[Congressional Record Volume 158, Number 46 (Tuesday, March 20, 2012)]
[Senate]
[Pages S1843-S1844]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
HEALTH REFORM
Mrs. FEINSTEIN. Mr. President, during this second anniversary of the
Patient Protection and Affordable Care Act, I wish to discuss some of
the benefits this law has already brought to consumers.
Millions of Americans nationwide and in California have already
benefited from this law. For the first time, insurance companies are
held accountable they cannot drop coverage just because someone gets
sick, they cannot deny coverage because of a preexisting condition, and
they cannot impose limits on the amount of care provided in a lifetime.
This law helps women, children, young adults, seniors, families, and
individuals living with disabilities and chronic medical conditions.
In California, because of the law, over 12 million people no longer
have a lifetime limit on their health insurance plan. This includes
almost 4.5 million women and 3.26 million children.
Now, individuals and families with medical expenses do not have to
worry that they will reach a point where insurance will no longer
provide coverage. Eliminating lifetime caps on coverage and phasing out
annual caps will reassure Californians that their health coverage will
be there when they need it.
The health reform law is taking great strides to ensure affordable
prescription drugs for Medicare beneficiaries.
Before health reform, Medicare beneficiaries were faced with a
prescription drug coverage gap that was unaffordable for many. This so-
called doughnut hole forced beneficiaries to pay 100 percent of their
drug costs after they exceeded an initial coverage limit. As many as
one in four seniors went without a prescription every year because they
simply could not afford it.
Now, the law is closing this coverage gap, and already, an estimated
320,000 Medicare beneficiaries in California have saved almost $172
million on prescription drugs.
Under the health reform law, insurance companies are already banned
from denying coverage to children because of a preexisting condition,
such as a heart defect, autism, or juvenile diabetes.
Parents no longer have to spend away college funds to cover children
with medical conditions.
Beginning in 2014, health insurers are prohibited from denying anyone
health insurance coverage because of a preexisting medical condition.
This means that being pregnant can no longer be considered a
preexisting condition. It means that individuals will no longer be
prevented from purchasing affordable insurance simply because they had
an accident, are sick, or got cancer.
Under the law, insurance companies have to pay more of the premium
dollars they collect on actual medical care, not on profits.
In California, because of this provision, almost 9 million people are
getting better value for their premium dollars. Furthermore, California
has received over $5 million in grants from the law to fight
unreasonable premium increases and to bolster scrutiny of rates.
Because of the health reform law, young adults can now stay on their
family insurance plan up to age 26. Previously, insurance companies
could drop coverage for young adults, many times at age 19. Now the law
makes it easier and more affordable for young adults to get health
insurance.
Already over 350,000 young adults in California have benefited from
this provision.
This law takes great strides to equalize insurance coverage for women
and
[[Page S1844]]
to rid the system of discriminatory practices based on gender.
The practice of ``gender-rating,'' or charging more for insurance
simply because of gender, is outlawed in the health reform law. This
means that women can no longer be charged higher premiums.
Over a recent 3-year period, 7.3 million women 38 percent of women
who tried to buy coverage on the individual market were either rejected
altogether, charged a higher premium, or sold policies that excluded
certain benefit coverage because of a ``preexisting condition'' like
cancer or having been pregnant.
Now, women will be guaranteed coverage at a similar rate to men.
Already, almost 2.3 million Californian women with private insurance
have access to no-cost preventive services because of the law. This
includes necessary cancer screenings, such as mammograms, annual
wellness exams, and contraception.
Additionally, over 1.6 million women in California who are on
Medicare now have access to free preventive services because of the
law.
These are just a few critical consumer protections that are now in
play because of the Patient Protection and Affordable Care Act, signed
into law 2 years ago.
We have a long ways to go to improve our health care system and to
ensure affordable quality care for all Americans, but these essential
consumer protections take great strides to get us there.
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