E PL UR UM IB N U U S Congressional Record United States th of America PROCEEDINGS AND DEBATES OF THE 112 CONGRESS, FIRST SESSION

Vol. 157 WASHINGTON, WEDNESDAY, JANUARY 19, 2011 No. 7 Senate The Senate was not in session today. Its next meeting will be held on Tuesday, January 25, 2011, at 10 a.m. House of Representatives WEDNESDAY, JANUARY 19, 2011

The House met at 10 a.m. and was for You will set us free. We will sing of dress the House for 1 minute and to re- called to order by the Speaker pro tem- Your goodness to us and bless Your vise and extend his remarks.) pore (Mr. ROGERS of Alabama). Holy Name, Most High, both now and Mr. WILSON of South Carolina. Mr. f forever.’’ Speaker, today, the voice of the Amer- Amen. ican people will be heard. The current DESIGNATION OF THE SPEAKER f administration’s unconstitutional PRO TEMPORE health care takeover is not the will of The SPEAKER pro tempore laid be- THE JOURNAL the people. fore the House the following commu- The SPEAKER pro tempore. The Tea party participants have made a nication from the Speaker: Chair has examined the Journal of the difference. WASHINGTON, DC, last day’s proceedings and announces The current law would cost taxpayers January 19, 2011. to the House his approval thereof. over $2.6 trillion. It adds to the rising I hereby appoint the Honorable MIKE ROG- Pursuant to clause 1, rule I, the Jour- health care cost. The health care take- ERS to act as Speaker pro tempore on this nal stands approved. over is not workable. The National day. Federation of Independent Business, JOHN A. BOEHNER, f Speaker of the House of Representatives. NFIB, America’s largest organization PLEDGE OF ALLEGIANCE of small businesses, estimates it will f The SPEAKER pro tempore. Will the eliminate 1.6 million jobs. PRAYER gentleman from New Mexico (Mr. Today’s vote on Repealing the Job- The Chaplain, the Reverend Daniel P. HEINRICH) come forward and lead the Killing Health Care Law Act promotes Coughlin, offered the following prayer: House in the Pledge of Allegiance. a commonsense approach to the health The psalmist understands we all ap- Mr. HEINRICH led the Pledge of Alle- care issues facing our country. Instead proach God in different ways. giance as follows: of forcing Americans to comply with a Some feel distant and lament: I pledge allegiance to the Flag of the Big Government takeover of health ‘‘How long, O Lord, will You forget United States of America, and to the Repub- care, repeal will open the discussion of us? How long will You hide Your face lic for which it stands, one nation under God, providing affordable care to families, from us? How long must we be bur- indivisible, with liberty and justice for all. preserving the doctor-patient relation- dened with grief, going about sorrowful f ship and protecting jobs. all day and throughout the night? How This is what the American people ANNOUNCEMENT BY THE SPEAKER long will our oppression last?’’ want the new Congress to achieve. Now PRO TEMPORE Then some forget self and readily is the time to repeal the takeover and turn to the Lord: The SPEAKER pro tempore. The to forward a plan that provides for ac- ‘‘Look now and answer us, O Lord our Chair will entertain up to 15 requests cess and affordability. God. Give light to our eyes lest we for 1-minute speeches on each side of In conclusion, God bless our troops, seem asleep, no longer fully alive but the aisle. and we will never forget September the like the dead, lest our opponents say, f 11th in the global war on terrorism. ‘We have overpowered them’ and laugh PASSING THE REPEALING THE f at our downfall.’’ Still others like ourselves will trust JOB-KILLING HEALTH CARE LAW THE JOBS LOOPHOLE IN OUR in the Lord: ACT FREEDOM CONSTRUCT ‘‘For our part, we will trust in Your (Mr. WILSON of South Carolina Mr. JACKSON of Illinois. Mr. Speak- faithful love. Our hearts will rejoice, asked and was given permission to ad- er, I ask unanimous consent to speak

b This symbol represents the time of day during the House proceedings, e.g., b 1407 is 2:07 p.m. Matter set in this typeface indicates words inserted or appended, rather than spoken, by a Member of the House on the floor.

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VerDate Mar 15 2010 23:45 Jan 19, 2011 Jkt 099060 PO 00000 Frm 00001 Fmt 0636 Sfmt 0634 E:\CR\FM\A19JA7.000 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H258 CONGRESSIONAL RECORD — HOUSE January 19, 2011 for 1 minute, to revise and extend my families to make their own health care keep our promise to the American peo- remarks, to enter relevant materials decisions. ple, as we scrap this health care reform into the RECORD at taxpayers’ expense. f bill of last year and start over with The SPEAKER pro tempore. Without health care reform that will lower the AN ASSAULT ON NEW HEALTH objection, the gentleman is recognized cost of health insurance without grow- CARE FREEDOMS for 1 minute. ing the size of government. There was no objection. (Mr. BLUMENAUER asked and was f Mr. JACKSON of Illinois. Mr. Speak- given permission to address the House er, on January 11, 1944, in his third for 1 minute.) b 1010 term, President Franklin D. Roosevelt Mr. BLUMENAUER. Mr. Speaker, FOR-PROFIT HEALTH CARE MODEL recognized the limitations of the Presi- you may miss it in the rhetoric, but IS THE WRONG MODEL dency and Congress in addressing the both parties agree the current path of Nation’s most serious problem: unem- Medicare threatens to bankrupt the (Mr. KUCINICH asked and was given ployment. country. permission to address the House for 1 So he proposed changing the only ve- Some parts of America are spending minute and to revise and extend his re- hicle capable of eliminating unemploy- twice as much per Medicare patient as marks.) ment: the Constitution. we spend in Portland, Oregon, for ex- Mr. KUCINICH. The for-profit health Roosevelt suggested that adding fun- ample, but deliver inferior care. care system is the problem. Eight hun- damental economic rights to the Con- We know what to do. dred billion dollars every year is spent stitution was the only way to truly ad- This is why the reform act can give on corporate profits, stock options, ex- dress our unemployment problem. better care for less cost, but it’s not ecutive salaries, advertising, mar- Sixty-seven years later, to dramatize guaranteed. The Republican plan would keting, and the cost of paperwork. the shameful condition that our Nation strip away the reforms, the protections In the for-profit system that we have, and the marketplace tolerates, I have and the cost savings. nearly 1 out of every 3 dollars goes for asked the Nation’s unemployed, under- But this is not just an assault on new things not related to health care. If we employed, and economically insecure health care freedoms. It represents the took that $800 billion and spent it on to send their resumes to me at: triumph of politics over adult fiscal su- care for people, we would have enough [email protected]. I pervision. The Republican leadership money to cover all medically necessary will then submit those records to the doesn’t just ignore, they discredit, the needs in addition to dental care, vision CONGRESSIONAL RECORD, on their be- nonpartisan professionals who, for 36 care, mental health care, prescription half, as a means of protesting the years, helped keep politicians in both drugs, and long-term care. unaddressed, shameful unemployment parties honest. We now have a situation where 50 problem. Without this impartial referee, the million Americans don’t have any I am not promising anyone a job. I long, difficult road to fiscal health be- health insurance. Americans wouldn’t believe that the wealthiest Nation in comes longer, becomes harder, and be- have to worry about losing everything the world should do something about comes less likely to be traveled. they’ve worked a lifetime for because the jobs loophole in our freedom con- f there is an illness in the family. struct. SCRAPPING THE GOVERNMENT This debate is the wrong debate. A Until Democrats and Republicans in TAKEOVER OF HEALTH CARE for-profit model is the wrong model. this Congress and in the White House We should be talking about universal (Mr. PENCE asked and was given per- eliminate the fear of unemployment health care, single-payer, not-for-profit mission to address the House for 1 from our freedom and liberty con- health care, Medicare for all, quality minute and to revise and extend his re- struct, I will continue this peaceful health care for all Americans. demonstration at: marks.) [email protected]. Mr. PENCE. Mr. Speaker, there is a f lot of talk these days around here f HONORING SARGENT SHRIVER about where Members of Congress are HEALTH CARE REFORM going to sit during the State of the (Mr. DREIER asked and was given (Mr. LAMBORN asked and was given Union Address. Well, I’ve been in Con- permission to address the House for 1 permission to address the House for 1 gress for 10 years, and I learned a long minute and to revise and extend his re- minute.) time ago that it doesn’t really matter marks.) Mr. LAMBORN. Mr. Speaker, I rise where you sit; it matters where you Mr. DREIER. Mr. Speaker, ‘‘one of today in support of this historic effort stand. the brightest lights of the greatest gen- to bring back our health care system Today, House Republicans are going eration,’’ that’s how President Obama from the grip of a massive, unprece- to stand with the American people and correctly described Sargent Shriver, dented government takeover. are going to vote to repeal the govern- who we all know passed away yester- Overwhelmingly, my constituents in ment takeover of health care—lock, day. Colorado, like the majority of Ameri- stock, and barrel. Sargent Shriver gave new meaning to cans, know that ObamaCare increases Now, I know the other side and some the term ‘‘public service.’’ He never costs, explodes the deficit, raises taxes, liberals in the media don’t like us held elective service, and yet he hurts job-creators and, most impor- using that term ‘‘government takeover launched the Peace Corps, was a mem- tantly, gives the government control of health care,’’ but let me break it ber of the Diplomatic Corps, and he and over personal health care decisions. down for you: his wife started the great Special To force every American to buy a pri- When you mandate that every Amer- Olympics. vate product like health insurance is ican purchase health insurance, wheth- In fact, I first got to know him in unconstitutional. er they want it or need it or not; when 1997 when I happened to be traveling By using budgetary gimmicks, like you mandate that every business pro- with President Clinton in Latin Amer- counting 10 years of tax hikes against vide health insurance or send people to ica. We were in Buenos Aires, and it 6 years of spending, Democrats rigged a government-run exchange; when you just so happened that that night Sar- ObamaCare to get a misleading score pay for it with hundreds of billions of gent Shriver was there holding an from the Congressional Budget Office. dollars and higher taxes and mandates; event to raise funds for the Special Realistic accounting shows that this and when you throw in public funding Olympics. He, by virtue of his public law is a budget buster. ObamaCare cre- of abortion against the wishes of the service, was able to touch lives not just ates so much new bureaucracy and overwhelming majority of the Amer- here in the United States, but because spending that it took 2,800 pages to cre- ican people, that is the government of his service, he was able to touch ate it while the bill to repeal is only takeover of health care. And the Amer- lives all over the globe. two pages. ican people know it. Our thoughts and prayers are with Republicans will work to craft better I urge all of my colleagues in both his wonderful children and all the solutions that empower patients and political parties to join us today as we members of his family.

VerDate Mar 15 2010 01:53 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00002 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.003 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H259 LET’S NOT RETURN TO A BROKEN the House for 1 minute and to revise publicans’ most unfortunate effort to HEALTH CARE SYSTEM and extend her remarks.) repeal health care reform that we (Mr. HEINRICH asked and was given Ms. WASSERMAN SCHULTZ. Mr. passed during the last Congress. This permission to address the House for 1 Speaker, I rise to share the story of Pa- repeal will increase the deficit by $230 minute.) tricia Maisch. Pat, as her friends call billion. No one disagrees with that but Mr. HEINRICH. Mr. Speaker, last her, lives outside Tucson and has been Republicans. That’s why the Repub- year we took a desperately needed fittingly hailed as one of the heroes lican majority exempted this legisla- stand for America’s families and small during the tragic shooting of our col- tion from pay-as-you-go budgeting. businesses over the insurance compa- league and friend GABBY GIFFORDS. Pat You know this repeal will increase the nies. We took a stand against insur- actually knocked the second gun clip deficit. ance company abuses like discrimina- out of the shooter’s hand as he was at- Keeping the law in its present form tempting to reload, very likely saving tion against the sick, lifetime limits, not only decreases the deficit but will the lives of more innocent people. the prescription drug doughnut hole, provide 32 million uninsured Americans She was in line to talk to her Con- and a resulting $1 trillion increase to gresswoman, to share that she thought the opportunity to obtain insurance our deficit. that the title of the health care repeal and provide dependable coverage for We took a stand for hardworking bill was disingenuous and because Pat their families; it allows children to re- Americans like Vicky Farrar, who and her husband own a small business main on their family’s policy to age 26; moved to Albuquerque only to discover north of Tucson. The spouse of one of it closes the doughnut hole, and it does that to reenroll in a health insurance their employees has a preexisting con- so much more. plan she would end up spending close to dition and they have been unable to Mr. Speaker, I can usually see both a third of her income because of her find affordable coverage to cover her. sides of an issue, but for the life of me, preexisting condition, high blood pres- Pat wanted to tell Congresswoman GIF- I can’t see what the Republicans are sure. That kind of skyrocketing cost FORDS that the health reform law will trying to achieve but to score political burden has stunted the dreams of help them provide health insurance for points with their right-wing base. American families and small busi- this employee. She wanted to ask I call on my friends to abandon your nesses while lining the pockets of in- Gabby to stand up to attempts to re- surance company CEOs. But thanks to efforts and let’s concentrate on putting peal health reform. Americans to work. That’s what my the American Affordable Care Act, Pat was unable to deliver her mes- Vicky and her doctor will be put back constituents are demanding and your sage to her Representative, but she constituents as well. in charge of her health care and able to asked me to share it with you now. choose an affordable insurance policy. Heed the words of Pat Maisch. Heed the f I urge my colleagues to vote against words of millions of Americans needing a return to the broken health care sys- health care. Don’t repeal vital health tem that we spent decades trying to care reform. HISTORIC DAY—REPEAL OF fix. OBAMACARE f f REPEAL GOVERNMENT TAKEOVER (Mr. GRAVES of Georgia asked and SHOTS ACROSS THE BORDER OF HEALTH CARE was given permission to address the (Mr. POE of Texas asked and was House for 1 minute and to revise and (Mr. DENHAM asked and was given extend his remarks.) given permission to address the House permission to address the House for 1 for 1 minute.) minute.) Mr. GRAVES of Georgia. Mr. Speak- Mr. POE of Texas. Mr. Speaker, re- Mr. DENHAM. Mr. Speaker, I rise er, today is a historic day in America. cently, in the border ghost town of today to speak in favor of repealing the Acting on the will of the voters and the Fort Quitman, Texas, a county road government takeover of health care majority of all Americans, today we crew came under automatic weapon forced through Congress without the will vote to repeal ObamaCare. fire. The four Hudspeth County work- input of the American people. Now, while the Senate appears less ers reported at least eight shots were This country is currently in the interested in following suit, here in the fired at them from across the border in midst of a terrible recession and it’s House this vote marks the beginning of Mexico. clear that shouldering America’s small round two of a vigorous and spirited The Rio Grande is very narrow in businesses with heavier tax burdens national debate on health care. Over this isolated region and is used by and increased regulation will only pro- the coming months and weeks, this de- armed drug smugglers to bring drugs long our road to recovery. bate will go from Congress to kitchen into the United States. Speculation by By mandating that small businesses tables all across this country. So as we the Texas Rangers is the shooter was and individuals carry government-ap- reengage in this debate, the party on trying to protect the drug route from proved health care, the Federal Gov- the left questions: Why do the Amer- the workers. This newest attack on the ernment has dramatically overstepped ican people want this policy repealed road crew is yet another example of the the boundaries of personal freedom so bad? So let’s revisit some of those brazen, violent determination of out- guaranteed by our Constitution. It in- areas. laws to invade the United States. fringes on the rights of the States by Number one, the employee mandate, The United States protects the bor- forcing new requirements upon them penalizing and punishing businesses for ders of other nations. Why doesn’t the and penalizing them should they not having government-approved Federal Government do its constitu- choose to opt out of the Federal man- health care; the individual mandate, tional duty and really protect our bor- date. punishing and taxing Americans who der from foreign invaders? Are border The American people were misled. A choose not to have government-ap- States going to have to not only give government-run health care plan will proved health care; the $569 billion in road crews shovels but rifles to protect limit access and choice, and millions of new taxes on the American people; jobs them from the drug cartels? Americans will lose their coverage be- being lost; the cost of the bill, $2.6 tril- It’s time to be serious and protect cause of mandates from bureaucrats in lion with a $700 billion deficit over the Americans and put more National Washington. first 10 years of its life; and, yes, 222 Guard troops on the border. Mean- f corporations already exempt and while, Washington seems to be whis- waived from this policy. That’s why. tling by the graveyard of indifference. REPEAL OF THE PATIENTS’ BILL And that’s just the way it is. OF RIGHTS It’s time to reopen the debate, de- f (Mr. BUTTERFIELD asked and was bunk the myths, and replace this law given permission to address the House with less costly, market-driven solu- HEALTH CARE REPEAL for 1 minute.) tions that truly expand access and af- (Ms. WASSERMAN SCHULTZ asked Mr. BUTTERFIELD. Mr. Speaker, fordability, and above all, preserve our and was given permission to address today we continue debate on the Re- individual liberties.

VerDate Mar 15 2010 23:45 Jan 19, 2011 Jkt 099060 PO 00000 Frm 00003 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.005 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H260 CONGRESSIONAL RECORD — HOUSE January 19, 2011 b 1020 HEALTH CARE REFORM Ms. HANABUSA. Mr. Speaker, when (Mr. DE the Health Care Reform Act was HEALTH CARE REFORM FAZIO asked and was given permission to address the House for 1 passed, it had in it section 1560. That (Ms. PINGREE of Maine asked and minute.) section recognizes the Hawaii Prepaid was given permission to address the Mr. DEFAZIO. The gentleman that Health Care Act. Why? Because we House for 1 minute.) spoke before me talked about trans- have the lowest premiums in the Na- Ms. PINGREE of Maine. Mr. Speaker, parency and accountability. Let’s talk tion and we have one of the best cov- repealing the historic health care legis- about the insurance industry pre-re- erages afforded for that. And why is lation that we passed last year would form. They could cancel your policy if that? Because we recognized very early pull the rug out from under millions of you got sick even though you had been on that you need to do a series of Americans and add billions to the def- paying the premiums for years. They things. One, you need to share risks; icit. could refuse to sell you a policy if they two, you need to cover everyone; and, We can and should talk about CBO don’t like the way you look or if you’ve three, you need to make things avail- scores, tax credits, and unemployment had a minor health problem. We able. Health care has to be available. numbers. But what this health care re- changed that. People can now get And for that, we have a great system, form is really about is improving the health insurance and keep their health a system that still needs to be lives of millions of Americans. It’s insurance if they’ve been paying their tweaked, a system that will benefit about children with preexisting condi- premiums. from the Affordable Health Care Act. tions who can no longer be denied cov- But now they want to go back to What does that tell you? It took us 36 erage. It’s about senior citizens who those bad old days, and they talk about years to get it right, and we’re still can now afford to get screened for dia- transparency and accountability. How working on it. And my colleagues betes or get a mammogram. It’s about accountable is an industry that is ex- across the aisle want to repeal some- working families that no longer have empt from antitrust law? Health insur- thing that hasn’t been around for a to worry that their insurance will be ance companies can and do collude to year. canceled if they get sick. exclude people from coverage, to red Now, the American people do not It’s about people like Geralyn from line, to drive up premiums, to not sell want that. They want us to learn from South Portland, Maine, who wrote to in one State, not compete with one an- when things are done right. Look at me. She said, ‘‘My son turned 19 last other. There’s no free market and com- what we’ve done—36 years and we’re May and promptly lost his insurance petition and transparency and account- getting it right. But it’s still not per- coverage. He has high blood pressure ability. fect. We’ve got to keep listening, and and had to go to the doctor a number If the Republicans really wanted to we’ve got to hear the people. of times to get his medication right. It do something today, and if they want f was a struggle to keep up with the to showboat with this repeal, they HEALTH CARE REFORM bills. He works two part-time jobs, and could at least replace it by making the that doesn’t get him health care. As of industry comply with the same com- (Mr. CICILLINE asked and was given December 1, I was able to get him back petitive rules as every other industry permission to address the House for 1 on my insurance and it is a relief in America except for professional minute and to revise and extend his re- knowing he is covered. If this was re- sports, and that is they would be sub- marks.) pealed, it would hurt my son’s health.’’ ject to antitrust law restrictions. Mr. CICILLINE. Mr. Speaker, just yesterday I had the privilege of hearing That’s why we need to stick with the f health care plan and vote ‘‘no.’’ from a Rhode Islander, Alex Lataille, HEALTH CARE REFORM REPEAL who spoke at the one and only hearing f (Mr. BILIRAKIS asked and was given Congress had to discuss the negative HEALTH CARE REFORM REPEAL permission to address the House for 1 effects of repealing the new health care minute and to revise and extend his re- law. (Mr. FINCHER asked and was given marks.) Alex graduated last May with two permission to address the House for 1 Mr. BILIRAKIS. Mr. Speaker, we all bachelor’s degrees, and while looking minute.) want to increase access to quality, af- for a job after graduation, he is able to Mr. FINCHER. When the Congress fordable health care. We know that in afford health insurance because he can passed the Patient Protection and Af- this troubled economy, Americans are stay on his parents’ policy. Repealing fordable Care Act last year, it was concerned about making ends meet and this law means Alex and millions of promised that Americans would have ensuring that they are covered in the Americans will lose their coverage. better access, more affordable and event of a health care emergency. I also recently spoke to Beth, a higher quality care. Instead, However, the misguided health care woman from Woonsocket, Rhode Is- ObamaCare created what we all despise effort that was pushed through this land. She told me she’s an insurance and know won’t work—more govern- House during the last Congress is doing agent. She sells insurance every single ment bureaucracy at taxpayer expense: much more harm than good. The hard- day, but she’s denied access to cov- $500 billion in new taxes, $500 billion in working families and seniors and small erage because of her preexisting condi- Medicare cuts, more government bu- businesses in my district cannot afford tion. Repealing this law would mean reaucracy, thousands of new IRS em- this health care overhaul that is cost- she would again be denied access to ployees. ing jobs, increasing red tape, spending health care. She said, Please do not let What we need for the American peo- trillions of dollars, and actually in- them take my health care. ple is transparency and accountability. creasing health care costs. I was sent here to find practical solu- Do I need to remind our colleagues This week the House is listening to tions to solve the problems facing that the approval rating of Congress is and acting upon the message that Rhode Island families. Let’s work to at an all-time low because we’re not Americans sent to Washington this improve this law, not repeal it. listening to the folks? past fall. We will replace the over- f We were sent here in November to do reaching health care law with common- HEALTH CARE REFORM a job, and that’s exactly what we’re sense solutions that will lower costs going to do. We’re going to keep our and increase access to insurance while (Mr. YARMUTH asked and was given promises we made to the American keeping Americans in charge of their permission to address the House for 1 people, and we’re going to hold true to own health care. minute.) that. f Mr. YARMUTH. Mr. Speaker, over So I stand in favor of repealing the the course of the last year and a half as health care bill. We have to create jobs HEALTH CARE REFORM we worked to pass incredibly impor- and get our economy moving. If we (Ms. HANABUSA asked and was tant protections to Americans, oppo- allow this health care bill to stay in ef- given permission to address the House nents of health care reform continued fect, that will not do. for 1 minute.) to try to scare people about what we

VerDate Mar 15 2010 23:45 Jan 19, 2011 Jkt 099060 PO 00000 Frm 00004 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.007 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H261 were doing. And now with this vote Ms. JACKSON LEE of Texas. Mr. Act. Instead, we ought to focus on how today, where the Republican plan is ba- Speaker, thank you so very much. I we can move forward together, Demo- sically to remove all of those protec- look forward to working with you. crats and Republicans, to address the tions that we have offered the Amer- It’s time to bust a number of myths. very serious challenge of rising health ican public, there are a lot of people It’s time to really tell the Americans care costs. Among developed nations, out there who will think that after the the truth. As we begin another series of the United States spends twice as vote today that these protections are 5-hour debates on repealing a life-sav- much as a share of GDP on health care; going to go away. ing initiative, it’s really time to tell yet we rank near the bottom in health So I want to assure the constituents the truth. Maybe it’s time to tell the outcomes. in my district, the Third District of truth about this senior citizen, who Insurance premiums more than dou- Kentucky—almost 300,000 of them with had pneumonia and didn’t know she bled in the last decade. Absent reform, preexisting conditions—your protec- had it. But if she had not had ‘‘a gov- they are on pace to double again by tion against discrimination will not go ernment-run health system,’’ Medicare, 2020. These costs are unsustainable for away. Those 15,700 small businesses in she wouldn’t be laying up in a sophisti- Delaware families and for the Federal my district that will now get benefits cated medical facility, providing her budget. There can’t be serious con- to provide coverage for their employ- with the opportunity to live. Any of versation about deficit reduction with- ees, don’t worry about that vote. Those you know about pneumonia—walking out talking about health care cost con- protections are not going to go away. pneumonia can kill you. It killed my tainment. Medicare, Medicaid, and For those seniors in the doughnut grandfather, who did not have access to SCHIP alone consume one-quarter of hole, almost 10,000 in my district who this quality health care because he did the Federal budget. The Affordable have had their prescription drug costs not have Medicare. Care Act will curb health care cost lowered because of what we did last It’s time to bust the myths. It’s time growth, but there is a lot more that year, this vote today will not take to tell our physicians that Democrats needs to be done. them away. worked hard to build up your reim- I came to Congress to make the And as for those 24,000 individuals in bursement. We were the leaders on it. tough, thoughtful decisions necessary my district who will now have access This has nothing to do with the Pa- to improve the Affordable Care Act, to insurance for the first time, the vote tient Protection and Affordable Care not repeal it. And I look forward to today will not take them away. Act, because as this bill grows with re- working with my colleagues to do just f search dollars, we also have the oppor- that. tunity, with the President, to work on f b 1030 reimbursement. This bill is a bill to ELECTING MEMBERS TO CERTAIN save lives. And those in Texas know it, OPPOSING REPEAL OF HEALTH STANDING COMMITTEES OF THE Mr. Speaker, because the Texas insur- CARE REFORM HOUSE OF REPRESENTATIVES ance agency said it is a good bill. (Mr. TONKO asked and was given f Mr. LARSON of Connecticut. Mr. permission to address the House for 1 Speaker, by direction of the Demo- minute and to revise and extend his re- FREEDOMS AND HEALTH CARE cratic Caucus, I offer a privileged reso- marks.) REFORM lution and ask for its immediate con- Mr. TONKO. Mr. Speaker, I rise (Mr. PERLMUTTER asked and was sideration. today in opposition to repealing health given permission to address the House The Clerk read the resolution, as fol- care reform. The reason is simple: It for 1 minute.) lows: does not create jobs, it does not protect Mr. PERLMUTTER. Mr. Speaker, we H. RES. 39 the middle class, and it balloons the are here today to again debate the re- Resolved, That the following named Mem- deficit. peal of the health care legislation bers be and are hereby elected to the fol- Since March of 2010, the economy has passed last year. Democrats provided lowing standing committees of the House of created a total of 1.1 million new pri- in that bill various freedoms: Freedom Representatives: vate-sector jobs. Over 200,000 of these from discrimination for preexisting (1) COMMITTEE ON AGRICULTURE.—Mr. jobs were in the health care sector conditions, freedom from cancellation Holden, Mr. McIntyre, Mr. Boswell, Mr. Baca, Mr. Cardoza, Mr. David Scott of Geor- alone. Health care reform is helping to because you get sick, freedom to move create jobs, not take them away. gia, Mr. Cuellar, Mr. Costa, Mr. Walz of Min- from job to job without losing your in- nesota, Mr. Schrader, Mr. Kissell, Mr. Owens, Health care reform helps the middle surance. Those freedoms are part of the Ms. Pingree of Maine, Mr. Courtney, Mr. class. In my district alone, 439,000 indi- legislation of America today. They are Welch, Ms. Fudge, Mr. Sablan, Ms. Sewell, viduals who currently have health in- all based on the equal protection laws and Mr. McGovern. surance now have protections and ben- of the 14th Amendment. (2) COMMITTEE ON ARMED SERVICES.—Mr. efits that they did not have before the The Republicans, in a very radical Reyes, Ms. Loretta Sanchez of California, reform. 113,000 of my senior constitu- and extreme move, want to have Amer- Mr. McIntyre, Mr. Brady of Pennsylvania, Mr. Andrews, Mrs. Davis of California, Mr. ents are able to access preventive care icans forfeit these freedoms. We can’t and screenings for free because of re- Langevin, Mr. Larsen of Washington, Mr. have that done. This is about saving Cooper, Ms. Bordallo, Mr. Courtney, Mr. form. Tax credits are available for up money, $230 billion. Republicans talk Loebsack, Ms. Giffords, Ms. Tsongas, Ms. to 14,500 small businesses in the capital about saving money. But they are pre- Pingree of Maine, Mr. Kissell, Mr. Heinrich, region of New York. pared to repeal an act that saves Amer- Mr. Owens, Mr. Garamendi, Mr. Critz, Mr. These are real changes that benefit ica $230 billion. Ryan of Ohio, Mr. Ruppersberger, Mr. John- real people. Repeal would eliminate all We want to make sure that we have son of Georgia, Ms. Castor of Florida, Ms. of them, thoughtlessly and with great manufacturing in this country, we Sutton, and Ms. Hanabusa. (3) COMMITTEE ON EDUCATION AND THE WORK- harm to the middle class of my dis- make it in America. We’re not com- trict. Finally, repeal would increase FORCE.—Mr. Kildee, Mr. Payne, Mr. Andrews, petitive with the rest of the world. We Mr. Scott of Virginia, Ms. Woolsey, Mr. the debt by trillions of dollars. In fact, can’t allow this repeal to take place. I Hinojosa, Mrs. McCarthy of New York, Mr. 20 years from now, repeal would cost us urge a ‘‘no’’ vote. Tierney, Mr. Kucinich, Mr. Wu, Mr. Holt, more than $1.2 trillion, ballooning the f Mrs. Davis of California, Mr. Grijalva, Mr. deficit and severely threatening our Bishop of New York, Mr. Loebsack, and Ms. Nation’s debt. OPPOSING REPEAL OF THE Hirono. AFFORDABLE HEALTH CARE ACT (4) COMMITTEE ON FINANCIAL SERVICES.—Ms. f (Mr. CARNEY asked and was given Waters, Mrs. Maloney, Mr. Gutierrez, Ms. ´ BUSTING MYTHS permission to address the House for 1 Velazquez, Mr. Watt, Mr. Ackerman, Mr. Sherman, Mr. Meeks, Mr. Capuano, Mr. (Ms. JACKSON LEE of Texas asked minute.) Hinojosa, Mr. Clay, Mrs. McCarthy of New and was given permission to address Mr. CARNEY. Mr. Speaker, I rise York, Mr. Baca, Mr. Lynch, Mr. Miller of the House for 1 minute and to revise today to oppose this counterproductive North Carolina, Mr. David Scott of Georgia, and extend her remarks.) effort to repeal the Affordable Care Mr. Al Green of Texas, Mr. Cleaver, Ms.

VerDate Mar 15 2010 01:53 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00005 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.008 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H262 CONGRESSIONAL RECORD — HOUSE January 19, 2011 Moore, Mr. Ellison, Mr. Perlmutter, Mr. REPEALING THE JOB-KILLING panding coverage to every individual Donnelly of Indiana, Mr. Carson of Indiana, HEALTH CARE LAW ACT means everyone must pay, but the cost Mr. Himes, Mr. Peters, and Mr. Carney. The SPEAKER pro tempore. Pursu- of this provision will result in more (5) COMMITTEE ON FOREIGN AFFAIRS.—Mr. ant to clause 1(c) of rule XIX, pro- than lost dollars and cents. Hiring new Ackerman, Mr. Faleomavaega, Mr. Payne, workers will be more expensive, cre- Mr. Sherman, Mr. Engel, Mr. Meeks, Mr. ceedings will now resume on the bill ating a disincentive for job creators to Carnahan, Mr. Sires, Mr. Connolly of Vir- (H.R. 2) to repeal the job-killing health ginia, Mr. Deutch, Mr. Cardoza, Mr. Chan- care law and health care-related provi- put Americans back to work. dler, Mr. Higgins, Mr. Murphy of Con- sions in the Health Care and Education The employer mandate isn’t the only necticut, Ms. Wilson of Florida, Ms. Bass of Reconciliation Act of 2010. challenge facing employers. Last year California, Mr. Keating, and Mr. Cicilline. The Clerk read the title of the bill. the administration released a regula- (6) COMMITTEE ON HOMELAND SECURITY.— The SPEAKER pro tempore. When tion on the so-called grandfather provi- Ms. Loretta Sanchez of California, Ms. Har- consideration was postponed on Tues- sion, a provision intended to protect man, Ms. Jackson Lee of Texas, Mr. Cuellar, day, January 18, 2011, 5 hours of debate current plans against the law’s costly Ms. Clarke of New York, Ms. Richardson, remained on the bill, with 30 minutes and complex requirements. It is also Mrs. Christensen, Mr. Davis of Illinois, Mr. equally divided and controlled by the central to the President’s promise Higgins, Ms. Speier, Mr. Richmond of Lou- majority leader and minority leader or that, If you like your current health isiana, Mr. Clarke of Michigan, and Mr. their designees, 90 minutes equally di- care plan, you can keep it. Keating. vided and controlled by the chair and Unfortunately, the regulation falls (7) COMMITTEE ON THE JUDICIARY.—Mr. Ber- man, Mr. Nadler, Mr. Scott of Virginia, Mr. ranking minority member of the Com- far short of the President’s promise. By Watt, Ms. Zoe Lofgren of California, Ms. mittee on Education and the Work- the administration’s own estimates, up Jackson Lee of Texas, Ms. Waters, Mr. force, 90 minutes equally divided and to 69 percent of all employer plans and Cohen, Mr. Johnson of Georgia, Mr. controlled by the chair and ranking 80 percent of small business plans will Pierluisi, Mr. Quigley, Ms. Chu, Mr. Deutch, minority member of the Committee on be denied grandfathered status in just 2 Ms. Linda T. Sa´ nchez of California, and Ms. Energy and Commerce, 90 minutes years. One estimate indicates 87 mil- Wasserman Schultz. equally divided and controlled by the lion Americans will face changes to (8) COMMITTEE ON NATURAL RESOURCES.— chair and ranking minority member of their current health care plans. Mr. Kildee, Mr. DeFazio, Mr. Faleomavaega, the Committee on Ways and Means. Instead of keeping what they already Mr. Pallone, Mrs. Napolitano, Mr. Holt, Mr. The Chair recognizes the gentleman have, individuals and employers will Grijalva, Ms. Bordallo, Mr. Costa, Mr. Boren, from Minnesota. ´ have to pay more for something new Mr. Sablan, Mr. Heinrich, Mr. Lujan, Mrs. Mr. KLINE. Mr. Speaker, I rise in Christensen, Mr. Sarbanes, Ms. Sutton, Ms. and unfamiliar. The more costly it is support of H.R. 2, and I yield myself Tsongas, Mr. Pierluisi, Mr. Garamendi, and for employers to provide coverage, the Ms. Hanabusa. such time as I may consume. more likely existing health plans will (9) COMMITTEE ON OVERSIGHT AND GOVERN- Mr. Speaker, for 20 consecutive be eliminated and the need for govern- MENT REFORM.—Mr. Towns, Mrs. Maloney, months more than 14 million Ameri- ment assistance will grow. And as the Ms. Norton, Mr. Kucinich, Mr. Tierney, Mr. cans have been unemployed. As much rolls for government programs expand, Clay, Mr. Lynch, Mr. Cooper, Mr. Connolly of as we would like to solve this problem, the cost to taxpayers will skyrocket. Virginia, Mr. Quigley, Mr. Davis of Illinois, the Federal Government cannot legis- At a time when every job creator Mr. Braley of Iowa, Mr. Welch, Mr. Yarmuth, late or regulate our way to job cre- should be encouraged to grow and hire, Mr. Murphy of Connecticut, and Ms. Speier. ation. We can, however, foster eco- the Democrats’ health care law instead (10) COMMITTEE ON SCIENCE, SPACE, AND nomic certainty that will encourage forces employers to choose between ris- TECHNOLOGY.—Mr. Costello, Ms. Woolsey, Ms. families, businesses, and entrepreneurs ing health care costs and government Zoe Lofgren of California, Mr. Wu, Mr. Miller to spend, hire, and invest. And that is of North Carolina, Mr. Lipinski, Ms. Gif- penalties. It is time to end the uncer- ´ what we will try to do today. tainty facing families, employers, and fords, Ms. Edwards, Ms. Fudge, Mr. Lujan, Almost 1 year ago, Democrats Mr. Tonko, Mr. McNerney, Mr. Sarbanes, Ms. workers. It is time to push ObamaCare launched a nearly $1 trillion govern- Sewell, Ms. Wilson of Florida, and Mr. aside so America’s job creators, both ment takeover of health care that in- Clarke of Michigan. large and small, can move forward with creases national health care spending (11) COMMITTEE ON SMALL BUSINESS.—Mr. the confidence they need to hire new by $311 billion over 10 years and levies Shuler, Mr. Schrader, Mr. Critz, Mr. Altmire, workers. more than $500 billion in new taxes on Ms. Clarke of New York, Ms. Chu, Mr. Mr. Speaker, I urge my colleagues to Cicilline, and Mr. Richmond. individuals, consumers, and businesses. support the bill. (12) COMMITTEE ON TRANSPORTATION AND IN- The 2,700-page law has led to more than I reserve the balance of my time. FRASTRUCTURE.—Mr. DeFazio, Mr. Costello, 4,000 pages of new rules and regula- Ms. Norton, Mr. Nadler, Ms. Brown of Flor- Mr. GEORGE MILLER of California. tions, and the law is only 10 months I yield myself 4 minutes. ida, Mr. Filner, Ms. Eddie Bernice Johnson of old. The uncertainty of what this all Texas, Mr. Cummings, Mr. Boswell, Mr. Mr. Speaker, I rise in strong opposi- means for individuals and businesses tion to H.R. 2, the Republican Patients’ Holden, Mr. Larsen of Washington, Mr. today, and in the months and years to Capuano, Mr. Bishop of New York, Mr. Rights Repeal Act. Michaud, Mr. Carnahan, Mrs. Napolitano, come, is having a chilling effect on the The question is just simply funda- Mr. Lipinski, Ms. Hirono, Mr. Altmire, Mr. country’s job creators. mental here, whether or not people will A number of provisions of the law Walz of Minnesota, Mr. Shuler, Mr. Cohen, be able to have control over their will undermine job creation and eco- Ms. Richardson, Mr. Sires, and Ms. Edwards. health care needs and their health in- nomic growth, but perhaps none is as (13) COMMITTEE ON VETERANS’ AFFAIRS.— surance needs, or whether or not we alarming as the employer mandate. Ms. Brown of Florida, Mr. Reyes, Mr. will go back to the chaos of the pre- Michaud, Mr. Braley of Iowa, and Mr. For the first time in the Nation’s his- vious system that is dictated by the in- McNerney. tory, employers with more than 50 surance companies where people are workers are required to provide govern- Mr. LARSON of Connecticut (during ment-approved health care coverage. thrown off of policies willy nilly, where the reading). Mr. Speaker, I ask unani- Those who do not or cannot afford to people are not reimbursed for costs mous consent that the resolution be will be forced to pay a $2,000 penalty willy nilly, given excuses, paperwork considered as read and printed in the for every worker beyond the first 30. If back and forth, where young people are RECORD. you are a small business owner with 50 thrown off their parents’ policy when workers and you cannot afford to pro- they graduate from high school, and The SPEAKER pro tempore. Is there whether or not they will have insur- objection to the request of the gen- vide government-approved health in- surance for your workers, adding one ance or not, or whether people will tleman from Connecticut? additional employee to the payroll will have the freedom to make the choices, There was no objection. result in a $42,000 penalty. to have insurance that will cover them, that will get rid of the preexisting con- The resolution was agreed to. b 1040 ditions that eliminate their coverage, A motion to reconsider was laid on Some refer to the employer mandate that will get rid of the lifetime caps so the table. as shared sacrifice. They argue that ex- that those people who contract cancer

VerDate Mar 15 2010 01:53 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00006 Fmt 0636 Sfmt 0634 E:\CR\FM\A19JA7.003 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H263 or other chronic diseases find out they help paying for your pharmaceuticals if The answer the majority gives them have run out of insurance at the exact you are a senior. Never again will you is we will get to that someday. What moment they need it. No longer will have to pay for preventive medical they are doing today raises some real that be the case under the current law. checkups to try to keep you healthy if questions as well. Now, the choice is to repeal that law you are a senior. That’s the certainty A mother has two 4-year-old twins and to make it more difficult for small that this legislation presents. who are diagnosed with leukemia and businesses to provide insurance. Since Last night I had a telephone town tries to buy health insurance. The in- the enactment of the tax credit under hall meeting with over a thousand sen- surance company says we won’t sell it this law, we now see that hundreds of iors in my district, and all of them—al- to you because your children have leu- thousands of employees have been ex- most all of them, I would say there kemia, or we will charge you five times tended health insurance by small busi- were three or four in the call—almost as much. nesses employing 50 workers or less be- all of them wanted the certainty of We say that should be illegal and the cause of that tax credit, a tax credit knowing they were going to get help law today the majority tries to repeal that is scheduled to increase. with their pharmaceutical payments. says differently. A ‘‘yes’’ vote for re- So we already see the hundreds of They struggle with the doughnut hole. peal means she is told, Sorry, no insur- thousands of employees that did not They were appreciative of the $250 ance. have access to insurance because they check they got last year, and they were A person who has faithfully paid his worked for small businesses today have appreciative of the help they were premiums for years and suddenly needs insurance. That’s not the reporting of going to get paying for their pharma- a quadruple bypass heart operation re- the government. That’s the reporting ceuticals this year. That’s the cer- ceives a letter from his insurance com- of the health insurance companies tainty that we ought to reject by re- pany that says, Sorry, we are rescind- where people and businesses are mak- jecting repeal of the health care act. ing your coverage. We say, and the law ing applications for insurance. Mr. KLINE. Mr. Speaker, I yield 1 says, that should be illegal. But a vote So what we see now is young people minute to a member of the committee, for repeal says, Sorry, you are on your are once again covered and can have the gentleman from Wisconsin (Mr. own. the security that they will have health PETRI). A pregnant woman who has a very Mr. PETRI. Today I rise in support of insurance while they go to school or difficult pregnancy and gives birth to a H.R. 2, legislation which would repeal while they start a new job that may child with severe impairments that the health care law passed last year. not have health insurance with that cost hundreds of thousands of dollars Even if it is unlikely that this bill will coverage. We now see that people who each month, the law says, and we say, pass the Senate, I think it’s important may have had a bout of cancer early on for the House majority to state its po- that the insurance company should be know that that will not disqualify sition in the clearest possible terms to legally obligated to pay her bills as them from having insurance as they go encourage a general reevaluation of the long as she and her baby need it, no out and continue to work to provide for new law. lifetime policy limits. their families. Make no mistake. My colleagues and 1050 We now see that after 2014 when peo- b I support health care reform which ple change their jobs or they lose their But a vote for repeal says she’s on would ensure that all Americans, in- jobs, they will have insurance so they her own. cluding those with preexisting condi- will not have to go to the poor house A senior citizen who runs out of pre- tions, have access to affordable cov- scription drug coverage the Fourth of because of the insurance costs that erage. However, the health care law they will not be able to provide for be- July or Labor Day, the law says, and that passed last year takes a fun- the bill says, they should get some help cause they are unemployed. They will damentally wrong approach to achiev- to continue to buy their prescriptions not be locked into a job that they don’t ing that goal and will only make worse for the rest of the year. But a vote for want. They will be able to be entrepre- our skyrocketing health care costs and repeal says she’s on her own. We’re all neurial and go out and seek a new job Federal deficits. knowing that they will have health in- My State of Wisconsin is a leader in on our own on paying the debt. Our surance. That’s the certainty of this terms of providing efficient, high-qual- President is meeting with the Presi- legislation. ity care; and I have been meeting and dent of China today; and as we do that, We can now choose the chaos of the will continue to work with medical the majority is adding over $1 trillion current insurance system. We can providers in my State as well as my to the national debt with this vote. choose the chaos of people getting a colleagues on both sides of the aisle to Ladies and gentlemen of the House, letter saying you no longer have insur- develop proposals which will reward this bill doesn’t create jobs for the ance, getting a letter saying your child high-quality, low-cost medical services middle class. It creates pain for the is no longer covered, getting a letter instead of simply giving government middle class. The right vote is ‘‘no’’ on saying your premium is up 59 percent, more control over our health care. this repeal. The right course is get as they did last year in California. We Only by implementing proposals that back to the job of creating jobs for the have seen health insurance premiums rein in out-of-control health care costs American people. Vote ‘‘no.’’ jump dramatically over the cost of liv- will we be able to make affordable cov- Mr. KLINE. Mr. Speaker, I am ing over the last decade and over the erage available to all Americans. I look pleased to yield 1 minute to another last decade have seen more and more forward to working with my colleagues member of the committee, the gen- businesses shed coverage for their em- on this important issue. tleman from South Carolina (Mr. WIL- ployees. Mr. GEORGE MILLER of California. SON). The Republicans want to believe that I yield 4 minutes to the gentleman Mr. WILSON of South Carolina. there is certainty in that. The Repub- from New Jersey (Mr. ANDREWS). Thank you, Mr. Chairman, for your licans want to believe that that’s a (Mr. ANDREWS asked and was given leadership. comfort to the American working fam- permission to revise and extend his re- Mr. Speaker, one of the many threats ily. The Republicans want to believe marks.) of this unconstitutional health care that that’s a comfort to grandparents Mr. ANDREWS. I thank the chair- takeover is the unfunded State man- who see their grandchildren thrown off man for yielding. dates. In my home State of South their parents’ policies. As we sit here this morning, there Carolina, newly inaugurated Governor That’s not a comfort. What is a com- are millions of Americans sitting in Nikki Haley has correctly warned that fort is the freedom to know that never front of computers or the want ads des- the Palmetto State cannot afford the again will you have to contest the arbi- perately looking for their next job, 15 health care mandate. Governor Haley trary rulings of an insurance company million unemployed Americans. The even went so far as to ask the Presi- about your preexisting conditions, question they are asking this Congress dent to opt out of this unfunded man- about the coverage of your child’s is why don’t you work together to help date. The reason is because the health health care. Never again will you have small businesses and entrepreneurs cre- care takeover calls for an additional $1 to contest whether or not you will get ate jobs for our country? billion in new State spending.

VerDate Mar 15 2010 23:45 Jan 19, 2011 Jkt 099060 PO 00000 Frm 00007 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.012 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H264 CONGRESSIONAL RECORD — HOUSE January 19, 2011 The takeover will cripple small busi- American innovation and reduced gov- and whose spiraling costs were driving nesses. A recent study by the National ernment control are keys to successful our Federal budget into the abyss. Federation of Independent Business, health reform that reduces health care Right now, the Affordable Care Act is NFIB, America’s largest organization costs. For instance, it’s estimated that extending affordable health care insur- of small businesses, has indicated that 1 percent of the most seriously ill ac- ance to millions of Americans. How- the mandate will lead to the elimi- count for more than 25 percent of all ever, here in Congress, the majority nation of 1.6 million jobs. health care expenditures. What if we party is asking the House to repeal the This law imposes burdens on all could improve the care of these pa- law we passed without holding hearings Americans. It’s a threat to senior citi- tients and at the same time reduce and without offering a meaningful al- zens in that it will lead to waiting costs? ternative to the American people who lists, deferral services, and rationing. We can. We can by harnessing the are working, who are presently without It’s a threat to our Nation’s youth in power of innovation and health re- insurance, or who have preexisting that it burdens them with excessive search in fields like regenerative medi- medical conditions. Those Americans debt. cine. Regenerative medicine develops were struggling to pay for hefty pre- Mr. Speaker, the liberal health care technologies to replace or regenerate miums to insurers. If there are some takeover destroys jobs, limits free- organs and tissues using the patient’s things that need to be fixed in the doms, and expands Big Government. own cells. These treatments could re- present law, we can fix them, but Mr. GEORGE MILLER of California. duce the cost of chronic diseases by throwing out all the progress we have I yield 2 minutes to the gentlewoman $275 billion a year. Consider the fact made is not the answer. from California (Ms. WOOLSEY), a mem- that Dr. Anthony Atala at the Insti- The focus of this new Congress ber of the committee. tute for Regenerative Medicine at should be reducing the staggeringly Ms. WOOLSEY. Mr. Speaker, I rise to Wake Forest University has been able high 91⁄2 percent unemployment rate. speak out in emphatic opposition to successfully to grow bladders for blad- Instead, we have a bill before us today H.R. 2, the repeal of the Affordable der replacement surgeries from the re- that makes it harder for businesses to Care Act. cipient’s own cells. Yet despite several provide benefits to the employees that Mr. Speaker, one of my sons, the fa- successful bladder transplants, the eliminate the hundreds of thousands of ther of two and a wonderful husband, FDA insists he go through additional new jobs that were being created in the came home last week to Petaluma clinical trials on animals and spend health and medical fields. from 61⁄2 weeks in the hospital. He has millions of dollars in testing that is The Affordable Care Act doesn’t re- many, many more weeks’ recovery clearly unnecessary based on his suc- duce jobs; it saves lives. I strongly urge ahead of him, but I can tell you that cess with the human transplant sur- my colleagues to vote ‘‘no’’ on H.R. 2. this family that still has a huge chal- geries. Mr. KLINE. Mr. Speaker, I am lenge ahead of them would not have a The Federal Government’s regu- pleased to yield 5 minutes to a physi- chance without health care, the health latory burden is stifling innovation in cian on the committee, the gentleman care coverage that they have. America, and the government takeover from Tennessee, Dr. ROE. This bill, by the way, goes in pre- of health care, passed by the ruling Mr. ROE of Tennessee. I thank the cisely the wrong direction. Just when Democrats last year, will impose more gentleman for yielding. we should be strengthening the historic job and innovation-destroying regula- Mr. Speaker, I rise today to support reform we passed last year, my col- tions on health research. Therefore, I H.R. 2, the repeal of ObamaCare. For leagues on the other side of the aisle urge my colleagues to vote in favor of the past 30 years, I haven’t been a poli- want to tear it apart. Have you never investing in new health technology and tician but a physician treating patients experienced another person that had research by voting ‘‘yes’’ on H.R. 2. and delivering babies in rural east Ten- the needs that my family has today Mr. GEORGE MILLER of California. nessee. And I can say without hesi- even if it wasn’t in your family? I yield 2 minutes to the gentleman tation that we have the finest health Repeal, we know, would leave mil- from Texas (Mr. HINOJOSA), a member care system in the world. lions out in the cold, stripping them of of the committee. Health care should not be a partisan access to affordable health coverage. In (Mr. HINOJOSA asked and was given issue, and I personally have never oper- fact, Blue Shield of California recently permission to revise and extend his re- ated on a Democrat or Republican can- announced a rate increase of as much marks.) cer in my life. You can’t spend $1 tril- as 59 percent—59 percent—for some Mr. HINOJOSA. Mr. Speaker, I rise lion and have a bill that’s over 2,500 200,000 policyholders. Does the major- today in strong opposition to H.R. 2. pages long and not have something ity not see the problem with runaway Over one-third of my constituents in good come out of it. This bill is not, costs that are passed on to middle class the 15th Congressional District of however, good medicine for our coun- families already burdened by a deep re- Texas are currently uninsured. With try. cession? Do you want to return to the passage of the Affordable Care Act, The repeal of ObamaCare doesn’t broken health care system that had that number, which has risen year mean that we aren’t for health care re- people crying out for reform in the after year, is finally coming down. I form. Quite the contrary. What I dis- first place? project that the percentage of unin- covered in my own practice of 30 years The claim that cutting government sured individuals could drop to only 10 was health care was becoming more spending is the most important of all percent. and more unaffordable for our citizens. flies in the face of the CBO that has Right now, thanks to the Affordable And we had a group of patients, a group concluded that their bill would add $230 Care Act, children who are 26 and of citizens, who didn’t have affordable billion—your bill, the Republican bill— under can stay on their parents’ policy health insurance coverage. This we $230 billion to the Nation’s debt by 2021. as they finish school and search for a need to address. Do not vote for this. job. With the passage of health care re- This bill does increase the number of Mr. KLINE. Mr. Speaker, I am form in 2010, senior citizens who hit the people having insurance, but does noth- pleased to yield 2 minutes to my friend doughnut hole are now going to receive ing to control the costs. The other side and colleague, a member of the com- rebates and small businesses have had says that if we repeal ObamaCare, it mittee, the gentlewoman from North their taxes cut, all the result of the Af- will increase the costs and decrease Carolina (Ms. FOXX). fordable Care Act. If the proposed access. Ms. FOXX. I thank my friend for health care act repeal were to pass, it yielding me time. will destroy this progress I have seen b 1100 I rise today in support of H.R. 2, in my district and in my State. Let’s take a look at three govern- which repeals the job-destroying gov- The families and businesses in my ment-run plans. One is TennCare, my ernment takeover of health care. district cannot afford more uncer- State’s Medicaid program; the Massa- Voters rejected the ‘‘government tainty. They cannot afford to go back chusetts Care; and Medicare. knows best’’ philosophy in November. to the old health care system that was In TennCare, we had a plan that had In contrast, Republicans believe that not working for millions of Americans competing interests. It would compete

VerDate Mar 15 2010 23:45 Jan 19, 2011 Jkt 099060 PO 00000 Frm 00008 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.014 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H265 for your business. It was supposed to ald’s and, of all people, the SEIU, the I cosponsored an amendment to en- hold costs down. We saw our costs in government’s employee union who sure that all seniors will continue to Tennessee from 1993 until 2004 and 2005 fought for this and then opted them- receive the increased benefits in Medi- go from $2.6 billion to $8 billion. It tri- selves out? I find that ridiculous when care and that the doughnut hole will pled. And what we found was that half you see that. continue to be closed. The Republicans the people who went on the govern- The doctors get it. The doctor fix, did not allow this amendment to come ment plan had private health insurance the SGR fix is not in this bill. It is a up for a vote. and dropped it and got on the govern- cost that was hidden. As doctors are I cosponsored an amendment to en- ment plan. This plan took up almost squeezed, they cannot see patients that sure that small businesses continue to every new dollar our State took in. We cannot pay the cost of the care. receive the tax cuts provided for in the balanced this on the backs of college Malpractice is not in this bill. I can Affordable Care Act. The Republicans students. We have less highway patrol- tell you as an OB–GYN doctor, it is didn’t allow this amendment to come men in our State than we had 30 years over the top. It is almost unaffordable up for a vote. ago, and we have 2 million more people. for us. I cosponsored an amendment to en- What our Democratic Governor did was So the American people get it. The sure that we are responsible stewards rationed care by cutting the rolls of people of Tennessee get it. And we as of our Federal budget and to prevent TennCare patients and also limiting elected representatives get it. We got this repeal bill from adding to the def- the access to physicians to eight visits that in the election of November 2. icit. The Republicans did not allow the I want to encourage my colleagues to per year. amendment to come up for a vote. Let’s look at Massachusetts Care vote to repeal ObamaCare. This new Congress ran on a campaign Mr. GEORGE MILLER of California. where there is a mandate right now. of lower taxes on small businesses and I yield myself 30 seconds. You are required to buy a good or serv- reducing the Federal budget deficit. I would just say to the gentleman This bill, however, would raise taxes on ice and the government decides what from Tennessee it is universally recog- the right good or service is, not you as small businesses and individuals and nized that there was no worse-designed add a trillion dollars to the deficit. the consumer. So what happens is it health care plan than TennCare; that Just to be clear, a vote for this bill hasn’t held the costs down there either. all you did was extend the benefits and will be a vote for higher taxes and in- They have the highest private insur- no cost containment and no pay-fors, creases in the deficit. Although there is ance premiums in America in Massa- and it damn near bankrupted the an effort to bring this repeal bill to the chusetts. Emergency room visits are State. floor today, what is being proposed in not down. And why is that? The same It is also recognized that nowhere place of affordable care? Nothing. as TennCare. These plans don’t pay for have health care costs gone up faster My office has dealt with this for the cost of the care, shifting more cost than in the private sector, much faster years. Please, vote ‘‘no’’ on this bill. over to the private sector, making it than Medicare because, once again, Mr. KLINE. I yield 30 seconds to the more and more expensive. there is not much in the way of cost gentleman from Tennessee (Mr. ROE) to The second thing this mandate does containment. You just reimburse peo- respond to the gentleman from Califor- is it empowers lobbyists. How it does ple for the cost. nia’s comments. that is you will see the lobbyists come This legislation has cost contain- Mr. ROE of Tennessee. Mr. Speaker, to us, the politicians, and say, Hey, we ment, and that is why CBO says, if you just to address my colleague from Cali- want this medicine or this device on repeal it, you will drive up the short- fornia, I would argue that Tennessee our plan. And these are the people that term deficit to $30 billion and long- has thought this plan well out; and the write the checks to the politicians, so term deficit to $1.2 trillion. That is the problem with this plan is, when you you are empowering them. difference. have more services chasing fewer dol- Let’s finally look at Medicare, a pro- I yield 2 minutes to the gentlewoman lars, you are going to create waits in a gram that started in 1965 as a $3 billion from New York (Mrs. MCCARTHY), a situation where you shifted the cost. program. The government estimators member of the committee. You talked about the private health at that time said in 25 years this will Mrs. MCCARTHY of New York. I ap- insurance costs going up. That is true. be a $15 billion program. It was over a preciate the gentleman’s yielding me There is innovation, liability. There $100 billion program. Today, it is over this time. are a lot of reasons for that, Congress- $400 billion. Mr. Speaker, I rise today in opposi- man, but one of the main reasons is an So we have three examples where tion to H.R. 2, a bill that would repeal overpromise by government programs costs are out of control in the govern- the Patient Protection and Affordable that shifts costs. We saw that in our ment-run plans. Care Act. State. We can do better. The senior citizens understand this. The Affordable Care Act, signed into Mr. KLINE. Mr. Speaker, I am When you take $500 billion out of a law in March of 2010, is an important pleased to yield 1 minute to the gen- plan, and in the next 10 years we are first step in reforming our health in- tleman from Michigan (Mr. WALBERG), going to add 36 million seniors, three surance system, a system that every- a member of the committee. things are going to happen when you one knows is broken. The Affordable Mr. WALBERG. Mr. Speaker, I rise have got more patients chasing fewer Care Act provides access to the insur- today in support of the repeal of the dollars: You will have decreased access, ance market for millions of Americans, government’s takeover of health care. you will have decreased quality, and puts in place important consumer pro- We are well aware of how the health you will have increased costs. That is a tections, and reduces our country’s def- care law created hundreds of billions of given. icit. dollars in new taxes while doing little We had the President say last year, I This new Congress was elected prom- to drive down costs and causing mil- will go over this bill line by line. ising a transparent process with input lions to lose access to health coverage. I have read this bill. I wanted to go from all Members. This repeal bill, Even more troubling is how dramati- over it. I wanted to have meaningful however, has not even been considered cally this law grows government and health care reform but was denied that by a single committee in the House. constricts individual freedom and privilege. Members are also being shut out of the American exceptionalism. Without exception, our States are al- process. When this laws was passed, the most broke, every one of them. And we I cosponsored four amendments sub- Democrats said it would create 4 mil- are adding another unfunded Federal mitted to the Rules Committee; none lion new jobs. Instead, we got over 2,000 mandate to require them to pay and were accepted. pages of job-killing new taxes and less implement a plan that is already I cosponsored an amendment to en- choice. This law was clearly an over- breaking them, the expansion of Med- sure that women continue to receive reach of government control. icaid, which is an entitlement. the protections provided by the Afford- In place of government-run health Businesses get it also. If this is such able Care Act. The Republicans did not care, true reform can be achieved a great plan, why have, to date, 222 allow this amendment to come up to through multiple patient-centered al- businesses opted out, including McDon- the floor. ternatives, including expanding HSAs,

VerDate Mar 15 2010 23:45 Jan 19, 2011 Jkt 099060 PO 00000 Frm 00009 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.016 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H266 CONGRESSIONAL RECORD — HOUSE January 19, 2011 association health plans, and allowing poses costs on small businesses, and I urge my colleagues to vote no on the purchase of health insurance across will substantially burden New York repealing the health care reform law. State lines. taxpayers. Mr. KLINE. Mr. Speaker, I am very Americans agree. A Gallup/USA Tomorrow I will vote to instruct pleased to yield 1 minute to another Today poll this week confirms that committees, including the Education new member of the committee, the only 13 percent of Americans support and Workforce Committee, to produce gentleman from Indiana (Mr. ROKITA). the current law. Simply put, the Amer- thoughtful and improved legislation. I (Mr. ROKITA asked and was given ican people want this law repealed, and look forward to supporting reforms permission to revise and extend his re- so do I, as I promised. that lower premiums through competi- marks.) Mr. GEORGE MILLER of California. tion; allow folks with preexisting con- Mr. ROKITA. I thank the gentleman Mr. Speaker, I yield 2 minutes to the ditions access to affordable health from Minnesota for yielding me time. gentlewoman from California (Mrs. care; reform the medical liability sys- Mr. Speaker, I rise in support of free- DAVIS). tem; preserve a patient’s ability to dom for every American and against Mrs. DAVIS of California. Mr. Speak- keep their own plan; and expand incen- the expansion of government. The peo- er, my mother always told me that if tives to encourage personal responsi- ple of Indiana sent me to Washington, you have your health, you have every- bility for health care coverage and D.C. with very specific instructions: thing, which is why I have always be- costs. Get the government out of our lives. lieved every American should have ac- Mr. GEORGE MILLER of California. Therefore, I will be voting yes on cess to the care they need to be Mr. Speaker, I yield 2 minutes to the H.R. 2. Every honest person in this de- healthy. gentleman from New Jersey (Mr. bate knows that this law doesn’t solve Now my colleagues want to repeal HOLT), a member of the committee. the problems in our health care sys- health care without an alternative. Mr. HOLT. Mr. Speaker, I rise in tem. Its solution, to destroy the best Well, it is easy to say you are against strong opposition to the budget-bust- health care system in the world and re- something, but it is much harder to ing legislation that fails to create one place it with even more inefficiencies, new job and returns our health deci- come up with solutions. Americans de- government controls, loss of personal sions to insurance companies rather serve to know how my colleagues’ plan freedom and trillions in new costs to than doctors. the taxpayers, will fail. will protect patients. Repealing the health reform law And let’s not forget that there are Specifically, women shouldn’t get de- would be a big mistake. Instead of fo- programs already in place that are sup- nied care based on gender or have to cusing on job creation or retirement posed to do many of the things the pay hundreds more in insurance pre- security or fair taxes, we’re debating President has talked about his law miums than men, nor should they need repealing a law that protects Ameri- doing. We should start with reforming a permission slip to see an OB–GYN. cans from insurance company abuses those. Also, health savings accounts, The 32 million Americans without in- and provides fairer and more accessible surance need access to coverage. health care for children, for veterans, insurance across State lines, covering Insurers shouldn’t deny children cov- for seniors, for employees, for employ- preexisting conditions, and even sub- erage because they have been sick. ers. The law saves the average tax- sidizing the poor’s purchase of a pri- vate policy should all be implemented. b 1110 payer money, and it saves the insured money. Health care is not a right, and if we Medicare must be kept solvent over are not careful, the feel-good, empty the long term, and seniors should have On Monday, we celebrated Dr. Martin Luther King, Jr. Day. Dr. King fought promises made in this law will bank- access to affordable prescriptions. for an America where everyone regard- rupt our country and leave our Americans shouldn’t face outrageous less of race or class background had ac- grandkids to pay for it. annual premium hikes, such as the 59 cess to the American opportunity. He Mr. GEORGE MILLER of California. percent increase many of my own con- said, ‘‘Of all the forms of inequality, Mr. Speaker, I yield 2 minutes to the stituents are looking at today. injustice in health care is the most gentleman from Arizona (Mr. The health care reform bill addresses shocking and inhumane.’’ GRIJALVA), a member of the com- each of these problems and many more. Today, the new majority is trying to mittee. It is irresponsible to repeal without a repeal the health reform law that we Mr. GRIJALVA. Thank you, Mr. MIL- plan to fix the issues in our health care enacted just one year ago. That his- LER. system. Further, thanks to Governor toric law provides secure health insur- I rise today in opposition to a regres- Schwarzenegger’s efforts before leaving ance coverage to almost all Americans sive and unfair piece of legislation, office, California is leading the way in and lowers the deficit. The days of H.R. 2. We must protect the American implementing reforms already author- ‘‘you’re on your own’’ are past now. people from the Republican NoCare izing health insurance exchange mar- The law ensures that health insurance agenda. Their agenda for America is ketplaces to buy affordable insurance. companies actually have to provide simple: Repeal will cripple health reform ef- health insurance, not just in name, but NoCare if you lose your job. forts in my State and leave it without it requires that they spend your pre- NoCare if you or your child has a pre- direction going forward. mium dollars on actually providing existing condition. I can’t support legislation that does health care. NoCare if you are a senior in the not offer solutions and goes backward. If this reform law were repealed, doughnut hole. Let’s focus on creating jobs and not Anna’s 24-year-old son in Kendall Park, NoCare if you’re under 26 and on your taking away health care from patients. New Jersey would become uninsured; parents’ plan. Mr. KLINE. Mr. Speaker, I am Todd from Eatontown would not be NoCare if you get sick and your in- pleased to yield 1 minute to a new able to get insurance due to his pre- surer drops your coverage. member of the committee, the gen- existing condition; and thousands of NoCare if your insurer hikes your tleman from New York (Mr. HANNA). seniors on Medicare, like Howard from premiums higher than you can afford. Mr. HANNA. Mr. Speaker, I rise Monroe, would not be able to afford his NoCare for Indian health care serv- today in support of H.R. 2 so that we lifesaving prescriptions. ices reauthorization. may replace the well-intentioned but Matthew from West Windsor wrote NoCare for community health cen- ill-conceived health care law signed me to say, ‘‘I just graduated from col- ters. last year with reforms that increase lege, and I’m working at a job with no NoCare for closing the disparity gap access to care and lower costs. health care.’’ He’s grateful now that he in America’s health care delivery sys- We know that the current law raises can be on his parents’ health insurance tem. premiums. We know that it cuts Medi- plan, but he’s concerned if this is re- I urge my colleagues to vote against care by more than $500 billion. That’s pealed. He says, ‘‘I have a preexisting this repeal that would take away the unacceptable to the over 120,000 seniors condition, and shockingly, I truly progress that we are making to protect in my district who rely on Medicare would be without insurance and in deep our constituents. I urge my colleagues benefits. We know it raises taxes, im- trouble if this law were reversed.’’ to stop protecting insurance companies

VerDate Mar 15 2010 23:45 Jan 19, 2011 Jkt 099060 PO 00000 Frm 00010 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.017 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H267 and, finally, finally, take a step toward That’s what you’re going to be repeal- political discourse and to move to empowering the American people. ing if you repeal health care reform. working together to solve America’s Mr. KLINE. Mr. Speaker, I am very Affordability: All Americans under pressing issues, the new Republican pleased to yield 1 minute to another health care reform in 2014 will be able majority is moving full steam ahead new member of the committee, a physi- to afford health care. We will be giving with an attempt to repeal the Afford- cian, the gentleman from Indiana, Dr. tax credits to businesses to encourage able Care Act. BUCSHON. them to provide health care. The health care law may not be per- Mr. BUCSHON. Thank you, Chairman This bill will create jobs. You will be fect—that prospect would always cer- KLINE. destroying jobs. And you say nothing tainly be open to debate and sugges- Mr. Speaker, I rise today in support about the deficits. The CBO has al- tions on how it might be improved of H.R. 2, the repeal of the Affordable ready calculated that you will signifi- might also be open to debate—but in- Care Act. I consider this one of the cantly increase the deficit if this bill stead of working together and building most crucial votes in this Congress. As passes. on the work that has been done and the a cardiothoracic surgeon, I can speak Mr. Speaker, health care reform is a progress that has been made, we find from the perspective of a physician matter of life and death. If Republicans ourselves here today, debating and vot- who has dealt with the growing need want to repeal health care, they ought ing on a bill, which, while it may pass for health care reform in our country. to be clear and tell the public what will the House, most certainly will never We all know there are too many un- actually happen to young adults, those become law—nor should it. insured; too many underinsured. But a with preexisting conditions, seniors, Some may call it political catharsis. government solution is the wrong ap- what is going to happen to the dough- Others may call it pure theater, plain proach. This law does nothing to ad- nut hole or insurance abuses or the fu- and simple; but let’s be clear: the posi- dress the critical issue in health care ture of the affordability of health care. tive impact the existing health care re- today, and that’s the rising cost of We should not just be resorting to la- form law is having on millions of resi- health care. bels and slogans. We have to be clear as dents and families in all of our dis- Now let’s touch on my patients. to what we are doing to the public. tricts is very real, and the law’s impor- Sixty to 70 percent of my patients are Mr. KLINE. Mr. Speaker, I am tant, commonsense consumer protec- in Medicare. A $500 billion cut in the pleased to yield 1 minute to another tions are very popular. funding of Medicare and decreasing re- new member of the committee, the Specifically, this misguided legisla- imbursement for physicians, for hos- gentleman from South Carolina (Mr. tion will spell the end of one meaning- ful consumer protection which I and pitals and other providers over the GOWDY). course of time will lead to what it has Mr. GOWDY. Thank you, Mr. Chair- others fought to get into the law. This led to in every other country that has man. protection, the medical loss ratio re- a government health care system—ra- Mr. Speaker, the Constitution of the quirement, holds insurance companies tioning of health care for some of the United States has limits. accountable and ensures consumers are most vulnerable people in our society, Surely one of those limits must be receiving the health services for which our American seniors. that Congress cannot compel a private they are paying top dollar. In 1993, many private companies rou- The SPEAKER pro tempore. The citizen to engage in a private commer- tinely spent 95 cents of every dollar on time of the gentleman has expired. cial transaction. Mr. BUCSHON. Thank you. Surely the Congress of the United health services. By 2008, in the absence of regulation otherwise, many had re- Mr. GEORGE MILLER of California. States cannot compel a person to pur- duced their spending on health services I yield 2 minutes to the gentleman chase life insurance, because genera- to below 75 percent, some to even less from Virginia (Mr. SCOTT), a member of tional debt is a bad thing. than 60 percent of those premium dol- the committee. Surely the Congress of the United lars. That meant that companies could Mr. SCOTT of Virginia. Thank you. States cannot compel someone to pur- Mr. Speaker, it is important that we spend up to 43 cents of your premium chase vision insurance or dental insur- focus attention on the substance of the dollar on executive salaries, adver- ance. tising, lobbyists, bonuses, dividends, debate on health care. Some think that The Constitution of the United and other administrative costs instead just calling repealing health care re- States places limits on Congress, and it of using it for what you had contracted form ObamaCare or calling it a job is time that this body honored those for—health care. killer when it will actually create jobs, limits envisioned by our Forefathers. or even calling it a government take- To keep their excessive profits up, To ask for self-restraint or respect for you may have been charged ever-higher over when it doesn’t even include a the Constitution should not invite public option constitutes the discus- premiums or may have been denied challenges to our humanity or accusa- care through a number of sion. tions of moral acquiescence. But we need to talk about what is ac- anticonsumer gimmicks. You might I am from the upstate of South Caro- tually in the bill and what is actually have been denied coverage because you lina; and every time I go home, I hear going to be repealed, because we need or your family member had a pre- about the need for health reform and to talk about what’s going to happen to existing condition or because you had about the fear that people have with those under 26 that are now able to coverage capped annually or in a life- respect to preexisting conditions; but I stay on their parents’ policies. Repeal time, stopping coverage when it was support a solution that is patient cen- will kick them off of those policies. most needed, or, as a parent, you were We need to talk about what’s going tered and not government centered. I refused coverage for your children to happen to those with preexisting support a solution that is affordable under 26 even if they were still unem- conditions. We need to talk about what and not generational embezzlement, ployed or were working someplace is happening to those who can now get and I support a solution that is con- where coverage wasn’t available. checkups, annual checkups and preven- sistent with the Constitution. All of these injustices are addressed Mr. GEORGE MILLER of California. tive care with no copays and in the bill. Its repeal would reverse Mr. Speaker, I yield 2 minutes to a deductibles. that. I ask that this misguided bill fail, member of the committee, the gen- and I ask my colleagues to vote against b 1120 tleman from Massachusetts (Mr. it. We need to talk about the fact that TIERNEY). Mr. KLINE. May I inquire of the we are digging senior citizens out of (Mr. TIERNEY asked and was given Speaker how much time is remaining the doughnut hole and that repeal will permission to revise and extend his re- on each side. keep them in the doughnut hole. marks.) The SPEAKER pro tempore. The gen- Insurance reform: No rescissions, no Mr. TIERNEY. Mr. Speaker, it is tleman from Minnesota has 261⁄2 min- cutting off insurance in the middle of a deeply disappointing that, following utes remaining. The gentleman from treatment. last week’s near universal calls for California has 22 minutes remaining. We need to talk about what we are unity and cooperation and amidst all of Mr. KLINE. Mr. Speaker, at this time doing as to unreasonable increases. the calls to lower the temperature of I am very pleased to yield 1 minute to

VerDate Mar 15 2010 23:45 Jan 19, 2011 Jkt 099060 PO 00000 Frm 00011 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.020 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H268 CONGRESSIONAL RECORD — HOUSE January 19, 2011 another new member of the committee, with real health issues no place to go pendent children stay on their parents’ the gentlelady from Alabama (Mrs. for help. insurance until they turn 26; making ROBY). What do I tell the parents of the 9,000 sure anyone who wants to buy insur- Mrs. ROBY. Thank you, Mr. Chair- children in my district with pre- ance can purchase a policy regardless man. existing conditions who will be unable of preexisting condition; and allowing Mr. Speaker, I rise today to stand to access coverage when the ban on dis- consumers choice while creating incen- with my colleagues in support of H.R. 2 criminating against children with pre- tives to purchase insurance that fits that will repeal the Health Care Re- existing conditions is repealed? their needs works. Some of these solu- form Act. When insurance companies can claim tions are there, but there is more Sadly, this law is less about pro- cancer or pregnancy as a preexisting wrong with this bill than there is right. viding health care for all citizens and condition, what will survivors and So let’s repeal this law that doesn’t more about expanding Federal Govern- mothers do for health coverage? work. Let’s repair those pieces that ment. What will the 126,000 so affected indi- could work. Let’s replace it with pa- It translates into substantial cost, viduals on eastern Long Island do? tient-centered solutions that will over $500 billion, that must be paid for What will the 2,400 young adults who work. And let’s give the American peo- by hardworking, tax-paying Ameri- have been able to stay on or to rejoin ple the health care they deserve. cans. In economic hard times, it is our their parents’ health insurance on east- Mr. GEORGE MILLER of California. responsibility to ensure that this does ern Long Island do if repeal is success- Mr. Speaker, I yield 2 minutes to the not occur. If we do not repeal this law, ful? gentlewoman from Hawaii (Ms. our inaction will serve as nothing less What will the 112,000 Medicare bene- HIRONO), a member of the committee. than gross fiscal irresponsibility. This ficiaries who can now receive free can- (Ms. HIRONO asked and was given must not happen. cer screenings and other preventive permission to revise and extend her re- I want to tell you about the owner of marks.) the Pizza Hut in Headland, Alabama, care do? What about the 8,500 part D prescrip- Ms. HIRONO. Mr. Speaker, Demo- who will be forced to close his doors crats’ top priority is creating jobs. We due to the costs associated with this tion drug plan recipients who can no longer count on the doughnut hole want to work with Republicans to law. Then there is the gentleman who achieve this goal, but instead of focus- owns pharmacies throughout the being closed and who will, once again, face higher drug costs if repeal is suc- ing on jobs and growing the economy Southeast, who told me he has the abil- the new leadership has decided to start ity to create two jobs but who cannot cessful? by debating H.R. 2, which will repeal do so because he doesn’t know what the Mr. Speaker, simply replacing the patients’ rights, put insurance compa- Federal Government is going to do to positive impact the Affordable Care nies back in charge, and add to the def- him next. Act has had on American families with Just like our forefathers answered inaccurate arguments does not solve icit. Yesterday, the Democratic Steering the call to right wrongs, we too must our problem. I urge my colleagues to and Policy Committee held the only answer a call. The citizens in our dis- vote ‘‘no’’ on the legislation. hearing the new Congress will have on tricts have spoken, and in their words, Mr. KLINE. Mr. Speaker, I am very this bill. We heard from families from We must repeal this law. pleased to yield 2 minutes to another Mr. GEORGE MILLER of California. new member of the committee, a physi- Maine to Florida, from Rhode Island to Mr. Speaker, I yield 2 minutes to the cian, the gentleman from Nevada, Dr. Missouri, real people, real stories. gentleman from New York (Mr. HECK. Freedom was a common thread in their stories. Because of health care reform, BISHOP). Mr. HECK. Mr. Speaker, increasing Mr. BISHOP of New York. Mr. Speak- access to high-quality health care these families are free from worrying er, I believe it is time that this Con- while reducing costs, that was the goal about being denied coverage because of gress does what President Obama of the recently enacted health care a preexisting condition and free from called on Americans to do last week: law. But no matter how well-inten- worrying about escalating medical approach our debates and our dif- tioned, very few now stand by that law debt because of lifetime caps on their ferences with civility and honesty. in its entirety. The new health care insurance plans. These families now We appear to be doing reasonably law will cost money that taxpayers have a sense of security and peace of well with regard to civility, but less so don’t have, and it will cost jobs we mind. with honesty. Once again, we tackle can’t afford to lose. For over 37 years, thanks to Hawaii’s health care, and the debate is sliding Now is the time to reexamine this landmark Prepaid Health Care Act, our back to one-line attacks and misrepre- misguided law before young families families have largely been protected sentation instead of the new health are forced to buy something they can’t from some of the most unfair insurance care law’s merits or its actual impact afford or face fines from their govern- company practices, but health care re- on real Americans. ment, before seniors are forced to find form is still helping thousands of fami- The Affordable Care Act has been re- new doctors or lose the kind of insur- lies and small businesses across my ferred to as a ‘‘job-crushing law.’’ This ance plans they enjoy now, before State. A mother in Kailua, Hawaii con- is simply not honest as my colleagues small businesses shed jobs or are forced tacted me to tell me that she can now across the aisle disregard the fact that, to close their doors due to budget-bust- add her 21-year-old son and 24-year-old since it was signed into law last March, ing regulations. daughter to her work-sponsored insur- over 1 million private sector jobs have ance plan. This mom used to pay $900 a b 1130 been added to the economy, with month for just her daughter’s health 207,000 of those jobs coming from the More access, lower cost. It’s safe to insurance and prescription drugs. Now health care sector. say that every American supports that she pays $300 a month to cover both of Some speak of the repeal as if elimi- idea. As an emergency medicine doc- her children under her company’s plan. nating health care reform would have tor, I know that I do. And working on This family used to spend $10,800 a year no meaningful fiscal consequences. the front lines of health care I’ve seen for health care for one child; now they This, too, is not honest. The Congres- what works and what doesn’t. Forcing spend $3,600 a year for health care for sional Budget Office has estimated full people to buy insurance or fining them, the entire family. repeal would increase the deficit by eliminating seniors’ access to Medicare I recently heard from a senior in $230 billion over 10 years and another Advantage, and burdening small busi- Waimea on Hawaii Island who referred $1.2 trillion in the following decade. nesses with onerous taxes don’t work. to her $250 Medicare doughnut hole re- Some argue that repeal will, in fact, What the American people want are bate check as a blessing in these tough reduce the deficit. If this is true, why solutions that don’t cost more tax- economic times. Let’s be clear: The Pa- have we yet to see a positive score that payer money and don’t prevent small tients’ Rights Repeal Act will hurt, not affirms such a point? businesses from hiring new employees; help, middle class families and small Repeal does nothing, absolutely making sure people don’t lose their businesses in Hawaii and across our nothing, other than leaving families coverage once they get sick; letting de- Nation.

VerDate Mar 15 2010 23:45 Jan 19, 2011 Jkt 099060 PO 00000 Frm 00012 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.022 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H269 I urge my colleagues to join me in help pay for prescription drugs in the ‘‘donut Mr. ROSS of Florida. Imposing new voting against H.R. 2. hole’’ coverage gap in 2010. I recently heard regulations on small businesses by Mr. Speaker, listen to Stacie Ritter’s story. from a senior in Waimea on the island of Ha- mandating employers provide health Stacie is the mother of twin daughters, Han- waii who referred to this check as a blessing. insurance stifles economic growth and nah and Madeline, now 11, who were diag- She was able to use that money to pay for her makes it difficult for businesses to sur- nosed with leukemia at the age of 4. Stacie other medical bills. vive. has always worried about her daughters’ Medicare beneficiaries who fall into the We can bring down costs and increase health and having health insurance to cover ‘‘donut hole’’ in 2011 will be eligible for 50 per- affordability by allowing the free mar- the stem cell transplants and other cancer cent discounts on covered brand name pre- ket to create robust competition. One treatments. Because of health care reform, scription drugs. Closing the Medicare donut commonsense reform is to allow for the Stacie doesn’t have to worry about the twins hole is an especially critical issue for Hawaii interstate sale of health insurance. By being denied coverage because of a pre-exist- as we are home to the Nation’s largest per- breaking down the barriers to the sale ing condition. This repeal bill will allow insur- centage—36 percent compared to 26 per- of health insurance, American citizens ance companies to deny Hannah and Mad- cent—of Medicare beneficiaries that fall into will have the ability to choose the plan eline health insurance for the rest of their this gap of prescription drug coverage. Without that best fits their needs at a rate that lives. The 19.4 million children in our country repeal, the burden of high prescription drug is affordable to them. By allowing com- with pre-existing conditions would face the costs would hurt millions of Medicare bene- petition, we bring costs down and pro- same fate. ficiaries across the country. vide the best possible product for the Listen to Dr. Odette Cohen, from An estimated 28,700 small businesses in American people. Willingboro, New Jersey, a small business Hawaii would no longer be eligible for the new Mr. GEORGE MILLER of California. owner. The small business tax credits in the federal tax credits that will help make pro- Mr. Speaker, I yield 2 minutes to the health care reform law not only lower the cost viding health care coverage for their employ- gentleman from Connecticut (Mr. for her to provide good health insurance for ees more affordable. COURTNEY). her employees, but they also give her the Let’s be clear, the Patients’ Rights Repeal Mr. COURTNEY. Mr. Speaker, in 1986 flexibility to hire another nurse practitioner. Act will hurt, not help middle class families in over 66 percent of America’s employers She’ll be seeing more patients and growing Hawaii and across our Nation. That’s bad provided retiree health insurance. In her business and helping the economy. enough. But this repeal also expands the fed- 2009, that number had collapsed to 29 percent. What the health care bill did According to Forbes Magazine, major health eral deficit. The non-partisan Congressional was use a tried and true method of set- insurance companies around the country are Budget Office reported that repealing the ting up a reinsurance program that we reporting a significant increase in small busi- health reform law would increase the federal use for flood insurance, terrorism in- nesses offering health care benefits to their deficit by $230 billion over the next ten years employees. Repeal would either force small surance, and to insure the nuclear en- and more than $1.2 trillion in the following businesses to drop their employees’ coverage ergy industry. decade. or businesses would bear the full cost of insur- This fund, which will cost-share and At a time when our focus needs to be on cost-spread the high claims of older 55- ance themselves. jobs, bills should pass the following 3-pronged Speaker BOEHNER has pledged to listen to plus Americans, is a program that em- test: 1) Does it create jobs? 2) Does it the people. Because of Hawaii’s landmark ployers have stampeded into. Over 4,700 strengthen America’s middle class? and 3) Prepaid Health Care Act of 1974, which man- employers have entered into this pro- dates that employers provide insurance cov- Does it reduce the deficit? On all counts, H.R. gram. Over half the Fortune 500, many erage for their full-time employees, Hawaii’s 2 is a resounding failure. I urge my colleagues whose corporate logos are right here— families have largely been spared from some to join me in voting against H.R. 2. something that Coke and Pepsi and Mahalo nui loa (thank you very much). of the most unfair insurance practices. But AT&T and Comcast can come together Mr. KLINE. Mr. Speaker, I am health care reform still helps thousands of on—are voting with their feet because pleased to yield 1 minute to another families across our state. this is a program that works. A mother in Kailua, Hawaii contacted me to new member of the committee, the Mr. Speaker, public employers are thank us because she could now add her 21- gentleman from Florida (Mr. ROSS). also taking advantage. This map shows Mr. ROSS of Florida. Mr. Speaker, year-old son and 24-year-old daughter to her yellow States who have not entered the today I rise in support of repealing and work-sponsored insurance plan. This mom program. If you notice, no yellow replacing the recently enacted health used to pay $700 a month for her daughter’s States have not entered the program. care law that nationalizes nearly one- health insurance and $200 a month out-of- All 50 States with Republican gov- sixth of our country’s gross domestic pocket for her prescription drugs. ernors and Democratic governors have Now, this mother pays just $300 a month to product. entered into this program, States who cover both of her children under her com- This past November, the American are suing the Federal Government to pany’s health plan. This family used to spend people sent a resounding message to overturn the health care bill—they $10,800 a year for health care for one child. Congress and to this administration know a program that’s going to work Now, they spend $3,600 a year for health care that they do not want to pay higher to make sure that their health care for the whole family. This family is using the taxes for a one-size-fits-all health care costs are going to be controlled and money saved on health insurance for other system that replaces doctors with bu- spread. This means that police officers, household needs, including paying down past reaucrats. Instead, the American peo- teachers, people working in corpora- medical debt. ple want complete control of their tions who are 55 and up can retire with Middle class families are saving money be- health care dollars and health care de- confidence, opening up opportunities cause of health care reform. Young adults, cisions, and they want to be able to for young Americans which clearly the many of whom are having a hard time finding take their policies with them from job prior system was not going to allow. jobs, now have health insurance. Under H.R. to job without being penalized by the Mr. Speaker, this bill will blow up 2, thousands of young adults will lose their in- Federal Government. this program, which employers who are surance coverage, including 2,500 in Hawaii. Americans need privatized health voting with their feet say will work. Here’s what else repealing health care re- care that forces competition in order That is not creating jobs. This program form will do to the people of Hawaii: to achieve affordability, choice, and in- creates jobs. It lowers costs for em- 193,000 seniors in Hawaii who have Medi- novation. As a small business owner, I ployers and provides an avenue for care coverage would be forced to pay a co- understand that adding $104 billion in young people to have a future in this pay to receive important preventive services, taxes and compliance costs to our un- country. like mammograms and colonoscopies. stable job market creates a massive We should vote ‘‘no’’ on this legisla- Medicare would no longer pay for an annual burden on our taxpayers and is not the tion. Let’s grow America’s economy. check-up visit, so 193,000 seniors in Hawaii best way to encourage economic Let’s preserve the Early Retiree Rein- who have Medicare coverage would have to growth. surance Program. pay extra if they want to stay healthy by get- The SPEAKER pro tempore. The Mr. KLINE. Mr. Speaker, I am ting regular check-ups. time of the gentleman has expired. pleased to yield 1 minute to another In Hawaii, 17,959 Medicare beneficiaries re- Mr. KLINE. I yield the gentleman an physician, the gentleman from Lou- ceived a one-time, tax-free $250 rebate to additional 15 seconds. isiana, Dr. FLEMING.

VerDate Mar 15 2010 23:45 Jan 19, 2011 Jkt 099060 PO 00000 Frm 00013 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.024 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H270 CONGRESSIONAL RECORD — HOUSE January 19, 2011 Mr. FLEMING. I thank the gen- member of the committee, the gen- press don’t like us to use that term, tleman from Minnesota. tleman from Tennessee, Dr. but let me defend it for a moment. Mr. Speaker, repealing ObamaCare is DESJARLAIS. When you order every American to buy an imperative for four reasons. First, Mr. DESJARLAIS. Mr. Speaker, I rise health insurance—whether they want while it increases the numbers under today in support of H.R. 2. As a prac- it or need it or not—that’s a govern- coverage, it will ultimately sharply re- ticing physician for nearly two decades ment takeover of health care. When duce access to care. Like Canada and in Tennessee, I stand before you as an you order almost every business to pro- Britain, socialized medicine will mean expert witness to failures of a govern- vide government-approved health in- carrying an insurance card that will ment-run health care model. surance or pay higher taxes and send entitle you only to less choice, longer ObamaCare takes the problems I’ve their employees to government-run waits, and rationing. seen in my home State and expands health exchange programs, that’s a Second, while the health care system them to a national level. government takeover of health care. is now hard to navigate, under This bill raises taxes, increases When you pass legislation that makes ObamaCare it will be a nightmare. spending, and will add $701 billion to it all run with hundreds of billions of With over 150 new mandates and agen- the Federal deficit. Most importantly, dollars in higher taxes, mandates, bu- cies controlled by unelected, unac- ObamaCare will ultimately end up re- reaucracies, and even public funding of countable bureaucrats and IRS agents, stricting patients’ access to quality abortion against the wills of the over- to whom will we turn when the system health care by placing Washington bu- whelming majority of the American fails us? reaucrats between patients and their people, that’s a government takeover Third, as yet another entitlement doctors. of health care—and the American peo- program financed through a Disney Moving forward, we do offer solu- ple know it. fantasy of accounting, it will add to tions. We must work towards reducing Last year, House Republicans pledged the current entitlement fiasco in Wash- waste, fraud, and abuse in Medicare, in- that if the American people gave us a ington, exploding the budget for many stituting meaningful tort reform—thus second chance to lead this Congress, we generations to come. reducing the practice of defensive med- would repeal and replace their health And finally, with higher taxes and icine. We can accomplish these goals care reform with health care reform more constrictions on businesses, em- without the creation of a giant, new that focuses on lowering the cost of ployed Americans will continue to de- Federal bureaucracy. health care insurance without growing cline or become an endangered species By voting to repeal this unnecessary the size of government. And we’re altogether. health care bill we will effectively put keeping that promise today. Let’s repeal the worst legislation in a a stop to the creation of a massive en- Now, some in the cynical political generation, ObamaCare. titlement program that we did not class are saying this is a gimmick, it’s Mr. GEORGE MILLER of California. want, we do not need, and we cannot an empty gesture. Well, we have an- Can I just say to the gentleman from afford. other term for it on our side of the Minnesota, I think I’m starting to un- Mr. GEORGE MILLER of California. aisle—it’s a promise kept. And House derstand the physician shortage in the I yield 1 minute to the gentlewoman Republicans are here to stand with the country; most of them are in the Con- from California (Ms. BASS). American people and say with one gress, apparently. Ms. BASS of California. Mr. Speaker, voice, We can do better. We can do bet- Mr. KLINE. And we’re so happy to I rise in opposition to H.R. 2. ter than their government takeover of have them. In survey after survey, the number health care. We can pass legislation Mr. GEORGE MILLER of California. one issue facing our country is jobs. that will be market-based, patient-cen- I yield 1 minute to the gentleman from Last year, my colleagues on the other tered. But it all begins with today. New York (Mr. TONKO). side of the aisle said the number one So I urge my colleagues to join us in issue we should be working on is jobs. b 1140 repealing this government takeover of Well, the health care reform act is a health care before it ever takes effect Mr. TONKO. Mr. Speaker, I am com- jobs bill. and then work with us as we build mitted to working with my colleagues In the seventies and eighties I health care reform that is worthy of to create jobs. But here we are, debat- worked in several hospitals in the Los the American people. ing repeal of health care reform in- Angeles area. During those years, there Mr. GEORGE MILLER of California. stead of focusing on job creation. In was such a severe shortage of health I yield 30 seconds to the gentleman fact, health care reform was a good care providers that hospitals recruited from New Jersey (Mr. ANDREWS). start. Since enactment in March of nurses from Canada and the Phil- Mr. ANDREWS. Mr. Speaker, I want- 2010, private-sector job growth has ippines. Right now, there is an esti- ed to explore one of the aspects of this grown by some 1.1 million jobs. Among mated shortage of 400,000 nurses na- repeal promise that’s being kept. those, over 200,000 jobs were created in tionally. Right now, there is an esti- Thus far, there are hundreds of thou- the health care sector alone. That is mated shortage of 50,000 doctors. Right sands of seniors who have gotten $250 why my top priority remains job cre- now, there are waiting lists of several rebate checks to help them pay for pre- ation and growing our economy—not years to get a slot in nursing schools scription drugs. I would ask anyone on obsessing on repealing a bill that is and other allied health professions. the other side, what does the legisla- working. So if there is a shortage of medical tion say about whether or not the sen- If my friends on the other side of the personnel right now and health care re- iors will have to repay those checks to aisle are successful, then seniors, form expands coverage to 30 million the government? young people, and small businesses in people, then can someone explain to I would yield to anyone who can an- the capital region of New York would me how health care reform is not a jobs swer. be hurt. Take my constituent Tim bill? Mr. KLINE. I reserve the balance of from Albany, New York, for example. Mr. KLINE. Mr. Speaker, I am my time. Tim is forced to dig into his pocket to pleased to yield 2 minutes to the gen- Mr. GEORGE MILLER of California. pay for prescription drugs even though tleman from Indiana (Mr. PENCE). I yield 11⁄2 minutes to the gentleman he is a retired pharmacist on Medicare. (Mr. PENCE asked and was given per- from New Jersey (Mr. PAYNE). However, health care reform provides mission to revise and extend his re- Mr. PAYNE. Mr. Speaker, I rise in Tim extra assistance in paying for his marks.) strong opposition to the Patients’ prescriptions and ensures that the so- Mr. PENCE. Mr. Speaker, I rise in Rights Repeal Act. called doughnut hole payment will be strong support of H.R. 2, repealing the Proponents of this bill contend that no more in the very near future. government takeover of health care the current health care law will de- Mr. KLINE. Mr. Speaker, I am really passed by the 111th Congress. stroy jobs, but CBO estimates of $230 pleased, following the comments of the Now, I know my colleagues on the billion support the fact that it is the gentleman from California, to yield 1 other side of the aisle and many of repeal being debated today, not the minute to another physician, a new their supporters in the mainstream health care law, that would harm jobs

VerDate Mar 15 2010 23:45 Jan 19, 2011 Jkt 099060 PO 00000 Frm 00014 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.025 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H271 and drain funds from potential job- tional spending will increase by more is a fact. It has strong elements. I sup- building appropriations. than $310 billion over the first 10 years. port Dr. Frist. Essentially what is being repealed The law will not lower health care Mr. KLINE. Mr. Speaker, I yield 1 are the protections afforded to tax- costs, despite numerous claims that minute to a member of the committee, payers through the recently enacted we’ve heard. the gentleman from Pennsylvania (Mr. health care legislation, the relief given According to a Congressional Budget PLATTS). to American taxpayers who were for so Office analysis, health insurance pre- Mr. PLATTS. Mr. Speaker, I appre- long paying the bills for uncompen- miums could rise by an average of ciate the gentleman yielding. sated health care costs—which we $2,100 per family. This increase comes I rise today in support of House Bill never hear mentioned over there—and despite promises of lower premiums. 2. This simple two-page bill seeks to re- peal the new unconstitutional health the progress our country made last b 1150 year to come out of the dark ages as care law that will create a massive new one of the only three developed coun- Mr. Speaker, if this law remains in entitlement program, cost taxpayers tries in the world that do not provide place, up to 35 million people could lose more than $2 trillion per decade, in- universal health care. health care access. According to the crease taxes, and impose job-destroying Forty-eight hundred seniors in my former CBO Budget Director, the mandates on businesses, cut Medicare district and over 1 million seniors in health care law, quote, ‘‘provides by hundreds of billions of dollars, and the country were relieved last year by strong incentives for employers, with further increase health care premiums the doughnut hole rebate. But repeal the agreement of their employees, to for individuals by more than 10 per- would reintroduce that stress. Nearly drop employer-sponsored health insur- cent. The goal is not only to repeal the 44 percent of non-elderly constituents ance for as many as 35 million Ameri- new health care law, but also to re- in New Jersey and 134 million Ameri- cans.’’ place it with real reforms, debated cans nationwide have preexisting con- The National Taxpayer Advocate openly through the ordinary legislative ditions. issued a report that suggests 40 million process, that are truly about reducing Repeal would reintroduce the hope- businesses will be impacted by the new health care costs—reforms such as al- lessness these Americans felt in the IRS 1099 filing requirements. This will lowing small businesses and individuals past as health coverage denied and require vendors and small businesses to to join together in national group stole their ability to access quality do paperwork on any transaction over plans to cut premium costs; allowing health care. Repeal would remove near- $600. In addition, the Taxpayer Advo- individuals to purchase health insur- ly 1.2 million young adults from their cate does not believe that this will re- ance across State lines, thereby in- parents’ health care plan—including sult in improved tax compliance. This creasing competition for their busi- my grandson who’s 23 and is on his provision is so unrealistic that even nesses; and enacting medical mal- mother’s plan—and remove their abil- the President’s Small Business Admin- practice liability reform legislation. ity to take preventative measures now istrator has called for its repeal. Mr. Speaker, we must repeal and re- I will continue to push for common- to avoid becoming a burden to the sys- sense reforms that are focused on truly tem. place this law and continue together as the entire Congress, not just two par- reducing health care costs for all I urge defeat of this bill. Americans. I urge my colleagues to Mr. KLINE. Mr. Speaker, before I ties, and move forward with common- sense ideas that will include better ac- support H.R. 2. yield to the gentleman from Pennsyl- Mr. GEORGE MILLER of California. cess, affordability, quality, and pro- vania, I’ll take about 10 seconds to re- I yield 1 minute to the gentleman from mote patient choice. I encourage my spond to my friend, the gentleman Michigan (Mr. PETERS). from New Jersey, about the $250. It’s colleagues to join me and vote for re- Mr. PETERS. Mr. Speaker, with un- not contemplated in the legislation, peal. employment in Michigan at over 12 nor is it our understanding of the scor- Mr. GEORGE MILLER of California. percent, I am not going to support a ing that there is any intention of that I yield 1 minute to the gentleman from bill that raises taxes on small busi- $250 being brought back from those Tennessee (Mr. COHEN). nesses. Let us be clear. Voting for the seniors. Mr. COHEN. I am going to cite two Patients’ Rights Repeal Act will elimi- I yield 2 minutes to the gentleman Republicans who give good reasons to nate the Small Business Health Care from Pennsylvania (Mr. THOMPSON). oppose this legislation and keep health Tax Credit. Small businesses have Mr. THOMPSON of Pennsylvania. care reform. One of the new Repub- faced outrageous increases in their Mr. Speaker, as a health care profes- licans, when he didn’t think he was health care costs over the past decade. sional for almost 30 years, I actually going to get his insurance imme- This tax credit helps reduce that bur- sat down and read all 2,000 pages of the diately, said, ‘‘What am I, not supposed den and is already making a real dif- health care bill. And as I read through to have health care? It’s a practicality. ference. the measure, I became increasingly I’m not going to become a burden for The L.A. Times reported that small alarmed at the level of control over an the State because I don’t have health businesses are signing up for health individual’s health that would be vest- care, and God forbid I get into an acci- care coverage for their employees, de- ed in the Federal Government. dent and I can’t afford the operation. spite the bad economy, since the tax I’ve spent my life working with those That can happen to anyone.’’ He suc- credit took effect. Among firms with facing life-altering disabilities and dis- cinctly summed up the reason why ev- three to nine employees, there has been eases. And I’ve been quick to point out eryone should have the same opportu- a 46 percent increase in the number of- that while we have the best health sys- nities as Members of Congress have to fering health benefits. But this bill tem in the world, there must be im- have health care. would put a stop to that. provements. That is why I am sup- But more importantly, in a more in- The Detroit News reported that last porting the repeal of the Patient Pro- tentional way, one of the most revered week more than 126,000 small busi- tection and Affordable Care Act—and I doctors in the world, former Repub- nesses in Michigan would lose the tax believe there are plenty of reasons for lican majority leader, Senator Bill credit under this bill. The last thing my colleagues to join me. Frist, said yesterday that he urged the that small businesses in Michigan and The law mandates purchase of a gov- Republicans to drop the charade and across the country need right now is ernment-defined insurance plan, a build on the legislation. He said if he higher taxes. But that’s exactly what mandate that the President opposed on would have been here, he would have this bill would deliver. several occasions when running for of- voted for the bill. And it was important Mr. Speaker, I urge my colleagues to fice. As a result of failing to live up to to consider the bill the ‘‘law of the vote ‘‘no’’ and join me in standing up this promise, the Justice Department land’’ and move on from there. ‘‘It is for our small businesses. is now attempting to defend the man- the platform, the fundamental plat- Mr. KLINE. Mr. Speaker, I yield 1 date on the grounds that it is a tax. form, upon which all future efforts to minute to a new member of the com- According to the nonpartisan Medi- make the system better for the patient mittee, the gentleman from Pennsyl- care Actuary, because of the law, na- and the family will be based.’’ And that vania (Mr. BARLETTA).

VerDate Mar 15 2010 23:45 Jan 19, 2011 Jkt 099060 PO 00000 Frm 00015 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.027 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H272 CONGRESSIONAL RECORD — HOUSE January 19, 2011 Mr. BARLETTA. I thank the chair- Mr. Speaker, last week Federal Re- together on reforms that deliver the man for yielding. serve Chairman Ben Bernanke said high-quality, low-cost care the Amer- Mr. Speaker, I rise today in support that the economy cannot begin to re- ican people deserve. of repealing the health care law. I be- cover until small businesses prosper. Mr. KLINE. Mr. Speaker, I am lieve everyone should have access to Well, the overreaching and burdensome pleased to yield 1 minute to the chair- affordable, quality health care. How- requirements of ObamaCare will hurt man of the Financial Services Com- ever, the law passed last year does the small businesses. And their benefits are mittee, the gentleman from Alabama contrary. It makes health care less af- not even certain. Small companies, (Mr. BACHUS). fordable; it diminishes the quality of which account for over half of the pri- Mr. BACHUS. Mr. Speaker, the first care; it forces seniors out of their vate sector economy, are more likely rule of the physician is ‘‘do no harm.’’ Medicare drug coverage, and it pre- to struggle than survive under this law. The government takeover of health vents small businesses from getting If I had followed the plan prescribed care does a lot of harm, and the dam- Americans back to work. for my dealership after the government age will get worse. In my district, we have the highest takeover of General Motors, I would Just on pure economics, it’s a bitter number of seniors in Pennsylvania, and have lost the business that my father pill. Small businesses are bracing for the $206 billion in cuts in Medicare Ad- started 57 years ago. We need to ad- tax increases and higher costs. They vantage will cause 7.5 million seniors dress the years of hard work and the are dropping coverage; they are holding to lose their retiree drug coverage by spirit of entrepreneurship that will be off on new hires. The Federal Govern- 2016. Small businesses face a $2,000 fine destroyed under this law. ment is taking on a new open-ended en- per employee if their plans do not meet Small employers have limited auton- titlement it can’t afford, and that at a a bureaucrat-approved standard. omy under ObamaCare. The Federal time of historically high deficits, an- At a time when the unemployment Government is dictating what benefits nual deficits and a national debt. level in my district is over 9 percent, they must offer and then punishing Washington yet again is building a new bureaucracy to tell people what to do. Congress must not discourage job cre- them for expanding their operations or The Federal Government has no busi- ation by placing mandates and levying paying their people more. ness making private medical decisions penalties on those who will get us back The choices for small business under that ought to be between you and the on track towards a more prosperous ObamaCare are: provide government- doctor. It violates the principles on Nation. mandated health care and face ruinous which this country was established, I urge my colleagues to vote ‘‘yes’’ costs, or drop the coverage and pay American exceptionalism. America is on H.R. 2. fines just to keep those folks em- not Europe. Our system is based on the Mr. GEORGE MILLER of California. ployed. individual, on choice, on freedom, on I yield 11⁄2 minutes to the gentleman If we burden small businesses with individual initiative and competition. from Oregon (Mr. WU). the requirements set forth in this law, The mandate that asks individuals to Mr. WU. Mr. Speaker, while America we hamper the recovery of the U.S. buy health insurance is an intrusion on desperately wants more and better economy and damage the spirit of free our personal liberty and a violation of jobs, Washington Republicans want to enterprise that has made America our constitutional principles. waste time today debating a health great for over two centuries. Allowing taxpayer money to pay for abor- care repeal charade. But let’s look at ObamaCare should be replaced with a tions is reprehensible and cannot be allowed what health care reform repeal would smaller, more commonsense program. to stand. actually do. Mr. KLINE. Mr. Speaker, in an effort We can address the issues in our health In my congressional district alone, to balance the time here—we have an care system without the government running repealing this law would allow insur- embarrassment of riches in numbers of everything and spending uncontrollably. We ance companies to deny coverage for up speakers; that’s what happened in No- heard what the American people said last No- to 360,000 individuals with preexisting vember—I yield 1 minute to a member vember and in our town halls. To get health conditions, including up to 45,000 chil- of the committee, the gentlelady from care right, we have to start by repealing a mis- dren. Let’s mend this act, don’t end it. Illinois (Mrs. BIGGERT). guided law that is bad policy and bad medi- A repeal would eliminate health care b 1200 cine. tax credits for up to 19,000 small busi- Mr. GEORGE MILLER of California. nesses and 164,000 families. Mend it, Mrs. BIGGERT. I thank the gen- I yield 1 minute to the gentleman from don’t end it. tleman for yielding. California (Mr. MCNERNEY). A repeal would eliminate new health Mr. Speaker, I rise today to voice my Mr. MCNERNEY. Mr. Speaker, I rise care coverage options for 3,100 unin- support for H.R. 2, repealing last year’s today in support of the health care law sured young adults. It is time to mend misguided health care law. and in opposition to its repeal. The it and not to end it. Whether it’s dropped coverage, high- health care reform, which was signed In 50 years, Mr. Speaker, health care er costs or lost jobs, the unintended into law last year, is clearly not per- reform will stand beside Social Secu- consequences of the administration’s fect and could be improved. However, rity, the GI bill, and Medicare as a pil- plan have piled up. I don’t think the the law as enacted will have significant lar of American health care and hu- law is salvageable. We must craft a bi- benefits to millions of American citi- mane values. The people of that time partisan replacement that actually zens, to businesses, to local govern- will not understand why it was hard to lowers costs and expands access to care ments, and to the country as a whole. pass in the first place or why we are without raising taxes and slashing The benefits to individuals in need of spending time today rehashing old Medicare. health care with preexisting condi- business. It’s time to fix health care re- Americans want consensus-minded tions, the seniors, the young adults form’s remaining deficits and to mend reforms to expand coverage for pre- under 26 years of age, and many other it, not to end it. existing conditions and prevent insur- groups are well known and will be Mr. GEORGE MILLER of California. ers from imposing unfair caps or can- missed if the law is repealed. Mr. Speaker, may I inquire of the time celing policies. They want reforms that But most significantly, the law will remaining? provide more choice over how to spend drive down the cost of health care by The SPEAKER pro tempore. The gen- their health care dollars, like pur- encouraging and incentivizing quality tleman from California has 81⁄2 min- chasing health insurance across State care and good outcomes in health care utes; the gentleman from Minnesota lines and expanded health savings ac- treatments instead of encouraging po- has 15 minutes. counts. And they want commonsense tentially unnecessary procedures. It re- Mr. KLINE. Mr. Speaker, I yield 1 legislation to curb junk lawsuits and to wards quality rather than quantity of minute to another new member of the stop the costly practice of defensive health care. This will ultimately re- committee, the gentleman from Penn- medicine. duce the cost, both public and private, sylvania (Mr. KELLY). I urge my colleagues to join me in of health care in this country. Mr. KELLY. I thank the gentleman fulfilling the wishes of voters and re- Because of these reasons, I strongly for yielding time. pealing ObamaCare. Then we can work oppose repeal of health care reform.

VerDate Mar 15 2010 23:45 Jan 19, 2011 Jkt 099060 PO 00000 Frm 00016 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.029 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H273 Mr. KLINE. Mr. Speaker, I am If we repeal this bill today, it’s going of them took that opportunity. But pleased to yield 1 minute to the gen- to take away help for 45,000 seniors in now in the very first legislative act of tleman from California (Mr. ROYCE). Washington State who are relying on this new Congress, they are going to Mr. ROYCE. Mr. Speaker, the claim the efforts that we have done over the deny that opportunity for coverage for that this new health care law will last couple of years to be sure that we their own constituents. somehow cut our budget deficit is proof are closing the Medicare doughnut So their children are covered—their that logic does not always prevail here hole. Repeal of the health care reform spouses are covered—but what about in Washington, DC. law is going to put those folks back the children of their constituents? This is a $2 trillion additional enti- into the doughnut hole. What about their loved ones? What tlement; and just like past entitlement Finally, we ought to oppose repeal of about their businesses? They have full programs, this one will be far more this bill because of the simple fact that employment now. But what about their costly than projected. there is a young woman in my district constituents whose employers will not As a result, our budget deficit is who has severe mental health illness be able to provide coverage for their going to increase unless we repeal this. and her family was able to take her own constituents when they repeal this It’s going to increase our dependence onto their health care plan because of law? This law was modeled after the on China and Japan to finance our the provisions we have put in there plan that Members of Congress have debt. about preexisting conditions. That now and that our new colleagues were The credit-rating agencies say we are family is now saving $10,000 a year out only too happy to sign up for. on the verge of losing our AAA credit of pocket. I think this is the height of hypoc- rating and this debt contagion, you all I am asking folks to oppose the re- risy. Do unto others as you would do see it, is continuing to spread across peal of this bill. unto yourselves. Treat your constitu- Europe. Let us take this important Mr. KLINE. Mr. Speaker, could I in- ents as you have treated yourselves. step. Repeal this $2 trillion fiscal train quire again as to the time remaining Thank you, Mr. Chairman. wreck and begin work on market-based on each side, please. Mr. KLINE. Mr. Speaker, I am solutions that will actually lower The SPEAKER pro tempore (Mr. pleased to yield 1 minute to the gen- health care costs. tleman from Illinois (Mr. DOLD). This will give us some hope in the fu- LUCAS). The gentleman from Minnesota Mr. DOLD. Mr. Speaker, today I rise ture of bringing that budget into bal- has 10 minutes remaining, and the gen- 1 in support of H.R. 2. And what we’ve ance and not hitting that fiscal train tleman from California has 6 ⁄2 minutes heard today on both sides of the aisle is wreck. remaining. Mr. KLINE. Mr. Speaker, I am Mr. KLINE. Mr. Speaker, then at this how this is going to affect small busi- pleased to yield 1 minute to a new time I am pleased to yield 1 minute to ness. Well, I run a small business. Member of this body, the gentleman the gentleman from Missouri (Mr. That’s where I came from. And let me from Wisconsin (Mr. DUFFY). LONG). tell you that this is going to have a Mr. DUFFY. Mr. Speaker, Americans Mr. LONG. Mr. Speaker, I rise in sup- devastating impact on small business. have wanted health care reform for port of H.R. 2. In this country, we have What this law did is it addressed ac- some time now, but they don’t want the finest doctors, the finest nurses, cess to insurance. It does not address what passed last spring. the finest protocols, the finest facili- cost or quality. These are the things This is a 2,000-page bill that gives us ties in the world. That’s not a govern- that we need to address. My health in- more mandates and more regulation. It ment-run system. surance rates for the people that I doesn’t accomplish the goal of reducing I swore to uphold the Constitution 2 work with each and every day last year cost and increasing access; and it puts weeks ago today in this, the people’s went up 44 percent—44 percent. our health care decisions in the hands House. There is no question that we need re- of bureaucrats, not in the hands of pa- The people have spoken, and they form. We need a healthy debate. We tients and family members where it be- don’t want Washington bureaucrats need openness in this body to actually longs. coming between them and their doc- discuss what needs to be going forward There is a better way. With today’s tors. They would like to make their in health care. What we had last year repeal, this is the first step. Tomorrow own decisions. was anything but. There was no bipar- we begin the process of replacement You can’t make a silk purse out of a tisanship in what happened last year. with commonsense market-based solu- sow’s ear, but that’s exactly what the The only bipartisanship in last year’s tions that are going to bring costs majority tried to do last year by using bill was the opposition to it. down, solutions like competition 10 years of taxes to pay for a 6-year I welcome the opportunity to reach across State lines, portability, price program, increasing spending by $2.6 across the aisle to Members on the transparency, tax parity, and allowing trillion. Now, that’s not what I would other side, to work with them to craft folks who have preexisting conditions call affordable when it’s one-sixth of a bill, one that will talk about mal- to obtain coverage. this Nation’s economy. practice reform, one where the govern- I look forward, starting tomorrow, to When I think of the 2,000-page bill, I ment will not come in between a deci- working with not only my friends here think of a big block of cheese out sion that you make with your physi- on the right but also my colleagues there, pretty tempting looking. Well, cian. here on the left to craft a bill that’s the Americans I hear from, they don’t The SPEAKER pro tempore. The going to work for the American people. want that cheese. They want out of the time of the gentleman has expired. Mr. GEORGE MILLER of California. trap of government-run health care. Mr. KLINE. I yield the gentleman an I yield 1 minute to the gentleman from additional 15 seconds. b 1210 Washington (Mr. LARSEN). Mr. DOLD. We have an opportunity Mr. LARSEN of Washington. Mr. Mr. GEORGE MILLER of California. here, an opportunity for real reform. Speaker, I rise today to speak in oppo- I yield 1 minute to the gentleman from We want that. We need that. The sition to this patients’ rights repeal Virginia (Mr. MORAN). American people have demanded it. and deficit explosion act. Mr. MORAN. I appreciate the leader- From American businesses and people The bill before us today, according to ship of the gentleman from California. all across the United States, they de- the nonpartisan CBO, is going to add So we have several dozen new Repub- mand it. $230 billion to our national debt. We lican Members of this House, and as a And from the other side who said we should not stand for that. The bill be- result, the first thing we are going to came in and had health care reform, I fore us today is going to repeal efforts do is to attempt to repeal health care. did not take the congressional plan. We that we put in place to be sure that Let me review what has happened. know we can do better, and I ask my young adults can get on to their par- These new Members came into office, colleagues on the other side to support ents’ insurance plans. If we repeal this, and they were all given the oppor- H.R. 2. it is going to knock 20,000 young adults tunity to sign up for health insurance Mr. GEORGE MILLER of California. in Washington State alone off their coverage for their own families; and Mr. Speaker, we have two remaining parents’ plans. unless they had better coverage, most speakers.

VerDate Mar 15 2010 23:45 Jan 19, 2011 Jkt 099060 PO 00000 Frm 00017 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.031 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H274 CONGRESSIONAL RECORD — HOUSE January 19, 2011 Mr. KLINE. We’re in that time of allowing small businesses to pool to- Mr. KLINE. Mr. Speaker, I had two trying to balance here. gether to purchase more affordable more speakers en route. They are not At this time, I will yield 1 minute to coverage, and prohibiting insurance here. So I plan to close, and I will re- the gentlelady from Florida (Mrs. companies from denying coverage to serve the balance of my time. ADAMS). those with preexisting conditions. Mr. GEORGE MILLER of California. Mrs. ADAMS. Mr. Speaker, I rise I urge my colleagues to support H.R. I thank the gentleman. today in support of repealing the gov- 2. Let’s work together on reforms that Mr. Speaker, I yield myself the bal- ernment takeover of health care and truly reduce costs and provide quality ance of my time. replacing it with commonsense reforms health care. I want to thank all of our colleagues that will reduce the costs and increase Mr. GEORGE MILLER of California. who participated in this debate today. the access to quality, affordable health May I inquire of the Chair how much I think it has shown some fundamental care for especially my constituents in time is remaining? disagreements and some fundamental Florida. The SPEAKER pro tempore. The gen- differences. The American people have soundly— tleman from Minnesota has 5 minutes First of all, there is the strong sug- soundly—rejected the Democrats’ remaining; the gentleman from Cali- gestion here from an NFIB study that flawed government takeover of health fornia has 51⁄2 minutes remaining. was done before this law was ever writ- care, and it is time to show them that Mr. GEORGE MILLER of California. ten, that has nothing to do with this their voices have been heard. I yield 3 minutes to the gentleman law, saying you might lose jobs. But The existing health care law moves from New Jersey (Mr. ANDREWS). what do we see since the law has (Mr. ANDREWS asked and was given this country in the wrong direction by passed? We see that for employers of permission to revise and extend his re- raising taxes, cutting Medicare, re- under 10 employees, health care cov- marks.) stricting private-sector job creation, Mr. ANDREWS. So in the hours that erage has risen by 10 percent because and putting power into the hands of we’ve spent thus far during this debate, we’ve made it less expensive for small Washington bureaucrats rather than we could have been debating ways to businesses to offer that health insur- into the hands of individuals them- help small businesses and entre- ance. selves. Individuals want to make their preneurs create jobs for the American b 1220 own health care decisions. They don’t people, but we did not. Instead, we want government making them for That is not a self-interested study. have gotten the slogan, ‘‘job-killing What you see from United Health Care, them. health care bill.’’ The slogan is very Repealing the current health care the largest health insurer in the coun- much at odds with the facts. try, 75,000 new customers to their law is the first step towards keeping The fact is that since the health care health plans from employees of small our pledge to the American people that bill was signed by the President, the businesses because the small businesses we are serious about cutting spending, private sector has generated 1.1 million find it affordable to extend health in- creating jobs, and limiting—limiting— new jobs. The fact is that the chief surance as a benefit of working for that the government’s role in our everyday economist for Barclays says he believes small business. lives. that the economy is on track to add Blue Cross/Blue Shield of Kansas City Mr. KLINE. Mr. Speaker, I am many, many jobs this year, probably says the number of small businesses pleased to yield 1 minute to the gen- 200,000 or so per month is his projec- tleman from Florida (Mr. tion. buying insurance since April, the first SOUTHERLAND). We’ve heard about protecting the month after the legislation was signed, (Mr. SOUTHERLAND asked and was children and grandchildren of the coun- has jumped 58 percent. given permission to revise and extend try against mounting debt. For years, Small business employers are for the his remarks.) there has been an understanding here first time able to extend affordable in- Mr. SOUTHERLAND. I thank the that the referee in budget disputes has surance to their employees, and that is gentleman from Minnesota for yielding been the Congressional Budget Office, why the job creation that Mr. ANDREWS me this time. through Republican and Democratic referred to of a million jobs since the I rise in support of this legislation. majorities. Republican, Democratic, passage of this bill has continued and As a third-generation small business and Independents, they are the referee expected to continue. That is why it is owner following the footsteps of my fa- who decides what the rules are. So the different than the history prior to the ther and my grandfather, I understand Congressional Budget Office was asked Obama administration where over 8 how crushing the tax burden is going by Speaker BOEHNER to score this re- years almost 800,000 jobs were lost dur- to be upon small business. peal, and they came back and said, ing those years of the Bush administra- The NFIB estimates that 1.6 million Well, Mr. Speaker, this is going to add tion. jobs will be lost by 2014 due to this in- over $1 trillion to the national debt But there is something more impor- surance mandate; 66 percent of those over the next 20 years. The majority tant in this legislation, and that is job losses will occur in small business. didn’t like what they said, so they just whether or not families will have the James Edens, the owner of Edens Heat- chose to ignore it and make up the control of their health insurance des- ing and Air in Tallahassee, stated to rules as they go along. tiny, whether they will have the free- me that he will not hire, he cannot hire But what they haven’t done as dom to make these choices. Many on additional staff, due to the uncer- they’ve gone along is still answer the the other side of the aisle said this is a tainty. fundamental question we started with bureaucratic system. Has anybody, any Repealing this legislation will pro- this morning. When a mother of two 4- family in America, any single mother, vide much-needed certainty to small year-old twins goes to buy health in- any spouse, any child, any grand- businesses around this country, allow- surance and the health insurer says, parent, met a more bureaucratic sys- ing them to hire and invest in their ‘‘I’m sorry, we won’t insure your fam- tem than the American health insur- employees. ily because your 4-year-olds have leu- ance system? There is no more bureau- Mr. KLINE. Mr. Speaker, I am kemia,’’ should that be legal or not? cratic system. pleased to yield 1 minute to the gen- That’s the question. When you send in your premium, tleman from New Jersey (Mr. RUNYAN). The law the President signed in they tell you you sent it to the wrong Mr. RUNYAN. Mr. Speaker, I rise in March says it should be illegal. This re- place. When you send in your bill, you support of H.R. 2 to repeal the 2010 peal says, let’s go back to the good old sent it to the wrong person. When you health care legislation. The law that days where the insurance companies send it to the right person, they say we seek to repeal today is not the best made that decision. that person has left their job. When way to provide cost-effective, quality We are not going back. We should go you say, I went to the doctor, they say health care for all Americans. forward as a country to create jobs for you should’ve called us first. When you I support enacting incremental re- our people and end the charade we’ve say, I had emergency surgery, they forms such as enabling individuals to seen on the House floor here this morn- say, you should’ve called us first; we’re purchase coverage across State lines, ing. not covering it.

VerDate Mar 15 2010 23:45 Jan 19, 2011 Jkt 099060 PO 00000 Frm 00018 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.033 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H275 You want to talk about bureaucracy, used to create the false impression of Mr. UPTON. Mr. Speaker, I yield my- ladies and gentlemen, and that is why fiscal discipline. self 2 minutes. this legislation is growing in popu- We heard some words today address- Mr. Speaker, today we take a step to- larity, because small businesses see, ing that fact. Some of our physicians ward compassionate, innovative, and senior citizens see, parents with chil- pointed out that in order to get the job-creating health care. It is ironic we dren under 26, they see a chance to lib- numbers to add up, you have to assume must end something to realize a new erate themselves from the most arbi- that we are going to continue to punish beginning, but that is exactly what trary, the most capricious system in physicians who are providing Medicare ObamaCare has compelled us to do; and our entire free economy, and that is services. And there is nobody in this that is precisely what we will do today. the insurance companies. Everybody body who believes we are actually It’s time to be honest with the Amer- has been run around the block by their going to do that. Nor did they believe ican people. Remember the Hippocratic insurance company. It is something that we were going to do it when that oath? First, do no harm. that they all share. sort of gimmicky accounting was used ObamaCare produces the opposite of It is almost the same problems they to justify the cost in the first place. growth, compassion, and innovation in share with their cable company, not We have heard discussions about how health care. It destroys jobs, busts quite. That is not as dramatic as here this is a very good deal for businesses budgets, creates an unsustainable set because this is life and death. This is large and small; and yet if you look at of mandates on individuals, employers, the security of your family. This is associations, organizations that rep- and States. It will stifle innovation and whether or not you can change jobs. resent businesses across America, they the development of life-saving medi- This is whether or not your children are saying today, not just 6 months ago cines. It will make health care more will be protected. This is whether or or a year ago, but saying today that expensive, not more affordable. not your parents will be able to afford they support repeal of this job-killing Mr. Speaker, that is not compas- their prescription drugs, because that legislation. And a short list, just some sionate. That won’t produce innova- is what this legislation enables and of them are the National Federation of tion, and that’s why repeal is the first gives the freedom to American families Independent Businesses, the National step toward a better beginning. What is to have. Retail Federation, the National Res- compassionate about forcing employers Repeal, we go back into the clutches, taurant Association, the U.S. Chamber to provide insurance that they cannot the clutches of these bureaucrats of Commerce, the International Fran- afford to employees who will lose their spread across the world. In the insur- chise Association, the America Bank- jobs due to ObamaCare? What is com- ance company, you call for help and ers Association, American Hotel and passionate about creating a rigid new you reach somebody in another coun- Lodging Association, the National entitlement that States are com- try, in another time zone with no un- Stove and Gravel Association, and on manded to fund with money that they derstanding of the emergency that and on. Businesses do not like this gov- simply do not have? What is compas- ernment takeover of health care, and your family, your child, your parent, sionate about cutting over $200 billion they support repeal. This is not a good your grandparent faces. Nobody wants from the Medicare Advantage program, to go back there, ladies and gentlemen. deal for businesses. My colleagues on the other side of leaving seniors with fewer services, Nobody. They have been there for 50 the aisle chose to focus their remarks higher co-pays, and more out-of-pocket years, and health care costs have gone on a handful of provisions included in expenses? What is compassionate about up faster than any other segment in the law that are more attractive than shackling more Americans with great- our economy. Faster than anything tax hikes, penalties imposed on em- er government dependence? you can imagine. Faster than a speed- ployers, and higher health care costs. ObamaCare was created—erected—on ing rocket, faster than a speeding air- And no one is disputing that such pro- a foundation of false promises: if you plane. Faster than Superman, health visions exist, but it is wrong to suggest like your health insurance, you can care costs have gone up because of in- that the only way to reform health keep it; health care premiums will go surance bureaucracies. care is to bankrupt our Nation with down; employers will not drop cov- Mr. KLINE. Mr. Speaker, in closing, I this albatross. erage; seniors won’t see any changes in actually don’t know anybody who is I believe we can improve health care their Medicare benefits. supporting the red tape of the insur- without orchestrating a government Today we know that those were only ance company. What I find interesting takeover. That is why I look forward to slogans—sound bites in a cynical sales is that we think it is a better solution casting my vote to repeal this law so pitch—and certainly not promises to add thousands of pages of new gov- we can move forward to carry out the kept. Yes, today repeal will pass in the ernment regulations and thousands of wishes of our constituents. Repeal is House. We will then embark on reform new government bureaucrats on top of the first step toward the right kind of that I believe can be supported by both that system and think somehow it is reform. Republicans and Democrats. going to be better. Mr. Speaker, I yield back the balance The SPEAKER pro tempore. The Let me address a couple of things of my time, and I ask unanimous con- time of the gentleman has expired. that have come up in this debate and sent that any minute or two that I Mr. UPTON. I yield myself an addi- some things that we discussed in the have left be granted to the chairman of tional 1 minute. past. One of them is the cost of this the Energy and Commerce Committee Ensuring those with preexisting con- bill. Other committees have talked during that portion of the debate. ditions have access to affordable cov- about it and will again. The SPEAKER pro tempore. Without erage, we’ll do that. Allowing families There have been claims today that objection, the gentleman from Michi- to include their children up to 26, we’ll repeal will cost the taxpayers variously gan will control the time. do that. Medical liability reform to re- $230 billion or a trillion dollars based There was no objection. duce the unneeded cost of defensive on what the CBO has said. We find that ANNOUNCEMENT BY THE SPEAKER PRO TEMPORE medicine, we’ll do that. Provide incen- incredible that repealing this job-kill- The SPEAKER pro tempore. The tives for employers rather than pen- ing legislation is actually going to cost Chair will remind all persons in the alties and mandates that will cost jobs us money. So the question comes why gallery that they are here as guests of and depress wages, we will provide are these things different. the House and that any manifestation those incentives. Yes, we will. It turns out there is a wonderful of approval or disapproval of pro- b 1230 piece in The Wall Street Journal today ceedings is in violation of the rules of that addresses that specifically. I will the House. Those are just some of the principles just quote it. It says: How then does Mr. UPTON. Mr. Speaker, if I may that I believe we can agree on with the Affordable Care Act magically con- just ask how much extra time I might both sides of the aisle. vert a trillion dollars in new spending have been given by the gentleman from So first is repeal; then replace. I’m into painless deficit reduction? It is all Minnesota. ready for the challenge to put real about budget gimmicks, deceptive ac- The SPEAKER pro tempore. The gen- health reform back together that is bi- counting and implausible assumptions tleman has 11⁄2 additional minutes. partisan rather than partisan and

VerDate Mar 15 2010 23:45 Jan 19, 2011 Jkt 099060 PO 00000 Frm 00019 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.035 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H276 CONGRESSIONAL RECORD — HOUSE January 19, 2011 achieves the goal of lower health care change the Republicans want to make, partisan basis in the House and, under costs for every American family. let them propose it. But don’t throw it the leadership of Mr. UPTON and Mr. Mr. Speaker, I reserve the balance of all out the window and say they’re CAMP and others, begin to replace it to- my time. going to do all these things we’ve al- morrow. Mr. WAXMAN. Mr. Speaker, I yield ready done. Please vote to repeal this law today. myself 3 minutes. I urge Members to oppose this legis- Mr. WAXMAN. Mr. Speaker, I yield I strongly oppose this effort to repeal lation. the control of the balance of the time the health care bill. Millions of Ameri- Mr. Speaker, I reserve the balance of of the Energy and Commerce Com- cans are already benefiting from this my time. mittee to the distinguished gentleman legislation: insurers have stopped dis- Mr. UPTON. Mr. Speaker, I yield 2 from New Jersey who chaired the criminating against sick children; sen- minutes to the chairman emeritus of Health Subcommittee in the last Con- iors are saving money on prescription the Energy and Commerce Committee, gress and who has done a great deal to drugs; and small businesses are receiv- JOE BARTON, whose State could lose advance this legislation, Mr. FRANK ing billions of dollars in tax credits to perhaps 64 hospitals that would close PALLONE. provide health care coverage. Repeal with the continuing of ObamaCare. The SPEAKER pro tempore. Without will roll back these benefits. (Mr. BARTON of Texas asked and objection, the gentleman from New The repeal bill reminds me of the was given permission to revise and ex- Jersey will control the balance of the story of Robin Hood, but in reverse. tend his remarks.) time. Repeal will take essential health bene- Mr. BARTON of Texas. I thank the There was no objection. fits from millions of struggling Amer- gentleman and look forward to work- Mr. PALLONE. At this time, Mr. ican families and give new powers and ing with him as the chairman of the Speaker, I would like to yield 2 min- committee. profits to the insurance companies. If utes to the dean of the House of Rep- Mr. Speaker, before I begin to discuss we repeal health reform, there will be resentatives and the House sponsor of health care, I would like to say that the health reform legislation, the gen- no prohibition on discrimination our prayers continue to go out to Con- against over 100 million Americans tleman from Michigan (Mr. DINGELL). gresswoman GIFFORDS in Arizona. We (Mr. DINGELL asked and was given with preexisting conditions; no prohibi- are very gratified to learn of her con- permission to revise and extend his re- tion on insurance companies canceling tinuing progress. We hope that some marks.) your coverage when you get sick; no time in this Congress she does come Mr. DINGELL. I thank my good prohibition on lifetime caps and annual back to the House floor and give her friend. limits; no required coverage for young voice to the voice for her constituency. Well, so much for openness and trans- adults on their parents’ policies; no as- We all miss her and we wish her the parency. We’re going to do all this sistance to seniors struggling to afford very best. the cost of drugs in the doughnut hole; Mr. Speaker, we are here today be- without any hearings, without knowing no free annual checkups and preventive cause the existing law of the land on what’s going on. But I’m going to tell care in Medicare; no tax credits for health care is fatally flawed. Most of us you a little bit on my Republican side families and small businesses to pay think it is unconstitutional. We think of the aisle here about what this is for health insurance. it is overreaching. We think the Fed- really going to do: These changes will affect every con- eral Government is intervening more Insurance companies will be able to gressional district in the country. My and more into the daily practice of deny 292,000 individuals in my district, staff has been analyzing what the im- health care between the doctor-patient including 33,000 children, an oppor- pacts of repeal will be in each district. relationship. And we think it needs to tunity to have health insurance, and These are now available on our Web be repealed before it does irreparable this will be because of preexisting con- site. They tell a compelling story. harm to our health care system, which ditions. They’re going to increase the We have a new Member on our com- is the best in the world. number of uninsured in my district, mittee from West Virginia. In his dis- We think that on basic principles it’s the 15th of Michigan, by 20,000. They trict, repeal will mean increasing pre- unconstitutional. We believe that you will increase the costs to hospitals of scription drug costs for 12,000 seniors shouldn’t have the Federal Govern- providing uncompensated care in the and taking new preventive care bene- ment mandate that an individual has 15th District alone by $182 million. fits from over 100,000 Medicare bene- to have health insurance, whether he They’re going to cost each American ficiaries. or she wants it. That particular con- $1,000 more because the uninsured are We have another new Member on our stitutional question is wending its way going to go in and get health care any- committee from New Hampshire. In his through the courts and we hope soon to how. district, repeal will mean eliminating have an answer to that question. I want to tell you what is going to tax credits for nearly 17,000 small busi- We want to repeal today so that we happen with one young lady who has a nesses. In my own district, repeal can begin to replace tomorrow. We terrible condition called endometriosis. would mean over 50,000 constituents want to deliver on our Pledge to Amer- She is going to receive now health in- would lose protections against rescis- ica that we meant it when we said if surance through the legislation passed sions. And these aren’t just statistics. the American voters gave us the major- because that insurance will flow to her Behind every number is a real person ity, we would repeal this existing law, until she is 26 on her father’s insur- with real problems, like diabetes or and that is step one. But step two is to ance. But you’re going to take that breast cancer or a child with special replace it. I see that my good friend away from her. And you’re going to see needs. from California, Congresswoman to it that the doughnut hole doesn’t Repeal is a boon for the insurance ESHOO, is on the floor. She and I have close because of the fact that you are companies but an enormous setback for an amendment in the new law on saying no longer is this law going to be American families. If we pass this bill, biosimilars that passed with a huge bi- in effect. the insurance companies can raise partisan majority, and we hope that We want to see to it that the Amer- their rates, discriminate against mil- that’s one of the things that will be ican people benefit from this. The re- lions of Americans with preexisting kept. We do believe that we should be peal that you’re talking about today conditions, and cut off coverage when able to do something on preexisting will see to it that they do not. What’s someone becomes sick. conditions. We do believe that children it going to do to the deficit? Add $1.4 There are many reasons to oppose re- should be allowed to stay on their par- trillion to the deficit. It’s going to do peal. The health reform bill is creating ents’ plans until the age of 26. So there more than that. It’s going to add $230 thousands of new jobs. It will cut the are some things in the new law that we billion to the annual deficit. And it’s deficit by curbing the growth of health think are worth keeping. But until you going to see to it that Americans can care costs, saving taxpayers over a tril- sweep away the bad things, we cannot no longer be assured that they are lion dollars. begin to work on the good things. going to not have their health insur- This is why I urge Members to vote So, Mr. Speaker, with all due respect, ance canceled because of a sickness ‘‘no’’ on this legislation. If there’s a we hope that we can repeal it on a bi- which occurs to them. It is going to

VerDate Mar 15 2010 23:45 Jan 19, 2011 Jkt 099060 PO 00000 Frm 00020 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.037 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H277 hurt small business because it’s going health care reform, whether it is elimi- today to revisit the health care bill to take billions in tax benefits away nating all the discriminatory prac- that was passed last year. from small business who would do this. tices, like lifetime caps or preexisting I am delighted because, first of all, I urge the House to vote down this conditions or annual caps, or being when it came to the floor last year, outrageous piece of legislation. able to put your children up to age 26 this bill affected every aspect of health care in America, and we did not have b 1240 on your policies. These benefits have already kicked in, and Americans actu- the opportunity to offer one amend- Mr. UPTON. Mr. Speaker, I yield 1 ally like the benefits. They understand ment on the floor. In addition to that, minute to the chairman of the Over- why they are helpful to them. this bill takes $500 billion out of Medi- sight and Investigations Sub- The only group I can think of that care, which means less money to nurs- committee, the gentleman from Flor- actually would benefit from repeal is ing homes, hospitals, and Medicare ida, Mr. CLIFF STEARNS. the big insurance companies. Unfortu- beneficiaries. Then the claim that this (Mr. STEARNS asked and was given nately, that is the bidding, if you will, would reduce the deficit by $138 billion permission to revise and extend his re- that the Republicans are doing, the was calculated by including 10 years of marks.) other side of the aisle. The insurance tax revenues under this bill but only 6 Mr. STEARNS. Mr. Speaker, let me companies want to continue to in- years of expenditures. give you some important reasons why crease premiums by more than double How can you claim that we are sup- we need to repeal this law. digits. They don’t want to cut into porting insurance companies by repeal- Yes, you will create jobs—but in an their profits. ing this bill when the insurance compa- ever-expanding Federal bureaucracy. One of the things that kicked in on nies supported the bill, and they sup- The Joint Economic Committee re- January 1 is a provision that says that ported the bill because it mandates ported this bill creates over 150 new 80 percent of your premiums have to that small businesses and individuals Federal offices. With that, of course, actually go to provide benefits. They buy health insurance? small businesses must comply, are can’t go to the shareholders or to the So I would urge the repeal of this leg- mandated to comply, with all the new profits of the insurance companies. The islation, and then we can fix health and many regulations. insurance companies are the only ones care the way it should be fixed. Now, if this bill is so good, why is the that benefit from repeal because they Mr. PALLONE. Mr. Speaker, I yield 2 Obama administration giving a pass to can raise premiums, they can have dis- minutes to the gentleman from Massa- over 220 organizations and corporations criminatory practices, and they can chusetts (Mr. MARKEY). Mr. MARKEY. I thank the gen- that have received exemptions from just increase their profits. tleman. this law, including many, many I will use an example. I think the Mr. Speaker, this Republican bill is unions? gentlewoman from New York (Ms. the wrong prescription for our country. With the proposed $500 billion cut in SLAUGHTER) used this example before Medicare and the increase in taxes that It isn’t just a repeal; it’s a bad deal. about someone who has breast cancer. It’s a bad deal for small businesses is already occurring, this law is simply The SPEAKER pro tempore. The not credible. With record unemploy- and middle class families, who would time of the gentleman has expired. lose tax credits included in the new law ment, this law will hurt small busi- Mr. PALLONE. Mr. Speaker, I yield nesses and prevent job creation, adding to help them pay for health insurance. myself an additional 15 seconds. It’s a bad deal for grandma, who will burdensome taxes, and it will not in- Now, because of the policies of the face higher costs for the life-saving crease growth in this country. health insurance reform, if people have medications she needs. It’s a bad deal Republicans will replace this bill breast cancer and there are with a health care law based upon for pregnant women, who could be de- recurrences, they will not experience nied coverage when they need it the choice, competition, and the tradi- lifetime caps or annual caps. They will tional American exceptional value sys- most. be able to go back and have chemo- Lydia Swan, my constituent, shared tem, which is compassion—but compas- therapy or whatever is necessary. her story with me during the health sion with accountability. We need to Those are the types of benefits that care debate last year. Lydia was preg- repeal this law. have kicked in, and they should con- nant when her husband switched jobs. Mr. PALLONE. I yield myself 2 min- tinue. We should oppose repeal. Her new insurance company said her utes. Mr. UPTON. Mr. Speaker, before I pregnancy was a preexisting condition, Mr. Speaker, I wanted to thank my yield 1 minute to the gentleman from and they wouldn’t pay any expenses. So colleague from Florida, who just spoke, Kentucky (Mr. WHITFIELD), I yield 30 Lydia was insured, but she wasn’t cov- for saying and admitting that health seconds to the gentleman from Florida ered. care reform does create jobs, because, (Mr. STEARNS). That is wrong. It is just plain wrong. if you listen to the Republicans, they Mr. STEARNS. I thank my colleague. Mr. Speaker, a newborn child should have been saying over and over again Mr. Speaker, perhaps the gentleman be a pleasure and not a preexisting con- that that’s not the case. But he finally from New Jersey didn’t listen to me dition. New parents expect some sleep- said, yes, it does create jobs. when I just spoke. less nights. They don’t expect their in- That’s what we really should be It’s creating 150 new government surance company to deny coverage for doing here. We should be creating jobs agencies, and these are all government the pregnancy. New parents should and improving the economy, not talk- jobs. So, if you’re talking about in- worry about the baby and not about ing about repealing health care reform, creasing jobs, they’re government jobs. the medical bills. which already is providing so many It also includes $500 billion in taxes, The new health care law closes the benefits to many Americans. burdensome 1099 paperwork require- book on these kinds of insurance com- Yesterday, I saw a statement from ments, according to a study by the Na- pany abuses. Let us not today reopen it our former Republican majority leader, tion’s largest small business associa- once again. Say ‘‘no’’ to this Repub- Senator Frist from Tennessee, who said tion, the NFIB. I would like you to lican bad deal that takes away pa- that we shouldn’t do the repeal. He rec- talk about that 1099. tients’ rights and freedoms, and say ognized the fact that this legislation, These employer mandates that are in ‘‘yes’’ to a health care system that pro- this health care reform, is actually the health care bill are terrible, and it tects American families. making a difference in people’s lives is estimated they will wipe out 1.6 mil- Mr. UPTON. Mr. Speaker, before I and that we should build upon it, as lion jobs over just 5 years. yield 1 minute to the gentleman from Senator Frist said, a Republican, rath- So I caution the gentleman from New Illinois (Mr. SHIMKUS), I yield 30 sec- er than just trying to do an outright Jersey to listen carefully to my speech. onds to the gentleman from Georgia, repeal, which is a complete waste of Mr. UPTON. Mr. Speaker, I yield 1 Dr. GINGREY. time. minute to the gentleman from Ken- Mr. GINGREY of Georgia. I thank Now what I am hearing from my con- tucky (Mr. WHITFIELD). the gentleman for yielding. stituents is that they like the benefits Mr. WHITFIELD. Mr. Speaker, I am Mr. Speaker, the gentleman from that are already coming out from delighted we have the opportunity Massachusetts must not be familiar

VerDate Mar 15 2010 02:33 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00021 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.038 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H278 CONGRESSIONAL RECORD — HOUSE January 19, 2011 with a waiver under the Medicaid pro- she had to listen to lawyers argue over Our repeal means that seniors’ part D gram called Katie Beckett—the poster whether her life was worth saving or premiums won’t increase by 4 percent that he showed us of the young child not. A woman of less strength would in 2011 or rise up to 9 percent in 2019 as with preexisting conditions. This pro- never have made it through this. I am CBO estimates would happen under the gram Katie Beckett still exists. There proud to say that Ronit made a full re- current law. is a waiver. There is opportunity for covery. She watched her children grow, Without repeal, employer retiree children with preexisting conditions to and she went on to become the mayor drug coverage will drop from 20 percent get coverage. of one of the major cities in my dis- of retirees to 2 percent by 2016, accord- The Democrats are also disingenuous trict, Mountain View, California. ing to the Medicare Trustees Report. when they claim credit for imme- So a 50 percent discount on prescrip- Finally, repeal means that States diately covering children with pre- tion drugs for seniors makes sense. will avoid a massive forced expansion existing conditions. ObamaCare got it Prohibiting rescissions—what was done of their Medicaid programs, at a cost of wrong. They did not guarantee that to Ronit, eliminating that makes $20 billion to the States, at a time children would have their preexisting sense. Allowing children to stay on when they cannot sustain Medicaid. The costs of leaving this job-slashing conditions covered. It is ironic that their parents’ insurance policy until health care law in effect are much too this legislation was actually drafted in- the age of 26 makes sense. Thirty-five percent tax credits for small businesses high. It must be repealed. correctly. Mr. PALLONE. Mr. Speaker, I yield 2 Mr. UPTON. Mr. Speaker, I yield 1 make sense. What the Republicans are doing minutes to the gentleman from New minute to the gentleman from Illinois York (Mr. ENGEL). (Mr. SHIMKUS). today does not make sense. It’s wrong for America; it’s bad for Americans, Mr. ENGEL. I thank the gentleman (Mr. SHIMKUS asked and was given for yielding to me. permission to revise and extend his re- and I urge my colleagues to reject it. Mr. UPTON. Mr. Speaker, I yield 2 I am very, very sorry that my Repub- marks.) lican friends have chosen to put this Mr. SHIMKUS. Mr. Speaker, my minutes to the chairman of the Health Subcommittee, the gentleman from repeal bill through. In light of the friends on the Democrat side are sup- events in Tucson, we all say we are Pennsylvania (Mr. PITTS). porting this bill based on 10 pages of Mr. PITTS. Mr. Speaker, I might just going to work together. The American the legislation: immediate access to in- respond: ObamaCare spends over $1 people want us to work together. This surance for the uninsured, an extension trillion but leaves 23 million people un- is not the way to do it. If there’s a of dependent coverage, no lifetime or insured. problem with the bill, we should tweak annual caps. Ten pages. This health Mr. Speaker, my colleagues on the it or change it. We shouldn’t repeal it. care law was 2,990 pages. This is only other side of the aisle have been argu- If there is a problem and things need to volume 1. ing that we can’t afford to repeal be changed, we should put our heads What do you find when you go ObamaCare. I would argue just the op- together and try to do it. The Republicans say that they want through the entire bill? This is what posite. Our country cannot bear the to cut costs in government. The CBO they are defending their bill on? This is true cost of ObamaCare, and it must be says that this bill will save us $230 bil- only volume 1 of 4. And what’s in repealed. here?—a $500 billion cut to Medicare, a Our repeal would mean that Ameri- lion over 10 years and $1.2 trillion over $500 billion cut to Medicare for our sen- cans with employer-provided health 20 years; and the first thing the Repub- iors. coverage will keep their current plan, licans bring up is to repeal this bill, which will add to the deficit. yet the administration estimates that b 1250 This is political theater. It’s a cha- seven out of 10 individuals will lose What else is in here? Five hundred rade. This isn’t going to be repealed. their current coverage under billion dollars of tax increases. What Let us put our heads together and fig- ObamaCare. else is in here? Six years of benefits for ure out what makes sense. Our repeal means that half of all em- All important bills that were put in 10 years of cost. What else is in here? A ployers—as many as 80 percent of small new entitlement program. in the past 50 or 60 years, from Medi- businesses—will be able to keep their care to Medicaid to Social Security to Our Nation is broke. It is broke be- current plan rather than lose it over cause of our entitlement program, and the civil rights bills of the 1960s, they the next 2 years. The administration’s needed to be tweaked as we saw what this law added a new entitlement. estimates reveal that their own oner- Mr. PALLONE. I yield 2 minutes to the problems were. I’m willing to ous regulations will force most busi- change the bill, but repealing it is the the gentlewoman from California (Ms. nesses to give up their current plans, ESHOO). absolutely wrong way to do it. subjecting them to costly new man- I am delighted to revisit this issue Ms. ESHOO. I thank the chairman. dates that will increase premiums. because we can finally get the truth Mr. Speaker, I rise in opposition to Our repeal means that 7.4 million out. The American people understand what I think is really an unwise, un- more seniors will participate in Medi- that right now, if they have a pre- warranted, and unfair effort to repeal care Advantage plans, according to the existing condition, they cannot be de- the historic health care law which has Medicare actuary. Our repeal also nied coverage. An insurance company brought much-needed insurance re- means that the Medicare Advantage right now, with this bill, cannot say, forms to the American people. beneficiaries will not face an average ‘‘Sorry, you have a lifetime cap or an For the first time in our Nation’s his- increase of $873 per year in out-of-pock- annual cap and we’re not going to in- tory, Congress passed legislation to en- et costs between now and 2019. sure you.’’ The insurance company now sure that every American has a com- Our repeal means that individual can’t deny your 24- or 25- or 26-year-old prehensive health insurance plan just health insurance premiums will not in- child insurance to be on your plan. We as Members of Congress have. We’ve re- crease by $2,100. are finally closing the doughnut hole duced the deficit by $143 billion over 10 Our repeal means that taxpayers will to put more money in the hands of sen- years and $1.2 trillion over 20. not face $569 billion in tax increases ior citizens. I want to tell an important story scheduled to take effect over the com- This is what the Republicans would which I think underscores why repeal ing years. repeal. They say that this is a govern- is wrong. Our repeal means that the economy ment takeover of health care. No, it Ronit Bryant in my district was bat- would keep an estimated 750,000 jobs isn’t. And if they had better plans for tling stage four breast cancer—that’s that will be lost because the incentives health care, they were in power for 6 the worst—when her HMO decided to included in ObamaCare actually dis- years with the President and both stop paying for her treatment. In the courage individuals from working, ac- Houses of Congress and they did noth- middle of her treacherous ordeal cording to the CBO. ing to make health care affordable for through a mastectomy, chemotherapy, Our repeal means that national the American people. a bone marrow transplant, and radi- health spending will go down by $310 Let’s work together. Let’s change the ation, she was also battling her insur- billion, according to the Medicare ac- bill. Let’s tweak the bill. Don’t repeal ance company in Federal court where tuary. it.

VerDate Mar 15 2010 02:33 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00022 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.041 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H279 Mr. UPTON. Mr. Speaker, I yield 1 To cite a few local statistics from the fects individuals at all income levels and em- minute to the vice chair of the full repeal on my constituents: increase the ployers of all sizes but is particularly chal- committee, the gentlelady from North number of people without insurance by lenging for low income workers and small business owners. In 2009, the U.S. Census Bu- Carolina, SUE MYRICK. almost 217,000; allow insurance compa- reau Current Population Survey (CPS) re- Mrs. MYRICK. Mr. Speaker, we op- nies to deny coverage to at least 102,000 ports that 6.4 million Texans were uninsured pose this health care law for many rea- people in our district, including at for the entire year (Table One). Of the Tex- sons. I’m especially concerned about least 12,000 children with preexisting ans who have health insurance, slightly the negative effect it may have on the conditions; eliminate health care tax more than half (53.8 percent) have private ability of our doctors to care for their credits for 14,600 small businesses and coverage, down from 56.9 percent in 2007 and patients as they see fit. 177,000 people; increase prescription lower than the national average of 63.9 per- It creates well over 156 bureauc- drug costs for 4,400 seniors in my dis- cent. Texas workers are less likely to have racies, programs, and regulatory sys- employer-sponsored coverage with 48.2 per- trict who fell into that doughnut hole cent of Texans enrolled in employment-based tems which will further regulate and except for health care reform. plans compared to a national average of 55.8 control the way medicine is practiced, My Republican colleagues want to percent. paid for, and allocated. Doctors who work on improving it. I’m here to do it, practice medicine as small business but repeal is not the answer. TABLE 1: SOURCES OF HEALTH INSURANCE—2009 owners are already forced to dedicate BIENNIAL REPORT OF THE TEXAS DEPARTMENT National significant resources and manpower to OF INSURANCE TO THE 82ND LEGISLATURE Texas per- Source of insurance Number centage average keep up with the bureaucracy of reim- (December 2010) (percent) bursement alone. (Mike Geeslin, Commissioner of Insurance) Private Insurance ...... 13,257,000 53.8 63.9 This law does nothing to slow the Employment ...... 11,893,000 48.2 55.8 TEXAS DEPARTMENT OF INSURANCE, Individual ...... 1,531,000 6.2 8.9 growth of Medicare and Medicaid pro- Austin, Texas, December 31, 2010 Government Insurance ...... 6,925,000 28.1 30.6 grams—we know those are two huge Hon. RICK PERRY, Governor, Medicaid ...... 3,951,000 16.0 15.7 Medicare ...... 2,730,000 11.1 14.3 problems we have to deal with—but it Hon. DAVID DEWHURST, Lieutenant Governor, Military ...... 1,052,000 4.3 4.1 will surely add to the regulatory bur- Hon. JOE STRAUS, III, Speaker. Total Insured .... 18,224,000 73.9 83.3 dens faced by doctors, patients, and, DEAR GOVERNORS AND SPEAKER: In accord- Total Uninsured 6,433,000 26.1 16.7 most importantly, the American peo- ance with Section 32.022, Texas Insurance Source: U.S. Census Bureau, Current Population Survey, 2010 Annual So- Code, I am pleased to submit the biennial re- cial and Economic Supplement. ple, who are going to have to foot the port of the Texas Department of Insurance (Note: Numbers may not add up to totals as some people have more than bill. (Department or TDI). The report summarizes one type of insurance.) Mr. PALLONE. Mr. Speaker, I yield 2 needed changes in the laws relating to regu- Like other states, the majority of unin- minutes to the gentleman from Texas lation of the insurance industry, provides in- sured in Texas live in families with low to (Mr. GENE GREEN). formation on market conditions, and in- moderate incomes (Table 2). Detailed anal- Mr. GENE GREEN of Texas. Mr. cludes reviews required by Senate Bill 1 (81st ysis of 2008 CPS data shows that 59 percent of Speaker, as a Member of Congress from Legislature, Regular Session). the uninsured (3.5 million people) reported Texas, I supported the health care re- The Department is available to discuss any family incomes below 200 percent of the fed- of the issues contained in the report and to eral poverty level (FPL). Another 12 percent form law proudly. Texas has some of provide technical assistance. Please contact had incomes between 200 and 249 percent the highest rates of uninsured in the me or Carol Cates, Associate Commissioner FPL. The data also confirms that individuals United States. of Government Relations, with any questions with lower incomes were much more likely b 1300 or if you need additional information. Thank to be uninsured than those with higher in- you for your consideration. comes. Forty-five percent of individuals Twenty-six percent of our Texans are Respectfully Submitted, under 50 percent of FPL were uninsured com- uninsured—6.4 million residents—com- MIKE GEESLIN, pared to only 14 percent of individuals at 250 pared with the national average of only Commissioner of Insurance. percent or higher. 16.7 percent. Over the past 8 years in TEXAS DEPARTMENT OF INSURANCE: SECURING Texas, employer-based insurance cov- THE FUTURE OF TEXAS TABLE 2: UNINSURED RATES BY POVERTY LEVEL—2008 erage has dropped 18 percent. Now, MISSION Income as a Percent unin- only 48 percent of Texans have health To protect insurance consumers by: regu- Number Percent of total sured within percentage of uninsured uninsured income cat- insurance provided by their employ- lating the industry fairly and diligently pro- poverty level egory ers—well below the national average. moting a stable and competitive market pro- viding information that makes a difference. Under 50% ...... 817,821 13 .5 45.5 Texas has some of the highest health 51% to 99% ...... 793,071 13 .1 39.0 insurance premiums in the U.S. A fam- VALUES 100% to 149% ...... 1,064,129 17 .5 37.0 We have a passionate commitment to serv- 150% to 199% ...... 897,803 14.8 33.7 ily of four making $44,000, the average 200% to 249% ...... 703,379 11.61 31.9 premium out-of-pocket is $6,548—al- ice in the public interest. We are: 250% or Higher ...... 1,800,667 29.7 14.3 Responsible Stewards: accountable, effi- most 15 percent of their income. In Total ...... 6,076,870 100 25.1 Texas, our State Department of Insur- cient, effective ‘‘Using resources wisely’’. Professional: knowledgeable and fair ‘‘Ad- Source: U.S. Census Bureau, Current Population Survey, 2009 Annual So- ance report to the legislature acknowl- hering to the highest ethical standards’’. cial and Economic Supplement. edged the positive impact of the Af- Collaborative: cooperative, inclusive, di- While most states have experienced declin- fordable Care Act. verse ‘‘Respecting others’ opinions and ex- ing rates of employer-sponsored coverage in The State of Texas Department of In- pertise’’. recent years, the decline in Texas is more surance concluded the Affordable Care Resilient and Creative: open-minded and pronounced. Since 2001, the percentage of Act will have a positive impact on the proactive ‘‘Learning from the past to en- Texans with employer coverage has dropped State and help Texans gain access to hance the future’’ from 58.5 percent to the current rate of 48.2 Balanced: fulfilled and well-rounded ‘‘Cele- percent, an 18 percent decrease in eight private insurance coverage. As the De- brating personal and professional successes’’. partment of Insurance report states, years. Additional data from the annual Med- SENATE BILL 1—RIDER 18: REVIEW OF HEALTH ‘‘the removal of underwriting restric- ical Expenditure Panel Survey—Insurance INSURANCE AVAILABILITY AND AFFORDABILITY Component (MEPS–IC) indicates that even tions, new premium rating reforms, The 81st Legislature included in Senate when firms offer insurance, many employees availability of subsidies and limita- Bill 1 a directive to the Texas Department of are ineligible or choose not to purchase cov- tions on out-of-pocket expenses for Insurance to conduct a review of ‘‘the acces- erage. The MEPS–IC survey, administered by low- and middle-income families should sibility of health benefit plan coverage for the federal Health Resources and Services make it easier for many low-income and the affordability of health benefit plan Administration (HRSA) collects detailed in- Texans to obtain private insurance.’’ premiums for low-income families and fami- formation on employer-sponsored insurance, In our district in Houston and Harris lies not eligible for employer-sponsored in- including data for both large firms (defined County, 40 percent of my constituents surance.’’ Following is a summary of the re- as 50 or more employees) and small busi- nesses (2–49 employees). Table 3 summarizes were uninsured when we passed the Af- sults of the review. Like many states, Texas has struggled information on both insurance offer rates fordable Care Act in March of last with increasing healthcare costs and insur- and participation rates for large and small year. Repeal, H.R. 2, would be a major ance premiums that have prohibited many businesses and clearly indicates important setback to what we’re trying to do in individuals from obtaining affordable health differences based on firm size. Some of the our own district. insurance. The rising cost of insurance af- more significant findings are:

VerDate Mar 15 2010 04:58 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00023 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.043 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H280 CONGRESSIONAL RECORD — HOUSE January 19, 2011 Most large firms (94 percent) offer health TABLE 4: AVERAGE EMPLOYER-SPONSORED INSURANCE sponsible citizens’’ could not afford cov- insurance compared to only 34.2 percent of PREMIUM COSTS—Continued erage. small firms. Even when employer coverage is offered, Nearly half (49.1 percent) of employees in Average annual Average annual many employees decline to enroll due to em- small firms work for an employer offering Year premium for single premium for single coverage coverage ployee premium payments and cost sharing coverage, compared to 95.7 percent of em- requirements. While the majority of employ- ployees in large firms. 2001 ...... 2,924 7,486 ers pay at least half the cost of the premium Of those employees with employer-spon- 2002 ...... 3,268 8,837 2003 ...... 3,400 9,575 for employee-only coverage, employer con- sored health coverage, more than 3.8 million 2004 ...... 3,781 10,110 tributions for both employee and dependent work in large firms compared to 653,162 2005 ...... 4,108 11,680 coverage have declined as more employers workers in small firms. 2006 ...... 4,133 11,680 struggle to keep up with increasing premium More than 1.3 million workers have access 2008 ...... 4,205 11,967 2009 ...... 4,499 13,221 costs and other economic pressures. Employ- to coverage in a large or small firm but are ees increasingly are asked to share more of not enrolled. Not all are uninsured; some Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey-Insurance Component 1997–2006, 2008–2009 (No survey the cost of coverage through increased pre- have other coverage, such as a spouse’s em- available for 2007). mium contributions and higher cost-sharing ployer-sponsored plan. However, a large Though most employers are challenged by policy provisions, particularly in the small number of these eligible workers are unin- significant premium increases, higher rates group market. In 2009, the MEPS-IC data sured and have not enrolled due primarily to are usually more difficult for small firms show small employers in Texas reported the costs. (those with 2–50 employees) to absorb. Be- third highest individual deductible levels in Although most large employers offer cov- cause a small employer’s rates are based on the country at $1,634, compared to a national erage, many workers are not eligible. More the age, gender and health status of the em- average of $1,283. Large employers had the than one million workers in large firms do ployer’s workers and their dependent enroll- sixth highest individual deductible at $990 not qualify for their employer-sponsored ees, rates can vary significantly from the av- compared to a national average of $882. For plan because they work part time, are tem- erage cost based on a group’s specific demo- family deductibles, small employers reported porary or contract workers, or have not graphics. Generally, groups with younger, the sixth highest average ($3,210 compared to worked long enough to meet the required healthier employees will pay lower pre- waiting period. Again, however, not all of $2,652 nationally), and large firms were at miums while groups with older, less healthy these workers are uninsured. the second highest level ($1,883 in Texas com- workers will pay higher rates. An employer More than one million employees in small pared to $1,610 nationally). with even one worker with a pre-existing firms also do not have access to coverage. In addition to premium contributions and condition may see their group rates increase Most of these workers (1,038,936) are em- deductibles, enrollees in group health plans by up to 67 percent based on health status ployed in firms that do not offer coverage. face other out-of-pocket expenses, including underwriting factors. TDI data shows groups Another 169,415 workers are not eligible for co-payments and coinsurance, which vary de- that are subject to a combination of the coverage offered by their employer. pending on the type of service provided (i.e., highest allowed rating factors may see pre- primary care visits, specialist visits, emer- mium rates for individual employees in ex- TABLE 3: EMPLOYER SPONSORED INSURANCE: OFFER AND gency room services, hospital admissions, cess of $20,000 a year, a cost that is higher etc.). The data included in Table 5 illustrates PARTICIPATION DATA—2009 than maximum rates charged for coverage in average costs for some of the most common the Texas Health Insurance Pool for individ- Texas Insurance Enrollment Data Small firms Large firms cost-sharing provisions in 2009 but is not in- uals who are uninsurable in the individual clusive of all expenses an enrollee pays under 1. Total number of firms ...... 324,554 125,685 market. a typical health plan. 2. Total number of employees ...... 2,041,132 6,375,152 Over the last 10 years, the Department of 3. Percentage of firms that offer insur- ance ...... 34.2% 94.0% Insurance has conducted significant research These data underscore the relatively high 4. Number of firms that do offer insur- to collect information on uninsured Texans cost low income families incur to enroll ance ...... 110,997 118,144 and uninsured small businesses, why they their families in employer-sponsored benefit 5. Number of firms that do not offer insurance ...... 213,557 7,541 have no coverage, how much they can afford, plans. While some workers may find em- 6. Number of employees working in and options to assist them with purchasing ployee-only coverage affordable depending firms that offer insurance ...... 1,002,196 6,101,020 coverage. Through a federal State Planning on the employer’s actual contribution rate 7. Percentage of employees working in firms that offer insurance ...... 49.1% 95.7% Grant administered by HRSA, TDI conducted and the employee’s overall financial cir- 8. Number of employees working in multiple focus groups, surveys, and commu- cumstances, adding family coverage would firms that do not offer insurance .... 1,038,936 274,132 nity events across the state. Though some of likely be cost-prohibitive for most low-in- 9. Number of employees eligible for coverage ...... 832,781 4,947,118 the study findings are somewhat dated, come workers up to 200 percent of poverty, 10. Number of employees who are en- many of the conclusions are likely still ap- and for many even above those income lev- rolled ...... 653,162 3,818,716 plicable given the high cost of insurance and els. Add these premium contribution require- 11. Percentage of all employees that have employer-sponsored coverage 32% 60% continued high uninsured rate. ments to high family deductibles and other 12. Number of employees who have Beginning in 2002 and continuing through coinsurance expenses, and most low income access to coverage but are not en- rolled ...... 179,619 1,128,402 2006, TDI hosted more than 60 focus group families are likely unable to afford employer 13. Number of employees who do not sessions with individuals, small business sponsored coverage. Table 6 shows the cost of have access to coverage ...... 1,208,351 1,428,034 owners and their employees in 20 different the average employee contribution for indi- Source: Agency for Healthcare Research and Quality, 2009 Medical Ex- cities across Texas representing all of the vidual and family coverage as a percentage penditure Panel Survey-Insurance Component. major geographical areas of the state. Focus of the 2010 income levels for each poverty Of those employers that do not offer cov- group sessions were attended by uninsured level listed (100, 150, and 200 percent of fed- erage, extensive research shows the most individuals or small employers who were un- eral poverty level, FPL). For workers with common reason cited is the increasing cost able to provide insurance for their employ- health plans that require higher employee of insurance. Consistent with national ees. The personal stories expressed at these premium payments than the average, the trends, Texas employers and employees have focus group sessions underscored the chal- cost of coverage as a percentage of income experienced significant premium rate in- lenges many consumers face when trying to will be even higher. creases over the past ten years, despite a find affordable health coverage. (For addi- number of programs and industry efforts to tional information on the research findings, TABLE 5: AVERAGE COST SHARING REQUIREMENTS FOR hold down costs. As Table 4 below indicates, please see TDI reports at: http:// EMPLOYER-SPONSORED INSURANCE, 2009 www.tdi.state.tx.us/health/spg.html.) average premium costs across all firms (in- The primary conclusion from these discus- Small firms Large firms cluding both fully insured and self-funded) sion sessions was that health insurance re- have more than doubled in the past ten Average Total Employee-Only Premium .... $4,391 $4,523 mains unaffordable for many of these indi- years. Average Total Family Total Premium ...... $12,674 $13,288 viduals and employers. The vast majority of Average Individual Deductible ...... $1,634 $990 participants expressed willingness to pay for Average Family Deductible ...... $3,210 $1,883 TABLE 4: AVERAGE EMPLOYER-SPONSORED INSURANCE Average Co-payment for an Office Visit .. $26.03 $23.44 PREMIUM COSTS insurance, and most had attempted to buy Average Percentage Coinsurance for an coverage within the past year but could not Office Visit ...... 19.08% 18.0% find a benefit plan that was affordable. More Average Employee Payment for Employee- Average annual Average annual Only Coverage ...... $588 $1079 Year premium for single premium for single than 90 percent of the attendees were em- Average Employee Payment for Family coverage coverage ployed or owned their own business, and Coverage ...... $3,924 $4036 1999 ...... $2,336 $6,208 many participants expressed frustration Source: Agency for Healthcare Research and Quality, 2009 Medical Ex- 2000 ...... 2,627 6,638 with the fact that ‘‘average, working, re- penditure Panel Survey-Insurance Component.

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Small firms

Avg. employee contribution for employee-only coverage ($588) as percentage of family income by FPL Avg. employee contribution for family coverage ($3,924) as a percentage of family income by FPL Family size Poverty level 100% FPL 150% FPL 200% FPL 100% FPL 150% FPL 200% FPL Family of 1 ...... 5.4% 3.6% 2.7% — — — Family of 2 ...... 4.0% 2.7% 2.0% 26.9% 18.0% 13.4% Family of 3 ...... 3.2% 2.1% 1.6% 21.4% 14.3% 10.7% Family of 4 ...... 2.7% 1.8% 1.3% 17.8% 11.9% 8.9% Large firms Avg. employee contribution for employee-only coverage ($1,079) as percentage of family income by FPL Avg. employee contribution for family coverage ($4,036) as a percentage of family income by FPL Family size Poverty level Family of 1 ...... 10.0% 6.6% 5.0% — — Family of 2 ...... 7.4% 4.9% 3.7% 27.7% 18.5% 13.8% Family of 3 ...... 5.9% 3.9% 2.9% 22% 14.7% 11.0% Family of 4 ...... 4.9% 3.3% 2.4% 18.3% 12.2% 9.2%

While premium amounts alone exceed the 2009 of insurers participating in the indi- However, PCIP requires an individual be un- budgets of many Texas families, out-of-pock- vidual health insurance market. Limited insured for at least six months before they et expenses (co-pays, co-insurance, and data on state-specific results show that aver- are eligible to enroll. This provision pre- deductibles) add to the burden. Using 2007 age annual premiums in Texas for a com- cludes enrollees in the THIP from enrolling MEPS-IC data for average costs of out-of- prehensive health insurance policy were in the PCIP. pocket expenses for non-elderly enrollees ad- $3,208 for single coverage (i.e., one person) Premium rates for coverage in THIP and justed for private coverage in Texas, Texans and $6,459 for family coverage. Single poli- PCIP vary dramatically. Rates for THIP are pay an average of $631 annually per person in cies had an average annual out-of-pocket set at twice the average rate (200 percent) for out-of-pocket expenses. Table 7 illustrates maximum limit (the maximum amount a standard coverage offered in the commercial this with examples. person would pay for eligible healthcare market and are adjusted semi-annually to services) of $5,000, while family policies had reflect changes in the market rates. Rates TABLE 7: IMPACT OF HEALTH COSTS ON TEXAS FAMILIES an annual limit of $10,000. also are adjusted based on the age, gender, Because the individual market allows car- and geographic location of the enrollee, Example A: Family of four with a household income of riers to medically underwrite applicants and which reflects variations in local healthcare 200% FPL: select only those individuals that meet the costs and expected healthcare utilization. Annual income ...... $44,100 carrier’s specific requirements, some appli- Rates are higher for individuals with a his- Average annual premium ...... $13,221 cants will be unable to purchase individual tory of tobacco use. Enrollees may choose Average annual employer premium contribution ... ($9,197) from a range of deductible options and plan Average annual employee premium responsibility $4,024 coverage at any price from any carrier. Average annual cost of out-of-pocket expenses .... $2,524 Though the federal Patient Protection and cost-sharing limits, with annual deductibles Average annual cost to family (% of in- Affordable Care Act (PPACA) of 2010 pro- from $1,000 up to $7,500. Higher deductibles come) ...... $6,548 (14.8%) hibits carriers from denying coverage of de- will lower the premium rate for the enrollee. Example B: Individual with an income of 200% FPL: pendents based on health conditions begin- Due to the variability of rating factors, Annual income ...... $21,660 ning with new policies issued on or after Sep- monthly premium costs vary widely from a Average annual premium ...... $4,499 tember 23, 2010, this provision does not ex- low of $160 a month for an individual age 18 Average annual employer premium contribution ... ($3,508) tend to adults until 2014. Individuals who or lower with a deductible of $7,500 to a high Average annual employee premium responsibility $991 of $2,207 a month for a male age 60–64 with a Average annual cost of out-of-pocket expenses .... $631 cannot obtain coverage in the individual Average annual cost to Individual (% of In- market and have no access to group coverage deductible of $1,000. In 2009, 13 percent of come) ...... $1,622 (7.5%) may obtain insurance from the Texas Health THIP enrollees selected a $1,000 deductible, Insurance Pool (THIP, formerly Texas 38 percent a $2,500 deductible, 37 percent a While the vast majority of Texans with Health Insurance Risk Pool) or the newly $5,000 deductible and 10 percent a $7,500 de- private insurance coverage are enrolled in an created federal Pre-Existing Condition Insur- ductible. The average monthly premium was employer-sponsored benefit plan, an esti- ance Plan (PCIP). $620. mated 1.5 million residents have purchased THIP was created by the Texas Legislature Premium rates for PCIP are set at the av- some type of individual medical insurance. to provide insurance for individuals who are erage standard rate in the commercial mar- The individual market offers a wide variety unable to obtain coverage from the commer- ket and vary based on the age of the appli- of options designed to meet varying cial market. It also serves as the Texas al- cant and the plan they select. Monthly pre- healthcare needs. Some policies provide com- ternative for individual health insurance miums for Texas enrollees beginning Janu- prehensive coverage similar to benefits in- coverage under the federal Health Insurance ary 1, 2011 are as follows: cluded in an employer-sponsored plan while Portability and Accountability Act of 1996 Age Age Age Age Age others provide more limited benefits. Other (HIPAA), guaranteeing insurance to quali- Plan type 0–18 19–34 35–44 45–54 55+ plans provide supplemental coverage to fied individuals who lose coverage under an Medicare or only cover certain diseases, such employer-based plan. Eligibility and pre- Standard ...... $174 $261 $313 $400 $567 Extended ...... $234 $351 $422 $539 $749 as cancer. People shopping in the individual mium rating requirements are established by HSA ...... $181 $271 $325 $416 $578 market have the opportunity to choose the law. Note: Plan descriptions available at www.pcip.gov/ plan that best fits their needs and financial The federally operated PCIP was created PC1P_%20pamphlet_benefits_summary.pdf. situation, which vary widely among con- under the recently enacted federal sumers. healthcare reform legislation, PPACA. Be- While both programs (PCIP and THIP) pro- Unlike the group market, it is important ginning in 2014, PPACA requires insurers to vide comprehensive coverage, PCIP has no to note that individual health insurance is accept all applicants regardless of health waiting period for treatment of pre-existing subject to strict medical underwriting re- status. To assist individuals with health con- conditions, an important benefit for this quirements that determine whether or not a ditions who cannot obtain commercial cov- population since all enrollees have some pre- person is eligible to purchase coverage. Peo- erage prior to 2014, PPACA includes provi- existing medical condition as a condition of ple with pre-existing health conditions or a sions for federally or state run insurance eligibility. By contrast, the THIP includes a past history of health problems are often de- programs. Texas opted for the federally oper- 12 month pre-existing condition exclusion clined coverage or may receive plans that ex- ated insurance pool, PCIP. The PCIP func- waiting period for most new enrollees (with clude coverage for certain services related to tions in many ways like the THIP, but there exceptions for enrollees with creditable cov- their pre-existing condition. Premiums are are some critical distinctions which signifi- erage and some enrollees with continued based on the applicant’s medical status, age, cantly affect cost, eligibility and covered coverage under a previous employer plan). gender, and area of residency, and are usu- benefits. This means that, while individuals in PCIP ally significantly higher for older applicants Both THIP and PCIP provide comprehen- are immediately eligible for benefits for or people with health conditions. sive health coverage for individuals with pre- their pre-existing condition, enrollees in Although TDI does not collect detailed en- vious health conditions. To enroll, individ- THIP must wait 12 months before pre-exist- rollment or premium cost data on the indi- uals must be legal U.S. citizens and a resi- ing conditions are covered. vidual market and is unable to determine dent of the state, and must provide evidence IMPACT OF FEDERAL HEALTH REFORM the number of enrollees by type of plan, the that they were declined coverage for insur- The federal health reform Patient Protec- insurance association America’s Health In- ance or have a current or previous medical tion and Affordable Care Act includes sig- surance Plans (AHIP) conducted a survey in condition that makes them uninsurable. nificant private insurance market provisions

VerDate Mar 15 2010 04:58 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00025 Fmt 0636 Sfmt 0634 E:\CR\FM\A19JA7.014 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H282 CONGRESSIONAL RECORD — HOUSE January 19, 2011 that will dramatically alter the insurance cost of health care, it drives up pre- being treated as second-class citizens market in Texas and other states. The law miums, and it adds to the Nation’s debt or being discriminated against for includes a series of reform requirements that when you look at it in the long term, being a woman. begin in 2010, with the most dramatic according to CBO. But that’s not where the benefits changes occurring in 2014. With a few excep- end. When it’s fully implemented, all tions, most of the initial reforms effective in The manager at Taurus Freight, a 2010 through 2013 will primarily affect indi- small freight logistics business in maternity services will be included in viduals who already have insurance coverage Bend, Oregon, told me recently, be- health insurance plans. They will no and will have little impact effect on individ- cause of the 1099 reporting provision in longer be able to deny coverage or uals who are uninsured or who are enrolled this bill, she’s going to quit buying charge higher premiums for people who in public plans. However, beginning in 2014, from various businesses, consolidate. have had C-sections or pregnancy. several federal requirements should signifi- It’s going to cost jobs and put new I speak to you today on behalf of the cantly assist lower income families and em- headaches on small businesses. women of America, the millions whom I will ployees obtain affordable health insurance, The SPEAKER pro tempore. The never meet, but are set to receive countless including the following: protections from the Affordable Care Act by Advanceable tax credits will be available time of the gentleman has expired. to families earning up to 400 percent of fed- Mr. UPTON. I yield the gentleman an the time it is fully implemented in 2014. Health eral poverty level to purchase affordable additional 30 seconds. care reform is a major victory for women and health insurance; Mr. WALDEN. And I think that’s one any attempt to repeal or defund the legislation Insurance plans must meet certain benefit of the big arguments here that I get is simply unfair to us, our daughters, our requirements and cost-sharing provisions de- from the people out in my district is: mothers, and our grandmothers. signed to ensure benefit plans provide com- Why did the government take over The fact of the matter is that the Affordable prehensive services with limited out-of-pock- this, put all of these other provisions Care Act ends widespread discrimination et costs to enrollees; against women within the healthcare system. Most large employers will be required to in, ram a bill through the House that offer health insurance benefits that meet creates this new trillion dollar entitle- Now the Republican Majority is proposing to minimum requirements or may face penalty ment that costs jobs and doesn’t drive replace this legislation with a resolution, an- payments; down the cost of health care? other promise to America. What do they prom- Insurance plans are prohibited from deny- We can do better than this, given the ise? Quite simply, that they will figure out a ing coverage based on an individual’s health chance. And under the Republicans, the new healthcare plan at some point in the fu- status; committees will actually have a ture, and in the meantime you’re on your own. Insurance plans will not be able to increase It took us decades to finally make it illegal premiums based on an individual’s health chance to work on a bill for replace- ment and everybody can participate for insurance companies to charge women status or gender, and premium rates for higher premiums, and to stop the egregious older individuals are limited; and from both sides of the aisle. And we Insurance Exchanges will provide access to will get it right and get to a patient- practice of discrimination against domestic vio- health insurance plans that meet standard centered health care system in Amer- lence victims. It is unfathomable to take these benefit requirements and provide simplified ica that does reform the current sys- protections away in exchange for a vague application and enrollment procedures for tem and drives down costs. promise of some help down the road. individuals, small businesses and Medicaid/ Mr. PALLONE. Mr. Speaker, I yield Prior to passage of the Affordable Care Act, CHIP enrollees. women faced severe discrimination from The provisions listed above will require 11⁄2 minutes to the distinguished rank- ing member of the Rules Committee, health insurance companies. Through a prac- federal regulations and, in some cases, state tice known as ‘‘gender rating,’’ women who legislative and/or regulatory action to fully the gentlewoman from New York (Ms. purchased insurance on the individual market implement. Until the details of these re- SLAUGHTER). quirements are finalized, it is impossible to Ms. SLAUGHTER. Mr. Speaker, I faced the prospect of paying 48 percent more predict the long-term impact on the afford- speak to you today on behalf of the in premium costs than men. Equally egregious, women were routinely ability of insurance coverage. However, the women of America, the millions of removal of underwriting restrictions; new denied health insurance coverage if they had whom I will never meet but are set to premium rating reforms, availability of sub- been victims of domestic violence. Shocking receive countless protections from the sidies and limitations on out of pocket ex- as it is, insurance companies often classified Affordable Care Act by the time it is penses for low and middle income families domestic violence as a ‘‘pre-existing condition’’ should make it easier for many low-income fully implemented in 2014. and it was completely legal for insurance com- Texans to obtain private insurance. Health care reform is a major victory panies to deny coverage to domestic violence Mr. UPTON. Mr. Speaker, I yield 1 for women, and any attempt to repeal victims in eight states and the District of Co- minute to the gentleman from Oregon or defund this legislation is simply un- fair to us, our daughters, our mothers, lumbia. (Mr. WALDEN), whose State would be No more. Both of these morally reprehen- and our grandmothers. The fact of the devastated with the Medicare Advan- sible practices are outlawed with the passage matter is that the Affordable Care Act tage cuts. of the Affordable Care Act. Thanks to the new ends the widespread discrimination Mr. WALDEN. Mr. Speaker, 42.7 per- law, women no longer have to worry about that has existed and will come back cent of Oregon’s seniors—that’s about being discriminated against for being born a against women in the health care sys- 200,000 in Oregon, nearly 41,000 in my woman. district—were enrolled, at the time tem. This is not where benefits for women end. this law was established, in Medicare It took us decades until we passed By the time the Affordable Care Act is fully im- Advantage programs. this bill to make it illegal, finally, for plemented in 2014: You know, under this bill, under this insurance companies to charge women Maternity services will be included in all new law, Medicare gets whacked by higher premiums and stop the egre- health insurance plans offered as part of the $500 billion, and the reports indicate gious practice of charging them 48 per- health insurance exchanges. one out of two seniors might lose their cent more and to not cover domestic Insurance companies will no longer be al- Medicare Advantage across the coun- violence victims. Yes, that’s right. In lowed to deny coverage or charge higher pre- try. eight States and the District of Colum- miums for women with ‘‘pre-existing condi- Look, I want a patient-centered bia, insurance would not cover victims tions’’ like C-sections or pregnancy. health care system. It’s your life. It’s of domestic violence on the grounds, I Insurance companies will no longer be al- your health. You should have the right assume, that it might happen again. lowed to place ‘‘lifetime limits’’ on health bene- to choose your doctor and your hos- Equally egregious, women were rou- fits for women, and end care when it is need- pital and make those decisions. We will tinely denied health insurance if they ed the most. address, with our replacement bill, pre- had children. In many places preg- Women who do not have access to insur- existing conditions, making sure kids nancy was considered a preexisting ance through employers will be able to obtain who are in college or up to 26 or what- condition, as were D&Cs. But both of insurance through health insurance ex- ever the age is decided by the com- those reprehensible practices are out- changes. These exchanges are being de- mittee are going to be able to be cov- lawed in the passage of the Affordable signed as we speak to offer a wide selection ered by your insurance. Health Care. of health insurance plans at competitive rates. But I’ll tell you what. In the law that Thanks to the new law, women do Women will receive free preventative health is on the books today, it drives up the not have to worry any more about services, from mammograms to pap smears.

VerDate Mar 15 2010 02:33 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00026 Fmt 0636 Sfmt 9920 E:\CR\FM\A19JA7.016 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H283 The ‘‘donut hole’’ in Medicare Part D will be actually became law, would lose what next 10 years and puts bureaucrats in closed through the Affordable Care Act, help- they have only just now gained: Citi- charge of your health care. That’s ing women pay for healthcare as they grow zens whose children suffer from diabe- wrong. That’s a tragedy. older. tes or asthma and have finally been What we will do right is in the next All these benefits and protections are pro- able to get coverage; citizens like the phase. Starting very soon in our com- vided to women while lowering our Nation’s small business owners I met with last mittee, we will begin an open process, deficit—a priority of both parties. fall in Denver who, because of the not the one that was used where a bill The choice is clear. For the health and well- health reform law’s tax credits, are fi- was written in the Speaker’s office and being of our Nation’s women, we must end nally able to get health insurance for then driven to the House floor with no this ill-advised attempt at repeal, and imple- their employees; and citizens like the amendments allowed. We will do this ment the valuable protections of the Affordable next generation of our country’s lead- right. We will have the people involved. Care Act. ers, like my young neighbor who has This whole body will be involved. Even Mr. UPTON. Mr. Speaker, before I type 1 diabetes and is going to college the other side of the party is going to yield 1 minute to the gentleman from but knows he will have insurance and be involved in our committee, which Oklahoma (Mr. SULLIVAN), I yield 30 he can stay on his parents’ insurance. we weren’t allowed before. So we will seconds to the gentlelady from Ten- I keep hearing ‘‘repeal and replace,’’ do this right and do it right for the nessee (Mrs. BLACKBURN). but, frankly, Mr. Speaker, that’s not American citizens. Mrs. BLACKBURN. Mr. Speaker, in what we’re doing today. We’re repeal- Mr. PALLONE. Mr. Speaker, I yield reference to the comments that were ing these benefits that help millions of myself 15 seconds. just made about women in the health Americans and we are replacing them Mr. Speaker, I have heard talk on the care law, I would just remind the body with nothing. other side of the aisle about small busi- one of our primary concerns with this If the proponents of this bill really ness, but I would point out that repeal legislation was the way in which intended to cover these things, why would eliminate tax credits for small women would be adversely impacted didn’t they just put the 10 pages that businesses. In Mr. BURGESS’s district, when you look at the comparative re- my colleague talked about in the bill? there are up to 13,600 small businesses sults board and the fact that they were The reason is because, if you want to that are eligible for the tax credit, and going to change the ratings that were give benefits like this to millions of repeal would force these small busi- coming from the task forces, and it Americans, to young people, to women nesses to drop coverage or bear the full would be more difficult for women with gender disparity, and to small costs of coverage themselves. under the age of 50 and over the age of businesses, you have to have com- I yield 2 minutes to the gentlewoman 75 to get mammograms. And I use that prehensive reform. from California (Mrs. CAPPS). as an example. Mrs. CAPPS. Mr. Speaker, I rise in b 1310 We need this bill off the books. strong opposition to this misguided Mr. UPTON. Again, I yield 1 minute We all know it. And that’s why we and costly legislation. First, I think we to the gentleman from Oklahoma (Mr. need to resist this effort. We need to should be spending our time here on SULLIVAN). resist repealing this legislation. And creating jobs instead of rehashing set- Mr. SULLIVAN. Mr. Speaker, I rise we need to work together across the tled law. Secondly, I want to speak on today in support of legislation to re- aisle to implement it in a way that behalf of the millions of Americans al- peal ObamaCare. This health care law helps every single American. ready benefiting from the strong con- is bad for patients, bad for doctors, bad Mr. UPTON. Mr. Speaker, before I sumer protections in this law. Across for small businesses, and terrible for yield 1 minute to the gentleman from the country, parents now know that our troubled economy. Nebraska (Mr. TERRY), I yield 30 sec- their children can be insured after I hear from small business owners onds to the gentleman from Texas, Dr. graduation from high school or college. across the First Congressional District BURGESS. Seniors in the dreaded doughnut hole every day. Many are being forced to Mr. BURGESS. I thank the gen- have received help to pay for prescrip- cut back on health benefits. They can’t tleman for yielding. tion drugs and now can have a free afford to hire new employees, and they You know, the fact is on those tax physical each year. And women no are scared to death that ObamaCare credits for small business, they are so longer have to worry about paying will put them out of business. confusing—and I hear this from my higher premiums, because insurance Not only is this unconstitutional to small businesses all the time back companies often consider females a force the American people to purchase home—no one understands how to ac- preexisting condition. And all Ameri- government-approved health insurance, tually make those benefits work. And cans are now eligible for free preven- but this prescription for disaster has they are time limited. They will soon tive screenings. People already sick put our Nation on a path to bank- expire. can no longer be dropped from their ruptcy by adding billions of dollars to But here’s the real deal. If you really plans. Lifetime and annual coverage our already record-setting deficit. wanted to help small business, let’s re- limits, that fine print that can thrust a In addition, ObamaCare actually re- peal that 1099 provision. Why was it family into bankruptcy just because verses over 30 years of bipartisan ef- even in there? Well, one reason, so the someone gets sick, these are gone. Be- forts to keep tax dollars from funding IRS could enforce the mandate. But cause the law bans insurance compa- abortions, which I find reprehensible. the other reason was maybe they’re nies from excluding folks from pre- Mr. Speaker, repealing ObamaCare is going to need a value-added tax in existing conditions, people who need not the end of the debate over reform- order to pay for this monstrosity. Let’s insurance the most can now have ac- ing our health care system. It’s the repeal it and get it done the right way. cess to it. first step in implementing a health Mr. UPTON. Mr. Speaker, I yield 1 For some of my colleagues, these im- care system that works for all Ameri- minute to the gentleman from Ne- portant provisions may seem abstract; cans without costly, unconstitutional braska (Mr. TERRY). but for my constituent Gwendolyn government mandates that destroy Mr. TERRY. Mr. Speaker, I embrace Strong and her family, this law means jobs. this opportunity to repeal this trillion- everything. Before, the Strongs lived in Mr. PALLONE. Mr. Speaker, I yield 2 dollar tragedy. That’s the cost of it constant fear that Gwendolyn, diag- minutes to the gentlewoman from Col- over 6 years; yet in order to make their nosed with spinal muscular atrophy, orado (Ms. DEGETTE). numbers work so they can come here would reach her policy’s lifetime limit Ms. DEGETTE. Mr. Speaker, over and and argue that this is deficit neutral, and then become uninsurable because over today I’ve heard supporters of this they only have benefits for 6 years. It’s she has a preexisting condition. But bill saying it is just the first step, then full of gimmicks like that. The reality the consumer protections in the Af- maybe they’ll think about fixing the is that it’s raising taxes to the amount fordable Care Act mean that Gwen- bill. Well, tell that to the millions of of $569 billion. That is a job killer. And dolyn will receive the care that she Americans who are now reaping the it hurts senior health care by taking needs, and her family is protected from benefits of the legislation, who, if this $523 billion out of Medicare over the bankruptcies.

VerDate Mar 15 2010 02:33 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00027 Fmt 0636 Sfmt 0634 E:\CR\FM\A19JA7.006 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H284 CONGRESSIONAL RECORD — HOUSE January 19, 2011 A vote for this misguided bill will put up to 129 million Americans with pre- Mr. Speaker, it is important that we the future of the Strong family and existing medical conditions could lose have this vote today, and it is impor- millions of other families at risk again. their newly enacted protection from in- tant that we vote to repeal this legisla- The impact is real. In my district, surance company discrimination. The tion. Let me be clear: I was for and Medicare benefits will be taken from CBO has reported that this Republican supportive of reforming the health care 100,000 seniors. It will raise taxes on repeal bill would add $230 billion to the system, but the law that was passed over 16,000 small businesses. And none Federal debt. The Centers for Medicare does not do what was necessary to be of us can afford the $230 billion that re- and Medicaid found that repealing done. peal will add to our deficit. That’s why health care reform would reduce the We heard from our constituents over I am urging my colleagues on both solvency of the Medicare program by 12 and over again in the summer of 2009: sides of the aisle, for the sake of the years. don’t mess up what we all have and Strong family, for the sake of all fami- Repeal of last year’s health care re- please do something to help us with lies, vote ‘‘no’’ on H.R. 2. forms would raise insurance costs for costs. We ignored them on both counts. Mr. UPTON. Mr. Speaker, I yield 11⁄2 people in my home district of Pitts- I am troubled because of the drafting minutes to the gentleman from Penn- burgh, Pennsylvania, and across the errors in this law. I am troubled be- sylvania, Dr. MURPHY. country, whether they are small busi- cause we have had not a single over- Mr. MURPHY of Pennsylvania. Mr. ness owners, retirees, working Ameri- sight hearing in the 10 months since Speaker, Republicans agree, and we cans, or recent college graduates. this law was passed. And I am troubled want families to keep their kids on Health care reform took power away because from the start the government their plans if they wish. And last Con- from the insurance companies and gave takeover of health care has provided gress that’s why we offered proposals it back to the American consumers. numerous red flags to which Congress that would have allowed dependent Repeal of this reform would allow pri- has not responded. children to stay on their parents’ vate health insurance companies to go Secret deals: what about the five plans. But once again, the other side is back to the practice of cherry-picking groups of health care providers, doc- trying to hide 3,000 pages of a law by low-risk customers and sticking it to tors, insurance companies, medical de- discussing only 10 pages. We all want the rest of us. What’s more, it would vice manufacturers, drug companies, to work on this, and we will achieve increase prescription drug costs for who were all invited down to the White this in the replacement bill. seniors who fall into the doughnut House, along with a labor union, to But the other side also fails to men- hole, raising the average cost of pre- kind of come up with some ideas for tion the other part of this 2,900 pages scription drugs for these seniors by health care reform. They came out to that will ignore what’s going to cause over $500 this year and by over $3,000 in the Rose Garden and said, We saved $2 health insurance premiums to go up 17 2020. trillion. I simply asked for that infor- percent because of this care plan. What In a nutshell, the Republican repeal mation in a committee hearing and good is coverage on a policy if a family means this: children with preexisting was denied. $2 trillion in savings, and I can’t afford it? conditions denied coverage; young peo- am asked to believe that no one wrote On another issue, chronic illness con- ple up to age 26 can’t stay on their par- anything down? sumes 70 percent of health care costs ents’ plans; pregnant women and breast This was not transparency; this was a and 90 percent of Medicare. The health and prostate cancer patients could be photo op. How could we ever be ex- care bill, however, cuts $500 billion thrown off their insurance policies; pected to be legislators if we are not from Medicare, and much of that by seniors will pay more for their drugs; even knowing that the ending was eliminating chronic care management the deficit will increase by $230 billion; written before the bill was even on the that otherwise could save lives and small businesses pay higher taxes. floor? The President promised the Amer- money. So for 7.4 million seniors on That doesn’t sound very good to me. ican people that there would be open Medicare Advantage, if you like your Repeal helps no one, no one but the in- hearings and meetings that would be plan, you can’t keep it. surance industry. I adamantly oppose televised on C–SPAN, but that didn’t So what does chronic disease man- this effort to repeal this health care re- happen. agement do? UPMC in Pittsburgh re- form bill. Amendment after amendment was of- duced hospitalization rates for dia- b 1320 fered in committee. Some were, in fact, betics by 75 percent. Washington Hos- Mr. UPTON. Mr. Speaker, before I accepted by Chairman WAXMAN and the pital in Pennsylvania cut readmission yield 2 minutes to the gentleman from Democrats, but then the bill went to rates 50 percent for heart disease. And Texas, Dr. BURGESS, I yield 30 seconds the Speaker’s office. The Speaker, Gateway Health Plan reduced asthma to the gentleman from Georgia, Dr. along with the White House, rewrote readmissions by 28 percent. It’s better GINGREY. the bill. It doubled in size, it came to care at lower cost; but the health care Mr. GINGREY of Georgia. Mr. Speak- the floor, and it was pushed through. bill says if you’re sick, you’re on your er, with my slow drawl, I don’t think in Why even have the committee hear- own. 30 seconds I can refute everything the ings if Speaker PELOSI and the White Tragically, it pays to amputate the gentleman from Pennsylvania had to House are going to rewrite the bill to feet of a diabetic, but won’t pay a say—but 120 million people with pre- suit their needs? nurse $5 to make sure you are fol- existing conditions, they would all Inattentive construction was all over lowing up on prescriptions, therapies, have to have hang nails and fever blis- the place in this legislation. The Presi- diets, and treatments. The new law ters to have preexisting conditions. dent kept saying, if you like what you does have a pilot and grant program to And if you believe those statistics, I’ve have, you can keep it. But apparently be sure, but you will find no reimburse- got a beach I can sell you in Pennsyl- that’s only true for some people. ment code for disease management. vania. Now, many people felt that Members That’s why we must repeal and replace This business about $230 billion sav- of Congress actually ought to take this bill for the sake of our seniors and ings, we’ve already discussed that. what they were forcing the American for the sake of our children. They use 10 years of revenue and 6 people to take. Mr. PALLONE. Mr. Speaker, I yield 2 years of charges. It’s smoke and mir- The SPEAKER pro tempore. The minutes to the gentleman from Penn- rors. time of the gentleman has expired. sylvania (Mr. DOYLE). And, finally, on the issue of the Mr. UPTON. I yield the gentleman an Mr. DOYLE. Mr. Speaker, I rise in doughnut hole, the drug companies additional 30 seconds. opposition to H.R. 2, the Patients’ have already solved that problem. Mr. BURGESS. But, in fact, that was Rights Repeal Act. Mr. UPTON. Mr. Speaker, I yield 2 not true. Members of Congress are re- Day after day, new studies are show- minutes to the gentleman from Texas, quired now to be covered under the ex- ing just what’s at stake in this debate Dr. BURGESS, the vice chair of the change. Their staffs are required to be over health care reform. The Depart- Health Subcommittee. covered under the exchange. ment of Health and Human Services re- Mr. BURGESS. I thank the gen- But are there exemptions? Yes, com- leased a staggering report stating that tleman for yielding. mittee staff and senior leadership staff

VerDate Mar 15 2010 04:58 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00028 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.046 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H285 are not required to be covered under center, and that’s where victims of a er’s seat to decide who they will and the exchanges; neither are the White natural disaster, a terrorist attack, or won’t insure based on profitability, House occupants. It ought to be the another Tucson-like massacre will be how much they will charge, what bene- same for everyone. These loopholes brought. We can’t be serious if we cut fits they will cover. need to be closed. aid to level 1 trauma centers. The Affordable Care Act ends insur- The difficulties in this bill are just Mr. Speaker, bipartisanship is hard, ance company abuses, creates rules of too legion to mention. If it could have and it sadly won’t start with this vote. the road, and puts Americans in fixed the problem, I would have been Mr. UPTON. Mr. Speaker, I yield 1 charge. minute to the gentlewoman from Ten- for it; but it is a destructive and per- b 1330 nicious blight, and the expansion of the nessee (Mrs. BLACKBURN). Federal debt truly does threaten the Mrs. BLACKBURN. Mr. Speaker, I The Republican plan is not health very fabric of our Republic. rise in support of the repeal of this care. For millions of Americans, it Mr. PALLONE. I yield myself 15 sec- measure. The health care law this body means no care. onds. passed last year means well, but we all Mr. UPTON. I yield 15 seconds to the Mr. Speaker, I just wanted to men- know that it will never deliver on the gentleman from Louisiana (Mr. tion the gentleman from Texas was de- promises that my colleagues have SCALISE). crying the HHS study about pre- made. Mr. SCALISE. Mr. Speaker, preven- existing conditions. These are very se- Let me tell you why this is not a rant tion of discrimination against people rious preexisting conditions: heart dis- and why we are serious. Earlier, the with preexisting conditions was some- ease, cancer, asthma, arthritis, high gentleman from Tennessee (Mr. ROE) thing we presented last year. It is blood pressure. They are people that spoke to the body on this. ObamaCare something that’s going to be one of the have had their policies canceled or makes the same fundamental mistakes hallmarks of our replace bill. I hope they couldn’t get insurance because of that TennCare in Tennessee made. Do the gentlelady supports us in pre- these preexisting conditions. I don’t we not learn from our mistakes? venting discrimination against pre- think they should be belittled. ObamaCare and TennCare bet that existing conditions. That’s part of the I yield 2 minutes to the gentlewoman the near-term cost incurred by Wash- actual replacement that we are going from California (Ms. HARMAN). ington’s health care mandates will be to put forward that is real reform. Ms. HARMAN. Mr. Speaker, today’s made up by long-term savings. That’s Mr. UPTON. Mr. Speaker, I yield 1 health care repeal debate reminds me 10 years of revenue for 6 years of ex- minute to the Member from New of tennis great John McEnroe’s famous penses. Tennessee lost that bet, and it Hampshire (Mr. BASS). rant, ‘‘You can’t be serious.’’ nearly bankrupted the State. Unless we Mr. BASS of New Hampshire. I thank Everyone knows this vote is sym- repeal ObamaCare, America will go the distinguished chairman of the En- bolic, putting off for another day the down the same road. ergy and Commerce Committee. Mr. hard work of revising portions of this We know hundreds of mandates, Speaker, this health care reform bill historic law that need attention, or thousands of mandates, and hundreds was a bad bill passed at the wrong mo- adding provisions that would greatly of bureaucracies don’t add up to a sav- ment. It is, in my opinion, one of the improve the law. ings. By repealing and replacing, we major reasons why we face such eco- There is no disagreement about the can keep the promises we made last nomic uncertainty in this country. need to repeal the 1099 requirement for year, better care at lower cost; but we Businesses don’t know what it will cost small business, but we should also add can do it in a way that will deliver to hire somebody. Businesses don’t provisions to allow the government to through competition, not mandates. know what’s coming down. Employers bargain for lower drug prices and cre- Mr. PALLONE. Mr. Speaker, I yield 2 don’t know what the world is going to ate more competition among health minutes to the gentlewoman from Illi- be like. And consumers feel the same care plans. To me, that’s what the pub- nois (Ms. SCHAKOWSKY). way. lic option was for. Ms. SCHAKOWSKY. Mr. Speaker, Now, in the course of this debate, Health care changes already in effect yesterday I met with everyday Ameri- we’ve talked about the issue of pre- are helping people in my district. Five cans in Chicago who shared with me existing conditions and how the Repub- thousand seniors received $250 last year their personal stories, tragic stories licans are not going to allow for pre- to help cover the doughnut hole por- but common stories, about how our existing conditions to be included in tion of their Medicare prescription flawed health care system has dev- their alternative. Nothing could be far- drug costs, and they will get 50 percent astated their lives. At its core, access ther from the truth. Republicans have drug discounts this year; 49,000 people to health care is a moral issue. consistently offered proposals to give under age 26 are now covered by their Midge Hough told me how her 24- individuals with preexisting conditions parents’ insurance plans; 1,100 local year-old daughter-in-law, Jennifer, and medical access to affordable health families who went bankrupt due to her unborn child both died because care coverage; but we will do it in a health care expenses before the law was Jennifer could not find health insur- way that will be predictable, it will be enacted no longer fear lifetime limits ance because of a preexisting condi- fair, it will be competitive, it will save on insurance coverage; people like tion. Her preexisting condition? A prior costs, it will make health care trans- Elleni M., who suffers from Graves’ dis- pregnancy. parent, and it will keep premiums ease and has gone without health in- By the time emergency health care down. We have an opportunity now to surance since 2000, can no longer be de- was mobilized, it was too late for Jen- make changes that should have been nied coverage. nifer and her baby. She left behind her made from the very beginning. There are similar statistics and sto- husband and a 2-year-old. Mr. PALLONE. Mr. Speaker, could I ries in every congressional district. Today, the Affordable Care Act man- ask again about the time remaining on But let me highlight one more issue dates that pregnancy is no longer con- each side. brought into stark relief by the recent sidered a preexisting condition. The SPEAKER pro tempore. The gen- rampage in Tucson. Our colleague, David Zoltan has diabetes, and be- tleman from New Jersey has 181⁄2 min- GABBY GIFFORDS, and other shooting cause of his preexisting condition he utes remaining. The gentleman from victims received top-notch, timely care couldn’t get insurance after losing his Michigan has 231⁄4 minutes remaining. at the University of Arizona Medical job 2 years ago. He is holding the insu- Mr. PALLONE. At this time I yield 2 Center’s level 1 trauma facility. Such lin that he needs to live; but thanks to minutes to the gentleman from Texas facilities give victims of severe injuries the Affordable Care Act, David has cov- (Mr. GONZALEZ). a 25 percent greater chance of survival. erage under Illinois’ preexisting-condi- Mr. GONZALEZ. Mr. Speaker, I rise The law the House is poised to repeal tion plan and no longer ends up in the in opposition to this bill. My first ob- expands level 1 trauma care through emergency room to get his lifesaving servation is, after hearing my col- Medicaid and discretionary grants. insulin. leagues on the other side of the aisle My home is home to the Harbor- The Republican plan puts the insur- this morning, it reminds me of the UCLA Medical Center level 1 trauma ance companies right back in the driv- movie ‘‘Groundhog Day,’’ the same

VerDate Mar 15 2010 02:33 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00029 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.048 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H286 CONGRESSIONAL RECORD — HOUSE January 19, 2011 thing over and over again, same old country in cities holding soup cans in Mr. INSLEE. Mr. Speaker, I’m op- same old. line waiting, hoping desperately to get posed to this effort to repeal a bill, a My advice would be that taking your a job. And I will guarantee you, every reform bill without anything to replace notes from 2009 and 2010 are stale and one of them would take those jobs even it at hand. It’s asking Americans to irrelevant today. Now some, I guess the if they didn’t have health insurance. jump without a parachute and without cynics out there, are wondering why The point here, Mr. Speaker, is the a net. And it’s the wrong thing to do you would proceed with this measure Democratic priority was entirely because we are a country that has al- as soon as you took over the majority. wrong. Yes, it’s something they’ve ways moved forward. Some would say that it is just political been wanting to do since the 1930s; and, I want to mention two ways this bill theater, but I venture to guess that yes, it’s something the American peo- moves forward which we should not re- there’s another reason: time is not on ple didn’t want since the 1930s. Every peal. One is that we have finally ad- your side. The more time you allow for time it’s come up, the American people dressed this horrific geographic dis- this bill and its full implementation, don’t want the government to take parity where physicians and hospitals you lose your argument because you’re over health care. They have rejected it get treated differently, unfairly around wrong. time and time again. the country. We finally are fixing that, We will vote for H.R. 2 and pass it. You said it was a government take- long, long overdue. And if the Senate and the President over of health care. Wrong. Time has And, second, this bill really helps us want to ignore the will of the Amer- proven you wrong. You said it would be move forward to reduce waste in our ican people, they do it at their own costing thousands and thousands of medical industry. A Dartmouth study peril. jobs by now. You were wrong. And with Mr. PALLONE. Mr. Speaker, I yield suggested as much as 30 percent of all the passage of more time, that only myself 15 seconds. the things we do have been wasted in will be solidified that you misread it. I hear talk on the other side of the health care because we haven’t had the I’m not questioning your intent or aisle about jobs, but I would point out right incentives. sincerity, but you just were simply that under Democratic policies, includ- Where I come from in Washington wrong. Because what happened in the ing health reform, there’s been a State, we’re doing things that we need interim? People found out that they strong private sector job growth this to export around the country to stop were able to get insurance for their past year. In 2010, there have been 12 waste in medicine. At Virginia Mason children despite preexisting conditions. straight months of private sector job they just won the national Leapfrog to They could keep their children up to growth. And under the Obama adminis- the Top Award, where they’ve saved age 26 years on their policies. Seniors tration overall this past year, we have over $1 million a year just by bringing were helped with the problems they created a total of 1.3 million new pri- efficiencies in how you provide sup- faced with the doughnut hole. That’s vate sector jobs. plies. At GroupHealth, they’ve reduced what’s happened. So I understand. Mr. UPTON. Mr. Speaker, I yield 1 the readmission rate by about one- You were in charge for 12 years and minute to the gentleman from Lou- third by bringing efficiencies to the did nothing. We moved forward with isiana (Mr. SCALISE). system. something meaningful, and all you can Mr. SCALISE. Mr. Speaker, with the At the Providence-Everett Hospital, I think of is to go back to the inaction. exception of a liberal in Congress, the was so impressed when I met a Dr. And you say ‘‘replace.’’ Then why do only person that would suggest that Brevig, a cardiac physician, who you force repeal without a discussion this ObamaCare law would actually re- brought some efficiencies in how they to the American people of what you duce the deficit has got to be an Enron handle cardiac patients. So instead of want to replace it with? Isn’t that a accountant. moving the patient all around, they fair assumption? You were wrong in If you look at this bill, it rations bring the physicians to the patient. Do 2009. You were wrong in 2010. And you care, it raises health care costs for you know what? They’ve knocked al- are wrong today. families—yes, that was scored to raise most a full day off the time you have ANNOUNCEMENT BY THE SPEAKER PRO TEMPORE the cost of health care. It’s actually to be in a hospital, and they’ve reduced The SPEAKER pro tempore. The pushing thousands of doctors out of the the infection rate by almost one-half, Chair would remind all Members to ad- practice of medicine. improving quality. dress their remarks to the Chair. This job-killing bill is not reform. b 1340 Mr. UPTON. Mr. Speaker, before I What we need to do is go back to the table and actually repeal this and re- yield 1 minute to Dr. GINGREY of Geor- At Children’s Hospital, they are place it with real reform. But if all of gia, I would like to yield 15 seconds to building a hospital which uses 30 per- my colleagues on the other side are Dr. BURGESS of Texas. cent less square footage than the aver- Mr. BURGESS. I thank the chair- correct in what they’re saying about age hospital. what’s good about this, then why is it man. And I would address to the chair- These are the types of efficiencies that when this bill was in committee, man: the gentleman who previously that we need to reduce the rate of med- we actually brought up an amendment spoke must understand that this legis- ical inflation. This is one of the rea- that said, if this is so good, all the lation was litigated in front of the sons that the Congressional Budget Of- Members of Congress have to join the American people for the last 2 years. fice found that this bill will actually government option. Guess what hap- reduce the deficit by $230 billion. Let’s They rendered their verdict, and the pened, Mr. Speaker? Every single mem- keep moving forward and not go back- jury verdict in November was, ‘‘We re- ber of the committee who voted for wards. Defeat this bill. ject what you have done. We want this bill voted to exempt themselves Mr. UPTON. Mr. Speaker, I yield 1 something better.’’ That’s what this from it. So clearly that tells you, if minute to the gentleman from Ohio process is about today. you’re not willing to put your money Mr. UPTON. Mr. Speaker, I would where your mouth is, it’s not good law. (Mr. LATTA). yield 1 minute to the gentleman from Let’s repeal this and start over with Mr. LATTA. Mr. Speaker, I rise to Georgia, Dr. GINGREY. real reforms that actually lower the express my strong opposition to Mr. GINGREY of Georgia. Mr. Speak- cost of health care, that address real ObamaCare. ObamaCare will single- er, the gentleman from Texas who just problems like making sure people with handedly have more negative ramifica- spoke was right about not causing a preexisting condition can’t be dis- tions on the American economy than thousands of job losses. It cost 4 mil- criminated against. Let’s restore the any bill passed in our Nation’s history. lion lost jobs since the Democrats took doctor-patient relationship. That If not repealed, the $1.2 trillion govern- over in 2007. starts with repeal. ment takeover of health care will in- Mr. Speaker, I have seen a number of Mr. PALLONE. I yield 2 minutes to crease the cost of care, eliminate jobs, posters here this morning showing the gentleman from Washington (Mr. and cause budget deficits and the na- really fairly well-to-do people strug- INSLEE). tional debt to explode. gling with health care issues. I don’t (Mr. INSLEE asked and was given The Democrats’ health care takeover have a poster; but if I had one, it would permission to revise and extend his re- contains $569 billion in taxes, increased show men and women all over this marks.) government spending, a half-trillion-

VerDate Mar 15 2010 02:33 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00030 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.050 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H287 dollar cut in Medicare, increased costs suit so there is a majority of the States the benefits of this law in the short to the States, and mandates on busi- in this country that now say let’s re- time its provisions have been in effect. nesses. All of these are hurting the peal this, that the individual mandate Kate recently shared with me how her economy and making it harder for is unconstitutional. 16-year-old daughter, Maggie, had been small businesses to create jobs and get So not only are we stuck with a hor- unable to receive affordable health people back to work. We need greater rible bill, an unconstitutional bill that care coverage because she was born competition and more choices for con- everyone knows and understood back prematurely with a genetic anomaly sumers. then would never work, now they want that requires frequent doctors’ visits. Since this bill became law last to preserve this. We have got to repeal However, as a result of health care re- spring, I have heard the same message this and replace it with commonsense form, Maggie is no longer denied health across the Fifth Congressional District: reforms that will actually work for the coverage because of her preexisting Businesses aren’t hiring new employ- American people. condition. Kate also has the peace of ees, buying new machinery, or expand- Mr. PALLONE. Mr. Speaker, I con- mind knowing that once her daughter ing their businesses because of in- tinue to reserve the balance of my becomes an adult, she can remain on creases in costs under the legislation. time. Kate’s health insurance until she turns Imposing these higher costs on busi- Mr. UPTON. Mr. Speaker, how much 26. nesses will lead to lower wages and time is remaining on both sides? Additionally, Kate’s parents are both fewer workers. The SPEAKER pro tempore. The gen- on Medicare and have fallen into the Mr. PALLONE. I yield myself 15 sec- tleman from New Jersey has 141⁄2 min- prescription drug doughnut hole. As a onds. utes and the gentleman from Michigan result of our recently passed health Mr. Speaker, I heard the gentleman has 181⁄2 minutes. care law, they have already received from Louisiana say that Members of Mr. UPTON. Mr. Speaker, I yield 1 additional help to pay for their medica- Congress were not in the exchange, and minute to the gentlewoman from tions. that is simply not the case. And I don’t Washington (Mrs. MCMORRIS RODGERS). Unfortunately, Kate’s family would want to hear it repeated from the other Mrs. MCMORRIS RODGERS. Mr. no longer enjoy these benefits should side of the aisle. This current bill that Speaker, we can do better. There are this measure we are considering today we passed says that Members of Con- many reasons to start over on health to repeal the health care reform law gress have to go into the exchange and care reform. Do it right, and listen to succeed. And Kate’s family isn’t alone. have the same health care benefits the American people. Under repeal, 147,000 young adults in through the exchange as any other Number one, the current bill further Wisconsin would stand to lose their in- American. So don’t keep repeating that destroys jobs at a time when we need surance coverage through their par- because it is simply not true. jobs. ents’ health care plans. And once Mr. Speaker, I reserve the balance of Number two, it actually increases again, people would be discriminated my time. our health care costs. against because of preexisting condi- Mr. UPTON. I yield 30 seconds to the Three, it increases government tions. And 46,000 Wisconsin seniors spending. gentleman from Texas (Mr. BURGESS) would face higher prescription drug Four, it raises taxes on hardworking to respond to that. costs. I urge my colleagues to oppose Mr. BURGESS. Mr. Speaker, it is im- families and small businesses. this measure. Five, it takes away our choice of portant that Members of Congress un- Mr. UPTON. Mr. Speaker, I yield 1 physicians. minute to the gentleman from Mis- derstand the parameters here. Indeed, Six, it cuts Medicare for seniors. we are required to buy our health in- sissippi (Mr. HARPER). Good-bye Medicare Advantage. Mr. HARPER. Mr. Speaker, the so- surance in the insurance exchanges as Seven, it threatens our world-class called Affordable Care Act is nothing provided under the health care law. quality health care system. short of politics above economics. This There are no insurance exchanges as Eight, it will add to our already penalizing law is loaded with excessive they exist right now, so it is anybody’s growing budget deficit. constraints and oppressive Federal guess. We are probably still under the Nine, it includes taxpayer funding for mandates on States. As Medicaid rolls Federal Employees Health Benefits abortions. rise, State revenues continue to fall, Plan, but nobody is actually certain Ten, it is unconstitutional. And there and this law only increases the chal- about that. What is certain is that are many, many more. lenges governors face in their attempts there were exemptions. There were ex- I encourage my colleagues to join me to balance their budgets. emptions for senior staff, senior leader- in supporting H.R. 2, and let’s start the Instead of granting State executives ship staff, committee staff, the White process of repealing this bill, the cur- the authority to tailor their Medicaid House, and political appointees in the rent health care reform bill, and re- programs to their State’s diverse popu- Federal agencies. Everyone should be placing it with a bill that America de- lations, the Affordable Care Act imple- treated equally. Some are not more serves and America wants. ments a one-size-fits-all maintenance equal than others. Mr. PALLONE. Mr. Speaker, I yield 2 of effort provision which restricts Mr. UPTON. Mr. Speaker, I yield 1 minutes to the gentlewoman from Wis- States from changing their Medicaid minute to the gentleman from Iowa consin (Ms. BALDWIN). programs. (Mr. LATHAM). Ms. BALDWIN. Mr. Speaker, I rise Republicans want to provide States Mr. LATHAM. I thank the chairman today on behalf of hundreds of thou- with the flexibility they need to man- of the Energy and Commerce Com- sands of Wisconsin families who have age their health programs. This is sim- mittee. already begun to benefit from health ply one reason why I am committed to Mr. Speaker, I think it is important care reform. I am mindful of the chil- repealing this carelessly crafted health to understand and remember how we dren, young adults, and seniors who care law and replacing it with reforms got here. When the Senate passed their would lose access to affordable health centered on decreasing costs and pro- bill on Christmas Eve of 2009, there was care coverage should the measure Re- tecting our middle class jobs. not a soul on either side of the aisle in publicans are pushing today to repeal Mr. PALLONE. I reserve the balance the House of Representatives who our recently passed health care law of my time. thought that that turkey would work. come to pass. Mr. UPTON. Mr. Speaker, I yield 1 The bill that they passed, everybody Over the years, I have heard thou- minute to the gentleman from New knew it was bad. So when it became sands of stories from constituents Jersey (Mr. LANCE). procedurally impossible to change it, about their struggles to find access to the Democrats decided to push for this affordable health coverage. This year, b 1350 bill that everyone understood would my constituents’ calls and letters have Mr. LANCE. Mr. Speaker, I rise not work, and that is what we are deal- changed. They have transformed into today in support of H.R. 2, an impor- ing with today. stories of thanks and gratitude. tant first step toward implementing I think it is very promising that I think of Kate of Fitchburg, Wis- sustainable health care reform that our now—Iowa just yesterday joined a law- consin, whose family has already seen Nation can afford.

VerDate Mar 15 2010 02:39 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00031 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.053 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H288 CONGRESSIONAL RECORD — HOUSE January 19, 2011 The health care law passed last year It has been estimated that the health I rise in strong support of H.R. 2. includes sleights of hand to mask the care bill will saddle Kentucky with a Mr. Speaker, many of my colleagues true cost of the measure. For example, $303 million unfunded mandate. This have come to this floor tonight to 6 years of entitlements and subsidies burden will leave fewer resources avail- highlight the numerous job-destroying are paid by 10 years of taxes, and pre- able for public education, infrastruc- provisions in this new health care law. miums are collected for the first 10 ture projects, and other worthwhile They have outlined serious threats to years for a long-term care program State efforts. our health care system and our econ- with no benefits during that period. It is not just Kentucky. States all omy. Douglas Holtz-Eakin said it best across the Nation face the same di- Now I would like to highlight some- when he wrote in today’s Wall Street lemma. They are facing already dif- thing that was not included in the Journal that the health care law is ‘‘all ficult budget situations, and will soon law—medical liability reform. about budget gimmicks, deceptive ac- be strapped with higher Medicaid costs My home State of Texas has imple- counting, and implausible assumptions as a result of the health care law. Fur- mented liability reform with positive used to create the false impression of ther, the law prohibits States from al- results. It is a model for America to fiscal discipline.’’ tering their Medicaid offerings, essen- follow. Before reform in Texas, doctors Failure to repeal the health care law tially removing their ability to contain could not afford to stay in practice. will add an additional $700 billion to the rising costs. Frivolous lawsuits were forcing them our national deficit in the next 10 We must stop this law from going to close their doors. Now, with reform, years. However, we can work together into effect and from further burdening they are flocking—flocking—to Texas. in a bipartisan capacity to enact com- our State governments and American Here is the proof: monsense health care solutions that families. I urge my colleagues to vote Since implementation in 2003, we lower health care costs without raising ‘‘yes.’’ have seen a 60 percent increase in the taxes or adding to our national debt. Mr. PALLONE. Mr. Speaker, I yield 2 number of doctors practicing in our Mr. PALLONE. Mr. Speaker, I con- minutes to the gentleman from North State—60 percent—and a 27 percent tinue to reserve the balance of my Carolina (Mr. BUTTERFIELD). drop in the cost of medical liability in- Mr. BUTTERFIELD. Let me thank time. surance premiums. the ranking member for the time and Mr. UPTON. Mr. Speaker, I yield 1 We must repeal and replace this certainly thank him for his leadership minute to the gentleman from Lou- economy-busting health care bill by on our committee. enacting meaningful health care re- isiana, Dr. Cassidy. Mr. Speaker, as we debate the Repub- form. On November 2, we made a prom- Mr. CASSIDY. Mr. Speaker, I discuss lican proposal to repeal health care re- ise to the American people. Today, it is this bill as a doctor who has been form, I hope—I truly hope—that the a promise kept. treating the uninsured for 20 years. American people will open their eyes Mr. PALLONE. Mr. Speaker, I con- Now, opponents of repeal argue that and realize that this legislation will tinue to reserve the balance of my this gives Americans insurance, but put insurance companies back in what in truth it often gives is Med- charge of their health care. time. icaid. Now, Medicaid is a Federal-State I don’t know about my friends on the Mr. UPTON. Mr. Speaker, I yield 1 program, which is often called ‘‘welfare other side. I don’t know what kind of minute to the gentleman from West medicine,’’ and it is a program which is districts you represent, but I represent Virginia (Mr. MCKINLEY). destroying State budgets. a low-wealth rural district in eastern Mr. MCKINLEY. Mr. Speaker, this Last spring, the New York Times North Carolina. My constituents need law needs to be repealed for a host of spoke about how this has implications affordable health insurance. They need reasons, especially because of its im- for patient care. They spoke of a access to health care now. pact on small businesses and seniors. woman on Michigan Medicaid with In my district, this repeal would Recently, I spoke to an owner of a metastatic cancer who could not find allow insurance companies to deny cov- coal mine in West Virginia which has an oncologist because Michigan Med- erage to 261,000 individuals with pre- 24 employees. She told me the act has icaid had been cut so much because of existing conditions. It would eliminate caused her annual premiums to in- Michigan’s budget problems. health care tax credits for up to 11,600 crease by $84,000. Carol died a week after the article. small businesses and 193,000 families. It was the wrong approach, and it That’s Medicaid. The number of people without health will cost jobs. Now, the supporters of the insurance in my district would grow by Let’s not lose sight, though, of our ObamaCare bill believe that more peo- 56,000 people. It would increase the most vulnerable citizens in our soci- ple on Medicaid is good. Republicans costs to hospitals for uncompensated ety—senior citizens. The law’s $500 bil- disagree because what happened in care by more than $65 million, and it lion in cuts to Medicare is unconscion- Michigan is happening across the Na- would increase prescription drug costs able. Reducing benefits for some senior tion. for 7,300 seniors who hit the Medicare citizens and jeopardizing access to Last year, before this bill was passed, drug doughnut hole. other care is unacceptable to those of 20 States cut Medicaid payments, and So I take great offense to any effort our Greatest Generation. 39 cut provider payments. This is to repeal health care reform. This re- Congress should never have broken threatening to bankrupt them. Now peal would only lead to bigger Federal its promise that it made decades ago imagine what happens when their rolls deficits and higher taxes for small busi- by cutting the health care senior citi- double. Mandating that 16 million more nesses. Children, students, seniors, and zens deserve. Let’s repeal it and replace Americans get put on Medicaid is not small businesses owners would be dev- it with something that is bipartisan, health care; it is a way around State astated by losing these protections. that lowers costs, that saves jobs, and budgets. It is the illusion of coverage Mr. Speaker, I urge my Republican that protects our senior citizens. for patients. colleagues to stop playing politics with Mr. PALLONE. I yield myself 15 sec- Let’s repeal this law and pass real re- health care. onds, Mr. Speaker. form. Open your eyes, and see the pain of Mr. MCKINLEY mentioned seniors. Mr. PALLONE. Mr. Speaker, I con- America’s working families. Listen to I would point out that, beginning in tinue to reserve the balance of my the silent majority in your districts, 2011, the health care reform provides a time. not the loudest people in your dis- 50 percent discount for prescription Mr. UPTON. Mr. Speaker, I yield 1 tricts. Reject this repeal effort, and drugs for Medicare beneficiaries. There minute to the gentleman from Ken- let’s debate ways and means of cre- are 12,100 Medicare beneficiaries in tucky (Mr. GUTHRIE). ating jobs in America. Representative MCKINLEY’s district Mr. GUTHRIE. Mr. Speaker, I believe Mr. UPTON. Mr. Speaker, I yield 1 who benefit from these provisions. Sen- the health care bill passed last year minute to the gentleman from Texas iors benefit from this bill, and if you will not only burden American families (Mr. OLSON). repeal the bill, those seniors are going but will also bankrupt already strug- Mr. OLSON. I thank my colleague to have a loss. gling State governments. from Michigan. I reserve the balance of my time.

VerDate Mar 15 2010 04:58 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00032 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.055 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H289 The SPEAKER pro tempore. The Another small business that will This repeal bill is taking away that Chair would like to note, at the present grow as a result of the tax credits is a coverage for Donna’s son. Why? time, the gentleman from Michigan small cafe owned by Pat and Kim in The question that we have is dif- has 111⁄2 minutes remaining; the gen- downtown Sacramento. They currently ferent from the campaign where we tleman from New Jersey has 101⁄4 min- employ four full-time employees who made our arguments. We now are in utes remaining. receive full benefits and 25 part-time Congress and we have a mutual respon- Mr. UPTON. I would just say I was employees. With the savings they are sibility to decide whether we are going hoping I was going to get a few extra planning to see from the tax credits, to spend our time here continuing to seconds from people yielding back Pat and Kim will be able to hire an- make partisan political points or mak- their time, but that apparently is not other full-time employee. ing practical progress for the American the case. This is the type of job creation that people. Mr. Speaker, I yield 1 minute to a we need to help repair our economy You have some good arguments member of the committee, the gen- and see small businesses thrive again. about the health care bill and about tleman from Colorado, Mr. CORY GARD- That is why repeal is so dangerous and what reforms we need, and we’ve got to NER. why the Affordable Care Act is so crit- wrestle with the cost of health care. No ical to small businesses in Sacramento matter how we pay for it, the cost b 1400 and throughout our country. can’t go up higher than wages and sala- Mr. GARDNER. I thank the gen- For these small businesses, I urge my ries. But what we should do is improve tleman from Michigan. colleagues to vote ‘‘no’’ on this bill. what we have, correct what must be Mr. Speaker, I am here to talk about Mr. UPTON. Madam Speaker, I yield corrected, and get rid of what doesn’t jobs. I want to highlight a story about 1 minute to the gentleman from Kansas work. But to throw it all out, all these what is happening to one company in (Mr. POMPEO). insurance reforms—health care for my district when it comes to this Mr. POMPEO. Madam Speaker, last Donna’s son, preexisting conditions, health care bill, one company in my week, Kansas Attorney General Derek preventive care for seniors where by district that employs 130 people, a Schmidt filed to join a Federal lawsuit getting care in time it’s going to save manufacturing a company, one of the challenging the constitutionality of us money—that’s the wrong thing to few left in the country. Even during ObamaCare, and I want to applaud At- do. the worst of the recession, this com- torney General Schmidt, Governor When does it make sense to toss out pany kept every single employee em- Sam Brownback, and the 25 other the good rather than correct the bad? ployed by having them paint houses States that have taken on the duty of Mr. UPTON. Madam Speaker, I yield and rake leaves instead of firing them, correcting what this Congress did un- myself 15 seconds. because they felt obligated to their em- constitutionally last cycle. I appreciate what the gentleman ployees. Our Nation was founded on liberty, from Vermont just said. I want to as- Without this health care bill, they and that liberty was enshrined in our sure him that as we look at the replace predicted that their health care costs Constitution. They gave to us, as Mem- piece of this, that element—to make would increase by about 5 percent. bers of Congress, certain powers, enu- sure children under the age of 26—will, With this health care bill, their cost merated and very limited. The in fact, be covered. I made that point will increase by 20 percent—an addi- ObamaCare law strikes at the heart of in the Rules Committee 2 weeks ago, tional $200,000 a year—to afford the that constitutional principle and for and we will be doing that again in the the first time requires every citizen of days to come. cost of the health care bill. That’s six America and Kansas to buy a health Madam Speaker, I yield 1 minute to people that they could have employed care product or face a stiff penalty. the gentleman from Illinois (Mr. and hired and put to work, providing Never before has Congress required KINZINGER). them with benefits, but instead we anyone to buy a private product in this Mr. KINZINGER of Illinois. Madam passed a job-destroying health care way. It can’t be right. If that power Speaker, for the last 10 months, I have bill. were to exist in Congress, our power traveled around my district and I’ve It is time for this Congress to act to would be unlimited, and that’s not how heard from people through the cam- fulfill the promise it made to America, our Founders intended it. paign and then now as a Member. I the promise to repeal this bill and to I urge every one of my fellow col- heard from people that we need to re- put in its place solutions that will ac- leagues to take aim at this law which peal this health care bill. The folks tually increase the quality of care and threatens our liberty, our health care back home get it. They understand decrease the cost of care. The time is system, and jobs in America and Kan- that this is a budget-busting bill that now. Let’s act before we lose one more sas. is going to add mountains of debt on job. Mr. PALLONE. Madam Speaker, I our children, and it’s job killing to the Mr. PALLONE. Madam Speaker, I yield 2 minutes to the gentleman from tune of hundreds of thousands of jobs a yield 2 minutes to the gentlewoman Vermont (Mr. WELCH). year. from California (Ms. MATSUI). Mr. WELCH. I thank the gentleman. Recently, 200 economists came out Ms. MATSUI. I thank the gentleman Madam Speaker, about a year ago, I and recognized that this is a ‘‘major for yielding me time. got a call from Donna, a mother who barrier to job growth’’ and ‘‘creates Madam Speaker, I rise in strong op- lives in Plainfield, Vermont, and this massive spending increases and a position to the bill before us. This bill was her story: crushing debt burden.’’ The path to af- would cost the American small busi- She has a son who had his first job. It fordable health care starts with being ness owner dearly. paid like 9 bucks an hour and it came able to buy insurance across State In Sacramento, over 88,000 small with no health care, but they were ex- lines, providing reduced premiums, and businesses are eligible to take advan- cited that her son was getting out in also we have to have lawsuit abuse re- tage of the tax credits provided under the workforce, learning discipline, form. That is a key element to getting the current law to help offer and afford learning self-responsibility. But he lost health care costs down. Ultimately, we meaningful health insurance coverage. the health care because he was no have to have reforms, though, that will Gordon, the owner of a communica- longer on her policy. He got into an ac- protect the doctor-patient relationship tions firm in midtown Sacramento, cident. He’s fine, but he has $20,000 in that is so sacred in America and in covers 100 percent of his 13 employees’ medical bills that were uncovered. medicine. health insurance premiums. This is the That is a burden on him and it’s a bur- So today we begin working to carry firm’s second highest expense next to den on the family. When she learned out the voice of the people by imple- payroll. As a result of the tax credits that we passed health care that in- menting health care solutions that will in the Affordable Care Act, Gordon’s cluded coverage for her 21-year-old son, reduce costs, increase accessibility, company is expecting to save roughly she was ecstatic. It relieved an enor- and protect American jobs. Today we 25 percent in employee premiums. This mous burden on this family because begin advocating for the next genera- frees up much-needed capital so Gor- they knew that their son would have tions of Americans, not advocating for don’s business can prosper and expand. coverage. the next election in America.

VerDate Mar 15 2010 02:39 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00033 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.056 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H290 CONGRESSIONAL RECORD — HOUSE January 19, 2011 Mr. PALLONE. Madam Speaker, I There are basically three formations If you’re in love with insurance compa- yield myself 15 seconds. of the argument by the Republicans: nies and want them to succeed and you Madam Speaker, I would just like to First, they start by making stuff up. don’t care about anything else, by all point out again—we’ve said it over and You kind of have to wonder if any of means, this is your team. These are over again—that the CBO, which gives them actually read the bill: 137 new your guys. But if you believe that we the official estimate, says that over agencies—not true; new IRS agents— need to make sure that people get the next 10 years the health care re- not true; death panels—not true; Mem- health insurance, that they’re not form saves $230 billion, and after that, bers aren’t covered—not true; no tort passing along their bills to the tax- for 10 years, over $1 trillion. reform in it—not true. payers each and every single day, that The Republicans can’t get away from You know, I want to just advise peo- you believe in programs like Social Se- the fact that if they repeal this bill, all ple watching at home playing that now curity and Medicare, these are your that is going to do is increase the def- popular drinking game of you take a guys. icit significantly, because our bill, the shot whenever the Republicans say This is kind of your half-time wrap- current law, actually reduces the def- something that’s not true, please as- up for the debate that we’re having icit. sign a designated driver. This is going here today. And those are the two Mr. UPTON. Madam Speaker, I yield to be a long afternoon. sides. Ladies and gentlemen, pick your 1 minute to the gentleman from Vir- Then there are my colleagues on the side. ginia, MORGAN GRIFFITH. Republican side of the aisle that are ANNOUNCEMENT BY THE SPEAKER PRO TEMPORE Mr. GRIFFITH of Virginia. Madam basically pursuing the ‘‘we don’t really The SPEAKER pro tempore (Mrs. Speaker, I believe the minimum essen- mean it’’ strategy. My good friend, the MILLER of Michigan). Members will ad- tial coverage provision penalty is un- new chairman, Mr. UPTON, started his dress all of their remarks to the Chair. constitutional. remarks with this long litany of things Mr. UPTON. Madam Speaker, I yield I took an oath to uphold the Con- they are going to do in the new bill. 11⁄4 minutes to the gentleman from stitution. This time last year, as a They’re going to have coverage for pre- Texas, Dr. Burgess. member of the Virginia House of Dele- existing conditions. They’re going to Mr. BURGESS. I thank the chair- gates defending that Constitution, I have help for the doughnut hole. man. was proud to cast my vote for House They’re going to make sure there are Remarks to the Speaker. All right, Madam Speaker, who loves Bill 10, which mandated no Virginian incentives for small businesses to offer insurance companies? Was it the party shall be required to buy health insur- insurance. You know what they call that gave them a constitutional man- ance. that, my colleagues? They call that the date that drilled their stock prices bill they’re repealing. It sounds very b 1410 through the roof last March 23? Maybe strange, but they want to repeal the Our attorney general has joined the it was. fray and filed suit in court and is win- bill but they still want to give it a big We talk about new agencies and that ning. As Virginians, we did not accept hug and embrace as if they support the the Republicans are misleading the the change of George III, nor will we things. American people on how many new accept the change of ObamaCare. And then, of course, there is the old agencies are created. Your own Con- Mr. PALLONE. Madam Speaker, I re- fallback, and this is a particularly pow- gressional Research Service said the serve the balance of my time at this erful one for the newer Members who actual number of new agencies is in ex- point. are just joining us. It’s kind of the cess of 150 but the actual number is un- Mr. UPTON. Madam Speaker, I yield bogyman strategy. You know, you pull knowable. They took a phrase from 1 minute to the gentleman from the those canards out of the sky: It’s so- former Secretary Rumsfeld in that re- great State of Michigan, Dr. BENISHEK. cialized medicine. Socialized medicine? gard. Mr. BENISHEK. Madam Speaker, be- Giving people incentives to go to pri- What about the new agencies? What fore coming to this House, I have actu- vate insurance companies? How is that about the Office of Consumer Informa- ally been taking care of patients for socialized medicine? If that’s the case, tion of Insurance Oversight? Where did the last 30 years, and as a surgeon, I you all have socialized medicine. that come from? Authorized in the bill? work with patients to provide care and Now, it’s worth noting that this is I think not. Appropriations in the bill? earn their trust. The doctor-patient re- the same Republican Party who last Your guess is as good as mine, but lationship is the very foundation of the year in their budget alternative and they’re out there today hiring people practice of medicine. Unfortunately, this year in their campaign manifesto and renting space. the health care law passed in the last said, We want to end the Medicare pro- The Independent Payment Advisory Congress does not build the doctor-pa- gram as we know it. I mean, they don’t Board. Is that just a canard or is that tient relationship; it undermines it. talk about it much, but that’s their a real phenomenon that threatens the Full of hidden costs and red tape, the philosophy. And we have a funda- financial solvency of every hospital, law overregulates and limits patient mental disagreement about it. They public or private, in this country? choices. say there is going to be a government Exchanges. Good idea? Bad idea? We We need to repeal this bill, start takeover of health care. Really? Who’s can have that debate. But it is the sub- over, and craft health care legislation taking over what health care plan? sidies within the exchanges that are in- that actually puts patients first and We’re offering people tax incentives, tolerably high and paid for by taking puts them in charge of their care. Re- small businesses tax incentives to go the money out of our seniors’ Medicare pealing this bill is not the end of buy private insurance plans. You know, system. health care reform. This gives us a sec- this was a proposal first made by Re- These are the problems. These are ond chance to tackle the problems of publicans that was adopted. We decided the issues that should be debated. our system while focusing on what that that was the way to go. We’re talking about modest changes on makes our system great. But stay tuned, ladies and gentle- the margins. Mr. PALLONE. Madam Speaker, I men. This is the sign of a philosophical The real fundamentals of this bill are yield 3 minutes to the gentleman from division. You have one side that stands so deeply flawed and the risk to the New York (Mr. WEINER). up for patients and for citizens and for American public because of the expan- Mr. WEINER. I thank the ranking businesses and the other side which is sion of the deficit is so real, it requires member of the Health Subcommittee a wholly owned subsidiary of the the repeal of OB taken today. and my colleagues. health insurance industry. Mr. PALLONE. Madam Speaker, I You know, we’re at about the half- But we’ve seen it. Whether they’re yield myself 15 seconds. way mark of this debate today. So I making up things, whether they’re cre- Madam Speaker, again, Dr. BURGESS think it’s time for us to kind of take a ating bogymen, or whether they’re say- talked about impact on hospitals. I little review and also offer people lis- ing, Well, no, we don’t really mean it, want to point out that the health care tening at home kind of a viewer’s guide this is a harbinger. reform law benefits hospitals by cov- to what they have heard and what they And I would say to Americans watch- ering more Americans and thereby re- are likely to hear coming forward. ing at home, think what side you’re on. ducing the costs of providing care to

VerDate Mar 15 2010 02:39 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00034 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.058 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H291 the uninsured. Repeal would undo this pealing the job-killing, socialistic, and delivery for 26 years, I know that the benefit, increasing the costs of uncom- out-of-touch health care bill. last thing we need is a new government pensated care by $249 million annually Mr. PALLONE. Madam Speaker, I bureaucrat looking over our shoulders for hospitals in his district. yield 30 seconds to the gentleman from when I am in that delivery room ad- I yield 15 seconds to the gentleman Texas (Mr. GENE GREEN). ministering an anesthetic to a mother from New York (Mr. WEINER). Mr. GENE GREEN of Texas. Madam for an emergency cesarean section to Mr. WEINER. I want my colleagues Speaker, I want to respond, because if save her baby’s life. But that’s exactly to understand, to say that you’re not the Constitution means anything, it what ObamaCare will do if we don’t re- going to give them insurance, who do also shows that as Members of the peal it. you think then pays for those unin- House and the Senate, the legislative Instead of the last Congress making sured? Who do you think then comes in branch, it’s not our job to decide con- sure that the baby born that day has a and pays? It is your citizens in your stitutionality. My opinion is just as real chance at the American Dream by towns, States, and cities. That’s who important as yours. It’s the nine people creating jobs and solving America’s pays for the uninsured and all of us over in the Supreme Court that the long-term fiscal crisis, they added over who wind up footing the bill. Constitution gives that authority to. $2 trillion to our children’s and grand- You talk about responsibility. What And I think the health care law is children’s debt with that job-destroy- about the responsibility not to pass the constitutional, because all those com- ing ObamaCare bill. That’s why we bill along to everyone else? panies serve all of our States. It’s should repeal it today. Mr. UPTON. May I inquire how much across State lines. The commerce Mr. PALLONE. Madam Speaker, I time is left. clause works that way. So hiding be- yield myself the balance of my time. The SPEAKER pro tempore. The gen- hind the Constitution—and we read it Madam Speaker, in this debate the tleman from Michigan has 5 minutes here on the floor—this bill will be con- truth should be told about the Repub- remaining; the gentleman from New stitutional because Social Security’s lican repeal. In fact, the Republican Jersey has 21⁄2 minutes remaining. constitutional, mandatory insurance in bill should come up with a health Mr. UPTON. I yield 1 minute to the our States is constitutional. So we can warning that their measure is dan- gentleman from Texas (Mr. CANSECO). have that argument. It doesn’t do any gerous to America’s health. For many Mr. CANSECO. I thank the gen- good. people, the issue of having health cov- tleman from Michigan. Mr. UPTON. Madam Speaker, I yield erage is a matter of life and death, and Madam Speaker, I rise in support of 1 minute to the gentleman from New I would say there are so many benefits repealing the $2.6 trillion Washington Hampshire (Mr. GUINTA). that we have pointed out during this takeover of health care. Mr. GUINTA. I thank the chairman debate that already exist for the aver- I spent the past year speaking with from Michigan for yielding the time. age American that to talk about repeal thousands of Texans in the 23rd Dis- Madam Speaker, I rise to add my at this time and eliminate those bene- trict. The message I received was ex- voice to those calling for repeal of last fits for those people that have pre- plicit and distinct: Repeal and replace year’s misguided overhaul of our na- existing conditions that wouldn’t be the jobs-destroying health care law. tional health care system. Seldom has able to get coverage, or would face life- We must reform health care in Amer- a well-intentioned desire, in this case time caps or rescissions, it simply ica. However, we must do so in a way making the system work better, needs to be told that the fact of the that doesn’t destroy jobs but ensures strayed so disastrously off course. matter is that right now there are tre- the American people can get the health The new law destroys existing jobs, mendous benefits that are coming to care that they need when they need it, inserts government between you and the average American from this legis- at a price they can afford, and doesn’t your family doctor, and allows Wash- lation. And to repeal it at this point put Washington bureaucrats in charge ington to still spend more money, more makes absolutely no sense. It’s com- of America’s health care. borrowed money. Even worse, it fails to pletely a waste of time. Mr. PALLONE. I continue to reserve accomplish its primary goal. Instead of We have no indication that this re- the balance of my time. making health insurance more afford- peal would ever go to the Senate or Mr. UPTON. I yield 1 minute to the able, premiums today remain sky high ever be considered by the President. gentleman from South Carolina (Mr. for individuals and employers. And I just wish that my colleagues on DUNCAN). Now we have a two-part opportunity the other side of the aisle, instead of Mr. DUNCAN of South Carolina. The before this Congress. First, we must re- wasting their time talking about this first time I stood on the floor to speak, peal last year’s unconstitutional legis- repeal that is going nowhere, would in- I spoke to read the United States Con- lation. Then we need to begin the proc- stead focus on the economy. Focus on stitution. Now I rise to defend this ess of delivering what Americans are jobs. When I talk to my constituents, great document that I carry with me demanding, a patient-centered health that’s what they want us to deal with. every day by advocating for the repeal care system that is effective, efficient, We just began this session of Con- of the unconstitutional health care and simply reduces costs. gress about 2 weeks ago. The focus bill, ObamaCare. Mr. PALLONE. Madam Speaker, I should be on the economy, on jobs, on Let me convey the thoughts and feel- yield myself 15 seconds. trying to do what we can to improve ings of the people from my home State, The gentleman from New Hampshire, the lives of the average American. We South Carolina. if he votes for this repeal, he is elimi- have tremendous benefits that exist To the last Congress I ask: Where in nating new health care coverage op- under this health care legislation now. this document, the United States Con- tions for 1,900 uninsured young adults, Why focus our attention, in this first 2 stitution, or in the writings of our increasing the number of people with- or 3 weeks of the Congress, on this re- Founding Fathers leads you to believe out health insurance by 24,000 individ- peal? It makes absolutely no sense. that we as free Americans should not uals, and increasing the cost to hos- And I would ask my colleagues, after be able to choose and pick our own doc- pitals of providing uncompensated care today, please, let’s focus on jobs. Let’s tors? What leads you to believe that by $35 million annually in his district. focus on what we can do to improve the the government takeover of health Mr. UPTON. Madam Speaker, may I economy. Let’s not continue this de- care is even constitutional? And why inquire of the time remaining. bate on health care, because actually didn’t you listen to the millions of The SPEAKER pro tempore. The gen- what my constituents want is they Americans who yelled at the top of tleman from Michigan has 2 minutes. want this bill to unfold. They like the their lungs that we don’t need or want The gentleman from New Jersey has benefits that have already come for- the government to be in control of our 13⁄4 minutes. ward. And a lot more benefits will ac- health care decisions? Mr. UPTON. Madam Speaker, I yield crue. Most Americans will ultimately 1 minute to the gentleman from Mary- be covered by health insurance, and b 1420 land, Dr. HARRIS. that’s the key. Let’s focus on jobs and I think it’s time we return this House Mr. HARRIS. Madam Speaker, as a the economy and stop this ruse about to the people, and we can start by re- physician delivering care in labor and health care repeal.

VerDate Mar 15 2010 02:39 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00035 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.065 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H292 CONGRESSIONAL RECORD — HOUSE January 19, 2011 Mr. UPTON. Madam Speaker, to prevent tax increases from hitting mid- for them, their family, and their busi- close our debate, I yield the balance of dle class families. ness. This is a Congress dedicated to my time to the gentleman from Illinois Let’s review the facts. The health empowering the American people, not (Mr. HULTGREN). care law makes health insurance more increasing the size, scope, and cost of Mr. HULTGREN. I thank the chair- expensive for millions of Americans. the Federal Government. man from Michigan for yielding. Well, according to the nonpartisan I urge my colleagues to vote with me Madam Speaker, the so-called Afford- Congressional Budget Office, the to repeal this job-destroying and cost- able Care Act has clearly failed to Democrats’ health law will increase increasing health care law. make health care more affordable. premiums for millions of families by up I reserve the balance of my time. Since the passage of this law, I have to $2,100 on average by 2016—$2,100 Mr. LEVIN. I yield myself 4 minutes. Madam Speaker, health care reform heard from local families throughout more expensive than it would have is an American family law. Repealing my community concerned about what been if Congress had done nothing, al- it would hurt families all across our this will mean to their pocketbooks most $3,200 more expensive than the Nation. Repeal would mean rescission, and from small business owners who Republican alternative we offered last taking away benefits from millions of Congress. are concerned about how they will keep Americans, giving power back to The Democrats’ health care law their doors open. health insurance. Making health care affordable re- forces millions of Americans out of the Let’s be clear: This law is working. quires that we address out-of-control health care plan they have and like. Repealing it would have real-life con- costs, such as lawsuit abuse reform. The Obama administration has pre- sequences for millions of Americans. This issue was completely and dicted that as many as 7 out of 10 em- As many as 19 million kids in our inexplicably ignored in this act. The ployers will have to change the cov- country have health problems consid- act has also created paralyzing uncer- erage they offer their employees be- ered preexisting conditions. In the past tainty and new layers of bureaucracy, cause of the Democrats’ health care it could have led health insurance com- putting new demands on businesses in law. panies to drop their coverage. This new the form of mandates and new taxes, The health care law discourages em- law changed that. One example—there forcing them to comply with yet-to-be- ployers from hiring new workers, in- are millions: One mother in my dis- written regulations that prevent them creasing wages, or retaining existing trict, Felicia Tisdale, said she has been from hiring and stalls the economic re- employees. There are over $500 billion anxious about her daughter’s health in- covery that we need so dearly. in new job-destroying taxes, many of surance since she was diagnosed with After this vote, I look forward to which hit middle class families. diabetes at age 3. Ms. Tisdale and oth- working with all of my colleagues to With all these taxes and new regula- ers like her no longer have to worry find ways of lowering the cost of health tions, it’s no wonder that major em- about their children being denied cov- care, maintaining a patient-focused ployer groups such as the National erage. system, making health care more ac- Federation of Independent Business, More than 1 million young adults are cessible to all Americans, and working the National Association of Manufac- already benefiting from the provision with families and businesses to find turers, the U.S. Chamber of Commerce, that allows them to stay on their par- quality insurance. This act failed to ac- as well as Business Roundtable and The ents’ plan until they turn 26. Just one complish such commonsense goals. In Business Council call the Democrats’ example: A constituent, Sean McCar- fact, it made matters worse. Therefore, health care law destructive and dan- thy, an auto worker, told me in a letter I will vote for its repeal, and I encour- gerous. that his two children, ages 19 and 23, age all of my colleagues to join with The health care law jeopardizes sen- could not afford to stay in college, but me on both sides of the aisle and vote iors’ health care. Again according to he was grateful that the new law at ‘‘yes.’’ the Obama administration’s own actu- least enabled them to get health insur- Mr. CAMP. Madam Speaker, I yield aries at CMS, the massive Medicare ance by joining his plan. And then seniors, millions, millions myself 41⁄2 minutes. cuts contained in the Democrats’ The Democrats’ health care law is health law could threaten seniors’ ac- have seen their out-of-pocket drug fundamentally flawed; and we will, cess to care and cause providers to stop costs go down under this new law. Nearly 3 million Medicare recipients having listened to the will of the Amer- treating Medicare patients. have received a reimbursement check ican people, vote to repeal it today. Entitlement expansion is not health in the mail in the last year relating to The problem with this law, among its care reform, and giving new powers and the doughnut hole. many faults, is it puts government at regulations to departments like HHS and letting the IRS hire up to 16,000 One gentleman who I represent, the center of health care decisions, not Harry Wimble of Warren, Michigan, doctors and patients. Instead of fami- new auditors, agents, and other em- ployees is not the same as empowering wrote to me, thankfully, that his wife lies deciding what coverage is best for received $250 that she otherwise would doctors and patients, and it isn’t the them, this law has the Secretary of not have. He said his wife paid thou- job creation America needs. Health and Human Services making sands of dollars out of pocket in 2010 that choice. Instead of families and The American people know that like a tree that’s rotten at the center, we because of the doughnut hole. employers deciding how much they can Repeal would mean releasing insur- must cut it down and put something afford, the IRS is making that deci- ance companies once again to impose new in its place. That’s what we are sion. unreasonable premium increases, to doing today, cutting the government b 1430 deny insurance to whomever they out of the waiting room, out of the doc- please whenever they please, to set an- Instead of families and employers de- tor’s office and out of your medicine nual lifetime benefit limits, to dis- ciding if they need health insurance, cabinet. criminate against women through the government is mandating they pur- Once we have done that, we will higher rates and arbitrary definitions begin tomorrow to implement step-by- chase it. of preexisting conditions. Repeal would This is all about the government. It’s step commonsense reforms that actu- mean retreat, retreat, from moving Washington knows best, and it’s wrong. ally lower the cost of health care and America ahead. By virtually every measure, this law is actually respect the doctor-patient re- We will fight that retreat. It will not a failure. The health care law fails to lationship. This House, this majority, happen. control costs. It fails to let Americans Republicans, have heard the American I reserve the balance of my time. keep the insurance they have and like. people loud and clear, and we will not Mr. CAMP. I yield 3 minutes to a dis- It fails to protect jobs and, in fact, let government dictate your health tinguished member of the Ways and hurts job creation at a time when the care coverage. We will repeal this law, Means Committee, the gentleman from unemployment rate has remained and we will continue our effort until California (Mr. HERGER). above 9 percent for 20 months. It fails Americans are again free to choose Mr. HERGER. I rise in strong support to ensure seniors have access to their their health insurance plan, to choose of this legislation to repeal doctors and hospitals, and it fails to their doctor and to choose what is best ObamaCare.

VerDate Mar 15 2010 02:39 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00036 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.069 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H293 Madam Speaker, Americans expect a It’s an obligation that some people Let’s stand up for freedom and repeal new Congress to make job creation a feel that they made to their constitu- ObamaCare. priority and get our country back on ency who elected them who thought Mr. LEVIN. I yield myself 10 seconds. the path of fiscal responsibility. Any perhaps that that’s all you had to do Almost 50 million people have no serious plan to achieve these goals was put in a bill. health insurance. For most of them, must begin with repeal of ObamaCare. But under 2 minutes, I can’t get into there is no freedom to choose. There’s Madam Speaker, I represent 10 rural this how to repeal a law; but it starts no ability to obtain it. counties in northern California with off with a vote in the House, then you It is now my privilege to yield 2 min- chronically high unemployment rates. have to get a vote in the Senate, and utes to a fighter for health care for Last year I spoke with the owner of a then you have to override a veto by the many, many decades, MR. STARK of restaurant chain based in Redding, President of the United States. California. California. He had originally planned So if this is done for political rea- Mr. STARK. I thank the gentleman to open 10 new locations this year, cre- sons, I have always been able to find for yielding. ating hundreds of new jobs. But be- some good, no matter how this thing is Madam Speaker, I rise today in cause of the higher labor costs imposed misconstrued, in letting people who strong opposition to repealing health by ObamaCare, he has decided not to follow debate know this is not going to reform. Instead of focusing on job cre- expand at all. take away the benefits that you re- ation, my friends across the aisle want At the other end of my district in ceived under the Affordable Care Act, to refight the health reform debate and California’s Capay Valley, I have heard that you will continue to receive these take away patient protections that are from a family-owned farm that delivers preliminary benefits now, and as the already helping people get the health fresh produce to residents across the years go forward and you find that care they need. State. They are facing a staggering $1.7 you’re in need of service or some one of It bears repeating: health reform is million in costs from the new health your dear ones, you would find that the already helping millions of people in care mandates. Add these to thousands bill that people were screaming had to America. These aren’t just numbers; of similar stories across the country, be repealed that we would have joined they are real people. In my commu- and it’s clear that this law will have a in recognizing that this is the political nity, I received a letter from a young devastating impact on workers and em- theater part about it, but we will be woman named Stephanie Blazin from ployers alike. forced to review the bill, improve it if Castro Valley, California. Stephanie That’s why the National Federation we can, and at the same time be able to recently graduated from college, mar- of Independent Business and the U.S. say that it’s not a Democrat bill, but ried and moved to California where her Chamber of Commerce are urging Con- the Congress in support of the Presi- husband was pursuing a graduate de- gress to vote ‘‘yes’’ on repeal. My dent of the United States saw fit after gree. She was lucky and quickly got a friends on the other side claim that all of these decades of not recognizing job. Then within her first few weeks of ObamaCare will reduce the deficit. Yet the right of our citizens to have health the job, she found she was pregnant. no one truly believes that a new tril- care to come together and have a bi- This should have been an exciting time lion-dollar government entitlement is partisan effort to provide this care. for a young couple to start a family. the solution to a deficit crisis caused Mr. CAMP. Madam Speaker, I yield 2 Instead, she learned that her preg- by reckless spending. minutes to a true American hero, a dis- nancy was a preexisting condition and As 200 respected economists wrote tinguished member of the Ways and she had obtained no coverage for any just this week, the assertion that Means Committee, the gentleman from medical needs surrounding it. She said ObamaCare is ‘‘paid for’’ is ‘‘based on Texas (Mr. SAM JOHNSON). to me, The first thought through our omitted costs, budgetary gimmicks, Mr. SAM JOHNSON of Texas. Thank minds were tainted by how we were shifted premiums from other entitle- you, Mr. Chairman. going to financially handle this preg- ments, and unsustainable spending I rise in support of freedom and free nancy and a baby. cuts and revenue increases.’’ enterprise. This is America where the Fortunately, because health reform These economists conclude that Constitution and freedom and free en- is law and she is under age 26, Steph- ObamaCare could actually increase the terprise are the hallmarks of this great anie was able to quickly change her deficit by more than $500 billion the democracy. I think one of the most health insurance to obtain coverage on first decade and by nearly $1.5 trillion compelling reasons people went to the her father’s health insurance. She now the following decade. ballot box last fall and cast their vote has full coverage for her pregnancy. was they felt angry that those in power Under the Republicans’ plan, Steph- 1440 b were disregarding personal liberties anie would be stuck with NoCare. Madam Speaker, Republicans are and trampling the U.S. Constitution. That’s the Republican plan. By repeal- committed to advancing genuine re- As you know, under ObamaCare the ing health reform, the GOP plan would forms that reduce the cost of health Federal Government forces freedom- provide no protections for people’s care, but we must begin by doing away loving Americans to hand over their health, NoCare if you lose your job, with this bad law that moves our hard-earned money for a mandatory NoCare if you have a preexisting condi- health care system in the wrong direc- product, in this case health insurance. tion, NoCare if you are a senior in the tion. That’s just not how it should be done doughnut hole, NoCare if your insurer Vote ‘‘yes’’ on repeal. in a democracy. In a democracy, you hikes your premiums and you can’t af- Mr. LEVIN. I now yield 2 minutes to have the freedom to choose if you want ford it. the very distinguished gentleman from to buy something. In a democracy, you The Affordable Care Act has finally New York (Mr. RANGEL). have the freedom to choose if you want enacted fair rules for insurance compa- Mr. RANGEL. Thank you so much. I to purchase health insurance. In a de- nies. The Republicans want to take wish when the dust settles and we have mocracy, you have the freedom to those protections away and put the in- an opportunity to sit together with our choose just to say no. surance industry back in charge. Republican friends that we can come This vote is about freedom and free I urge my colleagues to vote ‘‘no’’ on up with a reform called ‘‘truth in ad- enterprise and what’s best for the fu- the Republican NoCare bill. vertising’’ as we label these bills. ture of America. As a constitutional Mr. CAMP. I yield 2 minutes to a dis- What was a national bill and has conservative, I say vote for freedom tinguished member of the Ways and been signed into law now is being re- and repeal ObamaCare. Means Committee, the gentleman from ferred to as the ‘‘Democrat ObamaCare I will close with some words from Texas (Mr. BRADY). job-killing threat to your natural life’’ Patrick Henry: ‘‘The Constitution is Mr. BRADY of Texas. Mr. Speaker, to bill. And of course this is misleading not an instrument for the government those middle class Americans listening perhaps to a lot of new Members be- to restrain the people. It is an instru- to the debate today, let me speak to cause they should know, as the lis- ment for the people to restrain the gov- you. This is your life. This is your teners to this debate should know, that ernment—lest it come to dominate our health. You deserve the right to make this ain’t repealing nothing. lives and our interests.’’ your own decisions about your health

VerDate Mar 15 2010 02:39 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00037 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.076 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H294 CONGRESSIONAL RECORD — HOUSE January 19, 2011 care rather than being forced into some have waited for 16 years for my cold Madam Speaker, the American peo- government-run plan that is centered and timid friends to make one proposal ple have read the bill, and they have around what Washington needs and not that will deal with the preexisting con- rejected it. Today the House will repeal what you need. dition question. We have 125 million ObamaCare, and we will ensure that Thanks to the last Congress, this is Americans who cannot go out and get this renaissance of socialism in Amer- your new health care plan. We had our insurance, who cannot leave their job if ica is the shortest living political era staff spend 4 months, weekends and they have insurance through their job in our Nation’s history. evenings, going through all 2,801 pages because they have a preexisting condi- Mr. LEVIN. Madam Speaker, I yield of that bill, and we just said, tell us tion, and you have been silent for 16 myself 10 seconds. how it works. And this is the answer. years. Now you want to come up and I am disappointed that this diatribe We couldn’t even fit the whole bill on throw this away. about socialism comes to the floor one page. This is one-third of all the Why don’t we just settle down and we today. new bureaucracies. At the bottom line, can make some amendments to this Madam Speaker, I yield now for a 159 new Federal Government agencies, bill. I think there are some things unanimous consent request to the gen- commissions and bureaucracies in be- wrong with it. There is a lot of stuff tleman from California (Mr. BACA). tween you and your doctor. that I didn’t get into it when it came (Mr. BACA asked and was given per- Now, is this the health care reform through this House. I am sure that mission to revise and extend his re- you were hoping for? If ObamaCare is there are some things that you would marks.) so great for families, why are health like. But throwing it away is a polit- Mr. BACA. Madam Speaker, I oppose care costs going up and going to go up ical farce. You know it isn’t going to this repeal of the health bill that is even higher? If it’s so great for small work. You have admitted it isn’t going good for my district. businesses, why are they here today in to work. It is never going to pass, and Madam Speaker, right now, Democrats and Washington pleading for us to stop it? so we go through. Republicans should be coming together to cre- And if it’s so great for seniors, why Let’s get the vote out of the way. ate new jobs, help struggling middle class have so many been forced out of their Vote ‘‘no.’’ families, and reduce the deficit. But instead of Medicare Advantage plan? They can’t ANNOUNCEMENT BY THE SPEAKER PRO TEMPORE dealing with the problems of today, our Re- even see a local doctor anymore be- The SPEAKER pro tempore. All publican friends want to turn back the clock. cause so many local doctors can’t see Members are advised to address their Now is the time for job creation, not job elimi- them. They can’t afford to cover Medi- remarks to the Chair. nation. care senior patients. Mr. CAMP. I yield 2 minutes to the We have heard some say that health reform Health care is too important to get gentleman from California (Mr. will bankrupt our Nation. But we know that is wrong, and ObamaCare got it wrong. NUNES), a distinguished member of the not true. In fact the Congressional Budget Of- American families, our seniors and our Ways and Means Committee. fice has confirmed that health reform lowers businesses deserve better; and the right Mr. NUNES. Madam Speaker, at the deficit by over $1 trillion. place to start is to start over. Repeal enormous cost and in the face of tre- We have heard some say that the business ObamaCare and let’s come back with mendous opposition across the coun- community cannot afford health care reform. some commonsense reforms America try, the previous majority in Congress But we know that repealing reform actually in- can embrace. forced on the American people a great creases taxes on America’s small businesses, Mr. LEVIN. It is now my privilege to socialist experiment in government by eliminating health care tax credits. yield 2 minutes to another long-time health care. No area of the American Repealing the health care reform law fighter for health care for Americans, health care system was left untouched means: Mr. MCDERMOTT of Washington. by ObamaCare. Discrimination against individuals with pre- (Mr. MCDERMOTT asked and was In the name of reform, the Democrat existing conditions—jeopardizing coverage for given permission to revise and extend majority expanded a broken govern- up to 305 thousand individuals in my District; his remarks.) ment program, Medicaid. They cut Gender discrimination that allows insurance Mr. MCDERMOTT. Madam Speaker, funding from what is already the Na- companies to charge women higher premiums a very famous Republican 100 years ago tion’s largest unfunded liability, Medi- than men for the same coverage; and proposed that we have national health care. And then, basking in their glory, Higher prescription drug costs for seniors on insurance in this country. And he also they added a whole new entitlement Medicare—including over 5 thousand seniors said this—his name was Teddy Roo- program to our catastrophic national in my District who will be thrown back into the sevelt by the way—‘‘It’s not the critic debt. ‘‘Donut Hole.’’ who counts; not the man who points The American people were never told Hospitals in my District are already busting out how the strong man or woman the truth. They were promised health at the seams. They can’t afford the $146 mil- stumbles, or where the doer of deeds care choices but saw them taken away. lion in uncompensated care costs that repeal could have done them better. They were promised they would save would bring. ‘‘The credit belongs to the man or money but saw their health care get I refuse to go back home and tell parents in the woman who is actually in the more expensive. The most in need were my District that 56 thousand of their children arena, whose face is marred by dust promised access to health care through will no longer be able to find insurance be- and sweat and blood; who strives val- Medicaid, a program that is not only cause of pre-existing health conditions. iantly; who errs, who comes up short bankrupting the Federal Government We must continue to move forward and again and again, because there is no ef- but the State governments as well. focus on job creation. Now is not the time to fort without error and shortcoming; Madam Speaker, the clock was unfor- return to the failed policies of the past. but who does actually strive to do the tunately turned back last year. Failed Let’s stand with American families and say deeds; who knows the great enthu- socialist policies reemerged from the ‘‘no’’ to more insurance company control; ‘‘no’’ siasms, the great devotions; who dust bin of history, and it was a dark to increasing the deficit; and ‘‘no’’ to all efforts spends himself in a worthy cause; who chapter for our Nation. Instead of im- to repeal health reform. at the best knows in the end the tri- proving the lives of all Americans by Mr. LEVIN. I yield for a unanimous umph of achievement, and who at the fixing our broken health care system, consent request to the gentleman from worst, if he fails, at least fails while starting with Medicare and Medicaid, Arizona (Mr. PASTOR). daring greatly, so that his place shall the Democratic majority subjected the (Mr. PASTOR of Arizona asked and never be with those cold and timid American people to class warfare, anti- was given permission to revise and ex- souls who neither know victory nor de- capitalist hate speech and vitriolic tend his remarks.) feat.’’ rhetoric. Bathed in excesses of power, Mr. PASTOR of Arizona. I thank the they passed a bill that, by their own gentleman for yielding. b 1450 admission, they hadn’t read, and then Madam Speaker, I rise today in opposition Now, I have been here for 23 years, lectured the American people claiming of H.R. 2 and I am disappointed that the and since the Republicans defeated the that we have to pass the bill first so we House has acted to repeal the landmark efforts of the Clintons in 1993–1994, I can find out what was in it. health reform legislation we passed last year.

VerDate Mar 15 2010 02:39 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00038 Fmt 0636 Sfmt 9920 E:\CR\FM\K19JA7.078 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H295 This act represents a huge step backwards in constituents in central Ohio opposed This bill that is proposed by our ensuring that everyone has access to afford- the 2,000-page bill that became law, and friends on the other side would get rid able health care. This bill flies in the face of are just beginning to find out what’s in of a lifetime cap on out-of-pocket ex- the idea that health care is a right and that ev- it. Sure, they knew about some of the penses. Why is that important? I dare eryone deserves access to care. good things like dealing with pre- them to challenge the following sta- The repeal of the Patient Protection and Af- existing conditions, which most of us tistic: Half the bankruptcies in Amer- fordable Care Act (P.L. 111–142) and the on this side of the aisle support doing ica are health care related. People lose health provisions in the Health Care and Edu- something with as well. But they their jobs. They lose their homes. They cation Reconciliation Act (P.L. 111–152) will didn’t know about the medicine cabi- lose everything because they get sick. have a major impact on the people in my dis- net tax, for instance. That’s right, I hope we oppose this repeal measure trict. Without maintaining the strong protec- flexible savings account changes. No or at least until we hear a replace pro- tions enacted under these laws, hundreds of more over-the-counter medicines for posal. thousands of people in the 4th district, includ- moms who are buying that infant Mr. CAMP. Madam Speaker, I yield 2 ing 60,000 children, could be denied coverage Motrin for their babies. And next year, minutes to a distinguished member of because of a preexisting condition. Addition- a cap of $2,500 for that flexible savings the Ways and Means Committee, the ally, nearly 5,000 seniors on Medicare will account. They didn’t know about the gentleman from Kentucky (Mr. DAVIS). face immediate increases in the cost of their health savings account withdrawal tax Mr. DAVIS of Kentucky. Madam medication, while an additional 58,000 will be that will impact many Americans Speaker, the Democrats’ health care forced to pay out of pocket for preventive across our country. law has only been in place for 10 screenings for conditions such as breast and A majority of my constituents want months. Yet the problems and negative colon cancer. And with our economy strug- a patient-centered approach, not a gov- effects are already painfully clear and gling to get back on track, repealing health ernment-centered approach; an ap- well documented. The American people care will deny hundreds of small businesses proach where doctors and nurses are at stood against it when it was forced and thousands of families in my district crucial the center of the process, not govern- through Congress last year, and they tax credits to help offset the cost of coverage. ment bureaucrats in Washington, D.C. took out their frustrations on this bill I have long supported the idea that health In addition, Madam Speaker, a third at the ballot box, in November, with a care is a right, not a privilege. It is with that of my seniors who are on Medicare Ad- mandate to repeal it. in mind that I strongly oppose this misguided vantage like the health care they have. This government takeover of our action. Apparently, they won’t be able to keep health care system will not improve Mr. LEVIN. Madam Speaker, it is it under this provision of the law. access to health care or lower costs for now my privilege to yield 2 minutes to So, today we have an opportunity, families and small businesses. It is just the gentleman from Georgia (Mr. and the debate is over whether we not in the math if we use the same change what we have, repeal it and re- LEWIS), another fighter for what mat- math that is used by the rest of the ters to Americans. place it with something better, some- country. Mr. LEWIS of Georgia. I want to thing that is patient centered and pa- Since this law was passed, premiums thank the gentleman from Michigan tient focused. have increased again, putting more Mr. LEVIN. I yield 2 minutes to the for yielding me this time. families in the difficult position of gentleman from Massachusetts (Mr. Madam Speaker, it is unbelievable choosing between keeping their health NEAL), a member of our committee. that with so many people out of work insurance, paying their heating bills, Mr. NEAL. During the course of the and millions of people uninsured that or putting food on their tables. campaign, we heard that this was going the first item of this new Congress is to In addition to failing to achieve any to be repeal and replace. What we have take health care away from people who key goals of health care reform, this in front of us is simply repeal, because just got coverage. More people have in- law imposes new taxes, penalties, fees, there has never been a credible alter- surance today because of the Afford- and paperwork burdens on small busi- native offered for replace. able Care Act; more small businesses This legislation is modeled after a nesses that drive our economy. The Na- are offering health insurance to their modest, market-driven proposal offered tional Federation of Independent Busi- workers. For the first time in the his- by that left-winger, Mitt Romney; that ness has found the employer mandate tory of our Nation, we are headed in left-wing advocate, Bob Dole; and, yes, alone will cost 1.6 million jobs, with the right direction. We are making that champion of liberal causes, Rich- about half of those lost by small busi- health care a right and not a privilege. ard Nixon. nesses. The repeal will force seniors to pay Face it. ObamaCare massively in- for more drugs. It would kick young b 1500 creases taxes. It massively cuts senior people off of their parents’ insurance. This is an amalgamation of a series benefits. It creates over 100 new agen- We will go back to a time when insur- of proposals offered over many years. cies, commissions, and boards, and that ance companies were allowed to dis- But what do we hear? The usual scare will massively increase costs. Over 100 criminate. And once again it will allow tactics: ‘‘ObamaCare’’—16 years ago, it new agencies mean more Federal em- insurance companies to put profits was ‘‘ClintonCare’’—‘‘government ployees, more tax dollars required, above patients’ health. takeover,’’ ‘‘socialism,’’ and the best more complications in access to health We must not turn back. We have one of all, ‘‘death panels.’’ care, and it brings the IRS into your come too far. We cannot go back. The People wonder why the language here private health care decisions for the American people are counting on us to is so charged, why it is so incendiary. first time—without addressing the key do what is right, what is just, what is It is because of the lexicon it has cho- drivers of health care costs. Adding fair. We made a promise of health care sen for the purpose of scaring the more taxes and regulations on job cre- to the American people. We must keep American people. As President Bush ators will only serve to prolong the that promise. Vote ‘‘no.’’ Keep the said, If you need health care, go to the economic problems and high unemploy- promise of health care for all of our emergency room. ment rates we are experiencing. citizens. Remember what this proposal does: This is too big of a burden for our Mr. CAMP. Madam Speaker, I yield 2 It removes 57 million people with pre- economy to wait. We need to start over minutes to the gentleman from Ohio existing conditions from insurance. It by repealing this bad law now and by (Mr. TIBERI), a distinguished member eliminates provisions for 2.4 million beginning the process of producing of the Ways and Means Committee. young adults to maintain health care commonsense reforms and fiscally re- Mr. TIBERI. Madam Speaker, I rise on their parents’ coverage until they sponsible solutions. We can reform in favor of this bill to repeal the gov- are 26. This bill would allow a return to health care in a way that improves ernment health care law that was discrimination toward a woman based quality, reduces costs, and increases passed in 2009. This issue was front and on higher premiums if she has had access, all without burdening our econ- center of my campaign, as I am sure it breast cancer or perhaps even if she has omy or increasing the debt that will be was in many of the campaigns of the been a victim of domestic violence or owed by our children and grand- people in this body today. Most of my had a child. children.

VerDate Mar 15 2010 04:58 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00039 Fmt 0636 Sfmt 0634 E:\CR\FM\A19JA7.007 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H296 CONGRESSIONAL RECORD — HOUSE January 19, 2011 As a member of the Ways and Means the overhaul would make health care b 1510 Committee, I look forward to following more affordable. Two, they were told Now all of a sudden there is the dis- through on our promise to replace the that this would make health care more regard we heard for a proposal signed current law with proposals that actu- efficient. Three, they were told that into law by Republican Governor Mitt ally accomplish these goals of reform- they could keep their health care if Romney. ing Washington, bringing private mar- they liked it. Instead of repealing reform, we ket reforms, reducing costs, and deal- The American people deserve to hear should be focusing on strengthening it. ing with defensive medicine through the truth, and the American people de- Americans deserve a serious debate real debate, real hearings, real mark- serve better. It is their health. It is about a serious subject, hard work to ups, and bipartisan input. their life. Here is the truth: Over $500 make reform work, not a ritual of As an original cosponsor of H.R. 2, I million worth of taxes on small busi- going through the motions of repeal urge all of my colleagues to join me in nesses and American families across which everybody in this Chamber supporting this repeal. this country and $500 billion cut from knows will still be in effect at the end Mr. LEVIN. Madam Speaker, I yield 2 Medicare. of debate, at the end of the year, at the minutes to another distinguished mem- Here are some examples: a 2.3 percent end of the Congress. The American peo- ber of our committee, the gentleman tax on medical devices, wheelchairs, ple deserve better. from California (Mr. THOMPSON). and walkers; a 3.8 percent tax on em- Mr. CAMP. Madam Speaker, I yield 2 Mr. THOMPSON of California. ployers; an additional tax penalty on minutes to a distinguished member of Madam Speaker, I rise in opposition to employers who don’t provide a certain the Ways and Means Committee, the the repeal of the Patients’ Bill of amount of health care for their work- gentleman from Louisiana, Dr. Rights. ers; a 40 percent tax on so-called ‘‘Cad- BOUSTANY. As Congress debates this legislation illac’’ health care plans—and govern- Mr. BOUSTANY. Madam Speaker, I to repeal the historic health care re- ment paperwork bureaucracy. rise in favor of repeal of this bill be- form law, it is important that our con- There is a requirement that you fill cause it’s going to fail on cost, it’s stituents know what working families, out a 1099 form for employees, requir- going to fail on coverage, and it’s going small businesses, and seniors stand to ing the hiring of 16,000 IRS workers. to fail on quality. First, cost. Premiums are going up. lose. Who is going to pay for that? Repealing the health care reform law Remember this promise President In fact, they’re going up even higher would remove new protections for 57 Obama made and others made: You can and at a faster rate than they would have if we had done nothing in many million Americans with preexisting keep your health care if you like it? cases. conditions. That includes over 8,000 President Obama himself said, Well, With regard to the deficit, there are children in my district. It will end the there might have been some language a number of gimmicks in this bill: dou- chance for 2.5 million young adults to snuck into this bill that runs contrary ble counting, excluding the doc fix, cre- remain on their parents’ plans until to that promise. ating new entitlements, such as the they are 26 years of age. In my district, Madam Speaker, the American peo- CLASS Act, which is a Ponzi scheme. over 4,000 young people will lose this ple deserve better. The American peo- And, finally, it does not account for coverage. It will increase prescription ple deserve the truth. It is their health the discretionary spending for this drug costs for more than 10,000 seniors and it is their life. massive increase in the bureaucracy in my district who hit the Medicare Mr. LEVIN. I yield myself 5 seconds. that’s going to be created. Taxes are The truth is we moved to repeal 1099. part D doughnut hole. These seniors going to go up on innovation, espe- will pay another $500 this year and, be- It was opposed by the now majority. cially medical innovation. tween now and 2020, another $3,000. Madam Speaker, I now yield 2 min- On coverage. What kind of coverage Some 16,000 small businesses in my dis- utes to the very distinguished gen- are we expanding? Medicaid coverage. trict alone will pay higher taxes. tleman from Oregon (Mr. That’s a ticket to the emergency room. Repeal will increase the deficit by BLUMENAUER), a member of our com- It doesn’t lead to a good doctor-patient $230 billion over the next 10 years and mittee. relationship, and it’s ultimately the more than $1.2 trillion over the fol- Mr. BLUMENAUER. I thank the gen- most expensive and inefficient way to lowing decade. Repeal will shorten the tleman. provide health care. And those costs life of the Medicare program by 12 People deserve a serious debate on a are going to be passed on to the States. years, putting Medicare benefits and serious subject. Unfortunately, while And on quality. Let me relate an in- the seniors who depend on it at great serious in tone, what we are hearing stance from my own medical practice risk. from my colleagues is not serious in as a cardiovascular surgeon. I was once So when you consider these facts, it content. I have listened to people come called to see a patient who was 101 is clear that repealing the health care to the floor repeatedly, talking about a years old. He had carotid artery block- reform law is bad for families, bad for government takeover of health care, age and was getting ready to have a small businesses, and bad for seniors in which was judged by Politifax to be the stroke. He had imminent symptoms. I my district and across our great coun- political lie of the year for 2010. was skeptical. I went to see the guy. try. I urge a ‘‘no’’ vote. Indeed, we instead built upon the This fellow was vigorous, strong hand- Mr. CAMP. Madam Speaker, I yield 2 current system that is a balance to shake, lived by himself, independent, minutes to a distinguished member of meet the needs of the American people. worked in his own yard, took care of the Ways and Means Committee, the We had another serious element that himself without any help, and so I gentleman from Washington (Mr. has crept into the approach from my chose to do the carotid operation on REICHERT). Republican friends—the disregard of him. Thankfully, it was successful, and Mr. REICHERT. I thank the gen- Congress’ nonpartisan budget referee. it gave him 6 more years of a high- tleman for yielding. It is reckless and unprecedented. It has quality life as a result of this. He died Madam Speaker, I am here today to never happened in 34 years. These are from some unrelated cause later. But say that I am going to vote ‘‘yes’’ to the people who provide impartial infor- in the absence of that, he would have repeal this health care bill because I mation, which is being imagined away had a stroke. He would have been in think the American people deserve bet- by our friends on the other side of the rehab, in a nursing home, acute care, ter. aisle. lots of expense, no quality to his life. There were promises made in this Yes, it will require Congress to follow Madam Speaker, there is an art and a bill—promises, promises, promises. through on the legislation to realize science to medicine, and the art in- There were promises made and, unfor- the savings, but the answer is not to volves the doctor-patient relationship. tunately, promises that were broken. turn our backs on reform; it is to make It’s built on mutual trust and under- Think back to last year. Think back to reform work. The current bill builds on standing, knowledge of the patient, what the American people were prom- the current system. It incorporates ele- trust on both the patient and the doc- ised in this bill. Three promises come ments of reform that have been sup- tor’s part to do what’s in the best in- to mind: One, Americans were told that ported on a bipartisan basis for years. terest of the patient. But not only

VerDate Mar 15 2010 02:44 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00040 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.088 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H297 that; the doctor-patient relationship is is there something in particular that Mr. LEVIN. I yield the gentleman an where costs are incurred and quality he was most concerned about in this additional 10 seconds. occurs. This gentleman would not have bill? He said, Yeah. A couple of years Mr. PASCRELL. That means that the had the quality of life if he had not had ago my younger brother needed a kid- people of Texas pay, the people of New this operation and if this law had been ney so I donated him one of mine. Be- Jersey pay, the people of California in existence, which would have delayed cause I did, even though I am perfectly pay. In essence, everyone pays for or prohibited such treatment. healthy today, every insurance com- those who don’t have insurance. Let’s Mr. LEVIN. Could I ask you, Madam pany I’ve contacted is treating me as if get straight on this. We can’t afford Speaker, how much time there is re- I have a preexisting condition and they this, and we must reject repeal. maining on each side of the Ways and will not insure me. Mr. CAMP. Madam Speaker, I yield 2 Means Committee. We can do better than that. That is minutes to a distinguished member of The SPEAKER pro tempore. The gen- what the Affordable Care Act is all the Ways and Means Committee, the tleman from Michigan (Mr. LEVIN) has about, to address these injustices. I en- gentleman from Nevada (Mr. HELLER). 281⁄4 minutes remaining. The gentleman courage my colleagues to vote ‘‘no’’ on b 1520 from Michigan (Mr. CAMP) has 241⁄2 repeal. Mr. CAMP. Madam Speaker, I reserve Mr. HELLER. I thank the gentleman minutes remaining. for yielding. Mr. LEVIN. Madam Speaker, I yield the balance of my time. Mr. LEVIN. Madam Speaker, it is my I rise in support of H.R. 2. myself 10 seconds. Last year the previous Speaker of the What the reform did was to make pleasure to yield 2 minutes to the dis- tinguished gentleman from New Jer- House told Members that we needed to sure that the doctor-patient relation- pass the health care bill so that we ship was maintained and that there sey, a joyful member of our committee, Mr. PASCRELL. could find out what was in it. Now would be millions more patients in the Members and the American people United States of America. Mr. PASCRELL. I thank the gen- tleman for yielding. have had the opportunity to read it, I now yield 2 minutes to another dis- and they don’t like it. What they have tinguished member of the Ways and There is not one Member of Congress in these distinguished Halls that has found includes a $1.2 trillion price tag Means Committee, the gentleman from not been called upon to help a con- and more than 100 new Federal pro- Wisconsin (Mr. KIND). stituent who has been threatened to grams and onerous mandates that re- (Mr. KIND asked and was given per- flect how out of touch the previous ma- mission to revise and extend his re- have their insurance taken away from them. Whether it was heart disease, jority was with the American people. marks.) whether it was cancer, asthma, high This Congress will reject these poli- Mr. KIND. I thank the gentleman for cies, replace them with market-based yielding me this time. blood pressure—I’ve been through many of them. And isn’t it interesting reforms that will provide greater ac- Madam Speaker, shortly after pas- cess and affordability of health care. sage of the Affordable Care Act, a that when the congressional office in- tervenes, they give things a second Repealing the bill would help more Ne- young mother in my congressional dis- vada employers and their workers keep trict, Beth Ferstl, wrote me a letter, thought. It should not be that way. Who are the 2,000 economists we’re the insurance that they currently and she wrote it on behalf of her 13- talking about that are wondering enjoy. An estimated half of all employ- month-old son Henry. In it she wrote: about this health care act? Are they ers and 80 percent of small businesses ‘‘My son had a stroke before he was the same ones who predicted enormous will be forced to give up their coverage even born. He wanted to personally increases in the economy of the United under current law, which I find unac- thank you for passing this historic States in the last 10 years? Oh, those 10 ceptable. health care bill, but he’s only 13 years we wish to forget, we have amne- Uncertainty in the business commu- months old; and between juggling neu- sia. nity means fewer jobs created. In my rologists, OT, PT and speech therapy, Whether it be in town halls or small home State, where unemployment per- he hasn’t found the time. Let me be his groups, when I have asked individuals sists at more than 14 percent, it also voice. As a voter, as your constituent, to raise their hands if they were means thousands of Nevadans continue as a mother, thank you.’’ against closing the Medicare doughnut depending on unemployment benefits I contacted Beth to find out what her hole, allowing children to stay on a when what they want is a decent job to family’s situation was in this par- family’s health plan until 26, ensuring provide for their families. ticular case. She told me that because Americans are not denied insurance for Furthermore, we must act to prevent little Henry had a stroke before he was preexisting conditions, no one raises last year’s bill from further impacting born, literally by the time he took his their hand. In the last debate I had, the pocketbooks of hardworking Amer- first breath in life, he was uninsurable Madam Speaker, just before the elec- icans who are already struggling. Re- because he had a preexisting condition. tion, my opponent didn’t raise his hand pealing this bill will protect Nevadans Now, I’ve been to Iraq four times, and I went through 18 of these very spe- from predictable health care premium I’ve been to Afghanistan twice, I’ve cific parts of the health care legisla- increases of at least $2,100, block a $570 met with our troops in the field. I tion. billion tax increase on all Americans, thought I met the bravest people in the In my district alone, repeal will in- and keep Nevada’s seniors in their cur- whole world, our men and women in crease the number of uninsured by rent Medicare Advantage plan while uniform who are laying their lives on 66,000. I can’t vote for this repeal. I preventing higher prescription drug the line every day for us to better se- can’t let them down or their insurance prices. cure and make safe our Nation. But if will go up. Madam Speaker, this Congress is in my Republican colleagues can move How about the business person? Sixty the business of cutting red tape, not forward on this repeal today and look percent of businesses who go into bank- creating it. I strongly support passage into the eyes of little Henry Ferstl and ruptcy it’s because of the health care of H.R. 2. I look forward to working not only say to him, not only do we bills they can’t afford. I can’t let them with my colleagues to pass meaningful have the ability to do something to down either. legislation that will promote better, help you but chose not to, but today we Before I conclude, I want to make more affordable medical care. choose to take it away from you, then this point, Madam Speaker: last Octo- Mr. LEVIN. It is my pleasure to yield you guys have got to be the bravest ber, Federal Judge Steeh found the 2 minutes to a valued member of our people in the world because I can’t do mandate constitutional because by for- committee, the gentlewoman from Ne- that. No one should be able to do that going insurance, individuals are mak- vada (Ms. BERKLEY). to the 20 million children that have ing an economic decision to pay for Ms. BERKLEY. I thank the chairman preexisting conditions throughout this their health care costs later out of for yielding. country that this bill fixed. pocket. That’s how we get stuck with Madam Speaker, I rise in strong op- A young man, 21 years old, in Black the bill. We need to end this. position to this legislative stunt to re- River Falls came up to me after the The SPEAKER pro tempore. The peal health care reform, and I’m going vote and thanked me. I asked him why, time of the gentleman has expired. to tell you why.

VerDate Mar 15 2010 02:44 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00041 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.092 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H298 CONGRESSIONAL RECORD — HOUSE January 19, 2011 There are 600,000 of my fellow Nevad- Means Committee and deputy whip, the bill has done for their lives. I’m not ans who have no health insurance. This gentleman from Illinois (Mr. ROSKAM). going to go back and tell them today doesn’t mean that they don’t get sick. Mr. ROSKAM. I thank the gentleman that that’s all undone. It means that they wait until they’re for yielding. And despite what you may say on the very sick and then they go to the emer- You know, the past year we have had other side of the aisle, if this bill be- gency rooms to get care. Every hos- an incredible national conversation comes law, 3 million people in this pital in southern Nevada is operating about this issue, health care, and it has country who have received checks for in the red. Why is that? Because the been robust and dynamic, and it has $250 will have to pay that money back. cost of providing health care to the un- brought about a sense of clarity. You There is no alternative. You can say insured in emergency rooms is astro- know, oftentimes we tell people, look, what you want. But as this law is writ- nomical. if you want to participate, participate ten, that’s exactly what will happen. But there’s more. If we repeal this in the ballot box. Make your voice For the 20 million children who now bill, we will be eliminating the pre- heard. And I really don’t think there’s have insurance, who’s going to pay the existing condition ban. If you have a any arguing that last November people costs for what they have incurred so preexisting condition, which at least made their voices heard, and they said far? Are their parents going to pay it? 129,000 people in my congressional dis- with real clarity that they want this Are they responsible for it? trict have, you will not be able to get bill repealed and they want it replaced Republicans are not offering a single any insurance at all. with something that brings health care solution to this problem. They can’t If we repeal this bill, all of those 20- costs down and deals with preexisting even tell you what their secret plan is. somethings who are living at home and conditions. It’s part of the Harry Houdini health because of the economy they can’t find Employers in my home State, Madam care strategy—now you have health a job, they’re not going to be able to Speaker, just got hit hard with the new care, now you don’t. Our constituents stay on their parents’ health care plan. tax increase that got jammed through deserve better. That’s 26,000 people in my congres- by the Illinois General Assembly. Sev- But don’t just take my word for it. sional district, including my two chil- enty-four percent of employers in the Independent sources have confirmed dren. Midwest have recently, in surveys, said the danger that repeal will cause to our The health care reform bill elimi- that this bill that we’re talking about country—stopping job creation, explod- nates lifetime caps. Ask Jazelle Scott, repealing would have an adverse im- ing the deficit, and even shortening the age 8, or Michael Braun, age 5. They pact on their hiring decisions. life of the Medicare trust fund by 12 both have juvenile diabetes and they Now, it’s with no sense of irony that years. both have already exceeded their life- now-Minority Leader NANCY PELOSI, This bill is clearly wrong for our time caps. Better yet, why don’t you when she was Speaker, said that we economy and it’s clearly wrong for our ask their mothers how they’re going to have to pass the bill so that you can country. We cannot go backwards, no be able to afford the lifesaving medica- see what’s in it. Well, she did, and we way, no how, not now, not ever. tion for their children if this bill is re- do. And the American public does. And Mr. CAMP. I yield 11⁄2 minutes to a pealed. the American public said, Enough. And what should we tell our seniors, distinguished member of the Ways and They understand that what has to hap- the millions that fall into the dough- Means Committee, the gentleman from pen is that businesses have to be able nut hole that this law starts to close? Pennsylvania (Mr. GERLACH). We changed our minds? And who’s to thrive and to hire and to grow and Mr. GERLACH. I thank the gen- going to ask the 8,900 seniors in my dis- be dynamic. tleman. If we repeal this and replace this trict who received the $250 check last Madam Speaker, it’s been almost 1 year to help with the high cost of their with the type of thoughtful health care year since many of us here in the medications to return the check? I’m initiative that is going to be forth- House offered a sobering prognosis not going to do that. Or the discount coming, I think we will do a world of about the devastating side effects the that they’re going to be receiving this service to everybody that we’re trying massive $2.4 trillion health care plan year on prescription medication, it’s to help, and that is to change this would have on our small businesses, not going to be available? I’m not economy so that people want to hire our seniors, and our families. going to do that to them. And are we again. Last year many warned that con- going to take away the preventative Mr. LEVIN. I yield 2 minutes to an- cocting a scheme centered on expensive health care benefits that will help other distinguished member of the government mandates, $500 billion in 90,000 seniors in my congressional dis- Ways and Means Committee, the gen- new taxes, and bigger bureaucracy trict alone? I won’t do that. tleman from New York (Mr. CROWLEY). would weaken our economy and is sim- And what about the 16,000 small busi- Mr. CROWLEY. I thank my friend ply the wrong prescription for bringing nesses who will now be eligible for from Michigan for yielding the time. about meaningful change to a health health care tax credits? We’re saying Madam Speaker, today we consider care system that truly needs a strong small businesses don’t want that? I the first major piece of legislation of dose of reform. the 112th Congress—the first. know at least one. Thousands more b 1530 have contacted my office. Ron Nolson Does this legislation create one job? has a small family business. He also Not one single job will be created by Well, that prognosis has turned out wants to be able to provide health care this legislation. In fact, if this bill were to be painfully accurate. Small busi- insurance for his employees. to become law, over 4 million jobs that ness owners are furious over the ever- The SPEAKER pro tempore. The will be created over the next 10 years increasing insurance premiums that time of the gentlewoman has expired. will not come to fruition. continue to this day, and the 1099 man- Mr. LEVIN. I yield the gentlewoman Does this bill reduce the deficit? This date, which requires them to send a an additional 15 seconds. bill does not reduce the deficit by one slip of paper to the IRS for every busi- Ms. BERKLEY. Finally, for those penny. In fact, if it became law, it ness transaction of $600 or more. A new who are truly concerned about the def- would increase the deficit by $230 bil- 2.3 percent tax on innovators in our icit, the CBO, the nonpartisan arm of lion. thriving medical device industry is Congress, explicitly stated that repeal Does it strengthen our middle class? also choking off investment and hurt- will cost $260 billion over 10 years. It No, this bill will not strengthen our ing job growth. And that’s jeopardizing appears that those who shout the loud- middle class. It will devastate the lives approximately 20,000 jobs in Pennsyl- est about the deficit want to add to it. of millions of Americans who are fi- vania alone. Let’s fix what needs fixing, and let’s nally free from the fear that they or And all the enactments, tax hikes, not repeal this lifesaving, life-enhanc- their children will not have health in- and mandates could put an estimated ing legislation. And we need to do the surance. 700,000 Americans out of work at a time doctors fix, too. I’ve heard from so many throughout when unemployment hovers at 10 per- Mr. CAMP. I yield 2 minutes to a dis- my constituency and throughout this cent. Let there be no mistake: Reform tinguished member of the Ways and country of the importance of what this is needed. But not big government,

VerDate Mar 15 2010 02:44 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00042 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.095 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H299 high tax solutions. No, we need com- so often struggle to keep their kids Odette told us that she wanted to at- monsense ideas, ideas that would lower covered.’’ tract the best talent, and she wanted to costs by creating more competition In a similar vein, Alexander Lataille, have health insurance for them in among insurance companies, allowing a new graduate, struggling to find order to do that. greater freedom of choice for con- work in this economy even though he We next heard from Claudette sumers to buy insurance across State has two degrees, one in atmospheric Therriault. She and her husband, Rich- lines, and eliminating lawsuit abuses science and one in social science—he ard, are seniors on Medicare. Richard is that drive up costs by as much as $150 wants to be a meteorologist—said that a diabetic, and his insulin alone costs billion every year. if he lost his ability to stay on his par- $1,000 a month. When Claudette and We have the opportunity, starting ents’ insurance plan until age 26, he Richard fell into the doughnut hole, with a ‘‘yes’’ vote today, to begin would be faced with a choice, ‘‘either she said, ‘‘We had to choose between working on true reforms that will to pay my student loans or to get defaulting on our loan for our home or lower costs and increase affordability health insurance.’’ He actually said, ‘‘I my husband’s health. Well, we chose and accessibility of health insurance. would have little choice in the matter. my husband’s health,’’ she said. ‘‘But So let’s start that process with the I would need to pay down my college changes made are starting to end the right reforms today, together. loans first and go uninsured.’’ doughnut hole, so families like ours Mr. LEVIN. It is my special privilege Repeal, as being suggested by our Re- aren’t forced to choose between staying to yield 1 minute to our very distin- publican colleagues, would mean that healthy and paying the mortgage.’’ guished leader, the gentlewoman from over 1.2 million young Americans like Repeal would mean that over 2.7 mil- the State of California (Ms. PELOSI). Lori’s son and Alexander would lose lion Medicare beneficiaries would again Ms. PELOSI. I thank the gentleman their insurance coverage that they re- fall into the doughnut hole, and Medi- for yielding. ceived through their parents’ plans. care would no longer pay for an annual Madam Speaker, today a bill has We next heard from Ed Burke, who checkup for 44.1 million seniors. come to the floor to repeal patients’ has testified before. He told me he had One of the most powerful rights, to put insurance companies testified at the invitation of Speaker testimonials—I say this as a mother back in charge of the health of the Gingrich years ago. For much of his and a grandmother—was from Stacie American people, and to balloon the life, Ed Burke has suffered from hemo- Ritter. Stacie has 12-year-old twin deficit. Yesterday, in the one and only philia. Two of his brothers do too. They daughters, Hannah and Madeleine. hearing on this very important bill, the have three brothers with hemophilia. Well, they are 11, almost 12. Can you repeal of patients’ rights, Democrats Though he has health insurance, he has imagine having these beautiful daugh- heard from Americans benefiting from faced the constant worry that his ters, Hannah and Madeleine? They are the health care reform. Nothing speaks treatments could surpass the plan’s 12 now. When they were 4 years old more eloquently to the success of lifetime cap. Repealing patients’ rights they were both diagnosed with cancer. health care reform than their own per- has a clear impact for Ed. As he said, Both of them, the twins. sonal stories. ‘‘I will lose the freedom to keep my job After hearing from seven of them if efforts to repeal my protections are b 1540 yesterday, I said I wished the entire successful.’’ Congress could hear your stories. I Repeal, as is being suggested today, At 4 years old, diagnosed with leu- wish our Republican colleagues would would mean that over 165 million kemia, Hannah and Madeline faced have had a hearing so they could hear Americans with private insurance cov- stem cell transplants, chemotherapy from you the difference this has made erage like Ed would again find them- and total body irradiation. But as their in your lives and the difference it’s selves subject to lifetime limits on how mother, Stacie, said, ‘‘We were very making in the lives of millions of much insurance companies will spend fortunate at the time. My husband had Americans. So I told them that I would on their health care. full coverage through his employer.’’ share their stories with you. Next we heard from a small business- But because of the additional cost of First, we heard from a young woman, woman, a doctor. Dr. Odette Cohen is a health care, ‘‘We ended up bankrupt, Vernal Branch, who was diagnosed small business owner from Willingboro, even with full insurance coverage.’’ with breast cancer 15 years ago. The New Jersey. She said she will be better She told the stories about how the good news is that Vernal survived able to afford to give her employees insurance company refused to do this, breast cancer. The not so good news is health care coverage because of the re- that and the other thing. But in any that she has a preexisting medical con- form. But she also told us a very per- event, today Hannah and Madeline are dition for the rest of her life. As she sonal story, it was very powerful, healthy, happy 12-year-olds; but they told us yesterday, the Affordable Care about her two cousins, Rhonda and still have a preexisting condition. Ac- Act changed all that. What she said Roger. Both of them were diagnosed cording to Stacie, ‘‘My children now was the Affordable Care Act, ‘‘rep- with cancer about the same time. have protections from insurance dis- resents protection from the uncer- Rhonda worked for a large corporation. crimination based on their preexisting tainty and fear that came with being She had health care. She had an early cancer condition. They will never have denied health insurance coverage be- intervention. And she received aggres- to fear the rescission of their insurance cause of my past disease.’’ She said, ‘‘It sive care and life-giving care. Roger, policy if they get sick. They can look represents freedom for my husband and however, received only pain treatment forward to lower health insurance costs me to make important choices about in the emergency room. He worked for and preventive care.’’ our lives and careers.’’ a small business that didn’t have The repeal suggested today would Repeal of the patients’ rights that is health insurance. So he couldn’t have mean that 17 million American chil- being proposed today would mean that that early intervention. Rhonda is dren with a preexisting medical condi- 129 million Americans under the age of alive and well. Roger died. tion could lose their health insurance 65 like Vernal would lose their health As Dr. Cohen said, ‘‘The choice to because they have preexisting condi- insurance because they have pre- work for a small business versus a tions. It would change everything for existing medical conditions. large company should not be a choice Hannah and for Madeline. Next we heard from a mom, Lori between life and death in the United In Congress, on behalf of these Amer- Bresnan. She has a 22-year-old son suf- States. But it was the choice for my icans, Democrats have made a firm fering from celiac disease. Still a stu- cousin.’’ Repeal, as is being suggested commitment that we will judge every dent, he was facing the prospect of fin- today, would mean that more than four proposal that comes to the floor by ishing school and entering the work- million small businesses like Odette’s, whether it creates jobs, strengthens force without insurance but with a pre- Dr. Cohen’s, would lose the oppor- the middle class, and reduces the def- existing medical condition. Because of tunity to receive tax credits to provide icit. the law, Lori said, ‘‘We are thrilled we health insurance to their employees. The repeal of patients’ rights fails on have the option to keep him on our in- As we know, small businesses are the all three counts. In fact, consider the surance in this interim when families engine of job creation in our country. cost to our Federal budget. According

VerDate Mar 15 2010 04:58 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00043 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.097 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H300 CONGRESSIONAL RECORD — HOUSE January 19, 2011 to the nonpartisan Congressional Budg- tem so that we have the highest qual- They are the job creators. They cre- et Office, repeal would add $230 billion ity, or choices, choices for patients— ate 70 percent of the jobs. The Business to the deficit over the next decade. none of them, none of them are im- Roundtable says today that the aver- Just less than a year ago on this proved by the current law or the bill. age employee for their family of four is floor I quoted the late Senator Ken- Premiums are increasing, jobs are $10,000. This bill does nothing to bring nedy, many of us did, our inspiration in being lost because of the bill. Quality down the costs. In fact, in the next 10 all of this, calling health care reform is being defined by bureaucrats, not by years it’s going to go from $10,000 to ‘‘the great unfinished business of our patients or families or doctors. $30,000. society.’’ By completing that great un- The good news is that there are posi- I was with a pharmacist the other finished business of our society, now tive solutions that embrace funda- day, a private pharmacist. He employs patients and their doctors are in mental American principles that allow about 20 to 30 people. We talked about charge of their health, not insurance us to solve these challenges without various things. I didn’t go there to talk companies. putting the government in charge, and to him about health care; but he Because of the wonderful testimony that’s exactly where we will lead over brought out his health care bill, just that we had yesterday, which was rep- the coming months and, yes, over the got it, it went up another 22 percent. It resentative of what Members of Con- coming years. went up 20 percent the year before. gress have told the Rules Committee, Madam Speaker, the status quo in I don’t know who my friends on the told our colleagues and told us from health care is unacceptable. The bill other side are talking to, but most our districts across the country, be- that was passed is destructive to both small businesses in Florida that I cause of their stories of success of this principle and to patients. The work we know, they are very, very concerned bill only being in force for a few will begin tomorrow, after we vote to about health care and the escalation of months—these provisions, most of repeal today, will be focused on pa- the costs going forward. It’s a job kill- them, only went into effect since Sep- tients, on people, and not the govern- er. tember—because of them, because of ment. With a national unemployment rate Hannah and Madeline, because repeal Mr. LEVIN. Madam Speaker, I yield 2 at 9.5 and even higher in our State of would be devastating to so many Amer- minutes to an active former member of Florida, this law is going in the wrong icans, I am pleased to join a broad coa- our committee, the distinguished gen- direction. We need to be working with lition in opposing it, every organiza- tleman from New York (Mr. HIGGINS). small businesses on solutions to help tion from the AARP to the UAW and Mr. HIGGINS. I thank the gentleman them grow, succeed and provide health everything in between, the Catholic for yielding. care at affordable cost. Health Association, Easter Seals and Madam Speaker, since 1970, health They do create, as I mentioned be- the NAACP. care costs have increased an average of fore, 70 percent of the jobs. You can’t I think we should send a strong mes- 9.9 percent a year, far outpacing infla- get the job unless we can help small sage today with a great vote against tion and creating a drag on our econ- businesses obtain affordable health this repeal, which is so harmful to the omy by increasing the expense of new care. health of the American people, which is hiring and undermining new business b 1550 so damaging to our fiscal health as investment in this Nation. well, and to have people know that we This trend is unsustainable. Yet Mr. LEVIN. Madam Speaker, it is want to have what is best for them. while costs are increasing, the quality now my privilege to yield 2 minutes to We all want them to think that in of coverage is declining. Last year, the another distinguished former member order for them to have the same kind inability to pay medical bills caused 62 of our committee, Ms. SA´ NCHEZ of Cali- of access to health care that we do, we percent of all personal bankruptcies in fornia. ´ should say to them, ‘‘Run for Con- this country, even though the filer had Ms. LINDA T. SANCHEZ of Cali- gress.’’ We want them to have it be- health insurance in 75 percent of these fornia. Madam Speaker, it’s no secret cause Congress has acted upon their cases. that our economy is still sluggish. So needs, their strengths and the strength That is 868,000 American families who our top priority in this Congress should of our country. went broke last year simply because be about creating jobs. It’s certainly I urge a ‘‘no’’ on the repeal. they got sick, did not have insurance my top priority. And I want to work Mr. CAMP. I yield 2 minutes to a dis- or their insurer refused to cover their with Republicans to meet that goal. In- tinguished member of the Ways and bills. This is unacceptable. stead, House Republicans are focused Means Committee, the gentleman from I often say that health care reform on repealing patients’ rights, putting Georgia, Dr. PRICE. needed a start, not a finish, and that insurance companies back in charge Mr. PRICE of Georgia. I thank the we will be amending and improving the and ballooning the deficit. American gentleman. law for years to come. families have suffered and waited far Madam Speaker, over the past 4 However, the bill before us today too long for the freedom and security years the previous majority took every takes us back, not forward, with no that affordable health care provides. opportunity to expand the reach and persuasive plan to reduce costs, im- And now the Republican majority is the scope of the Federal Government. prove quality and coverage. This chal- trying to take that freedom and snatch You see, they believe in government lenge deserves a more serious response. that security away. solutions. We believe in people. I urge opposition to the bill. If Republicans have their way, fami- We believe in solutions that embrace Mr. CAMP. Madam Speaker, I yield lies will once again lose their benefits people and individuals. Now, as a phy- 11⁄2 minutes to a distinguished member when insurers unfairly cancel or cap sician with countless personal stories, of the Ways and Means Committee, the their coverage. If Republicans have those solutions in health care mean pa- gentleman from Florida (Mr. BU- their way, children with disabilities tient-centered solutions, not govern- CHANAN). and pregnant women won’t be safe ment-centered solutions. Mr. BUCHANAN. Madam Speaker, I from discrimination by insurers. If Re- It’s important to repeal this bill for stand before you today as a self-made publicans have their way, seniors in many reasons, but two very specific businessman with 30 years of experi- my district will be forced to return the reasons. First, it’s exactly what we ence. I have been fortunate to create $250 in prescription assistance they re- said we were going to do. If given the thousands of jobs, meet payrolls, and ceived under the Democratic health privilege of leading once again, we balance budgets. care reform bill, and millions of hard- would vote to repeal this bill. And, sec- As the past chairman of the Florida working Americans will lose the free- ond, it’s the principled thing to do. If Chamber, which represents 137,000 busi- dom to start their own business be- you think about it, all of the principles nesses across Florida, the number one cause they will be afraid of giving up that we hold dear in health care, issue 7 years ago when I was chairman the health insurance tied to their cur- whether it’s accessibility or afford- and the number one issue today is af- rent job. ability or quality, or responsiveness of fordable health care for small busi- This is a costly plan for seniors, chil- the system, or innovation of the sys- nesses. dren, and families in my district and

VerDate Mar 15 2010 02:44 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00044 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.099 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H301 for the taxpayers of America. To stand current economic environment, where other side refer to this as ObamaCare, up for families that deserve and need more people are without coverage and so derisively, mean-spiritedly. But let our help, we must reject this plan. I where jobs are scarce, making it more me assure you what we’re talking urge everybody to vote ‘‘no’’ on the re- difficult for people to access health about that is the law of the land today peal of health care. I thank the gen- care or to keep their health care cov- is not ObamaCare. It is America’s tleman from Michigan. erage is downright wrong. Repeal of health care for all the American peo- Mr. CAMP. I yield 11⁄2 minutes to a the law would set us back where once ple. It is the health care for that senior distinguished member of the Ways and again health care would be a privilege citizen who is sitting down at her Means Committee, the gentleman from for those who can afford it rather than kitchen table thankful that she now Nebraska (Mr. SMITH). a basic human right for each and every has a 50 percent discount on all of her Mr. SMITH of Nebraska. Madam American. prescription drugs, and she does not Speaker, I would like to share a per- When I voted for health care reform, want to see this repealed. It’s for that spective from an employer in my dis- I said it was in the memory of all of youngster who can now be on his par- trict. Visiting this small business, ac- those who died prematurely because ents’ insurance until he’s 26 years old tually a few hundred employees but they had no health care and also in in these tough economic times. The still considered a small business, we honor of and support for those who will American people want this and do not toured the plant. He shared with me now live longer and healthier lives be- want to see it repealed. the benefit plans for the employees. He cause they would have health care. Re- And I want to say to the American went on to say that orders are coming pealing this health care law really is people, have no fear, let not your heart in, but they are refraining from hiring morally wrong, and it’s fiscally irre- be troubled. This law will not be re- new people because of the uncertainty sponsible. pealed. Yes, they will vote for it today. of the cost of hiring a new employee. Mr. CAMP. Madam Speaker, I yield But it’s not going to be taken up in the 1 This shows that the health care bill, 1 ⁄2 minutes to a distinguished member Senate, and it’s not going to be signed primarily, is causing uncertainty in of the Ways and Means Committee, the by the President. So what do the Amer- the employment sector and causing gentleman from Illinois (Mr. SCHOCK). ican people say about this? They want Mr. SCHOCK. Madam Speaker, I rise employers to hold back on hiring new us to be concerned about jobs. And cer- today in strong support of the repeal of people. This is not good for our econ- tainly if we have to deal with this this job-killing health care law. How omy. It’s not good for our deficit. Most health care, why should we not be deal- many times as American citizens did importantly, it’s not good for the ing with some of the critical issues? we hear the President say on national American people. And that’s why I’m The American people do not want this television, ‘‘If you like your health extremely concerned with the $20 bil- bill, this law, repealed. They want it care coverage, you can keep it?’’ But lion tax on medical device makers that for the rest of the Americans, let me fixed. They’d love to see Democrats will just increase the cost of cutting- talk to you. Well, ladies and gentle- and Republicans working together on edge medical technology for consumers men, wake up, because if you are one of the 1099s. Sure, there’s too much paper- and patients themselves. the 80 percent of Americans who have work for small businesses. Let us work Madam Speaker, we need a patient- an employer-provided health care plan on that. This medical liability issue, centered health care plan, one that that you like, you’re about to lose it. the number one reason why kids are does not depend on new government Simply put, the burdens placed on not going into medicine, let us work on programs, one that focuses more on pa- employers by this new law are too cost- that. And the reimbursement rate for tients, and one that will cause a lot of ly. The estimated cost for an employer our physicians. The American people the problems to go away. to provide the ‘‘minimum essential want us to fix it, not repeal it. Mr. LEVIN. Could you please tell us, 1 benefits’’ package as prescribed by this Mr. CAMP. I yield 1 ⁄2 minutes to a Madam Speaker, the time remaining bill will cost them per full-time em- distinguished member of the Ways and on each side for our committee? ployee $12,250 a year. As we speak, Means Committee, the gentleman from The SPEAKER pro tempore. Mr. New York (MR. LEE). 1 businesses all across America are LEVIN of Michigan has 15 ⁄2 minutes re- crunching the numbers and figuring Mr. LEE of New York. Madam Speak- maining. Mr. CAMP of Michigan has 15 out that it’s financially more bene- er, today we are doing what we prom- minutes remaining. ficial for them as companies to pay the ised the American people we would do Mr. LEVIN. It is now my privilege to after the November election. We will 1 $2,000 per employee penalty and dump yield 1 ⁄2 minutes to the very distin- their employees into the government- vote to repeal last year’s massive guished gentlewoman from California run health care plan. The result, of health care law. Most importantly, we (Ms. LEE). course, will be that the 80 percent of will also vote to begin replacing this Ms. LEE of California. I want to Americans who currently like their massive new government entitlement thank the gentleman for yielding. health care coverage will be put in a with commonsense reforms that actu- Madam Speaker, I rise in strong op- government-run system that, of course, ally remove costs from our health care position to this bill. Every time we will be riddled with inefficiencies and system. take on this bill to repeal the very im- limited options. Think the DMV or b 1600 portant freedoms provided by the FEMA for your health care plan. health care reform law, it’s really a Additionally, this health care legisla- We can all agree our current health critical minute that we are not focus- tion is riddled with job-destroying reg- care system is unsustainable. It is ripe ing on jobs. We should be debating how ulations, burdens, and tax increases for reform. to create jobs, how to get our economy that will stifle private-sector growth Passing last year’s 2,300-page mon- going and how to reduce the deficit. In- and smother economic recovery in this strosity will raise health care costs by stead, Republicans want to add $230 bil- country. $311 billion over the next decade, ac- lion to the deficit and to empower According to the National Federation cording to the administration’s own ac- health insurance companies—mind of Independent Business and the Cham- tuaries. It will raise health care costs you, health insurance companies—to ber of Commerce, this will cost 1.6 mil- for seniors and cut more than $500 bil- take away patients’ rights in their own lion jobs as it currently stands. I urge lion for Medicare and Medicare Advan- health decisions that they should be passage of this repeal. tage, which are both very popular making with themselves and their Mr. LEVIN. It is now my privilege to plans. health care physicians, nurses, and pro- yield 11⁄2 minutes to the gentleman It will cause employers to simply viders. from Georgia (Mr. SCOTT). drop the insurance they offer employ- This repeal gives insurance compa- Mr. DAVID SCOTT of Georgia. ees because they have done the math nies much, much, much too much Thank you very much, Chairman and they understand that it’s cheaper power. Literally, their idea is to return LEVIN. I really appreciate it so very to just pay the penalty than pay for to the same failed system that has left much. the insurance, leading to struggling 50 million people, including 71⁄2 million I have listened for the last 2 days, Americans being kicked out of their children, without health care. In the and I have heard my friends from the current plan they have and they like.

VerDate Mar 15 2010 02:44 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00045 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.101 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H302 CONGRESSIONAL RECORD — HOUSE January 19, 2011 That is not the reform Americans de- Pregnant women and breast cancer sur- million Americans who would lose coverage serve. We need to include medical li- vivors can be denied coverage; with this repeal, we are still left with a compel- ability reform. The CBO has scored Seniors will face an increase in their pre- ling fiscal reason for opposing the repeal of that at a $54 billion savings. scription drug costs—millions thrown back into this law: Meaningful reform will allow western the Medicare Part D Donut Hole. Repeal Repeal adds $230 billion to the deficit over New Yorkers to start buying insurance would deny seniors a 50 percent discount on the first 10 years and more than $1.2 trillion in across State lines to encourage com- prescription drugs, re-creating the devastating the second decade (around one-half percent petition. And meaningful reform will coverage gap. of GDP). empower small businesses to group to- Each of these things will disappear if Re- Americans purchasing health insurance on gether to cut costs and provide cov- publicans are able to repeal the historic health their own will see their costs rise. erage to their employees. reform law. Americans will get fewer health benefits for Republicans are pursuing these com- In my home state of New York, repealing their money. monsense reforms because we made a the Affordable Care Act would be devastating. Mr. Speaker, I urge my colleagues to op- promise to the American people and be- New York residents, providers, small busi- pose this bill that will balloon the deficit, bur- cause we believe health care reforms nesses and other employers would be denied den our children and grandchildren, halt the need to address both affordability and critical new benefits of the law, from protec- creation of jobs, and compromise the health of accessibility. It can be done, and we tions against insurance industry abuses to millions of Americans. are committed to making it happen. new coverage options and millions of dollars Mr. CAMP. I yield 11⁄2 minutes to the Mr. LEVIN. I now yield 11⁄2 minutes in support so states like New York can deliver gentlewoman from Kansas (Ms. JEN- to the gentlewoman from New York quality, affordable health care options to all of KINS), a distinguished member of the (Mrs. MALONEY). its residents. Ways and Means Committee. (Mrs. MALONEY asked and was given Without the Affordable Care Act, New York Ms. JENKINS. Mr. Speaker, I thank permission to revise and extend her re- will suffer: the chairman for yielding. marks.) 77,800 young adults would lose their insur- Last March I voted against Mrs. MALONEY. Mr. Speaker, I rise ance coverage through their parents’ health ObamaCare. Rather than bringing in strong opposition to the Republican plans, sometimes just after they finish school down health care costs for all Ameri- bill which would take health care away and as they are looking for a job. Families cans, helping small businesses provide from millions of Americans, children, across New York would lose the peace of health care for their employees, and families, and individuals. mind the Affordable Care Act provides by preserving Medicare for our Nation’s I have heard my Republican col- making sure that young adults can stay on seniors, this law will result in higher leagues mention cost throughout this their parents plan to age 26 if they do not premiums for families, costly unfunded day. Well, make no mistake, there have coverage of their own. mandates, including an absurd 1099 re- would also be a cost in leaving tens of More than 10 million residents of New York quirement, additional job-killing taxes, millions of Americans uninsured. with private insurance coverage would sud- and more than half a trillion dollars in According to a recent study pub- denly find themselves vulnerable again to hav- cuts to Medicare. lished by the American Journal of Pub- ing lifetime limits placed on how much insur- It was irresponsible to pass this mas- lic Health, uninsured working age ance companies will spend on their health sive job-killing plan by means of arm Americans have a 40 percent higher care. twisting and gimmicks, and it is even risk of death than their privately in- Insurance companies would once again be more irresponsible to allow implemen- sured counterparts. The study esti- allowed to cut off someone’s coverage unex- tation to begin given our national debt mates that lack of health insurance pectedly when they are in an accident or be- is over $14 trillion, unemployment causes over 44,000 excess deaths annu- come sick, because of a simple mistake on an rates are still over 9 percent, and many ally. That works out to about one application. This would leave 734,000 people States remain on the verge of bank- death every 12 minutes from lack of in New York at risk of losing their insurance at ruptcy. health insurance. My colleagues, let us the moment they need it most, as one of the Not only is the bill unaffordable, but not forget to count those lives as a worst abuses of the insurance industry would it is such an overreach of the Federal very real and continuing cost: over become legal again. Government’s power, a U.S. district 44,000 deaths a year, one every 12 min- New insurance plans would no longer be re- judge has already deemed it unconsti- utes. quired to cover recommended preventive serv- tutional. I urge my colleagues to support the ices, like mammograms and flu shots, without Americans want reforms to our Democratic plan, lifesaving legislation, cost sharing, nor would they have to guar- health care system, but they have spo- and vote against the Republican repeal antee enrollees the right to choose any avail- ken clearly: This bill is not the change of health care. It is wrong for America. able primary care provider in the network or they wanted. I urge a ‘‘no’’ vote. see an OB-GYN without a referral. I will be voting in support of H.R. 2, Mr. Speaker, I rise in strong opposition to Nearly 2.9 million seniors in New York who voting to repeal this government take- this harmful, ill-conceived bill. have Medicare coverage would be forced to over of our health care system, just as When the Republican Majority said it was pay a co-pay to receive important preventive I promised my constituents I would. going to make the deficit their defining issue services, like mammograms and Let’s repeal this bill so we can go to this Congress, most of us did not realize it colonoscopies. work replacing it with reforms the was to make the deficit bigger. But according Medicare would no longer pay for an annual American people want and support. I to the Congressional Budget Office, their first check-up visit, so nearly 2.9 million seniors in encourage all of my colleagues in the act to repeal health care would do just that— New York who have Medicare coverage would House to listen to their constituents add $230 billion to the deficit while making have to pay extra if they want to stay healthy and join me in voting ‘‘yes.’’ Americans pay more for health care. by getting check-ups regularly. Mr. LEVIN. I now yield 11⁄2 minutes Instead of focusing on job creation, Repub- 192,596 on Medicare would see significantly to Ms. EDWARDS from Maryland. licans are running up our deficit, jeopardizing higher prescription drug costs: In New York, Ms. EDWARDS. Mr. Speaker, I stand the health of millions of Americans, and threat- 192,596 Medicare beneficiaries received a today in strong opposition to Repub- ening the creation of new jobs. one-time, tax-free $250 rebate to help pay for lican attempts to repeal and dismantle Under the Republican repeal effort: prescription drugs in the ‘‘donut hole’’ cov- our health care law, the law that Con- Insurance companies will once again be erage gap in 2010. Medicare beneficiaries gress has passed to give health care to able to drop people when they get sick—ex- who fall into the ‘‘donut hole’’ in 2011 will be the American people. actly when coverage is needed most; eligible for 50 percent discounts on covered Mr. Speaker, this repeal bill may ful- Children with pre-existing conditions will be brand name prescription drugs. Without the fill an empty campaign promise, but it denied coverage, while insurance companies law, the burden of high prescription drug costs fails to put the key American objec- would again impose devastating annual and would hurt millions of Medicare beneficiaries tives of creating jobs and reducing the lifetime caps; across the country. deficit at the top of the agenda. In fact, Young people will not be able to stay on For the sake of argument, if we remove the the independent Congressional Budget their parents’ plans until age 26; moral obligation of providing health care to 32 Office estimates that this repeal will

VerDate Mar 15 2010 02:44 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00046 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.103 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H303 increase the deficit by $230 billion over and the medical device industry in my My wife is a family practice doctor, the next 10 years. In Maryland, by con- district will continue to suffer. and when this law first passed, our first trast, we will save $800 million in 10 Mr. LEVIN. I yield 11⁄2 minutes to the concern was this puts government be- years with the new law. gentlewoman from California (Ms. tween patients and their doctors. We We have heard the debate, but now it SPEIER). need to repeal this law and put those is time to hear the stories of countless Ms. SPEIER. Mr. Speaker, I thank health care decisions back between the millions of Americans who have a the gentleman for yielding. patients directly and their doctors. chance at real health care. I know You know, the real question is who is I urge my colleagues to support this these stories because I hear them every supporting this repeal of health reform. legislation. day, Mr. Speaker, stories like Chuck, Are the doctors of America supporting Mr. LEVIN. Mr. Speaker, I yield 11⁄2 an engineer from Hyattsville, Mary- the repeal? No; the American Medical minutes to the gentleman from North land, who suffers from chronic thyroid Association opposes it. Carolina (Mr. PRICE). condition and believes he will be denied Is AARP supporting a repeal? No; Mr. PRICE of North Carolina. Mr. health care coverage should health they are opposed to it. Speaker, this bill lays bare what this care reform be repealed; Nancy, a Are the hospitals supporting a re- new Republican majority is all about. mother in Germantown, Maryland, who peal? No; they are opposed to it as well. They would repeal benefits and protec- is grateful that the health care law has Who supports a repeal of health care tions that have already dramatically allowed her 20-something daughter cur- reform? The National Chamber of Com- improved health care for families and rently in graduate school to stay on merce, period. small businesses, with no credible as- So what do our constituents really her mother’s health insurance policy. I surance they would put anything in want? They want the costs to be have even heard from constituents of their place. brought down. There is not one of us some of our Republican colleagues, A ‘‘yes’’ vote would take away tax who hasn’t heard a complaint from a afraid about having to repay the credits available to up to 17,000 small constituent saying, I can’t afford it money because they slipped into the businesses in my district alone—credits anymore. doughnut hole. And I want to tell you that will let them offer their employ- Well, health care reform requires about Annie, a friend of mine, 28 years ees insurance coverage just like their that 80 percent of the premium go to old, diagnosed with leukemia, who larger competitors do. providing health care. It is starting to would have reached lifetime caps be- A ‘‘yes’’ vote on repeal would in- put a governor on the costs of health cause she and her parents are trying to crease the average cost of prescription insurance. drugs for seniors in the ‘‘doughnut save her life. The second thing that people are con- Mr. Speaker, it is unfortunate we are hole’’ coverage gap by more than $500 cerned about is access for their kids here today. Let’s create jobs and stop this year and more than $3,000 by 2020. and for themselves. Well, let’s talk this theater. What seniors on fixed incomes can af- about these children. Mr. CAMP. I yield 11⁄2 minutes to the In my district there are 30,000 chil- ford this kind of price hike? gentleman from Minnesota (Mr. A ‘‘yes’’ vote on repeal would say to dren with preexisting conditions, and I PAULSEN), a distinguished member of parents, who now for the first time can know you have gotten the same phone the Ways and Means Committee. get affordable coverage for their chil- calls I have gotten; a parent calling, Mr. PAULSEN. Mr. Speaker, I rise in dren with preexisting conditions: Once crying on the phone, talking about the support of this effort to repeal the job- again, you can be denied coverage alto- leukemia their child has or the asthma destroying health care law that a ma- gether. their child has and their fear if their jority of Americans oppose. This legislation is flying under dis- spouse loses their job they won’t have Now, last year Congress put job cre- gracefully false colors. Fiscally sound? health insurance and they will go to ation on the back burner and instead The Congressional Budget Office says the individual market and there will be pushed a very partisan, trillion-dollar it will increase deficits by $230 billion overhaul of our health care system. no health insurance. Let me tell you about Sophie over the next 10 years. Republicans Last year, at the Democrat leader- O’Riley, who, at 5 years of age, had like to call health insurance reform ship’s request, Congress passed the bill very serious asthma. Her parents went ‘‘job killing.’’ But their repeal bill to ‘‘find out what is in it.’’ Well, here to every insurer in the individual mar- would cost as many as 4 million jobs is what we found: a laundry list of tax ket and could not get insurance. So over the next decade. increases and job-crushing mandates Our Republican colleagues have put what did they do? They went bare for a that will make it harder for small busi- their tea party base above everything year in order to be able to access insur- nesses to make ends meet and further else, including the health care needs of ance. delay an economic recovery. This prob- H.R. 2 is bad medicine. I urge a ‘‘no’’ the American people. We must recog- lem is so serious that the National vote. nize their cynical political gesture for Federation of Independent Business, an what it is. This House can and must do advocacy organization representing b 1610 better. countless small businesses that drive Mr. CAMP. Mr. Speaker, I yield 1 Mr. CAMP. Mr. Speaker, I yield 1 the engine of our economy, found that minute to a distinguished member of minute to the distinguished gentleman the new employer mandate could cost the Ways and Means Committee, the from Ohio (Mr. BOEHNER), the Speaker 1.6 million jobs. gentleman from North Dakota (Mr. of the House. In and around my district, hundreds BERG). Mr. BOEHNER. I thank my colleague of medical technology companies are Mr. BERG. Mr. Speaker, I rise today for yielding. now facing higher taxes to the tune of in firm support of repealing this job- I am going to thank all the Members $20 billion. We are penalizing innova- killing health care law. of this body for a spirited but respect- tion when we should be encouraging it. This is a $500 billion tax that will ful debate on what is a critical issue to We are preventing lifesaving tech- hurt small businesses at a time when the American people. nologies from coming to market when we need these job creators to help put Both sides of the aisle have very dif- we should be promoting them. This is our country back on track. America’s ferent viewpoints on what govern- unacceptable. small businesses cannot grow with the ment’s role in this health care issue The American people deserve health tax hikes and government mandates in should be, and if there is one thing that care reform that doesn’t break the this law. Medicare payroll taxes will we do agree on, it is that this health bank. We need health care reform that increase. Costly penalties will be im- care law needs improvement. The lowers costs and doesn’t increase pre- posed on small businesses, and there President said as much yesterday. miums. We should repeal this law now will be increased health care costs. Why does it need improvement? One and replace it with commonsense, pa- Repealing this law and removing only needs to look at the facts. tient-centered alternatives; otherwise, these barriers will provide businesses Yesterday, 200 economists and ex- our economy will stagnate, our small with the certainty they need to help perts put out a letter calling this businesses will not be able to expand, get America back on track. health care bill ‘‘a barrier to job

VerDate Mar 15 2010 02:44 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00047 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.104 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H304 CONGRESSIONAL RECORD — HOUSE January 19, 2011 growth.’’ The letter talks about how wind up in the emergency room, which 44 percent of children under 18 live below the employers are struggling to keep up is the most expensive kind of health poverty line. As a result, many of these indi- with all the mandates and tax hikes in care there is. According to the latest viduals are susceptible to an anomaly of dis- this law, flooding the job market with figures from our county hospital, more eases and poor health. In fact, some commu- additional uncertainty. than $500 million of local property tax nities on Chicago’s west side experience in- The one thing the American people dollars have been used to cover the fant mortality rates comparable with third-world wanted out of health care reform was costs of those who could not pay for countries. By repealing Public Law 111–148, lower costs, which the authors of this treatment and services—$500 million. the Patient Protection and Affordable Care Act law promised; but according to these We passed the Patient Protection and will take away support for community health economists, this law will increase Affordable Care Act to help address centers, which provide critical resources for spending by nearly $1 trillion—and this problem and provide affordable millions of Americans in every state and terri- that is a minimum number—and add health care insurance to those who cur- tory. In my district, there are many Medicare nearly $1.5 trillion to the national rently are uninsured. and Medicaid recipients that have established debt. I urge my colleagues to vote against community health centers as their medical So, if we agree that this law needs H.R. 2. homes. Medicaid beneficiaries that rely on improving, why would we keep it on Mr. CAMP. Mr. Speaker, I yield 1 health centers for usual care were 19 percent the books? Why would we keep one minute to the distinguished gentleman less likely to use the emergency room at a hand tied behind our backs when we from Florida (Mr. CRENSHAW). hospital than other providers for non- are dealing with 10 percent unemploy- Mr. CRENSHAW. I thank the gen- emergency and usual care services. Overall, ment and a $14 trillion national debt? tleman for yielding, and I thank him health centers save the health care system Now, let me be clear about what re- for his great leadership. between $9.9 billion and $17.6 billion annually. pealing this health care law means for Mr. Speaker, I plan to vote to repeal Community health centers provide high families, small businesses, and tax- this health care law and replace it with quality health care regardless of the ability to payers: some commonsense, workable solu- pay, and health centers in Illinois have a tre- Repeal means preventing more than tions. Why? Because I’ve been listening mendous impact on our economy and employ- $770 billion in tax hikes and elimi- to my constituents—listening to what ment. In 2008, 40 health centers operated nating all the mandates and penalties they have to say, what they ask for. over 350 sites, contributed almost one billion so that small businesses can grow and I can tell you they are not asking for dollars to the Illinois economy, and directly hire new workers. a bill that weakens our economy and employed almost 6,000 Illinoisans. Indeed, for Repeal means reducing spending by causes jobs to disappear. They are not every 10 people employed by an Illinois health $540 billion, another step in tackling asking for a brand new entitlement and center, an additional 4 jobs were created in the massive debt that faces our kids then pretending only partly to pay for their surrounding communities. Illinois health and grandkids. it. They are not asking for a bill that centers served over 1.1 million patients—near- Repeal means protecting more than 7 takes away the rights of seniors to ly 80% of whom fell below the federal poverty million seniors from losing or being de- have a choice in the Medicare program, level and 30% who had no health insurance, nied coverage under Medicare Advan- and they are certainly not asking for helping them cope with chronic health condi- tage—a program they like. new taxes—but that’s what they’re get- tions and general health issues to be able to Repeal means paving the way for bet- ting under this health care bill unless work and care for their families. ter solutions that will lower costs it’s replaced. Repeal of the health care law would elimi- without destroying jobs or bankrupting What they are asking for is the right nate $11 billion in support for community our government. to choose their own doctors and the health centers over the next 5 years, funding And repeal means keeping a promise. right to get the treatment they need that will nearly double the number of patients This is what we said we would do. We when they need it. That’s what they’re served today and greatly strengthen Illinois’s listened to the people. We made a com- asking for. They’re asking that we economy. Repealing the health care law would mitment to them—a pledge to make bring down the cost, to make some dramatically harm the health of hundreds of their priorities our priorities. When commonsense reforms, to make it more thousands of citizens in Chicago and Illinois. you look at the facts and when you lis- affordable, more accessible. ten to the people, this is a promise That’s what we should focus on. Repeal of the health care law would greatly worth keeping. Mr. LEVIN. Mr. Speaker, it is now increase an already high level of health dis- 1 parities among African-Americans and His- Let’s stop payment on this check be- my privilege to yield 1 ⁄2 minutes to a fore it can destroy more jobs and put former, very distinguished member of panics. In a recent study, comparing health us into a deeper hole. Then let’s work our committee, the gentleman from Il- outcomes among African-Americans and Cau- together to put in place reforms that linois (Mr. DAVIS). casians found that the gap in health disparities lower the costs without destroying jobs Mr. DAVIS of Illinois. Thank you across the Nation was narrowing across ten or bankrupting our government. very much, Mr. Chairman. (10) indicators; however, in Chicago, the re- Let’s challenge ourselves to do bet- Under no circumstances would I vote verse was occurring in health disparities ter. to repeal the most effective, most among African-Americans and Caucasians are Mr. LEVIN. Mr. Speaker, I yield 1 meaningful, most sensitive health leg- widening. Given all that has been stated minute to the gentleman from Texas islation that has been passed in this above, the reversal of health care reform (Mr. REYES). country since the Medicare-Medicaid would have tremendous negative impact on Mr. REYES. I thank the gentleman provisions of the 1960s. Under no cir- Chicago when considering the unemployment for yielding. cumstances would I vote to repeal leg- rate, the crisis in the housing market and the Mr. Speaker, I rise to express my islation that would provide the 107,000 abundance of the urban poor that exists within strong opposition to H.R. 2, which individuals in my congressional dis- our communities. Most affected will be the seeks to dismantle the Patient Protec- trict who have preexisting conditions. working poor who are most commonly unin- tion and Affordable Care Act. sured as their company provides little or no Repealing this law would be detri- b 1620 medical benefits. The middle aged childless mental to districts like the one I rep- Would I vote to repeal health insur- individual who is not eligible for Illinois public resent, which have unsustainably high ance for more than 32 million Ameri- aid and naturally men without children who are rates of people without health insur- cans who otherwise would have no cov- not veterans or eligible to be covered through ance. Nationally, about one in five peo- erage? No way. Illinois public aid are affected as well. Lastly, ple is without health insurance. The Vote this legislation down. Let’s sup- we must consider the devastating impact the problem in my district means one in port the American people, keep them burden of the uninsured has placed on the three is without basic health coverage. with health care. healthcare delivery system, specifically hos- That’s 230,000 people in my district The Seventh Congressional District of Illi- pitals who avoid caring for uninsured patients alone. nois includes some of the most medically un- and resulting in the lack of access to primary When these individuals can’t get pre- derserved communities in America. Census and specialty care. The funding from the Af- ventative care and they get sick, they data revealed that 24 percent of families and fordable Care Act would assist community

VerDate Mar 15 2010 02:44 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00048 Fmt 0636 Sfmt 9920 E:\CR\FM\K19JA7.107 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H305 health centers to stay on track to add 20 mil- deficit. Those are the issues we need to I urge my colleagues to oppose this bill and lion new patients (for a total of 40 million pa- address, and doing so should be our join me in getting to work on our immediate tients) over the next 5 years. first order of business and our top pri- challenges—job creation, economic innovation Repeal of the health care law would elimi- ority. Instead, we are considering a bill and deficit reduction. nate health coverage for young people up to that will increase already skyrocketing Mr. CAMP. Mr. Speaker, I yield 1 age 26 who would not be allowed to stay on health care premiums for Rhode Island minute to the distinguished gentleman their parents’ plans. Repeal would force 2,600 families and businesses, give insurers from Mississippi (Mr. PALAZZO). young adults in my district to find other cov- back the power to deny or drop cov- Mr. PALAZZO. Mr. Speaker, I rise erage or returned to the ranks of the unin- erage when people get sick, and raise today to express my strong support for sured. the deficit by an additional $230 billion the repeal of this health care mon- Repeal would deny tax credits to buy health over the next 10 years and over $1 tril- strosity. It was a bill passed over the insurance coverage for 158,000 families in my lion the decade after that. objections of most Mississippians, built district. Additionally, it would increased the Pressing the reset button on health on unconstitutional individual man- numbered of uninsured residents to 48,000 in reform will not only bring our progress dates and unprecedented burdens for my district. toward affordable and accessible health State governments. In short, this gov- There are 107,000 to 282,000 residents in care to a screeching halt, it will force ernment takeover is poised to destroy my district with pre-existing conditions like dia- us to repeal the rights of patients and the greatest health care system in the betes, heart disease, or cancer, including rescind tax breaks to the very small world. Don’t take my word for it, but 7,000 to 30,000 children that the repeal legis- businesses that fuel our economy. look at how some of the most ardent lation if passed would encourage health insur- I urge my colleagues to oppose this backers have been quietly working to ance companies to discriminate based on pre- bill and join me in getting to work on obtain special waivers so they will not existing conditions. the people’s priorities—job creation, be held to the same standards most Repeal would eliminate tax credits for health economic innovation, and deficit re- small businesses face. insurance up to 14,100 small businesses in duction. We have come such a long Mr. Speaker, it’s time we give all my district. These tax credits under the current way. Americans the same relief the Presi- We have already seen the benefits of law would provide small businesses up to 35% dent’s political friends have worked so health care reform in covering children of the cost of providing health insurance. hard to get—relief from this job-de- with preexisting conditions, allowing The health care law is critical to Chicago stroying legislation—by voting in favor adult children to stay on their parents’ and Illinois. Community health centers are vital of this repeal. I am proud that the first health care coverage, and eliminating partners in the health and economic well-being speech I have given in this Chamber the yearly and lifetime caps. These are of Chicago and Illinois. For this reason, I do major steps forward in health care re- and the first bill I have co-sponsored in not support H.R. 2, Repeal the Job-Killing form. All that goes away if we repeal this Congress is one to repeal this 2,700- Health Care Law and Health care related pro- this health care law that we’ve seen page monstrosity. Mr. LEVIN. Mr. Speaker, I yield 1 visions in the Health Care and Education Rec- put into effect. Please oppose this Re- onciliation Act of 2010. publican bill that’s before us today. minute to the gentlelady from Florida Mr. CAMP. Mr. Speaker, I yield 1 Mr. Speaker, the Affordable Care Act is just (Ms. WASSERMAN SCHULTZ). minute to the distinguished gentleman beginning to ease costs and increase access Ms. WASSERMAN SCHULTZ. Mr. from Alabama (Mr. BROOKS). to care for thousands of Rhode Islanders. Al- Speaker, I rise to share the story of Pa- Mr. BROOKS. Mr. Speaker, Ameri- most 10,000 seniors have already received a tricia Maisch. Pat, as her friends call her, lives out- cans enjoy the best health care in the $250 rebate check for their prescription drugs world. Every year, profit motive and to cover the Medicare Part D ‘‘donut hole.’’ side Tucson and has been fittingly American ingenuity create new and That’s one small but important step toward hailed as one of the heroes during the better diagnostic tools and treatments. making prescription drugs affordable. Over tragic shooting of our colleague, GABBY Yes, there are ways to improve Amer- 3,500 young adults now have access to their GIFFORDS. Pat actually knocked the ica’s health care, but President parents’ health plans, giving them peace of second gun clip out of the shooter’s Obama’s socialized medicine is not it. mind knowing that they can remain covered hand as he was attempting to reload, For example, we can cut health care until age 26. Additionally, over 18,000 small very likely saving the lives of more in- costs by implementing tort reform, by businesses in Rhode Island have already re- nocent people. forcing health care competition, and by ceived information from the IRS on the tax She was in line to talk to her Con- removing illegal aliens from America credit to help provide coverage to employees. gresswoman to share that she thought who get free health care at our cost. These tax credits will help ease the burden of that the title of the repeal bill was dis- Socialized medicine strangles cre- rising health care costs on private sector job ingenuous, and because Pat and her ativity and obstructs life-saving med- growth. husband own a small business north of ical advances. It is care rationed by bu- Health reform is about more than just statis- Tucson. The spouse of one of their em- reaucrats with mind-numbing regula- tics or economics; it is about helping real peo- ployees has a preexisting condition, tions. Simply stated, socialized medi- ple who are just trying to make it day to day. and they have been unable to find af- cine pulls all America down to health It is about the grandmother in Cranston whose fordable insurance to cover her. Pat care mediocrity. life will be saved because her breast cancer wanted to tell Congresswoman GIF- Lives and freedom are at stake. We was detected earlier through a free preventive FORDS that the health reform law will must repeal this job-killing govern- health screening; it is about the father in Cov- help them provide insurance for this ment takeover of America’s health entry who works for a small business and will employee. She wanted GABBY to stand care. Today, I will proudly vote to do finally have health coverage to manage his di- up to attempts to repeal health care re- exactly that. abetes; and it is about the mother in Warwick form. Pat was unable to deliver her Mr. LEVIN. It is my privilege to who won’t face bankruptcy to treat her daugh- message to her representative but yield 11⁄2 minutes to the gentleman ter’s Multiple Sclerosis because of lifetime in- asked that I share it with you now. from Rhode Island (Mr. LANGEVIN). surance caps. Heed the words of Pat Maisch. Heed (Mr. LANGEVIN asked and was given These are just some of the examples of the words of millions of Americans permission to revise and extend his re- how the Affordable Care Act is beginning to needing health care. Don’t repeal marks.) make a positive difference in people’s lives. health care reform. Mr. LANGEVIN. Mr. Speaker, I rise As I’ve said in the past, this law is not perfect, Mr. CAMP. Mr. Speaker, I yield 1 today in opposition to the Patients’ and I look forward to working with my col- minute to the distinguished gentleman Rights Repeal Bill, and I find it abso- leagues to improve it where changes need to from Texas (Mr. FLORES). lutely regrettable that my Republican be made. However, pressing the reset button Mr. FLORES. Mr. Speaker, back in colleagues have made this their first will not only bring our progress toward afford- September of last year, one of the own- priority of the new Congress. able and accessible health care to a screech- ers of a small Waco, Texas, software Rhode Islanders sent me here with a ing halt, it will literally force us to repeal the company showed me a notice he had clear purpose to create jobs, strengthen rights of patients and rescind tax breaks to the just received from his health insurance our economy, and reduce the Federal very small businesses that fuel our economy. provider. This notice showed that as a

VerDate Mar 15 2010 02:44 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00049 Fmt 0636 Sfmt 0634 E:\CR\FM\A19JA7.024 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H306 CONGRESSIONAL RECORD — HOUSE January 19, 2011 result of ObamaCare he was faced with tisan Congressional Budget Office, repeal b 1630 a 30 percent increase in his health in- would add $230 billion to the deficit. Mr. CAMP. I yield 1 minute to the surance premiums. Now he has to deal Last year, on this very floor, upon passing distinguished gentleman from Mis- with the harsh reality of cutting the the Affordable Care Act, I said that we were sissippi (Mr. NUNNELEE). size of his workforce to deal with this acknowledging the moral and economic costs Mr. NUNNELEE. I thank the gen- increase, or worse, to cancel coverage we pay every day for our failure to make tleman for yielding. altogether. health coverage affordable and accessible to As a former Member of the Appro- What is even more disturbing is that everyone; that we were recognizing that hav- priations Committee in the Mississippi this is just the beginning of what is to ing more people with quality coverage saves State Senate, I was responsible for bal- come under ObamaCare. All across our both lives and costs; that we were unequivo- ancing our State’s budget. The Afford- Nation this cost-increasing, job-kill- cally stating that people in this country able Care Act will push added costs to ing, tax-hiking bill is inflicting irre- shouldn’t have to go bankrupt to pay their already strapped States and will ulti- versible damage on American employ- medical bills; and that no one, no one, should mately require tax increases at the ers and families. Rather than learn ever have to go to an emergency room just to State level. from this in the outcome of the mid- receive routine medical care. Let us not undo The overall cost to implement health term elections, Democrats choose to the good we have done. reform in Mississippi is $1.7 billion over oppose and dismiss Republican efforts Mr. Speaker, I urge all my colleagues to 10 years. From fiscal years 2014 to 2020, to repeal ObamaCare and to replace it support access for all Americans to health this dramatic increase in enrollment with something better. There are solu- care and to oppose this bill. will cost our taxpayers an extra $225 tions and clear alternatives to improv- Mr. LEVIN. Mr. Speaker, could I in- million to $250 million a year. Approxi- ing our health care system, and the quire as to how much time is remain- mately 400,000 new individuals will be first step is to repeal ObamaCare. ing on both sides for Ways and Means? added to our Medicaid rolls because of Mr. LEVIN. I yield for the purpose of the expansion, meaning one in three making an unanimous consent request The SPEAKER pro tempore (Mr. THORNBERRY). The gentleman from Mississippians will be on Medicaid. to the gentleman from New York (Mr. More money devoted to Medicaid ACKERMAN). Michigan (Mr. LEVIN) has 2 minutes re- maining. The gentleman from Michi- means less funding for other necessary (Mr. ACKERMAN asked and was State services and added financial bur- given permission to revise and extend gan (Mr. CAMP) has 3 minutes remain- ing. dens on our taxpayers in Mississippi, as his remarks.) well as the rest of the taxpayers of this Mr. ACKERMAN. I rise in strong op- Mr. LEVIN. Mr. Speaker, I reserve. Nation that will further stifle job cre- position to repealing the Patients’ Bill Mr. CAMP. Mr. Speaker, I yield 1 ation. of Rights. minute to the distinguished gentleman So because of that, I will proudly Today, the House will vote to take away from Michigan (Mr. HUIZENGA). vote to repeal this law. new health-care freedoms from my constitu- Mr. HUIZENGA of Michigan. I thank Mr. LEVIN. I regret this bill is being ents and give that power right back to the big the gentleman for yielding. brought up today, but there are at health-insurance companies. Repeal of the Mr. Speaker, I rise in support of H.R. least two silver linings. health-care law puts insurance companies 2. Number one, this bill will not become right back into the driver’s seat of rationing A lot has been said during this debate law. Health care reform remains the health-care decisions for the rest of us. Re- about what the American people want. law of this land. And, secondly, and peal means they get to decide who is denied Some have said the American people most importantly, it gives us Demo- health coverage because of a pre-existing want ObamaCare, many others have crats a further chance to talk sense condition in my district; which young adults in said that they want a repeal of it. Well, with the American people. my district can and cannot remain on their I was not in Washington over this past We on this side are on the offensive parents’ plans; and which constituents who year, I was in Michigan hearing com- on this issue. We are going everywhere. are sick in my district would have their plans plaint after complaint from regular We are an American truth squad. There rescinded just because they got sick in the citizens and small business owners will be a vote today on this bill. It may first place. And the list of lost health-care free- about the cost and unreasonable man- well pass. It will not prevail. doms goes on and on and on. dates that are in ObamaCare. I told Mr. Speaker, what specifically does repeal- MORE THAN 200 ORGANIZATIONS OPPOSED TO them to stay tuned. Well, the Amer- H.R. 2, PATIENTS’ RIGHTS REPEAL ACT ing the health-care law mean for the 5th con- ican people have spoken. And over the gressional district of New York? Repeal would AARP past week, I’ve had an opportunity to AFL–CIO mean as many as 311,000 people could be engage my constituents even more, in- AFSCME denied health coverage, including up to cluding hosting three telephone town AIDS United 37,000 children, because of a pre-existing hall meetings. We did a survey as part Alliance For A Just Society condition. Repeal would mean that 2,400 Alliance for Children and Families of those town halls, and over two- young adults up to age 26 in my district would Alliance for Retired Americans thirds of the more than 1,000 people no longer be able to choose to stay on their American Academy of Child and Adoles- that took part in this survey agreed parents’ plans until they get that first job with cent Psychiatry with my position of repealing American Academy of Family Physicians health insurance. And repeal would mean that ObamaCare. I understand the real con- American Art Therapy Association 335,000 constituents in my district would lose cerns and health issues that people American Association for Geriatric Psy- the most vital consumer freedoms, such as have, but we will address these issues chiatry protection from unreasonable policy rescis- American Association for Psychosocial Re- in the replace portion that you will be sions and the prohibition of annual and lifetime habilitation seeing soon, so please stay tuned. spending limits. American Association of Pastoral Coun- Already, my constituents and millions of oth- I am also a small business owner, and selors ers across the country are benefiting from the I have been talking to other small busi- American Association of University ness owners, and they, too, are frus- Women (AAUW) new health care law. Seniors in the Medicare American Association on Health and Dis- prescription-drug ‘‘donut hole’’ received a $250 trated. Provisions like the costly man- date requiring them to file additional ability payment last year and are scheduled to re- American Cancer Society Cancer Action ceive a 50 percent discount on their drugs this 1099 forms have made them angry. Network year; children are now no longer being denied We cannot continue to have legisla- American Counseling Association health coverage because of pre-existing condi- tion that forces small business—job American Dance Therapy Association tions, repeal and they will be denied again; creators—and future generations to American Diabetes Association and young adults have been able to keep cov- foot the bill. Our replacement plans American Federation of Teachers bring hope, so stay tuned. American Foundation for Suicide Preven- erage thorough their parents’ plans. Turning tion/SPAN USA back the clock, to repeal the new law, as if it Mr. Speaker, I ask all of my col- American Group Psychotherapy Associa- never happened is not only harmful, but cost- leagues to join me in voting to replace tion ly: according to the independent and non-par- this bill. American Heart Association

VerDate Mar 15 2010 03:08 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00050 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.110 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H307 American Lung Association Mautner Project: The National Lesbian National Women’s Health Network American Mental Health Counselors Asso- Health Organization National Women’s Law Center (and 37 ciation Medicare Rights Center other orgs) American Muslim Health Professionals Mental Health America NETWORK American Nurses Association MomsRising Out of Many, One American Psychiatric Association Montana Women Vote Paralyzed Veterans of America American Psychiatric Nurses Association NAACP Partnership for Prevention American Psychological Association NAADAC, the Association for Addiction PHI (Paraprofessional Healthcare Insti- American Public Health Association Professionals tute) American Small Business League NARAL Pro-Choice America Physicians for Reproductive Choice and Anxiety Disorders Association of America National Alliance on Mental Illness Health Asian & Pacific Islander American Health National Asian Pacific American Women’s PICO Forum Forum Planned Parenthood Federation of Amer- Association for Ambulatory Behavioral National Association for Children’s Behav- ica Healthcare ioral Health Prevention Institute Association for Community Affiliated National Association for Rural Mental Preventive Cardiovascular Nurses Associa- Plans Health tion Association for the Advancement of Psy- National Association of Anorexia Nervosa Progressive States Action chology and Associated Disorders—ANAD Raising Women’s Voices for the Health Association of University Centers on Dis- National Association of Area Agencies on Care We Need abilities Aging (n4a) Religious Action Center of Reform Juda- Association of Women’s Health, Obstetric National Association of Chronic Disease ism and Neonatal Nurses (AWHONN) Directors Religious Coalition for Reproductive Bazelon Center for Mental Health Law National Association of Community Health Choice Black Women’s Health Imperative Centers Safe States Alliance B’nai B’rith International National Association of County Behavioral Sargent Shriver National Center on Pov- California Primary Care Association Health and Developmental Disability Direc- erty Law California Rural Indian Health Board tors School Social Work Association of Amer- Campaign for Tobacco-Free Kids National Association of Mental Health ica Campus Progress Planning & Advisory Councils SEIU Catholic Health Association National Association of Pediatric Nurse Small Business Majority Catholics United Practitioners Society for Adolescent Health and Medi- Center for American Progress Action Fund National Association of Public Hospitals cine Center for Clinical Social Work and Health Systems Summit Health Institute for Research and Center for Community Change National Association of Social Workers Education, Inc. Center for Integrated Behavioral Health National Association of State Mental The AIDS Institute Policy Health Program Directors The Arc Center for Medicare Advocacy National Black Leadership Commission on The Association for Community Affiliated Center for Reproductive Rights AIDS Plans (ACAP) Center on Budget and Policy Priorities National Coalition for LGBT Health The Greenlining Institute Centers for Community Change National Coalition for Mental Health Re- The Ministry of Caring, Inc CHADD (Children and Adults with Atten- covery The National Consumer Voice for Quality tion-Deficit/Hyperactivity Disorder, Inc.) National Coalition on Health Care Long-Term Care Child Welfare League of America National Committee to Preserve Social Se- The Patients’ Union Childbirth Connection Therapeutic Communities of America Children’s Defense Fund curity and Medicare Third Way Children’s Dental Health Project National Consumers League Treatment Access Expansion Project Children’s Health Fund National Council for Community Behav- Trust for America’s Health Clinical Social Work Association ioral Healthcare U.S. PIRG Clinical Social Work Guild 49, OPEIU National Council of API Physicians U.S. Positive Women’s Network Coalition on Human Needs National Council of Asian Pacific Ameri- U.S. Psychiatric Rehabilitation Associa- CommonHealth ACTION cans Communication Workers of America National Council of Jewish Women tion Community Action Partnership National Council of La Raza Union for Reform Judaism Community Catalyst National Council of Urban Indian Health United Autoworkers Community Organizations in Action National Council on Aging United Cerebral Palsy Consumer Action National Council on Problem Gambling United Methodist Church General Board of Consumers Union National Disability Rights Network Church and Society Corporation for Supportive Housing National Education Association United Neighborhood Centers of America Cystic Fibrosis Foundation National Farmers Union United Spinal Association Depression and Bipolar Support Alliance National Federation of Families for Chil- United Steel Workers Direct Care Alliance dren’s Mental Health Universal Health Care Action Network Disability Rights Wisconsin National Foundation for Mental Health Universal Health Care Foundation of Con- Doctors for America National Gay & Lesbian Task Force Action necticut Easter Seals Fund Vermont Legal Aid—Office of Health Care Eating Disorders Coalition for Research, National Health Law Program Ombudsman Policy & Action National Hemophilia Foundation Voices for America’s Children Every Child Matters Education Fund National Hispanic Medical Association Witness Justice Faith in Public Life National Indian Health Board WomenHeart: The National Coalition for Faithful America National Institute for Reproductive Health Women with Heart Disease Faithful Reform in Health Care National Latina Health Network Young Democrats of America Families USA National Latina Institute for Reproductive Young Invincibles Health Care for America Now Health YWCA USA Herndon Alliance National Medical Association I yield back the balance of my time. HIV Health and Human Services Planning National Minority AIDS Council Mr. CAMP. I yield the balance of my Council of New York (Planning Council) National Network of Public Health Insti- time to the distinguished gentleman Japanese American Citizens League tutes Jewish Women International National Organization for Women from Ohio (Mr. JOHNSON). Labor Council for Latin American Ad- National Partnership for Women and Fam- Mr. JOHNSON of Ohio. I thank the vancement ilies gentleman for yielding. Leadership Council on Aging Organizations National Physicians Alliance Mr. Speaker, today we’re debating (65 organizations) National Puerto Rican Coalition the repeal of economically damaging Leadership Council on Civil and Human National Research Center for Women & legislation that punishes job creators Rights Families/Cancer Prevention and Treatment and does nothing to control rising League of Women Voters of the U.S. Fund LiveStrong National Senior Citizens Law Center health care costs. We can’t afford the Main Street Alliance National Spinal Cord Injury Association $1.2 trillion price tag on the govern- Maryland Women’s Coalition for Health National Viral Hepatitis Roundtable ment takeover of health care while our Care Reform National WIC Association national debt stands at $14 trillion.

VerDate Mar 15 2010 04:58 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00051 Fmt 0636 Sfmt 0634 E:\CR\FM\A19JA7.017 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H308 CONGRESSIONAL RECORD — HOUSE January 19, 2011 Today, we can right a serious wrong Florence, South Carolina, told me that Senate that will listen to the American and still achieve the goals we share, she had just been informed by her in- people and repeal this bill. like ensuring access to quality, afford- surance carrier that because of her 8- Because what has been the result, able health care for all Americans; real year-old daughter’s cancer treatments, Mr. Speaker? It’s been this: it’s been health care reforms that control costs; her family had reached their lifetime job loss, it’s been increases on costs to and ensuring that Americans with pre- benefits limit. the American people. I have seen ev- existing conditions get the care they What could be more inhumane than erything from 26 percent increases on need at a price they can afford. repealing this law’s patients’ rights health insurance to 45 percent in- In my district in eastern and south- and telling that mother that the life- creases on health insurance. This will eastern Ohio, more than 26,000 senior saving treatments for her daughter break the bank, and we won’t let that citizens currently enrolled in Medicare must end? happen to our country. Advantage are at risk of losing this What could be more shocking than So make no mistake, Mr. Speaker. program because of the $200 billion in the injustice suffered by the middle- We are here to stay and our resolve is cuts to Medicare required by this job- aged woman who called into a radio firm. We will continue this fight until destroying health care law. program to complain that although she ObamaCare is no longer the law of the Later today we will vote to repeal had paid her premiums her entire adult land and until we can actually pass re- the government takeover giving us the life, she was dropped by her insurer form that will cut the costs of health opportunity to start over and enact when she contracted breast cancer. care. real patient-focused health care re- How can we repeal the remedy for this Mr. CLYBURN. Mr. Speaker, I yield 2 forms. injustice? minutes to the chair of the Democratic Mr. CANTOR. Mr. Speaker, I yield 11⁄2 Dr. King also taught us that the time Caucus, the gentleman from Con- minutes to the gentlewoman from New is always ripe to do right. After nearly necticut (Mr. LARSON). York (Ms. BUERKLE). a century of debate, last March the Mr. LARSON of Connecticut. I thank Ms. BUERKLE. Mr. Speaker, I rise in time was ripe. And getting rid of these the gentleman for yielding. support of H.R. 2 because I believe that discriminatory practices was the right Equal protection under the law is the the American people deserve health thing to do. And that is the reason I cornerstone of our Constitution. That care reform that will actually reduce called the bill the Civil Rights Act of is why we as Nation strive to form a costs and improve access without dam- the 21st Century. more perfect Union in a commonsense aging the quality of our health care. Interestingly, today we are hearing way of looking out for one another. No Last year’s enacted health care reform some of the same rhetoric about repeal one can prepare for a birth defect, ca- was a victory for Big Government and of patients’ rights that we heard re- tastrophe, or accident of life that may an affront to our Constitution. This garding voting rights. await any one of us. This Congress can- law is so fundamentally flawed, it must Do I feel that changes should not be not disenfranchise the 129 million be repealed. made? Absolutely not. Americans with preexisting conditions When our Founders envisioned this When the Civil Rights Act was passed impacted by this repeal proposal. The legislative process, it was meant to be in 1964, it did not cover public employ- proposal that is before us is not worthy a deliberative one—thoughtful and re- ees. of the party of Lincoln or the tea spectful of the American citizens’ free- The SPEAKER pro tempore. The party. Repeal, repeal, repeal is not a dom. Last year, that vision faltered; time of the gentleman has expired. plan. It is an empty political refrain. and Congress failed in its duties to the Mr. CLYBURN. I yield myself an ad- My colleagues on the other side of American people when they enacted ditional 30 seconds. the aisle are honorable people. I cannot this Affordable Care Act. When the 1965 Voting Rights Act be- accept that they are indifferent to the As a registered nurse and an attorney came law, it did not cover congres- 129 million Americans with preexisting who represented a major teaching hos- sional and legislative redistricting. conditions who would continue to be pital, I am aware of the problems of The Fair Housing Law wasn’t perfect denied coverage and forced to pay high- our current system, in particular, the when it was passed. er rates with repeal. I cannot accept problems arising from government re- Bipartisan changes were made to im- that they are indifferent to millions of strictions on the purchase of health in- prove all of these measures. I sincerely children who would once again face de- surance, government regulations on hope that we can develop some bipar- nial of health care coverage. I don’t be- hospitals and businesses, and tort li- tisan modifications that increase effi- lieve they are indifferent to the mil- ability issues. ciency and effectiveness and decrease lions of seniors who would be facing Unfortunately, this Affordable Care costs and duplication—none of which higher prescription drug costs because Act does not alleviate these problems will be achieved through repeal. of repeal. I cannot accept that they are and will further damage an overbur- I reserve the balance of my time. indifferent to the families that face dened system. According to the Health cancer diagnosis and would once again b 1640 Care Association of New York State, be subject to lifetime limits on cov- my home State, we will face a $15 bil- Mr. CANTOR. I yield 11⁄2 minutes to erage and possible bankruptcy because lion reduction in Medicare and Med- the gentlelady from Minnesota (Mrs. of repeal. Addressing these funda- icaid—affecting our hospitals, our BACHMANN). mental issues of fairness was what the skilled nursing facilities, our home Mrs. BACHMANN. I thank the gen- health care legislation and law is all health agencies and hospices over the tleman from Virginia for yielding. about. next 10 years. ObamaCare, as we know, is the crown In this Chamber, and clearly down We need to implement true health jewel of socialism. It is socialized med- the hall, we understand the charade of care reform in a manner that preserves icine. The American people spoke this repeal legislation. But it is not patient choice, protects access to soundly and clearly at the ballot box in lost on the 129 million Americans with health care, and controls costs without November. And they said to us, Mr. preexisting conditions that are count- hurting job growth. Speaker, in no uncertain terms, repeal ing on us. Mr. CLYBURN. Mr. Speaker, I yield this bill. And so today this body will Mr. CANTOR. Mr. Speaker, I yield 11⁄2 myself 2 minutes. cast a vote to repeal ObamaCare. minutes to the gentlelady from South Mr. Speaker, in 1966 Dr. Martin Lu- And to those across the United Dakota (Mrs. NOEM). ther King, Jr., whose life and legacy we States who think this may be a sym- Mrs. NOEM. I thank the gentleman just finished celebrating, expressed his bolic act, we have a message for them: for yielding. concerns about health care. He stated, this is not symbolic. This is why we Mr. Speaker, I rise today for the first ‘‘Of all the forms of inequality, injus- were sent here, and we will not stop time on the floor of the United States tice in health care is the most shock- until we repeal a President and put a House of Representatives to make a ing and inhumane.’’ President in the position of the White case for a very important piece of leg- Those words were brought home to House who will repeal this bill, until islation, namely H.R. 2, the health care me last year when a constituent from we repeal the current Senate, put in a repeal bill.

VerDate Mar 15 2010 03:08 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00052 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.113 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H309 Mr. Speaker, there are a multitude of will take away valuable benefits, de- is the true cost of this legislation; $700 reasons why this law should be re- stroy jobs, cause premiums to rise, and billion more added to the deficit. pealed, but the most important is be- add billions to the deficit. Now, I know my friends on the other cause it is a major impediment to job If my colleagues across the aisle will side of the aisle will contend some- creation for small businesses and job not listen to the facts and the num- thing else, but somehow in their ac- creators in South Dakota and across bers, then listen to the poignant sto- counting they left out the $115 billion this country. According to one study, ries of their and our constituents. it costs to implement. They double- an employer mandate alone could lead What will happen to Stacie’s twins, counted almost half a trillion dollars to the elimination of 1.6 million jobs Claudette, Ed, and millions of other in taxes, Social Security, cutting Medi- between 2009 and 2014, with 66 percent Americans if health care reform is re- care by half a billion, the sleight of of those coming from small businesses. pealed? What will happen to children hand of 10 years of taxes, 6 years of Mr. Speaker, one of the most impor- with preexisting conditions, to seniors spending. Mr. Speaker, you cannot im- tant jobs and job-creation measures in the doughnut hole, to small busi- prove the health care of a nation by that we can do this year is to repeal nesses trying to help their employees impoverishing its children. this bill and to replace it with com- find quality health insurance? Repeal Here is one more reason, Mr. Speak- monsense policies that actually lower is a mistake. We should work to fur- er. The American people don’t want it. costs for families and for small busi- ther strengthen our health care sys- It’s personal. nesses, expand access for affordable tem; and we should do that, not roll Here is my story. Two days ago I was care, and protect American jobs. What back hard-won progress. Health care in San Antonio, Texas. My mother had I heard time and time again on the should not be a political game. a large tumor removed from her head. 1 They wheeled her away at 7:20 in the campaign trail last year from South Mr. CANTOR. Mr. Speaker, I yield 1 ⁄2 Dakota’s small business owners is that minutes to the secretary of the Repub- morning. By noon, I was talking to her, they are simply waiting. They are lican Conference, the gentleman from along with the rest of our family. It waiting to hire another worker or to Texas (Mr. CARTER). proved benign. Thanks to a lot of pray- ers and good doctors at the Methodist invest in new technology because of Mr. CARTER. Mr. Speaker, I am de- Hospital in San Antonio, my mother is the looming threat of this health care lighted to find that the President has fine. I am not sure that would be the law. finally found common ground with the Whether it’s a foundry owner in conservatives. The President wrote in outcome in Canada, the UK, anywhere northeastern South Dakota or a motor- The Wall Street Journal yesterday in Europe. No disrespect to the President, but cycle parts manufacturer in central that he issued an executive order call- when it comes to the health of my South Dakota, the refrain is the same: ing for all agencies to identify job-kill- mother, I don’t want this President, or get the government off our backs, and ing and costly red tape that could be any President, or his bureaucrats or we’ll be the small business job-creation eliminated. We should help him resolve commissions making decisions for my engine that this country so desperately this by eliminating thousands of new loved ones. Let’s repeal it today, re- needs right now. regulations that will be dumped on in- dividuals and businesses over the next place it tomorrow. Mr. Speaker, I urge my colleagues to Mr. CLYBURN. I continue to reserve 4 years by this bad health care law. listen to the citizens of this great the balance of my time. country on this important issue. The Federal Register contains 6,123 Mr. CANTOR. Mr. Speaker, it is now Mr. CLYBURN. Mr. Speaker, I am pages of requirements for the new my pleasure to yield 2 minutes to the proud to yield 2 minutes to the gentle- health care rules created by this law. majority whip, the gentleman from lady from Connecticut (Ms. DELAURO), b 1650 California (Mr. MCCARTHY). the chair of our policy committee. Mr. MCCARTHY of California. Let Ms. DELAURO. Yesterday, men and The Center for Health Trans- formation lists 159 new Federal agen- me thank the gentleman for yielding. women from all across America came First of all, let me say I respect my here to tell us what the repeal of cies created by this law. We can replace this bad bill with bi- friends on the other side of the aisle. I health care would mean for them. partisan reforms that can let the peo- do believe you all, like us, want to im- Stacie Ritter of Lancaster, Pennsyl- ple both keep their job and their health prove America’s health care system. vania, told us how her 11-year-old twin insurance. Congressional Republicans and Demo- daughters were both diagnosed with Mr. Speaker, let’s support the Presi- crats don’t differ on that goal. leukemia at age 4. She explained how dent’s initiative and reduce bad regula- Where we differ, and differ quite dras- the Affordable Care Act finally ensured tions by repealing this bad law. tically, is on how to accomplish this her daughters could get coverage and Mr. CLYBURN. Mr. Speaker, may I goal. And the American people’s opin- the care that they need. inquire as to how many more speakers ion on health care reform radically dif- Claudette Therriault of Sabbattus, there are on the other side? fers from that, Mr. Speaker, of Presi- Maine, told us how health care reform Mr. CANTOR. Mr. Speaker, we have dent Obama and the congressional had given her access to critical preven- five remaining speakers. Democrats. tive care, the type of care that saves Mr. CLYBURN. I have two speakers Americans understand that our money and saves lives. Ed Burke of remaining. health care system, warts and all, is Palm Harbor, Florida, told us how the I reserve the balance of my time. still the very best in the world. We prohibition on lifetime caps had Mr. CANTOR. Mr. Speaker, I yield 2 have the best doctors, nurses, hos- brought security and peace of mind minutes to the chairman of the Repub- pitals, and health innovators in the after years of living with hemophilia. lican Conference, the gentleman from world. We hear stories like this every day in Texas (Mr. HENSARLING). We should be working together to im- my district and all across America. Mr. HENSARLING. Mr. Speaker, let prove the system rather than turning Yesterday, a report found that up to me offer 1.6 million reasons why we it over to thousands of health care bu- 129 million Americans under age 65 should repeal ObamaCare. That’s the reaucrats who believe they can make have preexisting conditions and could number of jobs that will be lost from better choices than patients and doc- lose their coverage if reform is re- just one provision, the employer man- tors. pealed. I understand their fears. I too date, according to the NFIB, the larg- The debate today is a little different have a preexisting condition. I am an est small business organization in than the debate that I remember when ovarian cancer survivor. America. The half a trillion dollars in this bill was passed, Mr. Speaker. Mem- The Center for American Progress re- new taxes, the 1099 form, the minimum bers are not held over for a weekend ports that repeal would add almost benefit standard, all job-crushing regu- vote. There are not protesters outside $2,000 a year to family insurance pre- lations. Mr. Speaker, when it comes to rallying, wanting, Mr. Speaker, to have miums, destroy up to 400,000 jobs a year ObamaCare, you cannot help the job their voices be heard. Today is an open, over the next decade. And the Congres- seeker by punishing the job creator. cordial discussion. sional Budget Office says repeal would Let me offer 2.6 trillion more reasons That’s what the American people add $230 billion to the deficit. Repeal that we must repeal ObamaCare. That asked for, a health care system that

VerDate Mar 15 2010 03:08 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00053 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.115 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H310 CONGRESSIONAL RECORD — HOUSE January 19, 2011 works, that doesn’t deter, a health care For 12 years, they had control of the I’m for Catherine Marquardt of North system devised by the patient and doc- Congress. For 6 years, they had a Re- Babylon. Catherine had breast cancer; tor. publican President to work with. They and as she was recovering from breast Mr. Speaker, our families deserve never once did it. cancer, her insurance company told her better, our small businesses deserve Let’s keep that bird in the hand and that it was a preexisting condition and better, and to all my colleagues, Amer- move forward for the rest of America. they would no longer pay for her treat- ica deserves better. Mr. CANTOR. Mr. Speaker, I yield 11⁄2 ment. Now, I hear people say, well, why Let’s repeal this health care bill, minutes to the gentleman from South should I care? I’m not Catherine start to replace it with an open and an Carolina (Mr. SCOTT). Marquardt. I don’t have breast cancer. honest debate, where the American Mr. SCOTT of South Carolina. Mr. One out of every nine women in Amer- people are involved, patients are in- Speaker, this health care bill is a job- ica has breast cancer. You know some- volved, doctors are involved, and the destroying bill. body who has breast cancer. Why would American public can have a health care Shifting who pays simply does not re- you want to say to them, That is re- bill that lowers the cost without de- duce the cost of health insurance. As a pealed, that consumer protection is re- stroying jobs and a health care system matter of fact, when you look at it, the pealed, you are on your own? that keeps the innovation we know so CMS says over the next 10 years we And finally, Mr. Speaker, I under- well. will see an increase of $311 billion in stand the notion that this is not a per- Mr. CLYBURN. Mr. Speaker, I yield 2 the cost of health care. This is $2.3 tril- fect bill, and there are things that we minutes to the vice chair of the Demo- lion of new taxes on Americans. can improve. My friends on the Repub- cratic Caucus, the gentleman from The deficit: Over the first decade, lican side are in the majority; and if California (Mr. BECERRA). over $500 billion of new deficit spend- they can think of ways to improve it, I Mr. BECERRA. I thank the gen- ing; $1.5 trillion in the second decade. believe we should work with them. But tleman for yielding. Massive bureaucracy: 68 new pro- this is not improving it. This is repeal- Listening to this debate, I can under- grams, 47 new bureaucratic entities, ing it. This is repealing every word of stand why Americans might be con- and 29 pilot programs as a part of this it. This is repealing every vowel of it. fused about the direction of health care bill. This is repealing every consumer pro- in this Nation. But let me thank my It destroys the relationship, the inti- tection of it. This is repealing it for Republican colleagues for producing at mate relationship between a patient every one of us, for Hannah and Cath- least one important result by debating and a physician. erine, for one out of every nine women this misguided Republican plan to re- The NFIB, the National Federation who has breast cancer and for all peal patients’ health care rights. of Independent Business, says that over Americans with preexisting conditions. Millions of Americans are now begin- the next 10 years we will lose 1.6 mil- And it ought not be repealed. ning to understand the valuable rights lion jobs in America because of this I thank the gentleman. and freedoms they secured when the bill. By destroying the bill that de- Mr. CANTOR. Mr. Speaker, I now Affordable Health Care Act became law stroys jobs, we’ve made progress. yield 11⁄2 minutes to the gentleman last year. Last year, when Eric, a self- from Texas (Mr. SESSIONS). b 1700 employed architect in my district, Mr. SESSIONS. I want to thank the wrote to me that he and his wife were Finally, we already have a $76 tril- majority leader, the gentleman, Mr. in a terrible bind, he explained some- lion hole in unfunded entitlements. By CANTOR. thing. They had insurance, but they increasing the number of entitlements, Mr. Speaker, I believe that the could only secure the most costly of in- we’ve simply increased the hole, an- Democrats’ health care law will do for surance with the highest deductibles. other $2.7 trillion expansion in entitle- health care what the stimulus did for But the real bind wasn’t that. The real ment spending. The 10 years’ revenue jobs. My colleagues on the other side of bind was that their insurance company simply does not pay for the 6 years of the aisle promised the American people refused to include, within their health benefits. greater access to quality affordable insurance policy, their 8-year-old son Mr. CLYBURN. Mr. Speaker, I yield 2 health care. Well, the only problem is because their 8-year-old son had suf- minutes to the chair of the Democratic that the law does not increase quality fered from a stroke. Congressional Campaign Committee, and does not save Americans one dime Now, for Eric and his wife and his Mr. STEVE ISRAEL of New York. on their health care cost. In fact, what son, health care reform was real. Mr. ISRAEL. I thank my friend. is known as ObamaCare will end up Today, Eric and his family can get in- Mr. Speaker, I rise to oppose this costing every single American more in surance for their son because today bill. This vote establishes who you are health care premiums and in taxes to Eric and his wife have a right to be in- for. Are you for insurance company pay for the $1.2 trillion gross expansion sured and to have their son insured be- profits, or are you for the middle class? of the Federal Government. cause no insurance company today can I’m for Hannah Watson of Bay Shore, Mr. Speaker, the Democrats’ health discriminate against any child for a Long Island. Hannah was born with care law is about taxes, it’s about man- preexisting condition. spina bifida. She had multiple sur- dates, it’s cuts to Medicare, job losses, That’s what health care reform was geries and a kidney transplant before deficit spending, and new Federal bu- all about. It was also about making the age of 12. At 12 years old, 3 months reaucracies. The reality is that we can- sure that today America’s businesses after her last surgery, her insurance not pay for the health care entitle- could afford to offer health insurance company told her that she had reached ments we have, much less a new gov- to their employees. her annual cap and they would not pay ernment takeover of health care that Health insurance reform was about for additional treatment. Thanks to adds trillions of dollars to our existing reducing the cost of health care, and the Affordable Care Act, Hannah was liabilities, driving up costs even fur- that’s why the impartial referee that able to finally get on her parents’ in- ther and puts the Federal Government we use here in Congress, the Congres- surance at an affordable rate with no in charge of health care decision-mak- sional Budget Office, has said that this lifetime caps. ing. health reform that was passed last year This health care act was for Hannah The path to greater choice for pa- will save us money, despite all the Watson. Well, I hear people saying, do tients and lower costs all must be a rhetoric that you hear. you know what? I don’t have spina part of an answer that is about repeal- My Republican friends say repeal bifida. Why should I care? Well, Han- ing this costly health care bill. I sup- these health care rights and protec- nah did not choose to have spina bifida. port the repeal today and will vote to- tions that were extended last year. Do Nobody makes that choice. The health morrow for the resolution to replace it that today, and in the future we will care act helped Hannah. It helped her with the promise of real solutions. restore those rights and make them neighbors. It helped others. Why would Mr. CLYBURN. Mr. Speaker, may I prettier as well. you want to look at Hannah and say, inquire as to the time remaining. Well, we have a bird in the hand. We We are repealing those protections, The SPEAKER pro tempore. The gen- don’t want to go after two in the bush. Hannah? tleman from South Carolina has 41⁄2

VerDate Mar 15 2010 03:08 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00054 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.116 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H311 minutes remaining. The majority lead- Now my Republican friends have this legislation we seek to repeal is er has 21⁄2 minutes remaining. come to the floor with a plan to put in- rooted in having Federal bureaucrats Mr. CLYBURN. Mr. Speaker, I yield surance companies back in charge of come between patients and their doc- the balance of my time to the Demo- American health care and to strip tors, limiting choices. cratic whip, Mr. HOYER from Maryland. Americans of their hard-won freedom If you go back to the health care de- Mr. HOYER. I thank the gentleman to make health choices for themselves. bate last Congress, the President, then- for yielding. I rise in opposition to this Once again, families would face in- Speaker PELOSI, and then-Leader REID bill to repeal. surance companies’ unfair caps on often spoke of two goals: one, we Last year, we acted to reform health their coverage—or find their coverage should strive to lower costs; and, two, care in America to make it easier for canceled altogether. Once again, insur- if Americans liked the health insur- small businesses to cover their employ- ance companies could discriminate ance coverage they had, they should be ees, to take important steps to bring against children with disabilities and able to keep it. down costs, and to stop insurance com- pregnant women. Once again, prescrip- Mr. Speaker, we believe in the after- pany abuses that bankrupt sick Ameri- tion drug costs for our seniors will go math of this bill’s passage these goals cans and deny them coverage. We acted up. And once again, small businesses have not and cannot be met. Therefore, in the face of a crisis, a cost crisis, will be without any help to cover their doesn’t it stand to reason that we must which saw premiums more than double employees in a world of skyrocketing repeal this bill and begin an honest de- over the last decade; a coverage crisis, premiums. bate about a better way forward? Of all which saw more than 40 million Ameri- There’s no arguing with the facts: re- the most disingenuous myths in this cans without health care insurance; peal would cost our economy as many town, perhaps the biggest is the notion and a fiscal crisis, which saw the cost as 400,000 jobs per year, notwith- that repealing the health care bill will of health care driving our country standing the rhetoric on the other side. increase the deficit. Let’s remember deeper and deeper into the red. They would be lost under the burden of here, we are adding an open-ended enti- A constituent of mine from southern crushing health care costs, and repeal tlement. The new law is riddled with Maryland recently wrote to thank us would pile up over $1.2 trillion of addi- budget gimmicks that double-count for health reform that now lets her tional debt on our children over the savings, offset 6 years of benefits with carry her 21-year-old daughter on her next two decades. 10 years of tax increases, and rely on insurance, but she wrote that some- I urge my colleagues, preserve Amer- cuts to Medicare and tax increases to thing else also inspired her to support icans’ freedoms to control their own fund a new entitlement. The nonpartisan Congressional Budg- this piece of legislation, seeing ‘‘a lot care. Join together to protect a system et Office works hard to provide accu- of other people who are hardworking, that meets the objectives set by gen- honest people who were going bankrupt rate accounting; but it is only able to erations of American Presidents: Tru- score the legislation put in front of because of unexpected medical ex- man, Kennedy, Johnson, Nixon, Ford, penses.’’ Those were the stories we had them, even if it includes budget gim- Carter, George H.W. Bush, Clinton and micks and fiscal shell games designed in mind last year when we passed the George W. Bush, as well as President health reform law—and today, as we to hide its true cost. The reality is this Obama. trillion-dollar new government entitle- fight to protect it. Oppose this repeal bill. ment will lead to a one-size-fits-all Nonpartisan observers tell us it will The SPEAKER pro tempore. All time reduce the rise in premiums for mil- cure and put our country and our of the gentleman from South Carolina States on a path to bankruptcy. At a lions, cover 95 percent of Americans, has expired. and contribute to reducing our deficit. time when we need to do everything in Mr. CANTOR. I yield myself the re- our power to encourage job creation, The opponents of health care reform maining time. the health care bill hangs around the have spent more than a year painting Mr. Speaker, America did not become necks of businesses and serves as a bar- it in apocalyptic terms, but they can’t great by accident. We are a great coun- rier to job creation. erase the history that proves that try because we continue to strive to- Mr. Speaker, if we want to deliver bringing affordable care to all Ameri- ward the protection and expansion of real results, the right way to go about cans has long been the goal of both par- individual liberties in a way that peo- health care reform is to lower costs ties. ple cannot find anywhere else in the and improve access. That is why, after Just yesterday, former Senate Major- world. Our system of free enterprise in- the House passes this repeal of ity Leader Bill Frist, a Republican, spires people to pursue opportunity, to ObamaCare, we will begin a two-step said that the Affordable Care Act ‘‘is take responsibility for their lives, and process of: first, conducting oversight the law of the land, the fundamental to achieve success. Yet for the past 2 of the law and the impact it has had on platform upon which all future efforts years, Congress and the administration our economy and our health care sys- to make that system better will be have pushed an agenda that moves tem; and, two, beginning work on a based.’’ That was Senator Republican America in the opposite direction by new vision to improve health care leader of the Senate, Bill Frist from eroding individual freedoms. without bankrupting our country and Tennessee, one of the great medical b 1710 taking away the health care that most practitioners in this country, a doctor. Americans want and like. In 2008, Senator JOHN MCCAIN said this: It is part of a philosophy premised This majority is dedicated to achiev- ‘‘We should have available and afford- upon government siphoning more ing results for the American people. As able health care to every American cit- money, control, and power out of the we have said before, Mr. Speaker, we izen.’’ private sector. And the health care bill are a cut-and-grow Congress. We will There has been no alternative offered we seek to repeal today is the tip of the cut spending and job-destroying regula- to accomplish that objective. And in spear. tion and grow private-sector jobs and 2006, when signing a State bill remark- Mr. Speaker, let’s make something the economy. Repealing last year’s ably similar to the Affordable Care clear: Both parties care deeply about health care law is a critical step. Mr. Act, Governor Mitt Romney, Repub- health care. Likewise, Republicans Speaker, we can do better, we will do lican, a leading candidate for President have rejected the status quo. We sim- better, and I urge my colleagues to of the United States in the Republican ply disagree with our counterparts on support repeal. Party, said this of that bill, almost ex- the other side of the aisle that exces- Mr. SMITH of New Jersey. Mr. Speaker, I actly like this one: ‘‘An achievement sive government regulation and sweep- respectfully ask that my colleagues listen to like this comes around once in a gen- ing mandates on individuals and busi- the American people and vote for H.R. 2, leg- eration.’’ nesses are the right way to go about ef- islation to repeal Obamacare and, in essence, While our Republican colleagues in fecting the reforms that Americans open the door to the passage of replacement Congress failed to take action on want. legislation that offers needed, meaningful and health care during a decade of doubling The construct of this bill is fun- bipartisan health care reform. premiums and mounting debt, Congress damentally unworkable. Instead of pre- Considered in its entirety, Obamacare is a acted last year. serving the doctor-patient relationship, crippling blow to both health care in America

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and our economy. Not only will Obamacare ator KENT CONRAD called the CLASS program add six additional states to the lawsuit, which over time erode and undermine the quality of a ponzi scheme of the first order; $398 billion is challenging the healthcare reform law as health care in America, it will to a progres- in claimed savings from the Medicare Hospital unconstitutional because of the law’s individual sively greater extent increase the deficit, drag Insurance Trust Fund are double-counted to mandate requiring the purchase of health in- down the economy, hurt businesses, and de- pay Medicare benefits and to be used for surance. Twenty-six states are now part of stroy jobs. other programs; $115 billion in new govern- that lawsuit. Virginia had filed a separate law- The near total lack of transparency and mis- ment spending needed to implement the law suit on similar grounds, and last month re- use of power last year by the then-majority in were not counted in initial estimates; and $208 ceived a favorable ruling. forcing through Obamacare’s passage, makes billion for the fix to avoid pending Medicare Under Obamacare, premiums for non-group it the quintessential example of how a bad bill payments reductions to physicians were not family insurance will increase by as much as can become law. The American people are counted. $2,100 per year. The CBO estimated that by rightfully angry, and we in Congress had bet- CBO warns that the current trajectory of fed- 2016, premiums will increase by 10–13 per- ter listen to them. eral borrowing is unsustainable and could lead cent over what would happen under current Obamacare, which would create nearly 160 to slower economic growth in the long run as law. boards, commissions and programs and would debt rises as a percentage of GDP. The fed- Obamacare, which directs reductions of vest sweeping powers on bureaucrats to de- eral debt is currently over $14 trillion. The total more than one-half trillion from Medicare, will termine what benefits are covered and not and federal deficit rose from $455 billion in FY2008 take away certain benefits from senior citizens at what cost, is so fundamentally flawed that to $1,413 billion in FY2009, and is estimated and disabled persons. Medicare Advantage is it needs to be repealed and replaced. to be $1,342 billion for FY2010. A realistic as- used by over 11 million people nationwide in- The American people want and I support sessment is that Obamacare will exacerbate cluding 15,983 people in my Congressional meaningful and sensible health care reform, our nation’s debt. district alone. Obamacare’s $206 billion in cuts but it shouldn’t be paid for by giving the gov- At a time when unemployment is at record to Medicare Advantage plans will result in mil- ernment control of our health care system, highs (currently 9.4 percent nationally and 9.2 lions either losing that coverage or being de- with new unconstitutional mandates, massive percent in New Jersey), Obamacare will cause nied the opportunity to enroll in a Medicare tax hikes, and $2.6 trillion in new government significant job losses for the U.S. economy. Advantage plan. Further limiting patient spending. The National Federation of Independent Busi- choice, actuaries at the Centers for Medicare Rest assured that if Obamacare were sound nesses (NFIB) found that the mandate for em- and Medicaid Services warned that Medicare and prudent policy—fiscally and morally—and ployers to provide health insurance could lead cuts in the law are so drastic that providers an efficacious way of facilitating quality health to the elimination of 1.6 million jobs through might end their participation in the program. care coverage, the American people, as well 2014, with 66 percent of those jobs coming So much for the President’s promise that if as Members of Congress from both sides of from small businesses. Two-thirds of new U.S. you like your health plan, you can keep it; no the aisle and across the ideological spectrum, jobs are created by small businesses and you can’t! And so much for his promise that if would be strongly supporting it. If it were a even President Obama has called small busi- you like your doctor, you keep seeing your good law, honest explanations, not subterfuge nesses the ‘‘backbone of our Nation’s econ- doctor; you might not be able to. and granting of special favors and treatments, omy.’’ However, Obamacare hurts small busi- Obamacare also will add more than 16 mil- would convince a large majority of the Amer- nesses with mandates, new taxes, onerous lion people to the Medicaid program, which— ican public to embrace it. paperwork burdens, and higher health care in addition to threatening the participation of Government should not be about strong costs. physicians in the program that reimburses arming through a policy or law and then using Rather than reducing the costs of health doctors only 56 percent of the market rate for every trick, gimmick, and unholy alliance to care, Obamacare will increase total health medical procedures—also further endangers defend that law or policy at any cost. What care spending by $311 billion over the next already strained state budgets. were missing in passing and promoting ten years over what it would have been ab- On January 7, 2011, 33 Governors and Obamacare and are the foremost conditions sent Obamacare, according to Medicare’s Governors-elect wrote to the President, HHS that must be employed moving forward are chief actuary. Secretary Sebelius, and leadership in Con- honesty and transparency. Obamacare requires employers with 50 or gress regarding the excessive constraints The selling of Obamacare has been replete more employees to provide government-ap- placed on the states by healthcare-related fed- with misleading figures on costs and savings. proved health care, and to pay a $2000 pen- eral mandates. The Governors note that the While claims are made that the health care alty per employee (after the first 30 employ- federal requirements will force states to cut law will cost $940 billion over ten years and ees) if they do not provide coverage. Per- other programs, such as education, in order to reduce the deficit $143 billion over the same versely, the small business tax credit in the fund a ‘‘one-size-fits-all’’ approach to Med- period, those figures can be readily dem- law, with the purpose of aiding small busi- icaid. onstrated to be unrealistic. In actuality, best nesses, actually will act as a disincentive to Additionally, Obamacare fails to institute real estimates are that the new law will cost tax- small business owners who otherwise might medical liability reforms to end junk lawsuits payers $2.6 trillion over ten years when fully increase wages and hire additional workers. and curb the costs of defensive medicine— implemented and will add $701 billion to the The small business tax credit is only tem- these have long been identified as significant deficit in its first ten years. porary, and, additionally, it starts to phase out forces in driving up health costs. Why the gross discrepencies? For one, the for companies that pay their employees more Finally, it is a tragic flaw that, even though drafters of the law took full advantage of the than $25,000 or employ more than 25 work- President Obama told a joint session of Con- fact that the Congressional Budget Office, ers. Many business owners, particularly in gress that ‘‘no Federal dollars will be used to CBO, evaluates legislation over a ten year high cost states, would get no benefit. CBO fund abortions, and Federal conscience laws window. Significant benefits of the law don’t estimated that only 12 percent of small busi- will remain in place,’’ his legislation constitutes take effect for four years, meaning that the law ness workers would benefit. the largest expansion of abortion since Roe v. requires ten years of tax increases and ten The law also has an onerous requirement Wade itself, and makes a mockery of that years of Medicare cuts to pay for six years of for businesses to file a report with the IRS for pledge. spending. When all provisions of the law are every vendor with which it has more than Repeal of Obamacare will pave the way for fully implemented, the ten year cost rises to $600 in transactions in a year. This will be an implementation of better health care solutions $2.6 trillion. enormous paperwork burden on all busi- that will lower costs, increase access, and im- Additionally, a $143 billion savings turns into nesses, but may be particularly troublesome prove quality without destroying jobs or bank- a $701 billion deficit when adjustments are for small businesses to comply. rupting our government. made for budget gimmicks: $53 billion in Mr. Speaker, for the first time ever, Goals of responsible health care reform claimed savings by increasing social security Obamacare forces Americans to acquire an should be to provide credible health insurance payroll taxes are already spoken for by social approved health plan or pay a stiff penalty— coverage and access for everyone, strengthen security beneficiaries; $70 billion in claimed like they committed a crime. The penalty is the health care safety net so that no one is left savings from the new Community Assistance significant—the greater of $750 per person per out, and incentivize quality and innovation, as Services and Support (CLASS) program are year (up to $2,250 per family) or 2 percent of well as healthy behaviors and prevention. In- the result of benefits not being paid out for five household income. No person in America disputably, the private health insurance market years—while eventually benefits will exceed should be coerced into buying medical insur- has to be reformed to put patients first, and premiums collected—even Democratic Sen- ance. Just this week, a motion was filed to eliminate denials of pre-existing conditions and

VerDate Mar 15 2010 04:58 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00056 Fmt 0636 Sfmt 9920 E:\CR\FM\A19JA7.034 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H313 lifetime caps and promote portability between vited a single American outside of this Con- insurance industry loved that pattern. What did jobs and geographic areas, including across gress to a hearing to testify on the repeal bill the Congress do during those years to stop state lines. Reform should also include revi- we are debating here today. As a result, those those skyrocketing premiums? Nothing. By sion of the tax code to promote affordability of us who oppose the efforts to strip away im- contrast, the health reform bill signed by Presi- and individual control. Medicare reforms are portant patient protections had to organize an dent Obama finally provides the chance to necessary to make it more efficient and re- unofficial hearing to listen to testimony from stop those skyrocketing premiums. That’s why sponsive, with sustainable payment rates. our fellow Americans. We heard stories from it was so bitterly fought by the insurance in- Of course, responsible health care reform across America about why it is such a bad dustry and why they would like to see it re- will respect basic principles of justice: it will idea to repeal, to take away the many protec- pealed. put patients and their doctors in charge of tions patients and consumers finally have to Now some critics claim that the continued medical decisions, not insurance companies or fight the abusive practices of some insurance rise in health insurance premiums this year is government bureaucrats. It will also ensure companies. proof that the health care bill is not working. that the lives and health of all persons are re- We heard the moms and dads of young But that claim exploits widespread confusion spected regardless of stage of development, people tell you how relieved they are that their about how the bill works. Anyone who has age or disability. sons and daughters are no longer kicked off read the bill—and I do encourage all Members Mr. KUCINICH. Mr. Speaker, today the their health insurance policies at age 19 or to read the bill—knows that the key insurance House of Representatives is debating whether when they graduate from college, but can now market reforms in the bill don’t even take ef- to take a giant step backward by repealing the stay on their parents’ plan until age 26. As a fect until the year 2014. That is because the Affordable Care Act. If we are not going to de- result, if their 22-year-old gets very sick or market reforms cannot be implemented over- bate how to improve the health care bill, we gets into a terrible accident, that 22-year-old night without disruption to the system. But should be working to strengthen our economy. can get care they need without the family when those reforms are fully implemented in A good place to help Americans out of a going bankrupt. 2014, premiums will no longer accelerate at bad economy is to look at the number one We heard from moms and dads with kids warp speed. cause of bankruptcies in the U.S.: medical who have cancer, asthma, or diabetes or other Those reforms will change the very ineffi- bills. Specifically, over 62 percent of all bank- pre-existing conditions tell how relieved they cient system that contributes to rising pre- ruptcies are from medical bills. It is tempting to are that insurance companies can no longer miums. As of today, all of us who have health conclude from that statistic that most of those deny coverage to those kids. insurance coverage—we pick up the tab for bills are due to the uninsured not being able We heard senior citizens who were unable those who don’t. We pay higher premiums be- to pay their bills. That would be wrong. In 78 to pay huge bills for essential prescription cause of those who pay none, but get their percent of those medical bankruptcy cases, drugs tell you how relieved they are that—as primary care in the emergency room. That the victims had health insurance. That means of January 1st—they are now paying less and broken system results in less preventive care that about half of all bankruptcies in the U.S. can afford the medicines their doctors say and higher premiums. Those premiums will happen to people who have health insurance. they need. come down in 2014 once everyone takes per- This is what happens when insurance com- We heard from small businesses that are al- sonal responsibility for purchasing their own panies make money by not providing care. ready using the tax credits to be able to pur- coverage and the risks are pooled throughout Their job is to make someone other than them chase affordable health care coverage for their the population. Now, when market reforms kick-in fully in pay the bills—even if it is you or me, and even employees. And as a result of being able to 2014, the non-partisan, independent CBO has if we already have insurance. They make us purchase more affordable health care, small indicated that individuals and families will be pay the bills by selling cheaper insurance poli- businesses have been able to hire more em- able to pay less for their health coverage. In cies that do not actually cover us when we get ployees. their letter to Speaker BOEHNER, CBO projects sick. Now the new Republican majority has used that premiums for employer based coverage We must eliminate the predatory for-profit a lot of supercharged and inaccurate rhetoric will rise if you repeal the bill. And CBO indi- health insurance industry by enacting H.R. to support their claims. They even named their cates that the majority of people in the indi- 676, Medicare for All. No copayments, no bill the ‘‘Repealing the Job-Killing Health Care vidual market will get fewer benefits and pay deductibles, no premiums. For the same costs Law Act’’—as if putting those words in the title more for coverage if you repeal the bill—be- or less than we are paying now. and saying them over and over somehow cause you eliminate the tax credits. Mr. VAN HOLLEN. Mr. Speaker, many of us makes it true. It doesn’t and they aren’t. The non-partisan Congressional Budget Of- believe we should focus our efforts and en- Let me be clear—there is only one job that fice—the CBO—has also said something else will no longer be available as a result of the ergy on measures to help put people back to about the health care bill signed by President health reform bill, and that is the job of the work rather than on a bill that takes away im- Obama. They have calculated that it will re- guy at the insurance company who was told to portant patient and consumer protections. And duce our national deficit by over $1.4 trillion examine the fine print in your insurance pol- we don’t think it makes much sense to debate over the next twenty years. Now many people icy—the kind you can only read with a magni- a bill that thankfully will go nowhere in the ask how that can be possible. How can a Senate and would certainly be vetoed by the fying glass—and come up with reasons why health reform bill that provides more affordable President. However, the new Republican ma- the insurance company will not pay for the access to health care for millions of Americans jority is certainly entitled to use its time here care you need when you need it, even though reduce the deficit? The answer is simple: as it chooses. And while many of us believe you had been dutifully paying your premiums those expansions were more than paid for by our time would be better spent focusing on all along. The reform bill signed by the presi- eliminating huge taxpayer subsidies that were jobs, I do believe that this debate may help dent banned those abuses. With that solitary flowing to certain health insurance companies, clear up many of the myths and misinforma- exception, the health insurance reform law will by incentivizing more efficient care, and by tion about the health care law signed by Presi- create jobs. More people will be providing having the top 2% income earners contribute dent Obama. more cost effective health care services to en- more in payroll taxes. The issue of health care is personal to sure that more Americans are healthy and That is the budget math of the health care every American individual and family. That is productive at work. And the health reform reform bill. This means that by repealing the why this debate can become so emotional and bill—when it fully kicks-in in 2014—will finally bill signed by President Obama, Republicans heated. Let us have a vigorous, spirited de- give Americans the freedom to move from job would add over $1.4 trillion to the deficit, add- bate. But let us work to ensure the debate to job without fear of losing their coverage. ing to our debt to China and others. generates more light than heat, and illumi- That means more Americans will be able to Now, because they don’t like the CBO def- nates rather than obscures the key issues. pursue their entrepreneurial dreams and start icit numbers they have tried to discredit them. The insurance reforms that have taken ef- their own businesses without fear of losing But these criticisms are coming from the same fect since last March are already making a their health insurance. people who praised many of the CBO’s earlier huge and positive difference in the lives of mil- Now, we all recognize that ever rising health estimates during the debate on the health care lions of American families. We wish our Re- insurance premiums are making insurance bill. In other words, when they like what the publican colleagues would have taken a least less affordable for millions of Americans. In- CBO has to say, they endorse their numbers, a few days, a few hours to have Congres- deed, between the years 2000 and 2006, but when the CBO presents an inconvenient sional hearings to listen to those individuals health insurance premiums doubled—went up budget truth, they trash the numbers. and families. The new Republican majority 100 percent—and the profits of the major CBO is the independent budget referee for said it wanted to listen, but you have not in- health insurance companies quadrupled. The the Congress. Just as in football, sometimes

VerDate Mar 15 2010 04:58 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00057 Fmt 0636 Sfmt 9920 E:\CR\FM\A19JA7.035 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H314 CONGRESSIONAL RECORD — HOUSE January 19, 2011 you agree with the referee; sometimes you chy if we think that we can have Members of to-day lives of the people I have the privilege don’t. But you don’t get to kick the referee off Congress in a politically charged environment of representing. If you’re a senior who fell into the field and substitute your own call. Yet that substitute their own judgment for that of CBO. the ‘‘donut hole’’ of prescription drug coverage is exactly what our Republican colleagues With this action, the majority is committing and needed help covering that cost, this is a seek to do. Only this is not a sports game; budget malpractice. It is a sure-fire way to run vote to take that assistance away. If you’re a they are playing these games with the federal up the red ink in this country over a period of young adult who can benefit from staying on budget. It is unprecedented and fiscally reck- time. your parents’ insurance until age 26, this is a less. It is Enron-style accounting that will lead HOUSE OF REPRESENTATIVES, vote to take you off that coverage. If you’ve to budget anarchy and fiscal chaos. COMMITTEE ON THE BUDGET, ever worried about your insurer dropping your So much for fiscal accountability. Washington, DC, January 19, 2011. coverage unexpectedly if you or someone on Budgetary Effects of Legislation Mr. Speaker, those of us who support the your policy gets sick, this is a vote to bring MR. SPEAKER: Pursuant to Public Law 111– back those worries. If you’re a small-business health care reform law know that it is not per- 139, I hereby submit prior to the vote on pas- fect and certain adjustments should be made sage, the attached estimate of the budgetary owner trying to compete with large employers as we implement the reforms. In fact, last year effects of H.R. 2, ‘‘Repealing the Job-Killing while doing right by providing insurance to this House tried to remove the burdensome Health Care Law Act,’’ for printing in the your employees, this is a vote to make that 1099 provisions, and the Senate was unable Congressional Record. nearly impossible for you. And, if you’re a tax- to pass similar legislation. REP. PAUL RYAN, payer worried about the national deficit, this is But making necessary adjustments is one Chairman. a vote telling you that your Representatives thing. Completely eliminating important patient are not serious about our nation’s budget ESTIMATE OF THE STATUTORY PAY-AS-YOU-GO EFFECTS and consumer protections that are currently woes. FOR H.R. 2—REPEALING THE JOB-KILLING HEALTH benefiting millions of American families would A report released just this week brought to CARE LAW ACT—(AS INTRODUCED IN THE HOUSE ON be a historic mistake. The insurance industry light the pressing need for the kind of protec- JANUARY 5, 2011) would celebrate at the expense of the Amer- tions the Affordable Care Act brings about. Ac- [Billions of dollars, by fiscal year] ican people. Let’s put health care providers in cording to the report, an analysis by HHS, 50 charge of health care decisions, not the insur- Statutory to 129 million Americans under the age of 65 Pay-As-You- have some type of pre-existing health condi- ance industry. Go-Impact We have seen this narrative play out at tion. And one in five of those—25 million indi- other times in our history. After the historic 2012–2021 viduals—is uninsured. As the number of unin- passage of Social Security in 1935, its Repub- Net Increase or Decrease (¥) in the On-Budget Deficit a ...... +230 sured who are denied coverage has grown lican opponents called it ‘‘a cruel hoax’’ and ‘‘a Less: considerably over the last few years, thanks to Adjustments Pursuant to Sec. 4 (d)(6) of P.L. 111– fraud on the working man.’’ After the historic 139 b (Community Living Assistance Services and the ACA, starting in 2014, these Americans passage of Medicare in 1965, we heard the Supports Act) ...... N/A cannot be denied coverage, be charged sig- Adjustments Pursuant to H. Res. 5, 112th Congress c ... ¥230 same distortions. Statutory Pay-As-You-Go-Impact ...... 0 nificantly higher premiums, be subjected to an extended waiting period, or have their benefits Mr. Speaker, let us not make the mistake of Source: House Budget Committee Estimates. repealing health care reform. I urge my col- Memorandum: curtailed by insurance companies. a As of January 18, 2011 the Congressional Budget Office could not At a time when this country is looking for leagues to oppose this misguided and mis- produce a detailed year-by-year estimate of the statutory paygo effects of labeled bill. enacting H.R. 2—Repealing the Job-Killing Healthcare Law Act. The estimate those willing to make the tough decisions that above was provided in a CBO letter dated January 6, 2011 to Speaker of the lead us into a more prosperous, future, a vote Mr. Speaker, this House is a place to have House, John Boehner. great debates where we can openly air dif- b P.L 111–139 (the Statutory Pay-as-you-go Act of 2010) requires that the for repeal is a vote to take a step, not forward, budgetary effects of enactment of the Community Living Assistance Services but backward. I urge my colleagues to vote no ferences of opinion. But we should try in the and Supports Act (CLASS) not be counted on OMB’s statutory paygo score- process to separate differences of opinion card. CBO initially estimated the CLASS Act would reduce the deficit by $70 on this bill. from the facts of the case. billion; therefore, repeal of the CLASS Act, which would become effective Mr. POSEY. Mr. Speaker, I rise to express upon enactment of H.R. 2, would not be counted as increasing the deficit my support for the bill before us, H.R. 2, which Earlier this month, with the passage of the under statutory paygo. CBO was unable to produce an updated estimate of Rules package, there was an effort to provide the deficit impact of repealing the CLASS Act as of January 18, 2011. would repeal the health care reform law that c Sec. 3 (h)(1)(C) of H. Res. 5 provides authority for the Chairman of the was enacted last year. While we need to ad- a whole new approach to accounting when it Committee on the Budget to exempt the budgetary effects of any measure comes to the budget deficit. In essence, what that repeals the Patient Protection & Affordable Care Act and subtitle B of dress shortcomings in our Nation’s health care title II of the Health Care and Education Affordability Reconciliation Act of system, this law is the wrong prescription and the rules say is that we are going to exempt 2010. the budgetary effects of certain measures, in- that is why I am a cosponsor of H.R. 2. Mr. SCHIFF. Mr. Speaker, I rise today in Prior to the passage of this new law, the cluding repealing the Patient Protection and support of the progress we’ve made towards American people were told that if they liked Affordable Care Act. The majority has written meaningful health care reform, and I stand in their current health care plan, they could keep into the governing rules of the House a mech- strong opposition to the Majority’s efforts to re- it. However, shortly after its passage, the Ad- anism to disguise the true budget deficit im- tract much needed provisions that have since ministration issued regulations finding that pact of repealing this legislation. And as a re- gone into effect for millions of Americans. nearly half of all workers would lose their cur- sult, today the Chairman of the House Budget Our economy’s slow recovery from what’s rent health care plan and be required to sign Committee inserted a statement into the CON- been the deepest recession in modern history up for one of the new plans authorized by the GRESSIONAL RECORD which asserts that H.R. has highlighted the wide and growing gaps in government. 2, the bill to repeal the Affordable Care Act, our health care system. We’ve seen too many It’s a system that mandates that every will have no budgetary effect at all. In fact, families who’ve lost their insurance coverage American buy government approved health in- CBO’ s preliminary estimate of the bill is that when a provider in the household becomes surance or pay a fine, which a Virginia Court it would increase the deficit by $230 billion unemployed, leaving the whole family unpro- ruled recently as unconstitutional. The ap- over ten years. What the majority is doing is tected and at risk to fall through those wid- proach outlined by the new health care law rank budget gimmickry of the worst kind. ening cracks—unable to afford COBRA, ineli- limits choices and phases-out other options to It is the job of the nonpartisan Congres- gible for public coverage, and precluded by health coverage such as health savings ac- sional Budget Office to inform us of the deficit high and growing premiums or pre-existing counts, which are enjoyed by some 8 million impact of legislation we pass in this House. conditions from obtaining private insurance. Americans. Sometimes we agree with their estimates, In California, we’ve been aggressive in mov- The American people were told that pas- sometimes we disagree. But the whole budget ing forward with implementation, and will con- sage of this legislation would lower health in- process will collapse in chaos if we decide to tinue to lead the way in improving our ability surance premiums by $2,500 for the average write the political budget estimates of indi- to provide access to quality, affordable care, family. However, health insurance premiums vidual Members of Congress into these bills instead of retreating into the broken status quo have continued to rise, and studies indicate and ignore the estimates of the professionals. of the past. We recognize what a vote for re- that the new health care law is contributing to It is like being at a football game and when pealing the Affordable Care Act means to the these increases. This bill also fails to guar- the referee makes a call, and you don’t like uninsured and underinsured: increasing health antee that Federal tax dollars will not be used the call, you throw the referee off of the field care costs for millions of Americans, causing to pay for elective abortions. and think that your team gets to make the call many families to lose coverage, and increas- The American people were told this new instead. ing the national debt by over $1 trillion. health care law would stimulate job growth. We should all recognize, as Republicans This is a repeal vote that has real implica- But this 2,000-page bill has created more un- and Democrats, that we will have budget anar- tions, and will mean a great deal in the day- certainty and raised the cost of doing business

VerDate Mar 15 2010 04:58 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00058 Fmt 0636 Sfmt 9920 E:\CR\FM\A19JA7.038 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H315 in America. Imposing new mandates and high- health care system and preventing the ramp- district who choose to offer coverage. If our in- er taxes on small businesses continues to ant growth of health care costs. According to tent here is truly to create jobs, why would we hamper our economic recovery and slows job- the nonpartisan Congressional Budget Office, repeal legislation that since its enactment, has creation. Repealing this law will provide great- repealing the law would increase the deficit by contributed to the creation of more than one er certainty. $230 billion over the next decade and over $1 million private sector jobs, including more than Finally, in my view this bill is fiscally irre- trillion in the following decade. Now, that is a 200,000 jobs in the healthcare industry? sponsible. The cost of this law continues to difficult pill to swallow, with long-lasting effects Mr. Speaker, I am not here to represent the climb. During the House floor debate on this on our nation’s fiscal health. insurance industry or the pharmaceutical in- bill last year I stated that the overall costs of Repeal of the Affordable Care Act has direct dustry. I am here to represent the interests of the legislation were being underestimated by consequences to the diverse congressional the ordinary Americans that reform will protect. more than $500 billion. That is proving to be district that I am proud to represent, Califor- Repealing the Affordable Care Act would be in the case as the hidden costs of the bill con- nia’s 15th district. The Patients’ Rights Repeal direct opposition to those interests by increas- tinue to be uncovered. Act would: ing our national deficit by one trillion dollars Mr. Speaker, we have a national debt of Increase the number of my constituents over the next two decades and preventing $14 trillion and rising. Our Federal budget situ- without health insurance by 17,000 individuals; tens of millions of uninsured Americans from ation is fiscally unsustainable, and if we don’t Allow insurance companies to deny cov- gaining coverage. In my district alone, 37,500 make tough choices now, we will saddle future erage to as many as 307,000 individuals, in- people will receive coverage under this law, generations with a mountain of debt that can cluding up to 40,000 children, with pre-existing and 75,000 seniors on Medicare will receive never be repaid. It is time to face the reality conditions; improved care, giving them full access to our of our budget situation and that includes rec- Rescind consumer protections for 484,000 healthcare system, which is the ‘‘best in the ognizing that the real cost of this health care individuals who have health insurance through world.’’ law will far exceed our ability to pay for it. their employer or the market for private insur- Mr. Speaker, I ask you, what is the point in While everyone can point to various aspects ance; having the ‘‘best healthcare system in the of the new law that they support—including Eliminate health care tax credits for up to world’’ if more than thirty million Americans, in- me—I believe that the best way to move for- 14,900 small businesses and 86,000 families; cluding the 37,500 in my district, do not have ward is to start anew and replace the current Increase prescription drug costs for 8,000 full access to its benefits? What is the point of law with one that preserves individual choice seniors who hit the Part D drug ‘‘donut hole’’ having the ‘‘best healthcare system in the and economic freedom, directly tackles in- and deny new preventive care benefits to world’’ if insurance companies are allowed to creasing costs and allows Americans to keep 76,000 seniors; deny people coverage when they need it the their current health care plan if they like it. Increase the costs of early retiree coverage most, based on ‘‘pre-existing conditions.’’ It is And let’s do so in a fiscally responsible man- for up to 7,600 early retirees; wrong. You know it’s wrong. This law has cor- ner. Eliminate new health care coverage options rected it and we should not mess with it. Mr. HONDA. Mr. Speaker, I rise today in for 2,900 uninsured young adults; and In- There may be weaknesses in the health re- fervent opposition to this reckless effort to re- crease the costs to hospitals of providing un- form law, but based on an average of 117,000 peal the Affordable Care Act and put insur- compensated care by $113 million annually. private sector jobs created per month since its ance companies back in charge of our Furthermore, as Chair of the Congressional passage, I strongly believe that it is a good healthcare system, rather than patients and Asian Pacific American Caucus (CAPAC), I starting point for efforts to make our nation their doctors. The Affordable Care Act, land- am proud of CAPAC’s partnership efforts stronger. The Affordable Care Act is good for mark healthcare reform legislation enacted just through the Tri-Caucus and with community not only our seniors and the uninsured, but all last year, makes health care more affordable advocacy groups to ensure that the Affordable Americans who not only deserve, but need ac- by immediately providing small businesses Care Act benefits all of our communities, in- cess to quality, affordable healthcare. In the with a tax credit to provide insurance cov- cluding the Asian American and Pacific Is- name of the hundreds of thousands of con- erage, and in 2014, by providing tax credits to lander (AAPI) community—roughly one in five stituents in my district, in the name of the Bed- those who need help buying insurance—rep- of whom are uninsured. For instance, the Af- ford Stuyvesant Family Health Center and 30 resenting the largest middle class tax cut for fordable Care Act helps to address traditional other community health centers that will re- health care in history. Once the Affordable AAPI health disparities in vaccinations, cancer ceive increased funding to provide my district Care Act is fully implemented, Americans will screenings, and infant mortality rates through with better care, and in the name of the tens have access to affordable health coverage in increased access to preventative care serv- of millions of Americans that we fought so a new competitive private health insurance ices. Further, new federal regulations on data hard for in passing reform, I will vote no on market through state exchanges. collection, disaggregation, and oversampling this bill, and any other efforts to undermine the Many critical benefits have already gone on certain minority populations will help to legislation passed last year. Instead I hope we into effect, including bans on the worst insur- identify and ensure comprehensive coverage can begin a meaningful conversation about ance company abuses and coverage options of all AAPI health disparities. These hard- moving forward, using this established frame- for many Americans who have previously fought benefits for our communities would be work to continue to strengthen our nation. been locked out of the insurance market be- completely eliminated if Republicans were to Mr. HOLT. Mr. Speaker, I rise in strong op- cause of a preexisting condition. Indeed, mil- succeed in enacting H.R. 2. position to the budget busting legislation that lions of American families and businesses are Mr. Speaker, for these reasons, I continue fails to create one new job and returns our already feeling the positive effects of the Af- to support the Affordable Care Act, as it is health decisions to insurance companies rath- fordable Care Act, and many more will benefit vital to the wellbeing of every community in er than doctors. as the final provisions are phased in over the our nation. I urge my colleagues to stand Repealing health reform would be a mis- next few years. against this reckless repeal of critical take. Instead of focusing on job creation or re- The bill under consideration today, the Pa- healthcare reform and vote against the Pa- tirement security or tax relief, we are debating tients’ Rights Repeal Act (H.R. 2), would com- tients’ Rights Repeal Act. repealing a law that protects Americans from pletely eliminate the Affordable Care Act with Mr. TOWNS. Mr. Speaker, I rise today in insurance company abuses and provides fairer no consideration for the wellbeing of the mil- strong opposition to H.R. 2, the Patient’s and more accessible health care for children, lions of Americans for whom it will improve Rights Repeal Act. In the 112th Congress, the veterans, seniors, employees, and employers. healthcare. H.R. 2 was expedited for a vote American people were promised a focus on On Monday, we celebrated Dr. Martin Lu- without taking the testimony from a single wit- our economy. Today however, rather than dis- ther King, Jr.’s life of service. Dr. King fought ness or holding a single hearing on the issue, cussing legislation that would strengthen our for an America where everyone, regardless of and there was no committee consideration of economy, legislation that would create jobs, or their racial, ethnic, or class background, would the bill, in direct contrast to the campaign rhet- even legislation that would reduce our nation’s have access to opportunity. Access to health oric espoused by the new Republican majority. deficit, we are discussing the repeal of legisla- care was important to Dr. King who said, ‘‘Of Opponents of the Affordable Care Act have tion that protects more than 500 families in my all the forms of inequality, injustice in health used questionable arguments to validate their district from bankruptcy due to the costs of care is the most shocking and inhumane’’. repeal efforts, including claims that it would in- healthcare. We are discussing the repeal of Today, the new majority is trying to repeal flate the national debt. In truth, the Affordable legislation that would give tax credits to the health reform legislation that we enacted Care Act helps to reduce the national debt by 117,000 families in my district and a 35% tax just one year ago. That historic law provides minimizing waste, fraud, and abuse in the credit to the 11,400 small businesses in my secure health insurance coverage to almost all

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00059 Fmt 0636 Sfmt 9920 E:\CR\FM\A19JA7.042 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H316 CONGRESSIONAL RECORD — HOUSE January 19, 2011 Americans and lowers the deficit by $143 bil- signed into law, the extensive reach of the treatment will be covered on their policy, rath- lion in the first ten years. Today, the majority strong arm of government was felt by the er than being written off as a preexisting con- is trying to repeal these patient protections American people. dition. Health care reform provided the fol- and return them to insurance company bean Many were forced out of their existing health lowing benefits for the residents of my district: counters. plans—even if they liked it—including many of Gave tax credits and other assistance to up A new analysis by the Department of Health our nation’s seniors who will be pushed out of to 146,000 families 15,100 small businesses and Human Services that was released this their current Medicare Advantage plans. have seen 50% tax credits to provide health week reported that as many as 129 million Our nation’s businesses were hit with a care for employees. non-elderly Americans have some type of pre- costly job-killing paperwork requirement—and Over 16,000 additional small businesses existing health conditions. In my district alone, they still face other new mandates, fines and have been made eligible for health care ex- there are as many as 310,000 individuals with taxes. changes that make insurance more affordable. a pre-existing condition, including 39,000 chil- All Americans have been hit by a mandate Help for small businesses are help for work- dren. Due to health reform, those children can requiring individuals, regardless of their per- ing families. Small businesses are the engine no longer be denied coverage and starting in sonal circumstances, to purchase government- of the economy of my district and of our na- 2014, adults with pre-existing conditions will approved insurance or pay a penalty. The tion. no longer be denied health coverage. If health constitutionality of this mandate is currently Improved Medicare for 63,000 beneficiaries, reform is repealed, these individuals will again being challenged by a number of states in- including closing the donut hole be denied insurance and lose health cov- cluding my home state of Washington. Extended coverage to 88,000 uninsured erage, which will lead to higher health costs And, hospitals like the Wenatchee Valley residents for all Americans. Medical Center in a rural, medically under- Guaranteed that 17,500 residents with pre- To understand how important health reform served part of my district face new restrictions existing conditions can obtain coverage is, here is a picture of what my district would simply because they are owned by doctors. Protected 1,100 families from bankruptcy look like if health reform was repealed. Over The American people spoke in volumes in due to unaffordable health care costs 2,000 young adults would become uninsured November and it is time to respond to their I refuse to vote for a piece of legislation that after losing coverage through their parents’ in- message. will reverse these benefits and harm so many surance; over 17,000 small businesses would The time has come to fulfill our promise to of the people that I represent. Health care re- lose tax credits that help provide health insur- the American people and take steps to repeal form is a moral obligation to the American ance to their employees; over 9,000 early re- this law that is bad for families, seniors and people and a critical part of our long-term eco- tirees might lose benefits through the early re- employers. I look forward to getting down to nomic recovery. It represents the largest mid- tiree reinsurance program; over 100,000 sen- work on real solutions that will preserve the dle-class tax cut in history and is projected to iors would have to pay for wellness visits and patient-doctor relationship, increase choices cut the deficit by $138 trillion over 20 years. preventive services, like mammograms and and reduce health costs. Mr. Speaker, anyone who is serious about colonoscopies; and over 8,000 seniors in the Ms. RICHARDSON. Mr. Speaker, I rise deficit reduction cannot in good conscience Medicare donut hole would see significantly today in strong opposition to the rule providing vote for this legislation. In addition to being the higher prescription drugs. for consideration of H.R. 2, the ‘‘Patient Rights wrong thing to do to hard-working families, Just saying that health reform ‘‘kills jobs’’ Repeal Act of 2011.’’ This bill is a giant step single-mothers, and senior citizens across the does not make it so. In fact, health reform not backwards for our country. By repealing the country, it is fiscally irresponsible. In fact, I only provides benefits to Americans, it creates landmark achievement of the Affordable Care would call this bill fiscally irrational—H.R. 2 jobs. Since health reform was passed, an ad- Act we would be taking away affordable cov- would cost $1.3 trillion to repeal a piece of ditional 207,000 jobs have been created in the erage and financial security from thousands of legislation that promises to cut the budget def- health care sector. Over the next 10 years, my constituents and millions more across the icit by $138 trillion in the long-term. This does health reform will create up to 4 million jobs by country. not make any fiscal sense; it is the exact op- investing in the health care workforce and low- A vote in support of this bill is a vote for in- posite of what we should be doing and it is an ering costs for businesses. surance companies over everyday Americans; unfair burden to place on future generations. Further, Americans do not support repealing it is a vote to return us to the days when fine I oppose this bill because it threatens the health reform. In fact, according to the latest print was used to cancel coverage for hard- peace of mind, financial security, and physical AP poll, only 26 percent of Americans think working people; and it is a vote to take away wellbeing of seniors, parents, and children health reform should be repealed. Instead, 43 parents’ peace of mind, who will no longer across the country. I oppose this bill because percent of Americans want more reforms to know if their children will be able see a doctor I would rather side with everyday Americans health care. when they get sick. than insurance company executives. I stand Passing health reform last year began the Mr. Speaker, at a time when Americans will with the single moms, who no longer have to process of ending the injustice in health care soon finally be free from the fear that afford- stay up all night worrying about how to pay access that Dr. King thought was shocking able coverage will not be available to them the premiums to cover their child’s illness. I and inhumane. We owe all Americans access and their families when they need it the most, stand with the senior citizens who built our to affordable, comprehensive health coverage. repealing the Affordable Care Act would be roads and bridges and fought our wars and We cannot let them down. As the late, great devastating. Without the Affordable Care Act: now can finally afford the prescriptions drugs Senator Ted Kennedy often said, ‘‘decent, 196,000 young adults would lose their insur- that they need. quality health care is a fundamental right and ance coverage through their parents’ health For all of these hard-working, middle class not a privilege.’’ I strongly urge my colleagues plans; people, I strongly urge my colleagues to join to vote no on repealing health reform. Insurance companies would once again be me in opposing the rule providing for the con- Mr. HASTINGS of Washington. Mr. Speak- allowed to cut off someone’s coverage unex- sideration of H.R. 2. er, I come to the floor today to speak in sup- pectedly when they are in an accident or be- Mr. FARR. Mr. Speaker, I rise today in port of the repeal of the job-killing health care come sick because of a simple mistake on an strong opposition of the Republican Health law. application; Reform Repeal Bill. Today’s vote is part of what will be an ongo- New insurance plans would no longer be re- The reason is simple. ing effort by House Republicans to repeal quired to cover recommended preventive serv- The bill before us is not about creating jobs. President Obama’s health care law and re- ices, like mammograms and flu shots, without It’s not about strengthening our middle place it with solutions that protect jobs and cost sharing; and class. preserve health care choices—without driving 269,623 on Medicare would see significantly And it’s not about reducing our national def- our nation deeper into debt. higher prescription drug costs icit. Today we put the focus back where it be- Mr. Speaker, every time that I go home to It is however, about denying coverage for longs—jobs, affordable health care, and small- my district, I meet with constituents who thank up to 284,000 individuals with pre-existing er government. me for voting for the Affordable Care Act. conditions in my district. Mr. Speaker, last year, the Democrat con- They explain to me the peace of mind that It is about increasing prescription drug costs trolled Congress pushed through a govern- they feel knowing that they will be able to af- for 6,400 seniors on California’s Central ment takeover of health care using a closed ford the prescription drugs that they need; that Coast. approach that blocked any input from our side their children can see a doctor when they get And it is about increasing the number of un- of the aisle. Almost as soon as the bill was sick or break a bone; that their breast cancer insured individuals by 80,000 and increasing

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00060 Fmt 0636 Sfmt 9920 E:\CR\FM\A19JA7.031 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H317 the costs to our local hospitals for providing Mr. ADERHOLT. Mr. Speaker, I, along with guided efforts to repeal the new health reform uncompensated care. so many of my colleagues, support H.R. 2, the law. It would be a significant step backwards Open your eyes, and welcome to reality. repeal of President Obama’s healthcare law. both for the citizens of Southwest Georgia American families are struggling to make This legislation will further harm our economy whom I represent as well as the entire nation. ends meet. at a time when we desperately need a robust Repealing the law will mean that insurance They are struggling to stay in their homes. recovery. companies will continue to place lifetime limits They are living without proper health care. The healthcare law is a prime example of on the coverage they provide, drop people And are they going broke paying for medical how the tax hikes, spending sprees, and gov- from coverage when they get sick, and refuse bills. ernment mandates are hurting our economy children affordable health care because of a So why is this chamber spending their time and making it harder for small businesses to pre-existing condition. debating health care reform that has extended create jobs. That’s one reason why we must Repealing the law also will increase pre- coverage and increased protections to millions repeal and replace the law with a common- scription drug costs for seniors. It will deny of Americans, and created 207,000 jobs in the sense, responsible solution that tries to ad- Medicare enrollees free preventive services Health Care Industry. dress the cost of healthcare and provide more like colorectal cancer screenings, mammo- Truth of the matter is—while we run circles coverage to Americans without killing jobs. around this issue, millions of Americans walk grams, and an annual wellness visit without Removing these barriers will provide the busi- copayments, co-insurance, or deductibles. out their front door every morning to look for nesses that create new jobs with the certainty work, only to return with less hope and more In addition, repealing the law will mean that they need to hire new employees and get our children under age 26 will no longer be cov- worries. economy back on track. Everyday Americans across the country are ered under their parents’ plan; new small busi- Instead of encouraging America’s leading ness tax credits that make it easier for busi- worried sick about losing their homes. job creators, last year’s Democrat government About not being able to adequately provide nesses to provide coverage to their workers takeover of healthcare has and will continue to and make premiums more affordable will dis- for their families. hurt small businesses with more mandates, And now Republicans want them to worry appear; and there will be no further expansion new taxes and administrative burdens, as well about losing their health care coverage. of community health centers which are vital to Please open your eyes, and take a deep as higher healthcare costs. For example, the the health care needs of rural Southwest look at Americans’ dire reality. healthcare law requires businesses with more Georgia. I urge all Members to oppose the Patients’ than 50 employees to provide government-ap- A recent report by the Center for American Rights Repeal Act. proved health care. Businesses that fail to do Progress also found that repealing the law Ms. EDDIE BERNICE JOHNSON of Texas. so will be forced to pay a $2,000 penalty per would add up to $2,000 annually to family pre- Mr. Speaker, I rise today to speak in strong employee (after the first 30 employees). For a miums and prevent 250,000 to 400,000 jobs opposition to H.R. 2, the ‘‘Patient’s Rights Re- small business employing 50 workers without from being created annually over the next dec- peal Act’’. providing government-approved health insur- ade. Furthermore, according to the non-par- Repealing the law would take us back to the ance, adding one additional worker to the pay- tisan Congressional Budget Office, a repeal of days when big insurance companies had the roll will result in $42,000 in new government the law will add $230 billion to the federal debt power to decide what patients can receive— penalties. by 2021. Over the last 15 years roughly 65 percent of allowing them to once again deny coverage to Mr. Speaker, we cannot let this happen. We new private-sector jobs have been created by children with pre-existing conditions, cancel cannot and we must not turn back the clock. coverage when people get sick, place limits on small businesses. A study by the nation’s larg- est small business association, NFIB, esti- Ms. MCCOLLUM. Mr. Speaker, the Patient the amount of care people can get, or over- Protection and Affordable Care Act passed in charge for insurance just to boost their profits. mates that the employer mandate in the healthcare law will destroy 1.6 million jobs. 2010 is the law of the land. It extends historic The Texas Department of Insurance issued protections to millions of Americans, ensuring a recent report that noted nearly 26.1 percent This healthcare law is not the way to help our small business job creators. access to quality health care. I voted for this of Texans are without health coverage—com- law and I am grateful for the support I re- pared to the national average of 16.7 percent, In addition, rather than adopting common- sense policies to lower the cost of healthcare, ceived from my constituents in Minnesota’s who are uninsured. Fourth District for my work on reforming our Without the Affordable Care Act, Texans last year’s law, will increase costs. The chief actuary for Medicare estimates total nation’s broken health care system. stand to lose: Access to quality health care is essential for Critical Consumer Protections that ban healthcare spending will increase by $311 bil- all Americans. I firmly believe health care health insurance plans from denying coverage lion over the next decade, more than it would should be a right for our citizens, not a privi- based on an individual’s health status would have been without the healthcare law. lege or a luxury only for the most fortunate be lost; With federal spending at the highest level in who can afford it. I am committed to working Young adults under the age of 26 would American history, the economy in a severe re- to ensure all Americans have the health pro- lose their coverage through their parents’ cession, and unemployment remaining stub- tections they need and access to the quality health plans; bornly high—another massive government Patients with private insurance coverage program with more spending, more borrowing health care they deserve. The health reform would suddenly find themselves vulnerable to and higher taxes will only hurt already strug- law we have in place does this. annual and lifetime limits; gling American families—not help them. The Today the U.S. House is debating the re- New insurance plans would no longer be re- American people deserve a better plan. peal of the Affordable Care Act. The Repub- quired to cover recommended preventive serv- Also, this law doesn’t protect the unborn be- lican-Tea Party majority officially titled the bill ices, like flu shots; cause it doesn’t include clear and direct provi- before us, H.R. 2, the ‘‘Repealing the Job-Kill- Seniors who have Medicare coverage would sions that would prohibit federal funding of ing Health Care Law Act.’’ They use the word be forced to pay a co-payment to receive im- abortions. We need statutory language in the ‘‘killing’’ five times in a bill that isn’t even two portant preventive services, like mammograms law, not an easily changed Executive Order, to pages long. Not only is the bill’s title offensive and colonoscopies; and prevent abortions. We have already learned and disrespectful, it is untrue. The fact is the Small businesses would lose tax credit as- that the law will allow $11 billion in taxpayer health reform law does not kill jobs, its patient sistance to help families purchase affordable funds to be used for abortions at Community protections saves lives and creates jobs. More health insurance. Health Centers. We must repeal and replace than 200,000 health care related jobs have Early retirees between the ages of 55 and this law so we can end government-funded been created since the law passed in March 64 would lose health coverage through their elective abortion coverage under this massive of last year. employers for them and their families. new government funding stream. This Tea Party Republican bill strips away I am confident that if we repeal Affordable Congress should start over and consider the patient protections for children, seniors, and Care Act, we present a grave, unhealthy dan- common-sense bipartisan solutions that Re- adults with pre-existing medical conditions. It ger to the lives of all Americans by playing publicans have to offer. It’s time to repeal the replaces tough legal protections for patients politics. health care law and it’s time for a patient-fo- with a uniquely Republican solution—nothing. I urge my Republican colleagues to revisit cused health bill that will help the economy Republicans strip away protections for millions the thought of repealing the Affordable Care and get us back to smaller government. of Americans, add $230 billion to the federal Act by working with eager Democrats to con- Mr. BISHOP of Georgia. Mr. Speaker, I can- budget deficit according to the non-partisan tinue building a bridge to a healthier America. not in good conscience support today’s mis- Congressional Budget Office, and restore a

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00061 Fmt 0636 Sfmt 9920 E:\CR\FM\A19JA7.025 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H318 CONGRESSIONAL RECORD — HOUSE January 19, 2011 broken health care system that empowers in- ‘‘The country’s 28 million small businesses think about Lucky and his stable mate surance companies to make heath care deci- stand to benefit greatly from many provisions Rusty, who also died that year. I pray that I sions, not patients. of the new healthcare law, particularly the tax never outlive another horse. I want Minnesotans to know exactly what re- Long introduction, brief polemical point: credits and health insurance exchanges. Observing Republicans gear up to try to pealing the existing health reform law would These two provisions will help drive down undo ‘‘Obamacare,’’ I suspect the only thing do. If this Republican bill were to become law costs and offer small business owners more that will satisfy some is to make medical it would mean: choices when purchasing insurance. These care in the United States work like veteri- Stripping 32 millions of Americans of health critical provisions and many others would be nary care. You get what you can pay for. insurance and new consumer protections; abolished if the Affordable Care Act is re- Otherwise, tough luck. Allowing insurers to deny coverage to chil- pealed. Who would have thought that after Sarah dren with pre-existing conditions, apply restric- ‘‘This would be a huge setback to entre- Palin’s imaginary ‘‘death panels’’—chosen by Politifacts.com, the fact-checking website, tive lifetime coverage limits, impose cost shar- preneurs who need solutions to the broken ing on preventative care, and retroactively as its 2009 ‘‘Lie of the Year’’—Arizona Repub- healthcare system, not a continuation of it. licans would be denying heart, lung and liver cancel policies when an individual gets sick; America’s 22 million self-employed would also transplants to Medicaid patients because Eliminating tax credits for as many as suffer, as a repeal of the ACA would deny Gov. Jan Brewer says the State can’t afford 99,000 Minnesota small businesses providing them the opportunity to pool together and pur- them? their employees health insurance; chase insurance at an affordable price through To save a lousy $1.4 million (out of a $9 bil- Refusing 11,400 young adults in Minnesota state exchanges.’’ lion budget), Arizona’s Health Care Cost the option to remain on their parents’ health It is important to remember that the Repub- Containment System has decreed an end to organ transplants. Maybe the bitterest irony insurance until they turn 26; lican’s dangerous and destructive health re- Maintaining a perverse payment system that is that the inhumane policy won’t actually peal agenda can only work if Americans are rewards providers for the volume of services save any money. One of the roughly 100 citi- silent and passive, allowing live-saving rights delivered, rather than the quality of those serv- zens affected explained to Arizona Republic and protections to be stripped away. Repeal columnist E.J. Montini: ices; will not happen today, even if this bill is ‘‘I can’t work anymore, and we ran out of Jeopardizing the early retiree health cov- passed, but over the course of the next two (insurance) coverage a while back,’’ he said. erage provided by 210 Minnesota employers years Republicans and their corporate bene- ‘‘It’s terrible needing help. It’s not what I and unions currently receiving financial assist- factors will use every legal and political chan- wanted. But when you run out of money, ance through the ‘The Early Retiree Reinsur- what can you do? If I don’t get a transplant, nel available to deny citizens their health care ance Program’; and I guess the state won’t have to pay for me or Risking the Medicare benefits and prescrip- rights. They will not stop. worry about me until I walk into an emer- tion drug coverage seniors and people with But I will not stop either. I will not stop fight- gency room close to dying. They can’t turn disabilities depend on to meet their health ing for the health care rights for all Americans. me away then.’’ No, they can’t. Human hospitals can’t needs. I urge all Minnesotans and all Americans to stand up and join me in the fight to protect the refuse patients for lack of cash. Meanwhile, H.R. 2 is more than political posturing. It is not a peep of protest from Palin, Rep. John legislation that sends a clear message to the historic patient rights all citizens have gained through the Affordable Care Act and that Boehner or any of the Republicans who American people—Republicans care more waxed hysterical over the absurd allegation about protecting insurance company profits starts with a vote against H.R. 2. that ‘‘Obamacare’’ would lead to govern- Mr. GENE GREEN of Texas. Mr. than protecting the rights of patients. I will op- ment-sponsored euthanasia. Speaker, I submit the following: pose this bill and I will oppose and battle But if people die for lack of money, that’s against every effort made in the 112th Con- [From The Baytown Sun, Jan. 4, 2011] the GOP way. Too bitter? Maybe so. Nevertheless, avoid- gress to defund, sidetrack, or stall the full im- PREPARE TO DIE FOR LACK OF MONEY ing medical and economic reality has been plementation of the Affordable Care Act. (By Gene Lyons of the Arkansas Democrat- the party’s response ever since Obama adopt- I am not alone is opposing H.R. 2. Hun- Gazette) ed much of the conservative Heritage Foun- dreds of national organizations and dozens of As polemics on the Obama administra- dation’s health care proposals as his own. Minnesota groups oppose this blatantly par- tion’s health care reforms re-emerge, I often It’s all to do with partisanship, nothing else. tisan effort to repeal health reform. Here are a ruminate about a horse. Consider the legalistic, angels-on-the-head- few excerpts from a letter I received over the Lucky was an American Standard Bred of-a-pin arguments GOP savants have made past few days. gelding I owned. Compared to his quarter against the bill’s unpopular health insurance horse stable-mate, Lucky was unathletic and mandate. The Minnesota Medical Association: ‘‘the halfway clumsy. But he was also a sweet- MMA opposes efforts to repeal the ACA (Pa- Precisely because hospitals can’t turn pa- heart. As long as he could follow his buddy, tients away, it’s impossible to make private tient Protection and Affordable Care Act) and anybody could ride him. Regardless of age or insurance companies cover pre-existing con- urges you to vote against it.’’ experience, Lucky would carry them care- ditions (i.e. sick people) without encouraging Catholic Hospital Association of Minnesota: fully and bring them home safe. It’s hard not deadbeats to game the system by not buying ‘‘I strongly urge you to maintain support for ef- to love such an animal. insurance until they need it. This defeats the forts to improve and strengthen our nation’s By the time I found him colicked in the whole purpose of a risk pool. health care system by opposing the legislation barn, it was probably already too late. He’d Somebody’s got to pay, and absent an in- before the House to repeal the Affordable been down for some time. I gave him an in- surance mandate, that somebody’s you—one jection for the pain and walked him, but reason the United States has long had the Care Act (ACA).’’ nothing worked. After a while, he lay down Epilepsy Foundation of Minnesota: ‘‘We most expensive, least efficient health care and refused to move. By the time the vet ar- system in the world. strongly encourage you to vote against repeal rived, I’d been sitting wedged against his Ah, but in GOP Dreamworld, everybody’s of the ACA (Affordable Care Act) and work to- back for hours to prevent him from rolling Huck Finn, an independent actor in a 19th- ward ensuring that implementation includes and twisting his gut. century free-enterprise paradise. They claim the needs of people with epilepsy and other After Lucky proved unresponsive to treat- the Constitution forbids government from chronic health conditions.’’ ment, the vet asked me a hard question: ‘‘Is making citizens buy something they don’t Minnesota Hospital Association: ‘‘On behalf this a $6,000 horse?’’ want. of the 148 hospital and 17 health system He explained that there was an equine hos- Alas, in the real world, people can’t not pital over in Oklahoma that could perform participate in the health care system. members of the Minnesota Hospital Associa- potentially life-saving surgery. It cost $6,000 tion, I am writing to express our opposition to cash, up front. He warned that survival was Ms. BROWN of Florida. Mr. Speaker, the legislation that would repeal the Patient Pro- chancy, and might leave my horse an in- Republican House Majority’s effort to repeal tection and Affordable Care Act (ACA).’’ valid. the historic health care reform law that Demo- Today, as the debate on this ill conceived I’d paid $1,000 dollars for Lucky; he was 25 crats passed last year is merely a charade. and mean-spirited bill is taking place, I re- years old, almost elderly. After a long night And thanks to Democratic control of the Sen- ceived the following message from a consor- of IV fluids and pain meds, there was no ate, the Republican bill will never cross the tium of small business leaders from across the avoiding the inevitable. Because there are President’s desk. Indeed, a vote for repeal will some things a man must do for himself, I ad- only scare those who have come to rely on country: ministered a lethal injection and ended up ‘‘The House of Representative’s introduction having to put a bullet into his brain. the law’s benefits. of a bill to repeal the Patient Protection and We buried him in his pasture. I was first elected to Congress in 1992, and Affordable Care Act is an affront to our na- It was a hard, hard thing to do. This was in all my years of service, I have worked to tion’s small business community. two years ago, and it’s a rare day I don’t make affordable, quality health care available

VerDate Mar 15 2010 04:58 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00062 Fmt 0636 Sfmt 9920 E:\CR\FM\A19JA7.028 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H319 for all Americans. Indeed, for nearly a century, In fact, there is a deep concern about the one accident away from financial ruin or that leaders from all over the political spectrum, practicality of repealing the Affordable Care they won’t be able to access the care they beginning with President Franklin Delano Roo- Act and the detrimental impact repeal will need. I’d like to share one of these stories sevelt, have fought for health care and health have on women, children and older Ameri- with you. insurance reform. In the words of the great cans. When Republicans wrote a Medicare Diane, a constituent in Valley Village, wrote former President Roosevelt, ‘the health of the prescription plan that created a ‘‘gap’’ in their me last October to tell me about her daugh- people is a public concern; ill health is a major coverage, seniors across the country were ter’s experience with the health insurance re- cause of suffering, economic loss, and de- forced to pay full price for their prescription form bill. Her daughter graduated from a pres- pendency; good health is essential to the se- drugs. The Affordable Care Act eliminated the tigious university in 2008 and got a job but still curity and progress of the Nation.’ In 1935, ‘‘donut hole’’, allowing millions of seniors to couldn’t afford health insurance. She left her President Roosevelt signed the Social Security buy life saving medications. job after two years. Two weeks later, she was Act into law, which made him the first Presi- Prior to the passage of the Affordable Care in a serious car accident. Her car was totaled dent ever to advocate on behalf of federal as- Act, many Americans families were uninsured but she, luckily, was not hurt. At age 24, this sistance for the elderly. and underinsured. Families were forced to young woman found herself unemployed and Yet it wasn’t until 75 years later that our na- choose between paying for coverage for chil- without health insurance, having narrowly es- tion finally came together and passed the ‘‘Pa- dren with pre-existing conditions or feeding caped every parent’s nightmare. Diane writes, tient Protection and Affordable Care Act,’’ them. Passage of the Affordable Care Act ‘‘And then, two weeks ago . . . she was able which provides health care access for all gave them back their dignity. Today, those to be covered under the plan of her father and Americans. Prior to this, nearly one in five citi- children are guaranteed coverage regardless stepmother. I wanted to share this story be- zens in the wealthiest country in the world of pre-existing conditions and are allowed to cause we want you [to know] that this change were uninsured. I applaud President Obama remain covered under their parent’s insurance has already had a huge impact on our lives. for his persistent, hard work on this issue, and plans until the age of 26. As a mother, I now have one less major issue I was a proud cosponsor of the original Health All 23 counties in the 2nd District are medi- to worry about.’’ Care legislation when it was first introduced in cally underserved and many of my constitu- On behalf of Diane and her family, and on the House of Representatives. And although ents are unable to afford health coverage. behalf of children, young adults, parents, sen- there is no such thing as a perfect bill, this law Under the Affordable Care Act, 315,000, resi- iors, small business owners, small business is a great start, and it needs to be left up to dent’s health insurance coverage will improve; employees, people with pre-existing condi- the medical specialists to make slight changes 95,000 uninsured residents in my district will tions, hospitals that provide uncompensated to make it better, not politicians in the Repub- be extended coverage; and 16,500 residents care, and everyone else who benefits from the lican Party who want to repeal the law entirely. with pre-existing conditions can obtain cov- Patient Protection and Affordable Care Act, I Yet today, even though it would be nearly im- erage. We cannot and should not be consid- stand strongly against H.R. 2 and urge my col- possible to accomplish, the Republican Party ering repeal of a sound policy that millions of leagues to join me in voting against repeal. wants to take our country in the opposite di- Americans are currently benefiting from and Mr. COSTELLO. Mr. Speaker, I rise in op- rection and eviscerate this law. If this were countless more stand to benefit when fully im- position to H.R. 2, the Patients Rights Repeal ever accomplished, it would have drastic ef- plemented. Act of 2011. fects on the constituents in Florida’s third con- A vote in favor of this appeal would strip Less than one year ago, the 111th Con- gressional district, as well as for Americans American families of their dignity and force gress achieved a major milestone in the dec- across the country. In fact, the Republican bill them to go back to choosing between paying ades-long effort to ensure access to quality would take our Nation back to a system in for health coverage or putting food on their ta- health care for all Americans by passing the which: bles. We must continue to build on our efforts Affordable Care Act and reforming our broken Children with pre-existing conditions, includ- to expand accessible and affordable health health care system. Since the Affordable Care ing 8,000–40,000 in my congressional district, coverage for all Americans. Today, I strongly Act was signed into law, I have seen its bene- were denied coverage; urge my colleagues to oppose H.R. 2. fits first hand in the district I am privileged to Young people age 26 cannot stay on their Mr. BERMAN. Mr. Speaker, I rise in strong represent. Over 9,800 seniors in Southwestern parents’ plans (for district 3 in Florida, their opposition to H.R. 2, a bill to repeal patients’ and Southern Illinois will see a 50 percent dis- plan would eliminate health care coverage for rights and empower health insurance compa- count on their medications when they enter nearly 4,000 young adults); nies at the expense of consumers. the Medicare Part D coverage gap, saving A system where Seniors pay more for pre- I am proud to have voted for the Patient them $5.1 million. An additional 112,000 sen- scription drugs, including 6,600 senior citizens Protection and Affordable Care Act, landmark iors will receive free preventive care, including who hit the Part D drug ‘‘donut hole’’ in my legislation to reform our country’s health insur- cancer and diabetes screenings. As of Sep- district, and would be forced to pay out of ance system and expand opportunities for tember 2010, up to 37,000 children in my dis- pocket costs, as well as 93,000 more Florida quality, affordable health care to millions of trict with pre-existing conditions are no longer district 3 seniors who would be denied new people who otherwise go without. denied coverage by insurance companies and preventive care benefits; In my district, in the heart of California’s San in 2014 up to 238,000 adults will have the It also would force small businesses to pay Fernando Valley, rolling back reforms would same protection. In the St. Louis Metro area, higher taxes; have devastating consequences for my con- 13,600 young adults will remain on their par- And increase the deficit by $230 billion, ac- stituents. This repeal would leave an addi- ents’ health insurance plans up to age 26 and cording to the nonpartisan Congressional tional 116,000 of my constituents without maintain their access to affordable care, and Budget Office. health insurance. It would increase prescrip- the 2.4 million individuals with private health The cost of returning to the prior system is tion drug costs for 5,600 seniors in the Medi- insurance are protected from predatory prac- too great. For too long, health care has been care D ‘‘doughnut hole’’ and deny new preven- tices of insurance companies and arbitrary a privilege, not a right in America. To return to tive care benefits to 64,000 seniors. It would premium rate increases. a system in which nearly 20 percent of Ameri- expose over 100,000 of my constituents—and Despite this significant progress, today we cans do not have access to the greatest perhaps as many as 290,000 people in my are considering the Patients’ Rights Repeal health care available in the world would not district—to the possibility of being denied cov- Act, which will strip my constituents of these only be a tremendous step backwards, but erage because they have pre-existing condi- new benefits and return us to the broken, ex- outright insensitive to the needs of millions of tions. pensive health care system that left 47 million Americans. I have heard from thousands of my constitu- Americans uninsured. Mr. THOMPSON of Mississippi. Mr. Speaker ents who support the Patient Protection and Just as our constituents cannot afford to now is the time to protect American families— Affordable Care Act, many of whom feel lose these benefits, we cannot afford the Pa- uphold the Affordable Care Act and oppose strongly enough to share their stories with me. tients’ Rights Repeal Act. According to the H.R. 2, the Republican repeal of health care. Some are thankful that their child’s pre-exist- nonpartisan Congressional Budget Office, A vote to repeal the Affordable Care Act will ing condition is no longer a barrier to getting CBO, passing this legislation will increase the leave millions of Americans at risk of losing coverage. Others are relieved that treatment deficit by $230 billion over 10 years and by their health coverage; children will face dis- of their chronic illness is no longer subject to more than $1.2 trillion over 20 years. The crimination because of pre-existing conditions a lifetime spending cap. But some are simply CBO also estimates that this bill will increase and seniors will be left scrambling to pay full the parents of uninsured young adults who live premiums and out-of-pocket expenses for ev- price for prescription drugs. with the day-to-day worry that their kids are eryone enrolled in private insurance plans.

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00063 Fmt 0636 Sfmt 9920 E:\CR\FM\A19JA7.049 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H320 CONGRESSIONAL RECORD — HOUSE January 19, 2011 Further, despite the claims of my Repub- tem’s numerous problems. The law will raise erage and charge you for cost-saving prevent- lican colleagues, there is no evidence that re- taxes by over $500 billion. It includes an un- ative services and screenings. pealing health care reform will create new jobs constitutional individual mandate on all Ameri- According to a report released by the De- or spur economic growth. Since the passage cans requiring the purchase of health insur- partment of Health and Human Services, up to of the Affordable Care Act, we have added 1.1 ance coverage. The law will cost millions of 129 million Americans under the age of 65 million new private sector jobs to the econ- American jobs and hits small businesses with have some type of pre-existing condition and omy. Further, a study by the Kaiser Family more paperwork, more bureaucratic red tape, could be excluded from insurance plans if this Foundation indicates the Affordable Care Act and less opportunity for growth. Finally, the health care repeal were signed into law. This will create 4 million additional new jobs in the law cuts Medicare by about half a trillion dol- would affect 263,000 individuals, including up next 10 years by lowering costs and investing lars which, even the President’s own actuaries to 40,000 children in the Second Congres- in the health care workforce. These new, have said, could jeopardize access for sen- sional District who have a pre-existing condi- good-paying jobs will disappear with the pas- iors. tion. sage of repeal. America has sent a clear message to Wash- Repeal would eliminate the requirement that The Affordable Care Act is not a perfect bill. ington, and today we will show that we have health insurance plans allow young adults to Provisions, including the unworkable 1099 re- heard that message. We must repeal the detri- remain on their parents’ insurance policies up porting requirements for small businesses, will mental health care law and focus on the real to the age of 26, cutting coverage to the esti- be adjusted or replaced as we move forward problem facing our nation’s health care sys- mated 2,000 young adults that are expected to to implement the bill. Just as we have tem, the issue of cost. We can reduce health take advantage of this benefit in the Second changed Medicare and Social Security over care costs by enacting meaningful medical li- District. the last several decades to ensure those pro- ability reform, allowing people to purchase in- Through the Affordable Care Act, middle grams achieve their goals, we will work to- surance across state lines, and giving individ- class families with incomes up to $88,000 for gether to adapt the Affordable Care Act and uals the same tax relief as corporations for the a family of four and small businesses would keep health care affordable and accessible for purchase of health insurance. Once the health be eligible for affordability tax credits. Repeal millions of Americans. I will work with my col- care law is repealed, I look forward to moving would cut access for 157,000 families and leagues on both sides of the aisles to adopt forward with alternative health care reform leg- 14,200 small businesses in my district. strong alternatives. islation that will achieve these goals. If we For Second District seniors, repeal will in- However, just as we have never repealed focus our efforts on reforms, such as these, crease drug costs for the 6,700 seniors who Medicare or Social Security, I will not vote to that lower costs, we will expand access to af- fall into the Part D prescription drug ‘‘donut repeal the Affordable Care Act and return to a fordable care without jeopardizing the system hole’’ this year and will deny access to free health care system that is unsustainable, inef- which has allowed our nation to have the best preventive services and health screenings to ficient, and massively expensive. We must health care in the entire world. I urge my col- the 93,000 seniors on Medicare in the Second continue to move forward and ensure that our leagues to support H.R. 2 and H. Res. 9 and District. health care system works for all Americans. begin the process of enacting true health care Finally, under the Affordable Care Act, an Mr. Speaker, passing the Patients’’ Rights reform. estimated 94 percent of Americans would be Repeal Act will dramatically expand the deficit, Mr. JACKSON of Illinois. Mr. Speaker, I rise provided access to health care through their slow job creation, increase the cost of health in strong opposition to the H.R. 2 legislation employer, the Health Care Exchange or care, and deny millions of Americans access that will repeal health care for nearly 32 million through Medicaid. With repeal, 61,000 of my to health coverage. I urge my colleagues to Americans. I have listened to my colleagues constituents would lose this new coverage. oppose the Patients’ Rights Repeal Act. from the other side of the aisle in press con- Hospitals in my district spend nearly $40 mil- Mr. FATTAH. Mr. Speaker, I rise today in ferences and throughout this debate state that lion each year providing coverage to the unin- opposition to H.R. 2, a bill to repeal the Afford- the Affordable Care Act is ‘‘job destroying’’ sured which gets passed on to the consumer, able Care Act. In March of last year I was and ‘‘budget busting.’’ We know from numer- and the average American family pays an ad- honored to cast a vote in favor of the Patient ous reports that these statements are blatantly ditional $1,100 per year for covering the cost Protection and Affordable Care Act. This law untrue. of uncompensated care for the unemployed. ensures that my constituents, and all Ameri- Since President Obama signed this legisla- Before the Affordable Care Act, skyrocketing cans, have access to the medical care they tion into law in March, the Department of health care costs were hurting families, forcing need. The measure we consider on this Labor reports nearly 1 million new jobs were businesses to cut or drop health benefits, and House floor today is not an effort to improve created in the private sector, including over straining state budgets. The people of Illinois’ upon that law. It is not an alternative strategy 200,000 in health care related fields. Further- Second District and all Americans need and to protect patients’ access to care. It is simply more the non-partisan Congressional Budget deserve better. an effort to undo the admirable work under- Office, CBO, said that the Affordable Care Act While some of my colleagues may be willing taken over many years and months by the will reduce the deficit over the next 10 years. to pass legislation that (1) rescinds important Members and staff of this body, committed pa- In fact, on January 6 the CBO stated that the consumer health care protections, (2) cuts tax tient advocates, uninsured Americans and repeal would increase the deficit by $230 bil- credits for middle class families and small hard-working medical professionals. I find it lion over the next 10 years. businesses, (3) forces our nation’s seniors to unfortunate that, as our Nation faces many As we prepare to vote on this legislation, I’d pay more for prescription drugs and cost-sav- deep and intransigent challenges, the House like to inform my constituents as I did for them ing preventative care and (4) passes the prob- is debating a proposal which is premised on at countless town hall presentations I hosted lem of steadily rising health care costs onto misinformation and disingenuous posturing. I on the Affordable Care Act, what repeal the next generation—I plan to vote for making am hopeful that we will now return to the real means for the people of Illinois’ Second Dis- health care affordable and accessible for up to work of the people. trict. 94 percent of Americans, not against it. Mr. MARINO. Mr. Speaker, we have heard Health Care Repeal will rescind the vital Pa- That’s why I will vote no on Repeal. a lot of rhetoric from my colleagues across the tient’s Bill of Rights consumer protections pro- Mr. GRIMM. Mr. Speaker, healthcare reform aisle opposing this legislation because of a se- vided under the Affordable Care Act for the is a real issue facing many Americans. In spite lect number of insurance market provisions in- 336,000 individuals in the Second Congres- of protests heard around the country, last cluded in the massive, overreaching health sional District who have health insurance spring the Democrats pushed through a 2,000 care law. As a two-time cancer survivor and through their employer or the market for pri- page bill full of mandates, and taxes that do the father of a daughter living with cystic fibro- vate insurance. Passage of repeal will lift the not address the growing expense of health sis, what is rhetorical for many of my col- limitations placed on insurance companies for care, and continues a reckless spending habit leagues is a reality for my family. There is no rate increases and out of pocket expenses. that has resulted in a $14 trillion deficit. doubt that reforms are needed to ensure that Repealing health care reform would eliminate The 2010 Midterm elections has allowed the individuals with pre-existing conditions have the requirement that insurance companies limit 112th Congress to fulfill a promise to repeal access to affordable insurance. In fact, we can administrative costs by spending a minimum the Affordable Care Act, and replace it with probably all agree that there are many aspects of 80 percent of the premiums they collect on common sense solutions that address the ris- of the health care system that were and are in actual healthcare. Repealing the Affordable ing cost, and the importance of providing af- desperate need of reform. Care Act will allow insurance companies to fordable, accessible, quality care. In light of re- However, the law enacted nearly a year ago drop or rescind coverage when people get pealing this massive government takeover of is the wrong solution to our health care sys- sick, place annual and lifetime limits on cov- the healthcare industry, it is our responsibility

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00064 Fmt 0636 Sfmt 9920 E:\CR\FM\A19JA7.051 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H321 to replace it with thoughtful reforms that help The SPEAKER pro tempore. b 1720 insure the uninsured, protect those with pre- The Chair recognizes the gentleman So I would say to the Members the existing conditions, lower the growing cost of from New Jersey for 5 minutes in sup- next time you are in a town meeting, health coverage, and preserve the doctor-pa- port of his motion. the next time you encounter your con- tient relationship. Mr. ANDREWS. Mr. Speaker, I think stituents in your district and they say, Instead of encouraging America’s small we should begin by thanking Speaker ‘‘Don’t you agree that if you agree to business to grow and create jobs, the current BOEHNER and Leader PELOSI for leading impose a certain set of rules on me healthcare plan will hurt small business by im- us through such a civil debate at such that those same set of rules should posing burdensome regulations that will lead an important hour of our country’s his- apply to you?,’’ this will be the answer to lower wages, fewer workers, or both. tory; a moment of consequence. Unfor- to their question: The Affordable Care Act is projected to add tunately, one of the consequences of If you vote ‘‘no,’’ you are saying that $701 billion to the deficit over the next ten this debate is that we did not debate the repeal that denies coverage for pre- years, and is likely to pass on a $2.6 trillion the issue that is most on the minds of existing conditions to others doesn’t price tag to our children and grandchildren. the American people, which is unem- apply to you. While forcing young Americans into a govern- ployment and 15 million of our neigh- If you vote ‘‘no,’’ you are saying that ment run health care exchange, we are requir- bors being unemployed. the repeal that lets insurance compa- ing them to pay for minimal services for an un- Having said that, there are lots of nies impose lifetime caps on your con- limited amount of time, with no promise of a consequences to this repeal bill, and stituents’ benefits imposes no caps on sustainable program that will be available to Members should be aware of each one your benefits. them as they age. The bottom line is the of them. If you believe that the consequences American people deserve better than this If a woman with breast cancer or a of our actions should be visited upon budget-busting, job killing legislation, and most man with diabetes loses his or her job those we represent equally and on our- importantly they deserve open and honest leg- and tries to get another job, under the selves as well, then your vote should be islation not the gimmicks used to cover up the law that is in effect, the insurance ‘‘yes.’’ cost and damage of ‘‘Obamacare.’’ company can’t deny them coverage or In the spirit of the people’s House, in Mr. CANTOR. I yield back the bal- charge them more for it because of the spirit of walking in the shoes of ance of my time. their preexisting condition. This bill those we are here to represent, the The SPEAKER pro tempore. All time repeals that protection. It makes it right vote on this motion to recommit for debate has expired. legal for the insurance company to say, is ‘‘yes.’’ Pursuant to House Resolution 26, the We’re sorry, we are not going to sell Mr. CANTOR. Mr. Speaker, I with- previous question is ordered on the bill, you health insurance because you have draw my reservation, and I rise in op- as amended. breast cancer. We’re sorry, we are position to the motion to recommit. The question is on the engrossment going to raise your premiums fivefold The SPEAKER pro tempore. The gen- and third reading of the bill. because you have diabetes. These are tleman is recognized for 5 minutes. The bill was ordered to be engrossed serious, unwelcomed consequences. Mr. CANTOR. I yield myself such and read a third time, and was read the Another consequence of serving in time as I may consume. third time. this institution is that we are the peo- Mr. Speaker, in beginning to respond ple’s House. We are the elected people MOTION TO RECOMMIT to the minority’s motion to recommit, who are closest to the people; and, Mr. ANDREWS. Mr. Speaker, I have all I can say is this is an attempt to de- therefore, we are expected to most un- a motion to recommit at the desk. rail the repeal of the ObamaCare bill— The SPEAKER pro tempore. Is the derstand the shoes in which they walk without question. gentleman opposed to the bill? every day. Many of us say these things The positing of this motion to recom- Mr. ANDREWS. I am. at our town meetings. I have heard this mit and the substance of that recom- Mr. CANTOR. Mr. Speaker, I reserve from Republicans, from Democrats, mit is also inexplicable if one could be a point of order. from tea party members, from Inde- deemed to be offering a legitimate pol- The SPEAKER pro tempore. A point pendents: Congress should live by the icy proposal. The notion that somehow of order is reserved. same rules it imposes on everyone else. the repeal position that the majority The Clerk will report the motion to I don’t think you can go to a district in has taken and that, frankly, the major- recommit. this country that people wouldn’t em- ity of the American people desire is The Clerk read as follows: brace that idea. Indeed, on the Web site somehow connected with denying a of our Speaker from the last term in better way forward, again, is inex- Mr. Andrews moves to recommit the bill the Congress, in his biography you can H.R. 2 to the Committees on Energy and plicable. I think, again, Mr. Speaker, I Commerce, Ways and Means, and Education read the following. It refers to the Con- would say it is not a serious attempt to and the Workforce with instructions to re- gressional Accountability Act which add towards how we get to a better way port the same to the House forthwith with requires Congress to ‘‘live under the in health care. the following amendment: same rules and regulations as the rest Now, the question before this body is Add at the end the following new section: of the Nation.’’ It bears the unmistak- simple: Do you support the new health SEC. 3. HEALTH CARE REPEAL SHALL NOT TAKE able imprint of Speaker BOEHNER’s care law? Yes or no. EFFECT UNLESS A MAJORITY OF drive to reform the House: live under The motion to recommit is simply an MEMBERS OF U.S. HOUSE OF REP- RESENTATIVES AND A MAJORITY OF the same rules and regulations as the effort to protect ObamaCare from U.S. SENATORS WAIVE FEHBP BENE- rest of the Nation. being repealed, period. FITS. So this motion to recommit says the If you think the new health care law Section 2 (including the repeal of the Pa- following: In the spirit of that prin- will improve how health care is deliv- tient Protection and Affordable Care Act ciple, Members who support the repeal ered in the U.S., then support the mo- (Public Law 111–148)) shall not take effect should live with its consequences. This tion to recommit. unless and until the Director of the Office of But if you believe, as most Ameri- Personnel Management certifies to the Con- repeal will become effective when a gress that a majority of the Members of the majority of this House and a majority cans do, that the new health care law House of Representatives and a majority of of the other body are dismissed from will put America on the wrong path— Members of the Senate have, as of the date membership in the Federal Employees that the open-ended entitlement design that is 30 days after the date of initial pas- Health Benefits Program that the tax- of the new law will contribute to put- sage of this Act in the respective House, vol- payers fund for the Members of the ting us on a path to bankruptcy, that untarily and permanently withdrawn from House. the policies in the law will deny pa- any participation, and waived all rights to There are serious consequences of tients access to the care that they participate, as such a Member in the feder- this bill. We believe that repealing it is want and need, if you believe that the ally funded Federal employees health bene- fits program (FEHBP) under chapter 89 of unfair and wrong, just plain wrong. But new law will increase health care costs, title 5, United States Code, effective with the it would be even more plain wrong for not lower them, and that the new law first month after the date of execution of those who support repeal to live by a is generating great uncertainty for our such a withdrawal and waiver. different standard. businesses, is hurting our economy and

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00065 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.087 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H322 CONGRESSIONAL RECORD — HOUSE January 19, 2011 that the new law is unconstitutional— Waters Weiner Wu Mr. WELCH, Ms. CLARKE of New Watt Welch Yarmuth then vote against the motion to recom- Waxman Woolsey York, Ms. SPEIER, and Mr. AL GREEN mit. of Texas changed their vote from Voting against the motion to recom- NAYS—245 ‘‘nay’’ to ‘‘yea.’’ mit is a vote to repeal the health care Adams Gowdy Olson So the motion to recommit was re- law, and I urge its defeat. Aderholt Granger Palazzo jected. Akin Graves (GA) Paul Mr. Speaker, I yield back the balance Alexander Graves (MO) Paulsen The result of the vote was announced of my time. Amash Griffin (AR) Pearce as above recorded. The SPEAKER pro tempore. Without Austria Griffith (VA) Pence Stated for: Bachmann Grimm Petri objection, the previous question is or- Bachus Guinta Pitts Ms. HIRONO. Mr. Speaker, on rollcall No. dered on the motion to recommit. Barletta Guthrie Platts 13, had I been present, I would have voted There was no objection. Bartlett Hall Poe (TX) ‘‘yea.’’ Barton (TX) Hanna The SPEAKER pro tempore. The Pompeo Stated against: Bass (NH) Harper Posey question is on the motion to recommit. Benishek Harris Price (GA) Mr. GARRETT. Mr. Speaker, on rollcall No. The question was taken; and the Berg Hartzler Quayle 13, had I been present, I would have voted Biggert Hastings (WA) Reed Speaker pro tempore announced that Bilbray Hayworth ‘‘nay.’’ Rehberg the noes appeared to have it. Bilirakis Heck The SPEAKER pro tempore. The Reichert Bishop (UT) Heller Mr. ANDREWS. Mr. Speaker, on that Renacci question is on the passage of the bill. Black Hensarling I demand the yeas and nays. Ribble Blackburn Herger The question was taken; and the Rigell The yeas and nays were ordered. Bonner Herrera Beutler Speaker pro tempore announced that The SPEAKER pro tempore. Pursu- Bono Mack Hoyer Rivera the ayes appeared to have it. Roby ant to clause 9 of rule XX, the Chair Boren Huelskamp Boustany Huizenga (MI) Roe (TN) RECORDED VOTE will reduce to 5 minutes the minimum Brady (TX) Hultgren Rogers (AL) Mr. CANTOR. Mr. Speaker, I demand time for any electronic vote on the Brooks Hunter Rogers (KY) a recorded vote. question of passage. Broun (GA) Hurt Rogers (MI) Buchanan Issa Rohrabacher A recorded vote was ordered. The vote was taken by electronic de- Bucshon Jenkins Rokita The SPEAKER pro tempore. This is a vice, and there were—yeas 185, nays Buerkle Johnson (IL) Rooney 5-minute vote. 245, not voting 4, as follows: Burgess Johnson (OH) Ros-Lehtinen Burton (IN) Johnson, Sam Roskam The vote was taken by electronic de- [Roll No. 13] Calvert Jones Ross (AR) vice, and there were—ayes 245, noes 189, YEAS—185 Camp Jordan Ross (FL) not voting 1, as follows: Campbell Kelly Royce Ackerman Fattah Moore Canseco King (IA) Runyan [Roll No. 14] Altmire Filner Moran Cantor King (NY) Ruppersberger Andrews Frank (MA) Murphy (CT) AYES—245 Capito Kingston Ryan (WI) Baca Fudge Nadler Adams Dreier Johnson (OH) Carter Kinzinger (IL) Baldwin Garamendi Napolitano Scalise Aderholt Duffy Johnson, Sam Cassidy Kline Barrow Gonzalez Neal Schilling Akin Duncan (SC) Jones Chabot Labrador Bass (CA) Green, Al Olver Schmidt Alexander Duncan (TN) Jordan Chaffetz Lamborn Becerra Green, Gene Owens Schock Amash Ellmers Kelly Coble Lance Berkley Grijalva Pallone Schweikert Austria Emerson King (IA) Coffman (CO) Landry Berman Gutierrez Pascrell Scott (SC) Bachmann Farenthold King (NY) Cole Lankford Bishop (GA) Hanabusa Pastor (AZ) Scott, Austin Bachus Fincher Kingston Conaway Latham Bishop (NY) Harman Payne Sensenbrenner Barletta Fitzpatrick Kinzinger (IL) Cravaack LaTourette Blumenauer Hastings (FL) Pelosi Sessions Bartlett Flake Kline Crawford Latta Boswell Heinrich Perlmutter Shimkus Barton (TX) Fleischmann Labrador Crenshaw Lee (NY) Brady (PA) Higgins Peters Shuler Bass (NH) Fleming Lamborn Culberson Lewis (CA) Braley (IA) Himes Peterson Shuster Benishek Flores Lance Davis (KY) LoBiondo Brown (FL) Hinchey Pingree (ME) Simpson Berg Forbes Landry Denham Long Butterfield Hinojosa Polis Smith (NE) Biggert Fortenberry Lankford Dent Lucas Capps Holden Price (NC) Smith (NJ) Bilbray Foxx Latham DesJarlais Luetkemeyer Capuano Holt Quigley Smith (TX) Bilirakis Franks (AZ) LaTourette Diaz-Balart Lummis Cardoza Honda Rahall Southerland Bishop (UT) Frelinghuysen Latta Dold Lungren, Daniel Carnahan Inslee Rangel Stearns Black Gallegly Lee (NY) Dreier E. Carney Israel Reyes Blackburn Gardner Lewis (CA) Duffy Mack Stivers Carson (IN) Jackson (IL) Richardson Boehner Garrett LoBiondo Duncan (SC) Manzullo Stutzman Castor (FL) Jackson Lee Richmond Bonner Gerlach Long Duncan (TN) Marchant Sullivan Chandler (TX) Rothman (NJ) Bono Mack Gibbs Lucas Ellmers Marino Terry Chu Johnson (GA) Roybal-Allard Boren Gibson Luetkemeyer Emerson McCarthy (CA) Thompson (PA) Cicilline Johnson, E. B. Rush Boustany Gingrey (GA) Lummis Farenthold McCaul Thornberry Clarke (MI) Kaptur Ryan (OH) Brady (TX) Gohmert Lungren, Daniel Fincher McClintock Tiberi Clarke (NY) Keating Sa´ nchez, Linda Brooks Goodlatte E. Fitzpatrick McCotter Tipton Clay Kildee T. Broun (GA) Gosar Mack Flake McHenry Turner Cleaver Kind Sanchez, Loretta Buchanan Gowdy Manzullo Fleischmann McKeon Upton Clyburn Kissell Sarbanes Bucshon Granger Marchant Fleming McKinley Walberg Cohen Kucinich Schakowsky Buerkle Graves (GA) Marino Flores McMorris Walden Connolly (VA) Langevin Schiff Burgess Graves (MO) McCarthy (CA) Forbes Rodgers Walsh (IL) Conyers Larsen (WA) Schrader Burton (IN) Griffin (AR) McCaul Fortenberry Meehan Webster Cooper Larson (CT) Schwartz Calvert Griffith (VA) McClintock Foxx Mica West Costa Lee (CA) Scott (VA) Camp Grimm McCotter Franks (AZ) Miller (FL) Westmoreland Costello Levin Scott, David Campbell Guinta McHenry Frelinghuysen Miller (MI) Whitfield Courtney Lewis (GA) Serrano Canseco Guthrie McIntyre Gallegly Miller, Gary Wilson (SC) Critz Lipinski Sewell Cantor Hall McKeon Gardner Mulvaney Wittman Crowley Loebsack Sherman Capito Hanna McKinley Gerlach Murphy (PA) Wolf Cuellar Lofgren, Zoe Sires Carter Harper McMorris Gibbs Myrick Womack Cummings Lowey Slaughter Cassidy Harris Rodgers Gibson Neugebauer Woodall Davis (CA) Luja´ n Smith (WA) Chabot Hartzler Meehan Gingrey (GA) Noem Yoder Davis (IL) Lynch Speier Chaffetz Hastings (WA) Mica Gohmert Nugent Young (AK) DeFazio Maloney Stark Coble Hayworth Miller (FL) Goodlatte Nunes Young (FL) DeGette Markey Sutton Coffman (CO) Heck Miller (MI) Gosar Nunnelee Young (IN) DeLauro Matheson Thompson (CA) Cole Heller Miller, Gary Deutch Matsui Thompson (MS) NOT VOTING—4 Conaway Hensarling Mulvaney Dicks McCarthy (NY) Tierney Cravaack Herger Murphy (PA) Dingell McCollum Tonko Garrett Hirono Crawford Herrera Beutler Myrick Doggett McDermott Towns Giffords Wilson (FL) Crenshaw Huelskamp Neugebauer Donnelly (IN) McGovern Tsongas Culberson Huizenga (MI) Noem Doyle McIntyre Van Hollen Davis (KY) Hultgren Nugent Edwards McNerney Vela´ zquez b 1746 Denham Hunter Nunes Ellison Meeks Visclosky Messrs. NEUGEBAUER and SHULER Dent Hurt Nunnelee Engel Michaud Walz (MN) DesJarlais Issa Olson Eshoo Miller (NC) Wasserman changed their vote from ‘‘yea’’ to Diaz-Balart Jenkins Palazzo Farr Miller, George Schultz ‘‘nay.’’ Dold Johnson (IL) Paul

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00066 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.123 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H323 Paulsen Ros-Lehtinen Sullivan b 1753 Nominated by the Speaker with the Pearce Roskam Terry Ms. WATERS and Ms. JACKSON LEE concurrence of the minority leader: Pence Ross (AR) Thompson (PA) Mr. Porter J. Goss, Florida, Chair- Petri Ross (FL) Thornberry of Texas changed their vote from ‘‘aye’’ man; Pitts Royce Tiberi to ‘‘no.’’ Mr. James M. Eagen, III, Colorado, Platts Runyan Tipton So the bill was passed. Poe (TX) Ryan (WI) Turner subject to section 1(b)(6)(B); Pompeo Scalise Upton The result of the vote was announced Ms. Allison R. Hayward, Virginia, Posey Schilling Walberg as above recorded. subject to section 1(b)(6)(B); Price (GA) Schmidt Walden A motion to reconsider was laid on Mr. Bill Frenzel, Virginia, Alternate; Quayle Schock Walsh (IL) the table. Reed Schweikert Webster Nominated by the minority leader Rehberg Scott (SC) West f with the concurrence of the Speaker: Reichert Scott, Austin Westmoreland Mr. David Skaggs, Colorado, Co- ANNOUNCEMENT BY THE SPEAKER Renacci Sensenbrenner Whitfield Chairman; Ribble Sessions Wilson (SC) PRO TEMPORE Mrs. Yvonne Brathwaite Burke, Cali- Rigell Shimkus Wittman The SPEAKER pro tempore. The fornia, subject to section 1(b)(6)(B); Rivera Shuster Wolf Roby Simpson Womack Chair would remind all persons in the Ms. Karan English, Arizona, subject Roe (TN) Smith (NE) Woodall gallery they are here as guests of the to section 1(b)(6)(B); Rogers (AL) Smith (NJ) Yoder House and that any manifestation of Mr. Abner Mikva, Illinois, Alternate. Rogers (KY) Smith (TX) Young (AK) approval or disapproval of the pro- f Rogers (MI) Southerland Young (FL) ceedings is in violation of the rules of Rohrabacher Stearns Young (IN) b 1800 Rokita Stivers the House. HOMELESS DUE TO MEDICAL Rooney Stutzman f BILLS NOES—189 ELECTING MEMBERS TO CERTAIN (Mr. CLARKE of Michigan asked and Ackerman Garamendi Owens STANDING COMMITTEES OF THE was given permission to address the Altmire Gonzalez Pallone HOUSE OF REPRESENTATIVES House for 1 minute and to revise and Andrews Green, Al Pascrell Baca Green, Gene Pastor (AZ) Mr. HENSARLING. Mr. Speaker, by extend his remarks.) Baldwin Grijalva Payne direction of the Republican Conference, Mr. CLARKE of Michigan. Mr. Barrow Gutierrez Pelosi I offer a privileged resolution and ask Speaker, I recently received a phone Bass (CA) Hanabusa Perlmutter for its immediate consideration. call from my childhood friend who told Becerra Harman Peters The Clerk read the resolution, as fol- me he needed a place to stay. He was Berkley Hastings (FL) Peterson Berman Heinrich Pingree (ME) lows: homeless; homeless because he was a Bishop (GA) Higgins Polis H. RES. 42 diabetic and because he couldn’t afford Bishop (NY) Himes Price (NC) Resolved, That the following named Mem- to pay for his hospital bills, he was put Blumenauer Hinchey Quigley bers be and are hereby elected to the fol- out of his home, he was evicted; home- Boswell Hinojosa Rahall lowing standing committees of the House of less because he was middle-aged and Brady (PA) Hirono Rangel Braley (IA) Holden Reyes Representatives: couldn’t find an insurance company to Brown (FL) Holt Richardson (1) COMMITTEE ON ENERGY AND COMMERCE.— provide him with coverage he could af- Butterfield Honda Richmond Mrs. Blackburn, to rank immediately after ford. Capps Hoyer Rothman (NJ) Mr. Burgess. I am asking the American people to Capuano Inslee Roybal-Allard (2) COMMITTEE ON HOMELAND SECURITY.— contact the U.S. Senate to let them Cardoza Israel Ruppersberger Mr. Farenthold. know that this repeal of the health Carnahan Jackson (IL) Rush (3) COMMITTEE ON SMALL BUSINESS.—Mr. Carney Jackson Lee Ryan (OH) Landry, to rank immediately after Mr. care reform law cannot stand. Our Carson (IN) (TX) Sa´ nchez, Linda Fleischmann. American people need this protection. Castor (FL) Johnson (GA) T. The very nature of health insurance Mr. HENSARLING (during the read- Chandler Johnson, E. B. Sanchez, Loretta is to spread the risk. The more people Chu Kaptur Sarbanes ing). Mr. Speaker, I ask unanimous that are insured, the lower the cost of Cicilline Keating Schakowsky consent that the resolution be consid- health insurance for all of us. We have Clarke (MI) Kildee Schiff ered as read and printed in the RECORD. Clarke (NY) Kind Schrader got to maintain the health reform law. The SPEAKER pro tempore. Is there Clay Kissell Schwartz f Cleaver Kucinich Scott (VA) objection to the request of the gen- Clyburn Langevin Scott, David tleman from Texas? HEALTH CARE REFORM Cohen Larsen (WA) Serrano There was no objection. (Mr. MORAN asked and was given Connolly (VA) Larson (CT) Sewell The resolution was agreed to. Conyers Lee (CA) Sherman permission to address the House for 1 Cooper Levin Shuler A motion to reconsider was laid on minute.) Costa Lewis (GA) Sires the table. Mr. MORAN. Mr. Speaker, many Costello Lipinski Slaughter f Members on the Democratic side of the Courtney Loebsack Smith (WA) aisle, when we were considering health Critz Lofgren, Zoe Speier HOUR OF MEETING ON TOMORROW Crowley Lowey Stark care reform, wanted a public option Cuellar Luja´ n Sutton Ms. ROS-LEHTINEN. Mr. Speaker, I where the Federal Government would Cummings Lynch Thompson (CA) ask unanimous consent that when the run it. It would ultimately save hun- Davis (CA) Maloney Thompson (MS) House adjourns today, it adjourn to dreds of billions of dollars more and, in Davis (IL) Markey Tierney meet at 9 a.m. tomorrow. DeFazio Matheson Tonko fact, it would not be subject to the DeGette Matsui Towns The SPEAKER pro tempore. Is there profit incentive of private insurance DeLauro McCarthy (NY) Tsongas objection to the request of the gentle- companies, but we decided ultimately Deutch McCollum Van Hollen woman from Florida? not to do that. Dicks McDermott Vela´ zquez There was no objection. What we did is to decide to model our Dingell McGovern Visclosky Doggett McNerney Walz (MN) f health care reform after the Federal Employees Health Benefits Plan, where Donnelly (IN) Meeks Wasserman APPOINTMENTS—OFFICE OF Doyle Michaud Schultz private insurance firms provide the Edwards Miller (NC) Waters CONGRESSIONAL ETHICS coverage; you sign up for it; you have Ellison Miller, George Watt The SPEAKER pro tempore. Pursu- competition. We have competition now Engel Moore Waxman Eshoo Moran Weiner ant to section 4(c) of House Resolution nationally and within the States in Farr Murphy (CT) Welch 5, 112th Congress, and the order of the this plan, but it’s modeled after what Fattah Nadler Wilson (FL) House of January 5, 2011, the Chair an- we ourselves provided for ourselves as Filner Napolitano Woolsey nounces the reappointment of the fol- Members of Congress. Frank (MA) Neal Wu lowing individuals to serve as the Gov- Now the majority of the Members of Fudge Olver Yarmuth erning Board of the Office of Congres- Congress, both Democratic and Repub- NOT VOTING—1 sional Ethics: lican, have this plan for themselves. Giffords

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00067 Fmt 0636 Sfmt 0634 E:\CR\FM\A19JA7.044 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H324 CONGRESSIONAL RECORD — HOUSE January 19, 2011 We just had a recommittal motion AFGHANISTAN is time for Mr. Obama to keep his word where we had the opportunity to say, if The SPEAKER pro tempore. Under a to the American people, and that is to you vote against this plan for your previous order of the House, the gen- bring them out in July of 2011. constituents, then you ought to decline tleman from North Carolina (Mr. Mr. Speaker, before closing, I would it for yourselves. A vast majority of JONES) is recognized for 5 minutes. like to say, as I always do, God please Members took it for themselves but de- Mr. JONES. Mr. Speaker, last night I continue to bless our men and women clined to provide it for their constitu- stood here and spoke about my experi- in uniform. God please in Your loving ents. ence visiting Bethesda Naval Hospital arms hold the families who have given That’s hypocrisy, Mr. Speaker. and seeing the broken bodies of our a child dying in Afghanistan and Iraq. f country’s young men and women. God, please bless the House and Senate that we will do what is right in Your SPECIAL ORDERS After that visit, I was very pleased to see an article this morning about Gro- eyes for Your people. God, please give The SPEAKER pro tempore. Under ver Norquist speaking out and encour- strength, wisdom, and courage to the the Speaker’s announced policy of Jan- aging fellow conservatives to speak out President of the United States that he uary 5, 2011, and under a previous order against the war in Afghanistan. will do what is right for Your people. of the House, the following Members The article is from The Huffington And God, three times I will ask, please, will be recognized for 5 minutes each. Post on January 12, and one sentence please, please God, continue to bless f in particular came to my mind. America. The SPEAKER pro tempore. Under a Norquist also suggested that many f previous order of the House, the gen- prominent conservatives privately hold tleman from Washington (Mr. the view that the war in Afghanistan REPORT ON RESOLUTION REDUC- MCDERMOTT) is recognized for 5 min- should end quickly. ING NON-SECURITY SPENDING utes. It is time for them to speak out pub- TO FISCAL YEAR 2008 LEVELS OR (Mr. MCDERMOTT addressed the licly, Mr. Speaker. We need to become LESS House. His remarks will appear here- more engaged in the issue and make Mr. DREIER, from the Committee on after in the Extensions of Remarks.) our feelings known. Rules, submitted a privileged report f Mr. Speaker, I had mentioned before (Rept. No. 112–3) on the resolution (H. HONORING SARGENT SHRIVER that a retired military general has Res. 38) to reduce spending through a been my adviser on Afghanistan for the transition to non-security spending at The SPEAKER pro tempore. Under a past year. I would like to share two fiscal year 2008 levels, which was re- previous order of the House, the gen- points that he made in a recent email. ferred to the House Calendar and or- tleman from California (Mr. The first point he made is: ‘‘What is dered to be printed. GARAMENDI) is recognized for 5 min- the end state we are looking to f utes. achieve? What are the measures of ef- Mr. GARAMENDI. Mr. Speaker, fectiveness? What is our exit strategy? REPORT ON RESOLUTION PRO- Members, yesterday we lost a great Same old questions. No answers.’’ VIDING FOR CONSIDERATION OF American, a real hero when Sargent b 1810 HOUSE RESOLUTION 38, REDUC- Shriver passed away. ING NON-SECURITY SPENDING My wife, Patti, and I were honored to The second point that the general TO FISCAL YEAR 2008 LEVELS OR be able to call Sarge our friend. He was made in his email to me: ‘‘What do we LESS a great mentor to both of us. Our lives say to the mother and father, to the were shaped, inspired, improved by the wife of the last soldier or marine killed Mr. DREIER, from the Committee on extraordinary vision and talent of Sar- to support a corrupt government and Rules, submitted a privileged report gent Shriver when he built the Peace corrupt leader in a war that cannot be (Rept. No. 112–4) on the resolution (H. Corps. won?’’ Res. 43) providing for consideration of We had the awesome experience to Mr. Speaker, I’m going to repeat that the resolution (H. Res. 38) to reduce join the Peace Corps in its third year very quickly. From the retired general: spending through a transition to non- and to be assigned to Ethiopia. Were it ‘‘What do we say to the mother and fa- security spending at fiscal year 2008 not for Shriver’s leadership, this iconic ther, to the wife of the last soldier or levels, which was referred to the House and pure American program would marine killed to support a corrupt gov- Calendar and ordered to be printed. never exist. ernment and corrupt leader in a war f Sargent Shriver became our close that cannot be won?’’ friend as the years went by. With each These are valid points that we must THE TRUTH WILL SET US FREE meeting, our love for Sarge grew, as think about. It is time that Congress The SPEAKER pro tempore. Under a did our respect for his endless enthu- and the American people look at what previous order of the House, the gen- siasm and desire to improve the status is really going on and what war really tleman from Texas (Mr. AL GREEN) is of all. means. I would like to thank promi- recognized for 5 minutes. In the 1990s, Patti had the oppor- nent conservative, Grover Norquist, for Mr. AL GREEN of Texas. Mr. Speak- tunity to work closely with Sargent speaking out on Afghanistan. I hope er, it has been written many centuries Shriver to spread the Peace Corps to this inspires others to do the same. ago that if we know the truth, the Eastern Europe, Asia, and South Afri- History has shown that we cannot fix truth will set us free. The truth is, Mr. ca. His enthusiasm once again moti- Afghanistan. It is in our best interest Speaker, that repeal of the current vated Americans to join the Peace to learn from what history is trying to health care law means that we will re- Corps and serve men, women, and chil- teach us, that no country has ever con- instate conditions that existed prior to dren in every part of the globe. quered Afghanistan. the repeal. The truth is that prior to America and the world will miss this Mr. Speaker, I have beside me ‘‘The the law that we currently have, we compassionate and talented man. Pain of War: A Broken Body.’’ It’s a were spending $2.5 trillion a year on Patti and I send our prayers and con- young soldier who has lost both legs health care. That’s $79,000 a second. dolences to his family, and we will per- and an arm, and his young wife taking That’s 17.6 percent of GDP. sonally miss this amazing individual. him into a room in a wheelchair. This The truth is that if we had continued f party of mine, which I’m very proud to at that pace, we would spend by 2018 The SPEAKER pro tempore. Under a be a Republican, needs to learn, and $4.4 trillion per year, more than 20 per- previous order of the House, the gen- again I want to thank Grover Norquist cent of GDP, $139,000 per second. The tleman from Texas (Mr. POE) is recog- for speaking out and saying to conserv- truth is that health care was going to nized for 5 minutes. atives, stop sending our boys and girls bankrupt this country. CBO has esti- (Mr. POE of Texas addressed the over there to come back with broken mated that this bill that currently House. His remarks will appear here- bodies or to come back in a coffin. It is passed that is in place now and is law, after in the Extensions of Remarks.) time to end the war in Afghanistan. It the health care bill that’s law, saves

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00068 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.130 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H325 about $1 trillion over a 20-year period, lot of attention in recent weeks, and a love of liberty, the Constitution more than $1 trillion, to be more appro- thanks to the tea party movement. It becomes but a worthless piece of paper. priate. goes without saying that Members of Celebrating the Constitution without This bill, if it becomes law, will rein- Congress should have read the Con- this understanding will do nothing to state the past that we have tried to stitution many times, and we should restore the greatness of America. overcome. This bill will bring back, re- continue to study it. Simply praising the document dis- instate, preexisting conditions. And as Citing the particular clause of the tracts from the need for Members to has been said, and for edification pur- Constitution that authorizes newly in- gain the courage to resist special inter- poses, pregnancy is a preexisting condi- troduced legislation is a reasonable ests; political self-interests; emergency tion. This bill will reinstate the dough- suggestion, yet in reality it will do lit- needs in times of crisis; fear-based eco- nut hole that we have been trying to tle to restrain unconstitutional growth nomic myths; and the persistent temp- close to help seniors with their phar- of Federal Government. We have had tation to seek security over liberty maceuticals. This bill will reinstate such rules in the past and no benefit while ignoring personal responsibility kicking children off of the policies that came of it. and self-reliance. they’re on now with their parents until The laws that are passed reflect the Providing instruction in the Con- they are 26 years of age. This bill will preferences of those in charge, who pro- stitution for staff and/or Members begs reinstate a condition wherein approxi- mote their personal agenda. For too the question: Who will be the teacher? mately 45,000 persons per year were long that agenda has expanded govern- I wonder, will this welcomed renewed dying from a lack of insurance. That’s ment at the expense of personal lib- interest in the Constitution lead to a one person every 12 minutes. This bill erty, regardless of which political healthy reassessment of all of our poli- will take us back in my State to 6 mil- party was in charge. Generally this cies? lion persons being uninsured without trend was supported by voters, who re- Will there be no more wars without the possibility of having insurance, warded most Members of Congress with an actual congressional declaration? will take us back to 1.1 million persons reelection. Will the Federal Reserve Act be re- in Harris County, Texas, being unin- For many of us, this expansion of pealed? sured, 20 percent of the children in the government clearly violated the Con- Will only gold and silver be called State of Texas are uninsured. This bill stitution, yet it was always argued legal tender? will take us back to a time and the that the program somehow conformed Will we end all of the unconstitu- place that we tried to escape. to that ‘‘living’’ document. tional Federal departments, including And I thank God that this so-called By misinterpreting the general wel- the Department of Energy, Education, repeal will not become law because I fare clause, the interstate commerce Agriculture, Commerce, Health and believe that this bill, if it becomes law, clause, and the ‘‘necessary and proper’’ Human Services, Homeland Security, will hurt too many people. And there clause, Congress has justified every and Labor? are some I have actually heard say, it conceivable expansion of the Federal Will the Patriot Act be repealed and would be good for it to become law be- Government. Congress also has mis- all of the warrantless searches stopped? cause then people could understand the interpreted the 14th Amendment and Will TSA be restrained or abolished? pain that this bill will invoke. I don’t legislated as though it had repealed the Will the IRS’s unconstitutional col- agree. I do not agree because I don’t 10th Amendment. Sadly, Congress has lection powers end? want people to suffer unnecessarily. I also systematically abdicated its pre- Will executive and judicial quasi-leg- believe we do have a duty to be our rogatives and responsibilities to the ex- islative powers be ended? brother’s keeper. And by the way, it’s ecutive branch over many decades. Will we end the Federal war on Too many people, in and out of Con- easy to be your brother’s keeper when drugs? gress, grew up being taught that the you don’t have to keep your brother. It Will we end the Federal Govern- Constitution was malleable. This has is difficult to do the right thing to ment’s involvement in medical care? allowed judicial, legislative, and execu- make sure that every American has Will we end all of the Federal Gov- tive flexibility to make the Constitu- health care. In a country wherein we ernment’s illusionary insurance pro- tion ‘‘a modern living document.’’ will take the bank robber who is grams? Though the authors allowed for ‘‘flexi- harmed in the process of robbing a Will we ban secret prisons, trials bility’’ through the amendment proc- bank and give him aid and comfort, in without due process, and assassina- ess, this process has been ignored for a country wherein we will give our en- tions? the sake of speed and convenience. emies in mortal combat aid and com- Will we end our foreign policy of in- fort if they should become wounded, in b 1820 vasion and occupation? a country wherein we will give the per- As a result, the Constitution now has For America to once again become son on death row who is to meet his little meaning since most Members pay the standard for a free society, our love Maker next week aid and comfort if he only lip service when taking their oath of liberty and desire for peace must far gets sick this week and then send him to obey it. surpass any public display of fidelity to to meet his Maker next week, in this But I am encouraged by our growing the Constitution. We must first look to country, the richest country in the grassroots interest in the Constitution, strong moral character, respect for the world, if we can give aid and comfort to especially among the younger genera- rule of law, and an understanding of the bank robber, if we can give aid and tion. I am glad Congress is becoming the proper role of government in a free comfort to the mortal enemy of this aware of it. society. country, if we can give aid and comfort Our Constitution should be viewed as f to those who are on death row, we can law, and Members of Congress should REMEMBERING SARGENT SHRIVER give aid and comfort to those who are be expected to follow the rule of law. among the least, the last, and the lost. But a document is just that, and it is The SPEAKER pro tempore. Under a I believe that we’ve made a mistake only as good as the character of those previous order of the House, the gen- today. This is why I voted against re- who represent us and promise to obey tleman from California (Mr. FARR) is peal. it. recognized for 5 minutes. Mr. FARR. Mr. Speaker, I rise to- f Distorted interpretations come easily when the goal is opposite of what the night very sadly to talk a little bit RENEWED INTEREST IN THE original authors intended and what the about one of the greatest Americans of CONSTITUTION plain text provides. our generation, a true American hero, The SPEAKER pro tempore (Mr. If true liberty is not our goal, per- in my view, Sargent Shriver. BARLETTA). Under a previous order of sistent efforts to rationalize misinter- I really have to say I am also very the House, the gentleman from Texas pretations and circumvent the Con- upset that the Republican leadership (Mr. PAUL) is recognized for 5 minutes. stitution will continue. wouldn’t allow for a moment of silence Mr. PAUL. Mr. Speaker, I am pleased Without men and women of character in today’s session for such a distin- that the Constitution has received a in Congress, respect for the rule of law guished American.

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00069 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.136 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H326 CONGRESSIONAL RECORD — HOUSE January 19, 2011 I rise today in honor of his life and Sargent Shriver—or Sarge, as we called ing the Depression and ended up running a legacy. him. At various events that honored Catholic bookstore where the ideas of social I got to meet Sargent Shriver when I the agency, we both got to speak. And activists such as Sarge’s heroine, Dorothy was a Peace Corps trainee in 1963, one of my most significant moments of Day, were profoundly influential. Sarge man- about 22 years old in a small, little aged to go to Yale for both his under- my life was the privilege of being pre- graduate and law degrees, but he was often town in New Mexico, Questa, New Mex- sented with a Peace Corps Public Serv- like the proverbial kid with his nose pressed ico, and I was in awe that I, as a train- ice Award in 2006 by Sargent Shriver. against the candy-store window—although ee, could meet the first Director of the To all who knew him, Sargent Shriv- he was drop-dead handsome, everybody else Peace Corps. er was a man of tremendous heart and had a lot more goodies. He embodied the relentless spirit of vision who leaves behind a living leg- After serving heroically in World War II as public service that makes America acy of service and hope. That legacy of a naval gunnery officer—he was a deadly great. He will forever hold a special public service lives on in the lives of marksman whose ship, in one Pacific battle, shot down 32 Japanese planes in three place in our country’s history. I re- his children. Their mother died in 2009, member just the vitality and spirit hours—Sarge dropped law to become an as- but today we have daughter Maria, who sistant editor at Newsweek. During that job that he had that drove me to want to is the first lady of California. We have he met Joe Kennedy, who asked him to run be a Peace Corps volunteer at a time their four other children: son Robert ‘‘this building I just bought in Chicago’’—it when nobody really knew what they Shriver of Santa Monica, who is an ac- was the Merchandise Mart, the largest com- did because they hadn’t come home tivist in California; former Maryland mercial building in the world at the time. By yet. It was a risk, an adventure, and I delegate, Mark Shriver of Bethesda, then he had met the forceful Eunice Ken- was really not sure that it was the best Maryland; Tim Perry Shriver of Chevy nedy, one of Joe’s nine children, by whom he had been immediately smitten, but she gave thing to do. And yet I look back with Chase—both involved in Special Olym- pride and admiration and what a privi- him a hard time for years before they finally pics; and Anthony Paul Shriver of married, in 1953. lege it was to serve under his leader- Miami. Most of all, they have 19 chil- There wasn’t a tough job that Sarge did ship. dren. not do well. When John F. Kennedy asked With the Peace Corps, Sargent Shriv- Sargent Shriver’s life reminds us of the him to run the Peace Corps, he joked that er took President Kennedy’s vision of value of distinguished public service, and that J.F.K. had no choice but to give the job to a service and optimism and built it into it is incumbent upon all of us to renew his vi- brother-in-law due to its enormous potential one of America’s best institutions. for failure. A few years later, Jacqueline sion of a better America for future generations. After 3 years as Director of the agency, Kennedy asked Sarge to arrange her hus- My thoughts and prayers are with his chil- band’s funeral, and he did so flawlessly. the Peace Corps had more than 6,500 dren and grandchildren and the entire Shriver volunteers serving in more than 50 de- After heading the Chicago school board and and Kennedy families. veloping countries. He once told me the becoming a leading civil-rights advocate, he [From Vanity Fair, Jan. 19, 2011] was frequently mentioned as both an Illinois story that in those days, with the gubernatorial and senate candidate. In 1964, President’s own budgeting, they were SARGENT SHRIVER’S LASTING IMPACT: AN APPRECIATION Lyndon Johnson very much wanted Sarge to able to place Peace Corps volunteers in (By Maureen Orth) be his running mate, but the Kennedys said Latin America and Africa before Con- absolutely not—it was Bobby’s turn first. At a Saint Patrick’s Day party at the gress ever got around to authorizing Then it was Teddy’s turn. White House during Clinton’s first term, I Sarge loved running the very popular the program. bumped into Sargent Shriver and introduced These volunteers showed the world Peace Corps, but he reluctantly quit when him to my husband as ‘‘the George Wash- L.B.J. twisted his arm to head the War on the true American values of peace, ington of the Peace Corps.’’ Shriver cor- prosperity, and opportunity that had Poverty. Democrat George McGovern turned rected me. ‘‘No,’’ he said, holding out his to Sarge to run with him as vice president, been eclipsed by the Cold War. arm waist high. ‘‘George Washington was in 1972, after Tom Eagleton dropped out Over the past 50 years, through war here.’’ Then he raised his arm above his head when it was revealed that he had undergone and conflict, Sarge’s foundational work and said, ‘‘In the Peace Corps, I’m here!’’ He psychiatric treatment, but they lost big- of the Peace Corps has enabled volun- laughed so easily and so frequently, and he time. Sarge also served as ambassador to teers to show the world a hopeful, up- had such enthusiasm and energy, that he France, and in the last decades of his life he lifting side of America that reflects our made the idea of service pure fun. And he and Eunice founded the Special Olympics fundamental values of service and tol- was right about where he stood with so many and made it a worldwide force for the intel- of us former Peace Corps volunteers—he was lectually disabled. He was the kind of hus- erance. our founding father, an icon. All you had to Today, Sarge’s legacy lives on in a band who seriously thought his wife should do was utter his name—Sarge—and it imme- be canonized by the Catholic Church; Sarge quarter million Americans who have diately stood for giving your all and being served as Peace Corps volunteers in 139 himself was so devout that even as he was your best. ravaged by Alzheimer’s in his later years, I was recruited into the Peace Corps at age countries around the world, all in the the two things he never forgot were his pray- 20, right off the Berkeley campus, by a loud name of peace and goodwill. ers and his manners. ‘‘You’re a good looking southern guy with a bullhorn—he was to be- Beyond the Peace Corps, Sargent kid,’’ he said to my son a few years ago as he come the NBC reporter Douglas Kiker (years Shriver was actively engaged in civic stuck out his hand in greeting. ‘‘Are you my later we met as colleagues). Sarge had the society. He served as Ambassador to son?’’ ability to bring together all sorts of talented France; leader of the War on Poverty I loved spending time with Sarge—he was a and sometimes offbeat people, and to con- wonderful father to Bobby, Maria, Tim, as the first Director of the Office of vince them to try something they weren’t Economic Opportunity, which began Mark, and Anthony Shriver, all of whom really planning to do. have distinguished themselves in service to the Head Start program, which began I served in the Peace Corps for two years in others. For years they had to share him with Medellin, Colombia, and have remained in- VISTA, Volunteers in Service to Amer- thousands of Peace Corps volunteers for volved with the community. I was in ica; and as a Vice Presidential can- whom he was both a touchstone and an ideal- Medellin last week to help set up a third didate. His touch can be found on some ized father figure. It is hard to believe that school for poor kids that is run by a founda- of our Nation’s finest efforts, including today we can no longer have Sarge among tion I created several years ago to provide the Special Olympics and racial inte- us, exhorting us to ‘‘serve, serve, serve!’’ students at all three schools with computers gration. and training in English and leadership. It is [From the New York Times, Jan. 18, 2011] But above all, Sarge’s devotion to a way for me to continue the work I did in public service was beyond reproach. the Peace Corps, and I thank Sarge for giv- R. SARGENT SHRIVER, PEACE CORPS LEADER, Like his wife, Eunice, who really start- ing me the means to get along in exotic DIES AT 95 ed the Special Olympics—and I might places, to speak Spanish, and to be a much (By Robert D. McFadden) add that the Special Olympics is now better journalist, because I learned in the R. Sargent Shriver, the Kennedy in-law in more countries than is the Peace Peace Corps how to observe acutely and to who became the founding director of the Corps—I can’t think of a married cou- understand issues from other people’s points Peace Corps, the architect of President Lyn- of view. don B. Johnson’s war on poverty, a United ple in America who have done more Sarge was both brilliant and selfless—too States ambassador to France and the Demo- worldwide than Eunice Shriver and selfless, some might argue, when it came to cratic candidate for vice president in 1972, Sargent Shriver to help people in need. his own political career. His parents were died on Tuesday in Bethesda, Md. He was 95. I will always hold my special memo- Catholic intellectuals from aristocratic His family announced his death in a state- ries of sharing Peace Corps stories with Maryland stock. They lost their money dur- ment.

VerDate Mar 15 2010 04:58 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00070 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.137 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H327 Mr. Shriver was found to have Alzheimer’s programs like Head Start, the Job Corps, quired Merchandise Mart in Chicago, then disease in 2003 and on Sunday was admitted Volunteers in Service to America, the Com- the world’s largest commercial building. In to Suburban Hospital in Bethesda, where he munity Action Program and Legal Services Chicago, Mr. Shriver not only turned a profit died. He had been in hospice care in recent for the Poor. (The Office of Economic Oppor- for the mart but also plunged into Demo- months after his estate in Potomac, Md., was tunity was dismantled in 1973, but many of cratic politics. sold last year. its programs survived in other agencies.) After a seven-year courtship, Mr. Shriver White-haired and elegantly attired, he at- In 1968, Johnson named Mr. Shriver ambas- and Ms. Kennedy were married by Cardinal tended the inauguration of his son-in-law, sador to France. It was a time of strained re- Francis Spellman at St. Patrick’s Cathedral Arnold Schwarzenegger, as the Republican lations. President Charles de Gaulle had rec- in New York in 1953. governor of California in the fall of 2003. Mr. ognized Communist China, withdrawn In addition to his daughter, Maria, Mr. Schwarzenegger is married to Maria Shriver, French forces from NATO’s integrated mili- Shriver’s survivors include four sons, Robert a former NBC News correspondent. tary command and denounced American in- Sargent Shriver III of Santa Monica, Calif.; But in recent years, as his condition dete- volvement in Indochina. But Mr. Shriver es- Timothy, of Chevy Chase, Md.; Mark, of Be- riorated, Mr. Shriver was seldom seen in tablished a working rapport with de Gaulle thesda, Md.; and Anthony, of Miami; and 19 public. He emerged in one instance to attend and was credited with helping to improve re- grandchildren. the funeral of his wife of 56 years, Eunice lations. Mr. Shriver’s relationships with the Ken- Kennedy Shriver, a sister of John F. Ken- Mr. Shriver returned to the United States nedys were widely analyzed by the news nedy; she died in 2009 in Hyannis, Mass., at in 1970 to work for Democrats in the mid- media, not least because of his own political the age of 88. term elections and to reassess his own polit- potential. He looked like a movie star, with As a Kennedy brother-in-law, Mr. Shriver ical prospects. His long-awaited break came a flashing smile, dark hair going gray and was bound inextricably to one of the nation’s two years later when Senator McGovern, the the kind of muscled, breezy athleticism that most powerful political dynasties. It was an Democratic presidential nominee, picked went with tennis courts and sailboats. Like association with enormous advantages, him as his running mate. Mr. McGovern’s the Kennedys, he was charming but not self- thrusting him to prominence in a series of first choice, Senator Thomas F. Eagleton, revealing, a quick study but not reflective. seemingly altruistic missions. But it came was dropped after revelations that he had re- Associates said he could be imperious, but with handicaps, relegating him to the polit- ceived electroshock therapy for depression. his knightly public image became indelible. ical background and to a subordinate role in The McGovern-Shriver ticket lost in a He took root in Chicago. In 1954, he was ap- the family history. landslide to the incumbent Republicans, pointed to the city’s Board of Education, and ‘‘Shriver’s relationship with the Kennedys Richard M. Nixon and Spiro T. Agnew. Four a year later became its president. In 1955, he was complex,’’ Scott Stossel wrote in years later, Mr. Shriver ran for the Demo- also became president of the Catholic Inter- ‘‘Sarge: The Life and Times of Sargent cratic presidential nomination, pledging a racial Council, which fought discrimination Shriver,’’ a 2004 biography. ‘‘They buoyed renewal of ethics after the Watergate scan- in housing, education and other aspects of him up to heights and achievements he dal that drove Nixon from the White House. city life. By 1959, he had become so promi- would never otherwise have attained—and But Mr. Shriver was knocked out in the pri- nent in civic affairs that he was being touted they held him back, thwarting his political maries and ended his political career. as a Democratic candidate for governor of Il- advancement.’’ In later years, he was a rainmaker for an linois in 1960. The book, as well as reports in The New international law firm, Fried, Frank, Harris, Mr. Shriver did nothing to discourage re- York Times, The Washington Post and other Shriver & Jacobson, retiring in 1986. He was ports that he was considering a run. But publications, suggested that Mr. Shriver’s also active in the Special Olympics, founded with the rest of the Kennedy clan, he joined hopes to run for governor of Illinois in 1960 by his wife for mentally disabled athletes, John F. Kennedy’s 1960 presidential cam- and vice president in 1964 and 1968 were aban- and he continued his work with the Sargent paign. As he and other family members ac- doned to help promote, or at least not com- Shriver National Center on Poverty Law, an knowledged later, the patriarch, Joseph Ken- pete with, Kennedy aspirations. Mr. Shriv- advocacy organization he founded in Chicago nedy, had told him that a separate Shriver er’s vice-presidential race in 1972, on a ticket in 1967 as the National Clearinghouse for race that year would be a distraction. So he with Senator George S. McGovern, and a Legal Services. resigned from the Chicago school board and brief primary run for president in 1976 were In 1994, President Bill Clinton awarded Mr. became a campaign coordinator in Wisconsin crushed by the voters. Shriver the Presidential Medal of Freedom. and West Virginia and a principal contact Mr. Shriver was never elected to any na- Ten years earlier, President Ronald Reagan with minorities. tional office. To political insiders, his calls conferred the same award on Eunice Shriver. As the election approached, the campaign for public service in the 1960s seemed quix- They were the only husband and wife to win learned that the Rev. Dr. Martin Luther otic at a time when America was caught up the nation’s highest civilian honor individ- King Jr. had been sentenced in Georgia to in a war in Vietnam, a cold war with the So- ually. four months of hard labor for what amounted viet Union and civil rights struggles and In 2008, PBS broadcast a documentary, to a minor traffic violation. Mr. Shriver sug- urban riots at home. But when the fogs of ‘‘American Idealist: The Story of Sargent gested that Senator Kennedy call a dis- war and chaos cleared years later, he was re- Shriver.’’ A children’s book by Maria Shriv- traught Coretta Scott King, who was terri- membered by many as a last vestige of Ken- er, ‘‘What’s Happening to Grandpa?,’’ was fied that her husband might be killed in pris- nedy-era idealism. published in 2004, explaining the effects of on. His reassuring call, and another by Rob- ‘‘Sarge came to embody the idea of public Alzheimer’s disease. In May 2009, HBO pre- ert F. Kennedy to a judge in Georgia that led service,’’ President Obama said in a state- sented a four-part documentary on Alz- to Dr. King’s release, helped produce a wind- ment. heimer’s. Ms. Shriver was the executive pro- fall of black support for Kennedy. Mr. Shriver’s impact on American life was ducer of one segment, ‘‘Grandpa, Do You Senator Kennedy broached the idea for a significant. On the stage of social change for Know Who I Am?’’ volunteer corps in a speech at the University decades, he brought President Kennedy’s Robert Sargent Shriver Jr., known as of Michigan and crystallized it as the Peace proposal for the Peace Corps to fruition in Sarge from childhood, was born in West- Corps in an appearance in San Francisco. Mr. 1961 and served as the organization’s director minster, Md., on Nov. 9, 1915, the son of his Shriver, who as a young man had guided until 1966. He tapped into a spirit of vol- namesake, a banker, and Hilda Shriver. His American students on work-and-learn pro- unteerism, and within a few years thousands forebears, called Schreiber, immigrated from grams in Europe, seemed a natural to ini- of young Americans were teaching and work- Germany in 1721. One ancestor, David Shriv- tiate it. ing on public health and development er, was a signer of Maryland’s 1776 Constitu- After the inauguration, Mr. Shriver, who projects in poorer countries around the tion. The Shrivers, like the Kennedys, were scouted talent for the incoming administra- world. Roman Catholics and socially prominent, tion—people who came to be known as ‘‘the After the president’s assassination in 1963, but not especially affluent. best and the brightest’’—was assigned to the Mr. Shriver’s decision to remain in the John- On scholarships, he attended Canterbury, a task of designing the Peace Corps, which was son administration alienated many of the Catholic boarding prep school in New Mil- established by executive order in March 1961. Kennedys, especially Robert, who remained ford, Conn.—John F. Kennedy was briefly a As director, he laid the foundations for as the United States attorney general for schoolmate—and Yale University, grad- what arguably became the most lasting ac- months but whose animus toward his broth- uating with honors in 1938. He earned a Yale complishment of the Kennedy presidency. As er’s successor was profound. Mr. Shriver’s re- law degree in 1941 and joined the Navy short- the Peace Corps approaches its 50th anniver- sponsibilities deepened, however. In 1964, ly before the attack on Pearl Harbor, becom- sary this year, more than 200,000 Americans Johnson persuaded him to take on the ad- ing an officer on battleships and submarines have served as corps volunteers in 139 coun- ministration’s war on poverty, a campaign in the Atlantic and the Pacific and winning tries. embodied in a vast new bureaucracy, the Of- a Purple Heart for wounds he sustained at Break mirrors, Mr. Shriver advised grad- fice of Economic Opportunity. Guadalcanal. uating students at Yale in 1994. ‘‘Yes, in- From 1965 to 1968, Mr. Shriver, who dis- After the war, he joined Newsweek as an deed,’’ he said. ‘‘Shatter the glass. In our so- dained bureaucracies as wasteful and ineffi- editor. He met Eunice Kennedy at a dinner ciety that is so self-absorbed, begin to look cient, was director of that agency, a post he party, and she introduced him to her father, less at yourself and more at each other. held simultaneously with his Peace Corps job Joseph P. Kennedy. In 1946, Joseph Kennedy Learn more about the face of your neighbor until 1966. The agency created antipoverty hired him to help manage his recently ac- and less about your own.’’

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00071 Fmt 0636 Sfmt 0634 E:\CR\FM\A19JA7.056 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H328 CONGRESSIONAL RECORD — HOUSE January 19, 2011 The SPEAKER pro tempore. Under a help the lives of so many disabled indi- and the uninsured—have too much at previous order of the House, the gen- viduals in Haiti. stake to sit on the sidelines and remain tleman from Indiana (Mr. BURTON) is They have also provided 100 wheel- silent. recognized for 5 minutes. chairs to the Dominican Republic. We know that there is an appropria- (Mr. BURTON of Indiana addressed These wheelchairs will go to children, tions strategy to ensure that the the House. His remarks will appear teenagers and adults afflicted by paral- health care freedoms in the Patient hereafter in the Extensions of Re- ysis, polio, cerebral palsy, muscular Protection and Affordable Care Act are marks.) dystrophy, as well as to amputees. not adequately or appropriately fund- f I commend Luis, Carolina and their ed, making their implementation an Walkabout Foundation for all that utter impossibility. We can’t let that THE WALKABOUT they do. They are truly an inspiration happen. The SPEAKER pro tempore. Under a for all. We also know that efforts are under previous order of the House, the gentle- f way that will allow the chairman of woman from Florida (Ms. ROS- the Budget Committee to set spending THE ASSAULT ON OUR RIGHTS, LEHTINEN) is recognized for 5 minutes. limits on his own, without committee Ms. ROS-LEHTINEN. Mr. Speaker, I OUR FREEDOMS, OUR DEMOCRACY consensus and clearly without a fair, rise tonight to recognize a great orga- The SPEAKER pro tempore. Under a transparent, and democratic process. nization that has helped so many dis- previous order of the House, the gentle- This is an assault on our democracy. abled individuals: the Walkabout Foun- woman from the Virgin Islands (Mrs. Finally, we also know that all of the dation. This terrific organization was CHRISTENSEN) is recognized for 5 min- harsh realities that repeal will mean to founded by siblings Luis and Carolina utes. millions of Americans and their fami- Gonzalez-Bunster. Mrs. CHRISTENSEN. Mr. Speaker, lies will not be highlighted or even Sixteen years ago when he was 18 for everyone who has been listening to mentioned. For example, those calling years old, Luis was in a car accident the dialogue and debate around health for repeal won’t admit that repeal that left him paralyzed from the chest care reform, I want to make something would mean more uninsured Ameri- down. Luis was not going to allow this crystal clear: regardless of the vote in cans—54 million uninsured by 2019. tragedy to define him or limit his abil- the House, health care reform was not Those calling for repeal will never admit that repeal means an increase in ity to lead a full life. Just a few repealed today; and despite what some the number of American families who months after his accident, Luis moved might be projecting and promising, all will file bankruptcy, lose their homes to south Florida and enrolled at my of us on both sides of the aisle know and suffer other financial hardships be- alma mater, the University of Miami. that this is true. cause their health care costs are so Soon after, Luis started driving again We also know that the next step in the larger plan to repeal health care re- high. and began to live on his own. Those calling for repeal will never form will involve directing committees Leading an active lifestyle, which in- admit that repeal means a loss of jobs, of jurisdiction to revisit the health cluded being an avid swimmer, Luis increased unemployment and an in- care reform law. took advantage of the University of crease in the deficit, even though they Now, if this is going to be a process Miami’s extensive and accessible facili- know, as we do, that without health that includes meaningful hearings and ties. However, during a trip to the Con- care reform the Federal deficit will ex- honest dialogue about how to strength- necticut YMCA a couple of years ago, plode by $143 billion over the next 10 en and bolster—not dismantle and ob- Luis could not access the indoor swim- years and by more than a whopping $1 literate—health care reform, then I ming pool, so Luis and Carolina de- trillion over the next two decades. cided to take action. would support that strategy. It would Those calling for repeal will never Not only did they promote awareness allow us to work together to build admit that repeal will mean a drastic of paralysis and disabilities in their upon the many successes that the Pa- increase in the health disparities that community, but they also made the tient Protection and Affordable Care we know leave racial and ethnic mi- Connecticut YMCA accessible for all Act has already demonstrated: suc- norities and low-income and rural the disabled. cesses for our children, our seniors, the Americans in poorer health, who are poor, and the already insured. That b 1830 more likely to die prematurely from was the kind of process that led to the preventable causes. A recent Joint Cen- Out of this victory, the Walkabout development and passage of the Pa- ter study found that eliminating racial Foundation was born. tient Protection and Affordable Care and ethnic health disparities would The Walkabout Foundation’s mission Act. have reduced direct medical care ex- is twofold: first, to actively pursue a But, to be honest, that was then; and penditures by $229.4 billion in just 4 cure for paralysis by helping fund re- I do not believe that such a process will years. search programs; and, second, to pro- occur this time because those calling Finally, those calling for repeal will vide wheelchairs to those who cannot for repeal don’t seem to be interested never admit that repeal, literally, afford one. in socially, fiscally and medically could be a death sentence for thou- The foundation’s unique efforts have sound public health strategies to solve sands of innocent Americans every garnered widespread support and atten- our Nation’s public health problems. year. A recent IOM study suggests that tion. What makes the Walkabout Foun- Instead, the supporters of repeal have more than 15,000 deaths per year could dation singular is its drive to make been steadfast in their efforts to mini- happen just because insurance was sure that disabled individuals continue mize and even downplay the dev- taken away. to lead full and active lives. This is due astating steps backward that H.R. 2 So repeal did not take place today, to Luis’ character and unyielding belief would mean, not only for our Nation’s but the assault on our rights, our free- that people should not be victims of most vulnerable residents—children doms, our democracy, as well as our their circumstances. and our seniors—but also for small very lives are on the line in the The Walkabout Foundation has not businesses, the middle class, rural and planned committee process, the budg- limited its services and generosity to low-income populations, and the finan- etary sleights of hand and a targeted just our Nation. Last month, the foun- cial as well as the physical health of appropriations process. So let’s not dation provided 200 wheelchairs to our Nation. find ourselves repenting for the silence Haiti in addition to the 400 they had al- So I urge not only my colleagues of good people. ready donated last year. here, but every American who wants a f As someone who has seen the devas- healthier and stronger tomorrow to be tation and the human tragedy that has engaged and active and to be alert be- TODAY, WE VOTED TO REPEAL befallen the poor island nation of Haiti cause the real health care reform re- The SPEAKER pro tempore. Under a since last year’s tragic earthquake, I peal efforts begin, not with this vote, previous order of the House, the gen- know the impact and benefit the ef- but in the months ahead. All of us, ev- tleman from Georgia (Mr. GRAVES) is forts of Luis and Carolina will bring to eryone in this country—the insured recognized for 5 minutes.

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00072 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.138 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H329 Mr. GRAVES of Georgia. Mr. Speak- instead of mandates coming from the emboldens the movement and simply er, what a great day for America—a Federal Government. Above all, our re- creates more terrorists. Dr. King added victory for the American people. forms will not infringe upon individual that ‘‘a nation that continues to spend You know, last November the Amer- liberties. more money on military defense than ican people loudly demanded the repeal So, Mr. Speaker, I want to thank on programs of social uplift is ap- of ObamaCare, and today the House de- those tonight who on Facebook re- proaching a spiritual death.’’ These are livered. sponded to us in helping us start that the words we ought to reflect on as we Earlier today, I outlined why the round two of the ObamaCare debate. continue a debate about Federal budget American people were so opposed to Today, we voted to repeal. Tomor- priorities. this legislation. So tonight I thought I row, we begin the work to replace with Far from supporting the war in Af- would remind my colleagues on the left free market solutions. ghanistan, I believe Dr. King would be as to why they rejected ObamaCare. f much more likely to embrace the prin- It was the employee mandate and the ciples of the SMART security platform mandates on individuals that tax, pe- b 1840 that I’ve spoken of from this podium nalize, and punish Americans who DISTORTING THE DREAM many, many times. It calls for coopera- choose not to opt in to a government- tion, not conquest; dialogue, not de- The SPEAKER pro tempore. Under a approved health care system. struction; engagement, not invasion. It previous order of the House, the gentle- Maybe it was the $569 billion in new pursues the goal of global peace and se- woman from California (Ms. WOOLSEY taxes or the $2.6 trillion cost or the $700 ) curity by focusing on our common hu- billion in deficit spending over the first is recognized for 5 minutes. manity. It is an agenda that respects 10 years this law is fully implemented, Ms. WOOLSEY. Earlier this week, human rights, that seeks to empower and who knows what after that. Mr. Speaker, we recognized the 82nd and lift up the poor people of the world More importantly, it violated our birthday of Dr. Martin Luther King, instead of dropping bombs on their vil- Constitution and our personal liberties. Jr., perhaps the greatest moral and lages and on their communities. So earlier today I asked my friends spiritual leader in our Nation’s history. Mr. Speaker, Mr. Johnson of the Pen- and folks back in the district who fol- Each of us in our way reflected on Dr. tagon couldn’t be more wrong about low us on Facebook, the Georgians I King’s teaching, and his message had the lessons of Martin Luther King’s work for and I represent, to respond to more relevance than ever in light of life. I have every confidence that, were us as to how the legislation has already the tragic shootings in Tucson. he alive today, Dr. King would join me impacted them today. So we got a few It’s a sign of progress that a man in a loud and unmistakable call to of those responses; and, Mr. Speaker, I whose ideas were considered revolu- bring our troops home. thought I would share some of those. tionary during his life has achieved From north Georgia, Elisabeth in mainstream iconic status in death. But f Rossville said her health insurance pre- as we all share his legacy, there is a The SPEAKER pro tempore. Under a miums have already almost doubled. very real danger that some people will, previous order of the House, the gentle- Jimmy in north Georgia said his in a self-serving way, distort King’s vi- woman from North Carolina (Ms. FOXX) health care premium is certainly more sion to justify the very policies he gave is recognized for 5 minutes. expensive. his life opposing. In fact, Department (Ms. FOXX addressed the House. Her Brian said his health insurance just of Defense General Counsel Jeh John- remarks will appear hereafter in the went up by at least 8 percent, and the son has a bizarre, unsettling interpre- Extensions of Remarks.) cost of his mother’s Medicare part D tation of Dr. King’s dream. f coverage has doubled. In a speech last week, Mr. Johnson BJ in Calhoun, a health insurance suggested that this great agitator for RUSSIA agent, said premiums have risen, and peace would have endorsed the war in The SPEAKER pro tempore. Under a companies he represents are reducing Afghanistan. And I quote him, he said, previous order of the House, the gen- or eliminating commissions. ‘‘If Dr. King were alive today, he would tleman from California (Mr. DREIER) is Then there is Jeremy in Ringgold. He recognize that our Nation’s military recognized for 5 minutes. was going to expand his business this should not and cannot lay down its Mr. DREIER. Mr. Speaker, last year, but he was forced to put those arms and leave the American people month, The Economist exhorted West- plans on hold because of the costly and vulnerable to terrorist attack.’’ ern leaders to more openly and consist- burdensome 1099 tax filing require- Mr. Speaker, this strikes me as a pre- ently criticize Russia for its sham de- ments that were required under sumptuous and manipulative distortion mocracy, its brutal treatment of ObamaCare. of everything Dr. King represented. He human rights activists and political It is because of these Americans that was fierce; he was resolute in his oppo- dissidents, and its utter disregard for we not only repealed ObamaCare today sition to the Vietnam War. It was a the rule of law. It was a challenge that but that tomorrow we will also vote on courageous, controversial stand that should be taken seriously. a House resolution directing the com- cost him friends and allies. Our approach to Russia has been mittees of jurisdiction to begin work- He believed nothing as strongly as characterized paradoxically by a fail- ing on legislation through a trans- the idea that nonviolence was the only ure to be both sufficiently pragmatic parent process—open to the American route to social change. He left little and sufficiently idealistic at the same people—that will embody free market ambiguity about his feelings on war: time. Russia is a key international principles that, under many cir- ‘‘The chain reaction of evil wars pro- player with whom we must engage. cumstances, will foster economic ducing more wars must be broken,’’ Dr. That’s undeniable. It is a permanent growth and private sector job creation; King once said, ‘‘or we shall be plunged member of the Security Council. It is a lower health care premiums through into the dark abyss of annihilation.’’ I key actor in any international effort to increased competition and choice; en- don’t know how you get much clearer contain Iran’s nuclear ambitions. It ex- sure patients have the opportunity to than that, Mr. Speaker. erts great influence in regions such as keep their health care plans if they Violence, he preached, ‘‘is a descend- central Asia, with implications for our like them; reform the medical liability ing spiral, begetting the very things it struggle against violent extremists in system to reduce unnecessary and seeks to destroy. Through violence you Afghanistan and elsewhere. wasteful health care spending; remove may murder the hater, but you do not Keeping our engagement with Russia barriers that prohibit health care plans murder the hate. In fact, violence as constructive and effective as pos- from being purchased across State merely increases hate. Returning vio- sible is essential to pursuing our vital lines; provide the States greater flexi- lence for violence multiplies violence.’’ national security interests. But, Mr. bility to administer the Medicaid pro- Mr. Speaker, we’ve seen exactly this Speaker, this reality cannot preclude grams. in our misguided struggle to defeat ter- our commitment to promote democ- More importantly, it will be policy rorism through warfare. Killing one racy around the globe and condemn that empowers Americans with options Taliban or al Qaeda insurgent those who brutally suppress it. We

VerDate Mar 15 2010 04:58 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00073 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.141 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H330 CONGRESSIONAL RECORD — HOUSE January 19, 2011 must stand up for human rights and b 1850 that it is and proceed on the basis of the rule of law, even when—especially One of the most important lessons of reciprocity. If a treaty affects our com- when—they are undermined by major the last decade is that democracy panies one way, we’ll treat them the international players. We cannot re- strengthening is as firmly grounded in same way. If they exclude our invest- main silent when journalists and activ- realpolitik as it is steeped in lofty, ments and our imports, we will exclude ists are killed or savagely beaten with high-minded ideals. If our moral clar- their investments and their imports. impunity, while political prisoners face ity helps to strengthen democracy ad- We should give them the exact same years of jail time. vocates in Russia, we will further our deal as they give us. That is the Golden The new guilty verdict imposed on Rule of trade. Mikhail Khodorkovsky late last year strategic goals in the long run. A less corrupt, less autocratic regime in Mos- While we wish China well, we must makes it appear that the only crime defend the interests of jobs in our that’s actually punishable in the Rus- cow will result in a better inter- national partner. country, and even more, the highest sian Federation is opposition to Putin. political ideals to which we aspire. And Days after the verdict was handed As Vladimir Kara-Murza has written in World Affairs, defending the rule of our highest calling is freedom. down, opposition leader and former It is not a coincidence that America’s law is not just our right but our duty. Prime Minister Boris Nemtsov was ar- trade deficit with Communist China Last week, Vladimir wrote that stat- rested for participating in a peaceful has ballooned since China entered the utes of the Organization for Security rally. He had committed the grave of- World Trade Organization in 2001. The and Cooperation in Europe, to which fense of expressing support for the pro- trade deficit for 2010 with China and both the U.S. and Russia are party, tection of constitutional rights and the United States alone stood at $253 make this clear. The statutes state, condemning the sham Khodorkovsky billion—a quarter of a trillion dollars. ‘‘issues relating to human rights, fun- verdict. Since 2001, jobs in our country in damental freedoms, democracy, and Hostility to the rule of law extends manufacturing decreased by 25 percent. the rule of law are of international beyond Russia’s own borders, as we saw And according to the U.S. Department concern.’’ in the August 2008 invasion of our of Commerce, for every billion dollars It is absolutely imperative, Mr. democratic ally Georgia. It was rep- of trade deficit we maintain, 5,405 Speaker, that we do absolutely every- rehensible. Georgia’s sovereignty and American jobs are lost. This means in thing that we can to strengthen this territorial integrity remain under 2010 alone, over 1,400,000 more jobs were relationship but pursue the rule of law. threat today. lost in our country attributable just to In our relationship with Moscow, we f our trade deficit with China. This is a must learn to balance the twin impera- major factor in the weakness that our tives of effective engagement and criti- THE GOLDEN RULE OF TRADE economy is suffering. cism of gross miscarriages of justice. The SPEAKER pro tempore. Under a China consistently disregards inter- This will only become more essential previous order of the House, the gentle- national trade laws. She manipulates in the context of the coming debate on woman from Ohio (Ms. KAPTUR) is rec- her currency, and she does nothing to Russia’s entry into the World Trade ognized for 5 minutes. protect American intellectual prop- Organization. Russia has moved closer Ms. KAPTUR. Mr. Speaker, before all erty. In fact, of all of the products than ever to acceding to the WTO. We of the pomp and circumstance of to- seized at the U.S. border for infringe- are likely to face this prospect in the night’s State dinner honoring Chinese ment of intellectual property rights in coming year and the resulting vote on President Hu Jintao, a closed-door whether to extend Permanent Normal 2009, 79 percent were from China. meeting took place between President Communist China’s illegal subsidies Trade Relations. Obama, the Chinese President, and the We will need to have a full and robust and no-interest loans to Chinese com- power brokers from some of the largest debate on this issue. We will need to panies have put American firms at a global corporations that seem to create ensure that PNTR is not granted until serious competitive disadvantage. In more jobs outside this country than in- we have confirmed that Russia has ful- fact, there’s a new 15-year tax holiday side it: Steve Ballmer of Microsoft; Jef- filled the basic obligations that WTO for solar companies. And a major firm frey Immelt of General Electric; Jim membership demands. If those obliga- in Massachusetts just announced it’s McNerney of Boeing; David Rubenstein tions are met, my view is the WTO ac- closing its doors and going to China. of the Carlyle Group; Ellenn Kullman, cession would be a very positive step Dumping of products like steel pipes the CEO of DuPont. And many greedy forward. Bringing Russia into a rules- cripple the American steel industry. Wall Street bankers showed up: John based trading system would bind Mos- And earlier today, the White House an- cow to the rule of law. It would create Thornton, the chairman of HSBC Hold- nounced China will purchase 200 Boeing consequences and enforcement mecha- ings; and Lloyd Blankfein, my gosh, aircraft. Isn’t that convenient. A few nisms for failure to live by its commit- the chief executive officer of Goldman airplanes. It’s great to hear, but posi- ments. Sachs—where have we heard about tive press releases for one-time pur- WTO membership is by no means a them before?—whose imprudent firms chases will do nothing to erase the $253 panacea, particularly for symptoms as are responsible for the economic melt- billion deficit that grows with China deeply flawed as Russia’s, but it would down that the rest of America is trying every year. be a significant step in the right direc- to dig out of as we speak tonight. Holding China accountable and cre- tion. Not only would it impose the rule Too often, these international cor- ating an environment where Com- of law in Russia’s trading relation- porations and megabanks have taken munist China’s best interest is to fol- ships, it would demonstrate that even America’s ingenuity and hard work low international trade laws, to pro- Moscow recognizes the value of inter- that were built with so much effort and tect intellectual property rights, to national rules of fairness. This should shipped them overseas, destroying stop illegal subsidies and no-interest serve as a reminder that their pre- American jobs and ballooning our half loans to Chinese companies, and to fur- sumed indifference to our criticism is trillion dollar trade deficit. ther work to create a level playing no excuse for failing to voice that criti- China remains a communist country, field for all is in the hands of the cism. and it is a command-and-control econ- Obama administration, the new major- We need to engage with Russia, but omy described as ‘‘Market Leninism’’— ity in this House, and our colleagues in Russia also needs to engage with us. not free enterprise. Yes, China’s people the Senate. We cannot shy away from taking a should be able to develop their land Congress and the administration public stand against increasingly bru- and their economy and improve their must stand up most importantly for tal repression at the hands of those lives. They surely need it. But their freedom and the rule of law. For Amer- with whom we have important negotia- growth should not come at the expense ican businesses and our workers and tions. Neither can we lose sight of the of American jobs and our businesses our economy to prosper, we have to fact that supporting the rule of law is and our workers. hold Communist China accountable to not just about promoting American The moment has arrived to deal with the Golden Rule. And that means reci- ideals. China as the great economic power procity, not Market Leninism.

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00074 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.144 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H331 WATER, WATER EVERYWHERE denying California central valley agri- ists and their families, Internet free- The SPEAKER pro tempore. Under a culture 1.1 million acre-feet of their dom advocates, religious minorities, previous order of the House, the gen- rightfully contracted water during one and women and families victimized by tleman from California (Mr. MCCLIN- of the wettest years on record, it is a callous policy of coerced abortion TOCK) is recognized for 5 minutes. dumping 1.4 million acre-feet of addi- and forced sterilization must continue Mr. MCCLINTOCK. Mr. Speaker, the tional water into the Pacific Ocean. to make us uncomfortable even as din- Department of the Interior issued an Mr. Speaker, this is insane. ner is served. announcement yesterday that perfectly Coleridge’s lament, ‘‘Water, water ev- Nobel Prize winner Liu Xiaobo, illustrates the irrationality of our cur- erywhere but not a drop to drink,’’ ap- whose photo is right here, languishes rent approach to water issues. pears to have become the policy of this in prison right now as his wife and fam- California’s precipitation this season administration. ily members remain under house ar- has gone off the charts. Statewide, b 1900 rest. And how many more people suffer snow water content is 198 percent of in silence, people who have disappeared normal. The all-important northern Si- The American people did not invest into the vast network of gulags that no erra snowpack is 174 percent of normal. billions of dollars into Federal water human being, much less any animal, This is not only a wet year, it is one of projects so that water can be dumped should ever have to see or experience? into the ocean to please environmental the wettest years on record. Mr. Speaker, we must continue to extremists. This policy may have been Yet yesterday, we have this an- press these points to remain deserving cheered by the previous Congress, but nouncement from the Department of of our own identity as a Nation found- it won’t be tolerated by the new major- the Interior that despite a nearly un- ed on freedom of religion, a Nation ity, nor by the American people. precedented abundance of water, the that embraces freedom of speech and There was a time when the principal Bureau of Reclamation will only guar- justice, and free and fair commerce as objective of Federal water policy was antee delivery of 45 percent of the cen- worthy foundations for prosperity in to assure an abundance of water to sup- tral valley of California’s contracted future generations. Our China policy port a growing population and a flour- water supply south of the Delta. This is should reflect these transcendent and ishing economy. But in recent years, a the same percentage they received last universal principles. year that had barely average rainfall. radical and retrograde ideology took root in our public policy that aban- On the economic front, nearly $2 tril- This is of crucial importance to the lion of debt and a bilateral trade def- entire Nation since the central valley doned abundance as the object of our water policy and replaced it with the icit approaching $300 billion also im- of California is one of the largest pro- pose weighty concerns. We must chal- ducers of our Nation’s food supply. government rationing of government- created shortages. I cannot imagine a lenge China to abandon its embrace of California produces half of the U.S. unbridled mercantilism, which mani- grown fruits and nuts and vegetables more disturbing example of this ide- ology at work than the announcement fests itself in massive subsidies and on the Nation’s grocery shelves, and other trade-distorting practices that the prices you pay are directly affected yesterday by the Department of the In- terior. Even faced with a super-abun- contribute to this staggering imbal- by the California harvest. ance. China must know that global re- The deliberate decision by this ad- dance of water, they are determined to create and then to ration water short- sponsibility and accountability are in- ministration in 2009 and 2010 to divert separable. hundreds of billions of gallons of water ages. The American people expect bet- We must, Mr. Speaker, also look our- away from the central valley destroyed ter and they deserve better. selves in the eye and order our own fis- a quarter million acres of the most pro- They deserve a government dedicated cal affairs, revise stagnant manufac- ductive farmland in America, it threw to restoring jobs, and prosperity, and turing industries, refurbish our indus- tens of thousands of families into un- abundance, all of which is well within trial base, and take responsibility for employment, and it affected grocery our reach if we will simply reverse the our economic future. We need to look prices across the country. folly that was on full display with yes- closely at our willingness to place prof- At the time the administration terday’s announcement. Ironically, it over principle, and to point the fin- blamed a mild drought but never ex- this announcement came on the same ger of blame at China while perpet- plained why a drought justified their day that the President ordered his uating our own economic dysfunction. decision to pour 200 billion gallons of agencies to identify regulatory policies water that we did have directly into that are harming the economy. Mr. With regard to the future of civiliza- the Pacific Ocean. In a rational world, Speaker, it appears the Department of tion itself, China is modernizing its nu- a drought means that you are more the Interior missed that memo. clear arsenal. China is giving cover to careful not to waste the water that you f North Korea’s nuclear program. China trades with Iran. And China has con- have. CONFRONTING REALITIES WITH Of course, the real reason for this ir- troversial plans to break with inter- CHINA rational policy is that they were in- national precedent and build nuclear dulging the environmental left’s pet The SPEAKER pro tempore. Under a reactors in Pakistan. Just last week, in cause, a 3-inch minnow called the Delta previous order of the House, the gen- a show of its ever expanding projection Smelt. Diverting precious water to the tleman from Nebraska (Mr. of power, China tested a new Stealth Delta Smelt habitat was considered FORTENBERRY) is recognized for 5 min- fighter aircraft. What kind of world are more important than producing the utes. our children and our allies in the Pa- food that feeds the country and pre- Mr. FORTENBERRY. Mr. Speaker, at cific standing to inherit? Neither the serving the jobs that produce the food. the outset let me stress the importance United States nor China can afford to But that issue is now moot. This year of managing our complex relationship allow six decades of peace and security we have nearly twice the normal water with China in a manner that honors to slip through our fingers. supply at this point in the season, and the transcendent principles that define Mr. Speaker, do I want a good rela- yet the Department of the Interior will America’s national purpose and our tionship with China? Yes, absolutely. allow less than half of the normal identity. But we have a responsibility to work water deliveries to California’s central Tonight, President Obama, perhaps together to shape our complex rela- valley agriculture south of the Delta. as we speak, and President Hu Jintao tionship with that country, to seek The difference comes to 1.1 million will toast one another just blocks from meaningful progress on the tough acre-feet of water. here at the White House at an official issues, to acknowledge the positive ele- Now, consider this. Since December State dinner. While appropriate for ments of China’s extraordinary culture 1, the Central Valley Project has re- heads of State, we must remember that and past civilization. However, we leased 1.4 million acre-feet more water untold thousands in China continue to must do so without shrinking from into the Pacific Ocean than they did suffer horrific tortures for exercising challenging outright affronts to our just last year. Let me repeat that. At their right to self-expression. Beijing’s principles and whitewashing threats to the same time this administration is ruthless treatment of democracy activ- international security.

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00075 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.146 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H332 CONGRESSIONAL RECORD — HOUSE January 19, 2011 The SPEAKER pro tempore. Under a seen what has happened to our col- human beings in terms of the rules previous order of the House, the gen- league in Tucson, and the bills that are that they write. tleman from Indiana (Mr. PENCE) is attendant to that kind of high-end of Elaine saw her rates increase by 94 recognized for 5 minutes. health care. percent over a 13-month period. (Mr. PENCE addressed the House. His Let me repeat this: Elaine saw her b 1910 remarks will appear hereafter in the rates increase by 94 percent over a 13- Extensions of Remarks.) Certainly people in the disabled com- month period. munity understood this very well. So f What Member of Congress can endure the more I probed, the more I learned. this? THE REPEAL OF HEALTH CARE Meanwhile, the actor, wonderful, op- And I have to say that those that The SPEAKER pro tempore. Under timistic and superb actor, Christopher have fought the hardest against this the Speaker’s announced policy of Jan- Reeve, had endured a terrible, terrible bill, now the law, are taking their uary 5, 2011, the gentleman from accident as an equestrian. I think ev- health care coverage from the govern- Vermont (Mr. WELCH) is recognized for eryone remembers that; and they re- ment as a government employee. 60 minutes as the designee of the mi- member the courageous battle that he Now, I am proud to be part of my nority leader. waged, not only for more research to be government. I will never run away Mr. WELCH. Mr. Speaker, we appre- invested in our country, but the hope from that. I am proud of what I do. I ciate the time for this Special Order of that stem cell research held. But he am proud of my profession. I always 1 hour to discuss the repeal of health also understood this whole issue of lim- want to be uplifting to it. But I don’t care. And this legislation which passed its in an insurance policy on total ben- think that there is room for hypocrisy today is the triumph of the Republican efits that would be paid for by the in- in this. These are great needs. Yes, victory in the elections. And the Re- surance company. Members of Congress have insurance publicans ran on a campaign platform And so it was at that time, 1996, that coverage. And the way that we de- of repealing ObamaCare, as it was I introduced legislation to lift the life- signed the bill was so that the Amer- called and vilified, and today accom- time limit on the caps, on the ceiling ican people could get what we have, to plished that goal. in health insurance policies. That ef- get what we have. ObamaCare became a vilification of fort has been going on since 1996. In Look and listen to what Elaine is health care, really a caricature of what 2010, the Democrats saw fit to place saying. Elaine’s gross income increased was in the bill. It became a million dif- that legislation into the health reform only 4 percent as her insurance rates ferent bad things to a million different bill that has become law. increased by 94 percent over a 13-month people. But the moment the campaign So today, the law of the land right period. I don’t think that this is sus- is over and the partisan political points now, January 19, 2011, at 7:10 p.m. east- tainable, not for any working person in have been put on the board, each of us ern standard time, no one has a limit this country, not for any community who has been elected, Republican or on their benefits in their life insurance and certainly not for our Nation and Democrat, has the responsibility to use policies. So if someone is in a terrible our national economy. our office to make pragmatic progress accident, that won’t be held against Health care represents a major sector for the American people. them. If someone has a chronic illness, of our national economy, and if we And the purpose of our Special Order a chronic illness with cancer, with don’t do something, as we did, about tonight is to explain in concrete detail whatever one might name, that will the rising, spiraling costs and the ef- what the American people lost and will not be held against them. fect that it has on families and individ- lose if the repeal is ultimately success- I tell this story because we have uals, it will really tear them apart and ful. We have a number of my colleagues heard some tall tales, some tall tales bring them to their knees financially. here to join us. And to start it off for about what the health care legislation, So I am very proud of the vote that I us is one of the senior members of the now the law, contained. More than cast on behalf of my constituents. Energy and Commerce Committee, a anything else, what the legislation is Was the bill complicated? Abso- leader in health care reform and ele- about is addressing what happens to lutely. For those that say it was a long ments of the health care reform that people in their day-to-day lives, the bill, they have voted for plenty of trade have broad bipartisan support, Rep- stories that our constituents have told bills around here, and the trade bills resentative ESHOO from California. I us. are 4,000 pages. I wonder if they have yield her such time as she may con- I want to tell you another story. This read that. sume. is from Elaine from the town of Los But this one, this one lands in the Ms. ESHOO. I thank my colleague for Altos, California, in my district. This middle of a family so that they don’t organizing this evening. And I rise to is what she wrote to me: ‘‘This is the have the panic at night or the cap on talk to whomever is tuned in this first time I have ever written to any the benefits if they are in a terrible ac- evening to tell some stories. I think government representative on any cident, like Christopher Reeve, God stories are really what relate more topic in my 50 years of existence.’’ rest his soul, or Elaine, in my district, than anything else to what is going on Elaine was diagnosed with breast can- that told her story to me. in the lives of our constituents and the cer in 2006. It’s a disease that we are Elaine’s health is not a commodity American people. all, all too familiar with. One in eight that can be bought or sold on the open I want to take people back several women will develop breast cancer in market. She doesn’t have the option to years. It was 1996. I was a fairly new her lifetime. go without health insurance if prices member of the Energy and Commerce Elaine wrote: ‘‘Normally, when I feel get too high. For Elaine, this is an Committee. And after having had that a service provider is price gouging issue of life or death. meetings in my district with people in or in any way treating me unfairly, I So today I found it to be a rather sad the disabled community, I learned take my business elsewhere. This is day that any Member of Congress something that I didn’t know, and I what I did with my auto insurance, and would stand on this floor and, with a shared it with many other Members of this is how market forces are supposed sense of glee, say we are going to re- Congress. They were not aware of it. I to work.’’ peal the progress that America made. don’t think the general public was But Elaine couldn’t do that because For the first time in the history of aware of it. And it was the following. so few insurers would even take her. our country, the Congress passed com- And that is that buried in the fine Most of them would not go near her. prehensive health reform for every sin- print of insurance policies, in this case The health insurance market, in my gle American. That, to me, is a great health insurance policies, was a cap on view, in so many of my constituents’ source of pride. I think it is to Elaine; lifetime limits of benefits. view, has really failed our country. and I think if Christopher Reeve were Now, that doesn’t sound too men- We believe in markets. We believe in here, he would say ‘‘bravo’’ as well. acing to begin with. But just think if strong markets. We believe in competi- So thank you to my colleague, Mr. any one of us, God forbid, were in a tive markets, but we don’t believe that WELCH, to all of my colleagues that horrible automobile accident. We have a market should be part of crushing care so much about this that have

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00076 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.148 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H333 worked so hard on it and will work to The hospital may inquire about insur- mented as a part of the health care defend this. This is for the American ance, but they don’t condition pro- packages of constituents in my dis- people. I think that they deserve to be viding full and extensive care on trict, people are recognizing how earth- rewarded. whether that person has insurance or shaking and groundbreaking this legis- They work hard; they play by the doesn’t. And that cost gets shifted on lation has been. rules. No one should be crushed by un- to the taxpayer. That cost gets shifted I would like to share with you a let- fair rules. on to those who do have insurance in ter that I received from one of my con- Mr. WELCH. I thank the gentle- the form of higher premiums. So this is stituents in the 11th Congressional Dis- woman from California. real what happened. The consequences trict. His name is Jonathan. He says, The story that Congresswoman to families are real. Congresswoman CLARKE, I am a two- ESHOO told is making very real what I would like to yield to the Member time cancer survivor. I’m constantly the consequences are of taking away from New York, also a leader on health worrying about being denied coverage from families benefits that they have care, Congresswoman CLARKE. Thank because of my preexisting condition. and now depend on. you for joining us tonight. I’m not comfortable that corporations Just a quick story about Vermont, to Ms. CLARKE of New York. Thank under the old rules would have consid- make it, again, real. A woman by the you, PETER WELCH. ered me unprofitable. I think it’s a dis- name of Donna, from Plainfield, Mr. Speaker, I just find it so inter- grace that this problem has existed in Vermont, a hard-working person, she esting that here we are in the new our country. I for one will move to and her husband both work. Their 112th Congress and in the wealthiest Canada or elsewhere if health care re- young son graduated from school, got Nation on the planet where nearly 50 form is repealed and if I ever have a re- an entry-level job that paid $8 or $9 an million Americans still lack health occurrence of my cancer. Meanwhile I hour. And as the case with most entry- care insurance, 13.5 percent of which think it’s every American’s responsi- level jobs, it came without health care. are New Yorkers. Last year alone, New bility not to allow other people with That child was no longer eligible to York City’s hospitals spent $1.2 billion preexisting conditions to be denied stay on his parents’ policy, and they in charity cost. You see, in a city like coverage. were doing all they could to pay their New York, we’re going to make sure You see, Jonathan is not just think- bills. Health care is expensive. They that at the moment that people are ing about himself. He recognizes that couldn’t afford to buy a separate policy most vulnerable, in an emergency, like himself there are millions of for their son. And most of the time they’re able to receive health care. But Americans across this country who that works out, but sometimes it it has cost us $1.2 billion in charity may not have options of mobility to doesn’t, and it didn’t in this case. costs. leave the country to seek health care Their son had a car accident, $20,000 Tragically, people who are either un- but who need this legislation to go into in medical bills. They are still paying insured or underinsured often have to full effect. And that’s what we are here those bills off. go without the vital health care serv- discussing today, the essence of what When we passed the health care bill ices they need simply because they this legislation means for Americans that included the provision that sons can’t afford it. Every American has a across this Nation. and daughters who were starting out in human right to adequate physical and One thing about health care insur- life, taking that first job, usually with- mental health care, and I believe that ance, you often don’t know what you out health care, but learning job skills, government has a responsibility to as- need until you need it. And because fiscal discipline, personal responsi- sist its citizens in securing quality there are individuals in our civil soci- bility, the worst, the bill we passed al- health care. That’s why I’ve been such ety, and many have referred to them as lowed those kids to stay on our policies a fervent supporter of the Patient Pro- the invincibles, young people who are until age 26. tection and Affordable Care Act which young, vital, physically fit, one tends passed the 111th Congress, because it to look after their health care after the b 1920 does just that. It ensures that Ameri- fact. Well, we want to do a paradigm It makes an enormous amount of cans have access to quality health shift in this Nation where it brings sense in the peace of mind it provided. care, and it makes sure that we begin down the cost of health care insurance. That assurance to Donna relieved her, an enlightened process of preventive That means that every year we go her husband, and their son of all this care, which is the least expensive way through an annual physical. We know anxiety about whether they’d have the of our being able to meet our health how our body is operating, and we are health care they needed in the event of care needs. clear on that. And if by chance we de- an accident. The action today by this Repealing this bill would mean that velop a need or we’re in a catastrophic Congress led by the new majority takes insurance companies will, once again, accident of some sort, we have the cov- away from Donna, her husband, and be able to drop coverage for people erage that will not allow us to go into their son their access to affordable when they are ill, exactly when they bankruptcy. That’s all that any family health care. It didn’t need to be done. need that coverage the most. It will can truly ask for. And that’s what we And the question I think all of us have mean that kids with preexisting condi- congratulate the last Congress on ac- to ask is why? tions will be denied coverage once complishing. There are elements of the health care again. It will mean that insurance What was displayed here today really bill that are imperfect. Let’s improve companies would again be able to im- was not forward leaning or forward them. There are elements that are very pose devastating annual and lifetime thinking. It’s our hope that the Senate controversial. The individual mandate caps. And it would mean that young won’t even take this up because right is controversial, and we have to ac- people will no longer be able to stay on now we’re hearing from seniors who are knowledge it. I supported it, and I’ll their parents’ plan until the age of 26. saying, already we are looking forward tell you why. I believe that if every- It would mean that pregnant women to the support we can get for the pre- body is going to have access to health would be denied coverage simply be- scription drugs that we need to address care, and the vast majority of this cause they are pregnant, since preg- our chronic disease. country believe that’s the case, then nancy is considered a preexisting con- So as Jonathan noted in his letter to all of us should share in the responsi- dition and therefore a basis for denial me, this repeal would once again allow bility of paying for it, on the ability to of coverage. And finally, our seniors, big insurance companies who are only pay. That’s why I supported the indi- who face an increase in their prescrip- focused on profitability to deny cov- vidual mandate, because folks who tion drug costs because they would be erage to him and so many others with don’t have insurance don’t go forever thrown back into the Medicare part D preexisting conditions. I don’t think without having the need for health doughnut hole which the health care we’re going to allow Jonathan to be care services. And most States are like reform law would close by 2020. punished and denied coverage simply Vermont. If somebody gets hit by a With all that has been discussed because he’s a cancer survivor, and truck, the rescue squad shows up, and about the virtues of health care re- that’s what repealing this health care they take that person to the hospital. form, all that has already been imple- law would do.

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00077 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.150 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H334 CONGRESSIONAL RECORD — HOUSE January 19, 2011 So I want to thank my colleagues for And so when I think about what we and health insurance coverage that al- promoting this Special Order today and did today, I think of the millions of lows them to get a regular checkup and making sure that our voices are heard Americans all across this country who get doctor’s screenings and get medica- and the voices of our constituents are every day are discovering a new benefit tions and given an idea what they heard, who are really in favor of this that is now available to them because should do to treat that, is it better or legislation, this law of the land, actu- of the new health care law. worse if they don’t have insurance and ally, going into full maturity. Because I think it is important for us to re- they get on the bus in the morning and as this law matures, more and more mind the American public that the Af- they wind up in a hospital emergency Americans will be covered, their fami- fordable Care Act isn’t a bill, it isn’t an room and take you and your kids with lies will be more secure, and we will be idea, it is not a proposal. It is the law. them? all the more healthier for it as a civil Today the law is that if you are up to The fact is it is not whether we are society. age 26 that you can stay on your par- going to pay for health care; it is how I want to thank the gentleman from ents’ health insurance plan. The law of we do it most efficiently. My Repub- Vermont, PETER WELCH, for anchoring the land today is that if you are a sen- lican colleagues don’t seem to under- this Special Order this evening. ior and you are paying out-of-pocket stand this very basic idea that they Mr. WELCH. I want to thank the costs to the thousands of dollars for talk about we should have choice. No- member from New York. You talked your prescription drugs, those drugs body chooses to be born with cystic fi- very eloquently about preexisting con- that fall in that prescription drug brosis. No one chooses to have a child ditions. And who of us doesn’t have doughnut hole, you will receive a 50 that is born with asthma. one? There was an article in The Wash- percent discount on those drugs. I don’t care how much you believe in ington Post today that said about 65 The law of the land is that you can’t the free market, when God strikes you percent of Americans have preexisting be excluded for preexisting conditions. with those afflictions and you need conditions. So if the insurance compa- Now, the gentleman from Vermont care, the only question then becomes nies are able to deny people coverage talked about preexisting conditions, as how do we provide the care that is on that basis, it’s a tremendous busi- did the gentlewoman from California. most efficient. Right now if people ness model for them. They insure folks It is so simple. It is true, almost not a don’t have insurance and they fall who are healthy, that’s great for the one of us is without a preexisting con- down or they get hit by a bus, God for- shareholders, but it doesn’t do much dition. Well, the law of the land, de- bid, and they don’t have the ability to for most of us, the majority of Ameri- spite the sadness of what happened in pay, it is not as if there is some mag- cans who have a preexisting condition. this House today, is if you have a pre- ical force out there that absorbs those So thank you for focusing on that real existing condition and you are under costs. provision in the bill. age 18, that you will actually be able to We wind up paying it. Everyone who I’m going to yield in a moment to the receive health care insurance for that. has a health insurance policy winds up Member from Maryland. We have a And as we go through implementation, paying it. We in New York, and Con- number of Members here, so maybe we that you will be able to, whatever your gresswoman CLARKE made the point can be interactive. age and preexisting condition, you will about New York, we pay $8 billion in b 1930 not be excluded from receiving your additional taxes. So it is just a matter But one of the things that I was health care. of how we do it, and it comes down to going to ask you was on this question The law of the land today is that a very simple idea: it is less expensive of preventive care. When we were con- small businesses receive a tax credit to give people a subsidy so they can sidering this bill, I called Tom for providing health care to their em- buy insurance than it is to pay for Huebner, who is the administrator of a ployees—35 percent last year when the them in emergency rooms. It is cheaper local hospital, Rutland Regional Med- law was started, 50 percent this year. that way. ical Center; and he had a lot of reserva- That’s the law of the land. So it is just a matter of how we tions about the health care bill, wheth- And so I am glad to be here with our choose to do it, and I think when you er on balance it was good or bad. He de- colleagues. I don’t want to overplay point out the fairness and the decency cided on balance that it was good. the sadness that happened in this as Americans that we have when we But one of the things that he said House today because there was a lot of provide the care, it is also doing a very specifically was that the free pre- business about taking care of campaign favor for everyone who has insurance, ventive care for seniors is absolutely promises and meeting artificial goals. and every taxpayer in this country. essential. It was essential for their But the fact is that last year we passed So even if you don’t buy into the idea good health, and it was essential for the health care law. It is being imple- that we should be altruistic, and we bending the cost curve because folks do mented right now, and that’s the law of fundamentally believe, and I believe not come in if they don’t have the way the land. And thank goodness for the this is a fundamental difference be- to pay for it. That was him talking to millions of people all across this coun- tween the parties, we don’t believe you me telling me about the Rutland popu- try who have the security in knowing can get too far ahead as a country lation. Whatever your remarks are, that not only do they have access to when you have so many, 30-some-odd Member from Maryland, I am won- quality, affordable health care, but million people without health insur- dering if that is consistent with the ex- that that applies all across this coun- ance. We don’t believe you fundamen- periences you have had in your dis- try. tally can. There are more people tak- trict. Mr. WEINER. Will the gentlelady ing time off from work. Every single Ms. EDWARDS. Well, I thank the yield on that point? product we buy has more cost because gentleman. I think that is right. You Ms. EDWARDS. I will. of our health care failures. That is the look at so many things that can be pre- Mr. WEINER. If I can just point out difference between Republicans and vented if only people were able to get something, a lot of people look at this Democrats. We believe those things out their preventive care. through the lens of their personal expe- of a sense of compassion. Today what we did in this House, rience. Perhaps people watching this But even if you just look at the eco- what the majority did in this House, is say, You know what, I have health in- nomic bottom line, you should want to so sad, taking away the ability of sen- surance, I like my health insurance provide people with preventive care. It ior citizens to go in for an annual and I don’t have a preexisting condi- makes the most sense. It saves us checkup and make that early discovery tion. Why should I really care about money. It saves every American who and diagnosis of diabetes or hyper- those who do? has insurance money, and I want to tension or any of the markers for those Well, I think you understand this, thank you for pointing those things chronic illnesses that if treated early but I think many of our Republican out. can actually save all of us a lot of colleagues don’t. We wind up paying as Ms. EDWARDS. I thank the gen- money, all of those seniors a lot of citizens one way or the other. You tleman. I am going to finish up because grief, and really be good for the sys- know, we had awhile ago this H1N1 flu we have other Members who want to tem. outbreak. Now, if someone has a choice speak on this really important issue.

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00078 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.151 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H335 I want to say in closing, today I earful from the seniors, it was the frightens our seniors who are listening began with a story of a young woman doughnut hole. At every senior citizen and they’re saying, This vote, do we who is very close to me. Her name is center you go to, they’re talking about not have it? You have Medicare. We are Annie. She is such a delight. Well, in the choices I have to make between enhancing Medicare. We are making it the spring she was diagnosed with leu- food and rent and prescription drugs. I solvent. 2037. This is what this bill will kemia. She will be 28 years old in Feb- want them to know the law is still in do for you. ruary. When she was diagnosed, she had place. Then let me just conclude with this. health insurance; but what she realized I know there was a debate on the This is probably not readable, but this and her family realized right away was floor of the House. I know there was a is my State celebrating the bill. This is very quickly, as she was approaching vote, but it should be well known that the Texas Department of Insurance trying to get a bone marrow transplant Democrats put up an able fight. More that has just put out a report cele- and all of the attendant costs that are importantly, we know that our Presi- brating all of the provisions of this bill associated with that, that without the dent will be working to preserve the that will help the millions of unin- change that we made in the health care law that exists. That’s very important. sured. You all know that Texas has the law, maybe her parents would have to In having listened to a gentleman by highest number of uninsured in the Na- give up their retirement fund; maybe the name of Ed, first name Ed, who has tion. We are obviously a growing State they would have to sacrifice their a chronic disease—hemophilia—he told with the highest number. This is not a home because they wanted to save a very important story of how he and Democratic Texas Department of In- their daughters’s life because she his brother grew up with that and how surance. I only say that to say other would have bumped up against those he lives well today because of the fact States are doing the same. Moneys are lifetime limits. that we have passed the elimination of now flowing to States to ease the bur- And so what we did in the 111th Con- lifetime caps. So he can be treated. He den of health care. gress in passing a health care law is we can work. He has insurance. So I don’t know what my friends on said to young people like 28-year-old That is why when people ask, How the other side of the aisle are doing Annie that we are committed to mak- does this impact me? Those of you who when States are receiving money now, ing sure that she has the ability to have insurance, we are not taking it when people have no more lifetime take care of her health and to save her away from you; but I assure you you caps, when young people can be on life. That is what this is about. It is have lifetime caps. their parents’ insurance because of the about real people. It is about their What about the young woman and issue of being 26 years old. lives, and it is about our obligation her son who came to my town hall Then there is this legal argument— that we have to one another. meeting who said, in tears, Congress- and this is the conclusion. I carry this I thank the gentleman for organizing woman SHEILA—whatever they call book around. The commerce clause has this Special Order this evening. me—we had insurance. We went to a covered our health bills or a number of Mr. WELCH. I thank the gentle- doctor for a physical for my son who Federal provisions that we have used, woman from Maryland. had to get a physical to get into and we have not seen them overturned, In order that we can allow all Mem- school—every child has to get a phys- and we haven’t seen Medicare over- bers to speak, I am going to yield to ical at the beginning of the school turned. year—and the doctor turned me away my colleague from Texas; but if there Yet there is another element that, I and said, Your insurance only covers are any inquiries by Members who are think, raises a question for my col- emergency room. present and want to engage in a dia- leagues, and I hope that those who are We won’t have that kind of half- logue, I encourage you to do that. now in the courts on this bill—and it is Ms. JACKSON LEE of Texas. I thank baked insurance anymore. So I quickly want to do this, Mr. the courts that make the determina- the gentleman from Vermont, and I am tion of the constitutionality, not this WELCH. There was a big discussion just very pleased to have heard my Congress, not people who are respond- good friends from New York, Ms. about the constitutionality of this bill, and I got into another big discussion ing to a campaign or to promises they CLARKE and Mr. WEINER, and my good made. I think they’d have to look at friend from Maryland. I hope this is a with one of our wonderful pundits who wanted to argue about whether some- the question of the 14th Amendment comforting Special Order because even and the equal protection of the law. as we speak, I think it is enormously one would die without this health in- Does that mean that those who can important because people look at this surance. only pay a certain amount and get low- because they saw a debate and they This is a Medicare patient, or some- caliber insurance should be taken ad- saw a vote, and now we are here on the one who is using Medicare. It indicates vantage of, or does it mean that small floor of the House. I want them to that she spent the week of New Year’s businesses that would like to provide know this bill is the law of the land. of 2008 in an emergency room, and then insurance for their employees don’t What we are trying to explain to them was confined to her home for weeks be- have a right to some form of equal pro- is the potential devastation of that bill cause she developed pneumonia. She tection of the law? being repealed. says she had never been so sick in her The good news is that this was a pay- life. The good news was, in 2008, she We thought about that. That’s what back to those who voted for my good had a government-run health care pro- this bill does. It helps to equalize ac- friends on the other side of the aisle, vision, a Medicare program, that al- cess to quality health care, and the Republicans, and we understand that. lowed her to discover her sickness and Fifth Amendment clearly states that But lives are involved. To the distin- to be treated. no one can deprive you of life or liberty guished gentleman from Vermont, lives Her very words: For a time, I was so or property. are actually involved. I just have a few sick I was afraid I was going to die. So there are a lot of provisions that, points that I want to characterize this Then I was so sick I was afraid I I think, are meritorious in any argu- debate as and to give people comfort wouldn’t, and I was miserable. ment to suggest that this is an uncon- that we are still fighting for this law. The real question is: even though she stitutional act that we did. We equal- This law is in place. is a senior, this government-run pro- ized the playing field as opposed to de- gram allowed her to get care, and she priving people of the equal playing b 1940 didn’t die. Sometimes walking pneu- field. Right now, the elimination of life- monia, as everyone knows, is not any- I thank the gentleman for having time caps: you can still use this bill. thing to play around with. this. There are a whole bunch of items The idea that seniors, some 40 mil- Why are my friends on the other side that we can comment on. Every State lion of them, beginning in January 2011 of the aisle complaining about a gov- is benefiting. Every district is bene- will begin receiving savings on pre- ernment-run program? This program fiting. I don’t know how my friends ventative care services: you can still has not been ruled unconstitutional, could vote against actual direct bene- use this. This is very important, the 50 and it has been in place since 1965. So fits when the people in their States are percent discount. If anybody had an when they make the argument and it jumping for joy.

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00079 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.153 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H336 CONGRESSIONAL RECORD — HOUSE January 19, 2011 This bill is in place, and it is the law basically opened the doors to employ- Number one is the benefit you just of the land. Let it be very clear: it is ers across America who had, again, em- mentioned in a State like Texas, this the law of the land. ployees who were over age 55. retiree program. And we have a very Mr. WELCH. I thank the gentlelady. What have we seen? quixotic or very complicated retire- The example you gave is of Texas, Over 4,700 employers have enrolled in ment program for teachers. And I will which is where the authorities who this program. Over half of the Fortune just say in closing, State legislators have responsibility for health care are 500 companies in America have signed are beginning to go back to their cap- pushing ahead to take advantage of the up for this program. I mean, you can itals to try and understand how they’re provisions that will allow them to do just go down the list: GE, General Dy- going to face these enormous deficits. I their jobs better even as we are having namics, Coca Cola, Pepsi, AT&T, can’t understand why we are burdening this debate about repealing and Comcast, Ford, GM, Walgreens. The now States, by this vote, with extra re- unwinding, but not replacing. list goes on and on. sponsibilities when they are all in cri- I mean, the point is that, if you want b 1950 sis. The bill we have saves jobs, creates to improve something, you know, Again, all 50 States have enrolled for jobs, and provides benefits for people that’s our job. Let’s do it. There are their State employee health plans, in- who need it and States who are in trou- provisions that all of us who supported cluding States that are suing the Fed- ble. this bill know could be improved; but eral Government to try and blow this Mr. COURTNEY. And quickly to con- we are hearing now real-world stories law to smithereens. clude, I’m glad you mentioned teachers about things that are working really The fact of the matter is is that because as we now begin a great debate well, and we want to keep them. they’re voting with their feet in terms in our country about trying to reform Mr. Speaker, may I inquire as to the of whether or not this is a good law or America’s schools, the one thing I time available? not. If this was not a good program, think everybody agrees is getting The SPEAKER pro tempore. The gen- they wouldn’t enroll in it. But they un- young teachers who understand tech- tleman has 19 minutes remaining. derstand that stabilizing early retiree nology, who are enthusiastic, that Mr. WELCH. I am going to yield to health benefits is a way of making sure young students can identify with a lit- the gentleman from Connecticut, who that people who are 55 years old and tle better than some of the older teach- has played a major role, especially in are teaching or police officers or work- ers that are in the classrooms. We want making fair the financing of this ing in corporate America are going to them in the classrooms. But older health care and not doubly taxing folks retire, and that will create elasticity in teachers who are afraid that they’re who are getting employer-sponsored the labor market so that young Ameri- going to lose their benefits if they re- health care benefits, and also for his cans can actually fill those positions. I tire are going to continue to work for tremendous work for seniors. mean, this is even truer in terms of their benefits. And this fund, this rein- The gentleman from Connecticut physical labor occupations. And again, surance fund is a way of trying to loos- (Mr. COURTNEY). Taft-Hartley plans, laborers, iron en the labor market and get new blood Mr. COURTNEY. Thank you, Mr. workers have all signed up for this re- in occupations all across our economy. WELCH. insurance program, again, as a way of In actually following the Congress- Thank you, Mr. WELCH, for your stabilizing 55- to 65-year-old Ameri- great presentation. woman’s comments about Texas’ par- cans’ health benefits and creating more ticipation in various parts of the pro- opportunities for younger Americans Mr. WELCH. I thank the gentleman gram, I wanted to focus for a minute so that people will follow that natural from Connecticut. And as I listen, it’s on one of the really strong pro-em- path of retiring. a good news/bad news story. The good ployer provisions of this bill. When you take that measure and news is businesses, large businesses and We heard a lot of talk on the floor combine it with the small business tax small, that have fiduciary responsi- today about job-killing health care credit—$40 billion of tax relief for bility to their shareholders and to laws. I mean, the fact of the matter is, small employers—this is a pro-jobs, their employees have sharp pencils and since President Obama signed the pro-employer law. And again, quick ex- figure out what makes the most sense measure into law in March, over 1 mil- ample, I was at a roundtable on health for them, and they’re signing up for lion private sector jobs have been cre- care in my district. There was a family this. So that’s an indication that ated in this country. I would contrast doctor that was there who was talking they’ve kicked the tires and come to that to the day he was sworn into of- about the new Medicare changes and the conclusion that this is good for fice, January of 2009, when the U.S. how excited she was about getting business. economy had lost 800,000 jobs in 1 tools to better serve her clients. And The bad news is, we apparently have month alone. So, clearly, you know, on she said, I’m getting killed on my own done a pretty lousy job explaining this just a simple data basis, this claim employee health plan, it’s like $14,000 a to the American people, and it has got- really doesn’t pass the test of the facts. year for four or five employees. And I ten obscured with the epithet of One of the pro-employer measures said, well, did you check out the small ‘‘ObamaCare.’’ But when you peel away which Texas is now participating in, business tax credit? She said the small the specifics of this—and then you pro- along with the other 49 States, is a pro- business what? So she went on that tax vided evidence that businesses that vision called the Early Retiree Rein- calculator—it’s smallbusinessmajority have to make a hard-nose decision, this surance Program. In 1986, over 60 per- .org—and called me back a couple of ain’t about doing a ‘‘good thing’’ or cent of America’s employers had a re- days later. She’s going to save $4,000 on they want to do the right thing for tiree health insurance plan so that peo- her health insurance premium because their company, but they’ve decided ple hitting age 55 or 60 could retire, and of that tax credit. this is the prudent fiscal thing. So I their benefits would be extended. In By passing this law today, the Re- thank you. 2009, that number had fallen to below publican majority raised the taxes of I yield to the gentleman from Vir- 30 percent. small businesses all across America at ginia, senior member of the Appropria- What this bill did is it created a rein- exactly the same time that today they tions Committee and one of the Mem- surance fund, which is like a govern- are figuring out their tax returns for bers who is always a voice of convic- ment backstop for private employ- 2010. I was a small employer before I tion and conscience in this institution, ment-based health insurance plans, came to Congress a short time ago. Mr. MORAN. similar to the same type of reinsurance That’s what you do in January and plans that we have for terrorism insur- February, you start pulling your pa- Mr. MORAN. I thank my very good ance, flood insurance, and the nuclear pers together to do your taxes. And friend from Vermont for yielding to energy industry. These are types of they just voted today to blow up that me, and I thank my colleagues for par- property and casualty coverage which tax credit to help the real job creators ticipating in this discussion. would never be written in this country in America’s economy. There are so many things that are if the government did not act as a Ms. JACKSON LEE of Texas. Just a hard to understand with regard to what backstop. We set up a similar fund and quick point. occurred today. One is that the new

VerDate Mar 15 2010 04:58 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00080 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.155 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H337 Republican majority tells us that jobs bers alike, voted to give themselves which were very important. Represent- is their first priority. This will gen- that very plan that they then turned ative WELCH, she had to choose five of erate about 4 million jobs around the around and voted against making the 10. She tried to pick the five most country we’re told—and we can iden- available to their constituents. So this important, and even then it was an tify where they occur. And so we won’t may have been one of the most hypo- out-of-pocket expenditure of a thou- create those jobs, particularly in the critical days in the history of the sand dollars a month so that she could health care professions. United States Congress. stay well and stay alive during this We are told that another high pri- I don’t know how they explain it. I pregnancy. And what made it very dif- ority of course is to reduce the budget don’t know how I would explain it if I ficult, as she was working through all deficit. The nonpartisan Congressional had to go back home: Sorry about that, of this, was that because of the com- Budget Office tells us that this will I took care of myself in one vote—the plications of this pregnancy, her doc- save more than $1 trillion through an very first vote of this brand new Con- tors told her that she would need to un- emphasis on preventive care, by get- gress—and then I voted to do just the dergo a C-section. ting people out of the most expensive opposite for you in the very next vote. So now the family is faced with a de- emergency care and into doctors’ of- Boy, we’re off to a very interesting cision: Do I quit at school where I was fices, and much more efficient delivery start. earning an income and keep my cov- of care. But nevertheless, we won’t I thank my friend for giving us the erage, or what is my other choice? Be- save that money, and we won’t create opportunity to share that with the cause in order to have the surgery, those jobs. American people. which was going to save her pregnancy One of the fascinating things is that Mr. WELCH. Well, I thank the gen- and her life, she had to take time off I’m told by many of my friends on the tleman from Virginia. from school, so fell out of the ranks of Republican side that they actually I yield now to the gentleman from the insured. agree to eliminating the insurance New York (Mr. TONKO), who has been Now, let me just quote from Ellena. companies’ ability to deny people due listening to his constituents in the Al- As she and her husband debated apply- to preexisting conditions, it’s just that bany region and hearing from them ing for more student loans or a new they’re opposed to the individual man- about prescription drug pricing and credit card, she had this to say: I need- date because it’s unconstitutional. The how it’s too high. He has been bringing ed a procedure to save both my life and fact is you can’t have one without the practical solutions to Congress to try the life of my baby, and I was choosing other. to help make health care more afford- between interest rates. Imagine how our car insurance sys- able, the gentleman from New York. Is that not a powerful statement? tem would work. You have to have car Mr. TONKO. Thank you, Representa- And this is what this reform is all insurance, but there’s no mandate. So tive WELCH, for bringing to us the kind about and why it is so aggravating to just wait until you get into a crash, of focus that we need to have here on see the repeal voted on here in this then go to the hospital, go to your in- this floor. It is a pleasure to join with Chamber today, because the hope that surance company, they’re going to our colleagues from Virginia and Con- was brought by our bill applied to a have to pay it up. I guess they think necticut and Texas and Vermont, my case like that of the Young family is a that’s the way the health insurance neighbor to the immediate east. So very, very powerful statement. system would work—wait until you get thank you for your outstanding work The Affordable Care Act bans both sick, wait until you have an accident, in this capacity. annual and lifetime expenditure caps. go to your insurance company, get And that health coverage that is lim- b 2000 your insurance coverage, they’ll pay ited annually or lifetime is very dis- for it. Obviously they won’t pay for it There’s nothing more powerful than rupting and can deny, when you most because every insurance company the faces that put a real life meaning need health care, it can deny the cov- would go out of business. And so if you into the work that we’ve done here. erage. had preexisting conditions without an Let me talk about a constituent, ac- And so with all of this outcome, individual mandate, then it’s the Fed- tually a family of constituents from here’s a real-life example where this eral Government that would have to Albany, New York. Ellena Young is a family, with their 1-year-old child, had provide health care to everyone when very young mom and has a 1-year-old to struggle to find the insurance cov- they got sick or when they had an acci- son, Liev, and she’s a three-time cancer erage. dent because certainly no private in- survivor. There’s a history of cancer in But why are we putting people surance company would ever think of her family. And in the latter half of through this sort of difficulty? putting themselves in that position. So 2009, her husband, Bill, testified at our And this is not unusual. It’s a power- you can’t have one without the other. health care forum because his wife was ful story. But there are countless epi- It doesn’t make sense. having complications with her preg- sodes, anecdotes that are brought to But to my very good friend from nancy and required bed rest. everyone’s attention on this floor. And Vermont who gave us the opportunity Well, as you can imagine with pre- we’re here to be leaders that provide to share a few comments tonight after existing conditions, she was in and out hope and opportunity for the people this historic vote, the thing that trou- of insurance coverage and very often that we represent. And then to repeal bles me the most that I can’t get my was struggling to find ways that they progress just as it begins to reach the mind around is that before we took could get the family covered. Her pre- very households that we have ad- that vote to repeal health care reform existing condition complicated that se- dressed across this land is a very sad every single Republican Member of this verely. statement. And we have to continue to Congress voted to say I want my Fed- The way she found health care cov- work to make certain that the bene- eral employees health benefits plan, I erage was as a Ph.D. student hooking ficiaries, the millions of people who want my insurance coverage, and then herself and her family to the university prospered from this sort of activity, they went ahead and every single one plan. are not let down. of them voted against providing the They were thrilled about the news of I think this is a very important time same sort of coverage to their constitu- the pregnancy. She was in remission. in our Nation’s history for us to use ents. That’s what the recommittal was. They had all of this hope going for our resources wisely, to respond to the I don’t know how many of them read them. constituents with compassion, and to it—they’re always complaining, well, She then developed complications understand that these real-life stories we didn’t have a chance to read it. with her pregnancy—situations with are exactly that—real and profound Well, it was as simple as could be: If malnutrition, severe iron deficiency, and deep and meaningful. And they you’re going to vote against providing and, yes, even blood clots—all of which ought to help us decipher what the best health insurance for your constituents, were life threatening. policies are. then don’t take it for yourself because Well, you talk about the pharma- And I really thank Ellena and Bill it’s basically the same plan. But every ceutical needs. She was given prescrip- and Liev for the opportunity to share single one of them, old and new Mem- tions for 10 different medications, all of their story. It’s a painful story, and

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00081 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.156 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H338 CONGRESSIONAL RECORD — HOUSE January 19, 2011 they’re very generous to allow us to our mother’s womb. I believe that ease Control in Atlanta, presented a share it here on this floor. every American is entitled to basic paper to a Planned Parenthood meet- And I thank you again for bringing human rights. And I believe that I have ing entitled, and I quote this directly, us together. an obligation to do everything I can to ‘‘Abortion as a Treatment for Unin- The preexisting conditions, the an- fight for the unborn, to prevent tax- tended Pregnancy: The Number Two nual and lifetime caps, the filling the payer money from funding abortions, Sexually Transmitted Disease.’’ These doughnut hole for our Nation’s seniors and to protect our democratic system two abortion doctors reduced the child so that they can, you know, move for- from the encroachment of an all-pow- in the womb to a disease, to a parasite, ward and live comfortably and maybe erful judiciary. to something that had to be van- even save their lives with the appro- Let us use this 38th anniversary of quished. As far as I know, no one at priate medication and affordability and Roe v. Wade as an occasion to reaffirm Planned Parenthood objected to this accessibility, these are all of the dy- our beliefs and redirect ourselves to dehumanizing language and obvious namics for which we have fought. And that cause. bigotry towards children. it’s a shame that they’re being taken Mr. SMITH of New Jersey. I do thank Mr. Speaker, the evidence of signifi- away or attempted to be taken away at the gentlelady for her very powerful cant harm to women who abort in- a time when they’re just beginning to and eloquent statement in defense of creases each and every year. Abortion have their presence felt. the innocent unborn child. hurts women’s health and puts future I thank you for bringing us together Mr. Speaker, earlier today, an abor- children subsequently born to women tonight. tionist in Philadelphia, Dr. Kermit who abort at significant risk. At least Mr. WELCH. I thank the gentleman, Gosnell, was arrested and charged in 102 studies show significant psycho- and I thank my colleagues for joining the death of a mother and seven babies logical harm, major depression, and us for this hour tonight. who were born alive but then killed by elevated suicide risk in women who severing their spinal cords with a pair abort. The Times of London reported f that senior psychiatrists ‘‘say that new of scissors. ACCEPTABLE BIGOTRY: PREJU- evidence has uncovered a clear link be- DICE AGAINST THE CHILD IN b 2010 tween abortion and mental illness in THE WOMB According to the CBS TV affiliate in women with no previous history of psy- The SPEAKER pro tempore. Under Philadelphia, the district attorney said chological problems.’’ They found that the Speaker’s announced policy of Jan- that in 1 year alone, Dr. Gosnell made ‘‘women who have had abortions have uary 5, 2011, the gentleman from New approximately $1.8 million performing twice the level of psychological prob- Jersey (Mr. SMITH) is recognized for 60 abortions. lems and three times the level of de- minutes as the designee of the major- The abortion industry, Mr. Speaker, pression as women who have given ity leader. is a multibillion dollar business. birth or who have never been preg- Mr. SMITH of New Jersey. Mr. Planned Parenthood boasts that in 2008 nant.’’ Speaker, it is my distinct privilege to alone, their abortionists killed over In 2006, a comprehensive New Zealand study found that almost 80 percent of yield to MARTHA ROBY, a new Member 324,000 babies, while raking in approxi- who was just elected. And she’s an out- mately $1 billion in fees and local, the 15- to 18-year-olds who had abor- standing pro-life woman, a Member of State, and Federal Government sub- tions displayed symptoms of major de- Congress. And we’re just so pleased to sidies. The ugly truth is that abortion- pression as compared to 31 percent of their peers. The study also found that have her in the caucus. ists often get filthy rich not by healing Mrs. ROBY. Mr. Speaker, 2 weeks ago or nurturing or curing, but by dis- 27 percent of the 21- to 25-year-olds who had abortions had suicidal idealiza- I took part in a reading of the U.S. membering and decapitating the frag- tions compared to 8 percent of those Constitution in this Chamber. It was a ile bodies of unborn children, by starv- ing the child in the womb with lethal who did not have an abortion. fitting tribute to the great social con- Abortion isn’t safe for subsequent agents like RU486 or by other means of tract between the American people and children born to women who have had chemical poisoning. The ugly truth is our government. an abortion. And this fact is so under- that women are victimized by abortion, The Constitution is an exceptional appreciated in the United States, and document, and we have all taken an wounded and hurt physically, psycho- really around the world. At least 113 oath to defend it, and defend it we logically, and emotionally. Women de- studies show a significant association must. Too often, our Constitution is serve better than abortion. between abortion and subsequent pre- under attack by the liberal activist The only thing the multibillion dol- mature births. One study by research- movement that seeks to achieve lar abortion industry has produced in ers Shah and Zoe showed a 36 percent through the courts that which they America and worldwide is victims, increased risk for preterm births after cannot achieve at the ballot box. wounded women and over 52 million one abortion, and a staggering 93 per- On the front line are the unelected dead babies in the United States alone cent increased risk after two. Same judges that disregard the words and since 1973, more than six times the en- goes for low birth weight, similar per- meaning of the Constitution in favor of tire population of my home State of centages. their own political and social views. New Jersey. The multibillion dollar So what does this mean for the chil- They decide cases not on the law and abortion industry systematically dehu- dren? Preterm birth is the leading the facts but on the outcome that they manizes the weakest and most vulner- cause of infant mortality in the indus- alone believe to be the best policy. Roe able among us with catchy slogans, trialized world after congenital anoma- v. Wade is an example of this sort of ju- slick advertising, clever marketing, lies. Preterm infants have a greater dicial activism at its worst. Together and very aggressive lobbying, particu- risk of suffering chronic lung disease, with other cases, the Roe court created larly here. sensory deficits, cerebral palsy, cog- a fundamental right to abortion even They have made the unacceptable— nitive impairments, and behavioral though a simple reading of the Con- to be prejudiced and bigoted against a problems. Low birth weight is simi- stitution reveals no such right. As a re- child in the womb—acceptable to some. larly associated with neonatal mor- sult, unimaginable harm has occurred. This acceptable bigotry has been pro- tality and morbidity. Abortion causes In the short time that I have talked moted for decades, despite breath- great harm to children, to mothers. tonight, another baby has been abort- taking advances in fetal medicine, in- Dr. Alveda King, niece of the late Dr. ed. That equals one abortion every 2 cluding microsurgery, underscoring the Martin Luther King, who we honored minutes, 3,300 abortions a day, or 1.2 fact that an unborn child is a patient just this past Monday, has joined the million abortions a year. in need of care, diagnosis and care, just growing coalition of women who deeply Mr. Speaker, I am unapologetically like anyone else, and despite the amaz- regret their abortions, and are, as they pro-life. I believe that the miracle of ing window to the womb, ultrasound call themselves, Silent No More. Out of human life begins at conception. I be- imaging. deep personal pain and compassion for lieve that we are fearfully and wonder- In 1976, Dr. Willard Cates and David others, Dr. King, who has had two abor- fully made, ‘‘knit together’’ by God in Grimes, then with the Centers for Dis- tions herself, and the other women of

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00082 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.158 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H339 Silent No More challenge us to respect, Today I mourn the over 50 million that was the catalyst to move this protect, and tangibly love both the American lives cut short by abortion movement forward. We think about mother and the child. The women of Si- since Roe v. Wade and pray that God people like Barbara and Jack Wilke lent No More give post-abortive women continues to heal those touched by this from Cincinnati, Ohio, pioneers and a safe place to grieve and a road map to tragic practice. I will remain steadfast leaders who actually coined the phrase, reconciliation. in the fight for the rights and dignity right to life. This week, with the full and un- of the unborn. Every human deserves Mr. Speaker, we forget that this is equivocal support of Speaker BOEHNER the opportunity to live, and I will al- not a 21st century issue. This is a cen- and Majority Leader CANTOR, more ways fight to guard the rights of the turies-old issue. than 125 Members and I will introduce unborn. I am dedicated to protecting You know, it was actually the suffra- the No Taxpayer Funding for Abortion the sanctity of human life, from the gists, those women over 150 years ago, Act, a government-wide prohibition on unborn to the elderly. who talked about women’s rights, the taxpayer subsidization for abortion and Like a majority in the House today, right to vote, the right to own prop- conscience protections with durable I made good on a campaign promise erty, the right to speak, the right to remedies. and voted to repeal the job-destroying run for public office, who also talked Abortion is not health care. We know health care law known as ObamaCare. about the right to life. that. And polls show that taxpayers There were many reasons for my vote To these women, the very concept of strongly oppose publicly funded abor- to repeal, but one of my main reasons feminism demanded that the basic tion, 67 percent, according to a recent was that the bill did not adequately human rights be extended to everyone university poll. Our new bill is de- protect life. You will recall President without exception, including the un- signed to permanently end any U.S. Obama signed a well-intended, but inef- born. And feminism meant rejecting Government financial support for abor- fective, executive order stating that no the use of force to control or destroy tion, whether it be direct funding, or Federal tax dollars could be used for one another, particularly among the by tax credits, or by any other subsidy. abortions under ObamaCare. We need most vulnerable and defenseless of the Regarding conscience rights, last that commitment written into law. population. year Cathy DeCarlo, a nurse at Mount That is what I will fight for. So to suffragists, the act of abortion Sinai Hospital in New York, was com- Tomorrow, the House will vote on a was much more than harm imposed pelled, despite her strong moral and re- resolution directing the appropriate upon a woman and her child. It was a ligious objections, to assist in a grisly House committees to start working on frontal assault on womanhood and fem- D&E abortion, which has been de- legislation to replace ObamaCare with inism, and an insult to the philo- scribed by the U.S. Supreme Court as a patient-centered commonsense re- sophical underpinnings of their cause. procedure where the doctors use for- forms. And how do we know this? Well you ceps to literally tear apart the unborn know, Mr. Speaker, all we have to do is b 2020 child. The child often feels pain. It’s look at their writings. All we have to done later in pregnancy. D&E is a grue- Like many Americans, I want to see do is look at people like Elizabeth some act of child abuse. health care reform that, among other Cady Stanton and Susan B. Anthony Ms. DeCarlo sued, asserting her right things, includes statutory language and ‘‘The Revolution.’’ They both to conscience had been violated under prohibiting taxpayer funding of abor- wrote extensively about abortion, call- existing Federal law, namely, the tions and provides conscience protec- ing it infanticide and child murder. Church amendment. Her case was dis- tions for health care providers. During Susan B. Anthony also wrote, missed, however, due to the lack of pre- my time in Congress, I have sponsored, ‘‘Guilty? Yes. No matter the motive, scribed remedies. The No Taxpayer cosponsored, or supported many bills love of ease, or a desire to save from Funding for Abortion Act protects con- related to protecting the unborn, the suffering from the unborn innocent, science rights of individuals and insti- family and traditional values. the woman is awfully guilty who com- tutions, entities as we call them, by One such bill I supported last Con- mits abortion. It will burden her con- empowering the courts with the au- gress was H.R. 227, the Sanctity of science in life; it will burden her soul thority to prevent and redress actual Human Life Act, which declares that in death.’’ or threatened violations of conscience. the right to life guaranteed by the Con- Victoria Woodhull, the first female Mr. Speaker, it is my honor to yield stitution is vested in each human being candidate for President, stated simi- to my good friend and colleague DOUG and that life begins at conception. I be- larly that ‘‘Every woman knows that if LAMBORN, who has been a great de- came an original cosponsor of similar she were free, she would never bear an fender of life. legislation, H.R. 212, which was just in- unwished for child, nor think of mur- Mr. LAMBORN. Mr. Speaker, I appre- troduced. dering one before its birth.’’ ciate the leadership of my friend and Additionally, I am a member of the Sarah Norton, who first challenged colleague, Representative CHRIS SMITH Values Action Team and the Pro-Life Cornell University to admit women, of New Jersey. He is such a leader in Caucus. Through these groups I work also pondered whether there would ever this vital area of life. All who are pro- with my pro-life colleagues in Congress come a time when ‘‘the right of the un- life in Congress look up to him. to advance legislation and initiatives born to be born will not be denied or Mr. Speaker, my heart breaks when I that support life and family. interfered with.’’ think about the children who are now a One day in the future, and I don’t And Alice Paul. We all remember part of a missing generation, a genera- know soon or how long it may take, I Alice Paul, the author of the Equal tion whose contributions to society we believe with all my heart that this Rights Amendment. Mr. Speaker, it will never fully know, a generation country will have a renewal of respect may surprise you. She stated abortion whose lives could have inspired their for life, including for the unborn. is the ultimate exploitation of women. families, Nation, and world had they Mr. SMITH of New Jersey. I yield You know, I could talk all night been allowed to live. Our society now now to the gentlewoman from Ohio, about this, but we have women’s his- discriminates against these tiny JEAN SCHMIDT. I don’t think there has tory month in March, and I hope that human beings, who should receive the been a single battle on the life issue I can be invited back again to speak same protections as other persons. that she has not been speaking out in more on the history of women and the Not only does abortion strip the front, speaking in defense of the un- human rights pro-life movement, be- world of human lives; it also dramati- born and their mothers. cause it’s not just about human rights cally affects the lives of mothers, leav- Mrs. SCHMIDT. Thank you so much for one individual, it’s about human ing them to deal with the emotional for those kind words from my friend rights for all individuals, the unborn, aftermath of this brutal procedure. I from New Jersey. the born, and the elderly. commend the work of pregnancy care You know, Mr. Speaker, when we So I thank my colleague from New centers across the country that provide talk about abortion, we think of this as Jersey for hosting this forum tonight. I needed services to both mothers and a 40-year-old movement. We think really appreciate his leadership in the their children. about 1973 and Roe v. Wade, and that pro-life movement, and we are going to

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00083 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.160 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H340 CONGRESSIONAL RECORD — HOUSE January 19, 2011 continue to forge ahead until everyone try, and these, Mr. Speaker, are really our second President, John Adams, in America has the right to life. stark statistics, in the last year avail- that facts are stubborn things. Mr. SMITH of New Jersey. I thank able, Planned Parenthood of America, Because a unique human life begins my friend for her statement and for her in 2008, they performed, they com- at the moment of fertilization, it is our leadership. mitted, they slaughtered more than solemn duty to defend the unborn, to I yield to TIM HUELSKAMP, who took 324,000 little girls and little boys across speak up for the weak, to continue the baton from JERRY MORAN, who has this country, 324,008 abortions. They with firmness in the right. I proudly gone on to the Senate, and thank him only participated in 2,405 adoptions; support H.R. 212, the Sanctity of for joining us tonight and look forward 324,000 abortions, less than 2,500 adop- Human Life Act, which defines human to his comments. tions. There are other opportunities, life accordingly and affirms that each Mr. HUELSKAMP. Thank you, Con- there are other options. Adoption is State has the authority to protect the gressman. I would like to recognize the the option. lives of all human beings. We take up longtime efforts of Congressman CHRIS I would ask that we consider to this charge because we are still dedi- SMITH in defending life. I have watched defund an industry that is not con- cated to the proposition that all men from afar for many years, and it’s a cerned with the women, not concerned are created equal. All possess the in- real treasure for the opportunity to with the families. alienable right to life. speak here tonight and join his efforts But let’s turn our attention towards Mr. SMITH of New Jersey. I thank and, in my opinion, and in the opinion those across America that have given you for your very fine statement and of many other Americans, one of the their hearts and homes and opened very strong commitment to the sanc- greatest, greatest tragedies in the his- them up to our youngest members of tity of human life. tory of our Nation has been the direct society. I would like to now yield to ANN death and the direct murder of more Mr. SMITH of New Jersey. Thank MARIE BUERKLE who is both a nurse, than 50 million Americans since 1973. you so much for your statement and but also got her law degree. So she Far too often, too many women, too for your emphasis on adoption, an al- brings both the law and the medicine many families turn to abortion as the ternative that is often forgotten, and it side to this equation. So I yield to her. only option when they discover they provides such a meaningful way for Ms. BUERKLE. Thank you to the are unexpectedly pregnant. building a family. Thank you for that. gentleman from New Jersey for yield- Situations exist that make the I yield to MARLIN STUTZMAN, the dis- ing us time and for his unwavering sup- thought of being responsible, perhaps tinguished gentleman from Indiana. port of life. for another life, overwhelming to say Mr. STUTZMAN. Thank you and Mr. Speaker, this coming Saturday the least. thank you to my colleagues for bring- marks the 38th anniversary of Roe v. But abortion is not the only option ing this very, very important issue to Wade, a decision that fundamentally available to these women and to their the House floor this evening. I appre- altered the moral landscape of Amer- families. My wife and I have had the ciated all the other comments that ica. For much of those 38 years, I have joy and privilege of adopting four chil- have already been made. been very involved in the pro-life dren, and two of those children are Having the opportunity to serve as movement, both as an advocate for the from the country of Haiti and two of the chairman in public policy back in unborn and a counselor of troubled the others were already Americans. In- Indiana, I do remember the time when women and teens, the unspoken second cidentally, my oldest, when she was my wife and I were expecting our sec- victims of abortion. As we reflect upon young, she didn’t believe that babies ond born. When we were dealing with the sobering anniversary and the tre- arrived via stork, they arrived on air- pro-life legislation in Indiana, and hav- mendous loss of life that it represents, planes, because our second two chil- ing the opportunity to go home and to I see reasons for hope. Attitudes are dren were picked up at the airport. see the ultrasounds of our second-born changing, and more and more young But that reminds me of another son was quite the experience. people are rejecting abortion as a story, a 5-year-old. She said, ‘‘Daddy, choice for their lives. b 2030 can’t we tell them to do adoption, not Technology has opened remarkable abortion?’’ Yes, we can, and that’s the And I know that with the anniver- windows to the womb. So much of the message I would like to make sure we sary of Roe v. Wade coming up, this is early pro-life movement emerged from share tonight because supporting adop- an issue that is on a lot of hearts and a frustration of the time. No one tion is often the neglected, the unre- minds of Americans across the coun- seemed to be listening, and we tried to ported side of the pro-life coin. try. So today I rise as we remember the get people to care. Now technology, If we are going to encourage women 38th anniversary of Roe v. Wade, but such as the 4D ultrasound imaging, has and families not to abort their babies more importantly the millions of inno- aided us in our quest to preserve life, we need to offer alternatives. And all cent lives taken since 1973. In 2008 showing women that their unborn is across this country, there are thou- alone, there were over 1.2 million abor- not a clump of cells, but a child that sands and thousands, perhaps tens of tions; that is 3,315 innocent unborn they can see rubbing her eyes or suck- thousands of men and women that are children per day, 138 per hour and ing his thumb. adopting children, that are offering about two every minute. As we continue to fight for the un- their services, particularly through While I have no doubt that future born, we must not cede the ground we local crisis pregnancy centers, and of- generations will place Roe v. Wade have won. The Patient Protection and fering opportunities for the children alongside the terrible Dred Scott deci- Affordable Care Act circumvents the and for women and for their families. sion, I know that there is much unfin- Hyde amendment by allowing govern- And I know, literally, there are mil- ished work before us. All of that work ment subsidies in Medicaid, Federal lions of Americans today that are wait- begins with a single inquiry. Mr. Employee Health Benefits Programs ing for a child, that are awaiting a Speaker, a simple question forms the and international aid to be used to child, and I would even more strongly cornerstone of a national debate: When cover abortions. For over 30 years, the encourage other Americans to consider does human life begin? Without that Democrats and Republicans have adoption. answer, we are left with empty rhetoric worked together each year to ensure Let me speak directly to those that and euphemisms. So I ask: When does that taxpayer dollars do not subsidize might be considering abortion: There human life begin? This question is not abortion. The Affordable Care Act rep- are alternatives. There are opportuni- a lofty philosophical endeavor. Science resents a departure from that compact. ties. There are caring Americans that has already given us the answer. Ad- Specifically, this law will allow $11 bil- would love, would love to participate in vances in molecular biology underscore lion in taxpayer funds to be used for adoption and would love to provide as- the undeniable fact that life is present abortions at community health cen- sistance. from the moment of fertilization. That ters. I am also a proud cosponsor of No life is fully human and infinitely valu- In addition to the Federal subsidizing Taxpayer Funding for Abortion. The able. Those who willfully ignore reality of abortions through the Affordable leading abortion provider in the coun- ought to remember the admonition of Care Act, I join other pro-life Members

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00084 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.163 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H341 of this Congress in expressing my con- them out by their feet first to save the across a State line. The partial-birth cerns about the use of Skype tech- life of the mother when the mother’s abortion process has been banned. nology to perform telemed abortions. life is in danger. And I just can’t even Some States have passed a law requir- Planned Parenthood of Iowa is dis- imagine what transpires there, and ing a 24-hour waiting period, but much pensing the abortion-causing drug RU– sometimes don’t want to. is left to be accomplished. 486 through a teleconferencing system, But I believe that as Americans, we Ultimately, the questions comes up: resulting in more than 1,900 abortions. need to defend life to its fullest. I be- When does life begin? The Supreme Our Forefathers understood that ‘‘all lieve life begins at conception and it Court Justices who decided the case ac- men are created equal, that they are ends at our natural death. I have tually expressed that concern them- endowed by their Creator with certain talked to people who have had an abor- selves about when life began, but that inalienable rights, that among these tion. The hurt goes on with women who was a discussion of decades ago. are life, liberty and the pursuit of hap- have had abortions. I think we need to Science today leaves no doubt. The piness.’’ Among these, the most funda- focus in on educating folks and giving DNA is established on day one and mental right is the right to life. them that alternative. And maybe never changes through the baby’s life. Mr. SMITH of New Jersey. I thank every Planned Parenthood out there The sonogram is evolving our Nation’s the gentlelady for her statement and should have to do sonograms maybe view on abortion as we speak. For many who have been educated in for her leadership. This class, and I even in a 3D series. our universities, they believe life be- think the American public would really I really do appreciate an issue that is gins at birth. But the young, who are appreciate this, of 87 Members elected near and dear to my heart, and I really looking at the sonograms and seeing on this side of the aisle, they are over- do thank the Congressman here for that heartbeat within the first few whelmingly pro-life, and more pro-life putting this event together and look days, recognize that they can no longer women than ever now sit as Members forward to serving in the House of Rep- believe that this is some mass of tissue of Congress. It is really very encour- resentatives with him. with inconsequential matters at risk. aging. Mr. SMITH of New Jersey. Mr. SCHIL- And so this Nation is beginning to I would like to yield to my good LING, thank you very much for your become more pro-life day by day, and friend and colleague from Illinois, BOB great statement. And your comments that is a blessing, because in the end, SCHILLING. about your child saying, who will de- every society will be judged by its will- Mr. SCHILLING. Thank you, Rep- fend the baby? I remember a woman by ingness to speak for those with no resentative SMITH, for the opportunity the name of Jean Garton who was with voice. to speak during this Special Order sub- Lutherans for Life. She was preparing Again, I thank the gentleman from ject of life. Today I stand to speak for a slide show of actual abortions, which New Jersey. I am proud to add my those who can’t speak for themselves. are hideous to behold, but it is a re- voice to those who speak for the most As a father of 10, life is a big issue at ality that has to be understood to fragile—the unborn. May God bless this my house. After the Presidential elec- know what abortion really is. And her country, and may God bless the moth- tion, my daughter, Rachel, came to me young child walked in and said, ers of this country. and my wife and looked at me with Mommy, who broke the baby? looking Thank you. tears in her eyes and said, hey, Daddy, up at the shattered bodies of unborn Mr. SMITH of New Jersey. Mr. who is going to protect the unborn children. So from the mouths of chil- PEARCE, thank you. children? That was a big part of why I dren, truth is spoken. One of the things that we have in chose to run for Congress, along with I would like to welcome back to the Congress is a large number of medical all the other things. House, as we all do, STEVE PEARCE, a doctors, OB–GYNs and others who are Today, I was proud to become an Member from New Mexico. We are just overwhelmingly pro-life. Dr. ROE from original cosponsor of the No Taxpayer so glad to have you back. Tennessee is among us. Funds for Abortion Act. When we look Mr. ROE of Tennessee. I thank the at the taxpayer funds that are going to b 2040 gentleman for yielding. be available for abortion, even some of Mr. PEARCE. I thank the gentleman Mr. Speaker, as an obstetrician-gyne- my pro-choice friends disagree with from New Jersey, and I appreciate his cologist, I have delivered close to 5,000 taxpayer funding of abortion. constant leadership on this issue of babies and strongly support the sanc- This bill is very important. It makes life. tity of life. Using technology like the permanent the Hyde amendment, the Our Founding Fathers told us that 3–D ultrasound has given us windows to Helms amendment and the Dornan life, liberty and the pursuit of happi- the womb that show the unborn child amendment. One of the things one of ness were treasured values in this as living, breathing, a feeling human being. I have looked through that win- my colleagues spoke about a little bit, country. I think that it was no acci- dow with my own eyes numerous TIM, earlier was speaking about look- dent that they placed life at the begin- times, and I have seen human develop- ing at adoption as an alternative to ning of that order. ment occur from the earliest stages of abortion. It is easy to believe that any society the tiniest embryo all of the way A story that sticks in my mind today is judged for its quality based on its through birth, which strengthens my is I went to a crisis pregnancy center willingness to be a voice for those who conviction in the right to life. in Boling, Illinois, and these are folks are the most fragile, those who have Life is a precious miracle from God who encounter crisis pregnancies. And the least standing in that society. And which begins at conception. It is our the lady was telling me the story of a in this society and in all societies, responsibility and privilege as legisla- young lady who was going in for an none are with a quieter, less obvious tors to protect those who do not have a abortion. She thought she would come voice than the unborn. So our willing- voice. I will always fight for the right in and get a little more information. ness to stand up and support them is a to life because it is my conviction that They did a sonogram, and the baby was reflection on the quality of this cul- we are all unique creations of a God laying still. It was down towards the ture, and we need to do more. who knows us and loves us before we end of the sonogram, and all of a sud- Today, in Santa Fe and elsewhere are even conceived. den that baby just came to life and put around the country, pro-life citizens Tonight we mark one of the most on a show for mom. That brought a join in a March for Life. While my tragic, misguided Supreme Court cases tear to my eye when I heard that story. schedule for votes here today prevented in our Nation’s history, Roe v. Wade. When you look at life, without life, me from being there, I am happy to as- Since 1973, more than 50 million babies we have nothing. A big reason that I sociate my voice with them tonight have been denied the right to life. We am pro-life is that when we look at all and in the months to come. Since Roe must make our laws consistent with of the doctors, all of the people who v. Wade was decided, over 50 million our science and restore fully legal pro- could invent something for this great lives have been terminated through tections to all of those who are waiting Nation, I remember growing up in 1973 abortion. to be born. If government has any le- when this became legal, it was consid- Great strides have been made legisla- gitimate function at all, it is to protect ered a blob of tissue. Today we pull tively. It is now wrong to take a minor the most innocent among us.

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00085 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.164 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H342 CONGRESSIONAL RECORD — HOUSE January 19, 2011 For over 30 years, Congress has pre- the expertise of being an OB–GYN who bryo. The difference between an adult vented taxpayer-funded abortions. Un- has been there and knows better than and a child in the womb is just time. fortunately, this door has been re- almost all of us how sacred and fragile They are a person who must be given opened with the passage of ObamaCare, the life is of an unborn child, as well as their most basic of all human rights— the largest expansion since the pivotal his or her mother. life. Roe v. Wade decision. In response, I would like to yield to JIM I strongly support defining life at House Republicans in the Pledge to LANKFORD from Oklahoma and thank conception. I strongly support adop- America vowed to repeal and replace him for being here this evening. tions. I strongly support crisis preg- this legislation. I look forward to Mr. LANKFORD. I thank my col- nancy centers and Hope Pregnancy working with my new colleagues to en- league from New Jersey for hosting Centers, which are doing such a great sure this promise is kept. It is only by this time in the House Chamber. job all around the country and all making good on this oath that we can Mr. Speaker, I rise in support of one around my district in Oklahoma. It is expect to restore the trust that the of the most basic functions of any gov- time to cut off Federal funding for American people have in their own gov- ernment. Three thousand years ago, a abortion. ernment and, in doing so, ensure that mom taught her son, the king, how to Why is it in America that taxpayers the door to taxpayer-funded abortions be a wise ruler. We have her words who are mortified at the thought of remains closed. written down in Proverbs 31, where she abortion are required to also give their I want to congratulate the Hope Cen- told him, ‘‘Speak for those who cannot tax money to fund abortions around ter in Greenville, Tennessee, which is speak for themselves.’’ the world? sponsored by the First Free Will Bap- Two hundred thirty-five years ago, When a constituent comes to me and tist Ministries who support life. These our founders wrote a despot king, ‘‘We asks, Why are my taxes so high? I have people do a wonderful job in minis- hold these truths to be self-evident, to tell him, Partially because your gov- tering young mothers who may be sin- that all men are created equal, that ernment is spending some of your hard- gle or married to preserve life. they are endowed by their Creator with earned money on abortion funding I am glad to be here on the House certain unalienable rights, that among around the globe. Why is it in this Chamber today we floor tonight with my friend and other these are life, liberty and the pursuit of can debate for hours if an infant should legislators fighting for the rights of the happiness.’’ be guaranteed health care coverage, unborn. And I want to thank the gen- This truth that all people have the but yet some of the same individuals tleman from New Jersey who literally right to life is so obvious, so clear that who demand insurance protection for is one of the leaders and heroes in the they called it ‘‘self-evident.’’ But in that child would find no issue in killing pro-life movement. I can’t say enough America, millions of people cannot that infant only moments earlier when about Congressman SMITH and what he pursue happiness and they cannot ap- it was in the womb? has done to promote this right to life preciate liberty because their first Earlier today, a clinic in Philadel- across the country. God-given right was denied—life. phia was raided, where a physician was As I was walking over here toward In recent days, discussion from the arrested for fully delivering infants 6, the House floor tonight, I had some left has turned to reducing the num- 7, 8 months into the pregnancy and for thoughts about children I have deliv- bers of abortions. I applaud this line of stabbing with scissors those children ered. I have seen those children grow thinking because it admits one thing— after they had been delivered—today. up in my hometown, Johnson City, abortion is wrong. It destroys a life and This is the United States of America. Tennessee. The beauty of it is that you it devastates a future of a mom. This issue is not about oppressing get to coach these young kids in Little I ask: Why should abortion be re- women or denying choice. It is about League ball and you get to watch them duced if it is just another medical pro- protecting children and honoring the grow up and come to your home and cedure to remove some unwanted tis- self-evident truth that everyone is en- graduate. The people I have seen have sue from a woman? If it is just tissue, dowed by their Creator with certain in- been young doctors and nurses and what does it matter? No one is saying alienable rights, including and espe- teachers and college athletes and news- that we need to reduce the number of cially life. paper writers and news directors. All of skin moles being removed or reduce Almost four decades ago, individuals these young people I have delivered and the number of warts that are removed, in this Chamber laid the foundation for seen grow up, and the world would not that that is unconscionable. Why? Be- a court ruling that has stripped the be a better place if they were not here. cause we know that a wart is unwanted womb of its glory and its majesty. For The world would be a much worse tissue. But a fetus, that is a baby. decades since, legislators in this Cham- place. Think about how many thou- We can use any euphemism, like ber have protected bald eagle eggs, mi- sands and tens of thousands and mil- ‘‘fetus’’ or ‘‘dividing tissue’’ or ‘‘em- grating insects, snail darters, and rare lions of the same people I just deliv- bryo,’’ or just simply ‘‘inconvenience,’’ flowers, but we refuse to protect chil- ered that I watched grow up in my but no one comes to the family and dren. community that are not here today be- says: How is the embryo? No one says May God have mercy on our Nation, cause of this terrible law. to a pregnant woman or hears a preg- and may we awaken one day to the hor- I do want to mention one thing medi- nant woman say: Excuse me, I just felt ror of what abortion policies have done cally that was brought up a moment the fetus kick. No one comes to a baby to our Nation. We would rather protect ago about a third trimester abortion to shower and says: Here is a gift for your our fundraising, our leadership and our save a mother’s life. Let me make this inconvenience. convenience than protect the unborn as clear as any doctor can make any- Say what you want, split hairs all child. This is not a difficult choice. It thing: There is no medical indication you want, we know that is a baby. is a clear choice—and we should choose whatsoever for a third trimester abor- Decades ago, we could not look into life. tion, period. Let me say that one more the womb and see the development of Mr. SMITH of New Jersey. Thank time, and I will debate this anywhere the child. People were told the child in you, Mr. LANKFORD, for your very pow- with any doctor in the world: There is the womb was just like a chicken em- erful statement. no medical indication on this Earth for bryo. But now, with 3–D ultrasound, we I would like to now yield to my good a third trimester abortion. can look into the darkness of the womb friend and colleague from Georgia, a I thank the gentleman. I am encour- and see a child kicking her feet, suck- medical doctor as well, Dr. PAUL aged about the degree that the Amer- ing her thumb. We can count her fin- BROUN. ican people are changing their minds, gers and toes and watch their tiny Mr. BROUN of Georgia. I thank the and I think if we keep working and heartbeat. gentleman for yielding. talking and explaining and changing Mr. Speaker, I believe the greatest hearts, we will change this terrible b 2050 moral issue we face as a Nation is the law. At 20 weeks, we can look at the child killing of 4,000 unborn children every Mr. SMITH of New Jersey. I thank inside and even say boy or girl. Why? single day through abortion. Mr. the gentleman for his leadership and Because it’s a child, not just an em- Speaker, God cannot continue to bless

VerDate Mar 15 2010 04:58 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00086 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.166 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H343 America while we are killing these life. That’s the reason he penned it appreciate the great work you’ve done children. They’re children. They’re ba- there. He believed in God. We’re not for years and years in protecting life. bies. They’re human beings. taught that in school anymore, but So thank you and God bless you. And When I came to Congress in 2007, the that’s factual. we have to get the killing of these un- very first bill I introduced was my You see, even if you don’t believe in born children stopped so God can con- Sanctity of Human Life Act. I am a God, from a scientific perspective, tinue to bless America. medical doctor. I know without any there is only one place in a person’s life Thank you, Mr. SMITH. question that life begins when the sper- where you can draw the line between Mr. SMITH of New Jersey. Dr. matozoa, the sperm cell, enters the cell no life being there and life and human BROUN, thank you for your eloquence wall of the oocyte, the egg, and pro- being and personhood being estab- and your kind remarks, and I want to duces a one-celled human being called lished, and that’s at the time of fer- thank you for your leadership. Again, a zygote. That zygote is totally dif- tilization. as a medical doctor, I think you and ferent from its mom. It has every func- Roe vs. Wade, in the decision, was Dr. ROE and the other docs bring such tion, every bit of genetic makeup to be predicated on there being no legislative credibility. I hope Americans are listening. I a grown human being if we just nurture definition of the beginning of life. hope my friends on the other side of it and allow it to grow and allow it to That’s the reason it is absolutely crit- the aisle who take the other side of live. ical that we define life as beginning at this issue will begin listening. There I have been involved with a crisis fertilization—to protect those one- needs to be a reevaluation. America pregnancy center in Athens, Georgia. celled human beings. needs to take a second look, a long and Not long ago, we had a young lady who It is absolutely critical that every sustained look at the surface appeal ar- was considering abortion. She came person in this country who loves lib- guments of the abortion rights side. there, and she had an ultrasound. She erty and who wants to protect life con- Abortion is violence against children. was about 10 or 12 weeks along. I don’t tacts their Congressmen, contacts It dismembers a child; it decapitates a recall exactly, but it was early on in their Senators and says, We have to child; it chemically poisons a child. her pregnancy. She had just found out protect life. We have to protect all our One of our earlier speakers talked a few weeks before that she had missed God-given freedoms, particularly life. about RU486 and how tailor-made abor- her period, so she came for a pregnancy ‘‘Contact your Senators,’’ is what I tell tions are being promoted by Planned test. my constituents. Parenthood. RU486 actually operates in When she saw that ultrasound, her What I tell people all over this coun- two ways. The first chemical starves exclamation was, ‘‘That’s a baby.’’ try is ‘‘Contact your Senator. Contact the baby to death so the child in utero, That’s what we see over and over your Congressman.’’ Tell him to sup- the child in the womb simply cannot again with these expectant moms when port the Sanctity of Human Life Act, get nourishment to continue living. they see those ultrasounds. That’s the my bill, or DUNCAN HUNTER’s bill, the The second chemical brings about the reason she understood it was a baby. It Life at Conception Act. Join in this expulsion of that baby—who is usually is a baby. It is a human being. There is fight because there is no greater moral dead, but not always. If that isn’t child no greater freedom, no greater liberty, issue that this country faces. If we abuse, if the other methods of abortion than to live. There is no greater pro- want God’s blessings upon America, we are not child abuse, I don’t know what tection that we as a government can have to protect these most vulnerable is. give to protect human beings all the of human beings—the unborn children. This idea that life begins at birth be- way from the time of fertilization until In Proverbs, God says, Speak up for longs in another era, especially with they have natural deaths. the speechless in the cause of those ap- ultrasound technologies available, as You see, Mr. Speaker, God creates pointed to die. That’s what we are here several of my colleagues have said, the those children. We do not have the tonight to do is to speak up for those ‘‘window to the womb.’’ As a matter of moral authority to take their lives. speechless, those appointed to die by fact, it should be noted that even the We’ve got to protect their lives. In a abortion. leading pro-abortion activists in the free society, where liberty is held in We have got to end abortion. We 1960s and early 1970s, Dr. Bernard the highest esteem by every individual don’t need a constitutional amend- Nathanson from New York, one of the in this country—whether Republican or ment. We need a legislative definition: three cofounders of NARAL, which is Democrat, liberal or conservative—the the beginning of life to occur at fer- one of the leading pro-abortion groups right to life is a fundamental form of tilization. Once we have that placed in the country, Dr. Nathanson said he liberty. We have to protect life. That is into law, we will stop this blight upon presided over 60,000 deaths to children the reason the first bill I introduce in our society, this dark era in the his- as he ran the largest abortion clinic in every single Congress will continue to tory of this Nation that began in 1973 New York City. He went on to become be my Sanctity of Human Life Act. with this awful decision of the Su- a pro-lifer. And what caused that huge My friend and fellow Member from preme Court called Roe vs. Wade. We change of heart both in his mind and in California, DUNCAN HUNTER, Junior, have to protect life. We have to protect his heart? It was that he began doing has reintroduced his dad’s bill, Duncan liberty. We have to protect every single blood transfusions and began to see Hunter, Senior. Their bill is called Life human being’s God-given rights. that an unborn child is a patient just at Conception Act. I am a cosponsor of Protecting life is important—from like any other patient who may be their bill, as Duncan Hunter, I, and fertilization all the way to natural sick, have a disability, that early ef- now DUNCAN HUNTER, II, are of my bill. death—and I promise that I will con- forts and interventions could mitigate We have to stop this travesty, this tinue with every bit of my being, and whatever that anomaly might be. And awful, horrendous attack, moral at- many other of our colleagues, Repub- because of that he said, how can I be in tack, upon our basic rights as human licans and Democrats alike, will con- one room killing a baby with poison or beings—and that is the right to life. tinue to fight for life. dismemberment while in another doc- Mr. Speaker, if we cannot protect So, Mr. Speaker, if we want God’s tor’s office or in another operating the- life, then we cannot protect any lib- blessings upon America to continue, we ater providing this prenatal surgery? erty. We cannot protect any freedom have to end this blight upon America. He saw the schizophrenia inherent in that our Founding Fathers created the treating some children because they’re Constitution to protect—those God- b 2100 wanted as being acceptable, and we given rights. We have to define life beginning at welcome them, and if they are un- We have had many of our colleagues fertilization and protect life for these wanted, they’re throwaways. The femi- tonight speak from the preamble that unborn children. nists had it right when they said no Thomas Jefferson penned in 1776, the Thank you, Mr. SMITH. And I want to woman should ever be treated as an ob- preamble of the Declaration of Inde- personally thank you for your tireless ject. Well, we all know that the unborn pendence. Thomas Jefferson is consid- fight in this issue because you’ve been child, if he or she is unwanted, is treat- ered one of the least religious of our a stalwart here in this House for many, ed like an object and a throwaway, and Founding Fathers, but he believed in many years, and I greatly personally no human life is a throwaway.

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00087 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.168 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H344 CONGRESSIONAL RECORD — HOUSE January 19, 2011 Let me also say that Abby Johnson, publicans. And I do hope that we will When you listen, Mr. Speaker, to the who just recently, a little over a year move this human rights issue forward. speeches of the Republican Caucus and ago, left a Planned Parenthood direc- The young people are with us, and this they say something about job-killing torship in Texas—what caused her to is the greatest human rights struggle deficits, it’s always important, Mr. change? She saw an ultrasound abor- ever. Speaker, to turn your attention back tion in real time and said, I just saw f to what the Republican Caucus did the baby crumple right in front of my today on the House floor, because it in- REMOVAL OF NAME OF MEMBER very eyes. If that isn’t a human rights dicates how they really feel about ex- AS COSPONSOR OF H.R. 68 and abuse, I don’t know what is either. So panding the deficit. They’re okay with H.R. 69 she became a pro-lifer and now speaks it. out very, very boldly. Mr. LAMBORN (during the Special The impact of repeal on the deficit Finally, Dr. Alveda King, as I men- Order of Mr. SMITH of New Jersey). Mr. expands the deficit by $230 billion this tioned earlier, is Martin Luther King’s Speaker, I ask unanimous consent that decade and a trillion dollars the next. niece. Dr. King had two abortions. She Congressman MIKE ROSS from the What does this say about credibility? was a ‘‘pro-choicer.’’ She now is one of State of Arkansas be removed as a co- What does it say about real intention? the most eloquent pro-life leaders in sponsor from H.R. 68 and H.R. 69. What does it say about who was actu- the United States and even in the The SPEAKER pro tempore (Mr. ally trying to lower the deficit? world. She has said, ‘‘How can the DOLD). Is there objection to the request Health care reform is cost-effective dream survive’’—talking about her un- of the gentleman from Colorado? and helps lower the deficit. Health care cle’s dream of inclusion, of human There was no objection. reform actually helps not only lower rights, of civil rights for all—‘‘how can f the national debt and deficit, but indi- the dream survive,’’ she writes, ‘‘if we PROGRESSIVE CAUCUS vidual American’s personal debt and murder the children?’’ deficit. She goes on to talk about how the The SPEAKER pro tempore. Under We can never forget, Mr. Speaker, African American population in this the Speaker’s announced policy of Jan- that 60 percent of all of the people who country is so disproportionately tar- uary 5, 2011, the gentleman from Min- filed for bankruptcy filed for bank- geted by Planned Parenthood and oth- nesota (Mr. ELLISON) is recognized for ruptcy because of medical debt. A ma- ers. The number of abortions for Afri- 27 minutes. jority of the people filing for bank- Mr. ELLISON. Mr. Speaker, allow me can Americans is about five times the ruptcy filed for bankruptcy because of to claim the time. I do have a few rate of Caucasians and it is because of medical debt. This is an amazing sta- things to set up, so I will be right back. tistic. targeting. There are other reasons, but Mr. Speaker, let me thank the We can talk about the national def- that is one of the main reasons. That’s Speaker for allowing and granting me icit. We can even talk about the na- where the Planned Parenthood clinics the time. It is a pleasure to come in tional debt, but let’s talk about family are, frankly. front of the American people. Abortion hurts women, she makes it debt. Family debt being driven sky My name is Congressman KEITH so clear. She is eloquent in her defense, high because of medical debt, people ELLISON, and I want to talk a little bit as are others, in ministering to women about the Progressive Caucus tonight, going into bankruptcy because of med- who have had abortions. One thing the progressive message which we con- ical debt. Now, with the health care bill, we about this pro-life movement—and I’ve vey to the American people every will have exchanges that will compete been in it for 38 years, I’ve been in Con- week. We want to come before the and have price and quality trans- gress for 31 years—it loves them both. American people to talk about progres- parency for people so that they can It says to both the mother and to the sive values and the 83 members of the evaluate a good product that is afford- baby, we want to put our arms around Progressive Caucus. you, we want to help, we want to be of The Progressive Caucus stands firmly able, so people who don’t have the in- assistance. And to any post-abortive in the position of supporting health come can get a subsidy so they can go woman, we are all about trying to help care for all Americans. And therefore, buy health care insurance. When we and to assist and provide some kind of we look at this repeal today, conducted have all of these important provisions pathway to reconciliation. That’s by the majority, the Republican Cau- in place, we’re not going to see people where the post-abortive women like Dr. cus, as quite an unfortunate event in going into personal bankruptcy be- Alveda King play such a crucial role in our Nation’s history. cause of medical debt. This is some- helping women who otherwise would thing the Republican Caucus has not feel so disenfranchised and left out. b 2110 talked about, how Americans are I want to thank our leadership, They repealed the health care reform drowning because of what the insur- Speaker BOEHNER, our majority leader, bill, but the bill is not repealed. It’s ance industry has imposed upon them. ERIC CANTOR. We have a very pro-life important for the American people to It’s important to say that today our leadership who recognizes how sacred know that health care reform is being Republican colleagues repealed health life is, how this Congress, this House implemented and it is the law. But in care reform. I hope, Mr. Speaker, the needs to defend the defenseless. Tomor- order to make the law into the law, American people watch with interest row, I will be joining the distinguished you have to pass it through the House, where their particular Member of Con- Speaker as he speaks on the No Tax- the Senate, and then be signed by the gress voted. Did your Member, the indi- payer Funding for Abortion Act. We President. This repeal that they did vidual Member of Congress, Mr. Speak- will be having a press conference to- today stops here. It’s not going any- er, vote to say, You know what? We’re morrow. We have over 125 cosponsors. I where. Really, it’s political theater. going to allow the insurance companies have never seen a leadership so dedi- But it is an important indication as to to rescind your insurance policy if you cated to protecting innocent human what they would do if they could. get a breast cancer diagnosis? Because life as these individuals in our leader- What they would do, and this is the Republican Caucus’ repeal today ship. I would hope my friends on the something I would like to describe says that they want that to be able to other side of the aisle would take a sec- right now so the American people can happen. They want the insurance com- ond long look at the carnage, the unbe- get an idea of what Republican leader- pany to be able to say, You, ma’am, we lievable pain and agony and suffering ship and Republican expansion of their found out you had breast cancer. Your that abortion has visited upon women. power would mean. insurance is going to be rescinded. It is not pro-women. Abortion exploits First, let’s talk about the deficit. That’s what they voted in favor of women. And it’s certainly not pro-child You hear a lot about the deficit. And today by voting for repeal. either because it decimates unborn the deficit is important. The impact of Today, they want to tell 24-, 25-, and children as well. repeal on the deficit is that it would in- 26-year-olds and their parents that, So we have a great leadership. We crease the deficit by $230 billion this You know what? We’re not going to let have an excellent group of Members, decade and a trillion the decade after you be on your parents’ health care in- men and women, Democrats and Re- that. surance policy. You are on your own.

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00088 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.170 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H345 Yeah, we know this is a tough market. mining health care. The Democratic b 2120 Yeah, we know graduating from college priority would be to create jobs and Now, the Congressional Budget Office or high school now is not easy because, put America back to work. That is does carefully show that the repeal of you know what? There’s not that many what Democrats are working on right the Patients’ Protection and Afford- jobs out there. Unemployment is still now, Mr. Speaker, and would work on able Care Act would add $230 billion to very high. But you know what? Too even more so if we had the majority. the deficit in the first 10 years and a bad. You’ve just gotta figure out what Today, the Republican majority, trillion after that into the future. And you’re going to do because you will they have other priorities other than the American Medical Association has not—we’re going to take a benefit jobs. Their job, as they’ve already re- recognized this problem. What they away from you that the Congress has vealed today on the House floor, is to have said is the AMA does not support already given to you, and we’re going repeal patients’ rights, to put insur- initiatives to repeal the Affordable to snatch it out of your hands. ance companies back in charge, and to Care Act. This is what the repeal means. explode the deficit as I’ve already indi- Who is the AMA? The American Med- Today, seniors who can benefit from cated with this particular graphic. ical Association. Who’s that? That’s free preventative care, they’re not The Republican priority is to look America’s doctors. They know how going to be able to. The Republican out and protect insurance companies. dangerous it is to repeal health care. Caucus has indicated that that’s not The Republican priority is to make They know because they are in the what they want. Now, they haven’t sure that insurance companies have healing arts. Now, the insurance com- taken it away because they haven’t re- what they need. And the insurance panies, many of them are in the pealed the law. They’d like to by the companies spent $14 million a day to money-making arts, so they got a dif- repeal they passed through the House try to defeat health care after they, in ferent take on this thing. But the today. But the fact is is that they’re fact, were defeated, and we passed American Medical Association has telling seniors, No, no, no. You’re health care. We’re quite confident that come together and said that they do going to have to pay a big cost in order they did not just take that defeat lying not support initiatives to repeal the to get some preventative care which down. Here they are back again with Affordable Care Act. obviously will help—will encourage the wholly owned subsidiary known as Expanding health care coverage, in- low-income seniors not to seek that the Republican Caucus trying to do the surance market reforms, administra- care, and then they, of course, will end bidding of the insurance industry once tive simplifications, and initiatives to up being sicker and it will be more again. promote wellness and prevention are costly. The Patients’ Rights Repeal aims to key to the new law that reflect the But not only by repeal did they hurt take away new health care freedoms AMA priorities. So the people who do seniors, did they hurt young people, that take us back to a system that fa- healing, actually heal people—let me they’re telling small business people, vors the insurance industry. The Pa- tell you, no insurance company bureau- You know what? Those tax credits that tients’ Rights Repeal bill takes away crat ever healed anybody. All they do we gave you, we’re taking them back. something that people have already ex- is deny coverage to people and process Those tax credits that the Democratic pected to get and takes us back to a claims. But the folks who actually bring healing, the docs, the people who Caucus and the Democratic Congress system in which the insurance industry the AMA represents, they are against and Senate and the Democratic Presi- is in control. repeal, as the Democratic Caucus is dent gave to you, we Republicans, we Children with preexisting conditions against repeal. And it’s so unfortunate don’t want you to have that, small are denied coverage in the bad old that we had to sit here today and wit- days. Young people aged 26 can’t stay business. We’re going to snatch it out ness the House effort to repeal health on their parents’ insurance plans in the of your hands even after you have care reform. made plans to actually take into con- bad old days. Pregnant women and They didn’t do it. They’re not going sideration the tax credits that are prostate cancer patients would be to do it. They’re going to fail. This is available to you this year. thrown off insurance rolls in the bad all political theater. This is all show- So they’re snatching benefits out of old days. Seniors pay more for their ing off. It’s all just, you know, political the hands of small business people, drugs. As a matter of fact, in the new theater. But the truth is that it does snatching benefits from young people health care bill we’re filling in the indicate what they would do if they who are post high school and college, doughnut hole, which is something, ap- could. And we are bound and deter- snatching benefits away from our sen- parently, the Republican Caucus mined to stop them, to protect the iors, snatching coverage away from doesn’t like, because they want to dig American people, and to make sure people who can’t afford it, thrusting out the doughnut hole so seniors can that we have those important health people back into the arms of personal fall back into that doughnut hole. And, care reforms in place that are going to debt, and throwing our whole economy of course, we already talked about ex- make sure that Americans continue to back into the throes of national debt ploding the deficit and making small go to the doctor, to get preventive and deficits. businesses pay higher taxes. care, to fill in the doughnut hole, to This is what the Republicans would Why would the Republicans want to offer coverage to people until they are do if they could. Thank goodness they do that? It seems so unfair, but that is age 26. can’t do it because the President and exactly what they did today. As I said before, you know, I was the Senate remain in Democratic Republicans are focused on repealing privileged earlier this week to meet hands. But if they could, Mr. Speaker, health care reform instead of making two little girls. They were suffering it’s very clear what they would do. jobs, and making jobs is what they from leukemia. And these little girls, Now, the Democrats’ top priority is should be putting their time and en- brave as they were, said, you know, not repealing anything. It’s extending ergy into. look, if we didn’t have the Affordable more rights, more protections for the Their agenda for America is not Care Act we would be denied or could American people, and then, of course, health care. It’s no care. It’s status quo well be denied health care coverage. allowing the American people to make care. No care if you lose your job. No These two little girls’ father, who had their own choice so they can be free, so care if you or your child have a pre- to take family medical leave in order you can be free as an American and not existing condition. No care if you’re a to help meet all of the medical needs of have to worry about health care be- senior in the doughnut hole. That’s the family, as well as they had other cause you have health care because the what the Republican Caucus has in children who didn’t have those medical government is protecting you from in- mind for you and your family. No care needs, that family ended up going into surance companies who would throw if you’re under 26 on your parents’ bankruptcy because of the piles of debt you into the street, give you an over- plan. No care if you get sick and your that were thrown on their shoulders. cost product and would rescind you and insurer drops your coverage. No care if And so the Affordable Care Act deny you coverage. your insurer hikes your premiums comes to address these problems; yet The Democrats’ top priority would higher than you can afford. You are the repeal comes to heap those prob- not be to monkey around with under- just out of luck with no care. lems back on those families. And it’s

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00089 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.174 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H346 CONGRESSIONAL RECORD — HOUSE January 19, 2011 too bad that it happened. They’re not the Heart Association says, hey, we than the Democratic Caucus. That’s going to succeed, but it’s very clear didn’t get this Affordable Care Act not true, never been true, and we prove that by their repeal vote today what passed fast enough. That’s their posi- again and again that it’s not true. But they would do if they could. tion. Long overdue, and needs to be they say that stuff and some people be- Now, the AARP, which represents our given an opportunity to work. Abso- lieve it. So let me just share with you American seniors, they weighed in on lutely, they are right. And if necessary, some personal stories about people who this debate. And what AARP has said improved. are looking at this issue from the per- is: ‘‘As the House prepares to vote this And of course nobody on the Demo- spective of small business. week on repeal of the Affordable Care cratic Caucus side says this bill was Because despite the Republicans’ Act, I am writing to make clear perfect. There has never been a perfect rhetoric about the Affordable Care Act, AARP’s position. While we respect bill. Never been a perfect bill. But the business and business groups across the there are those who do not support the Republicans don’t want to say, look, country are speaking out against the Affordable Care Act, AARP opposes re- let’s get our heads together and make Republican efforts to repeal health peal because the new law includes the bill stronger. They say repeal. And care reform. many vital provisions important to I voted ‘‘no’’ and was very proud to do b 2130 older Americans and their children.’’ so. So there again, not only did the organi- Back to the Heart Association: ‘‘Re- Mr. Speaker, I don’t want to be the zation that represents America’s doc- peal of the Affordable Care Act will one that goes—not to the U.S. Chamber tors say no to repeal, the American have devastating consequences for pa- of Commerce, because they are a little Medical Association; but AARP, which tients and their families.’’ That’s ac- different—but to those local chambers represents America’s seniors, says no. cording to the Heart Association, an of commerce, Rotaries, all across this And of course they should, because association dedicated to the wellness of country. I wouldn’t want to be the one America’s seniors need health care re- people’s hearts. People who focus their to go to them and say, you know those form, the reforms that are in the Af- time, attention, and resources on good tax credits the Democrats got for you fordable Care Act. For example, seniors heart health are opposed to repeal, as for health care? We are taking them under the Affordable Care Act, we are they should, because they have good away from you. I wouldn’t want to be filling in the doughnut hole, making intentions and are operating in good that Representative on that day, Mr. prescription drugs affordable for our faith. Speaker. seniors. We have a wellness visit for Of course, only 18 percent of Ameri- Anyway, Helen Darling, who is the every senior in America once a year to cans support full repeal, according to president of the National Business make sure our seniors are healthy. the latest Washington-ABC news poll. Group on Health and a former Repub- Wellness visits, dealing with prescrip- Only 18 percent. These are probably the lican Senate staffer, said about busi- tion drugs, free preventive care means folks who still believe the bill has ness executives who called for repeal, we have healthier seniors. Healthier death panels in it, which it never did. she said, If they really understood it, seniors are happier seniors because That was not true. Massive misin- they wouldn’t. I don’t think we will get they got enough money and they got formation and disinformation around a better solution in the U.S. in our life- more money than they would if we the Affordable Care Act. But only 18 time. If it gets repealed or gutted, we were under the reign of the insurance percent support full repeal. will have to start over, and we will be companies, as we were before. And so And the fact is that I would imagine worse off. AARP is doing what they are supposed that if you were able to sit those 18 This is what Helen Darling, president to do, representing the best interests of percent of Americans in a room and of the National Business Group on America’s seniors. really tell them what the bill did, they Health says about the bill. She says The Heart Association: this is an as- probably would be significantly lower that small business people will suffer sociation that deals with the func- than that. Of course, there was another because of it. tioning of the human heart, a vital AP poll that said 26 percent support Now, if you are a small business per- organ in the human body. And this full repeal. Still a significantly small son and you can get a tax credit to help Heart Association comes to make sure number. you with 30 to 50 percent of the cost of that our hearts are protected. The So the bottom line is that whether health care, you go get that, that Heart Association has this to say about you talk about your average family, means that you may save the money this repeal debate: ‘‘Patients have al- the Heart Association, AARP, Amer- that you need to invest in your small ready benefited from the reforms that ican Medical Association and many business, maybe hire some more peo- have been implemented in the last 10 others, this repeal bill that passed ple. That’s why when the Republicans months.’’ And by the way, the Repub- through today, but doesn’t repeal the were calling the health care bill a job- lican Caucus didn’t even give the Af- law—make sure, Mr. Speaker, every- killing bill, all of us looked at each fordable Care Act a chance. Ten body knows that—was a low point in other and said, what bill are they talk- months after we passed it, they’re try- this Congress. ing about? ing to get rid of it. They’re not even I look forward to a day when we can The fact is that the Affordable waiting to see where it could be fine- return to a Congress that says we be- Health Care Act is a bill that is a job- tuned here and there. They just want lieve that the American people have a enhancing bill. This is a pro-job bill. to get rid of it all. right to be healthy, a right to be This is a bill that trains people to go to Now, that’s not a good-faith ap- strong, a right to go to the doctor, a their health care professions that helps proach to this debate. Some of them right to seek out preventive care, a small business so they can hire more even came to the floor and said there right to have insurance companies be people. Helen Darling knows that, and are certain things about the bill they accountable, a right to make sure in- she ought to know because she is the like. But they don’t want to tweak the surance companies don’t just throw president of the National Business bill. They don’t want to fine tune the people off coverage when they need it Group on Health. bill. They just want to repeal it. So most. Small Business Majority, which is an that indicates to me another key indi- And I look forward to a day when organization dedicated to supporting cator of where the Republican Caucus’s that happens, Mr. Speaker, because on small business, their letter to law- mind is with regard to Americans and that day Americans will be in a much, makers characterizes the repeal bill as health care. much better place than we are today ‘‘an affront to our Nation’s small busi- But as I was saying about the Heart with the majority in the House that ness community.’’ Well, of course it is. Association: ‘‘Patients have already doesn’t feel that the insurance compa- If you are a small business person, try- benefited from the reforms that have nies need reform or accountability. ing to add another employee, trying to been implemented in the last 10 Now, I just want to talk a little bit, buy some new equipment, and do it all months. We believe these reforms, and because some people mistakenly be- while offering health care to your em- additional forthcoming patient protec- lieve that somehow members of the Re- ployees in your business, maybe you tion provisions, were long overdue.’’ So publican Caucus are more pro-business have got three, four, maybe you have

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00090 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.176 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H347 got 25, 30 employees? Of course it’s an a year ago, that should this bill, this pages of other problems and tens of affront to you if the House Majority comprehensive health care reform bill thousands of pages, perhaps hundreds Caucus, the Republicans, want to take sometimes referred to as ObamaCare of thousands of pages yet to be written away your tax credit. but more formally known as Patient by boards, panels and commissions yet Absolutely, that’s an affront. If you Protection and Affordable Care Act of to be appointed on issues we have yet are trying to make it, imagine yourself 2010, should this legislation pass, that to know what is going to be included in working for some company for years. if we had the opportunity to take con- this. And that is part of the reason why You say, you know what, I don’t want trol of this House of Representatives to employers are frightened about what a boss, I want to be my own boss. I am get that gavel away from former may be in this bill. starting my own company and you Speaker NANCY PELOSI and the prior Members of Congress shake their know what, I am only going to have to Democratic majority, that our first heads and say how could something so have one or two, maybe three, four peo- and number one priority on behalf of massive—and it’s going to cost over a ple with me when I get started, but we the American people would be to repeal trillion dollars a year to administer are going to make a go of it. And you this mistaken bill. this plan—how could this happen with- know what, you guys? Human beings Today, Mr. Speaker, is the day that out Congress really having oversight? get sick sometimes so we have got to that happened and certainly I am ex- Let me mention two areas of this have health care. tremely grateful, as cochairman along which I am deeply concerned about. And then the Democrats come and with my colleague, TIM MURPHY from We know that one of the ways we can say, we are going to help you pay for the great State of Pennsylvania, Dr. provide better care and ultimately save that health care. And then the Repub- MURPHY and I cochair the House GOP a lot of money has to do with disease licans say, no, we are not and they Doctors Caucus. Mr. Speaker, we grew management, or care management. snatch it away. Of course that’s an af- our strength in this election, November This is when perhaps nurses or other front to our Nation’s small business 2. We had about 11 Members in their specialists within the doctor’s office or community. The Small Business Ma- caucus, 11 very active hard-working working with the hospital, work to jority is absolutely right in their let- Members who practiced medicine in stay in touch with the patient, patients ter. one form or another, one specialty or who have asthma or diabetes or heart The tax credits and health insurance another for many, many years. disease or other chronic illness, be- exchanges in the Affordable Health In fact, I think, Mr. Speaker, one cause they know if they can get that Care Act will help drive down the cost time we calculated the number of years patient to follow up with their medica- and offer small business owners more that we have actually practiced medi- tions, their treatments, their thera- choices, more freedom when pur- cine, and it was something like 350 pies, they can prevent problems from chasing insurance which will, in turn, years of clinical practice. As you no- worsening. They can help make that allow them to ‘‘spend less on insurance tice, Mr. Speaker, there is a little bit patient better. They can keep that pa- premiums and more on growing their of a grayness around the temple of tient out of the hospital. businesses and creating jobs.’’ some of us. In the area of mental health, chronic Now, the caucus that claims to be But we are very thankful for this illness has twice the incidence of de- about jobs and the deficit actually is election and the American people giv- pression when it’s not picked up, and operating directly opposite to both the ing the Republican Party the oppor- when depression is present and not deficit and jobs. That means that we tunity to right this wrong and to bring treated, costs double. have got to read the fine print. We seven additional Members, seven addi- b 2140 can’t just go by what people say be- tional health care practitioners, again, cause people sometimes say anything, some of them have been in practice Now, unfortunately, this bill not Mr. Speaker. many years, dentists, doctors, even only doesn’t pay for this, but if you The Small Business Majority has re- some associate members of our group, want something, the important area cently released results of a November some registered nurses to be part of that did pay for it in Medicare Advan- 2010 survey of 619 small business own- this new majority. tage, this bill in order to try and pay ers. In their survey the key findings As we voted today on H.R. 2, the re- for it cut $500 billion worth of Medi- highlight that one-third of employers peal bill of ObamaCare, I can assure care, and a significant portion of that who don’t offer health insurance said you that 100 percent of us, in fact, 100 was in something called Medicare Ad- they would be more likely to do so be- percent of Republicans, all 242 on our vantage which covers millions of peo- cause of the small business tax credits. side of the aisle, plus, I think, three or ple, 7.4 million seniors around the So, there again, the small business four Democrats in a bipartisan way, country. tax credits in this bill are designed to joined with us in voting to repeal this One of the clear, distinct advantages help small businesses take care of their bill. of Medicare Advantage is it provided employees and meet their bottom line I realized this evening, Mr. Speaker, this disease management. Here are a and, will hopefully, turn a profit, so that our time is limited. I am very couple of examples: University of that they can help grow our commu- pleased that some members of the Pittsburgh Medical Center found they nity. House GOP Doctors Caucus are with us. could reduce rehospitalization rates for It’s been a pleasure, Mr. Speaker, I would first like to take the oppor- diabetics by 75 percent. Another hos- talking about the danger of repeal and tunity to yield to my cochairman, Dr. pital in my district, Washington Hos- the importance of the Affordable TIM MURPHY of Pennsylvania. Dr. MUR- pital, reduced readmission rates for Health Care Act. PHY. heart disease by 50 percent. Another f Mr. MURPHY of Pennsylvania. plan reduced asthma rate readmissions Thank you, Dr. GINGREY. I appreciate by 28 percent, all by doing this impor- HEALTH CARE that. tant care management. The SPEAKER pro tempore. Under Let me talk about a couple of impor- Well, unfortunately, if you like the the Speaker’s announced policy of Jan- tant aspects of this bill and understand plan you have, you can’t keep it be- uary 5, 2011, the gentleman from Geor- that if you have a car and it has a flat cause this bill guts that and eliminates gia (Mr. GINGREY) is recognized for ap- tire, you don’t get rid of the car; you that portion of it. proximately 26 minutes. change the tire. But if you have a car Now out of this 2,900-roughly-page Mr. GINGREY of Georgia. Mr. Speak- with a great tire and the car is not run- bill, to have a couple sections that peo- er, thank you for giving us the time ning and it’s broken down, you get a ple are talking about, the benefits of and, in fact, we are very appreciative new car. why we should keep this bill, these are on our side of the aisle of having this What we have here is a health care areas we agree on: maintain pre- opportunity this evening, Mr. Speaker, bill that indeed does have a few pages existing coverage, don’t cut people be- on, really, a historic day in which we and some parts that we all agree on cause they’re sick, let kids stay on finally delivered to the American peo- and we want to work on those together. their parents’ policy for a little bit ple a promise that has been made over However, there are also thousands of longer, all important parts and things

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00091 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.178 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H348 CONGRESSIONAL RECORD — HOUSE January 19, 2011 we will continue to work on as a con- Act, it was H.R. 3889 in the last Con- Caucus that are on the floor this ference because we understand health gress, we will be reintroducing that. evening, understand that nothing is care. But our colleague from Georgia, Dr. perfect. And as Dr. BROUN and others And in particular this caucus made TOM PRICE, who at the time was the have said, we tried to bring forth legis- up of health care providers, we work RSC chairman, introduced the RSC lation during the 111th Congress. We with patients for many, many decades bill, H.R. 3400 in the last Congress, gave a copy of ‘‘Better Solutions’’ to all together, hundreds of years, and we which was the RSC’s bill to reform the President, Mr. Speaker. Pages 8 understand the bottom line is we must health care financing. We’ve had mul- and 9 were all about our plans and work on health care reform, and this tiple bills introduced. Why has nobody other options other than a government bill just doesn’t quite reform that. heard about these things? Well, be- takeover, lock, stock and barrel, of the Mr. GINGREY of Georgia. Mr. Speak- cause NANCY PELOSI has operated in a health care system. The President said, er, I thank Dr. MURPHY for his re- very dictatorial manner. She didn’t well, I got it, I read it, and then went marks. And now I would like to yield want our bills to ever see the light of on to say, they have no ideas, they time to my colleague from the great day and neither did the mainstream won’t bring me any ideas, if they only State of Georgia. I represent the 11th media. But I think you’re going to see would. District; he represents the 10th District these bills come forward. So priority number two, of course, in the Athens area. He is a great friend We need to repeal and replace replace ObamaCare with reforms that of mine, a family practitioner, Dr. ObamaCare. ObamaCare itself is going empower patients and protect our PAUL BROUN. to destroy jobs. It’s going to destroy economy. And then, of course, as I say, Mr. BROUN of Georgia. Thank you, budgets. It’s going to destroy the qual- Republican priority number three in Dr. GINGREY. I really appreciate your ity of health care. It’s going to destroy this poster, repeal and defund provi- doing this Special Order tonight, and I jobs. We just had our friend, our Demo- sions of ObamaCare until full repeal is look forward to this opportunity. We cratic colleague KEITH ELLISON from successful if we’re not able to get the had great fun in the last Congress talk- Minnesota, just here talking about how Senate and the President to go along ing about how bad ObamaCare is, and repealing it would hurt small busi- with us in regard to this full repeal. If I’m excited that today the Congress, nesses. Well, the simple truth is that they don’t do it, quite honestly, they the U.S. House of Representatives, keeping ObamaCare is going to hurt are not listening, Mr. Speaker, to the voted to repeal it. small businesses. I have talked to a American people. They do that at their I was on Neil Cavuto this evening, lady, a small employer, she has right own peril. and Neil Cavuto played some tapes or now, today, eight employees. She des- I would yield back to the gentleman speeches of our Democratic colleagues perately needs to hire some more, but from Georgia for 5 seconds. and said we’ve heard over and over she’s not going to until we repeal Mr. BROUN of Georgia. The Presi- again that the Republicans don’t have ObamaCare because of the financial dent told us and the American people if anything to offer. We heard last Con- strain it will put on her business. It’s anybody has any other idea besides gress that the Republicans are the going to break the budgets of every ObamaCare, his door is always open. I Party of No. Well we are the Party of State in this country with the in- know I knocked on his door and nobody K-n-o-w because we know how to lower creased Medicaid. was home. They didn’t answer the door the cost of health care. We know how We’ve got to repeal ObamaCare. as they have for other members of our to provide good quality health care at We’ve got to replace it with something caucus. the lowest price. And we know how to else that reduces the cost, not just Mr. GINGREY of Georgia. At this create jobs and create a stronger econ- slows the cost, but reduces the cost of time, Mr. Speaker, I would like to omy. And those are the things that every health care service and product yield to one of our freshman members, we’re going to be doing in this Con- in this country. And we can do that. the gentleman from Arizona, Dr. PAUL gress with the Republican majority. So My bill would do that. Other bills will GOSAR. Dr. GOSAR is a dentist and has I’m excited. do that. been very, very active not only in his But where do we go from here? Well, And, Dr. GINGREY, we’re going to re- own practice in Arizona but in the yesterday I introduced my bill, one of peal and replace ObamaCare. We’re American Dental Association. At this two that I had in the last Congress. I going to put it out for the American time I am proud to yield to a freshman reintroduced one yesterday. The new people to see so that they know that member, our colleague, Dr. PAUL number is H.R. 299. And what it would the Republican Party is the party of K- GOSAR. do is do five things. Number one is it n-o-w. We know how to solve these Mr. GOSAR. Thanks to my colleague, would repeal ObamaCare if it is passed problems. Dr. GINGREY, to acknowledge me for into law; number two, it would allow Mr. GINGREY of Georgia. Reclaim- some time. people to buy health insurance across ing my time, and I thank the gen- As a practicing dentist for 25 years, I State lines, which is a constitutional tleman from Georgia from the 10th have seen how government-run health thing. Actually, we should under the Congressional District. The gentleman care actually works. It doesn’t. I have commerce clause expand commerce. makes some great points. And col- actually seen where what we’ve done That’s what the original intent of the leagues on both sides of the aisle, I has spilled over into the private sector commerce clause is. So that’s what my would ask you to look at the posters trying to laden the private sector with bill would do. that we have here because what Dr. the liabilities from the public sector. Thirdly, it will allow anybody in this MURPHY, Mr. Speaker, and Dr. BROUN What we have got to do is we’ve used country, businesses, individuals to join are talking about is really the plan. creative accounting, taking 10 years of associations so that they could join a And the plan is not a plan, but it is a revenue to pay for 6 years of actual huge pool, and this would mean that series of plans, if you will. It’s a plan treatment. I don’t know as a practicing they would have multiple insurance A, it’s a plan B, and it’s a plan C. And dentist and as a businessman how that products that they could buy at a much of course today, the repeal as depicted actually works in anybody else’s lower cost than they’re paying today. on this very first and second poster was terms. The fourth thing it would do is it at least a House completion of plan A, We also have to look back at our past would stimulate States to set up high- and that is repeal of ObamaCare as this to go forward. And there’s three things risk pools. Many States have already poster depicts. Priority number one, we I was always taught: look at your mis- done that very successfully. And the feel very strongly that that’s what we takes, where you’re failing; look at fifth thing is it would allow everybody need to do, and that’s what we did in your accounts and your liabilities; and to deduct 100 percent of their health this House today. then make sure that you make an care costs off their income taxes, which As Dr. BROUN was talking about, Re- equal playing field. That’s what we would markedly change the dynamics publican priority number two is not haven’t done here. Where is the tort re- of health care financing. I introduced only to repeal it, but to replace it, be- form? Where is the liabilities and as- that last time. I introduced it yester- cause every one of us, particularly the sets that we’ve had? And make sure day. My other bill, the Patient Option members of the House GOP Doctors that we’re using those properly. And

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00092 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.180 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H349 last but not least is increase the com- make that worse. How can we convince is trying to fund the expanded govern- petition in the marketplace, true in- young people, like my son who is a sen- ment-run health care that actually in- surance reform where we have insur- ior in high school, to go into medicine creases cost. ance companies competing for us on when they are looking at no significant One is that the very thing that we the private sector as the individual on financial way to become a primary should be working on to reduce costs a patient-based center. care doctor in this country going for- such as medical supplies and other I thank the gentleman from Georgia. ward with this ObamaCare in place? practices will be taxed. Pacemakers will be taxed. Heart monitors will be b 2150 I want young people to love medi- cine, to go into medicine, to keep us in taxed. Artificial joints will be taxed. Mr. GINGREY of Georgia. Mr. Speak- strong supply of physicians. But, Mr. The knees and hips that people will er, I thank the gentleman from Arizona Speaker, unless we do repeal this bill have replaced will be taxed. Stents, di- and welcome him, of course, to the and replace it with things that we abetes supplies, and prescription drugs House GOP Doctors Caucus. know that work as a private sector so- are going to be taxed. That tax is an Our final speaker, and I want to yield lution, that is not going to happen. increase in the cost of health care and time to a cardiothoracic surgeon, Mr. Mr. GINGREY of Georgia. Mr. Speak- something that has to be paid for, Speaker, from Indiana, a new member, er, I thank the gentleman for his com- which gets paid for by increasing the Dr. LARRY BUCSHON, and I think Dr. ments. cost of insurance. BUCSHON was here on the floor a little Before I yield again to my cochair, Employers also have to pay increas- earlier when the Democratic 30 min- Dr. MURPHY, I want to make a few ing taxes: if they don’t have enough in- utes was controlled by the gentleman comments in regard to some of the surance or if they have no insurance from Minnesota, and he made some re- things that were said on the Demo- for their employees. And if they have marks against the fact that we were cratic side of the aisle just within the too much insurance for their employ- successful in repealing ObamaCare. last 30 minutes. The gentleman that ees, instead of rewarding them and say- And I think Dr. BUCSHON would like to spoke is a fine, fine Member, has a ing this is good that you are providing comment on some of those points that great heart and a lot of compassion and comprehensive insurance for employ- were made. is a friend of mine and I don’t refute ees, that gets taxed as well. And em- At this time, I proudly yield to our him in any way of being strident or ployees themselves, if they are not cov- new member, Dr. LARRY BUCSHON. any animosity toward him, but the ered, they have to pay taxes or, be- Mr. BUCSHON. Thank you, Dr. gentleman made a comment about why cause the way this bill works because GINGREY, for allowing me this time. not give the law a chance, I think is there is no time frame, they can get it Mr. Speaker, I was proud to vote for sort of the way it was put, Mr. Speak- when they are in the ambulance on the the repeal bill of health care today be- er. The Republican majority, the new way to the hospital. cause, as a practicing physician for 15 Republican majority wanted to come Another point. Part of the funding years, I know that the government ap- along with H.R. 2 and repeal the bill, for this is to take $70 billion from a long-term health insurance plan called proach to health care reform is the didn’t even want to give it a chance to the Community Living Assistance wrong approach. It was said earlier to- see how well it might work. night: Why aren’t Republicans focusing Mr. Speaker, I would just say on a Services, which is the CLASS Act. Be- on jobs? I would hold, Mr. Speaker, point like that, we on this floor right fore it even starts, they will take $70 that this is a jobs bill today. The now on the Republican side of the aisle, billion out of this over 10 years; but what happens is the premiums will health care bill, the ObamaCare bill, is we doctors know that when you dis- need to be paid in actual claims. Actu- a job destroyer. I held roundtables for cover a cancer, you don’t give it a ally, it is far less than will be needed. large and small businesses throughout chance to grow. You don’t give it a my district, and I never heard any of Now, if any of us tried to start an in- chance to metastasize. You cut that surance plan and took all of the money the things I heard earlier tonight in sucker out and you get rid of it lock, this Chamber. What I heard is it is pre- out before it even got started, well, you stock and barrel. As our colleague from wouldn’t be able to get a license to pro- venting them from expanding business; Iowa, STEVE KING, said the other day, it is preventing them from starting vide that insurance. It is one of the you pull it out by the roots. I think, many flaws in this program that does new businesses, and some businesses Mr. Speaker, the Speaker, JOHN are very worried that they may no not have the money to pay for it. It is BOEHNER, said the same thing. We feel another reason why the bill had to be longer be in business. So this is a jobs very strongly that today we did the bill. repealed before it is replaced. right thing. Mr. GINGREY of Georgia. I realize The other thing I would like to com- I have a number of other charts here our time is running short, and I want ment on is the physicians’ support for that my colleagues might want to ref- to make a couple of points before yield- this bill. It was said earlier tonight in erence in regard to specifics about ing to Dr. BROUN for a final comment. this Chamber that physicians across what we feel about this bill and why we Republican doctors can help the re- the country support this bill. Well, the needed to repeal it and basically start peal-replace effort, and I have four bul- organizations that have been discussed, over. let points that I want to point out to the last time I looked, represent less I will finally quickly say that I heard my colleagues. than 20 percent of the physicians in the the other side talk about statistics, Number one, health insurance re- United States. In actual fact, most na- saying that only 18 percent of people forms: Yes, but without government tional special medical societies were wanted the bill completely repealed. health plans. against the bill. So this is a gross over- That is not an accurate statistic. Number two, guaranteed access to in- representation of national physicians’ Eighteen percent wanted to leave it surance: Yes, but without an individual support for the ObamaCare bill. like it is. Fully 75 percent in the latest unconstitutional mandate. The President had a group of physi- Rasmussen poll either wanted it to be Number three, reduce the cost of cians at the White House in white repealed or repealed and replaced. Or if health care: Yes, but without gutting coats saying that physicians are behind not repealed, significantly altered. Medicare, especially the Medicare Ad- this bill, but he brought in a group of And, of course, that is what we are vantage program and taking something physicians who are known people who about as we go forward. like $130 billion out of that program. are proponents of single payer health I yield to the gentleman from Penn- And I think it was pointed out earlier care. sylvania (Dr. MURPHY). that 20 percent of Medicare recipients So, Mr. Speaker, I would like to say Mr. MURPHY of Pennsylvania. An- are on Medicare Advantage, or at least again that this is a jobs bill. This will other couple of brief points I would like they were. hurt jobs in America. to bring up, because out of a sense of And number four, medical liability The last thing I would like to say re- compassion, we want to continue to reform, and I will have a bill address- lated to being a physician: What are we practice health care and we want pa- ing that issue. going to do about physician shortages tients to be able to afford it. But let Let me turn to my colleague from in this country? This bill is going to me point out a couple of ways this bill Georgia for a final comment.

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00093 Fmt 0636 Sfmt 0634 E:\CR\FM\K19JA7.181 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H350 CONGRESSIONAL RECORD — HOUSE January 19, 2011 Mr. BROUN of Georgia. We hear from You know, we didn’t have time to go Mr. MCDERMOTT, for 5 minutes, our Democratic colleagues that the into all of the details that we would today. budget deficit is going to be increased like to have gone into, but one thing Mr. AL GREEN of Texas, for 5 min- by repealing ObamaCare, but that is that is absolutely clear is that Gov- utes, today. just simply not true. The Democrats ernors across this country—and not Mr. FARR, for 5 minutes, today. have used some faulty accounting tech- just Republican Governors but Demo- Mrs. CHRISTENSEN, for 5 minutes, niques, deceptive accounting tech- cratic Governors as well—are very, today. niques, to show that. The actual cost if very concerned with the Medicaid man- Ms. WOOLSEY, for 5 minutes, today. we keep ObamaCare over the next 10 dates and the fact that this mainte- Ms. KAPTUR, for 5 minutes, today. years, it is going to increase the deficit nance of effort requirement that says (The following Members (at the re- by over $700 billion. If we keep it. We that Governors who can’t even be inno- quest of Mr. BUCSHON) to revise and ex- cannot afford it. States cannot afford vative and creative in running their tend their remarks and include extra- it. They are already suffering. My own Medicaid programs is resulting in neous material:) home State of Georgia has a $2 billion budget-busting in all of these States Mr. POE of Texas, for 5 minutes, Jan- deficit, and the increase of Medicaid that have to balance their budgets. Un- uary 26. premiums that will be forced on States fortunately, we don’t do that up here. Mr. JONES, for 5 minutes, January 26. all over this country, they cannot af- They’re having to cut education to the Mr. FORTENBERRY, for 5 minutes, ford to continue to do that. bone, and they’re having to cut public today. We can lower the cost of health care. safety to the bone because of the mas- Mr. PENCE, for 5 minutes, today. We can maintain good quality health sive increasing costs of Medicaid. Mr. GRAVES of Georgia, for 5 minutes, care that is patient centered so pa- Well, we thank the Speaker for the today. tients can make their own decisions time, and we appreciate the oppor- Mr. MCCLINTOCK, for 5 minutes, with their doctor. That is exactly the tunity to speak to the American peo- today. kind of health care system that we are ple. We will be back here tomorrow to (The following Member (at his own going to bring forth to this House. We pass House Resolution Number 9 so request) to revise and extend his re- are going to repeal ObamaCare and we that we can get busy on replacing marks and include extraneous mate- are going to continue to fight if it ObamaCare. rial:) With that, I yield back the balance of takes all of the way through the 2012 Mr. GARAMENDI, for 5 minutes, today. my time. elections so that we get, hopefully, a President who will sign a repeal and re- f f place bill. And then we will get SPECIAL ORDERS GRANTED ADJOURNMENT through the Senate. So we will con- By unanimous consent, permission to tinue to fight for that. address the House, following the legis- Mr. BROUN of Georgia. Mr. Speaker, I yield back to Dr. GINGREY. lative program and any special orders I move that the House do now adjourn. Mr. GINGREY of Georgia. Just a few heretofore entered, was granted to: The motion was agreed to; accord- closing remarks. (The following Members (at the re- ingly (at 10 o’clock p.m.), under its pre- Mr. Speaker, I want to thank Dr. quest of Ms. WOOLSEY) to revise and ex- vious order, the House adjourned until GOSAR and Dr. BUCSHON for being with tend their remarks and include extra- tomorrow, Thursday, January 20, 2011, us tonight. hneous material:) at 9 a.m. EXPENDITURE REPORTS CONCERNING OFFICIAL FOREIGN TRAVEL Reports concerning the foreign currencies and U.S. dollars utilized for Speaker-Authorized Official Travel during the second, third, and fourth quarters of 2010 pursuant to Public Law 95–384 are as follows: REPORT OF EXPENDITURES FOR OFFICIAL FOREIGN TRAVEL, DELEGATION TO HAITI, HOUSE OF REPRESENTATIVES, EXPENDED ON NOV. 28, 2010

Date Per diem 1 Transportation Other purposes Total U.S. dollar U.S. dollar U.S. dollar U.S. dollar Name of Member or employee Country Foreign equivalent Foreign equivalent Foreign equivalent Foreign equivalent Arrival Departure currency or U.S. currency or U.S. currency or U.S. currency or U.S. currency 2 currency 2 currency 2 currency 2

Hon. James E. Clyburn ...... 11 /28 11 /28 Haiti ...... (3) ...... Hon. John Conyers ...... 11 /28 11/28 Haiti ...... (3) ...... Hon. Barbara Lee ...... 11/28 11 /28 Haiti ...... (3) ...... Hon. Donna Christensen ...... 11 /28 11/28 Haiti ...... (3) ...... Hon. Jeff Fortenberry ...... 11/28 11/28 Haiti ...... (3) ...... Hon. Emanuel Cleaver ...... 11/28 11/28 Haiti ...... (3) ...... Hon. Sheila Jackson Lee ...... 11/28 11 /28 Haiti ...... (3) ...... Hon. Marcia Fudge ...... 11/28 11/28 Haiti ...... (3) ...... Hon. Laura Richardson ...... 11/28 11/28 Haiti ...... (3) ...... Hon. Hank Johnson ...... 11 /28 11/28 Haiti ...... (3) ...... John Lis ...... 11/28 11/28 Haiti ...... (3) ...... Robert Fuentes ...... 11 /28 11 /28 Haiti ...... (3) ...... Yelberton Watkins ...... 11 /28 11/28 Haiti ...... (3) ...... Dan Harsha ...... 11 /28 11 /28 Haiti ...... (3) ...... Lars Hydle ...... 11/28 11/28 Haiti ...... (3) ...... Committee total ...... 1 Per diem constitutes lodging and meals. 2 If foreign currency is used, enter U.S. dollar equivalent; if U.S. currency is used, enter amount expended. 3 Military air transportation. HON. JAMES E. CLYBURN, Dec. 17, 2010.

REPORT OF EXPENDITURES FOR OFFICIAL FOREIGN TRAVEL, DELEGATION TO NORWAY, HOUSE OF REPRESENTATIVES, EXPENDED BETWEEN DEC. 9 AND DEC. 12, 2010

Date Per diem 1 Transportation Other purposes Total U.S. dollar U.S. dollar U.S. dollar U.S. dollar Name of Member or employee Country Foreign equivalent Foreign equivalent Foreign equivalent Foreign equivalent Arrival Departure currency or U.S. currency or U.S. currency or U.S. currency or U.S. currency 2 currency 2 currency 2 currency 2

Hon. Nancy Pelosi ...... 12/10 12/12 Norway ...... 1,453.00 ...... (3) ...... 1,453.00 Hon. Wilson Livingood ...... 12/10 12 /12 Norway ...... 1,282.00 ...... (3) ...... 1,282.00 Hon. Brian Monahan ...... 12/10 12/12 Norway ...... 1,318.00 ...... (3) ...... 1,318.00 Stacee Bako ...... 12/09 12/12 Norway ...... 1,999.00 ...... 4,896.00 ...... 6,895.00 Bridget Fallon ...... 12/09 12/12 Norway ...... 1,999.00 ...... 4,896.00 ...... 6,895.00

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00094 Fmt 0636 Sfmt 8634 E:\CR\FM\K19JA7.183 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H351 REPORT OF EXPENDITURES FOR OFFICIAL FOREIGN TRAVEL, DELEGATION TO NORWAY, HOUSE OF REPRESENTATIVES, EXPENDED BETWEEN DEC. 9 AND DEC. 12, 2010—Continued

Date Per diem 1 Transportation Other purposes Total U.S. dollar U.S. dollar U.S. dollar U.S. dollar Name of Member or employee Country Foreign equivalent Foreign equivalent Foreign equivalent Foreign equivalent Arrival Departure currency or U.S. currency or U.S. currency or U.S. currency or U.S. currency 2 currency 2 currency 2 currency 2

Kate Knudson ...... 12/10 12 /12 Norway ...... 1,453.00 ...... (3) ...... 1,453.00 Jonathan Stivers ...... 12 /10 12/12 Norway ...... 1,453.00 ...... (3) ...... 1,453.00 Andrew Hammill ...... 12/10 12/12 Norway ...... 1,453.00 ...... (3) ...... 1,453.00 Committee total ...... 12,410.00 ...... 9,792.00 ...... 22,202.00 1 Per diem constitutes lodging and meals. 2 If foreign currency is used, enter U.S. dollar equivalent; if U.S. currency is used, enter amount expended. 3 Military air transportation. HON. NANCY PELOSI, Speaker of the House.

REPORT OF EXPENDITURES FOR OFFICIAL FOREIGN TRAVEL, COMMITTEE ON FINANCIAL SERVICES, HOUSE OF REPRESENTATIVES, EXPENDED BETWEEN OCT. 1 AND DEC. 31, 2010

Date Per diem 1 Transportation Other purposes Total U.S. dollar U.S. dollar U.S. dollar U.S. dollar Name of Member or employee Country Foreign equivalent Foreign equivalent Foreign equivalent Foreign equivalent Arrival Departure currency or U.S. currency or U.S. currency or U.S. currency or U.S. currency 2 currency 2 currency 2 currency 2

HOUSE COMMITTEES Please Note: If there were no expenditures during the calendar quarter noted above, please check the box at right to so indicate and return.◊ 1 Per diem constitutes lodging and meals. 2 If foreign currency is used, enter U.S. dollar equivalent; if U.S. currency is used, enter amount expended. HON. BARNEY FRANK, Chairman, Jan. 3, 2010.

REPORT OF EXPENDITURES FOR OFFICIAL FOREIGN TRAVEL, COMMITTEE ON HOMELAND SECURITY, HOUSE OF REPRESENTATIVES, EXPENDED BETWEEN APR. 1 AND JUNE 30, 2010

Date Per diem 1 Transportation Other purposes Total U.S. dollar U.S. dollar U.S. dollar U.S. dollar Name of Member or employee Country Foreign equivalent Foreign equivalent Foreign equivalent Foreign equivalent Arrival Departure currency or U.S. currency or U.S. currency or U.S. currency or U.S. currency 2 currency 2 currency 2 currency 2

Brian Turbyfill ...... 6/2 6/4 Singapore ...... 412.37 ...... 11,052.60 ...... 11,464.97 6 /4 6 /6 Malaysia ...... 254.00 ...... 6 /6 6 /8 Hong Kong ...... 388.00 ...... Thomas McDaniels ...... 6/2 6/4 Singapore ...... 412.37 ...... 10,635.60 ...... 11,047.97 6 /4 6 /6 Malaysia ...... 254.00 ...... 6 /6 6 /8 Hong Kong ...... 388.00 ...... Mandy Bowers ...... 6/2 6/4 Singapore ...... 412.37 ...... 10,635.60 ...... 11,047.97 6 /4 6 /6 Malaysia ...... 254.00 ...... 6 /6 6 /8 Hong Kong ...... 388.00 ...... Luke Burke ...... 6 /2 6/4 Singapore ...... 412.37 ...... 11,236.60 ...... 11,648.97 6 /4 6 /6 Malaysia ...... 254.00 ...... 6 /6 6 /8 Hong Kong ...... 388.00 ...... Patricia Zavala ...... 6/2 6 /4 Singapore ...... 412.37 ...... 11,052.60 ...... 11,464.97 6 /4 6 /6 Malaysia ...... 254.00 ...... 6 /6 6 /8 Hong Kong ...... 388.00 ...... I. Lanier Avant ...... 6 /2 6/4 Singapore ...... 412.37 ...... 10,635.60 ...... 11,047.97 6 /4 6 /6 Malaysia ...... 254.00 ...... 6 /6 6 /8 Hong Kong ...... 388.00 ...... Galen Bean ...... 6/2 6/4 Singapore ...... 412.37 ...... 11,361.60 ...... 11,773.97 6 /4 6 /6 Malaysia ...... 254.00 ...... 6 /6 6 /8 Hong Kong ...... 388.00 ...... Cory Horton ...... 6/2 6 /4 Singapore ...... 412.37 ...... 12,011.60 ...... 12,423.97 6 /4 6 /6 Malaysia ...... 254.00 ...... 6 /6 6 /8 Hong Kong ...... 388.00 ...... Nicole Tisdale ...... 6/2 6/4 Singapore ...... 412.37 ...... 10,635.60 ...... 11,047.97 6 /4 6 /6 Malaysia ...... 254.00 ...... 6 /6 6 /8 Hong Kong ...... 388.00 ...... 388.00 Stephen Vina ...... 6/2 6/4 Singapore ...... 412.37 ...... 16,481.60 ...... 16,893.97 6 /4 6 /6 Malaysia ...... 254.00 ...... 6 /6 6 /8 Hong Kong ...... 388.00 ...... 388.00 Pizza Ashby ...... 6/2 6/4 Singapore ...... 412.37 ...... 10,635.60 ...... 11,047.97 6 /4 6 /6 Malaysia ...... 254.00 ...... 6 /6 6 /8 Hong Kong ...... 388.00 ...... 388.00 Chris Beck ...... 6/2 6/4 Singapore ...... 412.37 ...... 11,758.80 ...... 12,171.17 6 /4 6 /6 Malaysia ...... 254.00 ...... 6 /6 6 /8 Hong Kong ...... 388.00 ...... Kim Alton ...... 6/2 6/4 Singapore ...... 412.37 ...... 10,635.60 ...... 11,047.97 6 /4 6 /6 Malaysia ...... 254.00 ...... 6 /6 6 /8 Hong Kong ...... 388.00 ...... Carla Zamudio-Dolan ...... 6 /2 6/4 Singapore ...... 412.37 ...... 13,812.30 ...... 6 /4 6 /6 Malaysia ...... 254.00 ...... 6 /6 6 /8 Hong Kong ...... 388.00 ...... 388.00 Total ...... 155,681.81 Committee total ...... 14,761.18 ...... 85,971.10 ...... 100,732.28 1 Per diem constitutes lodging and meals. 2 If foreign currency is used, enter U.S. dollar equivalent; if U.S. currency is used, enter amount expended. HON. BENNIE G. THOMPSON, Chairman, July 2, 2010.

REPORT OF EXPENDITURES FOR OFFICIAL FOREIGN TRAVEL, COMMITTEE ON HOMELAND SECURITY, HOUSE OF REPRESENTATIVES, EXPENDED BETWEEN JULY 1 AND SEPT. 30, 2010

Date Per diem 1 Transportation Other purposes Total U.S. dollar U.S. dollar U.S. dollar U.S. dollar Name of Member or employee Country Foreign equivalent Foreign equivalent Foreign equivalent Foreign equivalent Arrival Departure currency or U.S. currency or U.S. currency or U.S. currency or U.S. currency 2 currency 2 currency 2 currency 2

Hon. Yvette Clarke ...... 9/20 9/21 United Kingdom ...... 140.00 ...... 816.50 ...... 956.50 Cory Horton ...... 9/20 9/21 United Kingdom ...... 140.00 ...... 816.50 ...... 956.50 Christopher Beck ...... 9/20 9/21 United Kingdom ...... 140.00 ...... 816.50 ...... 956.50 Committee totals ...... 420.00 ...... 2,449.50 ...... 2,869.50 1 Per diem constitutes lodging and meals. 2 If foreign currency is used, enter U.S. dollar equivalent; if U.S. currency is used, enter amount expended. HON. BENNIE G. THOMPSON, Chairman, Oct. 1, 2010.

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00095 Fmt 0636 Sfmt 8634 E:\CR\FM\A19JA7.001 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H352 CONGRESSIONAL RECORD — HOUSE January 19, 2011 BUDGETARY EFFECTS OF PAYGO 123. A letter from the General Counsel, Na- fice’s final rule — Federal Employees Health LEGISLATION tional Credit Union Administration, trans- Benefits Program Miscellaneous Changes mitting the Administration’s final rule — (RIN: 3206-AL95) received January 6, 2011, Pursuant to Public Law 111–139, Mr. The Low-Income Definition (RIN: 3133-AD75) pursuant to 5 U.S.C. 801(a)(1)(A); to the Com- RYAN hereby submits prior to the vote received January 6, 2011, pursuant to 5 U.S.C. mittee on Oversight and Government Re- on passage, the attached estimate of 801(a)(1)(A); to the Committee on Financial form. Services. the budgetary effects of H.R. 2, ‘‘Re- 135. A letter from the Director of Legisla- 124. A letter from the Secretary, Depart- pealing the Job-Killing Health Care tive Affairs, Office of the Director of Na- ment of Health and Human Services, trans- Law Act,’’ for printing in the CONGRES- tional Intelligance, transmitting a report mitting the Annual Report for Fiscal Year SIONAL RECORD. pursuant to the Federal Vacancies Reform 2008 of the Administration on Aging, pursu- Act of 1998; to the Committee on Oversight ant to 42 U.S.C. 3018; to the Committee on ESTIMATE OF THE STATUTORY PAY-AS-YOU-GO EFFECTS and Government Reform. Education and the Workforce. FOR H.R. 2—REPEALING THE JOB-KILLING HEALTH 125. A letter from the Assistant General 136. A letter from the Director, Peace CARE LAW ACT—AS INTRODUCED IN THE HOUSE ON Counsel for Legislation, Regulation and En- Corps, transmitting the Corps’ Performance JANUARY 5, 2011 ergy Efficiency, Department of Energy, and Accountability report for fiscal year (Billions of dollars, by fiscal year) transmitting the Department’s final rule — 2010; to the Committee on Oversight and Energy Conservation Program for Consumer Government Reform. Statutory Products: Test Procedures for Clothes Dryers Pay-As-You- 2012–2021 137. A letter from the Secretary, Depart- Go-Impact and Room Air Conditioners [Docket No.: ment of the Interior, transmitting the De- EERE-2008-BT-TP-0010] (RIN: 1904-AC02) re- partment’s 2010 Report to Congress for the Net increase or Decrease (¥) in the On- ceived January 7, 2011, pursuant to 5 U.S.C. Budget Deficit a ...... +230 North Slope Science Initiative; to the Com- Less: 801(a)(1)(A); to the Committee on Energy and mittee on Natural Resources. Adjustments Pursuant to Sec. 4(d)(6) of Commerce. P.L. 111–139 b ...... N/A 126. A letter from the Program Manager, 138. A letter from the Secretary, Depart- (Community Living Assistance Services and Supports Act) ...... Department of Health and Human Services, ment of Health and Human Services, trans- Adjustments Pursuant to H. Res. 5, transmitting the Department’s final rule — mitting the Department’s determination on 112th Congress c ...... ¥230 Establishment of the Permanent Certifi- a petition on behalf of workers from Texas Statutory Pay-As-You-Go-Impact ...... 0 cation Program for Health Information Chemicals, Inc., in Texas City, Texas to be Source: House Budget Committee Estimates. Technology (RIN: 0991-AB59) received Janu- added to the Special Exposure Cohort (SEC), Memorandum: ary 7, 2011, pursuant to 5 U.S.C. 801(a)(1)(A); pursuant to the Energy Employees Occupa- a As of January 18, 2011 the Congressional Budget Office could not produce a detailed year-by-year estimate of the statutory paygo effects of to the Committee on Energy and Commerce. tional Illness Compensation Program Act of enacting H.R. 2—Repealing the Job-Killing Healthcare Law Act. The estimate 127. A letter from the Secretary, Depart- 2000 (EEOICPA); to the Committee on the above was provided in a CBO letter dated January 6, 2011 to Speaker of the ment of Health and Human Services, trans- Judiciary. House, John Boehner. b P.L. 111–139 (the Statutory Pay-as-you-go Act of 2010) requires that mitting a report entitled, ‘‘High Risk Pool 139. A letter from the President and CEO, the budgetary effects of enactment of the Community Living Assistance Grant Program for Federal Fiscal Years National Safety Council, transmitting the Services and Supports Act (CLASS) not be counted on OMB’s statutory paygo (FFYs) 2008 and 2009’’; to the Committee on scorecard. CBO initially estimated the CLASS Act would reduce the deficit by Foundation’s Annual Financial and Audit $70 billion; therefore, repeal of the CLASS Act, which would become effective Energy and Commerce. Report for Fiscal Year 2010, pursuant to 36 upon enactment of H.R. 2, would not be counted as increasing the deficit 128. A letter from the Secretary, Depart- U.S.C. 1101(36) and 1103; to the Committee on under statutory paygo. CBO was unable to produce an updated estimate of ment of Health and Human Services, trans- the deficit impact of repealing the CLASS Act as of January 18, 2011. the Judiciary. c Sec. 3(h)(1)(C) of H. Res. 5 provides authority for the Chairman of the mitting a report entitled ‘‘HHS Secretary’s Committee on the Budget to exempt the budgetary effects of any measure Efforts to Improve Children’s Health Care 140. A letter from the Assistant Chief that repeals the Patient Protection & Affordable Care Act and subtitle B of Counsel for Hazardous Materials Safety, De- title II of the Health Care and Education Affordability Reconciliation Act of Quality in Medicaid and CHIP’’; to the Com- 2010. mittee on Energy and Commerce. partment of Transportation, transmitting 129. A letter from the Secretary, Depart- the Department’s final rule — Hazardous Ma- f ment of Health and Human Services, trans- terials Transportation: Revisions of Special EXECUTIVE COMMUNICATIONS, mitting a report entitled ‘‘HHS Secretary’s Permits Procedures [Docket No.: PHMSA- ETC. Efforts to Improve Children’s Health Care 2009-0410 (HM-233B)] (RIN: 2137-AE57) re- Quality in Medicaid and CHIP’’; to the Com- ceived January 13, 2011, pursuant to 5 U.S.C. Under clause 2 of rule XIV, executive mittee on Energy and Commerce. 801(a)(1)(A); to the Committee on Transpor- communications were taken from the 130. A letter from the Secretary, Depart- tation and Infrastructure. Speaker’s table and referred as follows: ment of the Treasury, transmitting as re- 141. A letter from the Assistant Secretary, quired by section 401(c) of the National 119. A letter from the Director, Regulatory Legislative Affairs, Department of State, Emergencies Act, 50 U.S.C. 1641(c), and sec- Review Group, Department of Agriculture, transmitting proposed language to extend tion 204(c) of the International Emergency transmitting the Department’s final rule — and amend the Cultural Property Implemen- Economic Powers Act, 50 U.S.C. 1703(c), a Tobacco Transition Payment Program; To- tation Act; to the Committee on Ways and six-month periodic report on the national bacco Transition Assessments (RIN: 0560- Means. emergency with respect to Cote d’Ivoire that AH30) received January 6, 2011, pursuant to 5 was declared in Executive Order 13396 of Feb- 142. A letter from the Chief, Publications U.S.C. 801(a)(1)(A); to the Committee on Ag- ruary 7, 2006, pursuant to 50 U.S.C. 1641(c); to and Regulations Branch, Internal Revenue riculture. the Committee on Foreign Affairs. Service, transmitting the Service’s final rule 120. A letter from the Regulatory Spe- 131. A letter from the Assistant Legal Ad- — Over the Counter Drugs — Additional cialist, LRAD, Department of the Treasury, visor for Treaty Affairs, Department of Guidance [Notice 2011-5] received January 4, transmitting the Department’s final rule — State, transmitting report prepared by the 2011, pursuant to 5 U.S.C. 801(a)(1)(A); to the Community Reinvestment Act Regulations Department of State concerning inter- Committee on Ways and Means. [Docket ID: OCC-2010-0021] (RIN: 1557-AD34) national agreements other than treaties en- received January 7, 2011, pursuant to 5 U.S.C. 143. A letter from the Chief, Publications tered into by the United States to be trans- 801(a)(1)(A); to the Committee on Financial and Regulations Branch, Internal Revenue mitted to the Congress within the sixty-day Services. Service, transmitting the Service’s final rule period specified in the Case-Zablocki Act; to 121. A letter from the Regulatory Spe- — Certain Changes in Method of Accounting the Committee on Foreign Affairs. cialist, LRAD, Department of the Treasury, for Organizations to which Section 833 Ap- 132. A letter from the Secretary, Depart- transmitting the Department’s final rule — plies [Notice 2011-4] received January 4, 2011, ment of Housing and Urban Development, Community Reinvestment Act Regulations pursuant to 5 U.S.C. 801(a)(1)(A); to the Com- transmitting the Department’s semiannual [Docket ID: OCC-2010-0020] (RIN: 1557-AD32) mittee on Ways and Means. report from the office of the Inspector Gen- received January 7, 2011, pursuant to 5 U.S.C. eral for the period April, 1, 2010 through Sep- 144. A letter from the Chief, Publications 801(a)(1)(A); to the Committee on Financial tember 30, 2010, pursuant to 5 U.S.C. app. and Regulations Branch, Internal Revenue Services. (Insp. Gen. Act) section 5(b); to the Com- Service, transmitting the Service’s final rule 122. A letter from the Legal Information mittee on Oversight and Government Re- — Affordable Care Act Nondiscrimination Assistant, Department of the Treasury, form. Provisions Applicable to Insured Group transmitting the Department’s final rule — 133. A letter from the Director, National Health Plans [Notice 2011-1] received Janu- Community Reinvestment Act Regulations Science Foundation, transmitting the Foun- ary 4, 2011, pursuant to 5 U.S.C. 801(a)(1)(A); [Docket ID: OTS-2010-0031] (RIN: 1550-AC42) dation’s Annual Financial Report for Fiscal to the Committee on Ways and Means. received January 6, 2011, pursuant to 5 U.S.C. Year 2010; to the Committee on Oversight 145. A letter from the Chief, Publications 801(a)(1)(A); to the Committee on Financial and Government Reform. and Regulations Branch, Internal Revenue Services. 134. A letter from the Director, Office of Service, transmitting the Service’s final rule Personnel Management, transmitting the Of- — Guidance on the Application of Section

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162(m)(6) [Notice 2011-02] received January 10, of Texas, Ms. EDWARDS, Ms. WOOL- with Federal and State environmental laws, 2011, pursuant to 5 U.S.C. 801(a)(1)(A); to the SEY, and Mr. ELLISON): including certain laws relating to public Committee on Ways and Means. H.R. 321. A bill to amend the Fair Credit health and worker safety, that are designed 146. A letter from the Chief, Publications Reporting Act to prohibit the use of con- to protect the environment and the health and Regulations Branch, Internal Revenue sumer credit checks against prospective and and safety of the public, particularly those Service, transmitting the Service’s final rule current employees for the purposes of mak- persons most vulnerable to the hazards inci- — Inflation Adjusted Items for 2011 (Rev. ing adverse employment decisions; to the dent to military operations and installa- Proc. 2011-12) received January 10, 2011, pur- Committee on Financial Services. tions, such as children, members of the suant to 5 U.S.C. 801(a)(1)(A); to the Com- By Mr. CONYERS: Armed Forces, civilian employees, and per- mittee on Ways and Means. H.R. 322. A bill to amend title 18, United sons living in the vicinity of military oper- 147. A letter from the Chief, Publications States Code, to provide for the protection of ations and installations; to the Committee and Regulations Branch, Internal Revenue the general public, and for other purposes; to on Armed Services, and in addition to the Service, transmitting the Service’s final rule the Committee on the Judiciary. Committees on Energy and Commerce, — Permitted disparity in employer-provided By Mr. CONYERS: Transportation and Infrastructure, Natural contributions or benefits (Rev. Rul. 2011-3) H.R. 323. A bill to establish a corporate Resources, and Education and the Work- received January 10, 2011, pursuant to 5 crime database, and for other purposes; to force, for a period to be subsequently deter- U.S.C. 801(a)(1)(A); to the Committee on the Committee on the Judiciary, and in addi- mined by the Speaker, in each case for con- Ways and Means. tion to the Committee on Oversight and Gov- sideration of such provisions as fall within the jurisdiction of the committee concerned. 148. A letter from the Secretaries, Depart- ernment Reform, for a period to be subse- By Mr. BISHOP of Georgia (for himself, ment of Health and Human Services, Depart- quently determined by the Speaker, in each Mr. ROSS of Arkansas, Ms. BERKLEY, ment of Labor, Department of the Treasury, case for consideration of such provisions as Mr. LOEBSACK, Mr. REYES, Mr. BART- transmitting a letter to the Speaker on the fall within the jurisdiction of the committee LETT, Mr. MCGOVERN, Mr. CONNOLLY departments’ initivates regarding the Af- concerned. of Virginia, Ms. BROWN of Florida, fordable Care Act; jointly to the Committees By Mr. FILNER: Mr. WESTMORELAND, Ms. CASTOR of on Education and the Workforce, Energy and H.R. 324. A bill to amend title 10, United Florida, Mr. BRALEY of Iowa, Mr. Commerce, and Ways and Means. States Code, to provide police officers, crimi- nal investigators, and game law enforcement BRADY of Pennsylvania, Mr. SCHIFF, f officers of the Department of Defense with Mr. HOLDEN, Mr. HOLT, Mr. DAVID REPORTS OF COMMITTEES ON authority to execute warrants, make arrests, SCOTT of Georgia, Mr. FILNER, Mr. DONNELLY of Indiana, Mr. MCINTYRE, PUBLIC BILLS AND RESOLUTIONS and carry firearms; to the Committee on Armed Services. Mr. TIERNEY, Mr. WALZ of Minnesota, Under clause 2 of rule XIII, reports of By Mr. FILNER: Mr. DEFAZIO, Ms. BORDALLO, Mr. BOS- committees were delivered to the Clerk H.R. 325. A bill to amend the Clean Air Act WELL, Mr. COURTNEY, Mrs. for printing and reference to the proper to delay the effect of reclassifying certain BLACKBURN, Mr. BACHUS, Mr. CRITZ, Mr. MORAN, Ms. SLAUGHTER, Mr. calendar, as follows: nonattainment areas adjacent to an inter- national border, and for other purposes; to MICHAUD, Mr. WOLF, Mr. WU, Mr. Mr. DREIER: Committee on Rules. House the Committee on Energy and Commerce. KISSELL, Mr. GARAMENDI, Mr. BOREN, Resolution 38. Resolution to reduce spending By Mr. FILNER: Ms. TSONGAS, Mr. PRICE of North through a transition to non-security spend- H.R. 326. A bill to amend section 8 of the Carolina, Mr. JOHNSON of Georgia, ing at fiscal year 2008 levels; with amend- United States Housing Act of 1937 to provide Mrs. MALONEY, Mr. YARMUTH, Mr. ments (Rept. 112–3). Referred to the House for rental assistance payments to assist cer- GRIJALVA, Mr. FRANK of Massachu- Calendar. tain owners of manufactured homes who rent setts, Mr. SHULER, Mrs. DAVIS of Mr. DREIER: Committee on Rules. House the lots on which their homes are located; to California, Mr. CARNAHAN, Ms. FOXX, Resolution 43. Resolution providing for con- the Committee on Financial Services. Mr. WITTMAN, Mr. RAHALL, Ms. NOR- sideration of the resolution (H. Res. 38) to re- By Mr. FILNER: TON, Mr. PETERSON, Mr. KILDEE, Mr. duce spending through a transition to non- H.R. 327. A bill to amend the definition of MEEKS, Mr. ROGERS of Alabama, Mr. security spending at fiscal year 2008 levels. a law enforcement officer under subchapter AL GREEN of Texas, Mr. ALEXANDER, (Rept. 112–4). Referred to the House Cal- III of chapter 83 and chapter 84 of title 5, Mr. KUCINICH, Ms. KAPTUR, Mr. endar. United States Code, respectively, to ensure ENGEL, Mr. GUTIERREZ, Ms. LORETTA f the inclusion of certain positions; to the SANCHEZ of California, Mr. BERMAN, Committee on Oversight and Government Ms. PINGREE of Maine, Mr. LONG, Mr. PUBLIC BILLS AND RESOLUTIONS Reform. HIGGINS, Mr. BARROW, Mr. SHUSTER, Under clause 2 of rule XII, public By Mr. FILNER: Ms. SUTTON, Mr. CICILLINE, Mr. PE- bills and resolutions of the following H.R. 328. A bill to require public employees TERS, Mr. MARKEY, and Mr. to perform the inspection of State and local BUTTERFIELD): titles were introduced and severally re- H.R. 333. A bill to amend title 10, United ferred, as follows: surface transportation projects, and related essential public functions, to ensure public States Code, to permit retired members of By Mr. BACA: safety, the cost-effective use of transpor- the Armed Forces who have a service-con- H.R. 317. A bill to amend the Internal Rev- tation funding, and timely project delivery; nected disability rated less than 50 percent enue Code of 1986 to allow a credit against to the Committee on Transportation and In- to receive concurrent payment of both re- tired pay and veterans’ disability compensa- tax for certain fruit and vegetable farmers; frastructure. tion, to eliminate the phase-in period for to the Committee on Ways and Means. By Mr. FILNER: concurrent receipt, to extend eligibility for By Mr. BRADY of Pennsylvania: H.R. 329. A bill to amend the Department concurrent receipt to chapter 61 disability H.R. 318. A bill to amend title 18, United of Veterans Affairs Health Care Programs retirees with less than 20 years of service, States Code, to punish threats to commit Enhancement Act of 2001 and title 38, United and for other purposes; to the Committee on violent crimes against Members of Congress, States Code, to require the provision of Armed Services, and in addition to the Com- and for other purposes; to the Committee on chiropractic care and services to veterans at the Judiciary. mittee on Veterans’ Affairs, for a period to all Department of Veterans Affairs medical be subsequently determined by the Speaker, By Mr. BRALEY of Iowa: centers and to expand access to such care H.R. 319. A bill to require employers to in each case for consideration of such provi- and services; to the Committee on Veterans’ sions as fall within the jurisdiction of the provide veterans with time off on Veterans Affairs. committee concerned. Day; to the Committee on Education and the By Mr. FILNER: By Mr. FORBES: Workforce. H.R. 330. A bill to amend the Internal Rev- H.R. 334. A bill to prohibit the Internal By Mr. CALVERT: enue Code of 1986 to extend for 1 year the Revenue Service from hiring new employees H.R. 320. A bill to designate a Distin- first-time homebuyer tax credit; to the Com- to enforce the Federal Government’s inva- guished Flying Cross National Memorial at mittee on Ways and Means. sion into the health care lives of American the March Field Air Museum in Riverside, By Mr. FILNER: citizens; to the Committee on Ways and California; to the Committee on Natural Re- H.R. 331. A bill to amend the Internal Rev- Means. sources. enue Code of 1986 to provide a one-time in- By Mr. GRIFFITH of Virginia: By Mr. COHEN (for himself, Mr. NAD- crease in the amount excludable from the H.R. 335. A bill to provide for a 10 percent LER, Ms. NORTON, Mr. JACKSON of Illi- sale of a principal residence by taxpayers reduction in pay for Members of Congress; to nois, Mr. HASTINGS of Florida, Mr. who have attained age 50; to the Committee the Committee on House Administration, MEEKS, Ms. BALDWIN, Mr. GRIJALVA, on Ways and Means. and in addition to the Committee on Over- Ms. JACKSON LEE of Texas, Ms. SUT- By Mr. FILNER: sight and Government Reform, for a period TON, Mr. SERRANO, Ms. FUDGE, Mr. H.R. 332. A bill to amend title 10, United to be subsequently determined by the Speak- HONDA, Ms. CLARKE of New York, Ms. States Code, to require the Department of er, in each case for consideration of such pro- SCHAKOWSKY, Mr. HINCHEY, Mr. DAVIS Defense and all other defense-related agen- visions as fall within the jurisdiction of the of Illinois, Mr. FILNER, Mr. AL GREEN cies of the United States to fully comply committee concerned.

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00097 Fmt 0636 Sfmt 0634 E:\CR\FM\L19JA7.000 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H354 CONGRESSIONAL RECORD — HOUSE January 19, 2011 By Mr. HINCHEY (for himself, Mr. Means, and in addition to the Committee on year of life for children born in the United TIERNEY, Mr. COHEN, Mr. FILNER, Mr. Energy and Commerce, for a period to be States to a Medicaid-eligible mother; to the GEORGE MILLER of California, Ms. subsequently determined by the Speaker, in Committee on Energy and Commerce. WOOLSEY, Mr. GRIJALVA, and Mr. each case for consideration of such provi- By Mr. SERRANO: JACKSON of Illinois): sions as fall within the jurisdiction of the H.R. 352. A bill to permit members of the H.R. 336. A bill to amend the Truth in committee concerned. House of Representatives to donate used Lending Act to protect consumers from By Mr. MATHESON (for himself, Mr. computer equipment to public elementary usury, and for other purposes; to the Com- MCCAUL, Mr. PETERS, Mr. AUSTRIA, and secondary schools designated by the mittee on Financial Services. Mr. COBLE, Mr. QUIGLEY, and Ms. members; to the Committee on House Ad- By Mr. HUNTER (for himself, Mr. KAPTUR): ministration. BILBRAY, Mr. LUETKEMEYER, Mr. H.R. 343. A bill to repeal the provision of By Mr. SERRANO: DAVIS of Kentucky, Mr. CHAFFETZ, law that provides automatic pay adjust- H.R. 353. A bill to establish a grant pro- Mr. GIBBS, Mr. LAMBORN, Mr. FRANKS ments for Members of Congress; to the Com- gram to provide screenings for glaucoma to of Arizona, Mr. PEARCE, Mr. WEST, mittee on House Administration, and in ad- individuals determined to be at high risk for Mr. ROGERS of Alabama, Mr. FLEM- dition to the Committee on Oversight and glaucoma, and for other purposes; to the ING, Mr. BARTLETT, Mr. CONAWAY, Mr. Government Reform, for a period to be sub- Committee on Energy and Commerce, and in MILLER of Florida, Mr. HUELSKAMP, sequently determined by the Speaker, in addition to the Committee on Ways and Mr. KLINE, Mr. MANZULLO, and Mr. each case for consideration of such provi- Means, for a period to be subsequently deter- GINGREY of Georgia): sions as fall within the jurisdiction of the mined by the Speaker, in each case for con- H.R. 337. A bill to amend Public Law 111- committee concerned. sideration of such provisions as fall within 321 (Don’t Ask, Don’t Tell Repeal Act of 2010) By Mr. NEUGEBAUER: the jurisdiction of the committee concerned. to impose an additional condition on the re- H.R. 344. A bill to amend the Federal Re- By Mr. LOEBSACK (for himself, Mr. peal of the policy codified as section 654 of serve Act to remove the power of Federal re- LATHAM, Mr. KING of Iowa, Mr. BOS- title 10, United States Code; to the Com- serve banks to buy and sell municipal securi- WELL, and Mr. BRALEY of Iowa): mittee on Armed Services. ties, and for other purposes; to the Com- H. Con. Res. 9. Concurrent resolution hon- By Mr. ISRAEL: mittee on Financial Services. oring the service and sacrifice of Army Staff H.R. 338. A bill to amend the Federal Food, By Ms. NORTON: Sergeant Salvatore Giunta, a native of Hia- Drug, and Cosmetic Act to ensure accurate, H.R. 345. A bill to amend the District of Co- watha, Iowa, and the first living recipient of intelligible information on dosage delivery lumbia Home Rule Act to eliminate all Fed- the Medal of Honor since the Vietnam War; devices packaged with liquid over-the- erally-imposed mandates over the local to the Committee on Armed Services. counter medications; to the Committee on budget process and financial management of By Mr. LARSON of Connecticut: Energy and Commerce. the District of Columbia and the borrowing H. Res. 39. A resolution electing Members By Ms. JENKINS (for herself, Mr. of money by the District of Columbia; to the to certain standing committees of the House PITTS, Mr. POMPEO, Mr. BRADY of Committee on Oversight and Government of Representatives; considered and agreed to. Texas, Mr. BROUN of Georgia, Mr. Reform. By Mr. FRANKS of Arizona: BURTON of Indiana, Mr. ROSS of Flor- By Mr. PEARCE (for himself, Mr. DAN- H. Res. 40. A resolution celebrating the life ida, Mr. KLINE, Mrs. BIGGERT, Mrs. IEL E. LUNGREN of California, Mr. of President Ronald Wilson Reagan on the LUMMIS, Mr. GINGREY of Georgia, Mr. GARRETT, Mr. PLATTS, Mr. SESSIONS, 100th anniversary of his birth; to the Com- POSEY, Mr. WEST, Mr. HUNTER, Mr. Mr. COFFMAN of Colorado, and Mr. mittee on Oversight and Government Re- SENSENBRENNER, Mr. BILBRAY, Mrs. GERLACH): form. SCHMIDT, Mr. ROGERS of Alabama, H.R. 346. A bill to amend the Public Health By Mr. RUSH (for himself, Mr. PAYNE, Mr. SULLIVAN, Mrs. MYRICK, Mr. MIL- Service Act to provide for cooperative gov- Mr. COHEN, Ms. LEE of California, Mr. LER of Florida, Mr. GRAVES of Mis- erning of individual health insurance cov- TOWNS, Mr. HASTINGS of Florida, Mr. souri, Mr. LUETKEMEYER, Mr. STIV- erage offered in interstate commerce; to the RANGEL, Ms. BROWN of Florida, Mr. ERS, Mr. CRAWFORD, Mr. DUNCAN of Committee on Energy and Commerce. BUTTERFIELD, and Mr. AL GREEN of South Carolina, and Mr. KELLY): By Mr. ROONEY: Texas): H.R. 339. A bill to deem any adjournment H.R. 347. A bill to correct and simplify the H. Res. 41. A resolution recognizing 2011 as of the House of Representatives which is in drafting of section 1752 (relating to re- the Year for People of African Descent; to effect on the date of the regularly scheduled stricted buildings or grounds) of title 18, the Committee on Foreign Affairs. general election for Federal office held dur- United States Code; to the Committee on the By Mr. HENSARLING: ing a Congress to be adjournment sine die, Judiciary. H. Res. 42. A resolution electing certain and to amend title 31, United States Code, to By Mr. SENSENBRENNER: Members to certain standing committees of provide for automatic continuing appropria- H.R. 348. A bill to prohibit the Adminis- the House of Representatives; considered and tions if a regular appropriation bill for a fis- trator of the Federal Highway Administra- agreed to. cal year does not become law before the date tion from requiring the replacement of By Mr. BURTON of Indiana (for him- of the regularly scheduled general election street and highway signs that are in upper self, Mrs. BACHMANN, Mr. OLSON, Mr. for Federal office held during such fiscal case letters with such signs that are in CRAWFORD, Mr. HUELSKAMP, Mr. year; to the Committee on Appropriations, mixed case lettering with the initial letter LONG, Mr. CRITZ, Mr. POMPEO, Mr. and in addition to the Committee on Rules, in upper case followed by lower case let- MCCLINTOCK, Mr. WITTMAN, Mrs. MIL- for a period to be subsequently determined tering; to the Committee on Transportation LER of Michigan, and Mr. PAUL): by the Speaker, in each case for consider- and Infrastructure. H. Res. 44. A resolution expressing the ation of such provisions as fall within the ju- By Mr. SENSENBRENNER (for him- sense of the House of Representatives that risdiction of the committee concerned. self, Mr. BURGESS, Mr. DUNCAN of an effective moratorium by the Executive By Ms. EDDIE BERNICE JOHNSON of South Carolina, Mr. ROSS of Florida, Branch on offshore oil and gas exploration Texas: Mr. CRAWFORD, Mr. LONG, and Mr. and drilling should be terminated; to the H.R. 340. A bill to amend title XIX of the DUNCAN of Tennessee): Committee on Natural Resources. Social Security Act to remove the exclusion H.R. 349. A bill to make subject to appro- By Mr. GERLACH: from medical assistance under the Medicaid priations Acts the Internal Revenue Serv- H. Res. 45. A resolution amending the Program of items and services for patients in ice’s use of certain funds collected from user Rules of the House of Representatives to en- an institution for mental diseases; to the fees; to the Committee on Ways and Means. courage bipartisan amendments; to the Com- Committee on Energy and Commerce. By Mr. SERRANO: mittee on Rules. By Ms. EDDIE BERNICE JOHNSON of H.R. 350. A bill to amend the Food and Nu- Texas: trition Act of 2008 to provide greater access f H.R. 341. A bill to amend title 23, United to the supplemental nutrition assistance States Code, to increase certain infrastruc- program by reducing duplicative and burden- PRIVATE BILLS AND ture finance provisions, and for other pur- some administrative requirements, authorize RESOLUTIONS poses; to the Committee on Transportation the Secretary of Agriculture to award grants Under clause 3 of rule XII, private and Infrastructure. to certain community-based nonprofit feed- bills and resolutions of the following ing and anti-hunger groups for the purpose of By Ms. EDDIE BERNICE JOHNSON of titles were introduced and severally re- Texas: establishing and implementing a Beyond the H.R. 342. A bill to amend titles XIX and Soup Kitchen Pilot Program for certain so- ferred, as follows: XVIII of the Social Security Act, as amended cially and economically disadvantaged popu- By Mr. FILNER: by the Patient Protection and Affordable lations, and for other purposes; to the Com- H.R. 354. A bill for the relief of Lauli’i Care Act and the Health Care and Education mittee on Agriculture. Matu’u; to the Committee on the Judiciary. Reconciliation Act of 2010, with respect to By Mr. SERRANO: By Mr. FILNER: payment of disproportionate share hospitals H.R. 351. A bill to amend title XIX of the H.R. 355. A bill for the relief of Pablo (DSH) under the Medicare and Medicaid pro- Social Security Act to waive the require- Eduardo Perrone and Maria Cristina Lemos; grams; to the Committee on Ways and ment for proof of citizenship during the first to the Committee on the Judiciary.

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00098 Fmt 0636 Sfmt 0634 E:\CR\FM\L19JA7.100 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE January 19, 2011 CONGRESSIONAL RECORD — HOUSE H355 By Mr. FILNER: grant Congress the power to provide for the Congress has the power to enact this legis- H.R. 356. A bill for the relief of Flavia general welfare of the United States; to regu- lation pursuant to the following: Maboloc Cahoon; to the Committee on the late Commerce among the several States; to The constitutional authority of Congress Judiciary. make rules for the Government; and to make to enact this legislation is provided by By Mr. LIPINSKI: all Laws which shall be necessary and proper Amendment XVI of the United States Con- H.R. 357. A bill for the relief of Corina de for carrying into Execution the foregoing stitution, which grants Congress the power Chalup Turcinovic; to the Committee on the Powers. to lay and collect taxes on incomes, from Judiciary. By Mr. FILNER: whatever source derived, without apportion- f H.R. 326. ment among the several States, and without Congress has the power to enact this legis- regard to any census or enumeration. CONSTITUTIONAL AUTHORITY lation pursuant to the following: By Mr. FILNER: STATEMENT The constitutional authority of Congress H.R. 332. to enact this legislation is provided by Arti- Congress has the power to enact this legis- Pursuant to clause 7 of rule XII of cle I, Section 8 of the United States Con- lation pursuant to the following: the Rules of the House of Representa- stitution (Clauses 1, 3, 14, and 18), which The constitutional authority of Congress tives, the following statements are sub- grant Congress the power to provide for the to enact this legislation is provided by Arti- mitted regarding the specific powers general welfare of the United States; to regu- cle I, Section 8 of the United States Con- granted to Congress in the Constitu- late Commerce among the several States; to stitution (clauses 1, 3, 14, and 18), which tion to enact the accompanying bill or make rules for the Government; and to make grant Congress the power to provide for the general welfare of the United States; to regu- joint resolution. all Laws which shall be necessary and proper for carrying into Execution the foregoing late Commerce among the several States; to By Mr. BACA: Powers; Amendment V to the Constitution, make rules for the Government and Regula- H.R. 317. which provides that no person shall be de- tion of the land and naval Forces; and to Congress has the power to enact this legis- prived of life, liberty, or property, without make all Laws which shall be necessary and lation pursuant to the following: due process of law; as well as Section 1 and proper for carrying into Execution the fore- Article I, Section 8, Clause 1 of the U.S. Section 5 of Amendment XIV to the Con- going Powers. Constitution. stitution, which provides that no State shall By Mr. BISHOP of Georgia: By Mr. BRADY of Pennsylvania: deprive any person of life, liberty, or prop- H.R. 333. H.R. 318. Congress has the power to enact this legis- erty, without due process of law; nor deny Congress has the power to enact this legis- lation pursuant to the following: any person within its jurisdiction the equal lation pursuant to the following: The constitutional authority on which this protection of the laws; and provides Congress Article I. bill rests is enumerated in the United States the power to enforce, by appropriate legisla- By Mr. BRALEY of Iowa: Constitution, which provides Congress the tion, the provisions of this article. H.R. 319. power to: Provide for the common defense By Mr. FILNER: Congress has the power to enact this legis- and general welfare under Article I, Section H.R. 327. 8, Clause 1; Raise and support Armies, under lation pursuant to the following: Congress has the power to enact this legis- Article I, Section 8, Clause 12; Provide and This bill is enacted pursuant to the power lation pursuant to the following: granted to Congress under Article I, Section The constitutional authority of Congress maintain a Navy, under Article I, Section 8, 8, Clause 18 of the United States Constitu- to enact this legislation is provided by Arti- Clause 13; Make rules for the government tion. cle I, Section 8 of the United States Con- and regulation of the land and naval forces, By Mr. CALVERT: stitution (Clauses 1, 14, 16, and 18), which under Article I, Section 8, Clause 14; Provide H.R. 320. grant Congress the power to provide for the for organizing, arming, and disciplining, the Congress has the power to enact this legis- common Defense and general welfare of the Militia, and for governing such Part of them lation pursuant to the following: United States; to make rules for the Govern- as may be employed in the Service of the The power granted to Congress under Arti- ment; to provide for organizing, arming, and United States, under Article I, Section 8, cle 1, Section 8, Clause 1 of the United States disciplining the Militia, and for governing Clause 16; and, Make all Laws which shall be Constitution. such Part of them as may be employed in the necessary and proper for carrying into Exe- By Mr. COHEN: Service of the United States; and to make all cution the foregoing Powers, under Article I, H.R. 321. laws which shall be necessary and proper for Section 8, Clause 18. Congress has the power to enact this legis- carrying into Execution the foregoing Pow- By Mr. FORBES: lation pursuant to the following: H.R. 334. ers. Article 1, Section 8, Clause 3 (relating to Congress has the power to enact this legis- By Mr. FILNER: the power to regulate foreign and interstate lation pursuant to the following: H.R. 328. Article I, Section 8, Clauses I, XVIII and commerce) of the United States Constitu- Congress has the power to enact this legis- Article I, Section 9, Clauses VII. tion. lation pursuant to the following: By Mr. GRIFFITH of Virginia: By Mr. CONYERS: The constitutional authority of Congress H.R. 322. H.R. 335. to enact this legislation is provided by Arti- Congress has the power to enact this legis- Congress has the power to enact this legis- cle I, Section 8 of the United States Con- lation pursuant to the following: lation pursuant to the following: stitution (Clauses 1, 3, 7, and 18), which grant This bill is enacted pursuant to Clause 1 of U.S. Constitution, Article I, Section 8, Congress the power to provide for the gen- Section 6 of Article I and Amendment XXVII Clause 3. eral welfare of the United States; to regulate of the United States Constitution. By Mr. CONYERS: Commerce among the several States; to es- By Mr. HINCHEY: H.R. 323. tablish Post Offices and post Roads; and to H.R. 336. Congress has the power to enact this legis- make all laws which shall be necessary and Congress has the power to enact this legis- lation pursuant to the following: proper for carrying into Execution the fore- lation pursuant to the following: U.S. Constitution, Article I, Section 8, going Powers. Article 1 Section 8 Clause 3 To regulate Clause 3. By Mr. FILNER: Commerce with foreign Nations, and among By Mr. FILNER: H.R. 329. the several States, and with the Indian H.R. 324. Congress has the power to enact this legis- Tribes. Congress has the power to enact this legis- lation pursuant to the following: By Mr. HUNTER: lation pursuant to the following: This bill is enacted pursuant to the power H.R. 337. The constitutional authority of Congress granted to Congress under Article I, Section Congress has the power to enact this legis- to enact this legislation is provided by Arti- 8, Clause 18 of the United States Constitu- lation pursuant to the following: cle 1, Section 8 of the United States Con- tion. This legislation ensures that the military stitution (Clauses 14 and 18), which grant By Mr. FILNER: readiness of our Armed Forces is maintained Congress the power to make Rules for the H.R. 330. through proper certifications which make Government and Regulation of land and Congress has the power to enact this legis- certain that military commanders have a di- naval Forces; and to make all Laws which lation pursuant to the following: rect say in significant matters that affect shall be necessary and proper for carrying The constitutional authority of Congress the morale, cohesion and readiness of our into Execution the foregoing Powers. to enact this legislation is provided by military forces. Specific authority is pro- By Mr. FILNER: Amendment XVI of the United States Con- vided by Article I, section 8 of the United H.R. 325. stitution, which grants Congress the power States Constitution (clauses 12, 13, 14, and Congress has the power to enact this legis- to lay and collect taxes on incomes, from 16), which grants Congress the power to raise lation pursuant to the following: whatever source derived, without apportion- and support an Army; to provide and main- The constitutional authority of Congress ment among the several States, and without tain a Navy; to make rules for the govern- to enact this legislation is provided by Arti- regard to any census or enumeration. ment and regulation of the land and naval cle I, Section 8 of the United States Con- By Mr. FILNER: forces; and to provide for organizing, arming, stitution (Clauses 1, 3, 14, and 18), which H.R. 331. and disciplining the militia.

VerDate Mar 15 2010 03:29 Jan 20, 2011 Jkt 099060 PO 00000 Frm 00099 Fmt 0636 Sfmt 0634 E:\CR\FM\L19JA7.101 H19JAPT1 tjames on DSKG8SOYB1PROD with HOUSE H356 CONGRESSIONAL RECORD — HOUSE January 19, 2011 By Mr. ISRAEL: Congress has the power to enact this legis- The constitutional authority of Congress H.R. 338. lation pursuant to the following: to enact this legislation is provided by Arti- Congress has the power to enact this legis- The Tenth Amendment to the Constitu- cle I, Section 8 of the United States Con- lation pursuant to the following: tion. stitution (Clause 4), which grants Congress This bill is enacted pursuant to the power By Mr. SENSENBRENNER: the power to establish a Uniform rule of Nat- granted to Congress under Article I, Section H.R. 349. uralization throughout the United States. 8, Clause 3 and Article I, Section 18 of the Congress has the power to enact this legis- By Mr. FILNER: United States Constitution. lation pursuant to the following: H.R. 355. By Ms. JENKINS: Clause 1 of Section 8 of Article I of the Congress has the power to enact this legis- H.R. 339. Constitution. lation pursuant to the following: Congress has the power to enact this legis- By Mr. SERRANO: The constitutional authority of Congress lation pursuant to the following: H.R. 350. to enact this legislation is provided by Arti- Pursuant to the power granted to Congress Congress has the power to enact this legis- cle I, Section 8 of the United States Con- under Article I, Section 5, Clause 2 of the lation pursuant to the following: stitution (Clause 4), which grants Congress United States Constitution, and pursuant to ‘‘The Congress shall have Power to lay and the power to establish a Uniform rule of Nat- the power granted to Congress under Article collect Taxes, Duties, Imposts and Excises, uralization throughout the United States. I, Section 8, Clause 1 of the United States to pay the Debts and provide for the common By Mr. FILNER: Constitution. Defence and general Welfare of the United H.R. 356. By Ms. EDDIE BERNICE JOHNSON of States; but all Duties, Imposts and Excises Congress has the power to enact this legis- Texas: shall be uniform throughout the United lation pursuant to the following: H.R. 340. States.’’ (Article I, Section 8, Clause 1) The constitutional authority of Congress Congress has the power to enact this legis- ‘‘The Congress shall have Power to make to enact this legislation is provided by Arti- lation pursuant to the following: all Laws which shall be necessary and proper cle I, Section 8 of the United States Con- Clause 1 of Section 8 of Article I of the for carrying into Execution the foregoing stitution (Clause 4), which grants Congress Constitution. Powers, and all other Powers vested by the the power to establish a Uniform rule of Nat- By Ms. EDDIE BERNICE JOHNSON of Constitution in the Government of the uralization throughout the United States. Texas: United States, or in any Department or Offi- By Mr. LIPINSKI: H.R. 341. cer thereof.’’ (Article I, Section 8, Clause 18) H.R. 357. Congress has the power to enact this legis- By Mr. SERRANO: Congress has the power to enact this legis- lation pursuant to the following: H.R. 351. lation pursuant to the following: Article I, Section 8, Clause 1: ‘‘The Con- Congress has the power to enact this legis- Article I, Section 8, Clause 4 of the Con- gress shall have Power to lay and collect lation pursuant to the following: stitution provides that Congress shall have Taxes, Duties, Imposts and Excises, to pay Article I, Section 8, Clause 1: ‘‘The Con- power to ‘‘establish an uniform Rule of Natu- the Debts and provide for the common gress shall have Power to lay and collect ralization’’. The Supreme Court has long Defence and general Welfare of the United Taxes, Duties, Imposts and Excises, to pay found that this provision of the Constitution States; but all Duties, Imposts and Excises the Debts and provide for the common grants Congress plenary power over immi- shall be uniform throughout the United Defence and general Welfare of the United gration policy. As the Court found in Galvan States.’’ States; but all Duties, Imposts and Excises v. Press, 347 U.S. 522, 531 (1954), ‘‘that the for- By Ms. EDDIE BERNICE JOHNSON of shall be uniform throughout the United mulation of policies [pertaining to the entry Texas: States;’’ and Article I, Section 8, Clause 18: of aliens and their right to remain here] is H.R. 342. ‘‘The Congress shall have Power To make all entrusted exclusively to Congress has be- Congress has the power to enact this legis- Laws which shall be necessary and proper for come about as firmly imbedded in the legis- lation pursuant to the following: carrying into Execution the foregoing Pow- lative and judicial tissues of our body politic Clause 1 of Section 8 of Article I of the ers, and all other Powers vested by the Con- as any aspect of our government.’’ And, as Constitution. stitution in the Government of the United the Court found in Kleindienst v. Mandel, 408 By Mr. MATHESON: States, or in any Department or Officer U.S. 753, 766 (1972) (quoting Boutilier v. INS, H.R. 343. thereof.’’ 387 U.S. 118, 123 (1967)), ‘‘[t]he Court without Congress has the power to enact this legis- By Mr. SERRANO: exception has sustained Congress’ ‘plenary lation pursuant to the following: H.R. 352. power to make rules for the admission of Clause 1 of Section 6 of Article I of the Congress has the power to enact this legis- aliens and to exclude those who possess Constitution. lation pursuant to the following: those characteristics which Congress has for- By Mr. NEUGEBAUER: Clause 2 of section 5 of article I of the Con- bidden.’ ’’ H.R. 344. stitution: Each House may determine the Congress has the power to enact this legis- Rules of its Proceedings, punish its Members f lation pursuant to the following: for disorderly Behaviour, and, with the Con- Article I, Section 8, Clause 2: ‘‘The Con- currence of two thirds, expel a Member.’’ ADDITIONAL SPONSORS gress shall have Power—To borrow Money on Clause 2 of section 3 of article IV of the Under clause 7 of rule XII, sponsors the credit of the United States.’’ Constitution: ‘‘The Congress shall have were added to public bills and resolu- Article I, Section 8, Clause 6: ‘‘The Con- Power to dispose of and make all needful gress shall have Power—To coin Money, reg- Rules and Regulations respecting the Terri- tions as follows: ulate the Value thereof, and of foreign Coin, tory or other Property belonging to the H.R. 4: Mr. CARSON of Indiana, Mr. and fix the Standard of Weights and Meas- United States; and nothing in this Constitu- SCHRADER, Mr. WELCH, Mr. HIMES, Mr. ures.’’ tion shall be so construed as to Prejudice ALTMIRE, Mr. FINCHER, and Mr. LIPINSKI. By Ms. NORTON: any Claims of the United States, or of any H.R. 21: Mr. LUETKEMEYER and Mr. LAB- H.R. 345. particular State.’’ RADOR. Congress has the power to enact this legis- By Mr. SERRANO: H.R. 23: Mrs. MCCARTHY of New York. lation pursuant to the following: H.R. 353. H.R. 44: Mr. KUCINICH. Clause 17 of Section 8 of Article I of the Congress has the power to enact this legis- H.R. 49: Mr. BARTLETT, Mr. ROSS of Flor- Constitution. lation pursuant to the following: ida, Mr. CULBERSON, Mr. CARTER, Mrs. MIL- By Mr. PEARCE: Article I, Section 8, Clause 1: ‘‘The Con- LER of Michigan, Mr. LONG, and Mr. DUNCAN H.R. 346. gress shall have Power to lay and collect of Tennessee. Congress has the power to enact this legis- Taxes, Duties, Imposts and Excises, to pay H.R. 81: Mr. OLVER. lation pursuant to the following: the Debts and provide for the common H.R. 91: Mr. YOUNG of Alaska, Mr. FLORES, Article I, Section 8, Clause 3 of the United Defence and general Welfare of the United Mr. MCCOTTER, Mrs. MYRICK, Mrs. HARTZLER, States Constitution which grants Congress States; but all Duties, Imposts and Excises Mr. THOMPSON of Pennsylvania, and Mr. the power to regulate interstate commerce. shall be uniform throughout the United WOODALL. By Mr. ROONEY: States;’’ and Article I, Section 8, Clause 18: H.R. 97: Mr. BACHUS, Mr. CRAWFORD, Mr. H.R. 347. ‘‘The Congress shall have Power To make all KING of New York, and Mr. QUAYLE. Congress has the power to enact this legis- Laws which shall be necessary and proper for H.R. 100: Mr. HELLER. lation pursuant to the following: carrying into Execution the foregoing Pow- H.R. 103: Mr. FLEMING. Article I, Section 8: To make all Laws ers, and all other Powers vested by the Con- H.R. 104: Mr. WITTMAN and Mr. MCNERNEY. which shall be necessary and proper for car- stitution in the Government of the United H.R. 116: Mr. FRANK of Massachusetts. rying into Execution the foregoing Powers, States, or in any Department or Officer H.R. 121: Mr. WEBSTER and Mr. OWENS. and all other Powers vested by the Constitu- thereof.’’ H.R. 127: Mr. LONG, Mr. DUNCAN of Ten- tion in the Government of the United States By Mr. FILNER: nessee, and Mr. MCKINLEY. or in any Department or Officer thereof. H.R. 354. H.R. 140: Mr. CRAVAACK, Mr. KLINE, Mr. By Mr. SENSENBRENNER: Congress has the power to enact this legis- GRAVES of Georgia, Mr. MARCHANT, and Mr. H.R. 348. lation pursuant to the following: SMITH of Nebraska.

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H.R. 152: Mr. AKIN, Mr. CRAWFORD, Mr. H.R. 217: Mr. ALEXANDER, Mr. CRENSHAW, FRELINGHUYSEN, Mr. GINGREY of Georgia, Mr. CARTER, and Mr. MARCHANT. Mr. GUTHRIE, Mr. ROSKAM, Mrs. ADAMS, Mr. HARRIS, Mr. HASTINGS of Washington, Mr. H.R. 153: Mr. YOUNG of Indiana, Mr. SHULER, Mr. LIPINSKI, Mr. BENISHEK, Mr. KLINE, Mr. LATHAM, Mr. MICA, Mr. PETRI, Mr. MARCHANT, Mr. WESTMORELAND, Ms. GRANG- AUSTIN SCOTT of Georgia, Mr. KELLY, and Mr. WEST, Mr. WHITFIELD, Mrs. BONO MACK, and ER, Mr. POSEY, Mr. CRAWFORD, Mr. FLEMING, BONNER. Ms. HERRERA BEUTLER. Mr. KING of Iowa, Mrs. SCHMIDT, Mr. H.R. 263: Mr. FARR, Mr. MORAN, Ms. MOORE, H.J. Res. 9: Mr. BONNER, Mr. KINZINGER of NEUGEBAUER, Mr. WALBERG, Mr. OLSON, and Ms. NORTON, Mr. VAN HOLLEN, Mr. GUTIER- Illinois, and Mr. CHAFFETZ. Mr. BARTON of Texas. REZ, Mr. MARKEY, Mr. SERRANO, Mr. WEINER, H.J. Res. 13: Mr. MILLER of Florida, Mr. H.R. 154: Mr. FARENTHOLD, Mr. YOUNG of Mr. JACKSON of Illinois, Ms. DEGETTE, Mr. YOUNG of Alaska, and Mr. BACHUS. Indiana, Mr. MARCHANT, Mr. WESTMORELAND, NADLER, Ms. MATSUI, Ms. SCHAKOWSKY, Mr. H. Con. Res. 3: Mr. BRADY of Texas, Mr. Mr. FLEISCHMANN, Mr. AKIN, Mr. WALSH of Il- FILNER, Mr. STARK, Ms. SLAUGHTER, Ms. CHU, CRAWFORD, and Mr. LATTA. linois, Mr. NUGENT, Mr. POSEY, Mr. Mr. HASTINGS of Florida, Ms. ZOE LOFGREN of H. Res. 19: Mr. HONDA. CRAWFORD, Mr. FLEMING, Mr. BARTLETT, Mrs. California, and Mrs. MALONEY. H. Res. 20: Mr. MCNERNEY. SCHMIDT, Mr. NEUGEBAUER, Mr. WALBERG, H.R. 280: Mr. DUNCAN of Tennessee and Mr. H. Res. 25: Mr. NUGENT. Mr. BILBRAY, Mr. BUCSHON, Mrs. BACHMANN, BURTON of Indiana. Mr. BROUN of Georgia, Mr. FLORES, Mr. H.R. 297: Mrs. MILLER of Michigan. f GOHMERT, Ms. BUERKLE, Mr. CAMPBELL, Mr. H.R. 308: Mr. BERMAN, Ms. ZOE LOFGREN of HARRIS, Mr. HUELSKAMP, Mr. KINGSTON, Mr. California, Mr. AL GREEN of Texas, Ms. DELETIONS OF SPONSORS FROM SCHWEIKERT, Mr. LABRADOR, Mr. MACK, and SCHAKOWSKY, Mr. DEUTCH, and Mr. JACKSON Mr. KLINE. of Illinois. PUBLIC BILLS AND RESOLUTIONS H.R. 191: Ms. LINDA T. SA´ NCHEZ of Cali- H.J. Res. 1: Mr. LANDRY, Mr. CULBERSON, Under clause 7 of rule XII, sponsors Mr. DUNCAN of South Carolina, Mr. GINGREY fornia, Mr. WELCH, Mr. CUMMINGS, Ms. CHU, were deleted from public bills and reso- of Georgia, Mr. HARRIS, Mr. HUELSKAMP, Mr. and Mr. AL GREEN of Texas. lutions as follows: H.R. 192: Ms. ESHOO. KLINE, Mr. WEST, and Mr. WHITFIELD. H.R. 196: Mr. MCNERNEY and Mr. FILNER. H.J. Res. 2: Mr. LANDRY, Mr. AUSTRIA, Mrs. H.R. 68: Mr. ROSS of Arkansas. H.R. 203: Mr. SHERMAN. CAPITO, Mr. DUNCAN of South Carolina, Mr. H.R. 69: Mr. ROSS of Arkansas.

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