House Votes for
Repeal of Health Law in Symbolic Act
Published: January 19, 2011
WASHINGTON -- The House voted Wednesday to repeal the Democratsf landmark
health care overhaul, marking what the new Republican majority in the chamber
hailed as the fulfillment of a campaign promise and the start of an all-out
effort to dismantle President
Obamafs signature domestic policy achievement.
The vote was 245 to 189, with 3 Democrats joining all 242 Republicans in
support of the repeal.
Leaders of the Democratic-controlled Senate have said that they will not act
on the repeal measure, effectively scuttling it.
While conceding that reality, House Republicans said they would press ahead
with their grepeal and replaceh strategy. But the next steps will be much more
difficult, as they try to forge consensus on alternatives emphasizing gfree
market solutionsh to control health costs and expand coverage.
Even as four House committees begin drafting legislation, Republicans said
they would seek other ways to stop the overhaul, by choking
off money needed to carry it out and by pursuing legislation to undo specific
provisions, like a requirement for most Americans to carry health
insurance or face penalties. The law is also under challenge in the federal
courts, with the individual coverage requirements fueling a constitutional
battle likely to be decided by the Supreme
Court.
The House vote was the first stage of a Republican plan to use the partyfs
momentum coming out of the midterm elections to keep the White House on the
defensive, and will be followed by a push to scale back federal spending. In
response, the administration struck a more aggressive posture than it had during
the campaign to sell the health care law to the public. With many House
Democrats from swing districts having lost their seats in November, the
remaining Democrats held overwhelmingly together in opposition to the repeal.
On the House floor, the resulting debate was a striking reprise of the one
that engulfed Capitol Hill from the spring of 2009 until March 2010, when Mr.
Obama signed the health care law.
And while the tone was slightly subdued in the aftermath of the attempted
assassination of Representative Gabrielle
Giffords in Arizona, the debate showed that the divisions over the law
remained as deep as ever.
The three Democrats who crossed the aisle to support the repeal were
Representatives Dan Boren of Oklahoma, Mike McIntyre of North Carolina, and Mike
Ross of Arkansas, all of whom opposed the law last year.
Ms. Giffords, who had supported the law, remains hospitalized in Arizona and
was the only House member who did not vote.
Republicans denounced the law as an intrusion by the government that would
prompt employers to eliminate jobs, create an unsustainable entitlement program,
saddle states and the federal government with unmanageable costs, and interfere
with the doctor-patient relationship. Republicans also said the law would
exacerbate the steep rise in the cost of medical services.
gRepeal means paving the way for better solutions that will lower the cost
without destroying jobs or bankrupting our government,h the House speaker, John
A. Boehner of Ohio, said. gRepeal means keeping a promise. This is what we
said we would do.h
Democrats, eager for a second chance to sell the law, trumpeted the benefits
that have already taken effect. These include protections for people who would
otherwise be denied insurance coverage based on a pre-existing medical
condition, the ability for children to stay on their parentsf policy until age
26, and new tax breaks for small businesses that provide health coverage to
their workers.
Representative John
Lewis, Democrat of Georgia, said, gIt is unbelievable that with so many
people out of work and millions of people uninsured, the first act of this new
Congress is to take health care away from people who just got coverage.h
The health care law, which Congress approved last year without a single
Republican in favor, seeks to extend insurance to more than 30 million people by
expanding Medicaid
and providing federal subsidies to help lower and middle-income Americans buy
private coverage.
Republican leaders said they had not set any timetable for the four
committees drafting alternatives to the law. gI donft know that we need
artificial deadlines for the committees to act,h Mr. Boehner said. gWe expect
them to act in an efficient way.h
Republicans said their package would probably include proposals to allow
sales of health insurance across state lines; to help small businesses band
together and buy insurance; to limit damages in medical
malpractice suits; and to promote the use of health savings accounts, in
combination with high-deductible insurance policies.
Republicans also want to help states expand insurance pools for people with
serious illnesses. The new law includes such pools, as an interim step until
broader insurance coverage provisions take effect in 2014, but enrollment has
fallen short of expectations.
Representative Paul Broun, Republican of Georgia, said that allowing people
to buy insurance across state lines would gexpand choice and competition.h And
he said businesses could negotiate better insurance rates if they could join
together in gassociation health plans,h sponsored by trade and professional
groups.
But state insurance officials have resisted such proposals, on the ground
that they would weaken state authority to regulate insurance and to enforce
consumer protections -- a concern shared by Congressional Democrats.
Some Republicans seemed sensitive to accusations that repeal would strip away
new patient protections and leave millions of Americans without insurance.
Representative Joe Heck, Republican of Nevada and a physician, said he
supported some goals of the new law: gmaking sure people donft lose their
coverage once they get sick; letting dependent children stay on their parentsf
insurance until they turn 26; making sure anyone who wants to buy insurance can
purchase a policy, regardless of pre-existing conditions.h
Representative Joe
L. Barton, Republican of Texas, said, gThere are some things in the new law
that we think are worth keeping,h including a procedure for approval of generic
versions of expensive biotechnology drugs.
But Mr. Barton and other Republicans returned to a core objection to the law,
which they said extends the reach of government too far.
gWe believe that you shouldnft have the federal government mandate that an
individual has to have health insurance, whether he or she wants it,h Mr. Barton
said. gWe want to repeal today so that we can begin to replace tomorrow.h
Representative Allyson Y. Schwartz, Democrat of Pennsylvania, said she
doubted that the Republican alternatives would be effective in expanding
coverage or controlling costs.
gMany Republicans want to repeal the law, but are not serious about replacing
it,h Ms. Schwartz said.
© 2011
The New York Times Company