tv House Majority Leader Says Changes to Health Care Bill Would Be Very... CSPAN March 10, 2017 1:28pm-1:48pm EST
surcharge for a year on your premiums. that's 30% on top of your -- of the base premium. that would be the incentive for you, theoretically, to not have a lapse in coverage, to make sure you're covered. but conversely, critics are looking at this and say, if you know you're going to hit a 30% premium surcharge, and you didn't have insurance now, why would you, you know, get in before you were sick? you might just wait until you are sick and then of course you'd be more expensive to take care of. so you know, the human behavior is always something they're trying to incentivize but there are some that look at this provision and say it may not really get people in the market or keep them in the market. host: the kaiser health news website, khn doifering, and the reporting of mary agnes carey. thank you for your time. guest: thank you. >> house republican leader kvetch mccarthy and others met
with president trump and vice president pence at the white house. they discussed progress on the health care law replacement. before going, leader mccarthy and the chairs talked to reporters on the -- on capitol hill. mr. mccarthy: good morning. i want to start off by thanking scharme kevin brady and chairman greg walden and the members of their committee. this is the first phase in a three-phase process. the energy and commerce committee marked up more than 27 hours, the ways and means committee, 18 hours. that's collective 45 hours of debate and deliberation. this is regular order. this is the committee and our members at work. just what the american people expected from their representatives. the work will continue next week under the leadership of chairwoman diane black in the budget committee. i want to put this work in perspective osmba macare is failing.
-- obamacare is failing. we cannot do nothing. it would cause more harm and hurt for the american people. additionally, repealing this law without the replace poolcies the committees an conferences have worked on would be just as damaging. as i said, this is step one in a three-phase step. first i'd like to bring up chairman walden. mr. walden: thank you, leader. it's great to have the markup behind us. i think our committee did incredibly important and good work. we had an open process where everybody that had amendments could offer them and did so. and we came to, i think, a very good work product at the end. but this is major entitlement reform, we're going to restore pow -- power to the states. we're really committed to fixing this individual insurance market. this is this -- as the leader said, this is just the first step, though. this has to be looked at not in isolation but across the board with what dr. price can do at h.h.s., what we will do legislative by hi going forward
in the traditional legislative process outside of reconciliation. this is going to take time to get all those other pieces in place but we are committed to reforming this. and we're going to go after the cost drivers as well. you can't just fix that in reconciliation. we have to look at what's driving the cost, what's behind that, i guarantee the energy and commerce committee is going to do that. because we represent patients who say, why does all this cost so much? and we want to get back to that patient-doctor relationship and squeeze the waste, fraud, abuse, and high cost out of the system. that's also on our list going forward. i'm delighted we were able to complete our work product. we may have set a record in terms of consecutive markup time. the ways and means committee a little more efficient. they got it done a little quicker. they have fewer members. but now we're proud to hand our product off to the budget committee and under the great leadership of chairwoman black, and then it will go up to rules
and we'll get it on the floor. so with that, i turn it over to the chairman of the ways and means committee, mr. brady. mr. brady: thank you for your good work. together we took historic action this week to repeal obamacare and lay a thoughtful foundation for the patient-centered health care system, house -- system house republicans proposed more than eight months ago. after seven long years, more than 200 hearings, hundreds of proposals and this week two all-nighters, house republicans successfully moved forward in our promise to dismantle obamacare's crushing taxes and mandates an begin to return control to the states and return power to individuals so they can pick plans that are right for them, not washington. president trump called on congress to save americans from obamacare. and this week house republicans continue to deliver on that promise.
our solution includes reforms, long championed by conservatives, including tax credits, expanded health savings account. by doing this, returning control to the states so they can design health care that's right for their communities, recognizing there is a difference between manhattan and kansas -- between manhattanning kansas, and manhattan, new york. these policies include a strong reform to allow the free market to restore itself and give people control over their health care again. but we're not stopping here. this is just the beginning of our work. i look forward to continuing to work with my colleagues in congress and the trump administration to rebuild our broken health care system for people in texas and across the country. and i'm very pleased to be able to, along with chairman greg walden, to be handing these reforms and these solutions to the chairman of the budget
committee, mrs. diane black of tennessee. mrs. black: i thank both of you for handing off this wonderful piece of legislation and giving me an opportunity to work with my budget committee members. this is an exciting moment for our party and for our country. we've promised that we would repeal and replace obamacare with a patient-centered health care system that reduces costs. we're one step closer to keeping our promise. this bill secures key conservative victories, it dismantles obamacare's mandates, it puts health care decisions back in the hands of patients where they belong. as a nurse and someone who has been in the health care arena for a long time this is where it belonged all along. it protects the most vulnerable americans and i applaud the leadership of both chairman walden and chairman brady for their tireless work on this legislation. i also applaud our leadership, speaker ryan, not only this year but in previous years, for
producing the better way plan that is the basis for our repeal and replace legislation. the budget committee is ready to take up this legislation. and to continue to review our bold solutions to reform our health care system and hopefully move it to the full house for consideration. some have said this legislation doesn't do enough. on the policy side, this legislation is basically the same bill that we passed in 2015 supported by all three republican members and adds replace provisions to ensure that no americans are thrown off of their current insurance plans. it zeros out the mandate, it repeals the taxes, it repeals the subsidies, and it rolls back some of the regulations. and if you want to repeal obamacare this bill does it. procedurally, because we are using the reconciliation process, there are certain things we cannot do in this bill.
but my friend and former colleague, tom price, will play a large role in further addressing these aspects of the current health care system in his role as the secretary of health and human services. we also look forward to address manager of the regulatory regime enacted by obamacare down the road through the regular order and we hope that our colleagues on this -- colleagues on the other side of the aisle, the democrats, will join us in this effort. it is the right thing to do. >> mr. mccarthy, cob servetives who meet with leadership here come out saying their impression is you're offering them a take it or leave it reconciliation bill. those at the white house say they came open to talk, particularly on moving up the medicaid freeze to 2018 my multipart question is, are you up here on the hill open to changing reconciliation before it gets to the floor? if so, what changes migget might they include moving up the medicaid freeze?
and are you out of the loop with whatever talks are happening in the white house. mr. mccarthy: i don't see how we're out of the loop when we're at the white house. you'll see these two and a number of other chairmen going down to meet with the president. this is three phases. i think that brings some people concerns of how they want to do this some people talk about wanting to repeal and then go forward. you'd have to get 60 votes moving forward. that would be a very difficult thing to do. i believe that bill would not be as conservative as this bill to solve the problem that we twheed to soft. -- to san francisco. as -- to solve. we have been working at this for a number of years. wheny put out the better way, we had everybody in inside the conference to give their opinion and others. just in february alone, there were seven different meetings for those to come forward and talk about the idea. that's why the culmination of this is input from everybody inside this conference and across the country having input.
>> are you open to changing? mr. mccarthy: i think that would be difficult to do. do you want to talk about this? mr. walden: we want to make sure we don't create gaps here for people as we give power back to the states, as we go to a per capita medicaid system, as we repeal obamacare, we want to make sure we don't create gaps, that the insurance market can get the performance in place, save it from collapse and get the tax credits there as well. i've had discussions all along about different dates, different time lines, the governors work insurance commissioners work leaders of each of these different groups. by the way, we had a unanimous vote on the republican side coming out of the committee, two of those members are in the freedom caucus. 2/3 of our members are in the republican study committee. the members that know this policy the best, who have been there the most every day as we
work through it, realize and came to support the bill that we passed out. and sent now up to the budget committee. >> you said it would be a difficult discussion to have. sit because specifically there would be a gap in coverage if ou phased out the medicaid sooner? mr. walden: we want to make sure we don't create a gap. how all this comes together varies state by state. you have some state in the expangs, not not -- some not in the expansion. some meet once every two years for 40 day, wyoming used to be renowned for that, other states their legislatures never end. we tried to find a blend. obviously it's going to affect different people different ways in different states but our best effort is what you see before us. >> if you walk into the white house today and say the president says we need to change, this needs to sunset in 2017, not 2020, how do you respond to that?
mr. walden: i look forward to meeting with the president. we've been in regular contact with his team on these issues for a period of time here as we work through this. dr. price knows exactly what is possible, what's in the possible, and various ramifications of change. we look forward to the president's direct involvement. >> when i talk to people at heritage, i hear what you're -- what your constituents probably see when they go online and that is, all you guys have to do is pass this -- pass the reconciliation bill that kill odd ba macare in 2015 that was passed by the house and senate. how would you respond to that? mr. walden: that's our base bill. that's where we started. now we have the opportunity to do even more osm to say we just repeal ignores the entitlement reform opportunity we've passed now unanimously out of the house energy and commerce committee and the ways and means committee that restores powers to the states that puts medicaid on a real budget, and those are, this
is a step forward in the conservative cause to get the washington bureaucracy out of the middle of the decision making on medicaid. they should be embracing what we're doing as we go forward. >> do you think it's irresponsible for them to suggest that. >> could you talk about the cost drivers, can you go into that? mr. walden: you'll see us move forward on a number of initiatives as we look at the whole cost pool. i remember when we did reform of oregon's workers comp system, we started with what's betts for the worker -- what's best for the worker/patient. and we had one of the most expensive systems that produced the leanest benefits for injured workers in the country. employers wereup set, workers were upset. when we got done looking at the cost drivers in the middle, cleaning all that out, we got to a system that had some of the best payments to injured workers and premiums came down for their employers. i think there's a lot of room in thed my tholve bureaucracy of
health care to get a cost drivers and our energy an commerce committee will begin taking up this those issues. it's all across the spectrum. this is going to be across the spectrum. if you're a patient in hood river, oregon, you're wondering why things cost what they do. a lot of times it doesn't add up. so i was at an orge health sciences university last friday they told me the new injector for naloxone has gone up nine fold in the last few months, type deal.r epipen but if it costs $60,000 to save a person's life, that's wrong. >> is there any chance that's what clear your committee, cleared the ways and means committee, can look any different when it goes to the full floor late her mr. mccarthy: we're in a legislative process, we've got the house, the senate, the budget committee.
mr. walden: they've got voting cards. i'm not going to predict what the president is going to tell me. i haven't met with him, i'm not going to predict what other committees are going to do. they've given us the flexability as the people most focused on the policy to put our brainpower, effort, and energy to get to the best policy we figured we could get to. so that's where we're at. mr. mccarthy: we just walked through two committees. every single republican on both committees voted for the bill. i think you're playing into a little more, thises this is a legislative process, three phases. as we continue to talk to individuals, there are other times to do pieces of legislation as we move forward. and we will do other pieces of legislation. but the one thing, the question earlier, if you talked -- when you talked about if you just want to repeal it if you repeal the bill you'd double your premiums and collapse the market. then you're going to sit here and wait and hope you get 60 votes to try to deal with the
health care system. i do not believe that's the best approach. that's why we are repealing and replacing because of the system that we are in and the rules of the senate, we have to do it through reconciliation. so we have to deal with the rule, there's not everything that we would like to have in the very first phase to be in the bill. but as we continue to talk to everyone, we're going through three different phases. do not underestimate the power of the h.h.s. secretary. in the a.c.a., there's 1,400 points in that bill of shall, that gai the secretary power. at the same time, administratively, they'll be doing the work to sustain the market. when you talk to those about whether they would come back into market because so many people are leave, remember, we had 23 co-ops created in the a.c.a., 23 of them collapsed. you have ,000 counties roughly
in america. one third of those now only have ne provider. the chairworm of the budget committee, humana announced they have 16 counties in tennessee with no provider. the work that chairman walden has done when it deals with medicaid, we did not do that in a vacuum we have brought together governors, governors who have expanded and governors who did not expand and worked together to find common ground. so yes, there's going to be questions on blothe sides of the aisle. but sometimes, when you have pushback on one side and the other side, from a political spectrum, you might have found the sweet spot. and it's not easy walking through legislation but i give these three chairs a great deal of credit. first two have just gone through some of the longest markups you have ever seen. never shutting anybody down, letting the debate go on. and we have a broad spectrum inside our conference and everybody in that committee, the
republicans, voted for it. let's remember where we currently are on this phase. >> mr. leader, to follow up on that the speaker yesterday suggested -- >> that was a very good power oint presentation. >> he suggested there could be regular order, legislation moving alongside the reconciliation bill, is that the plan and what do you expect to be in that bill? mr. mccarthy: that is the plan. we're expecting the c.b.o. score to come through. we would like to have the c.b.o. score before we talk about where we're going. at the same time c.b.o. was scoring there, other committees were working but energy an commerce still has work to do, they're waiting for some scores to come through. there's other pieces of legislation that we will move during the third phase and some of that phase can start during the week we bring this to the floor an right after that week. >> it will be on the floor at the same time as the recon sill yankees bill, the same week?
mr. mccarthy: some bills can be on in the same week, some aren't prepared with, some will be after. >> it is unhellful conservatives are going to the white house and saying why don't we put more in the reconciliation bill? mr. mccarthy: i never find it unhelpful that members express themselves. let's remember where we are. president trump endorses this bill. president trump want this is bill to pass. why shouldn't the president communicate an listen to members? and if we're through three different phases, why wouldn't he continue to listen to them, why wouldn't we continue to work together? i think that's a good form of government for the process we're doing. we have an open process. if we're going through three different phases in that third phase we can breng up and pass that piece of legislation that other members can feel gives them greater support to pass for this one. >> what do you think about the idea of going around the parliamentarian. mr. mccarthy: what did y