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tv   Rule Debate on Health Care Bills  CSPAN  May 4, 2017 11:07pm-12:27am EDT

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macarthur and mr. upton to explain their amendments and a dress questions from the committee members and ms. mcsally tokes plane her legislation. this rule provide for further consideration of h.r. 162le 8, the american health care act and incorporates three amendments, that strengthen the underlying bill. it also provides for consideration of h.r. 2192, legislation authored by representative mcsally with one hour of debate equally divided and controlled by the chair and ranking member of the committee on energy and commerce. mr. speaker, all across our country the affordable care act continues to strip hardworking americans and families of access to affordable and quality medical care and offer them skyrocketing premiums and anemic provider networks in return. democrats have struggled -- smuggled obamacare with little guard, left lofty promise that is benefit a bureaucratic machine. seven years later we have seen these overwhelm prisses evaporate as they lose access to their doctors, loose the
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insurance plan they would promise would remain intact, and our friends across the aisle claim the coverage been expanded, individuals who never had quality health care before is have access. wish that were two bru but it's not. i wish my colleagues and i didn't hear from neighbor after neighbor to accept a.c.a. insurance who avoids medical care all together because their deductible is hy. but we do hear from them because americans are suffering as insurance providers flea from the not so free market. . you see, coverage doesn't mean access to care. we have heard too often that individuals may have health coverage but can't use it because their premiums and deductibles are too high because they can't afford the care. what good is the coverage does a woman who has earns $22,000 a year and has $5,000 deductible? what good does it do to say we want to grow the economy and create jobs when american businesses are struggling to keep their doors open due to
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the obamacare mandate? we have witnessed insurers dropping out of the exchanges and seen premiums climbing while consumers are left with less and less choice. five states have one option and nothing guarantees their residents will keep that much. obamacare has hijacked the free market and has taken some americans' liberties with it. exchanging freedom, choice, self-determination at the hands of big brothers leaves us too often without security. we know obamacare was designed to keep a single payer system inevitable and to the extent a single payer system means a zero choice system, the prophecy is already coming true. families can't save for retirement or save for a mortgage because premiums suck up their budget. people who want a p.p.o. can't because their county only offers h.m.o. plans. veterans find obamacare has given more federal funding to more abled-bodied americans.
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a young mother who wants to take care of her young son to the family doctor post-obamacare can't because she can't find a provider that will take their new insurance. ms. ivey was work for a small business. their family went to the individual market where a mid-level plan took 65 home runs of her monthly gross income even after small federal subsidy. unabled to afford insurance through her employer, she returned to the federal exchange where she obtained a plan whether neither her nor her children's doctors would accept the affordable care act destroyed the insurance market along with the benefits that competition and innovation offer all of us. the american people deserve better. obamacare replaced our doctors with bureaucrats because that's what socialized medicine does.
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and the american health care act is our last chance to get off the federal ferris wheel before we're locked into a health care system that takes us nowhere and offers neighbors nothing but heartburn. the american health care act guts the most egregious provisions of obamacare, rolls back taxes, helps make quality care accessible and affordable. mr. speaker, it's one of the reasons i came to congress was to repeal and replace obamacare and rein in our nation's bloated ballooning entitlement system. the american health care act does that and for the first time making major reforms to an entitlement program, medicaid. it rolls back the medicaid expansion under obamacare, one of the fundamental pillars, and it makes structural changes to the program to makes sure it only goes to the individuals where it's intended to help. the american health care act has states to -- let's states choose between the per capita cap and increases growth rate to cover disabled and the elderly medicaid populations.
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the bill enacts patients under reforms and creates a patient and state fund to help stabilize insurance markets that have contracted during obamacare. over the course of the last several weeks, we have worked in this house to strengthen the bill. we have listened to feedback from constituents, neighbors, stakeholders and each other. importantly, coverage for individuals with pre-existing conditions is maintained as a baseline within the bill. n amendment from the macarthur protects individuals with pre-existing conditions from being denied coverage. states can seek a waiver. individuals with pre-existing conditions will not be left out to dry. in fact, there are conditions attached to the waiver that ensures states use funds provided by the bill should they receive the waiver to set up high-risk pools for those very individuals. with the addition of the upton amendment, the bill provides $108 billion to help states fund programs such as high-risk pools. mr. speaker, my home state of georgia has a very different need than california. that's why i think it makes sense to give states more say
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in what works for their population. our plan does this but it do so in a way that ensures protections exist for vulnerable populations. the rule provides for representative mcsally's legislation to ensure members of congress and their staff are treated the same as all americans. i fully support this bill and firmly believe elected officials should be required to live under the same laws as those elected to represent. president trump has made his support of the american health care act and its strengthening amendments are clear and i stand with him in supporting this legislation to gut obamacare and rescue the american people. mr. speaker, average premiums rose by 40% or more in 11 states just this year. the statistics and the stories speak for themselves. we must act to dismantle obamacare and the american health care act does that. i support the rule before us today to provide further improvements to the bill and look forward to supporting both the rule and the underlying bill. with that, mr. speaker, i reserve the balance of my time.
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the speaker pro tempore: does the gentleman half the time to the minority, 30 minutes? mr. collins: did i in my opening statement, mr. speaker. the speaker pro tempore: so ordered. and the gentleman from massachusetts is recognized. mr. mcgovern: well, thank you, mr. speaker. i want to thank my friend from georgia, mr. collins, for the customary 30 minutes. i want to ask unanimous consent to revise and extend my remarks and i yield myself such time as i may consume. the speaker pro tempore: without objection, and the gentleman is recognized for as much time as he wishes to use. mr. mcgovern: thank you. pathetic -- that is the word to describe this process and this bill. if the american people could sue congress for malpractice, my republican friends would be in deep trouble. how could you do this? how could you do this to the american people? how can you do this to the people you represent? you are taking away essential health care protections. you are allowing insurance companies to discriminate against people with pre-existing conditions. you're supporting a bill that will throw 24 million people off of their health care and cut medicaid by $880 billion to
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give $1 trillion tax break to the wealthiest people in this country. what is wrong with you guys? today's rule self-executes three of the newest republican amendments to the republican health plan. this means without any sort of debate or discussion whatsoever the palmer, macarthur and upton amendment also magically pass the house. what i find so hard to believe about this latest backroom deal is they actually make this bill worse. i didn't think that was bad, mr. speaker. to shore up support among this chamber's most conservative faction, they made a deal with president trump to gut protections for individuals with pre-existing conditions and to eliminate essential health benefits like maternity care, mental health treatment and prescription drug coverage, just to name a few. these are among the most popular provisions of the affordable care act. and the american people
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wereably outrage and they showed up to thousands of town halls to express their anger and there were some on the republican side who actually listened. they had the courage to stand up and say no. but when republican leaders came up short in their whip count, representative upton ran to the white house and concocted a deal with president trump to try to win back votes. his amendment adds a measly $8 billion spread out over five years and an attempt to soften the devastating impact this bill will have on millions and millions of americans with pre-existing conditions. $8 billion over five years sounds like a lot, but when we are talking about an entire country it really isn't. but don't take it from me. robert graybois from a conservative center said, and i quote, the $8 billion amount is a pittance spread out over five years. it's a fifth of a pittance, end quote. this is not a left-wing organization. this is an organization founded
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by the koch industries, the koch brothers. my friends love the koch brothers. what's more, an additional $2 billion will be needed over the decade to adequately fund high-risk pools. so this amendment is billions upon billions upon billions of dollars short. and as the center for american progress points out, the upton amendment -- and let me quote -- will have almost no effect, end quote. now, my colleagues who have been won over by this should be ashamed of themselves. we're supposed to fix problems and help people, not merely settle for political cover that could be used in a press release. $8 billion to cover a $200 billion shortfall. back where i come from we call that being a cheap date. i guarantee you your constituents are going to figure this out and they will not be happy. so to so-called moderate republicans who have contorted themselves this week to try to find a fix to the damage being done to the people with
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pre-existing conditions, i have breaking news. i have a magic bullet fix if republicans really want to protect people with pre-existing conditions. are you ready? brace yourselves. don't change the law. everyone is already protected by the affordable care act, including people with pre-existing conditions and those who struggle to find affordable care. and let me say to my colleagues, to claim or imply that this republican plan covers pre-existing conditions is a lie. plain and simple. now, let me say a few words about the process that's been used to bring this bill to the floor. it has been a disaster from start to finish with secret negotiations, backroom deals and bribes to buy off factions within the republican conference. there have been no hearings on this bill whatsoever. and the republican leadership couldn't even slow down long enough to receive a score from the c.b.o. i have one simple question -- what's the rush? wait a week and get a c.b.o.
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score. why is that such a radical idea? mr. speaker, are republican leaders jamming this bill through to apiece donald trump? are they concerned that a new -- appease donald trump? are they concerned that a new c.b.o. score will show what is true, that this bill will be devastating to the people of this country, force even more people to lose their health care, especially to older, sick and low-income americans? or maybe, mr. speaker, republican leaders are worried their colleagues will go home over the week -- over this week-long break and actually hear from their constituents who overwhelmingly oppose this effort to repeal the affordable care act. honestly, i don't know how my republican friends can defend this terrible, closed, authoritarian process. it's an absolute disgrace, so i'd urge my colleagues to vote no on this bill, or better yet, i urge my republican colleagues to do what they did a couple weeks ago and pull this disastrous bill. with that i reserve my time. the speaker pro tempore: the gentleman from massachusetts reserves his time. the chair will receive a
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message. mo: mr. speaker, a message -- the messenger: mr. speaker, a message from the senate. the secretary: mr. speaker, i have been directed by the senate to inform the senate has agreed to h.j.res. 66, joint resolution disapproving the rules submitted by the department of labor relating to savings arrangements established by states for nongovernmental employees. the speaker pro tempore: the gentleman from georgia is recognized. mr. collins: i reserve, mr. speaker. the speaker pro tempore: reserves his time. the gentleman from massachusetts. mr. mcgovern: mr. speaker, i'm delighted to yield one minute to the gentleman from kentucky, the distinguished ranking member of the committee on budget, mr. yarmuth. the speaker pro tempore: the gentleman from kentucky is recognized for one minute. mr. yarmuth: i thank the gentleman for yielding. mr. speaker, the question every member of congress should be asking themselves today is, who in the world is better off because of today's bill? it's not the 24 million people the c.b.o. says will lose their health coverage if this bill becomes law.
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it's not the seniors who will be priced out of the market by an age tax or millions of families that will see their health care gutted by the more than $800 billion cuts to medicaid. nd it's not the $881,000 nonelderly adult -- 881,000 nonelderly adults in kentucky who will face reduced care. so who is better off? well, certainly corporations and millionaires who will see nearly $1 trillion in tax cuts from this bill. and at least in their minds, a few republican members who are so desperate for some type of political victory they're willing to risk the health and well-being of their constituents to ram through a bill without hearings, analysis or most alarmingly any sense of morality. that's the cruel tradeoff my republican colleagues have decided to make. our families deserve far better. i urge my republican colleagues to exercise better judgment and vote no on this bill. i yield back. the speaker pro tempore: the gentleman from kentucky yields back. the gentleman from massachusetts reserves.
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and the gentleman from georgia reserves. the gentleman from massachusetts. mr. mcgovern: mr. speaker, i am not sure my colleagues are aware of this because we're moving so quickly here. i want to flag an op-ed in "the hill." she points out in the latest version of this legislation, rape can once again be categorized as a pre-existing condition as it often was before the affordable care act. i'd like to ask unanimous consent to enter her column entitled "health reform will make sexual assaults sicker." the speaker pro tempore: without objection. mr. mcgovern: i yield one minute to the gentlelady from washington, ms. delbene. the speaker pro tempore: the gentlelady from washington is recognized for one minute. ms. delbene: this bill hurts middle-class families and disrupts our health care system and it's only gone from bad to worse. stripping protection fathers 133 million americans with pre-existing conditions isn't just wrong, it's inhumane. .
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nobody should go bankrupt trying to get the medical care they need to stay alive. this isn't about politics. it's about human decency and who we're as americans. it's about people like jackie a cancer survivor who said the affordable care act saved her life. she wrote to me saying, my cancer recurd but i was covered. i was able to complete my treatments without having to worry about how to put food on the table or being left to die. because of the a.c.a., i survived. we all have stories like this in our districts, but some of my colleagues aren't listening. i hope they find the courage and the wisdom to vote no on this dangerous legislation. i yield back. the speaker pro tempore: the gentlelady yields back. the gentleman from massachusetts is recognized. mr. mcgovern: mr. speaker, i'm delighted to yield one minute to the gentleman from texas, mr. castro. the speaker pro tempore: the gentleman from texas is recognized. thank you, mr.
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speaker. republicans over the last few months have said that they would fundamentally change health care in the united states. and it's clear today that they have. they have made it much worse. i want to highlight one provision that allows for states to permit insurers to get rid of essential health care benefits and charge people more who have pre-existing conditions. think about that for a second. in my home state of texas, the governor and other state leaders have already turned their back on so many people. allowing foster care children to sleep in state offices. allowing sex trafficking and human trafficking victims to go to jail because there is nowhere else to put them. you should ask yourselves, what will your leaders do? will they allow insurers to charge you more for pre-ex-ising condition like diabetes, cancer, and asthma? do you think and do you trust that they are going to dot right thing by you? because today -- do the right
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thing by you? because today this plan allows them to abandon you. i yield back. the speaker pro tempore: the gentleman yields back the balance of his time. the gentleman from georgia. mr. collins: thank you, mr. speaker. at this time i think one of the interesting things is -- discussed is the criticism of this. i think just a reminder, mr. speaker, what happened seven years ago when the utterly health care market which could have been helped by many good ideas was decided to be taken on a very unhealthy bent. we're paying the price for that. we're going to continue to see that unless we change that. we're changing it for the better. one of the strongest voices that we have had in this body is someone who is actually taken his living to take care of people. dr. burgess not only came to this congress with a strong voice of not only what doctors and the medical proinvestigation have, but it gives us an insight into what patients need as well. he's been a clarion voice through this whole process. before obamacare. during the disaster of obamacare. and now as we look to fix the problems that existed.
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with that i yield as much time as he may consume to the gentleman from texas, dr. burgess. the speaker pro tempore: the gentleman from texas is recognized for as much time as he wishes to use. mr. burgess: i thank the gentleman for yielding. mr. speaker, how did we get to that point? the affordable care act is simply not working for the american people. it is limiting choices. it is rising costs. it is leaving millions without access to care. and unfortunately these are not just talking points but very real issues affecting very real americans. the affordable care act has left the individual market in shambles and driven insurers away from offering coverage. now we're seeing 1/3, 1/3 of all counties in the united states of america with only a single insurer. and among the plans that have chosen to remain in these markets there have been widespread double-digit premium increases. in texas, premiums have jumped
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29% a year on average from 2014 to 2017. the markets are in difficulty. they are failing to live up to the promise made seven years ago that americans would be able to receive, and i quote, affordable care, close quote. as we knew then and still know now, this was an empty promise and has priced over it 19 million americans out of the market. what's worse these individuals are forced to pay the individual mandate penalty or seek a hardship exemption because of the cost to purchase and use their health insurance. mr. speaker, 11 months ago speaker ryan released the better way plan to save the nation's health care system and bring relief to the american people. this plan, which served as the blueprint for the american health care act, laid out policies to stabilize the
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markets damaged by the affordable care act, repeal the burdensome affordable care act taxes and mandates that have hindered innovation and limited access to care. so let's take a look at what the american health care act does. first and foremost, the american health care act provides immediate relief to the state insurance markets. as republicans we know that one-size-fits-all works for no one and certainly did not work for the individual markets. the states should have the flexibility to support their insurance markets and ensure that plans can continue to provide options for coverage. to do this we relax two of the more egregious market regulations that were imposed -- imposed under the affordable care act. the mandate pleemums cannot vary for younger and older americans by more than three to one ratio, and the mandate creating fixed actuarial values for plans. the mandate limiting a plan's
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ability to set premiums by age has driven up the cost of coverage for younger and healthier americans and subsequently pushed them away from seeking coverage by the millions. of the over 19 million americans who have side stepped the individual market, it is estimated that as many as 45% of these individuals are under the age of 35. without these younger americans seeking coverage, the markets have plunged. as insurers have hiked up premiums year after year to compensate for unhealthy risk pools. to change this, there is relaxation of the five to one ratio. it will lower premium costs and provide necessary opportunities to stabilize markets. we also give states the option, the choice, to go higher or go lower which honors the spirit of federalism. additionally, we're repealing the actuarial values mandate to provide insurance -- insurers with additional flexibility to offer more coverage options.
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the requirement for insurers to offer specified bronze, silver, and gold level tiers has limited consumer choice, driving even more individuals away from seeking coverage and further contributing to the collapse of the health care markets. to further slement these -- supplement these efforts, we're upping the states fund. it provides states access to a tote a.f.l. over $140 billion over 10 years to promote innovative solutions to lower costs and increase access to health care for their unique patient populations. mr. speaker, the goal is simple, to provide states with maximum flexibility in how they address the cost of care for their citizens. the american health care act provides states with options for how to use funds, including providing financial assistance or high-cost individuals incentivizing insurance participation in the those markets, reducing the cost of
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insurance, promoting access to preventive service, and reducing out-of-pocket costs for patients. the congressional budget office estimates the combination of the stability fund and other pro-consumer changes would reduce premiums by 10% below current projections of 2026. we want patients to have access to high quality, affordably priced health coverage. the patient and state stability fund can help states lower costs and can increase access to high quality health care for their citizens. in addition to supporting the insurance markets, the american health care act creates needed reforms through the medicaid program itself. without any changes the medicaid -- current medicaid expansion is expected to cost $1 trillion in 10 years' time. $1 trillion a year in 10 years' time. medicaid needs reform so that states can continue to provide coverage to children, people
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with disabilities, and other vulnerable groups. the very populations that this safety net program was created to serve. to address these concerns the american health care act first phases out the compade expansion, not traditional but medicaid expansion. the expansion has hurt state budgets and limited states' abilities to ensure that resources will continue to be available for the vulnerable populations for which medicaid was designed. by phasing out expansion, we're providing states with greater budget autonomy. additionally, our bill helps further bend the medicaid cost curve by shifting the program toward a per beneficiary allotment. per beneficiary allotment set limits on the annual growth per capita expenditures for which the states will receive matching funds from the federal government. per beneficiary allotments create greater fiscal
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accountability and ensure that the program can continue to exist for years to come. this is not a new idea. this was an idea put forward by president clinton and at one time supported by every democratic member of the senate in 1995. second, the american health care act increases the amount of flexibility that states have in managing their medicaid program. the bill scales back the affordable care act mandates that have limited a state's ability to tailor plans towards the needs of beneficiaries. states can and states should be trusted to effectively manage the needs of their medicaid beneficiaries. the american health care act will allow them to do so. additionally, the american health care act furthers the goal of providing the states with greater flexibility in managing their medicaid programs by providing states with the option to implement two additional opportunities. work requirements and block grants for medicaid. when the affordable care act
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was being debated, some of the most consistent complaints that we heard throughout the discussion came from governors and state representatives expressing concerns about the negative consequences that they saw on the horizon. this time around we chose to engage our state counterparts in the discussion and listen to their input as we designed the bill and at the top of their list was a desire to see the work requirements built in to the medicaid and the expansion populations and the opportunity to work with medicaid as a block grant. republicans trust that states know what works for their respective populations and we're not going to stand in the way of states seeking to design medicaid programs that work for them. finally, the american health care act provides additional resources to bolster state it offers roviders enhanced funding to support the safety net providers in states
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that did not expand medicaid, and ends, ends the cuts to disproportionate share of hospital payments, cuts that are going to occur under current law on october 1 of this year. we're committed to ensuring that our local providers can continue to deliver lifesaving care and that the american health care act turns this commitment into action. for the millions of americans in rural and medically underserved areas, these actions will provide needed relief that was undercut by the affordable care act and will allow these americans to continue to have access to care. moving forward, together these efforts will provide meaningful reform and relief for the states and individuals seeking health care. we're stabilizing the markets, reforming medicaid in the most substantial and consequential way in its 52-year history. and ensuring that all americans can maintain access to care through local safety net
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providers. we do recognize there is still more work to be done in health care. and that is why we only consider the american health care act to be the beginning. it is the key that gets us through the door into additional health reform. from here we will work with secretary price, at the department of health and human services, to further deregulate the marketplace and increase consumer choice in the health care markets, and we will enhance the american health care act with additional legislative efforts to further the goal of lowering health care costs. mr. speaker, this should be a very exciting time in health care with all of the knowledge that has been gained over the years in the practice of med skin sinn. i'm humble to be here today speaking in support of this legislation. it will begin the much awaited process of unwinding the affordable care act and we'll finally return patients to the center of health care. i yield back to the gentleman from georgia. the speaker pro tempore: the
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gentleman from georgia reserves his time. the gentleman from massachusetts. mr. mcgovern: let me put into the record the american cancer society. the american heart association, american lung association, cystic fibrosis foundation. jufe nigh diabetes foundation. march of dimes. national multiple sclerosis society, and the national coalition for women with heart disease among others. the speaker pro tempore: without objection. martin luther king govern:00-i will ask unanimous consent to insert in the record a statement from the american medical association in opposition to this bill. i asks unanimous consent to insert in the letter from the american academy of physicians in opposition to this bill and a letter from the aarp in opposition to this bill. the speaker pro tempore: without objection, so ordered. mr. mcgovern: if this bill was so great they would be supporting it, not opposing it and they are strongly opposing
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it. i yield one minute to the gentleman from texas, mr. doggett. the speaker pro tempore: the gentleman from texas is recognized for one minute. mr. doggett: the harsh ndifference to the republicans to the americans are so strong. trump had a tweet storm with fake news, but these republicans who follow him, they will not be able to find an excuse as one family after another suffers. today's surprise attack on american health care has been widely condemned by health care professionals across the country and those who represent the disabled and sick, like the cancer society and the march of dimes. jimmy kimmel, know that your baby was fortunate, but others born with a disability will face the barrier of pre-existing conditions. and they didn't listen to the aarp that knows that those americans too young for medicare by a few years will
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get socked with unaffordable premiums. they don't know what this monstrosity of a bill costs to the taxpayer. they don't know how many families will lose coverage, how many jobs will be lost. they don't really know what's in this bill. they know only that the pied piper of trump tower is playing a tune today and they must dance. there's much talk about high-risk pools. the real high-risk pool is the one that everyone who votes for this outrageous proposal is about to plunge into. i yield back. the speaker pro tempore: the gentleman yields back his time. the gentleman from massachusetts is recognized. mr. mcgovern: mr. speaker, at this point i'm proud to yield three minutes to the distinguished gentlewoman from new york, the ranking member of the rules committee, ms. slaughter. the speaker pro tempore: the gentlelady from new york is recognized for three minutes. ms. slaughter: thank you, mr. speaker. and i certainly thank my colleague for yielding me this
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time. i was fortunate enough to bring the a.c.a. to the floor after years of working on it. experts writing it. and it had such incredible things in it. i think it would behoove us to talk about what americans will lose because the benefits of the a.c.a. include all of us. now, you need to know first, 85 cents of every premium dollar will go for health care. it will go back to insurance profits. also going to lose the fact that families could no longer go bankrupt because of health care. the largest cause of bankruptcy of families was medical bills and the a.c.a. took care of that. nobody ever talks about that that much. if sangle person spent $45,000 a year on health care, a family, $12,500, the insurance companies picked up the rest of it. how about that? that's a pretty good loss, isn't it, that we're going to face?
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so why in the world are we rushing into this thing? well, the president of the united states, donald trump, verified as recently as last saturday evening in pennsylvania that we have to do this first because $800 billion has to come out of health care so they can do the tax bill with great corporate relief and tax relief for the 1%. so as you lose your health care, your ability to go to the doctor, your pre-existing conditions because risk pools don't work, be comforted by the fact that we are in the hands of people who put the needs of corporations and wealthy people ahead of the citizens of the united states. and just in case you think people aren't paying any attention, for the first time n my life, my office has 185 applications for six seats as interns in the summertime. it is unheard of. calls in my office have gone from about 10 a day to 80, all
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of them talking about this. i have never seen political suicide in my life like i'm seeing today, and i think our leader put it so succinctly, tattooing that on your fore head. now, those people out there who have gotten sort of used to this, all we heard all week long is this is going to fall apart. the problems going on with a.c.a. right now are that the insurance companies have such uncertainty because of what's been going on here. and i need to bring up one of he greatest hoaxes in american any institution that passes laws. for over 60 times you brought to the floor of this house and we debated bills to do away with the health care. repeal and replace, you shouted. illions and millions of time
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-- worth of time spent on this floor was an absolute hoax because you had no repeal and replace plan. it was simply all talk, and now you got to rush through this so you can do your big tax bill. i'm sorry to see this happen. it is a sad day for the united states. i yield back. the speaker pro tempore: the gentleman from georgia. mr. collins: verve. the speaker pro tempore: the gentleman from -- mr. collins: reserve. the speaker pro tempore: the gentleman from massachusetts. mr. mcgovern: i'd like to make an inquiry of the gentleman from georgia. mr. collins: yes. mr. mcgovern: i feel bad for you because it seems like you have one speaker supporting this rule. nearly our entire caucus wants to speak on this against the republican health care repeal bill. so i was wondering whether you might consider sharing time with us. mr. collins: as a wonderful manager of time, he will be able to parce time as he sees fit. i have other speakers that will
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come by. i encourage the manager to manage the time. mr. mcgovern: it looks lonely over there. it speaks volume to how many people support this bill. i yield one minute to the gentleman from new jersey, mr. pascrell. mr. pascrell: good morning, mr. speaker. the speaker pro tempore: the gentleman is recognized for one minute. mr. pascrell: i say to my friends on the other side, we -- you sold out cheap, as we say in new jersey, all to give tax breaks to insurance companies. the upton amendment is, of course, an admission. after seven years you came up with this? you got to be kidding me. this is worse than -- at least he accident sdnt take seven years to distinguish between fantasy and reality. for a new jerseyan with asthma, this will mean a $4,340 premium surcharge. for autism, $5,510. the list goes on and on.
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$60,000, $70,000 if you have cancer. but let's discuss the attempt to rid the essential health benefits which removes yet another a.c.a. protection for everyone. so now the republicans have head for the cycle. you jeopardize health care for near every single american, those on medicare, those on medicaid, those in the a.c.a. exchanges and now 150 million people with employer coverage. you sold out. it's a shame. i like most of you. you are on the wrong path and it took you seven years for this? i will never yield. i will never yield. the speaker pro tempore: members are reminded to direct their remarks to the chair, not to each other. the gentleman from georgia. mr. collins: reserve. the speaker pro tempore: the gentleman from massachusetts. mr. mcgovern: mr. speaker, i ask unanimous consent to insert in the letter from the american college of physicians in
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opposition to the bill. i ask unanimous consent to insert a letter from the cancer action network against this bill. i ask unanimous consent to insert a letter from the american society of clinical oncology against this bill. i ask unanimous consent to insert in the record a letter from the american congress of rehabilitation medicine against this bill. and i ask unanimous consent to insert into the record a letter from the consortium for citizens with disabilities against this bifment the speaker pro tempore: without objection, so ordered. mr. mcgovern: i yield one minute to the gentleman from massachusetts, mr. moulton. the speaker pro tempore: the gentleman from massachusetts is recognized for one minute. mr. moulton: mr. speaker, there's only one reason this bill is on the floor today. the president cares more about cutting a deal than keeping his promises. he promised we'd lower costs. that turned out to be a lie. he promised we'd expand coverage. that turned out to be a lie. he promised we'd protect millions of americans with
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pre-existing conditions. that, too, was a lie. back in massachusetts at a diner, i met a veteran named cliff who told me when i was on my way to washington for the first time to go to washington as an american, not as a democrat or a republican, but as an american. to my republican colleagues, heed cliff's advice today. don't vote as a republican. vote as an american. don't throw away your credibility to give a legislative victory to a president who will never stick his neck out for anyone other than himself. and for what? to betray the people who trusted them? i urge my republican colleagues to put country before party and vote no on this ridiculous bill. mr. speaker, i yield back. the speaker pro tempore: the gentleman yields back his time. members are reminded to refrain from engaging in personalities toward the president. the gentleman from georgia. mr. collins: mr. speaker, i think it is interesting today.
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we would not be here today if there were not the problems that you, mr. speaker, and i have seen. one third of this country has one insurer. premiums, double-digit increases. people who can afford maybe with subsidies the amount of their plan can't afford the deductibles and co-pays. they go to doctors who won't take their insurance. we're not here by mistake, mr. speaker. we're here because obamacare is an abject failure. with that i reserve. the speaker pro tempore: the gentleman from massachusetts. mr. mcgovern: mr. speaker, i ask unanimous consent to insert in the record a letter from the children's leadership council opposed to this bill. the speaker pro tempore: without objection. mr. mcgovern: i ask unanimous consent to insert in the record a letter from paralyzed veterans against this bill. i ask unanimous consent to insert in the record letter from the march of dimes against this bill. i ask unanimous consent to insert in letter from ask me in strong opposition to this bill and a letter from the national farmers association in strong opposition to this bill. the speaker pro tempore: without objection, so ordered. mr. mcgovern: at this point i yield one minute to the distinguished gentleman from massachusetts, the distinguished ranking member of the committee on ways and
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means, mr. neal. mr. neal: i ask unanimous consent to address the house for one minute. the speaker pro tempore: the gentleman from massachusetts is recognized for one minute. mr. neal: thank you, mr. speaker. thank you, mr. mcgovern. this procedure that we're witnessing here this morning based on what happened at the white house for the last 48 hours has all the charm of a ransom note. the idea that this is put in front of us so they can provide a tax cut at the expense of middle-class americans is really what we're voting on today. so that child who is born with diabetes across america can no longer be guaranteed health insurance if we turn this option over to the states. anybody who's come from local or state government, you know this. that money will be used to balance the budgets in economic downturns at the expense of those who need it for health care. and another essential point here as i think we go forward. the other side -- by the way, there's only two on the other side.
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what's amazing about this, when you consider that argument they had with us yesterday about national defense, understand this. real national defense also includes providing health care for members of the american family. that's a very important consideration. they are about to subtract from guaranteed benefits to the american family for the purpose of offering a tax cut to people at the very top, again, at the expense of middle-class americans. the speaker pro tempore: the gentleman's time has expired. the gentleman from georgia reserves his time, and the gentleman from massachusetts is recognized. mr. mcgovern: did the gentleman from georgia -- oh, good. people are finally coming in. mr. speaker, i yield one minute to the gentleman from new york, the chairman of the democratic caucus, mr. crowley. the speaker pro tempore: the gentleman from new york is recognized for one minute. mr. crowley: i thank the gentleman. well, here we go again. the majority thinks they finally found the right combination of political giveaways to pass their bill.
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a bill that we have to remember still kicks 24 million americans off their health care coverage. it still charges seniors more. it still takes away the most basic protections of your health plan that it should cover, and despite what you hear, this latest band-aid amendment is not going to change any of that. since this bill was built on backroom deals and haphazard guesses, we don't even know how much this bill will cost america. not just dollars added to the deficit but the human cost of how much more damaging this bill will be. it's the height of irresponsible governing, not just rushing something through without full and fair consideration. frankly, we're getting used to that on our side of the aisle. but to force through a bill that you know is going to hurt, it's going to hurt 24 million
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americans. it's more than irresponsible. it's just plain wrong. the speaker pro tempore: the gentleman's time has expired. the gentleman from georgia reserves his time, and the gentleman from massachusetts is recognized. mr. mcgovern: mr. speaker, i ask unanimous consent to insert in the record a letter from the national education association in strong opposition to this bill. i ask unanimous consent to insert into the record a letter from the american academy of pediatrics, the american college of nurse mid wives, the american college of physicians, the american congress of obstetricians and gynecologists, the national association of natural practitioners, plained federation -- planned parenthood federation of america. the speaker pro tempore: without objection, so ordered. mr. mcgovern: i yield one minute to the gentlelady from texas, ms. jackson lee. the speaker pro tempore: the gentlelady from texas is recognized for one minute. . ms. jackson lee: i thank the speaker very much. i want you to look and keep the yes on who will feel
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trumpcare's mother of all bombs of health care dropped on the american people. god have mercy on your soul. i am a person living with a pre-existing disease. i am a breast cancer survivor. nd this heartless and callus -- callous bill with 20 million plus people being thrown off of health care and reverse robin hood of stealing from the poor or seniors laying in your bed where you are doing an age tax that is five times more than any other young person has to pay is disgraceful. or the pittance you have given for pre-existing conditions. $8 billion. they say you need $25 million billion. then you are telling the ---$25 billion. then you are telling the states, get a waiver. then you are saying to trump the king that we have the votes to drop that mother of all bomb
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of health care. let me just simply say i want to stand with the people -- i want her to live in dignity and to be able to get well. i want to make sure that medicaid is provided for working families. i want insurance companies who make a lot of profit. and i want to say this. i don't want the poor to sleep under bridges, to beg in the streets. to steal bread from the markets because they can't get any health insurance. god have mercy on your soul. the speaker pro tempore: the gentlelady's time has expired. the gentleman from georgia is recognized. mr. collins: mr. speaker, if i had to defend obamacare i would go into hysterics, too. since obamacare went into effect the insurance choice and coverage have gotten lower and costs higher. virtually no doctors take the insurance. i have had to switch to new doctors i don't trust. i have a brain tumor i have monitored by a very skilled neuro oncologist. not any more. the three choices i was given aren't even insurance for this doctor.
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yep, left them out again. with that i yield 2 1/2 minutes to the gentleman from indiana, mr. messer. the speaker pro tempore: the gentleman from indiana is recognized for 2 1/2 minutes. mr. messer: despite the rhetoric on the other side of the aisle today is an exciting day for those of us who have been working and fighting to end obamacare's reign over this country. it's race month in indiana and i want tree mind my colleagues that as exciting as today's is, today's vote is a green flag, not a checkered flag. it's the beginning of the race, not the end. today the house will vote to move legislation forward that will repeal obamacare and replace it with something far better. the bill will surely undergo more changes as we continue this process through the senate, but it's on its way to the finish line. and there's some really strong policy in this bill. it cuts taxes by $1 trillion on the american people. and government spending by hundreds of billions, too. and despite the rhetoric, it
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keeps pre-existing condition prohibitions. no one with a pre-existing condition will be denied coverage because of the policies in this bill. and insurance companies cannot raise premiums on individuals with pre-existing conditions as long as they maintain coverage. the bill also will make sure 26-year-olds continue to stay on their parents' health care plans as they enter the work force. most importantly, though, the bill unshackles american families from the mandates, taxes, and penalties that are costing these families housands of dollars each year. obamacare helps some, we have to remember obamacare makes things worse for millions of americans. that's where the national anger has come from. i have heard from countless hoosiers who tell me the story of their premiums going from $500 a month to $1,500 a month with deductibles through the roof.
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10,000-plus a month. they have to spend $30,000 out of pocket before they even get to their insurance, and for a middle class family that means they have no meaningful insurance at all. we can do better. and we will. that starts today. mr. speaker, i yield back. thank you. the speaker pro tempore: the gentleman from indiana yields back. the gentleman from georgia reserves. the gentleman from massachusetts is recognized. mr. mcgovern: mr. speaker, i ask unanimous consent to insert in the record a letter from the national rural health association opposed to this bill. i ask unanimous consent to insert in the record a letter from the american thoracic society opposed. i ask unanimous consent to insert in the record a letter . om the academy and dietician one from the jewish federation. and i ask unanimous consent to insert an article in the "wall street journal" today entitled employers looking to lower their costs can impose lifetime limits and eliminate the out-of-pocket cost cap from their plans under the g.o.p. legislation. the speaker pro tempore: without objection, so ordered. mr. mcgovern: at this point i
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would like to yield one minute to the distinguished gentleman from michigan, mr. levin. the speaker pro tempore: the gentleman from michigan is recognized for one minute. mr. levin: you know, it's just been said no one with a pre-existing condition will be denied treatment. that is a cruel falsehood. roughly 129 million americans today have a pre-existing condition. and here's what the a.m.a. says to refute what was just said. the history of high-risk pools demonstrates that americans with pre-existing conditions will be stuck in second class health coverage if they are able to obtain coverage at all. so now we have a proposal for $8 billion. that is a deceitful fraud.
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and i intend going back home to travel the state of michigan and elsewhere and tell the american people that those who have said that are simply not being truthful. they essentially are turning their backs on 129 million americans. we democrats will never turn our back on the people of the united states of america. when it comes to health care, it's a vital, vital need. i yield back. the speaker pro tempore: the gentleman's time has expired. the gentleman from massachusetts reserves. the gentleman from georgia. mr. collins: thank you, mr. speaker. even with again the mottled hysterics, there is nothing in this bill, even if you have pre-existing coverage now. there's nothing that says you lose t talk about families on why we're here. despite obama's promises my plan was canceled and $450 a month when obamacare was
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implemented. my new plan will be $1,300 a month. my husband and i cannot keep up these increases. soon it will be choices from food and health care. with that i yield a minute to the gentleman from michigan. the speaker pro tempore: the gentleman from michigan is recognized for one minute. >> thank you, mr. speaker. my question today is how long will the opposition try to hold on to the failings of the affordable care act. how long will they desperately try to hold on with their fingernails screaming and slashing at something that's failing miserably. it was announced 99 of 99 counties in iowa will not have a carrier at all. while in michigan this year individual policy premiums went up 20%. mr. mitchell: while currently 26 million americans do not have coverage, 19.2 million either claim a waiver for pay a penalty that last year was $3 billion. yet somehow the other side of the aisle claims the affordable care act is some more of nirvana. e american health care act
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aaron tees issuance of coverage and targets assistance to those who have challenges. in contrast to the affordable care act that thinks we should throw money at t what amazes me in my first few months here in congress there is a problem we'll throw money. the opposition want as blank check which will not work in this country. it's going to kill this country. let me suggest to my colleague from michigan, my neighbor, that if he wants the schedule to go around the state and talk about the benefits of this program versus the affordable care act, i will go with him. we'll go anywhere heed like to go. thank you very much. i yield back. the speaker pro tempore: the gentleman's time has expired. the gentleman from georgia reserves his time. the gentleman from massachusetts. mr. mcgovern: mr. speaker, i want to ask unanimous consent to insert in the record a statement from the children's hospital association in opposition to this bill. i would like to insert a statement from families u.s.a. in opposition to this bill. and statement from the association of american medical colleges in opposition to this bill. the speaker pro tempore: without objection, so ordered. mr. mcgovern: at this time ty point i yield one minute to the the gentlewoman from
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california, the vice chair of the democratic caucus, ms. sanchez. the speaker pro tempore: the gentleman is recognized for one minute. ms. sanchez: i can't believe here here again to vote or not on the republican so-called health care bill. let me remind my colleagues we're finally here only after republicans failed to even hold a vote on march 24 and then offered extreme multiple amendments to appease the furthest right of their party. but i have to give it to them. it takes real can honeas -- can hobeas -- can honeas to stand on a bill that they know provides nothing to the american people. it takes conviction to stand up to a bill that cuts coverage for 24 million americans, guts medicaid, reduces the solvency of medicare, and segregates the sickest. the truth is republicans lack the bravery to call this bill what it really is. a massive tax cut for the rich on the backs of working mom and dads and the sick. they lack the integrity to do
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the hard work that it takes to craft an actual health care bill that would build upon current law and improve the health of americans. i implore my colleagues to come to their senses, vote against this terrible bill, and work with us to continue to improve health care in this country for all americans. with that i yield back the balance of my time. the speaker pro tempore: the gentlelady yields back. the gentleman from massachusetts reserves. and the gentleman from georgia is recognized. mr. collins: thank you, mr. speaker. i have been waiting also for my friend across the aisle to stand up and say that obamacare is a failure. i guess they can't the voters for the last seven years v the small business owners, an american entrepreneur two special needs children, a.c.a. is expensive. both my husband and i are small business owners and pay individual insurance. the highest deductible plan offered to us, outstanding bills we struggle to pay off. we have seen our premium go up 14%. with all exceptions to the president, we're the ones who
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get ignored. that's the true face of obamacare w that i yield one minute to the gentleman from texas, mr. barton. the speaker pro tempore: the gentleman from texas is recognized for one minute. mr. barton: thank you. mr. speaker, i ask unanimous consent to revise and extend. the speaker pro tempore: without objection. mr. barton: let me say how proud i am to see you in this chair on a historic day. you are doing a fine job. mr. speaker, members of the house of representatives, mandates seldom work. markets do work. my friends on the democratic side of the aisle haven't pointed out that 19 million americans have chosen to pay the tax penalty to the i.r.s. rather than be forced into one of these obamacare plans. they talk about all the people that have gotten coverage, most of them got coverage when the bill that's now called obamacare expanded medicaid to healthy adults and paid 100% of
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the cost to cover those individuals. at a cost right now of about $70 billion a year. mandates don't work. markets do. i choose less government mandate, more personal freedom. vote for the rule. vote for the bill. let's restore markets and freedom to health care in america. the speaker pro tempore: the gentleman yields back the balance of his time. the gentleman from georgia reserves. the gentleman from massachusetts is recognized. mr. mcgovern: mr. speaker, i yield one minute to the gentlewoman from california, ms. chu. the speaker pro tempore: the gentlelady from california is recognized for one minute. kate called erday, my office worried for her son who is 1 year old and was born with muscular dystrophy. he will need care for the rest of his life. without the ban on pre-existing conditions, the cost of insurance for her son will be
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astronomical. she's paralyzed with fear about how she's going to be able to care for him for the rest of his life. because under trumpcare the health care bill written for donald trump and not the american people, insurance companies would be able to charge kate's son more because he has a pre-existing condition. imagine that. her son's health care will be out of reach, his precious life in danger. that's unimageably cruel, especially when we have a system in place right now that gets kate's son the treatment he deserves. that's why i'm opposing this bill today. i cannot support a measure that we know will cost sick people more money. will force families to pay higher premiums and deductibles, will force 24 million people off their insurance and guts essential health benefits. i urge my colleagues to vote no on this horrific bill today. the speaker pro tempore: the gentlelady yields back her time. the gentleman from massachusetts reserves. and the gentleman from georgia
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is recognized. mr. collins: thank you, mr. speakerment i believe probably the reason they won't for it because they don't understand it. pre-existing conditions are covered. if you have coverage now, nobody would lose that. i guess it's easier to talk your talking points and have your poster and go from there. with that i yield one minute to the gentleman from florida. mr. mast. . the speaker pro tempore: the gentleman from florida is recognized for one minute. mr. mast: i, too, am a person with pre-existing conditions, and i believe it's not just something i should do, it's a responsibility for me to be the staunchest advocate for people out there that have pre-existing conditions and that is why i am such an ardent supporter of this bill. i think every american and every person out there with pre-existing conditions should be asking themselves, how is it that they have coverage if every single insurance provider has pulled out of the market? if there's no entity to go out there to provide insurance, how
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could pre-existing conditions possibly be covered? i had the question constantly, how is it so difficult for republicans to get this bill passed, to get this through the floor and the answer is this and this is the question every american should be asking themselves, who is it that's going out there and saying that pre-existing conditions won't be covered? it is the exact same group of people that went out there and lied to the face of every single american, telling them if they like their plan they would keep their plan. if they like their doctor they could keep their doctor. that the average american family would save $2,500 or more on health insurance. that was a bold-face lie and it was orchestrated by architects who went out with the intention to prey on the american people. that is who's going out there selling these lies against my party. and i resent that completely because we have come up with a plan, with a strategy to go out there and save health care for the american people and i ouldn't be more proud of that. the speaker pro tempore: the gentleman's time has expired. the gentleman from georgia reserves. and the gentleman from
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massachusetts is recognized. mr. mcgovern: maybe the gentleman hasn't been listening to all the organizations and health care advocates who have come out strongly opposed to the republican bill that i had read into the record who know a lot more about health care than anybody in this house, who spend their lives protecting people and protecting people's health care rights. they are all in strong opposition to the republican bill because you take away the protections with pre-existing conditions, plain and simple. with that i yield one minute to the gentleman from oregon, mr. blumenauer. the speaker pro tempore: the gentleman from oregon is recognized for one minute. mr. blumenauer: we began this debate listening to my friend from texas talk about how he was humbled to be here today supporting the republican bill. well, frankly, i think he should be embarrassed. embarrassed that my republican colleagues are afraid to have a full, open, lengthy debate about these impacts. we're taking a consequential piece of legislation and we're jamming it through without a c.b.o. score, so they don't
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know the impacts and we don't have the confidence. we do know, however, my friend from massachusetts has read into the record item after item in the medical association, disease advocacy groups, association of retired people. it's an honor roll of people who know about health care, who fought to preserve and protect and enhance and they have no nswer to refute this litany of experts who are independent, who are professional, who care. that is something that i think they should be ashamed of. they have had seven years, chipping away at the affordable care act to try and make it worse. it's still supported by people who know. the speaker pro tempore: the gentleman's time has expired. mr. blumenauer: and their approach should be rejected.
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the speaker pro tempore: the gentleman from massachusetts reserves. the gentleman from georgia is recognized. the house will be in order. the gentleman from massachusetts is recognized. mr. mcgovern: i want to ask unanimous consent to insert in the record a -- the speaker pro tempore: without objection, so ordered. mr. mcgovern: i yield one minute to the gentlewoman from connecticut, ms. delauro. the speaker pro tempore: the gentlelady from connecticut is recognized for one minute. ms. delauro: the republican health care bill is reckless and heartless. it increases the costs of premiums and deductibles. it imposes an age tax on older americans. it unravels protections for patients with pre-existing conditions. it eliminates maternity care, substance abuse treatment, prescription drug coverage and it does away with lifetime limits and annual tax.
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president trump's claim that people with pre-existing conditions will be covered, that is false, and it is a betrayal and it will have threatening consequences for millions of americans. it will cost lives. if this passes today, the american people should be in the street to call out the immorality of this legislation. they should decry this offense against humanity and this offense against the american people. and i call on the american people, do not let them get away with it. and i yield back the balance of my time. the speaker pro tempore: the gentlelady's time has expired. the gentleman from massachusetts reserves. mr. collins: reserves. the speaker pro tempore: the gentleman from massachusetts is recognized.
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mr. mcgovern: mr. speaker, i would like to yield one minute to the distinguished gentleman from rhode island, mr. langevin. the speaker pro tempore: the gentleman from rhode island is recognized for one minute. mr. langevin: mr. speaker, i rise today in strong opposition to the republicans' latest plan to dismantle the affordable care act. after republicans failed to earn the votes to pass their american health care act in march, i thought that we could finally move forward to find bipartisan solutions to improving health care in america. instead, republicans have re vifed their goal by making a bad bill even worse. mr. speaker, make no mistake about it, the bill before us today will make americans' health care worse in this country. this legislation will cause 24 million people to lose coverage while drastically increasing health care costs on everyday families. it eliminates federal safeguards to prevent insurers
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from charging older americans higher premiums it guts essential health benefits like maternity care and prescription drugs. it removes crucial patient protections that prevent discrimination against people with pre-existing conditions, leaving our most vulnerable populations with a false promise of sufficient coverage through these failed high-risk pools. mr. speaker, i am saddened that so many republicans appear willing to place hallow partisan victories above their constituents. i urge all of my colleagues to put the health of americans first. the speaker pro tempore: the gentleman's time has expired. the gentleman from massachusetts reserves. the gentleman from georgia. mr. collins: mr. speaker, seven years ago our friends across the aisle put partisan interests above the american people and we are seeing the results of that today. in fact, a small business owner from missouri says, i recall the days before the a.c.a. when we'd receive a two-inch notebook that would receive
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multiple quotes from insurance companies. now it's list on a single sheet of paper. two were adequate for our triege. in 2013 our insurance cost were $180,000 for 92 lives with a $2,000 dedoubles. 2016 we pay $262,000 with $5,000 deductibles. our employees are ultimately suffering because of the a.c.a. again, a defense of the defenseless or a positive solution for america, that is what we're offering. i reserve. the speaker pro tempore: the gentleman reserves. the gentleman from massachusetts. mr. mcgovern: mr. speaker, i yield one -- a half a minute to the gentlewoman from wisconsin, ms. moore. the speaker pro tempore: the gentlelady from wisconsin is recognized for 30 seconds. analysis of health insurance coverage for the past 30 years, analysis of data from
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the new england journal of medicine show that for over 455 people who are insured, one life will be saved. with the repeal of the affordable care act, it is 43,956 d that 43,000 -- people a year will die. long live the republican priority. and i yield back the balance of my time. the speaker pro tempore: the gentlelady yields back her time. the gentleman from massachusetts. mr. collins: reserves. the speaker pro tempore: the gentleman from georgia reserves. the gentleman from massachusetts is recognized. mr. mcgovern: mr. speaker, i yield a half a minute to the gentleman from vermont, mr. welch. the speaker pro tempore: the gentleman from vermont is recognized for 30 seconds. mr. welch: mr. speaker, president trump was elected by rural america. this bill betrays rural america three ways. health care, 24 million-plus are going to lose their health care. many of them in rural america. second, it takes health care dollars and turns it into a tax cut. $7 million for the wealthiest
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families in this -- 400 families in this country. third, the tenant of rural america is we are in it together and that means if you're born with a pre-existing conditions, you have a pre-existing condition, we are going to be there for you. this bill turns its back on rural america, the people who stand up for one another and believe we are in it together. you're not on your own. i yield back. the speaker pro tempore: the gentleman's time has expired. the gentleman from georgia. mr. collins: mr. speaker, i appreciate it but it is amazing the concern for rural health care now. obamacare, rural america it's down to one provider. that's not a choice. i yield 45 seconds to the gentleman from pennsylvania. the speaker pro tempore: the gentleman is recognized for 45 seconds. >> i am hearing demagoguery and no solutions. no solutions for people that have seen skyrocketing premiums, for those who lost their health care plan, lost their doctors, no solutions for
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people with pre-existing conditions or subject to the same skyrocketing premiums as everybody else, no solutions for people with pre-existing conditions who don't even have an insurer in their exchanges. i, too, have a pre-existing condition. i'm a cancer survivor. i am in the individual market. i am seeing the same skyrocketing premiums as everybody else. mr. rothfus: we are moving legislation today that will protect not only those with pre-existing conditions but will work to bring down premiums. importantly, those defending this legislation had a goal -- single payer, socialized medicine, and this legislation will stop it. vote for this legislation. save our health care system and have a much better result for the american people. i thank the speaker and i yield back. the speaker pro tempore: the gentleman yields back. the gentleman from georgia reserves. the gentleman from massachusetts is recognized. mr. mcgovern: can i inquire of the gentleman how many more speakers he has? mr. collins: i'm still waiting on a couple more but we're ready whenever you are. mr. mcgovern: i'm not really prepared because we have a ton more to say but we're out of time. mr. collins: as i said before,
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mr. mcgovern, you have your time. mr. mcgovern: given the fact we had no hearings it would be nice to have time. i yield myself for the remaining time. if we defeat the previous question i'll offer an amendment to the rule that would change the rules of the house to prevent this bill or any other health care-related legislation from being considered if it does not have a c.b.o. cost estimate or if it would deny health coverage or require higher premiums due to pre-existing conditions, impose lifetime limits on health coverage, prevent individuals under age 26 from being covered under their parents' plan, reduce the number of people receiving health coverage under the affordable care act, increase cost to seniors by reopening the doughnut hole and rising prescription costs, reduce medicare solvency or change the medicare guarantee or reduce federal taxes on the 1% of the population with the highest incomes or increase taxes on the 80% of hardworking americans earning moderate to low incomes.
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mr. speaker, i ask unanimous consent to insert the text of my amendment in the record along with extraneous materials immediately prior to the vote on the previous question. the speaker pro tempore: without objection, so ordered. mr. mcgovern: mr. speaker, none of us on this side are claiming that the affordable care act is perfect. in fact, for seven years we have been prepared to work with our republican colleagues in a bipartisan way to make it even better, to cover more people, to find ways to lower costs, but for seven years my republican colleagues had no interest in doing that. all they wanted to do was repeal the bill, repeal the bill, repeal the bill and offer no alternative. now we see their alternative, and it's an awful alternative. it is a disaster. it is an alternative that came not only of the deliberative process but out of some backroom somewhere. people haven't read this bill. we are not waiting for a c.b.o. score. this is a pathetic process that everybody should be ashamed of. and let me just say, to claim or to imply that the republican plan covers people with
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pre-existing conditions, it is a lie. it is a lie. and let's be honest about it. this does not cover people with pre-existing conditions. and to come on the floor and say it does, to try to fool people, well, you may get away with it in the short term, you may get a headline but i tell you people will figure out soon enough when they are denied health care coverage, when they see their costs rise and rise and rise. to have a health care coverage that throws 24 million people off of health insurance, you should be ashamed. to have a health care bill that cuts medicaid by $880 billion so you can give a tax cut to the wealthiest people in this country, you should be ashamed. and let me -- i spent a good deal of my time reading letters from organizations like the national farmers union, union, aarp, the cystic fibrosis foundation, march of dimes, the american medical association, on and on and on, organizations that have dedicated their lives to help people in this country, that know something about this subject, and when it comes down to who do i trust, them or you,
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on whether or not your bill covers people with pre-existing conditions, there's no contest. i trust them. they see what you're trying to do. they understand that this bill is a fraud. it is unconscionable, to not only me and to people on our side, but to people who are watching this debate, democrats and republicans and independents alike, that we would be spending time debating a health care bill that will make life worse for people in this country. you know, any kind of health care bill that came to this floor ought to be about expanding coverage and lowering costs. we want to work with you on that. and instead you come to a bill that's going to rip health care away from tens of millions of people. how can you doing this? how can you do this to the people? how can you do this to your constituents? this is a terrible, terrible bill. you should vote no on it or better yet pull it. i yield back the balance of my time. . the speaker pro tempore: the gentleman's time has expired. he house will be in order.
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he house will be in order. the house will be in order. the gentleman from georgia. mr. collins: thank you, mr. speaker. the speaker pro tempore: the gentleman will suspend. the gentleman from georgia has 1 3/4. the gentleman is recognized. mr. collins: i tell you, mr. speaker, what we have seen for the last few minutes i would cheer, too. now look at it this way. you want no know what they claim as a disaster they didn't recognize seven years ago. they chose to cram it down the americans throat. for seven years the american people have said no. stop it. we don't want a health care system from government that takes freedom away from us, that removes it from us. we have been presented with a list of letters saying folks who are against this bill. a quick reminder to those, mr. speaker, who may be want to remember some of these same folks were the same folks who
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said obamacare was great, who gave letters of support. i guess they are trying to cover up for seven years of their first mistake. when we understand this, let's go to some experts -- ail just clarify them as experts, mr. speaker. president clinton calling obamacare last year the craziest thing in the worrell. he summed it up pretty well. because what summed up here is they forgot the american people. republicans have decided that we're going to put the american people back in control. we're not going to continue to employed self- person, lost insurance four times under obamacare. if we want to talk about misleading the american people, it started seven years ago and it ends today. it ends today. the american people deserve better. they have been throwing under the bus for seven years. they deserve insurance market that's open, accessible, that does cover pre-existing
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conditions.ditions. if you want the deception, follower side fufment want truth, follow this side. mr. speaker,, mr. speaker -- the speaker pro tempore: the gentleman will suspend. the house will be in order. the gentleman is recognized. mr. collins: if i had to defend the last seven and offer nothing into the faces of these, i would have been hysterical on the floor this morning, too. that's exactly what we have seen. so for those who may be, it's time to vote yes on the rule. yes on this bill. and start giving back to america the liberty and freedom for a health care systeme syste is the best in the world and has been attacked for seven years. again, that ends today. and with that i yield
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>> the rule approves one hour of debate on the health care a lot replacement and a second hour on a health care waiver exemption bill. some notable details about the republican plan to replace the affordable care act, it would eliminate individual insurance mandates, refund tax credits based on age and income, defund planned parenthood for one year, and allow adults to stay on their parents health insurance plans. here is a look at the two hours of debate. gess: mr. speaker, after seven years we have heard the stories from our constituents, from our patients, from our friends, from our families who have suffered under the affordable care act. today, we'll have a chance to vote on a plan that will rescue and revitalize the market and lower costs and increase flexibility for patients to choose and keep a health insurance plan that works for them and their families. however, before we can do that, we have to pass a bill that will insure that members of congress and their staffs are treated the same way as

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