tv Representatives Walden and Brady Unveil Affordable Care Act Replacement... CSPAN March 7, 2017 10:20pm-10:44pm EST
to regulate health care. phase three, passed those reforms we believe will make it put in but no we cannot reconciliation because of the 60th vote threshold. thank you but -- very much everybody, appreciate it. >> oregon congressman rick walton and kevin brady from texas, to chairman of the committee's responsible for the bill, discussed some of the details. >> good morning. yesterday, the house energy and commerce committee released the american health care act. it is the budget reconciliation legislation that is part of the house republicans efforts to repeal and place obamacare. after years of obamacare's broken promises, we are proud to put forth a plan that represents
a better way for patients and american families. health and human services tom price -- secretary tom price sent us a letter on behalf of the truck administration in support of our legislation. is a first step on the path of fiddling our promises to the american people. we welcome president trump and secretary price's support people continue working closely with them. let me be clear. firstient -- plan is the step. under our plans, we are moving forward in a positive direction. we will rescue the individual insurance market and give flexibility to states. we are protecting agents living with pre-existing patients with pre-existing conditions. we are not returning to the days of lifetime or annual limits, and we will continue to allow
young adults to remain on their parents policies until they reach 26 years old. we will keep our promise to not hold the workout from anyone, including those on medicaid. we are also creating new and state did patient and -- stability fund's to help low income americans afford health care, and repair the damage done to state insurance markets by obamacare. we return power to the states. we strengthen medicaid and prioritize health for our nation's most boat vulnerable. simply put, we have a better way to deliver solutions to patients , not washington bureaucrats first. we provide the american people with what they have asked for and what we have asked for, greater choice, lower costs, and flux ability to choose the plan that best suits their families needs. this bill is the first step in helping american families across the country, obtain affordable health care, we are eager to get
started. i will turn it over to my colleague, mr. brady. , thank youank you all for joining us today. seven years ago, obamacare put washington in control of americans health care. for seven long years, this failing law has hurt more people than it has helped. families cannot afford the premiums, patients cannot visit the doctor they like, fewer insurers are offering coverage options every day. it is getting worse. president -- with president trump in office, house republicans are taking action to deliver relief to americans now. this week, house republicans have introduced legislation to repeal this failing law and help ensure americans have access to health care that tailors to their needs, not dictate to watch -- dictated to washington's needs.
the american health care act transfers power from washington back to the american people. we restore control of health care so it can be designed for the families and communities in each state. we restored the free market so americans have a greater choice of products tailored again, to what they need, what their families need. in the ways and means committee, our role is first to act now, dismantle obamacare's unpopular taxes and mandates that have hurt jobs and driven up health care costs, to strengthen health savings accounts so people can spend their health care taxpayer -- tax dollars how they need to. we will help lower in income -- middle income americans access to quality health care with a monthly tax credit, which is immediately available. today,etary price wrote this morning, our legislation of aligns the president's goal of rescuing americans from the failures of the affordable care
act. secretary chris also wrote that, our bills are a necessary and important first step for filling our promises to the american people. i encourage you to read the bill and cover our action tomorrow. this bill is available for -- to the american public. contrast this to the affordable care act. 2400 pages written in the dark of night and crushed to congress . this legislation is a little over 100 pages, and every american can read and understand it. house republicans promised to step-by-stepep -- effort to reap -- provide relief from obamacare. we take that critical first step tomorrow. >> we be happy to take your questions. go ahead. you're holding committee
votes as early as this week on a bill, nobody knows how much it will cost, how many people will lose coverage. archie doing the exact same thing? .> not at all the bill is online for everyone to read. that went at 6:00 last night. it is not that much to get through, it is well understood, and is keeping and purchase with reconciliation legislation. when democrats did reconciliation, they did not have a cbo score before it went to the budget committee, that is how it operates. we will proceed with our markup's, there will be a cbo score coming. we will forward to that because or it comes to the house floor. members of countries have enough to see that. critics are blasting this as obamacare-light. what is your message to senate colleagues who are saying this bill will not pass? >> we had a good briefing with last week.colleagues
we walked through the various provisions. i would encourage them to read the bill. i have sent notes and copies over to some of the senators who were seeking the bill so they can read through it. we are repealing and up -- replacing obamacare, we start with the 2015 reconciliation legislation, the underpinning document. we are moving forward to get health insurance where it is affordable, to create choices in the marketplace, and to do the biggest entitlement reform since bill clinton signed welfare reform into law. these are big measures moving forward. and they price president believe this is repeal and reform. we will work with them, we need them on board. .> this is obamacare gone this is the first and most important step to giving relief to americans from this chair of the law, and to begin the replacement principles of
restoring state control and restoring the free market to conservatives, moderates, all republicans have built consensus around. on legislation last year which we embrace our republican plan had 84 cosponsors, including members and leaders of the freedom come -- conference, and republican conference. we are following that consensus. here is my main point. as republicans we have a choice. we can act now or keep fiddling around and squander this opportunity to repeal obamacare and beginning of chapter. house republicans are choosing to act now. >> can you comment on the president, he said he liked the bill and is open to negotiate. how much of the bill are you guys willing to negotiate? from the one hand you have conservatives in your own caucus
that will hold a press conference later today and say they do not like it. on the other hand, democrats will attack you guys and say it will cover less people and will reduce the protections for people that -- >> we have held a lot of listening center -- sessions. i have met individually with leaders of various groups. we have had a lot of discussions over the weekend with the white house and folks there. it is a legislative process. we have a bill that is available for all to read, i'm courage you to do it, then to do it. i would encourage them to look against their own bills, what they have supported the past, and let's have a thoughtful, legislative discussion. there is a process before each of our committees. there will be a process of the budget committee, rules come toe, then it will the floor. this is an important step moving forward to fulfill our promise to the american people and repeal and a -- replace obamacare.
that the metric of how many people are covered is not the proper way to gauge the success of a health care proposal? >> if you go back to what -- the truth is we are chasing people, away.g we need to reform those so we can give options that are affordable and available to more people. believe the reforms under medicaid will allow states drive more, can dollars into coverage rather than the your credit process to get waivers.
exemption forthe coverage, is that one of the main options we are looking at? what was the thought process behind that? listening very carefully to house republicans across the philosophical spectrum about how best to restore state control, how best to create a free market and how to make sure we do that in a way budget.ances the we looked very seriously at the option of providing the same to the exclusion of others. at the end of the day, they said that was not a provision they were comfortable with today so we decided to go with a different direction.
reporter: very simply, will this bill cover more americans or less americans than are covered right now? mr. brady: with affordable health care than today is the key question. here's what i know in my district. more people have found a way to get out of obamacare than are taking it. and those who have it, frankly can't use it. the deductibles are too high. the copayments are too high. it does not help them. under our approach by returning innovation to the states and giving americans a broad choice of plans they can actually use, i believe we are increasing access to affordable care to those who want it. that's an important distinction here. and as i see the tax credit, you know, i have a small business background as a chamber of commerce executive. for decades, i watched small business people, entrepreneurs,
\busines people, entrepreneurs, mom and pop companies struggle to get health care and get no help. while workers and big businesses got all the help. under the republican plan for the first time, if you work hard and play by the rules, you are treated equally. you get that help. so those businesses frankly aren't taking the affordable care act. those small business people, it doesn't help them. do know. what we last year 225 counties had one option to choose from. is 22 and that was before humana pulled out. this insurance market is collapsing before our eyes. the c.e.o. of aetna says it's in a death spiral. those are not our words. those are in his words and he's in that market. as i talk to insurers they are looking if they can sustain the losses they are enduring the way the market is created. the facts of the matter what this will or won't do going forward.
the fact is we have arrived at the scene of a pretty big wreck and if we don't intercede now fewer people have access to insurance, period. we are not kicking anybody off medicaid that's on it today. you can read that in the bill pretty clearly. we are going to devolve power back to the states, decisionmaking back to the states and hopefully expand access to affordable insurance that people can take access of. but, when you are down to one out of three counties in america with one planning and in some cases next year we are hearing there may be zero, that is the gap we are trying to -- reporter: mr. chairman, health care is a complicated subject. candidate trump and even president trump has been promising better coverage, lower cost and better health care. do you think you're on the road to that meeting that goal right now? mr. walden: i think secretary price believes that and president trump believes that based on the letters they've sent us, the communications they've issued. reporter: mr. chairman, so could you just tell us, you have
internal c.b.o. numbers and internal numbers of how many people may lose their health care that y'all are working with and is there a reason why you won't share that with us or the american people? mr. walden: we are awaiting for cbo to give us the score. reporter: when do you think you will give us that score? mr. walden: that's up to c.b.o. reporter: can you talk about the insurance hikes premiums or hikes or whatever it's being called and how that's different than the current individual mandate? mr. walden: we are looking at continuous coverage. this is not a novel concept, by the way. you'll find a similar version of this to cover pre-existing
conditions in medicare part b, medicare part d and in the employer market. so we modeled it after that. one of the issues we found is that some people were gaming the system with guaranteed issues. not they had a pre-existing condition, necessarily, if they pay for nine months of insurance get 12, the other three for free, automatically come back in the market. that's part of what's causing this spiral downward. what we want to make sure if you have a pre-existing condition you get coverage. and that the coverage is not rated based on that condition, it's just if you let it lapse, if you didn't pay the premiums there was a marginal penalty there going backwards. it's a little bit like you don't get to buy fire insurance for your house when the roof's on fire. you have to buy it ahead of time. it's a little different i realize when it comes to health care but the concept is continuous coverage. you can have a gap for 63 days. basically that's two months. that's how it is in other areas of federal law today. our goal is to make sure if you have a pre-existing health condition you are not denied or priced out of the market. reporter: chairman brady, repealing the obamacare tax is
amounting to a very big tax cut for affluent americans, what's your response to critics this inevitably this is a tax cut for the rich? mr. brady: i disagree. i look at the 20,000 jobs that have left america because of the irresponsible medical device tax. i look at the health insurance taxes and others that drove up health care costs on americans, especially those who could least afford it. you run down tax i crease after tax increase after tax increase, they hurt the economy. they hurt health care. they achieve nothing. i don't want americans to continue to struggle under the obamacare taxes which is why we are moving to repeal them as well as the subsidies and at the end of the day, as you all know, for this to pass the senate, this has to balance within the budget and the window we have been given and we'll make sure it does. reporter: where are the deviations between the 2015 bill and this bill this year? mr. brady: on the side we're
focused on, very little from the standpoint of repealing the taxes, the penalties on the mandates and the subsidies as well make sure we are defunding planned parenthood and redirecting those dollars to community health centers so women have those services where they need them. so we use the 2015 reconciliation bill as the foundation for repeal, but we go farther with those two key principles -- returning state control so communities can get health care designed for them, restoring the free market so people can choose health care they need. mr. walden: we have crafted the biggest entitlement reform by going to a per capita allotment back to states for the traditional medicaid population. i don't believe that was in the 2015 reconciliation bill. i think that's really important to empower states and to put medicaid on a budget. so that's probably the biggest
-- and we have the patient stability and states' stability fund in here as well because there's been all this damage done to the market. we want states to come in whether it's texas or oregon. we have vastly different decisionmaking that's going on in health care in our states to be able to help out. reporter: that's a standing fund, sir. will that be an annual pay-in by congress or will that be set up as an endowment? mr. walden: it's a $100 billion fund over 10 years. so that's $1 approximately a -- so that is approximately 10 billion a year for the state so they know what is coming. reporter: on the medicaid, have you talked to any states that didn't expand and determined whether or not they would expand if this law were to go into effect? mr. walden: we talked to a lot of states. i heard from governors and had productive discussions.
i don't believe they will be allowed to expand if they haven't expanded before but if they have expansion they can add new people until december 31. why? because states have told us and others informed us you got to have a transition period here that works for the people that are on medicaid and that works until mr. brady's tax bill is up online and, remember, with the insurance markets, it takes them a year or so to come up with new plans and policies and get them out there. so what we're trying to do is what we pledged we would do -- not pull the rug out from anybody, make sure there is a transition to a better way with more policies, more opportunities and a more fair health system. reporter: have they approved this proposal? mr. walden: you have to ask them. reporter: going in on the tax policy question, your vision. you were talking about the importance for small businesses so this will repeal that net investment tax and the surtax at the upper end. how does that fit into your
broader tax vision with the rate cuts? mr. brady: well, clearly, we have an economy that's struggling. we're still recovering. we have young people that can't find good-paying jobs. a lot of people have given up. a part of this is to remove the damaging, we think job-killing taxes in the affordable care act. lower the cost. also, it fits into our vision of the tax reform proposal that's built for growth, built for the growth of jobs, of wages in the u.s. economy. i think a key element of the tax credit is that it is really targeted and tailored to the individual. it's a credit that's immediately available to them. it grows and increases with age because your health care costs go up as you get older. it expands with your family because you have greater needs as a family. it's a credit that you can take from small business to small business, from state to state, home if you're starting a business or raising a family. even as you're approaching retirement. this is unprecedented freedom. i would note, too, in this legislation, thanks to the work
of chairman walden, those who are on the a.c.a. today who are watching it slowly collapse, they'll actually be able to buy products off the exchanges, including catastrophic coverage that's very important to them as we make this transition. and so it is very carefully and deliberately thought of. reporter: gentlemen, following up on the tax question, you talk about the tax credit -- announcer: to house committees will meet tomorrow morning to markup the legislation. we will bring you coverage of both of those when they start.
you can find the ways and means , the energy and commerce committee markup will be on our website. this morning, they met on the republican plan to replace the affordable care act. >> the affordable care act that maine whothousands in are going bankrupt because they got sick. overall costs have been lowered. republicans have had seven years to come up with an alternative .air care -- health care plan one that would not take us back to a time when many without employer-sponsored insurance or a clean bill of health could get coverage. but after all this time, they have come up with a plan that would cost older americans up to five times the cost of gender and release.