[Congressional Record Volume 165, Number 186 (Wednesday, November 20, 2019)]
[Senate]
[Pages S6705-S6706]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
Unanimous Consent Request--S. 913
Mr. BRAUN. Mr. President, reserving the right to object, ObamaCare
has failed because it is the classic example of Big Government getting
in cahoots with a healthcare industry that is broken. It was doomed to
fail because when has Big Government and Big Business ever resulted in
something that is going to cost less and be more effective?
Under ObamaCare, decisions are made by the healthcare industry
executives and the Federal Government bureaucrats--not patients, not
consumers. This program is authorizing millions of dollars we don't
have to prop up a system that is not working. If ObamaCare was working,
it would sell itself, but it doesn't work. Costs continue to rise, and
Americans continue to be stuck with the bill.
I believe there are things that ObamaCare does that we should keep. I
actually incorporated it into my own business's plan back before the
law required you to do it. I covered preexisting conditions and no cap
on coverage. The pillars of ObamaCare--we should all accept that.
When they added keeping kids on there until they are 26, that is fine
too. Those ships have sailed. But the Affordable Care Act is not
remotely affordable, and it is only going to get worse.
I applaud the Trump administration for doing their due diligence on
how healthcare policy changes are going to affect average Americans.
They are taking the approach to not go deeper in the hole with
something like ObamaCare but to reform the industry by making it
competitive, transparent, eliminate the barriers to entry and, yes,
encourage the healthcare consumer to get involved in his or her own
well-being.
I do believe President Trump is right. The Republicans can be the
party of healthcare without involving more government, but we need to
do that by putting more power back into the hands of the American
people, not ceding total power to government bureaucrats and big
healthcare executives.
I have a better idea. The truth in pricing act--my bill I am
countering with--encapsulates some of the ideas behind the proposed and
final rules announced by the White House last week, which I fully
support. The complex, opaque nature of healthcare pricing makes it
difficult for consumers to anticipate, measure, and compare healthcare
costs and coverage options.
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Hospitals have a chargemaster that nobody can understand, which
actually inflates retail prices billable to a patient or an insurance
provider, but insurers usually negotiate steep discounts to these
inflated prices that consumers and the employers who pay all the bills
never see. It is done behind closed doors.
More pricing transparency would address this market failure.
Increased competition gives more decision making to the people who are
supposed to use it.
This is why I introduced the truth in pricing act, which requires
health insurers to disclose negotiated rates, including any cost-
sharing obligations for consumers for healthcare services covered under
their health plans. It is difficult for insured consumers to shop for
healthcare services in our current, opaque, and broken market within
which ObamaCare works, especially if they don't know actual prices.
Insurers have the unique ability to provide this information to
consumers.
Why subsidize insurance companies to pay for navigators and insurance
agents when we can instead make the market work better and be more
consumer-driven and transparent? This is the way we break the
stranglehold that government in big healthcare has on healthcare
delivery.
I ask unanimous consent that the Senator modify her request and
instead, as in legislative session, the Committee on HELP be discharged
from further consideration of S. 913, the True Price Act, and the
Senate proceed to its immediate consideration. I ask unanimous consent
that the bill be considered read a third time and passed and that the
motion to reconsider be considered made and laid upon the table.
The PRESIDING OFFICER. Does the Senator so modify her request?
Mrs. SHAHEEN. Reserving the right to object, let me say that I agree
with my colleague that we need more transparency in healthcare pricing.
I would argue that one of the places we most need that transparency is
when it comes to the price of prescription drugs.
As I am sure my colleague knows, the cost of prescription drugs is
probably the biggest cost driver right now in increases in
healthcare. Yet we in Congress and the Centers for Medicare and
Medicaid are stymied because they can't negotiate with the big drug
companies to lower the prices of prescription drugs and to make that
more transparent to consumers.
The Veterans' Administration can negotiate for the cost of
prescription drugs. If you talk to any veteran about the cost of their
prescription drugs and compare them to what people are paying in the
marketplace, there is a huge difference because they have that ability
to negotiate.
I am sure that at some point we could probably find some agreement on
transparency that would make sense. I think what my colleague is
proposing is not something that has had a chance to go through the HELP
Committee and, therefore, would need a further look. I would want to
know what hospitals in New Hampshire, the doctors, consumers, and the
insurance department in my State would have to say about that. Until I
find that out, I would have to object to what my colleague is
proposing, but I hope we could work together to address the challenges
that my constituents--and I am sure his constituents--are facing
because of the cost of healthcare.
He talked about the failure of the Affordable Care Act. Actually, in
New Hampshire, we have over 90,000 people who have now gotten coverage
for health insurance because of the Affordable Care Act. Through the
expansion of Medicaid, we have reduced the number of uninsured in New
Hampshire to half the number we had before we passed the Affordable
Care Act.
What my legislation would do is help people understand what the
filing period is and how to sign up for the Affordable Care Act and
health insurance.
In fact, under the Affordable Care Act as it exists now, according to
estimates from the administration, approximately 54 percent of Granite
Staters who are shopping for coverage on healthcare.gov are eligible
for a plan with net monthly premiums of less than $75, after accounting
for tax credits, and nearly 40 percent of Granite Staters shopping on
healthcare.gov can find a plan with net monthly premiums under $10.
Now, the cautionary note is that when constituents of mine or in
Indiana or anywhere else in the country are shopping for plans, they
need to watch out for those short-term, limited-duration insurance
plans--what are commonly called junk plans--because they are not
required to cover preexisting conditions. I was pleased to hear my
colleague from Indiana say that for existing conditions, coverage is
important.
Those junk plans are not required to provide coverage for essential
health benefits, like maternity care, prescription drugs, and mental
health services. If you don't pay very careful attention when you go on
the healthcare.gov website, you can be redirected to third-party
insurance broker sites that sell both junk plans and ACA-compliant
marketplace plans. That creates further confusion for customers. What
we heard is that those insurance brokers are able to charge multiple
times the price for those plans for their fee than they are for plans
under the Affordable Care Act.
The administration has been allowing these links to redirect
consumers to sites that sell junk plans, even though the ACA expressly
prohibits any health insurance exchange from making available any plans
that are not qualified health plans under the Affordable Care Act.
A number of my colleagues and I have been pressing the administration
to conduct better oversight of brokers to ensure that healthcare.gov
customers are not being sold junk plans.
I urge consumers, when they go on the website, to make sure they stay
on the healthcare.gov website or their State's official health
insurance exchange website when they are shopping for coverage. Be
careful when you click on links that provide assistance from third-
party insurance brokers.
I encourage Granite Staters and people across this country who need
health insurance coverage to take a look at their options between now
and December 15, during this year's open enrollment period. There is
still time to enroll. It is important to tell your friends and
neighbors and your family members who may not know about open
enrollment because the amount of money available for outreach has been
reduced so dramatically.
When the administration was trying to repeal the Affordable Care Act
and this Senate voted, Americans across the country made their voices
heard. Now we need that same level of engagement to raise awareness of
this year's open enrollment and overcome this administration's sabotage
of the ACA.
Thank you. And if it was not clear earlier, I object.
The PRESIDING OFFICER. The objection is heard to the modification.
Is there objection to the original request?
The Senator from Indiana.
Mr. BRAUN. Mr. President, reserving the right to object, we have made
progress here this evening in the sense that my colleague has brought
up another topic--transparency for prescriptions.
Across the board, when it comes to hospitals and exposing their
charge practices, drug companies becoming transparent and competing,
health insurance companies getting rid of the secret agreements behind
the scenes, and even practitioners, publish your prices in print or on
the web so we as employers and consumers of healthcare can try to make
the right decisions and bring costs down.
I do object to the original request.
The PRESIDING OFFICER. The objection is heard.
The majority leader.