January 18, 2011, 8:32 am - New York Times
Democrats Make a Case for the Health Care Law
By DAVID M. HERSZENHORN
With House Republicans planning to approve a bill on Wednesday that would
repeal the big health care overhaul, Democrats on Tuesday ramped up their
efforts to defend the law.
The secretary of health and human services, Kathleen Sebelius, will hold a
news conference on Tuesday morning to discuss a report by
her agency showing that as many as 129 million Americans under age 65 have some
pre-existing medical condition that could lead them to be denied health
insurance coverage without protections included in the new law.
gUnder the full range of policies in the Affordable Care Act to be in place
by 2014, Americans living with pre-existing conditions are free from
discrimination,h the assistant secretary of health and human services for public
affairs, Richard Sorian, wrote in a blog post.
Mr. Sorian, in his post, also insisted that thanks to the law, Americans with
pre-existing conditions gcan get the health coverage they need at a price they
can afford.h
That, of course, remains to be seen given that the main provisions of the
law, including subsidies to help eligible uninsured Americans purchase coverage,
do not begin until 2014. Even some supporters of the law have questioned if the
subsidies will be sufficient to make insurance affordable.
Later on Tuesday, Representatives Debbie Wasserman Schultz of Florida and
Joseph Crowley of New York, working with the Democratic National Committee, will
hold another news conference to make the case that repealing the health care law
would be gdevastatingh for the American public.
The two representatives will be joined by gindividuals with personal stories
of how theyfve benefitted from the Affordable Care Act.h
gInsurance companies would be free to pursue their profits without any
accountability, leaving people with fewer choices, fewer options, and little
recourse,h the Democrats said in a press release. gThe effort by Republicans
would allow insurance companies to discriminate against and deny coverage to
those with pre-existing conditions, cancel coverage when families get sick, and
limit the amount of care Americans can get when they need it the most. Repeal
would not only allow health insurance costs to continue to soar, but would kill
tax credits that help small businesses offer employee health insurance coverage
and the Early Retiree Reinsurance Program — which provides financial assistance
for employer health plans offered to early retirees. The American public cannot
afford to revert back to a health care system that does not have their best
interest in mind. This press call will highlight the devastating affects repeal
of the ACA will have on the American people and why we must protect the progress
wefve made.h
The new House Republican majority has made repeal of the health care law one
of its top priorities, even though Democrats who control the Senate say they
have no intention of taking up the measure, and President Obama would certainly
veto it.
Republicans say the law is overly intrusive, giving the government too much
of a role in the health care system, and that it will prove far more expensive
than Democrats and independent Congressional budget analysts have suggested.
On a third front, Representative Henry Waxman of California, the senior
Democrat on the Energy and Commerce Committee, and Representative Frank Pallone
Jr., Democrat of New Jersey, released an
analysis showing the potential effects of repealing the health care law in
individual Congressional districts.
In a letter to colleagues, Mr. Waxman and Mr. Pallone criticized Republicans
for not holding hearings about undoing the health care law. gWe believe many
members, especially newly elected ones, may be surprised by the results,h they
wrote. gHealth care reform is already delivering important health benefits to
your constituents.h
Herefs the full text of their letter:
January 18, 2011
Dear Colleague:
This week, we will be considering legislation to repeal the historic
patientsf rights, protections, and benefits already in effect as a result of the
historic health care law. To assist members in understanding the ramifications
of repeal, we asked the minority staff of the Committee on Energy and Commerce
to analyze the impacts of repeal in every congressional district in the
country.
Today, we are releasing these analyses. We have also prepared analyses on the
impact of repeal in the 30 largest metropolitan areas in the country. The
district-specific and metropolitan-area reports are online at http://democrats.energycommerce.house.gov/.
We believe many members, especially newly elected ones, may be surprised by
the results. Health care reform is already delivering important health benefits
to your constituents. As a result of the law, insurers have stopped
discriminating against sick children in your district, seniors in your district
are saving money on prescription drugs, small businesses in your district are
receiving tax credits to provide health insurance, and insured individuals with
individual or employer coverage are enjoying new rights and protections against
insurance industry abuses. Repeal will roll back these benefits.
We regret that there have been no hearings on the implications of repeal. The
failure to hold hearings denies members and the public an opportunity to
understand fully what is at stake. This is especially a problem for freshmen
members because they did not participate in any of the many hearings held last
Congress prior to passage of the health reform law. Our Committee alone held
over ten days of hearings and heard from over 100 witnesses before the House
voted to enact health reform.
To give you an idea of what is at stake, here are some examples of the
benefits the law provides in the districts of ten new members:
Protection for Individuals with Pre-Existing Conditions. Under the health
reform law, insurance companies can no longer deny coverage to children with
pre-existing conditions and will be banned from discriminating against adults
with pre-existing conditions in 2014. Freshman Rep. Joe Walsh, from Illinois,
represents a district that has 10,000 to 47,000 children with pre-existing
conditions. Freshman Rep. Nan Hayworth from New York represents a district with
128,000 to 324,000 non-elderly residents with pre-existing conditions. If repeal
passes, these children and adults lose the protection afforded by the law and
could be denied individual policies by insurance companies.
Protection Against Coverage Rescissions. The health reform law prohibits
insurers from rescinding coverage for individuals who become ill. Freshman Rep.
Patrick Meehan from Pennsylvania represents a district in which 40,000 residents
purchase individual health insurance. Repeal would allow insurance companies to
resume the practice of rescinding their coverage after they get sick and need
care.
Benefits for Young Adults. The health reform law allows young adults to
remain on their parentsf insurance policies up to age 26. Freshman Rep. Daniel
Webster from Florida represents 4,000 young adults who have or are expected to
take advantage of this benefit. If repeal passes, these young adults would lose
their coverage.
Closing the Donut Hole. Beginning in 2011, the health reform law provides a
50% discount for prescription drugs for Medicare beneficiaries who enter the
Medicare Part D gdonut holeh and lose coverage for their drug expenses. The law
then increases the discount to Medicare beneficiaries each year until 2020, when
the donut hole is finally eliminated. Freshman Rep. Allen B. West from Florida
represents 15,000 Medicare beneficiaries who are expected to benefit from these
provisions. Repeal would increase the average cost of prescription drugs for
these seniors by over $500 in 2011 and over $3,000 in 2020.
Preventive Care and Other Benefits for Seniors. The health reform law
improves Medicare by providing free preventive and wellness care, improving
primary and coordinated care, and enhancing nursing home care. The law also
strengthens the Medicare trust fund, extending its solvency from 2017 to 2029.
Freshman Rep. Bill Johnson from Ohio represents 116,000 Medicare beneficiaries.
Repeal would eliminate these benefits for the seniors in the district.
Tax Credits for Families. Starting in 2014, the health reform law gives tax
credits to middle class families with incomes up to $88,000 for a family of
four. Freshman Rep. Reid Ribble from Wisconsin represents 186,000 families who
could use these tax credits to lower the costs of their health insurance.
Tax Credits for Small Businesses. The health reform law provides tax credits
to small businesses worth up to 35% of the cost of providing health insurance.
Freshman Rep. Michael G. Fitzpatrick from Pennsylvania represents up to 18,100
small businesses that are eligible for this tax credit. Repeal would force these
small businesses to drop coverage or bear the full costs of coverage
themselves.
Funding for Retiree Coverage. The health reform law provides funding to
encourage employers to continue to provide health insurance for their retirees.
Freshman Rep. Jaime Herrera Beutler from Washington represents 11,900 early
retirees who could benefit from this assistance. Repeal would increase costs for
the employers in the district and jeopardize the coverage their retirees are
receiving.
Coverage of the Uninsured. When fully implemented, the health reform law will
extend coverage to 32 million uninsured Americans. Freshmen Rep. Daniel Webster
from Florida represents a district in which over 100,000 uninsured individuals
would gain coverage under the health reform law.
Hospital Savings. The health reform law benefits hospitals by covering more
Americans and thereby reducing the cost of providing care to the uninsured.
Repeal would undo this benefit. In the district of Freshman Rep. Charles Bass
from New Hampshire, this would increase the cost of uncompensated care by $48
million annually for hospitals in the district.
The examples above illustrate the kind of benefits the health reform law
provides in districts represented by freshmen members. But similar benefits
occur in all of our districts. In Rep. Waxmanfs district, 53,000 residents
purchase insurance through the individual market and would lose protection
against rescissions if the health care law was repealed; almost 12,000 seniors
would be forced to pay more for prescription drugs under Medicare. In Rep.
Pallonefs district, repeal would mean eliminating health care tax credits for up
to 18,200 small businesses and 117,000 families.
The report for your district will explain the specific benefits the new law
provides for your constituents. We hope this information is useful to you as you
consider how to vote on repeal of health reform.
Sincerely,
Henry A. Waxman
Ranking Member
Committee on Energy and Commerce
Frank Pallone, Jr.
Member
Committee on Energy and Commerce
9:43 a.m. | Updated