Health Care Update

 

November 5, 2009


As you know, the issue of health care reform is being hotly debated in the halls of Congress and throughout America. House Speaker Nancy Pelosi is bringing the latest version of the health care bill to the floor of the House of Representatives this week. At more than $1 trillion and nearly 2,000 pages, H.R. 3962 is considered by many to be the antithesis of patient-centered reforms that would empower Americans to own and control their health coverage. This bill has the potential to limit choices, competition, and the possibilities for innovation. Conversely, I support health care reform that will ensure that America remains competitive in the 21st Century by making our system more portable, affordable, sustainable, effective and innovative.

I will be making my concerns known today, November 5 at noon on the West Front steps of the U.S. Capitol (House side), where I will join my Republican colleagues, as well as Americans from across the nation, for a House Call on Washington.
Given the significant changes to our health care system which would take place if this piece of legislation is enacted, I want to ensure that you have access to a copy of this bill, as well as the summary and report of H.R. 3962 compiled by the Congressional Budget Office (CBO), and a reading guide to the legislation.

 
The text of H.R. 3962 - Affordable Health Care for America Act as introduced can be found here: http://docs.house.gov/rules/health/111_ahcaa.pdf

The CBO Report of H.R. 3962 can be found here:
http://www.cbo.gov/ftpdocs/106xx/doc10688/hr3962Rangel.pdf

I would also like to point out some sections that I thought you might find of particular interest, as noted by this reading guide:
Page 94—Section 202(c) prohibits the sale of private individual health insurance policies, beginning in 2013, forcing individuals to purchase coverage through the federal government

Page 110—Section 222(e) requires the use of federal dollars to fund abortions through the government-run health plan—and, if the Hyde Amendment were ever not renewed, would require the plan to fund elective abortions

Page 111—Section 223 establishes a new board of federal bureaucrats (the “Health Benefits Advisory Committee”) to dictate the health plans that all individuals must purchase—and would likely require all Americans to subsidize and purchase plans that cover any abortion

Page 211—Section 321 establishes a new government-run health plan that, according to non-partisan actuaries at the Lewin Group, would cause as many as 114 million Americans to lose their existing coverage
Page 225—Section 330 permits—but does not require—Members of Congress to enroll in government-run health care

Page 255—Section 345 includes language requiring verification of income for individuals wishing to receive federal health care subsidies under the bill—while the bill includes a requirement for applicants to verify their citizenship, it does not include a similar requirement to verify applicants’ identity, thus encouraging identity fraud for undocumented immigrants and others wishing to receive taxpayer-subsidized health benefits

Page 297 - Section 501 imposes a 2.5 percent tax on all individuals who do not purchase “bureaucrat-approved” health insurance - the tax would apply on individuals with incomes under $250,000

Page 313—Section 512 imposes an 8 percent “tax on jobs” for firms that cannot afford to purchase “bureaucrat-approved” health coverage; according to an analysis by Harvard Professor Kate Baicker, such a tax would place millions “at substantial risk of unemployment”—with minority workers losing their jobs at twice the rate of their white counterparts

Page 336—Section 551 imposes additional job-killing taxes, in the form of a half-trillion dollar “surcharge,” more than half of which will hit small businesses; according to a model developed by President Obama’s senior economic advisor, such taxes could cost up to 5.5 million jobs

Page 520—Section 1161 cuts more than $150 billion from Medicare Advantage plans, potentially jeopardizing millions of seniors’ existing coverage

Page 733—Section 1401 establishes a new Center for Comparative Effectiveness Research; the bill includes no provisions preventing the government-run health plan from using such research to deny access to life-saving treatments on cost grounds, similar to Britain’s National Health Service, which denies patient treatments costing more than £35,000

Page 1174 - Section 1802(b) includes provisions entitled “TAXES ON CERTAIN INSURANCE POLICIES” to fund comparative effectiveness research, breaking Speaker Pelosi’s promise that “We will not be taxing [health] benefits in any bill that passes the House.”

Thank you for taking time to listen to my concerns with this legislation. Should you have any further questions or comments about this or any legislative issue, please do not hesitate to contact me in my Washington, D.C. office at (202) 225-4465. Also, please visit my website at www.house.gov/garrett to sign up for my e-newsletter with the latest updates.