greater and greater and greater in our society. everyone should have good health care. but when you can do that, you are not living in the real world as the vast majority of americans live in. mr. garamendi: let's stalk about the view from arizona. first year in congress, welcome. mr. o'halleran: thank you, mr. garamendi. i rise today to share the story of a young boy who lives in my distric named cameron. he was born with a congenital heart defect but after successful surgery at five weeks of age has given him a shot at
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life. ke most eight 8-year-olds, full of life. he will le with this forhe rest of his life. his parents shared this story with me recently and exprsed their concerns not jusabout cameron but thchildren of america who are under this type of a process. they have affordable coverage under the affordable care ac despite cameron's pre-existing conditions. but, mr.peaker, they have concerns that future coverage will be unaffordable and unattainable as he grows up under the american health care act also known as trumpcare. i share these concerns. i cannot support legislation that will drastically raise premiums for families like him. and disproportionately, impact
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rural communities in my district. it is my hope that moving forward, congress can work in a bipartisan solution to improve the health and well-being of americans and their children that protect those who need it most. we cannot to play partisan politics wi the lives of our constituents, our children, our small businesses and the people of america. mr. speaker, i yield back. . mr. garamendi: thank you very much. the stories of your cotituents are echoed across all of our constituencies all across america. i now would like to rn to my colleague from california, from the great central valley, mr. jim costa. mr. costa: thank you very much, congressman garamendi. not onlyor focus and passion you sho for this very important issue, trying to ensure that we have health care for all americans, but also the leadership you have demonstrated over the years,
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that you and i have worked together in california on so many different iues. the affordableare act as we know has provided health care for over 20 milli americans. since its implementation, over six years ago, the a.c.a. in my district, which is fress mow, madera and merced counties, has decreased the uninsured rate from 22% to 11%. it's cut in half. you know, i have a marvels, wonderful district that i take great pride in representing. it is one of the largest agricultural areas in the country. significant wealth. but sadly it has significant poverty. and it's the combination of those two that make it a place where immigrants have come for decades, immigrants past and immigrants present, to make a better life for themselves. 19,000 individuals in my district havetance, being
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able to purchase coverage through the california cover marketplace. 121,000 individuals in my district are now covered by the affordable care act's medicaid expansion. the cuts that are proposed in this republican proposal would devastate those individuals not only in my district, but in your district, congressman garamendi, and throughout the valley. you know, my republican colleagues, the five of us from modesto down to bakersfield, almost 500,000 people today have insurance coverage that did not have it six years ago. let me give you some real examples. tom lives in fresno, california. he's 57 years old. in 2015, due to a major heart attack, he had to leave his job of 29 years. tom's health insurance, though, did not lapse because as a result of the affordable care act, he gained affordable health coverage insurance
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through covered california marketplace. in addition, his family wrote to my office saying that they cannot envision his recovery being a success, had it not been for the a.c.a. another one of my constituents, john, who lives in fresno, told my office that without the a.c.a., he and his wife would not have been able to afford cancer surgery for his wife. she is now cancer-free. and we know how expensive that can be. austin, one of those americans that volunteered to serve his nation, a vietnam veteran, lives in my district, told my office that his wife was paying $830 a month before the affordable care act. now she can afford health care at $400 a month. cut in half. not every story with the a.c.a. is a success story. it's not perfect. there are problems with the act. we should be working on -- act we should be working on. i remember when you were the insurance commissioner of
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california. and one of the areas that you developed a lot of expertise and experience, on how to keel with the insurance industry. certainly -- deal with the insurance industry. certainly there are improvements that can be made. the a.c.a. raises cost and does not provide enough insurance options for themselves or their employees, some say. so we need to work together to fix the provisions in the law that drive up the cost. and weaken the insurance marketplace. this month the american health care act was introduced to repeal and replace the a.c.a. by our republican colleagues. i do not believe the american health care act is a serious solution to fixing the problems we have in the a.c.a. the legislation we know would provide less financial help to low-income families, and seniors, which we both represent. the american health care act would dramatically change the way we finance medicaid, by shifting from an open-ended reimbursement system to a person allotment or block grant. which will cap the amount of
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money in california that receive medicaid. and that is dramatic. and it is devastating. this would force california to choose how to allocate increasingly a smaller number of medicaid dollars and would decrease the care available to medicaid beneficiaries, which, congressman garamendi, you and i care deeply about. thousands of individuals in the san joaquin valley would be impacted. no, hundreds of thousands of people would be impacted. additionally, the legislation will not mandate individuals purchase health insurance. instead, insurance would be able to attach a 30% surcharge. think about that. on individuals who have a lapse in coverage. i mean, i don't think that's going to play well in peoria or in california. so this will provide disincentive for young and healthy people to buy insurance . it's important to note that in order for insurance marketplace to work, there needs to be healthy people in the system to help pay for sick people. when the speaker said that, you know, healthy people are
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subsidizing sick people, well, i'm not an insurance expert. but isn't that the way insurance works? good drivers pay for poor drivers. right? if you don't have a pool, a balanced pool, it doesn't work. one last point i want to make. passing the affordable care act , and i was here in 2010, and it wasn't pretty, took one year. dozens of committee hearings in several committees, multiple versions of the bill, in the house and the senate. various revisions of it. and we tried to get the republicans involved. we tried to get them to participate. we took amendments that they gave. but a at some point they decided -- but at some point they decided, no, they were going to go it alone or force us to go it alone. i think they're making the same mistake that possibly we made six years ago. i think that's sad. because i think the american public wants us to work together. less than one month after introducing their repeal bill,
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which will be before us this week, and replace, and clearly the replace is still a work in progress, the house is going to pass a bill on a party-line vote on thursday, maybe, without, without an updated c.b.o. score. i mean, you know, i thought, what, we're going to have transparency? the light of day. know what taxpayers are paying, what they're getting, what they're not getting. i guess not on thursday. so the c.b.o. scores how in congress and the public analyze how legislation limb pact states and citizens. but we're not working to get that vital information. this last week i hosted a health care workshop to hear from all of my hospital health care providers, clinics, doctors, nurses, to ask what they thought of the affordable care act and what we can do to fix the law. what they told me is there are a lot of things we can do to make it rrent law to
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better. but they said the health care act that's being offered as a replace -- repeal and replace is not a solution to providing the much-needed health care we need in california and that we need in our country. at the end of the day, john, and i -- you and i know that working together is how you get things done. on a bipartisan basis we can make a difference. but not the way we're going. so, i think that your reference and my -- efforts and my efforts as we continue to try to urge commonsense to prevail is what we need to do. and i will unfortunately not be able to vote for this measure on thursday. because it really is going to negatively impact hundreds of thousands of people in the san jouin valley that will lose their coverage as a result of this repeal and replace. i thank you for your time and your passion and your efforts. mr. garamendi: mr. costa, thank you so very much for your
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excellent presentation. you covered many, many of the issues. i want to just wrap up with just a couple of thoughts. one of my republican friends came up to me earlier today and he said, i don't understand. i don't understand what it is that our team is doing. all we're doing is changing the name and hurting people. i thought about that for a few moments. yes, it's ryanre or trumpcare, but people are going to be hurt. all across this nation. one more story and i think we'll probably wrap up here. and that is, my wife's hair stylist. young lady, married. private business. trying to get along. nd not enough money to buy insurance. the affordable care act goes into place, she looks at the exchange, she's able to get insurance, comprehensive
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insurance, maternity care, and at an affordable price. because of the subsidies that are built into . she was so happy when she talked to my wife. she said, i have insurance, for the first time in my life i'm able to buy insurae. and i'm going to get pregnant. i'm going to have the baby that my husband and i have always anted. because now we have insurance. not just for myself, but for my child. nd my husband. next visit, she's going, they're not going to take it away, are they? they're not going to take it aw, are they? well, yes. for 14illion americans nt year, 2018, nine months from now, 14 million americans will begin to lose their insurance. i'm not sure if this young lady will be among them. or the farm lady that i talked
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about earlier. but they're at risk all across america. million pple in less than a year. and then beyond that, over the ensuing years, 24 million americans. it's been argued that the affordable care act is in a death spiral. i wa the insurance commissioner in californifor eight years and that is not true. it's an alternate fact. the fact of the matter is that the affordable care act is rking. not without some problems here and there but it is working. it is not in aeath spiral. that's probably a good place to leave it. xcept thistum cair, -- tum cair, ryan-- trumpcare, ryancare is a problem. you're being t -- going to pay more, get less. an age tax on seniors and a huge tax break for the super
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wealthy in erica. mr. speaker, i think my time as expired andield back. the speaker pro tempore: does the gentleman from california have a motion? mr. garamdi: mr. speaker, i move to adjourn. the speaker pro tempore: the question is on the motion to adjourn. those in favor say aye. those opposed, no. the ayes have it. the notion is adopted. -- motion is adopted. accordingly, the house stands adjourned until 10:00 a.m. tomorrow


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