Congressional Record, Volume 161 Issue 156 (Friday, October 23, 2015)

[Congressional Record Volume 161, Number 156 (Friday, October 23, 2015)]
[House]
[Pages H7143-H7164]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

{time} 0915
RESTORING AMERICANS' HEALTHCARE FREEDOM RECONCILIATION ACT OF 2015

Mr. TOM PRICE of Georgia. Mr. Speaker, pursuant to House Resolution
483, I call up the bill (H.R. 3762) to provide for reconciliation
pursuant to section 2002 of the concurrent resolution on the budget for
fiscal year 2016, and ask for its immediate consideration.
The Clerk read the title of the bill.
The SPEAKER pro tempore (Mr. Carter of Georgia). Pursuant to House
Resolution 483, the amendment printed in House Report 114-303 is
adopted, and the bill, as amended, is considered read.
The text of the bill, as amended, is as follows:

H.R. 3762

Be it enacted by the Senate and House of Representatives of
the United States of America in Congress assembled,

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

(a) Short Title.--This Act may be cited as the ``Restoring
Americans' Healthcare Freedom Reconciliation Act of 2015''.
(b) Table of Contents.--The table of contents of this Act
is as follows:

Sec. 1. Short title; table of contents.

TITLE I--COMMITTEE ON EDUCATION AND THE WORKFORCE

Sec. 101. Repeal of automatic enrollment requirement.

TITLE II--COMMITTEE ON ENERGY AND COMMERCE

Sec. 201. Repeal of the Prevention and Public Health Fund.
Sec. 202. Federal payment to States.
Sec. 203. Funding for community health center program.

TITLE III--COMMITTEE ON WAYS AND MEANS

Subtitle A--Revenue Provisions

Sec. 301. Repeal of individual mandate.
Sec. 302. Repeal of employer mandate.
Sec. 303. Repeal of medical device excise tax.
Sec. 304. Repeal of the tax on employee health insurance premiums and
health plan benefits and related reporting requirements.

Subtitle B--Repeal of Independent Payment Advisory Board

Sec. 311. Repeal of Independent Payment Advisory Board.

TITLE I--COMMITTEE ON EDUCATION AND THE WORKFORCE

SEC. 101. REPEAL OF AUTOMATIC ENROLLMENT REQUIREMENT.

The Fair Labor Standards Act of 1938 (29 U.S.C. 201 et
seq.) is amended by repealing section 18A (as added by
section 1511 of the Patient Protection and Affordable Care
Act (Public Law 111-148)).

TITLE II--COMMITTEE ON ENERGY AND COMMERCE

SEC. 201. REPEAL OF THE PREVENTION AND PUBLIC HEALTH FUND.

(a) In General.--Section 4002 of the Patient Protection and
Affordable Care Act (42 U.S.C. 300u-11) is repealed.
(b) Rescission of Unobligated Funds.--Of the funds made
available by such section 4002, the unobligated balance is
rescinded.

SEC. 202. FEDERAL PAYMENT TO STATES.

(a) In General.--Notwithstanding sections 504(a),
1902(a)(23), 2002, 2005(a)(4), 2102(a)(7), or 2105(a)(1) of
the Social Security Act (42 U.S.C. 704(a), 1396b(a)(23),
1397a, 1397d(a)(4), 1397bb(a)(2), 1397ee(a)(1)), or the terms
of any Medicaid waiver in effect on the date of enactment of
this Act that is approved under section 1115 or 1915 of the
Social Security Act (42 U.S.C. 1315, 1396n), for the one-year
period beginning on the date of the enactment of this Act no
Federal funds may be made available to a State for payments
to a prohibited entity, whether made directly to the
prohibited entity or through a managed care organization
under contract with the State.
(b) Definition of Prohibited Entity.--In this section, the
term ``prohibited entity'' means an entity, including its
affiliates, subsidiaries, successors, and clinics--
(1) that, as of the date of enactment of this Act--
(A) is an organization described in section 501(c)(3) of
the Internal Revenue Code of 1986 and exempt from tax under
section 501(a) of such Code;
(B) is an essential community provider described in section
156.235 of title 45, Code of Federal Regulations, that is
primarily engaged in family planning services, reproductive
health, and related medical care; and
(C) provides for abortions, other than an abortion--
(i) if the pregnancy is the result of an act of rape or
incest; or
(ii) in the case where a woman suffers from a physical
disorder, physical injury, or physical illness that would, as
certified by a physician, place the woman in danger of death
unless an abortion is performed, including a life-endangering
physical condition caused by or arising from the pregnancy
itself; and
(2) for which the total amount of Federal and State
expenditures under the Medicaid program under title XIX of
the Social Security Act in fiscal year 2014 made directly to
the entity and to any affiliates, subsidiaries, successors,
or clinics of the entity, or made to the entity and to any
affiliates, subsidiaries, successors, or clinics of the
entity as part of a nationwide health care provider network,
exceeded $350,000,000.

SEC. 203. FUNDING FOR COMMUNITY HEALTH CENTER PROGRAM.

Effective as if included in the enactment of the Medicare
Access and CHIP Reauthorization Act of 2015 (Public Law 114-
10, 129 Stat. 87), paragraph (1) of section 221(a) of such
Act is amended by inserting after ``Section 10503(b)(1)(E) of
the Patient Protection and Affordable Care Act (42 U.S.C.
254b-2(b)(1)(E)) is amended'' the following: ``by striking
`$3,600,000,000' and inserting `$3,835,000,000' and''.

TITLE III--COMMITTEE ON WAYS AND MEANS

SEC. 301. REPEAL OF INDIVIDUAL MANDATE.

(a) In General.--Section 5000A of the Internal Revenue Code
of 1986 is amended by adding at the end the following:
``(h) Termination.--This section shall not apply with
respect to any month beginning after December 31, 2014.''.
(b) Conforming Amendments.--
(1) Section 5000A(c) of such Code is amended--

[[Page H7144]]

(A) in paragraph (2)(B) by striking clauses (ii) and (iii),
(B) in paragraph (3)(B) by striking ``2014'' and all that
follows and inserting ``2014.'', and
(C) in paragraph (3) by striking subparagraph (D).
(2) Section 5000A(e)(1) of such Code is amended by striking
subparagraph (D).
(c) Effective Date.--The amendments made by this section
shall apply to months beginning after December 31, 2014.

SEC. 302. REPEAL OF EMPLOYER MANDATE.

(a) In General.--Section 4980H of the Internal Revenue Code
of 1986 is amended by adding at the end the following:
``(e) Termination.--This section shall not apply with
respect to any month beginning after December 31, 2014.''.
(b) Conforming Amendment.--Section 4980H(c) of such Code is
amended by striking paragraph (5).
(c) Effective Date.--The amendments made by this section
shall apply to months beginning after December 31, 2014.

SEC. 303. REPEAL OF MEDICAL DEVICE EXCISE TAX.

(a) In General.--Chapter 32 of the Internal Revenue Code of
1986 is amended by striking subchapter E.
(b) Conforming Amendments.--
(1) Subsection (a) of section 4221 of such Code is amended
by striking the last sentence.
(2) Paragraph (2) of section 6416(b) of such Code is
amended by striking the last sentence.
(c) Clerical Amendment.--The table of subchapters for
chapter 32 of such Code is amended by striking the item
relating to subchapter E.
(d) Effective Date.--The amendments made by this section
shall apply to sales in calendar quarters beginning after the
date of the enactment of this Act.

SEC. 304. REPEAL OF THE TAX ON EMPLOYEE HEALTH INSURANCE
PREMIUMS AND HEALTH PLAN BENEFITS AND RELATED
REPORTING REQUIREMENTS.

(a) Excise Tax.--Chapter 43 of the Internal Revenue Code of
1986 is amended by striking section 4980I.
(b) Reporting Requirement.--Section 6051(a) of such Code is
amended by inserting ``and'' at the end of paragraph (12), by
striking ``, and'' at the end of paragraph (13) and inserting
a period, and by striking paragraph (14).
(c) Clerical Amendment.--The table of sections for chapter
43 of such Code is amended by striking the item relating to
section 4980I.
(d) Effective Dates.--
(1) In general.--Except as provided by paragraph (2), the
amendments made by this section shall apply to taxable years
beginning after December 31, 2017.
(2) Reporting requirement.--The amendment made by
subsection (b) shall apply to calendar years beginning after
December 31, 2014.

The SPEAKER pro tempore. The bill shall be debatable for 2 hours
equally divided and controlled by the chair and ranking minority member
of the Committee on the Budget or their designees.
The gentleman from Georgia (Mr. Price) and the gentleman from
Maryland (Mr. Van Hollen) each will control 60 minutes.
The Chair recognizes the gentleman from Georgia.

General Leave

Mr. TOM PRICE of Georgia. Mr. Speaker, I ask unanimous consent that
all Members may have 5 legislative days in which to revise and extend
their remarks on H.R. 3762, the Restoring Americans' Healthcare Freedom
Reconciliation Act of 2015.
The SPEAKER pro tempore. Is there objection to the request of the
gentleman from Georgia?
There was no objection.
Mr. TOM PRICE of Georgia. Mr. Speaker, I yield myself such time as I
may consume.
Mr. Speaker, this year, for the first time in over a decade, Congress
adopted a 10-year balanced budget agreement. The House and Senate were
able to agree on a plan that would reduce spending by over $5 trillion,
save and strengthen important health and retirement programs, provide
for a strong national defense, and support a growing economy with
greater opportunity for more Americans to achieve their dreams.
It is a bold plan at a time in our Nation's history when we face
tremendous fiscal and economic challenges, challenges that are being
fueled by an ineffective, inefficient, and unaccountable government
bureaucracy right here in Washington. It is this bureaucracy that is
interfering in the daily lives and livelihoods of the American people.
The most prominent example of how intrusive Washington has become is
the President's healthcare law. ObamaCare imposes taxes and onerous
mandates on individuals, families, and job creators. It undermines the
sacred doctor-patient relationship. It is driving up the cost of health
care with higher premiums and higher deductibles, while destroying
access to quality, innovative healthcare choices. It is discouraging
work and making job creation and economic growth more challenging. All
this, Mr. Speaker, at a time when we are experiencing the worst
economic recovery in the modern era.
Now, when Congress passed our bicameral budget resolution earlier
this year, we initiated a powerful process called reconciliation. Under
reconciliation, we are able to move legislation through the House and
the Senate in an expedited manner and put a bill on the President's
desk. So with the legislation before us today, the Restoring Americans'
Healthcare Freedom Reconciliation Act, we are using this powerful
budgetary tool to help end ObamaCare's attack on Americans' health care
and its attack on our economy. We are doing so to pave the way for a
more appropriate, responsive, patient-centered healthcare system that
puts patients, families, and doctors in charge of health care, not
Washington, D.C.
Under the guidelines of our budget and the rules governing
reconciliation, three committees in the House--the Education and
Workforce Committee, the Ways and Means Committee, and the Energy and
Commerce Committee--produced individual pieces of legislation to repeal
major components of ObamaCare. The House Budget Committee then took
those pieces and combined them into a single bill that we have now
brought to the House floor today.
The Restoring Americans' Healthcare Freedom Reconciliation Act
repeals the individual and the employer mandates. It repeals the
onerous Cadillac tax, it repeals the medical device tax, and it repeals
an ObamaCare slush fund, as well as undue demands on employers and
employees. Additionally, it prohibits, for 1 year, taxpayer dollars
from being used to pay abortion providers that are prohibited under the
legislation, while dedicating additional resources--that is, more
money, Mr. Speaker--to community healthcare centers across this country
for women's health care.
Taken together, the Congressional Budget Office and the Joint
Committee on Taxation estimate that this legislation will lower
deficits by $130 billion over the 10-year budget window. Roughly $51
billion of those savings would come from the positive macroeconomic
effect of what we are proposing. CBO and JCT estimate that this bill
will lead to an increase in the labor supply, an increase in economic
growth, an increase in capital investment, and an increase in total
compensation. That is take-home pay, Mr. Speaker. It would also
eliminate work disincentives while decreasing Federal borrowing.
The major components of ObamaCare that are repealed under this
legislation represent the core of the coercive nature of the
President's healthcare law, policies that are forcing people into a
healthcare system that Washington is simultaneously making more
expensive, less accessible, lower quality, and with fewer choices.
Nothing in what we are proposing would take insurance coverage away
from Americans or their families or preclude anyone from purchasing
coverage. What we are doing is freeing Americans from government
coercion.
The provisions included in this legislation also share another
important distinction, and that is that they all fall within the
limited scope of the reconciliation process. This is vitally important.
Reconciliation is not a silver bullet. There are limitations. And if a
piece of legislation breaches those limitations, it runs the risk of
derailing the entire process.
Ultimately, however, Mr. Speaker, this discussion is not about
process. It is about people. It is about the men and women, the
families that we have the privilege of representing who know that the
only folks who should be making personal healthcare decisions are
individuals, their doctors, and their families.
This debate is about the millions of Americans who have seen their
premiums go up and their deductibles go up and their out-of-pocket
costs skyrocket after being told that the law, in fact, would bring
those costs down, which it has not.

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This is about low-wage workers, Mr. Speaker--2.6 million, according
to the Hoover Institution--who are at risk of seeing their working
hours cut because of ObamaCare.
This is about those Americans, particularly the one in four Americans
living in rural parts of our country who found that, in many cases,
their healthcare coverage comes with such narrow provider networks that
they have to travel long distances to find the treatment that they need
and run the risk of even higher costs.
Mr. Speaker, we can do better. We can do better by these Americans
and all Americans who long for a healthcare system that is responsive
to their needs, that is accessible and affordable and not contributing
to the decline of economic opportunity and job security.
There are positive patient-centered solutions that would advance the
cause of quality health care in this country, and none of them require
handing more authority over to Washington. ObamaCare puts Washington in
charge. We want to put the American people in charge of their
healthcare decisions, and an important step in that direction is this
legislation that we have before us today.
I urge my colleagues to vote in favor of this legislation. I look
forward to this debate and moving forward on this effort and putting a
bill on the President's desk.
I reserve the balance of my time.
Mr. VAN HOLLEN. Mr. Speaker, I yield myself such time as I may
consume.
Mr. Speaker, this bill and the vote we are going to have today is, I
guess, a fitting end to an unproductive and shameful week in the United
States Congress.
Yesterday, we just witnessed an incredible abuse of power where a so-
called special Benghazi committee, funded by taxpayer money, conducted
their political witch hunt against Secretary Clinton. The Republican
majority leader in this own body told the Nation on television that it
was about bringing down Hillary Clinton's polls. That dishonors the
memory of the four Americans who were killed in Benghazi.
Then earlier this week, this Congress passed legislation that says,
you know what? The United States Government doesn't have to pay all of
its bills. We will just pay some of our bills. Forget about the full
faith and credit of the United States. We will decide we are going to
pay some people and not others.
It is as if, Mr. Speaker, one of us got up in the morning and said we
are just going to make our mortgage payments but forget about the car
payments, or we are going to pay this person but not that person. When
the United States Government tries to do that, the economy goes
downhill fast.
To add insult to injury, they said, when we are going to pay certain
people, we are going to pay the big bondholders first. The Government
of China and Wall Street, they are going to get paid. Our veterans
aren't going to get paid. Our soldiers aren't going to get paid.
I hope our colleagues are reading what they are passing here in the
United States Congress, because that is what they did earlier this
week.
So what are we doing here today? For the 61st time in this House of
Representatives, our Republican colleagues are moving forward on
legislation to dismantle the Affordable Care Act.
Now, the chairman is entitled to his own opinions. He is not entitled
to his own facts. All you have to do is read the report of the
nonpartisan Congressional Budget Office that analyzed this bill, and
here is what they say: that, as a result of this legislation, insurance
coverage would decline by about 16 million people in most years; 3
million of those people would be children.
Why in the world are we here on the floor of the House of
Representatives passing legislation that is going to take away
affordable health care to 15 million Americans, including 3 million
children?
Look at this chart, Mr. Speaker. This shows the decline in the number
of uninsured people in the United States. As you can see, you see a
rapid drop in the number of uninsured Americans as a result of the
Affordable Care Act. Our Republican colleagues' bill wants to get rid
of that progress, put all those people back in the position where they
don't have affordable health care.
They also want to go after women's health programs, including Planned
Parenthood, where the testimony from the chairman of the Oversight and
Government Reform Committee, Mr. Chaffetz, is very clear. They haven't
violated any laws. He said it on national television. Here is what he
was asked: ``Is there any evidence, in your opinion, that Planned
Parenthood has broken any laws?''
``No. I am not suggesting that they broke the law.''
It is another political witch hunt, just like the Benghazi hearing.
You know what? When the regular committees found there was no
wrongdoing by Planned Parenthood, our Republican colleagues created a
special committee on Planned Parenthood as well.
Mr. Speaker, when the American people had been asked what they think
of Congress these days, this is a chart of the words they come up with
first: Ridiculous. Waste of time. Terrible. Frustrating.
You are just making this chart worse by coming here to this floor,
for the 61st time, repealing the Affordable Care Act, a bill that you
know has no chance of becoming law because, if it gets to the
President's desk, he has told this Congress long ago he will veto it
because the President doesn't want to get rid of affordable health care
for 15 million Americans and 3 million American kids. The President
doesn't want to do it.
I am really, really disappointed that our Republican colleagues
thought this was a good way to end an unproductive week. It is a sad
and shameful statement of the state of affairs in this body.
I reserve the balance of my time.
Mr. TOM PRICE of Georgia. Mr. Speaker, so we heard about Benghazi. We
heard about the debt limit. It sounds kind of like a political speech,
doesn't it, Mr. Speaker?
The gentleman knows that there is nothing in this legislation that
would keep families from purchasing coverage for their children--
nothing, nothing at all.
The reconciliation package before us only provides tax relief to
working families and individuals. It gives them the freedom from
government coercion in the area of health care.
I yield 2 minutes to the gentlewoman from Missouri (Mrs. Hartzler), a
wonderful and productive member of the Budget Committee.
Mrs. HARTZLER. Mr. Speaker, I thank the chairman for all the
wonderful work you are doing to advance this bill and to advance our
budget.
As a member of the Budget Committee, I am proud to support the
Restoring Americans' Healthcare Freedom Reconciliation Act, which is a
very, very important bill that does dismantle key provisions of
ObamaCare that are harming people.
We were sent here to fight for the American people. They do not want
their health care dictated to them by Washington, and they don't want
their tax dollars going to go abortion providers.
This bill protects life by stopping the flow of taxpayer dollars to
abortion providers. The people have, for years, begged Congress to end
the flow of taxpayer dollars to Planned Parenthood, especially in the
wake of the recent horrendous videos showing Planned Parenthood
officials exhibiting a blatant disregard for human life.
This bill places a moratorium on funding for abortion providers and
redirects these funds to increase funding for community health centers.
These health centers serve eight times more women patients than Planned
Parenthood, and they provide more comprehensive care to women.
I am proud to support this bill, and I urge my colleagues to support
it as well.

{time} 0930

Mr. VAN HOLLEN. Mr. Speaker, I yield 1 minute to the gentleman from
California (Mr. Ted Lieu), a distinguished member of the Committee on
the Budget.
Mr. TED LIEU of California. Mr. Speaker, my parents immigrated to
America because they saw that shining city upon the hill. America
became exceptional because we invested in education, we invested in
infrastructure

[[Page H7146]]

that connected our States, in Social Security and Medicare that
provided economic freedom for so many Americans.
But this budget bill, one of its main points is to defund Planned
Parenthood. These are not the priorities of the American people. This
is a hyperpartisan document that is just talking points for extremists.
It is time for the majority party to do what we were all elected here
to do in Congress. We were elected to lead the greatest country on
Earth. It is time we start acting like it.
Mr. TOM PRICE of Georgia. Mr. Speaker, I yield myself such time as I
may consume.
Hyperpartisan, Mr. Speaker? Hyperpartisan? Let me show you a chart
here. These are four items that are included in this piece of
legislation, that are packaged in this piece of legislation:
Reducing, repealing the Prevention and Public Health Fund. When that
bill itself came to the floor of the House, 147 Democrats voted
``yes''--147.
Delay the individual mandate. When that bill came to the floor of the
House, 27 Democrats voted ``yes.''
Delay the employer mandate. When that bill came to the floor of the
House, 35 Democrats voted ``yes.''
Repeal the medical device tax. When that came to the floor of the
House, 46 Democrats voted ``yes.''
Mr. Speaker, these are mostly--mostly--bipartisan issues. The
American people are for repeal of these portions of ObamaCare.
Democrats even in this House have recognized the wisdom of it.
I now yield 2 minutes to the gentleman from Michigan (Mr. Moolenaar),
another good member of the Committee on the Budget.
Mr. MOOLENAAR. Mr. Speaker, as the chairman mentioned, today we are
voting to repeal some of the burdensome taxes and mandates the Obama
administration has placed on hardworking Americans with this healthcare
law.
Today we have the opportunity to vote in a bipartisan way to end the
individual mandate, the employer mandate, the medical device tax, the
Cadillac tax, the slush fund, and the auto enrollment mandate.
The Affordable Care Act has proven to be unaffordable for millions of
Americans who lost the coverage they enjoyed and must now pay higher
premiums. Already hardworking families in my district have been told
about the rate hikes that will make the healthcare premiums that they
pay more expensive this next year.
Today we are repealing mandates. But, unfortunately, we are not, in
this legislation, able to repeal the Independent Payment Advisory Board
that determines which treatments Americans are allowed to have or the
health insurance tax that eliminates consumer choice and access.
Today this is a positive step toward a system of patient-centered
alternatives, with lower premiums that allow individuals to choose the
coverage they want.
Mr. VAN HOLLEN. Mr. Speaker, I yield 1 minute to the gentlewoman from
Wisconsin (Ms. Moore), a distinguished member of the Committee on the
Budget.
Ms. MOORE. Mr. Speaker, since we are considering this reconciliation
bill, I looked up the word ``reconciliation'' because I thought maybe I
don't know what the word means. They say that reconciliation is a
process of making consistent or compatible.
Mr. Speaker, there is nothing in the bill before us that is either
consistent or compatible with a woman's constitutional right to control
her body. This bill is neither consistent nor compatible with a woman's
human right to reproductive freedom.
The only thing this bill reconciles is the majority's machismo, Mr.
Speaker, the stubborn resolve to deny women--especially the poorest
women in our country--access to health care. Despite the claims that
you have heard here on this floor that ``there is nothing to stop women
from accessing health care,'' just let me point out a few facts.
The SPEAKER pro tempore (Mr. Dold). The time of the gentlewoman has
expired.
Mr. VAN HOLLEN. Mr. Speaker, I yield an additional 30 seconds to the
gentlewoman.
Ms. MOORE. Mr. Speaker, 78 percent of Planned Parenthood's patients
are at or below 150 percent of the poverty level, 41 percent of low-
income women consider OB/GYN their primary source of health care, which
Planned Parenthood provides, and in my own State, 14,000 women each
year, many of whom are low income, do not have access to family
planning services. I ask that we not pass this bill.
Mr. TOM PRICE of Georgia. Mr. Speaker, I would ask the gentlewoman
who just spoke to read the bill. In fact, the bill increases funding
for women's health care through the community health centers by $235
million in both fiscal year 2016 and fiscal year 2017.
Mr. Speaker, I reserve the balance of my time.
Mr. VAN HOLLEN. Mr. Speaker, I yield 1 minute to the gentlewoman from
Texas (Ms. Jackson Lee), a distinguished member of the Committee on the
Judiciary.
Ms. JACKSON LEE. Mr. Speaker, I don't know why we are here this
morning; I guess out of desperation. After 11 hours of trying to attack
the former Secretary of State, now we come this morning to continue our
attack on women and again to have Republicans address the Affordable
Care Act that has, in my State, put a dent in some 25,000-plus who did
not have health care.
Today we stand here with a bill that repeals the individual
responsibility requirements that people must have their own health
care; repeals the Independent Payment Advisory Board, which focuses on
making Medicare solvent for our seniors; and the Prevention and Public
Health Fund, which supports evidence-based programs designed to keep
Americans healthy, prevent chronic infectious diseases, and reduce
future healthcare costs.
Two days ago I was standing out in front of the United States Capitol
calling out my State, the State of Texas, that about 3 days ago
declared war on Planned Parenthood to close 39 different clinics.
The SPEAKER pro tempore. The time of the gentlewoman has expired.
Mr. VAN HOLLEN. Mr. Speaker, I yield an additional 30 seconds to the
gentlewoman.
Ms. JACKSON LEE. Closing the clinics would cut into the very essence
of service to vulnerable women. It would cut into their mammogram
services, their cervical cancer examinations. The Supreme Court just a
year or a couple of months ago said this kind of pointed, targeted
attack was unconstitutional.
This bill just adds to it. Whether or not you add other clinics, the
clinics in Texas, Planned Parenthood, have been there for years for the
minorities, for young people, and others.
Mr. Speaker, this is not a reconciliation bill. This is another
attack bill. We need to be able to stand for our women and women's
health care. Vote against this bill.
Mr. Speaker, I rise to speak in opposition of H.R. 3762, the
Restoring Americans' Healthcare Freedom Reconciliation Act, because
this bill does not restore healthcare Freedom.
This bill is not a serious effort to address this nation's budgetary
needs and its details reveal that it is another opportunity for the
majority to hide behind a legislative gimmick in an attempt to kill the
Affordable Care Act.
This is a waste of taxpayer money and this body's legislative
calendar, which has too few days left for wasting any of our lime
voting on bills that the President has communicated in writing that he
will veto.
This bill is bad for the Affordable Care Act because it: continues
the majority's relentless crusade to put barriers between women and
their right to have the healthcare provider and services that they want
and need; repeals individual responsibility requirements that people
must have their own health insurance; repeals the Independent Payment
Advisory Board, which works to keep Medicare solvent; and repeals the
Prevention and Public Health Fund, which supports evidence-based
programs designed to keep Americans healthy, prevent chronic and
infectious diseases and reduce future healthcare cost.
The news from across the nation regarding the healthcare freedom and
choice created by the Affordable Care Act for first time health
insurance consumers is overwhelmingly positive.
Unfortunately, today the majority has targeted a women's right to
control her own healthcare by attempting to defund Planned Parenthood.
In my state of Texas, a law that would have cut off access to 75
percent of reproductive healthcare clinics in the state was challenged

[[Page H7147]]

before the U.S. Supreme Court in 2014 and 2015.
On October 2, 2014, the Supreme Court made unconstitutional a Texas
law that required that all reproductive healthcare clinics that
provided the full range of services would be required to have a
hospital-style surgery center building and staffing requirements.
This requirement meant only 7 clinics would be allowed to continue to
provide a full spectrum of reproductive healthcare to women.
In 2015, the State of Texas once again threatened women's access to
reproductive health care when it attempted to shutter all but 10
healthcare providers in the state of Texas.
The Supreme Court once again intervened on the behalf of Texas women
to block the move to close clinics in my state.
New attacks on women are now being couched with renewed attacks
against the Affordable Care Act, which the majority has attempted to
overturn with over 50 votes since its enactment.
The attacks against Planned Parenthood is a social and econo
statement that if you are a woman with money you have the right to
think for yourself regarding your healthcare choices, but if you are
poor or lack healthcare options you do not have that same right.
Millions of women now have free coverage for comprehensive women's
preventive medical services, and they rely upon Planned Parenthood for
healthcare.
The reality is women who face difficult health care decisions do not
do so lightly.
Women in this nation have a right to self-determination.
It is a fundamental human right and one that should be cherished.
The most important right is the ability of each person to determine
their destiny and this right has to be freely exercised.
Healthcare has become a fundamental right for our nation's citizens
with the best possible outcomes for the millions of people who had no
healthcare due to pre-existing illnesses or were penalized with higher
premiums for pre-existing conditions.
A documentary produced by the Harvard School of Public Health
reported that between 2007 and 2010, overall deaths among Massachusetts
residents between the age of 20 to 64 declined by 2.9%.
The decline in deaths was 4.5% for persons with illnesses that could
be successfully treated though healthcare intervention such as those
who have: tuberculosis; cancer; cardiac disease; Leukemia; Diabetes;
Epilepsy; High blood pressure; All respiratory illnesses; and Pregnancy
and childbirth.
Because of the Affordable Healthcare Act: 100 million Americans no
longer have a life-time limit on healthcare coverage. 17 million
children with pre-existing conditions can no longer be denied coverage
by insurers. 6.6 million young-adults up to age 26 can stay on their
parents' health insurance plans. 6.3 million Seniors in the ``donut
hole'' have saved $6.1 billion on their prescription drugs. 3.2 million
Seniors have access to free annual wellness visits under Medicare, and
360,000 Small Businesses are using the Health Care Tax Credit to help
them provide health insurance to their workers.
Statistics on Texas and the Affordable Care Act reveal that: 3.8
million Texas residents receive preventative care services. 7 million
Texans no longer have lifetime limits on their healthcare insurance.
300,731 young adults can remain on their parents' health insurance
until age 26. 5 million Texas residents can receive a rebate check from
their insurance company if it does not spend 80 percent of premium
dollars on healthcare. 4,029 people with pre-existing conditions now
have health insurance.
This year for the first time insurance companies are banned from:
discriminating against anyone with a preexisting condition; charging
higher rates based on gender or health status; enforcing lifetime
dollar limits; and enforcing annual-dollar limits on health benefits.
Few people knew that health insurers viewed pregnancy as a pre-
existing condition.
Because of the Affordable Care Act women can no longer be charge
higher rate just because they are women.
Attempts to weaken or end the ACA are wrong.
A January 2015, Gallup poll revealed that nationally the uninsured
rate in the United States was reduced to 12.9%.
The uninsured rate nationally dropped 4.2% points since the enactment
of the Affordable Care Act.
We are becoming a nation of equals when it comes to access to
affordable healthcare insurance.
I ask my colleagues to join me in defeating another effort to turn
the clock back on women's rights and the healthcare safety-net that is
assuring longer and healthier lives for millions of Americans.
Mr. TOM PRICE of Georgia. Mr. Speaker, I yield 2 minutes to the
gentleman from Georgia (Mr. Woodall), a wonderful, contributing member
of the Committee on the Budget and a member of the Committee on Rules
as well.
Mr. WOODALL. Mr. Speaker, I am excited to be here today, and I am
saddened by some of the shrillness of the conversation. This is the
first reconciliation package that I have seen in the 4\1/2\ years that
I have been elected to this body.
In fact, more than half the Members of this institution have never
seen a reconciliation bill come to the floor of this House. Why?
Because Congress hasn't functioned in a way where the House and the
Senate have been able to come together to do this. That is happening
this year for the first time. We ought to be celebrating that.
To hear this described as a partisan exercise--and I understand folks
have a lot of grievances, and this may just be the day that folks are
going to air all of their grievances. But to describe this as a
partisan exercise misses the point that the only bipartisanship in this
entire conversation is around trying to reject the damaging provisions
of the President's healthcare bill.
After all, when this was jammed through using the reconciliation
process, it was jammed through in a partisan fashion. The bipartisan
vote was a vote ``no.''
When we tried to deal with the slush fund that was going for all
sorts of programs that America would reject, the bipartisan vote was
the vote to abolish it, as this bill does today. The bipartisan vote
was to delay the individual mandate, as this bill abolishes today. The
bipartisan vote was to delay the employer mandate, as this bill does
today.
I understand that there is a lot that divides us in this body and in
this Nation, but this is a day for celebration. I applaud the chairman
for what he has been able to do. He has been able to do what no other
chairman has been able to do in the 4\1/2\ years I have been in this
institution, and that is bring the House and the Senate together around
a budget for the United States of America. I am proud of what we have
done, we have done together.
If this has to be a day of airing of the grievances, let it be a day
of airing of the grievances, but let it not be said that it is a
partisan exercise. The bipartisanship exists in this reconciliation
package. I hope we come together on it today.
Mr. VAN HOLLEN. Mr. Speaker, with all respect to Mr. Woodall, we
don't celebrate legislation that takes away affordable health care to
15 million Americans, including 3 million American children. That is
not our definition of bipartisanship.
I urge all my colleagues to read the Congressional Budget Office
report. The Congressional Budget Office is headed by someone who was
chosen by our Republican colleagues, and their report tells us this
legislation will take away affordable health care from 15 million
Americans. That is nothing to celebrate.
I now yield 1 minute to the gentlewoman from Connecticut (Ms.
DeLauro), the very distinguished ranking member of the Subcommittee on
Labor, Health and Human Services, and Education, and Related Agencies
of the Committee on Appropriations.
Ms. DeLAURO. Mr. Speaker, I rise in opposition to this bill. It is
deja vu all over again. This bill represents the majority's 61st
attempt to weaken, undermine, or repeal the Affordable Care Act,
legislation that, yes, has brought health care to millions of Americans
and significantly reduced prescription drug costs for seniors.
The bill is also the latest installment of the majority's crusade
against women's health. It targets Planned Parenthood again, an
organization that provides millions of low-income Americans with
lifesaving services many families cannot get anywhere else.
Finally, it threatens to cut nearly $13 billion from efforts to
protect people against deadly diseases: measles, listeria, Ebola.
Why are we wasting time on ideological attacks such as this? There
are so many real issues to deal with. Wages are stagnant. Families are
struggling to make ends meet. Stop playing games. Return to serving the
American people. You should start by voting against this disgraceful
bill.
Mr. TOM PRICE of Georgia. Mr. Speaker, may I inquire as to the amount
of time remaining on each side?

[[Page H7148]]

The SPEAKER pro tempore. The gentleman from Georgia has 46\1/2\
minutes remaining. The gentleman from Maryland has 48\1/2\ minutes
remaining.
Mr. TOM PRICE of Georgia. Mr. Speaker, I reserve the balance of my
time.
Mr. VAN HOLLEN. Mr. Speaker, I reserve the balance of my time as
well.
Mr. TOM PRICE of Georgia. Mr. Speaker, the understanding of the chair
here was that we were going to divide the time equally between three
committees at the beginning in 15-minute segments. May I inquire of the
gentleman from Maryland if that plan has changed?
Mr. VAN HOLLEN. No. That is my understanding of the agreement, too.
Would it be possible, Mr. Speaker, to just tell us--I guess we can do
the math--how much time in the 15 minutes remains for each side?
The SPEAKER pro tempore. In the original 15-minute agreement, the
gentleman from Georgia has 1\1/2\ minutes remaining and the gentleman
from Maryland has 2\1/2\ minutes remaining.
Mr. VAN HOLLEN. Mr. Speaker, may I inquire if the gentleman has any
additional speakers?
Mr. TOM PRICE of Georgia. Mr. Speaker, I have one additional speaker
from the Committee on the Budget.
Mr. VAN HOLLEN. Mr. Speaker, I am waiting for one additional speaker
as well.
I reserve the balance of my time.
Mr. TOM PRICE of Georgia. Mr. Speaker, I yield 1\1/2\ minutes to the
gentleman from Indiana (Mr. Rokita), the vice chairman of the Committee
on the Budget.
Mr. ROKITA. Mr. Speaker, I thank Chairman Price, as well as the
entire Committee on the Budget, for getting us to this point, the first
time in over a decade that we have been able to use the reconciliation
process.
Just like the other gentleman from Georgia (Mr. Woodall) stated, what
a difference the way we are using it now in this bipartisan fashion, in
a transparent lie today, a long process, not the day before Christmas
Eve and not in a partisan way. That was used the last time regarding a
major healthcare change of policy in this country.
I think all of us deserve to not only pat ourselves, quite honestly,
a little bit on the back, but also take advantage of this moment to end
the lie, the lie being, ``If you like your healthcare plan, you can
keep it.'' That lie continues today, and it has become a full-blown
nightmare.
Getting this reconciliation package to the President's desk is real
and a real positive step in ending government-controlled health care in
this country so that patients of whatever condition in a consumer-
based, consumer-centered fashion can use their own judgment, their own
resources, along with the help of all of us, to get the health care
that they need.

{time} 0945

I doubt that 15 million people are actually covered better today than
they were or could have been before. That should be our goal: to cover
every American in the fashion that they deserve, in the fashion that
they choose, with the doctor that they choose.
Mr. Chairman, I thank you for your leadership. I urge my colleagues
to vote for this reconciliation package.
Mr. VAN HOLLEN. Mr. Speaker, I yield myself 2\1/2\ minutes.
Mr. Speaker, this legislation, plain and simple, takes away
affordable health care to 15 million Americans, including 3 million
kids.
I keep hearing about how intrusive and awful the Affordable Care Act
is. The reality is the majority of Members gathered right here in this
Chamber are on the Affordable Care Act. The government is not dictating
to them their health insurance. They are on it.
All they are trying to do here, Mr. Speaker, is take away access to
affordable health care for 15 million Americans who would not otherwise
get affordable health care and, in the process, take away funding for
women's health programs, targeting Planned Parenthood as part of a
political witch hunt, the same kind of witch hunt we saw just yesterday
in the Benghazi special committee hearing, where, the majority leader
of this House told the public, it was simply about bringing down
Secretary Clinton's poll numbers.
It is no wonder, Mr. Speaker, that it has been so difficult for our
Republican colleagues to find a replacement for the Speaker. You have
got a faction of this House that wants no compromise, that thinks it is
a celebration to get rid of health care, affordable health care for 15
million Americans. That is nothing to celebrate, and this is a terrible
way to end an already unproductive week here in the House of
Representatives.
So I urge my colleagues to vote against this legislation. It is not
going anywhere because the President of the United States is not going
to sign a bill that deprives 15 million Americans of access to
affordable health care that they didn't have before.
So let's stop the games. We have got to deal with the debt ceiling.
We have got to deal with a way where we actually pay all our bills, not
just some of the bills, and when we decide which ones to pay, we don't
say we are going to pay China first. We have got to make sure we come
together to prevent a government shutdown. Instead, for the 61st time,
this House is voting to take away health care from the American public.
So, Mr. Speaker, I urge my colleagues to vote against this
legislation.
I reserve the balance of my time.
Mr. TOM PRICE of Georgia. Mr. Speaker, I ask unanimous consent that
the gentleman from Texas (Mr. Brady), the chairman of the Health
Subcommittee of the Ways and Means Committee, be allowed to control 15
minutes, as my designee.
The SPEAKER pro tempore. Is there objection to the request of the
gentleman from Georgia?
There was no objection.
Mr. BRADY of Texas. Mr. Speaker, I yield myself such time as I may
consume.
Mr. Speaker, this legislation, led by Budget Chairman Dr. Tom Price,
dismantles the twin pillars of the controversial and unpopular
Affordable Care Act, repeals Democrat tax increases that force American
jobs overseas, and punishes American workers who have good healthcare
insurance. It empties a multibillion-dollar slush fund and ends
taxpayer funding of the gruesome practices at Planned Parenthood and
its affiliates.
As a result, this bill lowers taxes, lowers spending, and lowers the
deficit. It grows the economy, encourages work, and increases
incentives to invest; and it also invests in community healthcare
centers to ensure access to true, high-quality health care, especially
for women.
By repealing the two critical Federal mandates that force American
families to buy government-approved health care they don't need and
that force local businesses to offer health care their workers can't
afford, this bill dismantles the foundation of the President's
healthcare law. It frees millions of Americans from an unpopular law
that harms patients, harms families, and harms businesses, local
doctors, and community health providers.
Unlike the repeal of the Affordable Care Act, which the House
approved 9 months ago and still lingers in the Senate, this measure
uses the traditional budget process to allow the Senate to pass the
bill with a simple majority and send it to the President's desk.
The opportunity to put this bill on the President's desk is because
Congress is doing its job. We passed a budget that balanced; that put
our entitlement programs on a strong, sustainable path; and that
afforded three House committees, including the Committee on Ways and
Means, on which I serve, the opportunity to craft legislation to reduce
the deficit and advance important policy goals.
This process, called budget reconciliation, is a critical tool. It is
not a silver bullet. It is not a cure-all, but it is a gridlock-busting
practice I hope we can continue.
In accordance with the budget, the provisions crafted by the
Committee on Ways and Means targets the foundational pieces of the
President's healthcare law, including repealing tax hikes totaling over
$100 billion that slow our economy.
Mr. Speaker, the President may very well veto this bill, locking
millions of Americans into a healthcare law they don't want and giving
taxpayer dollars to controversial and unethical practices at Planned
Parenthood; but if he does, he will have to explain to the American
people his support of all this, including tax increases and mandates in
the name of a law that has increased healthcare costs, raided Medicare,
and forced millions onto an already broken Medicaid system.

[[Page H7149]]

Mr. Speaker, I want to hear those answers from the President, and the
American public wants to hear those answers.
I reserve the balance of my time.
Mr. VAN HOLLEN. Mr. Speaker, I don't have time to respond to all of
the misstatements that were made, but now I am going to turn it over to
the ranking member of the Ways and Means Committee.
Mr. Speaker, I ask unanimous consent that the gentleman from Michigan
(Mr. Levin) be allowed to control the next 15 minutes of debate time as
my designee.
The SPEAKER pro tempore. Is there objection to the request of the
gentleman from Maryland?
There was no objection.
Mr. LEVIN. Mr. Speaker, I thank Mr. Van Hollen.
Well, where do we start?
Clearly, there is a feeling this is more than an anticlimax. You
know, we should have a debt ceiling bill before us. Why don't we have
that?
We haven't acted on Medicare part B premiums. They are right before
us. Instead, we are doing this.
The highway trust fund faces a deadline. Where is it? Where is our
legislation?
Tax extenders actually expired much, much earlier. Where is the
legislation?
So, instead, because the Republican Conference is essentially mostly
fighting itself, this institution is handcuffed on these issues. So the
decision is pass a reconciliation bill and get a bill to the President
to veto because, so far, 60 or 61 efforts have never been able to get
to the President for a veto.
Well, I think this is a waste of time when there are other issues,
because the President has also said he will veto.
So what is this really all about?
I think this is all a prelude, as was the so-called prioritization
bill yesterday and, I think, also the Benghazi hearing yesterday, so-
called hearing, this is all an effort to try to lay a foundation so
that next week we will take up a debt ceiling bill, and it will pass
with a majority of Democrats and some Republicans, some of whom maybe
are made to feel better because we are going through the motions here
today.
I just want to conclude talking about going through the motions. All
of the pious talk on the Republican side about healthcare reform, those
of us now on the Ways and Means Committee who will be speaking, we go
to meeting after meeting, if they are called, where there is talk about
healthcare reform, and the Republicans have never brought up a
comprehensive healthcare reform that could be voted on in the
committee, where they have a majority.
So, essentially, what we are now facing is the dangerous bankruptcy
of the majority party in this House of Representatives who now decides,
let's do reconciliation so we can get a bill through the Senate and
have the President veto it.
By the way, because of the Planned Parenthood provision that would
defund care for millions of Americans and for other reasons, it isn't
even clear this will get through the Senate.
So where is the action on all these issues? Where is it?
I reserve the balance of my time.
Mr. BRADY of Texas. Mr. Speaker, I yield 2 minutes to the gentleman
from Minnesota (Mr. Paulsen), one of our key healthcare leaders on the
Ways and Means Committee.
Mr. PAULSEN. Mr. Speaker, I thank the gentleman for yielding.
I just want to speak to a provision in the legislation that repeals
the very harmful medical device tax.
Mr. Speaker and Members, this will be the fifth time that the House
has expressed its strong support for getting rid of this harmful and
illogical tax. The last time was just this past June, when the House
voted to repeal this tax by essentially a veto-proof margin, and that
is because we had Republicans and Democrats voting together to repeal
this very bad tax policy.
That is because, also, everyone knows basic economics. When you tax
something, you are going to get less of it.
So why are we adding new taxes to lifesaving medical innovation?
Why are we adding new taxes to an industry that is 98 percent small
businesses with less than 500 employees?
Why are we adding new taxes to an industry that has good, high-paying
jobs for wage earners?
And why we adding new taxes to an industry that has a trade surplus?
We should be promoting this industry as much as possible.
ObamaCare's medical device tax makes zero sense. That is because it
is not a tax on profit; it is a tax on the revenue, on the sales of
these innovative companies. So now some small businesses have over a 70
percent effective tax rate. It is a tax that is costing us jobs. It is
a tax that is stifling innovation. It is harming patients, and it is
hurting our healthcare system.
Mr. Speaker, we need to repeal this destructive tax to help protect
our seniors, to help protect American innovation, and to help protect
American manufacturing.
Mr. LEVIN. Mr. Speaker, I yield 2 minutes to the gentleman from
Seattle, Washington (Mr. McDermott), the ranking member on our Health
Subcommittee.
(Mr. McDERMOTT asked and was given permission to revise and extend
his remarks.)
Mr. McDERMOTT. Mr. Speaker, here we are again. I include in the
Record an article from the Seattle Times entitled ``Why Washington
State's Health Reform Faltered After the Loss of Mandates.''

[From The Seattle Times, March 28, 2012]

Why Washington State's Health Reform Faltered After Loss of Mandates

(By Carol M. Ostrom)

As the U.S. Supreme Court tackles the question of whether
individuals can be required to buy health insurance--a key
provision in the federal health-care overhaul--some in
Washington state are battling a strong sense of deja vu mixed
with dread.
They remember 1993, when state lawmakers passed a
comprehensive state law aimed at insuring everyone and
spreading the health-care expenses of the sickest throughout
a large pool of policyholders.
But the law, which relied on both mandates and incentives,
was soon dismembered, leaving only popular provisions, such
as prohibiting insurers from denying coverage to sick people
or making them wait many months for coverage.
Without any leverage to bring healthy people onto insurance
rolls, insurers, left with the priciest patients, began a
financial death spiral.
Ultimately, companies pulled out of the individual market
and almost no one in Washington could buy an individual
policy for any price.
For those involved, the lessons learned remain sharp as a
scalpel.
``It's the same thing we're very likely to face if the
Supreme Court blows a hole in the current law,'' warns Randy
Revelle, a former King County executive who was heavily
involved in the state effort nearly two decades ago.
Unlike the debate going on in the high court, the lessons
here don't involve constitutional questions. They're all
about the realities of the health-insurance market and
politics.
At the top of the list:
Lesson 1: Good intentions, no matter how popular, can
backfire--big time.
1esson 2: A machine doesn't work so well if you remove
parts.
Lesson 3: Buy-in from both political parties and strong
public support are needed to maintain enough momentum to
sustain complex reforms through potential changes in
administration.

the '94 ``death spiral''

In an amicus brief in the Supreme Court case, Gov. Chris
Gregoire and other governors referred to the ``death spiral''
in Washington's individual-insurance market that began in
1994.
The 1993 law, passed when Democrats controlled both houses
and the governor's seat, was then the most ambitious overhaul
effort in the nation.
The delicate balancing act ended when Republicans, who
objected to what they saw as heavy-handed government control
of the health industry, swept into power in both houses.
By the time the new Legislature finished, the only parts of
the law that survived were the ``consumer-friendly'' pieces,
championed by then-Insurance Commissioner Deborah Senn, a
Democrat.
``We kept some of the insurance reforms in law, because
they were very popular, but we didn't keep the market
reforms,'' says Pam MacEwan, who was a member of the Health
Services Commission charged with implementing the law and is
now a Group Health Cooperative executive. ``It was a big
problem.''
That's primarily because there was nothing left in the law
to push or entice people to buy insurance when they were
healthy, which would have spread costs more broadly.
What happened next is starkly summarized in a 1995 letter
sent to Premera Blue Cross by a woman in Eastern Washington.
A few months before she gave birth that year, the woman
bought an individual policy from Premera. As soon as the
insurer paid her hospital expenses, the woman canceled the
policy, telling Premera ``we will do business with you again
when we are pregnant.''

[[Page H7150]]

True to her word, in 1996, she bought insurance, Premera
said, once again canceling after the insurer paid for the
delivery of her next child.
Altogether, she paid in $1,807 in premiums. Premera paid
out $7,024.68 in medical bills.
You don't have to be a business genius to recognize the
problem with those numbers when multiplied by thousands of
customers.
Claims went up. Premiums rose. Pretty soon only sick people
thought insurance was worth the cost. Premiums rose even
more.
Healthy people, like the Eastern Washington woman, waited
until they needed insurance to buy it. At the time, Gov. Gary
Locke likened it to buying fire insurance after your house is
on fire.

state breaks the logjam

Before deciding in 1998 not to sell any more individual
policies in the state, Premera lost $120 million in today's
dollars, says company spokesman Eric Earling. By mid-1999,
the state's other two big insurers, Regence BlueShield and
Group Health, stopped selling individual policies.
In 1999, with the individual health-insurance market
essentially dead, Locke began crafting a compromise. Signed
into law in the spring of 2000, it was a bitter pill for
some, but it got the market back into action.
In exchange for coming back into the market, insurers could
charge whatever they wanted, bypassing the rate review
normally done by the insurance commissioner's office. They
could also force patients to wait nine months to be covered,
and exclude the most expensive patients.
To deal with those patients, the state revived its high-
risk pool. Insurers, who would help subsidize the pool, would
be allowed to reject 8 percent of applicants, who could then
buy coverage through the pool--if they could afford it.
At the time, Sen. Alex Deccio, a Republican from Yakima,
summed it up neatly: ``We are in a private-enterprise
system.''

``have'' vs. ``have-not''

Washington's insurance experience, some worry, could be
repeated on a much larger scale, should the Supreme Court
find the mandate unconstitutional.
Insurers, in an amicus brief to the court, argue that if
the mandate is removed they should be allowed to exclude
people and set prices based on health--now barred in the
federal plan.
Others argue that the mandate, with its relatively weak
financial penalty for those who don't buy insurance, isn't
necessary for the federal health overhaul to proceed.
They calculate that many young, low-income uninsured would
buy policies without a mandate, since the federal overhaul
dangles attractively low premiums for the young and
subsidizes those with low incomes.
State Sen. Karen Keiser, D-Kent, who chairs the Senate's
health-care committee and a group of lawmakers exploring
alternatives, says if the federal mandate is overturned, each
state would be left to choose options ranging from doing
nothing to legislating ways to bring as many people as
possible into a health-insurance pool.
``Of course, that would mean that our country would be made
of `have' states and `have-not' states, making the health
disparities even worse, which is pretty awful,'' Keiser said
in an email.
Washington Insurance Commissioner Mike Kreidler says 85
percent of state residents, who now have group coverage,
wouldn't be directly affected by the federal mandate.
But, he adds, the typical Washington family's yearly
insurance bill includes about $1,000 to cover costs for the
uninsured, which his office calculates have reached about $1
billion a year in the state. The state hospital association
says charges for charity care and bad debt by patients may
amount to as much as $2 billion.
Kreidler's office has estimated that under the federal
plan, the vast majority of the approximately 1 million
uninsured would qualify for Medicaid or subsidies.
Revelle, now policy leader for the Washington State
Hospital Association, says the state's struggle to improve
health coverage was illuminating.
``A fundamental lesson we learned in the process--and that
unfortunately was not learned in the federal process--is that
health care is so big, so complex, so passionate, that it has
got to have bipartisan support,'' Revelle said.
It also needs widespread public support to last through the
years it takes to impose changes on an entrenched industry.
And that's difficult, he says, not only because of health
care's complexity, but because people do not agree on
fundamental values.
``It's very hard to look out five or 10 years,'' Revelle
says. ``But we should constantly be thinking: Where do we
need to be five to 10 years from now?''

Mr. McDERMOTT. What we are doing out here today has already been done
in one of the laboratories of democracy, the State of Washington. The
Republicans did exactly the same thing. They repealed the mandates, and
the individual insurance market died.
It was impossible to buy a policy in the State of Washington because
the insurance companies said: Why should we insure somebody under
guaranteed mandate when they could walk in here whenever they are sick
and get a policy and when they are healthy cancel it, then walk back in
when they are sick again and get a policy? That is what you are setting
up.
If you were serious about this, you would wipe out ObamaCare totally.
You would wipe out the individual mandate. But you know that would be
death to you politically, so you wipe out these mandates which you
think are good.
Now, we know you don't care about the people. I mean, that is pretty
clear. But what you are saying is you don't even care about the
insurance industry.
This bill will die in the Senate because the insurance industry will
say: If this passes, we won't be able to sell individual policies.
You are wasting our time on an issue that has already been
demonstrated does not work in the real world, and yet the ideologues in
the back of the boat over there in the Republican Caucus had the idea
that if you hit it with a bigger hammer, reconciliation--I mean, it is
not enough to just pass a bill out of here. You are going to use
reconciliation, which is a sledgehammer in the House, and that will
make it pass.

{time} 1000

Folks, this bill is dead on arrival in the Senate and is certainly
dead on arrival in the White House.
The SPEAKER pro tempore. Members are reminded to direct their remarks
to the Chair.
Mr. BRADY of Texas. Mr. Speaker, I yield 2 minutes to the gentleman
from Illinois (Mr. Roskam), one of our strongest voices for patients
and local businesses.
Mr. ROSKAM. I thank Chairman Brady, and I thank Chairman Price for
bringing this to the floor.
Mr. Speaker, this is a great opportunity to get some awful things off
the back of the American public.
We heard the gentleman from Washington admonishing the House, but I
invite the House. I don't look at this as an admonition. This is an
invitation.
Look, we can get rid of the individual and the employer mandates; the
medical device tax; the Cadillac tax; the prevention and fraud health
fund, which is a slush fund for the Obama team; auto enrollment; and we
can get Planned Parenthood squared away.
What is not to love about that? It is a great opportunity all the way
around. I think we should invite the American public and we should
invite clear-thinking Democrats to do the same thing.
There is another opportunity as well. I want to draw my colleagues'
attention to a piece of legislation that over 100 Republicans have
cosponsored, the Special Inspector General for Monitoring the
Affordable Care Act, that is, SIGMA, H.R. 2400.
One of the criticisms that we have heard is that there is no
individual inspector general that can look over the whole broad
spectrum of ObamaCare. What we need to do is to get one entity that can
look at the same thing, that can look at it all in its entirety.
This worked as it relates to Afghanistan reconstruction. It worked on
Iraq reconstruction. It worked on the Troubled Asset Relief Program. It
is an opportunity for us to have a holistic review of all of these
things and save billions of taxpayer dollars.
I commend Chairman Price and his work and would appreciate very much
an ``aye'' vote on this reconciliation effort.
Mr. LEVIN. Mr. Speaker, I yield 2 minutes to the gentleman from the
great State of California (Mr. Thompson).
Mr. THOMPSON of California. I thank the gentleman for yielding.
Mr. Speaker, I rise in opposition to this piece of legislation and
strong opposition to the fact that we are back here again rehashing the
same old issues that aren't going anyplace. It has been pointed out
they are probably not even going to be taken up in the Senate; and, if
by some chance they were, they are certainly not going to be signed
into law by the President.
We are not going anywhere if we keep wasting the time, as we have
been wasting the time trying to repeal ObamaCare and defund Planned
Parenthood. It is a terrible situation because we have some real
important things that we need to do.
Next year a third of our Nation's Medicare beneficiaries--that is
people

[[Page H7151]]

in every one of our congressional districts--will face the steepest
premium hikes in the history of the program if this Congress doesn't
act.
We have got a transportation bill that has been long due to be
passed. We keep kicking the can down the road, and it is a very bumpy
road because we don't pass a transportation bill.
If we pass that bill, we put people to work. About 14 million jobs
hinge on the passage of a long-term transportation bill. This is for
improving roads and highways, making our overpasses and our businesses
safe.
Fourteen million jobs will help the economy; but, instead, we are
dillydallying on the floor today with this piece of go-nowhere
legislation.
It is long past time that we put the American people ahead of the
political gamesmanship and address the real issues facing our Nation.
Majority party, let's get to work. Let's fix the issues that are
hurting the American people and stop doing this partisan nonsense.
Mr. BRADY of Texas. Mr. Speaker, I yield 1 minute to the gentleman
from New Hampshire (Mr. Guinta), the former mayor of Manchester, New
Hampshire, who understands how badly this bill has hurt his family and
community.
Mr. GUINTA. I thank Chairman Brady and Chairman Price very much for
putting this piece of legislation together.
Mr. Speaker, I rise in support today of H.R. 3762, the Restoring
Americans' Healthcare Freedom Reconciliation Act, which includes the
repeal of components of the most harmful provisions of ObamaCare and,
at the same time, sharing bipartisan support for each component of this
legislation, bipartisan support.
I have worked hard with Members across the aisle on provisions that
have been hurting families in Manchester, Portsmouth, Conway, and all
parts of New Hampshire to ensure their voices are heard.
One of the important provisions in this bill is the full repeal of
ObamaCare's 40 percent tax on healthcare benefits, commonly referred to
as the Cadillac tax. While this tax is set to take effect in 2018,
employers of all sizes are already restructuring plans and cutting
benefits to avoid the costly tax.
This excise tax will impact an estimated 12 million middle-class
Americans who will pay an additional $1,000 annually as a result of
this tax. They work for big businesses, small businesses, nonprofits,
colleges, small municipalities. They need help. They need our support.
The SPEAKER pro tempore. The time of the gentleman has expired.
Mr. BRADY of Texas. Mr. Speaker, I yield the gentleman an additional
30 seconds.
Mr. GUINTA. As I introduced the repeal of the Cadillac tax in its
entirety, I am pleased to see that repeal language included in the bill
we are debating today.
On top of all the burdens ObamaCare has already placed on hardworking
Americans and all the rules and regulations American businesses are
faced with, this tax will just make it that much more difficult for
employers to provide affordable healthcare benefits to their employees.
So I urge my colleagues, please join the bipartisan fight to support
middle-class families and support the repeal of this tax.
Mr. LEVIN. Mr. Speaker, I yield 1\1/2\ minutes to the gentleman from
New Jersey (Mr. Pascrell), a very vigorous member of our committee.
Mr. PASCRELL. I thank the ranking member.
Mr. Speaker, I have heard now twice this morning the term
``bipartisan.''
Many of my brothers and sisters on the other side wouldn't know
bipartisan if it hit them in the head. I mean, to just throw this term
out there like, you know, if you have one or two on this side of the
aisle, it is bipartisan, technically, you are absolutely right.
We should be crafting a long-term funding measure, Mr. Speaker, and
replacing the damaging sequester cuts that have hurt our economy. And
we are both responsible, both sides of the aisle, for that sequester. I
don't point any fingers.
We have also got to raise the debt ceiling. I mean, we talk about our
budgets at home. Why don't we do the same thing in the Federal
Government? I always thought, when I grew up, pay your bills. Pay your
bills. That is as important as balancing the budget at home.

This bill leaves intact automatic budget cuts which have threatened
hundreds of thousands of jobs and cut vital services for children, for
seniors, for people with mental illness, and our men and women in
uniform. These harmful cuts have cut funding for thousands of first
responders in our communities.
The SPEAKER pro tempore. The time of the gentleman has expired.
Mr. LEVIN. I yield the gentleman an additional 30 seconds.
Mr. PASCRELL. They have cut vital services for children. They have
cut funding for our first responders. They have eliminated jobs for
30,000 teachers--30,000. They have cut afterschool programs for nearly
1.2 million kids and eliminated more than 40 million meals for sick and
homebound seniors. This is bipartisan.
We should be replacing these harmful cuts and supporting vital
services in our communities.
The SPEAKER pro tempore. The time of the gentleman has again expired.
Mr. LEVIN. I yield the gentleman an additional 30 seconds.
Mr. PASCRELL. Instead, we are here talking about holding government
funding hostage in exchange for decimating the Affordable Care Act.
Enough is enough.
Remember when the guy threw the window up in that movie ``Network''?
We are not going to take it anymore.
The Republican budget would result in 16 million fewer Americans
having health insurance and a 20 percent increase in insurance
premiums. A vote for this bill is a vote against those 16 million
Americans. A vote for this bill is a vote for higher premiums.
On top of that, this budget doesn't even balance. After 2025,
deficits under this budget would begin to skyrocket. It is not a
balanced budget. This is a fake.
Why don't we sit down and come up with a mutual plan instead of ``a
bipartisan fraud''?
Mr. BRADY of Texas. Mr. Speaker, I yield 1\1/2\ minutes to the
gentleman from Kentucky (Mr. Barr), who knows the failures of the
Affordable Care Act in his State.
Mr. BARR. Mr. Speaker, I rise today in support of H.R. 3762, the
Restoring Americans' Healthcare Freedom Reconciliation Act.
Too many Americans across the country are victims of ObamaCare's many
broken promises. We all remember the chaos that ensued when the law was
first rolled out, a billion-dollar Web site that didn't work, millions
of Americans losing their insurance and being forced to find a new plan
often at a higher cost.
Now hundreds of thousands of Americans, including at least 51,000
Kentuckians, are once again losing their health insurance because of
the failure of ObamaCare healthcare cooperatives.
In his State of the Union Address, President Obama cited Kentucky as
an example of ObamaCare working in a red State. But as we learned last
week, ObamaCare does not work in Kentucky.
In the past 2 weeks, ObamaCare co-ops have failed in my home State of
Kentucky, Tennessee, Colorado, Oregon, and South Carolina. Co-ops have
failed in Nevada, Iowa, Nebraska, New York, and Louisiana.
These failures were entirely predictable because the model was not
sustainable. The Kentucky co-op lost nearly 60 cents for every premium
dollar it collected. Now hardworking taxpayers will be stuck with the
bill for hundreds of millions of dollars that will never be paid back.
Combined with low enrollment numbers, the result of these failures
will ultimately be borne by the American people, more consolidation in
the healthcare market, fewer choices for consumers, and higher
healthcare costs for the American people. This is not the reform we
were promised.
The bill we are debating today would repeal the most harmful mandates
and taxes imposed by the law. It reduces the deficit by $130 billion,
and it gives us an opportunity to put a bill on the President's desk
that would make life easier for the American people.
I encourage all my colleagues to join me in supporting this bill.

[[Page H7152]]

Mr. LEVIN. Mr. Speaker, how much time of our 15 minutes remains?
The SPEAKER pro tempore. The gentleman from Michigan has 5 minutes
remaining.
Mr. LEVIN. Mr. Speaker, I yield 1\1/2\ minutes to the gentleman from
New York (Mr. Crowley).
Mr. CROWLEY. I thank the gentleman from Michigan for yielding me the
time.
Mr. Speaker, I rise in opposition to this latest attempt to repeal
the Affordable Care Act and the benefits it has brought to millions of
Americans.
While this is the 61st vote this House has taken to undermine health
care, my colleagues on the other side of the aisle claim that somehow
this time is different. That is because this is dressed up in a process
called reconciliation.
But this isn't reconciliation. This is procrastination. This is a
desperate attempt to avoid working on the real issues facing America
today.
I get it. Governing is hard. It is difficult. But that is not an
excuse for giving up on your responsibilities and, instead, pursuing
yet another repeal bill. But that is their plan, their only agenda, for
America.
The country is days away from defaulting on our debt? Time to repeal
the Affordable Care Act.
Roads and bridges are falling apart? Maybe repealing the Affordable
Care Act will help us.
Seniors on Medicare are about to see their premiums skyrocket? Forget
fixing the problem. Let's repeal the Affordable Care Act.

{time} 1015

They must think it is a better strategy than the previous 60 votes if
they wrap it up with a bow and slap a fancy name on it. Actually, it is
odd they call this reconciliation.
The SPEAKER pro tempore. The time of the gentleman has expired.
Mr. LEVIN. Mr. Speaker, I yield the gentleman an additional 30
seconds.
Mr. CROWLEY. Republicans aren't reconciling with us to work in a
bipartisan way. They are not reconciling themselves to the fact that
the Affordable Care Act is the law of the land and that it is helping
people access quality, affordable healthcare insurance; and they are
certainly not fooling anyone with what their true intentions are. They
are not. Frankly, the only thing they are doing is wasting time. I have
had enough, and I know the American people have had enough, too.
Mr. BRADY of Texas. Mr. Speaker, I yield 2 minutes to the gentlewoman
from Tennessee (Mrs. Black), a Member of Congress who is a healthcare
provider herself, a nurse, and a key leader of the Health Care
Subcommittee.
Mrs. BLACK. I thank the chairman and also Chairman Price for bringing
this bill to the floor.
Mr. Speaker, I rise today in strong support of today's budget
reconciliation to address the heinous abuses of life at Planned
Parenthood. To date, we have seen 10 undercover videos implicating the
abortion giant in the trafficking of unborn babies' tissue and organs.
Planned Parenthood and their enablers could not defend the
conversations on these tapes--which many here in Washington still have
not watched--so they tried to discredit the source. The House minority
leader even said: ``I don't stipulate that these videos are real.''
Well, Mr. Speaker, that is my colleague's prerogative, but the
facts--and specifically this forensic report--say differently. Since
these revelations were uncovered, the House has voted twice now to cut
Federal funding to Planned Parenthood and reallocate those dollars to
other providers that better serve women and families. But Senate
Democrats repeatedly blocked these solutions. In fact, only two
Senators from the minority party could muster the compassion to vote
for this proposal.
I refuse to let the callousness and obstructionism of a select few
stop this worthwhile effort. That is why I am voting today for the
reconciliation bill to freeze Medicaid funding to Planned Parenthood.
This is our best opportunity, to date, to put a bill on the President's
desk and show the American people where his priorities lie.
Mr. Speaker, we face many challenges in Washington today, but
nothing--nothing--could be more important than how we treat an innocent
human life. This is a fight worth having, and it is a fight I will
continue to have until the very end. I urge a ``yes'' vote on the
budget reconciliation bill.
Mr. LEVIN. Mr. Speaker, I yield 1\1/2\ minutes to the gentlewoman
from California (Ms. Lee), who is a distinguished member of the Budget
and Appropriations Committees.
Ms. LEE. Mr. Speaker, let me thank our ranking member for yielding
and for his tremendous leadership on so many issues.
Mr. Speaker, I rise in opposition to H.R. 3762, the so-called
Restoring Americans' Healthcare Freedom Reconciliation Act. This bill
would attack women's health and the Affordable Care Act once again.
This bill would defund Planned Parenthood for 1 year, leaving millions
of women across the country without access to critical healthcare
services. It would also prevent individuals or organizations that
provide comprehensive reproductive healthcare services from treating
women enrolled in Medicaid, stripping women of their fundamental right
to choose their own healthcare provider, and leaving thousands of women
out in the cold.
Now, let's be clear. Family planning services are critical to
reducing unintended pregnancies, and they make economic sense also. For
every $1 spent on family planning services, we save more than $7 in
other costs.
Mr. Speaker, denying access to healthcare providers such as Planned
Parenthood and other safety net providers will hurt women who need
these services the most: low-income women and women of color. It is
past time to stop these ideological attacks on women's right to health
care. Instead of continuing with these callous attacks and cuts, we
should work to replace the damaging sequester and get a responsible,
long-term budget deal.
Mr. Speaker, this bill reconciles nothing. It is divisive, it is
misguided, and it is dangerous. I urge a ``no'' vote.
Mr. BRADY of Texas. Mr. Speaker, I yield 2 minutes to the gentleman
from Louisiana (Mr. Scalise). He is the majority whip of the U.S. House
and a strong leader against the Affordable Care Act and for defunding
Planned Parenthood.
Mr. SCALISE. Mr. Speaker, I thank the gentleman from Texas for
yielding.
I want to thank my colleague, the gentleman from Georgia, for his
leadership on bringing this reconciliation bill to the floor.
Mr. Speaker, as we have fought for years to defeat the President's
healthcare law and the many destructive components to that law that are
playing out all across the country, we have got one more opportunity,
Mr. Speaker, to send a bill to the President--but this time, not just
to send a bill to the Senate that actually goes after and guts the
President's healthcare law, but also a bill that now, with 51 votes in
the Senate, will have the opportunity to get to the President's desk.
The bill not only repeals the employer mandate, but it repeals the
individual mandate, laws that are crushing jobs across the country and
killing middle class jobs. The biggest reason, when you talk to small-
business owners, why they can't hire more people and why they are
forced by this law to lower the number of working hours of people
across the country down below 30 hours is because of these mandates in
the law that are crushing American jobs.
Why not put that bill on the President's desk? Why not also tell
these people who are taking taxpayer money and providing abortion
services that you can't do it anymore? If you want to provide women's
health care, there is funding for you, but you can't use taxpayer money
to provide abortions. That is in this bill to get to the President's
desk.
Even more than that, it goes further, and we start cutting taxes that
are killing jobs in this bill. The medical device tax is shipping jobs
to foreign countries. Let's cut those taxes. If the Senate wants to go
further under their arcane rules, they will have that opportunity, and
we would support those changes as well.
Ultimately, Mr. Speaker, let's get this bill to the President's desk
and let him make a decision. Is he going to finally stand up for
American workers

[[Page H7153]]

and sign this bill, or is he going to continue to support a law that is
destroying jobs and destroying health care in this country? That ought
to be the President's burden. We ought to send that bill to the
President. This is the first step, and it is a critical step to
restoring jobs and good health care across this country.
Mr. Speaker, let's pass this bill, send it over to the Senate, and
let them do their work.
Mr. LEVIN. Mr. Speaker, how much time of the 15 minutes remains on
each side?
The SPEAKER pro tempore. The gentleman from Michigan has 1\1/2\
minutes remaining. The gentleman from Texas has 2 minutes remaining.
Mr. LEVIN. Mr. Speaker, I yield 1\1/2\ minutes to the gentleman from
New York (Mr. Rangel), a gentleman who has served this committee and
this country so well.
(Mr. RANGEL asked and was given permission to revise and extend his
remarks.)
Mr. RANGEL. Mr. Speaker, I think this bill before us shows what is
wrong with the Congress. I don't challenge the corrections that people
on the Republican side would want to make in providing health care for
our Nation. It is a problem when none of them actually voted for the
bill, but that could have been because we didn't give them access and
opportunity.
It would seem to me, especially when we are trying to find out
someone who will become Speaker of the House, that, if you have
objections to a bill that provides health services for Americans, we
would try to find out, before we ask for a veto, what we can do to
help.
There cannot be any Republican here that truly believes that we
should eliminate preventive health care. Preventive health care is not
only humane and the right thing to do, but it saves us a lot of money.
We have an advisory board that determines the amount of time that
should be spent based on statistics. Yes, these are life-or-death
questions, but it is also saving money as well as saving lives.
There are so many objections that you may have as to how we use the
tax system to encourage people and to mandate that people pay into the
system. Most of you know, if people can have insurance and not pay for
it, then everyone would want it.
This is insurance. Yes, healthy people have to participate because
younger people don't believe that they ever get sick. So don't just say
that you want to make certain that the President vetoes this for
political purposes so you can go back home and say, yes, one more shot
against the President, one more shot against the Congress, and in some
cases one more shot against your own party. Let's, for God's sake, try
to work together to try to get something positive done.
Mr. BRADY of Texas. Mr. Speaker, I yield 2 minutes to the gentleman
from Louisiana (Mr. Boustany), a physician and one of the distinguished
leaders on health care, to close on behalf of the American people.
Mr. BOUSTANY. I thank the Speaker, and I thank my friend from Texas
for yielding time.
Mr. Speaker, I rise in support of this reconciliation package because
it hits right at the financing of ObamaCare. As a physician, I know
what the impact of this health law has done. It is devastating and
causing serious disruptions in access to care, quality of care, and,
really, eroding the doctor-patient relationship.
Secondly, it puts a halt to the funding of Planned Parenthood. We all
know, based on those videos and other information we have had, the
practices of Planned Parenthood. It is time to stop it. As a pro-life
physician, it is time to stop it.
Finally, this forces the President to explain the support of these
horrible, failed policies.
Conservatives across the spectrum are standing strong in support of
this package, and that is because it contains important provisions like
one that I authored repealing the employer mandate, which is hurting
job creation in this country. It is an onerous provision, and it is
choking small business growth.
I only wish we could have done more in this package, but we are
limited by the Senate rules and the Senate Parliamentarian. I would
have liked full repeal of ObamaCare. I would have liked to have seen
the inclusion of my bill repealing the health insurance tax, which has
been very costly, running up premium costs. We couldn't do that because
of constraints.
We will continue to fight these fights, but let's pass this package.
It is really important. It will get job creation going, and it will
help roll back the onerous effects of ObamaCare.
If signed into law, there is no question in my mind that this
reconciliation package will cause an implosion of ObamaCare and force
us to get to real healthcare reform based on high quality and a high-
quality doctor-patient relationship built on trust.
At the very least, we will accomplish putting this on the President's
desk and have him account for his failed policies. He will have to
account for the policies that are killing jobs, adding mountains of
debt to this country, and continuing a legacy of failed policy.
Mr. Speaker, support this package. It is a very important step.
Mr. LEVIN. Mr. Speaker, I ask unanimous consent that the gentleman
from New Jersey (Mr. Pallone) be allowed to control the next 15 minutes
of debate time as the designee of the ranking member.
The SPEAKER pro tempore. Is there objection to the request of the
gentleman from Michigan?
There was no objection.
Mr. TOM PRICE of Georgia. Mr. Speaker, I ask unanimous consent that
the gentleman from Michigan (Mr. Upton), the chairman of the Energy and
Commerce Committee, may control 15 minutes as my designee.
The SPEAKER pro tempore. Is there objection to the request of the
gentleman from Georgia?
There was no objection.
Mr. UPTON. Mr. Speaker, I yield myself such time as I may consume.
Mr. Speaker, today, I rise in support of this important bill, H.R.
3762, which addresses some of the most pressing and important issues
certainly to folks in Michigan and around the country: the deficit and
the President's healthcare law.
Rarely a day goes by when I am back home in Michigan that someone
somewhere doesn't stop me and say, whether it be in a coffee shop, on a
plant floor, or the local service club like a Rotary or a Lion's Club,
you name it, asking what we are doing to address the broken promises,
the high cost, and the surprises and the lack of choices associated
with ObamaCare, and what are we doing to get spending under control.
There is a lot of misunderstanding on what this bill does or does not
do, so let's set the record straight. This bill would repeal the most
harmful, damaging, and unpopular provisions of the health law.
This bill would repeal the Prevention and Public Health Fund. Don't
let the name fool you. The administration views it as a veritable petty
cash fund that has been raided for wasteful projects, including
building support for ObamaCare.
This bill would, for a period of 1 year, prohibit any Federal funding
to States for a 1-year period for prohibited entities like Planned
Parenthood. At the same time, the bill would increase funding for
community health centers like the Family Health Center in Kalamazoo or
InterCare in Benton Harbor, two cities in my district, to help provide
access to women's health care. Stalwarts in the life movement,
including the National Right to Life, the Family Research Council, and
Susan B. Anthony List support that approach.
Mr. Speaker, the bill would repeal the unpopular individual mandate,
which forces Americans to purchase coverage of the government's
choosing, the exact opposite approach that we need to create a patient-
centered healthcare system.
The bill would also repeal the employer mandate. Repealing this
provision helps encourage economic growth and improve the job outlook.
The bill would also, as we know, repeal the medical device tax. This
job-killing tax has hurt Americans across the country, including in my
district, certainly, Kalamazoo, where folks have lost their jobs
because of the harmful tax.
In closing, Mr. Speaker, the CBO has found this bill would reduce the
deficit by nearly $130 billion over the next 10 years, spur economic
growth and the

[[Page H7154]]

creation of jobs, and cut taxes on literally millions of Americans.

{time} 1030

Today we say to folks in Michigan and around the country: We hear
you. Yes, we do. We are addressing what matters to you most.
I would ask my colleagues to support this important bill.
I reserve the balance of my time.
Mr. PALLONE. Mr. Speaker, I yield myself such time as I may consume.
Mr. Speaker, I have the utmost respect for the chairman of our Energy
and Commerce Committee, but I have to respectfully disagree with almost
everything he said.
I am glad that he is admitting that, basically, what this
reconciliation tries to do is repeal the Affordable Care Act. There was
some question about that by my colleagues until now. But, clearly, they
are admitting that that is what they are trying to do.
Of course, they don't say anything about the positive impact of the
Affordable Care Act and how many more people now have health insurance,
how many people don't face discrimination, all the terrible things that
existed before the Affordable Care Act became law.
What I do not appreciate, though, is my chairman saying that somehow
we are trying to expand access to health care by providing more funds
to community health centers. The fact of the matter is that the
community health centers cannot make up for the work on women's health
that Planned Parenthood centers take care of. To suggest that somehow
that is going to make up for what Planned Parenthood does is simply not
the case.
Mr. Speaker, this reconciliation legislation amounts to the futile
61st attempt at repealing the Affordable Care Act. It also represents
the Republican's continued assault on women's right.
The reconciliation instructions defund Planned Parenthood, and the
recently enacted legislation forming a new select subcommittee will
continue a fraudulent investigation into Planned Parenthood, and I
think that is appalling. This investigation and this effort in
reconciliation are nothing more than a radical assault on women's
health.
Extremist Republicans want to take away a woman's right to choose
what is best for her and her family as well as her right to choose the
healthcare provider that best meets her healthcare needs. This isn't
just an attack on Planned Parenthood. This is an attack on all women
across the country.
I am also disappointed that the reconciliation instructions would
repeal the Prevention and Public Health Fund, which is part of the
Affordable Care Act. There is nothing more important than the
Prevention Fund. My colleague, the chairman of our committee, suggested
it was a slush fund. Nothing could be further from the truth.
Less than 4 months ago the House voted overwhelmingly to support the
21st Century Cures Act, which was one of my chairman's goals, was to
pass that bill. With that vote, we all agreed on the importance of
making investments to spur innovation to develop new treatment and
cures, investments that could reduce the human toll of disease and
reduce the financial strain that disease places on public and private
healthcare payers.
Just like we know that investments in developing new cures and
treatments matter, we know that investments and prevention pay off.
According to the Trust for America's Health, every dollar spent on
community-based interventions generates a return of $5.60.
Not only does investing in prevention have economic benefits, such
investments can potentially prevent the human suffering that results
from disease. I don't see how anyone can be against that goal.
I would venture to say again out of respect to the chairman of my
committee, if we were to get rid of the Prevention Fund, I don't see
any point in having the 21st Century Cures Act because the money is
similar. One goes for prevention, and the other goes also for
prevention.
This legislation is harmful, unnecessary, and will never become law.
I urge all Members to reject it.
I reserve the balance of my time.
Mr. UPTON. Mr. Chairman, I yield 2\1/2\ minutes to the gentlewoman
from Tennessee (Mrs. Blackburn), the vice chair of the Energy and
Commerce Committee.
Mrs. BLACKBURN. Mr. Speaker, I thank the chairman.
Before I begin my remarks, I want to commend Chairman Price and
Chairman Upton for the work that they have done--Energy and Commerce is
an authorizing committee, and Chairman Price is the Budget Committee--
making certain that we meet the targets for reconciliation.
One of the things we have heard repeatedly from our constituents is
the U.S. House of Representatives is responsible for this Nation
getting their fiscal house in order. It is an imperative. We know we
are not going to have a silver bullet that does it overnight. Those
silver bullets don't exist.
We do know this, that we can take the right steps at the right time
and put a bill on the President's desk. The President has the choice to
say, I agree with you. Let's move this Nation to fiscal health, or he
will veto the bill. And, of course, our goal is to get it over to the
Senate so they can do their work and we can see that step of the
process take place.
There are some items in this bill for reconciliation that I do come
to strongly support. I think it is imperative that the Affordable Care
Act, which has proven to be so unaffordable, too expensive to use, too
expensive to purchase--insurance gets you to the queue, not to the
doctor. We all know those stories.
What we have learned is that the administration has recently cut in
half their enrollment projections for next year. This should trouble
everybody because this is something that we said.
We know from history, from government-run programs, that those
expectations many times are not met. So then you see a movement into
damage control. We are taking the right steps to begin to rein this in
and to break this program apart.
I think it is important to note, as we look at the ObamaCare program
and the steps we are taking to eliminate portions of that program, that
just this week, with the co-ops that were put in place--and, by the
way, about a billion taxpayer dollars spent on those co-ops and nine--
nine of those co-ops have now failed. They failed, poof, gone. It is
these findings that are raising the questions that Americans have for:
Look, the program isn't working.
The SPEAKER pro tempore. The time of the gentlewoman has expired.
Mr. UPTON. I yield the gentlewoman an additional 1 minute.
Mrs. BLACKBURN. What you need to do is stop this before it becomes
too entrenched to change because people are not getting access to care
and money is being wasted on healthcare delivery theories that clearly
do not work.
This bill repeals the individual mandate, the employer mandate, the
Cadillac tax, the medical device tax, ends auto enrollment, and ends
the Public Health Fund, which is a slush fund. When you are paying for
pet neutering and other things out of a prevention fund, yes, it is a
slush fund, and it needs to be clawed back.
In addition, there is a 1-year moratorium on the funds for Planned
Parenthood while Congress completes its investigation into the
practices that have taken place around fetal tissues.

H.R. 3762 is a net tax cut, a net spending cut, and reduces the
deficit. I urge support.
Mr. PALLONE. Mr. Speaker, I yield myself such time as I may consume.
As I said, now our vice chair of the committee also is going into all
the reasons why we should repeal the Affordable Care Act.
So I think maybe at this time, Mr. Chairman, I would like to just
read, if I could, from the Statement of Administration Policy. This is
the President's statement about why this bill should not pass. He says:
``The administration strongly opposes House passage of H.R. 3762. The
House now has attempted to repeal or undermine the Affordable Care Act
more than 50 times. By repealing numerous key elements of current law,
H.R. 3762 would take away critical benefits and health care coverage
from hard-working middle-class families. The bill also would remove
policies that are expected to help slow the growth in health care costs
and that have improved the quality of care patients receive. H.R. 3762
would increase

[[Page H7155]]

the deficit in the long term and detract from the work that Congress
could be doing to foster job creation and economic growth.''
The Affordable Care Act is working and is fully integrated into an
improved American healthcare system. Discrimination based on
preexisting conditions is a thing of the past. Under the Affordable
Care Act, we have seen the slowest growth in healthcare prices in
nearly 50 years benefiting all Americans.
Repealing key elements of the Affordable Care Act would result in
millions of individuals remaining uninsured or losing the insurance
they have today. An estimated 17.6 million Americans gained coverage as
several of the Affordable Care Act's coverage provisions have taken
effect, 15.3 million since the beginning of the first open enrollment
in October 2013. This legislation would roll back coverage gains and
would cost millions of hardworking middle class families the security
of affordable health coverage they deserve.
Repealing the healthcare law would have implications far beyond these
Americans who have or will gain insurance. More than 150 million
Americans with employer-based insurance would be at risk of higher
premiums and lower wages or losing their coverage altogether. Reforms
that strengthen Medicare's long-term finances also would be repealed,
likely making Medicare's Hospital Insurance Trust Fund insolvent
earlier.
H.R. 3762 also would defund the Prevention and Public Health Fund,
which was created to help prevent disease, detect it early, and manage
conditions before they become severe; limit women's health care
choices; and disproportionately impact low-income individuals.
Rather than refighting old political battles by once again voting to
repeal basic protections that provide security for the middle class,
Members of Congress should be working together to grow the economy,
strengthen middle class families, and create new jobs.
If the President were presented with H.R. 3762, he would veto the
bill.
This is an exercise in futility, this reconciliation act. To suggest
that somehow we should repeal the Affordable Care Act after all the
good things that it is doing to help Americans obtain health care, have
access to health care, and lower costs, there is absolutely no
justification for it. I thought that the Republicans would stop doing
this months ago, but here they are at it again. I don't really
understand it.
Mr. Speaker, I reserve the balance of my time.
Mr. UPTON. Mr. Speaker, I yield 2\1/2\ minutes to the gentleman from
New Jersey (Mr. Lance), a member of the Health Subcommittee.
Mr. LANCE. Mr. Speaker, I rise in strong support of H.R. 3762, the
Restoring Americans' Healthcare Freedom Reconciliation Act.
This comprehensive package focuses on significant portions of
ObamaCare, striking onerous tax and mandate provisions, and laying the
groundwork for a new President elected in 2016 to complete a full
replacement plan of ObamaCare--not repeal--repeal and replacement.
According to the Congressional Budget Office, the package reduces the
deficit by nearly $130 billion and provides a 1-year moratorium on all
Federal mandatory funding for Planned Parenthood, a moratorium to
Planned Parenthood, but that funding is redirected elsewhere, to
community health organizations that do a fine job across this country.
Under the leadership of Chairman Upton, provisions finally end the
ObamaCare fund, known as the Prevention and Public Health Fund, which
gives the Secretary of Health and Human Services billions of dollars to
spend each year with little accountability.
All Members of Congress should recognize that that responsibility
belongs to us here in this branch of government and not in the
executive branch. Funds from this program have financed questionable
programs, and there has been waste. Some Democrats have joined in
calling for its termination.
The Energy and Commerce Committee sections also direct that the
Planned Parenthood funding will go to other organizations' high-
quality-access healthcare options both for women and men.
Contributions from both the House Education and Workforce and Ways
and Means Committees also include the repeal of a series of significant
pieces of ObamaCare, including the repeal of the individual and
employer mandates, the repeal of the 40 percent excise Cadillac tax--
and there is no one I know who favors that Cadillac tax, certainly
those hardworking men and women who are in labor organizations in this
country--and that forces people to accept different insurance coverage
from the coverage they knew and liked, and it includes the repeal of
the medical device tax, which increases the cost of care, discourages
medical innovation, and harms job creation, particularly in my home
State of New Jersey.
Because the legislation was developed through the reconciliation
process, it will be protected from a filibuster in the Senate and could
be passed in that body by a simple majority. I call for majority
passage in the Senate of the United States. Reconciliation is our best
chance to send meaningful legislation to the President's desk.
I urge my colleagues to support this important legislation.
Mr. PALLONE. Mr. Speaker, I yield 2 minutes to the gentleman from New
York (Mr. Engel).
Mr. ENGEL. Mr. Speaker, I thank the gentleman for yielding to me.
As President Reagan used to say, ``Here we go again,'' on the 61st
attempt to repeal the Affordable Care Act, I mean, give us a break. It
is a waste of everybody's time. I don't know why we are going through
this exercise.
I do understand, Mr. Speaker, the need to reconcile our budget. I do
not, however, understand the impulse to do so by gutting both the
Affordable Care Act and an organization that provides vital preventive
services to more than 2 million Americans, and that is Planned
Parenthood.

{time} 1045

Investing in preventative care saves money in the long term. Yet this
shortsighted measure would abolish the Affordable Care Act-created
Prevention and Public Health Fund, which is our government's sole
investment in prevention.
This isn't merely a talking point. I have seen the ample returns on
this investment in my hometown of the Bronx, where the fund sponsors
healthier meals, antismoking campaigns, and increased access to
vaccinations. This fund should not be gutted. This bill ignores the
progress that the fund is making not only towards saving money but,
more importantly, towards saving lives.
This bill, again, as I said, bars the funding for Medicaid
reimbursement to Planned Parenthood--again, yet another politically
motivated attempt to demonize Planned Parenthood based on discredited
allegations of wrongdoing. As I have said repeatedly, more than half of
Planned Parenthood centers are in rural or underserved areas where
health care is already hard to come by. Yet some of my colleagues on
the other side of the aisle want to make it even harder to access HIV
and STI tests, breast and cervical cancer screenings, and other
lifesaving services.
I urge my colleagues to vote ``no'' on this bill and to continue to
provide preventative care to our country's most underserved citizens.
This is what we should be doing, not making it harder for them to get
the help they need.
Mr. UPTON. Mr. Speaker, I inquire of my friend from New Jersey how
many speakers he has remaining on his side. We are prepared to close.
Mr. PALLONE. I have no additional speakers.
Mr. Speaker, how much time remains on both sides?
The SPEAKER pro tempore. The gentleman from New Jersey has 6\1/2\
minutes remaining, and the gentleman from Michigan has 6\1/2\ minutes
remaining.
Mr. PALLONE. Mr. Speaker, I yield myself the balance of my time.
I want to just talk, in closing, about the part of this
reconciliation that eliminates funding for Planned Parenthood and
related agencies.
Basically, the reconciliation instructions would prohibit Federal
funding under Medicaid as well as under SCHIP--the children's health
fund--and social services' block grants to prohibited entities that are
defined as

[[Page H7156]]

those primarily engaged in family planning, reproductive health
services, and related medical care, and those that provide abortions
beyond limited circumstances.
Now, the thing that is most disturbing to me is the ideological bent.
We know that the Supreme Court says that abortion is legal and that
women have a right to choose; but this goes way beyond even the
abortion issue by talking about family planning and reproductive health
services. My colleagues continue to say that there are alternatives to
Planned Parenthood, but the reality is that there are not because it is
the main provider for family planning, reproductive health services,
and related medical care.
That is our point here. You can try to define this as relating to
abortion, but the bottom line is that Planned Parenthood and similar
entities provide all kinds of services for women's health and even for
some men, and you are denying them access. So I do kind of resent the
fact that there is this suggestion that you are going to allow access
at community health centers, because I know, from my own experience,
that community health centers are limited--there aren't that many--and
they don't have the ability to provide these services, particularly
this kind of specialty care that women deserve and that women should
have.
Once again, we are here to defend longstanding freedom of choice
protections that ensure that a woman in the Medicaid program can see
the qualified provider she trusts. Remember, when you are talking about
Medicaid in particular, you are talking about poor women. You are
talking about vulnerable women who will lose access to care because
Medicaid is their major source of funding if they want to get care.
I can never support any legislation of any kind that would leave
millions of American women without key preventative health services,
including birth control, lifesaving cancer screenings, STI testing and
treatment, well-woman exams, and advice on family planning. Federal
rules protect the right of Medicaid beneficiaries to seek care from
trusted and medically qualified providers of their choosing.
Now you are entering an ideological debate into what we call ``any
willing provider.'' The idea was that you could decide as a woman--or
as anyone--where to go. If an agency provided the services and if it
were qualified, you could choose to go there. Now you are breaking that
for ideological reasons. My concern is: Where do we go next? We then
say that you can't go to a hospital because it is Catholic or that you
can't go to a clinic because it is Jewish. How are you supposed to
define, ideologically, which provider you can go to if you now put the
ideological bent on it as saying you can't go to a provider that may,
at one of its clinics--not even the one you go to--provide abortion
services?
This is a protection that has existed for a long time, and you are
breaking it. This is the wrong bill--wrong because it repeals the
Affordable Care Act, wrong because it denies women access to important
care.
Mr. Speaker, I yield back the balance of my time.
Mr. UPTON. Mr. Speaker, I yield myself the balance of my time.
Mr. Speaker, I really thank Chairman Price for the budget process
that we have seen this year. One of the toughest votes any Member has,
whether the Republicans are in charge or the Democrats--either side--is
the passage of a budget. For a lot of years, at least on our side of
the aisle, we complained bitterly that the Senate was never able to
pass a budget for, probably, 4 or 5 years, I want to say.
It didn't happen this year. We passed a responsible budget in the
House, and the Senate passed a budget.
I don't think many Americans realize that the budget, itself, does
not go to the President for his signature or veto. It is just the
roadmap for us, and it sets up the stage where we can use
reconciliation. This is a process, I want to say, President Reagan used
for the first time back in the eighties. I worked at the White House
then.
This is a way that you don't need the 60-vote threshold that most
bills require in the Senate. You only need 50 votes. So that budget
process, by getting a conference agreement, was nurtured through the
two bodies--the House and the Senate. Then began the process of
reconciliation within the authorizing committees. Our committee--Energy
and Commerce--Ways and Means, Education and the Workforce, and others
can come up with a real savings to match that budget target that we set
last spring.
That is what this is. It is reconciliation. It is a coming together
based on the budget, and this, in fact, is a bill that goes to the
President. In the Statement of Administration Policy, we are expecting
a veto, but at least we are getting the job done. We are delivering on
what we said we would do, and we are getting the bill to the President
for action either way.
I just want to take this time and again thank Chairman Price and
others and my fellow committee chairs for their hard work because it
is. It is hard work to get a bill to the House floor, particularly one
that actually does reduce the deficit, something that many of us on
both sides of the aisle actually support.

Mr. Speaker, I yield the balance of my time to the gentleman from
Georgia (Mr. Tom Price), and I ask unanimous consent that he be allowed
to control the balance of my time.
The SPEAKER pro tempore. Is there objection to the request of the
gentleman from Michigan?
There was no objection.
Mr. PALLONE. Mr. Speaker, I ask unanimous consent that the gentleman
from Virginia (Mr. Scott) be allowed to control the next 10 minutes of
debate time as the designee of the ranking member.
The SPEAKER pro tempore. Is there objection to the request of the
gentleman from New Jersey?
There was no objection.
Mr. TOM PRICE of Georgia. Mr. Speaker, I am pleased to yield such
time as he may consume to the gentleman from Minnesota (Mr. Kline), the
chair of the Education and the Workforce Committee, and I ask unanimous
consent that he be allowed to control the next 10 minutes of debate
time as my designee.
The SPEAKER pro tempore. Is there objection to the request of the
gentleman from Georgia?
There was no objection.
Mr. KLINE. I thank Chairman Price for yielding me the time.
Mr. Speaker, I yield myself 2 minutes.
I rise today in strong support of Restoring Americans' Healthcare
Freedom Reconciliation Act.
Mr. Speaker, higher costs, fewer full-time jobs, loss of insurance
coverage, less access to trusted healthcare providers, those are just
some of the harmful consequences stemming from the President's flawed
healthcare law--a law that is wreaking havoc on families and small
businesses across the country.
Just this month, officials in Clay County, Tennessee, moved to close
local schools due to severe budgetary challenges. According to the
county director of schools, ObamaCare is ``the straw that broke the
camel's back.'' This local official said it is very difficult for the
school district to ``meet the mandates of the law.'' Of course, that is
what school leaders, college administrators, small-business owners, and
others have been saying for years. Employers, working families,
teachers, and students are paying the price for the President's
government takeover of health care.
We have a responsibility to use every tool we have to dismantle this
flawed healthcare scheme, and the bill before us today will do just
that. The Education and the Workforce Committee has helped play a role
in this effort.
The committee recently passed a proposal that will repeal a costly
and unnecessary mandate in the healthcare law, known as auto
enrollment. As the name suggests, this mandate requires certain
employers to automatically enroll employees in the government-approved
health insurance. It may not sound like a big deal, but this one
mandate will create costly confusion for employers and employees, will
penalize those already enrolled in coverage, and will take wages out of
the paychecks of hardworking Americans. The mandate is so complex, Mr.
Speaker, that, after 4 years, the Department of Labor still hasn't
figured out how to enforce it.
The American people sent us to Washington to focus on their
priorities. By supporting H.R. 3762, we can reduce

[[Page H7157]]

spending and rein in our Nation's deficit and debt, and we can send a
bill to the President that will dismantle his flawed healthcare law.
These are leading priorities of the American people that this proposal
helps to advance.
I urge my colleagues to seize this important opportunity by
supporting this legislation.
Mr. Speaker, I reserve the balance of my time.
Mr. SCOTT of Virginia. Mr. Speaker, I yield myself such time as I may
consume.
Today, the House will take yet another vote on the Affordable Care
Act. More specifically today, we will vote on whether or not we want to
support a budget reconciliation process that will seek to take away
health insurance from millions of Americans--but this isn't a new
exercise.
In the past 5 years, the House has voted about 60 times to repeal or
to undermine the law. There have been multiple lawsuits filed, and
countless attacks have been mounted--all with the same goal of turning
the clock backwards on the progress we have made.
Before Congress passed the Affordable Care Act, healthcare costs were
skyrocketing. That was before the Affordable Care Act. In the months
before we passed the bill, there were months during which 14,000 people
a day were losing their health insurance. Women were routinely charged
more for insurance than men. If you had a preexisting condition, you
may not have been able to get insurance at all; or if you lost your job
or wanted a new business and had a preexisting condition, you were just
out of luck.
We made great progress in improving a system that didn't work for
American families, and as a result of the ACA, more than 17 million
uninsured Americans have gained health insurance. Today, young
Americans can stay on their parents' policies until they are 26. If you
have a preexisting condition, you can get healthcare insurance at the
standard rate; so, if you want to change jobs or start a business or
start a family, you have healthcare options even if you have a
preexisting condition. Further, the healthcare cost growth has slowed,
resulting in the lowest annual increase in healthcare spending in at
least 50 years.
It is clear that the Affordable Care Act is working, and it is even
clearer that we should not revert back to the way things were before
the ACA when those with preexisting conditions couldn't get health
insurance, when young people had few or no coverage options, and when,
of course, the costs were skyrocketing.
Once again, we are considering a bill that dismantles the law without
any credible alternative to ensure that millions of Americans won't,
once again, be left out in the cold; so I urge my colleagues to protect
healthcare insurance by opposing this bill.
Mr. Speaker, I reserve the balance of my time.
Mr. KLINE. Mr. Speaker, I yield 2 minutes to the gentlewoman from New
York (Ms. Stefanik), a member of the Education and the Workforce
Committee.
Ms. STEFANIK. Mr. Speaker, I rise today in support of the
reconciliation package.
First, I want to thank Chairman Kline and Chairman Price for their
instrumental work in putting this package together.
Mr. Speaker, for the past 5 years, the President's healthcare law has
led to higher costs, less access to doctors, and fewer choices. This is
why it is so important to make commonsense fixes to this law.
As I travel throughout New York's 21st District, constituents tell me
they want Members of Congress to work together to ease the pain this
law has created for so many North Country families and businesses. By
moving employer-sponsored healthcare coverage away from a voluntary and
flexible model, the President's healthcare law has created countless
penalties and mandates, including one that requires certain employers
to automatically enroll their full-time employees in healthcare
coverage.
This auto enrollment mandate creates confusion for my constituents,
and, by triggering tax penalties, it actually creates duplicative costs
for employees who might already have health insurance. For example, if
veterans in my district who are eligible for TRICARE or if North
Country college students stay on their parents' healthcare plans and
then get jobs, they will be automatically enrolled in unnecessary and
duplicative plans unless they know about this confusing provision and
decline coverage within a set amount of time.

{time} 1100

It is redundant. It is unnecessary. It is not in line with the
patient-centered healthcare system this country deserves.
The reconciliation package, which is under consideration today, would
eliminate this misguided mandate, and it does not take away an
employee's ability to opt in and enroll in their employer's healthcare
coverage.
This provision accomplishes this by getting rid of the onerous and
duplicative mandate known as auto enrollment. This commonsense fix will
save Americans hard-earned money. It will protect workers from a one-
size-fits-all healthcare system. It saves the Federal Government
billions of dollars.
I urge my colleagues to stand up for the American taxpayer and
support this reconciliation package.
Mr. SCOTT of Virginia. Mr. Speaker, I yield such time as she may
consume to the gentlewoman from Oregon (Ms. Bonamici).
Ms. BONAMICI. Mr. Speaker, I rise in opposition to H.R. 3762, which
would make getting health coverage more difficult and more expensive
for millions of hardworking Americans.
Today 17 million Americans who had been uninsured now have high-
quality, affordable health coverage. We should not overlook this fact.
Across the country, people are now able to live their lives, to pursue
careers, to start families without the looming fear that any medical
emergency could bankrupt them.
The bill we are debating today would send our country back to a time
when hardworking people couldn't access preventive services, when
injuries and illnesses were not only physically debilitating, but could
also be financially crippling.
Imagine being diagnosed with cancer and fighting for your life to
beat it and then facing the prospect of losing your home because you
are torn between paying a mortgage and paying for life-saving
treatment. No one should have to face that choice.
What is especially disappointing is the fact that Members of both
parties have ideas for improving the Affordable Care Act that are
worthy of consideration. We just heard one from Ms. Stefanik of New
York.
Instead of coming together around issues of common interest, the
House is using its time to debate an unrealistic measure that would
simply push health care beyond the reach of hardworking people in
communities across this country and, yet again, on top of that, try to
defund Planned Parenthood.
So I urge my colleagues to join me in me rejecting this bill. Let's
get back to the table and work together.
Mr. KLINE. Mr. Speaker, I yield 2 minutes to the gentleman from
Tennessee (Mr. Roe), the chairman of the Subcommittee on Health,
Employment, Labor, and Pensions.
Mr. ROE of Tennessee. Mr. Speaker, I rise today in support of
Restoring Americans' Healthcare Freedom Reconciliation Act. I thank
Chairmen Kline, Ryan, Upton, and Price and their staffs for the work
and leadership on this important bill.
As a physician who spent more than 30 years caring for patients, I am
keenly aware of the negative impact that the President's healthcare law
has had on the American healthcare system. The mandates, tax increases,
wasteful spending, failed Web sites, co-ops, including ObamaCare, put a
strain on hardworking families, and it has succeeded only in making our
already-struggling economy worse.
This bill repeals the individual mandate, the employer mandate, stops
the damaging and progressive Cadillac and medical device taxes, which
have strong bipartisan support, and is estimated to save about $79
billion. Further, it will protect workers from having to purchase
insurance plans they may not want or need by excusing them from the
auto enrollment provision.
This bill does not accomplish everything we need to to right the
wrongs of ObamaCare, but it is a strong step in the right direction. By
using the reconciliation process to repeal the most

[[Page H7158]]

damaging parts of ObamaCare, we are keeping our promise to the American
people to protect them from this fatally flawed law.
Let me take you down to the ground level, where I live. I was mayor
in Johnson City, Tennessee. I just met with the folks there. They have
$185,000 they have to pay into a reinsurance fund. They have 1,000
employees and a large HR department.
They have had to hire a consultant to figure out whether they are
complying with all of the regulations, and the city manager said: Under
no circumstances will we hire anybody to work more than 25 hours a week
because we cannot afford to do that in our local situation.
Mr. Speaker, I came to Congress to help reform our Nation's
healthcare system, and there is no question it was broken before
ObamaCare. Unfortunately, this law has only made things harder and more
expensive for too many Americans.
I hear over and over again Republicans don't have any alternatives.
Well, here is one right here, the Restoring Americans' Healthcare
Freedom Reconciliation Act, a 193-page bill which lowers cost,
increases access, and gives more freedom to patients. Also, H.R. 2300,
Dr. Price's bill, does the same thing.
I strongly encourage support for this bill.
Mr. SCOTT of Virginia. Mr. Speaker, I yield 2 minutes to the
gentlewoman from Massachusetts (Ms. Clark).
Ms. CLARK of Massachusetts. Mr. Speaker, here we go again. We are
back here using valuable legislative time to make a doomed attempt to
repeal the Affordable Care Act.
Next week the highway bill will expire. The week after that we are
facing the prospect of defaulting on our Nation's debt. Next month we
could shut down government because we don't have a long-term budget.
Yet, here we are again, repealing the Affordable Care Act, defunding
Planned Parenthood, because maybe the 65th time it will stick?
I would like to remind my colleagues that the Affordable Care Act has
insured over 17 million Americans and that Planned Parenthood provides
care to 2.7 million patients a year, often in underserved areas of our
country. My colleagues on the other side of the aisle seem determined
to replay these issues, despite the fact that we have already voted on
them.
Mr. Speaker, we have a lot of very important time-sensitive issues we
need to deal with. We need to fund our highway system. We need to pay
our bills. We need to keep government open. These are the very basic
functions we were elected to perform. These are the minimum of what
families need and expect from us.
Instead, we are wasting precious time debating backward, ideological
bills that roll back important progress made for women and families who
are working hard to get to and stay in the middle class.
I urge my colleagues to vote down this partisan attempt to repeal the
Affordable Care Act and defund Planned Parenthood. Let's get back to
solving this Nation's problems.
Mr. KLINE. Mr. Speaker, I yield 2 minutes to the gentleman from
Pennsylvania (Mr. Thompson), a member of the committee.
Mr. THOMPSON of Pennsylvania. Mr. Speaker, I thank the chairman for
affording me the opportunity to address such a critical issue.

This reform package will protect taxpayer dollars while reforming
some of the most egregious portions of the Affordable Care Act. As a
member of the House Committee on Education and the Workforce, I am
proud to support language included in this bill that would repeal the
harmful auto enrollment mandate of the ACA. This provision, which would
apply to companies with 200 or more employees, would otherwise move
employees into a preapproved government-managed health insurance plan.
Mr. Speaker, creating more red tape and mandates was never the
solution to curb rising healthcare costs and to increase access to
insurance markets. I was a freshman Member in Congress in 2009 when
many of the individuals speaking today took part in a 24-hour-long
markup of an earlier version of the ACA.
Mr. Speaker, some of these provisions lacked all common sense and
that holds true today. Half a decade later the Department of Labor is
still struggling to find a way to enforce auto enrollment.
Say what you want about the Affordable Care Act, this is plain
unworkable. Repealing this provision will save $1 billion and maintain
flexibility for employers in structuring health insurance benefits for
their employees.
Mr. Speaker, my Democratic colleagues on the other side of the aisle
are just in denial. Since its passage, the ACA has been amended more
than 50 times, and the bulk of these were changes they supported and
were signed into law by the President. We should not stop there.
H.R. 3762 is the next great change to the ACA, and the American
people deserve as much.
Mr. SCOTT of Virginia. Mr. Speaker, I reserve the balance of my time.
Mr. KLINE. Mr. Speaker, could I inquire of the gentleman from
Virginia how many more speakers he has?
Mr. SCOTT of Virginia. Mr. Speaker, I am prepared to close.
Mr. KLINE. Mr. Speaker, I yield 2 minutes to the gentleman from
Georgia (Mr. Allen).
Mr. ALLEN. Mr. Speaker, I thank Chairman Kline, Chairman Price, and
Chairman Upton for their work on this Restoring Americans' Healthcare
Freedom Reconciliation Act, H.R. 3762.
You know, when I go out in our district, people want choice. I think
the top-down elements of the Affordable Care Act are creating
tremendous burdens on our people who demand that we give particularly
our small business community and our employees the opportunity to have
the right choice.
The Restoring Americans' Healthcare Freedom Reconciliation Act is
important legislation that repeals many of the most harmful provisions
in ObamaCare. ObamaCare has had a devastating effect since its passage.
H.R. 3762 repeals the individual and employer mandates, the medical
device tax, and the outrageous Cadillac tax which, again, does not
allow for folks to choose the plan they want. This thereby unburdens
our families and our businesses from the harmful effects of these
mandates.
I came to Congress to create jobs, grow the economy, and reduce the
size and scope of the Federal Government and restore fiscal
responsibility in Washington.
Passing a balanced budget amendment that repeals the job-killing
ObamaCare provisions is a good start. Republicans in Congress are
continuing to fight to rein in Washington's spending problem and get
our economy on the right track.
I stand in strong support of Restoring Americans' Healthcare Freedom
Reconciliation Act and urge my colleagues to vote ``yes'' on this
important legislation to give our people the opportunity to choose how
they would like to have their health care rendered.
The SPEAKER pro tempore (Mr. Simpson). The gentleman from Virginia
has 4\1/2\ minutes remaining, and the gentleman from Minnesota has 30
seconds remaining.
Mr. SCOTT of Virginia. Mr. Speaker, I include in the Record three
letters, one from the American Federation of State, County, and
Municipal Employees of the AFL-CIO, another from the AFL-CIO, and
another one from America's Essential Hospitals.

AFSCME,

Washington DC, October 22, 2015.
Dear Representative: On behalf of the 1.6 million members
of the American Federation of State, County and Municipal
Employees (AFSCME), I urge you to oppose the budget
reconciliation bill (H.R. 3762). This bill would gut the
Affordable Care Act (ACA), jeopardizing the ability of
millions of Americans to see a doctor, get medications or go
to the hospital when needed. H.R. 3762 would create extensive
upheaval in health care coverage for children, working
families, retirees and individuals with disabilities.
This bill eliminates both the employer and individual
responsibility requirements which the Congressional Budget
Office and the Joint Committee on Taxation estimate would
cause as many as 15 million to lose their health coverage,
20% of whom would be children. In the individual market,
premiums would increase by an estimated 20% over premiums
expected under current law. Rather than helping Americans
achieve greater financial security in an unbalanced economy,
H.R. 3762 would put millions at risk of financial hardship
and even ruin from an unexpected illness.
The bill would repeal the Prevention and Public Health
Fund, eliminating the nation's largest single investment in
prevention and

[[Page H7159]]

undermining efforts to bend the cost curve by preventing
chronic diseases. Repealing this fund also puts our nation at
risk of being unprepared for emerging epidemics and other
public health crises.
We are also opposed to the repeal of the modest excise tax
on the medical device industry, which has profited
substantially from the expansion of health coverage under the
ACA. We also oppose the elimination of federal funding for
women's health services provided by Planned Parenthood for
one year. This provision will block millions of women from
having access to health care services.
The bill also repeals the 40% tax on high cost, employer-
sponsored health benefits. We agree that the 40% tax should
be repealed in order to keep health care affordable for
working families. However, repeal of this tax should not be
included in a bill that would eliminate health coverage for
millions of workers.
We urge you to oppose H.R. 3762.
Sincerely,
Scott Frey,
Director of Federal Government Affairs.
____

American Federation of Labor and Congress of Industrial
Organizations,
Washington, DC, October 22, 2015.
Dear Representative: On behalf of the AFL-CIO, I urge you
to oppose the Restoring Americans' Healthcare Freedom
Reconciliation Act (H.R. 3762). This bill will undermine the
coverage expansions of the Affordable Care Act (ACA) and
restrict women's access to safety-net medical services.
The ACA has enabled 171.6 million uninsured people to gain
health insurance coverage. Many of these individuals--2.3
million--are young adults who are trying to establish
financial independence. Many others are people who could not
obtain coverage from their employer or who found coverage in
the individual market to be unaffordable. We cannot take a
giant step backward in exposing these individuals to the risk
that their medical care will be unaffordable or that a
catastrophic illness will bankrupt their families. H.R. 3762
will repeal elements of the ACA that enable the coverage
expansions to work, resulting in a loss of coverage for
millions.
The reconciliation package also directly targets Medicaid
funding for nonprofit providers of women's health care
services, eliminating payments for these services for one
year for certain providers. The Congressional Budget Office
(CBO) estimates that many women will lose access to medical
services. Their report on the bill notes, ``The people most
likely to experience reduced access to care would probably
reside in areas without access to other health care clinics
or medical practitioners who serve low-income populations.''
It is simply unacceptable to cut women off from these
services.
It is true that the legislation repeals the 40 percent
health benefits tax, which we believe should not be part of a
health reform law aimed at keeping care affordable. The tax
was intended to increase the out-of-pocket costs of people
with employer-based coverage so they would use fewer
services, thereby reducing expenditures on health care. We
oppose this policy because it will shift costs to workers
without directly addressing the major cost drivers in the
healthcare system. However, repeal of the tax does not belong
in legislation intended to eliminate coverage for millions of
workers.
We urge you to vote against this harmful bill.
William Samuel, Director,
Government Affairs Department.
____

America's Essential Hospitals,

Washington, DC, October 21, 2015.
Hon. John Boehner,
Speaker, House of Representatives, Washington, DC.
Hon. Nancy Pelosi,
Democratic Leader, House of Representatives, Washington, DC.
Dear Speaker Boehner and Representative Pelosi: On behalf
of America's Essential Hospitals, it's more than 250 member
hospitals and health systems, and the millions of people we
serve every year, I am writing to express my grave concern
regarding H.R. 3762, Restoring Americans' Healthcare Freedom
Reconciliation Act of 2015. America's Essential Hospitals is
the leading association and champion for hospitals and health
systems dedicated to high-quality care for all, including the
most vulnerable. Our members are vital to their communities,
providing primary care through trauma care, disaster
response, health professional training, research, public
health programs, and other services.
H.R. 3762 includes a number of provisions that we believe
would damage the ability of all people--particularly the low-
income and vulnerable--I to access high quality health care.
While we appreciate the legislation's inclusion of a repeal
of the Independent Payment Advisory Board, which could usurp
Congress' authority over health care entitlements, there are
five provisions in the legislation that we oppose as written:
While America's Essential Hospitals does not have a formal
position on either the individual or employer mandates, we
steadfastly support policies that promote health care
coverage. We know that health care coverage--whether it be
through employer-based insurance, Medicare, Medicaid, through
an exchange, or in another venue--ultimately promotes access
to care and saves lives. Independent analysists have
consistently found that repeal of the individual and employer
mandates would significantly erode coverage. Without
provisions to retain coverage for affected individuals, we
believe Congress should reconsider eliminating the mandates.
America's Essential Hospitals firmly opposes repeal of the
Prevention and Public Health Fund. The fund represents a
significant and needed investment in prevention and public
health, particularly for the Centers for Disease Control
(CDC), which receives more than 90 percent of the fund's
resources. In 2015 the fund provided (among other items):
one-third of the funding for the CDC's
immunization programs
all of the funding for state block grants to
detect and respond to infectious diseases
half of the funding for CDC efforts to prevent
heart disease, stroke, and diabetes.
We strongly urge Congress to protect this vital source of
funding.
Finally, in an effort to prohibit funding to a specific
health care provider, the reconciliation bill would amend
Medicaid statute in an unprecedented way. In what is known as
the ``any willing provider'' provision, federal Medicaid law
allows beneficiaries to receive services from any provider
that is qualified to perform the service or services. This
provision--which has never been waived for fee-for-service
population--promotes access care for beneficiaries in a
program that all too often lacks adequate access due, in
part, to inadequate reimbursement. By undermining this
critical protection, the reconciliation legislation would set
a destabilizing precedent that could lead to further
restrictions to access for our nation's most vulnerable
people.
America's Essential Hospitals appreciates the opportunity
to provide our thoughts on the pending reconciliation
legislation. We strongly urge you to reconsider this bill and
work with all stakeholders to find consensus-based innovative
ways to reduce health care spending without damaging access
to care for millions of people.
Sincerely,
Bruce Siegel, MD, MPH,
President and CEO.

Mr. SCOTT of Virginia. Mr. Speaker, I yield any remaining time left
to the gentleman from Maryland (Mr. Van Hollen) and ask unanimous
consent that he be allowed to control that time.
The SPEAKER pro tempore. Is there objection to the request of the
gentleman from Virginia?
There was no objection.
Mr. KLINE. Mr. Speaker, we have heard a good debate here today. We
have talked about doing some commonsense things. This bill does not
repeal all of ObamaCare, but it certainly repeals some egregious
aspects of it.
The one that our committee worked on ending the auto enrollment
feature saves $7.9 billion and removes something that even the
administration can't figure out how to implement.
So I urge my colleagues to support this legislation.
I yield the remainder of my time to the gentleman from Georgia (Mr.
Tom Price) and ask unanimous consent that he be allowed to control that
time.
The SPEAKER pro tempore. Is there objection to the request of the
gentleman from Minnesota?
There was no objection.
The SPEAKER pro tempore. The gentleman from Georgia has 9 minutes
remaining, and the gentleman from Maryland has 12\1/2\ minutes
remaining.
Mr. TOM PRICE of Georgia. May I inquire, Mr. Speaker, of my friend
from Maryland how many speakers he has remaining?
Mr. VAN HOLLEN. Mr. Speaker, we have more speakers, but they are not
with us on the floor at the moment. I am not sure exactly how many
there are either.
I reserve the balance of my time.
Does the chairman have additional speakers?
Mr. PRICE of Georgia. Mr. Speaker, I am prepared to close.
Mr. VAN HOLLEN. Mr. Speaker, in that case, in the interest of time,
would the gentleman be interested, since we have 9 minutes and 12\1/2\
minutes left and no other speakers, in agreeing that we will each take
5 minutes to close?
Mr. TOM PRICE of Georgia. Mr. Speaker, I am happy to do that. Yes.

{time} 1115

Mr. VAN HOLLEN. Mr. Speaker, I thank the gentleman.
I yield myself the balance of my time.
I have been listening to the debate, and I am sorry to report that as
I come here to close the debate, not much has changed from when we
started this debate this morning. This is still, in my view, an
unproductive end to an already unproductive and shameful week.

[[Page H7160]]

We saw in this House just yesterday the spectacle of a kangaroo
court-style special Benghazi hearing, using taxpayers' dollars, engaged
in a political witch hunt, abuse of power, misuse of taxpayer dollars,
and in fact the Republican majority leader himself, Mr. McCarthy, told
the country that that was all about bringing down Secretary Clinton's
poll numbers.
Then, just earlier this week, we pretended, in passing a piece of
legislation, that the United States doesn't have to pay all the bills
that are due and owing. We passed a piece of legislation that says we
will only pay some of our bills but not all of our bills. No American
citizen can get up in the morning and say: ``You know what? I am not
going to pay my mortgage bill. I will only pay my car payment.'' When a
country like the United States puts its full faith and credit at risk,
it puts the entire economy of our country and the international
economic order at risk.
But to add insult to injury, in passing a piece of legislation that
said the United States will only pay some of our bills, so forget about
that full faith and credit, we passed legislation that says, well, we
are going to pay the big bondholders first. So China gets paid first.
Wall Street gets paid first. Troops don't get paid. Veterans don't get
paid. Doctors providing Medicare services, they don't get paid.
Now here we are, for the 61st time, passing a piece of legislation to
dismantle the Affordable Care Act, which, according to the analysis of
the Congressional Budget Office, will cost 15 million Americans access
to affordable health care, including 3 million children.
Now, I have heard some of our colleagues come to the floor and say,
well, we want to improve the Affordable Care Act in certain ways. We
understand that the Affordable Care Act is not perfect, but a piece of
legislation that takes away affordable health care from 15 million
Americans, that is nothing to celebrate. That is nothing to be proud
of. We shouldn't be doing that here on the floor of the House, taking
away access to health care for women at places like Planned Parenthood,
when the chairman of the Oversight Committee, Mr. Chaffetz, has also
stated on national television that they didn't violate any laws and
later said that they hadn't engaged in inappropriate activity.
When our Republican colleagues got that kind of answer with respect
to Benghazi, when the Permanent Select Committee on Intelligence in the
House and the Committee on Armed Services in the House concluded that
there had been no wrongdoing in the tragedy in Benghazi, our Republican
colleagues invented the Select Committee on Benghazi. When they didn't
get the answer they wanted on Planned Parenthood, they invented a
special committee on Planned Parenthood that is going to waste taxpayer
money, just as the Select Committee on Benghazi has.
Mr. Speaker, I showed, earlier, a chart that shows just how fed up
the American people are with what is happening here in the House. The
problem is everything we have done this week, from the Benghazi
hearings to pretending the United States will only pay part of its
bills--and when we do, we are going to pay China first--to dismantling
the Affordable Care Act or attempting to do it for the 61st time. They
want us working on the important issues.
A few weeks from now, our national transportation infrastructure
system is going to run out of money. In just a few more weeks, the
Federal Government will shut down if we can't come together and work
something out. I have introduced the Prevent a Government Shutdown Act.
I tried to get a vote on it here on the floor today, but the Committee
on Rules said no. Their priority was not to prevent the government from
shutting down in a couple weeks. Their priority was, for the 61st time,
to dismantle the Affordable Care Act, even at the cost of 15 million
Americans' affordable health insurance.
Mr. Speaker, let's get on with the big issues of this country. Let's
invest in our infrastructure. Let's shut down some of the tax loopholes
that perversely incentivize American corporations to move jobs and
capital overseas and invest it here at home. Let's make sure we lift
the unproductive caps, sequester caps that are slowing down economic
growth right now, according to the Congressional Budget Office. Let's
invest in our kids' education. Let's invest in scientific research, and
let's do it while we shut down some of these ridiculous tax breaks for
hedge fund managers. We should end this inversion that is going on
where U.S. corporations just change their address to some tax haven
overseas to escape their responsibility to the American taxpayers and
their country.
We have got a lot of pressing issues to take care of--instead,
Benghazi, pay China first, pass this legislation to take away health
care from 15 million Americans, including 3 million American kids.
We can do better. We can do a lot better, Mr. Speaker. Let's defeat
this legislation and get on with the real work of the American people.
Mr. Speaker, I yield back the balance of my time.
Mr. TOM PRICE of Georgia. Mr. Speaker, I yield myself the balance of
my time.
Mr. Speaker, as I mentioned at the outset of this, we heard a lot of
things talked about on the other side, many of which had nothing to do
with the piece of legislation before us.
What we are talking about with this legislation are the harmful
effects of ObamaCare. What has ObamaCare actually done? 7.5 million
Americans paid the individual mandate tax in 2014, an average of about
$200. That is going up in terms of numbers and in terms of dollars.
Sixty-seven percent of the American people have seen increased
deductibles since this law went into place, so much so that many
individuals aren't able to pay their deductible, which means they are
denied care, they don't have care. They may have coverage, but they
don't have health care. A premium increase of $3,775, on average,
instead of the $2,500 premium decrease that was promised by the
President.
The co-ops, the cooperative program, will cost $2.4 billion, yet more
than 420,000 Americans will lose coverage from the co-op program
because it doesn't work, like the rest of this law.
Mr. Speaker, the majority of the American people continue to oppose
this law. Why? Let me suggest to you it is because the principles of
health care have been violated by the law.
We all want a system that is affordable for everybody. Does that
occur in ObamaCare? No.
We want a system that is accessible for everybody. Is that the case
in ObamaCare? Absolutely not.
We want a system of the highest quality of care. As a formerly
practicing physician, I can tell you that my former colleagues tell me
that the quality is going down.
We want a system that is full of innovation and responsiveness to the
patients and choices for patients. Have any of those increased in
ObamaCare? No. No. No.
That is the problem, Mr. Speaker. That is the problem that we have,
and that is that the principles of health care are violated.

What does this bill before us today do? It reduces the deficit by
nearly $130 billion. It increases gross domestic product by over $55
billion. It eliminates the work disincentives and increases the labor
supply. That means more jobs, Mr. Speaker. It increases capital
investment. That means more jobs. It decreases Federal borrowing. That
means more jobs and a healthier economy.
Who is supporting the bill? All these groups are supporting the bill.
In fact, Mr. Speaker, we have 42 individual groups supporting the bill:
Susan B. Anthony List, Family Research Council, Americans for Tax
Reform, National Taxpayers Union, Concerned Women for America, National
Right to Life Committee, National Retail Federation, Americans for
Prosperity, U.S. Chamber of Commerce, Small Business and
Entrepreneurship Council, Americans United for Life, and on and on and
on. They support this because they know that this is what the American
people want and it is what they deserve.

Susan B. Anthony List,

October 21, 2015.
US House of Representatives, Washington, DC.
Dear Representative, On behalf of the Susan B. Anthony List
(SBA List) and our 386,000 members nationwide, I urge you to

[[Page H7161]]

support the ``Restoring Americans' Healthcare Freedom
Reconciliation Act'' (H.R. 3762).
This bill blocks a large portion of federal funding to
Planned Parenthood, America's largest seller of abortions,
for one year. The funding is instead re-directed to community
health centers, which provide comprehensive health care for
women but do not perform abortions.
Planned Parenthood does not need or deserve taxpayer
funding. Most recently, undercover videos show that Planned
Parenthood, America's largest abortion business, has been
engaged in unethical and possibly illegal abortion practices
connected to the trafficking of unborn children's organs for
profit.
These videos offer just a glimpse into the abortion
industry's day-to-day horrific practices. Over one million
abortions are performed annually in the United States, with
nearly 330,000 occurring in Planned Parenthood facilities,
all the way up to 24 weeks of pregnancy, past the time when
recent studies show that a substantial percentage of these
children can be saved if treated with the best techniques of
modern perinatal medicine.
Regardless of whether Americans identify as pro-life or
pro-choice, we should all be able to agree that taxpayer
dollars should not be subsidizing an already cash-flush
industry.
Instead, these tax dollars would be put to better use at
local community health centers, which provide all the same
health services Planned Parenthood does (and usually more),
but do not perform brutal abortions and harvest body parts.
Finally, this bill would repeal parts of the Affordable
Care Act, which SBA List has long opposed because of its
anti-life provisions.
For these reasons, I urge you to support this pro-life,
pro-woman bill.
Sincerely,
Marjorie Dannenfelser,
President, Susan B. Anthony List.
____

Family Research Council,

October 20, 2015.
House of Representatives, Washington, DC.
Dear Representative: On behalf of the Family Research
Council (FRC) and the hundreds of thousands of families we
represent, I urge you to vote in favor of the Restoring
Americans' Healthcare Freedom Reconciliation Act, which
eliminates a significant portion of federal funding for
Planned Parenthood Federation of American (PPFA) as well as
several key provisions of the Patient Protection Affordable
Care Act (PPACA) through the budget reconciliation process.
Americans are outraged as they are made aware of what happens
at abortion clinics, where life is only valued by the sum of
body parts. FRC strongly supports the effort to eliminate a
significant portion of PPFA's federal funding through this
effort. FRC has also supported repealing the Affordable Care
Act and supports several provisions contained in this bill to
repeal key provisions. FRC reserves the right to score in
favor of votes for the Rule and will score in favor of votes
for the bill.
PPFA, despite its nonprofit status, received over $528
million in federal, state and local government grants and
contracts in 2013-2014, and reported a total revenue of over
$1.3 billion. According to a March 2015 GAO report, PPFA
received $401.29 million in reimbursements from federal-state
programs such as Medicaid, CHIIP and Medicare in 2012. Of
that $400.45 million was provided to PPFA through Medicaid.
For 2010-2012 those three programs funded PPFA a whopping
$1.186 billion, of which 99.9% came from Medicaid.
While an effort to defund Planned Parenthood has been
blocked in the Senate due to the 60 vote cloture threshold,
we believe an effort to defund a significant portion of
PPFA's government revenue through the reconciliation process,
which is subject to a 51 vote threshold, is entirely
appropriate and possible. While past efforts to defund
abortion in reconciliation were subject to a Byrd rule point
of order, the provision in the House bill is different. It
excludes funding for certain entities.
Specifically, the House reconciliation bill will restrict
for one year funding under several mandatory programs such as
Medicaid to entities that receive over $350 million and which
provide abortion services, other than for cases resulting
from rape or incest or cases in which the life of the mother
is at risk. CBO estimates this provision would save an
estimated $235 million. The reconciliation instructions would
allow funding in the amount of $235 million to community
health centers, which do not provide abortion. In essence,
the Committee's reconciliation instructions would defund a
significant amount of federal funds PPFA receives and
redirect funding to other health centers.
Adding these defunding measures to budget reconciliation
provides a way forward to defunding PPFA and passing this in
the Senate with 51 votes. To avoid such an approach would
diminish much of the effort Members in the House and Senate
have engaged in so far to defund PPFA.
This bill would also repeal key provisions of the PPACA
which have the effect of threatening life-saving treatment,
which encourage subsidies for abortion coverage and which
threaten conscience. Specifically, the bill would repeal the
Independent Payment Advisory Board which is established to
control health care costs but which will result in government
rationing of lifesaving care.
The bill also would repeal the employer mandate and its
penalties, thereby allowing employers to offer health care
plans to their employees that are pro-life and avoid dropping
their employees into exchange plans which may cover elective
abortion. Moreover, repealing the employer mandate grants
employers the option to forgo health care coverage and
thereby escape the HHS preventive care services mandate,
sometimes called the ``contraception mandate'', in which all
employers offering group coverage must provide drugs and
devices that can cause abortion in violation against their
conscience. While the Supreme Court protected closely held
businesses in the, ``Hobby Lobby,'' case, non-profit
employers such as the Little Sisters of the Poor and numerous
other employers are still subject to the HHS mandate.
Employers should not be forced by the federal government to
cover health insurance that violate their conscience.
Last, the bill would repeal the individual mandate,
allowing individuals to refuse to purchase insurance where
there are no or few pro-life alternatives. This is especially
relevant for individuals who live in 26 states that did not
opt out of elective abortion coverage. Currently, of the 24
states that allow abortion coverage (and which the federal
government may subsidize), 4 states have no pro-life plans,
and in 9 states 90% of the plans cover elective abortion.
Under the PPACA, those purchasing plans with elective
abortion must pay an abortion surcharge, and the federal
government subsidizes such plans in violation of the long-
standing Hyde Amendment. Pro-life individuals in these states
should have more options. The abortion funding schemes in the
PPACA would still need to be addressed. However, repealing
the individual mandate removes penalties that force people to
purchase health plans they find objectionable as it relates
to abortion coverage.
For these reasons, FRC supports the ``Restoring Americans'
Healthcare Freedom Reconciliation Act.'' Again, FRC reserves
the right to score in favor of votes for the Rule and will
score in favor of votes for the bill.
Sincerely,
David Christensen,
Vice President of Government Affairs.
____

National Right to Life

Committee, Inc.,

Washington, DC, October 19, 2015.
Dear Member of Congress: The National Right to Life
Committee (NRLC), the federation of state right-to-life
organizations, urges you to support the ``Restoring
Americans' Healthcare Freedom Reconciliation Act'' (H.R.
3762), which the House of Representatives will consider on
October 23. NRLC intends to include the roll call on final
passage of H.R. 3762 in our scorecard of key right-to-life
votes of the 1141h Congress, and we reserve the right to also
score the vote on the Rule as well.
NRLC strongly supports the language in the bill that would
block, for one year, most federal payments to affiliates of
the Planned Parenthood Federation of America (PPFA). It would
close the largest pipeline for federal funding of Planned
Parenthood, Medicaid, and apply as well to the CHIP and the
Title V and Title XX block grant programs, thus covering
roughly 89 percent of all federal funds to Planned
Parenthood. The amounts denied to Planned Parenthood in
effect are reallocated to community health centers.
Over one-third of all abortions in the U.S. are performed
at PPFA-affiliated facilities. Longstanding objections to the
massive federal funding of PPFA have been reinforced by
recent widely publicized undercover videos, which illuminate
the callous brutality that occurs daily in these abortion
mills. For additional up-to-date information on the extent of
Planned Parenthood's involvement in abortion, see:
wwvv.nr1c.org/communications/ppfamediabackground/.
In addition, NRLC has always opposed the Obamacare law and
advocated its repeal. With respect to H.R. 3762, we
particularly endorse the components that would repeal the
Independent Payment Advisory Board (IPAB) and the ``excess
benefits tax'' (``Cadillac Tax''), both dangerous mechanisms
that would ultimately contribute to the rationing of
lifesaving care.
We urge that you vote for the Rule, oppose any Motion to
Recommit, and vote to pass this vital pro-life bill.
Sincerely,
Carol Tobias,
President.
David N. O'Steen, Ph.D,
Executive Director.
Douglas D. Johnson,
Legislative Director.
____

National Retail Federation,

Washington, DC, October 22, 2015.
Hon. John Boehner,
Speaker of the House, House of Representatives, Washington,
DC.
Hon. Nancy Pelosi,
Democratic Leader, House of Representatives, Washington, DC.
Dear Speaker Boehner and Democratic Leader Pelosi: I write
to share the strong support of the National Retail Federation
(NRF) for H.R. 3762, the Restoring Americans' Healthcare
Freedom Reconciliation Act of 2015. Please note that NRF may
consider votes on H.R. 3762 and related procedural motions as
Opportunity Index Votes for our annual voting scorecard.
The Affordable Care Act (ACA) remains a great concern for
NRF and the greater retail community. The ACA adversely
influences

[[Page H7162]]

staffing patterns, discourages full-time employment and adds
to the cost of goods in retail stores. NRF opposed enactment
of the ACA in 2010 but has also worked steadfastly to change
the law since its enactment. We support reasonable efforts to
reduce the ACA's cost burdens and ease compliance concerns.
Many important retail priorities to change and improve the
ACA are included in H.R. 3762. Repealing the employer
mandate, the already harmful Cadillac Tax and automatic
enrollment provisions are all strong NRF-endorsed goals. We
have supported bipartisan repeal efforts on each of these
issues. NRF urges bipartisan support for these initiatives
and the underlying legislation.
Budget Reconciliation offers an expedited path past the
Senate procedural hurdles that have hampered progress on many
of these priorities and advance them to the President's desk.
We urge the President to sign this legislation at his first
opportunity.
For all of these reasons, NRF strongly supports H.R. 3762.
We therefore ask for your vote in favor of H.R. 3762 when it
reaches the House floor.
Sincerely,
David French
Senior Vice President, Government Relations.
____

Chamber of Commerce,

United States of America,

Washington, DC, October 22, 2015.
To The Members of The U.S. House of Representatives: The
U.S. Chamber of Commerce, the world's largest business
federation representing the interests of more than three
million businesses of all sizes, sectors, and regions, as
well as state and local chambers and industry associations,
and dedicated to promoting, protecting, and defending
America's free enterprise system, supports several key
provisions in H.R. 3762, the ``Restoring Americans'
Healthcare Freedom Reconciliation Act of 2015.''
Key provisions in H.R. 3762 would repeal many of the most
harmful sections of the Affordable Care Act (ACA). Indeed,
repealing the employer mandate, the 40% excise tax on so-
called ``high-cost'' employer sponsored health plans, the
medical device tax, and auto-enrollment requirements would
help control increasing health care costs and protect the
employer-sponsored health care system.
Due to the tremendous harm that these particular ACA
provisions are causing employers and employees alike, the
Chamber urges you to support H.R. 3762 and repeal the
provisions in the ACA that are undermining the employer-
sponsored health care system that over 160 million Americans
rely on for their health care benefits.
Sincerely,
R. Bruce Josten.
____

Americans for Prosperity,

October 22, 2015.
Dear Representatives, Since President Obama's healthcare
law went into effect two years ago, the American people have
been saddled with cancelled healthcare plans, higher taxes,
and premium increases. On behalf of more than 2.8 million
Americans for Prosperity activists in all 50 states, I write
in support of the ``Restoring Americans' Healthcare Freedom
Reconciliation Act of 2015'' (H.R. 3762) because it would
relieve the American people of many of ObamaCare's most
significant burdens.
Americans for Prosperity has consistently endorsed many of
these reforms in the past in standalone legislation--
repealing the mandates on individuals and employers,
repealing the medical device tax, repealing the tax on high
cost employer-sponsored health plans, and repealing the
Prevention and Public Health Fund. Overall, the reforms
included in this package represent significant steps as we
work toward full repeal of the President's healthcare law.
The reforms included in this package enjoy broad bipartisan
support. Earlier this year, 46 House Democrats joined 234 of
their Republican colleagues in supporting the standalone
legislation to repeal the medical device tax (H.R. 160).
Current legislation repealing the so-called ``Cadillac tax''
(H.R. 2050) has 146 Democrats and 19 Republicans listed as
co-sponsors. Past Congresses approved legislation repealing
the ObamaCare Slush Fund (H.R. 1217) and delaying the
individual mandate (H.R. 4015) with bipartisan votes, as
well.
We encourage you to support the reconciliation package when
it comes to the floor for a vote. Thank you for your
consistent leadership on this important issue.
Sincerely,
Brent Gardner,
Vice President of Government Affairs, Americans for
Prosperity.
____

Small Business & Entrepreneurship Council,

Vienna, VA, October 21, 2015.
Hon. Tom Price,
Chairman, Committee on the Budget,
House of Representatives, Washington, DC.
Dear Chairman Price: On behalf of the 100,000 members of
the Small Business & Entrepreneurship Council (SBE Council),
I am pleased to support H.R. 3762, the ``Restoring Americans'
Healthcare Freedom Reconciliation Act of 2015.''
The Affordable Care Act (ACA), commonly referred to as
ObamaCare, is raising health insurance costs for small
businesses and the self-employed, increasing deductibles on
policies, increasing patient's out-of-pocket exposure, and
limiting health care choices. Higher costs and more
regulatory hurdles mean less investment and fewer jobs being
created by small businesses.
H.R. 3762 repeals several important provisions of
ObamaCare. Among other provisions, it would repeal the
individual mandate that forces all Americans to buy expensive
health insurance; repeals the employer mandate that forces
America's job creators to provide health insurance or pay
taxes; repeals the Cadillac tax on robust health insurance
plans; repeals the medical device tax that is adversely
impacting innovative small companies that dominate the
medical device sector; and repeals the Independent Physicians
Advisory Board (IPAB) that would determine medical services
for seniors.
Thank you for your leadership on this issue. SBE Council
looks forward to working with you to advance H.R. 3762 into
law.
Sincerely,
Karen Kerrigan,
President and CEO.
____

Americans United for Life Action,

Washington, DC, October 21, 2015.
Dear Representative: On behalf of Americans United for Life
Action (AUL Action), the legislative arm of Americans United
for Life, the legal architects of the prolife movement, I
urge you to support continued efforts in the House to defund
abortion providers, including Planned Parenthood, by voting
for H.R. 3762, the ``Restoring Americans' Healthcare Freedom
Reconciliation Act.'' AULA is grateful to House leadership
for taking concrete actions to investigate Planned Parenthood
in three Committees and now in the Select Committee.
Including defunding abortion providers in H.R. 3762 is
further evidence of House leadership's commitment to Life,
which we urge you to support.
AUL Action has long called on Congress to disentangle the
American taxpayer from the Abortion Industry. The video
footage recently released by the Center for Medical Progress
(CMP) capturing Planned Parenthood's top doctors and other
personnel discussing its practice of harvesting the body
parts of aborted babies in exchange for money has shocked the
conscience of the nation. Planned Parenthood's abhorrent and
potentially illegal practice uncovered by the CMP is further
proof that subsidizing Planned Parenthood is an inappropriate
use of taxpayer dollars.
Planned Parenthood's Senior Medical Director, Dr. Deborah
Nucatola, discussed in one of the videos how she
strategically ``crushes'' the babies she aborts in order to
best harvest their hearts, lungs and livers. These videos
shed light for the American people to see Planned Parenthood
for what it truly is, the abortion industry that puts profits
ahead of anything else.
The recorded conversations also raise serious concern that
Planned Parenthood may be violating federal fetal tissue
trafficking laws, the Partial Birth Abortion Ban--a law that
Planned Parenthood's Dr. Nucatola flippantly describes as
``open to interpretation''--and the federal Born Alive Infant
Protection Act. As Americans United for Life has documented,
Planned Parenthood's harvesting of baby body parts is one of
a growing list of scandals that should make Planned
Parenthood ineligible for the tremendous amount of taxpayer
dollars it takes in annually.
In FY 2014, Planned Parenthood reported that 40 percent of
its nearly $1.3 billion in revenue came at the taxpayers'
expense. A report issued by the Government Accountability
Office in March 2015 documented that Planned Parenthood
receives half a billion dollars annually from federal and
joint federal-state programs. The federal government has a
responsibility to the American people to ensure the integrity
of these programs.
Relying on a heavy stream of funding from the government,
Planned Parenthood operates the largest abortion business in
the nation. Planned Parenthood clinics perform nearly 900
abortions every single day--327,653 abortions in 2013.
According to Planned Parenthood's most recent annual report,
abortions were 94 percent of its pregnancy related services.
Taxpayers should not be forced to subsidize Planned
Parenthood's abortion business. AULA thanks the House for
passing important pieces of legislation including H.R. 3435,
the ``Women's Public Health and Safety Act,'' sponsored by
Rep. Sean Duffy (R-WI). This bill would explicitly permit a
state to exclude abortion providers and facilities where
abortions are performed from its Medicaid program. AUL Action
scored in favor of this important piece of legislation and
urges the Senate to take up the companion piece of
legislation, S. 2159, sponsored by Sen. David Vitter (R-LA).
I hope you will support continued efforts in the House to
disentangle the taxpayer from the scandal ridden abortion
industry by voting for passage of H.R. 3762, the ``Restoring
Americans' Healthcare Freedom Reconciliation Act.''
Sincerely,
Charmaine Yoest, Ph.D.,
President & CEO, Americans United for Life Action.

Mr. TOM PRICE of Georgia. Mr. Speaker, what the American people have
heard and seen today is a real contrast. There is no doubt about it. On
the one hand, those of us on this side of the aisle are fighting to
protect the American people from the harm that ObamaCare is doing to
our healthcare system and to our economy.

[[Page H7163]]

On the other hand, most of our friends on the other side of the aisle
are doing everything that they can to protect a broken status quo. They
are defending a law that is contributing to higher healthcare costs, to
less access to care, to lower quality of care, and an economy that is
leaving too many Americans behind.
Interestingly enough, many of the provisions in the bill that we are
talking about today have enjoyed bipartisan support in the past. When
our Democrat colleagues bemoan the fact that we are actually trying to
provide folks relief from the individual mandate or the employer
mandate or the punitive taxes on medical innovation and the onerous
provisions within ObamaCare, their protestations simply ring hollow.
I don't doubt their sincerity. I am sure that our friends believe
that, with enough Washington bureaucratic engineering, they can craft a
healthcare system that will effectively serve the American people,
despite the evidence that proves otherwise. We fundamentally disagree.
We think a healthcare system that is responsive to the needs of
patients and families and physicians will not come by way of Washington
decree or mandates or tax penalties. We think that if you want to
increase quality, affordable health care, if you want to improve the
responsiveness of our system, then you need to trust the American
people, trust them to make decisions for themselves and for their
families rather than try to force them into some Washington-created
definition of care.
The legislation we have been debating today will provide strong
relief from the most coercive components of the President's healthcare
law. It will pave the way for the sort of patient-centered healthcare
reform that we ought to be implementing. In doing so, it will save the
American taxpayer $130 billion over the next 10 years by lowering the
amount of deficit spending we see here in Washington, and it will
expand economic growth and opportunity.
Mr. Speaker, I want to thank my colleagues so very, very much. I want
to thank the chairs of the Committees on Education and the Workforce,
Energy and Commerce, Ways and Means, and their committee members. I
want to thank my colleagues here in this Chamber for this spirited and
important debate. I look forward to the American people having the
opportunity to learn more about who is really fighting to protect and
promote the ability of patients and families and doctors to make
medical decisions, not Washington, D.C.
I urge support of this measure.
Mr. Speaker, I yield back the balance of my time.
Mr. GENE GREEN of Texas. Mr. Speaker, I rise in strong opposition to
H.R. 3762, the budget reconciliation bill. This bill is little more
than a partisan attack on the health coverage for millions of Americans
and access to women's health care.
This legislation is the 61st repeal vote on the Affordable Care Act,
which has succeeded in expanding health coverage to over 17 million
Americans, including nearly 20,000 residents in the 29th District of
Texas.
Included in this legislation is a repeal of the Prevention and Public
Health Fund, the federal government's only dedicated investment in
prevention and the Nation's largest single investment in prevention.
The Prevention Fund was enacted as part of ACA in response to the
overwhelming bipartisan support for prevention efforts and recognition
of the lack of targeted and sustained federal initiatives to address
chronic and costly illnesses.
This bill would also strip funding for Planned Parenthood for 2016.
Eliminating federal support for Planned Parenthood would limit or
prevent women from accessing important health services such as
contraception, cancer screenings, and STI tests and treatment. Women in
communities with a shortage of other health care providers who serve
low-income patients would be the ones most likely to experience
barriers to care.
As the current ranking member of the Health Subcommittee that worked
endless hours authoring the Affordable Care Act six years ago, I ask my
Republican colleagues to offer reasonable proposals to improve ACA.
There are areas of the current law that I and many of my Democratic
colleagues on this side of the aisle would be willing to consider
changing. Unfortunately, the bill before the House today is another
extreme proposal that would gut the heart out of ACA and take away the
health coverage for millions of Americans.
Mr. Speaker, we will not let that happen. ACA has been a success
beyond the wishes of its supporters and the most important expansion of
health coverage since Medicare and Medicaid while slowing the growth of
health care prices in nearly half a century.
I urge my colleagues to vote against this extreme proposal. President
Obama has already said he will veto this bill if it reaches his desk. I
promise that his veto will be sustained by Congress.
Ms. JACKSON LEE. Mr. Speaker, I request that this article from White
House Blog entitled, ``The Faces of Health Care: Joanne W.'' regarding
the benefits of the Affordable Healthcare Act be submitted.

Joanne was able to sign up for Medicare at 66. Her doctor
told her there was an advancement to Medicare through ACA.
After being on disability with no other health insurance,
Joanne went in for a free annual wellness check once she had
Medicare. At that very check they detected early caratoid
artery stenosis--a condition that has no early symptoms, but
if not treated can lead to a stroke or cardiac arrest.
Because it was detected early she was immediately given
medication and advice on diet and exercise. ``Who would have
thought after all my support for the ACA, my life would be
saved by it,'' she wrote in a letter to the President.

Mr. BLUMENAUER. Mr. Speaker, today, I will vote against H.R. 3762,
the Restoring American's Healthcare Freedom Reconciliation Act. This
legislation is not a serious effort at deficit reduction. Rather it is
an assault on the American public by gutting the Affordable Care Act
(ACA), and badly undercutting women's health services.
The budget reconciliation process is supposed to reduce funding
shortfalls, but instead this bill would increase America's long-term
deficits. Not only would it take health care away from 16 million
Americans, but it would also make our families less safe by eliminating
the Prevention and Public Health Fund, a program that, for example, has
helped thousands of adults and teenagers quit smoking, deaths from
which cost taxpayers over $100 billion each year.
This latest repeal effort comes after millions of Americans are newly
enrolled in health insurance, many using financial assistance or
enrolling in expanded Medicaid programs. In Oregon, over 100,000
individuals have enrolled using the health exchange marketplace and 75
percent of those Oregonians receive financial assistance. Over 1
million Oregonians have coverage through the expanded Medicaid or
Children's Health Insurance Program (CHIP). This legislation takes away
this coverage or dramatically increases premiums--undermining important
patients' rights and benefits along the way.
What's worse than the substance of this bill is the fact that this
charade used up precious time that ought to have been used to address
real problems. In just a few days, America's Highway Trust Fund will
expire. If Congress rolled up its sleeves and found a solution to pay
for America's crumbling infrastructure, we could put hundreds of
thousands of people to work, reduce the deficit, improve the economy,
and strengthen the quality of life in communities across America.
In less than two weeks unless Congress acts, America will default on
our debt. When we came within one day of default in 2011, Republicans
caused serious damage to the U.S. economy. The stock markets were hit
hard, with the Dow Jones Industrial Average plunging 2,000 points in
July and August of 2011. Standard & Poor's, the ratings agency,
downgraded the U.S. credit rating. As a result, taxpayers spent $1.3
billion more in interest payments because of the downgrade. In the four
years since, due to the GOP's continued brinksmanship, the S&P has not
reversed that downgrade.
It's time to act responsibly and deal with difficult issues by
offering real and thoughtful solutions. Let's be clear--this vote, the
61st vote to repeal the ACA, is anything but responsible or thoughtful,
and it is reckless in the extreme to hold the entire U.S. economy
hostage to fringe economic demands. The Republican party needs to
sideline reckless actors and the ideas they present, not bring them to
the floor.
The SPEAKER pro tempore. All time for debate has expired.
Pursuant to House Resolution 483, the previous question is ordered on
the bill, as amended.
The question is on the engrossment and third reading of the bill.
The bill was ordered to be engrossed and read a third time, and was
read the third time.
The SPEAKER pro tempore. The question is on the passage of the bill.
The question was taken; and the Speaker pro tempore announced that
the ayes appeared to have it.

Recorded Vote

Mr. VAN HOLLEN. Mr. Speaker, I demand a recorded vote.
A recorded vote was ordered.
The SPEAKER pro tempore. Pursuant to clause 8 of rule XX, this 15-

[[Page H7164]]

minute vote on passage of the bill will be followed by a 5-minute vote
on agreeing to the Speaker's approval of the Journal, if ordered.
The vote was taken by electronic device, and there were--ayes 240,
noes 189, not voting 5, as follows:

[Roll No. 568]

AYES--240

Abraham
Aderholt
Allen
Amash
Amodei
Babin
Barletta
Barr
Barton
Benishek
Bilirakis
Bishop (MI)
Bishop (UT)
Black
Blackburn
Blum
Bost
Boustany
Brady (TX)
Brat
Bridenstine
Brooks (AL)
Brooks (IN)
Buchanan
Bucshon
Burgess
Byrne
Calvert
Carter (GA)
Carter (TX)
Chabot
Chaffetz
Clawson (FL)
Coffman
Cole
Collins (GA)
Collins (NY)
Comstock
Conaway
Cook
Costello (PA)
Cramer
Crawford
Crenshaw
Culberson
Curbelo (FL)
Davis, Rodney
Denham
Dent
DeSantis
DesJarlais
Diaz-Balart
Donovan
Duffy
Duncan (SC)
Duncan (TN)
Ellmers (NC)
Emmer (MN)
Farenthold
Fincher
Fitzpatrick
Fleischmann
Fleming
Flores
Forbes
Fortenberry
Foxx
Franks (AZ)
Frelinghuysen
Garrett
Gibbs
Gibson
Gohmert
Goodlatte
Gosar
Gowdy
Granger
Graves (GA)
Graves (LA)
Graves (MO)
Griffith
Grothman
Guinta
Guthrie
Hardy
Harper
Harris
Hartzler
Heck (NV)
Hensarling
Herrera Beutler
Hice, Jody B.
Hill
Holding
Hudson
Huelskamp
Huizenga (MI)
Hultgren
Hunter
Hurd (TX)
Hurt (VA)
Issa
Jenkins (KS)
Jenkins (WV)
Johnson (OH)
Johnson, Sam
Jolly
Jordan
Joyce
Katko
Kelly (MS)
Kelly (PA)
King (IA)
King (NY)
Kinzinger (IL)
Kline
Knight
Labrador
LaHood
LaMalfa
Lamborn
Lance
Latta
LoBiondo
Long
Loudermilk
Love
Lucas
Luetkemeyer
Lummis
MacArthur
Marchant
Marino
Massie
McCarthy
McCaul
McClintock
McHenry
McKinley
McMorris Rodgers
McSally
Meehan
Messer
Mica
Miller (FL)
Miller (MI)
Moolenaar
Mooney (WV)
Mullin
Mulvaney
Murphy (PA)
Neugebauer
Newhouse
Noem
Nugent
Nunes
Olson
Palazzo
Palmer
Paulsen
Pearce
Perry
Peterson
Pittenger
Pitts
Poe (TX)
Poliquin
Pompeo
Posey
Price, Tom
Ratcliffe
Reed
Reichert
Renacci
Ribble
Rice (SC)
Rigell
Roby
Roe (TN)
Rogers (AL)
Rogers (KY)
Rohrabacher
Rokita
Rooney (FL)
Ros-Lehtinen
Roskam
Ross
Rothfus
Rouzer
Royce
Russell
Ryan (WI)
Sanford
Scalise
Schweikert
Scott, Austin
Sensenbrenner
Sessions
Shimkus
Shuster
Simpson
Smith (MO)
Smith (NE)
Smith (NJ)
Smith (TX)
Stefanik
Stewart
Stivers
Stutzman
Thompson (PA)
Thornberry
Tiberi
Tipton
Trott
Turner
Upton
Valadao
Wagner
Walberg
Walden
Walorski
Walters, Mimi
Weber (TX)
Webster (FL)
Wenstrup
Westerman
Westmoreland
Whitfield
Williams
Wilson (SC)
Wittman
Womack
Woodall
Yoder
Yoho
Young (AK)
Young (IA)
Young (IN)
Zeldin
Zinke

NOES--189

Adams
Aguilar
Ashford
Bass
Beatty
Becerra
Bera
Beyer
Bishop (GA)
Blumenauer
Bonamici
Boyle, Brendan F.
Brady (PA)
Brown (FL)
Brownley (CA)
Buck
Bustos
Butterfield
Capps
Capuano
Cardenas
Carney
Carson (IN)
Cartwright
Castro (TX)
Chu, Judy
Cicilline
Clark (MA)
Clarke (NY)
Clay
Cleaver
Clyburn
Cohen
Connolly
Conyers
Cooper
Costa
Courtney
Crowley
Cuellar
Cummings
Davis (CA)
Davis, Danny
DeFazio
DeGette
Delaney
DeLauro
DelBene
DeSaulnier
Dingell
Doggett
Dold
Doyle, Michael F.
Duckworth
Edwards
Ellison
Engel
Eshoo
Esty
Farr
Fattah
Foster
Frankel (FL)
Fudge
Gabbard
Gallego
Garamendi
Graham
Grayson
Green, Al
Green, Gene
Grijalva
Gutierrez
Hahn
Hanna
Hastings
Heck (WA)
Higgins
Himes
Hinojosa
Honda
Hoyer
Huffman
Israel
Jackson Lee
Jeffries
Johnson (GA)
Johnson, E. B.
Jones
Kaptur
Keating
Kennedy
Kildee
Kilmer
Kind
Kirkpatrick
Kuster
Langevin
Larsen (WA)
Larson (CT)
Lawrence
Lee
Levin
Lewis
Lieu, Ted
Lipinski
Loebsack
Lofgren
Lowenthal
Lowey
Lujan Grisham (NM)
Lujan, Ben Ray (NM)
Lynch
Maloney, Carolyn
Maloney, Sean
Matsui
McCollum
McDermott
McGovern
Meadows
Meeks
Meng
Moore
Moulton
Murphy (FL)
Nadler
Napolitano
Neal
Nolan
Norcross
O'Rourke
Pallone
Pascrell
Pelosi
Perlmutter
Peters
Pingree
Pocan
Polis
Price (NC)
Quigley
Rangel
Rice (NY)
Richmond
Roybal-Allard
Ruiz
Ruppersberger
Rush
Ryan (OH)
Salmon
Sanchez, Linda T.
Sanchez, Loretta
Sarbanes
Schakowsky
Schiff
Schrader
Scott (VA)
Scott, David
Serrano
Sewell (AL)
Sherman
Sinema
Sires
Slaughter
Smith (WA)
Speier
Swalwell (CA)
Takai
Takano
Thompson (CA)
Thompson (MS)
Titus
Tonko
Torres
Tsongas
Van Hollen
Vargas
Veasey
Vela
Velazquez
Visclosky
Walker
Walz
Wasserman Schultz
Waters, Maxine
Watson Coleman
Welch
Wilson (FL)
Yarmuth

NOT VOTING--5

Castor (FL)
Deutch
Kelly (IL)
McNerney
Payne

{time} 1157

Mr. NADLER changed his vote from ``aye'' to ``no.''
Mr. YOUNG of Indiana changed his vote from ``no'' to ``aye.''
So the bill was passed.
The result of the vote was announced as above recorded.
A motion to reconsider was laid on the table.

____________________