[Congressional Record Volume 163, Number 117 (Wednesday, July 12, 2017)]
[Senate]
[Pages S3948-S3951]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
Healthcare Legislation
Mr. CORNYN. Mr. President, as we continue to discuss the Better Care
Act, which is an alternative bill that we will propose next week and
vote on, which takes the disaster known as ObamaCare which for millions
of Americans has led to sky-high premiums and unaffordable deductibles,
if they can even find an insurance company that will sell them an
insurance product--we will propose a better care act, as we call it,
not a perfect care act but a better care act.
It would be even better if our Democratic colleagues would join us
and work with us in this effort, but as we have come to find out, they
are unwilling to acknowledge the failures of ObamaCare. So we are
forced to do this without their assistance. It would be better if it
were bipartisan, if they would work with us, but they have made it very
clear that they are not interested in changing the broken structure of
ObamaCare. What I predict is that what they would offer is an insurance
company bailout, throwing perhaps hundreds of billions of dollars at
insurance companies in order to sustain a broken ObamaCare that will
never work--no matter how much money you throw at it. So people will
continue to suffer from the failures of ObamaCare unless we will have
the courage to step forward and to say we are going to do the very best
we can with the tough hand we have been dealt to help save the American
people who are being hurt right now.
Basically, there are four principles involved. One is we want to
stabilize the individual insurance market, which is the one that
insurance companies are fleeing now because they are bleeding red ink.
They can't make any money, and they are tired of losing money so they
basically pull their roots up and leave town, leaving customers in the
lurch.
Secondly, we want to make sure we actually lower insurance premiums.
Under the original discussion draft bill that we introduced about a
week or so ago, the Congressional Budget Office said we will see
premiums go down as much as 30 percent over time. Now, I wish I could
say we were going to be able to have an immediate effect on those
premiums, but the truth is this is much better than our friends across
the aisle have offered us with the offer to basically sustain a broken
ObamaCare system.
The third thing we want to do is protect people who might have their
health insurance hurt or impeded by preexisting conditions. We want to
maintain the current law so people are protected when they leave their
work or when they change jobs.
The fourth is, we want to put Medicaid on a sustainable path.
Medicaid is one of the three major entitlement programs, and now we
spend roughly $400 billion on Medicaid in this country. Our friends
across the aisle don't want to do anything that would keep that from
growing higher and higher and higher, to the point where basically the
system collapses. We believe that is not the responsible choice. What
we propose is to spend $71 billion more on Medicaid over the budget
window and to work to transition those States that have expanded
Medicaid and offer their people a better option in the private
insurance area, but I just want to mention that I have shared a number
of stories about, for example, a small business owner in Donna, TX, who
was forced to fire their employees so they could afford to keep the
doors open and provide health insurance for the remaining people. You
have to ask: What in the world could lead us to a system which would
discourage people from hiring more folks and basically put them in a
position where they had to fire them in order to make ends meet? But
that is what the employer mandate did under ObamaCare. If you have more
than 50 employees, you are subject to
[[Page S3949]]
the employer mandate. You get punished unless you make sure your
employees are covered with insurance, and many times it is unaffordable
so it had the perverse impact of small businesses saying: We can't
afford to grow the number of people who are working in our business or
we are going to need to shrink it in order to avoid that penalty.
Stories like this remind me of just how important our efforts are to
repeal and replace ObamaCare.
The status quo is not working. In fact, every year ObamaCare gets
worse for the millions of people in the individual market in
particular. It is important that ObamaCare is not just about insurance.
ObamaCare is about penalties that are being imposed on businesses that
hurt their ability to grow and create jobs. That is one reason I
believe that since the great recession of 2008, where ordinarily you
would see a sharp bounce up in the economy, that the economy has been
largely flat and has not been growing, in part, because of the
penalties, mandates, and regulations associated with ObamaCare.
Not only has ObamaCare made health insurance more expensive while
taking away choices, it also has compounded fundamental problems with
important safety net programs like Medicaid. I wish to share a story
from an emergency room employee in Lake Granbury, TX, who wrote to me
about the alarming trend she has noticed in the hospital where she
works. She says, because fewer and fewer physicians will see a Medicaid
patient, she has seen an influx of these Medicaid patients who
ostensibly have coverage coming to the emergency room for their primary
care. As she points out, this is not a good situation for patients and
hospitals. In my State, according to the latest survey of the Texas
Medical Association that I have seen, only 31 percent of doctors in
Texas will see a new Medicaid patient. That may sound crazy, but let me
explain why. Because Medicaid basically pays a physician about half of
what private insurance pays when it comes to see a patient, many of
them simply say: Well, I can't afford to see a lot of Medicaid
patients. I need to balance that or at least make sure I see enough
private insurance patients to make sure I can keep the doors open and
meet my obligations. What happens when fewer and fewer doctors actually
see Medicaid patients is, people end up showing up in the emergency
room for their primary care because they can't find a doctor to see
them. The truth is, medical outcomes based on many studies that have
been done in recent years are that Medicaid coverage in those instances
can be no worse and no better than not having insurance at all.
ObamaCare was put in place ostensibly to avoid reliance on emergency
rooms for access to care, but as we all know, ObamaCare hasn't lived up
to many of its promises and unfortunately making stories like this one
commonplace.
I mentioned this earlier, but just to see the trend line, in 2000, 60
percent of Texas physicians accepted new Medicaid patients; today that
number is 34 percent. I think I may have earlier said 31 percent. It is
actually 34 percent, due to lower rates of provider reimbursement,
leaving places like Lake Granbury in the lurch and causing them to have
to turn to the emergency room for their primary care as a last resort.
Every 2 years, Texas doctors fight with the Texas legislature to
raise payments for the Medicaid system, but the reality is, there is
not enough money to go around, even though it is the No. 1 or No. 2
budget item in the Texas legislature's budget every year, and it is
growing so fast it is crowding out everything from higher education to
law enforcement and other priorities.
Across the country, Medicaid spending has ballooned out of control.
In Texas, 25 percent of the State's budget, as I indicated, is
dedicated to this program, 25 percent of its overall budget--usually
No. 1 or No. 2.
So we have to be honest with ourselves and the people we represent
that this situation is not sustainable. We owe it to the millions of
people to make sure the people who really need it--the fragile,
elderly, disabled adults and children--that it is there for them, not
only now but in the future. That is why we have been discussing ways we
might strengthen the sustainability of Medicaid to ensure that families
who actually need it can rely on it, and they don't have the rug pulled
out from under them. This requires doing some hard work of reforming
the way States handle Medicaid funding.
For example, Medicaid, as is currently applied, States are only
allowed to review their list of Medicaid recipients once a year, but a
lot can happen in a period of a year. Somebody can get a job, and they
may be no longer eligible based on the income qualifications for
Medicaid. If they can only check once a year, then people remain on the
rolls, even though they may no longer qualify. Regardless of whether
somebody gets a job or moves or passes away or no longer needs
Medicaid, they are still in the system, and there is nothing the States
can do about it. We would like to change that. While it sounds like a
simple matter, when the average Medicaid patient costs the State more
than $9,000 each and as high as almost $12,000 per elderly individual,
it adds up.
One of the things we saw that ObamaCare did in the States that
expanded Medicaid coverage is that those States decided to cover single
adults who are capable of working. This bill would also allow States to
experiment with a work requirement as part of the eligibility for
Medicaid. We are not mandating it, saying they have to do it, but if
the State chooses to do it, then they can do so. We need to give the
States the flexibility they need so they can use the Medicaid funding
they have more efficiently so more people can get access to quality
care.
I want to be clear: 4.7 million Texans rely on Medicaid. Of course,
those rolls tend to churn based on people's employment and their family
circumstance, but it is not going anywhere. We want to make sure we
preserve Medicaid for the people who actually need it the most. We are
working to make it stronger, more efficient, and, yes, more
sustainable. I guess some people live in a fantasy world, where they
think we can continue to spend money we don't have and there will never
be any consequences associated with it. The fastest items of spending
in the Federal budget are entitlement programs including Medicaid.
Right now we are at $20 trillion. We have done a pretty good job--I
know we don't get much credit for it--we have done a pretty good job of
controlling discretionary spending, but the 70 percent of mandatory
spending, including Medicaid, has been going up, on average, about 5.5
percent a year. That can't happen in perpetuity. Right now, we know we
have $20 trillion, roughly, in debt--$20 trillion. It is frankly
immoral for those of us who are adults today to spend money borrowed
from the next generation and beyond because somebody ultimately is
going to have to pay it back, and it is going to have real-world
consequences.
We know that since the great recession, the Federal Reserve has kept
interest rates very low through their monetary policy, but we know as
well that as the economy tends to get a little bit better and
unemployment comes down, they are going to begin inching those interest
rates up little by little, which means we are going to end up paying
the people who own our debt, our bondholders, more and more money
strictly for the purpose of giving them a return on their investment
for the debt they buy. This is an opportunity for us not only to put
Medicaid on a sustainable path, to do the responsible thing, to give
the States ultimate flexibility in terms of how they handle it, it is
also a matter of keeping faith with the next generation and beyond when
it comes to this unsustainable debt burden.
I hear people talk about slashing Medicaid despite the fact that the
Congressional Budget Office estimates that Medicaid spending will grow
by $71 billion over the next 10 years. Only in Washington, DC, is that
considered a cut, where spending next year exceeds what it is this year
and the next and so on, and it goes up by $71 billion. Yet you will
hear people come to the Senate floor and say that is a cut and that we
are slashing Medicaid. It is nothing of the kind.
To me, the choice is clear. Do we want to continue with the failures
of ObamaCare or do we want to do our very best to try to provide better
choices and better options?
Do we want to continue to allow the status quo, which is hurting
families,
[[Page S3950]]
putting a strain on doctors and our emergency rooms and hospitals like
I mentioned in Lake Granbury or do we actually want to address the
fundamental flaws of our healthcare system?
I wish we could do something perfect, but certainly with the
constraints imposed by the fact that our Democratic friends are not
willing to lift a finger to help, and given the fact that we have to do
this using the budget process--those are some pretty serious
constraints. We basically have to do this with one arm tied behind our
back, but we are going to do the best we can because we owe it to the
people we represent. I encourage our colleagues on both sides of the
aisle to try to take a fresh look at this and figure out how we can be
part of the solution, not just to compound the problem.
There is one thing I haven't mentioned that I am particularly excited
about in the Better Care Act; that is, for States like Texas that did
not expand Medicaid to cover able-bodied adults in the 100 to 138
percent of Federal poverty level, in the Better Care Act, we provide
them access to private health insurance coverage and access for the
first time. About 600,000 Texans--low-income Texans--who, for the first
time under the provisions of this bill, will have access to a tax
credit, and States, using the Innovation and Stability Fund and
something called the section 1332 waivers, will be able to design
programs which will make healthcare more affordable in the private
insurance market.
One reason people prefer the private insurance market to Medicaid is
for the reason I mentioned earlier, that Medicaid reimburses healthcare
providers about 50 cents on the dollar compared to private health
insurance. This actually will provide them more access to more choices
than they have now, certainly. Certainly, for that cohort of people
between 100 percent of Federal poverty and 138 percent of Federal
poverty in those States that didn't expand.
I am excited about what we are trying to do here and its potential.
Again, to stabilize the markets, which are in meltdown mode right now
and we all know are unsustainable, our friends across the aisle will
say: We will talk to you if you take all the reforms off the table,
which translates to me: We will talk to you about bailing out a bunch
of insurance companies but doing nothing to solve the basic underlying
pathology in the system. So we are going to do that in our bill, the
Better Care Act.
Secondly, we want to make sure that we do everything in our power to
bring down premiums. I know the Presiding Officer cares passionately
about this. This may well be the litmus test for our success. Under the
discussion draft we released earlier, the CBO said that in the third
year, you could see premiums as much as 30 percent lower, but we would
like to see even more choices and premiums lower than that and more
affordable.
The third thing our Better Care Act will do is to protect people
against preexisting conditions. Right now, people sometimes refuse to
or are afraid to leave their jobs in search of other jobs because, if
they have preexisting conditions, then they cannot get coverage with
the new insurance companies for a period of time. That is called the
preexisting condition exclusion. We would like to protect people
against that eventuality so that people do not have to be worried about
changing jobs or losing their jobs and losing their coverage.
Fourth, as I have taken a few minutes to talk about here today, we
want to put Medicaid--one of the most important safety net programs in
the Federal Government--on a sustainable path, one that is fair to the
States that expanded Medicaid under the Affordable Care Act and to
those that did not. I think any fair-minded person who is looking at
what we have proposed here would agree with me that it is not perfect
but that it, certainly, fits the name that we have ascribed to it. It
is a better alternative than people have under the status quo.
I urge all of our colleagues to work with us in good faith to try to
improve it.
Here is the best news of all, perhaps, to those who would have other
ideas. We do have an opportunity to have an open amendment process, and
sometimes that does not happen around here. People say: Here it is.
Take it or leave it. You cannot change it. All you can do is vote for
it or vote against it.
That is not what we are going to do. We are going to have an open
amendment process. As long as Senators have the energy to stay on their
feet and offer amendments, they can get votes on those amendments. I
cannot think of a better way to reflect the will of the Senate and to
come out with the very best product that we can under the
circumstances.
We are on a trajectory next week to begin this process and will have,
probably, some very late nights and early mornings come Thursday and
Friday.
I yield the floor.
I suggest the absence of a quorum.
The PRESIDING OFFICER. The clerk will call the roll.
The senior assistant legislative clerk proceeded to call the roll.
Mr. REED. Mr. President, I ask unanimous consent that the order for
the quorum call be rescinded.
The PRESIDING OFFICER. Without objection, it is so ordered.
Mr. REED. Mr. President, I would like to take a moment today to talk
about the ongoing efforts by the Senate Republicans to take away health
insurance from millions of Americans by repealing the Affordable Care
Act.
I was here on the floor just a couple of weeks ago reading letters
from my constituents about how they have benefited from the ACA and
what TrumpCare would mean for them based on what we had seen of their
bill so far. Since then, my colleagues on the other side of the aisle
have continued forging ahead in their effort to repeal the ACA, in
spite of overwhelming opposition. Indeed, nearly every major healthcare
organization representing patients, doctors, nurses, and hospitals,
among others, is opposed to this misguided effort, and that is on top
of the millions of Americans who know firsthand how devastating
TrumpCare would be for them and their families.
Senate Republicans are working on tweaks to convince their colleagues
to vote for this disastrous bill. Unfortunately, their so-called
``fixes'' are not improvements. That is because, in my view, TrumpCare
is fatally flawed and cannot be fixed. My constituents know better and
have continued to write and call--even stopping me in stores and on the
streets--to express their opposition and fear, quite frankly, of all
versions of the Senate TrumpCare bill.
For example, my Republican colleagues are looking to add a provision
that would bring us back to the days when insurance companies could
deny coverage or charge exorbitant amounts for those with preexisting
conditions. The Affordable Care Act ended this practice once and for
all, we hope, and I can't imagine why my colleagues want to bring back
those discriminatory policies. However, the amendments that several
Senators have proposed would do just that. They would allow insurance
companies to sell plans on the marketplace with no protections for
those with preexisting conditions, which would create a death spiral in
the marketplace, so that the very people who need health insurance the
most would be priced out entirely.
Just last week, I heard from Anne in North Smithfield, RI, about this
very issue. Anne said:
I am the parent of a childhood cancer survivor. The last 11
months of my life have been fighting alongside my warrior, my
hero, my 9-year-old osteosarcoma survivor, Julia. She loves
unicorns, horses, the beach, and going for walks. Due to no
fault of her own, she hasn't been able to walk for the past
11 months.
I am writing to ask for your support to ensure that all
children fighting cancer have access to affordable, quality
healthcare. If enacted into law, the current proposal for the
healthcare bill will have devastating impacts on the hundreds
of thousands affected by childhood cancer. Without quality
health insurance and access to treatment, my child would not
have survived.
Anne went on to explain that the Republican efforts to undermine
preexisting conditions protections would be devastating for childhood
cancer survivors. Even parents who get their insurance through their
employer would be at risk. Anne pointed out that nearly half of
families of children with cancer will experience gaps in coverage
because one or both parents often need to stop working or reduce their
hours to care for the child.
Further, TrumpCare erodes other critical consumer protections by
allowing annual and lifetime limits on care.
[[Page S3951]]
Anne continues her message:
Additionally, childhood cancer patients must be assured of
access to essential health benefits without the threat of
lifetime or annual caps that would effectively price patients
out of lifesaving treatments. Two-thirds of childhood cancer
survivors will develop serious health conditions from the
toxicity of treatment. My child's future is already uncertain
enough. We should not have to worry about annual or lifetime
caps on coverage.
I agree with Anne. What use is healthcare coverage that expires just
when you need it the most? Why would anyone think it makes sense to
sell a health insurance policy for thousands of dollars that doesn't
actually cover anything--or nothing--when you need it? This is a step
in the wrong direction, and I continue to urge my Republican colleagues
to reverse course.
I would also like to talk about what this bill would do to those
suffering from opioid addiction, a public health crisis that has taken
a tremendous toll on our country and particularly on my home State of
Rhode Island.
I, along with many of my Democratic colleagues, have been talking
about how the Senate TrumpCare bill would pull the rug out from many of
those who are suffering from substance use disorders, like opioid
addiction, by decimating Medicaid, which is how many people suffering
from the opioid crisis access treatment.
News reports suggest that Republicans are considering adding a fund
for opioid addiction treatment as another so-called fix to the
TrumpCare bill. While we absolutely need more Federal funding to expand
access to drug treatment--in fact, I have been urging Republican
leaders to do just that for years--what they are proposing cannot make
up for the bill's nearly $800 billion in cuts to Medicaid with a $45
billion opioid fund. The math simply doesn't work.
Second, short-term drug treatment programs do not provide a full
spectrum of healthcare coverage over the long term, like Medicaid or
other health insurance coverage. The Medicaid expansion under the ACA
has provided the security of reliable healthcare coverage and long-term
stability to help people with chronic conditions such as substance use
disorders seek treatment and turn their lives around. TrumpCare takes
that away.
In addition, people with opioid addiction suffer from other mental
health conditions at twice the rate of the general population and
higher rates of physical health conditions as well, which would still
go unaddressed in this so-called fix. We will be setting people up for
failure if we provide immediate drug treatment services but cut access
to the other mental and physical healthcare services they need.
An opioid fund alone will not solve this public health crisis and, in
fact, would be a drop in the bucket compared to how the rest of this
bill would worsen the crisis.
The cuts to Medicaid under the Senate TrumpCare bill are beyond
repair. The Senate TrumpCare bill fundamentally changes the structure
of the Medicaid Program, making massive cuts, representing a 35-percent
cut over the next two decades. Simply put, this will end the Medicaid
Program as we know it, which will hurt not only those suffering from
the opioid crisis but also seniors, children, and people with
disabilities. We may see Republicans try to spread out this harm over
more years to hide the damage, but do not be fooled. Whether they make
massive cuts to Medicaid in 2021 or 2022 or even 2026, for that matter,
the cuts will be devastating.
In short, no fix can undo the damage this bill will cause. This bill
is a massive tax break for the wealthiest Americans at the expense of
everyone else. No amendment or tweak to the bill will change that.
Sharon from Wakefield, RI, wrote to me just a couple of days ago and
summed this up very well. She said:
I do not support the so-called American Health Care Act
because it is not a health care plan, it is a tax cut for the
rich. I am 67 years old, and I have a mild version of
muscular dystrophy, and I have Medicaid. Since the GOP wants
to end Medicaid, I am asking you to vote NO on the bill.
Republicans must abandon this effort and come to the table to work
with Democrats on a new path forward. Let's have productive
conversations about how we can improve access to care and bring down
costs. Let's harness this interest in improving access to drug
treatment and work together on those efforts. But, coupled with the
TrumpCare bill, those efforts will not mitigate the damage this bill
will inflict on my constituents and those across the country.
I hope those on the other side of the aisle who have expressed
misgivings will oppose TrumpCare in all of its forms so that we can
work together on a bipartisan solution and attempt to do something
positive for our constituents.
With that, Mr. President, I suggest the absence of a quorum.
The PRESIDING OFFICER. The clerk will call the roll.
The assistant bill clerk proceeded to call the roll.
Mr. WHITEHOUSE. Mr. President, I ask unanimous consent that the order
for the quorum call be rescinded.
The PRESIDING OFFICER. Without objection, it is so ordered.
Mr. WHITEHOUSE. Mr. President, I ask unanimous consent to speak for
up to 10 minutes as in morning business.
The PRESIDING OFFICER. Without objection, it is so ordered.