H11572 CONGRESSIONAL RECORD — HOUSE October 21, 2009 It’s really talk about $120 million in enough to qualify for Medicaid, which covered exclude, rescind, or purge anyone whose deceptive ads to fight health care. the surgery retroactively. health care costs they might actually have to They are spending over $1 million a day These stories are not unique. In 2007, there cover. on ads to defeat H.R. 3200. were 25 million underinsured Americans, up Well, that’s not how health care works. I hope that the Members of the House 60% from 2003. Underinsurance often causes The House reform bill, H.R. 3200, would re- of Representatives will remember peo- debilitating medical debts, and a recent study store the proper balance to the health care ple like Thomas here or like Tatum or found that 62% of all personal bankruptcies system. It would end rescission, preexisting these families who play by the rules, are medically related. condition exclusions, and lifetime caps. It work hard, pay their premiums, and, In recent years, insurance companies have would place limits on out-of-pocket costs and when they get sick, are abandoned by been asking Americans to pay more, but are create a required basic set of benefits so that the health insurance industry. That’s providing them with less. In the last decade, people know what they are signing up for, and why we need health insurance reform the average cost of a family’s premium has so that they will get what they need. And it in this country. That’s just one of the risen 131%, but average wages have risen would prohibit the problems small businesses many reasons. less than a third of that. At the same time, in- face in terms of discrimination based on gen- It’s one of the reasons why we hope surance companies are imposing more limits der and group size, and in terms of lack of to have a bill on the floor later this on what their policies will provide. Some poli- choice. month or early in November so we can cies, like the Nulls’ or the Wilkes’, have caps At Thursday’s hearing on underinsurance, vote on this. that limit the amount the insurer will pay in a Mr. Null told the committee that to him, the We have to bring back some sanity to lifetime, or a year. Other policies have expen- biggest tragedy that came out of his daughter this health insurance industry. We sive co-insurance provisions, like Ms. How- Tatum’s liver failure was not his family’s result- have got to end their abusive practices, ard’s, that overwhelm the policyholder. ing financial hardship. It was that, under the and we must make sure that all Ameri- And caps and coinsurance are just some of current system, Tatum’s preexisting condition cans and their businesses are secure, the problems people face in the private insur- limits her future. He said, ‘‘When she asks me not only in their health security but ance market. what she should be when she grows up, I also financially secure as they try to This past summer, our committee held a can’t tell her the same thing that you probably do the right thing, play by the rules, hearing on the health insurance companies’ tell your kids. I can’t tell her she can be any- work hard, pay their insurance. Let’s practice of rescission. This is when insurance thing she wants, and you guys need to fix that make sure there is coverage for them companies attempt to cut costs by cancelling for me.’’ when they get sick. policies after people get sick and make claims. On Thursday, I looked at Tatum and told Mr. WAXMAN. Mr. Speaker, the premise of The companies go back through their policy- her that if we enact health care reform legisla- health insurance is that if you buy a policy, holders’ application forms, looking for any tiny tion, neither her future, nor anyone else’s in and then get sick, your insurance company mistake or omission for an excuse to cancel America, will be hindered by an inability to get will protect you. the policy and deny coverage. health insurance. Please join me in that prom- But what we heard at the committee’s hear- Rescission is unconscionable because it ise. ing last week on underinsurance—and what cuts policyholders loose when they need cov- f we have been hearing throughout our inves- erage the most. But even worse, when we had tigations of the private insurance industry—is insurance company executives sworn in be- GENERAL LEAVE that that is not how the system works. In re- fore our committee, we asked them if they Mr. STUPAK. Mr. Speaker, I ask ality, we have learned, private health insur- would commit to ending the practice of rescis- unanimous consent that all Members ance companies have become expert at col- sion except in cases where the policyholder have 5 legislative days in which to re- lecting premiums and then, denying claims. had intentionally hidden a health condition. vise and extend their remarks and in- Our witnesses on Thursday were normal The executives refused to make that promise. clude extraneous material on my spe- people who had done the right thing and had I think that speaks to the insurance compa- cial order. bought health insurance. But each of them nies’ motivations. The SPEAKER pro tempore. Is there found that, when they needed coverage the Just yesterday, we held a hearing on the objection to the request of the gen- most, their policies came up short. small group insurance market. We found that tleman from Michigan. We heard from Nathan Wilkes, who had an insurance companies sometimes raise small There was no objection. insurance plan through his employer. Then, businesses’ premiums an astronomical f his son, Thomas, was born with hemophilia, amount—up to 250% in a year—based on fac- REPUBLICAN ALTERNATIVES TO an expensive and life-long blood-clotting dis- tors like the ages and genders of employees, OBAMACARE order. Thomas is six years old now, and if a single employee had made a large claim thankfully, his condition is well-managed. But, the previous year, or if the business had too The SPEAKER pro tempore. Under he has already exceeded the million-dollar life- few employees. the Speaker’s announced policy of Jan- time caps of two separate insurance plans, What is so disappointing in our examination uary 6, 2009, the gentleman from Geor- and the Wilkes’ current plan has a $6 million of these issues is that, even where small busi- gia (Mr. BROUN) is recognized for 60 cap that Thomas is sure to meet soon. As Mr. ness owners want to do the right thing for their minutes. Wilkes put it, the insurance companies have employees, and provide them with access to Mr. BROUN of Georgia. Mr. Speaker, turned the hourglass over on Thomas again— quality health care via insurance, industry it is a pleasure to come and talk about this time with just a little more sand. practices and policies today punish their de- health care tonight. I expect other phy- Catherine Howard testified about how, as a sire to provide proper benefits for their em- sicians to come and discuss this ex- healthy 29-year-old, she bought a basic policy ployees and their families. This is wrong, and tremely important issue to the Amer- that she thought would protect her if she fell this is why we need health insurance reform in ican people. while snowboarding. When it was discovered America. We keep hearing over and over again that she had breast cancer, Ms. Howard found Indeed, what all of this shows is that the pri- from our Democratic colleagues that out that her plan asked her to pay 30% of the vate insurance system is broken. The way in- Republicans have no alternatives. Well, cost of treatments, like radiation, that she surance is supposed to work is for the insur- we have got a bunch of binders here. needed to survive. Though she feels lucky to ance companies to spread risk among their Each one of those contains a Repub- be alive, Ms. Howard’s coinsurance payments policyholders so that, while most people will lican alternative to ObamaCare that put her into deep debt that she continues to remain healthy and cost little, the company the Democrats are proposing. pay off to this day. can pay when other policyholders get sick. As the staff brings these forward, David Null bought what he thought was a But schemes like rescission, preexisting every single folder is a Republican catastrophic coverage plan. But when catas- condition exclusions, lifetime caps, and the plan. Every single folder is a different trophe struck—and his daughter, Tatum, need- way companies are gaming the small group Republican plan. Every single folder of- ed a liver transplant—he found out that the market show that private insurers are not in- fers suggestions and solutions to the plan had a lifetime cap of $25,000. The Nulls terested in spreading their risk. Rather, they cost of health care for all Americans. were saved from crushing medical bills only want no risk at all. The companies are happy Almost every one of those folders, if after Mr. Null’s small company turned away to insure healthy people who will pay pre- not every one of them, we could get bi- business so that the family’s income was low miums and make few claims, but they want to partisan agreement on, if any of these

VerDate Nov 24 2008 01:30 Oct 22, 2009 Jkt 089060 PO 00000 Frm 00054 Fmt 7634 Sfmt 0634 E:\CR\FM\K21OC7.096 H21OCPT1 smartinez on DSKB9S0YB1PROD with HOUSE October 21, 2009 CONGRESSIONAL RECORD — HOUSE H11573 bills would ever see the light of the has not paid for the first aspirin to care for me. There is nothing that’s day. Let me repeat that. I believe that treat the headaches that it has created. free, Mr. Speaker, and health care is we could get bipartisan agreement on It’s government intrusion into health not going to be free. Who is going to most, if not all, of these Republican care. That’s what’s caused a marked pay for it? bills that will affect health care costs rise in the cost of care. Mr. Speaker, our children and our for every single American and will Mr. Speaker, let me tell you some- grandchildren are going to pay for it. offer some solutions to Americans’ con- thing else where this bill that is being It’s going to cost them their livelihood. cern about the rising cost of health written in darkness or in secrecy now It’s going to cost them their standard care. by the Speaker, we don’t even have the of life, their standard of living, because It’s untenable that health care costs bill that we are going to see here on they are going to live at a lower stand- are rising like they are today. It’s floor, if we ever see one, because it’s ard than we do today because of this unsustainable the way health care being written in secrecy. outrageous spending that this Congress costs are rising like they are today. Democrats nor Republicans can see and this President have been doing But we ask why. Well, there are many the proceedings. We can’t put any of since January. our ideas into the writing of that bill. reasons why. b 1645 I have practiced medicine in Georgia It’s being hidden from all of us. It’s for almost four decades now. I am a being hidden from the public view, and It’s got to stop, Mr. Speaker. The general practitioner, a family doctor. I that is not right. American people need to understand have seen in my medical practice the We have been promised transparency exactly what ObamaCare is going to marked amount of government intru- by this Speaker, but we have had ev- mean to them. It’s going to cost jobs. sion and how it runs up the cost of erything but transparency and fair- It’s going to cost our children’s future. health care. ness. Both of those things were prom- And seniors need to know that it’s I will give you a good example, Mr. ised, but we are not getting them. going to cost them tremendously. Speaker. When I was practicing in The bill that Speaker PELOSI is going In the nonstimulus bill, and I call it rural south Georgia, I had a small to present at some time, whenever she a nonstimulus bill because where are automated lab with quality control to takes a notion to do so and gets it fin- the jobs? The President promised us make sure that the results I got from ished, that she is writing in secret cur- that if we passed his stimulus package, my lab were accurate, because I wanted rently, is going to have a tremendous we would not reach an 8 percent unem- to give good quality care to my pa- amount of more intrusion into people’s ployment. Well, it’s approaching 10 per- tients. lives. Experts tell us that it’s going to cent. In my district in Georgia, in Well, Congress passed a bill called cost millions of people their jobs. many counties, it’s nearing 14 percent. CLIA, the Clinical Laboratory Im- In fact, in my home district of Geor- In many communities around this provement Act, which outlawed mine gia, I have talked to small businessmen country, it’s even higher than that. I as well as every doctor’s lab in the and women that tell me if the man- have already said that ObamaCare is country. Prior to CLIA, if a patient dates that we already know in H.R. 3200 going to put more people out of work. came in to see me with a fever, red sore are put in place or the mandates that We are going to have more joblessness throat, white patches on the throat, the Senate bills—that are already throughout this Nation. coughing, runny nose, headaches, ach- being written in secrecy also on their We cannot continue to spend. You ing all over, I would do a CBC, or a side—but the mandates that we know cannot spend yourself into prosperity. complete blood count, to see if they that they want to include in those bills It’s impossible. And that’s exactly had a bacterial infection which needs will cost millions of people their work what we seem to be doing. In fact, the an antibiotic treatment, or a viral in- and put people out of work. Why? Be- President came to the Republican Con- fection, which is not helped by anti- cause they are mandates on small busi- ference when he wanted us to vote on biotics. The patient doesn’t need to ex- ness that small business is going to his stimulus package, and he said he pend the money on those antibiotics have to either not hire people or they wanted bipartisanship, which is laud- and doesn’t need the exposure with the are going to have to let people go. able. But then he went on to say he possible side effects and the con- In fact, I have talked to small busi- wanted bipartisanship but we needed it sequences of being on the antibiotics. nessmen and women, and they tell me and must vote for his bill. He didn’t I could do that test, CBC, in 5 min- that with the 8 percent mandate that’s want any input from us. utes. It cost 12 bucks. CLIA shut my in the House bill that’s going to fall He’s said that his door is open for Re- lab down. I had to send patients over to upon them if they don’t supply health publican ideas on health care, but he the hospital across the way. It took 2 insurance for their employees, it’s won’t listen to us. We’ve tried and to 3 hours and cost $75 for one test. The going to put that business out of busi- tried, but he doesn’t listen, because test goes from 5 minutes, 12 bucks, to 2 ness. Millions of people in this country with the President, with the Speaker to 3 hours, $75, for one test. are going to lose their job with and the majority leader, it’s their way Now, the American people, if they ObamaCare. The American people need or no way. look at the math there and just extend to understand that, Mr. Speaker. In the nonstimulus bill, there was it over the course of everything that Not only that, it’s going to be ex- funding for what is called comparative comes into play in the health care fi- tremely expensive. We don’t know effectiveness research. And in medi- nancing in this country, would see that what the ultimate cost is because we cine, as a doctor, what we’ll do is look the health care insurance costs went haven’t seen the bill. Nobody can see it at comparative effectiveness of dif- up for everybody because of that one except for the few handpicked minions ferent treatment programs. We will de- government intrusion into my office of the Speaker and the majority leader cide, for instance, for prostate cancer if and my ability to give the kind of qual- of the Senate. We don’t know how surgery alone is more effective than ra- ity care that I am trained to do and much it’s going to cost, $1 trillion, $2 diation therapy alone or chemotherapy that I want to do. trillion, $3 trillion. alone. And we will compare the effec- Another example, Congress not long We know this, Mr. Speaker: When tiveness of those treatment modalities, ago passed HIPAA, the Health Insur- Medicare was brought into being, the those treatment options, or maybe sur- ance Affordability and Accessibility cost estimates of Medicare missed the gery plus radiation, surgery plus chem- Act. The HIPAA bill has cost the mark terribly. Medicare has cost otherapy, surgery plus all three. This health care industry billions and bil- many, many times over what it was is what we do in health care. This is lions of dollars, billions of dollars. projected to cost by the Congressional what we do in medicine today. We com- That’s passed on down through the in- Budget Office. I think that’s exactly pare the effectiveness of treatments: surance companies and through pricing what we are going to see with us today. one medicine for high cholesterol to the consumers. Congress, Mr. Speaker, is spending versus another medicine for high cho- It has to be, because people have to money that it doesn’t have. We hear lesterol; one medicine for diabetes make a living. It has cost the health people over and over again say, well, versus another; one medicine for high care industry billions of dollars and government will provide free health blood pressure versus another. We do

VerDate Nov 24 2008 01:30 Oct 22, 2009 Jkt 089060 PO 00000 Frm 00055 Fmt 7634 Sfmt 0634 E:\CR\FM\K21OC7.097 H21OCPT1 smartinez on DSKB9S0YB1PROD with HOUSE H11574 CONGRESSIONAL RECORD — HOUSE October 21, 2009 this comparative effectiveness. But a hunters’ option and a fisherman’s op- I welcome you, Dr. FLEMING, to this that’s not what the Democrats put into tion. We could have a bricklayers’ op- discussion tonight. I know you have a the stimulus bill with their compara- tion and a carpet layers’ option. This lot to say, and I will yield to you. tive effectiveness research. And in the will increase the options and thus in- Mr. FLEMING. I thank the gen- new bureaucracy created by crease the marketplace for all Ameri- tleman, Dr. BROUN from Georgia, whom ObamaCare here in the House, there is cans. And the more options you put on I consider a mentor of mine, a family a comparative effectiveness panel that the marketplace, the lower the cost is physician who has preceded me into is going to make decisions about sen- going to be. Plus, it will help to drive Congress. And it’s important that we iors and what they can get in the way down some of these outrageous salaries physicians speak out on this important of treatments, medicines, surgeries, ev- that the insurance companies are offer- issue. We’ve come to a point now where erything. And it’s going to be age re- ing their executives. the Democrat version of this, or lated. So they are going to use an age- Mine will lower the overreaching cost versions I shall say, are about to be put related cost comparative effectiveness of health care for everyone through the together and put to a vote. And I think that we have an idea about what’s of looking at spending dollars, not tax system, because what my bill will going to come out on the other side of treatment outcomes, not whether one do is give 100 percent tax deduct- this, whether it’s a hybrid or some sort treatment saves lives over another, but ibility—let me repeat that—100 percent of combination or one or the other, the how to best spend the limited dollars tax deductibility for everybody for Baucus bill, which mainly emphasizes that the Federal Government has. every health care expense. And this is We don’t have unlimited dollars, Mr. increased premiums, taxes on health above a standard deduction. So it will plans, on medical devices, if you will; Speaker, and we cannot continue to allow an income tax deduction on all print dollars like we’re doing today. and then on the House side, a plan with health care premium costs for every- a so-called robust public option which It’s got to stop. We’ve got to stop body. It will allow individuals to make printing money. We’ve got to stop bor- we know to be a very robust takeover tax deductions to any health care ex- by the government of health care rowing from our children’s future. pense, including their expenses that We’ve got to stop this outrageous which will lead to a number of taxes. are funded through a health savings ac- Every one of them finance this pro- spending, Mr. Speaker, and we’ve got count. gram basically in two ways: one, rais- to give people choices. My bill markedly expands the health Republicans have offered many bills. ing taxes or a cost on premiums or savings account and gives people the Over 40 Republican bills, alternatives both; and the other is gutting Medicare ownership of that where they can turn to ObamaCare, to H.R. 3200, have been to the tune of a half trillion dollars. On their health savings account into their introduced in the U.S. House of Rep- top of that, it gets a running start by estate so that their beneficiaries, their resentatives. Each folder contains a taking in revenue for about 3 years be- family, will receive the benefits. In separate bill. Republicans are offering fore actually spending it on anything fact, it even creates a Medicare health to, again, cook the books and make folks in this country options, options savings account and allows Medicare things look better. And then on top of to lowering the cost of health care, op- patients to buy health insurance, pri- that is an impending decline in reim- tions to make sure that patients have vate health insurance, on top of the bursements to physicians of 21 percent the ability to choose their own doctor, health savings account. It gives them in their Medicare reimbursements, and that in that doctor-patient rela- ownership. It will be funded through which, again, adds another $250 billion tionship, that’s how health care deci- Medicare. But it will be such that they of cost on this, which can be hidden. sions are made, not by some bureau- will own that, and that will go into They’re trying to hide it, but it’s not crat that H.R. 3200, ObamaCare, is their estates, too, if they don’t spend successful. going to put between the patient and all the funds. Mr. BROUN of Georgia. I want to re- their doctor. The AARP can, for instance, sell claim my time just 1 second because In fact, just today, I introduced my there’s an extremely important point, own bill. It’s in this stack, one of them. them supplemental insurance on top of Dr. FLEMING, you just made, and I Mine is a little over 100 pages. By the their Medicare health savings ac- counts, and all the insurance compa- think the American people need to un- way, I have read my own bill. I doubt derstand that. So I would like for you, NANCY PELOSI ever read her own bill. nies will be able to continue to do busi- ness. But it creates a marked amount if you would please, to repeat the But I read my own bill. We call it the statement that you just said, and then OPTION Act. The OPTION Act stands of market forces in the health care field. I want to ask you a question about for ‘‘Offering Patients True and Indi- that statement, if you would. Please vidualized Options Now Act.’’ My bill My bill will also repeal and reform the barriers that currently exist for repeat that statement. will make the purchase of health care Mr. FLEMING. That at the end of the physicians to donate their services to more affordable to more people because day, this thing is going to be financed people who don’t have health insurance it drastically expands the individual by a combination of increased premium or can’t afford to pay for their health markets available for all of us and costs—significantly increased premium care. And many others things are in gives us many options. costs—or taxes or both, and gutting my bill, H.R. 3889, the patient OPTION Right now, most people in this coun- Medicare to the tune of a half trillion Act. try only have one option, and that’s dollars, and on top of that, another $250 the insurance that their employer pro- Republicans offered many alter- billion of impending cuts to the tune vides to them. About 85 percent of natives. The American people, Mr. of, at this point, of 21 percent, if not America has that one option. Medicare Speaker, need to know that what they greater, to physician reimbursement, and Medicaid patients only have those hear from our Democratic colleagues, which if it ever goes into effect will ba- two government options, one each. that Republicans don’t have a plan, is sically collapse the Medicare market Also my bill increases pooling options. absolutely false. It’s trying to mislead and accessibility of care to physicians. What my bill will do is it will allow the American people. And the Amer- Mr. BROUN of Georgia. The physi- what we call associations to be formed, ican people should call them on that cian reimbursement rate is the point I if they are not already there, to offer and say shame on you for making these wanted you to really focus upon, Dr. health insurance to their members. For outrageous statements because they FLEMING. I know you’ve talked to a lot instance, I’m a Rotarian. Rotary Inter- know it’s not factual. of doctors in Louisiana, just like I’ve national could have one or more health We have many plans. I have been talked to a lot of our physician col- insurance plans that they offer to all joined tonight by several other physi- leagues from Georgia, and really from Rotarians and Rotarian families cian colleagues here in Congress. We all over the country. The doctors’ re- around the country. I’m also an alum- are offering many alternatives. An- imbursement rate is what doctors are nus of the University of Georgia. We other family doctor is a freshman who paid. That is now below what it costs can have a UGA health care option has been very vocal in this from them to deliver the care. I think most that people could buy into. I’m a Shreveport, Louisiana, Dr. JOHN FLEM- physicians would agree with that, hunter. I’m a fisherman. We could have ING. wouldn’t you?

VerDate Nov 24 2008 01:30 Oct 22, 2009 Jkt 089060 PO 00000 Frm 00056 Fmt 7634 Sfmt 0634 E:\CR\FM\K21OC7.098 H21OCPT1 smartinez on DSKB9S0YB1PROD with HOUSE October 21, 2009 CONGRESSIONAL RECORD — HOUSE H11575 Mr. FLEMING. Absolutely. It’s only another step. Remember that I said Some of the Democrats will refute that a fraction of the real cost. earlier the only way doctors are mak- statement, but, factually, people come Mr. BROUN of Georgia. Then if doc- ing it now is that private insurance is from all over the world for our health tors are cut more, that’s through Medi- making up the difference, it is making care because it is the best in the world. care and Medicaid today, if doctors’ up the gap, on average $1,800 per family Dr. CASSIDY, thank you for joining us payments are cut even more, what’s per year that is insured. tonight. I will be glad to yield to you going to happen to a senior’s doctor Mr. BROUN of Georgia. That is not for a while. who is out there trying to take care of fair either to the private side. Mr. CASSIDY. Thank you, Dr. folks now and being underpaid by Medi- Mr. FLEMING. No. Absolutely. What BROUN. I am pleased to be here. care? What do you think is going to this bill will do is not only gut Medi- Let me start off by saying I actually happen? What is the doctor’s response care and reduce the reimbursements to totally agree with our Democrat col- going to be? What does it have to be? physicians already, but it is going to leagues on the goals of health care re- Mr. FLEMING. Again, to look at the deliberately push people from private form. We have to control costs. By fundamentals of economics, today doc- insurance, because this so-called com- doing so, you can create access to high tors are paid on average 80 percent of petition is going to be an artificial quality care. the cost of the care they provide. The market, which is really a low-ball, and As you mentioned, I have been work- rest is made up on private insurance. it is going to force employers to push ing in a hospital for the uninsured for And if you cut that further, then physi- their employees onto this. So you will 20-something years, a public hospital in cians will find not only can they not see Medicare enlarging. And when I say Louisiana, part of our safety net sys- break even on providing care to Med- that, I don’t necessarily mean in a ge- tem, so it occurs to me that I know icaid recipients, they are going to lose neric way. firsthand the need to control costs. In money. And they can’t afford to do Just today, the Democratic Party re- our budget, there is a fixed budget, if that. They can’t make payroll. They leased a trial balloon, saying, well, in- you will. If we exceed that, then we can’t pay their light bill, their rent and stead of calling it a public option, let’s don’t have the ability to provide more so forth if they can’t make enough call it Medicare for everyone. Every access. We do have to form those long money from their patients. physician will be paid at the Medicare lines. And I kind of applaud the Presi- So the bottom line here is the basic rates for all these new patients. dent because he recognizes the need to dishonesty of this bill. It says that a So what you have in the end, just to control costs. half trillion dollars will be cut out of summarize, is a growing Medicare pool For example, he has more than once Medicare and it’s going to come out of or universe and a shrinking private in- said that the price of failure is that fraud, waste and abuse. After 40 years, surance, which will drive insurance costs will double over the next 10 no one has been able to figure out how costs up steeply, and you will be left years. In fact, I think the President to do that. No one advances a method- with basically a collapsed private in- has said that without his reforms or ology for doing that today. And so if surance market. the reforms he agrees with, that we you add already the fact that physi- Mr. BROUN of Georgia. That is the know that the costs will double over cians are paid less than their costs, an reason we know that millions of people the next 10 years and they will be out impending cut of 21 percent of their re- are going to lose their private health of control. I think he recognizes that imbursement and perhaps more in fu- insurance, because they are going to be cost control is one of the three legs of ture years, and then another half tril- forced off of it and forced into this so- the stool. Again, we must control costs lion dollars, which is going to go called public option, this government, in order to ensure access to high qual- against them and hospitals, what we’re bureaucrat-run, socialized health care ity care. basically doing is telling seniors, For- system. And we already see we have But we on the Republican side, I get it; we’re taking your health care, several government, bureaucrat-run think, have continually pointed out and we’re giving it to other people. health care systems, Medicare being that his programs will lead to higher b 1700 probably the most notable one, which costs, not lower costs, and that is of Mr. BROUN of Georgia. That is right, is already rationing care. concern to me, who has worked in a and that is what the Cost Effectiveness It tells me as a doctor and you as a public hospital, that knows that once Panel is going to tell seniors is you doctor when we can put a patient in costs are out control, then you inevi- just can’t get that surgery, you just the hospital or not and how long they tably have a decrease in access. can’t get that test you need. But doc- can stay there or not, whether they can I was struck today that there is an tors are going to quit seeing Medicare get a medication or other types of independent article that just came patients is what is going to happen. I treatments or not. And they want to across the Associated Press that under have talked to a lot of physicians. So put everybody in that kind of system? the proposed overhauls, the U.S. health seniors particularly are going to lose, I think not. That is not what is in the care tab would grow. That is the head- because they are not going to get the best interests of the American people. line. And this is an analysis by the medical services that they need to The American people need to under- Health and Human Services Depart- keep them healthy and keep them liv- stand this. ment looking at the impact of H.R. 3200 ing, plus they are going to lose their We have also been joined by another upon overall health care costs. doctor that they have trust in today. good friend of mine, also from Lou- Mr. BROUN of Georgia. Tell me it is In fact, in some communities, some isiana. We are blessed in the Repub- not so. It is going to go up? The health patients have difficulty finding a doc- lican Conference with three excellent care costs are going to go up? tor who will take Medicare, and a lot of physicians from the State of Louisiana. Mr. CASSIDY. You know, in one communities, even in my own commu- Dr. BILL CASSIDY is a gastro- sense, in one sense it is almost humor- nity, patients are having a hard time enterologist, and he has been working ous, and in another sense, it is almost finding a doctor that will take Med- in a public hospital for years and tak- tragic. Because what we have been say- icaid, or PeachCare, which is the Geor- ing care of patients that have had prob- ing all along is that under these pro- gia SCHIP, State Child Health Insur- lems with health insurance. posals, costs actually go up, and we ance Program payment. Dr. BILL CASSIDY is one of the sages know in our practice when that cost Doctors are going to be forced to of the freshman class and an excellent goes up, inevitably there is some sort abandon their acceptance of these pa- physician from Louisiana. We are of squeeze-down on people’s access to tients. They want to see these patients, blessed to have him here tonight, and high quality care. but they are not going to be able to do we are blessed to have you, Dr. By this, which is an independent gov- so because of the economic squeeze CASSIDY, in the Congress to help us dis- ernment economist, this is the Medi- upon the doctors. Right now doctors cuss the issues about health care fi- care Office of the Actuary, it says that are being paid less than what it costs nance reform. the report found that health care them to actually give the service. This whole discussion is not about would account for 21.3 percent of the Mr. FLEMING. If the gentleman health care reform. We have got the U.S. economy in 2019 under these re- would yield, I would like to extend that best health care system in the world. forms, slightly more than an estimated

VerDate Nov 24 2008 01:30 Oct 22, 2009 Jkt 089060 PO 00000 Frm 00057 Fmt 7634 Sfmt 0634 E:\CR\FM\K21OC7.099 H21OCPT1 smartinez on DSKB9S0YB1PROD with HOUSE H11576 CONGRESSIONAL RECORD — HOUSE October 21, 2009 share of 20.8 percent of the economy if have owned small nonmedical busi- Mr. ROE of Tennessee. Well, Dr. no bill passes. nesses for a number of years, over 20 BROUN, we have. Let me say I was here Additionally, it says that with the years, and we ran into this same esca- this morning early, and I came to this exception of the proposed reductions in lation problem, 9, 10, 12, 15 percent, Congress, I practiced medicine, OB– Medicare, the legislation would not really, per year. Finally we said, What GYN, delivered almost 5,000 babies, and have a significant impact upon future can we do to resolve this? And the I came to this Congress with a non- health care gross costs. It adds, it is Health Savings Account had been en- partisan background as the mayor of doubtful that the proposed Medicare acted again by the Republicans just Johnson City, Tennessee. That was my cuts will stay in. shortly before that, and I studied it. political background. So I came here to What we are seeing is that when the I used my background as a physician try to help be part of this great health President says that reform must be in the economics of medicine and I care debate. done or costs will double, indeed, under said, You know what? This, in effect, How I started my time off was I their reform plan, costs more than dou- connects the patient, in this case me brought every think tank that I could ble. and my employees, back to the real find—Brookings Institute, which is a Another report by the Congressional cost of care. It should have a remark- left-leaning think tank, Heritage Foun- Budget Office suggests that under the able impact bending the cost curve dation, Cato, AEI—into my office and reform plans before us, including the down. We didn’t use that term then be- sat down and listened to them and said, Senate Finance Committee, that the cause it hadn’t been used. But to make What is the problem? How do we define rate of inflation will be 8 percent per a long story short, we implemented it. the problem of our country right now year. That is compounded. That more We are about 7 years down the road as far as health care is concerned? than doubles costs. At a minimum, re- now, and our net increase in inflation One of them was escalating costs. form should not be more expensive cost has been less than 3 percent per How do we deal with that? How do we than the status quo if cost is the issue. year. deal with the uninsured and how do we So, Dr. BROUN, I want to return, I Mr. BROUN of Georgia. That is out- deal with preexisting conditions? think you are right on when you spoke standing. I think the thing that troubles most earlier about your bill, and, of course, Let’s go back to something we said of us out there, and me as an indi- I am a cosponsor of H.R. 3400, which in- with both of you, Dr. FLEMING as well vidual, quite frankly, is if you lose cludes things such as Health Savings as Dr. CASSIDY. H.R. 3200, the Pelosi- your job, you lose your health care. Accounts, that actually can bend the ObamaCare bill, is going to raise over- That is something that everyone in cost curve. all costs of health care in this country. this country fears, and certainly in a I was speaking to a woman back It is not going to lower the cost; it is bad job market. So I thought about home who does small group insurance. going to raise the cost. Not only do we that at great length and brought some I called her up and I said, If you have have this administration estimate that basic principles which we have, and I a family of four with an HSA and a it is going to increase the cost, but stood on the House floor this morning wraparound catastrophic policy versus even CBO said it is going to increase and heard three different individuals a family of four with the traditional in- the cost. CBO said it is not going to say that there were no other plans out surance policy, what is the rate of in- cover everybody. there. flation? Mr. CASSIDY. CBO, if I may, the b 1715 She said, Well, with the Health Sav- Congressional Budget Office, because I That is absolutely false. ings Account and the wraparound cata- find sometimes we get used to these Mr. BROUN of Georgia. Let me inter- strophic, about 6 percent per year. terms, but the independent arm of Con- rupt you and just say that we hear that Now, that actually begins to bend the gress that evaluates the fiscal matters, over and over again. We hear claims cost curve down. She said, though, for if you will, whether or not something from the Democrats that the Repub- the traditional insurance policy, it is costs more or less or is just right, the licans don’t have a plan. Look at all more along the lines of 9 to 11 percent Congressional Budget Office says the these bills. Every folder has a Repub- per year. rate of growth will be 8 percent per lican bill in it. I have my own there. So I think what we in this delega- year under the plans before us from the Many other Members, all these are Re- tion, this conference, have found is House Democratic leadership and the publican plans, Republican bills to help that if we empower patients, if we do Senate Finance Committee, and that rein in the costs and give people more what a Health Savings Account does, more than doubles costs in 10 years. options. which is take a portion of that health Mr. BROUN of Georgia. Absolutely. Mr. ROE of Tennessee. Well, Dr. insurance premium, puts it into an ac- So it is going to cost more money for BROUN, if you’ll yield back. count, and if the patient has money everybody, and it is going to cost jobs. Mr. BROUN of Georgia. Yes, sir. left over at the end of the year, it be- Millions of people are going to be put Mr. ROE of Tennessee. And I heard longs to the patient, she can roll it out of work by the ObamaCare bill. my good friends, Dr. FLEMING from over into the account the subsequent And we have got all these bills. Every Louisiana and Dr. CASSIDY, both men- year, as opposed to a program which folder has a different bill that the Re- tion this. But I looked at it, and I empowers government, which is a top- publicans have introduced, many, thought How can we make insurance down, central planning Medicaid-Medi- many alternatives, that will lower the portable? How do you affect preexisting care type of program, which, as good as cost, let me repeat that, lower the cost conditions? If you have a large group they are, nonetheless have inflation for everybody and get more people on market, you don’t have a problem with rates which are higher than the infla- insurance. preexisting conditions. tion rates for even traditional insur- We have also been joined tonight by For instance, in our city, where I was ance policies. If we go with the patient- another good friend, a freshman from mayor, it didn’t matter. How did we empowered process, we control costs. If Tennessee who has been very eloquent handle a preexisting condition? We we go with the same paradigm as this in telling us about the Tennessee ex- took everyone in. Everyone paid the report states, we actually increase periment that is exactly the same ex- same rate, and we bought catastrophic costs, the kind of government para- periment, the same program that coverage in case someone had a leu- digm. NANCY PELOSI and Barack Obama and kemia or a cancer or a severe heart If I can defer to my colleague from HARRY REID are trying to force upon problem and covered that issue. Shreveport, Dr. FLEMING actually has a the American public called TennCare. We also used prevention and very nice story about how they brought It didn’t work in Tennessee and it is wellness. And I can tell you there are Health Savings Accounts into their not going to work here. In fact, one of four organizations in my community, small group and indeed lowered costs. the definitions of insanity is doing the in my area, that have had minimal Mr. FLEMING. I appreciate your same thing over and over again and ex- health care increases in the last 4 to 5 yielding for a moment. pecting different results. years. How do they do that? Well, they Absolutely true. Apart from being a We have already done it, haven’t we, change the incentives from consump- family physician for over 30 years, I Dr. ROE? tion to wellness. And let’s say you

VerDate Nov 24 2008 01:30 Oct 22, 2009 Jkt 089060 PO 00000 Frm 00058 Fmt 7634 Sfmt 0634 E:\CR\FM\K21OC7.101 H21OCPT1 smartinez on DSKB9S0YB1PROD with HOUSE October 21, 2009 CONGRESSIONAL RECORD — HOUSE H11577 came in and you were hypertensive and is taking about. I talked to a hospital Certainly in our plan, you can take you had diabetes and you smoked and administrator in my district Monday, the bills that we’re individually in- you were overweight. Well, we would and he told me that their health insur- volved in and collectively involved in, penalize you financially for that. These ance plan for their employees has a for medical liability reform, nothing organizations—and there are busi- $2,500 deductible. But what they put in else has to pass for that medical liabil- nesses there that have been able to place was, if a patient smoked, they ity reform bill to save $54 billion. Noth- hold their costs down—but if you would pay a $2,500 deductible. If they ing has to pass for our associated changed and modified your behavior, have high blood pressure, they pay a health association health plans bill to we rewarded you for that and you $2,500 deductible. Diabetes, if they be out there and suddenly allow lots of would actually earn money by chang- didn’t lose weight and control their people to have access to health care ing your behavior. sugar, they had a $2,500 deductible for that they don’t have right now. Noth- And guess what that’s done? That’s everybody. ing else that I’m for has to pass for fair empowered the patient to be in charge But if you don’t smoke, they’d give tax treatment so that if you get your of their own health care. And we hear you a $500 credit. If you controlled insurance on your own, you have the all the time about insurance compa- your blood pressure, they’d give you exact same tax treatment that the big- nies. And I can tell you right now, I’m another $500 credit. If you controlled gest company in America has if they not sitting here defending an insurance your blood sugar, another $500 credit. If give insurance to people. company. And you and I—I’m a sur- you lose weight, another one. And peo- So we’ve got lots of bills out there. geon, and I’ve spent as much time on ple could actually, by doing these There are Republican solutions. The the phone trying to get an insurance things that we all suggest to our pa- biggest misleading thing said in this company to approve care than I actu- tients to make them healthier, and debate, which has lots of misleading ally do in the cases. But in our own make them less liable to expend health elements to it, is you can either do practice we have about close to 300 peo- care dollars, people could actually get what the administration wants to do, ple who get their care from our group, credits so they had no deductible. And or you can do nothing. There are lots 70 providers, 300 or so employees. if an employee didn’t have those prob- of choices between what the adminis- What we did, and what I’ve done, is lems, then they didn’t have the deduct- tration wants to do and nothing. They use this as a health savings account ible because they were already under reform health care without devastating card. And what Dr. CASSIDY was talk- control, their blood pressure was con- taxpayers. And that’s what we’re ing about, so people understand how trolled, their sugar was controlled, et doing. And, again, nobody has been bet- this empowers the individual, is this: cetera. ter on talking about the doctor/patient so much money, whether it’s $2,000 or So going back to what Dr. ROE said, relationship and what you do to be sure $3,000 and you go buy first dollar. it was an excellent way of getting their that doesn’t become the bureaucrat/pa- You’re going to shop. I do. If I go get a employees to help take care of them- tient relationship than our doctors, scan, I want the best price. At the end selves and lower the cost for them as a and I’m glad to be here on the floor of that year, if I don’t spend that company, plus it lowered the cost for with you and look forward to being money, it goes into an account, as Doc- all of their employees too. We’ve also part of this discussion for a few min- tor FLEMING said. Now, how many peo- been joined by my good friend, ROY utes. ple in our group chose to use this? BLUNT from Missouri; and we welcome Mr. BROUN of Georgia. Mr. BLUNT, I Eighty-four percent, instead of tradi- you, Mr. BLUNT, anytime for, not only want to point out here we have all tional accounts, they used a health this Doctors Caucus Special Order, but these folders here on the desk. Each savings account. you’ve got—you’re very sage on these one contains a Republican bill to help Mr. FLEMING. Will the gentleman issues and I yield to you, sir. reform the health care financing. yield on that? Mr. BLUNT. Well, I thank the gen- Every single one of these, these are all Mr. ROE of Tennessee. Yes. tleman for yielding. It’s good to be Republican bills that have been intro- Mr. FLEMING. On the subject of here on the floor with so many of our duced in this House of Representatives. health savings account—and you heard Republican doctors. When you’re in a Not one will see the light of day if me say our experience was less than 3 debate on health care, and you can say, NANCY PELOSI wants to bury them as percent increase in costs per year. And Doctor, Doctor, Doctor, Doctor, you’d she has thus far. Every single one of you point out that it’s the employer’s probably better be in a discussion on these is a plan that I think we could dollars that are going into that ac- health care. And I want to say that our get a lot of Democrats, if they would count, not the employees. It’s pre-tax Republican doctors have really been ever have the ability to look at them or nontaxed, really; and it’s used at the doing a great job leading on this issue. and consider them. employee’s discretion. Many of them were on the health care But it’s unfortunate that this leader- Just a quick example: had a lady solutions group that I led and, you ship is saying it’s either the Obama who, when we first implemented this, know, we haven’t produced an 1,100- way or no way. And then they come she said, Well, I’m a little concerned page bill or a 1,500-page bill. But and literally lie about us not having a because this means that I’ll have to there’s lots of legislation out there bill. Just this morning during Special pay out of pocket, meaning out of the that Republicans are for that would Orders, Democrats came in and said we health savings account for my medica- change health care in the right way don’t have a bill. Here they are. The tions for my respiratory problems. And and a lot of it that you as individuals American people need to understand I said, Well, what is it that you take are supporting as well. that. and how much does it cost? And she And one thing I’ve heard, Dr. BROUN, Mr. BLUNT. If the gentleman would says, Well, I use several inhalers. It all over the summer, throughout the yield, we have plenty of alternatives, costs me $100, $150 a month for medica- summer and now into these early and I’m absolutely confident that if tion. And I suggested, Well, why don’t months of the fall, is why do we have you ask the American people would you stop smoking and you’ll save bills that nobody can read, that nobody you rather have one 1,500-page bill—I money on the tobacco, and you can can understand and certainly, in health actually heard today that the Senate stop your inhalers, probably. And sure care? I suppose if you’re on the other bill, the Baucus bill, is over 1,500 pages. enough, she did: came back 3 months side of this issue and you’re trying to Would you rather have one 1,500-page later and thanked me. She felt better. come up with a health care plan that bill, or would you rather have 15 bills She had a lot more money in her pock- costs $1 trillion, maybe it all has to that were all less than 100 pages that et, and it all had to do with the health work together. You have to have the you could debate one at a time, that savings account. taxes, you have to have the mandatory you could change the system in a way Mr. BROUN of Georgia. Reclaiming insurance for every American, you that people understand exactly what my time, as a family doctor, it’s al- have to penalize small businesses that you’re doing, and that you don’t dev- ways been a problem for me to get pa- don’t create insurance for their em- astate future generations with a health tients to comply with these wellness ployees, maybe it all does have to come care plan that just simply can’t be paid suggestions that I make that Dr. ROE together. for when we have reforms that would

VerDate Nov 24 2008 01:30 Oct 22, 2009 Jkt 089060 PO 00000 Frm 00059 Fmt 7634 Sfmt 0634 E:\CR\FM\K21OC7.103 H21OCPT1 smartinez on DSKB9S0YB1PROD with HOUSE H11578 CONGRESSIONAL RECORD — HOUSE October 21, 2009 create a lower cost of health care gen- a list of bills on health care that have Mr. ROE of Tennessee. Dr. BROUN, erally, lower cost of taxpayer-provided been introduced. Probably most of what happened was exactly as you health care specifically, and not add to them are in those binders behind Dr. point out. In 1993, we were spending $2.6 the Federal deficit. BROUN. billion. We had a lot in the State of And I know the answer to that, doc- b 1730 Tennessee on our Medicaid plan. We tors. I know the answer to that and changed to a plan called TennCare. By But Dr. BOOZMAN from Arkansas has you do too. You all were at the town the year 2004, it was a $7.5 to $8.5 bil- three different bills, Dr. BOUSTANY hall meetings. You’ve been on tele- lion plan. It tripled the cost. Forty-five from Louisiana—cardiothoracic sur- phone town halls. And people are tired percent of the people who got on the geon—two bills; Dr. MICHAEL BURGESS, of bills where the answer, where the plan had private health insurance and our colleague from Texas, OB–GYN, problem is hidden somewhere in the has six different bills, including a paid- dropped it—exactly what’s going to bill and nobody can find it. And believe for doctor fix elimination of that SGR. happen in the public option. And how me, if there’s a 1,500-page bill, if this did the governor, a Democratic gov- Dr. BROUN has a great bill himself, H.R. Congress stays true to form, there will ernor, rein in costs? He cut the rolls. 227; Dr. CASSIDY has a bill; Dr. FLEMING be a 1,500-page substitute put on the has H.R. 615; Dr. JOHN LINDER; TIM He rationed care in that way. And that table the day we’re asked to vote on it, MURPHY, our colleague from Pennsyl- is exactly what will happen in a public and nobody will have possibly had time vania, has two bills; Dr. RON PAUL from option that we’re talking about. We’ll to read it. Texas has six different bills; MIKE go into it in more detail. The bills right behind you are not SIMPSON from Idaho has a bill. Let me take 30 seconds and tell you only the Republican solutions to this Let me just say real quickly, Mr. if we could agree on this and pass a problem, but they’re also the way the Speaker, because I know our time is meaningful health care bill, this is all American people would like to see this running short, but you talk about a you have to do. Eliminate State lines problem solved, and we’re working simple bill, an easy to understand, so you can form association health hard to do that. We’d just like to have easy-read bill, my bill, H.R. 3700, here plans; give tax credits for low-income an opportunity to present these bills. it is, Mr. Speaker. Here it is right here. people to buy affordable health care; We’d like to have an opportunity to This is easy. If you drop this bill, it have a tax deduction for individuals. have a hearing on these bills. We’d love just kind of floats down. But it is so Last year I was an individual when I to have an opportunity for these bills important because H.R. 3700, Ten Pre- ran for Congress, and I couldn’t deduct to be debated on the House floor. So far scriptions for Healthy America—I can my health care premiums. It made nobody’s given us that opportunity at run through them quickly and not take them 30 percent higher. any level. up too much of my colleagues’ remain- Number four, let young people who Mr. BROUN of Georgia. Thank you, ing time. don’t have a job when they get out of Mr. BLUNT. I appreciate it and appre- Number one, no government-run high school or college, let them stay on ciate your chairing the task force to health plan. I hope my Democratic col- their parents’ health care until they’re look at the health care from the Re- leagues on the majority side haven’t 25, 26 years old. It costs the govern- publican Conference side. We’ve also forgotten what people were telling ment a big fat zero. You can cover 7 been joined by my dear friend and col- them in August despite this recent poll million young people doing that. league, one of my mentors actually, they came out with. I think they need Tort reform and SGR fix. Those are Dr. PHIL GINGREY, OB–GYN from Geor- to think about that. People don’t want not terribly expensive things to do. I gia. He grew up in Augusta, Georgia, a government-run health care plan. think we can all agree on them. And I that I represent. He was slightly ahead They certainly don’t want cuts in sen- believe we can get a meaningful health of me in medical school at the Medical ior care, that’s $500 billion out of a care plan that doesn’t blow up a sys- College of Georgia, and we’re just very Medicare system and literally gutting tem that’s working for 80 or 85 percent honored to have you, Dr. GINGREY. I Medicare Advantage. of the people right now. yield to you, sir. No new deficit spending. And the Mr. BROUN of Georgia. Thank you, President said, Hey, not a dime will we Mr. GINGREY of Georgia. Mr. Speak- Dr. ROE. er, I appreciate my colleague, Dr. add to the deficit. No new taxes. No ra- TennCare failed? BROUN, for yielding and for controlling tion of care, particularly for our sen- Mr. ROE of Tennessee. Yes. the time and my colleagues Dr. ROE iors. They don’t want to get thrown Mr. BROUN of Georgia. ObamaCare is and Dr. FLEMING. And plus we just under the bus just so we can spend $1.5 going to fail. It’s going to wreck our heard, Mr. Speaker, from ROY BLUNT, trillion covering an additional 15 mil- economy, it’s going to put people out former majority whip, long-term mem- lion people. That’s what, 4 percent of of work, and seniors are going to be the population—many of whom are ber of our leadership. And talking hurt the most by ObamaCare. about wouldn’t it be better to have fif- young and healthy and really don’t We’ve got just a minute left. want that coverage. No taxpayer cov- teen 100-page bills that we could look I would like to go back to Dr. FLEM- erage for illegal immigrants. at and study and understand and take ING. So I could go on and on with these 10, Mr. FLEMING. I just have 15 seconds up in a very deliberative manner rather but I know we’re running short of time. of a thumbnail little summary I’d like than one 1,500-page bill, or in the case But it’s great to have an opportunity, of the House bill, H.R. 3200, I think, Mr. Mr. Speaker, to let the Democratic ma- to mention. Speaker, we’re talking about maybe jority and their leadership, let the If ObamaCare passes, there will be in- 1,200 pages. President know we’re here, we’re creased taxes for the middle class— But, again, you hear this over and ready. You say your door’s open, we’re which the President promised wouldn’t over again, whether it’s the Sunday knocking on it. We’re ready to come in happen—and significantly increased morning talk shows or inside the belt- and present some of these ideas. private premiums. It will decrease way up here, people accuse even Presi- I yield back to my friend from Ath- services to senior citizens. It will ex- dent Obama suggesting that we weren’t ens. plode the budget. And the bottom line bringing him any good ideas, any Mr. BROUN of Georgia. I want to go is we will pay more for less meaningful ideas or, you know, the back to Dr. ROE for a minute because Mr. BROUN of Georgia. You’re ex- party of ‘‘no.’’ Well, Dr. BROUN and I we’ve got about 5 more minutes. actly right, Dr. FLEMING. We’ll pay and others have spoken about we’ll ac- In Tennessee, you all put in a govern- more for less, we’ll get poor quality cept that accusation if you spell it cor- ment-run health care program, just ex- care. It’s going to destroy the quality rectly, K-N-O-W. actly the same kind of thing that of health care in this country. And those bills behind him, behind NANCY PELOSI’s offering us here in H.R. CBO says it’s not going to cover ev- my colleague from Athens, attest to 3200, or whatever she’s writing. We erybody, and we hear our Democratic that fact. And probably my colleagues know those things. colleagues say they want to cover ev- have already mentioned this. But just Bottom line, very quickly in 30 sec- erybody, but it’s not going to. And it’s in our GOP Doctors Caucus, there are onds, did it work, or did it fail, and going to hurt everybody. And it’s real- about 12 of us, and I was just looking at what was the outcome? ly going to hurt the middle class.

VerDate Nov 24 2008 01:30 Oct 22, 2009 Jkt 089060 PO 00000 Frm 00060 Fmt 7634 Sfmt 0634 E:\CR\FM\K21OC7.104 H21OCPT1 smartinez on DSKB9S0YB1PROD with HOUSE October 21, 2009 CONGRESSIONAL RECORD — HOUSE H11579 When the President came and spoke Mr. GRAYSON, for 5 minutes, today. The motion was agreed to; accord- to the joint session of Congress a cou- Mr. SABLAN, for 5 minutes, today. ingly (at 5 o’clock and 36 minutes ple of weeks ago, only one person told Ms. CHU, for 5 minutes, today. p.m.), the House adjourned until to- the truth, and that was JOE WILSON. Mr. KAGEN, for 5 minutes, today. morrow, Thursday, October 22, 2009, at JOE WILSON is the only person who told (The following Members (at the re- 10 a.m. the truth. quest of Mr. POE of Texas) to revise and f The ObamaCare bill is going to give extend their remarks and include ex- EXECUTIVE COMMUNICATIONS, free health insurance to illegal aliens, traneous material:) ETC. it’s going to pay for abortions, it’s Mr. POE of Texas, for 5 minutes, Oc- going to do a lot of things that people tober 28. Under clause 2 of Rule XXIV, execu- don’t like. But the bottom line is peo- Mr. MORAN of Kansas, for 5 minutes, tive communications were taken from ple are going to be out of work that are October 28. the Speaker’s table and referred as fol- working today. It’s going to hurt our Mr. JONES, for 5 minutes, October 28. lows: economy. It’s going to hurt the elderly, Mr. BURTON of Indiana, for 5 minutes, 4192. A letter from the Assistant Secretary because they’re going to have their October 26, 27 and 28. for Financial Stability, Department of the Treasury, transmitting the Department’s health care services cut, and they’re Mr. DEAL of Georgia, for 5 minutes, summary of response to the Special Inspec- not going to be able to get their serv- October 22. tor General for the Troubled Asset Relief ices from the doctor or from the hos- Mr. POSEY, for 5 minutes, today. Program’s (SIGTARP) July 21, 2009 rec- pital that they need and deserve be- f ommendations; to the Committee on Finan- cause of ObamaCare. And the American cial Services. people need to understand these things. ENROLLED BILLS SIGNED 4193. A letter from the Under Secretary of Millions of people are going to lose a Defense, Department of Defense, transmit- Lorraine C. Miller, Clerk of the ting the description of the reorganization of job and be out on the street, and it’s House, reported and found truly en- the Department of Defense Education Activ- going to hurt our economy. rolled bills of the House of the fol- ity (DoDEA) that affects the defense depend- So the American people need to un- lowing titles, which were thereupon ents’ education system, pursuant to 20 U.S.C. derstand these things and rise up and signed by the Speaker: 924; to the Committee on Education and Labor. say ‘‘no’’ to ObamaCare. Let us have a H.R. 621. An act to require the Secretary of bipartisan debate on all of these Re- 4194. A letter from the Secretary, Depart- the Treasury to mint coins in commemora- ment of Health and Human Services, trans- publican plans so that we can find com- tion of the centennial of the establishment mitting a report entitled, ‘‘High Risk Pool monsense market-based solutions for of the Girl Scouts of the United States of Grant Program for Federal Fiscal Years health care. America. (FFYs) 2006 and 2007’’; to the Committee on H.R. 2892. An act making appropriations f Energy and Commerce. for the Department of Homeland Security for 4195. A letter from the Chairman, Federal REPORT ON RESOLUTION PRO- the fiscal year ending September 30, 2010, and Energy Regulatory Commission, transmit- for other purposes. VIDING FOR CONSIDERATION OF ting the Commission’s strategic plan for fis- H.R. 3619, COAST GUARD AUTHOR- f cal years 2009 through 2014; to the Com- mittee on Energy and Commerce. IZATION ACT OF 2010 SENATE ENROLLED BILL SIGNED 4196. A letter from the Acting Assistant Mr. ARCURI (during the Special Secretary, Legislative Affairs, Department The Speaker announced her signa- of State, transmitting the Department’s re- Order of Mr. BROUN of Georgia), from ture to an enrolled bill of the Senate of the Committee on Rules, submitted a port concerning efforts made by the United the following title: Nations and the Specialized Agencies to em- privileged report (Rept. No. 111–311) on S. 1818. An act to amend the Morris K. ploy an adequate number of Americans dur- the resolution (H. Res. 853) providing Udall Scholarship and Excellence in Na- ing 2008, pursuant to 22 U.S.C. 276c-4; to the for consideration of the bill (H.R. 3619) tional Environmental and Native American Committee on Foreign Affairs. to authorize appropriations for the Public Policy Act of 1992 to honor the legacy 4197. A letter from the Director, Inter- Coast Guard for fiscal year 2010, and for of Stewart L. Udall, and for other purposes. national Cooperation, Department of De- fense, transmitting Pursuant to Section 27(f) other purposes, which was referred to f the House Calendar and ordered to be of the Arms Export Control Act and Section 1(f) of Executive Order 11958, Transmittal No. printed. BILLS PRESENTED TO THE PRESIDENT 18-09 informing of an intent to sign a Project f Agreement with Italy; to the Committee on Lorraine C. Miller, Clerk of the Foreign Affairs. LEAVE OF ABSENCE House reports that on October 16, 2009 4198. A letter from the Director, Inter- By unanimous consent, leave of ab- she presented to the President of the national Cooperation, Department of De- sence was granted to: United States, for his approval, the fol- fense, transmitting Pursuant to Section 27(f) lowing bills. of the Arms Export Control Act and Section Ms. RICHARDSON (at the request of 1(f) of Executive Order 11958, Transmittal No. Mr. HOYER) for today on account of H.R. 1016. To amend title 38, United States 15-09 informing of an intent to sign a Project business in the district. Code, to provide advance appropriations au- Agreement with Australia; to the Committee Mr. CARTER (at the request of Mr. thority for certain accounts of the Depart- on Foreign Affairs. BOEHNER) for today on account of ill- ment of Veterans Affairs, and for other pur- 4199. A letter from the Assistant Secretary, ness. poses. Legislative Affairs, Department of State, H.R. 2997. Making appropriations for Agri- transmitting pursuant to section 3(d) of the Mr. WALDEN (at the request of Mr. culture, Rural Development, Food and Drug Arms Export Control Act, as amended, cer- BOEHNER) for today on account of ill- Administration, and Related Agencies pro- tification regarding the proposed transfer of ness. grams for the fiscal year ending September major defense equipment from the Kingdom f 30, 2010, and for other purposes. of the Netherlands (Transmittal No. RSAT Lorraine C. Miller, Clerk of the 09-1864); to the Committee on Foreign Af- SPECIAL ORDERS GRANTED House also reports that on October 21, fairs. By unanimous consent, permission to 4200. A letter from the Deputy Secretary, 2009 she presented to the President of Department of the Treasury, transmitting as address the House, following the legis- the United States, for his approval, the required by section 401(c) of the National lative program and any special orders following bill. Emergency Act, 50 U.S.C. 1641(c), and section heretofore entered, was granted to: H.R. 3183. Making appropriations for en- 204(c) of the International Emergency Eco- (The following Members (at the re- ergy and water development and related nomic Powers Act, 50 U.S.C. 1703(c), and pur- quest of Ms. WOOLSEY) to revise and ex- agencies for the fiscal year ending Sep- suant to Executive Order 13313 of July 31, tend their remarks and include extra- tember 30, 2010, and for other purposes. 2003, a six-month periodic report on the na- neous material:) tional emergency with respect to significant f narcotics traffickers centered in Colombia in Ms. WOOLSEY, for 5 minutes, today. ADJOURNMENT Executive Order 12987 of October 21, 1995; to Mr. DEFAZIO, for 5 minutes, today. the Committee on Foreign Affairs. Mr. INSLEE, for 5 minutes, today. Mr. BROUN of Georgia. Mr. Speaker, 4201. A letter from the Chairman, Council Ms. KAPTUR, for 5 minutes, today. I move that the House do now adjourn. of the District of Columbia, transmitting

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