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The Republican Lawsuit and Its Impacts on Americans with Pre- Existing Conditions

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The Republican Lawsuit and Its Impacts on Americans with Pre- Existing Conditions TEXAS v. U.S.: THE REPUBLICAN LAWSUIT AND ITS IMPACTS ON AMERICANS WITH PRE- EXISTING CONDITIONS HEARING BEFORE THE SUBCOMMITTEE ON HEALTH OF THE COMMITTEE ON ENERGY AND COMMERCE HOUSE OF REPRESENTATIVES ONE HUNDRED SIXTEENTH CONGRESS FIRST SESSION FEBRUARY 6, 2019 Serial No. 116–2 ( Printed for the use of the Committee on Energy and Commerce govinfo.gov/committee/house-energy energycommerce.house.gov U.S. GOVERNMENT PUBLISHING OFFICE 35–377 PDF WASHINGTON : 2019 VerDate Mar 15 2010 15:20 Oct 28, 2019 Jkt 037690 PO 00000 Frm 00001 Fmt 5011 Sfmt 5011 P:\116TH CONGRESS\116X2TEXASVUSASKOK091219\116X2TEXASVUSWORKING WA CED-24 with DISTILLER COMMITTEE ON ENERGY AND COMMERCE FRANK PALLONE, JR., New Jersey Chairman BOBBY L. RUSH, Illinois GREG WALDEN, Oregon ANNA G. ESHOO, California Ranking Member ELIOT L. ENGEL, New York FRED UPTON, Michigan DIANA DEGETTE, Colorado JOHN SHIMKUS, Illinois MIKE DOYLE, Pennsylvania MICHAEL C. BURGESS, Texas JAN SCHAKOWSKY, Illinois STEVE SCALISE, Louisiana G. K. BUTTERFIELD, North Carolina ROBERT E. LATTA, Ohio DORIS O. MATSUI, California CATHY MCMORRIS RODGERS, Washington KATHY CASTOR, Florida BRETT GUTHRIE, Kentucky JOHN P. SARBANES, Maryland PETE OLSON, Texas JERRY MCNERNEY, California DAVID B. MCKINLEY, West Virginia PETER WELCH, Vermont ADAM KINZINGER, Illinois BEN RAY LUJA´ N, New Mexico H. MORGAN GRIFFITH, Virginia PAUL TONKO, New York GUS M. BILIRAKIS, Florida YVETTE D. CLARKE, New York, Vice Chair BILL JOHNSON, Ohio DAVID LOEBSACK, Iowa BILLY LONG, Missouri KURT SCHRADER, Oregon LARRY BUCSHON, Indiana JOSEPH P. KENNEDY III, Massachusetts BILL FLORES, Texas TONY CA´ RDENAS, California SUSAN W. BROOKS, Indiana RAUL RUIZ, California MARKWAYNE MULLIN, Oklahoma SCOTT H. PETERS, California RICHARD HUDSON, North Carolina DEBBIE DINGELL, Michigan TIM WALBERG, Michigan MARC A. VEASEY, Texas EARL L. ‘‘BUDDY’’ CARTER, Georgia ANN M. KUSTER, New Hampshire JEFF DUNCAN, South Carolina ROBIN L. KELLY, Illinois GREG GIANFORTE, Montana NANETTE DIAZ BARRAGA´ N, California A. DONALD MCEACHIN, Virginia LISA BLUNT ROCHESTER, Delaware DARREN SOTO, Florida TOM O’HALLERAN, Arizona PROFESSIONAL STAFF JEFFREY C. CARROLL, Staff Director TIFFANY GUARASCIO, Deputy Staff Director MIKE BLOOMQUIST, Minority Staff Director (II) VerDate Mar 15 2010 15:20 Oct 28, 2019 Jkt 037690 PO 00000 Frm 00002 Fmt 5904 Sfmt 5904 P:\116TH CONGRESS\116X2TEXASVUSASKOK091219\116X2TEXASVUSWORKING WA CED-24 with DISTILLER SUBCOMMITTEE ON HEALTH ANNA G. ESHOO, California Chairwoman ELIOT L. ENGEL, New York MICHAEL C. BURGESS, Texas G. K. BUTTERFIELD, North Carolina, Vice Ranking Member Chair FRED UPTON, Michigan DORIS O. MATSUI, California JOHN SHIMKUS, Illinois KATHY CASTOR, Florida BRETT GUTHRIE, Kentucky JOHN P. SARBANES, Maryland H. MORGAN GRIFFITH, Virginia BEN RAY LUJA´ N, New Mexico GUS M. BILIRAKIS, Florida KURT SCHRADER, Oregon BILLY LONG, Missouri JOSEPH P. KENNEDY III, Massachusetts LARRY BUCSHON, Indiana TONY CA´ RDENAS, California SUSAN W. BROOKS, Indiana PETER WELCH, Vermont MARKWAYNE MULLIN, Oklahoma RAUL RUIZ, California RICHARD HUDSON, North Carolina DEBBIE DINGELL, Michigan EARL L. ‘‘BUDDY’’ CARTER, Georgia ANN M. KUSTER, New Hampshire GREG GIANFORTE, Montana ROBIN L. KELLY, Illinois GREG WALDEN, Oregon (ex officio) NANETTE DIAZ BARRAGA´ N, California LISA BLUNT ROCHESTER, Delaware BOBBY L. RUSH, Illinois FRANK PALLONE, JR., New Jersey (ex officio) (III) VerDate Mar 15 2010 15:20 Oct 28, 2019 Jkt 037690 PO 00000 Frm 00003 Fmt 5904 Sfmt 5904 P:\116TH CONGRESS\116X2TEXASVUSASKOK091219\116X2TEXASVUSWORKING WA CED-24 with DISTILLER VerDate Mar 15 2010 15:20 Oct 28, 2019 Jkt 037690 PO 00000 Frm 00004 Fmt 5904 Sfmt 5904 P:\116TH CONGRESS\116X2TEXASVUSASKOK091219\116X2TEXASVUSWORKING WA CED-24 with DISTILLER CONTENTS Page Hon. Anna G. Eshoo, a Representative in Congress from the State of Cali- fornia, opening statement .................................................................................... 1 Prepared statement .......................................................................................... 3 Hon. Michael C. Burgess, a Representative in Congress from the State of Texas, opening statement .................................................................................... 4 Prepared statement .......................................................................................... 6 Hon. Frank Pallone, Jr., a Representative in Congress from the State of New Jersey, opening statement .......................................................................... 8 Hon. Greg Walden, a Representative in Congress from the State of Oregon, opening statement ................................................................................................ 10 Prepared statement .......................................................................................... 12 WITNESSES Christen Linke Young, Fellow, USC–Brookings Schaeffer Initiative for Health Policy ..................................................................................................................... 14 Prepared statement .......................................................................................... 17 Answers to submitted questions ...................................................................... 156 Avik S. A. Roy, President, Foundation for Research on Equal Opportunity ...... 22 Prepared statement .......................................................................................... 24 Elena Hung, Cofounder, Little Lobbyists .............................................................. 32 Prepared statement .......................................................................................... 34 Answers to submitted questions ...................................................................... 161 Thomas P. Miller, Resident Fellow in Health Policy Studies, American Enter- prise Institute ....................................................................................................... 48 Prepared statement .......................................................................................... 50 Answers to submitted questions ...................................................................... 163 Simon Lazarus, constitutional lawyer and writer ................................................ 70 Prepared statement .......................................................................................... 72 SUBMITTED MATERIAL Letter of January 9, 2019, from Ms. Castor, et al., to Hon. Ron DeSantis, Governor, State of Florida, submitted by Ms. Castor ....................................... 116 Letter of January 13, 2018, from Hon. Bill Nelson, a United States Senator from the State of Florida, et al., to Hon. Rick Scott, Governor, State of Florida, submitted by Ms. Castor ....................................................................... 121 Letter of January 26, 2017, from Mr. O’Halleran, et al., to Hon. Paul D. Ryan, Speaker of the House, and Hon. Mitch McConnell, Majority Leader, United States Senate, submitted by Mr. O’Halleran ........................................ 124 Letter of April 23, 2018, from American Cancer Society Cancer Action Net- work, et al., to Hon. Alex Azar, Secretary, Department of Health and Human Services, et al., submitted by Ms. Eshoo .............................................. 128 Letter of February 6, 2019, from Michael L. Munger, M.D., Board Chair, American Academy of Family Physicians, to Ms. Eshoo and Mr. Burgess, submitted by Ms. Eshoo ...................................................................................... 139 Statement of the American College of Physicians, February 6, 2019, sub- mitted by Ms. Eshoo ............................................................................................ 141 Editorial of December 16, 2018, ‘‘Texas ObamaCare Blunder,’’ The Wall Street Journal, submitted by Ms. Eshoo ....................................................................... 146 Article of December 15, 2018, ‘‘What the Lawless Obamacare Ruling Means,’’ by Jonathan H. Adler and Abbe R. Gluck, The New York Times, submitted by Ms. Eshoo ........................................................................................................ 149 (V) VerDate Mar 15 2010 15:20 Oct 28, 2019 Jkt 037690 PO 00000 Frm 00005 Fmt 5904 Sfmt 5904 P:\116TH CONGRESS\116X2TEXASVUSASKOK091219\116X2TEXASVUSWORKING WA CED-24 with DISTILLER VI Page Amici Brief of June 14, 2018, American Medical Association, et al., Civil Action No.:4:18-cv-00167-O, submitted by Ms. Eshoo 1 Amici Brief of June 15, 2018, Families USA, et al., No. 4:18-cv-00167-O, submitted by Ms. Eshoo 1 Amici Brief of June 14, 2018, American Cancer Society Cancer Action Net- work, et al., Case No. 4:18-cv-00167-O, submitted by Ms. Eshoo 1 Amici Brief of June 15, 2018, AARP Foundation, Civil Action No.:4:18-cv- 00167-O, submitted by Ms. Eshoo 1 Letter of February 5, 2019, from Mr. Walden and Mr. Burgess to Mr. Pallone and Ms. Eshoo, submitted by Mr. Burgess ........................................................ 153 1 The information has been retained in committee files and also is available at https:// docs.house.gov/Committee/Calendar/ByEvent.aspx?EventID=108843. VerDate Mar 15 2010 15:20 Oct 28, 2019 Jkt 037690 PO 00000 Frm 00006 Fmt 5904 Sfmt 5904 P:\116TH CONGRESS\116X2TEXASVUSASKOK091219\116X2TEXASVUSWORKING WA CED-24 with DISTILLER TEXAS v. U.S.: THE REPUBLICAN LAWSUIT AND ITS IMPACTS ON AMERICANS WITH PREEXISTING CONDITIONS WEDNESDAY, FEBRUARY 6, 2019 HOUSE OF REPRESENTATIVES, SUBCOMMITTEE ON HEALTH,
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