tv Representatives Walden and Brady Unveil Affordable Care Act Replacement... CSPAN March 7, 2017 12:35pm-1:01pm EST
i urge my colleagues to support h.j. res. 44. mr. president, i ask unanimous consent that the senate recess until 2:15 p.m., the time during recess be charged equally to both sides on the joint resolution. the presiding officer: without objection. objection. >> details on the republican plan to replace the affordable care act are coming out it will take you live to the white house at 1:30 p.m. eastern for the
daily briefing with sean spicer. earlier republican members held a press conference talking about replacement proposal. they will be marking it up tomorrow morning. here are their remarks. >> good morning. yesterday the house energy and commerce committee and house ways and means committee released the american health care act. it's the budget reconciliation legislation as part o part of te republicans everest repeal and replace obamacare. after years of obamacare broken promises we're proud to put forth a plan that represents a better way for patients and for american families. and this morning health and human services secretary tom price sent us a letter on behalf of the trump administration in support of our legislation. that's the first step on the path of fulfilling promises to the american people. we welcome president trump and secretary price support. we will continue working closely
with them and our colleagues in the senate to get this bill passed into law. let me be clear. our plan is the first step. under our plan we are moving forward in a positive direction to rescue the individual insurance market and give flexibility to our states. we are protecting those patients living with pre-existing conditions under our plan. 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 the age of 26. and we will keep our promise and not pull the rug out from under anyone, including those on medicaid. we are also creating a new and innovative patient and date a builder fund to help low income americans afford health care and repair the damage done to state insurance markets by obamacare. and we return power back to the
states that we strengthen medicaid and we prioritize health for our nation's most lovable. simply put, we believe we have a better way to deliver solutions to the patients, not washington. at first it would provide the mark in people we've asked for, and what they've asked for. greater choice, lower costs and flexibility to choose the plan that best suits their families needs. introduction of this bill is a first step in helping american families across the country opting truly affordable health care, and we are eager to get started. i now turn it over to my colleague, mr. brady. >> greg, thank you thank you, ar joining us today. seven years ago obamacare put washington in control of americans health care. and for seven long years this failing law has hurt more people than it has helped. families can't afford their premiums. patients can visit the doctor
that they like, and fewer insurers are offering coverage, options every day. it's getting worse. president trump now 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 is tailored to their needs, not helped are dictated ann taylor to washington's needs. the american health care act transfers power from washington back to the american people. we restore state control of health care so it can be designed for the families and communities in each state. we restore the free market so americans have a greater choice of products tailored akin to what they need, what their family needs. so in the ways and means committee, our role is first to act now, dismantle obama cares
unpopular taxes and mandates that effort jobs and driven up health care costs to enhance and strengthen health savings accounts so people can spend their health care tax dollars the way they need to. and we're going up low and middle income americans access to affordable quality health care with a monthly tax credit. it's immediately available. as health and human services secretary price wrote today,, this morning, our legislation aligns with the presidency goal of rescuing americans from the failures of the affordable care act. secretary price also wrote that our bill, our bills are necessary and important first step for fulfilling our promises to the american people. i encourage you to read the bill and cover our action tomorrow. this bill is available to the american public, contrast this against the affordable care act.
2400 pages written in the dark of night and rushed through congress. this legislation is little over 100 pages, and every american can read and understand it. house republicans promised to deliver it step-by-step effort to provide relief from obamacare and get people the health care they deserve. we take that critical first step tomorrow. >> i would be happy to take your questions. go ahead. >> you have criticized democrats for years for pushing to obamacare before people had a chance to read it, but now you're holding committee votes is a list of this week bill nobody knows how much it is going to cost, no, we know some people lose coverage, so are you doing exactly the same? >> no, not at all. in fact the bill went on line life at 6:00 last night. as my colleague said, not that much to get through. pretty well understood. and it's keeping and practice
with reconciliation legislation as you know what the democrats did reconciliation with the nap a cbo score before it went up to the budget committee. that's pretty much how it operates it will proceed with our markups. there will be a cbo score coming and we look forward to that before it comes to the house floor. so all the members of congress have an opportunity to see that. >> what is your message to your senate colleagues are already saying this bill will not pass? >> well, we had a good briefing with our senate colleagues last week, walked through within the various provisions that i would encourage them to actually read the bill, find out what's in it. notes and copies over to some of the senators who were seeking the bill. so they can read through it. we are repealing and replacing obamacare. we start with the 2015 reconciliation legislation, the underpinning document and we're moving forward to get health insurance where it is affordable and available to create more choices in the marketplace, and
to did the biggest entitlement reform since bill clinton signed welfare reform into law. so these are big measures moving forward. we've certainly met the test of the president. secretary price of believe this is -- we will work with them but we need them on board to make this happen. >> i might add, this is obamacare gone. this is the first and most important step to giving relief to americans from this terrible law, and to begin their replacement principles of restoring state control and restoring the free market that conservatives, moderates, all republicans have build consensus around. dr. price on legislation last year, which we embraced in our republican plan had 84 cosponsors including members and leaders of the freedom caucus, the rfc and the republican congress to we are following that consensus. here i guess is my main point.
as republicans we have a choice. we can act now or we can keep fiddling around and squander this opportunity to repeal obamacare begins a new chapter for the american people. house republicans are choosing to act now. >> a follow-up to that. can you comment on -- [inaudible] how much of the bill argue not willing to negotiate on? one man can have conservatives in your own caucus -- [inaudible] on the other hand, democrats will attack you guys and say it will cover less people and it's going to reduce the protections for people that are in the existing law. >> we felt a lot of listening sessions with our members. i've met with leaders of the various groups within our conference. we had a lot of discussions over the weekend with white house and
various folks in their ear it is a legislative process. we now have a bill that is available for all to read and i encourage you to do it. i encourage them to do. i would encourage them to look against their own bill and what they support in the past, and then let's have a thoughtful legislate discussion group is a process before each of our committee. it will be processed at the budget committee. but the process at the rules committee and then it will come to the floor. so this is an important step moving forward to fulfill our promise to the american people to repeal and replace obamacare. >> mr. chairman, the metric of how many people are covered is not the proper way to gauge the success of health care proposal? >> it's interesting because if you go back to what cbo predicted would be covered on the exchanges today, they are all off by about a two to one ratio. there are 21 million and a projector would be covered. 10 million actually covered and the worst parties were chasing young people away from insurance
coverage through the various obamacare mandates. so as a result 45% of those people who decided not to sign up for obamacare and pay the penalty instead or get an exclusion are people under the age of 35. we need to reform those markets so they can give options that are affordable and available to more people to come on to insurance coverage. we also believe the reforms under medicaid law states to innovate and drive more other dollars in coverage rather than the bureaucratic process they have to go through to get waivers. >> you previously said -- employer-sponsored coverage was one of the main option to looking at in a placement plan. what was the thought process behind that and was a something to decide on over the weekend? >> we have been listening very carefully to house republicans, the entire conference, across the philosophical spectrum about how best to restore state control, how best to return,
create a free market and how to make sure we do that in a way that balances in the budget. we looked very seriously at the option of actually providing the same health care available worth to others. at the end of the day our conference, the direction they gave us, was that i was not a provision they were comfortable today. so we decided again to go a different direction. >> very simply, will this bill covered more americans are less americans that are covered right now? >> will cover more americans with affordable health care and today? it's probably the key question. here's what i know in texas in our district. more people have opted out, found a way to get out of obamacare and are taking it. those who have it frankly can't use it. the deductibles are too high. copayments are too high. it's just a card. it doesn't help them.
under our approach by returning innovation to the states and actually giving americans abroad choice of plans the actual use, i believe we are increasing access to affordable care for those who want it. and i think that's an important distinction here, and as i see the tax credit, you know, i have a small business background as chamber of commerce executive. so for decades i watched small business people, entrepreneurs, mom and pop companies struggle to get health care. they get no help. while workers and big businesses got all the help. so under the republican plan for the first time, look, if you work hard and play by the rules, you are treated equally. you get the help as an entrepreneur. so those businesses, frankly, are not taking the affordable care act. though small business people, it doesn't help them. >> is what we do know.
that last year 225 counties in america one option left for people to choose from on the exchange. this year it's 1022 and that was before humana pulled out. this insurance market is collapsing before our eyes. the ceo of aetna said it's in a death spiral. note are our words. those are his words in these in that market because i talk to insurers they are looking to where the consisting of the losses that are now enduring because the way the markets are created. the fact of the matter are not what this will or won't do going forward. facts are with the right at the scene of a pretty big wreck and we're trying to clean up the mess. and if we don't intercede now fewer people of access to insurance, period. we're not taking any money off medicaid was on it today. you can read that in the bill pretty clearly. we're going to devolve power back to the states, decision-making back to the states and hopefully expand access to affordable insurance that people can actually take advantage of. but when you're down to one out of three counties in america, you have one plan and at some cases next year we are hearing
there may be zero, that's the gap we're trying to repair. >> healthealth care as a compett subject we will agree with better coverage, lower cost and better health care, do you think you are on the road to that, meeting that goal right now? >> not only do i think that, i think secretary price believes that an president trump believes that, based on the letter they sent, the letters they sent us, the communications they have issued. >> so could you just tell us, do you have integral cbo numbers comedy people may lose their health care? is a reason why you won't share that with us, with the american people? >> we're waiting for cbo to give us a score spirit when do you think you'll get that score? >> that's up to cbo. >> could you explain a little bit about the insurance gap premium or hike, decline or
whatever is being called and how that is different than the current individual mandate? >> yeah, sure. we will get continuous coverage. this is not a novel concept by the way. you will find a similar version of vista 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 some people were gaming the system. stuff a pre-existing condition necessarily, it's that paper nine months -- automatic him back into market. else part of what was causing this spiral downward. what we wanted to make sure is if you have a pre-existing condition, you get coverage and that the coverage is not rated based on that condition but it's just that if you let it lapse, he didn't pay the premium, there was a marginal penalty there going backwards. it's a little bit like you don't get to by fire insurance for your house when the roof is on fire.
you have to buy it ahead of time. a little different i realize when it comes to health care but the concept is continuous coverage. you can have a gap of 63 days. basically that was too much, that's how it is in other areas americans. what is response to critics who say this inevitably is a big tax cut for the rich? >> yeah, i disagree. you know, i look at th the 20,00 jobs at a left america because of the irresponsible medical device tax. i look at the health insurance taxes and others that drove up health care cost on americans, especially those who could least afford it. you run down tax increase after-tax increase after-tax increase say, for the economy, they hurt health care. they achieved nothing. i do want americans to continue to struggle under the obamacare taxes which is why we're moving to repeal them as well as the subsidies. at the end of the day, as you all know, for this to pass the
senate has to balance within the budget and the window we have been given and we will make sure it does. >> so what are the deviations between the 2015 bill and this bill? >> so on the side that we are focused on, there is little from the standpoint of repealing the taxes, the panels on the mandates and the subsidies as well making sure that we are defunding planned parenthood and redirecting those dollars to community health center so women have those services where they need them. so we used the 2015 reconciliation bill as the foundation for repeal, but we go farther with those two key principles, returning state control, silky mints can get health care design for them, restoring the free market of people confuse health care they need. >> from our standpoint i think we have crafted the biggest
anti-reform in the last 20 plus years by going to a party capital loss back to the states or 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 come every of the patient's ability and states ability fund in her as well pick because there's just been all this damage done to the market itself. we want states to be able to come in, whether it's texas or can be with vastly different decision-making that's going on in health care in our state. >> is that going to be an annual pay yen by congress or is that going to be set up as an endowment that is -- >> it's over 1 10 years. it would be about 10 billion a year after the states know it's coming to the state. >> on the medicaid have you talked to -- [inaudible] and determine whether they would
expand if this law were to go into effect? >> we talked to a lot of states as you might imagine i've heard a lot of governors, have had a lot of great discussion. i don't need to be allowed to expand if they have not expanded before but if they have the expansion they can add new people on until december 31, 2019. why? because the states have told us and others have informed us that you got to have a transition. here that works for the people that are on medicaid and that works until mr. bradys tax bill is up online. remember with the entrance market it takes him a yourself to come up with a new plan and policy get them out there. what we're trying to do is what we pledged we would do, is not pull the rug out from anybody, make sure there's a transition to a better way with more policies, more opportunities and him or fair health system spirit have they approved this? >> yeah spin on that tax policy,
your vision, you're talking about the importance of small businesses and said this is going to repeal that net investment tax and tax at the upper hand. how is that going to fit into your broader tax vision? >> clearly we have an economy that is struggling, worse recovery in half a century. we have some young people can't find good paying jobs. a lot of people have given up. and so part of this is to remove the damaging we think job killing taxes in the affordable care act. we can lower the cost but also it fits in to our vision of the tax reform proposal that is built for growth, built for the growth of jobs and wages and 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 is immediately available to them. it grows and increases with age
because your health care costs grow as you get older. it expands with her family because you have greater needs as a family. it's the credit that you can take from small business to small business, from state to state, home, if you're starting a business business or raising a family, even as you are approaching retirement. this is unprecedented freedom. and i would note, too, that in this legislation, thanks to the work of chairman walden, but those were on aca today who are watching this slowly collapse, they will actually be able to buy off the exchanges including catastrophic coverage that's very important to them as we make this transition. so it is very carefully and deliberately thought out. >> following up on that question, tax credits -- [inaudible] >> expecting with her more about the republican plan to replace
the affordable care act during today's white house briefing. that would be at 1:30 p.m. eastern. we will take you there life and also live today on c-span3 at 2:15 p.m. a hearing with ukraine's foreign minister and other diplomats from and eastern europe to get a broader understanding of russia's power in the region. again, life on c-span3 pic you can watch live online at c-span.org or listen on the free c-span radio app. veterans affairs secretary david shulkin and senate armed service committee chair john mccain will testify today before the house veterans' affairs committee on efforts to improve access to health care services for veterans. live coverage on c-span2 at 730 eastern contingent on the senate gambling after house republicans have released their plan for replacing the affordable care act house ways and means committee will go to the measure tomorrow and vote on a number of proposed changes. c-span3 wildlife coverage of the market starting at 10:30 a.m.
and her book my underground american dream: my true story as an undocumented immigrant who became a wall street executive. tv is live from the tucson festival saturday at noon and sunday at 1 pm eastern on c-span2. >> coming up in about 30 minutes is white house briefing with sean spicer, expecting to hear more details about healthcare replacement for the affordable care act. first though, look at